HomeMy WebLinkAbout03-29-05
Register of Wills of Cumberland County
Estate of- Helen N. Campbell
also known as
PETITION FOR PROBATE and GRANT OF LETTERS
11-05 -0 2Cl4
No.
To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
, Deceased.
Social Security No. 2. 0., - fj? - 795"'c:...
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, and the execut or named in the last wijj' of the
above decedent, dated January 21. , 20 03 c;
and codicil(s) dated
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in Cumber land County,
Pennsylvania.,_with hgrlast family or princi~al residence at UiJIJ- ~
Messiah Village, 101 Allen Drive, Mechanicsburg, cmnberland Co., Pennsylvania
(list street, number and municipality)
Decedent, then%...years of age, died March 11 ,20~,at Holy SpiritiHospital, C8lJlP Hill, PA
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after
execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent:
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value ofreal estate in Pennsylvania
situated as follows:
~
$ _)1'59. O~..::;::-
$
$
$
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented
herewith and the grant ofletters testamentary
(testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
thereon.
Signature(s) ofPetitioner(s)
Robert F. Brown
~~~-
Residence(s) ofPetitioner(s)
545 St. Johns Drive, Camp Hill, PA 17011
Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYL VANIA
}
SS:
COUNTY OF CUMBERLAND
The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and
correct to the best of the knowledge and belief ofpetitioner(s) and that as personal representative(s) of the above
decedent petitioner(s) will well and truly administer the estate according to law.
W/~
Sworn to or affirmed and subscribed
Before me this 2. ~
I'Y\ A R. c.. t+
day of
,20 05
Cr.J
OC;.
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DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW ~ 1\ R c.1-\ 29 20 0.5, in consideration of the petition on the reverse side
he'eo~:lt'!tO!Oi ProOfhaViO. g been presented before me, IT IS DECREED that the instrument(s), dated
I f O.j , described therein be admitted to probate filed of record as th. e last will of
l-\~I . CA1V\PBE:.LL ; and Letters are hereby granted to ~DBERT 1=. ~V-)N
gFEES ~~~V~
l>,tpbate,'tette", '* ....... ...... $ ~ I,J lIJ,d< T.} ~.,-#S L?2t!.~ V ~
Will ... ;'.~~..... .......... ..... $ 15.00 Attorney (Sup. Ct. lD. N~.)
Renunciation...~.;...,. ...... ...... $
ShortC;~lficates( ) ............ $ ~ ..l~/ 1fJ_ ;:'1'6#/ Jr;-
.. lCP.................. ............. $ ---10. DO Address" r
Automa~i~ Fee.. $ 5. DO /#&,,- 11/1, 17 f /6
Bond... .;:~,........ .., ........... .... $
-M. Total_5_ $ -1KD.{)O 1/7-.2-g9-7 5"?'.)
Filed 'E . 20" ~
.1.J,....J Phone
HI05,805 REV 1/05
This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
11335475
No.
~/?;~~'
Local Registrar
Fee for this certificate, $6.00
p
l'IAR .i 4 2005
Date
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
STATE FilE NUMBEFt .
...._~_.....~,~..._...~_....._~....._.__._..,.._._~M.....______.....--~~.~~.,._._-
1105,143 Rev, 2/87
"
IT
^
NAME OF DECEDENT (FInI. MIddle, Last)
SOCIAL SECURITY NUMBER
3. 207 07 =7956
N 1
Houn Minutes
BIRTHPLACE (City and
Slate 0< Foreign Counlly)
;:ast Ber1iR~
Ib.Curnberland CO.
DECEDENTS USUAL OCCUPATION
(C:-~of~~~t
110 ered nurse 1Qoctor I s office
DECEDENTS MAILING ADDRESS (S_t, CltyfTown. Sla'e, Zip C_) DECEDENTS
ACTUAL
RESIDENCE
(Soe ,-..ctions
on oII1er side)
MARITAL STATUS. Monied,
Never Married. WIdowed.
Oivo<ced (Specify)
f(idowed
R......... 0 ::.v) 0
RACE . AmericIIn Indian, Block, WhIte,
(Specify)
.bi te
SURVIVING SPOUSE
(Ow,,", ..... ........ .....)
5. 96
COUNTY OF DEATH
Vn;,
Reuben O.
Nell
Did
decedent
live in8
17b. COtJntv ("Hllber] :::Inn township? 17d.O ~=r:::of
MOTHER'S NAME (First, Middle, Maiden Sumame)
llYena M. Resh
Ypplilr 1111 'iHI
..
545 St. John's Dr.
1.. Carn Hill, PA 17011
FATHER'S NAME (Fin;t, Middle, Last)
1..
INFORMANTS NAME (TypeJPrint)
HL Robert F.
METHOD OF DlSP TI
Donation 0 BwiaI
a.
S
dlylbo
Brown
23b. 230.
WAS CASE REFERRED TO A MEDICAL EXAMINER ICORON~
H. Ve. 0 No ~
: Approximete PART U: Other oignificent condiIicno contributing 10 death, oot
, interval be_ nol resulting in the underlying ca.... given in PART I,
: onset and death
a,
Sequenliely lilt condiIicno [ b,
Wany, leading 10 Immedlote
. C8tJse, Enter UNDERLYING
CAUSE (Diseese 01 injury C,
. that initiated events
resulting on death) LAST d.
WAS AN AUTOPSV WERE AUTOPSV FINDINGS
PERFORMED? AVAIlABLE PRIOR TO
COMPLETION OF CAUSE
OF DEATH?
DUE TO (OR AS A CONSEQUENCE OF):
DUE TO (OR AS A CONSEQUENCE OF):
MANNER OF DEATH
DATE OF INJURV
(Month. Day. Year)
TIME OF INJURV
INJURV AT WORK? DESCRIBE HOW INJURV OCCURRED,
Ve. 0 No IS1l Ve. 0
210. 21b.
CERTIFIER (CIleck only one)
.~:~~~~J::'~~~~13gh~~ ~aa=;: g:~a't:~:(:=r ~~.h:t~~~~~.~.~~~~~.~~~.~.~~~.i~~.~.~~.~................. 0
NoD
Could not be determined
o
o
o
30a. 30b. M.
PLACE OF INJURV . At home, form. .tree', factory, oIIice
building, elc. (Specify) .
30e.
Suicide
s.-
O
o
Homtcide
Pendklg Investigation
Natural
Accident
21,
'P:~~':~I:m~N.."~;,:r:.~::tl:H~~c",: l~~"::'~~.:."':'~=.=d~': :'::'~~~~.,;(~i~~~~~.r a. .lat.d...................... 0
'MEDICAL EXAMINER/CORONER
On the ba.l. of examination and/or Investigation. In my opinion, de.th occurred at the time. date, and place. and due to the cau...(a) and
manner .. amted.. ................ ......... .... ........................................... .................................................................................. 0
31a,
REGISTRAR'S SIGNATURE AND NUMBER
~ I~/~I/r I
LAST WILL AND TESTAMENT OF
HELEN N. CAMPBELL
I, HELEN N. CAMPBELL, of Hampden Township, Cumberland County, Pennsylvania,
declare this to be my last Will and revoke any Will previously made by me.
ITEM I
I direct that all my just debts and funeral expenses, including my grave
marker and all expenses of my last illness, shall be paid from my residuary estate as soon as
practicable after my decease as a part of the expense of administration of my estate.
ITEM II
I direct that all my personal property be sold and the proceeds added to my
residuary estate and be distributed in accordance with ITEM III of this my last Will and Testament.
ITEM III
I devise and bequeath ninety-one percent (91 %) of the residue of my estate of
every nature and wherever situate as follows:
1. Lloyd Wilkinson, R.D. 2, Box 447
Wellsboro, Pennsylvania 16901 (9.1 %)
2. Thomas Nell, 735 South Cass Lake Road
Waterford, Michigan, 48328(9.1 %)
3.
Philip Nell, R.D. 2,
New Oxford, Pennsylvania (9.1 %)
,. )
4. Benjamin Nell,
Boulder, Colorado (9.1 %)
5.
Cathy Nell Rich, 15092 East Tufts Place,
Aurora, Colorado 80015 (9.1 %)
6.
Michele Gullage, 59 Ring Neck Drive,
Harrisburg, Pennsylvania 17112 (9.1 %)
c:>
7. Deborah Barry, 203 Woodley Drive,
Harrisburg, Pennsylvania 17109 (9.1 %)
8. Benjamin F. Nell, 65 Filbert Street,
Hanover, Pennsylvania 17331 (9.1 %)
9. Mildred M. Dell, Orchard Street,
Delmar, New York 12054 (9.1%)
10. Thomas Campbell, 609 Shield Street
Harrisburg, Pennsylvania 17109 (9.1 %)
In the event any of the above-listed individuals do not survive me I direct that his or her share
be added to the other shares of the surviving above-listed individuals in the same portions they now
bear to each other.
ITEM IV
I devise and bequeath the remaining nine percent (9%) of my residuary estate
of every nature and wherever situate to the following in equal shares:
1.
Shriner's Hospital for Crippled Children,
Post Office Box 25356, Tampa, Florida 33662
2.
Lloyd A. and Helen Nell Campbell Fund
c/o The Greater Harrisburg Foundation,
Post Office Box 678, Harrisburg, Pennsylvania 17108-0678
ITEM V
I direct that all taxes that may be assessed in consequence of my death of
whatever nature and by whatever jurisdiction imposed shall be paid from my residuary estate as a
part of the administration of my estate.
ITEM VI
I appoint my friend, Robert F. Brown, Executor of this my Last Will. Should
my friend, Robert F. Brown, fail to qualify or cease to act as Executor I appoint my nephew, Thomas
Campbell of Harrisburg, Dauphin County, Pennsylvania Executor ofthis my Last Will.
ITEM VII
I direct that my Executor or their successors shall not be required to give
bond for the faithful performance of their duties.
IN WITNESS WHEREOF, I have hereunto set my hand this 2 J J.t
h--
,2003.
bf~l1J e~
day of
Helen N. Campbell
The preceding instrument, consisting of this and three other typewritten pages identified by the
signature of the testatrix, Helen N. Campbell, was on the day and date thereof signed, published and
declared by Helen N. Campbell, the testatrix therein named, as and for his last will, in the presence of
us, who, at his request, in his presence, and in the presence of each other have subscribed our names
as witnesses hereto.
LJJ{Q~ ~~
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COMMONWEALTH OFPENSYLVANIA
COUNTYOF~~D
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)
SSN:
We, HELEN N. CAMPBELL,
LCJ()..; A ~ CrurY'
Willi CdV' '..:3. pe+et-::>
, and ~otea t F. (}Q.-AJr
the testator and the witnesses, respectively, whose names are signed to the attached or foregoing
instrument, being first dilly sworn, do hereby declare to the undersigned authority that the testator
signed and executed the instrument as his last will; that he signed willingly; that he executed it as his
free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the
presence and hearing of the testator, signed the will as witness and that to the best of their
knowledge, the testator was at the time eighteen (18) years of age or older, of sound mind and under
:. d .t;l/f-r.'''''~~
no constramt or un ue I~ t ueIi&. - v I
) ~J e.~
Testator, residing at ~~ii'fJ
Witness, ~ ~~?.P:;;.,::> residingat __ __~
WItness, ~ t!~~ residing at /I.;~ ,11
Witness, Altd ~ residing at ~
Subscribed, sworn to and acknowledged before me by the testator, HELEN N.
CAMPBELL,
and
subscribed and sworn to before
P-ekP- ~ L()~l' A Cru/Vl
~r()lMfl witnesses, this (,;)\bt
me
by
William J.
RobetL1 f"",
V~(j
and
day of
,2003.
iJ~) J~'
Notary Public
Notarial S3al
Patricia D. Shank, Notary Public
Harrisburg, Dauphin Counly
My Commission Expires Se'pt. 11, 2004
Me~nsy1vanIaAssOclati~nof NOtarias