HomeMy WebLinkAbout05-18-05
.
Register of Wills of Cumberland County
Estate of Florence E. Johnson
also known as
PETITION FOR PROBATE and GRANT OF LETTERS
No. ()}-05-0LJ5 tj
To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
, Deceased.
207-22-1058
Social Security No.
The petition ofthe undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, and the executor named in the last will of the
above decedent, dated May 1 7 , ,"J(J 1985
and codicil(s) dated
Robert J.Johnson died February 7, 2004
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in Cumberland
Pennsylvania, with h_ last family or principal residence at
32 Johns Drive, East Pennsboro Township, Enola, PA
(list street, number and municipality)
Decedent, then~years of age, died May 7 , 20~, at Holy Spirit Hospital
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:
County,
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 of real estate in Pennsylvania
situated as follows: 32 Johns Drive, Enola, PA
50,000.00
$
$
$
$
120.000.00
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.la.; administration d.b.n.c.t.a.)
thereon.
Signature(s) ofPetitioner(s)
Jj Residence~ ofPetitioner(s)
IUr- ,e;7d.~ ~~_
Douglas R. Johnson
651 67th Street
Harrisburg, PA 17111
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Register ofWiUs of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
}
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 weB and truly administer the estate according to law.
Sworn to or affirmed .m>~ubscribed {
Before me this 1'1' day of
May ,20 05
jill! ,L/k,u/uJl~!{!-. f0
--- Regis~r IlCjriu~flJ,.,,_
No,~I.05-u4,'),4
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Estate of (-1lR.enr Q C ~~S0"""", Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW May j"\ 20~, in consideration of the petition on the reverse side
hereof, satisfactory proof having heen presented before me, [T [S DECREED that the instrument(s), dated
May [7. 1985 , described therein be admitted to probate filed of record as the last will of
Florence E. Johnson ; and Letters are hereby granted to Douglas R. Johnson
0iQt.{'.A~,*Cl..A..~ \'A\I\o.~""\"
~\ ,\.~~ero~s I
Allen D. sm~. Esq.
Attorney (Sup. Ct. LD, No,)
51 S. Front Street
Steelton, PA 17113
Address
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FEES
Probate, Letters, Etc, ,..'"....", $ ;;;''100 _ OD
Will....................,,,.......... $ I "i, aD
Renunciation..... ..'. ... ,........., $
$ l:l. .00
$ 10.00
$Cf'~ S _{Jl~
$
$ ?x:bl cD
2005
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Short Certificates ( ).. ".. .." ..
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Automation Fee...................
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Total
Filed 5 - I -.
(717) 939-1891
Phone
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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 tor permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fcc for this certificate. $6.00
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No.
ITEM # d h:9
SHOULD READ AS FOLLOWS:
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Local Registrar
MAY 11 2005
Date
"'''7 "~
luS,143 Rev. 2J87
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
STATE filE NUMElER
y~
NAME Of DECEDENT (First, Middle. Lasl)
1. Florence Elizabeth
A.GEILlSlBirthr.lilY) AA
0.,..
Johnson
5. 75
COUNTY OF DEATH
F
IiOSPITAI.
Inpd.ncl8l
...
FACiLITY NAME (if nolln~lilulion, give ~treet i1nd nl)moor)
IIosp;tq/
BIRTHPLACE (City and
Slale or Foreign Counlry)
k. East Pennsboro
Sp:r;t
lb. Cumberland
DECEDENT'S USUAL OCCUPATION
(~~~~':'"~""f
11.. Billin Clerk 11b. Jackson Mfg.
DECEDENT'S MAILING ADDRESS (Sll"(lel, CltyfTown. Slale. Zip Code) DECEDENTS
32 Johns Drive ~~~"tNCE
Enola, PA 17025 ~~:~~ns
AS DECEDENT EVER IN
u,s. ARMED FOI'tCES'?
YesD NoN
".
DECEDENT'S EDUCATION
(S{llOCionlfh Nlo<l.-COt'll\l_1
Elem.n~ISecan"ry Call"".
12 (0.12) (1-4...$>)
13.
KIND OF BUSINESS /INDUSTRY
FA
1h.Slate
0"
decedenl
~ve Irla
township?
11b. Coootv
Cumberland
...
FATHER'S NAME (Fir~l. M1ddlll. La~l)
18. Ralph Chandler Garrett
INFORtAAH'rS NAME (Type1WInl:)
20.. U as R. Johnson
METHOD Of DISPOSITION
Oollalion 0 Burial 0 Cremation Qi(emoVal from Slale 0
.21.. Olher(Spaeify) o 21b.
'SIGNATlJRE: FUNE~ SER LIC E OR ?ERS N "-ClING AS SUCH
-22
Complete lemll 23.-c onlywh 'fyir1g
ph'($ician la not avallable attlme afdeath \0
ceftity~useoldealh.
. "
SOCIAL SECURITY NUMBER
.. 207 -22
1058
ERIO~~O
",,0
R..--D ::-~) 0
RAC . Arr\Itl'k:iIn Indian. BllIdI. White, I;l
(Specify)
10.
White
MARITAL STATlJS. Married,
Ne'#8lM..-IeO.'MdtlllOe<:l.
DivofceIl(Speclfy)
14. Widowed
SURVIVING SPOUSE
lllwa..\I1V1lm..id.n.......)
11e. I8"Ya~, decedent ~ved III
tTd.D ~~~U~~~Of
".
East pennsboro
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clOy""'"
MOTHER'S NAME (FirlI1. Middle, Malden Sum.ma)
11. Florence Ethel Daniels
INfORMANT'S MAILING ADDRESS (SIrn\, Cil)'fTown. Slale, Zip Coda)
2ob.651 67th Street Harrisbur, PA 17111
PLACE OF OlSPOSlll0N. Nama 0' Cellllltary, erem.lory LOCATION - Cil)'fTown. Slale, ZIp Coda
orOlherPtace Cremation Society of
PA Crematory 21d. Harrisburg, PA 17109
NAMEANDAOORESSOFFACILlTY Auer Memor a Hilme an
22e.Cremation Services, Inc. Harrisburg, PA 17109
UCEKSE NUMBER :rE SlGtlED
(Molllh.Day,Year)
30.. 30b. M.
PLACE OF INJURY - At home. larm. ~lrNl. factory. office
bUlldi"\I.elG,(Specity)
30..
27. PART I: bj,o.... dr.-H., lnJu,," of .......plluilon. which c.u..d 1M ....th. Do not.nj,o' th. mod. o'd~ln\l. ouch.. ..rdIoc or ....plr.lo'l'.rr..t .h<><k '" h.." f.II.....
U.IDnl~D"'''uHOn.achllM,
c.t
~ftS""S""CC>>lSEQUEN OF~
DUE TO(()flASACONS~QUEN EOf')
Sequenliallylistcondlllons [b'
If .ny.laadlng 10 immediate
Q\ltlfl.EnIeI"UKDERl.YUoIG
CAUSE (DlMase or injury e.
\hallllitiatad.venls
ra~ulllng on dNth ) lAST d.
WAS AN AUTOPSY WERE AUTOPSY FINDINGS
PERFORMED? AVAILABLE PRIOR TO
COMPLETION OF CAUSE
OF DEATH?
o E TO (OR AS.... CQNSEQU N OF)
MANNER Of DEATH
N
o
o
Nalural
-.
o
o
o
DATE OF INJURY
(Monlh,Day,Y.,,)
Accidenl
PendinglnveSligallon
YesD NoC!t
Not:!"
YesD
SUicide
Could not be determined
2... 28b,
CERTIFIER (Chedr. only one)
''f~':t,~~t~~~~~~Jt~rh~j~3''J'uS: t~ 3:':~.~:~(:r~~.r ,g~i:~~a~sh:~f.~~~~~.~.~~~~.~~~.~~.~~~~~~.~.i.l~.~~~....
...
'PRONOUNCING AND CERTIFYING PHYSICIAN (Ph~ooth \lI"~ \HIllin a1'td certllying to C<luse of dell"')
Toth.b..tofmyknowt.,:l".,d..lhoeeurritd.tth.tlm.,d.t., end plae.,.nd d u.toth.e.u..a(a).ndm.nn.re.stat.d...
"MEDICAL EXAMINER/CORONER
01\ truo b..lll. ot .\l;amln.\\OI'I arn.ifoT \rn/n\\gatlOl'l, '" my opllllon, de.th oecurrKl.t th. tlma, dilt.., and plilC.., .nd due to the cau.....(..) and
m.nn.r...t.t.d
31..
"STAAR'S Sl~NATU~D NUMBER
.~ /? 1M
~/10\/t"1
...
; Approxlmllle
,inleMllbetwaan
:on",.nddttath
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PART II:
OtheralgnlftGantcondllionaCOfl\ribl)qlo<Math,but
nolrS$l)ltinglntheundefl~lng~ustllglvenlnPARTI.
TIME OF INJURY
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED.
SIGNATURE
YesD NoD
30e. 3Od.
lOCATION (SlnIel. CltylTown, Slato)
30r.
TLEOFC rFlER
LiCEN,& NU~~..
o ,,,. II\OU~wlt,f. "..
NAME AND ADDRESS OF PERSON WHO COMPLETED CAUSE OF DEATH
(Uam27)"'JP(lor pnrn
o "Ioro lU f'fltNtSr, WORM Jev~ en 1'fd4l
DATE FILED (Monlh, Day. Year)
"
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!last ViII anb afufa:mrnt nf
FLORENCE E. JOHNSON
1, FLORENCE E. JOHNSON, presently residing at 711 Pine Street, Borough of
Steel ton, Dauphin County, Pennsylvania, hereby declare this to be my Last Will
and revoke all prior Wills and Codicils.
1. The expenses of my last illness and funeral shall be paid from my estate.
2. 1 bequeath all my tangible personal property, including any automobile,
and all insurance thereon, and 1 devise and bequeath all the rest, residue and
remainder of my estate, wheresoever situate and of whatsoever nature, unto my
husband, ROBERT J. JOHNSON.
3. Should my husband, ROBERT J. JOHNSON, not survive me by thirty (30) days,
1 give, devise and bequeath my entire estate, wheresoever situate and of whatsoever
nature, unto my son, Douglas R. Johnson.
4. All interests hereunder, whether principal, income or remainder, while
undistributed and in the possession of any fiduciary named herein, and even though
vested or distributable, shall not be subject to attachment, execution or dequestr-
at ion for any debt, contract, obligation or liability of any beneficiary, and further-
more, shall not be subject to pledge, assignment, conveyance or anticipation.
S. I authorize my Executor named herein, and his successor, to exercise the
following powers in addition to those given by law, to be exercised in their sole
discretion.
a. To retain any real or personal property which may at any time form a part
of my estate as long as deemed advisable.
b. To invest in any real or personal property without restriction to legal
investments.
c. To repair, alter, improve, mortgage or lease for any period of time any
real or personal property and to give options for leases.
d. To sell at public or private sale, for cash or credit with or without
security, to exchange or to partition real or personal property, and to
give options for sales or exchanges.
e. To compromise claims.
f. To make distribution in cash or in kind or partly in each.
g. To apply directly for the needs of any beneficiary, in case of the disability
of such beneficiary through illness or other cause, any income or principal
that is payable to such beneficiary.
h. To exercise all power, authority and discretion given by this Will after the
termination of any trust created herein until the same is fully distributed.
6. I appoint my husband, ROBERT J. JOHNSON, Executor of this my Last Will
and Testament. Should he for any reason whatsoever, be unable or unwilling to
serve as Executor, or having qualified as Executor be unable or unwilling to
continue to serve, then I appoint my son, DOUGLAS R. JOHNSON, as alternate.
7. No Executor named herein shall be required to enter bond or furnish
sureties in any jurisdiction.
IN WITNESS WHEREOF, I set my hand and seal this
/?r:t day of May, 1985.
4'h,~ e. J~
FLORENCE E. JOHNSON
SIGNED, SEALED, PUBLISHED and DECLARED as and for the Last Will and Testament
of Florence E. Johnson, the Testatrix, in our presence, who in her presence and in
the presence of each other, and at her request, have hereunto set our hands and
seals as subscribing witnesses hereto.
~Q,~.
Witness f
,dee,,,
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Witness I
COMMONWEALTH OF PENNSYLVANIA)
) SS:
COUNTY OF DAUPHIN )
I, FLORENCE E. JOHNSON, Testatrix, whose name is signed to the attached or
foregoing instrument, having been duly qualified according to law, do hereby
acknowledge that I signed and executed the instrument as my Last Will; that I
signed it willingly; and that I signed it as my free and voluntary act for the
purposes therein expressed.
Sworn or affirmed to and acknowledged before me, Florence E. JOhnson, the
Testatrix, this
/1at day of May, 1985.
:r~ e, J~
Florence E. Johnson
Expires:
DANIE~ K, BAVER, NOTARY PUBlf(
STEEllON BOROUGH, OAUPHIN COUNTY
MV WMMISSION EXPIRES MAV lB, 19B6
COMMONWEALTH OF PENNSYLVANIA)
) SS:
COUNTY OF DAUPHIN )
We,
A l~,<-- 3', r '^-; vl
and
j-( ~ (c~
k"'fC <.-
, the
witnesses whose names are signed to the attached or foregoing instrument, being duly
qualified according to law, do depose and say that we were present and saw the Testatrix
sign and execute the instrument as her Last Will; that she signed willingly and that
she executed it as her free and voluntary act for the purposes therein expressed; that
each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and
to the best of our knowledge the Teatatrix was at that time eighteen or more years of
age, of sound mind and under no constraint
Sworn or affirmed to and
H ~ i?~ Ic.:,-rc-.~
,
and
subscribed to before me by
, witnesses, this I~
or undue influence.
A\\<~
\) j~,:-r l
day of May, 1985.
~~:::,~
My Commission Expires:
OAN!El K, BAV!R, NOTARY PlI1llIC
STEELTON BOROUGH, DA.UPHIN COUNTY
MY COMMISSION EXPIRES MAY 18, 1986
~~j/
Witn7" ()
'/CL'L /LCLl2d(j
Witness if