HomeMy WebLinkAbout05-24-05
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Register of Wills of Cumberland County
PETITION FOR PROBATE and GRANT OF LETTERS
Estate 01 Glenwood Brown
a/so known as Glenwood Brown, Sr.
No. 21-05- D4lDll
To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
. Deceased.
Social Security No. 176-32-5318
The petition ofthe undersigned respectfully represents that:
Yourpetitioner(s), who is/are 18 years of age or older, and the execut~ named in the last will of the
above decedent, dated April 8 , 20 05
and codicil(s) dated~
(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
2122 Douglas Drive, Carlisle, Pennsylvania 17013 (North Middleton Township)
(list street, number and municipality)
County,
Decedent, then ~ years of age. died May 18 . 20~, at Manor Care Health Services, Carlisle, p1!.
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:
n/a
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(Ifnot 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: 2122 Douolas Drive North Middleton Townshio Carlisle Pennsvlvania
$ 50,000.00
$
$
$ 100.000.00
WHEREFORE, petitioner(s) respectfully request(s) the probate ofthe last will and codicil(s) presented
herewith and the grant of letters Testamentary
thereon.
Signature(s) ofPetitioner(s)
(testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
')? ".....I.t!<<~ Residence(s) ofPetitioner(s)
Ronald R. Perocchi
2118 Douglas Drive, Carlisle, PA 17013
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Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
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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.
a.~/f';:?~'
Sworn to or affirme~and subscribed
Before me this ,. LftI\... day of
rrn,O ,2005
~iG\~~~"'r
' <t . ..'" :;isrer
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No. 21-05- 64b3'
Estate of Glenwood Brown, alk/a Glenwo., Deceased
])ECREE OF PROBATE AN]) GRANT OF LETTERS
AND NOW rf'nllj; g+ 2005, in consideration of the petition on the reverse side
hereof, satisfactory proo aving been presented before me, IT IS DECREED that the instrument(s), dated
April 8. 2005 , described therein be admitted to probate filed of record as the last will of
Glenwood Brown. Sr. ; and Letters are hereby granted to
Ronald R. Perocchi
FEES
Probate, Letters, Etc. ........ ..... $
Will................................. $
Renunciation....................... $
Short Certificates (Bl ............ $
JCP.................................. $
Automation Fee................... $
Bond................................. $
Total_ $ JloZ .()o
Filed 5-.;14 20n.2.
\~Qnrh~~'''n. \ Th'O.b~
Register ofWillOPU ~
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,to . (1.')
\'5, ('r\
William A. Duncan, Esquire
(22080)
3200
10.00
S-,(){)
Attorney (Sup. Ct. 1.0. No.)
One Irvine Row
Carlisle, PA 17013
Address
(717) 249-7780
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Phone
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Register of Wills of Cumberland County
OATH OF SUBSCRIBING WITNESS
Estate of Glenwood Brown
No. 21-05- ()/.j.(O~
AI 1m Glenwood Brown. Sr.
so own as
, Deceased
Shelby J. Martin and Ruby S. Martin
(each) a subscribing witness to the will/codicil presented herewith, (each) being duly qualified according
to law, depose{s) and say(s) that theywere present and saw
Glenwood Brown, alk/a Glenwood Brown, Sr.
Shelby J. Martin and Ruby S. Martin
, the testat-"'---, sign the same and that
signed as a witness at the request of the testator
presence and (in the presence of each other) (in the presence ofthe other subscribing witness(es).
Sworn to or affinn~d i'l'1i. subscribed
Before me this /.fTYl~ day of
mocr ' 20~
\ J1hY\()\o. ~J1 OA '~'a-'T
:~er~. ~t
Deputy
.~;12{ ~.
(Name)
Shelby J. Ma n
105 Elk Drive, Carlisle, PA 17013
(Address)
)(.e1Yg~4-49
(Name)
Ruby S. Martin
162 Mohawk Road, Newville, PA 17241
(Address)
in htheir
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w
Thi.., is to certify that the information here given is correctly copied fmm an original certificate of death duly filed with me as
Lncll Registrar. The original cel1ificate win he fonvardcd to the State Vital Records Office for pcrnHlIlent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph_
Fcc for this certificate, S6,OO
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No.
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Local Registrar
MAY t 0 '2005
Date
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H105.143 Rev.21B7
c2J. 05~64lo~
COMMONWEALTH OF PENNSYLVANIA' OEPARTMENT OF HEALTH' VITAL RECOROS
CERTIFICATE OF DEATH
MOTHER'S NAME (F~SI, Middle, Maillen S...nam<l)
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INFORMANTS MAILING ADDRESS (Slr8e~ CIlyITown. Slate, Zip Code)
20b 2118 Do las Dr'1 Carlisle PA 17013
PLACE OF DISPOSITION- NomecfCemetery. cremol<;Jfy LOCATION - CltylTcwn, State, Zip Coda
0( Othsr Place lndiantown Gap
21c. 21d.
NAME AND ADDRES$ FACILITY Hoffman-'3oth Funeral Home
n.
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-rvPEWRINT
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PERMANENT
BLACl(lNK
NAME OF DECEDENT (Fi"'L M;ddle,Last)
1. q~~nwoocll Brown
AGE (Last Birthday)
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2.Ma1e
, '^'
Ho'sPITAl,
InF'lIlo<1'O
...
FACILITY NAME (lfnotlns~luUon, g",a slreet and numbsr)
5. 82 v",
GOUNTV OF DEATH
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Cumberland
OECE[)ENT'S USUAL OCCUPATION
j~"':\'1.,;~~:t~,.':~~r':3t
I(INO OF BUSINESS I INDUSTRY
AS DECIWENTEVER IN
U,S.ARMEDFORCES7
veslin NoD
n.
17a.State D1I
118. 11b. SA
DECEDENT'S AILlNGADDRESS(Slr&eI.CilyfToWl1,Stata.ZIpCade) DECEDENT'S
ACTUAL
RESIDENCE
(SaslnstrucUons
onoll1....side)
2122 Douglas Drive
17b.Coun
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FATHER'S NAME (F....!. Mlddls, LOSI)
'3 Edward Jessie Brown
INFORMANTS NAME (Type/Prtn!)
20a. Id Perocchi
METI-IOO OF D\'3?OSITION
. Dcnat.,n 0 Bmial ,Gcre",ation o,.e",oval from Stale 0
. 21a. OIi>sr(Speclfy) 21b.
'SIGN OF FUNE LlC EE OR ON ACTING AS SUCH
.n
Ccmpleta ma 23e-<: only wt1"" certllylng
physiclan~notavallableet!lmeofdeethto
certifycau...cf<lulh
'-
a","sted
ltama24_25muslt>&complelsdby
person wt10 proncunca. <lsslh
C'
h .. ..".... or .....Ita'my .....~ .~o,~ or l>oo~ ..,,",..
IMMEDIATE CAUSE (FlneJ
dlsaase cr condition
rBsulUnglntluth)_
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DUE 0
[:
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$ftc;uentiallyb.\ool\di\iQns
nafl}'."'a<llngtollmllldlo!e
. causa,EntsrUNDERt.YlNG
CAUSE(DIMtaseo'k1lury
. ll1alinitiated e"""'t.
n>su~in-g on death) LAST
WAS AN AUTOPSY WERE AUTOPSY FINDINGS
PERFORMED? AVAILABLE PRIOR TO
COMPlE'TIONOF C....USE
OFDEAl'H?
Psndinglnvastigeticn
QUE 0 ORAS~CONSEOU NCEOF)
MANNER OF DEATH
DATE OF INJURY
(Monlh,O.'.V,,<)
o
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o ~~CEOFINJURV
o.lkllng,.'<>.(Sp.oIfyl
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Homicide
Nalllral
Accidsnt
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vesD NOlf'! VesO
28a, 28b.
CERTIFIER (ChadcQnlycne)
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,.0
Coutdl\Qtb'!detem\i('.M
Suicide
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.MEDICAL EXAMINERlCORONER
On th. baal. of ,nmlnatlc>n .ndlM Invaa~lIallon. In my opinion, death occ,,"'.d at the tlma, date, and pleca, and dua 10 the tau..a(.) and
mannar...laled..
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REGISTRAR'S SIGNATIJRE AND NUM~ . \=;. t\-'
33 ~ t\. . ~~c.)N
~111d.\\ 101
sTATE "'LENUMeER
SOCIAL SECURITY NUMBER
3. 176 3:6-.
5318
ERlOutpa'lan,D
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MARITAL STATUS - Momed,
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SURVIVINGSPOUSti:
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17d. D ~~I~e=';,'i~~~~ of
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l\Tf"Irt"h MiM1At"f"'In
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LICENSE NUMBER
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: Awoxlmete
.jnte!Valbe~n
:0!\S9t9lld~th
Others~nil'icsntcondillon'contrib<Jtinglodeath.bul
nQt ,esu"inll In the under!ylng Clluse gl""n In PART I.
TIME OF INJURY
INJURV AT WORK? DESCRIBE HOW INJURY OCCURRED
SOb.
YesD NoD
M SO~.
f? tJ
S1b.
LlCENS QATE SIGNEDJMonth. Ooy, Year)
......0 31c. <0 31d. ~ I 'Z.C(~
NAME AND ADDRE'-SS OF PERSON WHO COMP~ETED CAUSE OF DEATH
(Item 27) Type o,Prinl Uo.<;.(,-,\\ . Gu...:.~\"""" t -.:. 'DO
o 58-a-' S '?,-';l; :':::>\,,,-..:-.J.....
32. Cu \,'-:;,\ {>\'\
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21-05 -()-\.Io~
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LAST WILL AND TESTAMENT
OF
GLENWOOD BROWN, Sr.
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I, Glenwood Brown, Sr., of Cumberland County, Pennsylvania, being ofsoufId
w
and disposing mind, memory and understanding, do hereby make, publish and declare
this as and for my Last Will and Testament, hereby revoking all other wills and codicils
heretofore made by me.
FIRST
I direct the payment of my debts and the expenses of my last illness and funeral
from my estate as soon after my death as conveniently may be done.
Further, in this connection, I authorize my personal representative to expend
funds from my estate, in such amount as my personal representative shall consider
necessary and desirable for the purchase, erection and inscription of a suitable marker for
my grave.
SECOND
I give to my daughter Susanne Clemens, Haupt Strasse 50, 56379 Singhofen,
Germany, telephone 011-49-2604-954335, a Diamond Ring Set.
My Executor shall set aside for my Son, Glenwood Brown, Jr., SSN
A sum of$5,000 to be distributed as the Executor sees fit once my Son, Glenwood
Brown, Jr. has been drug free for 3 years.
The balance of my entire estate, real, personal or mixed, wherever situate, I give,
devise an.IIll~~~I 00% to)J:lY.... ~ r dson, Chris J1J9ior Brown, SSN , born
.r(r~-<--~'<?'~ 4-<- A.0 f?/ ~ F
, .
November 21, 1998.
My Trustee shall hold the property for my grandson until he reaches the age of
Twenty-one (21) years. In order to receive any funds, my grandson must submit to
random drug tests and be free of drugs for a period ofthree years. Ifhe does this, my
Executor, in his sole discretion, may distribute some or all of the property in his trust,
provided that all the property be distributed within three years.
This money is not be used for the health, education, maintenance and support of
my Grandson, Chris Junior Brown.
In the event that my grandson dies or fails to remain free of drugs, for the relevant
time frame, at the time he attains the ago of35, his trust shall be divided equally between
my son, Glenwood Brown, Jr., and my daughter Susanne Clemens. My son has to be
drug free for 3 consecutive years. Random drug testing will be done at my Executor's
discretion.
THIRD
I appoint, Ronald R. Perocchi, 2118 Douglas Drive, Carlisle, P A 17013, as my
Executor. I appoint Raymond Kosciolek of 501 Mountain Rd., Marysville, P A. as the
Alternate Executor. The Executor Fee shall be the amount of five thousand dollars
($5000).
FOURTH
In addition to the powers conferred by law, I authorize my Executor, in his
Absolute discretion:
A. To~ ..yrthe form~~d, and to s9ll either at pubJit; orjPvate sale
//y~.?+#__~ p;;r~ ~ ~/~
any real or personal property.
B. To purchase Government Savings Bonds for Chris Junior Brown.
C. To exercise any option or rights arising from ownership of investments.
D. To compromise claims without court approval, and without the consent of
any beneficiary.
FIFTH
I have served in the Armed Forces of the United States. I therefore request that
My Executor make appropriate inquiries to ascertain whether there are any benefits to
which I, my dependents or my heirs may be entitled by virtue of any military affiliation.
I specifically request that my Executor consult with a retired affairs officer at the nearest
Military installation, the Department of Veterans Affairs, and the Social Security
Administration.
IN WITNESS WHEREOF, I GLENWOOD BROWN SR., sign my name and
t1.
R day
publish and declare this instrument as my last will and testament this
of /fro /
,2005. I also have affixed my signature on the bottom of each
ofthe preceding pages hereof.
~~~~~
GLENWOOD BROWN SR.
. .
The foregoing instrument was signed, published and declared by GLENWOOD
BROWN SR., the above-named Testator, to be his last will and testament in our
presence, all being present at the same time, and we, at his request and in his presence
of each other, have subscribed our names as witnesses on the date above written.
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having an address at
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having an address at
/(2 /J1<Jd..,,1/<-/f ReJ
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ACKNOWLEDGMENT AND AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA, COUNTY OF CUMBERLAND, ss.
I, GLENWOOD BROWN SR., the Testator and the
witnesses respectively, whose names are signed to the attached or foregoing instrument,
being first duly sworn, do hereby declare to the undersigned authority that the Testator,
GLENWOOD BROWN SR., signed and executed said instrument as his last will and
testament in the presence and hearing of the witnesses, and that he had signed willingly,
and that he executed it as his free and voluntary act and deed for the purposes therein
expressed, and that each of the witnesses at the request of the Testator, in the presence
and hearing ofthe Testator and each other, signed the will as witness, and that to the best
of his or her knowledge, the Testator was at the time at least eighteen years of age, of
sound mind and under no constraint, duress, fraud or undue influence.
GLENWOOD BROWN SR.
Testator
Witness
Witness
Subscribed, sworn to and acknowledged before me by the said GLENWOOD
BROWN SR., Testator, and subscribed and sworn to before me the above-named
witnesses, this day of , 2005.
Notary Public
My commission expires on