HomeMy WebLinkAbout06-06-05
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Register of Wills of Cumberland County
Estate of Martha J. Bosler
also known as Martha Jane Bosler,
PETITION FOR PROBATE and GRANT OF LETTERS
No. iV-os "D5o~
To:
late of South Middleton Township ,Deceased
Social Security No. 174-05-0664
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
The petition ofthe undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, and the execut~ named in the last will ofthe
above decedent, dated July 9,1986 ,20
and codicil(s) dated (none)
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in Mt. Holly Springs Borough, Cumberland
Pennsylvania, with h~last family or principal residence at
18 Cedar Street, Mt. Holly Springs Borough
(list street, number and municipality)
County,
Decedent, then ~ years of age, died May 30 , 20~, at ManorCare Health Services, S Middleton.
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:
(none)
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:
$ 41,000.00
$
$
$ none
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented
herewith and the grant of letters testamentary
(lestamentary; administration c.La.; administration d.b.n.c.La.)
thereon.
.~ature(s~r(s)
X _WI-
18 Cedar Street, Mt.
er
Residence(s) ofPet.ltii,!'l;r(s)
Holly Springs, PA 17065 .',
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Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
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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.
Sworn to or affirmed Sij"ld subscribed
Before me this ...j
QUKlJ> ,20
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day of
05
J4LnrJJQ'4n... (loAl .1.h(}J\..~
~ ~ _~ Register
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No. ;) 1-05 -050;)
Estate of Martha J. Bosler
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW ~l.,- (Lv .3 20~, in consideration of the petition on the reverse side
hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s), dated
July 9, 1986 , described therein be admitted to probate filed of record as the last will of
Martha J. Bosler ; and Letters are hereby granted to
Merle W Barclay
FEES
Probate, Letters, Etc. ..
Will.................................
Renunciation..................... ..
Short Certificates ( ) ............
JCP..................................
Automation Fee.. ................
Bond.. ...........................
Total
Filed I. "' ,~
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Attorney (Sup. Ct. I.D. No.)
2100 Longs Gap Road
Carlisle, PA 17013
Address
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717-249-7717
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Register of Wills of Cumberland County
OATH OF NON-SUBSCRIBING WITNESS
Estate of Martha J. Bosler
No. ,.2\- 0\:5. O~)O;}.
Also known as Martha Jane Bosler,
late of South Middleton Township
, Deceased
Stephen L Bloom and Merle W. Barclay
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
they are familiar with the signature of Martha J. Bosler , testat~ of (one of the
subscribing witnesses to) the codicil/will presented herewith and that they believe/believes the signature
on the codicil/will is in the handwriting of Martha J. Bosler to the best of
their knowledge and belief.
Sworn to or affirmed and subscribed
Before me this "3 day of
'1LLn ~ ,2005
~~;?&
(Name)
2100 Longs Gap Road
Carlisle, PA 17013
(Address)
~rdo.. ~O-.lnoA 1.R~b)J1l,
Register
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(Name)
18 Cedar Street
Mt Holly Springs, PA 17065
(Address)
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Thi~ is to certify that the infonnati()J1 here given is correctly copied from an original certificate of death duly filed with me as
L(k'al Registrar. The original certificate will he forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fcc for this certificate. S6.00
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Date
1 2005
Hl05.143Rey2jB7
SI-05-0So;l.
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
TYPElPRINT
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PERMANENT
BLACK INK
NAME OF DECEDENT (First. Middle. Le.t)
Martha Jane Bosler
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HOSPITAL
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FACILITY NAME Ilfnollnslltulion. give slr""tend number)
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AGE (La.tBirthday)
Cumberland
BIRTHPLACE(CI~and
Slele<>rF<>relgnCountJy)
Dickinegn ~A
88 y"
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COUNTY OF DEATH
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ManorCare Health Services
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CUmberland
8~outh Middleton
DECEDENTS USUAL OCCUPATION KIND OF BUSINESS I INDUSTFlY
1~:~'1"";:~~O~"~rl;.\%~t
lIa. Cashier l1b.
DECEDENTS MAILING ADDRESS (Street. CitylTown. Stete, ZlpCOOo)
AS DECEDENT EVER IN
US. ARMED FORCES?
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18 Cedar St.
16.Mt. Holly Springs, PA 17065
FATHER'sNAME(F~sl.Mlddlot.Lasl)
18. Samuel F. Walters
INFORMANT'S NAME (Type/Print)
20... Mer Ie W. Barela
METHOD OF DISPOSITION
. Oooation 0 Buriel [21 Cremation GemoyeltromStete 0
. 21a. Oll1...(Spacify)
. SIGNAT REOFF E
_22a.
Completei m.23&-<onlywl1encartify;ng
ph~",..nisnotavaiebleal~m..ordealhlo
caMily cause or d.ell1
17b.Countv
STMEFllEPillMBER
SOCIAL SECURITY NUMBER
,. 174 05 0664
DATE OF DEATH (Monll1. Dey. Yaer~
4. May 30, 2005
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RACE.A......<'iconlndian, BI.cl<.Whlte, et
(Spa<:ily)
White
SURVIVING SPOUSE
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town.hip?
170. rn y...decedentllY&din
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South Middleton twp
d\;'iboro.
MOTHER'S NAME (First. Middle. Maiden Sumeme)
19, Carrie Mae Stoner
INFORMANT'S MAILING ADDRESS (Street, CI!lITOnSlel~ZiP Cp<le)
20b. 18 Cedar St.; Mt. Ho y ,=,pnngs, PA 17065
P'.ACE OF DISPOSITION- Name ofCa_taoy. CramalOry LOCATION - CilylTown. Stete, lill Code
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IMMEDIATE CAUSE (Final
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CAUSE (Q;sease or Injury
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WAS AN AUTOPSY WERE AUTOPSY FINDINGS
PERFORMED? AVAlLABLE PRIOR TO
COMPLETION OF CAUSE
DEATH?
OUETOIOR~S~CONSEauENCEoF)
DUE TOIOR~ ~CONSEOUENCEOF)
Homldde
DATE OF INJURY
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PLACE OF INJURY
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CERTIFIER(C"",,"ontyooe)
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.PRONOUNCING AND CERTIFVING PHYSICIAN (Phy.kian both pronoundng daeth and cenifying 10 cause or deell1~
To thtl b...t 01 my knowlad"". dealh occurred allhetlme. dat., and place. e.... du.tolh.oaus..(.j and mann.ral.lalld...
.MEDICAL EXAMINER/CORONER
On Ih. balls of oxamlnatlon and/or Inyestlgatlon, In my opInion, d..1h occurr&d .llhl time, date, end place, end due to Ih. OBllMS(S) and
31.m.annerao'lalad,n 0
REGISTR.A.R.S SIGNATURE AND NUMB~ . C"
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l11\ ~I 1101
21d. Car lisle, PA
NAME AND AOORESS OF FACILITY
2:il;vin Brothers Funeral Hane,
LICENSE NUMBER
Inc., Carlisle, PA
DATE SIGNED
(Month.~el'Yee()
23b. RA.J 3 S' ffoL. 23c. S73iJ/lJr'
WAS CASE REFERRED TO A MEDICAL EXAMINER /CORONER?
26. Ye.O NolfI
'Awn>><O'nalEl PART II: Olher slgnlf\cant conditions contlit>lJling to deall1. but
: InlervBIbetwe&n nolre.ulUngln lhe under!y;ng cause given In PART I
: onset end deeth
TIME OF INJURY
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED
YflSO NoO
30b. M. :MIc. :MId.
Alhome.rarm.ot"'el,faclooy.otIic& LOCATION (Slreet.G<tylTown,Slale)
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11 EO FIER
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I, MARTHA J. BOSLER, of North Middleton Township, Cumberland County,
Pennsylvania, declare this to be my last will and testament, and revoke all wills
and codicils which I have previously made.
I After the payment of all of my just debts, administrative expenses and
inheritance and similar taxes, I give and bequeath the following legacies:
A. To Kelly and Joe Barclay each the sum of One Thousand Dollars
($1,000.00) to be used for their college education and to be paid to them i
I should die before they graduate from high school and I have not previousl
paid the sum of One Thousand Dollars ($1,000.00) to each of them.
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B. To Earl and Melissa Rowe each the sum of One Thousand Dollars
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('$1,000.00) to be held in trust and invested by my Executor until each is
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~eady to go to college, and then to be applied toward his or her college
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'expenses, and if either of them shall fail to go to college, to be held in
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f~her trust until the beneficiary attains the age of 21 years, at which
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time the trust shall be paid over to the beneficiary.
II All the rest, residue and remainder of my estate, real and personal,
I give, devise and bequeath unto Merle W. and Donna Barclay as tenants by the
entireties, and if both of them shall fail to survive me, I give, devise and bequeath
the same in equal shares to their four children, Debbie Barclay, Lynn Barclay, Joe
Barclay and Kelly Barclay.
III I appoint Merle W. Barclay Executor of this will. If for any reaso
he shall fail to qualify or cease to act as such during the administration of my
estate, I appoint Donna Barclay as alternate Executrix, with the same powers and
duties as if originally appointed. I direct that no bond shall be required of any
fiduciary named in this will.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~~ day of
July, 1986.
Signed, sealed, published and declared
by Martha J. Bosler, testatrix above named,
as and for her last will and testament,
written on one sheet of paper, in our
presence, who in her presence, at her
request, and in the presence of each
other have hereunto subscribed our
names as attesting witnesses:
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