HomeMy WebLinkAbout05-0578)
~
.
Register of Wills of Cumberland County
PETITION FOR PROBATE and GRANT OF LETTERS
To:
C71-0tJ -- 57 fl
Estate of MYRTLE L. CRIBBS
a/so known as
No.
, Deceased.
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
Social Security No. 196-22-6951
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, and the execut~ named in the last will of the
above decedent, dated January 15 ,20 1981
and codicil(s) dated
D..A ?
l-'~,^I {If C',.,hhr fA A/Ne...b-w- ,2, /Cflr'if'
(state relevant circwnstances, e.g. renunciation, death of executor, etc.) ,
Decedent was domiciled at death in CUMBERLAND
Pennsylvania, with h~last family or principal residence at
203 April Drive, Borough of Camp Hill, Pennsylvania
(list street, number and municipality)
County,
Decedent, then ~ years of age, died JUNE 11 , 20~, at Holy Spirit Hospital
Except as follows, decedent did not many, 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 of real estate in Pennsylvania
situated as follows:
$ 25,000.00
$
$
$
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.t.a.; administration d.b.n.c.t.a.)
thereon.
Signature(s) ofPetitioner(s)
Residence(s) ofPetitioner(s)
~AL^)~?Y/P~_
er (
/f- ({J/P.4~ ,-,-.:~ (7/ u ~, (~Mf1 /-/ // /'21- /76//
~
.
Register of Wills 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 petttioner(s) will well and tn.:ly administer the estate accordmg to law.
Sworn to or affirmed and subscribed {v.J.A ",,) .-r 'J?1p j, rVtA '
Before me t~,~ Lf r). day of
-r--- ,20 ().5
~ 1-tlMtbt~ l;t~p:i
Register f!JA. ~ ~
No. AI-():,--S7o
en
~.
~
i'!
2
Estate of MYRTLE L. CRIBBS
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW
hereof, satisfactory proD
JANUARY 15, 198f
MYRTLE L. CRIBBS
KAREN L. MELVIN
20~, in consideration of the petition on the reverse side
aving been presented before me, IT IS DECREED that the instrument(s), dated
, described therein be admitted to probate filed of record as the last will of
; and Letters are hereby granted to
FEES
Probate, Letters, Etc. ............. $
Will................................. $
Renunciation.... .....(0:1.)....... $
Short Certificates (5l ............ $
JCP................................. $
Automation Fee................... $
Bond................................. $
Total_ $ I.JlO. (hi
Filed 9tJA-1l ;;.. 'f 200>)
~ vJwi:ul ~;/1tuw
~~~
kJlb~ 1 ~~/fk
C" ,ReLwill~ _ +~
ov
C<1qt)
/5
/0 lip
aO ~
Id 0-0
6.~
Ajomey (Sup. Ct. I.D. 0.)
i ..Y8"01 Market Street
Camp Hill, PA 17011-4227
Address
L,,!\
(VIIIHIE" (v'I""'
717-737-0464
Phone
Register of Wills of Cumberland County
OATH OF NON-SUBSCRIBING WITNESS
Estate of Mirtle. L, (\,:\'bs
Also known as
No, d.1-65'~ 578'
, Deceased
I<tAve", L. Nelv,,,,
~
D~hh,,, L, FI,c.J~\V'-~..lA
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
--\1....~l Ovv{ familiar with the signature of VI,( '1 r-t \. l. e." \., h f , testat~ of (one of the
subscribing witnesses to) the-eedieillwill presented herewith and that h believelbelis\'ss the signature
on the ~lIwill is in the handwriting of Iv( l r t I ~ L - C t', b b ~ to the best of
'tho ,'I' knowledge and belief
~~7}~
(Name)
Sworn to or affirmed and subscribed r.. '
Before me this ~l/ day of -( Oa..b lr H'H:ml. j h/'4
9'PYIL- ,20..d...Z: (Address) (!~ ~yJ;f/70//
fl~ 1(J4/Jli-{,.1A~/fU6
Register ~-1-
Deputy
~
I I'
lA'~
(Name)
j /' ~ )
ll/cJ\jJ~ (Y'u . (v:Jr,-{z6 10,1<.1>13
(Address)' / .
.. i"J&f'iLv;)oJ
;i
(I)
..
: . .
Register of Wills of Cumberland County
RENUNCIATION
Estate of MYRTLE L. CRIBBS
No.
cJ,./-OS-S7t
Also known as
, deceased
To the Register of Wills of Cumberland County, Pennsylvania
The undersigned GARY E. CRIBBS SON CO-EXECUTOR
(Name) (Relationship) (Capacity)
of the above decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
Letters TESTAMENTARY
be issued to KAREN L. MELVIN
Witness my/our hand(s) this :J. 3 day of
SONL
,20M
Affirmed and subscribed before me this
;,13 day of -1""-"'.
J;6 ,
r-::: ~
KJ!IfrJ f GJJr
~ I (;~1-rrtre) if<-!)" IJU))t/(({~1 f;;
(Address)
-
y Commission Expires:
COMMOIlWEAlTll ftr I'flIJlSYI.\IAIlIA
SEAL
LISA MARIE COYftE, IIOTARY PU8l.1C
HAMPDEN TWP.. CUMBERLAND COUHlY
MY COMMISSION EXPIRES JUNE 10 2008
(Signature)
Or
(Address)
Affirmed and subscribed before me this
_ day of
(Signature)
Register of Wills
(Address)
Deputy
(Signature and seal of Notary or other official
qualified to administer oaths. Show date of
expiration of Notary's commission)
.
Register of Wills of Cumberland County
RENUNCIATION
Estate of MYRTLE L. CRIBBS
No.
~I-05'' S7t'
Also known as
, deceased
To the Register of Wills of Cumberland County. Pennsylvania
The undersigned DEBBIE L. FLICKINGER DAUGHTER CO-EXECUTOR
(Name) (Relationship) (Capacity)
of the above decedent, hereby renounce(s) the right to administer the estate and respectfully request( s) that
Letters TESTAMENTARY
be issued to KAREN L. MELVIN
Witness my/our hand(s) this .j"/ day of
~t>>Ju../
,20D:::
^-5r::red and subscribed before me this
day of -cr.v--<...
~<;
, \ c 11 .~
\.-~._. " - - .-------
.~ NO~iC \..- COMMONWEALTH OF PEIlNSYlVAIIIA
NOTARIAL SEAL
LISA MARIE COYNE, N
NAMPDEN TWP., CUMBERLAND COUIIlY
MY COMMISSION EXPIRES JUNE 10 2001
/ ),/; /.
iA /e 'A.(~ .r' \./7/.cl"hfll.J0
(Signature)
?~. /.'. .)
i !.)../(U-,<<.. ('-0-<. l, fJ,,.{!tu ,lie
1 (Address)
( <;~/3
My Commission Expires:
(Signature)
Or
(Address)
A ffinned and subscribed before me this
_ day of
(Signature)
Register of Wills
(Address)
Deputy
(Signature and seal of Notary or other official
qualified to administer oaths. Show date of
expiration of Notary's commission)
Thi:-. is to certify that the information here given is corn:Clly copied from an original ce~-~ifiC<~te of death du~r filed with me as
L,Kal Registrar. The original certificate \vill he forwarded to the State Vital Records OltJce ior permanent tllll1g.
TYPE/PRINT
'"
PERMANENT
8L,Io.CIl.lNIl.
o
w
.
,
~
o
<
..,
--<>
-<>
.(
\J
.J
=f
o'
~;t; 5-:'::
uo.o"O
~~~i
o (J1 ~ 0
g:i~~
~
!z
w
o
w
U
w
o
"
o
~
z
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fcc for this certificate. $6.00
~",-jj"I/"/#~-;;;;'&
"""~l-,1\jjlf P{{--_,
6"'~ / ~.F""-
f/U. .....~~\
'~~i ';~ \;:>:~
~~i :. ',~~
!~f,:~~ !~~
" ' .. ...,
'*~"""*I
'>.a~ . L" /~'
\. ~~ ._/~l"
'--'r,prMiNl.ti'(~\"""
....,,~'''''l/l/lIrllJ/I//I'lt
&r~.~~~
r)
I"
1155
No.
/! (, t1 'j
"" ~ 1 ~i...
~--/3-{)J--
Date
(). J~ 0':) - 57 g
Hl05143Re.2/6/
COMMONWEALTH OF PENNSYlVANIA 0 DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
SlAl~ ~ILE ""MBtR
~ME OF DECEDENT (Firs!, M;ddle, la~t)
1 Myrtle L, Cribbs
AGE (Last Birtt'day)
'"
2Female
PLACE Of OEATi
HGWI~'"
'''>"";,,,,'1Xl
...
FACILITY NAME (It not insUtution, give slr~~1 and ,"umber)
SOCI/l.l SECURITY NUMBER
,196 22-
6951
DATE OF DEATH (Monll1. Day, Year)
June 11, 2005
84 YI>;
SURVIVING SPOUSE
I'f..,r..u".m.;_o.mol
BIRTtIPlACE(Cilyand
State", Forer\VICcuntry)
heck <>..1 on
~ in'louclions
tHIO"fp'U"n,O
Do,o.D
R.....n""D ::~ty)D
R/l.CE-/l.maric;lnlndian,Blacl<,WhitE
(Specify)
,
COUNTY OF DEATH
PA
"
Cumberland
DECEDENT'S USUAl. OCCUPATION
8e.Camp Hill
KINO OF 8USINESSI INDUSTRY
"
White
AS DECEDENT EVER IN
US.ARMEDfORCES./
Ye~D No[]J
"
MARITAL STA1US - Manied,
N~.efM""ied, Widowad,
Divorced (Spacrt;.)
14 Widowed
\~r::~~r'-;:'~:" ~,::.."~~~~r,,~t'
1h Homemake r 11b
DECEDENT'S MAILING ADDRESS (Str<1ll\, Cil~IT""'", SIal", Zip Coda)
203 April Hill Drive
Camp Hill, PA 17011
DECEDENT'S
ACTUAL
RESIDENCE
(Saeinstructiuns
<W.o\M,Wle}
P p n n "y 1 v R n 'i RI1,d
uecud"nl
Cumberland ~,:,i\~I~P'1
l1a.Stdle
17c.DYes,Udcedenlli.udin
17d, GI ~::i'~"'~=h~~i~ <.>1
Camp Hill
11b. co"my
eilylb
"
FATHER'S NAME (Firsl. Middl...Last)
1'. William E, Freed
lNFORM/l.NT'SN!l.ME IT)ll>elprinl)
20a. Karen L.. Melvin
METHOD OF DISPOSITION
Burial [i Cremation Gemoval from Slate 0
Oll1er(Specify)
FUNERAL SERVICE L1CENS
MOTHER.S NAME (Fi'SI, Middle, Maide~ Surname)
19.Lulu May Clawson
INFORMANTS MAILING ADDRESS (SlIeel, CilylTown, 51-010, Zip Cod!)
~b4 Oakwood Circle, Camp Hill, PA 17011
PlACE O~ OlSPOSITION-l-i\li"a"j C""'''''ary, Crematory LOCATION - Cityrrown. Stata, Zip Code
ofOII1~..PI~co
2J~in Valley memorial Park
Donahon
.21a.
. SIG~TUR
15,
2005
2nelmont,
FA
15626
NAME AND ADDRESS OF FACiliTY
",C.J. !'Wice F.H. 1916 !'bore Ave. N. Apollo, PA 15673
LICENSE NUMBER DATE SIGNED
(Mon\l1,Day,'1ear)
2Jb. M1)'--l2---->f"~o 2Jc.''''''~ II Z-OO,r
WAS CASE REfERRED TO A MEDICAL EXAMINER /CORONER?
26 Y"SO No..8l'
27. PART I: E"lor lh. dl.........lrIJ~ri..., eomp"o.."on. ...roh ..~..d Iho ~o.'" [10 "01.010'11>0 modo of~~I"~, 'ueh.. e.,d'.o Of 'o.pJ,.Wy ."..r, ,hoe" 0' hoon ,.U",.. . Appm~i"'ata PART II: Diller significant conditions contribuling to dealtl. but
lrolanl~o.'<,",.""uoh II.' :inlef\Fal!'etw~"'n notresUlling in lheunderlyin9 cause giV<ln in PART ,
,onse\-.-."dlleall<
_22_
Como
pl1Ysidan is IIolavaUable.,ltima 01 death 10
~!\it'>j{A.u....llfooalt-.
A'<^"",C
,,^,O
"
ATE PRONOUNCED DEAP (Month, Day, 'leal)
25T~ ,\ 2Uc.:..s;----
.~
.'
e"
~o
00
15 ~
U),e
~~
.'
u~
I
"
{:
S"'W-<l'ltia([~Ust~
if ~ny, leading 10 immediate
cau~e. Enler UNDERLYING
CAUSE (Disease or injury
\l',jl\inilia\..a""en~
resulling on death) lAST
WAS AN AUTOPSY WERE AUTOPSY FINDINGS
PERFORMED? AVAlLAflLE PRlOR TO
COMPLETION OF CAUSE
fDEATln
MANNER Of DEAT
TIME OF INJURY
IU-lURY AT WORK, DESCRlSE HOW illJlJRY OCCURRED.
DATE OF INJURY
IMunlh,ll.y, Y~a'l
o
o
o ~~CEOFINJURY
I>"ildi"~, ." 15f>OCl")
30e.
Nalural
HOOlicida
YesD NoD
",
o
o
Accident
Pendi"ylnvestigaliun
Cuuld Flul Ledelermilled
'"
M
r;t::3-w
w:.="
u:'C"'
;::"''-
ffi~,E
u.o
eg
2h. 28b.
GERTIFIEFl(Chllcko'\Iyone\
'~~~F;::l~por::'~\li~~e~':t.s:~:~hc~~~~~.l':.u~: I':: il:':~~~~:~'t:I'~'3r~~~~~~a~WI~~~~~.~~.~ ?~~.'~. .~r.'~ ,~~~~~~~.~.'.I~.~ .~~)
Y~sD NO
'1esD
'00
Sui",de
AI h()n<e, fdfm. slIMt, lactory, office
"
.PRONOUNClNG oI.H.O CERTlF'fffiG PHYSICI,Io.N (I"nysiGian both pronouncing dedtl1 ~nC certif'\ling 10 cause of deall1)
To the beat of my kno....l-"lI., death OCCUlTed al Ihetlme, dal., and ple~., .nd d"t to the ,;au..a(a, alId m.nner... a"'led, ,.
'MEDICAL EXAMINER/(;ORONER
~~~:~::\:::e~~~mlnall<>n and/or Inveallg.Uon, I" ",y opinion, duth Qccu"ed at Ihetlme, d..l., aod place, end due to the cau,eS(SJ and 0
,..
REGISTRAR'S SlGNArURE."}J,D NUMBER
" 'fr~ { )l~
IOI310f/{~
LAST WILL and TESTAMENT
1Jt. c1'~ (J,
~ I ~ 0 s - 57 g
I, MYRTLE L. CRIBBS, of Borough of Apollo, County of
Armstrong and State of Pennsylvania, being of sound mind and
memory, do hereby make, publish and declare this to be my Last
Will and Testament, in manner and form following, hereby revok-
ing any will or wills heretofore made by me.
First. I direct that all my just debts and funeral
expenses be fully paid and satisfied, as soon as conveniently
may be, after my decease.
Second. I thereafter give, bequeath and devise all
of my property, real, personal or mixed, to my husband, Paul W.
Cribbs.
Third. If my husband, Paul W. Cribbs, should pre-
decease me, or die within thirty (30) days of my death, I then
give, bequeath and devise all of my property, real, personal or
mixed, to my three (3) children, Karen L. Melvin, Gary E. Cribbs
and Debbie L. Flickinger, equally, share and share alike.
Fourth. If at the time of my decease, any of my
children, aforenamed in paragraph the Third, have predeceased
me, I direct that that deceased person's share shall be distrib-
uted to his or her children by representation per stirpes.
Page one of two pages.
I do hereby make, constitute and appoint my husband,
Paul W. Cribbs, to be my Executor of this my Last Will and
Testament, to serve without bond. If Paul W. Cribbs is unable
to serve as Executor, I then appoint Karen L. Melvin, Gary E.
Cribbs and Debbie L. Flickinger to serve as my Executors,
without bond.
In Witness Whereof, I, Myrtle L. Cribbs, the Testa-
trix above named, have hereunto subscribed my name and affixed
my seal, the
15th
day of
January
in the year of our
Lord one thousand nine hundred and eighty-one.
~ JJ, ~ 0/ / I
/..Jo<.-, ~
(SEAL)
Signed, sealed, published and declared by the above
named Myrtle L. Cribbs, as and for her Last Will and Testament
in the presence of us, who have hereunto subscribed our names
at her request as witnesses thereunto, in the presence of said
Testatrix, and of each other.
/()
01/ H'~'
J' KJ7:;;:;~_.!'
o
....4'" __c::--?7.A".:".-z:;..,u
.,/
;:I?~~:~
,//
Page two of two pages.