HomeMy WebLinkAbout06-27-05
Register of Wills of Cumberland County
PETITION FOR PROBATE and GRANT OF LETTERS
EstateofGE~\<'GE A. SHf1~fLt;:ll No. ~\ -05--0S<;/1
also known as CJ To:
, Deceased.
Social Security No.~Co - ~ i" <{..,c:> (I
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, and the executBL){. named in the last will of the
above decedent, dated 1- J-'f - , .. ('i 7 6
and codicil(s) dated
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was d?miciled at death in Co yY) BEl'( ~N.D
Pennsylvania, with hlSlast family or principal residence at >^
fQ3.t"J PRiNa::/~N A\lE Cp\~ ~iU-. p,., (?~1I
(list street, humber and municipality)
Decedent, then 'I;;' years of age, died A PR; L 1(;, 20~, at C, '. 'fJ A. m I
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:
/ ()() 0
I
$
$
$
$
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented
herewith and the grant of letters
(testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
lq3.i
Residence( s) of Petitioner( s ~
p~'(.~) fETf\tv AIJE I (O/vv\r". t 11
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Register of Wills of Cumberland County
OA TH 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 of petitioner(s) and that as personal representative(s) of the above
decedent petitioner(s) will well and truly administer the estate according to law.
Swom to or ~ffirmed ar:e"subscribed {~ -UQ^ro
B'1 mdh" ;) 1 fay of
1;\1 J.- 20 OJ
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Estate ofJ:i.p{Jlr~Q.. (A., ~1.Ao.1l tPOLfr ' Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW 20D5, in consideration of the petition on the reverse side
hereof, satisfact proof having been presented before me, IT IS DECREED that the instrument(s), dated
\ - Q2 I-{ - \ q "\ l,o , described therein be admitted to probate filed of record as the last will of
01on..~ ~ S-~ fb~ ; and Letters are hereby granted to \'fY,l.A.Coa A..Q.-::t (YI.s+-v:u. peDU
FEES
Probate, Letters, Etc, .............
Will ............................ .....
~~~w, ~b~lJ,f),l-~~
Register of Wills t . '. J
$
$
Renunciation...... .. .... ..... .... .. $
Short Certificates ( ). .. . .. .. .. .. $
JCP.................................. $
Automation Fee................... $
$
$
20 OS
~l) . DO
\ 5 ' DO
Attomey (Sup. Ct. I.D. No.)
4 ,()\)
10,00
50J
Address
Bond.. . . .. . . . . . . . .. .. . . .. .. . .. . . . ....
Total
Filed ~-N ;)..~
54.00
Phone
Register of Wills of Cumberland County
OATH OF NON-SUBSCRIBING 'VITNESS
Estate of GtEOIL9t:z. fUf.JtN 511~4..1
No, 021-05- OSg{
Also known as
, Deceased
(each) a subs 'ber hereto, (each) being uly q lified according to law, depose(s) and say(s) that.
iJ'/f- Ailh:. familiar with the signature of 0;t.f)"jJf.- A (lw SJ./A.1pL~r , testatc>it.. of (one of the
subscribing witnesses to) the codicil/will presented herewith and that VVk... believe/believes the signature
on the codiciVwill is in the handwriting of 6.t:"~.{. A tLtw 5H"i~ Y to the best of
O()/L knowledge and belief.
Sworn to or affirmed fl\d subscribed
Before me this ~ I da}of
~'\0- ,2~
~:;J~4tWU{hMb~u
~ster. C)\J J- I g}
~ (\t1A-vL I, 1A ~
DeputY U -
7t:Jl~/fJtjJy-
(Name)
6/5/) 5111.:L"jl-tINJ /)'J... fJ.-J- /-I~6 A/7//1
(Address)
(Name)
tq3~ p~c~~ ~
(Address) ~ r\~ I Pit (70 {f
II I():";';II:" RF\' I/ll':;:
This is to certify that the information here given is correctly copied fro~ an original cer~ificate of death dul~. filed with
Local Registrar. The original certificate will be forwarded to the State Vital Records OffiCe for permanent filmg.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
me as
"./
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'..J ~}
t2wn- /1;~
Fee for this certificate. $6.00
Local Registrar
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APR 20 Z005
No.
Date
05.143 Rev. 2187
21-05-05~'
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
STATE FILE NUMBER
5. 72
COUNTY OF DEATH
Yrs.
BIRTHPLACE (City and
State or Foreign Country)
NAME OF DECEDENT (Firs~ Middle, Last)
1.
AGE (Last Birthday)
8b. Cumberland
DECEDENrs USUAL OCCUPATION
(~~~~~~~u~ri~=r
110. locksmi th llb. securi ty
DECEDENrs MAILING ADDRESS (Street, CilylTown, State, Zip Code) DECEDENrs
1937 Princeton Ave. ~~~~t~NCE
Camp Hill, PA 17011 ~~e~~r:,";':I~)ns
8..East
KIND OF BUSINESS (INDUSTRV
MARITAL STATUS. Monied,
Never Maniaci, Widowed,
Divorced (Specify)
lfl!i r ri e d
=fy)O
RACE. American Indian, Black, White, et
(Specify)
lw.hi te
SURVIVING SPOUSE
(If wife, gfw maiden name)
17.. State
PIOn n ~ y 1 "T~ n ; ~~:edent
live in a
Cumber 1 and township?
17e. 0 Yes, decedent lived in
17d ~ No, decedent Itved
. ILl-' within actual limits of
twp.
17b. County
Camp Hill
cilylboro.
John A. Shar
MOTHER'S NAME (First, Middle, Maiden Surname)
18. U h Munson
INFORMANrs MAILING ADDRESS (Street, CilylTown, State, Zip Code)
20b. 1937 Princeton .l\ve.,Cam Hill,PA17011
PLACE OF DISPOSITION. Name of Cemetery. Crematory LOCATION - CilylTown, State. Zip Code
or Other Place
L
2Gallin Green Cemeter
NAME AND ADDRESS OF FACILITY
~sselman FH&Cs,324
LICENSE NUMBER
ower Allen Twp.,PA17011
2ld.
HumM~T~~g::PA17043
DATE SIGNED
(Month, Day, Year)
2005
To the best of my knowledge, death occurred at the time, dale and place stated.
(Signature and Title)
23..
TIME OF DEATH
23b. 23..
WAS CASE REFERRED TO A MEDICA~ EXAMINER ICORON~
28. Yes 0 No RQ..
: Approximate PART II: Other significant conditions contributing to death, but
: interval between not resulting in the undertying cause given in PART L
. onset and death
24.
27. PART I: En", Ih. dl..aa..,lnjurl.. or complleaUona which cau..d the death.
Uat only ona cau.. on each line.
a.
Sequentialty list conditions ! b.
if any. leading to immediate
cause. Enter UNDERLYING
CAUSE (Disease or injury c.
that initialed 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):
Ves D No Ii
Ves D
MANNER OF DEATH
Natural &- Homicide 0
Accident D Pending Investigation 0
Suicide D Could not be determined D
DATE OF INJURV
(Month. Oay, Year)
TIME OF INJURV
INJURV AT WORK? DESCRIBE HOW INJURV OCCURRED.
280. 28b.
CERTIFIER (Check only one)
.~:~:F~~tGor~~~~~~.u:.hl.~~:rh ~~'tI~~J~U:: to: ~e:~.~:~(:r~~3r;.g~X~i~a~ h:t~r.~~~~~~.~ .~.~~~~. ~~ .~.~~~~~.~ .i~~ .~~.~................. .a
28.
Ves D No D
300. 30b. M. 30..
PLACE OF INJURY. At home, farm, street, factory, offICe
building. etc. (Specify)
30e.
NoD
.PTROO~~~~I:,Gm~Nk~;:I~~~~.~~~~:~c,,~~ ~~~i~:,n.~~r~~,:;~~~.'::~h d~ned t~e~Z~:u~.~(~):~~ ~:~~8r.. atatld.. ........ ........ .... 0
H/~v",1
34.
5....
301 WILL FORM
Executive Sales Co., Philadelphia, Pa.
Ifiust ~ilI unh W:~stum~nt
~
I, George Allen Sharpley,
of Drums, Butler Tewnship , County of Luzerne
and State of Pennsyl vania, being of sound mind and memory, do hereby make,
publish MId declare this to be my Last Will and Testament, in manner and form following, hereby
revoking any will or wills or codicils thereto 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. All the rest, residue and remainder of my property, real
and personal, I give, devise and bequeath to my wife, Margaret May
Sharpley.
Third. If my ~~fe, Margaret May Sharpley, shall die before me,
then and in that event, I give, devise and bequeath all the rest,
residue and remainder of my property, real and personal, to my
children: Patricia Ann Sharpley, George Allen Sharpley, Jr., and
William John Sharpley, in equal shares, share and share alike.
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