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HomeMy WebLinkAbout06-29-05 . Register of Wills of Cumberland County PETITION FOR PROBATE and GRANT OF LETTERS Estate of M. Lu .+.h~t 10 ((\ bau~ also known as No. 021- 0 5 -05-g~ To: Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania , Deceased. Social Security No. II J -.J.8 - tn, D'8 The petition of the undersigned respectfully represents that: Your petitioner(s who is/are 18 ye s of age or older, and the execut (\1< named~ the last will of the above decedent, dated ( l ,~ I :t q lP and codicil(s) dated (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decedent was domiciled at death in C v {'Y\.'o c. c\ a 'f\~ Pennsylvania, with h_Iast family' or ~incipal residence at ~ III (-It'1('\JQrd uC (list street, number and municipality) Decedent, then 9.1 years of age, died fJ\a(Ch 10 , 20 Q5, at ~ : I (J P M 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: $dCXX) $ $ $ WHEREFORE, petitioner(s) respectfully request(s) the pro ate of the last will and codicil(s) presented herewith and the grant of letters e a. mQ,^ Ct.!"' (testa entary; administration c.t.a.; administration d.b.n.c.t.a.) thereon. ~~~fPetition~s~ ;><fL;, h' /,ul.~ .-~ Residenccis~ of petitione,~ ~ I (, [I vQ rd J"C COrr-p\-Hll PA 170// RECORDED OFFICE OF REGISTER OF WILLS 2005 JUN 29 AM 11:05 CLERK OF ORPHAN'S CLERK CUMBERLAND COUNTY . HI05.905 REV.(OI/04) T~is is to certify that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Records In accordance with Act 66, P.L. 304, approved by the General Assembly, June 29, 1953. ~ is illegal to duplicate this copy by photostat cz::.og;~ No. Charles Hardester State Registrar Calvin B. Johnson, M.D., M.P.H. Secretary of Health 3460005 MAY 0 5 2000 Date H105.143 Rev. 2/87 ~/ COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH . VITAL RECORDS CERTIFICATE OF DEATH 027447 'PRINT N ANENT :KINK STATE FILE NUMBER SEX SOCIAL SECURITY NUMBER 1. M. AGE (Last Birthday) BIRTHPLACE (City and State Of Foretgn Country) 3. TH Ch 171 28 6108 " in 5 91 COUNTY OF OEA TH Yrs. Re.idence 0 ::;::~fy) 0 RACE - American Indian, Black., White. e (Specify) Cumberland DECEOENT'S USUAL OCCUPATION (~v:;;:~~:re:~ ~~leu~~nr~Yir~tt . 110. Owner /0 erator l1i'rinting DECEDENT'S MAILING ADDRESS (Street, CityfTown, State. Zip Code) Bb. Be. 10. white 2717 Harvard Avenue 18. Camp Hill, PA 17011 FATHER'S NAME (First. Middle, Last) lB. Shuman Jacob Turnbaugh INFORMANT'S NAME (TypefPrint) 201. Violet M. Turnbau h METHOD OF DISPOSITION Burial ~ Cremation Gemoval from State 0 Other (Specify) S ICE L1C Supplies DECEDENT'S ACTUAL RESIDENCE (See instructions on other side) MARITAl STATUS. Married, Never Married, Widowed, Divorced (Spedfy) 14. Married SURVIVING SPOUSE (Hwife, give maiden name) 17.. State Cumberland Old decedent live in a township? 17e. 0 Yes, decedent lived in twp. 17b, County 17d. ~ ~~~~~~~i~~ of Camp Hill city/horo. DATE OF DISPOSITION (Month. Day, 'fear) 21b. March 14, 200S EE OR PERSON ACTING AS SUCH LICENSE NUMBER 22b. FD 012 848 L io the best of my knowledge, death occurred at the time, date and place stated. (Signature and Title) 23a, TIME OF OEA TH MOTHER'S NAME (First, Middle, Maiden SumarTlfil) 19. Bessie M. Burd INFORMANTS MAILING ADDRESS (Street, Cityrrown, State, Zip Code) ~b. 2717 Harvard Avenue, Cam Hill, PA 17011 PLACE OF DISPOSITION. Name of Cemetery, Crematory LOCATION. CitylTown, State, Zip Code or Orher Place 21e.Riverview Cemetery 21d.Millerstown, PA 17062 NAMEANDAODRESSOFFACILlTYParthemore FH & CS, Inc. 22e. P.O. Box 431 New Cumberland PA 17070 0431 LICENSE NUMBER OATE SIGNED (Month, Day, Year) 26. . Approximate : interval between : onset F.l:1d d4Sth Other significant conditions contributing to death, but not resulting in the undertying cause given in PART I. 24. Sequentially list conditions I b. if any, feeding to Immediate cause. Enter UNDERLYING CAUSE (Disease or Injury c. that initiated events resutttng on death) LAST d. WAS AN AUTOPSY WERE AUTOPSY FINOI GS PERFORMED? AVAILABLE PRIOR TO COMPLETION OF CAUSE OF DEATH? INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED. Natural Accident 12 D D Homicide D D D Yes D No D 30.. 30b, M. JOe. PLACE OF INJURY - At home. farm, street, factory, office buildIng. ele. (SpeCify) 30.. Pending lnvestigatton Ye, D No 0' Yes D 2... 2Bb. CERTIFIE.R (Check only one) .~~~;UF~~tGor~~~~:-~.~~~~:~C:~~j~~~~u~ t~ ~ea~.~~:~{:}~~3r~~x~~~~. h:t~f.~~~~~~~~ .~~~~~. ~~~ .~~.~~~~~.~ .i~.~.~~J.., 'MEDICAL EXAMINER/CORONER :~~:rb::':,::.:~~'.~~'~ ~~~~~ ~~~~~~~~~~:.~ ,~~ .~~J.~~~~: .~.:~ ,~~.~~~~.~. ~~~. ~I.~~:. ~~~:. ~~~ .~.I~~~,. ~~.~. ~.~~. ~~ .~~~ ,~~~~(.~~ ,~~~.. 0 31.. REGISTRAR'S SIGNATURE AND NUMBER J?~ 1.q/I9-/ /1 34. NoD Suicide Could not be determined 29. .PRONOUNCING AND CERTIFYING PHYSICIAN (Physician both pronouncing death and certifying to cause of death) To the be.t of my knowledge, de.th occurred at the time, date, and placa, and due to the c.euses(s) and mann.r.s .tat.d........ ep\wills\trnbaugh.ml\4-96 . .(' . ' LAST WILL AND TESTAMENT OF MARTIN L. TURNBAUGH I, MARTIN L. TURNBAUGH, of the Borough of Camp Hill, Cumberland - County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITEM I: I devise and bequeath all of my estate of every nature and wherever situate to my wife, VIOLET M. TURNBAUGH, if she sur'\7ives me. ITEM II: Should my wife, VIOLET M. TURNBAUGH, fail to survive me, I devise and bequeath all of my estate, of every nature and wherever situate, as follows: two-thirds to my daughter, NANCY L. DIENER, and one-third to my granddaughter, MARY ELLEN DIENER. ITEM III: I appoint my wife, VIOLET M. TURNBAUGH, Executrix of this my last will. Should my wife, VIOLET M. TURNBAUGH, fail to qualify or cease to act as Executrix, I appoint my daughter, NANCY L. DIENER, Executrix of this my last will. ITEM IV: No fiduciary acting hereunder shall be required to post bond or enter security for the faithful performance of her duties in any jurisdiction. IN WITNESS WHEREOF, I, MARTIN L. TURNBAUGH, have hereunto set my hand and seal this 2,\l day of Ap--."\ , 1996. 1JJ~ i, ::1(~L MARTIN L. TURNBAUGH Page 1 of 3 .' SIGHED, SEALED, PUBLISHED and DECLARED by MARTIN L. TURNBAUGH, the Testator above named, as and for his Last Will and Testament, and in the presence of us, who at his request, in his presence and in the presence of each other, have subscribed our names as witnesses. ~W(4A~ pq Address ~.~ (311 Address COMMONWEALTH OF PENNSYLVANIA: :55: COUNTY OF CUMBERLAND I, MARTIN L. TURNBAUGH, the Testator 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 this instru- ment as my last will; that I signed it willingly and that I signed it as my free and voluntary act for the purposes therein contained. ~4&1j~ e ':J~",~~ MARTIN L. TURNBAUGH Sworn to or affirmed to and acknowledged before me by MARTIN L. TURNBAUGH, the Testator, this p ~ day of ~ , 1996. ~~.~~ Notary P lic Page 2 of 3 NcrIaMI Seal Kava R. luckey, Notary Publ'1C New Cumberland Bora, Cumberland County My Commissicn Expires ~1.",d127, 1997 ' M~~'rr<'}'~r, f'Sr',sV~~.i:::.;~=;::~.r31~mn0..".. -' .. COMMONWEALTH OF PENNSYLVANIA :SS: COUNTY OF CUMBERLAND . . We, ~,' r-/.~ - and (2,11S//Tf/.K; e L. kMI/' , the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, depose and say that we were present and saw Testator sign and execute the instrument as his last will; that Testator signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the will as witnesses; that to the best of our knowledge, the Testator was at that time eighteen or more years of age, of sound mind and under no con- straint or undue influence. (~~~?\.{~ Wltnes Sworn to or affirmed to and acknowledged before me by J)A~ 511 ~4 , and etI?'U-~... .~ ~~ , witnesses, this ~~ day of ar;~ , 1996. Notarial Seal t.._.. Kaye R. Luckey, ~ PubrlC ,- Cum~ Bore, Cumberland County My ComnllSSlon Expires March 27. 1997 <m}jcr. F':.;nnsyt'..-ania Association of NoT:iries ~7~'1:c~.'t Not ry Pub ic Page 3 of 3