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