HomeMy WebLinkAbout07-06-05
Register of Wills of Cumberland County
PETITION FOR PROBATE and GRANT OF LETTERS
Estateof \flAk E~' H,P ELfIlJ..H;Y No.~ - I:~ ~ rr 17 6 ..21-05 '-OSqq
also known as To:
, Deceased.
Social Security No. r -;; ~ I 2 - g(35" -(
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 execuM named in the last will of the
above decedent, dated tV I ~ 0 qr U L 'I 8' b ~
and codicil(s) dated
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in C 1.1 M e EM L It 'I.J D County,
Pennsylvania, with h_ last family or rincipal residence at
S --, tf1 I E TcY WV5:'H {
(list sire , number and municipality)
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Decedent, then ~ years of age, died {6 q u JJ f2 ,~_, at H 0 L ':L S.p ( R t"l {of o.s PI rv4 L-.
Except as follows, decedent did not marry, was not divorced and did not have a c\llld 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 fo]]ows:~--fJ ~ t~ f ~ ~ C ~ tAfv~ ~ F~
$ 2.3 G) (J a (J. tP 0
$
$
$ Lq,5/ ~. /Jo
WHEREFORE, petitioner(s) resRectfuIIy request(s) the probate of the last will and codicil(s) presented
herewith and the grant ofIetters C. 5: J M.,.... JU ".'
(testament ; administration c.t.a.; administration d.b.n.c.t.a.)
VI(
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Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
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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 accordi g t~ ,.\ "-
Swom to or affirmed and subscribed { ~
Befo,~ l.."""- ,20 c;g of
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~ , . , Register
No.~ - 05 ,()Sqq
Estate of ~ 1-I.D.eJ ~ o~ ' Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW ~ LP 20~, in consideration of the petition on the reverse side
hereof, satisfactory proof lavmg been presented before me, IT IS DECREED that the mstrument(s), dated
~ \ 0 . l~ ' described therein be admitted to PF~bate filed rec~;s;)the last will of
~ ~ ; and Letters are hereby granted to \'. ,I( .
~ . O\.J
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Attomey (Sup, Ct LD, No,)
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Address
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FEES
Probate, Letters, Etc. .............
Will .................................
It\~ .\$0
i5ro
$
$
Renunciation..... . .. ........ . ... .. . $
Short Certificates ('1) ............ $
JCP. ..... ... ... ... ... ......... ..... .. $
Automation Fee................... $
$
$
2005
Bond.................................
Total
Filed .. - 6
4lD5? 00
( (? - 73 7 - (fj 4 &l-f
Phone
JllO))W) REV i/())
This is to certify that the information here given, is correctly copied fro~ an original cer~ific~te of death d~~r filed with
Local Registrar. The original certificate will be torwarded to the State VItal Records OftIce tor permanent tIlmg.
me as
WARNING: It is illegal to duplicate this copy by photostat or photograph.
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Local Registrar
Fee for this certificate. $6.00
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Date
21- 05 ,OSqq
H1U~ 14j He.. 2161
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
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CERTIFICATE OF DEATH
1 YPEIPRINT
IN
PE.H.MANE.NT
BtACK INK
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AGE (La~.l Bil;hrJd~i:' .,lJtlUER 'ttJill....
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COUNf'r" Of OFAlH
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UNDa~ 1 DAY
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BIRTHPLACE (Cily and
Slate or FOfeign Country)
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I:'. [PHONOUNCEO DEAD (Month, Da~, Yei:if)
PM 25 Jut7e /G,
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WAS CASE REFERRED TO A MEDICAL EXAMINER ICORONER')
26. Yes 0 NO'
: Approllimate PART U:
. inlelVal between
: onSl;:1 and death
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DATE: OF INJUhY
II"o<)lh Day. 'Ilia',
TIME OF INJURY
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED
PtlnJiny Invo.J;:;lilJdlion
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h.lLi"hng.ilk.(SI~\'JlYI
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CERTIFiER (Check only ulle)
"~~~~:FJ~~tGor::'~~I~~~~~f~::':'J,:~~~,' g;~~:/~~~~ id~~: ;~ [h:~~~~:~,:)~~13~,~~j~~1~~,.~>>h~tal~~r.'~,I:~~~ ~.~ .~~~~~1. ~..l:: .~~~ ~~l:~~i,l:.~ .I~~:;~~ :~.)...
------- :!..!!.'--..-.-.
"PRONOUNCING AND CERTlfYlIlG P~IYSI(;'~N {PtlySicldlllhl'tJ prQ110UIIGlf'!:j d~i.llh and L<;,tIIYlfl[j to c,<( S~ 01 Ct'dlflJ
To II.. b...1 of my knuwledklll, d....,th c'-:c:uIU~i at th., Ilr,l(j 'Ji,t., and place, .no d\.tI 10 Ihu C;I"'S":'(") and manner d'S .t.aled..
"Mi;1:'ICAI. E.XAMINE.RJCORONEH
On Ul.. hin.l... or 811i11m:fliillon ilrJlor illluUgiltlnn in n.y opir.i.'lll.h....1I1 (l(;turrud ,lllhe tline, d.te, and IJlillC~, ..lid (Ille to U.1iI c.U!iolts(li)otnd
tnllr,NIf ... Maled.
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LA ST WILL
OF
JAMES H. DELANEY
I, JAMES H. DELANEY, of the Township of Hampden, Cumberland
Pennsylvania, declare this to be my Last Will and revoke
y Will previously made by me.
ITEM I. I devise and bequeath all of my estate of every
ature and wheresoever situate, together with insurance thereon,
wife, JOSEPHINE B. DELANEY, providing she shall survive
e by thirty (30) days.
~
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ITEM II. Should my wife, JOSEPHINE B. DELANEY, predecease
be living on the thirty-first (31st) day following my
eath, then I devise and bequeath all of my estate of every nature
nd wheresoever situate, together with insurance thereon, to my
JAMES J. DELANEY.
ITEM III. I direct that all taxes that may be assessed in
my death, of whatever and by whatever jurisdiction
shall be paid from my residuary estate as a part of the
of the administration of my estate.
ITEM IV. I direct that all my just debts and funeral
penses shall be paid from my residuary estate as practicable
after my decease.
ITEM V. I appoint my wife, JOSEPHINE B. DELANEY, Executrix
of this my Last Will. In the event my wife, JOSEPHINE B.
.,U) l<'TAl\Tl<'V +=.,-:1... +-..... ",,"'1-:+u.....,... "t:",...",,, t-.... ",,,t- "''' l4'v",,,,,t-,...;v T <:Inn....;""t-
"
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ITEM VI. I direct that my personal representative or their
successors shall not be required to give bond for the faithful
performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal,
this
/0
day oI
, 19~
(SEAL)
The preceding instrument, consisting of this and one (1)
other typewritten page, each identified by the signature of the
Testator, JAMES H. DELANEY, was on the day and date thereof signed
published and declared by JAMES H. DELANEY, the Testator therein
named, as and for his Last Will, 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 thereto.
~
Residing at
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Residing at
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OMMONWEALTH OF PENNSYLVANIA
OUNTY OF CUMBERLAND
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ss:
We, JAMES H. DELANEY,
~. t2~ wE
!Ie 111/2 Y ;F ev y ~ G; and
, /
the Testator and the witnesses
espectively, being first duly sworn, do hereby declare to the
dersigned authority that the Testator signed and executed the
nstrument as his Last Will and that he had signed willingly,
nd that he executed it as his free and voluntary act for the
urposes therein expressed, and that each of the witnesses, in the
resence and hearing of the Testator, signed the Will as witness
d that to the best of his or her knowledge, the Testator was
t that time eighteen (18) years of age or older, of sound mind,
d under no constraint or undue influence.
2~~J~~
Witness
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Subscribed, sworn to and acknowledged before me, c/Ic-e. /1J 13.
(! 0 C/nI c: the Testator, and _~~V 7-: eOt:7/1/'G
/ /J - / ~/
nd LIs/'!- #1. Cov#c-, Witnesses, this --Lo~day
~/' /
f ~I v ,19.f'.
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Notary public' ~