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HomeMy WebLinkAbout06-21-05 Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of Charles Parker No. 21-05- Ol....rJ \ 0 also known as , Deceased Social Security No. 418-14-6652 Cynthia L. Sims Petitioner(s), who isfare 18 years of age or older, appl(ies) for: (COMPLETE 'A' or 'B' BELOW) 00 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) isfare the Executrix the Decedent, dated OS/23/1984 and codicils dated named in the last Will of State relevant circumstances, e.g., renunciation, death of executor, etc. Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decedent was married at one time. His spouse died in the 1950's, prior to the birth of the Executrix o B. Grant of Letters of Pdministration (c.t.a; d.b.n.c.ta; pedente lite; durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: Name Relationship Residence (COMPLETE IN ALL CASES:) Atach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his/her family or principal residence at 11 Brookside Avenue Shippensburg Township, (list street, number, and municipality) Decedent, then 86 years of age, died 04/27/2005 at 11 Brookside Avenue, Shipp;lnsburg, PA 17257 (Location) 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 $ 2,000.00 situated as follows: Real estate with 50 ft. of frontage situate in Shippensburg Township, Cumberland County, PA Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of letters in the appropriate form to the undersigned: 2,200.00 Signature Cynthia L. Sims Typed or printed name and residence P.O. Box 1512 Louisa, VA 23093 YL: Prepared by the Pennsylvania Bar Association Copyrigrt (c) 2004 form software only The Lackner Group. Inc. Form RW-1 (1991) Oath of Personal Representative Commonwealth of Pennsylvania 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 Decedent. Petitioner(s) will well and truly administer the estate according to law. .A. A Sworn to or affirmed and subscribed ....k" t'3~-#u.c.- d:-- ~G ~a L. Sims before me this L day of J No. 21-05- DLD 10 Estate of also known as Charles Parker . Deceased Social Security No: 418-14-6652 Date of Death: 04/27/2005 AND NOW. ~J.l'/ ---'-tj () of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters [RJ Testamentary D of Administration t . c9-CD5 , in consideration (c.I.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate) are hereby granted to Cynthia L. Sims, Executrix in the above estate and that the instrument(s) dated 5-23-1984 described in the Petition be admitted to probate and filled of record as the last Will of Decedent. FEES Letters..........................................$ 30. ro ~Ci. \!-<Lu1llA.l~~ba.u..o.\....~(l_1. ~ -~.' Register of MIs ~~ ~ (l<~~ Attorney: Richard L Webber, Jr., Esquire Short Certificate(s)...................... $ 1<.0' au Renunciation............................... $ Affidavits ( )...........................$ I.D.No: 49634 Weigle & Associates, P.C. 126 East King Street Extra Pages ( )......................$ Address: ~.....~................$ \'5 . au Shippensburg, PA 17257 JCP Fee.......................................$ \(), DC) Telephone9 717-532-7388 Inventory........... ...........................$ E-Mail: weigleattywebber@earthlink.net Other~.......$ 500 TOTAL............................$ It. .(J() Prepared by the Pennsylvania Bar Association Copyright (c) 2004 form software only The Lackner Group, Inc. Form RW-1(1991) il Thi ~ is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. No. II"",,'H"""J"'J"',~ ,.,'fh\.1" OF PE;;----__ "'_~,:,,",..A, - ",~, "~.", l~ . <::;;:.\. !~-"'.;.-. ?\ ~C)f :#: ~~ ~'""'t '-Hi, J:t:.~ l*L" '.-:::&'".. , *~ .. ~ ., - "'-~\'~ .",rA ~'\' '" 1',? ~~"" "''''.-. IMENl \\\ ~ ,."." """'J,,,,,,,,,,1l11111 Fee for this certificate, $6.00 P 113375~~2 J/~. '"7 . ,? ate / ~a.> TYPE/PRINT IN PERMANENT BLACK INK 1129-485 ...21 --OS-OVID COMMONWEALTH OF PENNSYLVANIA 0 DEPARTMENT OF HEALTH 0 VITAL RECORDS CERTIFICATE OF DEATH (C~ro,,!er) H105.144 Rev. 1/91 UNDER' DAY Hours SEX STATE FILE NUMBER SOCIAL SECURITY NUMBER ~\ 2. Male 3. 418-14-6652 2005 BIRTHPLACE (City and PLACE QF DEATH (Check only one see InSlruchons on other side) Slale or Foreign Country) HOSPITAL: InpatienlD 7. ... FACILITY NAME (It not inslilutiOl'l. give slreet and number) ~::ify)D DECEDENT'S USUAL OCCUPATION (~rJ:ok~~g'I~r~d~teu~f:~r~'t 110. Mechanic 11b. DECEDENT'S MAIliNG ADDRESS (Slreet. CelylTown, Stale, Zip Code) MARITAL STATUS. Married Never Married, Widowed, Divorced (Spec~y) Widowed RACE. American Indian, Black, While, etc. (Speclly) '0. Black SURVIVING SPOUSE (II w~e, give maiden name) Cumberland Be. f7b. Coun Cumberland Did _,f Ilwtina lownship? f7d.O ~~~:7:=Of MOTHER'S NAME (Firs!, Middle. Maiden Surname) unknown 17c,rn Yes, decedenllived if' Twp, twp. 11 Brookside Ave. Shippensburg, PA ,.. FATHER'S NAME (First Middle, Last) 'B. Ar+-.hur Parker INFORMANT'S NAME (TypelPrint) ~. Cynthia L, Sims METHOD OF DISPO~ITI~ Bunal ~ Cremation 0 Donation 0 Olher (Spec~y\ . 21.. SIGNATURE OF FUNERAL SERV 17257 DECEDENT'S ACTUAL RESIDENCE (See instluclions on other side) citylboro. 'B_ INFORMANT'S MAIliNG ADDRESS (S1reet, CrlyfTown. State, ZiP Code) 20b. P.O. Box 1 51 2 Louisa, VA PLACE OF DISPOSITION. Name of Cemetery, Crematory or Other Placa 23093 LOCATION. CityfTown, Stale, Zip Code LICENSE NUMBER 22b_ FD-O 12984 L o the besl of my knowledge, dealh occurred at the time, date and p1aC9 stated. (SIgnature and Title) 21d. Hanover 'IWp., Lebanon Co., PA Occlusive Coronar DUE TO (OR I>S A CONSEQUENCE OF)' Disease Inc. Shi PA 17257 DATE SIGNED {Month. Day, )ear} 23b. 23c. WAS CASE REFERRED 10 MEDICAL EXAMINER/CORONER? 26. Yes J8' No 0 :~roximate PART II: Other Significanl conditions contributing to death, bul ,lnlerval between not resulting in the underlying cause given in PART I 10'''''''''''01' 23a. TIMEOFDEATH Aprx. 24. 7: 00 P M 25. 27. PART I: Enter the diseases, injuries or complications which caused lhe dealh. Do nol enter the mode of dying, such 8S cardiac or respiratory arrest, shock or heart failure Ust only one cause on each line. b. DUE TO (OR AS ACONSEQUENCE OF)' DUE 10 (OR AS A CONSEQUENCE OF) d. WERE AUIOPSY FINDINGS MANNER OF DEATH AVAILABLE PRIOR TO COMPLETION OF CAUSE OF DEATH? Nalural DATE OF INJURY (Month. Day, Year) TIME OF INJURY INJURY AT WORK? Yes D No D Accident % Homicide D D Pending In\l9Stigalion D D Could nol be determined D Ve' 288. 28b. CERTIFIER (Check only one) "CERTIFYING PHYSICIAN (Ptlysician cerlifying C<!lI(;e 01 dealh when uflothel physiciallllH(; prnllouncl;l(l dealll and completed Uem 23) To the best of my knowledge, death occurred due to lhe ceuae(sl eritl manneres.leled.. ................. Suicide 29. 30a. 3Gb. PLACE OF INJURY. At home, farm, street, factory, office building, etc_ (Specily) 300. SIGN "MEDICAL EXAMINER/CORONER On the baels 01 examination and/or Investigation, In my opinion, death occurred at the lime, date mannera.slated....... ............ 318. REGISTRAR'S SIGNATURE AND NUMBER D Chief Deputy ~~ Coroner UCENS DATE SIGNED(Month, Day. Year) D ~~ ~& A ril 29, 2005 NAME AND ADDRESS Of PERSON WHO COMPLETED CAUSE OF DEATH ("em 27) Type 0' p,;", Todd C. Eckenrode, Chf . Dep. Coroner 6375 Basehore Rd., Suite #1 _ Mechanicsburg, Pa. 17050 DATE FILED(Monll1, Day, Yea9 >- z w fii hl o LL o w :> '" z .PRONOUNCING AND CERTIFYING PHYSICIAN (PhysIGiall boll I prclrlolJnGing cicattl81ld cerlilyin{J locau~ 01 deatll) To the best 01 my knowledge, death occurred at the time, date, Bnd piece, and due to the cause(5) and menner as stated.,. 34. { '2--~r . L, .-. LAST WILL AND TESTAMENT I, CHARLES PARKER, of R. D. 1, Shippensburg, Shippensburg Township, Cumberland County, Pennsylvania, being of sound mind, memory and understanding do make and publish this my Last Will and Testament, hereby revoking and making void any and all former wills and codicils by me at any time heretofore made. FIRST. I direct my hereinafter named Executrix, or Executor as the case may be, to pay all my just debts and funeral expenses as soon as conveniently may be after my decease; I further direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiQtion imposed, shall be paid as part of the expense of the administration of my estate. SECOND. I give, devise and bequeath all my property, real, personal and mixed, whatsoever and wheresoever situate, to my beloved daughter, CYNTHIA L. ZELLARS SIMS, absolutely. Provided, however, that in the event my said daughter, CYNTHIA L. ZELLARS SIMS, should predecease me, then in that event I give, devise and bequeath all my property, real, personal and mixed, what- soever and wheresoever situate, to my granddaughter, SHAKANA ZELLARS SIMS, absolutely. Provided further, that in the event my said granddaughter, SJ-IAKANA ZELLARS SIMS, lS not at least eighteen (18) years of age, at the time of my decease, then in that event, I hereby nominate, constitute and appoint VALLEY BANK AND TRUST COMPANY, of Chambersburg, Pennsylvania, as the Guardian of the said minor's estate, my said Guardian to take and recelve the share of the said minor child and invest and reinvest the same ln legal or nonlegal investments, whichever in its discretion it deems proper, and the said Guardian to have full power and authority, in its sole discretion, to pay such amounts of income and principal as are necessary for the support, maintenance and education of the said minor child, and upon the said minor child reaching the age of eighteen (18) years, to pay the said share to the said child. THIRD. I hereby nominate, constitute and appoint my said daughter, CYNTHIA L. ZELLARS SIMS, the sole Executrix of this my Last Will and Testament; provided ,however, that in the event my said daughter, CYNTHIA L. ZELLARS SIMS, should predecease me, then in that event, I hereby nominate, constitute and 4 ~ft/ #~ (SEAL) ~ '. j; < ~ I I' '1 I .. .. appoint VALLEY BANK AND TRUST COMPANY, of Chambersburg, Pennsylvania, as the Executor of this my Last Will and Testament, my said Executrix, or Executor as the case may be, to have full power and authority to do any and all things necessary for the complete admin~stration of my estate, including the power to sell any and all real and personal property of which I may die seized, at public or its, or private sale, in her/discretion, and without any Order of any Court; and I further direct that my said Executrix, or Executor as the case may be, not be required to file any Bond in connection with the settlement of my said Estate. IN WITNESS WHEREOF, I, CHARLES PARKER, have hereto set my hand and seal to this my Last Will and Testament, written on three (3) sheets of paper, this 23rd day of May, 1984. ~"A-/ ~<~ (SEAL) Signed, sealed, published and declared by CHARLES PARKER, the Testator, as and for his Last Will and Testament written on three (3) sheets of paper in the presence of us who have, at his request, signed our names as witnesses hereto in the presence of the said Testator and of each other. f.... I .~ (\ , " ~. 't-l-JJrv . .) ( ,7 , , / ;"V"L iJLl...... ../ \i. ( ~~ ~, " ~ 6v--dd,,,, l d.. ~r -2- ~ ... . . ... , . COMMONWEALTH OF PENNS~LVANIA SS COUNTY OF CUMBERLAND I, CHARLES PARKER, 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 the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. ~ C arle~ Sworn or affirmed to and acknowledged before me by CHARLES PARKER, the Testator, this 23rd day of May, 1984. Notary ublic EUlAafTH 8. FETZER. ~OlAflY Fit/Bll S1 PfNrl~'ilOJl1) TWP.. CUMOfll1.AND N11 IIY CO.UUSSION EXPIRES SfrT. 11. 1.~~7 N:'?rnb"t, ~art~u~~"(,rl: ", .':l/,.'.d-..'~ J:, '. ~i;;,,;, .~..