Loading...
HomeMy WebLinkAbout07-18-05 Register of Wills of Cumberland County PETITION FOR PROBATE and GRANT OF LETTERS Estate oj VJ;4-r.V J /tW6 SU~ No.~' -05 - O\.D ~ L(' also known as To: , Deceased. Social Security No. (72 -c9f'" f!/"5z..4 The petition of the undersigned respectfully represents that: Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania Your petitioner(s), who is/are 18 years of age or older, and the execut~named in the last will of the above decedent, dated ;;.z l' AP~I L ,20txJ and codicil(s) dated ' (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decedent was domiciled at death in r2 v m~~.:-A-.u l> County, Pennsylvania, with I6fast family or princillal residence at '" . .1"-.. IDS? flD'1" F ~l:>f9c..6 1"'1>, NI?L:.-'-h4I0tcs\:?OI2~?, rA . f7D>~ 'f' (list street, number and municipality) , Decedent, then'lZ- years of age, died 7 ~ , zrt:S , at t3t!:tt1E12 c....{ f ~I CYJ(?F. 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: Decedent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (lfnot domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in penn;rzania situated as follows: ! II . ~ cPO ':+-'7'00'- $ $ $ $ WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant ofletters "'" -.!i.: 'f? )(~ :;:"1--1 _~ T, ..' (~:~ .I'n '(:-.:_,~ thereon. Signature(s) of~oner(s) ~'0/.Lv 0::> Register of Wills of Cumberland County OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } S5: 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 beliefofpetitioner(s) and that as personal representative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. >( ~ ~J, W:J.i.: day of ,20 ()5 { (Il <iQ :l "' 2' ... ~ ~ ~~~t).Lnq,,, JUa,l~.' ~. Regis~ 'ff A-:,;:~ ~ No.~-OS--6lo3Y Estateof~ ~ ~eceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW 20D5, in consideration of the petition on the reverse side hereof, satisfac pro having been presented before me, IT IS DECREED that the instrument(s), dated ~ :; ~~ ' described therein be admitted to ~ filed of record as the last will of ~ Jl; and Letters are hereby granted to c ~ \\ l D. II I":; .~ FEES Probate, Letters, Etc. ............. Will ................................ $ $ Renunciation......... .............. $ Short Certificates ( )............ $ JCP.................................. $ Automation Fee....... ............ $ $ $ 20~ ~o,oo \5,0\) <X ,<I\) 10.0\) 5.00 Attorney (Sup. Ct. LD. No.) Address Bond................................. Total - Filed 1-1 <6 I O~ .J\) Phone H105112 REV. 1/05 (FEE FOR THIS CEATIFICATE $6.00) WARNING: IT IS ILLEGAL TO ALTER THIS COPY OR TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF HEALTH VITAL RECORDS ~j ~ - CJ..o3'f LOCAL REGISTRAR'S CERTIFICATION OF DEATH CERT. NO. T 58723 ;:H3 July 13 " 2005 Date of Issue of This Certification Sex Name of Decedent Female Hary Jane Suffel First Middie Lasl Date of Birth Social Security No. July 16, 1912 Birthplace Beverly Healthcare 172-.01..0324 Date of Death July 6, 2005 Harrisburg, PA Place of Death Cumberland Camp Hi 11 Pennsylvania Fncility Name Counlv City_ BorGugh ur TU'NTl,;llIlJ Race White O . Secretary ccupatlon Decedent's Mailing Address Theodore H. Willis 1051 E. Allendale Rd. No Armed Forces? (Yes or No) ___ . Mechanicsburg PA 17055 . Widowed Mantal Status Numtmr '.:;trBet c.tv u' Town State Informant Name and Address of Funeral Establishment Funeral Director Sally A. Myers David Myers Funeral Home, Newport, PA 17074 Part I: Immediate Cause Caroiac Arrest Interval Between Onset and Death (a)__ (b) Multiple Diseases of Aging o c -.,._n ~.;;:o I c-: v c:; -_I :r: F -'-'J~f I, -r, ~-:D :~/3^ ., , , ~ ~'(1) ",(~-., m)c= I :'0 I V I Describe how injury occuded: r---3--" <=> c:::> <:.r1 t..- c: I T.l ?!~.~ ~I3 .:;:~~~-~ -': C:--J (c)_ __ CD (d) Part II: Other Significant Conditions ~ ::s.: ':) C") ~' jj .' C) .....9-----4--~~~ Manner of Death CD Natural ~ Homicide U Accident Pending Investigation 0 Suicide 0 Could not be Determined 0 Name and Title of Certifier H. Fineburg M.D. (MD., D.O., Coroner, M.E.) Address 356 E. Penn Drive, Enola, PA 17025 This 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. July 12, 2005 50--455 Ulglrlct No St., New Bloomfield, PA 17068 IJfltR ner.e,vPd by Local Hegistrar Streot Address City. Borough. Township LAST WILL AND TESTAMENT OF MARY JANE SUFFEL I, MARY JANE SUFFEL, of the Township of Upper Allen, County of Cumberland and State of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this my Last Will and Testament, hereby revoking and making void any and all former Wills by me at any time heretofore made. ~ ~ ~ (\J~ c.... I direct the payment of all my just debts and funeral expenses as soon ~~y ~ ~,. .~-:::u (l)'~ decease as the same can be conveniently done.)cJo -:C) 'T1 . )c--: :D -~ 1. co :J:, r-i"] C"J (--:> tt~ '1'1 CJ t,-"'") ,-1 . --'n . ("; :...__.1-1-1 r .,? CO) J:">!> ::~ 2. \-:? C) I give, devise and bequeath all the rest, residue and remainder of my estate, real, personal and mixed, whatsoever and wheresoever the same may be situate, to my son, THEODORE H. WILLIS, absolutely and unconditionally. 3. LASTL Y, I nominate, constitute and appoint my son, THEODORE H. WILLIS, Executor ofthis my Last Will and Testament and direct that he be excused from posting bond or other security for the faithful performance of his duties, in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~q -rJI' day of April, A. D. 2004. h~ ~ ~ (SEAL) ~uffel - 1 - COMMONWEALTH OF PENNSYL VANIA) : SS COUNTY OF CUMBERLAND ) I, MARY JANE SUFFEL, the testatrix, 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 same instrument as my Last Will and Testament; that I signed it willingly, and that I signed it as my free and voluntary act and deed, for the purposes therein expressed. l1~u~ (SEAL) Sworn and subscribed to before me this jl/IM day of April, 2004. 1-f(j(j; 1Yl. -/1)5 (fIfI Notary Public COMMONWEALTH OF PENNSLVANIA Notarial Seal HeidI M. Nelson, Notary Public Mechanicsburg 8010, Cumberland County My CcmmIssion Expires June 27, 2007 Member, Penns~nia Nl.o/dation Of Nola,!,,, COMMONWEAL TH OF PENNSYL VANIA) : SS COUNTY OF CUMBERLAND ) We, the undersigned, J. ROBERT STAUFFER and JOHN M. EAKIN, 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 the testatrix, MARY JANE SUFFEL, sign and execute the instrument as her Last Will and Testament; that the said testatrix executed it as her free and voluntary act for the purposes therein expressed; that each of us, in the hearing and sight of the testatrix, signed the Will as witnesses; and that, to the best of our knowledge, the testatrix was, at the time, eighteen (18) or more years of age, of sound mind, ~,der no constraint, duress or undue influence. ( I ,/ / - Sworn and subscribed to before me this cJ-q M day of April, 2004. 4io1i 111. 11150" Notary Public COMMONWEALTH OF PENNSLVANIA Notarial Seal HeidI M. Nelson, Notary Public MechanicsbuIg 8010, Cumberland County My Convnlssk" I Expires June 27, 2007 Member. p~ A.'IS<.dation Of Notaries - 2 -