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 -