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Home My WebLink About06-17-05 PETITION FOR PROBATE and GRANT OF LET!ERS 't3 Estate of .JANASIA I. SHAY No. a / - I) C} I) b also known as To: .JANASIA ".JAN" MAGARO SHAY , Deceased. Register of Wills for the County of CUMBERLAND Commonwealth of Pennsylvania in the Social Security No. 166-54-0661 The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older and the execut ors in the last will of the above decedent, dated 3/7/05 and codicil( s) dated NONE named (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decedent was domiciled at death in Cumberland County, Pennsylvania, with h er last family or principal residence at 317 StumDstown Road. Monroe TownshiD. Mechanicsburg. Pennsvlvania Decedent, then 45 years of age, died 7/2/2005 at 317 Stum stown Road Mechanicsbur Penns Ivania 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 (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: 317 STUMPSTOWN ROAD, MECHANICSBURG, PA (list street, number and municipality) $ $ $ $ 50.000.00 0.00 0.00 300.000.00 WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters TESTAMENTARY thereon. (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) STgw{;",~ en 'tr u 5 ~~ ~ ., en 0::'1::" ., "0 C ~ .9 ~ i~ /!~ 3 0 co C tlIl V3 /) ( 317 STUMPSTOWN ROAD MECHANICSBURG PA 17055 124 N. FREDERICK STREET MECHANICSBURG PA 17055 C") L;,. _ ~:; :: ~c OATH OF PERSONAL REPRESENTATIVE c ) cu. "'-', , }~t~ ;:CO~O~~FJ,AL TH OF PENNSYL VANIA } ss C~;COUNTY UF-,CUMBERLAND fi; C '-'. en UJ ~-~ fi~ ~ /. The EStitio~~)_ above-named swear( s) or affirm( s) that the statements in the foregoing petition are C~) ;l~e an~orrect t<-c~~best of the knowledge and belief ofpetitioner(s) and that as personal represen- &j "iitive(oH>fthe abOVqlecedent petitioner(s) will well and truly oniste the state <lccording to lawo 0=. g C) Sworn R)-Ur affirmed nd subscribed befo~ this ft) d of o ~. l::l :: ~ 2 No. ;<I-o)-O~CO Estate of .JANASIA I. SHAY , Deceased DECREE OF PROBATE AND GRANT OF LETTERS ..- AND NOW , in consideration of the petition on the reverse side hereof, satisfactory proofhavin been presented before me, IT IS DECREED that the instrument(s) dated 3/7/2005 described therein be admitted to probate and filed of record as the last will of .JANASIA I. SHAY a/kJa .JANASIA ".JAN" MAGARO SHAY and Letters TESTAMENTARY are hereby granted to STEVEN S. WINAND and .JEROMY .J. SHAY FEES Probate, Letters, Etc. . Short Certificates ( Renunciation. . . . . . $ }......$ . . . . . . . $ $ TOTAL_ $ 54 EAST MAIN STREET MECHANICSBURG PA 17055 ADDRESS Filed. . . . . . . . . . . . . . . . . . 717-697-4650 PHONE H IlI).XU, REV 110, --:,is is to certily that the inlormation here given is c,mectly copied from an original certificate of death duly tiled with me as I.ocal Registrar The original certificate will he forwarded to the State Vital Records Office for permanent tiling. - WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 No. """fllll"'/,,,,,,,,,,,, It""~ ~\WOF PE,f---__ /' ~'\.o . ~i1;r.,\ l~ ~ ~;, ~ ~..\~-::. ~~ ",' ,?~ ~ ~I ~ .. . )2:~ ~ I::)f . ~.,.J .. .i:'~ ~ U \ 'j.~ i ... ~ ~ * \L~ .' t''llMt!,.' -.... './.'/ * ~ - c::2 ~"'. ~ ~ \~ -- /~,l' ~ -1',f /,-\~~ ,I' ---... IMENT \\\ """' '''''''''''''//,,,,1I1/IIJ II ~- H, JiI{<J,"- &n.du Local Registrar i) - if Ll .~ -~ -.:'"'7i () t:' .,~ Q:! ~ Q" ~.~ \J <;"r:f; 9~1y C) q=.,,?c~ :;- D:1rQ . ion r.' r....... r......:> ,:;:::) ,:~..) c.....;.....1 '...0 'J ::~; ;~..~ '~:')l ~:"J ,--) ~::f... t -~0 ('.) ;T"\ (. ~::: 'r';; -;:1 r,,) 0) H10tJ 143 Rev "1/'dl TYPEIPR'NT IN PERMANENT BUCK INK COMMONWEAL Tfi OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH NAME OF DECEDENT (Flrsl M;ddle Last) SEX SOCIAL SECURITY NUMBER 1. Janasi~:'~!ln'. Magaro Shay 2. Female 3. 166- 54 _ 0661 AGE (loSIB,rthday) UNDLR 1 YEAR UNDER 1 DAY DAlE OF BIRTH BIRTHPLACE (C,ly and PLACE OF DEATH Check onl one , 45 ;rs Months Days - 'Hvur-;-r;;M~. /~b";,D19\60) 7M:~~~0~rc~o~~r~~~~. ~;::~;o ER/Oulp...., 0 OOA 0 ~[iEATH CITY. fjORD, TWP OF OEA TH FACILITV NAME (rl nOllnslr.ut,oo, y'.e streel and number) STATE FILE NUMBER KIND OF BUSIIJ[SS {INDUSTRV WAS DECEDENT EVER IN US ARMED FORCES? YesO N00 12. DATE OF DEATH (Monlh, Day, Vear) . July 2, 2005 tll.'CEOENT'S USUAL OCCUPATION IGklll k.-!o 01 work done dIUir~mo&1 OWa'fenouse (pftfson ,,. 11b. O'ECEoENf'SM~DRESS (St.-eel, CltyfT own, Siate. Zip Code) 317 Stumpstown Road i 1 Mechanicsburg, Pa. 17055 8c. Monroe Rfll>ldence 00 ~::~I~J 0 RACE - American Indian, Black, White, ete (SpeCI'y) 8. Cumberland Pa, MARITAL STATUS, Mamed. Never Married, Widowed, Divorced (Specify) Divorced He. ~ Yes, doceaenl h.ed in Monroe 10. White SURVIVING SPOUSE (If wit", g;vlt maiden name) 17., State u. ~ " Vi ..: :; ..: 17.. Did dectfdenl Coun'L- Cumberland :~:~~~P? Hd. 0 ~~,~e';~:~~:;;;~sdof MOTHER'S NAME (First, Middle, Maiden Surname) 11. Verneda Magaro Thornton INFORMANT'S MAILING ADDRESS (S'r88l. CityfTown. Slale, Zip COde) 20.. 317 Stumpstown Road Mechanicsburg, Pa. 17055 PLACE OF DISPOSITION, Name 01 Cemele\}'. Cremelo\}' LOCATION, CityfTown. Stale, Zip COde or Other Place 21c Gate of Heaven Cemetery lwp David W Magaro Jeromy J. Shay city/bora / NAME AND ADDRESS OF FACILITY 22c. Myers Funeral Home, Inc. 37 East Main Street Mechanicsburg, Pa 17055 LICENSE NUMBER DATE SIGNED (Month, Day, YEla(j 21d. Mechanicsburg, Pa. 17055 :~~ENSE NUM8E~D_012662_L 27. PART I: ..... .... .r....... InJ.,'" .r ........lio.. wh"h "'...,.... ......, o. ........ .... m... .r .,lnl. ...h.. ....,.. "' ........., .".... .h.., .. ho.rt r....... IMMEDIA TE Cl;J;~::~t::ij:."" Gf'I.."'S..... ll, A A I "".a$. ,,, Cundrt'on () ILL U JI.,! U..U,I'-~ C11 JJ (ll'\O~ ' result,,,y In dealh) ---+ a DUE TO ,OR AS A CONSEOUE~CE OF,. (j Sequenllcdiy ~St condlllons b I' any, leading 10 immediate I DUE TO (OR AS A CONSE~UENCE OF). cause, Enler UNOERL YIHG ~:I~~I~d\~~::~~t~( Injury C - DUE TO (OR AS A CONSEQUENCE OF) r8$ulllog on dt;ath ) LAST (j c; r:?Y 26 ; ApproJOmate . interval between : onset and death PART II: Other aiOntficant condition. conhibuling 10 death, but not resulting in lne under1YI(lQ cause gl~.n In PART I WERE AUTOPSY FINDINGS AVAILABlE PRIOR TO COMPLETION OF CAU~E OF DEA TfI? MANNER OF DEATH Nalu/al !El o o Homicide DATE OF INJURY l"""oltl. 0." Yeillr) TIME OF INJURY INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED Ves 0 NO!El ACCIdent Pending Invesllgauol1 Could nul be determined o o 30... 30b. M 30c. D Pu\CE OF INJURY At home, farm. Slreet, factory, office bu.....g, ele (Spedty) 30e. Yes 0 NOD Yes 0 No IKl SUlcida I- Z lU o UJ U UJ o u.. o w ::> ~ 28a 28b. CERTIFIER (Cneck only one) '~~~~F ':~~tG.r::'~~t~~.\fyh1.S:f~~~hC:~~~~,9.,'j"'~: ~ ~h:l~o'Z~:(:I~'~r ~~~~;::'~oh::or~d~o~r~c~ ae~'h. ~~d. c~~~~reled "e~ ~3). . 29. "PRONOUNCING AHD CERTIFYING PHYSICIAN {PhysIcIan both pronouncing death and cerllfyull] to cause of dealh) To the but or my knOwledge, death OCcurred .t the time, date, and place, and due to the uu....(.) and manner as sbted. hhhh 0 h.h....O 'MEOtCAL EXAMINER/CORONER On tho ...1& 0' o"mlno"on onalor In',o"yo"on. 'n my opinion, ...'" occurTod.. Iho "mo. d.... .nd ploco. ond duo to "'0 c,uo..(o) and mann.r as st.ted.. 3h. REGISTRAR'. SIGNATURE AND NUMBER ~:.ji. L"'-. '-'.. ...0 ?l\: l W I ~y~-, ~-Wl1 34. cd J - ()S- -ObI! 3 LAST WILL AND TESTAMENT BE IT REMEMBERED THAT I, JANASIA 1. SHAY, a resident of Cumberland County, Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this to be my LAST WILL AND TESTAMENT, hereby revoking any and all Wills and Codicils previously made by me. I I declare that I have a son, JEROMY J. SHAY and a friend, STEVEN S. WINAND. II I direct that all my just debts and funeral expenses shall be paid from my residuary estate as soon as practicable after my decease. III I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. IV I give, devise and bequeath all my property, whether real or personal, wherever situate, including any property over which I may have a power of appointment to my son, JEROMY J. SHAY and my friend, STEVEN S. WINAND, in equal shares, per capita. If STEVEN S. WINAND desires to purCha'110 my (,) :::-:~ :--,-0 ~____.l residence, he may do so by offsetting his inheritance against the='.fair ~ket: value of that residence. VI 'J \.D r'0 I nominate, constitute and appoint my son, JEROMY J. SHAY an&> my friend, STEVEN S. WINAND, as Co-Executors of this LAST WILL, to serve without bond. If my either is unable or unwilling to act in that capacity, then the other may act alone, as Executor of this LAST WILL. - (~) - ! f =~ C) fT"l - IN WITNESS WHEREOF, I, JANASIA I. SHAY, have set my hand to this LAST WILL this 1 day of /J7 J1.-/?e-h , 2005. ClV\cw~ ANASIA I. SHAY Signed, sealed, published and declared by the above-named JANASIA I. SHAY, as and for her Last Will and Testament, in the presence of us, who, at her request and in her presence, and in the presence of each other, h~ve hereunto subscribed our names as witnesses. / Ik(~ //). )'-n/~ "'/~. ~ .~~L~:C '/ . ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss. I, JANASIA I. SHAY, 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 instrument as my LAST WILL; that I signed it as my free and voluntary act for the pUrposes therein expressed. ~~J- 5h Sworn or affIrmed to and acknowledged before me by JANASIA I. SHAY, Testatrix, this ~~ day of ~~ , 2005. JjQ~~d- ~_ Notary Public NOTARIAL SEAl ,D~BORAH L RYAt'-, r'J01.',\8V'lUBL'C c,n OF MEr'HANIf'''B'I''''' , v . v0 Lnu. COUNTY MY COMMISSION EXPIRES ,JUNE 11, 2006 ~""~,,~-.......---.., AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND We, /If t /cr" Ie ,? 1.(1 ~ rl-?/' /~( and L,(jc, . 2- ~e.t:.-~cj I , the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Testatrix sign and execute the instrument as her LAST WILL, that JANASIA I. SHAY signed willingly and that she 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 Testat.rix was at th~ time 18 y;;;;e..,S9, f. e.o r ~,... ore, Of. S.'O. u~,." '. n:~pd'" and under no constramt or undue mfluence. / /,y./ 1~/1It4: y5-1'7"'-' '~'~,~~(1S; Sworn or affirmed to and acknowledged before me this I ~day of ~ , 2005. JW~&L- (/ ~~ Notary Public I '- , NOTARIAL SEAL ! DEBORAH L RYAN, t')UTAfiV PUBUC I CITY OF MECHANICSBURG, ClJlioFJEHlAND COUNTY! MY COMMISSION EXPiRES ,IUNEi 1, 2006 ~ ~~:.it_ ..-",} -