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HomeMy WebLinkAbout08-15-05 .,-"', " . , Register of Wills of Cumberland County PETITION FOR PROBATE and GRANT OF LETTERS Estateofj?~,'_~~ No. ~1-05-01lli also known as To: Register of Wills for the County of Cumberland in the Conunonwealth of Pennsylvania , Deceased. Social Security NoL9" / - J.::? - '7 &> / '7 The petition of the undersigned respectfully represents that: , ~ who is/are 18 years of age or older, and the execu~ named il(the last wi1l1litthe . 20 p ~~~ 2:: :~'1n G> y~;~~~ U\ (state relevant circumstances, e.g. renunciation, death of executor, etc.) ~'. .~-~, c.~ -0 Decedentwasdomiciledatdeathin ~_ 'T~ C~ty, penrnJ7"".wi~~7P~:~idence~_/-/!- U1 (list str~mber and municipality) I Your petitioner(s above decedent, dated and codicil( s) dated ::-JJ ..(\;-:[_1 !-_'i,~:. ~.:~ ,<;; ::..:J I.) :': r',::! ..":- ~ I . 1 , .J ,-:? ;:-?~::.-~ M i.:-_.),~ Decedent, then~ears of age, died , 20ti at ~ .' +' ~ - / ~ Except as follows, decedent did not ,wa ot divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim ofa 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: ~.~ ~ 7/P-O'VO $ $ WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant ofletters (testamentary; administration c.t.a.; administration d.h.n.c.t.a.) thereon. ~/.-.-S::;lZ,~s! :?~~ ./ Residence(s) ofPetitioner(s) HJ05,805 REV 1105 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. Hl05143Rev_2J87 TYPEIPRlNT '" PERMANENT BlACl(IHK s . o . ~ " Z W g U W C ~ o w . < Z WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate. $6.00 Aofu<q.~ "" Tf'c,3o -~ - -n ).-- -; :-:',"', Date c= :::-I:Q GJ ,",-_.1 -IT! :0 U1 /.:;;: P 11925281 -,(g r:> "CJ :.:U \'~~:J .-n c::;J C) -., -Tl c~ rn -'0 ., No. C) -1'1 -0 - N U1 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH STATEfl1.EIfUNBER NAME OF DECEDENT (Fnl, MICI<IlB, La.t) ,. AGE (LaslBintlday) ., SOCIAL SECURITY NUMBER DATE OF DEATH(Monltl,Day, year) 4.July 27, 2005 3.191 32 9019 n QA1EOf BlR1H (MOOIh.Day,Yaar) .4/19/1941 ClTY. BOfIO. TWP OF [lEA TH n BlRTHPtACE (City and StlIteor F.....gnCountry) 7.Harrisburg, 64 FACllllY NAME (1InoIin$lilWon.lliwl$lree\andnumber) R"i~ ;:::lj-IO RACE_Amencanlndlan 8!ad<,I'I'1,le,e1 (Specd1) . White " '" .. COUNTY OF DEATH ... Cumberland kShirernanstown 8A 11 S. Market Street KINO OF BUSINESS J INDUSTRY AS DECEDENT EVER IN U,S. ARMED FORCES? S gas 0 NJg: MARlT Al STATUS _ Mamed Ne_Manilld,WllOwed Oi't'Ol"tod(SpeQIy) 14. Widowed SURVIVING SPOUSE ll.,.,le,gO.._n....) DECEDENT'S USUAL OCCUPA nON IGivo-tnl.'_k_~""'" 11L G04~~~y....st~rewO k~focery Busin DECEDENT'S MAlLlNGAOORESS (SIr8eI. C~lTown. SI_, Zip Code) DECEDENT'S ""'~ RESIDENCE {5eein$tru::liOrlS onOlhllrsidll) 17c.OYas.decedllnllMldin 17d.[i :ii:\'1;=oI 11 S. Market st. Shiremanstown,PA 17011 Shiremanstown c~~lboro 17b.Coun1v ... FATHER'S NAME (Firs!. M-. Lull .. INFORMANT'S NAME (Type/Pfilll/ .... METHOOOF DI POSITION Burial o er..melionD8I'JlO'."8I Irom State 0 Oltoer(Specily) FUNE SERVICE C Robert Gloria Dressler Johnson MOTHER'S NAME {Fifst, Midlllto. M<IidefISurname} 11. Elizabeth Lauver INfORMANrs MAiliNG AOOflESS (Sll"OOl, OI1(Town. Slate. Zip Code) ~. 27 Essex Road earn Hill PA 17011 PtACE OF DISPOSITION. Name of Cemelery, C...,mel'XY lOCA nON. CilylTOWIl. Slale, l,p Code ~OO-~~ Harrisburg, PA z1HooverFH&Crematory, In 14- NAME AND ADDRESS Of FACILITY DorIalklrlO .218. . SIGNATURE g. . A ..... Corrpelilll_2ooy\llllanC8lllfying phy.......i.IlOIIMII~_allimeoldeeltllO cer1iIycauseofdMIh_ llams2".26mu.lbe~by person wIlOprorlOUllCllSdeaIh ,. Z1.PARTI: _"'d_.iojoooloo...<~._<_ _.Go__..._oldl'in8-_a._iK......~~...."......~..._""..... Uotaoolr.......oa___ IMMEDlATECAUSE(FirIaI clI_...oondilio/'I resulIlIlgilldealh)_ MJ;;'i) 'TIt"lI'-- c.a).-p ORASACONS 01'): /&/:tL- ':-V/V ~ I: 5ecp.JarJllaIl1~" GOrlditions dlll1y.leacllllqlOlIIIrfIfldi_ causa_ElllerUNDERLYlNO CAUSE{Dlsease...iflur\I thaliMiated_ reSllllng on Oeain) LAST WASAN AUTOPSY Vo€RE AUTOPSY FINDINGS PERFORMED? AVAILABLE PRIOR TO COMPLETION Of CAUSE OFDEATI1? IORAS/l.CONSEQUE~E Ol.ETOiORAS/l.OO5 MANNER Of DE" Tl1 DATE OF INJURY iIoI.......Oay.y...) TIME OF INJURY INJURY A1 WORK? DESCRIBE HOW INJURY OCCURREO o o o :'-CE OF INJURY lIUikInv....,lS'O';Ij-I ",. K]( o o Homio<llt ,- y.,O NoD 3Ob. loll 3Oc. AII1Oma.fann.SI'ee1.f~.office Pandirl\Ilnvestigallon CouIdnolb8c1e\ar1nned AcCidenl ,~. lOCATION (SIr_, C"yfTowll, Slate) VelD NoK){ "0 Yes 0 """" ". 21la. m. CER1IFIER(CheckOl'll)'aoe) :li~.uFJ'l':IG..r::';\~'::.Qs=~:'u':::ff:lhcau"'=c=,g-=~.~.~~~.~.i.~?~).... "G .PRONOUNClNG AND CERT1fYING PHYSICIAN (AIys/Oal1 belli pn>rlOUnCiog daalll aocl cemlying tu cause of dM1h) Tullle bell of my knowledge, dealh DO~urredatlne_. cleIl, end ple~e. end _10 1II1~.......e(l)end m....,... II _..... ......0 31b. LICENSE NU 1'lEa....".:, E SIGNE (MOO/:Y)'af) .... ..............IZI J1C 1 D ()J (.1'7(17 /J J111.? '2..1" ,-. NAME AND ADDRESS Of PERSON WiO.COMPlWO<:;AUSE Of DEATH (llem27)TypeorPrinlrC:_!rntvl)'t::! FIVO,~,--:f1"''<' o ~/71"1.- -:-:n___lrvo~t{'J,::..../lO .'"}7:" JZ. Jrr.-"p J ~ f'Vr" h DATE FilED (MOI"\lh. Day, y......) 'MEDlCAl EXAMlNERICORONER On.... bnl. or ulmlnlllton IIldIor tn......llglllon.ln my opinion, dHIh uccllf1'>'ld el I"" lime, date. and pIKe, end due lu Ibl ~auan(.) and mennerealltaled.. 31e. REGISTRAR'S SIGNATURE AND NUMBER " Y. c'--..~' \;lf~I.:l.I~MI ,-.21--05 ..,,", . . . . Register of Wills of Cumberland County OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENN8YLV ANIA } 88: COUNTY OF CUMBERLAND The petitioner(s) above-named swear(s) or affrrm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief ofpetitioner(s) and that as personal representative(s) of the above decedent petitioner(s) wi!! well and truly administer the estate according to law. Sworntooraffinned~subscribed {,..I..M'': ~~ Bef;\ue me this I~ . . day of G 8u.GU.~-r ,200-5 hi 11~ul t1 . /- .=.::::.:. Reg' ~vm '" ~. e ~ A ~ No. 11 -05-QrrZlJ; ATRJC-IA- ANN D~~ed DECREE OF PROBATE AND GRANT OF LETTERS ~ lLST 15 20_, in consideration of the petition on the reverse side proof having been presented before me, IT IS DECREED that the instrurnent(s), dated described therein be admitted to probate filed of record as the last will of ; and Letters are hereby granted to G L1l R: I A- M'W N ~\sD" I FEES Probate, Letters, Etc. ............. $ Will................................. $ Renunciation....................... $ Short Certificates (2.) ............ $ JCP.................................. $ Automation Fee................... $ Bond.............. ............... .... $ Total $ Filed ~. I~ 200~ Attorney (Sup. Ct. I.D. No.) O. _10.5.00 ~ ~'.B'6 Address Phone LAST WILL AND TESTAMENT OF PATRICIA ANN DUNCAN I, PATRICIA ANN DUNCAN , of 11 South Market Street. Shiremanstown. Pennsylvania. 17011 being of sound and disposing mind, memory and understanding, do hereby make and declare this as my last will and testament and revoke all wills and codicils heretofore made by me. FIRST I direct the payment of my debts and expenses of my last illness and funeral from my estate as soon after my death as conveniently may be done. I would ask that only a modest memorial service be held. I also direct that my remains be cremated and my ashes buried with my husband's remains at the Fort Indiantown Gap Cemetery. SECOND I direct that any motor vehicles owned by me at the time of my death be sold. Ig direct that the proceeds of the vehicle(s) and any and all other property owned'~ me at~ th: time of my death, real, personal or otherwise be divided equally among my ~~ ~ chl1dren:-; s=; '-'0 c...rl ~;, a. DELMAR AL VlN DUNCAN, JR. of Shaipsburg, Maryland; b. LISA WEIDLEY, of Mechanicsburg, Pennsylvania; ., c. TIMOTHY ALAN DUNCAN, ofShiremanstown, Pennsylvania; and/~ d. MELISSA BARRICK, of Myrtle Beach, South Carolina. -0 -- :J:J r" 8 .-0 C::J r-rl CJ r:> ~,-l _<JJ -=~ I') (.:~ "_On r::i - U1 THIRD Any and all payment or payments of any sum or sums, whether in cash or in kind and whether from principal or income, payable to my beneficiaries, or any of them, shall be made upon the sole receipt of the respective individual to whom the payment is made, and free from anticipation, alienation, assignment, attachment, and pledge, and free from control by the creditors of any such beneficiary. All shares of principal and income herein given shall be free from anticipation, assignment, pledge or obligation of any beneficiary, and shall not be subject to any execution or attachment. FOURTH Finally, I nominate, constitute and appoint my sister, GLORIA DAWN JOHNSON, Executrix of this my last will and testament. I hereby relieve my Executrix from the necessity of posting security in connection with her duties as such in any jurisdiction in which she may be called upon to act insofar as I am able by law to do. IN WITNESS WHEREOF, I have hereunto affixed my hand and seal to this, my last will and testament. This ~ day of Jv rH . ,2005. tzk. 'A_ ;q<:=l'J(~ (SEAL) , Signed, sealed, published and declared by the above-named Testatrix, Patricia Ann Duncan as and for her last will and testament in the presence of us, who, at her request, in her sight and presence, and in the sight and presence of each other, have hereunto subscribed our names as witnesses. 02/( ;1/ r~ Sf. Address /fPf\f2 ~hUS PH (7( () f ~AU#.~ Si ature 2-11 N. t:WAI" f))-. Address I-hJYri~~IUf, II} rUe I 2 COMMONWEALTH OF PENNSYLVANIA : ss COUNTY OF CUMBERLAND We, Patricia Ann Duncan, John F. Goryl , and Rvanne Shuev , the Testatrix and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being fust duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed this instrument as her last will, and that she signed willingly, and that she executed as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the will as witnesses, and that to the best of their knowledge, the Testatrix was at the time eighteen (18) years of age or older, of sound mind, and under no constraint or undue influence. ~~~rin:sf~ Sworn or affirmed to and acknowledged before me, this ~ day of June ,2005. ~{)jJl ~-R.uL Notary ubli NotaJiaJ Seal Margaret A. Breech, Notary Public aty 0I1iarTistug, DauphIn CllIIlly My C<lmmissionE><plIllSAug. 10,2006 Member, f'ennsyM!nIa Asslx:IaIion 01 NoIades 3