HomeMy WebLinkAbout08-15-05
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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
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(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
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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.
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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
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WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate. $6.00
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
STATEfl1.EIfUNBER
NAME OF DECEDENT (Fnl, MICI<IlB, La.t)
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AGE (LaslBintlday)
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SOCIAL SECURITY NUMBER
DATE OF DEATH(Monltl,Day, year)
4.July 27, 2005
3.191
32
9019
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QA1EOf BlR1H
(MOOIh.Day,Yaar)
.4/19/1941
ClTY. BOfIO. TWP OF [lEA TH
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BlRTHPtACE (City and
StlIteor F.....gnCountry)
7.Harrisburg,
64
FACllllY NAME (1InoIin$lilWon.lliwl$lree\andnumber)
R"i~ ;:::lj-IO
RACE_Amencanlndlan 8!ad<,I'I'1,le,e1
(Specd1) .
White
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COUNTY OF DEATH
...
Cumberland
kShirernanstown 8A 11 S. Market Street
KINO OF BUSINESS J INDUSTRY AS DECEDENT EVER IN
U,S. ARMED FORCES?
S gas 0 NJg:
MARlT Al STATUS _ Mamed
Ne_Manilld,WllOwed
Oi't'Ol"tod(SpeQIy)
14. Widowed
SURVIVING SPOUSE
ll.,.,le,gO.._n....)
DECEDENT'S USUAL OCCUPA nON
IGivo-tnl.'_k_~""'"
11L G04~~~y....st~rewO k~focery Busin
DECEDENT'S MAlLlNGAOORESS (SIr8eI. C~lTown. SI_, Zip Code) DECEDENT'S
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RESIDENCE
{5eein$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
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Corrpelilll_2ooy\llllanC8lllfying
phy.......i.IlOIIMII~_allimeoldeeltllO
cer1iIycauseofdMIh_
llams2".26mu.lbe~by
person wIlOprorlOUllCllSdeaIh
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Z1.PARTI: _"'d_.iojoooloo...<~._<_ _.Go__..._oldl'in8-_a._iK......~~...."......~..._"".....
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IMMEDlATECAUSE(FirIaI
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ORASACONS 01'):
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5ecp.JarJllaIl1~" GOrlditions
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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
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lOCATION (SIr_, C"yfTowll, Slate)
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CER1IFIER(CheckOl'll)'aoe)
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.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"''<'
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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..
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REGISTRAR'S SIGNATURE AND NUMBER
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Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENN8YLV ANIA
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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
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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.)
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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=;
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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.
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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
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COMMONWEALTH OF PENNSYLVANIA
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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
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