HomeMy WebLinkAbout08-12-05
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Register of Wills of Cumberland County
PETITION FOR PROBATE and GRANT OF LETTERS
/'i'
Estateof .:..Io~ 'K.UH'-
also known as
No.
To:
9,/-05- D'Wt
, Deceased.
Iq1 1(" g3M)
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
Social Security No.
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, and the execut~named in the last will oithe
above decedent, dated , [e.::s\W! ,i*" r''iB
and codicil(s) dated .
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
,...,
Decedent was domiciled at death in CvMgt!il.l.AJVj) ? 6ounty,~
Pennsylvania, with h~last family or principal res.i.dence at l'"l....... 11_ _ .. ~.g ~
~ lOUIS 1..AtJ€ ~ itA - ~ 'Nl"tI\--.. ~c:c) G'5
(list/street, number and municipality) . fT1
:_.'~~~
Decedent, then '(I years of age, died~ 20 0(", at I-IoL'i She,f" Hr>sf'.M,,:::?
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopteiljfter ,,)
execution of the will offered for probate; was not the victim of a killin~ and was never adjudicated in~tent:
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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: - t-I=>NE'
23&./ l'l~':i .00
$
$
$
$
-
WHEREFORE, petitioner(s) respectfully request(s) the prob~ of the last will and codicil(s) presented
herewith and the grant of letters -r~M~1l.:
(testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
thereon.
r S;<m"~f.p~ner(s)
Reside~ OfPetitioner~
IS""Cl ""<::\.IN! WI ~ I l. pJ 0.
lio<U
HI():'i.~OS 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.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
r::hn.- fit ?~~
Local Registrar
Fee for this certificate. $6.00
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U558;1~
No.
MAY 1 3 200~
Date
D.
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live in.
1Tb. Cwnlv Cumberland Igwl'llohip? 17d.O ~~=0I'
MOTHER'S NAME (First Middle, Maiden Surname)
111. Blanche L. Russel
INFORMANrs MAILING ADDRESS (Slraal, ClIyITQWfl, State, ~ COda)
~.P.O. Box 66 Annville, PA 17003
:.~ O~SPOS1TION- Nama 0I'~. Crematory LOCATION -CIlyfTown, Slate, Zip Coda
21c.lndiantown Ga Nat ional 21d. Annville PA 17003
NAME AND ADDRESS OF FACILITY
Zk~ichardson F.H.29S.EnolaDr.
LICENSE NUMBER
Enol. PA 17025
DATE SIGNED
(MDnlh,Da.y,Vear)
2Sb, 23c..
WAS CASE REFERRED TO A MEDICAl EXAt.lINER /CORONER?
H. Va. 0 No
: Approaimala PART II: Other slgnifteant condlliana IXII'llrtluItng to death, bul
:=~dnIh notruulngintheunder1yingcau.-givenInPARTI.
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
81
STATE fllEHUMIIER
NAME Of DECE~T (Firat, Middle. LaIl)
,. ,,)6 \-\'1--> I
AGE (L.IlBirthd.yj
SOCIAL SECURITY NUM8ER
.. 197 16 - 8350
OTHER:
':'.:0
WAS DEceDENT OF HISPANIC ORIGIN?
Nof"X Yes n Ifyal, apedI'y cuban,
Mu'Sn, ~Rlcan, ate.
Vo.
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COUNTY Of DEATH
.
lb. Cumberland
East Pennsboro
...
KIND OF BUSINESS I INDUSTRY
MARJTALSTATUS - Married,
Never M8rr1ad, WIdowed.
DlYorced(SpacIy)
(H 01' 5+) 14. Marr ied
17e. rn Va., decadent lived In East
DECEDENTS USUAL OCCUPATION
fol:='~~~
Bell Telep,orJe of PA
11.. AccOWlting Manager 11b.
DECEDENT'S MAILING ADDRESS ($Inlet ClIylTown, Slate, Zip Code)
8 Louis Lane
Eoola, PA 17025
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FATHER'S NAME (FinI, Middle, Laat)
11. Jacob J. Ubi
INFORUANl'S NAME (TypeIPrirIt)
20.. John J. Uhi
METHOD OF DISPOSITION DATE OF DISPOSITION
. OonaIlonO BuriaI~Crematlon~fromStaI8D 0 t_.Oa\',V_)
a 21a. othar(Spedfy) 21b. Ma 17, 2005
. SIGNATURE OF.FUNERAL SERVICE LICENSEE OR PERSON ACTING AS SUCH LICENSE NUMBER
..... 22b. FD 012774 L
Con\pllillfilema23e-conlywhiirlc;ertifyVlg To of my knowIadga,daalh OCCUl'l'ed.t Ihe lime. d8te and p1aca staled.
phyak:lanlanot.....lIabl..tllmeofd88llllo ( naturaandTllla)
earti{yC8l.u(jdealh. 238.
llamI 24-26 mull be completad by TIME OF DEATH
parson who prDllllUIIC8I daalh. 24. 2;59
OECEDENTSEOUCATION
I _J
....... .
13. (~2)
DECEDENTS
ACTUAL
RESIDENCE
(Seeinltructions
onotharlkl.)
17a.S18I.
PA
27.PARTl: E_...d___,Injoo...or-..._......._..........Ih. Donol_.......-ofdJ'I"liJ,.uch ..-.I'""or......I'~.....n. ...oc~ OI'_bII_
u.."""o..._...._......
"MEDIATE CAUSE (Final
dlaeeseOfeoodltlon
I'8IUllinlllndee1tlJ~
12. E.'?\=' \ Q.. \"'r\ 0 .<--"'\
DUE TO (OR AS II CONSeQUENCE OF~
h2...\2...l:Os,.
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$equInIIlIlyllslcondllions b.
lIeny,lIadirlgtolmmediate
cauM. ErUr UNDERt.YING {
CAU8E (0IaaaIe Of njury C.
1h1l~8\'8IlIs
raaulrlrlgondaa1tl)LAST d.
WAS AN AUTOPSY WERE AUTOPSY FINDINGS
PERFORMED? AVAILABLE PRIOR TO
COMPlETION OF CAUSE
OF DEATH?
DUE TO (OR AS A CONSeQUENCE OF~
AS "CONSEQUENCE OF~
MANNER OF DEATH
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DATE OF INJURY
(Monfl.Day,v....)
TIME OF INJURY
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED.
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LOCATION (Street, CityITOWI'l, Stale)
....
SIGNATURE AND TITLE OF CERTIFIER
.............:J1ij "b.~CC' .1.<:><-., r;:?n"", JC-v- f>1. .,...,,,,Os>l!.-
LICENSE NUMBER DATE SIGNED tMoflth, Day, YNf)
.,:DO.:=I:G.:N~;;I:;r~:u.PHY~~~ga.:.~:::=~~,~:da::~Il~::~i~~~:n~r...lat.d,..................... 0 31c. I)') D 2-l i err 2- 31d. t:'J~
NAME AND ADDRESS Of PERSON WHO COMPlETEQ...CAUSE OF DEATH
(11am 27) Typa or Prirll n, fl'7.4-PA-i.L..,
-;;>'<>7 +10U'<''':;=- ~6' f "'!">-fl?PJ-,IL,-/pa
R 171
DATE FILED (Month. Day. Year)
2- d~t1S
...
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30.. 3Gb. M.
o PLACE OF INJURY _ At home, fllm1, lllraeI, factory, ofIk:e
bulldIng,MC.(Spec:Ity)
....
Ye.O NoD
30e.
No","'
Homicide
Pemllngll'lve$!lgallon
Accidant
y..O NO~
Yes 0
NoD
Suicld.
CooldnolbedelermirMtd
2... 21b.
CERTIFIER (Check only OIle)
l~~~GJ~~~..~':'a~.th'":c~"'cadUJ:t:a::~=<:j~3r..r.x=~h:~~~~~.~~~.~~.~.~~.~~~.
"IIEDICAL EXAII..eAJeORONER
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ReGtSTRAR' ~RE AND""~
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RACE-Arnark.InIndlaro,BIack,WhI1e.a
(Specify)
10. White
SURVIVING SPOUSE
(1_.llIwo__)
15. Elynore Adams
Pennsboro
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Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
}
COUNTY OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA
SS:
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 belief of petitioner(s) and that as personal representative(s) of the above
decedent petitioner(s) will well and truly administer the estate according to law.
~.l4
Sworn to or affirmed and subscribed
Before me this f 1-
/}W~ U:&-I
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No. 21-05-0'7j~
Estate of ~ R. t,U}L
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW ~~ r 17- 2005 , in consideration of the petition on the reverse side
hereof, sait' factOry~rOOfhaVing been pres.ented before me, IT IS DECREED that the instrument(s), dated
(0'. I (j'. I ~_ "I '( , descnbed therem be adrmtted to probate filed of record as the last wIll of
~( . if ; and Letters are hereby granted to,J:QlhJ r. LUI1-
FEES
Probate, Letters, Etc. .............
Will.................................
Renunciation...................... .
Short Certificates (4) ,...........
JCP..................................
Automation Fee...................
Bond.................................
Total
Filed~rz.. () 5.-
20
$~
$ 1,1) .(JO
$
$
$
$
$
$ 35(11 .cro
Attorney (Sup. Ct. J.D. No.)
4f~
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Address
Phone
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1ij(;tst Bill ttnb QJ~$tttm~n t
OF
JOHN R. UHL
I, John R. Uhl, of 8 Louis Lane, Enola, Cumberland County,
Pennsylvania, declare this to be my Last will and Testament,
hereby revoking all prior wills and Codicils.
ITEM I.
I direct that the expenses of my last illness and
funeral shall be paid from the funds of my estate.
ITEM II.
I direct that, if possible and reasonable,
arrangements for my viewing and burial be handled by the Myers-
Harner Funeral Home, Inc.
I further direct that where feasible
and possible any memorial service take place at the West Shore
Baptist Church and that I be buried at an appropriate place in the
cemetery at Fort Indiantown Gap, Annville, Pennsylvania.
ITEM III.
I direct that all the rest, residue, and remainder
~ of my estate be divided as follows:
A. Fifteen percent (15%) to Timothy Klein, now or
formerly at 1010 Fox Chase Drive, Apartment 317, San Jose,
California, 95123, provided he survives me by thirty (30)
days.
B. All the rest, residue, and remainder to my son, John
J. Uhl, now or formerly of Annville, Lebanon County,
Pennsylvania, provided he survives me by thirty (30) days.
Should John J. Uhl fail to survive me by thirty (30) days, I
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direct that all the rest, residue, and remainder of my estate
be distributed as follows:
1. Ten percent (10%) of my estate to LuAnn Uhl,
provided that she survived me by thirty (30) days and
provided that she was married to my son, John J. Uhl, at
the time of his passing;
2. The balance in equal shares to any surviving
children of John J. Uhl.
ITEM IV. No interest of any beneficiary under this will or
any Codicil hereto shall be subject to anticipation or voluntary
or involuntary alienation.
ITEM V. No provision in this will is intended to exercise any
power of appointment.
ITEM VI.
In addition to powers vested in them by law, my
Executrix and her successors shall have the following powers,
applicable to all property held by them, including all property
held for minors, effective without the order of any Court and
until actual distribution of all such property:
A. To retain any property received by them including
the stock of any corporate fiduciary acting hereunder.
B. To sell real estate for any purpose, publicly or
privately, for such prices and on such terms as they deem
proper, without liability on the purchasers to see to
application of the purchase monies.
c. To compromise controversies.
D. To distribute in cash or kind or partly in each at
valuations fixed by them.
E. To hold investments in the name of nominee.
ITEM VII. All taxes and interest and any penalties thereon
payable by reason of my death with respect to property comprising
my gross taxable estate, whether or not passing under this Will,
shall be paid from the principal of my residuary estate.
ITEM VIII. I hereby nominate, constitute and appoint John J.
Uhl Executor of this my Last will and Testament.
If John J. Uhl
predeceases me, or if for any reason does not act or continue to
act as such, I appoint LuAnn Uhl as Executrix in his place. No
fiduciary acting hereunder shall be required to post bond or enter
security in any jurisdiction.
IN WITNESS WHEREOF, I have set my hand and seal this /(? day
of ':::riA r\F , 1998, to this my Last will and Testament,
which consists of three (3) typewritten pages to each of which I
have affixed my signature.
COMMONWEALTH OF PENNSYLVANIA )
COUNTY OF Da..u.{> ""', '^'
: ss:
)
We, JohnR. Uhlr.t,estator, Ke"Y'lell-., e..,
~"'.. r~eu f4'\rw ESIi.1.Land \.......:..: the
Testator ~nd the witnesses, res ectively, whose names are signed to
the attached or foregoing instrument, being first duly sworn, do
hereby declare to the undersigned authority that the Testator
signed and executed the instrument as his Last will and Testament
and that he had signed willingly, and that he executed it as his
free voluntary act for the purposes therein expressed, and that
each of the witnesses, in the presence and hearing of the Testator
signed the Last will and Testament as witness and that to the best
of their knowledge the Testator was at that time eighteen (18)
years of age or older, of sound mind and under no constraint or
undue influence.
residing at f /{)Uic. AuJi e
(11t1! (J (J(j. /7 t> ).;-
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at 32(.h fll t,Cj/-
/;/,/;(tlP/'t/ /J 17//0
J
at /CJO 71. '7J1ruPr I- II.
-
A&<!In""(;~I6..n.,? ld1
. . 17~C;-
residing at J/8i?~tf ~..u'..-
j,J./;o {/ '.4 /7// d-
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Subscribed, sworn to and acknowledged before me by John R. Uhl,
Testator, and subscribed and sworn to befor~ me by
\<el(\-0e-.t\.-.. A. \A)isr: , ~"".\..-\e\~ Anne Fs+1-L1 , and
(',~n bi'^- '-"'.Y-cJi S , the witnesse , this \0 day of
:S'A VIe.. , 1998.
8" {M
Testator ~ R.l '
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i:.:;'/i/ ,//1 / /i / /,
witness ,,',' / It 1/ / /tv..l residing
"
witness A.Lt '}.e~;u. .~0fresiding
witness
4dL<{~~J
Notarial Seal
Candlth Y. HiD, Notary Public
Hanisburg, Dauphin County
My Commission Expires Nov. 19, ~1
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