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Home My WebLink About08-16-05 . Register of Wills of Cumberland County Estate of AtJtJ MARSHAu.. BA-UrJQ's... also known as PETITION FOR PROBATE and GRANT OF LETTERS ~ , - OS - 016lS No. To: Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania , Deceased. Social Security No. '2.//).- I]... -/7,;)..) The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older, and the executt)~s named in the last will of the above decedent, dated 41.("'11,$,.- 20 ,~ J 11 h and codicil(s) dated (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decedent was domiciled at death in (!,U/ll1B~U\AtD County, Pennsylvania., with ~t famVy or principal resi ence at . . { 2.5: G 12: 3 7-- ~ If-I'4 '-58 (list street, number and municipality Decedent, then & years of age, died _A-u6u..&( E;; ,20~, at "Ee~1 S:JU~ ,JlltZ.&l,Jb Hfu ~ry 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 Pel1I\sylvania $ situated as follows: q V 01 PA.O Ji::n LhJ.I), 13 Jf-:t. .7iIU;A- tJ:Ju~ /'4. I I f .~ 571 ~, trrD, IrO Zk, t7"0. rl WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant ofletters -r~A/Y1 t3tJrA-q '" ... (testamentary; admmlstratlOn c.t.a.; admmlstratlon d.b.n.c.t.a.) ili'~ / ~oner(s) \ r~" k "f'.~d0.. ~L- ~ /' Residenc~) OfPetitiOner(s~ RA#/ i 1)11f93 I WIIJ, 1lf:LD J PA. ,'7~!:1 (3/)7 ~~ f)(IlJ~ f ~tr (o~,~ , C{)~~~~; ..~ ~ e;~:~ '.~; J 0'1 2 c,:-< -" ;~l : r=s _om );~~ N c:> . Register of Wills of Cumberland County OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } SS: 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 ofthe knowledge and belief of petitioner(s) and~at as, ' perso al"representatiVe(S) of the above decedent petitioner(s) will well and truly administer the estate accordi ,,' 0 . Sworn to or affirmed and~scribed {)< " /" ~. Be.i'\re me this \ ~ day of 7 ~I.\c:,;:\- ,2005 \ 'v ~, LfA~L, /::. <: , f/J ~. ~ ~ ~ ~~~~~ ~ . Register NoJl-05- 01J0 Estate of A,J,J frJ./11!5#A u... 'BAJ.I~ ,Deceased ...... DECREE OF PROBATE AND GRANT OF LETTERS FEES Probate, Letters, Etc. ............. Will............... ........... ....... ~nk~CunJt~ .~-60/)b"llJtv~~-t Register of Wills c:L.j :~ Renunciation................. ...... $ Short Certificates Q.~ ............ $ JCP.......... ....... .......... ....... $ $ $ $ 5R(o, a') 2005 Attorney (Sup. Ct. I.D. No.) Automation Fee................... Bond............................. .... Total Filed R- 15 QLD.OO \ () . (Jf) S.ot) ,--) f-.v O:-:'..::l c:.:> Lf1 .'-r) _'~ ~;~_.1.'~ ,:- (-) ,< ":lJ :'-:J i'C~l ; ',"') . ) C'~) , i --;--~ Address - ,.-......., l.) .,'- ;-~ " C..i'l Phone ,1 ..' .. ;-1 - ('''5 ~- fTl N CO II 1 o:'i,XO_" kLV I/O) This is to certify that the information here given is correctly copied from an original cer~ific~te of death dul,r 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. P 1"l,r'rjt"'l~i::;'- ~ ~"', '>.,....' ~wI' L ',' 0'- ~" "J. t" ',' \,) 'v:J No. ~/Jt~~~ Fee for this certificate. $6.00 Local Registrar r-.:> ~_ ("~.'::'.::J AUG){j::B L005~ ., ) ~ 'J ".- ~ .~') (,) Date: '::~ (.J~ :--~"'""":l ['0 CO --:) ,'1 ,_ VB7 COMMONWEALTH OF PENNSYLVANIA. OEPARTMENT OF HEALTH. VITAL RECOROS CERTIFICATE OF DEATH y" UNDfR 1 YEAR '~ Month. i D.yo Ann UNDER 1 iJl<'! Houri Minutes STATE FILE NIIMBE~ ~~SOCIAl SECURITY NUMBER 2. Female L 210 - 12 - 1721 PLACE Of :JEATf-l. (Check only one -;ee mSlrucllonS on other ~de) HOSPITAL. Ph 1 PA Inpatient 0 7. i a.,. ... FACilITY NAME (If nol u1!.t'TUtIC(\ give slr~ and number I I DATE OF DEATH (Mcnth, Day. 'tea.) 'Au ust 5 2005 NAME OF DECEDENT (FlrsI, Middle. :"aSl) 1. AGE tL'3SI B;rtMal) 5. COUNTY OF DEATH 80 c~ ERJOutpatlenl U ~=lty)D BlmHFLACE (C,ty ar.d Slale or For~lgn Counlryl RACE. AmerICan Indian, Black. White, sic (Speedy) 1.. INFORMANT'S NAME (TypelPnnt) Harry M. Marshall Betha~'LVilla&~_______. WAS uECE:OENT EVER iN--r-- DC::CE.OENT'S EDUCATION v,s AMt.1E.:JFOA.::e!>? r~~"L~IY.!!.::G:wezl raoe.,:Q!!!P~ C /i';'".b Elem.entary/Secondary College Yes Noll,.,h (012) 4 (~40l~1+) 12. 113. ___ 17..s......Eennsylvan1.a__ uk! 17c.6O Yoa._ntlMod;n . deced.,nl :ivelna township? 17d.O ~:C'==Of MOTHER'S NAME (F,rst, 'M'odi:;", Malden Surname) White SURVIVING SPO'JSE (If Wlle, gIve maiden name) .b. Cumber land DECEDENT'S USUAL OCCUP.AJ'ION 1~;v..::~i~:II~~d~u~r~leirl~ I ,... Dietician --.---1,.. D::.eta~ DECEDENT'S MAILING AOOAES& (Sl/eet. (:;!Yrrown, $ta-;:ZiP~ DECEDENT'S 5225 Wilson Drive ~g~ELNCE (5efo.InSZl'l.lCtIOn" on olhe' Side) Allpn "'P. lIMechanicsburg, PA 17055 FATHER'S NAME (First, Middle, Lasl) 17b. COUllty Cumberland cJtylbom Removallrom SIal8 0 1.. INFORMANT'S MAll.NO ADDRESS (Street, Cityrrown, Stele, Zip Code) 2Gb. 1307 Lawrence Drive Ft. Collins CO 80521 PLACE OF DISPOSITION. Hame 01 Cemetery, Crematory lOCATION. CityfTown, Slate, ZIp Coc:M or Other Place Edna Coolidge _. METHOO OF DISPOSITION Burial Xl Cremation 0 Other (Speedyl Sonia B. 2.c.Rollin Green Mem Park NAME AND ADDRESS OF FACilITY 22c.M ers-Harner rn PA 17011 PA 17011 IMMEDIATE CAUSE (Final dlsease or condition resulting In death)----+ S.. p-<<~i" ~..., qYrest DUE TO (OR AS A CONS=OUENCE OF)' L ~L <4 rC ""'0"""''' DUE TO (OR AS Af:1NSEOUENC~ OF), 21. I Approximate : interval between I onset and death I i PART II: Other signiflcar.( condt\iOns contributing to deatt'l, but not resulting in thll undertying cause glwn in PART I. Sequentially list condihons if any, leading to immediate cause, Enler UNDERLYING CAUSE (Oisaase or onlury thaI initialed events reslJlling In death) lAST c,____ DUE TO lOR AS ACONSEQllENCE OF): WAS AN AUTOPSY PERFORMED? d WERE AlJlO~SY FINDINGS AVAILABLE PRIOFl TO COMPLETION OF CAUSE OF OERH? MANNER OF DEATH DATE OF INJUAY IMy,n1, Day. Year) I~URY .AJ' WORK? DESCRIBE HOW I~JUAl' OCCUAHEO. y.. 0 I ~O~ Pending Investigation ITIME OF INJUAV o I COJ 300. ,__~ PLACE OF INJl.iRY. AI home, tarm, street, factory. olflce building, etc. (Spacllv) 13... Yes 0 NOD ""'~ Natural ~ AC':Ident C Suicide 0 Homicide y..O M. .30e. A Could not be determined bh! 1~,{1 3Of. ISIGNoUURE AND TITLE OF CERTIFIER ~ 31b.JItSN'1't 7- i'''7-r/~, ,....0 LICENSE NUMBER DATE SIGNED (MOOlh. Day. Year\ o 3lc.hlJ (> 5" 3/ q 0 '- 31d. 8/ S-/o r NAME AND ADDRESS OF PERSON WHO COMPLETED CAUSE OF DEATH (Hem 27) Type or Print J 1t5A//1 7. 13 It -r ...., ,IV, /11. D _ _ [J z."", Hov.St!i AVe'Nj,JcE: 'j<A{Te::; 32. l.. C- OATE JC>) 288. 2Sb. CERTIFIER 'Check only (')('le) .CERTIFYING PHYSICIAN (PhYSICian cerllly,ng cause of death whe(\ another phYSiCian has pronounced death ana compleled Item 231 To the bnl 01 my know'-dge, death occurred due to the cause(s) and manner as staled. . 2.. . PRONOUNCING AND CERTIFYING PHYSICIAN (PhYSICian bolh pronounCing dealh and Cer111Ylng to cause Of death) To the be-st 01 my knowledg". death occurred al the lime, date, and plac., and due to thecause(s) and manner.s stated .MEDICAl EXAMINER/CORONER On Ihe basis of examination and/or investtgation, In my opinion, dealh occurred al the lime, date, and place, and due to the cause(s) and manner as state<!.. ",..".. . . " ..,... . ., ". . . . . . . , , , . . . . .' ,... ,.,.' , .,.... ,.. ..'. ".". ., ". ". REGISTRAR'S SIGNATURE AN.9"1MBER.... ... t..Mvn. . 1'1;/ 33 (.7/' '-- ...:.:::..1{'<t....:.~1~ I..~ 7, dt1ti(- SAIDIS, GUIDO, SHUFF & MASLAND 2109 Market Street Camp Hill, PA I LAST WILL AND TESTAMENT OF ANN MARSHALL BAHNER ~"".) .-, -., '_J' "<: (---) ,- l r '\ . } /-') I -...., "-' ) ~..; j /' :- ) I, ANN MARSHALL BAHNER of Lower Allen Township, Cu~1?erland ..J .,.~ '- ) - 1'"1 County, Pennsylvania, declare this to be my Last will .and Testa~/J,) p.) - "r"": OJ ment, hereby revoking any will previously made by me. I - I direct the payraent of all :lny just debts and funeral expenses out of my estate as soon as may be practical after my death. II ~ I bequeath certain items of my tangible personal property, not including cash and securities, in ,accordance with a written list made by me during my lifetime. In the absence of such a list or designation on said list, I bequeath said items to my daughter, Sonia B. Frederick. III - I bequeath the sum of $25,000 to my deceased husband's nephew, Keith Bahner, now of Winfield, PA. TT7 .... - I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate unto my daughter, Sonia B. Frederick. v - Should my said daughter, Sonia B. Frederick, predecease me, then I devise and bequeath all the rest, residue and remainder of my estate as follows: ,t4 'V/1 . 13 ~ Page 1 SAIDIS, GUIDO, SHUFF & MASLAND 210Q Market Street Camp Hill. PA , . A. One-fourth of said residue shall be paid to First Presbyterian Church, Lewistown, PA, to be used for benevo- lent purposes. B. One-fourth of said residue shall be paid to First United Church of Christ, Sunbury, PA, to be used for benevolent purposes. C. One-fourth of said residue shall be paid to Christ Presbyterian Church, Camp Hill, Pa, to be used for benevo- lent purposes. D. One-fourth of said reSloue shall be paid to my deceased husband's nephew, Keith Bahner. VI - I appoint my daughter, Sonia B. Frederick, and Keith Bahner, Executors of this, my Last Will and Testament. Neither of my personal representatives shall be required to post bond in this or any jurisdiction. IN WITNESS WHEREOF, ~ this, the d l} day :fhave~~ , 1996. my hand and seal on . JI1 )') I 0 & /f\a_('orV/~ {~< Dr.:J~.~~.~ Ann Marshall Bahner (SEAL) Signed, sealed, published and declared by ANN MARSHALL BAHNER, Testatrix therein named, on this and one (1) other sheet of paper as and for her Last Will and Testament, in our presence, who, in her presence, at her request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. -zf~ If~t~ I~. Address! fJ~ Name (J~ lnI1Ji/T~ Name ~~,PA Address SAIDIS, GUIDO, SHUFF & MAS LAND 2109 Market Street Camp Hill, PA COMMONWEALTH OF PENNSYLVANIA) SS. COUNTY OF CUMBERLAND) WE, the undersigned, the testatrix and the witnesses, respectively, whose names are signed to the foregoing instru- ment, being first duly sworn, do hereby declare to the under- signed authority that the testatrix signed and executed the instrument as her Last will and Testament and that she signed willingly (or willingly directed another to sign for her), and that she executed it as her free will 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 that time eighteen years of age or older, of sound mind, and under no constraint or undue influence. ;+-lt~:A1~ ~~}~,- Testa rix 'i~.f~ ...- Witness Subscribed, sworn to and acknowledged testatrix, an~su~ribed and ~rn to~efore neBBes, this 0 day of '1fAS.- before me by the me by both wit- , 1996. NOTARIAL SEAL JO SMITH, Notary Public Camp ~iII,. Cumberland County My CommIssIon ExpIres May 6, 2000