HomeMy WebLinkAbout08-19-2005
PETITION FOR PROBATE and GRANT OF LETTERS
Estate of JOYCE E. BAWN No. ;] j -05. 74.3
also known as To:
Register of Wills for the
, Deceased. County of CUMBERLAND in the
Social Security No. 171-28-0225 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older and the execut OR named
in the last will of the above decedent, dated APRIL 21. 2005
and codicil(s) dated
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in LOWER ALLEN. CUMBERLAND County, Pennsylvania, with
h ER last family or principal residence at 1816 WILLOW ROAD. CAMP HILL. LOWER ALLEN
TOWNSHIP. CUMBERLAND COUNTY. PA
(list street, number and municipality)
Decedent, then 69 years of age, died 7/31/2005
at 1816 WILLOW ROAD. CAMP HILL LOWER ALLEN TWP.. CUMBERLAND COUNTY. PA
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: NONE
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:
1816 WILLOW ROAD, CAMP HILL, PA 17011
$
$
$
$
7.000.00
0.00
0.00
135.000.00
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant ofletters
thereon.
~~.~;
LARRY YKI G, EXECUTOR
(testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
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43 S. 39TH STREET
CAMP HILL
PA 17011
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEAL TH OF PENNSYL VANIA}
COUNTY OF CUMBERLAND SS
The petitioner(s) above-named swearls) or affinn(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 represen-
tative(s) of the above decedent petitioner(s) will well and truly dminister the estate according to law.
Sworn to or affirmed and subscribed W ____
before ~this ~ day of
/0Jfl~~ Mf~7n~,
Register ~
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No.
&'/-05-7 </-3
Estate of JOYCE E. BAWN
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW / q tt: a.o05 , in consideration of the petition on
the reverse side hereof, satisfactory roof having been presented before me,
IT IS DECREED that the instrument(s) dated 4/21/2005
described therein be admitted to probate and filed of record as the last will of JOYCE E. BAWN
and Letters TESTAMENTARY
are hereby granted to
LARRY J. KING, EXECUTOR
FEES ~
Probate, Letters, Etc.. . . . . . . . $,;J. <cD.
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Short Certificates (::J ) . . . . . . $ I n(
Renunciation. . . . . . . . . . . . $ --
W.a.e... $ t 6: 00
3'C-P / I C> vu
~ TOTAL_$ 50(;
Filed. . . . ~,,;C. ! q /.~.oP~. ~ -,3 .o.d:OO
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egisterofWills ~
~~ NE, ESQUIRE
39785
ATIORNEY (Sup. Ct. I.D. No.)
414 BRIDGE STREET
NEW CUMBERLAND
ADDRESS
PA 17070
717-774-7435
PHONE
Thi- i~, to certifv that the information here given is correctly copied from an original certificate of death duly filed with me as
LlIc;tI Rcgistrar~ The original certificate will be forwardcd to the State Vital Rccords Office for permanent filing,
WARNING: It is illegal to duplicate this copy by photostat or photograph.
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Fcc for this certificate, M.OO
Local Rcgistrar
AUG 0 2 2005
Date
c9 /-05 - 7lf3
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COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
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NAME OF DECEDENT (First. Mlddle. Last) SEX I SOCIAL SECURITY NUMBER I DATE or DEATH (Month, Day,Year)
" Joyce E. Bawn 2. female 3, 171 - 28 - 0225 4. July 31, 2005
AGE (Last Birthday) UNDER 1 YEAR lINDER 1 DAY I DATE OF BIRTH I~ BIRTHPLACE (C;'Y oed PLACE OF DEATH {Check onlv OM - see instructions on othf!r side
Montl1s I Days Hoors Minutes I ~ (Month, Day, Year) State or Foreign Country) HOSPITAL I OTHER
69 y" June 5,1936 Newberry Twp,PA InPllli&rltD ERlOul~a~lllnt 0 DOA 0 NlJrsing 0 Retidel'lCe [g] ~~:~M 0
5, 6. 7. 8a, Home
COUNTY OF DE'ATH CITY, BORa, TWP OF DEATH I:ACILlTY NAM' :If",' ,,,"totloo, glv< "'ee' acd ",mOO'1 liAS DECEDENT OF HISPANIC ORIGIN? IRACE. Americac Icd;an, Blaok, White, e' ,
Cumberland I. Lower Allen Twp. 1816 Willow Road No Rl Yes Q Ir yes, specify Cuban, (Specify)
I ~eXlcan, P'J8 0 Rican, elc_ whi t e
8b, 'c, 'd, 10,
DE::CEDENT'S LlSUA'_ OCCUPATION KIND OF BUSINESS IINDUSTRv t,.vA~ DECEDENT E'/ER iN DEC.EDENT'S :mUO,TIQN MARITAl STATUS" Ma'11e'.:l 115. SURV1VIJ\lG SPOUSE
(~lv~~1n;iii7;"r<n';t~lJ~~'~~?;;:3)sl ~,AR"ED FORCoS? (Sp':>Clr1cnIYhogh~1,lgr8d"~'T'plftted) Never Married, Widowed (If"'if",glvem~ider\nam(l)
Plumbing Supplies Ve,O ", IZI E:E'Tlllr,ary/seClndtrY I College DIVorced [SpecIfy)
Receptionist 1"') ([}.'7) (1-4cr5") widowed
11a. 11b. 12. . 13 L.. _ 14
DECEDENTS MAILING ADDRESS (Street, CityITown. Slale, Zip Code) DECEDENT'S 171'1, Stale f'eIlIlsylv~_Qid 17<;. IZJ Yes. decedent lived in Lower Allen
ACTW.L twp
1816 Willow Road RESIDEr-<CE dece06m
(See instructions live in a 17d.O No, decedent li"ed
Camp Hill, PA 17011 0'"0',,-- Cumberland townshio?
16, on olher foide) 17b wilhin aclual limits of cilyfbom
FATHER'S NAME (First Middle, Last) MOTHER'S ~~AME (first. Middle. Maiden Surn&me)
18, John Samuel Estep 19. Francis Elizabeth Hauf
INFORMANTS NAME (TypelPrint) INrORMANTS MAILING ADDf{ESS (Street. CltylTown. Stete, lip Cude)
20a. Larry J. King ,--~'--.!LL':.:_ Thirty-Ninth Street Camu Hill PA 17011
METHOD OF DISPOSITION II DATE OF DISrOSmc" PLoCE OF DlfrOSI'ION. N.me or Ce",,'",y, C,em",o", I~OCATlON. C'tylTown, St"e, Z'p Cod,
. Burial LKJ Cramation ~emovai from Stalt: 0 (Month, Day, Year) or Of her Place
DonatlonO Other (Specl1y\ o 21bAugust 4, 2005 211,o11ing Green Memorial Park 21dLower Allen Twp., PA 1701l
. 21a. -
SIGNA~~ F'~ SERVICY~SEE ~~G AS SUCH I.. LICENSE" NU~1eE::R ~ME,I>,~m~DDRESSGFFAClllTY Parthemore FH & CS, Inc.
22., .A ':L.. :',_ 22b, FD 012 848 L 22c,P.O. Box 431 New Cumberland PA 17070-0431
Completeilems 2:fa.-G ~nly ~hen certifying To the besl of my know!edglOc. death occulTi~d al tne {ime, date and pia~e stated LICENSE N:.JMBER I pATE SIGNED
phYSICIan IS not available at time ofdaath!o (Signature and Title) (Month. Day, Year)
certify cause of death 238. 23b 23c.
-
Items 24.26 must be completed by TIME OF DEATH I ;DATE PRONOUNCED DEAD (Mont~" Day. "ear) WAS CASE REFERRED TO A MEDICAL EXAMINER ICORONER?
person who pronounces death Yes 0 No rzJ
24, M. 25 "
27. PART J: Ent.rth.dia.81..,lnjurlB&orCOmplif;atlonawhiohclluudln.d.alh Oo-not.ntertn.mOd.ofdylng,luchucilrdlilCOrreapjraloryllrr.lII.ahockorh"artfallllrt, : Approximate PART II: Other significant conditions contributing to death. but
L1atonly on. caUl. on.lCI'I Ilna 'interval between not resulting in the undarlyinQ cause given in PART I
IMMEDIATE CAUSE (Finai ; onsat and death
disease orcondilion , 1J12T t't"I/'ITI <. t.2.jt{(..<.:"/ NO N'l/} (?~ ;rJE 1.. lj(l/ b
resulttngindeath)---+ nUE TO (OR AS A CONSEQUENCE OF)
SeCjuentially lislconditlons [ DUE TO (OR AS A CONSEQUENCE 0FI
if any, leading 10 immediate
cause, Enter UNDERLYING
CAUSE (Disease or injury DUE TO (OR AS A CONSEQUENCiO OFI --..
that initiated events :
resulting on death ) LAST - .-
WAS AN AUTOPSY WERE AUTOPSY FINDINGS MANNER. OF lJE.....TH OAfE 0' INJU" 'i TIME 0' INJURY IWURY AT WORK? DES::RIBE HOW INJURY OCCURRED
PERFORMED? AVAlLAB...E PRIOR TO (Montn. 0",.,., y..~,)
COMPl..ETION OF CAUSE Naturai rRJ Homicide [J
OF DEATh? 0 ~ ~~.______~_ M Yes 0 NoD
Acciden! rending InvestigH'lOn
YesD ~O NOD 0 :SOc 30d.
SLJi~idE' C::c.uld nor bedeter'"l1il,ed '~OCATION IStreet. City/Town. Slate}
PLACE: OF INJURY - AI !'",ome, farm, stre<i!t, faclory. office
~lIo1dh9, "c.. (SPf;C;(y:
288. 28b. 29, .__..J2.~______ ~- 30f.
CERTIFIER ;Check omy one) . iOTIT ~'''_'' U~,
.~~~~F~~tGor~~~;~~~elfg~S~,;:rhC~~~~i~~J~~: tDJ g,eea~a~~:~'t:)~~JrrR~IX~~~<J~s hsat~~~:.I~~:~:~.~. ~.~~.I~I_ .~~!:: .~o.~~~~.te.~.i.lf~r:: .2~)... .....0 I ~ r-"A X--.::r>_ .......
-PRONOUNCING AND CERTIFYING PHYSICIAN ('hysiciarl both prollQuncin;j death and cer!ifYirlg to call~a 0' oeath) I.ICENS~~ b .._.-~I ~ATE SIGNED (Month, Day. Year)
To the best of my knowledge, death OCcIJrred al the time, date, and place, and duo to l~e CdoJlI~~fs) and mann9r as Mated,.. .... ..2Q 31c. frJ 01 c l07l! "d,
'MEDICAL EXAMINER/CORONER NAME AND ADDRESS A PERSON WHO COMPL~USE OF DEATH I'YJtJ
(Item 27) Type or Pnnt , In 0 /l/)/f:') 'C!ILOV~T) t'.
On the basis of examination and/or Invesllgatlon. In my opInion, death occurred at the time, date, and place, ana due to the cl'lusesi~l and 0 ~CJ 1'1.- 1~'rvOi.Z J1..d)/'f".:O
manner as stated.. ................. ........... ............... ....................... 32. C.fryY) P /1/.:-J- P./"'r,l 7 D}/
31a.
REGISTRAR'S SIGNATU~E~1'i ~~ PI'" j..q "'I' I DATE FILED (Month, Day. Year)
33 ? a-~._ 34, a. ..< C?~~ r
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CERTIFICATE OF DEATH
(..>J
STATE FilE NUMBER
ep\willH\RAWN,JOYCE
J.1~05-7q..3
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LAST WILL AND TESTAMENT
OF
JOYCE E. BAWN
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I, JOYCE E. BAWN, of Lower Allen Township, Cumberland Countj:,
(J,)
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Pennsylvania, declare this to be my last will and revoke any will
previously made by me.
ITEM I:
I direct that my Executor hereinafter named shall pay
all my just debts and funeral expenses as soon as conveniently may be
done after my decease from the residue of my estate.
ITEM II:
I bequeath my household and personal effects and other
tangible personalty of like nature (not including cash, securities or
my automobile) to such of my children as are then living, to be
divided among them by my Executor with due regard for their personal
preferences in as nearly equal shares as practical.
ITEM III: I bequeath the sum of $1,000.00 to the Mount Zion
Lutheran Evangelical Church, Lewisberry, Pennsylvania.
ITEM IV:
I devise and bequeath the all the rest, residue and
remainder of my estate of every nature and wherever situate as
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lows:
A. 40% thereof to be divided equally between my sons, CRIS
A. KING, JEFFREY B. KING, and TIMOTHY L. KING.
Page 1 of 4
B. 60% thereof to be divided equally between my sons,
WILLIAM P. KING and LARRY J. KING.
Should any of my above-named children fail to survive me, the
share of such child shall lapse and shall be distributed between his
surviving brothers in the same portion as they now bear to each other.
ITEM V:
I appoint my son, LARRY J. KING, Executor of this my
last will.
ITEM VI: No fiduciary acting hereunder shall be required to post
bond or enter security for the faithful performance of his/her duties
in any jurisdiction.
IN WITNESS WHEREOF, I, JOYCE E. BAWN, have hereunto set my hand
and seal this
~l.
day of
Ar,v~
, 2005.
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, . JOYCE E. BAWN
Page 2 of 4
SIGNED, SEALED, PUBLISHED and DECLARED by JOYCE E. BAWN, the
Testatrix above named, as and for her Last Will and Testament, and in
the presence of us, who at her request, in her presence and in the
have subscribed our names as witnesses.
Witness
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Address
COMMONWEALTH OF PENNSYLVANIA:
SS:
COUNTY OF CUMBERLAND
I, JOYCE E. BAWN, the Testatrix whose name is signed to the at-
tached or foregoing instrument, having been duly qualified according
to law do hereby acknowledge that I signed and executed this instru-
ment as my last willi that I signed it willingly and that I signed it
as my free and voluntary act for the purposes therein contained.
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~C)yCE E. BAWN'
Sworn to or affirmed to and acknowledged before me by JOYCE E.
COMMONWEAlTH OF PENNSYLVANIA
NOTARIAL SEAL
DANIEL M. HARTMAN, Notary Public
New Cumberland Boro., Cumberland Co
My Commission Expires Jan. 21, 2009'
BAWN, the Testatrix, this ?l
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS:
We,
~f) I J ~~J\\SY\(
~
and ~~~ "-- ~~R- ~
the witnesses whose names are signed to the attached or foregoing
instrument, being duly qualified according to law, depose and say that
we were present and saw Testatrix sign and execute the instrument as
her last will; that Testatrix 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; that to the best of our knowledge, the Testatrix
was at that time eighteen or more years of age, of sound mind and
under no constraint or undue influence.
Sworn to or affirmed to
~ tf ,f~
cJ}<H
witnesses, this . .' day of
COMM NWEAlTH OF PENNSYLVANIA
NOTARIAL SEAL
DANIEL M. HARTMAN, Notary Public
New Cumb~r/and Bora., Cumberland Co.
My Commission Expires Jan. 21, 2009
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Witness
Page 4 of 4