Loading...
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.) ~ ~ " " " " "" 'Vi __ " ~ ",,,,, " "" " " 0 ~:€ ~~ ....... a 0 '" " on ill 43 S. 39TH STREET CAMP HILL PA 17011 ?--....) r'::::l .~') c...n ~~: I,u._ ~ 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 ~ v, ~ " " ... '" ~ 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. " ,...,ae:> 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 CL--tl(J LU m wrD-t:: /rvL ~ .Jdhd<<.14:!JUV~P<-. 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. D ., 1 6 (, .J"b, ':.) 'i ..~'" \,/ ,) I .1, , ',,) " i No. ~ ;>11;;4~ Fcc for this certificate, M.OO Local Rcgistrar AUG 0 2 2005 Date c9 /-05 - 7lf3 r-.."J c,~') (~, ) .;::.f'j v:J ~::'-') I Rev. 2/87 COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS ,-,) ~ (~=j -.-.- ;-1""1 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 I ,r -' CERTIFICATE OF DEATH (..>J STATE FilE NUMBER ep\willH\RAWN,JOYCE J.1~05-7q..3 1'."<..') ,-.-) C"'.) LAST WILL AND TESTAMENT OF JOYCE E. BAWN :--::~ c":j \.1'") ",I f~' "l I, JOYCE E. BAWN, of Lower Allen Township, Cumberland Countj:, (J,) J ) '::) ;--1 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 -<=~l LU.1-- 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. c ~ ~~ f. fAAAf'~ , . 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 .~~\~ ~ t1{.v(>~~~ 4- Address ' -~ ~.-~1lk\~ "\t~ , 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. % .~ -\., ~. \ '~,r,^", ~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 wC" . S< '-\ ~....--,,'" :~)~- Witness Page 4 of 4