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Home My WebLink About08-25-05 PETITION FOR PROBATE and GRANT OF LETTERS Estate of r IUD /J M J:I3€RS-ol F No. ~\ -,\;)'S-"\I,.,'1 also knOwtl as To: Register of Wills for the , Deceased County of in the Social Security No. /t;::l - ::l:J. - :2..Ai{s" Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s) is/are 18 years of age or older and the execut R/J( named in the last will of the above decedent, dated De c e '" hAt 30 19 83' and codicil(s) dated 11/ ) f} (aate relevant circumstances. e.&. renunciation. death of executol'. etc.) Decedent was domiciled at death in c:::v..... bell LI9",J County, Pennsylvania, with h EIIe last family .:>r principal residence at 3C;; C fi""f7AFLL PLl9ce CY'I-I-H1U. f?13 1)0/1 (list meet, Ilumber and municipality) Decedent, then 80 years of age, died t9uG . /8 iI*- :2a:!> , at 36 c,q 1hf"8ELL ('L~~ . ' C' /7 "" dh,J./ . t?i9 J ') 01/ , , 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 incom- petent: Decedent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ 65'0. t:JtJO. 0'0 . (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ . Value of real estate in Pennsylvania $/.>0, Otn:>. <'0 situated as follows:--..:...c..3 b C~""'j?{,el/ (?{ /'fee C 1'1 M(' 1-1- /II f1/J. /?O// WHEREFORE, petitionens) respectfully request(s) the probate of the last will and codlcil(s) presented herewith and the grant- of letters thereon. j .~ ;~?;~:1J~r:i~ 4J;k/~y- u~m.n~~::Euon;._~~E(:;~~t'L) ~. ~ - ld ~ ~ "-I ~ ~~ fth~v? ~rW' 3G9Z q /0 fr S I J \I pf 1.A'~/ ~~ tj " ,~ ., Lew~sherry. fA /7337 ~ 0 ",-i;.; m.; :::;::..1! --< 1---,:1 · :j~: ~~; I J(\ 03('itf'VJJ,'~ j ~; \ ,j;-I,I.' ""' U - '" H105.805 REV li05 'J..'\ -~S ."'\10'1 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. Fee for this certificate, $6,00 ~/1;~ Local Registrar p 11698859 AUG 2 0 2005 No. ~ CO Date = '.0 = f-n c.n r--:;.o :;..... C> --:-,-,-} c:: C) cO) ~.., G~) :.J.:J ---.-,-.-"'..----. ....- ...,~':_~ CJ . ,.-q 1'0) '" -.. ---_._,----~--_._-- :r~ U1 C'J /..... C) -_._-_..~._--'.- - ---- -,-1 P: ." ~_.__.- _..._~- - ----..,..-...--. -----.,....- -" c'S -~,:J ~D en '--1 .. ,': C"::> ~ ":) ~ --'1 Rev 1/91 COMMONWEALTH OF PENNSVLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS N CERTIFICATE OF DEATH (Coroner) -066 STATE FILE NUIol6ER N"'~E OF DECEDENT tFi,"l, Middle, LaSl) '" SOCIAL SECUAITY NUt.4BEIl /)A1"EOFOEATHIM~nt\l.Dav.'$ar) ,. Freda M Ebersole 2. Female " 162-22-281.5 I'. August 18, 2005 AGE(LaslBirl'1d3Y) UNDEf!lVEAfl UNOEA10A'l' OATEOFB1RTH 8iATHPLACE (C,ly and PLA':;:EOFOEArH(Check'>!1fyOr'ie_ """inS(ruc~omono"",,>;ide) MO'llhS ,,~ HG~'s "- (Month. Oay. \'ear) Slale...F",aignCounlry) HOSPIT....L. - - 80 '" 7. DunCannOi'I, PA Inpati9l110 ERIOutpat19ntO ~iIYlO ,. ~ ... COUNTYOFOE,O;l"H FAC1LITYN....ME(II"01iMl;tubon,Qille....eeta~numbar, RACE.....mMcanlnlljlln.8lack.WllIte.lKc Cumberland 36 Campbell Place ._, . ... k. Id, ", White DECEDENT'S USUAL OCCUPATION K:NOOFBUSINESSIINOUSTRY WAS DECEDENT EVER IN DECEDENT'S EOVCATION MARIT....L SWUS. Malfl9d SURVIVINQ SPOUSE l~i~"rl.~~ir:~~'f~~~~~ :.J ,So ARMED roqceS? oni ~,. h6ll1 'a <=. ~IMam.o;!,~, (~.,.,.;III, giller'l9iden name) ...0 ,.'Ill EtemenClIryiSecondary ".... rn-ced jSpeclfy) 11. Housewife 13.12 (0.12) (1-<1",5+) 14.Widowed . 11b. , DECEDENrSMAK.'N<3' ADDRE.SS(SIr981, Cd~, SlaIe. Zip 20diJ) DECEDENTS Pennsy vania Il'"C.OY....,cleC6damlMrdilL. 36 Campbell Place "''"~ 17..SlIIle Din .." . RESIDENCE deo9denl Camp Hi 11 , PA 17011 (SeeinSl'lJClions Cumberland ..... 0"GlhllO'aide) township? 17S:~~=:=of Wormleysburg ,", 17b.Coo cilylbo'G F,fJ"HER'St-lAME(F~t.Middla.LaSl) MontER'S N....ME (Fi's!. Midcfte, Maiden Su'nama) ,", Oscar Raub '". INFORMANT'S NAME (Type/Print) INFORMANT'SMAllING ADDRESa (Slreel. CitylThwn. State, Zip ) Mollie Kessler ".,968 Silver Lake Rd. Lewisberr PA 17339 METHOD OF DISposmOH PLACE OF DlSPOSffiON . Namll 01 Cemete<y, CI.matoty lQC.l(T\()NCI own. Stala. Zip Codoo . BUri!ll1Xl cremauonO RelllO\'al irom SlateD OIOttMrPIacll OIh1!O'($pIlcily1 ,,,Evergreen Cemetery "Duncannon , PA . CTiNG Ae SUCH NAME AND ADDRESS OF FACILITY . .... - - Comp/elaiTaml23&<;<mIy LICENSE! NUMBER physicilll1ilnotava;lehIeat oertifycauMofdealh ,,", "",, DATE RONOUNCED DEAD(TAonlh, l:.3y. Yaa') W.O.SC.... E! AEFERREOTO:~ SX....MINEPJCOAONER? August is, 2005 ..0 ... ". ". 27.PA"'I; E:nte'thtldi8e"",,",lnju.ieaorl'Ompllcatl<lnSwh,c!leautedltMtdealh,Do,oGIentarlll8modeofdylng.auchasC8ldiacG.,aspi...lory..~,IM>cko'hHl\fa1lu'" ,ApproxilTlala PART II: Othtl.~ignificaIl1CondhkmSCOtltlibollngtodealh.blrt Uatonlyonacau18Oo'laachlif\ll :inta",albetwelK' noI..eaulllngin IheuoOOrlvlng ca""'giwrln in PART I Occlusive Coronary A.rtery Disease \onsetano:ld8alh . I OOE TO (OR AS.... C(JNSEQUfNCE OF): ! Sequen~!lIlyllfll conditiOns . lfany,lealfinglGlmmadlala DUEW(Qf/ASACONSEOlJENCEOFJ; , _. Ente<UNOERLVIMG : CAUSE:(OisIla""ocinfUl)I < lhalirrilie1edlnllK'lS DUE 10 (OR O\S .... CONSEQUENCE OF) 1 18IU~ingin deall1)l..AST , O. , WERE AUlOPSY FINDINGS MANNER OF Ce,(fH om ot=INJUR'r TIME Of'IHJURY INJIJRYATWORK? DESCRIBE HOW INJURY OCCURRED AVAILABlE PRIOR TO (Monlh.Oay,Yeaf') OOMPLETKlNQFCAUSf;: Jl( 0 ...0 ",0 OF DEATH? Natural H<mIlcide ,.,p! ,.. 0 No 0 k:cM:!lK'1 0 P-..dingln..,sligalion 0... ., ,.,0 0 o PLACE OF INJURY. AI home. tarm. llIeal, laclOly."""'" ,- C<luldOGlbllde1ermined bulkling.1l1C,($Il"!Cily) ,... ,... .., ... CEIlTIFlSl(Q;eckonly""ej SIGNATUREANDT 'CERTIFYING PHYSICIAH (?I1ysicien CffiayinQ caulll c/ daafl1 """"n anoIIw p/lysidanhas pronounced dealh McJ com,oIeIed If em 23) 031. Coroner Totha~oIrnykllowledgll,dnthoccunedduetothaeauH(slU1dmann.....ISlIltlKl... ........ ....... .......... .... .... LICENSE NUMBER OATEStaNED(MOIlth.Day.l'a8t} oPflOffOUNCiHG ....I'WCERTI/lYIHa PHVSICIAN /PhjSicjan bor!> plOJ1<lUncing daaIh end Cerlily;"g to cause of dealh} o 31~, 31d. Augus t 19, 2005 To thabeatm myknowladge, dMlh _Red at lhellme, date,.nd place, .nddUelothe.......(.'.ndm.llner.Iteled.. ~~E AND ....DOOESS OF PERSON WHO COMPLETED CAUSE: OF OEAT'H 'MEDICAL EXAMINERICOAOHEA (llem27)TypeOfPTln~ Michael L. Norris, Coroner On the bM.. of e~......lnattQn and/orlnveetlgltlon, In my opinion, delllt! occurrlHl el the tfllll, delli, IIndp'_, and~ to ~causef.)aIld ){" 6375 Basehore Road, Suite 1/1 m.nMr...elllled......... ........ ........ ...... Mechanicsburg, Pa. 17050 311. REG~~~ ~/1""({ I DATEFILEDlMOOIh,Oay,Year) .' 7a.~/r - ~ ~ OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA] SS COUNTY OF 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. Sworn to or affirmed and sub- ''j- (lt~ /:11/-'4.atU/ scribed before me this ~~ day of '\;:.'>.~s.~ ~~~S )!} 1- M~_ vtt. 14p~1 - '~'~~~'I ~r the Register ~~-'< , .~~~ No. "),\ - ~'S ."'\\.,,\ Estate of ~~~~"" ~. ~ ~G.~~~L.~ Deceased DECREE OF PROBATE AND GRANT OF LElTERS AND NOW, \-,.~~~ ~~ \ :..~~5 . ~ > in consideration of the petition on the reverse side hereof, satisfactory proof having been prcsented before me, IT IS DECREED that the instrument(s), dated "':>'....,.. '3.<:::. I "o.,%~ described therein be admitted to probate and filed of record as the last will of ~~l<..~~ \1\ ~'il.~~~~l~ and Letters ~~~ ~"''''-'''' ~~'\ ar~ hereby granted to \t\.<::k.'0.<<' \t\ . I(, ~ss.\...x~ ~ '- ~"'<:::'\...'1 N \'l\ . \\ ~M....~ . ~~~~ ~~~ ~ Register of Wills ' FEES ""l....Y..~\ ":k"'\) ~~ Probate, Letters, Etc.................. $ Sl.:.'\) ~~ ~\'" . Short Certificates r 1................. $ ~'e ATTORNEY (Sup. Ct.I.D. No.) Rentlnci8t:en.~W,.................... $ '5 ADDRESS -S~~ ... ~"'"''' ..... .......... ...... $ \S \.~~.<::I~ PHONE TOTAL....... $ Filed ~ -":)..5 -<::IS LAST WILL AND TESTAMENT OF FREDA M. EBERSOLE I, FREDA M. EBERSOLE, of Penn Township, Perry County, Pennsylvania, do make, publish and declare this to be my Last Will and Testament, hereby re- voking all Wills and Codicils at any time heretofore made by me. FIRST. I direct that all my just debts, funeral expenses, grave marker and the costs of the administration of my estate be paid out of my estate as soon as may be convenient after my death. SECOND. I give, devise and bequeath all my property of every nature and wherever situate to my husband, HOMER D. EBERSOLE, providing he shall survive ~ me by thirty (30) days. THIRD. If my husband, HOMER D. EBERSOLE, shall die within a period of thirty (30) days after my death, I direct that he shall be deemed to have pre- ~ deceased me and that the provisions of my Will shall be construed upon that ~ assumption. During the portion of such thirty (30) days as my husband, HOMER D. EBERSOLE, shall actually survive me, he shall have the right to the use and ~ enjoyment as life tenant of the property devised and bequeathed to him herein. FOURTH. In the event that my husband, HOMER D. EBERSOLE, predeceases me or dies on or before the thirtieth (30th) day following my death, I give, devise and bequeath all the rest, residue and remainder of my estate, whatso- ever and wheresoever situate, in equal shares to my two (2) daughters, namely: CAROLYN EBERSOLE HOOPER and MOLLIE EBERSOLE KESSLER. In the event that either of my children predeceases me, her one-half (~) interest in my estate shall go to my other daughter, then surviving. WALZ & WALZ L~ '1'_ <' '~. . .:J'~jC ATTORNEYS AT LAW Newport, Pa. Page 1 of 2 Pages 2j'" llq C? C"'"":1-1 r.~1Z '1 :;) ,-,J ..J-~ ...d:i ..Iv;,) ., ,:\ .. . - -'0' ! 'Ii "-'-,/-1 ''"'''y' , .,' ) ~ .,.,.,u I'" ,-, I "I~ .J',.. ..iuLL: ....;...J\..1'...J...........'_,'- FIFTH. I nominate and appoint my two (2) daughters, CAROLYN EBERSOLE HOOPER and MOLLIE EBERSOLE KESSLER to be Co-Executrixes of this my Last Will; they are to serve as such without bond. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 3D day of bece.<M".~r, 1983. ~.~- }n. C,~A~.J~ (SEAL) Frei a M. Ebersole The preceding instrument, consisting of this and one (1) other type- written page, each identified in the margin thereof by the signature of the Testatrix, was on the date thereof signed, published and declared by FREOA M. EBERSOLE, the Testatrix herein named, as and for her Last Will, in the presence of us, who at her request, and in the presence of each other, have subscribed our names as Witnesses hereto. <' SEAL) J AL) . ~ ff) WALZ & WALZ ATr'ORNEYS AT LAW Newport, Pa. Page 2 of 2 Pages COMMONWEALTH OF PENNSYLVANIA: :SS. : COUNTY OF PERRY : We, FREDA M. EBERSOLE, JUDITH T. WALZ and SHAUBUT C. WALZ, III, the Testatrix and Witnesses, respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and that she had signed willingly, and that she executed it 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 Witness and that to the best of their knowledge, the Testatrix was at that time eighteen (lB) years of age or older, of sound mind, and under no constraint or undue influence. TESTATRIX: ::f-fl'.o/~ )n. r{: k .A - ./- (SEAL) ~reda M. Ebersole (SEAL) Subscribed, sworn to and acknowledged before me by FREDA M. EBERSOLE, the Testatrix, and subscribed and sworn to before me by JUDITH T. WALZ and SHAUBUT C. WALZ, III, the Witnesses, this 30 day of b~(,l!.<.vo.b~ , , 1985 (SEAL) SIGNED: - /} BONNIE JO HUll, Notary Public WALZ & WALZ h'a-Hport, Perry County, Pa. My Commission Expires Jan. 12, 1987 ATToJt.1faVS AT L.AW Newport. Pd.