HomeMy WebLinkAbout09-07-05
Register of Wills of Cumberland County
Estate of A..L..;:f /C ~ 57"gvcAt'S();V
also known as
PETITION FOR PROBATE and GRANT OF LETTERS
No. cJJ -D.S -0, Cl8
To:
, Deceased.
Social Security No. /95'. /~ - L(007
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
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~No,/ -e-/N'
(state relevant circumstances, e.g, re unciation, death of executor, etc.)
P? !:(
Decedent was domiciled at death in Cv"..,6cr-'~ND __ County,
Pennsylvania, with h_ last family or prin2pal residence at .n
CAo.II""c4 of Gt:JD ~:I;J?eYn<,,:,.Ir r?D".,tYJUN/~ 801 A/ ~NC.J<:!!.r- sl C,.r-t./SLC r;.. /7.,,:3
(list street, number and municipality) /\,-;;;& ~/II~ldw -Z
Dooedont, then ~ ye"" of age, died .../ '-' 1- /..3, 20 o.r, at {'A ,,~ C' ".",P H 51A,..., Z d eWe.
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 Pennsylvania
situated as follows:
$ /1"'; t).?o. 00
$
$
$
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presen1;e.Q,
herewith and the grant ofletters (, ::.::;
(testamentary; administration c.t.a.; admmritilation d.b~.t.a.)
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thereon.
Signature( s) of Petitioner( s)
Residence( s) of Petitioner(s)~.
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Register of Wills of Cumberland County
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEAL T OF PENNSYL VANIA
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SS:
The petitioner(s) above- med swear(s) or affirm(s) that the statements in t):1e foregoing petition are true and
correct to the best of the know dge and belief of petitioner( s) and that as personal representative( s) of the above
decedent petitioner(s) will well nd truly administer the estate according to law.
Register
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Sworn to or affirmed and subscrib
Before me this
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Estate of
, Deceased
ATE AND GRANT OF LETTERS
AND NOW 20_, in consideration of the petition on the reverse side
hereof, satisfactory proof having been presoo'tted before e, IT IS DECREED that the instrument(s), dated
,desc bed therein be dmitted to probate filed of record as the last will of
; an Letters are hereb ranted to
FEES
Probate, Letters, Etc. ......... ... $
Will........................... ..... $
Renunciation.... . .. .. .. .. ... ...... $
Short Certificates ( ).... .. . .. .. $
J CP .. .. . .. . .. . . .. .. . . . . ... .......... $
Automation Fee. .. .... ........... $
Bond.................. .............. $
Total $
Address
Filed
20
Phone
Oath of Personal Representative
Commonwealth of Pennsylvania
County of Dauphin
The Petitioner(s) above-named swear(s) and 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 Decedent,
Petitioner(s) will well and truly administer the estate according to law.
Sworn to and affirmed and subscribed
me this _Lo-t"l..-.-
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Estate of Elsie M. Stevenson
DECREE OF REGISTER
Deceased
No~i- {)5-()'R8
also known as
Social Security No: 195-16-4007 Date of Death: 7/13/2005
AND NOW, \ ~hr(\ 'ax. A.. '1 , cQOO.s ,in consideration of the Petition
on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters lEI Testamentary 0 of Administration
(c.I.a.. d.b.n.c.t.; pendente lite; durante absentia; durante minoritate)
are hereby granted to Wayne E. Stevenson
in the above estate and that the instrument(s), if any, dated May 15, 2000 and codicil dated October 9, 2003
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
FEES
Letters.................................. ..
Short Certificate(s) ...............
Renunciation ..........................
Affidavit ( ) .......................
Extra Pages (~...........
Codicil.................................
JCP Fee .................................
Inventory & Tax Forms.............
Othe~~'4...i~..~:Z-
$ ,;((o() .C/.."J
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Re91ster of Wills . I ~.~
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Attorney: David W. Reager, Esq.
I.D. No: 20868
Address: 2331 Market Street
Camp Hill
Telephone: 7177631383
DATE FILED:
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PA 17011
TOTAL .............................$L~.iQ . aJ
RW-7A
Register of Wills of Cumberland County
OATH OF NON-SUBSCRIBING \VITNESS
Estate of
~/s; e m~ Slf:flenSJI1
No. rll-OS- O'lq~
Also known as
, Deceased
cj{uV!Jj eP v1 S'fp (!e1Il s;: () tJ
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
S~ ; '5 familiar with the signature of b'/.<:::;;'p /ll- L<:;;;e(J(4/...\(lY! ,testat_of(oneofthe
subscribing witnesses to) th~esen~e~ herewith and that _ believelbelieves the signature
on th~s in the handwriting of N!; / (? /11. ,S'*, (fLA1.Q-) v1 to the best of
111...J-- knowledge and belief.
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(Name) .. j
/ /f-:eV..fZt1S'dr1 Of.
j1 Ji/;/I.p)o/1 /702'7/
(Address) /
Sworn to or affirmed and subscribed
Bwre me this. 1~ day gf
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Register of Wills of Dauphin County, Pennsylvania
Estate of
Elsie M. Stevenson
also known as
The undersigned,
RENUNCIATION
No. cJ I - 05 . O'lq~
, Deceased
Shirley Stuppy, daughter
(Relationship) (Capacity)
of
Letters Testamentary
the above Decedent, hereby renounce(sl the right to administer the estate and respectfully request(sl that
be issued to
Wayne E. Stevenson
~.OVitness
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Sworn to or affirmed a!J.d subscribed
before me this I...: L day of
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Notary Public
My Commission Expires:
lSignatUle and seal 01 Notary or other official
4ualilied to administer oaths. Show date 01
expIration of Notary's commission.J
RW-13 (Rvsd 9/92)
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day of
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Shirley Stuppy
476 Enders Road Hal ifax, PA 17032
(Address)
(Signaturel
(Address)
(Signaturel
(Address)
NOTE: Renunciations executed outside the Office of Register 'Of
Wills are required in some counties to be notarized.
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This is to certify that the information here given is correctly copied from an original certificate of death dl!.~t fIled wIth me
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.
as
11 779"7'32
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Fee for this certificate. 56.00
Local Registrar
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NAME OF DECEDENT (Firsl, Middle, I a~t)
,. Elsie M. stevenson
AGE (LClSI Birthday)
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
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CERTIFICATE OF DEATH
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STATE filE NUM8ER
SOCIAL SECURITY NuMBER
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2. Female 3. 195
BIRTHPLACE tell'; and PLACE 0 TH h k nI n
State or F()(eign Country) HOSPITAl
,,,pRlnl 0 ERJOu~aUoc\t 0
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FACILllY NAME (I' not institution, gi\lll street and number)
16
13 2005
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COUNTY OF DEATH
84
OOAD
f~ty)O
E . American Indian, Black, White, at
(Specify)
White
8b Dauphin
DECEDENT'S USUAl OCCUPATION
1~~":;:ri~~~~~"C::u~"r~,/:gl'(
MARITAl STATUS. Married.
Never Married, Widowed,
Divotood (Specify)
14. Wid::w;rl
17e. b'9 Yes., dl.lcedent U...ed in Jackson
SURVIVING SPOUSE
(N wifll, ll'~ millO.... nMMl
17b. Coun.v Dauphin
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decedent
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476 Enders Road
~ Halifax, PA 17032
FATHER'S NAME (riISC MIddle, Last)
18 George B. Fertenbaugh
INFORMANT'S N.AME (Tvpe{Print~
20. Wayne B. stevenson, Jr.
ME T HOD OF DISPOSITION. _.
Bunal ~ Crellla(i(,m GClllov~1 from SIGle 0
Ottw' (Spudfy).
AlS
17d. 0 ~~~e~~~~~~:: 01
city/boro
MOTHE.R'S NAME (Firsi, Middle, Maiden Surname)
18. Gertrude Fearnbau h
INFORMANT'S MAILING ADDRESS (Slt8et, Cityrrown, Stale, Zip Code)
20b. 1 stevenson Drive Newville PA
PLACE OF OISPOSITtON- Name 0' Cemetery, Crematory lOCATION
O( Other Place
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18 2005
UCENSE NUMBER
22bF!) 014889
21d.Mechanic$bur
PA 17055
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To lhe ~st of my knowledge, deatt! ('ccurred al the lima, dale and place ::;Iated.
ISI\;if\Cl\\.lre cmd TI\\e)
23a. _
TIME Of- OEA TH
1: 16
E SIGNED
(MlIlth, Day, 'Year)
24.
DATE PRONOUNCED DEAD (Month, Day, Year)
A M 2. Jul y 1 3, 2005
23b. 23a.
WAS CASE REFERRED TO A MEDICAL EXAMINElII: /CORONER?
26. V., 0 No IXJ
. ApprOJlimale PART II: Olher :oignificanlcof'd100n5 conlribuling to death, but
: interval between not resulting in die underlying cause givon in PART I
~ onset and death
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27, PAR11: E......r ll'I. dl........ '''I.HI... or compllc..tlor.. ..,"ICoh caUlK the duth. 00 not ."t.r 'h. mod. or dW'j"g, .\.Iet!.. cardl.e or f.lplr.tol)' .rr.tt, .hocll or h..rtt.ilur.
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WERE AU roPSY FltI,tOINGS MANNER OF DEATH
AVAILABLE PRIOR TO g D
COMPl E liON OF CAUSI;: Natural Homicide
OF DlA TH? 0 D
A<:ciuel11 Pending InvebhyaliDll
V.,O Nu IE' V., 0 NoD SUlcrJtl D Could nlll be dcltmninmJ 0
DATE OF INJURY
(Manl/'l.Oay. Yearl
TIME OF INJURY
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED
2b. 2ab
CHHlFIER (Check only one)
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PLACE OF INJURY
l>ulldmQ..lc. (Speclly)
30..
3Dd,
LOCATION (Street, CllyiToWn. Slale)
.PRONOUNCING AND CERTlFYtNG f'H"tSlCtA.N \PIY)'sid<ln l>ulh p1U\1lllm:;lf\l) de<.l\h i.l'ld Ll:ll\if,lng \0 Ci:lUbtl of death)
T (J Ch. be.t of m~ kllowhtdg., death occ.:urred al tho IIrnu, l.lide, and place, and due to Ula cau..s(s) and m,mn., as s"dud,..
"Mt:OICA.\.. EXAMINER/CORONER
On the baal. of ...amlnallon ..odJor In\o'(!!l.ti\l~lion, tn n:y oplnlal , dttilth oc..uu..a atlhe tlnl.., date, and pi;!,,;., and du.. to the cau"..s{a) and
manner aa a1~t.:Jd .
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LAST WZLL AND TESTAMENT
,..;2 I -Cs,- - c.nq <g'
BE IT REMEMBERED THAT
I, ELSIE M. STEVENSON, a resident of Cumberland County,
Pennsylvania, being of sound and disposing mind, memory and
understanding, do make, publish and declare this to be my LAST
WILL and TESTAMENT, hereby revoking any and all Wills and
Codicils previously made by me.
I
I declare that I am not married, my beloved husband having
predeceased me, and that I have four (4) children, WAYNE E.
STEVENSON,
RONALD G.
STEVENSON,
SHIRLEY STUFPY and LINDA
KINGSBOROUGH.
II
I direct that all my just debts and funeral expenses shall be
paid from my residuary estate as soon as practicable after my
decease.
III
I direct that all taxes that may be assessed in consequence
of my death, of whatever nature and by whatever jurisdiction
imposed, shall be paid from my residuary estate as a part of the
expense of the administration of my estate.
IV
It is my desire that my personal possessions, furniture and
household goods be divided among my four children as they may
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a~ree among themselves.
V
I;!give and bequeath One Thousand Dollars ($1,000.00) to each
-
of;my g~ndchildren.
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VII
All the rest, residue and remainder of my property, whether
real or personal, wherever situate, including any property over
which I may have a power of appointment, I give, devise, and
bequeath to my children, WAYNE, RONALD, SHIRLEY and LINDA, in
equal shares, per stirpes.
VIII
I nominate, constitute and appoint my son, WAYNE E.
STEVENSON, and my son, RONALD G. STEVENSON, as Co-Executors of
this LAST WILL, to serve without bond. If either WAYNE or RONALD
is unable or unwilling to act in that capacity, then I nominate,
constitute and appoint my daughter, SHIRLEY STUPPY, as Co-Executor
of this LAST WILL, to serve without bond.
IN WITNESS WHEREOF, I, ELSIE M. STEVENSON, have set my hand
to this LAST WILL this /5 t;L day of
/Y1 CLtr
, 2000.
t~'7/J1~,~
ELSIE M. STEVENSON
Signed, sealed, published and declared by the above-named
ELSIE M. STEVENSON, as and for her Last will and Testament, in'the
presence of us, who, at her request and in her presenc;::e,., and in
;~~n~~:=:~ce of each other, have h" e v:/e,~/',' to(., . SUb"S,.C"/:-ri,be,rd"t/.,,,o /V names as
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ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA
SSe
COUNTY OF CUMBERLAND
I, ELSIE M. STEVENSON, Testatrix, whose name is signed to
the attached or foregoing instrument, having been duly qualified
according to law, do hereby acknowledge that I signed and executed
the instrument as my LAST WILL; that I signed it as my free and
voluntary act for the purposes therein expressed.
r!'L.a~J Y?1. K~--hA--
ELSIE M. STEVENSON
Sworn or affirmed to and
STEVENSON, Testatrix, this
acknowledged before me by ELSIE M.
/S'rf--day of /YlCX<.-},/' , 2000.
fJtbAc2 )n. 4~
Notary Public
AFFIDAVIT
\ Notarial Seal
Diane M. Smith, Notary Public
Mechanicsburg Bora, Cumberland County
I My Commission Explrfls JunGl 22, 2000
COMMONWEALTH OF PENNSYLVANIA
SSe
COUNTY OF CUMBERLAND
We, fJtan I Ie!. /;J~f.e. (51 ill and NCfYO.- fh IO-J~ W&kJ-j ,
the witnesses whose names are signed to the attach~d or foregoing
instrument being duly qualif ied according to law, do depose and
say that we were present and saw Testatrix sign and execute the
instrument as her LAST WILL; that ELSIE M. STEVENSON signed
willingly and that she executed it as her free and voluntary act
for the purposes therein expressed; that each of us in the heartng
and sight of the Testatrix signed the Will as witnesses; and ~at
to the best of our knowledge, the Testatrix was at the t:j.z6e 18
~~~: ~:fl~~~c~~ more, of sound mlnt1/,~del;;Z1nt or
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S\vorn or affirmed to and ackno\V'ledged before
me this 1<':::'fL dav of Ii )/> I ?()()()
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To be added to will as it is written
Wayne's debt is to be reduced to $10,000.
because he has paid my Medical Ins.
and left me work when he didn't need
to.
Written 10-9-03
by Elsie M. Stevenson
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