HomeMy WebLinkAbout09-14-05
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Register of Wills of Cumberland County
PETITION FOR PROBATE and GRANT OF LETTE~
Estateof l-f51a~1~,1 C-la,/71JAJ No. 1-1-05-02S'J.O
also known as t) u To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
, Deceased.
Social Security No, I If:;" -~;::} - 4- ),J ')
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, and the executLCi named in the last will of the
above decedent, dated 1'\ J (') V ~ C;, I q q ( , 20
and codicil( s) dated /
~a.
(list street, number and municipality)
Decedent, thenU years of age, died S.pe I , 20~ at ( () () C( In .
Except as follows, decedent did not marry, as not divorced and did not have a child born or adopted after
execution of the will offered for probate; was not the victim ofa killing and was never adjudicated incompetent:
County,
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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 Pennsylvartia
(Ifnot domiciled in Pa.) Personal property in County
Value of real estate inPennsylvartia
situated as follows: A CO 1\ ) k' rt Q C 1 :<. ,
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WHEREFORE, petitioner(s) respeptfully request(s) tbe probate of the last will and codicil~~lYresell:lfd :: C,;;:
hereWIth and the grant ofletters ".,': ". '" ;:'3
(testamentary; adnnmstratIon c.t.a.; adml11:VStratlOn <Nbn.c.t.a~t (-1/
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Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLV ANlA
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SS:
COUNTY OF CUMBERLAND
The petitioner( s) above-named swear( s) or aff1ffi1( 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 representative(s) of the above
decedent petitioner(s) will well and truly administer the estate acc?f(jing to law.
Sworn to or affirmed an? ~ubscribed ~ ~ Q, .~
Be~f'i me this L:1 day of {
.sf::l-lTf:mR~ ,20 05
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No. al-os-oiw
Estate of 1+0 W ~ W. C~ Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW ~l21YIBI2::R t 1 20OS, in consideration of the petition on the reverse side
hereof, satisfacto 'l'roofhaving been presented before me, IT IS DECREED that the instrument(s), dated
. 10 'f described therein be admitted to probate filed of record as the last will of
C '( ; and Letters are hereby granted to KAREN A. S~E::R.
FEES
Probate, Letters, Etc. .............
Will.................................
$
$
$
$ j'O.o
$ I .00
Automation Fee................... $ \5. (1)
Bond................................. $
Filed q_l{otal~ 20 DsJ JII.liD
135.00
15.(.)0
Attorney (Sup. Ct. I.D. No.)
Renunciation........,............. .
Short Certificates ( ~) ............
JCP..................................
Address
Phone
1-111)5.1\05 REV J.lO'i
B-1-05- O&~O
This is to certify that the information here given is correctly copied from an original certificate of death duly filed with
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
me as
WARNING: It is illegal to duplicate this copy by photostat or photograph.
P 11699732
No.
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Fee for this certificate. $6.00
Local Registrar
SEP 12 2005
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH ~ VITAL RECORDS
CERTIFICATE OF DEATH
Sli'..rEf\\.E~EIl
NAME OF QECEDENT (First Middle, tast)
1.
AGE (lasl Birthday)
i"rs
SEX
2. Male
6IRTHPLACE: (CIty an<J E
SlataorForeigl1COtJnlfy) HOSPITAL:
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7. Brooklyn~ NY b.
FACILITY NAME (II not il1sdhJIion, give slreltt and number}
SOCIAL SECURITY NUMBER
3. 142 22
4315
DAiE OF DEATH (Month. Oll~, Yq;)
< Se tember 1 2005
.. 77
COUNlY OF OEATH
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RACE - American IOOi8n, Black. Whlla. el .
(Spedfy)
White
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Cumberland
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Carlisle
80 Fairview ~treet
DECEDENT'S USUAL OCCUPATION KINO OF BUSINESS /INDUSTRY
(aor:"",<lf~~_~r
1111. Military jCivil Serv 't&. Government
DECEDENt'S MAIUNG ADDRESS (Streel, Cityftown. Shlte, Zip C\lde) DECEDENt'S
80 Fairview Street ~~NCE
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16. Carlisle, FA 17013 onolherslde)
FATHER'S NAAlE (AriI. MIddle, Lasl)
18. Unknown
INFOFlMANt'S NAME (TypelPrlnt)
2011. Karen Slusser
MEl"HOO OF DISPosmON ~
Don"lion 0 BlMIIlI 0 CT~BIionl$emoval from Slate 0
21.. Olher(Specify)
SIGNA OF FUNE ERVIC ENS R P ON
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AS Oe.CEOEHi EveR IN
U.S. A~ FORCES7
Yes)LJI NQ 0
12.
17.. Sta.t9
DECEDENt'S EDUCATION
(Spodfy<lnlyhig"".lgradeC<ln1p1ole<ll
.....enlaoylS.."ndary coIIeg.
121.12; (1-1;0><6"\
13.
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MARITAL STATUS. Married,
1-1_ ManIed, Widowed.
Divon;ed(Speeify)
Widowed
SURVIVING SPOUSE
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de.::9dent
live in , M'" No. decedMlllived
Cwnberland lownshlp7 17<i.!,D..1IIllhInactualllmitsof Carlisle
MOTl-iER'S NAME (flnt, M\lldle, Mlli.:len Sl/I'nllt'T1llj
19. Unknown
INFORMANT'S MAILING ADDRESS {Streel. CitytrO'M\, Stale, ZIp Coda}
,".61 Maril n Drive Carlisle PA 17013
PlAce Of DISPOSITION- Name ofCemtltertt Cremalofy LOCATION - Citytrown. Stele, Zip Codq
orO!herPI~ce Cremation SocJ..ety of
PA Cremator 21d. Harrisbur , PA
NAME AND AODRESS OF FACILITY uer Memor a Home an
22c.
LICENSE NUMBER DATE: SIGNED
\Morllh, Day,Yaar)
23b. 2k.
WAS CASE REFERRED TO A MEDiCAl EXAMINER /CORONER?
26. Yes No 0
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U_t <Il>Iyon...lIH.."...n Un.,
.MMEOJATE CAUSE (Final
di9llue<JrCQfl(\ll.lon
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DUE TO eM AS ... CONSEQUENCE OF)'
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PARTU:
Othersignlficllnlcandltiooscontribulir1gtodaalh,bul
not r8$Ult.iC\g In th6 \II"ldeT\y\nll Ciluseglven In PART I.
Sllquenllallylislconditicx1s {b'
if 'ny, Ieudlng10 immadlata
CElUM. Enter UfIIOERLytMG
CAUSE (Disell$8 or Injuty C.
UIaI\nlIlM8IlfMlll1:5
l1!SUlliflgOfldealh}LAST d.
WAS AN AUTOPSY WERE: AUTOPSY FINDINGS
PERfORMED? AVAiLABLE PRIOR TO
COMPLETION OF CAUSE
OF DEATH?
lOll ACONS au He OF)
MANNER OF OEA TH
YesD NO~
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No!))
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Suicide
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Homlcide
Pandlnglnve5tigalk:>f1
CouICnolbedetermined
DATE OF INJURY
(td<lntll.Il"l'.V",,)
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TIME OF Ir>uURY
INJURY ATWORK? OESCRlBE HOW INJUR'/' OCCURRED.
21.. 28b.
CERTIFIER (Check onfyotll1)
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PLACE OF INJURY, At home, hum. $\<<let. faGlOl'y, office
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LOCATION (SIr$9l, CltyfTown, Sl<lle)
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UCENSENUMBER DATE SIGN ,~,Year)
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!-lAME AND AOORESS OF PERSON WHO COMfl-fTEO CAUSf- OF J1FA TH
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'PRQHOUNClNG ANO CERTU'Vn4G PHVSIClA,M (Pl1~!lician both pronouncing death and certifying 10 cause of daalh)
To u.. be,l of my knO\Wredge, death o<:curnd at th. time, datf, 'nd pl/lCS, and due to the cauu.(s} 'I1d!Tlfinl)aT n .lated....,.
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LAST WILL AHD THSTAMBHT
BOWARD W. CLAYTO.
I, HOWARD W. CLAYTON, Social Security Number 142-22-4315, of the
state of Pennsylvania, declare that this is my LAST WILL AND TESTAMENT
and I revoke all other wills and codicils previously made by me.
FIRST: I appoint KAREN A. SLUSSER as my Personal Representative
concerning this Will.
a. I request that my Personal Representative be permitted to
serve without bond or surety thereon and without the intervention of
any court, except as required by law. I direct that my Personal
Representative act in unsupervised administration so as to administer
my estate with a minimum of court supervision. If it becomes necessary
to have ancillary administration of my estate in any jurisdiction where
my Personal Representative is unable or does not desire to qualify as
ancillary legal representative, I appoint as such ancillary legal
representative such individual or corporation as my Personal
Representative shall designate, in writing.
b. I direct my Personal Representative to pay the expenses
of my last illness, the expenses of a funeral appropriate to my station
in life and custom of living (including a suitable monument or marker
for my grave), and written charitable pledges which I have made. I
grant my Personal Representative the power to extend or renew any debt
for such time as my Personal Representative shall deem appropriate.
c. All estate, inheritance, succession and other death taxes
with respect to all property passing under this my Will shall be paid
from and borne by-the principal of my residuary estate, without regard
to reimbursement, as if such taxes were administration expenses. My
Personal Representative may pay such taxes at any time deemed
advisable, whether or not then due and payable.
d. My Personal Representative is requested to settle my
estate as soon after my death as may be practicable, and to payor
deliver every legacy or bequest to my beneficiaries without waiting any
time that may be believed to be customary in probate matters.
_JjtfR(0dJM__CL~____-
PAGE 1
OF 4 PAGES
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e. I have sepved in the Apmed Fopces of the United States.
Thepefope, I dipect my Pepsonal Reppesentative to consult with a Legal
Assistance Attorney at the neapest militapy installation and with the
Department of Veterans Affaips and the Social SecuPity Administpation
to asceptain if thepe ape any benefits to which my family membeps ape
entitled by viptue of my militapy sepvice.
SECOND: I give, devise and bequeath, absolutely and fopevep, all
of my estate and ppopepty of which I may be seized or possessed, or to
which I may be entitled, at the time of my death, wherever situated or
of whatever nature, be it real, personal, or mixed, to KAREN A. SLUSSER
as her sole and absolute property if she shall survive me.
THIRD: Except as otherwise provided in this Will, I have
intentionally failed to provide for any other relatives or other
pepsons, whether claiming to be an heir of mine or not. Insofar as I
have failed to provide in this Will fop any of my issue now living op
latep bopn or adopted, such failure is intentional and not occasioned
by accident op mistake.
FOURTH: Any beneficiary who fails to survive until one hundred
twenty (120) houps after my death shall be deemed to have predeceased
me, and the gift to that beneficiary shall be disposed of accordingly.
FIFTH: Definitions:
a. The tepm .childpen" as used in this Will includes adopted
and aftepbopn pepsons. The tepm "children" as used in this will shall
also include step-childpen, the natural bopn or adopted children of a
pepson's spouse. A pelationship by or thpough legal adoption shall be
tpeated the same as a pelationship by or through blood for purpose of
succession to property under this Will.
b. The term .descendants. as used in this Will means the
immediate and remote lawful, lineal descendants by blood or adoption of
the person referred to who are in being at the time they must be
ascertained in order to give effect to the reference to them.
c. The term "issue" as used in this Will means all persons
who are descended fpom the person referred to either by legitimate
birth to or legal adoption by that person, or any of that descendant's
legitimately born or legally adopted descendants.
d. The term .Personal Reppesentative" as used in this Will
means Executor, Executrix, Independent Executor, or any other title of
like import which is used to describe such a fiduciary.
__lLftJ&MdJM!--~~--
PAGE 2
OF 4 PAGES
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e. The term .per stirpes' as used in this Will means that
whenever a distribution is to be made to the descendants of any person,
the property to be distributed shall be divided into as many shares as
there are (1) living children of the person, and (2) deceased children,
who left descendants who are then living, of the person. Each living
child (if any) shall take one share and the share of each deceased
child shall be divided among his then living descendants in the same
manner.
SIXTH, In addition to any powers granted by the laws of the state
in which this Will is probated, I hereby authorize and empower the
fiduciaries named in this Will, to the extent of the discretion herein
granted, to sell, exchange, convey, transfer, assign, mortgage, pledge,
lease or rent the whole or any part of my real or personal estate, to
invest, reinvest, or retain investments of my estate, to perform all
acts and to execute all documents which my fiduciaries may deem
necessary or proper in regard to my property. If any of my fiduciaries
eleot to reoeive compensation for servioes, such oompensation will be
that allowed by law.
SEVENTH, If any part of this Will shall be invalid, illegal, or
inoperative for any reason, it is my intention that the remaining
parts, so far as possible and reasonable, shall be effective and fully
operative. My Personal Representative may seek and obtain court
instructions for the purpose of oarrying out as nearly as may be
possible the intention of this Will as shown by the terms hereof,
including any terms held invalid, illegal, or inoperative.
IN WITNESS WHEREOF, I have at _f~~~~j~T-J2~~~s~L~~~_----, this
~_~ day of ~~~~~J:___, 19~J____ set my hand and seal to this my
LAST WiLL AND TESTAMENT, consisting of 4 typewritten pages, each page
bearing my handwritten signature.
__}(~~~~L_~C!~_____________(SEAL)
HOWARD W. CLAYTON~:if~l~
__}jWJfdJi/JJ.L_C1~~-
PAGE 3
OF 4 PAGES
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The foregoing instrument was, at _C~_~~~7__~A3~J~~~______,
this _~~day of ~~~~_. 19~1_, signed, sealed, published and
declared by HOWARD W. CLAYTON, the testator, to be his LAST WILL AND
TESTAMENT in the presence of all of us at one time, and at the same
time we, at his request and in his presence and in the presence of each
other, have hereunto subscribed our names as attesting witnesses, and
we do so verily believe that the said testator is of sound and
disposing mind and memory at the date hereof.
_~-1._~ ~~~-t!...L----- ---~-~-l4--.
OF ~~~~__________ OF _iJ2-L~Jl OW{ _~_ OF ___~~3_~_________
______~_____________ __~l~~__~~_________ -________~___________
___1i~~Lt1L~_~--
PAGE 4
OF 4 PAGES
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state of --\:~1~~---------------
County of _~~_~dL_______________
ACKNOWLEDGMENT
I, HOWARD W. CLAYTON, testato~, whose name is signed to the
attached o~ fo~egoing inst~ument, having been duly qualified acco~ding
to law, do he~eby acknowledge that I signed and executed the inst~ument
as my Last Will; that I signed it willingly; and that I signed it as my
f~ee and volunta~y act fo~ the pu~poses the~ein exp~essed.
___J{~~_~~_~n:~___________(SEAL)
HOWARD W. CLAYTON ~~~~
AFFIDAVIT
We, _~~_~~~?_______, _JPE~_l~~_________, and
AL~~_~~~__~j~~______, the witnesses, sign ou~ names to this
inst~ument, being duly qualified acco~ding to law, do depose and say
that we we~e p~esent and saw the testato~ sign and execute the
inst~ument as his Last Will; that the testato~ signed willingly and
executed it as his f~ee and volunta~y act fo~ the pu~poses the~ein
expressed; that each subscribing witness in the hea~ing and sight of
the testato~ signed the will as a witness; and that to the best of ou~
knowledge the testato~ was at that time 18 or mo~e yea~s of age, of
s~d mind and unde~ no const~aint o~ undue influence.
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Witness Witrless Witness ~~;r'
Subsc~ibed, swo~n to and acknowledged befo~e me by HOWARD W.
CLAYTON, the testato~, and subsc~ibed and swo~n to before me by
~,,-_~__CS~~~'L_____, ~*_L_~_________, and
~~~~_~~Ji5r_J(u{~; the witnesses, this ~____ day of ~~y_~~~~_~__.
19'jL_.
~~~
NOT A~piiB'L C
Commission Expi~es:________
l'i:JIariaISeaI
Wanda K Hunler. N<*lIY PIilIc
Carlisle Boro, eurroertand CoJltoJ .
My CommiSSi<>l'I ExpireS Qd. 18, 19m
Merrtler, penTlS'Mania ~ of NoIa<ieS