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Home My WebLink About09-16-05 n Estate of 'MARY B. CLIFFORD also known as PETITION FOR PROBATE and GRANT OF LETTERS No. ()J - 0 r;) - O~ J.1 To: Register of ~ills bor t~e . Deceased. County of um er and in the Social Security No. 167 -14 - 7308 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut rix in the last will of the above decedent, dated September 22 and codicil(s) dated None (state relevant circumstances, e.g. renunciation, death of executor, etc.) naj}.e e9d ~~3 II r- II I! Decendent was domiciled at death in Cumberland h pr last family or principal residence at 2100 Be t Creek Sprin'] 'J'Qwn~h;r (Mprj-1!'lnir.~hl1rc::] 1701:)0) (list street, number and muncipality) County, Pennsylvania, ith Boulevard Sil er II II II I Decendent, then 91 years of age, died September 8 r 2005 ,xJjj at 2100 Bent Creek Boulevard Mechanicsbur PA 17050 Except as follows, decedent did not marry, was not divorced and did not have a child born or ado ted after execution of the will offered for probate; was not the victim of a killing and was never adjudic ted incompetent: None Decendent at death owned property with estimated values as follows: (If domiciledfnPa.) 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: $ $ $ $ 'f1.6neu ':'TJ (11 ::-:) C:J j ,-:CJ 1 ! ~':',;;? C: :J .C) , J --:-, -::'.] - c) I rl WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and com 11(s) presented herewith and the grant of letters testamenta;r 0"1 (testamentary; administration c.La.; administration d.b.n. .t.a.) ,~ theron. ~ <r u <= .. :9 'Vi' ~~ ..... ~.. <= -00 c": tU ".::: ~.. ~o.. .. '- 50 c;; <= "" Vi OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA I S8 COUNTY OF CUMBEHLAND J ~ I' I, I Ii I' I' Ii Swo rn . to or affinpe ~.i' and su, bscribed { before me this ,Iv "-- day of ~ . ~~~'e005 . ~. , 1\..' 'Register II The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petitio~ are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal rePt'Fsen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according tqllaw. II ~A. -V~ 7~ t T.i nn" M"~y Forh ni I No. 6)1- 0 S -OCl ;:)., Estate of 'f"r'rt f\ "r{ .~ QJG.t~0,,-(1 , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW ~ppt-pmhpr Il.o \:.\.-. x9-? 00 ~, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated ~ppt:pmhpr??,? 0 0 1 , described therein be admitted to probate and filed of record as the last will of Mary B. Clifford and Letters Testamentary are hereby granted to Linda Mary Fortini , )lG...r,c~~\4Q"..Nl;' I.J:~;h\),).bcutt:, "- . ->'.\\.Ill.-+'- T Register of Willi '...,' ~\~'0 S:r:;,E .AK, B . Er-IAN, P. C. FEES Probate, Letters, Etc. ......... $ ?)IO .(jQ Short Cenificates( ).......... $.;;)LI <:'L:: Renuaeifttion Lv.A-~ . . . . . . .. $ \ S u<:::: C~~"'<Y'oO- u.::...- ,* S v;:'" ){,"o $100':"; TOTAL _ $ ~I.:(I. ,-,0 Filed .. g. -: [ ~ ;' . q? . . . . . . . . . . . . . . . . . . . . By (717) 697-8528 PHONE 1II(J~_XO~ KL\' I/!).') This is to certify that t'le information here given is correctly copied from an original ce~t.ific~te of death du~r tlled with me as Local Registrar. The original certificate will be forwarded to the State Vital Records OtfICe tor permanent hltrlg. WARNING: It is illegal to duplicate this copy by photostat or photograph. p ~116~197~4 No. t2wn.- 71 ~!1f1-~L. , . ~ Fee for this certificate. $6.00 Local Registrar CERTIFICATE OF DEATH :,t.~ 1 ~ ZOO~ Date I 111" C..,i,,'::'} ~ ,~ ~' ,--, (") i '1 -.] 4- (~\ I, C) ITEM # " SHOULl) REAl) AS FOLLOWS: "7 -;1/- /9/i t2wn.- f?~~ :.. Rev. 2/87 .],I-Oc:) - 0 'a'-dl COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS NAME OF DECEDENT (First. Middle. Last) SEX STATE FILE NUMBER SOCIAL SECURITY NUMBER 5. 91 Yrs 2. Female 3. 167 - 14 BIRTHPLACE (Citt and PI..\CE F DEATH Check on ne- State or Fo~eign Countr~{) HOSPITAL: Inpatient 0 ERlOutpali~nt 0 DOA 0 7. Chicago, 1L Ba. FACILITY' NAME Of not in:;titution, give stree: and number) 1. AGE (Lasl BIrthday) COUNTY OF DEATH Bb. Cumberland DECEDENT'S USUAL OCCUPATION (~~v=o~i~;ii'te~~O d~~leU~~rir~Yir~dl$1 Be.Silver Spring TwP6d.The Bridges at KIND OF BUSINESS I INDUSTRY AS DECEDENT EVER IN US. ARMED FORCES? Yes D No [XI 12. 13. 17.. State Pennsylvania 11a. Secretary 11b. Accounting DECEDENT'S MAIliNG ADDRESS (Street, CitylTown, State, Zip Code) DECEDENTS 2100 Bent Creek Boulevard ~~~~NCE Mechanicsburg, PA 17050 (See instructions 16. on other side) FATHER'S NAME (First. Middle. Last) 1B. INFORMANTS NAME (Type/Print) 20a. METHOD OF DISPOSITION Burial 0 Cremation ~emoval from State 0 21a. Other (Specify) SIGN UREtC;F FUNERAL SERVICE ICE 22 1.';1, Com e e 2 a-c only when certifying physician is not available al time of death to certify causa of death. Cumberland Did decedent live in a township? 11c. [XI Yes. decedent lived in twp. 17b. County 11d. 0 ~~h~e~~~~7ii~i!~ of city/boro. ~~ MOTHER'S NAME (First, Middle, Maiden Surname) 19. Mary Fenninger INFORMANTS MAILING ADDRESS (Slreel. CityfTown. Stete. Zip Code) 20b. 106 Skyline Drive, Mechanicsburg, PA 1117050 ~~~;?~a~~sP8i!~~a ttaro~ ce~~~?i~tyIOb f LOCATION. CitylTown, State! Zip Code ~~Pennaylvania Cremator ~~ Harrisbur 1 PA 17109 NAME AND ADDRESS OF FACILITY Auer Memoria Ho & Cremation 22e.4100 Jonestown Road Harrisbur PA 17109 LICENSE NUMBER DATE SI ED ;:11/ ;::.--. ? (Month. y. Ye}") , 23b. .....)3,:)".:., ,Yj 23e.1 ''-t'';',nliol ,Y;j{J/ - WAS CASE REFERRED TO A MEDICAL EXAMINER ICO ONER? 26. Yes IKl JL 1 No ~ : Approximate PART II: . interval between : onset and death , Paul Harvey Buch 27. PART 1: Enter the dlse..... Injuries or complications which caused the death. LIst only one cause on each line. IMMEDIATE CAUSE (Final ~ . 1. ._ \ \ _ -J disease or condition ~ t'\A.e..... ~ resulting in death) --+ . DUE\~~AS A CONSEQUENCE OFjo \./ Items 24-26 must be completed by person who pronounces death 24. Yes 0 MANNER OF DEATH Natural 0' Accident ~ o DATE OF INJURY (Month. Day. Year) TIME OF INJURY INJURY AT WORK? Sequentially list conditions b. if any, leading to Immediate cause. Enter UNDERLYING CAUSE (Disease or injury [ e. that Initiated events resulting on death) lAST d. WAS AN AUTOPSY WERE AUTOPSY FINDINGS PERFORMED? AVAILABLE PRIOR TO COMPLETION OF CAUSE OF DEATH? DUE TO (OR AS A CONSEQUENCE OF): DUE TO (OR AS A CONSEQUENCE OF)' Homicide o o o 3Oa. 30b. M. PLACE OF INJURY - At home. farm. street. factory, office buildIng, etc. (Specify; 30e. Yes 0 N:p 288. 28b. CERTIFIER (Check only one) *~~~;r~F~~tGor::'~11~o~~~s~~:rh c~~~~i~%J~U~: to: ~e:~~::~(:r~~3r~~~~i;:'a~sh:t~re~~~~~~.~ .~~~~~. ~~~ .~.~~~~~.~. i~~~ .~~.)., N~ Pending Investigation Suicide Could not be determined 29. *PRONOUNCING AND CERTIFYING PHYSICIAN (Physician both pronouncing death and certifying to cause of death) To the best of my knowledge. death occurred at the time, date, and place, and due to the causes(s) and manner as stated,.. ....., ...;A o .MEDICAL EXAMINER/CORONER C:a~~:~::I:~:e~l(.~~,I~~~~~~. ~~~~~.r. ~~.~~~~~~.~~~~~~ .I~ .~~. ~~l.~ ~~.~: .~~~~ ,~~~~~~.~. ~~. ~~~. ~l.~~:. ~.~~~:. ~~~ .~~~.~~'. ~.~.~ .~~~. ~~ .t.~~. .~~~~.~~.(.~~ .~~~.. 0 318. REGISTRA IGNATURE .. '~~~j\~", 33. Ie? II~ Ii A 34. () S- J ,...... ~ LAST WILL AND TESTAMENT I, MARY B. CLIFFORD, of the Township of Silver Spring, County of Cumberland, and Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void all former wills and codicils by me at anytime heretofore made. 1'--.:> r' ~,. FIRST. I order and direct that all my just debts and funeral expenses be p<;tid by my 'c"'! . ( ... Executrix, hereinafter named, as soon as conveniently may be done after my deceas~. SECOND. I give and bequeath certain items of tangible personal property unto the .~: ! .) persons named as contained on a certain list or schedule which may be found with.thi~, ~~ Last C)) Will and Testament, and which shall be incorporated herein by reference thereto whetJ!ler prepared contemporaneously herewith or subsequent hereto. THIRD. I give, devise and bequeath all the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situated, in equal shares unto such of my children, namely, LINDA MARY FORTINI, TERRY ODHNER, VICTORIA REGElN"A HARA and WILLIAM H. CLIFFORD, III, as may survive me, share and share alike, absolutely and in fee simple. If any of my said children should predecease me, I order and direct that said residuary estate shall be distributed equally and per capita among the children living at the time of my death without substitution of the issue of any deceased child. LASTL Y. I nominate, constitute and appoint my daughter, namely, LINDA MARY FORTINI, to be the Executrix of this, my Last Will and Testament, but if for any reason she should fail to qualify as such Executrix or cease so to serve, then and in that event, I nominate, constitute and appoint my daughter, namely, VICTORIA REGENA HARA, to be the Executrix hereof, each and both to serve without bond or other security as a condition of qualification hereunder. IN WITNESS WHEREOF, I, MARY B. CLIFFORD, have hereunto set my hand and seal to this my Last Will and Testament, which consists of two (2) typewritten pages to each of LAW OFFICES SNELBAKER. BRENNEMAN & SPARE which I have affixed my signature this 22nd day of September, A.D. Two Thousand Three (2003 ). ~ llFFefli,rI (SfAL) I J. The preceding instrument, consisting ofthis and one (1) other typewritten page, each identified by the signature of the Testatrix, was on the date thereof signed, sealed, pUQlished and declared by MARY B. CLIFFORD, the Testatrix therein named, as and for her Last Will and Testament, in the presence of us, who, at her request, in her presence and in the preseqce of each I other, have subscribed our names as witnesses hereto. ~~ ,.r; ~, 11\; ('j -J COMMONWEAL TH OF PENNSYLVANIA) COUNTY OF CUMBERLAND /~ Ca-<r~ r SS. ) We, MARY B. CLIFFORD, RICHARD C. SNELBAKER and JANE J. COONty, the Testatrix and the witnesses, respectively, whose names are signed to the attached or 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 Testament 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 a witness and that to the best of his or her knowledge, the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or updue influence. ,r; //1 <r ~~ssCj Subscribed, sworn to and acknowledged before me by MARY B. CLIFFORD, the Testatrix, and subscribed and sworn to before me by RICHARD C. SNELBAKER and JANE J. COONEY, the witnesses, this 22nd day of September, 2003. LAW OFFICES SNELBAKER. BRENNEMAN & SPARE' I (\ ~Ctll) d~/ +< shOJ_J:v6 Notary Public -2-