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Home My WebLink About09-23-05 Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of JOHN R. DAVEY Deceased No. Social Security No. "J.. \ - ':J S - ~ SS 189-09~1894 , -'J , ,'1 I~ ) I~) ',--; Petitioner(s), who is/are 18 years of age or older, apply{ies) for: (COMPLETE "A" OR "B" BELOW:) A. Probate and Grant of Letters and aver that Petitioner is the executrix named in the Last Will of the Decedent, dated AUGUST 4. 1978 Miriam C. Davev. the appointed Executrix. died on April 4, 1994 State relevant circumstances, e.g. renunciation. death of Executor. etc. and codicil(s) dated Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents offered for probate; was not to victim of a killing and was never adjudicated incompetent: B. Grant of Letters of Administration (d.b.n.c.t.a.. pendente lite; durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: Name Relationshi Residence COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania, with his last family or principal residence at 128B West Willow Street, Borough of Carlisle (List street. number and municipality) Decedent, then 90 years of age, died August 27, 2005 at Carlisle Regional Medical Center (Location) Decedent at death owned property with estimated values as follows: (If domiciled in PAl All personal property.....................................................................$ (If not domiciled in PAl Personal property in Pennsylvania.....................................$ (If not domiciled in PAl Personal property in County....................................................$ Value of real estate in Pennsylvania ......................................................................................................................$ T otal......................................................................................................... $ 5.425.00 None 5.425.00 Real Estate situated as follows: Wherefore, Petitioners respectfully request the probate of the last Will presented with this Petition and the grant of letters in the appropriate form to the undersigned: .. T ed or rinted name and residence BARBARA E. DAVEY 9 RICHLAND LANE, APT. 108 CAMP HILL, PA 17011 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND 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. Before me this _ J.J, ~~~ day of >o,Fw"hntf ~ 1Ja~ BARBARA E. DAVEY . Sworn to and affirmed and subscribed ~~~.......~'lt'{_ ,2005. \;~ ~~ "S.~ , ~~.~~,~~ ~ ~ No. J. \ - ~ S - ~ S \:; Estate of JOHN R. DAVEY , Deceased. Social Security No: 189-09-1894 Date of Death: AUGUST 27. 2005 AND NOW, "S ....~""""''-<:.'-'< ":)...3 ,2005, in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate are hereby granted to BARBARA E. DAVEY in the above estate and that the instrument(s) dated AUGUST 4, 1978 described in the Petition be admitted to probate and filed of record as the last Will of the Decedent. FEES Letters........................... $ 1..\5. Short Certificate(s) $ ~I..\. Renunciation............. . $ Affido',it ( )....~~\\..... $ \5. Extra Pages ( )....... $ Codicil............................ $ JCP Fee....................... $ \<::1. Inventory...................... $ Other.......~~.5~'S. $ S. TOT AL......... $ ~~ ~~\ Attorney: ~~ ~"~ ~~4 '.' Register of Wills . "". .., ~~.~~.~~ ~I.elr- J.D. No: 20558 Address: Johnson, Duffie, Stewart & Weidner, 301 Market Street. P.O. Box 109. Lemovne, PA 17043- Telephone: 717-761-4540 :i '\ ('~~~, , _...... 155939 l.DOC Register of Wills of Cumberland County, Pennsylvania OATH OF NON-SUBSCRIBING WITNESS Estate of JOHN R. DAVEY No. ~ \ - ~ S - ~ '.;.S Also known as , Deceased BARBARA E. DAVEY a subscriber hereto, being duly qualified according to law, deposes and says that she is familiar with the si1:,'1lature of John R. Davey, Testator of the Will presented herewith, and that Barbara E. Davev believes the signature on the Will is in the handwriting of John R. Davey to the best of her knowledge and belief. Sworn to or affirmed and subscribed before me this ")..~ \1..~ day of -=~~\~'{ 2005. /J~4- ~ Jj,~ Barbara E. Davey 9 Richland Lane, Apt. #108 Camp Hill, PA 17011 \;~,\~ ~~,,~~~, Re~iste;'~ . " ~ q.V,,~\ \\)~ ., ~ 155939 1.DGe Register of Wills of Cumberland County, Pennsylvania OATH OF NON-SUBSCRIBING WITNESS Estate of JOHN R. DAVEY No. "':l... \ . 'J:~ - ~ .s.S Also known as , Deceased EDMUND G. MYERS a subscriber hereto, being duly qualified according to law, deposes and says that he is familiar with the signature of Thomas I. Myers ,one of the subscribing witnesses to the Will presented herewith, and that Edmund G. Myers believes the signature on the Will is in the handwriting of Thomas I. Myers to the best of such subscriber's knowledge and belicf. ~~ "\~, ~~""~" \ Register ~~~~ ~ ~.~~, ~~ b(2~ Johnson, Duffie, Stewart & Weidner 301 Market Street P. O. Box 109 Lemoyne, PA 17043-0109 Sworn to or affirmed and subscribed before me this j.."'3. ",-" day of ~~ ~\"w 2005. .J , c: ""'\ t"o..... 'iJ <- ... 0. ., ~.;, ., '1-';'-':> INRE: ESTATE OF JOHN R. DAVEY Late of the Borough of Carlisle Cumberland County, Pennsylvania, Deceased IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION No. AFFIDAVIT OF EDMUND G. MYERS REGARDING SUBSCRIBING WITNESSES TO WILL OF JOHN R. DAVEY DATED AUGUST 4. 1978 I, EDMUND G. MYERS. an adult individual residing at 107 North 27th Street. Camp Hill. Pennsylvania. 17011, depose and state as follows: I. I am an attorney with thc law firm of Johnson, Duffie, Stewart & Weidner with offices at 301 Market Strcct, Lemoyne, Pennsylvania 17043. 2. I make this Affidavit regarding the subscribing witnesses to the Will of John R. Davey dated August 4. 1978. 3. The subscribing witnesses are Thomas 1. Mycrs and Debra 1. McElwee. 4. Thomas 1. Mycrs died in July, 1985. 5. After diligent search, I have been unable to locate the other subscribing witness, Debra 1. McElwcc. This inquiry included a search of the current telephonc book, the employment records of Johnson, Duffic, Stewart & Weidner. and a general inquiry among the employees of Johnson, Duffie. Stewart & Weidner. I make this affidavit subject to the penalties of 18 Pa. C.S.A. 94904 relating to unsworn falsification to authorities. September 22. 2005 ~~y::r- , .~-: .. :259283 1- -.-, .~~; J C " , ., '! -,'- I. _",~j ,j ......: ..... '.. '._ ..... '.~ ,j "_~ ").."~S.bSS II II~ \II~ R!\ I'll:' . . Tl . . '. to '''rtl'j'y that the infurmation here o'iven is correctly copied from an original certificate ot death duly I ded with me as liS IS ~c to ... . tl Local Registrar~ The original certificate will he forwarded to the State Vital Records OffIce tor perl1lanelll I mg. WARNING: It is illegal to duplicate this copy by photostat or photograph. No tr"; '. (}~M~ /1:J ;;a~ Fee for this certificate. :t;h.OO Local Registrar \.) 11 ' f.L~} ~3 :1 ~?: ~~ AUG 30 2005 Date " - , ev 2f87 COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH :J NAME Of OECEDENlIFJf~1. MIddle, LdSll t. ,J: fl r-, 2 AGE (last Borthday) UNDER 1 YEAR Months Da~ UNDER 1 DAY ...... SVifE F'LE NUMBEA SEX JSOCIAL SeCURITY NUMBER 2 MALE ,. 189 - 09 - BIRTHPlACE !C.ty ar-d PlACE OJ: DEATH (Ct>~k oJioly 'Jf'e -- see '''SHUCIoOOS O(l llll"el Sloe) Stare 01 FcrelQn COOn/'V' HOSPITAL Kingston, FA Inpalient rgJ ERIOutpaII~nl [J DCA 0 7. ... FACILITY NAME (It no! ,nsNUl\l:ln. g,ve sl/eel and numt.>en g'=lfylO WAS DECEDENT EVER IN U.S. ARMED FOACES? Ye,IKl NoD oS- .. COUNTY OF DEATH 90 Yrn ... Cumberland Ie. Carlisle Regional Medical ... KINO OF BlISINESS/INDUSTRV Carlisle 12. MARITAL STATUS - MaFTied Nev., MarTied. J.!idowed. Oivol'Ced (Specdy) widowed white SURVIVING SPOUSE III ....Io!. -J''''' maden nama) 17.. Slale Pennsylvania [};d d.,.,,,,,, live loa Cumberland Iownllhip? 17d.1iI ~~1'It~01 MOTHER'S NAME (FirSt Mfdate. Malder'l SUfnamfl) Vera Harris 17e.D YM.declfdeolliYedin ..... 128B West Willow Street Carlisle, PA 17013 17b.Co Carlisle tity.tlooo. ,.. FAJliER'S NAME (First. Mfddle. Lasl) ". Gear e Dave INFORMANT'S NAME (TypetPrir'll1 2Oto. Barbara E. Davey METHOO OF DISPOSITION 8unal 0 CrlmalfOl'l ~ A-..I "lIm Slale 0 OIl'IfH{Speelfy\ _0 "L ~NRUA August 30, 2005 LICENSE NUMBER FS 012 849 L ",~on-O-Lite Crematory "d. Schaefferstown, PA 17088 NAMEANDADOflESSOHACllITY Parthemore FH & CS, fie. ~,.P.O. Box 431 New Cumberland, PA 17070-0431 lICE~SE NUMBER DATE SIGNED (Monlh. Day. \'ea.) 23b. 23c. ::) 2.,./ (1')- WAS CASE REFERRED TO MEDICAl. EXAMINERlCORONER? 28. yel (DJ.,..\C-- NoD ~lisl;coodmoM If .".,..l8ading ~ immediate calM. Enl., UNOEALY1NG CAUSE {[);sease Of ,nlUl"Y \haIinitialedevenls resulllngIf'108att'l)LAST .. fP.'~('!1!ft'i]?I?':' DUE 10 (t:'lij AS It CONSEQUENCE OF): :; I ~ ;;!) 1']" ~':' DUE 10100 AS A CONSEQUENCE Of); (11':,<1111", 111"41'1111 DUE TO {OA AS It CONSEQuENCE OF} I Approximate ; lnlervaltlelWeen f OnMl and death , i , , , Other sionitlcanl oondllions conItibuling III death. bul nol resulling in I"" ulld8r1ying C8UH giwn in PART 1 .....EDlATE CAUSE (F,nal drs8iI5eorcondilion rllSU!inglllaearnl_ WAS AN AUTOPSY PERFORMED? d WERE AUTOPSY FINDINGS AVAIlABLE PRIOR TO COMPLETION Of' CAUSE OF DEATH? MANNER OF DEATH Nalurfll gf [J o DATE OF INJURY (Month. Day, Year) TIME OF INJURY INJURY Af WORK? OESCRIBE HOW INJURY OCCURRED. HomOcide o c o ~~CEOF INJURY. At home, lar~. sueel. taclory,olllee M. buildlno. IIC. lSpoc,tvl ,... "" 0 NoD Aeeide",l Pf'lnding InYf'lst;9a1Ion _0 NCl0 Yu 0 NoD Suicide Could nol b. <Jvlermlned o 3ll<. 2... 211b. Cl!RTIFlEA (Check oniy Of1e) "CERTlFYtNG PHYSICIAN IPl1ys>c:..an cerbtY"'g cause 01 <JEoall1 wnen ,mOIMI on\l$,c,an has prormunr:ed dealh ano complall!d Ilern 23) To IMbesl of my know~, death oc:<:urre<l dlMto ene causllt(s) IInd mann.r as slated. . .. 'PRONOUNCING AND CERTIFYING PHYSICIAN (Ph~.an bolh ;JronouOClng oealn J(\(j certllYlng lCl cause 01 death) To the b.el of my knowledg.., d.llth occurre<l at the time. dllte. and plltCe, and due 10 the cause(t1).nd manner as slale4. o "UEDICAl EXAMINER/CORONER On the ba.i. of examination and/or investigation. in my opinion, death ot:..:urred It the lime, dale, and place. ii1nd due 10 the cause{s) and 31a."'ann::s'tated.......... ............ . ............ ............... ..... ...... . .. .. REGlSTR 3'. ~XV0'I/( I " 111n5t JIlll nub Qrt5tnmtut I, JOHN R. DAVEY, of the Township of Lower Allen, Cumberland County, Pennsylvania, make, publish and declare this to be my Last Will and Testament, hereby revoking any and all Wills by me at any time heretofore made. ARTICLE I I direct the payment of my just debts and funeral expenses as soon after my decease as may be convenient to my Executrix hereinafter named. ARTICLE II I give and bequeath unto my wife, MIRIAM C. DAVEY, all my household goods, sporting and recreational equipment and other tangible personal property. If my said wife fails to survive me, I give and bequeath the same unto my daughter, BARBARA E. DAVEY. ARTICLE III All the rest, residue and remainder of my estate, of whatso- ever nature and wheresoever situate, I give, devise and bequeath unto my wife, MIRIAM C. DAVEY, if she shall survive me. ARTICLE IV If my wife, MIRIAM C. DAVEY, fails to survive me, I give, devise and bequeath the residue of my estate unto my daughter, BARBARA E. DAVEY. ARTICLE V I name, constitute and appoint my wife, MIRIAM C. DAVEY, to be the Executrix of this, my Will. Should my said wife fail to r ~. ~~ ,,'~:_I'-... survive me, or fail for any such reason to complete the adminis- tration of my estate, I appoint my daughter, BARBARA E. DAVEY, to be the Executrix in her stead. IN WITNESS WHEREOF, I have hereunto set my hand and seal this i day of , 1978. (SEAL) Signed, sealed, published and declared by the above-named Testator, as and for his Last will and Testament, in the presence of us, who, at his request, in his presence and in the presence of each other, have hereunto subscribed our names as witnesses. 'T~1~ kb./ctl. J)I'/, 2JL<~ -2-