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Home My WebLink About09-26-05 Register of Wills of Cumberland County PETITION FOR PROBATE and GRANT OF LETTERS Estate of A., Vl.G1- E. also known as fl<'^ y.. (J. f t.<4 sf. No. To: J...'\-~s- ~'::,t\ FlAC"C"t- , Deceased. 1& 7- IL.{-/ a,g Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania Social Security No. The petition of the undersigned respectfully represents that: Your petitioner(s), who is/_ 18 tars of age or older, and the execut.dU:- named in the last will of the above decedent, dated C; ~f' .:L 1- 1 I C( C( 4 , 2Q and codicil( s) dated (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decedent was domiciled at death in Ct-<-1M. b~r ( a...v-J County, Pennsylvania, with herlast family or principal residence at n 4 q os E<Ls:f- TrI"'"j I... i?,.,a,J f..( ecl..a", la;:bt....-tj 1"'11-. /7 OS:) (list street, number and municipaTity) o r I CO<..L-",'~ry /)..{eadc>w:s- Decedent, then ~ years of age, died .:> eVl'-r 10 , 20Q,L., at ~I'"'i!' c..t- Ce.~k(' Except as follows, decedent did not marry, wi\.s 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.1.lQt QQlJ!i-::ilad ;H Pa.) Personal property in Pennsylvania (If..-t 6,,1"" 'k;l in Po.) Personal property in County Value of real estate in Pennsylvania situated as follows: ;<Jot>-t.. $ <15'00. 00 $ $ $ 0.00 WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant oflettcrs (t stamentary; administration c.I.a.; administration d.b.n.c.t.a.) Residence( s) of Petitioner( s) :J...f:,o 5;lo-e.- 51>1"""0" l?cuul tvf~Lt (',4 17ClSr'l L I 'V .: \ I~ .<.'.j -, JG Register of Wills of Cumberland County OATH OF PERSONAL REPRESENTATIVE COMMONWEAL TH OF PENNSYL VANIA } SS: COUNTY OF CUMBERLAND The pctitioncr( 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 beliefofpetitioner(s) and that as personal representative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. JJ"k(J ~ r; ~"' - +- Sworn to or affirmed and subscribed Before me this "). \:, ~'" S"-~~.....'.,,"'( day of ,20 ~.s { ,.. [/) 00' ::l ~ "i A ~ ~~~ '\~~, .:s:~~~ Register ~ ) ~ q.,<~, ~~ No. '~.:\-\:JS- ~S~ Estate of ~~IN~ E... ~\,) ~~\ ,Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW <:; ~~ ~'\"..., ~~ 20 ~S, 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 "\ - 'l. "). - \ ~ l;\ '-\ , described therei..YJ. be admitted to probate filed of record as Lite last will of ~""~"" '~"'\J~s..\ ; and Letters are hereby granted to ~,>-<<.\..",~s. ~'" \>,~~ ~~~~ $ $ Renunciation....................... $ Short Certificates ('.)j ............ $ JCP.................................. $ Automation Fee....... ............ $ Bond................................. $ Total $ 20 l\)S. '-\"5 "''S. ~~ ~~~ ~~~ l\f--" Register of~ilt. 'I ~.~~, ~~ ~'i:l~~~ Attorney (Sup. Ct. LD. No.) FEES Probate, Letters, Etc. ............. Will................................. 1?:,. \<:;) . Address <:" '-'- Filed '\\-~\:, ~:~ .~~ Phone J-.\ -'\lS- ~s~ Thi, is to certify that the information here given is correctly copied from an original certd'icatc of dcath oul.>'. filed with me as Lclcal Registrar. The original certificate will be forwarded to the State Vital Records OffIce tor permanent f ding. WARNING: It jis illegal to duplicate this copy by photostat or photograph. Fee for this certificate, S;6.00 ___L J.. 1, 6 :3 ~J ~/ ::3 :). No. ~~~ Local Registrar SEP 1 2 2005 Date NAME OF DECEDENT (Firs~ Middle, Last) ,. AGE (Last Birthrlay) COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH Rev. 2/87 ,-') Road 17055 Country Meadows AS DECEDENT EVER IN U,S. ARMED FO.'if:5>l? YesO No~ 12. l1a. State STATE FILE NUMBER ',...l 5. COUNTY OF DEATH 85 v" SEX 2. Female BIRTHPLACE (City and PLACE OF DEATH' Slate or Foreign Countf)') HOSPITAL 'np.!l~&nID 7, Lititz PA B.. FACILITY NAME (If nol instilutJon, give street and number) 2005 Bb. Cumberland Bc, Hampden Twp. KINO OF BUSINESS I INDUSTRY ~~:~Iy) 0 RACE - American Indian, Black, White, al (Specify) DECEDENT'S USUAL OCCUPATION (~~":O~ki~;ili;;~:l6 d~~leU:~ri~r';~tt MARITAL STATUS" Married, Never Married, WidOWed, Divorced (Specify) 14. Widowed White SURVIVING SPOUSE (lfwile,giV6mllklenna",e) ,,,. Dental Hygienist 11b. Hershey School DECEDENT'S MAILING ADDRESS (Street, CltyfTown, State, Zip Code) DECEDENT'S ACTUAL RESIDENCE (See instructions on otherSidej PA He, .~Yes. decedent lived in H~mpii~n twp 17b, County Did decedent liveina r.umbp.rlClnrl township? 17d.D ~~hl~e:t~~7~1~;~Of MOTHER'S NAME (First, Middla, Maiden Sumama) 18. Anna Shoemaker INFORMANT'S MAILING ADDRESS (Street, CltyfTown, State, Zip Code) 20b260 Silver S rin Road Mechan1csbur PA 17055 LOCATION CityfTown, Stale, Zip Code city/bora, George F. Evans Dou lass E. Furst 2Jb. 2Jc. WAS CASE REFERRED TO A MEDICAL EXAMINER ICORONER? 26. '") No 0 IMMEDIATE CAUSE (Final disease or condition resulting in death)---+ " 'Approximate : interval between : onset and death Other significant conditions contributing to death. but not resulting in the underlying cause giVen in PART I Sequentially list conditions if any. leading 10 immediate cause. Elller UNDERLYING CAUSE (Disease or injury Inatinitiated events resulting M death j LAST f ~ DUE TO (OR AS A CONSEQUENCE OF) DUE TO (OR AS ACONSEaUENCE OF) WAS AN AUTOPSY WERE AUTOPSY FINDINGS MANNER OF DEATH PERFORMED? AVAILABLE PRIOR TO c;y 0 COMPLETION OF CAUSE NAtural Homicide OF DEATH? 0 0 Accident Pending Investigation y" 0 No D:- Yes 0 NoW Suicido 0 Could nol be determined 0 DATE OF INJURY (Month, D<:ly, Yen.) TIME OF INJURY INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED 29, 30a. PLACE OF INJURY building.eIC, (SPflClfy) 30e. JOb. Yo, 0 No 0 M. JOe. 28.1. 28b. CERTIFIER (Check only Of1e) .~~':t,~F~~tGor~~~;~~~8W9~S~C~~rhc~~~~~~~~u~: t~ fheea~a~~:~(:)~~j,!~X~i;~a~s h:t~r:~~~~~~~.~ .~.~~.l~'. .~~~ .~?~~~~~~~.i.t~~ .2~.l. . At home, farm. street, factory, office 34, .PRONOUNCING AND CERTIFYING PHYSICIAN (PhysiciAn both pronouncing death and certifying to cause of dfl8tn) Totne best of my knOWledge, death occurred at the time, date, and place, and due to the causes(s) and manner as stated.... HHH.D 'MEDlCAL EXAMINER/CORONER ~:~~:;::" 0' e..mln'''on .nd,o, inv""..tion. In my opinion. de.th Occu"ed .1 the "me. d.... .nd pl.co. .nd due 10 the c,u"'I') .nd 0 J1a. REGISTRAR'S SIGNATURE AN~UMBER '-:1-) t':::(,~_.~ 33. L"L:.n/'Yl.- j~/ /a./1 ..H ..'H" 0 /.lv~({1 LAST WILL AND TESTAMENT OF ANNA E. FURST I, ANNA E. FURST, of Hershey, Dauphin County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this to be my Last will and Testament, hereby revoking and making void any and all prior wills, codicils, or writings thereto, made by me at any time prior to the making of this Will. ITEM I: I direct that the payment of my debts and the expenses of my last illness and funeral shall be paid from my estate as an administrative expense as soon after my death as conveniently may be done. I direct that my personal representative be responsible for making all necessary arrangements for my burial. ITEM II: I give, devise and bequeath the sum of Two Thousand Five Hundred Dollars ($2,500.00), in trust, to my grandson, MATTHEW D. SMITH, of Brookfield, Wisconsin; and I give, devise and bequeath the sum of Two Thousand Five Hundred Dollars ($2,500.00), in trust, to my grandson, GREGORY D. SMITH, of Brookfield, Wisconsin. ~~ cr: r~ ( SEAL) ANNA E. FURST L I .= ,.,__, .... .,- t.,. ITEM III: In the event that a child under the age of twenty- two (22) years is entitled to inherit from my Estate, I direct that the share for that child or children shall be held in trust. The Trustee shall have the power and authority to invest and reinvest the assets of the trust. I direct that the Trustee shall use the income and then the principal, as necessary, to pay for the reasonable higher education expenses of each trust beneficiary beginning at age eighteen (18). I further direct the Trustee to pay the balance remaining in each individual trust account when each trust beneficiary attains the age of twenty-two (22). The Trustee, at his or her sole discretion, may invade the principal earlier if the needs of the trust beneficiary reasonably justify doing so. I nominate, constitute and appoint my daughter, JULIA (FURST) SMITH of Brookfield, wisconsin, as Trustee for any and all assets passing to said children under the age of twenty-two (22) years. In the event that my daughter, JULIA (FURST) SMITH predeceases me or is unable to serve as Trustee, I name my son, DOUGLASS E. FURST of Mechanicsburg, Pennsylvania, as Alternate Trustee. ITEM IY: I give, devise and bequeath all the rest, residue and remainder of my estate to my two children, DOUGLASS E. FURST, of Mechanicsburg, Pennsylvania, and JULIA (FURST) SMITH of Brookfield, Wisconsin, IN EQUAL SHARES PER CAPITA AND NOT PER STIRPES. ~d1. z: ~ ( SEAL) ANNA E. FURST ITEM V: No interest of any beneficiary under this will or any codicil shall be subject to anticipation or voluntary or involuntary alienation. ITEM VI: All taxes, interest and penal ties thereon payable by reason of my death with respect to property comprising my gross taxable estate, whether or not passing under this Will, shall be paid from the principal of my residuary estate. ITEM VII: In addition to powers given to him by law, my Executor and his successors shall have the following powers, applicable to all property held by him, effective without Court Order and until actual distribution: a) To retain any property received by him, in the form in which it is received, until actual distribution; b) To sell real estate for any purpose, publicly or privately, for such prices and on such terms as he deems proper, without liability on the purchasers to see to application or the purchase monies; c) To compromise controversies; d) To distribute in cash or kind or both at such valuations as she may fix. ITEM VIII: I nominate, constitute and appoint my son, DOUGLASS E. FURST of Mechanicsburg, Pennsylvania, Executor of this my Last will and Testament, but should my said son, DOUGLASS E. FURST, predecease me, or for any reason fails to qualify as such ~tf:f4~ ANNA E. FURST (SEAL) Executor, or having qualified, fails to serve as such Executor, I nominate, constitute and appoint my daughter, JULIA (FURST) SMITH of Brookfield, Wisconsin, as Alternate Executrix. No fiduciary acting hereunder shall be required to post bond or enter security in any jurisdiction. IN WITNESS WHEREOF, I have set my hand and seal to this my Last will and Testament, consisting of this and three (3) other pages at the end of which I have also set my hand and affixed my seal for greater security and better identification, this 22nd day of September A.D., 1994. ~ t', {t~ ( SEAL) ANNA E. FURST WITNESS: residing at PALk,/f.A F>A // /'.: / " . /..Jj"';"j I, residing at (.- C'/'''/-Y'VL/~/.{C /~~,q- , --- COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN I, ANNA E. FURST, 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 and Testament: and that I signed it willingly: and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and acknowledged before me, by the Testator, this 22nd day of September, 1994. ~';J,J?~ Nary Public M .' n ex ires: NOTARIAL SEAL JUDITH R. ARVA. Notary Public Hershey. PA. Dauphin County My Commission Expires Mar 20, 1995 t2uucz, c! % ~ ( SEAL) ANNA E. FURST AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN We, A. Mark winter and Nancy L. shay, the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Testator sign and execute the instrument as her Last Will: that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed: that each of us in the hearing and sight of the Testator signed the will as witnesses: and that to the best of our knowledge the Testator was at that time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. --J2. 7W ZJ J;d- (SEAL) witness Sworn to and subscribed before me this 22nd day of september 1994 ~dI Il~ No ary Public ., . NOTARIAL SEAL -. JUDITH R. ARVA, Notary Public Hershey. PA. Dauphin County My Commission Expires Mar 20, 1995 Hj/ c.2 i'_'----<' ./ witness ,/ .Ll/( ( , .r ,:/ ( SEAL) " y