HomeMy WebLinkAbout09-28-05
Estate of Robert M. Wilson
Also known as
PETITION FOR PROBATE and GRANT OF LETTERS
No. '"J.. \ - ~ S - ~\"l
To: Register of Wills for the County of
Cumberland County in the
Commonwealth of Pennsylvania
, deceased
Social Security No. 187-16-4806
The petition of the undersigned respectfully represents that:
Your petitioner, who is 18 years of age or older an the executrix named in the last Will of the
above decedent, dated May 14, 2001 and codicil(s) dated Pearl R. Wilson died October 13,2004
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his last family or
principal residence at 4342 Carlisle Road, Gardners, Dickinson Township, PA.
Decedent, then 83 years of age, died August 31, 2005 at Carlisle Regional Medical Center.
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: NO EXCEPTIONS
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) 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
Situate as follows: 4342 Carlisle Road. Gardners, PA 17324
$10,000.00
$
$
$110,000.00
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented
herewith and the grant of letters testamentary thereon.
..t1Jt11/n1LU ~/}'fJ
Norma German
1196 Mverstown Road, Gardners, P A 17324
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
The petitioner(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 belief of petitioner(s) and that as personal representative(s) of the
above decedent petitioner(s) will well and truly administer the estate according to law.
'i- vI t0ffi1d-- JtbA/YJUlffi-/
Norma German
Sworn to or affi~d and subscribed
Before me this"?~ day of September
2005. ~
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No. ":)..." -~ S - ~Ic\l
Estate of Robert M. Wilson, Deceased
DEGREE OF PROBATE AND GRANT OF LETTERS
AND NOW, September "2.~~ 2005, in consideration of the petition on the reverse side hereof,
satisfactory proof having been presented before me,
lT IS DECREED that the instrument(s) dated May 14,2001 described therein be admitted to probate and filed
of record as the last will of Robert M. Wilson and Letters Testamentary are hereby granted to Norma German.
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Register of Wi11~ .
FEES
Probate, Letters, Etc.. .. . .. .. .. .. $
Short Certificates ( )............$
Renunciation... ......... ... .... ..$
$
TOTAL $
Filed.............................................
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Thi, i~, 10 ccrtify that the information here given is correctly copied from an original ccrtifil'~!lc' of death d y filed with me as
l",ell J.kgistrar. The original certificate will be forwarded to thc Slatc Vital Rccords Officc lor penl1a!]ent i1in!
WARNING: It is illegal to duplicate this copy by photostat or photograph.
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Lllc;li Re"istral
Fee for this certificate. $6.00
SEP
1 2005
No.
Date
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H105.143 Rev, 2/87
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
TYPElPRtNT
IN
PERMANENT
BLACK INK
CERTIFICATE OF DEATH
STATE FILE NUMBER
SOCIAL SECURITY NUMBER
3. 187 16
DATE OF DEATH (Month, Day, Year)
8-31-2005
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NAME OF OECEDENT (First. Mlddle,last)
,. Robert M. Wilson
AGE (lasIBirthdey)
T
... 5.83 Yrs
COUNTY OF DEATH
ERlO~lplIl~nID
",,,0
R..~nceD
::~Iy)D
...Cumber land
DECEDENrs USUAL OCCUPATION
(~\.::ikl~fW::~o~."::';?,;:'t
AS DECEDENT EVER IN
U.S, ARMED FORCES?
vesfil NoD
12.
MARITAL STATUS. Married,
Never Maml!'d, Widowed,
OIVOfced(Specify)
".Widowed
RACE - American Indian, Blacll, White, e
(Specify)
10. White
SURVIVING SPOUSE
(lfwlle, giv<l meiden name)
PA
17e. rx::J Yes, decedent lived In
<wp.
FATHER'S NAME (Hrst, Middle, lllSt)
18. Ra nd Wilson
INFORMANTS NAME (Type/Print}
20ll.. Norma J. German
Did
decedent
17b, Count\! Cumberland :~:~~~p? 17d.D ~~hi~e;~~7tli~if~Of
MOTHER'S NAME (First. Middle, Malden Sumame)
19. Edna Martin '
INFORMANTS MAILING ADDRESS (Street, CltylTown, Stale, Zip COde)
2Ob. 1196 M erstown Rd. Gardners PA
cityJboro
23.
TIMEO~~<..::...
24. ,,\ (
17324
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DATE OF DISPOSITION
o ~~:,lh'9::6:2005
R PERSON ACTING AS SUCH LICENSE NUMBER
22b. 014819 L
TOlhebastofmyknowledge,dealhoccuITedettl1etime,datoandplacoslated
(Signatu'f'l end Tit1e)
DATE PRONOUNCED DEAD (Month. Day, Vear)
".
23b. 23c.
WAS CASE REFERRED TO A MEDICAL EXAMINER /CORONER?
26 Yes lJJ"" No 0
'Approximate PA
: interval between
: onset and death
['
WERE AUTOPSY FINDINGS
AVAilABLE PRIOR TO
COMPL~ION OF CAUSE
or DEATH?
MANNEH Of' DEATH
Natural
e-
O
o
DATE OF INJURY
(Monltl, D~~. Yell')
TIME OF INJURY
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED,
Homicirlf!
o
o
o :~CE OF INJURY
bulld,"II, ~Ic. ISpec;fy)
3"
" t-t(J i""'"
Accident
Pendingln"J/.."tigetion
YesD No
Yes 0
NoD
SuiCldf!
Could not be determined
JOb
M. 30r:
28i, 28b.
CERTiFIER (Check only one)
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>e.
.PRONOUNCING AND CERTIFYING PHYSICIAN (Physician both pronouncing death and certifying to cause of death}
To the be,,1 of my knowledge, death occurred al the IImll, dale, and place, and due 10 the e.llu!IoMl{s) e.,d rn.llnner as ..t..ted
.MEDlCAL EXAMINER/CORONER
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REGISTRAR'S SIGNATURE AND NU~ . . ~
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LAST WILL AND TESTAMENT OF
Robert M Wilson
I.
I, Robert M Wilson, residing at Gardners, Pa, being of sound mind
and in the contemplation of the certainty of death, do hereby declare
this instrument to be my last will and testament.
II.
I hereby revoke all previous wills and codicils.
III.
I direct that the disposition of my remains be as follows:
burial in pre paud plot at Cumberland Valley Memorial Gardnens
IV.
I give all the rest and residue of my estate as follows:
To my wife Pearl R Wilson: 100 per cent of my estate. If she should
precede me in death, then the residue of my estate should be divided
between my surviving grandchildren & children as designated after all
items are sold and just and final bils paid:
To grandchildren Angelia Wolfe, Renee Wise, Edward Marks, Cortney
Wilson, & Kayla Wilson: $1000 each.
To children Roberta Bell, Norma German, & Raymond Wilson: the balance
of the estate is to be divided equally.
In the event that none of my designated heirs survive me, I give all
the rest and residue of my estate to my heirs as determined by the laws
of the State of Pennsylvania, relating to descent and distribution.
V.
I appoint Norma German, to act as the executor of this will, to
serve without bond. Should Norma German be unable or unwilling to serve,
then I appoint Roberta Bell to act as the executor of this will.
I herewith affix my signature to this will on this
the J'-I~ day of ~y
at ~~
following witnesses, who witnessed and
request, and in my presence.
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, in the presence of the
subscribed this will at my
'~~1J1W~
Robert M Wilson
ATTESTATION CLAUSE
On the date above written, Robert M Wilson, well known to us declared
to us, and in our presence, that this instrument,
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consisting of ____~ pages, is his last will and testament, and Robert M
Wilson, then signed this instrument in our presence, and at Robert M
Wilson's request we now sign this will as witnesses in each other's
presence. Further that Robert M Wilson, appeared to us to be of sound
mind and lawful age, and under no undue influence.
Witness: ~' /-'_
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Ad~ress: /L(?'-f~7~~/N€- /lCT_ -ftz,IL'f'~u-S> Q (7~6S-
Witness:
Address:
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Witness:
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Address: -.fb !36'f 12? )t'Ct>+I-r;ILY; ~u-S ~(IOl.t.S-
STATE OF Pennsylvania
COUNTY OF Cumberland
Before me, the undersigned authority authorized to take
acknowledgments and administer oaths, personally appeared:
Robert M Wilson
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who after being having duly sworn or affirmed to tell the truth,
stated:
. .
1. That Robert M Wilson declared this instrument to be his last will
and testament to the witnesses.
2. That Robert M Wilson signed this instrument in their presence.
3. That the witnesses signed as witnesses in the presence of Robert M
Wilson and each other.
4. That Robert M Wilson is well known to the witnesses, and the
witnesses believe Robert M Wilson to be of lawful age, of sound mind and
under no undue i or constraint.
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My Commission Expires:
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