Loading...
HomeMy WebLinkAbout10-04-05 PETITION FOR PROBATE and GRANT OF LETTERS Estate of Reainald L. Crusev No. ).../ - ,7 iJ () ~ - rf / also known as To: , Deceased. Register of Wills for the County of Cumberland Commonwealth of Pennsylvania in the Social Security No. 195269026 The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older and the e~t rix in the last will of the above decedent, dated L t:"""(' e,,,,, ~r' and codicil(s) dated None /991.( named dB, (stale relevant circumstances, e.g, renunciation, death of executor, etc,) Decedent was domiciled at death in Cumberland County, Pennsylvania, with h is last family or principal residence at 196 Rehobeth Road Shiooensbura' PA 17257 (list street, number and municipality) Decedent, then 78 years of age, died 9/18/05 at 196 Rehobeth Road. South Newton Townshio. Cumberland County 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: None Decedent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ 225.000.00 (Ifnot domiciled in Pa.) Personal property in Pennsylvania $ (Ifnot domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ situated as follows: WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant ofIetters testamentary thereon. (testamentary; administration c.I.a.; administration d.b.n.c.t.a.) ~ $ ... ... c ... -0 -Vi ..- ... ~ <.:'1::' ... -0 C li.g ~.- ~~ ~..... B 0 '" a Vi c~~v,' Evelyn Cr sey ~/t.- a PA 17257 196 Rehobeth Road Shiooensburg ,...) (~'-" OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYL VANIA} 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 ofpetitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and ~IY aq,m.. ;.;"" ~"" to law. Sworn to or affirmew d sub scribed. {E~. ~ before me thIS " 4 day ttf October. 2005 Nttr ta..w f Ul (J(l ftiA.KtA , {J...)J I Regist ~vln a. c" 0<;' is " ~ ~ J.., ....,.~. u OJ \...... __J No. ;;.. /- ~ 00 r;;. - 9<[ J Estate of Reainald L. Crusev , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW October 4 .2005 ,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)~ (" (' \f\I' '-r<..s 38. I c; 9 L/ described therein be admitted to probate and filed of record as the last will of Reain~ld L. Crus'v and Letters Testamentarv are hereby granted to Evelyn Crusey ATIORNEY (SU\). Cl. LD. No.) 49 West Orange Street Shiooensbura FEES Probate, Letters, Etc.. . . . . . . . $ 3lQ. 00 Short Certificates (<3 } . . . . . . $ I Z. (JO R€lHHHGiatign .~(t-4-. . . . . . . . $ 15. DO .JtP'i--/t-f. $ IS .(rV TOTAL _ $ '2>?Z{m Filed. . . . . . . . . . . . . . . . . . . . . . . . ~wdllliU~'1 d~ .. Register of Wi Is .. (lUtr H. Anthony Adams 25502 PA 17257 ADDRESS 717-532-3270 PHONE c_~ ''''J Co) ( .. ~~t"J 'J 1-;1. (,.'(.>5"- ';} ~j Thi. i~, 10 certifv that the information here given is correctly copied from an original certificate oj dt,ath d\lI~' filed with me as luctl Registrar~ The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. 11338281 No. Fee for this certificate. 56.00 p ~(7~ 2p~,r Date (.oj l ( L._ I.H105.'43 Rev. 21S7 COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH STATE FILE-NUMBER TYPE/PRlN.T~ IN LJ_ PERMANENI' BLACK flll: c~ SEX SOCIAL SECURITY NUMBER u: 5. COUN 2 Male 3. 195 - 26 P ACE OF DEATH eh ck nl n".5 ,"OSPITAL Inp.\iclnID ERIOu\pAIie"1 0 OOA 0 ... FACILITY NAME (If nollnsUlution, give street and number) ~;:~Iy) 0 RACE. American Indian. Black. White. el . (Specify) ~\ 8b. Cumberland DECEDENT'S USUAL OCCUPATION 17b. County Did decedent Cumberland ~:~~P? 17d,D ~~h~e:~:n'~i~Of MOTHER'S NAME (Finit, Middlv, Maiden Surname) 111, Mar Ful ton INFORMANT'S MAILING ADDRESS (Street, Cltyrrown, State, Zip Code) 20b.196 Rehobeth Rd., Shippensburg, PA 17257 PLACE OF DISPOSITION- Name of Cemetery, Crematory LOCATION - Cilyrrown, SIal"" Zip Code or Other Place South Newton Township 21e. 21d. Cumberland Count PA MARITAL STATUS - MalTied, Never Married, Widowed, Oivurced(Specify) 14. Married 15_ Evel n Guerrisi 17c. rm Yes. decedenllived in South 'Newton Township White SURVIVING SPOUSE (lIwilft.lI......mMidftfl""me) 17257 DECEDENT'S ACTUAL RESIDENCE (See Instructions on other side) twp. citylboro ~ . 22, 2005 LICENSE NUMBER "..FD 0 11776 L Inc. FA 17257 ~ ~ < 23b. 23e. WAS CASE REFERRED TO A MEDICAL EXAMINER ICORONE~ ______ 26. YesD No~ : Approximate PART II; Other significant conditions contributing to death, bul . inlelVal between not resulting in the under1ying clIuse given in PART I : oO!;eI and dealh L DUE TO (00 AS A CONSi::OUENCE OF)' WERE AUTOPSY FINDINGS MANNER OF DEATH AVA!LABLE PRIOR TO Ef D COMPLETION OF CAUSE Naluml Homicide OF DEATH? D D AccidE!nl Pending InvesligllliOll Yes 0 No YlISO NoD Suicide 0 Could not be detennlncd D DATE OF INJURY (Mofllll,LJDy, Y&Ilr) TIME OF INJURY INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED, 281, 28b. CERTIFIER (Check only one) "f~~.uF~~IGJ'~~~I;~~~eW;:.s~~rh~~~~:i~J':t~: Ie:: f~:~a~~:~j:)~~3~~~~~i1~, h:I~r.,ra.~~~~~.~.~~~:~..~~~ .~~~~~~~.~.i:~~?~.~.. ". Ye5D NoD 301. 30b, M 30e. PLACE OF INJURY - Al home, farm, 5\reel, flilCtary, office builclmg,ftlc_(Spftcdy) 30e. I~/I 2.11 rl 0, 0- m '" w () ". " u. o w " < z "PRONOUNCING AND CERTIFYING PHYSICIAN (Physician both pronouncing 'death and certifying to CllU!>e or dellth) To the belt of my knowledge, death occuned lit the lime, dllte, IInd place, and due to the cauaea(a) and manner SI 'lilted, "MEDICAL EXAMINER/CORONER ~:~~:rb::~~fe~~~~~~~I~~..~ndlor InveeUgstlon, In my oPln~:.~:.~.~~~.~~~.~~~.~..~.~~~.~I.~~:.~,~~~:.~~~.~~~.~~:,~~~ dUll 10 thlll:IIU>>IlB(5) and D 318. REGISTRAR'S SIGNATURE AND NUMBER FA 17257 " . , - , LAST WILL AND TESTAMENT I, REGINALD L. CRUSEY, being of sound mind, memory and understanding, do make, publish and declare this my Last will and Testament, hereby revoking all prior wills and codicils made at any time before by me. FIRST: I direct that all my funeral expenses and just debts be paid as soon as practical after my death. SECOND: I give, devise and bequeath all my property, be it real, mixed or personal, to my wife, Evelyn Crusey. THIRD: If my wife should predecease me or if we should die in a common disaster, then in either of those said events, I give and bequeath the land at Big Pond, being two (2) acres more or less, together with the house and garage thereon, to my son, David B. Crusey. FOURTH: If my wife should predecease me or if we should die in a common disaster, then in either of those said events,.1 give and bequeath my interest in the one hundred (100) acres of mount~+n , land which I own together with Fred Rosenberry, et ux, to Reginald L. Crusey, Jr., I give, devise and bequeath to Reginald L. Crusey, Jr., two (2) acres of land, being the two acres of land which he had surveyed from my lands that were not conveyed to him. FIFTH: If my wife should predecease me or if we should die in a common disaster, then in either of those said events, I give, devise and bequeath the rest and residue of my estate be it real, mixed or personal, whatsoever or wherever situate to my children, Mary Ann Hershey, Frank W. Crusey, Daniel L. Crusey, Reginald L. ," Crusey, Jr. and David B. Crusey, in equal shares, share and share alike, per stirpes. SIXTH: I nominate, constitute and appoint, Evelyn Crusey, to be the Executrix of this, my Last will and Testament. I f she should fail to serve or be unable to serve, then in either of those said events, I nominate and appoint, Mary Ann Hershey and Reginald L. Crusey, Jr., as the Executors of this my Last will and Testament. IN WITNESS WHEREOF, I, REGINALD L. CRUSEY, to this my Last will and Testament, lliQQpytw set my hand and seal, this ;?tJh day of , 1994. ~/~ R inald L. Crusey (SEAL) swor~ to and subscribed, declared and ~ ~~ publlshed by REGINALD L. CRUSEY, as ~' ) his Last will and Testament, and so', =- done in the presence of we the " J wi tnesses, who sign at his request, // C) _ and in his presence, and in the /' , ,,' / ' presence of each other. ;:14.<tA nL/ -tit",,,. (IL'4_'~ COMMONWEALTH OF PENNSYLVANIA: :SS COUNTY OF CUMBERLAND I, REGINALD L. CRUSEY, whose name is signed to the 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 purpose therein expressed. '~ LJ /J / . ~~ - ? L-v~'u-- ~inal L. crusq Sworn to and acknowledged, before me, by REGINALD L. CRUSEl1 the Testator, th~ ...(J't~ day of Q82.,Y\J.,OI) ~UanALll1tV V ~-~~ Nc\t:ary Publ~c , 1994. COMMONWEALTH OF PENNSYLVANIA: :SS NOYARIAL SEAL Df.;\~J~j MARIE SHOOP. Notary Public Shippansburg. Cumb~rland County, ,Pf" I My Commission Expl:.?S Fet::.~:::::'.J COUNTY OF CUMBERLAND We, H. Anthony Adams and Sharon Coleman Adams, the witnesses whose names are signed to the foregoing instrument, being duly qualified according to law, do depose and say that we saw the Testator sign and execute the instrument as his Last will and Testament; that he signed willingly and that he executed it as his 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 and the Testator was at the time at least eighteen (18) or more years of age and of sound mind and under no constraint or undue influence. // Sharon Coleman Adams ~- Sworn to and subscribed before me by, H. Anthony Adams and Sharon Coleman Adams, thwitnesses, this 6J~)day of f)p(io/R'.b?A , 1994. NOTARIAL SEAL DAWN MARIE SHOOP. Notary Public Shippansburg, Cumberland County, PA My Commission Expires Feb. 5,1996 (fl jij I ~ I Ol li \:' }> ~ ~ "U III -l ::>0 :::; 1'1 ~ -l Z fR ~ :;J Z ;>; 0 --l - Ul Z ::0 H ~ ~ lJ1 OJ <> Z I ~ ~ c U> 1'1 0 W ::0 ~ -< Z m ~ '" G1 ~ }> -< ~ Ei " - ~ ~ O"U~-l> L' }> u> \:" 0 0' ....t::r' :;J ~ :: )> (') . ~ rn ~ ~ :;0 c: " :P (Jl en ~ ~ :4 ~+ ~ ~ .