HomeMy WebLinkAbout10-03-05
PETITION FOR PROBATE and GRANT OF LETTERS
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Estate of Marlin J. Conrad
also known as
No.
To:
Register of Wills for the
County of Cumber] and in the
Commonwealth of Pennsylvania
Deceased.
Social Security No.
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older an the execut or
in the last will of the above decedent, dated September 25
and codicil(s) dated nnnp
named
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(state relevanl l'ircllmstanccs, e.g. renunciation, death of executor, etc.)
Decendent was domiciled at death in Cumberland County, Pennsylvania, with
h. i. S last family or principal residence at J 700 fY1 f} r<.1t f, i <:7
'f..iiJ21...f! j-1Lt... I... I f' A /70/ /
(list street, number and muncipality)
Dccendent, then 90 ears of age, died .S fUJ.Z ;}..O.d ,~~OO s-:
at 0 .." H ~ L I 70 II
Except as follows, decedent did not marr ,was not divorced a d 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:
Decendent at death owned property with estimated values as follows:
(If domiciled in Pa.) 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: f/./ nn/ r:
$
$
$
$
b d. ,()OO, 1f3
,
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters TilstamilIl.t:iry
(testamentary; administration c.La.; administration d.b.n.c.t.a.)
theron.
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Brian P. Conrad
2111 Millersville P]ke
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA } ss
COUNTY OF
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 represen-
tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law.
'7 V'.vu-. ~ f? ~,,<A.L2
Sworn to or affi.rm~d and subscribed {
before me this ~ " day of
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No. "). \ . ~ S - ~~\ ~
Estate of
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, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW ~ ~. ~ , -:L1\:l~ c:, ~, 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...S, ,,~~'\
described therein be admitted to probate and filed of record as the last will of
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and Letters ,x~ \\V\X~\ ~~"
are hereby granted to ~ ~ \ ~ ~ ". ~ ~ ~ Q.. ~ \)
FEES
Probate, Letters, Etc. ......... $ \~ S
Short Certificates(S) . .... . .... $ ";)..~
ReRHRsiatieft . .~.\~~ . . . . . . . .. $ "5 -
~~ '\'" ~'-l..'"\":\. <:;........ $ \S
TOTAL _ $ \~S.
Filed .... .':~.: 1-.: .~.~........... .......
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[~ _ Register of Wills ~'. ....I:.~~~
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Terrence J. Kerwin, Esquire
. ATIORNEY (S!'p. Cr. 1.0. No.XIDtI29922)
Kerwln and KerWln
27 North Front Street, Harrisburg, PA 17101
ADDRESS
(717) 238-4765
PHONE
111"""'"'\ ,,< "::1..' .~S. ~'1%
This is to certify that the information here given is correctly copied from an original certificate of death ,uly' filed with
Local Registrar. The original certificate will be forwarded to the Stale Vital Records Ottlce In perm, nen' tilIng,
me as
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No,
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Fee for this certificate. $6.00
Local Rl t!istrar
p _ __ :L 1, '!~ C} ~J :iJ~ fJ
SF~2 3 Z005
Date
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1 Re\l.2/B7
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
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NAME OF DECEDENT (Firs:. Middle. Last) SEX I SOCIAL SECURI TY NUMBER I DATE OF DEATH (Month. Day, Year)
" Marlin J. Conrad 2, male 3. 204 - 28 - 1932 4. September 20, 2005
AGE (Last Birthday) UNDER 1 YEAR UNDER 1 DAY I DATE OF BIRTH ,I ~ BIRTHPLACE py ood PLACE OF DEATH (Check onlv one. see instructions on other side)
Months I Days Hours I Minutes ~~ (Month. Day, Year7 Slale or Foreign Country) HOSP!TAL I OTHER:
90 y" eceMel 1 ,New CUjI{berland, '''Ipa~entD ERlOutll8~lent 0 DOA 0 NlJfsin" [] ResidfmceD ~~::~) 0
5. 6. 1 7. P B.. Hom@
COUNTY OF DEATH CITY, BORa, TWP OF DEATH I,FAC'"TY NAME (If oot Ioomutioo. ,we ,'mel aod "moo,) I~AS DECEDENT OF HISPANIC ORIGIN? I~CE~ Ame"",o lodlao. BI"'. Wtille."
. Cumberland Camp Hill Manor Care No r3l Yes Q If yes, specify Cuban, (SpecIfy) hi
I ~exlcan, Pue 0 Rican, etc. W t e
Bb. Bc. Bd. 10.
DECEDENTS USUAL OCCUPATION KIND Of BUSINESS I INDUSTRY ""'AS DECEDENT EVER I!'-! DECEDENTS EDUCATION MAR!TAL STATUS - Married, 115 SURVIVING SPOUSE
(~~v:D~i~;1;:~~:>~~"~ri~~r";dt : I,"" MMEO FO'CES' ~~pef'j!"(,,'ly~j!,)he"l;rl'l(IlC'~~~ ~~t1ve' Married, 'Ni:lo....ad. dfwil",g;'@m~idenname)
Federal Government Yes@ NoD l::lement;-~,eg@ DlvorcP.(l (Specify)
11a. Letter Carrier 11b. '2. 13.12 ',0_12) 1 (~-4or5+1 14. widowed
DECEDENrs MAILING ADDRESS (Street. Cityffown, State, Zip Code) DECEDENrS 17a. State Pennsylvania LJirl 17e. 0 Yes, d3cedentlived in
ACTUAL Iwp
1700 Market Street RESIDENCE decedent
(SeeinstllJclions iivein a 17d.1RI No, deceCf;nt lived
16. Camp Hill, PA 17011 on other side) 17b. Gount\' Cumb"rland townst>ip? within actual limits of Camp Hill cityfboro
FATHER'S NAME (First. Middle, LAst) MOTHEH'S "lAME (First Middle, Maiden SumamF!)
18. H"rrv Conrad 19. Mazie Deckman
IJ\;FORMANTS NAME (Type/Print) 1~IF)RMANrs MAILINe. ADDRESS (Street, CityfTown, State, Zip ern,e)
lOa. Brian P. Conrad 20b. 2111 Millersville Pike Lancaster, PA 17603
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METHOD OF DISPOSITION LlATE OF D1SPQSiTIQN PLACE OF DISPOSITIOfJ~ 'lame of Ceme'e~. Ccem"D~ I lOCATION ~ CltylTowo. Sta". ZipGode
. Surial fZ] Crema.tion Ue'110valfrolTl State 0 o ~~:?:Pt;6ber 16) 2005 or Other Place
DonationD ",Resurrection Cem~tery Nd Hanover Twp.. PA 17112
21a. Other (Specify)
SIGNA ruRE.qr~(, S~ LICENSEE I')R PERSON ACTING AS SUCH .1 L1CEi-,lSE NUMAER I~AMEAND,ll.DDRESSOFFACiLITY Partn~more FH & CS, Inc.
22a. ., 22b. FD OJ 2 848 L 12c. P.O. Box 431. New Cumberland. PA 17070-0431
Complete il~~38'Y:: only when certifying To the be<il of my k~owledge, death occurred at t~H time-, date nnd p~~ LICENSE NUMBER I DATE SIGNED
physician is no! available A! time of death to (Signature and -r;ttel tL.. ~ /o~ (Mont~~ Day, Year) ___
certify cause ofdeelt1 23a. L_- ___.Lv..., 23b. d -;J-I 2-,..' L- 23e. '1- 2-2._0::. J
Items 24-26 must be completed by TIME OF DEATH .1 DATE P~ONO~NCED DEAl) (~o~th;..Day, Year) WAS CASE REFERRED TO A MEDICAL EXAMINER ICORONER?
person who pronounces death "'loS V" 0 No~
24. PM 25. c)q)t. 20, '2..GW 26.
27. PART I; Ent.., tile dinu"I,lnJuri... or compllcatlonl which c3lJud Ih~ dll3th, Donot "Herth. mod. olctylng, lueh al cllrdlllt or r.."pl....toryart..l,"ho ckorll,""rlfal!ure : Approximate PART]]: Other significant conditions contributing to death, but
List o~ly ontl cauII on each line , interval between not resulting in the underlying cause given in PART I.
IMMEDIATE CAUSE (Final : onset and dMth
disease or condition a S~h'5 'l.f,-" ), ..( 51. AL, I jJl).<-~
resulting In death)---+- aUF TO (OR AS A CONSEQUCCE OF) I
Sequentially list conditions F (~/r:I,-f.,J J..1.j-",-.,,"iI'"~ !for '1-.,.1 /0 d"" /I.?'I'M C.ot.., ~ CZ,Lo, ~
if any, leading to immediate DUE TO (OR AS A CONSEQUFNCE OF) C /.,~.~ C~(-h~fL,~,
cause. Enter UNDERLYING f7~ C['"Tt--....?.:..t--~ ~.~ r.'(H.
CAUSE (DiseAse or injury DUE TO (OR AS A CONSEQUENCE OF) ,
that initiated events
resulting on death) LAST d.
WAS AN AUTOPSY WERE AUTOPSY FINDINGS MANNER OF DEATH DATE OF INJURY TIME OF INJURY INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED.
PERFORMED? AVAILABLE PRIOR TO [!g (Month, DIY, Yell;
COMPLETION OF CAUSE Natural Homicide 0
OF DEATH? 0 0 Yes 0 NuO
Accident Pending Investigation
Yes 0 No I6l Yes 0 NOO 0 0 30a. __~_ M 30c JOd.
SuiCide Could not be detem;ined PLACE OF INJ~RY - At home, farm, street, laclory, office I LOCATION (Street, CilyfTown, State)
288. 2Bb 129. bu;ldinQ, e,~, (Spe<;,ly)
30e. 30f.
CERTIFIER (Check only one) SIGNATURE AND TITLE OF C,EZR -----
"~~~~~F:~~IGOr~~~~~~Jfg~~~:rh C~~~~~~JBdu~: t':J (he:~a~~:~{:)~~3~~x~i;~a~s h:t~f~l~U~,c2,~ .~~~:~.~~~ .~~.~~~~:::: .i~~~ .::.), dddd gJ 31b. ~'f>rt..,.1 C ~ 'h--rLJ.
-PRONOUNCING AND CERTIFYING PHYSICIAN (Phtsiciall both pronouncing death and certifying to cause of death) LICENSE NUM8'ER I DATF. SIGNED (Month, Day, Year)
To the best of my knOWledge, deeth occurred at thetlme, date, and place, and due to the causes(s) and manner as stated"........ ....d .d.O 31c. {):J-,:>?-' L- 31d. 9~ 2.1.. C :s-
NAME AND ADDRESS OF PERSON WHO COMPLETED CAUSE OF DEATH
"MEDICAL EXAMINER/CORONER (ltern 27) ~pe or Print G-;::;;A rtI.l7a.AI />:L.f)
On the basis of examInation and/or Investigation, in my opInion, death occurred at the time, date. and place, and due to tho causes(s) and "''/M<,vJ> C
manner as stated ....... .............. ..... ............................. ........".. d. ......... ........." 0 131 5f.4h ,;:";' Ih,,0J h~") p: /!ft.li
310 32.
133 REGISTRAR'S SIGNATURE AND NUMBER ~I/I "'I / I" I OATE FILE:.i:th. Day, Year)
t2vn_l? 1~A-L -U 34. ~'A",t. ..:? ~ d EJ/J ~-
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STATE FILE NUM8ER
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LAST WILL AND TESTAMENT
OF
MARLIN J. CONRAD
I~ MARLIN J. CONRAD~ of 2200 North Fifth Street, Harrisburg,
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 Wills by me at any time heretofore made.
ITEM I - I hereby direct my Executor to pay my just debts,
funeral expenses, estate and inheritance taxes as soon after my death
as may be found convenient.
ITEM II - I give, devise and bequeath my entire estate unto my
wife, MARY ANN CONRAD, if she survives me by sixty (60) days.
ITEM III - If my wife does not so survive me, I give, devise and
bequeath my entire estate as follows:
A. Five Thousand Dollars ($5,000.00) to THE CATHOLIC DIOCESE
OF HARRISBURG, for use in aiding seminarians in the
preparation for the priesthood;
B. The balance of my estate in equal shares to THOMAS J.
CONRAD, of 202 Rue Carroll, Slidell, LA, 70461; REVEREND
BRIAN P. CONRAD, of 3609 Simpson Ferry Road, Camp Hill, PA,
17011; and SISTER ANN PATRICK (Mary Patricia Conrad), of
11405 Encore Drive, Silver Spring, MD, 20901.
ATTORNEYS AT LAW
CLECKNER a FEAREN
HARRISBURG, PENNSYLVANIA
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ITEM IV - In the event that Thomas J. Conrad fails to survive
me, the share of my estate to which he would be entitled shall go to
his issue by representation, and if he dies without issue who survive
me, his share of my estate shall be added to the shares of my other
children. If either the Reverend P. Conrad or Sister Ann Patrick
fails to survive me, the share of such deceased child shall be added
to the shares of my other children hereunder.
ITEM V - I hereby appoint REVEREND BRIAN P. CONRAD as Executor
of my estate, and if he is dead or unable to serve, I appoint SISTER
ANN PATRICK as Executrix of my estate.
IN WITNESS WHEREOF, I have hereunto set my
Last Will and Testament, this (;(1)'-/-1--. day of
hand and seal to this
my
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MARLIN JkJ CONRAD
(SEAL)
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Signed, seal, published and declared by the above Testator,
MARLIN J. CONRAD, as and for his Last Will and Testament in our
presense, who, at his request, in his presence and in the presence of
CLECKNER a FEAREN
ATTORNEYS AT LAW
HARRISBURG, PENNSYLVANIA
each other, we believing him to be of sound mind and memory have
hereunto subscribed our names as witnesses.
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CLECKNER a FEAREN
ATTORNEYS AT LAW
HARRISBURG. PENNSYLVANIA
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COMMONWEALTH OF PENNSYLVANIA
SS:
COUNTY OF DAUPHIN
We, MARLIN J. CONRAD, Testator,
::J C" A- 10 1-""20 1.) A r<> G/4
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, witnesses,
Frunc ~
and
respectively,
whose names are signed to the attached or foregoing instrument,
being first duly sworn, do hereby declare to the undersigned
authority that the Testator signed and executed the instrument as
his Last Will and Testament and that he had signed willingly, and
that he executed it as his free and voluntary act for the purposes
therein expressed, and that each of the witnesses, in the presence
and hearing of the Testator, signed the Will as witnesses and that
to the best of their knowledge, the Testator was at that time
eighteen (18) years of age or older, of sound mind and under no
constraint or undue influence.
'74' i, (I /1 /
11/!2/!{uI j {h~tfI
MARLIN J .)CONRAD - Testator
Subscribed, sworn to
CONRAD, the Testator, and
P1a ~ j) t- reI n~ E:'~
witness-'es, this ~.s-~
ledged before me by MARLIN J.
subscribed and sworn to before me by
and S EA,J -p 2otJ~(c.r+
day of Se('1~/'IIhCR- , 1989.
,
CLECKNEN a FEAREN
ATTORNeyS AT LAW
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HARRISBURG, PENNSYLVANIA
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