The URL can be used to link to this page

Home My WebLink About10-18-05 PETITION FOR PROBATE and GRANT OF LETTERS No. J. r;) t 6 :)- ~ 17 To: Register of Wills for the County of Cumberland County in the Commonwealth of Pennsylvania Estate of Donna M. Gresham Also known as , deceased Social Security No. 192-34-5628 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 June 13,2005 and codicil(s) dated Decedent was domiciled at death in Cumberland County, Pennsylvania, with her last family or principal residence at 124 Big Spring Terrace, Newville, West Pennsboro Township, Cumberland County, P A. Decedent, then 63 years of age, died October 2, 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: $20,000.00 $ $ $ WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters testamentary thereon. ~LfU J kP-cG Debra J. Keck 124 Big Spring Terrace, Newville, PA 17241 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. Sworn to or affirmed and subscribed Before me this n day of ~C, -r: ~ 20b^ '/ lJ a f CL Lt'li.-L ~.iLLv.1~ . - / Register \.pXi VI) ~J- : ~J Debra J. Keck J!.-ttU0 , ...'..1 ,9/- 2(){'S--tf/7 This is to certify that thc information herc given is correctly copicd from an original certi!icate of (C Ith du Y filcd with me as Local Registrar. Thc original certificate will bc forwardcd to thc Statc Vital Rccords Office for pcrmlllcnt :iling. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certi ficale, $6.00 .,~,,~ 1"""" ",,01 : ();~ ~~. (~ t,o' {) \,.) \\\\\II'(~(1H'Orp?;,--__~_ ,\,,,,~~;j',-",,- ~\ ~ ,-.,- t~ ~~\ ~~I <~ \~~ ~C)I ~,.; .Ih~ ~ c.,.) ,'. d " ~ ~*~L' "~,..,, .,.*~ "- <:2 ..-...-.-- / ~ ", \. ~ /~,.,- ""-~-!?I"'ENl (\{~~~I\\\\ ......"...",',///uIIlIIO" 2i:.- ~:o~~~~ No. OCT 4 2005 pate _J ) (,j.) H105.143 Rev. 2187 COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH STATE FILE NUMBER TYPElPRJNT 'N PERMANENT SLACK INK NAME OF DECEDENT (First. Middle, Last) 63 ,. COUNTY OF DEATH v" SEX SOCIAL SECURITY NUMBER 2. Female 3. 192 34 - 5628 BIRTHPLACE (City and PLA OF EATH Ch Stale 01" Foreign Country) HOSPITAL: Car1isle,PA 'OD""..[XI 1. 8a. FACILITY NAME (If nol instllutioo, give street and number) DATE OF DEATH (Month, Day, Year) Oct. 2, 2005 ~/ . Bb. CUmber land DECEDENT'S USUAL OCCUPATION (~Iv~~Ir;~~;,:~;:g)lIt R_dence 0 g~~l 0 RACE ~ American Indian, Black, White, at (Specify) 10. Whi te SURVIVING SPOUSE {lfwlfll.give makllln nama) twp, citylboro. PA 17241 ~ ::> '" < ::; < \.. r:n~ ."....,. r-> . n l;f/ii -:l r/; ~e QLl-. "); _/I<( ,1(~.uI'(...... 23b. 23c. WAS CASE REFERRED TO A MEDICAL EXAMINER /CORONER? 26. Yes 0 No ll:J-..--"' 'Approximate PART II: Other sIgnificant conditions contributing (0 death, bul : interval between nol resulting in the undertylng cause given In PART l. : onset and death DUE TO (OR AS A CONSEQUENCE Of), Sequentially list conditions {e b.' if any. leading to rnmediate cause. Enter UNDERL VING CAUSE (DIsease or injury thai initiated events resulting on deal~ ) LAST d. WAS AN AUTOPSY WERE AUTOPSY FINDINGS PERFORMED? AVAILABLE PRIOR TO COMPLETION OF CAUSE OF DEATH? DUE TO (OR AS A CONSEQUENCE OF): DUE TO (OR AS A CONSEQUENCE OF) MANNER OF DEATH Natural ~ Homldde DATE OF INJURY (Month. Day, Yllsr) TIME OF INJURY INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED. Yes 0 No NoD Accident Suicide o o Pending investigation Could not be determined o o Ve.O No 0 30a. 30b. M. 30c. o PLACE OF INJURY At home, farm. street, factory, office bullding.lltc_ (SplICify) 30e. ;)1'<,., 288. 28b. CERTIFIER (Check only one) *!f~~~~:tGor::'~~;=eWghr~rhC~~~j~i~':iuJ>: tc:J fhe:~8,;::~:~(:r~~jrJ=x~~~a~ h:t~re~~~~:~.~ ,~~~~~..~~~ .~?.'~~~:~~.~ ,I~~~.~~~.. 29. >- Z LU " LU U LU " "- o LU ::;: < Z *PRONOUNCING AND CERTIFYING PHYSICIAN (Physician both pronouncing death and certifying to cause of death) To the beat of my knowtedge, death occurred at the tIme, dale, and place, and due to the causes(s) and manner as stated... *MEDICAl EXAMINER/CORONER On the baals of examination and/or Investigation, In my opinion, death occurred at the tIme, date, and place, and due to Ihe causesls) and manner as slated........,.. .......,.... ..-....,...................... ,......... -.................................... .-..... .....,........,..........................,........ 0 318. REGISTRAR'S SIGNATURE AND NUMBER ~.~~~ b.,IIb{ (101 34. No. dl-~6/)~-q/7 Estate of Donna M. Gresham, Deceased DEGREE OF PROBATE AND GRANT OF LETTERS AND NOW, October 11,2005, 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 June 13,2005 described therein be admitted to probate and filed of record as the last will of Donna M. Gresham and Letters Testamentary are hereby granted to Debra 1. Keck. ~k ~M-I C);kJ)it~ t. ~ Register of Wills ~/IJ/J(Lr ~ FEES $ j" {) . (,Iv Probate, Letters, Etc............. III Short Certificate~ ~)............$ 11.-6)) Renuaeiatffln..~ '.1.1..............$ 1 S~. 01) . J ( ~t !\vii> $ l {":{fl) TOTAL $ {O'J.-OV Filed... .OcJ-.. .i.f,.2?J.(g:................... E; J ; i ,_'..1 --. , LAST WILL AND TEST AMENT OF DONNA M. GRESHAM I, DONNA M. GRESHAM, of West Penn Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking all other wills and codicils heretofore made by me. FIRST: I direct that all my just debts and funeral expenses, including my grave marker, shall be paid from the assets of my estate as soon as practicable after my decease. SECO ND: I direct my hereinafter named Executor to sell all of my property and I give, devise and bequeath the residue of my estate, of every nature and wherever situate, to my children, equally, living at the time of my death, namely, DEBRA J. KECK, JERRY L. ANDERSON, DALE E. ANDERSON, and CHRIS M. ANDERSON. THIRD: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. FOURTH: I nominate, constitute and appoint my daughter, DEBRA J. KECK, Executrix ofthis my Last Will and Testament. Should DEBRA J. KECK, fail to qualify or cease to act as Executrix, I appoint my son, JERRY L. ANDERSON, Executor of this my Last Will and Testament. FIFTH: I direct my Executrix and his successors shall not be required to give bond for the faithful performance of their duties in this or any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, consisting of one (1) typewritten pages, each identified by my signature, this I 3 day of June 2005. CL ?!4 ..~~ Donna M. GreslIam (SEAL) OJ , 0 j -, ~~~,,) ~ " Signed, sealed, published and declared by the above-named Testatrix, Donna M. Gresham, as and for her Last Will and Testament, in the presence of us, who, at her request, in her sight and presence, and in the sight and presence of each other, have hereunto subscribed our names as witnesses. COMMONWEALTH OF PENNSYLVANIA ) : SS. COUNTY OF CUMBERLAND ) I, DONNA M. GRESHAM, Testatrix, 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; 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 Donna M. Gresham, the Testatrix, this I ~ day of June 2005. - NOTARIAL SEAL SHELLY SEXTON, Notary Public Carlisle Boro, Cumberland County My Commission Expires April 26, 2007 (SEAL) " AFFIDA VIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND We, RONALD E. JOHNSON and W. , the witnesses whose names are signed to the attached or foregoin instrument, being duly qualified according to law, do depose and say that we were present and saw Testatrix sign and execute the instrument as her Last Will and Testament; that Donna M. Gresham, signed willingly and that she executed it as her free and voluntary act for the purpose therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the best of our knowledge the Testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. or aff~e to and subscribed to before me by RONALD E. JOHNSON an ~"" or 't":' , witnesses, this l da f June 2005. NOTARIAL SEAL SHELLY SEXTON, Notary Public Carlisle Boro, Cumberland County My Commission Expires April 26, 2007 (SEAL) (SEAL) Notary Public