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HomeMy WebLinkAbout10-11-05 PA DEPARTME ESTATE IN ~~\ 'S~-'I:~ '0,* "" ~''J ~~ \.:\1/.::::' \~~c;;. ~ FOR REGISTER'S OFFICE USE ONLY County Code Year File Number REV-346 EX (8 ")..\ 'J.. \0 \:) S ~~S ---------. ---------. DECEDENT ======================================================== Name (Last) (First) (Middle) Salisbury Dorothy Jane Decedent's Social Security Number Date of Death Date of Birth 207 -34-5608 March 22'05 Sept.12,1924 Enter data as it will appear on all documents submitted to the department TYPE FILING: Enter check ("V) mark to indicate the nature of the return to be filed with the department. ~ Probate Return DJoint Assets only o Estate Tax Only o Litigation Purposes (No Other Assets Enter check(..J) mark to indicate the nature of the proceedings at the Register of Wills LETTERS GRANTED: Office. (Attach additional sheets if explanation is necessary.) ~ Testamentary DAdministration o No Letters o Other (Please Explain) Name (Last) Frey Street Address ATTORNEY/CORRESPONDENT INFORMATION: (First) Robert Enter all data concerning the attorney or other individual to receive all tax information and correspondence. (Middle) Supreme Court J.D. # M. #06274 5 South Hanover Street City Carlisle PERSONAL REPRESENTATIVE INFORMATION: Executor/Adm in istrator Name (Last) (First) Salisbury Christy State Zip Code Telepone Number Pennsylvania 17013 (717) 243-5838 Enter all data concerning the personal representative(s) of the estate authorized by the Register of Wills (Middle) G. Social Security Number 714-18-2211 197 Goodyear Rd. City Carlisle Co-Executor/Adm inistrator Name (Last) (First) State PA Zip Code Telepone Number 17013 (717)776-3585 (Middle) Social Security Number Street Address City State Zip Code Telepone Number Co-Executor/ Admi n istrator Name (Last) (First) (Middle) Social Security Number Street Address City State Zip Code Prepared By Robert M. Frey ~-~. PETITION FOR PROBATE and GRANT OF LETTERS Estate.of also known as Dorothy Jane Salisbury No. To: <l.\-~S-~~s Social Security No 207-34-5608 Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older and the executors named in the last will of the above decedent, dated Sept.13,1979 and codicil(s) dated N/A Decedent was domiciled at death in Cumberland the Decedent's last family or principal residence at 197 Goodyear Rd, W. Pennsboro Twp (state relevenat circumstances, e.g. renunciation, death of executor, etc.) County, Pennsylvania, with Decedent, then 80 years of age, died March 22,'05 at Carlisle Re ional 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 (list street, number and municipality) Decedent 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 CouIlty Value of real estate in PenIlsylvania situated as follows: $ unestimated $ $ $ WHEREFORE, pelitioner(s) respectfully request(s) the probate of the last will and cod;(';l(i) presented herewith ~ gr3I1l.Qf !cHefs ~nt..I':!' thereon. (testamentary; administration c.I.a.; administration d.b.n.c.t.a.) Signature(s) of Petitioner(s) Residence(s) of Petitioner(s) Ch,,,,> C. S.'"h." C;~4}J cJ d.d",,~ 197 Goodyear Rd,Carlisle PA 1703 . J ..-"'-.- /,'. ; ',-,' 61 :', Jl I i.U II ].' L,:'-,"7 ....-JJv OA TH OF PERSONAL REPRSENT A TIVE COMMONWEA TLH OF PENNSYL VANIA COUNTY OF CUMBERLAND The petitioner(s) above-named swear(s) or affirm(s) that the statement in the foregoing peition 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 dec~dent petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before me this ,,\ ....'" day of October, 2005 ~~~~~ ~'~ X'I{AM~)f ~CiLJ~ C rlsty Salisbury Y:;ister No. Estate of Dorothy Jane Salisbury Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW , 20_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 Sept.13,1979 , described therein be admitted to probated filed of record as the last will of Dorothy Jane Salisbury ; and Letters are hereby granted to Christy G. Salisbury "'''' \....\~~ \'S~"'Q.~ ~\\...L.. ~~~~~~S) <::,\:::,.....'" \~ ""~\ \, ~~ ,~ ~~ ,~<>,\), FEES ) ~x. "~-\J...~ $ j.,~ . ~ill $ Renunciation $ Short Certificates ( ) $ JCP $ "<:::I, Automation Fee $ s . Bo~ $ Total_ $ ?,S .~'" Filed , 20 Register of Wills Robert M. Frey #06274 ATTORNEY (Sup. Ct. J.D. No.) 5 South Hanover Street Carlisle, Pennsylvania 17013 ADDRESS (717) 243-5838 PHONE REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF SUBSCRIBING WITNESS Estate of DOROTHY J. SALISBURY NO. 21-05 - ~~ S Also known as .Deceased Robert M. Frey (each) a subscribing witness to the will presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that HE HER THEY WAS WERE present and saw DOROTHY J. SALISBURY, the TESTATRIX, sign the same and that HE HER THEY signed as a witness at the request of TEST A TRIX in HIS HER THEIR presence and (in the presence of each other) (in the presence of the other subscribing witness(es)). Sworn to or affirmed and subscribed before me this \ , ~'" day of October, 2005 G~~~~ Regi te~ fZ,~ In. 0-. Robert M. Frey I 5 S. Hanover Street. Carlisle PA 17013 1"'--' ~-:;) ,:} ~...J '1 ~~.'<~r~"'t> "D~~~ Depu .~,-""'l "; C) . -,-1 - (-1 .'''') _ ',:;'TI N o REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF NONSUBSCRIBING WITNESS ) r...,' "'':::; ....:_) Also known as --:1 Estate of DOROTHY J. SALISBURY No. 21-05 - ~'\ S -'. ,Deceased f:- co Robert G. Frey and Stephen D. Tiley (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that they are familiar with the signature of DOROTHY J. SALISBURY, testatrix of (one of the subscribing witnesses to) the codicil/will presented herewith and that they believe/believes the signature on the codicil/will is in the handwriting of Joan B. Fry to the best of their knowledge and belief. Sworn to or affirmed and subscribed Before me this \\ -\.\., day of of October, 2005. 5 S. Hanover Street. Carlisle PA 17013 <:;.~ ~~ 'S.~, Register ~,(l'-24 Stephen D. Tiley ~ ~ ,"'~ ""';}..:l<\ ~'<h~.. ~ ' ~:::j Deputy 5 S. Hanover Street. Carlisle P A 17013 BI05.905 REV.(OIl041 This is to certifY that this is a true copy of the record which is on file in with Acr 66, P.L. 304, approved by the General Assembly, June 29, 1953. 'J-l\, - ~ S - 'ib~S the Pennsylvania Division of Vital Records in accordance WARNING: It is illegal to duplicate this copy by photostat or photograph, ~ ~!I~ No. Charles Hardester State Registrar Calvin B. Johnson, M.D., M.P.H. Secretary of Health o {'.J ':;;1 QClr;7Q U-(v\....v(...J MAY 23 2005 Date (."-' Hl05.143Aev,2J87 COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH 027423 TYPE/PAINT IN PERMANENT BUCK INK 1. AGE (Lalli 8irthday) 80 Dorothy Jane Salisbury V~male 2. STArE FILE ~Ur.llBER SOCIAL seCURITY NUMBER ,. 207 _ 34 _5608 DECEDENT'S USUAL OCCUmlON (~':o~~ld::u:r:~,~ 11.. Cleaning Lady Hb. . DECEOENT'''f~'1' "(f~'b~~ &'r~'(f z.coo., Carlisle PA 17013 WI.S DECEDENT EYER IN U.S. AAMEO fORCES7 ....0 NollJ gr~ifylO NAME OF DECEDENT (FI". Middle, Lasr) UNDER t VEAR Monm. D.ya ... PLACE OF 0E.&rl-l (Chec~ only one .;ell ,n~fL"'hn.."'on 0Ihef <9ode) HOSPITAL Inpatielll[J: 1. e.. FACIUTV NAM#O (I! nol,nSIJIulIOfl. g1W syee1 <lmJ l1umbllri CarllSle Reqlonal Medical Center ... RACE.A~lndian, Blac;t., While. ell:, ''''\{hi te la. v~ d.l COUNTY OF [)ER'H Cumberland ... DECEOENT'S ACTUAL RESIDENCE (SeeinSlfUCllOnS on olherSldfll 17..S... PA MARITAL STATUS. lol.,.tied ,.......,MlllTled.WIdowed, Mar~i~d'pllC:lfy) 14. 17c.rn:v...dIo:adentWedin West pennsboro Sl)FIVIV1NQ SPOUSE Chri~'~sa~rsburY ". ... OOHER'S NAME (FirS!, Middle LaST) 1lb. Coo D. -- IMilna Cumber land township7 1711.0 ~:iw~aet~~~rv:of MOTHER'S N"'ft ~irt!-. ~'~~ Ma'ef leay Mowe r y ... 1"f'ljrG~&'tfy'lr,f~''''f(cf:V'''N'H.''f~'\. e city.... ~ " ~ . ~ . Edward Mowery G. Salisbury PA 17013 PLACE OF DlSPOSmOt>t. "meofC'm8lery, C'_algry Of Otht,PIKe Prospect Hill Cemetery Newville PA 21C. 21d. Blg LOCATION. CitylTOWfI, Stale. Zlo eco. 17241 Sprlng Av e DATE SIGNED (Montn_Da~.~1 ~b. 23c. WAS CASE REFERRED TO MEDICAL EXAMINEA/CQRONEA7 Yo,O No0' ~ 26. ,ApprQ...imatllil iinfervalbfltweln : Onael aMaeaIJI : PART II: Olherslgl!illcanlCOflcMlonllcomfibutinglOdellh.bul I'lOIreSUltingintn.u~Il4,*-"",,","PAffi' /J~~ l: WERE AUTOPSY FINDlt<<3S AVAlLA8LE PRIOR 10 COMPLETION OFCAUSE Of DEATH7 MANNER OF DEATl-l ~urAI EJ" u o DATE OF INJURV IMonltlDay,yearj TIME OF INJURV INJURY AT WORK? DESCAleE HOW INJURY OCCURRED Homlc~ o o U ~CE OF INJURY. Al home. fA,,:.O:;ee1. tAClorv. offic8 blJildlng...tc_ISp9Cofv) ,... V8s 0 NoD Acc~fIl Pendinglm.."ligation Couldnolbtdelflrminltd M. 301:. ....0 No c:r' Suicide .., 2.D. CERTIFIER [Chock only one) .CERTIFYING PHYSICIAN (ph~",,"n c"'-"'ymg cauSfl ot dol..'h ""'Sf' anothe' phVSIC,an hAS pronoo.,r>ee<l dearn ano comolc\e<lltem 23\ TlI the best 01 my knClWledge, de.lh QCC\lfT.-d dU"ll1 tM ".u.e('I) line! mAnner as lIaleG. . ". " ~ ~ OJ c ~ w ~ ~ 'PRONOUNClNQ AND CERTifYING PHVSICIAN (PhysO:lan Wh P'Ol1OUrIC:r"J '-'\'<I'h and Ce<1dymg 10 cause 01 deaT~) To ltle best 01 my knowllHlge, dulh occurred.t tI\e \I"..... dale. and pla"e, and dU.ICllhe cau..(ajlnd manner IS $IalH n 31b. LICENSE NU ER 121' '" C5 ~ CJL> _____ ""~;:; ) #k_.:Y5 NAME AND AOORESS OF']RSON WHO COMPLETED CAUSE OF DEATl-l (Item Z7)Type or Prtm r? [J "'....... .aD o iOlJ $". /J /"c ,;:/ 32, /1/ k c..c. (/ I L DATE FILED IMonth Day Yean \'\ \()J\( \, a't d,OOS- I "MEDICAL EXAMINER/CORONER On the b..l. lIf e....min.Uon and/or investigatIon, in my opInion, delth occurred It the lime. d.te, and plllce, and due ill the clluse(s) and 31.m.nnerasstllltd.......................................................... .. . ....... ........ -. . REGISTRAR'S SIGNATURE AND NUMBER '& ~ ." l\..!- \ ~, I ,a, \ , 01 " ....,. ~tJl\.~ ,.. J..' -~ s - "0 ~ S LAST WILL AND TESTAMENT OF DOROTHY J. SALISBURY I, DOROTHY J. SALISBURY, of West Pennsboro Township (R. D. 4, Box 395, Carlisle) 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 and making void any and all Wills by me at any time heretofore made. 1. I direct my hereinafter named Executor to pay all of my just debts and funeral expenses as soon after my death as may be found convenient to do so. 2. All the rest, residue and remainder of my Estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath to my husband, Christy G. Salisbury, his heirs and assigns, to the exclusion of my children born and unborn, provided my said husband shall ~ ~ ~~ 0<:{ ~"') ::,-h ~- ~ ~ ',..) G:~ survive me by a period of ninety (90) days. 3. Should my said husbanq, Christy G. Salisbury, pre-decease or fail to survive me by the aforesaid period of ninety (90) days, then in such event all the rest, residue and remainder of my Estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath in equal shares to my five (5) children plus my step-daughter, their heirs and assigns, the share any deceased child would have received to pass to his or her issue per, stirpes, and if there be no issue such shares shall lapse and be added to the remaining shares. My five children and step-daughter are the following: tv! a. Mrs. Mary Greak, Star Route, Box,73, Miffltijtown, Pennsylvania 17059. ',c I) b. Mrs. Betty Rhoads, R. D. 5, C't,r,liljllej,\ P~\1ri~f1~~ia 17013. u 1 . I ..~ Page 1 of 3 Pages v r c. Gary L. Salisbury, R. D. 6, Carlisle, Pennsylvania 17013. d. Kenneth C. Salisbury, R. D. 4, Newville, Pennsylvania 17241 e. Dennis L. Salisbury, R. D. 4, Box 395, Carlisle, Pennsylvania 17013. f. Mrs. Thelma Fink, R. D. 4, Carlisle, Pennsylvania 17013. 4. Should any person less than twenty-one (21) years of age be entitled to distribution from my Estate, in such event I nominate, constitute and appoint Farmers National Bank of Newville, Pennsylvania, and its successors, as Guardian of the Estate of each such person and authorize and direct it to receive and to invest the same, and to pay the income arising therefrom to- gether with so much of the principal thereof as in its opinion is necessary or desirable to be expended for the proper maintenance, support and education of such person, to or for the benefit of such person, and upon such person attaining twenty-one (21) years of age to pay to him or her the then remaining principal together with any undistributed income. 5. I hereby nominate, constitute and appoint my said husband, Christy G. Salisbury, as Executor of this my Last Will and Testament, but should he pre-decease me or fail to qualify, then in such event I nominate, constitute and a,ppoint my daughter, Mary Greak, as alternate or successor Executrix, but should she pre-decease me or fail to qualify, then in such event I nominate constitute and appoint Farmers National Bank of Newville, Pennsylvania and its successors, as alternate or successor Executor, and I further direct that none of them shall be required to post any bond to secure the faithful per- formance of his, her or its duties in the Commonwealth of Pennsylvania or in any other jurisdiction. IN 'A'ITNESS WHEREOF, I hereunto set my hand and seal to this my Last Will and Testament written on three pages this 13th day of September, 1979. 13 4t ~ O-~Vl'~ Dorot y J. Salisbury (SEAL) Page 2 of 3 Pages Signed, sealed, published, and declared by DOROTHY J. SALISBURY, the Testatrix above named, as and for her Last Will and Testament, in our presence, who, in her presence, at her request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. 1/7. . -.1, ')-, y~ , 'I rrc..- of, J ^ ~ Page 3 of 3 Pages