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