HomeMy WebLinkAbout10-14-05
-
. CUMBERLANll. .
Register of Wills of L,;ounty, Pennsylvania
PETITION FOR GRANT OF LETTERS
Estate of
Frances M. Lundgren
No.
"l.' - ~ S - ~ ~',
also known as
, Deceased
Social Security NO. 149-05-0549
Pelitil)(IIlI",J. whoi.l.fe 1B veillt. 01-08 01 oIdflt, app1vfiftjlor:
(COMPLETE "A" OR "B" BELOW:)
r:.
A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut rix named in the Last Will of the
Decedent, dated SePtember 10, 1990 and codicil(s) dated
Sta18 relevant clrCUrTmllnces. e.g., renuncialiOf1. death of IlxecutOl, ele
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documants offered
for probate: was not the victim of a killing and Was never adjudicated incompetent:
[J
B. Grant of Letters of Administration
fO,f..., d.b.Il.(:.l.II.; per'iC~cnte lite; dWlI'nuI IIbaenlill; du...mu millOrit8tll)
Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the fOllOWing spouse
(if anyl and heirs:
Name
Relationship
Residence
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal
residence at Manor Care, 1700 Market Street, Borough 0 f Camp Hill, Cumber land Co., PA 17011
IHsl 'Ifreer, 'lUmblll and murncip8litVI
Decedent. then 91
years of age, died August 23,
, 20~, at Holy Spirit HoSpital
Camp Hill;'ocofloA!
Decedent at death owned property with estimated values as follows:
(If domiciled in PAl All personal property ........................ $ 65 , 000.00
(If not domiciled in PAl Personal property in Pennsylvania. . . . . . . . . . . . . . . . . $
(If not domiciled in PAl Personal property in County. . . . . . . . . . . . . . . . . . . . . . . . . . $
Value of real estate in Pennsylvania ............................................... $
Total. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 65.000.00
Real Estate situated as follows:
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of letters in the
appropriate form to the undersigned:
Typed or printed name and residence
Mary 1. Davis
2429 Jericho Drive
717-652-1544
RW-7
Oath of Personal Representative
Commonwealth of Pennsylvania
County of
The Petitioner(s) above-named swear(s) and 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 Decedent,
Petitioner(s) will well and truly administer the estate according to law.
J--. ~ t
Sworn to and affirmed and subscribed )( / /1/U~ . . ,- .~
(J
\ ''-\ -'r \.,
day of
before me this
<::)"-'<,<::I~~~ 20~S
c:.,~ ~~ ~~~,
~~,''<..~,~:~<>''\:)~
DECREE OF REGISTER
Estate of
Frances M. Lundgren
Deceased
No.
":l.\-~S-"\J\
also known as
Social Security No: 149-05-0549
Date of Death: August 23, 2005
AND NOW, ~~-\ \\.1, 20~, in consideration of the Petition
on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Lette~ Testamentary 0 of Administration
(C.t,A.; d.Ll.n.n.t.; pendente hte; dutllntl! aOllenti,,; dWAnlt! minoriUIIl.!J
are hereby granted to
~~Q..'\ L. ~~~,~
in the above estate and that the instrument(s), if any. dated Q, - ,,~ - '''''~ \:j
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
FEES
Letters........................... $ ,,~S
~~'>. ~~ ~
Registe. of Will. .'
q.~~\~~~ ~~
~
Short Certificate(s). ..~.... $ ~
Renunciation.................. $
Affidavit ( )................. $
Extra Pages ( )............ $
C....oetetL . ~.\ I,l,... .. .. .. .. . .. .. $ \ S
JCP Fee........................ $ \~
Inventory & Tax Forms... $
Other....~~....~.~~........ $ S
Attorney:
1.0. No:
Address:
TOTAL................ $
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109 Locust Street
Harrisburg, PA 17101
Telephone: 717-712-1488
DATE FILED:
RW-7a
'J.. " - ~ s - "=\~"
Thi, i,; 10 certify that the information here given is correctly copicd from an original ccrtificall' of dcath dt;ly filed with me as
toe,1i Registrar. The original certificate will be forwarded to thc Statc Vital Rccords Officc 1'0' pcrmancnt filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $1i.OO
11GE;~106S
No.
~J1!~
Local I~g~s~-
p
AUG 2 7 2005
Date
(^......,
,~)
,"..-....,
'.. 1
,-,..,,',
Rev. 2/87
CERTIFICATE OF DEATH
\'0
C)
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
NAME OF DECEDENl (First, Middlo, last!
STATE. FILE NUMBER
81RT\~Pl...fCE IClty and
91
v"
I MA~~ITAL STATUS ," Married,
"l~Yer Marriod, Widowed.
I DivorCM (&peclfy)
14. divorced
o Yes,dacedentlivedin
~~:~ify\ 0
RACE. American Indian, Black, White, al ,
(Specify)
1O.whi te
SURV1V:rlG SPOUSE
rlfw<le.glvemaidf'M M"mA)
He.
twp.
hIr No, dec~dent lived
l1d.p within ac:toallimll.s of
Camp Hill
citylboro
Bernard Olaf Lund ren
Robert N. Tarman
Items 24-26 must be complet~ by
person who pronounces death
23a.
I TIME OV'~A.J;H
24. ;:).,;;)0
Sequentially list conditio"s
If any. leacing 10 immediate
cause. Enler UNDERLYING
CAUSE (Disease or inju:-y
that initiated E:-vents
resulting on death) LAS"
E
Pt C \J T E: c...;- Jt.c. \?> 'C:
DUE TO (OR AS A CONSEQUENCE C:=):
CAP
DUE -;-0 rOR AS A CON;;:E:}UE"~f' fl")
,Ct r- II';-,
DUE"'O rOR AS A CDNSFlJl.:Ft.CE Or)
L'-""'~,
::c~';:'~~cC\
26.
. Approximate
: interval belweell
. onset and death
:u 6+'l ,
'I~
'I(L-;,
Other significant conditions cOlltributill9 to death. hut
not resultlllg in the underlying cause given in PART I
27, PART I: Enter the dlnan., lnjurl... or .::ompllcatlon. whlc:h c:aund tho dtalh.
U.tonly on" c:au." on Ilatn rln,.
IMMEOIATE CAUSE (Final
disease 01 condition
resultingi!'1death)-'
k-<:.~
fJ-<;""'~D,'\ ,:+.
WAS AN AUTOPS'f
PERFORMED?
WERE AUTOPSY FINDINGS
AVAILABLE PRIOR 10
COMPLETION OF CAUSE
ClF DEATH?
MANNER OF Dt:~.TH
Natural
~
D
D,ATE c,r IN';URY
(M?nlh. DII~. Yeer)
"~lE OF INJURY
I
I
. 30b.
INJURY AT WaRK? DESCRIBE HOW INJURY OCCURRED
Homicide
D
D
D
30.
PLACE OF INJURY
bL'ldlnQ.ele, (Specl'Yl
3041.
'r'esD NoD
M. 30c.
Yes 0 NoM Yes D
288. 2ab.
CERTIFIER (Cl'1eck only one)
.~~~J~F~~~tGor~~~I;~~~.w:l.s~~~rh ~~~~j~r%d~J: t':: fheea~arr~:~(:)~~3~~x~~~a~s ~t~fe~~~.~~~?~ .~.~~:h. ~~.~ .~~.~.~~~:~.~ .i.t~~ .~~.~..
,\ccident
Pending Investigatior.
NoD
SuiCide
Could r,ot ba aete:rniMd
- At home farm, street, factory, office
29.
VVl A-N'\ s'\.....f
1,"IM-"""-
.PT~~~~~~~I~fGm~Nk~';;t~J;;:;~~~t~~~~~~~~ ~~~h:i~~ne~d~t~,r~~~u~~~,d:~~h d~lled t~~r~~ut~e~(~i~~~ d~:~~er as stated,....
.MEDICAL EXAMINER/CORONER
On the basis of examInation and/or InvestigatIon, In my opinion, death occurred at ttle time, date, and place, and due to the CaUS815(15) and
manner as stated ...............",. ......... ... ..................,......... . .................. ........................
31a.
REGISTRAR'S SIGNATURE AND NUMBER
D
33.
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LAST WILL AND TESTAMENT
OF
FRANCES M. LUNDGREN
I, FRANCES M. LUNDGREN, of Lemoyne, Cumberland County,
Pennsylvania, being of sound mind, memory and understanding,
do make and publish this my Last Will and Testament, hereby
revoking and making void all former Wills and Codici Is by
me at any time heretofore made.
ITEM I.
I direct my Executrix or her successor,
hereinafter named, to pay all of my just debts, funeral expenses
and costs of administration of my estate as soon after my
decease as conveniently may be done.
ITEM II.
give, devise and bequeath all the rest
and remainder of my estate, real, personal or mixed, wheresoever
situate and of every kind and description, whether now owned
by me or hereafter acquired, unto my sister, Louise L. Spier,
of Lemoyne, Pennsylvania.
ITEM III. Should my sister, Louise L. Spier,
predecease me, then and in such even t, I give, dev i se and
bequeath all the rest, residue and remainder of my estate
a s f 0 I I ow s :
1. One-half (1/2) of my residuary estate in .
equal shares to my two nieces: Mary L. Davis)
2429 Jericho Drive, Harrisburg, Pennsylvania
and Janet L. Hench, 576 East Mulberry Street,
Elizabethtown, Pennsylvania.
r....,."l
2. The remaining one-half (1/2) in equal shares
to my niece and two nephews: Betty Linda
McLaughlin, 204 Heather Drive, Harrisburg,
Pennsy I van i a; James E. Tarman, 10 Dunover
Court, Hurnmelstown, Pennsylvania and Robert
N. Tarman, 605 Sandra Avenue, Harrisburg,
Pennsylvania.
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t-f j, II' j , i"'... Id.<;. I.......CL",'
FRANCES M. LUNOGRE~
l i , l .
1
ITaM IV. In the event my niece, Mary L. Davis,
predeceases me, then, and in such event, give, devise and
bequeath her share of my estate unto her children, Patricia
Davis and Andrew Davis, equally, or unto the survivor.
ITaM V. In the event my niece, Janet L. Hench,
predeceases me, then, and in such event, I give, devise and
bequeath her share of my estate unto her chi ld, Elizabeth
Ann Hench.
ITaM VI. In the event my niece, Betty Linda
McLaughlin, predeceases me, then, and in such event, give,
devise and bequeath her share of my estate unto her children,
Dennis McLaughlin, Scott McLaughlin and Christopher McLaughlin
equally, or unto the survivor.
ITaM VI I. I n the even t my nephew, James E. Tarman,
pedecease me, then, and in such event, give, devise and
bequeath his share of my estate unto his children equally.
In the event that my nephew, James E. Tarman, predeceases
me, leaving no child or children, then, and in such event
I give, devise and bequeath his share of my estate in equal
shares to my niece Betty Linda McLaughlin and my nephew Robert
N. Tarman.
ITaMVIII. In the event my nephew, Robert N. Tarman,
predeceases me, then, and in such event, I give, devise and
bequeath his share of my estate unto his children equally.
In the event thay my nephew, Robert N. Tarman, predeceases
me , I e a v i n g no chi I d 0 r chi I d r en, the n, and ins u c h eve n t
I give, devise and bequeath his share of my estate in equal
shares to my niece Betty Linda McLaughlin and my nephew James
E. Tarman.
I TaM I X . I d ire c t t hat a I I t a xes t hat ma y be ass e sse d
in consequence of my death, of whatever nature and by whatever
2
'- . h) / .,
.... !/j 1.-/ ~i ( ~J, / ,,' ~~~ ki.- L~l..i,t LL.':'L
FRANCES M. LUNbGRENr
jurisdiction imposed, shall be paid from my residuary estate
as a part of the expense of the administration of my estate.
ITEM X. appoint my niece, Mary L. Davis, Executrix
of this my Last Will and Testament. Should Mary L. Davis
fail to qualify or cease to act as Executrix, I appoint my
niece, Janet L. Hench, Executrix of this my Last Will and
Testament.
ITEM XI. direct that my Executrix or her successor
shall not be required to give bond for the faithful performance
of their duties in any jurisdiction.
this It
IN WI TNESS WHEREOF,
ft'day of jc-? i (1)\/) (
have hereunto set my hand
1990.
L
i, , ' 1\)
/ ii~,t~CES'~.
, '
'-'
{~Ik~t
, (SEAL)
The preceding instrument, consisting of this and
two other typewritten pages identified by the signature of
the testatrix, Frances M. Lundgren, was on the day and date
thereof signed, published and declared by Frances M. Lundgren
the testatrix therein named as and for her Last Will and
Testament, in the presence of us who, at her request, in her
presence, and in the presence of each other have subscribed
our names as witnesses hereto.
)
I /' l., :-r 'Ii
,~. (,. :,. \ x-- I'-"'_./'l. '-.
ROBERT N. TARMAN
of 104 Walnut Street
Harrisburg, PA
J L~J{- ~, \~~~(~l-L('( C~f 104 Walnut Street
FRANK R. MAGNELLlr--- Harrisburg, PA
3
CUvfvK)NWEAL TH OF PENNSYL VAN I A
ss
CDUNTY OF DAUPH IN
We, Frances M. Lundgren, Robert N. Tarman and Frank R.
Magnelli the Testatrix and Witnesses respectively, whose names
are signed to the attached or foregoing instrument, being duly
sworn, do hereby declare to the undersigned authority that the
Testatrix signed and executed the instrument as her Last Will and
that she had signed willingly, and that she executed it as her
free and voluntary act for the purposes therein expressed, and
that each of the witnesses, in the presence and hearing of the
Testatrix signed the Will as witnesses and that to the best of
their knowledge, the Testatrix was at that time eighteen years of
age or older, of sound mind and under no constraint or undue
influence.
. -1 ,~~
i[Ltil!F~CE;) '~.~ffi~)L (L
7
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ROBERT"N.
/
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-TARMAN
~i L.._
''1,
,J Uh"'~
FRANK R.
R ^ \\~l" (l\AC C {L
I\1AGNELL I
Subscribed, sworn to and acknowledged
Frances M. Lundgren, the Testatrix, and subscri
to before me by Frank R. Nllignelli n Rob rt N
Wi tnes ses, the /07'-\ day of ::::::'12~ M (
NOTARIAL SEAL
BeNJAMIN F HAMMONO. JR,. Notary Public
~y Comm""on Expires S~pt, S. 1993
Hdrr"burg Clty Oauphln County