HomeMy WebLinkAbout10-25-05
Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEAL TH OF PENNSYL VANIA
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SS:
COUNTY OF CUMBERLAND
The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are hue and
correct to the best of the knowledge and beliefofpetitioner(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 ,;/.5 Y1- day of
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Estate of
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, 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
~~ II, eClI12.... ' described therein be admitted to probate filed of record as the last will of
.".J ;; 0 s;..., on. ; and Letters are hereby granted to S'J ~" ~ 'f" fl1. ~ J7.N ~~
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Register of Wills
FEES
Probate, Letters, Etc, 0............ $
Will ................................. $
Renunciation... . . . . . . . . . . . . . . . . . . . . $
Short Certificates (5) ............ $
JCP.. .. .. .... . .. . .. . ... . . . . . . . . .. . . .. $
Automation Fee................... $
Bond........ .~~.t~;.. .fo..... .... :
Filed Or.? eX S 20 DC
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Register of Wills of Cumberland County
Estate of !-6-vi).--rcA- L.
also known as
PETITION FOR PROBATE and GRANT OF LETTERS
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No.
To:
~/-)OD},.q<{t
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
, Deceased.
Social Security No. / i.5~'- 0 J - 0 I"'"
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, and the execuj;lC'; V named in the last will of the
above decedent, dated /J1 /Ilr>-r-A.. / / ' 20 () 7.-
and codicil( s) dated
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in t ;./ Ht 6~ /~ County,
Pennsylvania, with h~last family or principal residence at
'3 -I L~ A-
(list street, number and municipality)
Decedent, then T1- years of age, died fY11"v't 2. 5' , 20c.> '5' , at {7 t>y I, s- /0.4. t=' A
Except as follows, decedent did not marry, wa not divorced and did not have a child b~rn or adopted after
execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent:
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 County
Value of real estate in Pennsylvania
situated as follows:
.1; ~c: o. -
$
$
$
$
WHEREFORE, petitioner(s) respectfillly request(s) the probate of the last will and codicil(s) presented
herewith and the grant of letters "'T -( ~ t A.. (l.
( stamentary; administration c.i.a.; administration d.b.n.c.t.a.)
thereon.
Si nature(s) ofPetitioner(s
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Residence( s) of Petitioner( s)
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T'lis is to certify that the information here given is correctly copied from an original certificate of d,~ath ( lIlv filed with me as
Lilcal Registrar. The original certificate will be forwarded to the State Vital Recorqs Office for permanen' filIng.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate. $6.00
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Local Registrar
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rlAY 2
2005
No.
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N
I R..... 2187
COMMONWEALTH OF PENNSYLVANIA. OEPARTMENT OF HEALTH. VITAL RECOROS
CERTIFICATE OF DEATH
NAME OF DECEDENT (first. Middle, l_l
..
SE>
STATE FilE: NU.....ER
SOCIAL SECURITY NUMBeA
.. Cumberland
DECEDENT'S USUAl. 0CClJf\lm0H
~...=::~"::' '::::zt.~
. 11.. Salesman ".. Distribution
DECEDENTS IoWUNG ~ss $.... CiIyIbon. _. Z",C_I DECEDENT'S
325 Wesley Drive ~~~
Mechanicsburg, PA 17055 ~~
Carlisle
Carlisle Regional Medical Center
Wf4 DECEDENT EVER IN DECEDeNT'S EOUCArtON
U,S. ARMED FORCES? c
'lM1X! NoD ('~'4
1~ 13. 1~
17..&.10 Pennsylvania 0;0 I...m 'IM.__in
--
_in.
Cumberland -' 17_.0 :..."":::'..':::..
MOTHER'S NAME (Firs&. t.I.OcIe. Waldtn 5U1name)
DATE OF DEATH IMoni't. Da~. '..."
.. May 25, 2005
Howard 1. Smith, Jr. .. Male .. 175 - 03 0149
UNDER 1 YEAR UNDER 1 DII:t DATE OF BIRTH BlRTHPLACE (C.ty ~ PlACE (y DEATH ICt>eo 0I'lty one iN 'nstrUC\.Cl(\o$ on 0Chet StOe)
Moncha CaVIl Haufa MintMe lMofllh Day. ...... . SW.OI fCf8lgtl Counuyt HOSPiTAl:
Chambersburg, -IX! ERIOulpaIi... 0 oa.o
7. ...
FACIUT.... NAME (H not 1OliMl.J11Of\. give street and numbel.
Ie.
go':'Y1 0
UARfTAl STAJUS _ ~
-.....,....-.
~....IS_
Widower
White
SURVIVING SPOusE
It. W1f.. QNe tNIden nama.
Lower Allen
....
...
FRHER'S NAME (FIISI. Middle. Last)
11.
INfllRMANT'SNAME (T-"<01ll
,....
Howard L. Smith
.-
-....&...0
11. Mary Bitner
lHFORWANT'S UAlUHG ADIlfIESS (SIr.... Citv/ilwn. _. Zip ~I
1306 Burleigh Road, Lutherville, MD 22093
PlACE OF OISPOSITION '_olComolo", ~ lOCAnON.~ _. Zip~
..0Ih00"'- Cremation Society of
.... Pennsylvania Crematory .._. Harrisburg, PA 17109
""WE AND AllORESS OF
nc$ervices, Inc., Harrisburg, PA 17109
LICENSE NUIoI8ER DATE SIGNED
-.DIrt _I
Susan Kinneman
DATE PRONOUNCED DEAD (Monfl. o.y. '$.a,.
24. ..... :5-' .eX.5 -()..S
27. MRT J: Ent., the ciMue., injuries or comrc:*caliona which caused rhe death. 00 notent., the mode 01 dying, such IS cardiac or t.spiralory an.... shade or heatl failul.
liII onty OM cauu on each Ii,...
"- 2.... muoI be........... by
....-.on whO~ dMIh.
W<S CASE REFERAED TO MEDICAl. EXAYlNERICOAONER?
'1M IX] JL NoD
_ATECAUR(final
*-orc:ondilion
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t Approximate
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PART": OlIlotoigniflr:onl_~IO-.....
noI~in....~caUNghfeninPARTt
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DATE OF INJURY
(Monlh. Day. ....ar)
Tl&Ae OF INJURY
aNJURY /IiI 'lNOAK1 DESCRIBE HOW' INJURY OCCURRED.
.........
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Homicide
Pendtng InYest6gation
'1M 0 NoD
'1M 0 No IX!
YooO
NoIXI
SuOdo
Co4.IId not be del~lIl.d
PlACe OF INJURY - AI home, lann. street, tactOt'y, office
buikInQ, etC. ISpec"'W'~
300.
...
De. 2,...
, CEJlTJFJEJl.Chocl< ...., onel
-CERTWYINQ PHYSICIAN (PhysaoanCttfUying cause f:J ~alh when M\OIher phVSICiClIl ~s pronounced dealh ana completed Kem 23)
TO........O''''Ykno..lecfge.d..thOCCUnwddue~lhec.uM(.)andman...r.....wd......,....,.... ......,.,.,..
...
lOCATION $_. C""""",,, SIauII
.I'IIIOttOla<<:ING AND CEATIFYIHQ PHYSICIAN (PhWSCIill1 bOUl OlfOl'lClunClflg Oealh indCef1JfyJng 10 c~use of deathl
To the beet ot mV know'-dge, dealh OCcurred a'h lime, date, and ptace, and en. to lhe CaUM(..and mann.r.. st.tlld
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'MEDICAL EXAMINER/COfIONER
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LAST WILL AND TEST A.MENT
OF
HOWARD L. SM[TH
I, HOWARD L. SMITH of Bethany Village PCU No.1, Room 205, 325 Wesley Drive,
Mechanicsburg, Cumberland County, Pennsylvania, declare this to be my Last Will and revoke any will
or codicil previously made by me.
ITEM 1: I direct that upon my demise, that my body be buried in a lot which I own next to my
Late Wife who is laid to rest in Lincoln Lawn Cemetery, Chambersburg, Franklin County, Pennsylvania.
I further direct my personal representative to contact the Cremation Society of Pennsylvania with whom
I have pre-arranged and prepaid for the cremation services of my body.
ITEM 2: I direct that all my just debts and expenses be paid when practicable after my demise.
ITEM 3: I give, devise and bequeath all of my estate wheresoever situate, together with
insurance thereon, in equal shares, to the following individuals:
A. My sister, Mrs. Marian Patterson of New Franklin, Pennsylvania;
B. My sister, Mrs. Samuel Reisher of Chambersburg, Pennsylvania;
C. My brother, Mr. Richard Smith of Trinity, Alabama;
D. My brother, Mr. Daniel Ted Smith;
E. My niece, Mrs. Suzanne Kinneman of Lutherville, Maryland.
If any beneficiary, noted in this Item 5 is not living at the time of my demise, I direct that such
share be divided equally among the other beneficiaries noted in this Item.
ITEM 4: 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.
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ITEM 5: I appoint my niece, SUZANNE M. KINNEMAN, of 1306 Burliegh Road, Lutherville,
Maryland 21096 as Executrix, of this my Last Will.
ITEM 6: I direct that my personal representative or her successor shall not be required to give
bond for the faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and
Testament, this
( f day of ;p(~ Ire II
.
,2002.
#6 tf,/A/? f::J L ,-5 N [1 f/
HOWARD L. SMITH
Signed, sealed, published and declared by the above-named Testator as and for his Last Will and
Testament in our presence, who, at his request, in his presence and in the presence of each other, have
hereunto subscribed our names as attesting witnesses.
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COMMONWEALTH OF PENNSYL VANIA )
) ss:
COUNTY OF CUMBERLAND )
We, f( / e. L~ 6 ~. flllM.- "'. Uc,<___ , and HOWARD L.
SMITH, the Testator and the witnesses 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 that he had signed willingly, and that he
executed it as his free and voluntary act for the purpose therein expressed, and that each of the witnesses,
in the presence and hearing of the Testator, signed the will as witness and that to the best of his or her
knowledge, the Testator was at the time eighteen (18) years of older, of sound mind and under no
constraint or undue influence.
/1 c~ l,~) A f\ fJ " J."M (TN
HOWARD L. SMITH
~~~~~- /3.
,
Witness
Witness
Subscribed, sworn and acknowledged before me 1-1 'V- f-. 'If;. ev l' z.., by HOWARD L.
SMITH, the Testator, and subscribed and sworn to before me by ~ (he...... 6. Cv1'1<"-
and Ii A" L 11-1. () lJQ.......-. , the witnesses, this 11.4... day of Jlli/~~
2002.
Notary Public (SEAL)
~~."':!"-""'-'~'-r.,,~:-.'r""::.~-;,-...:.:;.,!...:..-"
~. N01i\H!ALSEAL .
. HENRY F. COYNE, N~tafY Public
IiarP.pdoo T-'l1Ji,. 9;j~liJeliood County
My~l~:':'l E41""" Jun. 7. 2004
3