HomeMy WebLinkAbout10-21-05
Register of Wills of Cumberland County
PETITION FOR PROBATE and GRANT OF LETTERS
Estate of 7),:Jt/d {I 5:' rfl As" oJ No, c2 1- 0 5 . oq 3 d.-
also known as j)~'f/d::i t:..J r/,e. 511}?!<5 (>7J To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
, Deceased.
Social Security No, I (J:) q- I 0 .~ Or.:;) 0 /
The petition of the undersigned respectfully represents that: \
Your petitioner( s), who is/are 18 years of age or older, and the executj~, '/.... named i:.:.- the last will of,e
above decedent, dated i' ,:J - ,.:' ,. , 20 CJ.5
and codicil(s) dated
mtJ'J .; - S .
I).:' " 0 /
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in (iA..) ,1Yl i)~' i / U ."'\ c.-{
Pennsylvania, with hi:? last family or princip,al residence at
D . -A'-,V..sr ?-')C) I3c) '-171 5(} {)1/)'L(! /c.R<<j~
(list street, number and municipality)
Decedent, then q f years of age, died )0-/3 , 20 0 )', at Ho It. -.S p, rJ' ~
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted afte
execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompeten :
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(Ifnot 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:
$ 18 ~ I SLf. DO
$
$
$
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented
herewith and the grant of letters
(testamentary; administration c,t.a.; administration d.b.n. .t.a.)
thereon.
, 'Si:ature(SXtitio~e~,
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t:Jt:J3
Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEAL TH OF PENNSYL VANIA
}
SS:
COUNTY OF CUMBERLAND
The petitioner(s) above-named swear(s) or affmn(s) that the statements in the foregoing petition are true and
correct to the best of the know ledge and belief of petitioner( s) and that as personal representative( s) of the above
decedent petitioner(s) will well and truly administer the estate accordirlg to law.
if" .J
Sworn to, or affirmed and subscribed {'><c Ie n'z.-1~ ~ /j2l7Lht./'
Bef~e. ~e this q.p.. ~ / ~, ST day of
~:~~ ,20 05
Ct:l
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J1LQn-\D-~<JAn Q-\' ~~(}f')\:~.l~
yO-^,- 0.>.:-- . D.PP:,~' , Register ,
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No..J.1- oS. oct 3.)..
Estate OfI'hA_)\C\ C -S (/,YWC"",,-
,
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW 0(1 tzr>-bP/{ ~ ~ 20~in consideration ofthe petition on the reverse side
hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s), dated
I D ' ~ - \ q g' ! ' described therein be admitted to ~bate filed ::..f record as the last will of
\::::0-=\0.. C . S I "" pso'<-- ; and Letters are hereby granted to \:)o~ \-OlL C?J'Ij'T>h l~
~\: "
_C'P<-"--~
FEES
Probate, Letters, Etc. .............
Will ............................. ....
cJ. (00 00
)5".00
Bond............................. ....
Total
Filed 10 -~~(
~
$
$
Renunciation... . . . . .. . . . . . . . . . . .. . . $
Short Certificates ( )... . .. . .. . .. $
JCP. . ..... . . . . ... .. . . . . ... . . ... .... .. $
Automation Fee. .. .. . .. ... .. .. .. .. $
$
$
20 oS'
Attorney (Sup. Ct. I.D. No.)
llo,60
ID .OD
S .0-0
Address
3Dl" .CO
Phone
'I
i
I
Register of Wills of Cumberland County
OATH OF NON-SUBSCRIBING 'VITNESS
'7) '1 C"'
Estate of -../AW:-u (j/I'J'itZ, _.J/Il1;tJ.soJ
Also known as Thv6' C. .Y IYl f.sl~
/s
No. .;]. J - () S- - o93d.
, Deceased
-.Do;...);V1J- Fe) ~ J3ro(,~J
13 (.e (let C',,- L; f< e e e e....
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
1;tVA!A fXtvJ familiar with the signature of Dprt//d ~ S ",'TJ f/J ot--f , testat_ of (one 0 the
subscribing witnesses to) the codicil/will presented herewith and that ~ believe/believes the signa e
on the codicil/will is in the handwriting of .L#tll~ (~ <;.~ In Ps b J to the best of
mV knowledge and belief.
Sworn to or affirmed and subscribed
Before me this ;ll 5-, day of
CZ\:ob.Q.A. ,20 oS-
I.
Ii '. ..../.!
/;Y~lAL-V~ l;2tunJ
(Name) .'
96~~
(A~dress) '. {~. "7 P tJ 3
/. .. .//_ ". 7)4- //.
l/00~' ,.,
J:1~s..V'(~l1 \~~~ l j~bQ t 1~
Register (\ U
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Deputy v
L.l ~ L ~
I ./ 0 . ~./ .R-I?~e.<?-~
(N~me )
hI) '7 /7/;<Ji S;'( fJ06Dx if 7/
(Address)
5um/)U?,r~, p.4 /'7093.
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1I10-"i.XOS RLV 1!IJ-"i
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~'lis is to certify that the information here given is correctly copied from an original certificate of death dul, filed with me as
Ll)cal Registrar The original certificate will be forwarded to the State Vital Records Office for permanent filng.
P 11951168
No.
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WARNING: It is illegal to duplicate this copy by photostat or photograph. ,Ii'.
Fee for this certificate. $6.00
;-
Date
~~#~F
91
v...
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
STATE FU......R
Hl05. 1.U Rev. 21ST
rPElPRlNT
IN
!RMA.MENT
IlACK iNK
NAME OF DECEOEHT \Flr1l. _. laIl)
1. David C. S
AGE (~.. _y)
SEX
2. Male
SOCIAl. SECURITY NUMBER
3. 169 10 0201
S.
COUNTY OF DEATH
Ctmberland
lb.
DECEOEHrS US1JAl. OCCUPATION
(c:r.::.:::.~~
11.. BJ;Jiaa:inJ 9.p3Evis:r lIb. 'lIW
OECEDENrs MAILING AOORESS (5nol. CitylTown. Slala. z., Code)
607 M';ultain street
18. Sl.mmexdale, Pa.
FATHER'll ~E (Flr1l, _.laIl)
1'. W11~iam S~
':OR~EL~
METHOD Of DIsPOSITION
_ ~CnImolIon G............ S"lo 0
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ICEUC
KINO Of BUSINESS IINDUSTRV
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ONo<<:ocI(Sptodly)
W.
SURVMHG SPOUSE
1'.....-...... ....,
OECEOENrS
ACTIJAI.
RESIDENCE
(--
on """" oldo)
Old
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17b. Counlv Cl:IIilerland klwnohip? 17d.D ~~.:::'"
MOTHERS NAME (Flr1l. _. Moidon s..n_l
11. Mal:gaxet Currie
:"1f~~s~~~Pa. 1701
PLACE OF DISPOSITION- Notno '" c-tooy. er.n.-y LOCA TIOt4 . CityIT-..
Of 0Ih0r PIot;e
17.. [!V...__irI
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CAlISI!\_OfIrlurY c.
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WAS AN AUTOPSY WERE Al.lTOPSV FIHOfHGS MANNER Of DEATH DATE OF INJURY
PEIlFORMED? ~~~~SE _ D _ 0 I_Doy.V_1
Of DEATH? __ 0 Pondlog I~ 0 v.. 0 No 0
O Il11 0 0 3CI.. _. M. 3Oc.
v.. No~ '1'..0 NoD SuIdde CouIdnotbe~ PL4CEOFINJURY-N.home,fann.Peet.fadory,oIIk:e
0uiIlIlng.--(~,
2k. 21b. 21. 300.
CERnFIER (C.-..........I SIGNATURe AND T E
l=~~~~~:3:'=<=~":~.~~.~.~.~.~~.I..................D 31b.
"PRONOUHClHG AND CEIt'I1FYIIlG PMYIlClAH \PI1yoidorl boIh ~ _Ill ond CO<lIf\Ong 10 COU" '" _1111 LICENSE HUMBER
To....bo.I"'"'y.........,.,__od......_._._pIoco,...._ID......_.I....___.....ted.....................~ 31.. 1500 31d.
NAME AND ADDRESS Of PERSON WHO COW'LETEO CAU$
.E..;,~~~~.~~~:.~.~~~:.~.~~~.~.~.~~:.~.~'.~.~.~~.~.~~~.(.~).~..D (1_~~T)1>o~~ ~~;RI. 1
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REGlSTRAR'S SIG.....TURe AND NUMBER DATE FILED <_ Doy. V_I
PIc~Id-tdl~ )4. t) -I ~- ~()
DUE
TIME Of INJURY
INJURV AT WORl<? 0EScRl8E HOW
Y 0CCURIWl.
if&!it .ill &ub illt!it&ttttut
OF
DAVID C. SIMPSON
I, DAVID C. SIMPSON, of West Hanover Township, Dauphin Cou
Pennsylvania, do make, publish and declare this to be my Last
and Testament, hereby revoking any and all Wills by me at any
heretofore made.
ARTICLE I
I direct my Executrix hereinafter named to pay my just debt
and funeral expenses as soon after my decease as conveniently m y
be.
ARTICLE II
I give and bequeath unto my wife, S. LOUISE SIMPSON, if she
and other tangible personal property. If my wife shall fail to
survives me my household goods, motor vehicles, sporting equipm nt
survive me I give and bequeath the same unto my four daughters
equally as they shall agree, except that I bequeath the followin
named family heirlooms to the persons named:
Necklace of $1 gold piece to Donna Fox
Gold watch on chain to Elaine Campbell
Silver watch to Loretta Danner
Mother's baby shoes to Brenda Simpson
Cedar chest to Brenda Simpson
Dutch cupboard to Loretta Danner
, \ i
C)
ARTICLE III
All the rest, residue and remainder of my estate, of whatso ver
nature and wheresoever situate, I give, devise and bequeath unt
my wife, S. LOUISE SIMPSON, if she survives me. Should my wife
fail to survive me I give, devise and bequeath the same unto my four
daughters equally, the issue of any who may predecease me to ta e
the share of the parent by representation.
ARTICLE IV
I appoint my wife, S. LOUISE SIMPSON, to be the Executrix 0
this my Will. Should my wife fail to survive me or fail for an
reason to complete the administration of my estate I appoint my
daughter Donna Fox to be the Executrix, and should she predeceas
me or fail to complete the administration of my estate, I appoin
my daughter Elaine Campbell to be the Executrix in her stead.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
this ^ 'l'<-G~ day of October, 1981.
~ i)
{;, tp_~/J~
David C. Simpson
(S AL)
Signed, sealed, published and declared by the above-named
I
Testator, as and for his Last Will and Testament, in the presenc~
of us, who at his request and in his presence and in the presence
of each other, have hereunto subscribed our names as witnesses.
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