HomeMy WebLinkAbout07-12-05
Register of Wills of Cumberland County
Your petitioner(s), who is/are 18 years of age or older, and the execut_ named in the last will of the
above decedent, dated J. d. 9 , 20
and codicil(s) dated U-'-3..., , ~ I\:)
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PETITION FOR PROBATE and GRANT OF LETTERS
Estate of ~ <l ~.;- t. f')-c.'- V ~ l? ~1 q ~ No.
also known as '?~+\~ To:
n\cu..~.... "\ r> $. ' Deceased.
Social Security No. I q 4 - ~ q . ~ 7 t.. t>
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
(state relevant circumstances, e.g. renunciation, death of executor, etc.) I
Decedent was domiciled at death in ~ e.'Oi She!>"~ # e.el 144-. ; ~e h (). h e.. v I't)b.!,. JI1",J-Countt j
penns~lvan~, with h_ last family or principal residence at .
t.Ct~1- eo", ~ ~ bc \'>0 'j I
(list street, number and municipality) I
Decedent,thenRyearsofage,died t't.,~f'Lh 1/ ,20~~at ~k'S-t ~l\o('~~j.Je.cd+h ~ ~_.^(,..}~
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:
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:
4.000 .
o
$
$
$
$
thereon.
Signature(~ ofPetitioner(s)
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Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
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COUNTY OF CUMBERLAND
The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and
correct to the best of the knowledge and belief ofpetitioner(s) and that as personal representative(s) of the above
decedent petitioner(s) will well and truly administer the estate according to law.
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Swom to or affirmed and subscribed
Before me this \ 'J.. ~'"
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day of
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Register .. )
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No. ~, -050\044
Estate Of'\+lc\:.\{C"'\U \.1 ~ee~, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
20Cf2: in consideration of the petition on the reverse side
laving been presented before me, IT IS DECREED that the instrument(s), dated
, described therein be admitted to pt\lbate filed of reco~ as the last will of
; and Letters are hereby granted to Y'\u.. +"- f. CL1Yt.e~~-,
FEES
Probate, Letters, Etc. ............. $
Will................................. $
Renunciation....................... $
Short Certificates ( ) ............ $
J CP. . . .. . . .. .. . .. . .. . . .. .. .. .. .. .. ... $
Automation Fee................... $
$
$
20 0 S-
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Attomey (Sup. Ct. J.D. No.)
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Address
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Total
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Phone
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Register of Wills of Cumberland County
OATH OF SUBSCRIBING WITNESS
Estate of P Ai i ;':NCI:. Y. K (.1::. <1 q N
Also known as PJ:Htt
f'i\c.('c:..h I'1J ;lo('),J
{) I-()j-- 1'\) -' 'L{
No. U UlLl
, Deceased
(each) a subscribing witness to the will/codicil presented herewith, (each) being duly qualified accord ng
present and saw
to la[Y\ depose(s) and say(s) that
"\ Q t H' \'(' \. \ ~ ~a.o..r--.
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, the testat.G:i.., sign the same and that
signed as a witness at the request of the testat.1j jn h ~ r!
presence and (in the presence of each other) (in the presence of the other subscribing witness(es).
Sworn to or affIrmed ~d subscribed
>> ore ~e this \ ~''t \.... ". day of
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R~~,\ ~
Deputy
(Name)
~."""'MltNwE.N,,;n1 Of
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. Notan .
l.)8.m E. {(reiter. Notary Public
f.cbmtl\ Boro, Lancaster ~
'Wly Commission Expires Nov. 3.
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(Address)
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I, Christina J. Glick, witnessed Patience Y. Keegan's signature on August 22, 1997 on
her Last Will and Testament.
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Notary PuB Ie
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COMM N F ~ANIA
J Sch NotariIII Seel
w:e r1~' Not8ty Public
a......, Lancaater County
My Commission Expil'es Feb. 25, 2009
Member, PennsylYania AteoclatIon of Notarln
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T. hi~ is to certify that t~e .informa~i.?n here. given. is correctly copied, fro~ ~n origina~ cer~ificate of death dUI~lfiled with
Local Registrar. The ongIna] certIfIcate wIl] be forwarded to the State Vita] Records Office for permanent fI] ng,
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WARNING: It is illegal to duplicate this copy by photostat or photograph. .
me as
1133594L-
No.
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Local Registrar i
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Fee for this certificate. $6.00
p
MAR 2 1 005
Date
,....,
725 Cly Rd.
... York Haven, PA
FAOtER'S NAME (First Middle. last)
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SHOULD READ AS FOLLOWS:
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43 Rev. 2187
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
NAME OF DECEDENT (fwSl. Middle. l~>>
..
SEX
StAlE Fl\.E NUMBER
SOCIAL SECUFtITY NUMBER
H ~McMl. Oa.,. .....
z. female ..196 -09
s. 91 Vrs.
COUNTY OF OE.<rH
UNDER I DAY
HcJuq i Winu'..
.
8IRTHPlACf (C,ty ..rod PlACE ~ OERH fCt-ec. onty f)(>8 ':OM 'flSIrocloons on other SIOeI
3\ale 01 Fcr89'l CounllYI HOSPITAL:
olumbia, PA ,_._0 ERIOuIpaIi... 0
1. ...
FAClLITV NAME (II not InsI'MlOf\. give street and numbefl
:=",0
mberland
DECEDENT'S USUAL OCCUPArION
(~~~"::.:::~:-.
. .~witchboard 0 eat ~Lrailroad
ca:EIlENT'S >Mll1NG AOORESS (Sl,.., CiI\</Town. SIaIo. Z", Codel DECEDENT'S
ACTUAl
RESIDENCE
(See .......,..,.,.
on othef' SIde)
Rehab.
....
SURVMNG SPOUSE
....... QI'AI madIIn nanw'
17370
..... Cumberland
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17.. Stat.
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lICENse HUMBER
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WAS CASE REFERRED TO MEDICAl. E.....'NE
.....0
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DATE PRONOUNCED OEAD (Monlh. Day. )ear)
.. 2$. t-\.~ \1, \... () o-;{
27. PlUIT I: Ef\l., IhIt diM"'., injurtes 01 complicahonl which caused I.... death. 00 not enl...the ~ of dying, such as c.1Ird6ac 01 r8sptralory anUl, shod! 01 heatt lailure
LiM onty one cauw on aec:h JiM.
E
WERE AUTOPSY FINDINGS
A\tIULABlE PRIOR 10
COUPLETtON OF CAUSE
OF DEATH?
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PART R:
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WANNER Of DEATH
DATEOf' INJURY
Ct.lanlh.Oay.'llaar)
T\YE OF INJURY
IK,JURY 1.J WORK?
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pending ~"on
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o ~CE OF INJURV. AI horne, tar",~HI. fadOfy. offic& ...
_....I5pec:oIvI
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No~
Yooo
NoD
Could noI be delenmrwtd
2M. 21b.
aRTWlEfllCheck ()f'lty one)
.CEAfIFYING PHYSICIAN (Phy'SIClan Ct!f~ caused death wdlefl anolhef ptW$IC.ar'i has plOJ\ClUf'lC.8d dealh ana completed Item 23)
To'" bnl o. my knowledge, death occurt8d... Ie the cau..(a) and maf\Mf.. atated. . . . . . . . . . . . . . . . . . . . . .. . . . . . - . .
n.
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.PRONOUNCING AND CERTIFYING PHYStClAN (Ph\'SIClCln boCl1 ptonQUllClng Uedth and Cer111y.ng 10 cause 01 dealhl
To 11M tN., of '"V' knowledga, death occur,"..1he dine, d..e,.nd place, .nd due.o IhecauM<<a) anc;l manner.. .Ialed
'MEDICAL EXAMINER/CORONER
On tM bas.!.. ol....m'n."on and/or investig.aUon, in my opinion, death occurred at tn. time, da.e, and place, and duelo the c.u..(.) and
mann.,.. stated....,.......,.....,................."..................,.. .........,.........,.........,.........
11..
REGISTRAR'S SIGNATUA~8EA
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Estate of
Register of Wills of Lancaster County, Pennsylvania
OATH OF SUBSCRIBING WITNESS
~+i,...Vl~~ t: k~<'1~V1 No. 6{' --OS--6Lo4t(
also known as
, Deceased
(each) a subscribing witness to the 0 codicil(s) ij{will(s) presented herewith, (each) duly qualified ac ording to
law depos(s) and say(s) that she/he/they was/were present and saw the above Testator/rix) sign the ame and
that she/he/they signed as a witness at the request of the Testator(rix) in his/her/their presence an 0 in the
presence of each other 0 in the presence of the other subscribing witness(es).
/'
.tJy
(Signature)
(Address)
Sworn to or affirmed and subscribed
before me this ~'"' day of
.-
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My Commission Expires:
Commonwealth of Pennsylvania
NOTARIAL SEAL
DOROTHY M. EVANS. Notary Public
Lancaltlr City, l.aftcaattr County, PA
M COIIIIIII..lon Ell Ir.. Oot. l' 1008
(Signature and seal of Notary or other
official qualified to administer oaths. Show
date of expiration of Notary's commission.)
NOTE:
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To be tak~ b~.t3tf.iF~~. .~~.-' :)l administer. oaths. t e:'lse. have
present thtti?P ~ Q I trument{s) at time of no nzatlon.
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C:\DOC\ESTATE.PLN\KEEGAN.WILL
LAST WILL AND TESTAMENT
OF
PATIENCE Y. KEEGAN
I, PATIENCE Y. KEEGAN, of the Township of Fairview, Count
Cumberland, Commonwealth of Pennsylvania, do hereby make, publish a
declare this to be my Last Will and Testament, hereby revoking all
wills, codicils and testamentary writings.
ARTICLE I
I give all of my property, both real and personal, unto
my friend, BEATRICE WILSON.
ARTICLE II
of
d
rior
If my friend, BEATRICE WILSON, does not survive me by six y (60)
days, then I give all the rest, residue and remainder of my estate 0 my
friend, RUTH E. FRYE.
ARTICLE III
I nominate, constitute and appoint BEATRICE WILSON to be he
Executrix of this my Last will and Testament, and in the event that she
should be unable or unwilling to serve in said capacity, I do then
nominate, const'itute and appoint RUTH E. FRYE to be my Executrix. direct
that my Executrix shall not be required to post bond or sureties ~ any
jurisdiction. 80 g
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IN WITNESS WHEREOF, I have hereunto set my hand ~~.C)
seal this ;U",d. day of Av~v.:jt- , 19i!i2;~
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p~~71 f~sJl@
SIGNED, SEALED, PUBLISHED and DECLARED by the abovenamed 1
Testatrix, 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, hav
hereunto set our hands and seals as attesting witnesses.
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(SEAL)