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Home My WebLink About11-17-05 WILL REGISTER OF WILLS OF CUMBERLAND COUNTY Estate of .D.QNAL.DuM.ERLE.ANSEL.L., Deceased File No:.~..L~__Q.~.LQ.P___ PETITION FOR PROBATE and GRANT OF LETTERS Estate of .O.QNALJJME.RLE.ANS.ELL....______..__ il!.~a.QQ~AL.D..M...ANS.ELL............__ Deceased Social Security No._J6..~:2Q:_.48.3.6__...:-::......__........ To: Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner is the execut9I named in the Last Will of the above decedent, dated Eebmar:yA. 2004 and codicil(s) dated: N9.1J.e........................___.....___.............. (State relevant circumstances, e.g. renunciation, death of executor, etc) Decedent was domiciled at death in--.C.l).mp.~rJ.l}n9..C9.\UJ.tY_..P.~JJ..ll~:yly.IJ-.lJi~, with his. last family or principal residence at: 4Q6.Mmmtain.S.tr~~t..S.l).mm~r9~J~..P.AJ7.Q9.3.. (List street, number and municipality) Decedent, then 1U years of age, died MIJ_Y..3.Q,.2QQS at bi~.r.~.~i9~n~~jn.S.u.mm~nll}le....:e~.llll~yly.{I"I)..ia. 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 an incapacitated person: N9.I)..e 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 Cumberland County Value of real estate in Pennsylvania situated as follows: J 1.6.. .int~r~~t.in. p-nm~D:Y. ill. CJ.{lY..I 9wn~hip.. .HIJ.I)..tingg9J)...CmmJy., $.......--..... ...-- $.. ....--.......-- $................. . $Z.S..8.3.3.,QQ. WHEREFORE, petitioner respectfully requests the probate of the Last Will presented herewith and the grant of letters te~tam~ntary' thereon. (Testamentary, administration c.La., administration d.b.n. c.La.) Signature and Address of Petitioner: \1 D : [ '" ~.,~nz.~..A....~.......___......__...... (Signature) 406 Mountain Street S.u.mm~r.<J.lJ_le...PA..17.Q9.3............................................... (Address) OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF HUNTINGDON The petitioner above named swears or affirm that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner and that as personal representative of the above decedent petitioner will well and truly administer the estate according to law. '-t!h~...~.....~ooo__..m.ooon__mm....ooo__..m Romaine G. Ansell Register of Wills No.. n fA .I::: .d..'i=H)jQ. ,. J') , l.. , ' Estate of .1>'QNALD..M.ERLKANSELL, Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW'-./JJIIY!::ml!1Anml7.:~OO5, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument dated F.~Rr.\l.ln:Y-n4,..2QQ4 described therein be admitted to probate and filed of record as the lAt~LWm of QQNALDnMERLE.ANSE.LL., and .L~U.ers_I~Sll;!.DleJJll;!..I:Y- are hereby granted to RQMAINE.Q,ANSELL. r;-!--&n~ mALl S~j}~c- m_f0_n~~(Jil!!f!!Fj//?l2emnn Short Certificates ( )... \1 up r ftVtV Renunciation . . . . . . . . . I~ry. .tAll/l..... FEES $..q_~m. $.m.'1..m 15. $ ...nn_..... $ ..--'-6m.. C.harJ~~_B._._ _S ~ig.C!rt..l:Q:_N9_._.Q_6..7.J.Q__.. ..------- -..-. - - -------.... - --- ATTORNEY (Sup. Ct. I.D. No.) Probate, Letters, Etc. . . . 2~J.Wil~hlngt9JJ__Str.e~t..HllJJ.tlnggQn...P.A-J.QQS~..------.-..... ADDRESS Inheritance Tax Return.. $ooomoooooo. TOTAL. .. $.J?:-.Y_: do Filed: ._..l~.~.~_...t.7.t~5.n'oooooo___ C8.1.4).~J-:4H:lQ__..........____......______.....____._....----.......-----.......-- PHONE HI05.905MS RFV.(OII03) This is to certify that this IS a true copy of the record which is on file in the Pennsylvania Division of Vital Records In accordance with Act 66, P.L. 304, approved by the General Assembly, June 29, 1953. WARNING: It is illegal to duplicate this copy by photostat or photograph. No. ~/I~ Charles Hardester State Registrar 0634739 JUN 252005 Date H10S.143 Rev. 2187 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH c:: r--.-~ ElPRlNT IfI i1ANENT CKINK 5. 8 I, Vrs. COUNTY OF DEATH STATE FILE NUMBER NAME OF DECeDENT (First, Middle. lest) 1. Donald AGE (La.t Birthday) SEX zMa 1 e BIRTHPLACE (City and F State or Foretgn COuntry) HOSPITAl: Bitner, PA ,_ontO 7. a., FACILITY NAME (If not Institution. give street end number) T SOCIAL SECURITY NUMBER 3. 162 20 - h ERIOutpat~nt 0 DeAD R.._ []I ~:"" 0 RACE - American Indian, Black. White, et . (SpecIIy) White 011 lb. Cumberland DECEDENrS USUAL OCCUPATION (C::~~~~~~rl~=r . 11.. N::Jrr-ccmnission Officer 11b. U. S. Army DECEDENrs MAILING ADDRESS (S1I'8et, CltylTown, State, Zip Code) DECEDENrS 406 Mountain St. ~~~~CE 18. Summerdale, PA 17093 ~~~:)n. FATHER'S NAME (First, Middle, Lest) 18. George Ansell INFORMANrS NAME (TypelPrint) 2~ Romaine G. Ansell METHOD OF DISPOSITION Donetion 0 Burial I!I Cremation ORemovel from State 0 . 21.. Other (Specify) . SIGNA F1JN SE E LICE k. East Pennsboro KIND OF BUSINESS f INDUSTRV AS DECEDENT EVER IN U.S. ARMED FORCES? Ve.S No 0 12. SURVIVING SPOUSE (lI'wife, give maiden name) Gilliland 17a. State PA Did decedent Itveln a township? twp. 17b. Countv Cumberland 17d. 0 ~:;e~:~~,: of ctty-.,. . 22.. Complete Items 2 -c only when certifying physk:i8n 18 not 8Vailable at time of death to certify cause r:A death. DATE OF DISPOSITION (Month, o.y, Year) June 3, 2005 LICENSE NUMBER 22b. FD 012774-L MOTHER'S NAME (Flrs~ Middle, Malden Surname) 18. Gertrude Guth INFORMANrs MAILING ADDRESS (Street, CllylTown, State, Zip Code) 20b. 406 Mountain St. Summerdale, PA 17093 PLACE OF DISPOSITION- Name of Cemetery, Crematory LOCATION - CityfTown, State, Zip Code or Other Piece 21d, East Water ford PA 1702) NAME AND ADDRESS OF FACILITY 22c. Richardson F. H. Inc. LICENSE NUMBER 23b. RtJ ~ PA 17025 26. I Approximate : interval between : onset and death ...... a. Sequentialy ist cond_. I b. Wany, leedlng to Immediate cause. Enter UNDERLYING CAUSE (Dlsaose or Injury c. th8t initiated events resulting on death) LAST d. WAS AN AUTOPSV WERE AUTOPSV FINDINGS PERFORMED? AVAILABLE PRIOR TO COMPLETION OF CAUSE OF DEATH7 DUE TO (OR AS A CONSEOUENCE OF): DUE TO (OR AS A CONSEQUENCE OF): VOID NoD Ve.O MANNER OF DEATH Natural 0 Homicide 0 Accident 0 Pending Investigation 0 Suk:ide 0 Could not be determined 0 DATE OF INJURV (Month, Oay, V..r) TIME OF INJURY INJURV AT WORK? DESCRIBE HOW INJURV OCCURRED. 2'" 21b. CERTIFIER (Check only one) 1:~~tGJ:::;;~~~~~j=t~g::'~:~(:r~~3~~~a~h:t~~~~~.~.~.~~~~~.~~.~~~~.i~~.~~~................. 26. Va.O NoD 300. 3Ob. M. 3Oc. ~'i:;~~ ~~(=y - At home, farm, street, factory, oftIce 300. 34. NoD -P.rOO~:'~I:'G~N~I::II~:~~:'C~ ~~~~~:-':r~~~.~~thd~.d =~u~~(~)~~C:::~~r.. .tated...................... 0 . .MEDICAL EXAIIINERlCORONER . ::n:rb:I:.::.~~I.~~.~.~.~~~.I~~~~~.~~~:.I.~.~.~~.~~~.~:.~~~~.~~~~.~.~.~~.~I.~~:.~~~:.~~.~~.~'.~~~.~.~.~.~~.~~.(.~~.~~~.. 0 31.. REGISTRAR'S SIGNAlVRE AND NUMBER tr: ~1/p(J/r' I ~ 1 y b S-' I () I 'j LAST WILL AND TESTAMENT OF DONALD MERLE ANSELL I, DONALD MERLE ANSELL, 406 Mountain Street, Surnmerdale, East Pennsboro Township, Cumberland County, Pennsylvania 17093, being of sound mind and memory, hereby revoke and declare null and void any and all Wills and Codicils made by me at any time heretofore made. ITEM I: I direct my Executors to pay my just debts, the expense of my last illness, and my funeral expenses from the property passing under this Will as an expense and cost of administering my estate, as soon after my death as may be found convenient. ITEM II: I direct that my Executor bury me at the East Water ford Cemetery Lot in Juniata County. ITEM III: I devise, and bequeath the rest, residue, and remainder of my estate of every nature and wherever situate of all that I own to my Spouse, Romaine G. Ansell, provided she survives me by thirty (30)days. ITEM IV: Should my Spouse, Romaine G. Ansell, predecease me or fail to survive me by thirty (30) days, I direct devise and bequeath all of my estate of every nature and where situate as follows: (a). Five Thousand Dollars ($5,000) flat payment from my Page 1 of 5 estate each to the issue of Donna R. Ellenberger, Robert L. Ansell, and James M. Ansell, provided that the issue survive(s) me by thirty (30) days. If such issue predeceases or fails to survive me by thirty (30) days, then the payment will remain with my general estate. (b). Thirty three and one-third (33 1/3%) percent of my Estate (after reduction by section a.) to my daughter, Donna R. Ellenberger, provided she survives me by thirty (30) days. If my daughter, Donna R. Ellenberger, predeceases or fails to survive me by thirty (30)days, then to her issue, per stirpes, living on the thirtieth (30th) day following my death. (c). Thirty three and one-third (33 1/3%) percent of my Estate (after reduction by section a.) to my son, Robert L. Ansell, provided he survives me by thirty (30) days. If my son, Robert L. Ansell predeceases or fails to survive me by thirty (30)days, then to his issue, per stirpes, living on the thirtieth (30th) day following my death. (d) . Thirty three and one-third (33 1/3%) percent of my Estate (after reduction by section a.) to my son James M. Ansell, provided he survives me by thirty (30) days. If my son, James M. Ansell, predeceases or fails to survive me by thirty (30) days, then to his issue, per stirpes, living on the thirtieth (30th) day following my death. Page 2 of 5 ITEM V: I appoint my spouse, Romaine G. Ansell, Executrix of this my last will. Should my wife, Romaine G. Ansell, fail to qualify or cease to act as Executrix, I appoint my children, James M. Ansell, Donna R. Ellenberger and Robert L. Ansell as Co- Executors of this my last will. ITEM VI: The interest of the beneficiaries hereunder shall not be subj ect to anticipation or to voluntary or involuntary alienation. ITEM VII: I direct that my Executrix or guardian or their successors, shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I, DONALD MERLE ANSELL, the Testator, have hereunto set my hand and seal this 't day of d /,J!-, h' 2004. ~~~(SEAL) DONALD MERLE ANSELL Page 3 of 5 SIGNED, SEALED, PUBLISHED, and DECLARED by the above named testator, Donald Merle Ansell, as and for his Last Will and Testament, in the presence of us, who, at his request in his presence and in the presence of each other, have hereunto subscribed ;ncx' JlkiLlcc {\~ .eN ((J 170 ( ( ADDRESS J) 0 f j11arktfl J{ { f!/~;t /7#(( ADDRESS COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND I, Donald Merle Ansell, the Testator, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my last Will; that I signed it willingly; and that I signed it as my free and voluntary act for purposes therein contained. Lt:J /. / I' ',,' ,'.' I ~~A. u,?~J2P_~ DONALD ~RLE ANSELL SWORN to or affirmed to and acknowledged before me by Donald Merle Ansell, the Testator, this ~ day of f~~ 2004 Page 4 of 5 ft~. tl C/)llj'l(('L ,/ NO Y PUBLIC Notarial Seal Shelby A. Minich, Notary Public Camp Hill Boro, Cumberland County My Commission Expires Aug. 20, 2005 Member, Pennsylvania Association of Notaries " COMMONWEALTH OF PENNSYLVANIA : : 55. COUNTY OF CUMBERLAND We, \ JLtO n /-1 .~, ~.RE6 s and jVJ Ot r CfJ L. J4u,/,/c ( ~7 / the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we are present and saw the Testator sign and execute the instrument as his Last Will; that he signed willingly; and that he executed it as his free and voluntary act for the purpose therein expressed; that each of us in the hearing and sight of the Testator signed the Will as witnesses; and that to the best of our knowledge, the Testator was at that time eighteen (18) or more years of age, of sound mind, and under no constraint or undue influence. Jwlrf?t Sworn or affirmed to and subscribed to before me , and, /Utlf/;ll [. !/1ttt-lk;''I',the J~~~ 2004. by this /I,Wj ifL witnesses, day of dj.f/~ ~tr:L ./ NOTAR PUBLIC Page 5 of 5 Notarial Seal Shelby A. Minich, Notary Public Camp Hi 1.1 ~oro, Cumberland County My CommIssIOn Expires Aug. 20, 2005 Member, Pennsylvania Association of Nolaries