HomeMy WebLinkAbout11-17-05
Register of Wills of Cumberland County
Estateof~ --r;.-OVVl~O~'
also known as
1Y\~.,.~~, CO...",,<,~
( YY\ ~ rL \-. V\ Ol ~"l- ') , Deceased.
Social Security No. <-( ~ a. -- 0 C\ ..., y. g.. '" 2..
PETITION FOR PROBATE and GRANT OF LETTERS
a ) -;)00 s=- 10 / <j
No.
To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or o~der, and the execut~ named in the last will of the
above decedent, dated " \ \.1 \ U (0-+.... ,2000
and codicil(s) dated ~
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in C~ l J VV\ ~ -e r \ ~ Vl J
Pennsylva~, with h_last family or princ' ......LL II
V 'n e.... e T V'I. - --- S""' L-
(list street, number and municipality)
Decedent, then 1:..!i years of age, died t 111-.1 , 20 "S- , at ~;;J ~ 0 ~ VV)
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:
County,
~ 'S ( e....
~CL
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
(lfnot domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
6,) 00 0
$
$
$
$
------. ^~,.-~,",..,
WHEREFORE, petirioner(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.Iil.c.t.a.)
thereon.
Signature(s) ofPetitioner(s)
. '/~ tJ:?/d~
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(/
Residence( s) of Petitioner( s)
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OZ-? P S
Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEAL TH OF PENNSYLVANIA
}
SS:
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.
CIl
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DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW AJ~ 17fL 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
'-~ /t1.~ tr;.; f?_~TD c> , described therein be admitted to prob~d of record as the last will of
. _ I ()VlVSI.-...J ; and Letters are hereby granted to {/ ;(. /111ft .h'rU
~~<-'~//U-< cY~
~ ~__//7~.
!/ Register of Will;
FEES
Probate, Letters, Etc. ............. $
Will ................................. $
Renunciation... . . . . . . . . . . . . . . . . . . . . $
Short Certificates (3) ............ $
JCP.................................. $
Automation Fee.. .. .. .. .. .. .. .. . .. $
Bond. .. .. .. . .. . .. . . ... . ... . . . . . . . .... $
Total ~O $
Filed lV-tv I (.f1.. 20~
Lf::. aO
i~/ dD
I
Attorney (Sup. Ct. J.D. No.)
IJ..()D
10.6D
5. OJ)
Address
Phone
" I' d f' ,0)1 /tczr5-/01/j<l h d I f"l d . I
This is to certify that the information here given IS correct y cople rom an ongll'a cn! j cate 0 (Cat u y I e WIt 1
LOCJI Registrar. The original certificate will be forwarded to the State Vital Records Otli~l~ for permanent filing.
me as
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate. $6.00
p
120448~~1
No.
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LOCll Registrar
NOV
8 2005
Date
TYPE/PRINT
IN
lERMANENT
BLACK INK
CERTIFICATE OF DEATH
H105.143 Rev. 2/67 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
STATE FilE NUMBER
SOCIAL SECURITY NUMBER
NAME OF DECEDENT (First, Middle, Last)
1. Mary F. Trounson
AGE (Last Birthday)
SEX
Female
2.
BIRTHPLACE (City and P F DEA
State or Foreign Country) HOSPITAl:
7Benton, Ark. ~;"'"'O
FACILITY NAME (11 not institution, give street and number)
84V",
..
COUNTY OF DEATH
~r
8b. Cumberland
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To the best of my knowledge, dealh occurred at the time, dale and place slated.
(Signature nd Tille)
23a,
TIME OF DEATH
24. .;z.;;Z,j"Q
27. PART I: Enterth. dl......, InJun.. or compllntlons which caused t/M d..th. Do not
L1stonlyoMcaus.on..chllne,
L.. 'C. roc., N:l rv.. <!)
DUE TO (OR AS A ,::ONSEQUENCE OF)'
{b,
c.
d.
DUE TO (OR AS A CONSEQUENCE OF)'
DUE TO (OR AS A CONSEQUENCE OF)
WERE AUTOPSY FINDINGS MANNER OF DEATH
AVAILABLE PRIOR TO
COMPLETION OF CAUSE Natural
OF DEATH?
Homicide
Pending Investigation
DATE OF INJURY
(Month. Day, Year)
o
o
o
3D.. 30b. M, 30e.
PLACE OF INJURY - At home, farm, streel, factory. office
building, "Ie. (Sp.cIfy)
30e,
Ve. 0 No 0
Accident
~
o
Could not be determined
I-
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W
"
W
~
"
u.
o
w
::;;
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z
Ve. 0 NO'1;] Ve. 0
288. 2ab.
CERTIFIER (Check only one)
f~~~~~tGor!:.~~~~hJ.~:rhC:~~~dUJ: Ir: P.:':~a~:~(:r~3~~~~a~h:~f.~~~~~.~~~~.~~~.~.~~~~:~.~.I:~.~.~~)...........
NoD
Suicide
2..
*PRONOUNCING AND CERTIFYING PHYSICIAN (PhySician both pronouncing death and certifying to cause of death)
To the besl of my knowl8dge. dealh occurred al the time, date, and place, and due to the causes(s) and manner as slated"
*MEDICAL EXAMINER/CORONER
~~~':rb::I:::e~~~~ 1.~~,t,I~~. ~~~~~.~ ,I~~.~~~~~~~~~.~: .I~ ,~~ ~~I.~~~.~:. ~~~~ ,~~~~~~.~. ~~, ~~~, ~I.~~:, ~.~~~:, ~,~~ ,~~~~~'. ~~~ ,~,~~. ~~ .~~~ ,~~,~~~~,~~~ ,~~~., 0
31a.
REGISTRAR'S SIGNATURE AND NUMBER
~~
~18,1\ 101
3. 432
h ckonl n
09
instruction
ERlOutpallentD
OOAO
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RACE. American Indian, Black, While, e
(Specify)
White
SURVIVING SPOUSE
(lfwifi,givl!lmaidl!lnname)
MARITAL STATUS - Married,
Never Married, Widowed,
Divorced (Specify)
14.Di vorced
Rn Mi~~lp~nn Twp .0
citylboro.
Rhode Island 02885
2..
: Approximate
. interval between
: onset and death
:t.."'~",-
PART II: Other significant conditions contributing todeath, but
nol resulting In the under1ytng cause given In PART l.
TIME OF INJURY
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED.
....~
.......
DATE SIGNED (Month, D~, Yearl_
31c. 31d. 1'>"''-' "I, -'"0 C> ')
NAME AND ADDRESS OF PERSON WHO COMPLETED CAUSE OF DEATH
{ltem~.2pea"'~: (f. ~r't.'"''''tJ....:>........ V" rn'9
32. 'OSO V..(\u. <?:It:l '" cl2.1\ C'l:.r4J"-
DATE FILED (Month, o~, Year)
34. N00 \ ~ C).OoC
6'c.,
......0
LAST WILL AND TESTAMENT
I, MARY F. TROUNSON, of 1 West Penn Street, Apartment 527, Carlisle,
Cumberland County, Pennsylvania 17013, do hereby make, publish and declare this to be
my last will and testament, hereby revoking all wills heretofore made by me.
1. I direct my personal representative to pay all of my debts, funeral and
administrative expenses as soon as convenient after my decease. I direct that all
inheritance taxes imposed or payable by reason of my death and interest and penalties
thereon with respect to all property, whether or not such property passes under this Will,
shall be paid by my personal representative out of my estate.
2. I authorize and empower my personal representative to sell any realty
and/or personalty owned by me at my death and not specifically devised or bequeathed
herein, at public or private sale or sales and to give good and sufficient deeds and/or
bills of sale therefore, in fee simple, as I could do if living. My representative is
authorized and empowered to engage in any business in which I may be engaged at my
death, for such period of time after my death as seems expedient to said representative.
3. I give, devise and bequeath all of my estate of whatever nature and
wherever situate to my daughter, Jan A. Martin.
4. I nominate and appoint Jan A. Martin to be the personal representative of
my estate, to serve without bond.
5. I suggest that my personal representative retain the services of Harold S.
Irwin, III, Carlisle, Pennsylvania in the settlement of my estate.
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IN WITNESS WHEREOF, I have hereunto set my hand and seal this 6th day of
July, 2000.
Signed, sealed, published and declared by the above-named person as and for a
last will and testament, in our presence, who at said person's request, in said person's
presence and in the presence of each other have hereunto set our names as
subscribing witnesses.
(L, fj-): f0<x22~-
7J
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ACKNOWLEDGMENT AND AFFIDA VIT
WE, MARY F. TROUNSON, AMY S. CASEY and HEATHER A. BARBOUR, the
testatrix and witnesses respectively, whose names are signed to the foregoing
instrument, being first 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 purpose herein
expressed, and that each of the witnesses, in the presence and hearing of the testatrix,
signed the will as a witness 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.
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A'~~' _'<lQ'j-
A Y S. EY
~L tJt.~
HEATHER A. BARBOUR
COMMONWEALTH OF PENNSYLVANIA
:ss:
COUNTY OF CUMBERLAND
Subscribed, sworn to and acknowledged before me by MARY F. TROUNSON
the testatrix herein, and subscribed and sworn to before me by AMY S. CASEY and
HEATHER A. BARBOUR, witnesses, this 6TH da~ f July, 2000.
Notarial Seal .]
Harold S. Irwin \11, Notary PUbllCt
"nd Coun Y
Carlisle.Boro, cumb:rI~pn\ 23,2002
My Commission Explre~_
. ," ---~ .;, I ion 0\ Nolanes
Member, P8~,nsylv",<,,^ ",."J,-,<J.