HomeMy WebLinkAbout11-28-05
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
PETITION FOR GRANT OF LETTERS
Estate of BLANCHE R. FOX No. 1 /-- ()C:;~11J3{)
also known as
, Deceased
Social Security No. 206369451
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE "A" OR "B" BELOW:)
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A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut rix
Decedent, dated 2/16/1998 and codicil(s) dated n/a
named in the Last Will of the
State relevant circumstances, e.g., renunciation, death of executor, etc
Except as follows, Decedent did not marry, was not divorced and did not have a child born or adopted after execution of the documents offered
for probate; was not the victim of a killing and was never adjudicated incapacitated:
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B. Grant of Letters of Administration
(c.I.a., d.b.n.c.l.a.: pendente lite, durante absentia; durante minoritate)
Petitioner(s) after a proper search has/have ascertained the Decedent left no Will and was survived by the following spouse
(if any) and heirs:
I Name Relationship :.~-') Residen~::::; I
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(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland
residence at 1000 Wesley Drive (Lower Allen Township)
(list street, number and municipality)
years of age, died November 18 ,2005, at Bethany Village, Lower Allen Township
(Location)
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County, Pennsylvania, with his/her last family or principal
Decedent, then 1 00
Decedent at death owned property with estimated values as follows:
(if domiciled in PAl All personal property......................................... $
(if not domiciled in PAl Personal property in Pennsylvania .................... $
(If not domiciled in PAl Personal property in County.............................. $
Value of real estate in Pennsylvania ........................................................................................ $
Total ..................................................................................................................... $
80,000.00
Real Estate situated as follows:
80,000.00
Wherefore, Petitioner(s) respectfully request(s) the probate of the Last Will and Codicil(s) presented with this Petition and the grant of letters in
the appropriate form to the undersigned:
Typed or printed name and residence
CAROLE E. WEAVER
4619 SURREY ROAD
HARRISBURG PA 17109
RW-7
Affidavit ( ) ....................... $
Extra Pages ( ).............. $
Codicil................................. $
JCP Fee ...::f...ft.v..fJ.>........... $
Inventory & Tax Forms............. $
Other ...................................... $
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Attorney
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Attorney: CHARLES E. PETRIE
1.0. No: 29029
Address: 3528 BRISBAN STREET
HARRISBURG, PA 17111
Telephone: (717) 561-1939
DATE FILED: 11/28/2005
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TOTAL .............................$
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Oath of Personal Representative
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Commonwealth of Pennsylvania
County of Dauphin
The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the foregoing Petition are true
and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent,
Petitioner(s) will well and truly administer the estate according to law.
Sworn to and affirmed and subscribed --< /!a/MJ../J ~ ;;, tI~#b
CAROLE E. WEAVER
before me this 28th day of
November. 2005
, Mlcnci<c-\kq"d~
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DECREE OF REGISTER
Estate of BLANCHE R. FOX
also known as
Deceased
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No.
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Social Security No: 206369451
AND NOW, November 28, 2005
on the reverse side hereon, satisfactory proof having been presented before me,
Date of Death: 11/18/2005
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, in consideration onfi~ Petitiol'l~
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IT IS DECREED that Letters ~ Testamentary 0 of Administration
are hereby granted to Carole E. Weaver
(c.I.a., d.b.n.c.t.; pendente lite; durante absentia; durante minoritate)
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in the above estate and that the instrument(s), if any, dated 02/16/1998
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
FEES
Letters .................................... $
Short Certificate(s) ....5......
.~llur'(;iCltlon .......W .c.le..........
$
$
$
$
$
$
Inventory & Tax Forms............. $
$
Affidavit (
) .......................
)............. .
Extra Pages (
Codicil.................................
JCP Fee ...:i..f.I:..t!.h>...........
Other..................................... .
()j'D .0D
6<.0 . D\)
15. VC
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TOTAL .............................$ J 0 () . 0 D
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Attorney
Attorney: CHARLES E. PETRIE
I.D. No: 29029
Address: 3528 BRISBAN STREET
HARRISBURG, PA 17111
Telephone: (717) 561-1939
DATE FILED: 11/28/2005
This is to certify that the information here given is correctly copied from an orit'in.lJ .:c;ihl ill
Local Rcgis~rar. The original certificate will be forwarded to the State Vital Rectl!"cs 01licc OJ
fA} -() 5-/ C J.()
of death duly filed with
I lcrmanent" filing.
me as
Hln"_"ll" Rr\' ""':::
WARNING: It is illegal to duplicate this copy by photostat or photo~lraph.
No.
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Fee for this certificate, $6.00
Local Registrar
p 12085168
tfe ve,A4 ~e.r (j~ J ~tJd$
Date
H 105143 Re.., 2/87
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
TYPE/PRINT
IN
PERMANENT
BLACK INK
NAME OF DECEDENT (First, Middle. Lasl)
,Bt'anc-he. R. Fox
AGE (la51 Birthday)
CERTIFICATE OF DEATH
- ..100
y"
SEX
fe.ma.t'e.
PACE F 0
HOSPITAl
InPiilulnlD
80.
FACiliTY NAME (If nol in!olitution, give liotreet and number)
BIRTHPLACE (Cily and
Slale Of Foreign Country)
,.
T Ch nl n-s int tin
COUNTY OF DEATH
7. Avon, PA
ERlOutpahenlD
~~~~) 0
RACE - American Indian, Black, While, at
(Specify)
Wh.{.te.
'0.
8bCumbe.'l.t'and
DECEDENT'S USUAL OCCUPATION
SURVIVING SPOUSE
(l1w,'e.gwemald<aooame)
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53
U
w
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1000 We.6.t'e.1.j DJ(.(ve.
,.J.fe.dwll.(C-6bu'l. , PA 17055
FATHER'S NAME (First, Middle, Lasl)
18 John W. Sta e.J(
INFORMANTS NAME (Type/Prinl)
20aC a 'I. o.t'e. E. We.ave.J(
METHOD OF DISPOSITION
Burial rn Cremdlion ~!;!rnovaj ltom Sldl!;! 0
Other (Specify)
OF FUNERAL SERVI
Iwp
17d. 0 ~rthi~le~I~:i~i~i~sd of
citJ'/L(J(o
:il
MOTHER'S NAME (First, Middle, Maiden Surnarne)
'9. Emma Fe.n~te.J(mac-he.J(
INFORMANTS MAILING ADDRESS (S,rpeIHCity/TOWp, State, Zip Cod!)
20b. 4619 SWt!1.e.1.j Roaa aJ1.H~b[[/[, vA 171 09
PLACE OF DISPOSlTION- Name of Cemelery, Crematory LOCATION _ CityfTown, Slate, Zip Code
or Other Place
2,!:it. Le.banon Ce.me.te.J(y
I Ie
DUE TO (OR AS A CONSEQUENCE OF)
c
2'.
: Approximate
: ~~~a~~:::,;
PART II; Other significant conditions contributing 10 death, bul
not resulting in the underlying cause given in PART I
, \
t:
DUl: TO (OR AS A CONSEQUENCE OF)
DUE TO (OR AS A CONSEOUENCE Of)'
WERE AUTOPSY FINDINGS
AVAILABLE PRIOR TO
COMPLETION OF CAUSE
OF DEATH?
MANNER OF DEATH
DATE OF INJURY
(Monlh, Day. Year)
TIME OF INJURY INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED
Natural
Homicide
o
o
o ~~:CE OF INJURY
D\.I,ldmg.8Ic (Spoe,lyJ
30..
y., 0 No 0
M 30e
Suicid~
o
o
PendlflY InvtJsljU~ljon
Could nut bu delurrniulld
C!: J
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NOcf
AeCldunl
28a 28b.
CERTIFIER (Check only one)
.l~~:=:~~IGor~~\'~~~~.~ghJ.s~c,:~~e~~~~~~~a~~s: t':J ~.d~~~~l~~{:ll~~drn~)~~~i~~..~.h:t~f~~~~.~~:?,~ ,~~~.~1. ~~l~ .~~,~~~~~~~.~ .i:~.r.l~ ?~~..
29
"PRONOUNCING AND CERTIFYING PHYSICIAN (Pllysidall both PlOfl"Uflclng dedltl and e'.l(tllyil1g to cause uf dealtl)
To the be.t 01 my knowledge, death occurred at (he time, dale, and place, and due to (he caus.s(s) and manner as .tated,
"MEDICAL EXAMINER/CORONER
~~,::::"::~::.~~amlnatlOn and/o,'n,...'.atlon, In my opln'on, d.ath o"o".d 01 'h. 11m., do'., and p'oo., and do. 10 th. '"0'''1'1 and 0
'10
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1211121 L 1'C1
L? ZelOS-
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LAST WILL AND TESTAMENT
I, BLANCHE R. FOX, of 108 North 31st Street, Borough of
Paxtang, County of Dauphin, Pennsylvania, do hereby make,
publish, and declare this to be my LAST WILL AND TESTAMENT,
revoking any and all prior wills and codicils, in manner
following, that is to say,
FIRST, that I direct that my Personal Representative shall
pay all of my just debts and funeral expenses as soon as this
shall be practicable.
SECOND, that upon my death I give and bequeath the sum of
Ten Thousand Dollars ($10,000.00) to each of my grandchildren who
survive me: SEAN E. SHOVER, LAURIE R. SCHMIDT, LEATH A. BARNETT,
THOMAS W. SHOVER, HAROLD K. WEAVER, ROCHELLE E. BENDER, and KYLE
R. WEAVER.
THIRD, that I glve and bequeath the following list of
personal property to the beneficiaries indicated:
A. To my daughter CAROLE E. WEAVER I give the following
items:
1. My Haviland china and all other items in the corner
cupboard.
:2. The lJeclrc)Oll1 fu.rni tU.rE=~ l..J.l t112 t\'JO bedroom:s) other~
l ' I
than my own bedroom.
3. My entire dining room suite, except for theant'ique
)
cupboard.
4. Seven (7) self-painted plates and eight f8)
r _'
teacups.
B. To my daughter JOANNE V. SHOVER I give the following
items:
1. The bedroom furniture in my own bedroom.
2. My entire living room set.
3. My antique cupboard located In the dining room.
4. Any remaining teacups other than those given to my
daughter CAROLE.
5. All plates other than those given to my daughter
CAROLE.
C. To my granddaughter LEATH A. BARNETT, I give and
bequeath my barometer.
D. To my grandson HAROLD K. WEAVER I give the vehicle that
I own at the time of my death.
FOURTH, that I may leave a statement or list in my safe
deposit box or attached to this will disposing of certain items
of tangible personal property not otherwise disposed of herein.
Any such statement or list shall be determinative with respect to
all items bequeathE~d therein. If I have prepared more than one
such statement or list, then I shall date each sign each
document. To the extent that there is any conflict between the
lists, the statement or list with the latest date shall be
determinative.
FIFTH, that I give, devise, and bequeath all of the rest,
residue, and remainder of my estate, real, personal, and mixed,
..
,
,
-
to be divided equally between my daughters, CAROLE E. WEAVER and
JOANNE V. SHOVER.
SIXTH, that I hereby appoint my daughter CAROLE E. WEAVER as
the Executrix of my estate. If she is unable or unwilling to
perform in this capacity, then I appoint my daughter JOANNE V.
SHOVER as the Executrix. I direct that my Personal
Representative shall not be required to post bond in this or In
any other jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
this 16th day of February, 1998.
la.1 a'll (~,/1.;( )2/1 c}7
BLANCHE R. FOX
(iz/UO/[, tlkalJW
WITNESS
..
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF DAUPHIN
I, BLANCHE R. FOX, testatrix, whose name is signed to the
attached or foregoing instrument, having been duly qualified
according to law, do hereby acknowledge that I have signed and
executed the instrument as my Last Will and Testament; that I
signed it willingly and that I signed it as my free and voluntary
act for the purposes therein expressed.
Sworn or affirmed to and acknowledged before me by BLANCHE
R. FOX, the testatrix, this 16th day of February, 1998.
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BLANCHE R. FOX
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TA UB C
NOTARiAl SEAL
KELlY P. ROBERTS, NOTARY PUBLIC .
PAXTANG BORO. DAUPHIN CO. PA. 1
MY COMMISSION EXPIRES JAH 27,2001 '
-,
..'
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF DAUPHIN
WE, CHARLES E. PETRIE and CAROLE E. WEAVER, the witnesses
whose names are signed to the attached or foregoing instrument,
being duly qualified according to law, do depose and say that we
were present and saw testatrix sign and execute the instrument as
her LAST WILL AND TESTAMENT; that BLANCHE R. FOX signed willingly
and that she executed it as her free and voluntary act for the
purposes therein expressed; that each of us in the hearing and
sight of the testatrix signed the will as witnesses; and that to
the best of our knowledge the testatrix was at that time 18 or
more years of age, of sound mind and under no constraint or undue
influence.
Sworn or affirmed to and subscribed before me by CHARLES E.
PETRIE and CAROLE E. WEAVER, witnesses, this 16th day of
February, 1998.
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WITNESS
CaIJ!~ [;, {;)ll/1J2N~)
WITNESS
~C2~~
" A 7 BL-LC
NarARW. SEAL
KB.1.Y P. ROBERTS, NOTARY PUBLIC
PAXTANG BORO. DAUPHIN CO. PA
MY COMMISSION DPiRfS JAN. 27. 2001