HomeMy WebLinkAbout11-30-05
PETITION FOR PROBATE and GRANT OF LETTERS
Estate of EDNA M. STOUFFER No. 21 - 05 - ~03'1
also known as To:
Register of Wills for the
, Deceased. County of CUMBERLAND in the
Social Security No. 056246799 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older and the execut or named
in the last will of the above decedent, dated FEBRUARY 26.1998
and codicil( s) dated
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in CARLISLE. CUMBERLAND County, Pennsylvania, with
h er last family or principal residence at 1 MAINSVILLE ROAD. SHIPPENSBURG.
SOUTHAMPTON TOWNSHIP. CUMBERLAND COUNTY. PENNSYLVANIA 17257 U\
. (list street, number and municipality) .' I ^ If \ ~~
Decedent, then 15 years of age, died ..:1.1l.5Q&9S- \ ~ O~
at CARLISLE REGIONAL MEDICAL CENTER. CARLISLE. PA
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:
$
$
$
$
2.000.00
115.000.00
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters testamentary
thereon. (testamentary; administration c.I.a.; administration d.b.n.c.l.a.)
tN O~. Jt C( f;rv\~
. ROBERT A. MURPHY \ '
3 SCRAFFORD STREET
SHIPPENSBURG PA 17257
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEAL TH OF PENNSYLVANIA }
COUNTY OF CUMBERLAND SS HAROLD S. IRWIN, III
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The petitioner(s) above-mmed swear(s) or affirm(s) that the statements in the foregoing petition are
true and correct to the best of the Y-Ilowledge and belief of petitioner( s) and that as personal represen-
tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law.
Sworn to or affirm~d and subscribed d ~
before me this \...]0 day of '. ~, r~ () 1?Y\ A -<A.f ~
NOVEMBER 2005. rrrJ:....~f1.. ..
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No. 21 - 05 - l031
Estate of EDNA M. STOUFFER , Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
0D
AND NOW NOVEMBER .2005 , 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 2/26/1998
described therein be admitted to probate and filed of record as the last will of EDNA M. STOUFFER
and Letters TEST AM ENT ARY
are hereby granted to
ROBERT A. MURPHY
2(00.00
IlP. 0 0
15.00
~c>> IVA--F $ '5, DO
TOTAL _ $ ~Olo ((JO
Filed. NQV.'~J'O~. . . . . . . . . . . .
FEES
Probate, Letters, Etc.. . . . . . . . $
Short Certificates (4 }...... $
RElmHl.lliatisB. W I.U-. . . . . . . $
64 SOUTH PITT STREET
CARLISLE PA 17013
ADDRESS
717-243-6090
PHONE
H105.805 REV 1105
This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
I.i"}
12045939
Fee for this certificate, $6.00
LL.
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,
Date
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
STATE FilE NUMBER
TYPEIPRINT
IN
PERMANENT
BLACK INK
~\
NAME OF DECEDENT (Firs'. Middle, Las.)
1. Edna M. Stouffer
AGE (Les' Birlhdey)
BIRTHPLACE (City end
State or Foreign Country)
SOCIAL SECURITY NUMBER
3. 056 24 - 6799
heck
DATE OF DEATH (Month, Day, Year)
4~ovember 9, 2005
5. 75
COUNTY OF DEATH
Yrs.
MARITAL STATUS. Merried,
Never Manied, Widowed.
Divorced (Specify)
14. Widowed
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RACE - American Indian, ellck. White. al .
(Specify)
lo.White
SURVIVING SPOUSE
(Kwir.,glvelNlillennan-.l
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II)
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Did
decedent
17b. County Cumberland ~~? 17d.0 ~=~~=of
MOTHER'S NAME (First, Middle, Maiden Sumame)
19. Alice Burnham
INFORMANT'S MAILING ADDRESS (Str..~ CltyfTown, Sla.e. Zip Code)
20b. 3 Scrafford Street, Shippensburg, PA 17257
PLACE OF DISPOSITtON- Name of CemetefY', Crematory LOCATION - CityfTown, State. Zip Code
or Other Place
17c. ua Yes, decedent ived in
Southampton
twp,
citylboro.
11/13/2005
LICENSE NUMBER
22b.OII776-L
21.. Smi thsburg Crematory
NAME AND ADDRESS OF FACILITY
~-Bri.cXer FR, ro Box 336,
LICENSE NUMBER
21d.Smi thsburg, MD
21783
Items 24.26 must be compteted by
person who pronounce. death.
To the best of my knowledge, death occurred at the time, dete and place stated.
(Signature and TiUe)
23a.
TIME OF ~:r'5-g
24. ,..
DATE PRONOUNCED DEAD (Month. Day. Year)
M. 25. 11,C;-o5
S1i.wenstnrg FA 17257
DATE SIGNED
(Month. Day. Year)
23b. 23c.
WAS CASE REFERRED TO ~1S4l EXAMINER /CORONER?
26. Yes 1IlI/Vt)? No
: Approximate PART H: Other signifICant conditions contributing to death. but
: ::~a~:=~ not resulting in the undertying cause g;veri in PART I.
27. PART I: Enmrthe dl......, Injun.. or complluUona which c.,..ed the d..th. Do not .nterthe moM 01 dying, .uch.. Urdls<: or ,...p/r.tory .mI.1., .hock or ...rtf.Uur..
Us! only OM CSUM on ..ch 11n..
IMMEDIATE CAUSE (Final
disease or condtUon
resulting In death)--+
e.
e.--
Sequentielty lis. ccnditlons { b.
if any. leeding to immediate
cause. Enter UNDERLYING
CAUSE (Disease or Injury c.
that initiated events
resulting on death) LAST d.
WAS AN AUTOPSY WERE AUTOPSY FINDINGS
PERFORMED? AVAILABLE PRIOR TO
COMPLETION OF CAUSE
OF DEATH?
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DATE OF INJURY
(Monll1, Oey, Year)
o
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3Oa. 30b. M.
Could not be detennined 0 PLACE OF INJURY _ At home. farm, street, factory, office
building, etc. (Specify)
28a. 28b. 29, 30..
C~~~:~~~:~:ic:'~ (Physician certifying cause of death whe~ another physician has renounced death and completed item 23)
10 the best of my knowltCIge, death occurred due to the c.u..a(s) and manner as .t.f.d................................................................. 0
MANNER OF DEATH
TIME OF INJURY
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED.
Natural
rn
o
o
Homicide
.MEDICAL EXAMINER/CORONER
~:~~rb:::::.~~~~~~~I~ ~~~~ ~~~~~~~~.~~~~.~~.I.~ .~~..~~I.~~~.~:.~.~~,~~.~~~.~.~.~~~ .~~~~:. ~~~.~.~.~.~~.~~'.~~~.~.~.~~ .~..~~.~~.~~.~~~ .~~~.. 0
318.
REGISTRAR'S SIGNATURE AND NUMBER
I ;/I-i' fl
Yes 0 No 0
30c.
AcckJent
Pending Investigation
YesO No~
Yes 0
NoD
Suicide
.PRONOUNCING AND CERTIFYING PHYSICIAN (Physician both pronouncing death and certifying to cause of death)
To the be.t of my knowledge, death occurred at the time, date, and place, and due to the caus..(s) and manner as atated......................
33.
34.
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LAST WILL AND TESTAMENT
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,--..:
I, EDNA M. STOUFFER, of 1 Mainsville Road, Shippensburg, Cumberland
county, Pennsylvania 17257, 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.
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 therefor, 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. give, devise and bequeath all of my estate of whatever nature and
wherever situate to my children, share and share alike, the child or children of any
deceased child taking the share their parent would have taken if living.
4. I nominate and appoint Robert A. Murphy to be the personal
representative of my estate, to serve without bond. If he cannot or does not serve, then
I appoint Suzanne M. Koser and Kathleen T. Comp to be the substitute co-personal
representatives, also 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.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~~ t!:J day
of February, 1998.
~/ ~ ~(SEALl
E NA M. STOUIiFER
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.
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ACKNOWLEDGMENT AND AFFIDAVIT
WE, EDNA M. STOUFFER, AMY S. IRWIN 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.
?f~~
EDNA M. STOUF
~~~~H'-r .
AMY S. WIN
yftt?tj~ N,A~aq
HEATHERA. BARBOUR
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
:88:
Subscribed, sworn to and acknowledged before me by EDNA M. STOUFFER,
the testatrix herein, and subscribed and sworn to before me by AMY S. IRWIN and
HEATHER A. BARBOUR, witnesses, this te JWday of February, 1998.
Notarial Seal Public
Harold S. Irwin III, Notary County
Carll"I,Bo,ro, CE~P~~r1~~~. 14, 1998
My comm S8 on .
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