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Home My WebLink About11-23-05 Register of Wills of Cumberland County Estate of K Vt 7l't,r l-L E-u' also known as PETITION FOR PROBATE and GRANT OF LETTERS /--Ic~~'u 1::.-<<'J No. -)., \ - ~ S - \ I\::) ~ ~ To: , Deceased. Social Security No. (j c; 7 - 36 - 71 (1 1 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 older, and the execut_ named in the last will of the above decedent, dated fY'I~ ~u-\ 5 (\ ,20 ~ S- and codicil( s) dated (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decedent was domiciled at death in Cu M(\t:fC u'\0 ~ Pennsylvania, with li.J.~last family., or principal residence at I "c(j1:J CA Q u" > U: ("T 1<- ~ *.3 0 I Cii Q lc..'1S.i E (list street, number and municipality) Decedent, then S1 years of age, died ~\(\\J < q ,20 OG , at ~L"'.sE !+1J!-.(>r'r'A-'L 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, fA Decedent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (Unot domiciled in Pa.) Personal property in Pennsylvania (Unot domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: /1 ()?;IV.(.f?) $ $ $ $ WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant ofletters thereon. Signature(s) or Petitione~) ~~* rv\,I~ (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) Residence( s of Petitioner( s) C (/{) (' M 121.. f S Ct:/C- 1.;9 ~ LA-rv? ';4!? LI(! & ._) . ~-; r,,) Register of Wills of Cumberland County OATH OF PERSONAL REPRESENTATIVE } COUNTY OF CUMBERLAND COMMONWEAL TH OF PENNSYL VANIA SS: 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. 1'2-J2~ (y\ - )~... ctf'~ Sworn to or affirmed ~d subscribed ~e me thiJ;:€2(,-- day of , O\tf ~~. ,20 (")~ lHl~~-' 1 '-' 1M It.,- ., u,L~J '\c. u~ ~h. J-. Register ttp iI-I.. (L ( ';j~V)'_/j No. ~'\ -<:::IS- '~L~ { en ~. "" 2' ... ~ ~ :-) ,. -~._, ''":-,~l ~'""... , Estate of ~~\\, ~ \\~'" \\~~'I;'~\'<\\' Deceased DECREE OF PROBATE AND GRANT OF LETTERS ,', r.o) AND NOW ~~~. ""). ~ 20'\.)5, 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 "''\l.~ ~'\:\ "2-, '\l.\::) S , described therein be admitted to probate filed of record as the last will of ~,^-'I" '- \\~~ \~~~.... ~~,<,-r' ; and Letters are hereby granted to ~~ ~"''I.\ V\ Y. ~'\.\.. '\l~ Y \ \ FEES Probate, Letters, Etc. ............. Will............................. .... Renunciation... . . . . .. . . . . . . . . . . . . . . Short Certificates ( \) ............ JCP.................................. Automation Fee................... Bond............................. .... Total Filed ,,'\ ... ").. ~ <O~ ~ "'~~\:>~ $ $ $ $ $ $ $ $ J.~ . \S. ~ ~~ ~\, "-\ ~'\<..~s.x~--; . Attorney (Sup. Ct. I.D. No.) ~. \~. S. Address s~ .~~ 20 ~.s Phone "1. '\ .. ~ s - \~ -L ~ Last Will and Testament ............................................................................................................................................................ BE IT KNOWN that I, \<:u...'\tlULsV ~OLtUJ.rA.i/G- [Name ofTestator], a resident of 1"6'00 ~~S t3~ P:c.\<C: ,County ofCuM~[J2.I./l.V.I) ,in the State of ?E.tJ!JS '1 L\l f\...hA , being of sound and disposing mind and memory and over the age of eighteen (18) years, and not being actuated by any duress, menace, fraud, mistake or undue influence, do make, publish and declare this to be my last Will and Testament, hereby revoking all my prior Wills and Codicils at any time made. I. MARRIAGE AND CHILDREN: I am married to N / A [husband or wife] are references to Name: Name: Name: Name: , and all references in this Will to my [him or her]. I have the following children: Date of Birth: Date of Birth: Date of Birth: Date of Birth: II. EXECUTOR: I appoint \"<aeuu fY\ \~vJPt-P~ of LjCiiC.t< '?A.. , as Executor of this my Last Will and Testament and provide that if this Executor is unable or unwilling to serve then I appoint D ~J:: ~ 1~12L \~j of 1-\ A-R(C.:r: S I:, va .5 V'1i. , as alternate Executor. My Executor shall be authorized to carry out all provisions of this Will and pay my just debts, obligations and funeral expenses. I further provide my Executor shall not be required to post surety bond in this or any other jurisdiction, and direct that no expert appraisal be made of my estate unless required by law. III. GUARDIAN: In the event I shall die as the sole parent of minor children, then I appoint as Guardian of said minor children. If this named Guardian is unable or r-_) ':-:~--;:-:l c') c:J ':(l ,',.j . J N\~ unwilling to serve, then I appoint as alternate Guardian. I direct that after payment of all my just debts, my property be bequeathed in the manner following: -:J . ., IV. BEQUESTS: r',<"! c..) Name: l<o'5Utt M \4Jl\N.R.. Relationship: 1="R."I:~.0 ~ Address: Property: ~~\z \ P++.. E."/~~~~N.3 I",) .r:- r'V Name: Relationship: Address: Property: Page 1 www.socrates.com @ 2004, locrates Media, LLC Lf231 . Rev. 04/04 Address: Property: Name: Relationship: Address: Property: Name: Relationship: V. SIMULTANEOUS DEATH OF SPOUSE: In the event that my tJl A. [husband or wife] shall die simultaneously with me or there is no direct evidence to establish that my [husband or wife] and I died other than simultaneously, I direct that [lor my husband or wife] shall be deemed to have predeceased [me or my husband or wife], notwith- standing any provision of law to the contrary, and that the provisions of my Will shall be construed on such presumption. VI. SIMULTANEOUS DEATH OF BENEFICIARY: If any beneficiary of this Will, including any beneficiary or any trust established by this Will, other than my tJ I A [hus- band or wife], shall die within 60 days of my death or prior to the distribution of my estate, I hereby declare that I shall be deemed to have survived such person. VII. ALL REMAINING PROPERTY; RESIDUARY CLAUSE: I give, devise and bequeath all of the rest, residue and remainder of my estate, of whatever kind and character, and wherever located, to my [husband or wife], provided that my [husband or wife] survives me. I make no provision for my children, knowing that, as their parent, my [husband or wife] will continue to be mindful of their needs and requirements. If my [husband or wife] does not survive me, then I give, devise and bequeath all of the rest, residue and remainder of my estate, of whatever kind and character, and wherever located, to my children per share, but if any child predeceases me, then his or her share will pass, per share, to his or her lineal descendants, natural or adopted, if any, who survive me; but if there are none, then his or her share will lapse and pass equally as part of the shares of my other named children; but if none of my named children survives me or leaves a lineal descendant who survives me, then according to the order of intestate succession in the State of VIII. ADDITIONAL POWERS OF THE EXECUTOR: My Executor shall have the following additional powers with respect to my estate, to be exercised from time to time at my Executor's discretion without further license or order of any court: Page 2 www.socrates.com @ 2004, Socrates Media, LLC LF235. Rev. 04/04 IX. OPTIONAL PROVISIONS: I have placed my initials next to the provisions below that I adopt as part of this Will. Any unmarked provision is not adopted by me and is not part of this Will. If any beneficiary to this Will is indebted to me at the time of my death, and the beneficiary evidences this debt by a valid Promissory Note payable to me, then such person's portion of my estate shall be diminished by the amount of such debt. Any and all debts of my estate shall first be paid from my residuary estate. Any debts on any real property be- queathed in this Will shall be assumed by the person to receive such real property and not paid by my Executor. ~ ~ired that my remains be cremated a nd that the ashes be disposed of according to the wishes of my Executar. I direct that my remains be cremated and that the ashes be disposed of in the following manner: I desire to be buried in the cemetery in County, X. SEVERABILITY AND SURVIVAL If any part of this Will is declared invalid, illegal or inoperative for any reason, it is my intent that the remaining parts shall be effective and fully operative, and that any Court so interpreting this Will and any provision in it construe in favor of survival. ~ Execute and attest before a notary. Caution: Louisiana residents should consult an attorney before preparing a will. IN WITNESS WHEREOF, I have hereunto set my hand this 50-\0 day of MUrch ~ (year), to this my Last Will and Testament. XI. WITNESSED: ~ AA ~1 s:atar. Signa; . ~ ~ The testator has signed this will at the end and on each other separate page, and has declared or signified in our pres- ence that it is his/her last will and testament, and in the presence of the testator and each other we have hereunto subscribed our names this . ~ day of March ,200~ . Witness Signature: /( e' /)'1 ~ [J 4/1_~ Address: 1<( 00 C /~ R I-J IJ .( It J .> /3u If ~ ~/' J<' e / I 5 I ~ P /9 J 10 I 3 If () I?~ 7(; 7 Page 3 www.SQcrates.com @ 2004, Socrates Media, llC lF235 . Rev. 04/04 Witness Signature: ~ ~ ~~t~~ % /lon I Witness Signature: M n >-..9.. 0 ~ ~. -6~f\Or Address: Address: l~6-re(~~ I~. . \ j P\I \.IO\~ ACKNOWLEDGMENT State of ~ } County of ~bef\CU\d RWh E\\en We, ~'Reln ~. ~1ICr Hoern\'f\<j, \'ennet\r\ E.5:TGrl1€r c..,\'(\-\"h\(>-- \". LClr'd\s , and Do.n\e..\\e. R. ~rtner the testator and the witnesses, respectively, whose names are signed to the attached and foregoing instrument, were sworn and declared to the undersigned that the testator signed the instrument as his/her Last Will and that each of the witnesses, in the presence of the testator and each other, signed the will as a witness. Testatorq,u< ftw,~::::::: ~~~<2-t Witness: ~ . On ""ClrC~ 30 I aC05 before me, \\\mbe.r\'t A. B'\ +D€X , appeared ~~ E\ \e..n \-\oerf\\ n9 personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instru- ment the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature of Nota~: ~h~ Q.~ Affiant Known X Produced ID Type of ID e;:;rlh c..e:rti.f\cAt€ (Seal) Notarial Seal Kimberly A. Bitner, Notary Public Carlisle Borough, Cumberland County My Commission Expires Nov. 12,2006 Member. Pennsvlv~n;a II ssociation Of Notaries Page 4 www.socrates.com @ 2004, Socrates Media, llC lf2lS . Rev. 04/04 J.. '\ - ~ s - \ ~~}.., ~ Thi<. is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as LOl'.ll 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. No. ~~.~~~~~ Local Registrar Fee for this certificate. $6.00 p 12044704 NOV 6 2005 Date o "-':1 J fv H105.143 Rev. 2187 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH TYPEJPRlNT IN :JERMANENT BLACK INK ,. Ruth AOE{LaslBirthdayj Ellen Hoerning UNDEFl1 YEAR UNDER 1 DAY Months Days SEX 2.Female SWE FILE NUMBER SOCIAL SECURITY NUMBER NAME OF DECEDENT (First. Middle, Last) ~\ 3. 092 - 38 4, 2005 BIRTHPLACE (City and Slale or Foreign Country) .. 59 COUNTY OF DEATH Yrs. ~~ffy)D l7b. Coun Old docedeot llveina Cumberland township? 17d.D ~~h~~:7:1=OI MOTHER'S NAME (First. Middle, Maiden Surname) 19. Alice E. Sumner INFORMANT'S MArLING ADDRESS (Street. Cit)'fTown, Slate, Zip Code) 2~. 600 Charles Circle Hallam 1 406 PLACE OF DISPOSITION - Name of Cemetery, Cremalory LOCATION _ CityITown, Slale, Zip Code or Other Place MARITAL STATUS. Married Never Married, Widowed, Olvoroed(Specily) ,.Never Married ". Middlesex RACE - American Indian, Black, White, elc. (Specify) White SURVIVING SPOUSE (ff wife, give maiden name) Bb. Cumber land DECEDENT'S USUAL OCCUMTION (~iV:O~~~~d~"?u~~~r~)' Check in desk IWp. cltylboro. o w "' ::> ~ ::; <( 2'Evans Leola PA l.1,e.Ct.S~ \ ~ -., ( : d. WERE AUTOPSY FINDINGS AVAILABLE PRIOR TO COMPLETION OF CAUSE OFDEJIJ"H? MANNER OF DEATH Nalural ~ o o DATE OF INJURY (Month, Day, Year) TIME OF INJURY INJURY AT' WORK? DESCRIBE HOW INJURY OCCURRED Homicide o o o =~:CE OF INJURY - AI home, far:,O::~eet. factory, office building. etc. (SpecifyJ 3... y", 0 NoD Accident Pending Investigation "..0 No 0 Suicide Could not be determined REGISTRAR'S SIGNATURE AND NUMBEA <:\. ~bJ..~~ <:J.J ~I\ 0.11101 ... 2a.. 2ab. CERTWlER (Check OIlly one) .CEATIFYING PHYSICIAN (Physician certifying cause 01 death wllen another physician has pronounced death and completed Item 23) To the ~t of my knowtedge, dlIath occu".a d....lo IhIl cauM(a) and manMr.. alated. . . . . . . . . . . . . . . . . 29. .... ill iil f;l o U- o W '" :2 .PRONOUNCING AND CERTIFYING PHYSICIAN (Physician both pronouncing deatl1 and certifying 10 CRUse of deatl1) To the bHt of my knoMedge, dHth occurred aI the time, dale, and place, and due to the cauee(a) and manner a. alated.. .MEDtCAL EXAMINER/CORONER On the basis of examination and/or Investigation, In my opinion, dealh occurred at the time, dale, and piece, and due 10 lhe cauae(a) and manner ea stated.. . . . , . . . . . , . . . . . . , , . . . . , , , . . . . . . , . . , . . . . . . . , ,. .... _ . . . . . . , . , . . . . . . . . . . . . . . . . . . , , . . . 31a. o