HomeMy WebLinkAbout12-15-05
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Register of Wills of Cumberland County
PETITION FOR PROBATE and GRANT OF LETTERS
d / ,-D (-- /~ ~ I
,
No.
To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
, Deceased.
Social Security No. ;2.1 (, ~ (.1 9 ~ 1f.5;.l-
The petition of the undersigned respectfully represents that:
Your petitioner( s), who is/are 18 years of age or older, and the executa V named in the last will of the
above decedent, dated JJ" V ~fYl bev 30 ,20 (J I
and codicil(s) dated
--
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in C U (h b e jr I If n el
Pennsylv~a, with h~Y1ast family or prin~ipal residence at / 1/J II
q rrocK/twA-y 'bY', Lkrr-p Hi II PI}
) (list'street, nurtiber and municipality)
Decedent, then f'fyears of age, died MV~/lkr I(), 20 () .5, at f!ltnoy {JAY-L- Nv,r.s;~ #n't....
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,
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 Pelillsylvania
situated as follows:
9/0th OO~
JO 8'" ~...., j/
,. I .
$
$
$
$
,00
WHEREFORE, petitioner(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.n.c.t.a.)
thereon.
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~of'
of Petitioner( s)
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Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEAL TH OF PENNSYL VANIA
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SS:
COUNTY OF CUMBERLAND
The petitioner(s) above-named swear(s) or affrrm(s) that the statements in the foregoing petition are hue 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.
Sworn to or affirmed and subscribed
Befo~"1~'r-z... , 20 d~ of
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Estate of fJtn IJ III V f/1 (j .rJ'fJ'}t.p- , Deceased
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DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW /J~'€I l tj-t..... 20 uf,in consideration of the petition on the reverse side
hereof, satisfactory proofhavins been presented before me, IT IS DECREED that the instrument(s), dated
/lIM /YJPp7 -.30"'.... ;l 001 , described therein be admitted to probate filed of record as the last will of
J) t/y () 17).... fYI" rl-r. JntPJ ; and Letters are hereby granted to ,/ ()Ji r.J $ V CI}Uij'
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iI Register of Wills .
FEES
Probate, Letters, Etc. ............. $
Will................................. $
R1:TIulldalion....................... $
Short Certificates..cJ) ............ $
J CP . . .. . .. .. . . . . . .. .. . .. . . .. . . . . .. . .. $
Automation Fee................... $
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Attorney (Sup. Ct. J.D. No.)
Bond............................. ....
Total
Filed kJ Jlee I ~
$
$
20K
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Address
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Phone
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PLACE OF INJURY - AI home. farm, street, factory, offICe
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CERTIFIER (Check onl)' one)
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29.
.PRONOUNCING AND CERTIFYING PHYSICIAN (Physi~iall both lXoflouncing death and Celtifyill<}10 cause of death) lICE~ESNUM" . . -
To the but of my knowtedg., death occurred al the time, dilte, and place, and due 10 the ca....fitS(.I.nd manner iUllllated. ......... D 31C.1'- l~ c1'-{ Z .- L- 31d. t/e"'n') , '\~
~MEOICAl EXAMINERJCORONER ~~~:)N~::'~~~~~ O~NrJ~ll C~M':iET~D CAUSE OF DEATH
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32.
REGIST~GNATURE AND NUMBER _) DAT~ F}I'D (Month. Day. Yo.,)
~~'Yh(V[L.e %k"Utl2A) J!J-}fLLJi 3.IVove.nh(!.R- 0--('5
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THE LA W OFFICE
of:
JAMES M. BACH
Attorney-At-Law
352 S. Sporting Hill Road
Mechanicsburg, PA 17050
737-2033
LAST WILL AND TESTAMENT
FOR
DOROTHY M.lONES
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Last Will And Testament Of
DOROTHY M. JONES
I, DOROTHY M. JONES, of the TOWNSHIP OF LOWER ALLEN,
COUNTY OF CUMBERLAND, COMMONWEALTH of PENNSYLVANIA,
being in good bodily health and of sound and disposing mind and memory, and not
acting under duress, menace, fraud, or undue influence of any person whomsoever,
merely calling to mind the frailty of human life, and being desirous of disposing my
worldly goods while I have the strength and capacity so to do, I do make, publish
and declare this my LAST WILL AND TESTAMENT. I hereby revoke, cancel
and annul all my former Wills and Testaments, including codicils thereto, by me at
any time made, and declare this alone to be my LAST WILL AND TESTAMENT.
AS TO SUCH ESTATE IT HAS PLEASED GOD TO ENTRUST ME WITH
IN THIS LIFETIME, I DISPOSE OF THE SAME AS FOLLOWS, VIZ:
ITEM 1. I direct that my Executor hereinafter named, pay and discharge all of
my just debts, funeral and testamentary expenses.
ITEM 2.
ITEM 3.
ITEM 4.
ITEM 5.
I order and direct that my bodily remains be buried in a lot, which I
own, situate at Williamsport Cemetery, Williamsport, Maryland.
I give, devise and bequeath, the sum of One Thousand Dollars and
No Cents ($1,000.00), free from tax, to my dearly beloved
Grandchildren:
Shirley Cleveland Stephanie Jones
Jennifer Jones Stephan G. Jones
Steven R. Jones Leonard J. Jones
I give, devise and bequeath, the sum of One Thousand Dollars and
No Cents ($1,000.00), free from tax, to my dearly beloved Great-
Granddaughter Kristin Jones.
All the rest, residue and remainder of my entire estate, wheresoever
situate, and whatsoever it may consist of, I give, devise and bequeath,
absolutely, and in fee, to my dearly beloved sons, TOHN W. TONES,
MILFORD R. TONES, and LEONARD R. TONES, share and share
alike, per stirpes.
I nominate and appoint my beloved son, JOHN W. JONES, as
Executor of this my Last Will.
&~~ )7 ~cn#
. DOROTH M. JO ES
ITEM 6.
ITEM 7.
ITEM 8.
..
I direct that my personal representatives, as well as their successors
shall not be required to give bond for the faithful performance of
their duties in any jurisdiction.
I direct that all estate, succession, legacy, inheritance or other transfer
taxes, however designated that shall become payable by reason of my
death in respect of all property comprising my gross estate for tax
purposes, whether or not such property passes under this LAST
WILL, shall be paid by my Executor out of my residuary estate.
I grant to my personal representatives herein named, in addition to,
but not in limitation of those powers vested by law, to be exercised
without prior application to or approval of any court, the power and
authority to retain indefinitely any property, to invest and reinvest
any assets or the proceeds derived from the sale of assets, although
said investments may not be of the character prescribed by law, to
sell, convey, assign, transfer and encumber any property, to pay,
settle or compromise all claims, to make distribution or divisions in
cash or in kind, and in general to exercise all powers in the
management of any property hereunder which any individual could
exercise in the management of similar property owned in her own
right, and to execute and deliver any and all instruments and to do all
acts, which may be deemed necessary and proper.
~J;7Y
DOROTHY M. J NES
----------------------------------------------------------------- END -------------------------------------------------------------
2
ACKNOWLEDGMENT
COUNTY OF CUMBERLAND
)
)
)
88
COMMONWEALTH OF PENNSYLVANIA
I, DOROTHY M. JONES, the TESTATRIX, 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 the purpose therein
expressed.
Sworn to or affirmed and acknowledged before me, by: the TESTATRIX this :r (I
of In~, 20.~. -r.f
il~ 77) l}~
DOROTHYM.]ONES . ~ ~~
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NOTARY PUBLIC
U
day
The preceding instrument consisting of this and two (2) other typewritten pages,
identified by the signature of the TESTA TRIX, was on the date thereof signed, published
and declared by DOROTHY M. JONES, the TESTATRIX therein named as and for her
LAST WILL AND TESTAMENT.
rqL'tM~ ItsJ~L'lM.l' t1
WITNESS
Re.siding a" i\ 0 ~ m II~ ~ j J /' s f.
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Residing a,t: '6 ~ 1 t\\ ~ .::.:, 'it- ~,.
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WITNESS
AFFIDA VIT
COUNTY OF CUMBERLAND
)
)
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88
COMMONWEALTH OF PENNSYLVANIA
We, [u.. \[ Ll ~ -, h. S~\\ ~ l h and I h..--- .t\-..tk-,,-~ \ t, 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 the
TESTATRIX sign and execute the instrument as her LAST WILL; that the TESTATRIX
signed it willingly and that he executed it as her free and voluntary act for the purpose
therein expressed; that each witness in the hearing and sight of the TESTATRIX signed the
WILL as witnesses; and that, to the best of our knowledge, the TEST A TRIX was, at the
time, 18 or more years of age, of sound mind and under no constraint or undue influence.
_>om to Ot affirmed an? ackno~l~dgoo hefore m~, hy' 'r ~ L" Ir-'>- tt "Sb ~d
l.b&>..,-<.. \ A ~~ l 'l-~ Witnesses, thiS J ~ day of ~_ '
2001. _ n
f ~J ~~~. C\ ~ S~~~lVL <-j/J- 4. 01tL:~
WITNESS WITNESS
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TOTARY PUBLLJ
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This is to certify that the information here given is correctly copied from an original ce "t.ificatc (d' jeath duly. fIled WIth
Local Registrar. The original certificate will be forwarded to the State Vital Records 01 flee tor pcrmanent'.fllmg.
: l()~;';():" RF\' I ill:"
me as
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for Ihis certificate. $6.00
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12065044
No.
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7[MV1L-~~? LJ< ('-C.. L~A" J0J/.-,:kil'
Local Registrar I j"
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Date
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TYPE/PRINT
IN
PERMANENT
BLACK INK
NAME OF DECEDENT (First, Middle, Last)
,. Doroth
AGE (Lasl Birthday)
SEX
2Female
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
SOCIAL SECURITY NUMBER..
3 216 09"': 7852
10 2005
H 105143 Rev. 2JB7
STATE filE NUMBER
84 y"
BIRTHPLACE (Cny and PLACE OF D ATH Ch ck ani n
State or Foreign Count~) HOSPITAl
1.Willial~, roD ~;.all;rll 0 fR/Oulpahl!lnl 0
FACILITY NAME (If not institution, give streel and number)
DOAO
R".ldM,"~ 0 ~~:~r)l 0
RACE. American Indian, Black, While, el
(Specify)
10. ' Whi te
SURVIVING SPOUSE
(If wile, IiIlve maiden name}
5
COUNTY OF OF.A TH
BO.
Cumber land
DECEDENT'S USUAL OCCUPATION
(C;;t:;;;rL~~'f.~'1 o~I'u~~~~?Li:;gt
940 Walnut Bottom Road
Carlisle, PA 17013
17b, Countv (]Ullher 1 and
16
FATHER'S NAME (Fir:>t, Middle, Last)
1B William Chane
INFORMANT'S NAME (Type/Prinl)
20. Leonard Jones
METHOD OF DISPOSITION
eu,;al 6a C"mahon r1,i''f'YJ''!OI'A'iJ,aJJ) lXI
Other (SpuO,;,fy)". 0 ~UU~
II
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DATE OF INJURY
(Monlh, Oa~, Vear)
WERE AUTOPSY FINDINGS
AVAILABLE PRIOR TO
COMP: EIION OF CAUSE
OF ATH?
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o ~~_:CE OF INJURY
t.>.;'ldinlil, ~Ic ISI)llCII~)
30.
Natural
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Pending Investigation
COllI,j nol be determined
Accident
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SUICIde
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CERTIFIER (Check onl)l ooe)
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29
'PRONOUNCING AND CERTIFYING PHYSICIAN (Physi..;ian both pronOllncing death i:Ind (;l:llllfyllll) to c.ause ot de~th)
To the besl or my knowleaglt, dllath occurred at the Ume, dOlte, and place, and due to the cau...(s) and manner as IItaled..
"MEDICAL E:.XAMINERJCORONE:.R
~1:::rb::I:::.~Jl~I~loaUon aodlor Inveatlgatlon, In my opinIon, death OGcufn,d at the lime, date, and place, clOd dUEl to the cause.(.) and 0
31.
REGIST~GNATURE AND HUMBER
33 ~ e ,>>, ()J{ L€ ~0:<'J2.l2A
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Insl cti n
MARITAL STATUS - Married,
Never Married, Widowed,
Divorced (Specify)
14. Widowed
Did
doctJdent
lIVe in a
township?
17e;. [2g YtJs, decedent hv~d in
South Middleton
Iwp
17d. 0 ~~h~U~~~~7~~i: of
cily/boro
26.
o Approximate
: interval between
: onset and death
Olher signifw:ant conditions contributing to dealh, bul
not resulting in lhe undel1ying cause given in PART I
TtME OF INJURY
INJURY AT WORK? DESCRIBE HOW INJuRY OCCURREQ.
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