HomeMy WebLinkAbout12-29-05
.
PETITION FOR PROBATE and GRANT OF LETTERS
Estate of ALICE G. CLOSS
also known as
No.
To:
"":l\ - ~ S - \ \ "~<:::J
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
Social Security No.
Deceased.
142-24-8708
The petition of the undersigned respectfully represents that:
Your petitioner is 18 years of age or older and the Executor named in the last will of the above
decedent, dated February 17, 2004, and codicil( s) dated [none].
Decedent was domiciled at death in Cumberland County, Pennsylvania, with her last family or
principal residence at 145 Imperial Court, Carlisle, North Middleton Township.
Decedent, then 74 years of age, died December 23, 2005, at 145 Imperial Court, Carlisle,
Pennsylvania.
Except as foHows, 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
(Ifnot 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: None
.JI' (006
$ unestimated
$
$
$
WHEREFO RE, petitioner respectfully requests the probate of the last will and codicil( s) presented
herewith and the grant of letters Testamentary thereon.
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Patrick E. loss
1550 Waggoners Gap Road
Carlisle, P A 17013
(717) 249-9350
OA TH OF PERSONAL REPRESENTATIVE
COMMONWEAL TH OF PENNSYL VANIA )
: SS.
COUNTY OF CUMBERLAND )
The petitioner above-named swears or affirms that the statements in the foregoing petition are true
and correct to the best of the knowledge and belief of petitioner and that as personal representative,o[the
above decedent, petitioner will well and truly administer the estate according to law, '"
Sworn to or affirmed and subscribed .../'~ ~~"I
before me this ~ ~ \"'- day of Patrick E. Closs .,., .'! ' ,. r r?", :] 'J C:! .
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No. '")... \ - 'J S - ,,\ J... \j
Estate of ALICE G. CLOSS, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW, ~,~~~,,< ~ '\ ) )..~~S; , 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 February 17,2004, described therein be admitted to probate
and filed of record as the last will of Alice G. Closs and Letters Testamentary are hereby granted to Patrick
E. Closs.
Probate, Letters, Etc.
Short Certificates(")..)
R.~lltiRei:iltion ,-'\\\.I....
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TOTAL
$
$
$
$
$
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Daniel K. Deardorff, Esquire (l )
ATIORNEY (Sup. Ct. !.D. No.)
MARTSON DEARDORFF WILLIAMS & OTTO
10 East High Street
Carlisle, P A 17013
(717) 243-3341
Will Book #
Page
FEES
Filed ,,'")... ~ C\ . ~ S
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FIFf LESIDA T AFILEIEstate Planningl I ] 105-] will.2004
LAST WILL AND TEST AMENT
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I, ALICE G. CLOSS, of Carlisle Borough, Cumberland County, Pennsylvania, being of
sound and disposing mind and memory, do hereby make, publish and declare this to be my Last Will
and Testament, hereby revoking any and all former Wills or Codicils made by me.
1.
I direct that all my legally enforceable debts, funeral expenses, testamentary expenses and
all death taxes (whether such taxes may be payable by my estate or by any recipient of any property)
shall be paid from my residuary estate as soon as practicable after my decease and as part of the
administration of my estate. My Executor shall have no duty or obligation to obtain reimbursement
for any such tax so paid, even though on proceeds of insurance or other property not passing under
this Will.
2.
I give, devise and bequeath all of my estate, both real and personal property, unto my
children, JAMES CLOSS, THOMAS CLOSS, TYLER CLOSS, PATRICK CLOSS and LESLIE A.
BLESSING, provided that the share of any child who predeceases me shall be distributed to his or
her issue, per stirpes, and in default of any such then-living issue, such share shall be distributed to
my surviving children.
4.
I nominate, constitute and appoint my son, PATRICK E. CLOSS, as Executor of my estate.
In the event he is unwilling or unable to so act, then I appoint my daughter, LESLIE A. BLESSING,
to act in such capacity.
5.
I direct that my Executor shall not be required to file a bond to secure the faithful
performance of his duties in any jurisdiction.
6.
I authorize anc!.empower my Executor, in his sole and absolute discretion, to purchase or
otheFWiseaGquir~,and retain any investments of which I die seized or any real or personal property
of any nature; to sell, lease, pledge, mortgage, transfer, exchange, dispose of or grant options in
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[Initials]
Page 1 of 3 Pages
regard to any or all property of any kind forming a part of my estate for such terms and such prices
as he may deem advisable; to borrow money for any purposes connected with the protection and
preservation of my estate; to mortgage or pledge any real or personal property forming a part of my
estate or to join in or secure the partition of same; to compromise any claims or demands of my
estate against others or of others against my estate; to make distribution in kind and to cause any
share to be composed of cash, property or undivided fractional shares in property different in kind
from any other share; to employ agents, attorneys and proxies and to delegate to them such power
as my Executor considers desirable and to pay reasonable compensation for such services as may be
rendered by such agents, attorneys and proxies; and to execute and deliver such instruments as may
be necessary to carry out any of these powers. In addition, I direct that my Executor shall have the
power to conduct an inventory of any safe deposit box necessary to the administration of my estate.
IN WITNESS WHEREOF I have hereunto set my hand and seal this /;7#--- day of
~~ ,,)06<(
elc.: ~ '; r (.;- ?-,
Alice G. Clot
SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testatrix, as and
(SEAL)
for her Last Will and Testament, in the presence of us, who at her request, have hereunto subscribed
our names as witnesses thereto, in the presence of the said Testatrix and of each other.
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Page 2 of 3 Pages
COMMONWEALTH OF PENNSYLVANIA )
: SS.
COUNTY OF CUMBERLAND )
We, Alice G. Closs, Daniel K. Deardorff, and drrl?-Li.;J1'f.e~ , the
Testatrix and the 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 the Testatrix has signed willingly, and that the
Testatrix executed it as her free and voluntary act for the purposes therein 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 his/her knowledge the Testatrix was at that time eighteen years of age or older, of
sound mind and under no constraint or undue influence.
Alice G. Clos Testatrix
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Witness ~ ,/
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Witness
Subscribed, sworn to and acknowledged before me by Alice . Closs, the Testatrix, and
orr/~ 1.'7M
subscribed and sworn to before m~ Daniel K. Deardorff and
the witnesses, this /7f'1day Of~ ,;)06 Y .
Li:~?&tk
Notary Public
NOTARIAL SEAL
VICTORIA L OTTO, NOTARY PUBLIC
CARLISLE BORO;I CUMBERLAND COUNTY
MY COMMISSIOI1 EXPIRES DEC. 2 2006
Page 3 of 3 Pages
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Thi\ is to certify that the information here given is correctly copied from. an original ce~'~ificate of death du~~. filed with
Local Registrar. The original certificate will be forwarded to the State VItal Records OttJce tor permanent tIlIng.
me as
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No.
~t\. ~~H.~~-L.~
Local Registrar '..
Fee for this certificate. $6.00
p
12045505
OFC 2 7 2005
Date
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Hl05.143 Rev. 2187
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
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TYPE/PRINT
'N
PERMANENT
BLACK INK
CERTIFICATE OF DEATH
STATE FILE NUMBER
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74
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BIRTHPLACE (City and
Stale or Foreign Country)
Newton NJ
Ruldence ~ ::rdf\rl 0
RACE - American Indian, Black. White. et .
(Specify)
10. White
SURVIVING SPOUSE
(If,wtte, g/Vlt maiden name)
,.
AGE (Last Birtt1day)
NAME OF DECEDENT (Firs~ Middle, Last)
Alice Closs
SEX
Female
DATE OF DEATH (Month. Day, Year)
4. December 23, 2005
j,\
5.
COUNTY OF DEATH
Cumberland
8b.
DECEDENT'S USUAL OCCUPATION
{~~~ofllf~~.~~r:)t
AS DECEDENT EVER IN
u.s. ARMED FORCES?
V..O NoOO
12.
145 Imperial Court
Carlisle PA 17013
PA
Did
decedent
Ilvelna
township?
He. 6(] Yes, decedenlllved In
17d. 0 ~~=~ru= of
N. Middleton
Iwp.
17b. County
Cumberland
2005
MOTHER'S NAME (First, Middle, M,lden Surname)
19. Lillian Hoch
INFORMANrs MAILING ADDRESS (S_~ CltylTown. SIaIB, Zip CodB) PA 17013
20b. 1550 Wa oners Gap Road, Carl1s1e
PLACE OF DISPOSITION- Name of Cemetery, Crematory lOCATION. CitylTown. Slate, Zip Code
01" Other Place
21~umberland Valley Mem. Gr
NAME AND ADDRESS OF FACll11Y 0
22c. 219 N. Hanover ST,
LICENSE NUMBER
c1tylboro.
24.
7:44
DATE PRONOUNCED DEAD (Month, Day. Year)
A.... 25. December 23, 2005
28.
To the best of my knOwledge. death occurred at the Ume, dale and place slated.
(Signature and Title)
23..
TIME OF DEATH
27. PART I: E"h1r the dl_H, InJurt.. or compHc.llo~ whIch C1IuHd u.. death. Do not enhlr the mod. 0' dying, IUch.. CIIn:1llc or ....pI...tory Irr..t, ..hock or Mlrt '.llur.. : Approximata
U.t only one CIU.. on ..ch 11M. . interval between
: onset and death
PART n: Other significant conditions contributing to death, but
not resulting in the underlying cause given in PART L
Sequentia6y list condillons b.
. If any. leading 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?
.A '0
MANNER OF DEATH
DATE OF INJURY
(Monlh. DIY, Year)
TIME OF INJURY
lNJURY AT WORK? DESCRIBE HOW INJURY OCCURRED.
Yes 0 No
Veo 0
NOD
Natural
Accident
Suicide
o
o
Homicide
Pending Invastlgation
Could not be determined
o
o -o~o
30a. 30b. M. 30c.
o PLACE OF INJURY - Atllome, farm, streel, factory, amee
bUllclrlg,elc.(Speclfy)
30e.
~MEDICAl EXAMINER/CORONER
~~:::':rb::~::.:~~~I.~~~I~~ .~~.~~~!~~~~~~~~~~~~: .I~. ~~ .~~I.~~~.~:.~.~~.~ .~~.~~~.~t. ~~.~~~~'.~~~'. ~~~.~~~.~~'. ~~~ .~.~~ ~~ .t.~~ .~~~.~~~~~ .~~~.. 0
31..
REGISTRAR'S SIGNATURE AND NUMBE
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P-I \ bll \ IDI
2h. 28b.
CERTIFIER (Chedt only one)
~CERTlFYlNG PHYSICIAN (physician certifying cause of deeth when another physician has pronounced death and completed Item 23) ~
To 1M be.t of my knowlftfge, d..th occurred due to the caua..(.) and manner a. .t.ted.................................................................,.ttJ
2..
~P:OO~~~~~I:,G~k~;~:~~':8~~~~~~ ~~~.:i~ne~~~t~.r~~':~:~,d:~~h do:,": :~~ul~.~~)~~~ d::~~.r a. atat.d............ .......... ~
34.
32.
DATE FILED (Month. Day, Year)
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