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Home My WebLink About01-06-06 PETITION FOR PROBATE and GRANT OF LETTERS Estate of Grace L. Bohn No. {), I - 0 LP - 0 0 1 '}- also known as To: Register of Wills for the , Deceased County of Cumberland in the Social Security No. 192-14-5541 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 rix named in the last will of the above decedent, dated Januarv 6. 2000 and codicil(s) dated Mav 1. 2002 (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decedent was domiciled at death in Cumberland County, Pennsylvania, with h er last family or principal residence at Thornwald Nursing Home. Walnut Bottom Road. Carlisle (list street, number and municipality) Decedent, then 83 years of age, died 12/30/n.OO~{fJ at Thornwald Nursing Home. Walnut Bottom Road. Carlisle - !'<f 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: 57 Ashford Drive, Summerdale, East Pennsboro Township $ $ $ $ 125.000.00 84.000.00 WHEREFORE, petitioner(s) respectfully request(s) the probate ofthe last will and codicil(s) preseiiftd herewith and the grant of letters testamentary 3 ilic~: (u>-ou.ry~:::::e:b7 ~ . . anne Casey (/ ~ ~ 16700 Dougherty Ave. OJ '" ~ 1r Laurel, MD 2070 '0<::: fii .g ~.- ~~~ ...""" ~ 0 <::: OJ) Vi 1q:;'~!i/~ Mary e Williams 8306 Beaver Court PO Box 774 Chestertown. MD 21620 OATH OF PERSONAL REPRESENTATIVE COMMONWEAL TH OF PENNSYL VANIA } ss COUNTY OF Cumberland 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 of petitioner( s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly minister the estate cording taw. / '" OQ' ;: l:l E' ~ ~ Sworn to or affmnegnd subscribed before me this day of 't. f1{t-::~Jt.A~Jiji{f;-~ ,/,b;: , ltn~Y) W/1J~ HII)'::;)<O) RL\ This is to certify that the information here ~i\en 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. No. ~~;;~~" 4'< t..\.I\i!F Prj;"--- "'''-'\.\"'/ ~'o'- If~// ,-"J'.~"", .~ ~/ - '-.~~ ;t~~. ~~....~~ 1~:E'i . . ...;;;e~ ,% B','ia"~.:.i:~ ::. " . '... . " , \\ ~~"'--'~-'>-~/ *l \ ~~~~\" '~1'..?'--__ ./ &.~\/ .,.--- IMENt \\\ ~ ,")' ""''''''/'~~OU,"I1III' 1,ly ~\-Dv-O\)- ~ I? ~-<""~ - (/ Loed Registrar WARNING: It is illegal to duplicate this copy by photostat or photograph. Fcc for this certificate. 56.GO p 119349S!7 DEe 30 2005 Date Rev. 2187 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH Yrs. Grace L. Bohn SEX 2Female STATE FILE NUfABER SOr-IAL SECURITY NUMBER 3. 192 - 14 - 5541 30/05 NAME OF DECEDENT (First. Middle. Last) 1. AGE (Last Birthday) 83 PLACE OF DEA rH Check onl ' one - s HOSPITAl: Inpatient 0 ERlOutpatl~n( 0 DOA D Residence 0 ~~:~fy) 0 RACE ~ American Indian, Black. White. et . (Specify) White 10. 5. COUNTY OF DEATH Cumberland Bb. Be. DECEDENrS USUAL OCCUPATION KIND OF BUSINESS {INDUSTRY (~~V.:okirrl~~j~~~O d~~le~~ri~~/:)Sl 11.. Secretary DECEDENTS MAILING ADDRESS (Street, CitylTown, State, Zip Code) 442 Walnut Bottom Rd. Carlisle, PA 17013 MARITAL STATUS - Married. Never Married. Widowed, Divorced (Spacify) 14Never Marrie SURVIVING SPOUSE (If wife. give maiden name) DECEDENrs ACTUAL RESIDENCE (See instructions on other side) 17d.~ ~Uh~e~~~I~i~i~ of Carlisle 17b. County Cumberland Did decedent live in a township? He. 0 Yes, decedent lived in twp. citylboro. Faye B. Herman MOTHER'S NAME (First, Middle. Maiden Surname) Har t 19. Lula M. INFORMANTS MAILING ADDRESS (Street, CityfTow.(l, State, Z1J1 Codel 200.55 Ashford Dr. Enol.a, l:'A17025 PLACE OF DISPOSITION- Name of Cemetery, Crematory LOCATION. CitylTown, State, Zip Code or Other Place Leola, PA 21cEvans Eagle Cremation 21d. NAME AND ADDRESS OF FACILITY 22c.Sullivan FH 51 LICENSE NUMBER 23b. {2jJ -~~:J-I-/? 0 L PA William E. Bohn 3l;.,~/ Items 24-26 musl be completed by person who pronounces death. 24. 26. : Approximate : ~~:~a~~de::~ :1........... Other significant conditions contributing to death, but not resulting in the underlying cause given in PART L 27. PART I: Enter the dIseases, InJunes or complications which c Ust only one cause on each line. IMMEDIATE CAUSE (Final disease or condition resulting In death)----" a. ~s ~~ DUE TO (OR AS A CONSEQUENCE OF): Sequentially list conditions b. if any, leading to immediate cause. Enter UNDERLYING CAUSE (Disease or injury I: c. that initiated events resulting on death) LAST d. WAS AN AUTOPSY WERE AUTOPSY FINDINGS PERFORMED? AVAILABLE PRIOR TO COMPLETION OF CAUSE OF DEATH? DUE TO (OR AS A CONSEQUENCE OF): DUE TO (OR AS A CONSEQUENCE OF): Yes 0 No F;I Yes 0 MANNER OF DEATH Natural ~ Homicide 0 Accident Pending Investigation 0 Suicide 0 Could not be determined 0 DATE OF INJURY (Month, Day. Year) TIME OF INJURY INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED. 28a. 28b. CERTIFIER (Check only one) .l~~~~F~~tGor~~~;~e..~e~~l.s~~:rh c~~c~~~a~U~: t~ rhe:~a';j~:~(:)~~3~~X~i;~a~s h:t~r:r~~~.~~ .~~~~~. ~~~ .~?~~~~~:.~ .i~~~ .~~.)......... 29. 30a. 30b. M. PLACE OF INJURY - At home. farm, street, factory, office building. elc. (Specify) 30e. Yes 0 No 0 30e. 30d. LOCATION (Street, CityfTown, State) 30f. AND TITLERF CE'rrER 31b. ....,. t'r V ~h_ rn-.. LICENSE NUMBER DATE SI NED (Monlh. Day. Year) 31c. W""\\') 0 llo <..~ lb 31d. '\JE;... 10 _ "J.()()) NAME AND ADDRESS OF PERSON WHO COMPLETED CAUSE OF DEATH (Item 27) Type or Print f\ n "" f'l\S) <e:,G 0'1<. '(".V' ...""\'-..A:>........ -1" 32. ~~'\) v..:n.\..{'V Cl u.. 0...1) l:..""lrL.\:)1-q DATE FILED (Month, Day, Year) 34. ))~ 3' 2005 ~ NoD .P:oOt~~~s~l:fm~N~;';I:~:e~l~e~t~~~~~~:: i~~~:i~li~~~~~t:.r~~~u~~~~,d:;: da~~ t~e~Z~:ut~e~(~)~~~ d~:~~er as stated...................... 0 .MEDICAL EXAMINER/CORONER ~:~~:rb::I:'::e~~~~.I.~~.t.I~~. ~~.~~~~ .i~~~~~~~.~~~~~: .I.~ .~~. .~~i.~~~.~: .~~~.t~ .~~~.~~~.~. ~.t. ~~~. ~I.~~.'. ~~~~.'. ~~.~ .~~~.~~'. ~~~ .~~~. ~~ .~~. .~~.~~.~~.(.~~ .~~~.. D 31a. REGISTRAR'S SIGNATURE AND NUMBER -rvn-/p 1, '<--. 1-z,/1'1/1/1 33. OATH OF SUBSCRIBING WITNESS Estate of Grace L. Bohn No. ~I-O( O-() f 3- also known as I Deceased John M. Eakin (each) a subscribing witness to the l&) codicil(s) l&) will(s) presented herewith, (each) duly qualified according to law depose(s) and say(s) that she/he/they was/were present and saw the above Testator(rix) sign the same and that she/he/they signed as a witness at the request of the Testator(rix) in her/his/their presence and,&) in the presence of each other 0 in the presence of the other subscribing witness(es). ". C.~ John ~cr~: II \ Cd ~~~~I Market Square Building, Mechanicsburg (Address) <=..) c- '~: PA 17055 OJ (Signature) (Address) Sworn to or affirmed and subscribed before me this 5 day of 0/11'-J LU11~ ~ I ~ DOlo. . \ ~. ~,S;;,. \ /\1.. 1 r.~ i.U lL\tLt,l~uJdJkLUL -Notary Public. . \ H}k.MH - . _';} My Commission Expires: 't] 'I U (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission.) NOTE: To be taken by officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization. RW-2 Register cf'r\TiUs of Cumberland County OATH OF NON-SUBSCRIBING \VITNESS Estate of GfZ/+c_ t (" U(,,'1kJIV No. ,^l" () LP -01 }- Also known as , Deceased ,Jt:) ,~IV N~ C' , . - ""~ 4Sc.. > (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that >#1:" 15 familiar with the signature of Gr2l1-tL L /L,h/I.- ,testat.-y,( of (one oft he subscribing witnesses to) th~~esented herewith and that S'urbelievefbelieves the signature on the ~~~;in the handwriting of Cil/'.,-c-Ic;- L. /3.-1+;'" to the best of I it; '2- knowledge and belief. Sworn to or affirmed and subscribed Before m~ this $- / i day of r-~--,20~ , ) ~! (~- claJfww\1 - egister ~i vm~ D~ury ar ,1 J!!'.c----~~------- [--~-~_" (Address) (Name) C"') (Address) '. , Register of Wills of Cumberland County OATH OF PERSONAL REPRESENTATIVE en crq' ::l ~ C ... ,.Q, ~ Register No.~\-Oto-DI,) Estate of G RACE, L. 80H ~, Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW \,]A I-J lLPrR. 'i lo 200~ in consideration of the petition on the reverse side here,of, ,satisfactory proof having been presented before me, IT IS DECREED that'the instrument(s), dated 0AtJ cJo ~ O~ <\.-, fY\A'l I J 0;)" described therein be admitted to probate filed of record as the last will of ~R.Pt--=- _ .L_ot+t-J ; and Letters are hereby granted to \Ji")/hJNE- CA:5E'1 ~\.Jf) r'nA R'1 A-N l--J t::- W t W krVtS - ~\fu~r.J Rep::tcr ofWdl, . 'f2-U 17m- Probate, Le:;;,SEtc, ............. $ 310. 00 ~ .( VV1' t~/~(,"-, ()6] s,'-' $ I 5. DO Attorney (Su,p. 1. J.D. No.) $ I~. () 0 j 1 .~ J Jf /11 J ~ :=J~'.~?J ~Yk 1'15 '1/Wip Automation Fee................... $ COD /1 u. f' I ,/J Bond". ......;~;~;r........ ~ 0'11 . 00 ll1{M!LI/~L.!t~l I~ Filec0PtNLlA:1< ''1lo 200\0 Phone '7/;; '- '3(/ Will ................................. RilJ=~&>~~J ~ , . . ... ..... . . . . . .. . Short Certificates (1) ............ J CP . . . .. .. . . . . .. . . . . . .. . . . .. .. . . . . . .. L [C r~ lHaat 'JIDil1 (t1th ~Q}zgtmn~nt OF GRACE L. BORN I, GRACE L. BOHN, of the East Pennsboro Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this my Last Will and Testament, hereby revoking and making void any and all Wills by me at any time heretofore made.. 1. '-' I direct the payment of all my just debts and funeral expenses as soon atler my'-~ decease as the same can conveniently be done. 2. -1 I direct that there shall be paid out of my residuary estate all estate, inheritance-and (. like taxes together with any interest or penalty thereon imposed by the Government ~t the United States, or any state or territory thereof, or by any foreign government or political subdivision thereof, in respect to all property required to be included in my gross estate for estate, inheritance or like tax purposes by any of such governments, whether the property passes under this will or otherwise. 3. I give, devise and bequeath my real estate at 57 Ashford Drive, Enola, Pennsylvania, together with the household furnishings therein, to my sister, FAYE B. HERMAN, absolutely and in fee simple if she survives me, but in the event she predeceases me the gift shall not lapse but go instead to her two daughters, MARY - 1 - ANNE WILLIAMS and JANET PRICE, in equal shares as tenants in common. 4. All the rest, residue and remainder my estate, real, personal and mixed, and wheresoever situate, I give, devise and bequeath as follows: A.) Fifty-Five (55%) percent of the residue to my following nieces and nephews in equal shares as a class, to wit, JOANNE CASEY, DONNA SUE BIRD, MARY ANNE WILLIAMS, JANET PRICE, DAVID H. MITCHELL, ELLEN L. MITCHELL and WILLIAM M. MITCHELL. In the event a member of the class predeceases me, his or her share shall lapse and be divided equally among the members of the class who survive me. B.) Forty-Five (45%) percent of the residue shall be distributed as follows: 1.) In the event my sisters, FAYE B. HERMAN and JEAN B. MITCHELL, survive me, I give and bequeath one-half(~) thereof to my sister, JEAN B. MITCHELL, and one-fourth (1/4) to JOANNE CASEY and one-fourth (1/4) to DONNA SUE BIRD. 2.) In the event my sister, FAYE B. HERMAN predeceases me and my sister, JEAN B. MITCHELL, survives me, I give and bequeath one- third (1/3) thereof to JEAN B. MITCHELL, one-sixth (1/6) to JOANNE CASEY, one-sixth (1/6) to DONNA SUE BIRD, one-sixth (1/6) to MARY - 2 - ANNE WILLIAMS, one-sixth (1/6) to JANET PRICE. 3.) In the event my sister, FAYE B. HERMAN, survives me and my sister, JEAN B. MITCHELL, predeceases me, I give, devise and bequeath one-third (1/3) thereof to FAYE B. HERMAN, one-sixth (1/6) to JOANNE CASEY, one-sixth (1/6) to DONNA SUE BIRD, one-ninth (1/9) to DAVID H. MITCHELL, one-ninth (1/9) to ELLEN L. MITCHELL and one-ninth (1/9) to WILLIAM M. MITCHELL. 4.) Ifmy sisters, FAYE B. HERMAN and JEAN B. MITCHELL, both predecease me, I give and bequeath one-sixth (1/6) thereof to JOANNE CASEY, one-sixth (1/6) to DONNA SUE BIRD, one-sixth (1/6) to MARY ANNE WILLIAMS, one- sixth (1/6) to JANET PRICE one-ninth (1/9) to DAVID H. MITCHELL, one-ninth (1/9) to ELLEN L. MITCHELL and one-ninth (1/9) to WILLIAM M. MITCHELL. 5. Lastly, I nominate, constitute and appoint my niece, JOANNE CASEY, of Laurel, Maryland, to be Executrix of this my Last Will and Testament. In the event she should for any reason be unable to act as such, I nominate my niece, MARY ANNE WILLIAMS, to be the Executrix in her place and I further direct that no bond or other - 3 - FIRST CODICIL TO THE LAST WILL AND TESTAMENT OF GRACE L. BOHN I, GRACE L. SOHN, of the East Pennsboro Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this first codicil to my Last Will and Testament, dated January 6,2000, 1. ,--...... -, I revoke paragraph 5 of the said will. '--"'1 2. 1 C" I nominate, constitute and appoint my niece, JOANNE CASEyr, and'..j C:.':) (.,"J my niece, MARY ANNE WilLIAMS, to be the Executrices of this my Last Will and Testament. In the event either should, for any reason, be unable or unwilling to act as such, the other shall be the sole Executrix, and I further direct that no bond or other security be required of either personal representative to guarantee faithful performance of her duties. 3. All provisions of my will not specifically changed hereby shall remain in full force and effect. IN WITNESS WHEREOF. I have hereunto set my hand and seal this (I- day of ~002. C; .7 p -'l.A-~ --;;1---1 ~.~'-~/ (SEAL) Grace L. Bohn Signed, sealed, published and declared by the above named GRACE L. BOHN as and for the first codicil to her Last Will and Testament, in the presence of us who have subscribed our names hereto as witnesses, at her request, in her presence and in the presen~~f e~chother. \i~L }Yl . U ~ security be required of my personal representative to guarantee faithful performance of her duties. IN WITNESS WHEREOF, I have hereunto set my hand and seal this of January, 2000. 0~ay ~~~ (jrace L. Hohn (SEAL) Signed, sealed, published and declared by the above named GRACE L. BOHN as and for his Last Will and Testament, in the presence of us who have subscribed our names hereto as witnesses, at her request, in her presence and in the presence of each other. -4-