HomeMy WebLinkAbout01-09-06
Register of Wills of Cumberland County
PETITION FOR PROBATE and GRANT OF LETTERS
Estateof Ck;tlv C. !-Jckko/'-<. No. "'l.' -~~-~~)\~
also known as ,P;"/~,----- To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
, Deceased.
Social Security No. /t..2 ~ -;2 f:- y'.,;Z
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, and the execut.i&;6named in the last will of the
above decedent, dated 7\ i" It 7' - /C/Y:F' ,'S"
and codicil( s) dated
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in C-;'- M. It!,&.. h", l
Pennsylvania, with his>last fa~ly OI:.princ,ipal residence at /' "
~;Iq {':a~>I-- ;:JJ, ~/}~.I~.l._,~.
(list street, number and municipality)
Decedent, then~years of age, died ~.;:VI- ~, 2'e_, at ~XA-b' A... ~X-<!:-
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 ofa killing and was never adjudicated incompetent:
County,
t75.:l.~
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 ofreal estate in Pennsylvania
situated as follows:
$0, ~~ c> ~'~-c;.
$
$
$
WHEREFORE, petitioner(s) respectfull request(s) the probate of the last will and codicil(s) presented
herewith and the grant ofletters7", c:;
mentary; administration c.t.a.; administration d.b.n.c.t.a.)
thereon.
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Residence(s) ?!pe~itioner(S
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Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
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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 ofpetitioner(s) and that as personal representative(s) of the above
decedent petitioner(s) W.iJl weJl and truly adrninffito, the e,tate a"o'diM law. C ) ~
Sworn to or affirmed ~~d subscribed {:Y( U-~ ~ ~
Before me this 1..\.... , day of
-:s~""~~'('\ ,20 <:)~ . 'f- ..s~; fv-u, ,j f:Lca~
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Register )
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No. ":l. \ - '\J\, - ~~ \ ~
Estateof \;\~""~ ~ \<..~,x.'{~~~ ,Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW 3' ~~""'" '" ~ 20~\', in consideration of the petition on the reverse side
hereof, satisfactory proof having b)en presented before me, IT IS DECREED that the instrument(s), dated
-:!\:..\ '" \\ 1 \" ~ 'it; , described therein be admitted to probate filed of record as the last will of
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FEES
Probate, Letters, Etc, ............. $
$
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Automation Fee................... $
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Will ............................ .....
R.enlj:ll.ciatioRS.~~\\~\~.... .
Short Certificates (\D) ............
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Attorney (Sup. Ct. I.D. No.)
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Address
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Register of Wills of Cumberland County
OA TH OF SUBSCRIBING WITNESS
Estate of c;i'~ M IV ("-. ~ Mo d '-'
Also known as R4-
No. J..' - ~~ - ~~ \~
, Deceased
/....)
( ("]Jt:, ~
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(each) a subscribing witness to the will/codicil presented herewith, (each) being duly qualified according
to law, depose(s) and say(s) that
present and saw
, the testat_, sign the same and that
signed as a witness at the request of the testat_ in h_
presence and (in the presence of each other) (in the presence of the other subscribing witness(es).
~F t:!" ~~~
(Name)
Sworn to or affirmed ~ subscribed
Before me this '-i day of
--:S~~""'I. '" , 20 ~\"
, -
,333 ol-O$JATE- )=< )}
(Address ~ A R ~N' J2 R-S p).). ) 7 ~ :A 'f
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Register
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Deputy \ \
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(Name)
(Address)
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C-.-
Register of Wills of Cumberland County
OATH OF SUBSCRIBING WITNESS
Estate of Ck",,/V c:, l?c-~o ./-e.
Also known as J2R~
'--------'
_~A~ C~~p
No. J... '\ - 'J~ - ~ \ ~
, Deceased
to law, depose(s) and say(s) that
G L<.5 'v' (L " LIt I. v~u:.
(each) a subscribing witness to the will/codicil presented herewith, (each) being duly qualified according
I~
present and saw
St-8fVL"\ Oc~
, the testat_, sign the same and that
signed as a witness at the request of the testat_ in h_
presence and (in the presence of each other) (in the presence of the other subscribing witness(es).
Sworn to or affirmed and subscribed
Before me this qti\ day of
~( \'\llQLL~, ,2oDL
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Thi\ 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 Offce for permanent fiLng.
::-;
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
p
12045522
No.
H105.143 Rev. 2187
~ ~~~';;:;;~~
DEe 2 7 2CCi5
Date
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COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
STATE FILE NUMBER
27. PART I: Enter.... d........lnjun.. or compll~llon. Whk:h elus.d tM d..th. Do not.nterlM mod. of dVlng, such'l CIIrdllc or r..piratory'lrr..l, IhlK;k Dr II"rt '-ilur., : Approximate
Ult only Q~ c;aUH on "lOh II,.., . Intel'Val between
: onsel and death
TYPElPRINT
'N
PERMANENT
BLACK INK
SEX
2.Male
BIRTHPLACE (Cily and PLA F TH
State or Foreign Country) HOSPITAl..;
7Pennsylvania ~:::-,'"'O
FACILITY NAME (If nol institution, give street and number)
~\
-Manor Care
~
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DECEDENT'S USUAl OCCUPATION
(;V:O~~4~:'~~'ff~
11.,La.oorer l1b~1anufacturing
DECEDENT'S MAILING ADDRESS (Street. Cllyrrown, Stele, Zip Code)
940 Walnut bottom Rd
Carlisle, p~ 17013
16.
FATHER'S NAME (Arsl, Middle, Last)
16. Ivin Rickrode
INFORMAN"rS NAME (Type/Print)
20..
METHOD OF DISPOSITION
. Donation 0 Burial 0 Cremation ~emoval from State 0
. 21.. Other (Specify)
. SIGN~~F FYNE SERVICE LICENSEE OR PERSON ACTING AS SUCH
. 22.. -<
Complete items 23a-c only when certi ng
physician is not available at lime of death to
certify causa of death.
AS DECEDENT EVER IN
U.S. ARMED FORCES?
VesO NolKl
12.
17.. State ppnn,=::vl v::In; t=J Did
, decedent
live in a
township?
.-)
To the best of my knowledge, d
(Signature and 11t1e)
23a.
TIME OF DEATH
24. 1."',,/1:)
j. :
Sequentially nst condtuons b.
. If any, leedlng 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 OEA TH?
DUE TO (OR AS A CONSeQUENCE OF)'
MANNER OF DEATH
DATE OF INJURY
(Morlth,Day, Veer)
-a-'
o
o
SOCIAL SECURITY NUMBER
3. 162 22 2642
DATE OF DEATH (Month, Day, Year)
412/24/2005
~~)O
RACE - American Indian. Black, White, et .
(Spedfy)Whi te
10.
MARITAL STATUS - Married, SURVIVING SPOUSE
Never Married, Widowed, (lfwtfll, gift mlllde" "lime)
DiY<><eed(Specify)
N.ever tlJarried
17c. [J:Yes,decedentlivedin ~ ~id.dl ..tQR
twp.
citylboro.
TIME OF INJURY
Pending Invesllgalion
Could not be detenTlined
o
o
o :~CE OF INJURY - At home, ~:, street, ractory, omee
bulldlng,.!e. (specify)
30..
Natural
Homicide
Accident
No g.-- Suicide
Yes 0 No
V.aO
....
Z
w
o
w
o
w
o
u.
o
w
::t
;2
2B.. 2Bb.
CERTIFIER (Check only one)
.l;~~~tGJ~~~;~Jr:l:=a, ~iri-~crd~: t<g g:~~~l:r~~r ~=8;.h:t~~~~~.~.~.~~.~.~~~.~~~.~~.~.~~l.................. 0
29.
.PRONOUNCING AND CERTIFYING PHYSICIAN (Physician both pronouncing death and certifying to cause of death)
To the but of my knowledge. death occurred at the tlm., date, and place, and dUe to the causes(s) and manner.. .Uit.d......................
-MEDICAL EXAMINER/CORONER
::~rb::~:t~~~.~~~~~I~ .~~.~~.I~~~~~~~~~~:.I~.~~.:~I.~~~:.~~~~.~.~:'.~.~~.~~~.~~~~:.~~~:.~~~.~~.~~..~~.~.~.~~. ~~ .~~~.~~.~~.~.~~~ .~~~.. 0
318.
REGISTRAR'S SIGNATURE AND NUMBE
~. ~b.L~-U-t.N
~IIIOJ 1101
34.
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LAST WILL AND TESTAMENT OF GLENN C. RICKRODE
I, GLENN C. RICKRODE, single man, of South Middleton
Township, (4639 Carlisle Road, Gardners) Cumberland County,
Pennsylvania, being of sound and disposing mind, memory and
understanding, do hereby make, publish and declare this as and
for my Last Will and Testament hereby revoking and making void
any and all Wills by me at any time heretofore made.
ITEM I: I direct my hereinafter named Executor to pay
all of my just debts and funeral expenses as soon after my death
as may be found convenient to do so. I direct that my funeral
services be conducted by Gibson Funeral Home in Mount Holly
Springs, Pennsylvania, and that my body be interred on the burial
lot of my parents located in Mt. Victory Church Cemetery in
South Middleton Township, Cumberland County, Pennsylvania.
ITEM II: I devise and bequeath the residue of my estate
of every nature and wherever situate to my nephew, Robert C.
Beam.
ITEM III: I direct that all taxes that may be assessed
in consequence of my death, of whatever nature and by whatever
jurisdiction imposed, shall be paid from my residuary estate
as a part of the expense of the administration of my estate.
ITEM IV: I appoint Robert C. Beam executor of this my
last will. Should Robert C. Beam fail to qualify or cease to
act as executor, I appoint Shelby Beam, executrix of this my
last will.
ITEM V: I direct that my executor shall not be required
to give bond for the faithful performance of his duties in any
jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand this
day of July, 1998.
L/ t''{
4~, c R~~
Glenn C. Rickrode
'I:,)
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The preceding instrument consisting of this and one other
typewritten page, identified by the signature of the testator,
was on the day and date thereof signed, published and declared
by Glenn C. Rickrode, the testator therein named, as and for
his last will, in the presence of us, who, at his request, in
his presence and in the presence of each other, have subscribed
our names as witnesses hereto.
9!:,d-~1A~
9~~~~.
/
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COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
We, GLENN C. RICKRODE, f~:J--y'J' C~.P <""_ ,and
c;r;;-./rr-{ L:). \) €'//c-h .L-.;:.... , the test.z(tor and witnesses,
respectively,-whose names are signed to the attached or foregoing
instrument, being first duly sworn, do hereby declare to the
undersigned authority that the testator signed and executed
the instrument as his last will and that he had signed willingly
and that he executed it as his free and voluntary act for the
purposes therein expressed, and that each of the witnesses,
in the presence and hearing of the testator signed the will
as witness and that to the best of his or her knowledge the
testator was at the time eighteen years of age or older, of
sound mind and under no constraint or undue influence.
~c..R~~
Glenn C. Rickrode --
~.. r9- ~tt2 AflhH~
/ WJ. ness
?~~~~-
t/ Wi tness
Subscribed, sworn to and
C. Rickro e, t~ testator and
.) /,
me by ;L ,.. '----,,? ~ r'7-
witnesses, this
1998.
acknowledged before me by Glenn
subscribed and sworn to before
, and~..-t~ M~/?<4~'-'r-A
day of (~/1/
,/
,
,
~ 1/) r!~
r::7)cU Notar republic .
Notarial Seal
Laura A. Cooper, Notary Public
Dickinson Twp., Cumberland County
My Commission Expires July 29, 1999
Member, Pennsylvania Association of Notaries
CODICIL
I, Glenn C. Rickrode, single man, of South Middleton
Township, (4639 Carlisle Road, Gardners) Cumberland County,
Pennsylvania, declare this to be the first codicil to my last
Will dated July 4, 1998.
ITEM I: I hereby direct that in ITEM IV, Robert C. Beam,
executor, be replaced by Irene Dawson, executrix.
ITEM II: In all other respects, I hereby ratify, confirm
and republish my last Will dated July 4, 1998, together with
this codicil, as and for my last Will.
IN WITNESS WHEREOF, I have hereunto set my hand this /~
day of March, 2003.
~f<-y- ~ ~~lil\lJri
Glenn~\ ickrode .e.,~,
Signed, published and declared on the date thereof by the
above named Glenn C. Rickrode, as and for the first codicil
to his last Will dated July 4, 1998, in the presence of us,
who, at his request, in his presence, and in the presence of
each other, have subscribed our names as witnesses hereto.
rt:~~t:-f1 {!. 4J~~
~
QdM;/\;)j.(~
I
CODICIL
I, Glenn C. Rickrode, single man, of South Middleton
Township, (4639 Carlisle Road, Gardners) Cumberland County,
Pennsylvania, declare this to be the second codicil to my last
Will dated July 4, 1998.
ITEM I: I hereby direct that in ITEM II, Robert C. Beam
be replaced by Irene M. Dawson and Shelvie J. Beam.
ITEM II: In all other respects, I hereby ratify, confirm
and republish my last Will dated July 4, 1998, together with
this codicil, as and for my last Will.
IN WITNESS WHEREOF, I have hereunto set my hand this
day of April, 2003.
9~"
-:t~ Q /:J :u..~~L
Glenn C. Rickrode -
Signed, published and declared on the date thereof by the
above named Glenn C. Rickrode, as and for the second codicil
to his last Will dated July 4, 1998, in the presence of us,
who, at his request, in his presence, and in the presence of
each other, have subscribed our names as witnesses hereto.
~R /1, 4~
JL~'C) .
Commonwealth of Pennsylvania
ss
County of Cumberland
On this, the '? t!-/ day of A /;J r / ' / , before me
the undersigned officer, personallyrappeared Glenn C. Rickrode,
known to me (or satisfactorily proven) to be the person whose
name is subscribed to the within instrument, and acknowledged
that he executed the same for the purpose therein contained.
IN WITNESS WHEREOF, I
hav~::, s~my a~
c aura A. Cooper
Notarial Seal
Laura A. Cooper, Notary Public
Dickinson Twp., Cumberland County
My Commission Expires July 29, 2003
Member. Pennsylvania Association ofNotarles