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Home My WebLink About01-09-06 Register of Wills of Cumberland County ; 7 (' a Estate of, a/?) " -5 <( also known as PETITION FOR PROBATE and GRANT OF LETTERS 1)0 l/ No. ~I- ~Q01 0- ~D / To: - Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania , D. ecea~ Social Security No. / 8,V /fi/ 6"90) 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 /lftZ/--r,~ :JO ,-ztt/ IffY and codicil( s) dated (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decedent was domiciled at death in C U /-J1 6 e r ~V7l d pen.nsy~vanik with h_last fampy or principal residence at < 19~'Y 'e/1rDr/~/fl Cq./U(1 fI..// / (list str&t, number and municipality) Decedent, thenU years of age, died IJP<..{'4<br If, 20exs--' at Cd~/7 1/' II, J'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: 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 Pennsylvania situated as follows: (' 0 0::) U;(;C(r .x~ ) /'/ $ $ $ $ o WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented. herewith and the grant ofletters . ': (testamentary; administration c.t.a.; administrationd.b.n."c.t.a.) thereon. -=-- ~i:natu.rci s ~ of Petitioner( s) 0h~~ r:.;/vn"'-e/)-[~ if /~ 1Y'; -' M<-< 011 ~ A--VJ .-r'YLI:-u) k.,YU:).()'71 a.<J (J-tL,Q<<' p ~y~ Register of'WiHs of Cumberland County OATH OF NON-SUBSCRIBING 'VITNESS Estate of .j Q v'VI e S V, Do,-v( No. ~I-DG- ODlD Also known as , Deceased /) / (l/'.rz (i. (? , C; /?1 6J7 7:7 /!-, \)0 (' 0 l/p"~.C'e A/I. fF/n/:~ A//(/) '..)OCGlP/;j),t ltfeTf-pl'o /f (each) a su~criber hereto, (each) being duly qualified according to law, dlpose(s) and say(s) that lA..J O--t.<.. familiar with the signature of0. , testat_ of (one of the subscribing witnesses to) the codicil/will presented herewith and that ~ elievelbelieves the signature on the codiciVwill is in the handwriting of J (/0/ P J i? L:Ja)/ to the best of no v' lmowledge and belief. Sworn to or affirmed and subscribed Before me this ~ da~ of \Tit N lU-\ R>/. " , 201RL L :l ~ , r /J, / r , <"..;C i/ -I" 0Y<C-z;1<~ (Name) . jelJ dL/(,~~yA. (Address)/~e.e --o~-(;--1U/1' (/ I) / r; 0 ~~- ,-~ j ,--' --> ~~-t~nc~~~"/ "/ (Name /7 / 7 () 3 ~/~~ Lu.J--cLXL rcu'--aJ.__ftt?---. C:!Ll/l7<-~\ M_~ // /9 / )O/( (Address) Register of Wills of Cumberland County OATH OF PERSONAL REPRESENTATIVE COUNTY OF CUMBERLAND COMMONWEAL TH OF PENNSYL V A..~IA SS: } The petitioner(s) above-named swear(s) or affrrm(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. .A2~~A.- /, Sworn to or affirmed an~ubscribed Before me this '1 day of JAtJufr1l-:~- ,200(f ~~ ( R?gist~r { CI:l Qq' ::l III 2' .... A ~, :A'-O~-OOzD Estate of \J/mt (2S 13. DAY , Deceased DECREE OF PROBATE AND GRANT OF LETTERS q FEES Probate, Letters, Etc. ............. Will .....................,........... Renunciation... . . . . . . . . . . . . . . . . . . . . Short Certificates (C.p) ............ JCP.................................. Automation Fee................... Bond.. .. . .. . .. . . . . . . . .. . .. .. 00 . .. . .. . Aotal r. '1. O~ 20 Filed $ 30,00 $ (5 ,.00 $ ~ _'fD<l: ~ 8 $ \.~.oo $ $E,(fD Attorney (Sup. Ct. LD. No.) Address Phone Hln",,;';!!_'" RL\ This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. 11 c 3. _,_J No. 58 ,,"m""h"~ """,,(~}\\ OF jill-----_ \\~/ ~'4'n",,- ;'\\ ~~ ',Y",t.:":. rl~~! ~~\~~ I~ ~i .~\~% I~t::)f ~.;. :-~ \~~1 -'j,(,i' ..:b., .... \. -. " -- ~ ~ *'(~ '_ ~;'..r~., *~ ~ ~\- ,-,-, '- -- I~l \. ~~ /~,/ "'--.,. 7Ilr~-;-_."[~~ .... --'",-'" EN1 "",,'llll!/' //fffNNI/l1I11 /J.~~ /'h1 .1:';""/J..-l~ Local Registrar Fce for this certificate. S6.00 C ,J I a ':{ .. \;;;>1' DEe 21 2005 Date \~(-) ~v 2197 COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH '- 17011 of PA DECEDENT'S ACTUAL RESIDENCE (See Instructions on other SIde) WAS DECEDENT EVER IN u_s_ ARMED F05S? Yes 0 Na O(J 12. 2. male ,. 1 89 - 1 8 - 6945 NAME OF DECEDENT (F,rst, Middle. LaSl) SEX STATE FILE ~UMBER SOCIAL SECURITY NUMBER ,. AGE (lase SIrtMay) UNDER 1 YEAR Months Days BIRTHPLACE I.C,I'; aM PlACE OF DEATH (CMecl< only one -;ee Ir'lSlrucloOf1$ on ol\"lel Side) Slale Of Fcre.gn Counrryl P A HOSPITAL Pot t s vi 11 e , Inp."onl 0 ERlOutpa".nl 0 DOA 0 7. Sa. FACllnl' NAME (II nOllnsl'!\JlI0n, give slreel and numben ~;;lfylO 93 v", 5. COUNTY OF DEATH Cumberland .b. Lower Allen Be. RACE - AmerICan Indian. BJack. White. etc (SpeCify) white 10. KINO OF BU$INESSIINDUSTRY MARITAL STATUS. Married Never MarrilSd, Widowed. Divorced (Specltyj SURVIVING SPOUSE (It 'NIle. .glve maldefl name) 1.. F,lJHEA'S NAME (First. Middle. Lasl) 1924 Kent Dr. Camp Hill,PA 17a. Slate P<=>nn"'ylv;:,n;;;. Old decedent liveina Cumberland townShip? 17d.D ~~~~~=of MOTHER'S NAME (First. Mtddle. Maiden Surname) Low",," J\llE'n "'P. 17b. County citylboro 1.. INFORMANT'S NAME (Type/Print) Harr Da 2... METHOD OF DISPOSITION Burial *- Cremation 0 Aamova/trom Slate 0 Donation 0 Other (~rIy\ Jacqueline M. Fetterolf 19. A nes Barr INFORMANT'S MAILING ADDRESS (Street. CityfTown. Slale, Zip Code) 2~703 Letchworth Rd.,Camp Hill,PA17011 PLACE OF DISPOSITION - Name of Cemetery. Crematory lOCATION - CityfTown. Slale, Zip Code ma~~~ PA17011 Green Cemeter 21.Lower Allen Twp. Lemoyne,PA17043 324 Hummel Ave. DATE SIGNED (Monlt1, Day, Year) 23.. 118mS 24-26 must be completed by TIME OF DE,lJH person who pronounces death. ."7 . J? A. 24. (7\~,.. " r{. M. 25. 27. PART I; Enter the diseases, injuries or complications which caused the death Do not enter the mode 01 dying, such as ca Ust only one cause on eaCh line 23b. 23c, WAS CASe AEFERRED TO MEDICAL EXAMINER/CORONER? Yes 0 No~ IMMEDIATE CAUSE (Final disease or condition resulting in dealh)- CAP DUE TO (OR AS A CONSEQUENCE OF)' a. I Approximate : int8t'V8i between I onset and death I i PART II; Olher signincant eondRions contributing 10 death, but not resulting in the underlying cause given in PART I c.. (-\p \~\ ~ Sequentially list conditions if any, leading 10 immediate cause. Enter UNDERLYING CAUSE (DlS88S& or InfUry that iniliatec:l events , resutbng in death) LAST WAS AN AUTOPSV PERFORMED? r t : WERE AUTOPSY FINDINGS AVAILABLE PRIOR TO COMPLETION OF CAUSE OF DEATH? DUE m (OR AS A CONSEOUENCE OF): DUE TO (OR As A CONSEQUENCE OF)' MANNER OF DEATH DATE OF INJURY (Month. Day, Year) TIME OF INJURY INJURY ,IJ WORK? DESCRIBE HOW INJURV OCCURRED. Natural I2r o o Homicide Accident Pending Investigation o o o ~~'CE OF INJURY. AI home, farr:~;eet. factory, otflce building, etc. (Specl!V) 'Oe. Ves 0 NoD .,..0 No [2( Vo.O No 0 Suicide Could not be delermined M. 30e. 3Od. lOCATION (Street. CityfTown. Slale) .MEDICAL EXAMINER/CORONER On the basil 01 examination and/or Investigation, in my opinion, death occurred at the tIme, date, and place, and due to the cause(s} and manner as stated, . . , . , , , . , . . . . . . . . . . . . . . . . . . . . . , - 31a. REGISTRAR'S o \ '.0'1. .28a. 28b. CERTIFIER ICheck only one} .CERTIFYING PHYSICIAN IPhyslCl8n Cf~rhlYlng cause of death when another phYSICian has pronounced death ana completed Uem 23) To the besl of my knowledge, death oceurrectdue to the cause(s) and manner iIS stated. . . , , , . 29. 'PRONOUNCING AND CERTIFYING PHYSICIAN (PtlySIClan both ;.JronOU/'lClng dealh and certl!y1f'lgIO cause ot dealhl To the best of my knowledgf't, death occurred at the time, date, and place. and due to the cause(s) and manner as staled,. 33. ~ '--.",:' /r.V~/P-~' /,' ~ b71/ ~I/I/I '4. ~- ~ ~ P VC'fJ ~ 1E&51 3Dill &ttb Qr~51&ttttttl OF JAMES B. DAY I, JAMES B. DAY, of Lower Allen Township, Cumberland Coupty,Pennsylvania, make, publish and declare this as and for my Last Will-and Testament, hereby revoking all other Wills and Codicils heretofore made by me. FIRST: I give and bequeath my household furniture and furnishings, my personal effects, jewelry, clothing, automobiles and all other tangible personal property, including all insurance policies covering those items, to my wife, EVA M. DAY, provided she survives me by sixty (60) days; or, if she does not so survive me, to my children who survive me, to be divided between or among them equally as they may agree. SECOND: I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, including any property over which I hold power of appointment and together with any insurance policies thereon, unto my wife, EVA M. DAY, provided she survives me by sixty (60) days. THIRD: Should my wife, Eva M. Day, predecease me or die on or before the sixty-first (61st) day following my death, I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, including any roperty over which I hold power of appointment and together with any insurance policies thereon, in equal shares, to my children, DIANA C. SIMONTON, and JACQUELINE M. GLOSS, provided that should any of my children predecease me, I give and bequeath such child's \ '1j , ~,\' -< s:. " rs 'J.-..i \ ..-....-", share unto his or her issue per stirpes by representation, and if there be a failure of same, then I give and bequeath such deceased child's share to my surviving children as provided herein. FOURTH: In addition to all powers granted to them by law and by other provisions of this Will, I give the fiduciaries acting hereunder the following powers, applicable to all property, exercisable without court approval and effective until actual J ('{' '--==- distribution of all property: (A) To sell at public or private sale, or to lease, for any period of time, any real or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms (including credit, with or without security) or con- ditions as are deemed proper. This includes the power to give legally sufficient instruments for transfer of the property and to receive the proceeds of any disposition of it. (B) To partition, subdivide, or improve real estate and to enter into agreements concerning the partition, subdivision, improvement, zoning or management of real estate and to impose or extinguish restrictions on real estate. (C) To compromise any claim or controversy and to abandon any property which is of little or no value. (D) To invest in all forms of property, including stocks, common trust funds and mortgage investment funds, without restriction to investments authorized for Pennsylvania fiduci- aries, as are deemed proper, without regard to any principle of diversification, risk or productivity. (E) To exercise any option, right or privilege granted in insurance policies or in other investments. (F) To exercise any election or privilege given by the Federal and other tax laws, including, but not necessarily being limited to, personal income, gift and estate or inheritance tax laws. (G) To make distributions to my herein named benefici- aries in cash or in kind or partly in each. (H) To borrow money from themselves or others in order to pay debts, taxes, or estate or trust administration expenses, to protect or improve any property held under my will, and for '~ "~stment purposes. (I) To select a mode of payment under any qualified retirement plan (pension plan, profit sharing plan, employee stock 2 ownership plan, or any other type of qualified plan) to the extent the plan or the law permits them to do so, and to exercise any other rights which they may have under the plan, in whatever manner they consider advisable. FIFTH: I direct that all inheritance, estate, transfer, succession and death taxes, of any kind whatsoever, which may be payable by reason of my death, whether or not with respect to property passing under this Will, shall be paid out of the princi- pal of my residuary estate. SIXTH: All interests hereunder, whether principal or income, which are undistributed and in the possession of the fiduciaries acting hereunder, even though vested or distributable, shall not be subject to attachment, execution or sequestration for any debt, contract, obligation or liability of any beneficiary, and furthermore, shall not be subject to pledge, assignment, conveyance or anticipation. SEVENTH: I nominate and appoint my wife, EVA M. DAY, Executrix of this, my Last Will and Testament. In the event of the death, resignation or inability to serve for any reason whatsoever of the said Eva M. Day, I nominate and appoint my children, DIANA C. SIMONTON and JACQUELINE M. GLOSS, or the survivor thereof, Co-Executrixes of this, my Last Will and Testament. I direct that my Executor or Executrix, as the case may be, and their successors, shall not be required to post security or a bond for the performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this 2() day of It} ~ YC h 1989. r'\ > \ \ ' \\ , ~Yl'U!"~ fl, ,y(}-,,-~ James B. Day ( V (SEAL) 3 Signed, sealed, published and declared by the above- named Testator as and for his Last Will and Testament in our presence, who, at his request, in his presence and in the presence of each other, have hereunto subscribed our names as attesting witnesses. Address Cf~Y'- l, JJ-LO~,-~) Address /J'. ", ' /} /;7 <-- t2U/? ..t'-Yl~e V ' ,<:::?&?~ 4