HomeMy WebLinkAbout01-17-06
Register ofWiHs of CUlnberland County
PETITION FOR PROBATE and GRANT OF LETTERS
Estateof ;/Ay//I.J J. {}qm/,)~n'-' No. ~ 1- aLP - 0 D1 (;
also known as IVI'? To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
, Deceased.
Social Security No. 172. - 29 - <f?-75
The petition of the undersigned respectfully represents that:
Your petitioner( s), who is/are 18 years of age or older, and the execut (Jt' named in the last will of the
above decedent, dated Jan I Z, ,2005
and codicil( s) dated
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in {] Clt?1~~,/Jud
Pennsylvania, with ~last family or princ!J2.ai residence at. . CJ
J.iI (, C~;;?q~ 7<d c5j,/~"""'~';/'7!r L'4
/ (list street, number and municipality)
Decedent, then 7~ years of age, died jqrJ 3' , 2011.fJL, at 9 : / 5" etA']
Except as follows, decedent did not marry, was not div~rced 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,
1..72.€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:
$ .i~ e<~' e~r
$
$
$
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented
herewith and the grant of letters
~
thereon.
i nature(s) ofPetitioner(s)
:<Q
(testamentary; administration c.t.a,; administration d.h.n,c.t.a.)
Residence( s) of Petitioner( s)
:--
'. .~.';
Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
}
SS:
COUNTY OF CUMBERLAND
The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and
conect 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.
fZ cJ e~
Sworn to or affirmed and subscribed
Before me this 1'1_ day of
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Estate of i H ~ LLt 5 J. C/-\1Y1 t' ~ ~ceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW J A'N u...A1Z '/ 1'1 20D(p' in consideration of the petition on the reverse side
hereof, satis.factoryyroofhaving been presented before me, IT IS DECREED that the instrument(s), dated
1.- ( ~ (2~ _ ' described therein be admitted to probate_fileg of record. as the last ~ill of
~tI"LU~ .J.A1YlPA<"lNC ; and Letters are hereby granted to \..Tovt:...-fIt+ A. CAiVIPA-(=lNO
FEES
Probate, Letters, Etc. .............
Will............................. ....
Renunciation... . . . . . . . . . . . . . . . . . . . .
Short Certificates ()) ............
JCP..................................
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Register of Wills ~. \/ ~ y)
;
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AutomatlOn Fee...................
$
$
$
$
$
$
30.00
15.00
Attorney (Sup. Ct. LD. No.)
I~.DO
\ O. DO
5.00
Address
Bond........... ..... ... .......... .... $
Total ~ $ 1l;:l.O 0
Filed I - V\ 200(,
Phone
H iIJ5,XO) REV [/DS
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.
Fee for this certificate. $6.00
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Date
f^) 12046277
No.
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H105.143 Rev, 2/87
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFIC'ATE OF DEATH
TYPE/PRINT
IN
PERMANENT
BLACK INK
fil
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STATE FILE NUMBER
SEX
F
SOCIAL SECURITY NUMBER
3. 172 24 9495
! ne-
DATE OF DEATH (Month, Day. Year)
4. January 3, 2006
2.
BIRTHPLACE (City and P F AT
State or Foreign Country) HOSPITAL
7. ShiwensJ:urg, PA ~;...... 0
FACILITY NAME (If not institution. give street and number)
Residence IXI ~~fy} 0
RACE. American fndian. BlaCK, Vllhile, el
(Speoify)
10. White
SURVIVING SPOUSE
{11'Mle.give maiden namel
~\
8b.
Cumberland
DECEDENT'S USUAL OCCUPATION
(~~:~~ld.:e~~rit~ir'::
Cashier
MARITAL STATUS - Married,
Never Married. WidOWed,
Divorced (Specify)
14. Widowed
17b. Countv Cumberland
"d
decedent
livaina
township?
17c. 0 Yas, decedent lived in
17d. [XI ~~t.~=~ii~~ of
cilylboro
twp
Shippensburq
MOTHER'S NAME (First, Middle, Maiden Sumame)
1.. Elsie V. Farner
INFORMANT'S MAILING ADDRESS (Street, CityfTown, State. Zip Code)
20b. 36 Brindle Drive, Fayetteville, PA 17222
PLACE OF DISPOSITION. Name of Cemetery, Crematory LOCATION. CilyfTown. Slate. Zip Code
or Other Place
Spring Hill Cemetery 21d. Shippensburg, PA 17257
NAME AND ADDRESS OF FACILITY
220. Fogelsanger-Bricker F.H. PA 17257
LICENSE NUMBER
IMMEDLA TE CAUSE (Final
disease or condition
resulling in death)---tl-
Sequentially list conditions
if any. leading to immediate
cause. Enter UNDERLYING
CAUSE (Disease or injury
. thai initiated events
resulting on death) LAST
{b.
o.
d.
DUE TO (OR AS A CONSEQUENCE Of):
WAS AN AUTOPSY WERE AUTOPSY FINDINGS MANNER OF DEATH
PERFORMED? AVAILABLE PRIOR TO ~ 0
COMPLETION OF CAUSE Natural Homicide
OF DEATH? 0
Accident Pending Investigation
YB'O No JtJ YBSO NoD Suicide 0 Could not be determined 0
DATE OF INJURY
(Month. Day.Yelr)
TIME OF INJURY
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED
YBSO NoD
30.. 3Ob. M. 30c.
PLACE OF INJURY - At home, fann. slreet, factory. office
building. etc. (Specify)
30..
288. 28b.
CERTIFIER (Check only one)
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28.
.PRONOUNCING AND CERTIFYING PHYSICIAN (Physician both pronouncing death and certifying to cause of death)
To the best of my knowledge, death occurred at the time, date, and place, and due to the causes(s' and manner 18 stated.
.MEDICAL EXAMINERlCORONER
On the basis of examination and/or Investigation, In my opinion, death occurred at the time, date, and place, and due to the causes(s' and
manner as &tated... ........... ................., ... ......
31a.
REGISTRAR'S SIGNATURE AND NUMBER
\12..51
33.
34.
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1~-1
LAST WILL AND TESTAMENT
OF
PHYLLIS J. CAMP AGNO
L"."
I, PHYLLIS J. CAMPAGNO, of 146 Cottage Road, Shippensburg Post Office,
Southampton Township, Cumberland County, Pennsylvania, revoke any prior Wills and Codicils
and declare this to be my Will.
ITEM 1.
I give my furniture and household and personal effects and other tangible
personalty oflike nature, together with any existing insurance thereon, to my son, JOSEPH A.
CAMP AGNO, ifhe survives me by thirty days. Ifhe is not living on the thirty-first day after my
death, I give the items which would have gone to my son under this Item of my Will to his issue per
stirpes, in as nearly equal shares as practicable. I note that, as ofthe time of the writing ofthis Will,
his only issue is his daughter, CAITLIN CAMP AGNO.
ITEM 2.
I give all the rest, residue, and remainder of my estate to my son,
JOSEPH A. CAMP AGNO, ifhe survives me by thirty days.
ITEM 3.
If my son, JOSEPH A. CAMP AGNO, is not living on the thirty-first day
after my death, then I give all the rest, residue, and remainder of my estate to his issue per stirpes,
subject to the trust provisions ofthis Will.
ITEM 4.
I direct that all my just debts not barred by the statute of limitations and the
expenses of my last illness and disposition of my remains shall be paid from my residuary estate as
soon as practicable after my death and as part ofthe expense ofthe administration of my estate.
318924-1
ITEM 5.
In addition to the powers granted by law or by other parts ofthis Will, my
Executor and Trustee shall have the following powers:
(a) To retain any and all assets of my estate and trust, real, personal, or
mixed, without regard to any principle of diversification, risk, or productivity, except as
may be otherwise expressly provided herein;
(b) To sell at public or private sale, to exchange, to lease, to pledge, to
mortgage, to transfer, to convert, or otherwise dispose of, and to grant options with
respect to, any and all property, real, personal, or mixed, at any time forming part of my
estate or trust estate in such manner, at such time or times, for such purposes, for such
price or prices and upon such terms, credits, and conditions as may be deemed advisable;
(c) To invest and reinvest the estate and trust property in stocks,
bonds, mortgages, notes, insurance policies, annuities, common trust fund participation,
or other property of any kind, real, personal, or mixed, irrespective of any statute, case,
rule, or custom limiting the investment of trust funds, except as expressly provided
otherwise herein;
(d) To settle, compromise, contest, prosecute, or abandon claims in
favor of or against my estate or any trust as may be deemed advisable;
(e) To allocate receipts and disbursements to principal or income or
partly to both and to ascertain principal or income in accordance with the laws of the
Commonwealth of Pennsylvania;
(f) To make distribution or division of the trust or estate in cash, in
kind, or partly in both, to postpone distribution by agreement with a beneficiary and to
3]8924-]
distribute articles of tangible property to a minor or to any person to hold for a minor
within the limits authorized by statute or rule of law;
(g) To exercise any law-given option to treat administration expenses
either as income tax or estate tax deductions, without regard to whether the expenses
were paid from principal or income, and without requiring reimbursement; and
(h) To appoint a Trustee ifthe designated Trustee fails to qualify (this
power to be in the Executor) or to appoint a successor Trustee ifthe Trustee ceases to act
(this power likewise to be in the Executor).
ITEM 6. Notwithstanding any other provision of this Will, I direct that if any ofthe
issue per stirpes of my son, JOSEPH A. CAMPAGNa, is under eighteen (18) years of age, my
Trustee shall retain whatever share of my residuary estate the beneficiary otherwise would have
received hereunder and apply so much of such share or the income thereof as my Trustee
considers advisable for the beneficiary's education. It is my wish that the beneficiary have an
education beyond high school, if desired, and funds may be used for such education if the
beneficiary so desires, including vocational and business school, college, graduate, and post-
graduate school. When the beneficiary attains the age of eighteen (18) years, the Trustee shall
distribute to the beneficiary the remaining principal and income of the beneficiary's share,
discharged of the trust.
ITEM 7. No interest of any beneficiary under this Will or any trust established
hereunder or any codicil hereto shall be subjected to anticipation, alienation, or execution.
ITEM 8.
No bond shall be required of my Executor and Trustee, but ifbond is
nevertheless required, it shall be without surety.
3] 8924- ]
ITEM 9.
I appoint my son, JOSEPH A. CAMP AGNO, Executor.
ITEM 10.
I appoint my daughter-in-law, SUSAN SNYDER, Trustee.
ITEM 11.
For the convenience of my Executor, I note that this Will has been prepared
by Jered L. Hock and the law firm of Metzger, Wickersham, Knauss & Erb, P.c., Harrisburg and
Shippensburg, Pennsylvania.
Executed on ,""
/?-
,2005.
~ (}~~-o
Phyllis J. C~agno
Signed, sealed, published and declared by the above named Testatrix, PHYLLIS J.
CAMP AGNO, as and for her Last Will and Testament, in the presence of us, who, at her request, in
her sight and presence, and in the sight and presence of each other, have hereunto subscribed our
names as witnesses.
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Address
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Address h..-- C:,w/"r~/ ~
318924-1
Commonwealth of Pennsylvania
ss.
County of DCt-t.lp~;!"\
We, PHYLLIS J. CAMPAGNa, and J~crc~ L H()(k , and
l\(l\\, J ~ (Y),.,.+, "p", 1 , the Testatrix and the 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 Testatrix signed and executed the instrument as her Last Will
and that she had signed willingly (or willingly directed another to sign for her), and that she
executed it as her free and voluntary act for the purposes therein expressed, and that each ofthe
witnesses, in the presence and hearing ofthe Testatrix, signed the Will as witness and that to the
best of our knowledge the Testatrix was at that time eighteen years of age or older, of sound mind
and under no constraint or undue influence.
G4~ Ja.y~
Testa
C~
Witness
Witness
SWORN to or affirmed and acknowledged before me by the above named Testatrix and witnesses
this ~ day of .Ilf\/ln 'Y ,2005.
t21(d, -/J1. /"J2,'.I",,_
Notary Puhlic
My Commission Expires:
(SEAL)
r-
I Notarial Seal
,Angela M.. Miller, Notary Public
- City of Hamsburg, Dauphin County
L~~~.~jSsion Expires Oct. 15, 2006
318924-1