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Home My WebLink About02-01-06 Register of Wills of Cumberland County PETITION FOR PROBATE and GRANT OF LETTERS Estate of en-VII \..w. ]). N e~rJ No. ~ 1-- 0 l; .- lOA also known as To: Register of Wills for the County of Cumberland in the 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_ named in the last will of the above decedent, dated ~'l fr1 I ~ , 20 0 / and codicil( s) dated (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decedent was domiciled at death in L () K1%Jl.{;M1> County, fJerillsylva<Ha, with h_Iast family or principal residence at 'i.. (J _. . . . ')--.,_ II VlA1JDIZ- -lJf:1U12 .' bitc...iLfu1IU7BiJ~0, rWAll ~ (list street, number and municipality) /7tJS') Decedent,thennyearsofage,died )- a..3 ,20~,at II h4-tJO~:DP-iliG. HeUr.41Ji(,C;13v~ ft-.- Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after Iler:; execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: (\l\A- 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: I, t--O-tl. $ $ $ $ I ~81 000. WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codlfil)(s) presented herewith and the grant of letters . -..., (testamentary; administration c.t.a.; administr~tion a.bin.c.t.a.). thereon. ~nature(s) ofPetitioner(s) ~ '--'^-- ~ Lo-J Residence( s) of Petitioner(s) ( .~ r-- Register of Wi Us of Cumberland County OATH OF PERSONAL REPRESENTATIVE } COUNTY OF CUMBERLAND COMMONWEAL TH OF PENNSYLVANIA SS: 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) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed B~~re me this \ LI:--/l3 ,--- , 20 day of 0[0 ~~ --l.-l~"V"L.-~ . DECREE OF PROBATE AND GRANT OF LETTERS r l2BF?~ Y I $ 2JJLc; in consideration of the petition on the reverse side ct rx proof having been presented before me, IT IS DECREED that the instrument(s), dated · , , described therein be admitted to probate filed of record as the last will of it/"l LLt::- D. N l21t1-b1 ; and Letters are hereby granted to L'1I-J N if l2RL.I])1\- FEES Probate, Letters, Etc. ............. $ Will................................. $ Renunciation... . . . . . . . . . . . . . . . . . . . . $ Short Certificates (5) ............ $ JCP. . ..... .... .. . . . . . . ... . . . . . . .. . . .. $ Automation Fee................... $ [/) ciQ' ::l ~ 2' .., ~ ~ Q}!. ' C ~- A~')) ;CLUJuUfllltu ut ^ '. ~[PO.DDf R'gi,'o<of ill< fluAA . ~ i 5. 0 () Attorney (Sup. Ct. LD. No.) f)D.o.o ID.OO \5,lffi Address Bond.........~~;~i...5.......00. ~ \310.00 Filed !fi. l. Ore- 20_ Phone /~ /' (~if~~ p 12212105 9~7 dj- i ;x c.?O h ;~....,~ --I : , '.: .J I -~ C') o H105 143 Rev 2/87 COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH DECEDENT'S USUAL OCCUPATION (G.... kind 01 work don. durinJw mo,' 01 W<)rkf1rifo;netm'ake~ WAS DECEDENT EVER IN US ARMED FORCES? va,[!9 NOD 12. STATE FILE NUMBER TYPE/PRINT IN PERMANENT BLACK INK NAME OF DECEDENT (First, Middle, Last) 1 AGE (last Birthday) Camille D. Nealon 3. BIRTHPLACE (City and PLACE OF DEATH Check 001 one State Of" Foreign Country) HOSPITAl Mt. Carmel, Pa. hlpiltienl D 7. 8a. FACIliTY NAME (If not institution, gi....e street and number) SEX 2. Female SOCiAL SECURITY NUMBER 161- 03 -~8993 DATE OF DEATH (Month, Da~. Year) 4. January 23, 2006 . COUNTY OF DEATH 87 v" ER/Oulpll.li.ntD Resiliene. [Z) ~~:~ltyJ 0 RACE - Amencan Indian. Black, White, etc (Specify) 'b. Cumberland 10. White 11a. 11b. DECEDENT'S MAILING ADDRESS (Street, CityfTown. Slale, Zip COde) 11 Manor Drive Mechanicsburg, Pa. 17055 State Pa. MARITAL STATUS - Married, Ne....er Married, Widowed, Divorced (Specify) 14. Widowed ... 17e. e9 Yes, decedent lived In Upper Allen SURVIVING SPOUSE (1Iwil., yIII' milidennam'l 1&. FATHER'S NAME (First, Middle, Last) " INFORMANT'S NAME (Type/Print) 20. METHOD OF DISPOSITION Burial (Z) Cremation 0 Removal from State 0 Other (Specify) Cumberland O,d decedent live in a township? Iwp 17b. County 17d. 0 ~~tll~e~:t~~~I::;'~sd 01 cltylboro Peter Shulskie MOTHER'S NAME (First, Middle, Maiden Surname) 10. Elgie Trojanowski INFORMANT'S MAILING ADDRESS (Street, CityfTown, State, Zip Code) 20b. 418 South York St Mechanicsburg, Pa. 17055 PLACE OF DISPOSiTlON- Name of Cemetery, Cremalory lOCATION - CilyfTown, State, Zip Code or Other Place 21,. Gate of Heaven Cemetery 21d. Mechanicsburg, Pa. 17055 I- Z w Cl w U w Cl u. o w :;; .. z Lynn N. Hereda 2L;~ENSE NUMBE'l=D~012662~L e best of my knowledge, death occurred at the lime, dale and place stated (Signature and TIlle) 23a. TIME OF DE~,-- DATE PRONOUNCED DEAD (Month, Day. Year) 24. '/ /0 ,," 26. January 23, 2006 NAME AND ADDRESS OF FACILITY 22,. Myers Funeral Home, Inc 37 East Main Street Mechanicsburg, Pa. 17055 LICENSE NUMBER DATE SIGNED (Monlh, Da)', Year) 23b. 23c. WAS CASE REFERRED TO A MEDiCAL EXAMiNER /CORONER? 2.. Va, 0 No [2iJ . Approximate PART II: Other significant conditIOn' contributing to death. but : interval belween not resulting 10 the underlying cause given in PART I : onset and death 27. PART I: I"*-I thlI. ..I......, ktjurl.. 01 compHOltlonl which cau..d1h. ....1h. Do"ot ."NI th. mod. or clyirllil. Iltlch.. c..cllae Of f",pil.tOfY .tI..t, .hoek Of h..1t ralNl.. U.t only _ ULlSlI. on .ach lin. (;#'LLa<. 4/vud DUE TO (OR AS A CONSEQUENCE OF): 3/~' b \ : DUE TO (OR AS ACONSEQUENCE OF) DUE TO (OR AS A CONSEQUENCE OF) WERE AUTOPSY FINDINGS MANNER OF DEATH AVAILABLE PRIOR TO [2iJ 0 COMPLETION OF CAUSE Natural Homicide OF DEATH? 0 0 Accident Pending Investigation Va,O No [2iJ Va, 0 No lKl SUicide 0 Could not be determined 0 DATE OF INJURY (Monf1,Oa~,Yaill) TIME OF INJURY INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED 28.1. 28b, CERTIFIER (Check Onl)' one) .l:'::~F:~~Gor~~~~e~;',S~~~~C:~~~~aad'~: f~ ~:I~a~~~(~)~t~~r ~~~~;I~~.n::af~~~o~.~~.~~. ~~~t.~ .~~~. ~.~~~I~t.~~. ~~~~, ~,~~. , 2.. 30a. 30b. M PLACE OF INJURY - AI home, farm. street, factory, office bu~ding, ale (Speclf'f') 30e, Yo, 0 No 0 30c. o .P:OO~~~=~I~~:VN~;~~~I::I:~a~HoYe~I:~~: ~~:~~e~C::t~~~~~~~;~~~:~~ ~~ ~:~~,i~~~~~:~)ea~'dd~~~~er as stated. .. 0 .MEDICAl EXAMINER/CORONER ~~'::rb::I:~tre:umlnatlOn and/or investigation, In my opinion, death occurred at the time, date, and place, and due to the eal.lu50($) and 0 3b. R~GISJI}.AR'S SIGNATURE AND N~M8E~ I' I ~. I . ...., , ," I ';'4' 1..J,,:..~9:;(k'Ji' ~ " '-~. ,,(~ Ok'" -*r-,,)--~ LAST WILL AND TEST AMENT OF CAMILLE D. NEALON I, CAMILLE D. NEALON of 11 Manor Drive, Mechanicsburg, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, declare this to be my Last Will and Testament, hereby revoking and making void any and all Wills and Codicils made by me at any time heretofore. ITEM 1: I hereby direct my Executrix to pay all my funeral expenses and estate or inheritance taxes as soon after my death as may be found convenient. ITEM 2: I give all my tangible personal property in my home including, but not limited to, any and all furniture, furnishings, china, silverware, jewelry, ornaments, works of art, books, pictures and wearing apparel in equal shares to my daughters LYNN HEREDA of Boiling Springs, Pennsylvania, MAUREEN NEALON of North Hollywood, California and JANET NEALON of Los Flores, California. It is my intention that each :.~., child have any personal items that are of sentimental value to the child. If there is a c . disagreement concerning this distribution, I direct that my Executrix make all final deCisions with regard to distribution of my personal property. u ITEM 3: I give devise and bequest all the rest, residue and remainder of my estate, both real and personal, wherever situate, in equal shares to my daughters LYNN HEREDA of Boiling Springs, Pennsylvania, MAUREEN NEALON of North Hollywood, California, and JANET NEALON of Los Flores, California, per stirpes with a right of representation. ITEM 4: I hereby nominate, constitute and appoint my daughter LYNN HEREDA of Boiling Springs, Pennsylvania as Executrix of this my Last Will and Testament. In the event that my daughter LYNN should predecease me, I nominate, constitute and appoint my daughter JANET NEALON of Los Flores, California as Executrix of my Last Will and Testament. IN WITNESS WHEREOF, I, CAMILLE D. NEALON, have set my hand and , /......, seal to this, my Last Will and Testament, this IY If; day of fl} (j ,2001. Q~ ~ ~r~~) CAMILLE D. NEALON Signed, sealed, published and declared by CAMILLE D. NEALON, the Testatrix, as and for her last Will, in the presence of us, who, at her request, in her presence, and in the presence of each other, we believing her to be of sound mind, memory and understanding, have hereunto subscribed our names as witnesses. Q Y-v4/b -k~4r of de~ rl {()j ski/ii, 41/wt~ P/j-. j?, ---., of -2- COMMONWEAL TH OF PENNSYLVANIA : SS: COUNTY OF DAUPHIN I, CAMILLE D. NEALON, the Testatrix, whose name is signed to the attached or foregoing instrument, having been duly sworn according to law, do hereby acknowledge that I signed and executed this instrument as my Last Will; and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me by CAMILLE D. NEALON. Q(l~.~..J). YLL~ryJ CAMILLE D. NEALON _...0) ."..".,..~' / I L~' ~f1:bujlAJ ~ Notary Public Notarial Seal Patricia L. Eismann, Notary Public Harrisburg, Dauphin County My Commission Expires Nov. 8, 2003 -3- COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN SS: and & ;'r{ '"J?- {;'.erh/'-r-.- r , witnesses, f respectively, whose names are signed to the attached or foregoing instrument, being first We, %vt.-- T);;L~ duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and Testament and that she had signed willingly, and that she 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 witnesses and that to the best of their knowledge, the Testatrix was at that time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence. Subscribed, sworn to and acknowledged before me by Ca m jilt" (). IJ e 0..../ 0 rand subscribed and sworn to before me by Ptlu \ .~. K ( \ l;o (\ 5fY\;1-1-, 8>. G{->pho.rt , and this i4 yi, day of '--rY!"((" , 200~. -pi-<- Qv~ Witness 1/ .vffdM ~k&- Witness G~/~ Notary Public , Witnesses, My Commission Expires: Notarial Seal Patricia. L. Eismann. Notary Public Hamsburg, Dauphin COunty My Commission Expires Nov. 8, 2003 -4-