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HomeMy WebLinkAbout02-08-06 PETITION FOR PROBATE & GRANT OF LETTERS , deceased. No. 21-06- 0 Ii ''? To: Register of Wi s rOr the County of Cumberland Commonwealth of Pennsylvania Estate of GAYLE O. DAY also known as Social Security No. 211-38-1897 The Petition of the undersigned respectfully represents that: Your Petitioners, who are 18 years of age or older and the Co-Executors named in the Last Will of the above decedent dated Seotember 5. 1986 , and codicils dated none . The Executor named none died . Renunciations for none attached hereto. Decedent was domiciled at death in Cumberland County, Pennsylvania, with his last family or principal residence at 103A Partridae Circle. Carlisle. Pennsvlvania Decedent, then 2L years of age, died November 21 , 2005, at Crossinas Retirement Communitv. Carlisle. Pennsvlvania . Cumberland 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: N/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 PA (If not domiciled in PA) Personal property in County Value of real estate in Pennsylvania, situated as follows: $1.000.00 $ $ $ WHEREFORE, Petitioners respectfully requests the probate of the Last Will and Codicil(s) presented herewith and the grant of letters testamentary thereon. ~nC?!::t";one'(s) E ene E. Couns~ 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 correct to the best of the knowledge and belief of Petitioner(s) and that as personal representative of the above decedent, petitioner(s) will well and truly administer he estate acc . to law. '. ~ /' ,'J Sworn to or affirmed and subscribed . I.. ~/ before me this 8th day of Eugene . ounsil February, 2006. ~ tI/J- r1iu It/[ Jtti~t{tl~ /217 / / ...-f)-." Register j:J '- 'f!-ex L fJi-UL/!/f fI r f 7Yt7A.J' I~_' r ~ ,.. . \ :. ."- ,,-"' l ,. ;,:.-'.-1 3NOHd €S€G-6vG-HL . , . . . . , . . "[i;1 'PI t if;..d . , . . . . pe!!:! OO'vS$ . . ., :1V'1.01. OO'S~ $.". "..... II!M Je4l0 OO'S $'.'...".'.. ee.:l UO!lBUJOlnV' 00'0 ~ $....'.........'..'.. d~::>r $ . . . . , . , . , .. (S)UO!lBpunuet:! OO'v $ . . . . , . , (-.-}selBO!!!lJa8 lJ04S OO'OG$ . . . . . . . 'ol3 'SJanel 'ereqoJd S33:1 SS3800V' 8 WH V'd 'els!IJB8 "lS leJ!UJod lseM 09 /: . </;;~0i/" vt/~ 'f/;7JJ}~7 tJ-{/ /:(?Z?("p -r~"" ~rnl/);:2-?~) .l:lJ? tv;~> 7 - 7'" UJ /(/1' '\ I!suno8 '3 auaon3 Ol pelUBJ6 I\qeJe4 aJB AJelueUJelse1. sJanal pUB ~ Aeo'o eIABE) !O II!M lsel a4l SB pJooeJ !O pem pue eleqoJd Ol pan!UJpe aq U!eJa4l paqIJosep 996 ~ 's Jeqwelaes palep (s)luaUJnJlsu! a4lle4l 0338830 SI1.1 'aUJ aJo!aq palUesaJd uaaq 6U!Ae4 !oOJd !\Jope!S!leS '!OaJa4 ap!s aSJaAaJ aLll uo uO!l!lad aljl !O UO!leJaplsuoo U! '900G ' '9 AJenJqa:! 'MON ONV' SII!M !O J81S!6el:l SHH.Ll.Hl ~O l.NVH~ ~ Hl.VaOHd ~O HHH:lHO .paseaJap I AVO .0 3:1A V~ JO alelSH :;--\{'IO -90-1Z .ON H] I)~_l"(l~ RI-.\ " "(1) This is to certify that the information here given is correctly copied from an original certificate of death duly filed wif1 me ;', 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. No. ~ \- O~ - 0 )d~ liM.. ~~~~'hW'-' fee for this certificate, $6.00 p 12044990 NOV 2 2 20Q5:2, -D~~e c:J c,) c..) Hta5.143 Rev. 2JB7 COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH STATE FILE NUMB~R TYPE/PRINT IN PERMANENT BLACK INK /j I . 0{ ... Cumber land 1. AGE (Last Birthday) heck on on . see lnstru . ns on 5. COUNTY OF QEA TH 58 Vrs SEX 2. FEmale BIRTHPLACE (City and PLAC OF 0 TH State Of Foreign Count')'} HOSPITAL' ~ck Haven, PA ~;"i'" D l=ACILln' NAME llf not instilution, give street and number) SOCIAL SECURITY NUMBER 3. 211 - 38 - 1897 DATE OF DEATH (Month, Day, Year) 4.11/21/2005 AS DECEDENT EVER IN U.S. ARMED FORCES? VesO NolK] 12. MARlT AL 5T A TUS . Ma.rried, Never Married, Widowed, Divorced (Specify) 14. Married Rasid.roe, 0 ~~:~fjl 0 RACE. American Indian. Black, White, at . ISpecily) 10. White SURVIVING SPOUSE (l(wi1e. give mAiden nama) 17b. Countv PA Cumberland DiO decedent live In a township? 17e. 5a Yes, decedent lived in 17d. 0 ~~j~e~~~~?\i~i~: of twp. LICENSE NUMBER 22'. FD OlliRL To the best of my wfedge, death OCCUlTed at the time, date and place staled. ~~~nature and Title) {:~ ,.<\..J.-......,~~~'- d--... '~), -'~J..r......(.~Q_ _....... q...... ,.J TIME OF DEATH ......\,\.,r~y~l('''>~J.l.> DATE PRONOUNCED DEAD lManth, Day, Year} 24. C;::l'.$ S f\M. 25. t~ t~\f cJo'{-<D ~ \....- '2l \ 1 d.()O S 27. PART I; Erd.r ttl. din...., mjllo-' Of o;ompll!::JItlon.. wl11c;n eall..d ttl. dllath. 00 not 'n~' tn. mod. of dyln;, alien u card/.e 1M '..pll1ltory IIrr..t, .nock or h..rt f.llt11"lI. u., only on. tau.. on .aen /In.. cily/boro PA 17013 ~ I ';>\)O~- .11 cl Q I: 26. : Approximate l in!elVal between : onset and death Other significant conditions contributing 10 death, but not resulUng in the under\ying cause given in PART l. '.~:...c1-~)~ .~...,.. Suicide El o o DATE OF INJURY {Month, Day. Ynr} TIME OF INJURY INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED. WERE AUTOPSY FINDINGS MANNER OF DEATH AVAILABLE PRIOR TO COMPLETION OF CAUSE Natural OF DEATH? Homicide Accident Pending fnvestigation o o o ~~CE OF INJURY build!ng. elc.ISpeclfy) 30.. VesO NoD 3Gb. M. 30c. 30d. LOCAT/ON (Street, CityfTown. State) VesD NaG VesD 28.. 28b. CERTIFIER (Check only one) .l~~~F~~tGor~~~~~~.~~~~h~~~a~U~: t~ ~e:~.~:~(:r~~jrJ~~~a~.h:t~g.rx~~~~o~.~~~.~~~.~.~~:~:.~.I.t~~.~~.l. NoB' Could not be determined 29. >-- Z W o W () W o u. o w ::; 0< Z "PRONOUNCING AND CERTtFYlNG PHYSICIAN (Physician both pronouncing death and certifying 10 cause of d'!ath) To the best of my knowledge, dltath occurred at the time, date, and pla.ce,.nd due to the causesls) and manner as stated...... . IlL /. - .... ~. '2~&...~~ j) "/ / 34. ! ~ LAST WILL AND TESTAMENT OF GAYLE O. DAY I, GAYLE O. DAY, of Woodward Township, Clinton County, Pennsylvania, revoke my prior Wills and declare this to be my Will. I. Dispositive Provisions. A. Household and Personal Bequests. I give my automobiles, household and personal effects and other tangible personalty of like nature (not including cash or securities), together with any existing insurance thereon, to my husband, Wilford C. Day, Jr., if he survives me. Should my husband, Wilford C. Day, Jr., not survive me, I give such tangible personalty to the persons named on the unsigned Memorandum enclosed with this Will. B. Residue. I give the residue of my estate to my husband, Wilford C. Day, Jr., if he survives me by thirty (30) days. In the event that my husband, Wilford C. Day, Jr., does not so survive me, I give the residue of my estate as follows: 1. One-half (1/2) thereof to my brothers, Chester Francis Orsin and Edward Orsin, in equal shares, if they are then living. In the event that either of my brothers are \'_1 r~~~,~,'?jl...';_ ) r'..' . \',1 ,,,, t ~ not then living, his share shall be distribu~ed to his issue, then living, per stirpes. 2. One-half (1/2) thereof to my husband's sister, Lois D. Counsil, if she is then living, or if she is not then living, to her issue, then living, per stirpes. II. Administrative Provisions. A. Debts and Burial Expenses. My debts and the expense of my illness and burial shall be paid from my estate. B. Powers of Executor. In addition to powers granted by law, my Executor shall have the power, without court approval, to compromise claims and to sell at public or private sale, exchange or lease for any period of time, any real or personal property, and to give options for sales or leases. C. Death Taxes. All estate, inheritance and other death taxes payable because of my death, with respect to the property forming my gross estate for tax purposes, whether or not passing under this Will, including any interest or penalty imposed thereon, shall be paid from the principal of my general testamentary estate as if such taxes were my debts. D. Appointment of Executor. I appoint my husband, Wilford C. Day, Jr., as Executor of my estate. If he is unable or unwilling to serve as such Executor, either at the time of the creation of my estate or thereafter, then I appoint my brother-in-law, Eugene Counsil, as Executor. -2- E. Bond. I direct that my personal representa- tive, as well as his successors, shall not be required to give bond for the faithful performance of their duties in any juris- diction. Executed on September 5, 1986. - ~it,4. t!:;ft}., ~ In our presence, GAYLE O. DAY, the above named testatrix, signed this Will, and declared it to be her Will, and now at her request and in the presence of each other, we sign as witnesses. Ga.,,:.) d?~~ residing at ~ 1..l,,~Q. ~ . k': , ~~ residing at 7AJ~ A. , -3- , " . . I COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CLINTON We, Gayle o. Day, Alvin L. Snowiss and Ann K. Berger, the testatrix 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 testatrix signed and executed the instrument as her Last Will and 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 of the witnesses, in the presence and hearing of the testatrix, signed the Will as witness and that to the best of their knowl- edge the testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. ~ (J-.eD tf1cf= ~~ W:Ltness 4.... ;;. A~ ,. W:Ltness" Subscribed, sworn to and acknowledged before me by Gayle O. Day, the testatrix, and subscribed and sworn to before me by Alvin L. Snowiss and Ann K. Berger, witnesses, this 5th day of September, 1986. My Commission Expires: <h dIJ.. If/Po ~~~ Notary Publ:LC BETH C. PROBST, Notery Public Lock Haven, Clinton County, P,. My Commission Expires July 26, 1990