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.
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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.
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fee for this certificate, $6.00
p
12044990
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Hta5.143 Rev. 2JB7
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
STATE FILE NUMB~R
TYPE/PRINT
IN
PERMANENT
BLACK INK
/j I .
0{ ... Cumber land
1.
AGE (Last Birthday)
heck on on . see lnstru . ns on
5.
COUNTY OF QEA TH
58 Vrs
SEX
2. FEmale
BIRTHPLACE (City and PLAC OF 0 TH
State Of Foreign Count')'} HOSPITAL'
~ck Haven, PA ~;"i'" D
l=ACILln' NAME llf not instilution, give street and number)
SOCIAL SECURITY NUMBER
3. 211 - 38 - 1897
DATE OF DEATH (Month, Day, Year)
4.11/21/2005
AS DECEDENT EVER IN
U.S. ARMED FORCES?
VesO NolK]
12.
MARlT AL 5T A TUS . Ma.rried,
Never Married, Widowed,
Divorced (Specify)
14. Married
Rasid.roe, 0 ~~:~fjl 0
RACE. American Indian. Black, White, at .
ISpecily)
10. White
SURVIVING SPOUSE
(l(wi1e. give mAiden nama)
17b. Countv
PA
Cumberland
DiO
decedent
live In a
township?
17e. 5a Yes, decedent lived in
17d. 0 ~~j~e~~~~?\i~i~: of
twp.
LICENSE NUMBER
22'. FD OlliRL
To the best of my wfedge, death OCCUlTed at the time, date and place staled.
~~~nature and Title) {:~ ,.<\..J.-......,~~~'- d--... '~), -'~J..r......(.~Q_ _....... q...... ,.J
TIME OF DEATH ......\,\.,r~y~l('''>~J.l.> DATE PRONOUNCED DEAD lManth, Day, Year}
24. C;::l'.$ 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
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.11
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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.
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"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......
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34.
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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
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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
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residing at
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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.
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W:Ltness
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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