HomeMy WebLinkAbout02-08-06
PETITION FOR PROBATE and GRANT OF LETTERS
Estate of 171DlI'(\OS K('c1l/J('rl CJapSadINo. ,J 1- b 0 : 6/} ()
also known as To:
Register of Wills for the
I Deceased. County of Lumber If( !-v:A in the
Social Security No. 17~' n;z, - 2"Q r~":'~ Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older tln the e.xecutc-\-v-'\ '-+--
in the last will of the above decedent, dated Ma.. ('r,b I ?:,
and codicil(s) dated .
named
, 19~
(state relevant circllmstanc Ve.g. renunciation, death of executor, etc.)
Decendent was domiciled at death in ,~\r- Cou
h ~7 last family or principal residence at -j
Decendent, then
at
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:
(list street, number and muncipality)
years of age, died t Jane If] .l:5 ) ~ )
,~~~
Decendent 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:
,-,...,
"") L-' I 6<~ C->
$
$
$
$
WHEREFORE, petitioner(s) respectfully
presented herewith and the grant of letters
theron.
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF P:tN.\YLVANIA I ss
COUNTY OF C. l~ ~ ~ .? j
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 represen-
tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law.
~:r~~~L~iraff~~ and s:~;Z~ {-l84r~'_&~-R'/ I
~ t'A- A r:;~ IlM 0u 5 ~1.. ~
r ~ 'I'" 1fl!JVU Regis , ~
Estate of
No. fJl-{Jh~oI6o
f^d {'d (/-5 f-1 Ll (/- r A C l C! f 6(A d )
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
T-/..b ru...u. Vl, cg fI-- Uf. 2aJ1o, in consideration of the petition on
(
the reverse side hereof, satisfactory proof having been presented before me,
lT IS DECREED that the instrument(s) dated ' 13 In fA ..-It. 10/ q;;L -
described therein be admitted to probate and filed of record as the last will of T /, (; 1')( Ct 5
R'ChfAY'd (21e-IS,,-,:!1
and Letters -, e. S t-~ flI 1":'1-0 hi. '~T
are hereby granted to (; //1. dy S J u/v Ch .o4Ct 4
,
AND NOW
s . 1106268
tjo
Probate, Letters, Etc. ......... $
Short CertificatesG) . . . . . . . . .. $ J ,'J..
RenuRaiation . .~J!.......... $ ,S
,) [, () 'f 1tJtl.> $ IS
TOTAL _ $ 1?i'a.,lio
Filed ......:If kb. . r. J JD b. . . . . . . .
FEES
4 N.Hanover St. Carlisle,PA 17013
ADDRESS
717 -243-4574
PHONE
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)) KEV I/O)
",is is to certify that the information here given is correctly copied fron~ an original cert.ificate of death dul?', filed with me as
,neal Registrar. The original certificate will be forwarded to the State Vltal Records Offlce for permanent f11mg.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No.
~'.~ <:\. ~eu-~~
Local Registrar
Fce for this certificate, $6.00
p
12269299
JAN 1 8 2006
Date
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143 Rev. Ot.06 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH' VITAL RECORDS 1- D '01-3/)
PElP'UtITIN
RNA-HENT CERTIFICATE OF DEATH STATE FILE NUMBER
LACK INK
1 Name of Oecedenl (t:irsl. middle. Ias!J 12. 50, 3 Social Security Nll\li)ef I" Dat. olD..1/l (M_.da,.,..,)
THOMAS R. CLAPSADL Male 175 - 03 - 3923 January 15, 2006
5 NJe{Lasllmlhdayl 6. Under 1 vear Under 1 da 7. Oaleoleinh Month. dal'. year B. Bir1h lace C and slale or loI'eion counlrvl 63. Place 01 Death Check on/li one
86 y" r Monlhs Days Houts I Minutes 1 De c . 23, 1919 IChambersburg, Pa I ~OS:::li8ftt o DCA I ~~~MHome D 0Ih". .<nodIvc
o EF\IOUIpclienl Xl Rasiclence
- 8b Counly 01 Osath Be. City. BolO. Twp.ol Death Bd_ FaciMy Namt (If ROC institution. give slreel and I\lUl'bet) 9. Was Decedent of Hispanic Origin? 10. Race: American lnrli8n. Bla<:k, Wh_e. ete.
Cumberland South Middleton Twp. 18 Auburn Circle 10 No o Yes {II yes, specify Cuban. (Spod{)1
Mexican. Puerlo Rican, ele.) White
.
" Decedent's Usual Occuoalion Kind or WOrk done dill" mGsl oj wotkir.n rde~ do not stale fe-tired 12 Was Oecedenl ever in nle US 13. Oecedel'lfs Educalion S hestnrade led 14 Marital SlalUS: Married, Never Il\1:l1ied, 15. Surviving Spouse (11 wife, rjfve maklen name)
Forkli f'~0'5pera tor I F oo:r~B;~~"";:'''i ng Armed Fore-es? 1-~~~"::i2:::~~'-~---~~~"'--".:~--- wm_. Di!<>rted ISpod{)1
15 Yes o No Marr1ed Gladys R. Stumbaugh
- 16 Decedel'll's Mailing Mc.l1ass (Street, city/towfl, stale, lip code) DecedenJ's Pennsylvania Did Decedent South Middleton
Actual Residence 17a. SIaIE' liIe in a lk OC Yes, Decedent Lived in Twp
18 Auburn Circle T ownship1
. Boiling Springs, Pa 17007 Cumberland 17d. CJ No, Oecedem lived withill
17b. County Aclual UrrVts at City&w
18 Fathers Name (Firsr, JTiddIe,la.st) 18_ MoIher's Name (Fnl. middlt, maiden surname)
Joseph Clapsadl Grace Group
2Oa. Informant's Name (Typ&'plinl) lOb. Intormanfs Mailing Address (Slreet. cityAown, slale, zip code)
Gladys Clapsadl 18 Auburn Circle Boiling Springs, Pa 17007
211. Melhod 01 Dispos~1on 21b. Dale Of Djsposilion (MooItl, day, year) 21c. PklceotDisposition(Naml!lo!~.c!1lrnaloryorothecplace} 121d. iJJca""" (CltyIloWn. sta". z~ COd.)
. 10 Burial o CremaOOn o Removallrom SJate o Donalion Jan. 19, 2006 QJnberland Valley Marorial Gardens Carlisle, Pa 17013
001....5"""""
~ ~~~;::::hl 122b;:~;;9-L 122<. Namo."" Addr", 01 F.cJiIy
- Ronan Funeral Hare, 255 York Rd. Carlisle, Pa 17013
Conl1Iele4tfms 2Ja-c only 'lIMn cel1itying 238.. To the besl of trPf knowledgt1. death occurred allhe time. dale and place stated. (Signature and litIe} 23b. license Number 23c. Dale Si~ (MonIh, day, year)
physi:ianisI'lOl8'11Olilabkl allimllofdeath to
Cer1ify cause of death
. hems 24.26 fT'IJsl he CMllleled by person 24 TltIlli!olOealh 125 DaleP,",_od D..d (Monl/l.da,.,oa'l 26. Was Case Aefened 10 il: Medical EtanWl\erlCororrer?
who pronounces deat~
4: 15 pM January 15, 2006 o Yos lit No
CAUSE OF DEATH (See instructions and examples) : }l.p\lroliwale ioIerval> Parllt <el' other sionilif-..:ml cooartion!l r.nnlcllllwm 10 dealh, 28 Did Tol:latto Use CoIllrtJUIe 10 Oealh?
Item 27. Part l: Etltef the ~ - diseases, injrn"ies, or COfrl'rlCaoons - that dilectly caused 'he death.. 00 NOT enter terminal events suc.~ as cardIaC arres1, : on5ello dealh bUt no1 resulting in the undel'lyiflv cause given in Part [ o Yes pCp,otabIy
'esp''''ory arr851 0' ",.<\1'" """'''''' wiI/loUl 5oo""g ,he etiology DO.~T abb"'~I. En'" ~on a me #07ku D No o Unknown
!2l-t,rd..s 29 KFel1'9Ie:
lMMEDlATECAUSEIF~a1d"'soo' ~ k a{;- D Not pregl'tant Y4hin pasl yaar
roooillon resu~rng In death! --;. a _ . 1LA ex..-ce-C
Due 10 (or as a consequence oij [) Pregnant a( time o( neath
S9QUenllalty lisl condil~ns, II aO';, b
leadiM 10 the cause listed on l1ne a DIM 10 (oc as a consequence 00 --- o Not pregnant but pregnanl within 42 days
. Emer the lJNOfRL YlNG CAUSE ofdeaih
. (disease or injury thai in~ialed the , ,~.- o Not pcegnanl. but pregnant 43 days lo 1 year
i'r'enls resutting in death) lAST Du8tofo'asaC(l~cf). beloredeath
d. o Unknown if pregf\a.nt >Mthin the past year
304. Was an Autopsy JOb. Were Autopsy Findinos 31, Manf\9I"olOea\l1 314_ Da!e of Injury (Month. day, vear) I""" Dose.... how l,iUIY """""': 32c_ Place 01 tnjury: Home, Farm. street. Fae1Ol'y, OIIice
Performed? AvailahlePriorlo~ 'R:"Natvral o Homeide Buiding. 01<:. (Spod{)1
of Gaus.e oj Dea\tJ?
D Ves ANo D Yos lXflo o Pi:ci:lent o PiMroinp lnvesligalion
32d. TUl'li o/Injury j32.."i""aIWO,", 321_ lITransportali:::m Injury (SpeciM 32g. Locaoon (Street dtyl\OWll, slale)
DSucQe: o ColM Not Be oetertliiled DYesDNo o OrivetJOperalClr 0 Passenger
M. o Pedestrian DOI/l,,-_
338. Cerur.er (ch9ck only o"e) ~:~~~ -77
Cactlfylng physk:ian (Physician ~g taU$e of death when aoolhet phySician has pronounceddealh and COl1llletecf "em 23) --J(
To the best of my Imow\eclge, duth ocCUlTed due to the tause(sl and manner ~ staIed_____"..~
Pronouncing .,w certifying p"Yslclan (Physician bolh pronoUl'lcing dea1fi and cer1iIyjng 10 cause 01 deaU\) 33c_ license NlIfTiler 33<<. Date SIgned Ilo/(ml/l. daV. y..~
To the best of my kl\owledge, dealtl occurred at the time. date. and place, and dUt! to the causetS) and manner as slated__~__ ...__._0 11/ /'1Z 71 ~ tJl-/7-CJ~
Medical examl~croner
On t,... basis of enmfflJlticln andfof investigation. in ~ opinion, death 0tWm!d at tile time, date, and pIKe, MId due to U\etaUSe(l) and IhiInrter U lUted_.o 34. Name.and Addr8$S 01 Person Wtlo Con1lleied Cause of Death (hem 27}.T~
I ~"SiJMl\lt.'OO~N\I~'&..~ l;i;:"'\~;~;)L ?f.€Y1'Y1~'1'If R GCI''$ 7Z.J IT'G' . HI/)
'_A~. tu- ~ '" '" ,'^, \ 1d...1 \ I(} I S2.'Z $<>" 'rFl ~,7'T .Sr; (iP/A"Lt':f"<t::( /<7,# J 70/3
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(See instructions and examples on reverse)
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W ILL
I, THOMAS RICHARD CLAPSADL, of 18 Auburn Circle, Boiling
Springs, Cumberland County, Pennsylvania 17007, declare this to
be my last will and revoke any will previously made by me.
ITEM ONE: I direct that all my debts and funeral expenses,
including my gravemarker shall be paid from my residuary estate
as soon as practicable after my decease as a part of the
expense of the administration of my estate.
ITEM TWO: I give, devise and bequeath my entire estate to my
wife Gladys June Clapsadl if she survives me by 60 days. In the
event that Gladys June Clapsadl predeceases me or is not then
living on the 61st day after my death, then I give, devise, and
bequeath my entire estate to my children Larry Richard Clapsadl
and Roberta Sue Stoner, equally, to share and share alike, per
stirpes.
ITEM THREE: I appoint my wife Gladys June Clapsadl Executrix of
this my last will. Should my wife Gladys June Clapsadl fail to
qualify or cease to act as Executrix, I appoint my children Larry
Richard Clapsadl and Roberta Sue Stoner to act as Co-Executors
with the same rights, powers and duties.
ITEM FOUR: I appoint Mellon Bank of Carlisle, Pennsylvania
guardian of any property which passes to any person under the age
of 21 years and with respect to which I am authorized to appoint
a guardian and have not otherwise specifically done so. Said
guardian shall have the power to use income from time to time for
the beneficiary's education, support and welfare without regard
to his or her parent's ability to provide for such education,
support or welfare, or to make payment for these purposes,
without further responsibility, to the beneficiary or to the
beneficiary's parents or to any person taking care of the
beneficiary. Said guardian shall administer the separate and
equal share of each beneficiary until he or she becomes 21 years
of age, at which time the share of each beneficiary remaining in
the guardianship account shall be paid to said beneficiary in
full. In the event of the death of any beneficiary after my
decease and prior to reaching the age of 21 years, his or her
share shall be distributed equally to the surviving children or
child to be administered in accordance with this guardianship
provision.
ITEM FIVE: All estate, inheritance, succession and other
taxes, imposed or payable by reason of my death, and'interest
and penalties thereon, with respect to all property comprising'
my gross estate for tax purposes, whether or not such proper,ty, .'
passes under this will, shall be paid out of the prLncipal' of-
my residuary estate, without apportionment or right 'of"
reimbursement.
.\ .
Page One of Three
.~ /--6 ~-tJ/3,)
ITEM SIX: I direct that my personal representative or guardian
shall not be required to give bond for the faithful performance
of their duties in any jurisdiction.
ITEM SEVEN: In addition to the rights and powers given to the
fiduciaries by law or elsewhere in this will, I give to my
Executor during the full time necessary and for the
administration of my estate the following rights and powers to
be exercised in his sole discretion.
A. To retain any real or personal property which may at any
time form a part of my estate so long as he or she deems it
advisable.
B. To invest in any real or personal property without
restrictions to legal investments.
c. To repair, alter, improve or lease for any period of time
any real or personal property and to give options for leases.
D. To sell at public or private sale, for cash or credit, with
or without security, to exchange or to partition real or
personal property, and to give options for leases.
E. To make distribution in kind.
F. To compromise claims.
IN WITNESS WHEREOF, I have hereunto set my hand this 13 day of
March, 1992 7
SIGNED
The preceding instrument, consisting of this and two other
typewritten pages each identified by the signature of the
Testator was on the day and date thereof signed, published and
declared by the Testator therein named as and for his last
will, in the presence of us, who at his request, in his
presence and in the presence of each other have subscribed our
names.
Page Two of Three
, .
COMMONWEALTH OF PENNSYLVANIA
: SS
co~i:J4; Y 'F CUMBERLAND :
:j\~ ~~~s~%n::e--:\~e Signe~n~o~~~l~':- O;~;O~~\t----
instr ent being duly qualified according to law, do depose and
say t at we were present and saw the Testator sign and execute
the instrument as his last will; that he signed willingly and
executed it as his free and voluntary act for the purposes
therein expressed; that each of us in the hearing and sight of
the Testator signed the will as witnesses; and that to the best
of our knowledge, the Testator was at the time 18 or more years
~f~age, of sound mind and under no co.nstra~n..t ~r due
~nl:luence. '.. f\ ~ \\
\, ,\~
Sworn and subscribed to
before me this /3+J'J day
of March, 1992.
~~::l~7~
/~otary Public
N'1Ti~R,AL SEAL
KAREN F f:'!FRS, W']'.F,y PI :r1' If'
BORa OF CA.!!" I~i t rlq;~b~~::'; ""';l'r:'O'~"'T'
> -.'. I V c,,' C-.!il..;,l'(v \.1 t.;~'~ 'I
MY COMMISSlor~ EXPIRES M':,2CH:a, 1995
------~---
COMMONWEALTH OF PENNSYLVANIA
.
.
SS
COUNTY OF CUMBERLAND
I, THOMAS RICHARD CLAPSADL, whose name is signed to the attached
instrument, having been duly qualified according to law, do
hereby acknowledge that I signed and executed the instrument as
my last will; that I signed it as m,~". ,ree and, VOluntary, act for
the purposes therein expressed. .' ",.' " ,.,,]t -, /' ".J
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/,t t:L'{;t/tt)./-t:.X:v:t.#,_'_/'.z r/~- ~/
. THOMAS RICHARD CLAPS DL
Sworn and affirmed to and acknowledged before me this day
of March, 1992.
:J-:~
Public
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Page Three of Three