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Home My WebLink About02-15-06 Register of Wills of Cumberland County PETITION FOR PROBATE and GRANT OF LETTERS Estateof ~j~\....~ ~C)~l~~ ~)(.. No. "j., ~ -~\, - '0 \ '5 "- also J...710WI1 as '\J... ~~ <="~'Q -";;:e~"X. To: A-A. -0 ~ ,Deceased. Social Security No. 'l.. a b.. - 0 -~ -. ~ \. , ~ 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 (~.- '2.lc- ~ \ , 20 and codicil( s) dated LDQ\.G \\.?i~,- \~..~c..o'-.J'bZ-,~ ~e::>e..~SE\) (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decedent was domiciled at death in iv--. (~~C~"'",,:E:.'2.. Pennsylvania, with h_ last family or principal residence at \D 6... A. ~ ~,,~ \..K ~. '-- a "^ C~ l-oJ'C.- \ ~ P. . (list street, number and municipality) _ County, Decedent, then ~years of age, died bA-a A.. .C).s 20_, at ""'oc~a.'\oo.:)\.Q ~C:l~~<::l. Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution ofthe will offered for probate; was not the victim of a killing and was never adjudicated incompetent: 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: $ \~j~' $ $ $ WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant ofletters (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) .36G . Residence(s) ofPetitioner(s) IS U }V' }Leu.-- ~--.d .C::1.. I 7 () 70 I :'J r"'- ~". > , ,:r~ \ Register of Wills of Cumberland County OATH OF PERSONAL REPRESENTATIVE COMMONWEAL TH 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 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 Before me this , S 4-" day of ~<C~ Q.'::J ~<Z"\ , 20 ~~ , { Xo /. 'i Jfiff CIl QQ' ::s '" e- ... ~ ~ ~ ~~ ~~~,<:-.~~~ R . " eglster ~ <iQ. .\l., ~ \ ~ "IS) ~ No. Estate of , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW ~ '-~ . '\ '::> 20<::>1.0, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s), dated ~ . ~ _ \Q,o.. \ , described therein be admitted to probate filed of record as the last will of "'\) . <<:~<:..~~ ~~.'X. ; and Letters are hereby granted to ~~ ~~ \.... ~~\...\..~\"\ FEES Probate, Letters, Etc. ............. $ Will...."....................... .... $ Renunciation... . . . . . . . . . . . . . . . . . . . . $ Short Certificates (:l..) ............ $ JCP.................................. $ Automation Fee. . . . . . . . . . . . . . . . . .. 5) Bond. . . . . .. . .. . .. . . . .., .... . . ... . .... $ Total $ Filed ~ -, S - 20 ~~ ~~. \'S . ~~ ~~ ~~_~__....SJ ~ RegisterofWills~ 'Io,J~~, ~,\l~\ ~~)) ~ ~ ~~ ~~~'~. ~ Attorney (Sup. . J.D. No.) ~. ~~ . Address <::'- -J '" ~ ,~~ Phone ")..'\ -~~ - ~ \5' Thi~ is to certify that the information here given is correctly copied from an original certificate of d,=ath 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. ;-,' < ;J "",t~(1Irorpl;;---___ ",.~"\",,.-t~ i'~ . ~'\ !~_. ~ ~~ ~~I . ~ \~~ ~c::::If ~., _'::: ~u~, -,f~~- . ,.I:b.~ "*L" ,,,. /*~ \.:e.. '. /...:~l ;"rA A<t;::;)"" ~ 1',?,. _ ,\\.'r,. -"'" 'MEN1 I}\ '\' ",., """"'"''##IIIJ1II''' /7 ~.~ U~1'L_ /.~/' :"~V!J""/~ .. ~ ~r? I(.. t.,. J......""....".......,.I".........J<~ l~ Local Registrar \ .,' Fee for this certificate. $6.00 .,.'1 .' < i AP~ 0 6 2005 No. Date ~. .,- " il5. 143 Rev. 2187 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH " ,~i 5. COUNTY OF DEATH 96- Vrs. SEX M STATE FilE NUMBER SOCIAL SECURITY NUMBER 3;20Lf - 03 - -'-11 I g DATE OF DEATH (Month, Day. Ve.r) 4. /lP~/,- 'f .zOO~- 1. AGE (last Birthd.y) NAME OF DECEDENT {First, Middle, Last} D. 2. BIRTHPLACE (City and PLA E OF D ATH State or Foreign Country) HOSPITAl: II /l1l/!." :i.8 U /! Cr "p.'''' EI 7. .::> .. ~ a.. FACILITY NAME <If not institution, give street and number) h kin ion ERIOulpallent 0 OOAD Re.ilHnce 0 ~~ry) 0 RACE. American Indian, Black. White. et (Specify) 10. WlllrE Bb. J...r:wv.:!fi5 7T I!..- DECEDENrS USUAL OCCUPATION Be. LAN Co/} ~rE?( KIND OF BUSINESS I iNDUSTRY . (~r~ngoflif":~:' ~e~ri~~=)'1 1=/ tZ.e e:.5,q r ~ TV H,-r,e.e.;SA""ze fffSl'lf'7IL- 11.. IZ.- 11b. DECEDENrS MAILING ADDRESS (Street, CitylTown, St.t., Zip Code) OIVE. /YI/'I'SOAJ,'c- DI2;'ve CLj:z./l~.:n1 Tt'WW 16. PENN',<(L, /7d2-Z- FATHER'S NAME (First. Middle, l.st) 1B. D A If. El) GFt R.. INFORMANrS NAME (Type/Pelnt) 20.. JOAN .L. FOLLETT METHOD OF DISPOSITION Borial ~ Cremation ~emoval from State 0 Other (Specify) OF FUNERAL 7~ICE . 22a L(~ Complete items 23 only when certifying physician Is not available at time of death to certify cause of death. DECEDENrs ACTUAL RESIDENCE (See instructions on other side) AS DECEDENT EVER IN U.S. ARMED FORCES? Yesg) NoD 1L 1~ 11a. St.te PSN,V S ~ I-U~/IJ J ADid decedent Uve In a township? MARITAL STATUS. Married, Never Married, WidOW"ed. Divorced (Specify) 14. CU,- /) 0 ((./ J?J) 11e.~V.s,decadentlivedin w/=<"T lJ6AJEGt'lL SURVIVING SPOUSE (tfwife. QiWI maiden name) twp. 17b. County i-,tfA/ C. /j ,S IE J! 17d. 0 ~~h~e:~~~~i~i:' of citylboro. fo X. 8.t.J..L 1'7(;"70 D 8', .1.. OCiJ- 21c:. mST ;;20D5' 24. 2B. 27. PART I: Entar the di....... injurMi. or compllcallon. which cau..d Ih. d..th. Do not .nter the mod. of dying. auch a. cardiac or r..plr.tory arrut, shock or hurt fallur.. : Approximate LIs' only one caus. on .ach line. I interval between : onset and death e. Other significant conditions contributing to death, but not resulting in the underlying cause given in PART I. Sequentially list conditions ! cb.. it any, leading to immediate cause. Enter UNDERLYING CAUSE (Disease or injury that initiated events resulting on death) LAST d. WAS AN AUTOPSV WERE AUTOPSV FINDINGS PERFORMED? AVAiLABLE PRIOR TO COMPLETION OF CAUSE OF DEATH? DUE TO (OR AS A CONSEQUENCE OF): DUE TO (OR AS A. CONSEQUENCE OF) Natural MANNER OF DEATH ey/' o D DATE OF INJURY (Month, Day, Year) TIME OF INJURY INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED. Homicide D o D 30a. 30b. M. PLACE OF INJURY - At home, farm, street, factory, office building, etc. (Specify) 30.. "MEDICAL EXAMINER/CORONER On the b..l. of examination andlor lnve.tlgatlon, In my opinion, dlJath occurred at the time, date, and place, and due to the cau...(.) and manner a. .tated ........,'..... ....... ......... ..... ... ........ ................... ............ ........ .......... ...... ..... ...... .... ..... ....... ...... ...... ...... ......... D 318. REG GNA J2J/I~ /1/1 Yes 0 No 0 30c. Accident Pending Investigation Could not be determined Yes D No [Z) Yes D NoD Suicide 28a. 28b. CERTIFIER (Check only one) .~:~~~F~~Gor~~~I;~~~8~7'.':s~~rh C~:ti~%aaduUS: tr:: 8.e:~a~::~(:r~~jr,g~x~~~a~.h:t~r.~~~~~~~.~ .~.~~~~. ~~~ .~~.~~~~~~ .i.t~~ .~~).................. 2B. .PfOO~~~::i'~fGm~k~~:I::r~;-:.~.:~~~a:: ~~~~:I~:~".~~t::~U~~~~,d:~~h d~n.d ~~Z~iut~.~(~)~~~ ~:~~.r as atated. ....... ..... ..... .... 0 34. ~ , ~,-~~-~,~, LAST WILL AND TESTAMENT OF D. EDGAR FOX I, D. EDGAR FOX, of Lemoyne, Cumberland County, Pennsylvania, being of sound and disposing mind, memory, and understanding, do make, utter, and publish this my Last Will and Testament, hereby revoking all former Wills heretofore made. 1. I order and direct that my just debts and funeral expenses, including inheritance taxes of any type whatsoever, be fully paid and satisfied by my Executrix, hereinafter named, as soon as may be conveniently possible after my decease. 2. I give, devise and bequeath all the rest, residue, and remainder of my Estate, real, personal, and mixed, whatsoever in nature and wheresoever situate, of which I shall die seized and possessed, or to which I may be entitled at the time of my decease, I give, devise and bequeath to my wife, MARYANN P. FOX. 3. In the event that my aforesaid wife, MARYANN P. FOX, should predecease me, then I give, devise and bequeath all the rest, remainder of my Estate, real, personal, and mixed, whatsoever in nature and wheresoever situate, of which I shall die seized and possessed, or to which I may be entitled at the time of my decease, to my step-daughter, JOAN L. FOLLETT, of Lemoyne, Cumberland County, Pennsylvania. In the event that my aforesaid step-daughter, JOAN L. FOLLETT, should predecease me, then I give, devise and bequeath all the rest, residue, and remainder of my Estate, real, personal, and mixed, whatsoever in nature and wheresoever situate, of which I shall die seized and possessed, or to which I shall die seized and possessed, or to which I may be entitled at the time of my decease, to my son-in-law, EARL G. FOLLETT, of Lemoyne, Cumberland County, Pennsylvania. In the event that my aforesaid son-in-law, EARL G. FOLLETT, should predecease me, then I give, devise and bequeath all the rest, residue and remainder of my Estate, real, personal, and mixed, whatsoever in nature and wheresoever situate, of which I shall die seized and possessed, or to which I shall die seized and possessed, or to which I may be entitled at the time of my decease, to my nephew, DALE E. ELICKER, of Mechanicsburg, Cumberland County, Pennsylvania, per stirpes. 4. I nominate, constitute, and appoint my aforesaid wife, MARYANN P. FOX, Executrix of this my Last Will and Testament and Guardian of the estates of any minor beneficiaries, to serve without bond of any type whatsoever. In the event that my aforesaid wife, MARYANN P. FOX, should predecease me or be unable to serve for any reason whatsoever, then I nominate, constitute and appoint my aforesaid step-daughter, JOAN L. FOLLETT, Executrix of this my Last Will and Testament and Guardian of the estates of any minor beneficiaries, to serve without bond of any type whatsoever. In the event that my aforesaid step-daughter, JOAN L. FOLLETT, should predecease me or be unable to serve for any reason whatsoever, then I nominate, constitute and appoint my aforesaid son-in-law, EARL G. FOLLETT, Executor of this my Last Will and Testament and Guardian of the estates of any minor beneficiaries, to serve without bond of any type whatsoever. In the event that my aforesaid son-in-law, EARL G. FOLLETT, should predecease me or be unable to serve for any reason whatsoever, then I nominate, constitute and appoint my aforesaid nephew, DALE E. ELICKER, Executor of this my Last Will and Testament and Guardian of the estates of any minor beneficiaries, to serve without bond of any type wheresoever. In the event that my aforesaid nephew, DALE E. ELICKER, should predecease me or be unable to serve for reason, than I nominate, constitute and appoint DAUPHIN DEPOSIT BANK & TRUST COMPANY EXECUTOR of this my Last Will and Testament and Guardian of the estates of any minor beneficariess. IN WITNESS WHEREOF, I have to this my Last Will and Testament, set my hand and seal this d,{,;tft" day of ~)fember, 1991. 1-..(> <c.:A. 'l-c'-A... ..::1' ~ yo D. EDGAR FOX .. (SEAL) ~ ' The preceding instrument, consisting of this and three (3) pages, was on the date thereof signed, published, and declared by D. EDGAR FOX, the Testator therein named. as and for his Last Will and Testament. in the presence of us, who. at his request, in his presence. and in the presence of each other, have subscribed our names as witnesses hereto. (7 (fr/6~'~! " . . L/ ../ ~ '---. });;:,cdk 1~,~;~<_,-0 / ~ ~ C/' ACKNOWLEDGMENT AND AFFIDAVIT John A. Roe. Esquire 101 North Front Street Harrisburg, PA 17101 COMMONWEALTH OF PENNSYLVANIA ) ) SS: COUNTY OF DAUPHIN ) On this ;).(vtli- day of ~. . 1991. we. D. EDGAR FOX, John A. Roe. and Je('/h1Ctte. Chc.J4rf./\ . testator and the witnesses. respectively. whose names are v signed to the foregoing instrument. being first duly sworn. do hereby declare to the undersigned authority that the testator signed and executed the instrument as his Last Will and Testament and that he signed willingly. and that he executed it as his free and voluntary act for the purposes therein expressed. and that each of the witnesses. in the presence and hearing of the testator. signed the Will as witnesses and that to the best of his/her knowledge the testator was at that time eighteen years of age or older. of sound mind and under no constraint or undue influence. -d(~'.,.. (SEAL) (SEAL) CsEAL) Subscribed, sworn to, and acknowledged before me by D. EDGAR FOX, the testator, and subscribed and sworn to before me by John A. Roe and witnesses, this d-,&fJe day of Srzp t. , 1991. {~1~ IV.~ t.f3v.dL ~otarY..~'€.)'!Qlis;~u_.._-: . i . ~.:0T Af1!!\L Sf.Al- l J\~'l,..t: L :';'ISH t.inT/\RY PlJ. 'sLle t 1 \:V., . ..~'- [;AUPH\N COUNTY i:;;~;;::~~~:~;-(::~~~;~::::~;:~~~':::~~;;~:~'$