HomeMy WebLinkAbout02-28-06
~e~ister... of Wills of Cumberland County. Pennsylvania 0 RIG I N A L
PETITION FOR GRANT OF LETTERS
Estate of Edna C. Barnard
also known as
No. 1..00(0' OJ 8 L./
, Deceased
Social Security No. 2031 00404
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE "A" OR "B" BELOW:)
GJ
A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut or
Decedent, dated 2/28/1996 and codicil(s} dated
named in the Last Will of the
State relevant circumstances, e.g., renunciation, death of executor, etc
Except as follows, Decedent did not marry, was not divorced and did not have a child born or adopted after execution of the documents offered
for probate; was not the victim of a killing and was never adjudicated incapacitated:
o
B. Grant of Letters of Administration
(c.t.a., d.b.n.c.t.a.: pendente lite, durante absentia; durante minoritate)
Petitioner(s) after a proper search has/have ascertained the Decedent left no Will and was survived by the following spouse
(if any) and heirs:
I -., 1
Name Relationship ResIdence
-, -,
'-
-'0.........+
-;
. - --
1
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal
residence at 801 N. Hanover Street, Middlesex Township
(list street, number and municipality)
Decedent, then 87 years of age, died February 22 ,2006, at Church of God Home, Carlisle, PA 17013
(Location)
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 ....... ...................... ..... ................ ............................... ....... $
Total ........................................................................................ .... ..0..0................... $
so ~~G
,
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Real Estate situated as follows:
Wherefore, Petitioner(s) respectfully request(s) the probate of the Last Will and Codicil(s) presented with this Petition and the grant of letters in
the appropriate form to the undersigned:
Signature
Typed or printed name and residence
Lar E. Turns
991 N. Barfield Drive A t. 114 Marco Island FL 34145
RW-7
Oath of Personal Representative
Commonwealth of Pennsylvania
County of Cumberland
.. - ~
The Petitioner( s) above-named swear( s) and 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( s) of the Decedent,
Petitioner(s) will ~ell and truly ad~inister the estat~di~9 ~w:_, :'. '.. '
Sworn to and affirmed and subscribed ~ ~ '.
fh . -
C1.%
FehvutLr'11 ~ ()()tR
, JdlMd (j 'YClNUJ; .Ai~ 1J4j~
~~/~
before me this
day of
Estate of Edna C. Barnard
DECREE OF REGISTER
also known as
Deceased
No. ~DDh-OI8lf-
Social Security No: 203100404 Date of Death: 2/22/2006
AND NOW, r ebJ-u(Jf 'j ;( g fh ,2006, in consideration of the Petition
on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters (&J Testamentary 0 of Administration
are hereby granted to Larry E. Turns
(c.t.a., d.b.n.c.t.; pendente lite; durante absentia; durante minoritate)
in the above estate and that the instrument(s), if any, dated F ebrlA tLry 2 g 1 / q q (p
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
FEES
Letters .................................... $
Short Certificate(s) .-:r..........
Writ
ReRuneiation ..........................
$
$
$
$
$
$
Inventory & Tax Forms............. $
Other ...(!.~tQ........................ $
Affidavit (
) .......................
)..............
Extra Pages (
Codicil .................................
JCP Fee ............. .......... ..........
TOTAL .............................$
RW-7A
qo,oo
J 2- .00
l5 I 00
10,00
5.00
J 32,00
.If.11M~ '--faA/7ft AJA~
Reglste~ rV~;,LI
~ I --T----~
C59~ ~\
Attorney: Daryl J. Gerber, ESQuire
I.D.No: 21372
Address: 46 East Main Street
Palmyra
Telephone: 717-838-5411
DATE FILED: FebruarJ
PA 17078
2~ 200&
l hi- IS to ~ertify that the information here given is correctly copied from an original certificate of death duly filed with Ine as
LdC.t1 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.
aaR!!U~l/~I'
Fee for this certificate. $6.00
p
12478296
;2- ~ l/-{J(o
Date
c,
H 105143 Rev. 01106
TYPE/PRINT IN
PERMANENT
BLACK INK
1 Name 01 Decedenl (Ftf,llIllddle, Llsl)
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
Erina C. Barnard
STATE FIlE NUMBER
3. Social SecurCy Number . -----T4~ 01 Dealh (""""\II, day, year)
- ~O O~~ru8ry 22, ?006
lla ~ol Death Q~~~
Hospllal ~Oth,'!J'
.~Ijlatoenl 0 XllIOul henl__Q..~~~sllg Home 0 ReSIdence 0 Oher ~_~
9 Wa, Decedent 01 Htspaf\l: On\).o? 10 Race Amencan 'ndlan, U1ac~. WIlle. ele
o No 0 Ye, (If yes. speedy Cuban. (SpecIfy)
MeXICan. Pueno IllCan. ele) '.t7h i t p
~ Age (Lasl btf1hday) 6 Under 1 ear __l!nder I ~"Y 7 Dale 01 Bir1h (Moolh day year1_ _~~hpliJce (Ccy and slale or l::lfeq> ~
Months -- Day~ ~u~0 M'lule,
87 Yrs ~...---J~_ __ M~_~~~,--~ DUDcannon, PA
BIl County 01 Dealh 6c Cdy Ooro I WI' of Oealh - ., ad:: ac..y Name (If flOC 1..ICullOn gIIIe ,lleet alld numbel)
Cumh~rland Middlp[:py: T'.J/p. Xhllr(,~l of God Home
11 Deceden!'s Usual Chupallon (Kllld 01 work done dUlu,y rmsl ot_~!!,~'~~~ flOC ~\ale lelwed 12 War.- Docedenl e.e/ lfI\11e US -
KlOd 01 Work ~. Kond 01 Bu'llle5s11nduslty Aimed ~OlCe:;'
c.ivi.l s~rvic.(> L U.S. Government ~~L~
If 16 Deceden!'5 MadlOg Addre5S (Slreel Cdv,lown. stale. lop code I :'::~ellCe 17a Stale P A
P .0. Boy. 1 71 6
Grantham, NH 03753
13 Docedenl's Educallun ...L~~r~-'2'>-eE.JI'ade cuol'..le~ 14 MLl'4a'StaIU5 Married. Never olamed. l~ SunlIV"'9 Spouse (" wile. lINe n.IlJen nao';',"-
ElementarylSecondary (0 12) ColIe\)e (14 01 ~t) Wldowoo. lllVO<ced (Speo/y)
1?""id.<l\>J.pL__ ------.-
. --~~~edent Hc 11/ Yes. De.:edenlLllledll Middlesex
Towns/I'"
Twp
lib Coonly Cumberland
lid 0 No. [)ocL>delllllVed ,""hill
Actual L"n.b 01
CCY'luIo
IB ~a\heJ's Name (Ftf,t. nllddle. la511
19 IoAolhet"5 Narne (f Isl. middle. nlaoden su,name)
Thomar. Cook
Irene Bakpr
20.. Inlormanl s N..nle (1 VpeJPflll1)
<'IX> Inlo/fnan!'s MallvlQ Add,ess (SIIL'''I ccy~uwn, stale, '''' Code,
L-lrry E. Tu'rns
P.O. Box 1716 Grantham NB 03753
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21b Dale 01 DIsp05CIO/I (lAolIIh. day. yeal)
21C Place 01 DOSPOSCIOII (NaRle 01 cemetery. c,emalory ur olher pLlceJ
FebruRry ?8,7006
221>. License Nunre
Hpr~hey C~mptery
Z2c Nam" and Addres5 ul r aclilly
~l oca. 11011 (CCyAown. slale. lip code)
_~~HerHhey PA 17033
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11'D 01?534-L
na 10 the be51 of my I<no Iedll". death CJC>;(I',ed al!he Ilme. dale and place 5lated (Sqiatu,e and 1J1e)
,Wi [ -'/.,{('~ '--i (,-'. AI
" ,...",;...- _cL':t~..._""".(I.lof..! . day. yea,)
~} ~- t; ) ~ M~ . ;'I.__~) .! /(1 (-
CAUSE OF DEATHcse; inslructions ~nd e~- ~--- .
oov~r F~ & Crf'!l1ato~:'--J>~~__ 475~~l"[,~" PA ] 7031
23b IlCen~ Nunile, --'--~Hld (""""'h day VC<l'i
/.!^/I(-.d~~/:-2 / Cc-
--~- ---~ ~')6.WJS Case J~elened to a Med.:al LlanWkMtCofooer? ~- ----
o Yes L~
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lIem 27 Pan I [nler Ihe Chalfl 01 e'!Q!l~ - dlsea~es. UlJUues, 0/ Con~IICaI":lII~ -Ihdt dlloclly caused the dealh 00 NOl "'~ellem"ual """015 ~uch a5 ca,dlaC a/fl!51.
,espualo,y ane.51, or venlreulJ' hblllLlhon wlll1oul5tlOwIIQ Il1e etIOlogy 00 NOT allbl""late [01\ ooly one cause 00 a Wle
IMMEDIATE CAUSE (FUIaI dl5ea5e or r, '" C\ fr'o.() - ~\J.-~0 "-J ~..' M-f/ ~ r..
conddlOlI rewblng ,n death) -? a ,-,;\. ''-'\.I I"') V C ~
Due 10 (or as a coo5eqUt!oce oQ .
SequentlaMy kst condllions. d any, ..... . ~ 1-...g ". () ~\IoJ'4. ~ I' Lo-w 0 l..
ieadlllg 10 th.e caU5e Illited. on line a -D~~ t;{;; a, a COII5eqU~~ SIr. \
- Enle, lhe UNDERL YING CAUSE ~
: ~~~~:~~~~~gry~~~a~~Ia~~he D~ I~'io, a5 a consequence 0 .
d
3Oa. Wa, an Aulopsy JOb We,e Autop,y Fond"'ll5 31 Ma~ 01 Dea/h
PIlllofmed' Available PUOllo CO/l"lellOn 6" Nalural 0 Horricode
ul Cause 01 D~th?
o Yes ~ 0 Ye~ lYNo
: ~ro"'lJle ,,'erval Pdrtll rlller ull1er ~1I.fglJ! cond'"O(]~_co""tlUlIno 10 death. 28 Do:! lollacco Use Conlrlbute 10 Death"
: 0",,,110 de.;th but IXd resuftlf'Y Illhe ulldetly',g cause gNL" UI Part I 0 Ye~ 0 f'robdllly
o No ~ni.rlOwlI
,,,-
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~
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t.~\
J2a Dale ollll(UIY (Moolb. day. year)
32lJ. Oe:;clbe how InlOry Oa:U/led
29 II Female
fl"Nol pllJ(Ilarll wl\hlJ. pas! year
o Pregnanl allme 01 dealh
o NoI ptlJ(llanl. bua plegoanl Wll/Irn 42 days
01 death
o NoI jlfegnanl. bul jlfegnanl43 daY5 10 1 yea,
belole dealll
o Unkl1<Mll C plegoaoI WllIIr.lhe pa51 yea/
32c Place of lojuIy Home. fa,m. Sheet. factory. Ollce
f1u1kMg.elC (~
o Accodenl
o Pending In.esIlgallon
o Could NoIIle DelefJniled
J2d Tine <!f ,lnJucY
32g Localoo (SIreet. ccyl1own. slale)
o SUICide
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LL
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33a Certifier (check only one)
Certifying physicbn (Physician certllYlllg cause of dealh when aflOCher physician has jlfonoonced dealh and ~ IIem 23)
To lhe besl 01 my knowledge, de~lh occurred due 10 lhe nuse(s)..nd lIllInner 415 WIled _.___..._......____.__...__.....__....___..___....._.........
. Pronouncing ~nd certifying physicbn (PhysICian both proooonciog dealh and cefIiIy1ng lO cause 01 dealh)
To lhe besl 01 my ~nowledge, de~lh occwred ~llhe lime, dille, ~nd pI<oce, ~nd due 10 !he C41use(S) <ond I1IiInnet..S SI.a1lllL.___....._...__...__..__........D
MedIc..1 u~mlnerlcoroner
00 lhe ~sls 01 eumimlion ~ndIor investigalion, in my opinion, de<oth occurred aI!he lime, dille, <ond pI<oce, and due 10 !he C41use(S) <ond nunner 4IS sbled .........0
35
\ ,~, ,2' :}.I r"} I '\ I
1/('/3
11.L~st JIlt!! ~ttb Qftst~mtttt
I, EDNA C. BARNARD of the Borough of Palmyra, County of
Lebanon and Commonwealth of Pennsylvania, being of sound mind, do
hereby make this to be my Last will and Testament, hereby revoking
all wills or Codicils by me at any time heretofore made.
ARTICLE I
I order and direct the payment of all my just debts and
funeral expenses as soon as may be convenient after my decease.
ARTICLE II
I am leaving with this, my Last Will and Testament, a
list of items of personalty which shall be received by the
individuals as listed on said itemization.
ARTICLE III
I give, devise and bequeath all the rest, residue and
remainder of my estate, real f personal or mixed i and tvheresoever
situate, unto my son, LARRY E. TURNS, to be his absolutely.
ARTICLE IV
I direct that my Executor shall not be required to enter
security in any jurisdiction in which he may: act.
r- --, . ,", t! j.
4' '~,...l ..; I.~ ...-
ARTICLB V
I nominate, constitute and appoint LARRY B. TURNS to be
Executor of this, my Last will and Testament.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
this ,-) JW, day of J_tlctwtl-?_7i- ' A.D. 1996.
\ e:hAL/ ~ /?a4--naA~_
r
Edna C. Barnard
(SEAL)
SIGNED, SEALED, PUBLISHED and DECLARED by Edna C. Barnard
the above named Testatrix, as and for her Last will and Testament,
in the presence of us, who, at her request and in her presence and
in the presence of each other, all being present at the same time,
have subscribed our names as witnesses.
rat> -~0
Address: Palmvra. PA
Address: Palmyra. PA
COMMONWEALTH OF PENNSYLVANIA )
) SS:
COUNTY OF LEBANON )
EDNA C. BARNARD whose name is signed to the attached or
foregoing instrument, having been duly qualified according to law,
do hereby acknowledge that I signed the instrument as my Last Willi
that I signed it willingly, and that I signed it as my free and
voluntary act for the purposes therein expressed.
Sworn and acknowledged before me by Edna C. Barnard, the
Testatrix on this the ,,2J$ft, day o~,,~.d;jU({IJU; / ' 1996.
~~f~r....v t__ ..L/~7d.~
Natc'1'i8! f''\ISal Edna C. BarnareY
Char1ene R. Hum!, ~.kitalY Public {!
Palrnyra Boro, Lb'ijanDii County 11 II I. JJ ,J tJ I.
My Commission Expinx; Sept. 23, 1996___// ( fr u. e tL'( C HU/'v:Lf--.
< Notary Public
My Comm. Expires:9/23/96
-------------------------------------------------------------------
COMMONWEALTH OF PENNSYLVANIA )
) SS:
COUNTY OF LEBANON )
We, William M. Brandt and Daryl J. Gerber, the witnesses
whose names are signed to the attached instrument, being duly
qualified according to law, do depose and say that we were present
and saw Edna C. Barnard sign and execute the instrument as her Last
Will; that she signed it as her free and voluntary act for the
purposes therein expressed; . that each of us in the hearing and
sight of the Testatrix signed the Will as witnesses and that to the
best of our knowledge, the Testatrix was at that time 18 or more
years of age, of sound mind and under no constraint or undue
influence.
Sworn and subscribed before
Daryl J. Gerber, witnesses, the (.JP~
iam M. Brandt and
IvJ..f lL-l , 19 9 6 .
/I/t
I I F' [1 . ..
c/ 'I {k. U-C1U 2 )It( LLi'---
Notary Public
My Comm. Exp.: 9/23 96
Notarial Seal .
Charlene R. HUrb1, Notary PublIC
Palmyra \?Oro, u:oonon Co~nty
My Commisston Expires Sept. t..3, 1996