HomeMy WebLinkAbout03-01-06
Register of Wills of Cumberland County
PETITION FOR PROBATE and GRANT OF LETTERS
Estate of. :Jtl4k.eo L - ~~ No. ZOO&:' - OJ !IS
also known as To:
, Deceased.
I t., ~ ~- I y - 6 <;r Z 8'
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
Social Security No.
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 N cy ~ ~ I 'I , 20 d],
and codicil( s) dated
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
County,
(li street, number and municipality)
Decedent, then.k2 years of age, died ., 20~, at /~y, ~ ht.~r /1-vs,?,4-I.
Except as follows, decedent did not marr , was not divorced and did not have a child born '6r adoptea after
execution of the 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
(Unot domiCiIBQ in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
..2 ~ to/P. ,-
I
$
$
$
$
WHEREFORE, petitioner(s) re~tful}y request( the probate of the last will and codicil(s) presented
herewith and the grant of letters f ~~.~
(testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
Residence( s) of Petitioner( s)
{pO~f(9;verst/X' 1--no Jlt1~};L5hurC1 Pff170S-0
J'
R~gister of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
}
COUNTY OF CUMBERLAND
COMMONWEAL TH OF PENNSYL VANIA
The petitioner(s) above-named swear(s) or affmn(s) that the statenlents 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 accor~,ing to law.
/, o~
15 (L,tr'L1-tlA_t\.. (,
Sworn to or affirmed and subscribed
Before me this I 5 f-
7Yl~
SS:
day of
,20 O(f)
{
C/:J
QQ'
::l
~
2
""l
A
~
-kil1Adtt '-itlNu/>__, ,~~ ~
'fU~ '-1r~ 1%~sJ7'i-j ~ - ~. CJ' -
VUlfO No. ()(P - 0185
Estate of ~;1A"-V1 L . I?A/tl/i:; , Deceased
DECREE OF OBATE AND GRANT OF LETTERS
AND NOW~L / Sol 20 (J(p, 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
'-tW1~ /4-1 d-..()O;)... , described therein be admitted to probate filed ofreco~d as the Illst will of
g1U111A. '. 'fUtdtUi ; and Letters are hereby granted to ~~ C. '_4!&.~
o L
FEES
Probate, Letters, Etc. .............
Will.................................
R .. I
enUnCiatIOn.. . . . . . . . . . . , . . . . . . . . . .
$
$
$
Short Certificates (3) ............ $
JCP..............,................... $
Automation Fee.."....."'........ $
Bond. .......... .... .............. .... $
Total $
Filed?YlaAdl / Sf 20 ()~
100.00
"S' aD
, '
5.00
12.00
10.00
5.0D
~ -:tt:l/l/U'/f A;t{(U/~
Re.gister ofWill~ ,"11r..~ t1:1f-tdJ
~ V__ ~ 7[rf
Atto ey (Sup. Ct. I.D. No.) LiS p.. M ~ ~ ~ (.~r'tN C.
Ii/ark!- sl '
~>4 /70/1- cr2 Z '7
,;07.00
'71 7- 7 s'7 -OCI elf
Phone
, , r
Register of Wills of Cumberland County
RENUNCIATION
Estate of JAMES L. RUDDY
No. ;LOO&; -- 0) 86
Also known as
, deceased
To the Register of Wills of Cumberland County, Pennsylvania
The undersigned PAULA J. RUDDY DAUGHTER CO-EXECUTRIX
(Name) (Relationship) (Capacity)
of the above decedent, hereby renounce( s) the right to administer the estate and respectfully request( s) that
Letters TESTAMENTARY
be issued to BARBARA JESSICK
I>
Witness my/our hand(s) this 2" day of
~-M
,200".
Affi~and subscribed befpre me this
'Zvl day of pi h ,
~G
, J J I l) -l_l
IJ,_CLd,~/ If (Si~i6e~
v v
1263 Fairchild Avenue, Hagerstown, MD 21742
(Address)
Or
COMMONWEAl1lf OF PENNSYLVANIA
~~:"',A,~: ,A... SEAL
LISA MARIE COYNE, NOTARY PUBUC
HAMPDEN TWP., CUMBERLAHD COUNTY
MY COMMISSION EXPIRES JUNE 10, 2008
(Signature)
(Address)
Affirmed and subscribed before me this
_ day of
(Signature)
Register of Wills
(Address)
Deputy
(Signature and seal of Notary or other official
qualified to administer oaths. Show date of
expiration of Notary's commission)
Hl(l~l'():; REV I/O:;
This is to certify that the information here given is correctly copied from an original certificate of death 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.
No.
t2vn- !~'
Fee for this certificate, $6.00
p
12224495
JAN 2 3 2006
Date
Rev. 01106
'RINT IN
IANENT
~K INK
1 Name of Decedenl (First, middle. last)
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH · VITAL RECORDS
CERTIFICATE OF DEATH
STATE FILE NUMBER
5. Age (Last birthday)
7. Date 01 Birth Month, da , ear
8. Birth lace C' and slate or fore'
White
James L.
Ruddy
3. Social Security Number
166 18
Itf~
87 Yrs.
- 8b County of Death
Dauphin
3/24/18
Scranton,
ad. FacHity Name (If nol instrtution, gil'e street and number)
Harrisburg Hospital
Harrisburg
11. Decedent's Usual Occ ation Kind of work done dUlin most of workin life; do not stale retired
Kind of Work Kind of Businllfsl1ndustry
Manager K-Mar~
16. Decedent's Mailing Address (Slreel, city~own, slate, zip code)
4837 East Trindle Rd.
Mechanicsburg, PA 17050
12. Was Decedenl ever in the US
Armed Forces?
~ Yes 0 No
Decedent's
Actual Residence 17a. State
14. Marital Status: Married, Never married. 15. Surviving Spouse (If wile, give maiden name)
WiC11~~~ ~ciM
on hi hest rade co Ieled
NK College (1-4 or 5+)
Pennsy vania ~~eDin~edent
Cumber land Townshp?
17c. 0 Yes, Decedent Lived in
Twp.
17b. County
1700 ~;~~::;~~ed wrthiMechani c s burg
CitylBoro
18. Falher's Name (First, middle, IaSI)
Michael J. Ruddy
19. Mother's Name (Firsl, middle, maiden surname)
Ellen V. Heffron
20a. Informant's Name (Typelprint)
2Ob. Informant's Mailing Address (Street, city"own, state, zip code)
Barbara Jessick
602 Riverstix Lane Mechanicsburg, PA 17050
/tJ.'
CAUSE OF DEATH (See Instructions and examples)
lIem 27. Part I: Enter the ~ - diseases, injuries, or complications -that directly caused the death. DO NOT enter ter
respiratory arrest, or ventricular fibrillation w~houl ShoWl1g the eliology. DO NOT abbreviate. Enler only one cause on a line.
IMMEDIATE CAUSE (Final disease or .A~ 1 ~/>'"l ... ~
cond~ion resuMing in death) -7 a. ~N1.c.' L...!. ,
Sequentially list cond~ions, il any, b. 'J (~""
'h leading 10 the cause listed on line a.
Enter the UNDERLYING CAUSE
. (disease or injury that inrtialed the
events resutting in death) LAST.
21c. Place of Disposrtion (Name of cemetery, crematory or other place)
Indiantown Gap
National Cemeter Lebanon
22c. Name and Address of Facility Sulli van Funeral Home
51 N. Enola Dr. Enola, PA 17025
21d. Location (City~own, state, zip code)
PA
26.
tfb
o Yes ~
Part II: Enter other sioniflCant condrtions contrilutino to death,
but nol resutting in the underlying cause given in Part I.
28. Did Tobacco Use Contribute to Death?
DYes 0 Probably
oNo ~
DYes VNo
d.
3Ob. Were Autopsy Findings
Available Prior 10 Completion
of Cause of Death?
DYes 0 No
31. Manner of Death
l7"Natural 0 Homicide
32a. Date of Injury (Month, day, year)
32b. Describe how Injury Occurred:
29. If Female:
o Not pregnant wKhin past year
o Pregnant at time of death
o Not pregnanl, but pregnant wrthin 42 days
of dealh
o Not pregnanl, but pregnant.3 days to 1 year
before death
o Unknown if pregnant wrthin the past year
32c. Place of Injury: Home, Farm, Street. Factory, Office
Building, etc. (Specif}1
Due to (or as a consequence o~:
308. Was an Autopsy
Performed?
o Accidenl
o Suicide
o Pending Investigation
o Could Not Be Determined
32d. Time 01 Injury
32e. Injury al Work?
o Yas 0 No
321 If Transportation Injury (SpeciM
o Driver/Operator 0 Passenger
o Pedestrian 0 Oth
33b. Signature and r Ie of
32g Location (Street, city"own, stale)
loll /' 1..11 / I "1
(See instructions
v:
M.
338. Certifier (check only one)
. ~::~~to~~b:~~~nd~~~~Iy:~:~ ~~:t~c~nU:;~~~~h~~:rh:: ~;=~~.~~~~.~..~.~~.~~~~~~.~~~:,~~:,..........,..........................................................rf
. Pronouncing and certifying physlcbn (Physician both pronouncing dealh and certifying to cause of death)
To the best of my knowledge, dealh occurred at the time, dale, and place, and due to the cause(s) and manner as s18led.......................................................................o
Medlcat examiner/coroner
On the basis 01 examination and/or investigation, in my opinion, death occurred at lhe lime, date, and place, and due 10 the cause(s) and manner as staled .........0
jl
~~
J~
'.
LAST WILL AND TESTAMENT
OF
JAMES L. RUDDY
I, JAMES L. RUDDY of the Township of East Pennsboro, Cumberland County, Pennsylvania,
eclare this to be my Last Will and revoke any will or codicil previously made by me.
ITEM 1:
I direct that upon my demise, that my body be interned at Ft. Indiantown Gap
ational Cemetery, Lebanon County, Pennsylvania.
ITEM 2:
I direct that all my just debts and funeral expenses be paid as soon as practical
fter my death.
ITEM 3:
I direct that all taxes and interest and penalties thereon that may be assessed in
onsequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from
y residuary estate as a part of the expense of the administration of my Estate.
ITEM 4:
I give, devise and bequeath all of my estate of every nature and wheresoever
ituate, together with insurance thereon, in separate equal shares to my daughters, BARBARA E.
ESSICK and PAULA J. RUDDY, per stirpes.
ITEM 5:
I appoint my daughters, BARBARA E. JESSICK and PAULA J. RUDDY, co-
xecutrixes of this, my Last Will.
ITEM 6:
I direct that my personal representative, or their successors shall not be required
o give bond for the faithful performance of their duties in any jurisdiction.
Page 1 of3
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and
estament, thisltk day of !f)v , 2002.
LtLdl
{dAMES L. RUDDY
Signed, sealed, published and declared by the above-named Testator as and for his Last Will and
estament in our presence, who, at his request, in his presence and in the presence of each other, have
ereunto subscribed our names as attesting witnesses.
~~ ~i7t,(7t-(312-
lut' ~A~/~ 4/'z,/!
residing at
7 "
~~1n, "~
residing at
Page 2 of3
"
OMMONWEAL TH OF PENNSYLVANIA )
) ss:
OUNTY OF CUMBERLAND )
We,
JAMES
L.
RUDDY,
/I~1I7 t:=: (JIJ7 Alt
and
~
, the Testator and the witnesses respectively, whose names are
the attached or foregoing instrument, being first duly sworn, do hereby declare to the
ndersigned authority that the Testator signed and executed the instrument as his Last Will and that he
ad signed willingly, and that he executed it as his free and voluntary act for the purpose therein
xpressed, and that each of the witnesses, in the presence and hearing of the Testator signed the will as
itness and that to the best of his or her knowledge, the Testator was at the time eighteen (18) years of
lder, of sound mind and under no constraint or undue influence.
J
~,&~
Witness
Subscribed, sworn and acknowledged before me L I"IIS dt ~ I~ (....., f.r8
AMES L. RUDDY, the Testator, and subscribed and sworn to before
by
me by
and ~AI"~ 'J.,A,- \.).~~
, 2002 I
, the witnesses, this
(SEAL)
NOTAR!Al SEAL
USA MARIE COYNE. Nomty Pubic
Hampdsn lWp., Cumberland Countt
CommIssIon June 7 2004
Page 3 of3