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Home My WebLink About03-01-06 Register of Wi lIs of Cumberland County PETITION FOR PROBATE and GRANT OF LETTERS Estate of .'P a-f l" \ r- \ I( S. C 1\5 6y also known as No. To: }l-Q(C -Dlg~ Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania , Deceased. Social Security No. :JtJq - d q ~ ';;5":"~ q 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 ~T A N Lit'] r '1 .:J 3 ,~ (99 7 and codicil( s) dated .J (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decedent was domiciled at death in eLl.. 7YI he"Y1 I ~ 'n L Penusylvania, with h_last family or principal residence at bid I fJ-. e 1 "Y'nt'1Y''P C J VI elF' 1\) e u.) C I fY"(1 I"'r N VJ (list street, number and municipality) Decedent, then ft years of age, died fe..};Y'u';;J"I't;:/5 , 20D~ ,at lit) Ilf S~ ~ V' /.-J- JJoy/'./a. 1. Except as follows, decedent did not marry, was no divorced and did not have a chil born or adopte after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: County, /-.€J=q /1 {j 1 CJ. 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: $ 3,;(5 coo j $ $ $ 1'?6j oCt) WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) thereon. ~ature(s) ofPetit;oner(s) ,4/u 111 ~ ) jr1 /1-( r Residence( s) of Petitioner( s) 4//1 D.c) J(i!. ((I"r"J'" s/" ?i'l-i5btt~Jh) 'lJA /522c; Register of Wills of Cumberland County OATH OF PERSONAL REPRESENTATIVE } COUNTY OF CUMBERLAND COMMONWEAL TH OF PENNSYLVANIA The petitioner(s) above-named swear(s) or affmn(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 above decedent petitioner(s) will well and truly administer the estate according to law. )1-<04M/V(') Sworn to or affmned and subscribed Bef~re me this i S -- day of /11 II y (t, , 20 O~1 SS: { ~ IZl UQ' :::l 1'0 ;:: ~ ~ (~J'fi1 ~-ftu Ilj,~ ~1bs ~~ 1-- (J~ ,:reg1Jjyv-J No. (J 1- () h~ I D tj Estate of jJt0;I"t<.- ( / {L~~Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW tJ1a /;(~ 20& in consideration of the petition on the reverse side hereof; satisfacsoryt;roofhaving been presented before me, IT IS DECREED that the instruffi. ent(s), dated //a 3 LD _ , described therein be admitted to probate filed of record as the last will of I ( ..., ; and Letters are hereby granted to dU r~Yl /1.b A-f~-J FEES Probate, Letters, Etc. ............. Will............................. .... Renunciation... . . . . . . . . . . . . . . . . . . . . Short Certificates ( ).. " .. .. .. .. JCP. .. . . ..... . . . . . . . .. . . . . . . . . . . . . . .. Automation Fee. . . . . . . . . . . . . . . . . . . $ $ $ 20 Jf1f Bond................................. Total Filed~rA tiv'L~ \ $ 0(0 $~ $ $ YO $ ~ ~-rlih/2u r rlf~s 7n J-t YJtJ')t{ L-. ~rJ~ ~7~ pu~J-- Attorney (Sup. Ct. I.D. No.) Address If) S 1-fro Phone 1]115.~05 REV ]/05 T1is is to certify that the information here given is correctly. copied from an original certificate of death duly filed with me as II)cal 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. Fee for this certificate. $6.00 No. 1Zvn_ kJ e1;A4lL<n:~ Local Registrar ' . p 12226437 fEB 2 .;. logs Date. ITEM # J SHOUtn'REA1J'A~"pt}tt{)w&._- -'~". tj,;.rR-I~~~ .....1:....C'P!~F;y ~frl~ 3 Rev.Ql/OG miNT IN IANENT CKINK 1. Name ot Decedent (Fitst rrWfdJe.lasl) COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH STATEFILENUMBER I Other: o EWOul alienI 0 DOA a Nurs," Home 0 Residence 9. ~asN~ec~en~:~ ~m:~;=~~n6uban. Mexican, Puerto Rican. ale.) 3. Social Security Nurrber 209 - 28 -2539 white _ 1 Ardmore Circle New Cumberland, PA 17070 18. Falher's Name (First. middle, last) !lb. Counly Cumber land 14. Marital Status: Married. Never married. 15. Surviving Spouse ~U wile, g;..,e maiden Mme) WKlowed. Divorced (Specify) sin Ie Oid Decedenl Live il\ a He. 0 Yes, Decedenl Lived in Twp Townsh~1 lld. IX ~1~~=~;UeOwnhiNew Cumberland CilyiSoro 19. Mother's Name (First. nlddle, maiden sumame) Casey Agnes Mary Cahill Suzanne King 2Ob. Informant's Mai6ng Mdress (Street cityl\own. state, i~ code) 4112 Dalewood Street, Pittsburgh, PA 15227 __ 21a. Melhod of DiSllOsition i }fl Burial 0 Cl'emalkm - o Othe"S 22a. Signat 0 i . tl Removal from Slate Cl Oonaloo 21C. Place of Dispos~ion (Name 01 Gemet~ry, crematOlY 01 other place) Rolling Green Memorial Park 21 d. Location {Cityllown. slate, zip code} Lower Allen Twp,PA ~ 22b. Licen~ Number FD 012848 L 22c. Name and Address of Facility Parthemore FH&CS,Inc.,POBox 431,NewCumberland,PA 17070 . ~le(eJJ, 23a-c when cenitying ;' physcian is no! available at time of death to :: ceni,.,. cause 01 death lIems 2.4-26 f1"I.lsl be ~Ied by person who Pf'ooounces death 233. To the best of my knowledge. dealh occurred at the time, dale and place slated. (Slgnalure and ml&) 23b. License Number 23c. Dale Signed (Monlh, uay, year) 24. Time 0' Death 25. Dale :1Ul"lCO~ Dead (Month, day, year) d. :.~A M -f~ CAUSE OF DEATH (See Insll1lcllons and .xamples) "em 27. Pan I: Enter the ~ - diseases, injJries, Of cO""licaoons - thaI directly caused the death. DO NOT enter lerminal events such as rtspiralory 8"osl, or ventreular mmJlation without showi'lg the etiology. DO NOT abbreviate. Enter OtIly one cause on a line. 26. Was Case Referred 10 a Medical ExaminerlCoroner1 o Y.. ~o Part II: Enter olher slanificanf condif[ln~ conlr'lUtioo In dP-ath, 28 Did Tobacco Use COn1ribUle to Death? but not le5ul\irrg in the underlying cause given in Part r 0 Yes ~p,.o-babty o No 0 UnkTlOwn IIIMEDIATE CAUSE (F""I disease or I ~ '" \_ l. condAionresuftingindeafh) ~ a fY\Q ~ .."rlVfl c..- Due to {or as a consfCluence o~: Seq""nbal~istcooditions,~any. re~ l-( 01. ~t:~~ ~:o~:~~c~~;~ a Due to (or <l) a co~ruence o~: l a. nr'~..v- (diseaseorinIUlylh'lini~led the ~ fA (I' ot (Iv ____ events resulting in death) LAST d Due 10 (or as a co s"c.e o~ 3Oa. Was an Autopsy 3Qtl. Were Autopsy Findings 31 Manner of Death Perbmed? ~:~:~~ ~~~h~fl1'letion 0 Nalurat 0 HOfricide o Yes. ~o a Yes D No 0 Accident 0 Pending Investigation o SUk;ide 0 Couk1 Nol Be Delermmed C"-Y'C...0V CtlrC1 '-'0 'y\.A . 32a. Dale at InJury (Month. day, year) 32b. Describe how Injury Occurred: 29 11 Female: o Not pregnant within past year o Pregnanl at lime 0' death o Not pregnant but pregnanl within 42 days oldealh o No\ pregnant, but pregnanl 43 days to 1 year bolo<.<iealh o Unknown if pregnanl witl1in the pasl year 32c. Place of Injury: Home, Falm, Street, Factory. Office Bui~inO. e~. (Specif}4 32d Time of Injury 32e. Iniury al Wort1 DYes 0 N<> 32~ 11 Transportation Injury (SpecHyJ o Dr'rver!Operstor 0 Passenger o Pedeslrian D Other - Specify__ 33b. Signa lure and rrtle 0' Certifier Ii~ 33c. License Number f'(\ '0 0 '5 ~'7 '72,2r[ 32gq;n(St'p;'Ypk: {>~~ C~~ tn'll ~A nDIl 33d. D! sJ~ ~jod~Y.ar) M ~:)a. Certifier (check onty one) Certttying pt'lysician (~ysician certifyir.Q cause of deall1when anolher physician has pronounced dealh and corf1)leled lIem 23) To the best of my knowledge. death occurred due to. the cause(s) and manner as sbted ............... .................._....................__..~....... Pronouncing and cef1ftyino physicJan (Phys~ian both pronouncing death and certilying \0 cause of death) To the besl 0' my knowledge, death occurred at the time, date, and place, and due 10 the cause(s) and manner as staled...........~_.......... MediUl examinerlcorOMr On the basis of examination and/or invesligation, in my opinion, death occurred at the time, date, and place, and due to the cause(s) and manner 15 stated .........0 5 Registrar's SiQna,tUf9 ~1'lO Distrd. NurrtJer ~ ............0 ..0 ~ 34 1l '" 0 'I() c- U l f'\ \~.. .-' LAST WILL AND TESTAMENT OF PATRICK J. CASEY I, PATRICK J. CASEY, having my legal residence at 1 Ardmore . . ci~qle, New Cumberland, Cumberland County, Pennsylvania, do hereby declare this to be my Last will and Testament, revoking all other wills and Codicils heretofore made by me. ITEM ONE: I direct that all my valid debts and the expenses of my last illness and funeral be paid from my estate as soon as may be practicable after my death. ITEM TWO: I give all of the residue of my estate, of whatsoever nature and wheresoever situate, in equal shares to such of the following persons who survive my death for a period of thirty (30) days: A. My brother, VINCENT M. CASEY, JR., or his issue, per stirpes; and B. My sister, SUZANNE KING, or her issue, per stirpes ITEM THREE: If any such descendant of mine has not reached legal age under the law of the jurisdiction in which that descendant is domiciled at the time of distribution under this Will, then distribution of his or her share shall be made instead to the custodian for that descendant under the Pennsylvania Uniform Transfer to Minors Act, and all provisions of that Act as they exist at the time of this will shall apply to the distribution. If necessary for legal transfer to that custodian, my Executor shall convert the assets in that descendant's share to cash or securities. ZTEM FOUR: I appoint my sister, SUZANNE KING, Executrix this my Last will and Testament. In case of her inability or unwillingness to act or continue to act as my Executrix, I of ,~21'- C l&. c I t- (/ /IA3///7 /' ~ appoint my brother, VINCENT M. CASEY, JR., my Executor. In case of his inability or unwillingness to act or continue to act as my Executor, I appoint my niece, MICHELE CASEY, my Executrix. I give to my said Executrix or Executor, in addition to the authority conferred by law, the power to sell any or all of my personal and real property at public or private sale, at such time and for such price and upon such terms and conditions as she or he may see fit, or in her or his discretion to retain the same for distribution in kind, and the power, but not the duty, to invest any cash without being limited to "legal" investments. No bond shall be required of any fiduciary hereunder in any jurisdiction. No fiduciary hereunder shall have any liability for any mistake or error of judgment made in good faith. ITEM FIVE: I direct that all estate, inheritance and other taxes in nature thereof, together with any interest and penalties thereon, becoming payable because of my death with respect to the property constituting my gross estate for death tax purposes, whether or not such property passes under this my Last will and Testament, shall be paid from the principal of my residuary estate, and no person receiving or having a beneficial interest in any such property, whether under this my Last Will and Testament or otherwise, shall at any time be required to contribute to or refund any part thereof; PROVIDED, however, that this direction shall not apply to the taxes on any property included in my estate solely because of a power of appointment thereover which I possess but have not exercised or on any qualified terminable interest or to any generation-skipping transfer taxes. ITEM SIX: I realize that Executors and Trustees are given discretion by law to make various elections which affect the income and estate taxes payable by estates, trusts and beneficiaries, as well as the relative shares of beneficiaries, such as taking administration expenses as deductions for either 2 1/43/11 If estate or income tax purposes, selecting options for the payment of employee death benefits, electing to take qualified terminable interest as part of the marital deduction, selecting alternate valuation dates, postponing the payment of taxes, filing joint income tax or gift tax returns and redeeming corporate stock. The decisions made by my fiduciaries in any of these matters shall be binding upon, and not subject to question by, any affected persons; PROVIDED, however, that if a corporate fiduciary is serving, its decision shall also be binding upon any individual cO-fiduciary. I rely upon my fiduciaries to take into consideration the total income and estate taxes payable by reason of their decisions including those payable by my survivors, and they are authorized in their discretion, but not required, to make adjustments between income and principal as a result there- of. Last IN WITNESS WHEREOF, I have at Hershey, Pennsylvania, this day Of~d~ 1997 set my hand and seal to this my will a Testame consisting of four (4) pages. PA~~-JfJhl- (SEAL) cl.3 SIGNED, SEALED, PUBLISHED AND DECLARED BY PATRICK J. CASEY, the above named Testator, as and for his Last Will and Testament, in the presence of us, who, at his request and in his presence, in the presence of each other, have hereunto subscribed our I mes as witne ses. -,Residence --' /~dz( t Residence /I 'rtj; '/ 'L JlA-M. ''I /1 //1 I?dlt 3 1/';3/17 1fa ACKNOWLEDGEMENT COMMONWEALTH OP PENNSYLVANIA . . :ss COUNTY OF DAUPHIN . . We, PATRICK J. CASE~l;j and LIA/OII UTlZ12/!t/'/--" , the e 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 Testator signed and executed the instrument as his Last will and Testament that he had signed willingly (or willingly directed another to sign for him), and that he executed it as his free and voluntary act for the purpos- es therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the will as witness and that to the best of their knowledge the Testator was at that time eighteen years of age or older, of sound mind and under no constraints or undue influe T --;:::::;;:-"lJL'[CL(7u.,/;:"j WITNESp Subscribed, sworn to and acknowledged before me by PATRICK ., G~,S.~Y. ' /,th., ". T:s1aiT~r, and subscribed and sworn to before me by '//ZvV't,;tl,/ "t 'to I 2) tr R..l\.xp/ and WitneS::T~""L~~S A3 ay of g~ ~~'. ~~9~ CO~iNi[ l. F;EE2t:, HEfShs'/. [j.)llr:;:f1 NOT Y PUBLIC fI_f'iy Co;ri:nisc::cn 4 lj;3/i7 ~