HomeMy WebLinkAbout03-13-06
Register of Wills of Cumberland County
PETITION FOR PROBATE and GRANT OF LETTERS
Estateof ['{~: 1;\r~~I No. 2DOtJJ- 02Jg
also kno~ To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
, Deceased.
Social Security No. !.(Dj ~~ ~ 451 V
The petition of the undersigned respectfully represents that:
y our petitiOn~O is/are 18 years of age or older, and the execut_ named in the last will of the
above decedent, dated A ). 1 , 20 f) :;.,
and codicil( s) dated '
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
10;\
(list street, number and municipality)
ad. ~~., :l j./
Decedent, then 4 years of age, died ., 20~, at .' !) am.
Except as follows, . decedent did not marry, was no 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:
__ County,
Decedent at death owned property with estimated values as follows:
(If donllciled in Pa.) All personal property
(lfnot 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:_~
~~a1rtJ
$
$
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.
S~ofPetiyoner(s)
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Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COl\1l\10N'VEAL TH OF PENNSYL VANIA
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SS:
COUNTY OF CUMBERLAND
The petitioner( s) above-named swear( s) or affrrm( 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 a~. in to law. k.At.
sw.orn to or affi~ed and subscribed { J i\ /) j
Before me tl;1is , ~ day of
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No.
Estate of Mary FaIr ..!>DI) .5er , Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW (v\1rd'l I :3 2~, 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
!YIIJjCh ). ~ )..f)b;J. , described therein be admitted to probate filed of record as the last will of
MaY~ f(JJy SOUJ{.Y' ; and Letters are hereby granted to Sara L. vVof'!nj:{l1
FEES
Probate, Letters, Etc. ............. $
Will ",,,.....,.,,..,,.................. $
Renunciation.. . . . . , . . . . . . . . . . . . . . . . $
Short Certificates ( ).. .. . .. .. . .. $
lCP.."........,.,..,..",.,.,....... $
Autoll1atioll Fee....,...,.......... $
Bond........ ...., ." .......... ....... $
Total $
Filed ~rd{\ l~ 2~
QD CO
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Jj1;Ma '1tiNLt/l~~
RegisterofWill~~ ~
NQ A HorJ'lctt Pre.sC/1 f-
Attorney (Sup. Ct. , . No.)
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Address
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Thi\ is to certify that the infornlation here given is cOITectly copied froIll an original certificate of death duly filed with me as
Local Regish-ar. 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. $6.00
p
12381463
No.
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Local Registrar
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COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS
C E RTI FICA TE 0 F DEATH STATE FILE NUMBER
3 Social Seculily Nurrber
Itlt;
:ltl~ --5,L
Ba Place 01 Death Check on one
HO$ptlal
o Inpalienl ~ ER/Out 'alienI 0 OOA 0 NUI$Kl Home 0 Re$ldence 0 Other. S CIf
9 Wa$ Decedenl 01 HlSpanc Ori91n' 10 Race, Amcllcan Indian, Black. Whk etc
\(I No 0 Yes (If yes, specify Cuban, (S{xjctly)
Me..oan, Puerto RICan, ek: I W
14 Marital Status Mamed, Nevel mallled
lTc
15 SUrvIVing Spouse (ii-;;;;;;- gl'le malllen name)
A~_eQ~N---~-;:
17d 0 No, DecedentlNed wilh,n
Actuallilluls 01
CRy,bolo
19 Mother'S Name (FRst, middle, maiden surname)
(,)
w
en
:J
en
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_ ~~_&f\ L. LlJO~YY\A-N
121a MethodoID"poslhon
. 0 Burldl III CrernallOn 0 RenlOval from ~lale 0 Donahon
" _~ Otller SpeCify _ _ _~___
. 22a Signal e Fune t SelVlCe lICen
iL
I ConlJlete lt~mS 23a c onfy when certltying
. ~:~~~~;u~en~,t ~::;~ble al lime 0' dealh 10
. -lIerns24 26muslbecorr~edbyperSon--- U 1ImeofOeat~-
. who Pfonuufll.eS de(jlh
._-~----_...._--~
21b Date of DisposrtlOn (Monlh, day, yeal)
FE-e,. at ~OOtp
22b. lICense Nurrtler
FO'3'3d~la
: Approxlmale 1lI1er~al
: onsello dealh
~
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lIem 27 Part I Lnlerlhe ~"dlseases. in)urles, or co""hcallons. thai dlleclly caused the death DO NOT enler lerminal evenls such as cardiaC arrest,
;~:~~~~~:r~;~:~vl:~r~a~::e:r:::lOn Nlthout ShZ!2illO;Y Dj~1 ~re:e Enle~~ one caus~ a kn: .-1
cOOOlllOn resonmg III dealh) --7 a '.[)U;~I~-,. a; a.c~~s"".'d lC~.on-.. ... r... _..1 ~.. ~.I""-..---L'.p-.-~ 7- ~?-r~Lr:.
Sequenliahyh,tcundltlOnS,IIany .':(;,,. ~~A -r-t::-~! V'i .> ~ .,...~
_ ~~~~~~ ~~Dc:~~~~~~~nu~~e a Due 0 (01 as a consequence oQ
. (dlsea$e or Injul)' It,atlnRlaled the
eyenls lesuftlng in death) lAST
Due 10 (or as a con$equence 01)
d
JOb. Wele Aolopsy Findings
Available PtiOltO Complelion
of Cause 01 Death'
o Ves ~o
32d Tillie ollnlury
30a Was an Aolop$y
Perlormed'
31 Manner of Dealh
~alural 0 Ho"",ide
32a Date 01 InJUry (Monlh, day, yeal)
32b, Descllbe how tnlury Occuned
32g Location (Slreel. clly~wn, slate)
o Ye$ ~o
o Accident
o Pelldlng Inve$tlgatlOn
o Could Not Be DelefITuned
28 Did 1obacco Use Contnbute to Dealh?
~s g ~~O::~n
29 II Female
W'Nol pregnant Wnhlll pasl yeal
o Plell"anl at lime 01 dealh
o Not plegnanl, bul plegllanl wllI.o, 42 oay,
01 dealh
o Neil pregnant, bul plegnant 43 days to 1 year
belole dealh
o Unknown ~ plegnanl wlthll1lhe past yeal
32c, Place ollnlu/), Home, Farm, Slleet, Faclory. Otfice
Bulldlllg, ele (SpecIfy)
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8
trl
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321 If Tlanspotlallontnlury (SpeCify)
o DrlVeliOperalor 0 Passenger
1.4 0 Pedestrian 0 Other - Specify
33a Certifierl.:heck only one) alure and Tlllez, Ce fr J
Certifying physlCi<ln iPnY,lCiJn cerllt''''9 cau,. 01 o.alll Whell a"other pllyslCla" lias pronounced death and completed lIem 23) /
To lhe besl 01 my kllOwledge, de.lh occurred due to the cause(s) and manlier as st.led """ ..D ~ L~~~""""'-
_31113C l_lCo,nDseNun-..::.._LL.'j-_ 2L'-"3Z-~~~-- 'j3d oateSlg~leolt(MOn""ttl o.lY-/y.arl,/- __~~~~
Pronouncing illO certifying physici<ln WI'y,lCwll ~ulll IHonolllldllg O"JIII alld ce""y,ngI0 CdU,. 01 oeJlhl
To Ihe besl 01 my knowledge, de.lh OCCUlled il the tllne, dale, and place, and due \0 Ihe cau5e(sl.nd manner as slaled u. [J WJf
"t..I(hc~1 el(~mmer'corooer .. ~
Qnlhe ba.is 01 uaminalion and/or in~e5li9a\ion, III my opllllon. dcalh occu",'<! at .he lime, dale, aoo place, and ~ue 10 lhe causC>(s) and Ir\annel as slaled __ (] /'t]io Ie) lj/J) sSAI}mri> ~~1e~'0 ,,:a'f~ ealrl'~ YfJf#J.!IIJ. ,. A
"';Lt,.,; ;," ""5;f;~~.-; ..n~=:~_-:-__~_ .--I~;~: --~r9i', iM.'"""' ~ii";' ~ & "/ ~ / i: m~r;;:;r;;j_ '" T .:>W1. m~;.
_._iL~~.:N~.~.1(Se~;;'';;~on~~~~t=reverse) ~-- .. 't
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LAST WILL AND TESTAMENT
OF
MARY..FAiR SOUSER
I, Mary Fair Souser, being of sound arid disposing mind, memory and understanding, do
hereby make, publish and decfare thfs instrument as and-tOr my Last WiIrancfTestament,
hereby revoking all other Wills and Codicils by me at any time heretofore made.
ITEM ONE: I direct that aIrmy Just QeI5t~ anaffinerare~nses be paid as soon after my
decease as may be practicable.
ITEM TWO: All the rest, residue, and remainder of my property and estate, both real and
personal, of whatsoever kiiufanawneresoever situatecI:wliicli r own at the time of l1lY-
death, I give, devise and bequeath unto the following:
A. I give, devise and bequeath"unto my daugfiter, S-~L. wOKMArq,a sum or
money equal to my share of the fair market value of the home in which I live at
the time of my death, iogetIier willi any or atrofllie furniture and' fiimisIifngs
of that home, my car(s), and my time share at the Green Springs Plantation
Resort, Club Sunterra. Arrtfie rest, resIdUe and"remainder ormy property ana
estate, in such event, bpth real and personal, of whatsoever kind and
wheresoever situated, wfiiCfiTm(iY own at the time of mydeatfi, rdfrect to be
divided into three equ~l shares, and I give, devise, and bequeath said property
and estate as follow~: '
B. I give, devise and beq4eath one of said shares unto my daughter, SARA
LOUISE WORMA~,'absolutely.
C. I give, devise and bequeath one of said shares unto my daughter, JOAN
KENDRA SP~-absolutely.
D. I give, devise and l)equeath one of said shares unto my son, JOHN
FREDERICK RO~S SOUSER, absolutely.
ITEM THREE: I here~y nominate, constitute and appoint my daughter, SARA LOUISE
WORMAN, Executrix oftfiis, my Last Will andTestament. In the event tliat my saia
daughter, SARA LOU{SE WORMAN, should predecease me, or should otherwise fail or
refuse for any reason to quamy as executor, I then nominate, C().,n...'_.st~,1:tJte..".,.a..,1.~."d, i:~nt my
other daughter, JOAN KH.NU~ SP1.l{b, and I?Y son, JOFIlYl~P~~~~O~S
SOUSER as Co- Executers ofthls, my Last Wlll and TestameRt.\\JJ ~)l:\r~:"\:j
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ITEM FOUR: My personaf representatIves sfiaIIliave tfie fOIIowing powers In addition
to those vested in thelll by law, exercisable without court approval, and effective until
actual distribution of ap property hereunder.
A. To sell, lease, pledge, mortgage, transfer, exchange, convert or otherwise
dispose o:f, or grant optiOns witfi' respect to, any anaaIr property at any
time forming a part of ~y estate, in such manner, at such time or times, for
such purposes, for SUCD priCes ana upon sucff terms, credits ana conditions
as they may deem adY!pable. Any lease made by the Executrix may extend
beyond the period meooy statute for feases made 6y nauciarfes.
B. To make distribution_~my estate and to cause any share to be composed
oIcasfi, property or unmviaeoffactionalsnares in p~~erty different in
kind from any other snare.
C. To execute and deliver any and all instruments in writing which they may
deem advisable to carry out any oftIie fOregofng powers. No party to
any such instrument in writing signed by the Executrix shall be obliged to
inquire into its validity, or be bouncfto see to the application by die
Executrix of any monyy or other property paid or delivered to her
pursuant to the teflDB of any such instrument.
IN WITNESS WHEREOF, I, MARY FAIR SOUSER, the Testatnx,have to tms,
my Last Will and Testament, written one side onfy or-two (2JsIieets otpaper, set my
hand and seal this ~7 day of I/Iar(!h ,.2002.
A ..~
// ;z~__.
~OUSER
Signed, sealed, published-anadecfaredljy tfie a60ve-nameoTestatnx, ~ARrFlUR
SOUSER, as for her Last Will and Testament, in the presence of us, who at her request,
in her presence and in the presence of\each other, have hereunto subscribed our names as
witnesses.
Name: ~r/~f/
Address: ~ soL///' ~4CJ$ d
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Addr~ss: c:<
NOTr.,RLr-\L GEAL
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