HomeMy WebLinkAbout03-15-06
Estate of
PETITION FOR GRANT OF LETTERS
Winifred M. Smith No. :J 1-- () 0 --() :}J 7
also known as
Margaret Winifred Smith
, Deceased
Phillip A. Smith and Janet K. Bitting, Co-Executors
Patilioner(s), who is/are 18 years of age or older, apply)ies) for:
Social Security No. 193-12-7501
(COMPLETE "A" OR "B" BELOW:)
~
A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut ors
Decedent, dated May 26, 2005 and codicil(s) dated
named in the Last Will of the
State relevant circumstances, e.g., renunciation, death of eXAclIlol, 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
8. Grant of Letters of Administration
(c.I.a., d.b.n.c.l.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:
Name
Relationship
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at clr3ath in Cumberl and
residence at 789 Le,e Lane, Enol a, PA 17025
County, Pennsylvania, with his/her last family or principal
Decedent, then 81
_ years cf age, died
(list slreet, number and municipality)
March 9 2006 ~ Home
,_,-
(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 ................................................................................ .................................... $
:J., noo -
\.~,wo
Reaf 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 lelters in
the appropriate form to the undersigned:
Typed or printed name and residence
Phillip A. Smith
942 Maplewood Ln., Enola,PA 17025
"
Janet K. Bitting
1495 New Valley Rd., Marysville, PA 17053
RW-1
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 well and truly administer the estate according to law.
Sworn to and affirmed and subscribed
, rt-L
before me this / J day of
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Estate of
DECREE OF REGISTER
Winifred M. Smith
Margaret Winifred Smith
Deceased
No. 1,1- 0 &.-Ol?)
also known as
Social Security No: 193-12-7501 Date of Death: March 9,2006
, h-
AND NOW, m.a 1//[1 ( '7 , 2006 ,in consideration of the Petition on the
reverse side hereon, satisfactbry proof having been presented before me,
IT IS DECREED that Letters iii Testamentary 0 of Administration
are hereby granted to
((C.l.il.. d.b.n.c.t.; pendente htp.; dUrilnte ilbspntia; dUri1nte minmiiltp)
Phillip A. Smith and Janet K. Bitting, Co-Executors
in the above estate and that the instrument(s), if any, dated May 26, 2005
described in the Petition be admitted to probate and filed of record as the Last Will of Decedent.
FEES
Letters ... ......... ........................
c::
Short Certificates(s) ...J........
Renunciation ..... .....................
Extra Pages ( ) ...............
.. .......... ........... ...w~. t~...........
I. T. R.......................................
JCP Fee ...d...:./h;..OL........
Inventory ................................
Other........................... ...........
TOTAL ................. ........ ....$
$
1 0 (/1)
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~_~I~rN 6z~
\ Signature
$
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Attorney:
R. Scott Cramer, Esquire
22810
I.D. No:
Address:
P. O. Box 159
Duncannon, PA 17020
16 , U\.)
717-834-5700
Telephone:
DATE FILED:
~
, .
LAST WILL
I, WINIFRED M. SMITH, of 789 Lee Lane, Enola, Cumberland
County, Pennsylvania, declare this to be my Last Will, hereby
revoking all prior Wills and Codicils.
FIRST: I direct that the expenses of my last illness
and funeral be paid out of my estate as soon after my death
as is convenient and expeditious in the judgment of my Co-
Executors, hereinafter named.
SECOND: I bequeath such of my tangible personal
property as is set forth in a separate signed memorandum,
which I shall place with my will, to the persons therein
designated.
THIRD: I give, devise and bequeath the residue of my
estate to my four children, Phillip A. Smith, Richard J.
Smith, Janet K. Bitting, and Carol M. Peganoff, or their
then-living issue, in four equal shares, share and share
alike. Should any of my four children die without issue to
survive them, then and in that event, the share of any such
deceased child shall be added to the shares of my other then-
living children, equally.
FOURTH: All estate, inheritance and other death taxes,
together with any interest and penalties payable with respect
to property or interests therein subject to taxation by
reason of my death and whether passing under my will or any
codicil thereto, or otherwise including jointly held and
other non-testamentary property shall be paid out of the
principal of my residuary estate without apportionment.
FIFTH: I hereby nominate, constitute and appoint my two
children, Phillip A. Smith and Janet K. Bitting, Co-Executors
of this my Last Will. I further direct that they shall not
be required to post any bond to secure the faithful
performance of their duties in the Commonwealth of
Pennsylvania or in any other jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
to this my Last Will, which consists of one (1) sheet of
paper, dated thisd0~day of Mitt ' 2005.
R. SCOTT CRAMER
Attorney at Law
5 S. Market St.
P.O. Drawer 159
Duncannon, PA17020
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X:!v4~~>/rJ'~ (SEAL)
~ Wi fred M. Smith
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The writing contained on the one preceding page was
signed and sealed by Winifred M. Smith and by her published
and declared as her Last Will, in the presence of us, who
have hereunto subscribed our names as witnesses at her
request, in her presence, and in the presence of each other.
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COMMONWEALTH OF PENNSYLVANIA)
)SS
COUNTY OF PERRY )
I, Winifred M. Smith, testatrix, whose name is signed to
the attached or foregoing instrument, having been duly
qualified according to law, do hereby acknowledge that I
signed and executed the instrument as my Last Willi that I
signed it willinglYi and that I signed it as my free and
voluntary act for the purposes therein expressed.
d)l~ l1;.~
Wi ifred M. Smith
SWORN or affirmed to and
acknowledged before me by
Winifred M. Smith, testatrix,
this J(P--f.A day of 7YJcur
, 2005
R. SCOTT CRAMER
Attorney at Law
5 S. Market Sl.
P.O. Drawer 159
Duncannon, PA 17020
vJaib-
Notariel8eel
Ann H. Watts, Notary Public
Susquehanna Twp., Dauphin County
My Commission .Expir:.S Apr. 24, 2007
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:J'~~'(i'" ;-~1 "Jotades
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COMMONWEALTH OF PENNSYLVANIA)
)SS
COUNTY OF PERRY )
We, ~r'€.nL... E. 0rl'lk.Yl\' and rr€.DC\\\e..c L. ripC\C'\nl',
the witnesses whose names are signed to the attached or
foregoing instrument, being duly qualified according to law,
do depose and say that we were present and saw testatrix sign
and execute the instrument as her Last Will; that Winifred M.
Smith signed willingly and that she executed 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 the time 18 or more years of age, of
sound mind and under no constraint or undue influence.
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SWORN or affirmed to and subscribed
to before me by :Stfn0\~ L LLpntLvu:.
and h'f'f n 0(:, C. (if>.rlaV1-t witnes::3'2s,
this C2lo!!> day of lV)UA.-1 ' 2005.
cQu1J
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Notarial Seal
Ann H. Wal1s, Notary Public
Susquehanna Twp., Dauphin County
My CommiSSiOO Expires ~r. 24, 2007
Member. Pennsylvania Associ3tion Of Not3ries
R. SCOTT CRAMER
Attorney at Law
5 S. Market Sl.
P.O. Drawer 159
Duncannon, PA17020
Il!n.".~()" REV 1/05
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.
am.. J7l ?~(J"'-
Local Registrar
Fee for this certificate, $6.00
p
12226895
MAR 1 0 2006
Date
01
;P'
:::.~
C?
Rev.Ol106
lRINT IN
ANENT
:K INK
1 Name of Decedent (First. mW;!dle, lasl)
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
<:::)
Cf\
STATE FILE NUMBER
Margaret Winifred Smith
3. Social Security Nurroer
1 93_ 1 2
.. Date of Death (Month, day, year)
7501 March 9, 2006
5 Age (Last birthday)
8. Birth lace C
81
789 Lee Lane., Enola,
Pa
Other
o EPJQul atient 0 DOA 0 NUfsin Home
9. Was Decedent of Hispanic Origin?
R No CJ Yes (If yes, specify Cuban,
Mexican. Puerto Rican, etc.)
eX Residence 0 Other. S ci
10. Race: American Indian, Black. White, elc
(Specify)
White
VIS
Harrisbur
789 Lee Lane
Enola, Pa 17025
13. Decedent's Education S eei on h' hast rade co Ieled
8emenlarylSecondary ((}.12)U k College (1-4 or 5+)
Pennsylvania
14. Marital Status: Married, Never married, 15. Surviving Spouse (If wife, give maiden r,ame)
Widowed, DMlrced (Spedfy)
Widow
17b. County
Cumberland
Did Decadenl
Uveina
T ownshp'?
17c. ~ Yes, Decedenl Lived in
East Pennsboro
Twp
17a. State
17d. CJ No, Decedent Lived w;thin
AclualUmitsof
CitylBoro
18. Falher's Name (First middle, las1)
19. Mother's Name (First, middle, maiden surname)
Vincent D. Moloney
Phillip A. Smith
Marguerite B. Mailey
20b. Informanl's Mailing Address (Street, cily1lown, stale, zp code)
789 Lee Lane., ENola, ~a
17025
.J
20a. Informant's Name (Type/print)
21b. Date of Dispos~i.Jn (Month. day, year)
21c. Place of Dispos~ion (Name of cemetery, crematory or other place)
21d. Localion (City"vwn. state, zp code)
2006
Holy Cross Ceme~~ry' Hbg, Pa
22c. Narro.ndAddressofFdty Sullivan Funeral Home
51 N~ Enola Dr., Enola Pa 17025
23b. License Number 23c. Dale Signed (Month, day, year)
22b. License NufTi>er
~/ F.D.014993
23a. To the besl 01 my kno>Medge. death occurred althe lime. dale and place stated. (Signature and t~19)
24 Time of Death
25. Date Pronounced Dead (Month. day, year)
3Oa. Was an Autopsy
Performed?
DYes i( No
d
3Ob. Were Autopsy Findings
Available Prior 10 Complelior.
of Cause of Death?
DYes 0 No
31. MannerofDealh
~ Natural 0 Homicide
o kck:lenl 0 Pending Invesligalion
o Suicide 0 Coukl Not Be Determined
32a. Dale 01 Injury (Month, day, year)
26. Was Case Referred 10 a Medical ExaminerlCoroner?
o Ves .>( No
,Approximate interval Part II: Enler other sianificant cond~inn!l r.nntrihulinalo d~Ulth, 28 Did Tobacco Use Conlrbute to Death?
onset to death bul not resuKing in the undertying cause given in Part I 0 Yes 0 Probably
o No 0 Unknown
It : Sg 1\ M
Q.(" " k '1
CAUSE OF DEATH (See Instnll::Uorl$ i1nd examples)
nem 27. Part I: Enter the ~ - diseases, iniuries, or cofT1)licaHons -thai directly caused the death, DO NOT enler lerminal events such as cardiac arrest,
respiralory arrest. or ventricular fibrHlalion w~hout showing the etiology. DO NOT abbreviate, Enler onty one cause on a line
IMMEDIATE CAUSE (Final disease or
condition resu~jng in death) -7' a
C"~'J"')'/...~ I..\p,^ (i.f"'c...i 1lAt''-
Due to (or as cons9Quence 0 : (
C.I...r.."",- i?e..., ( ~o..i ""l"t!..
Due 10 (or as a consequer.ce on.
CO..e........... ~u, vi'....,,,;.
I
29 If Female
o Not pregnant wijhin past year
o Pregnant at time of death
[J Not pregnant, but pregnant within 42 days
01 death
o Not pregnant, but pregnant 43 days to 1 year
belore death
o Unknown if pregnanl within the pasl year
32c. Place of Injury: Home, Farm, Street, Factory, Office
Building, etc. (Specify)
Sequentially list conditions. if any,
leading to the cause lisled on Line a
Enler the UNDERLYING CAUSE
. (disease or injury Ihat initiated the
evenls resultirlg in death) LAST
Due 10 (or as a consequence on
32b. Describe how Injury Occurred'
:32d. Time of Injury
33a_ Certifier (check only one)
Certifying physician (Physcian certifying cause of death.wtlen another physician has pronounced death and coflllleted lIem 23)
To the best of my knowledge, death occurred due to the cause(s) and rTl3nner OIlS stated, ,...................,.."....,...... ....."......."".."""...
Pronouncing and certtfylng physician (Physician both pronouncing death and certifying to cause of death)
To the besl of my knowledge, death occurred 3t the time, dOllte, and place, and due to the cause(s) alld manner.as stated .........m....,......".................."''''''
Medbl examiner/coroner
On the basis of examinaUon Indlor Investigation, In my opinion, death occurred at the time, date, and place, and due to the cause(s) and manner as stated .........0
35 Reqist",'sS ~I / I ?-IJ 1/ I 36 r;;;;.lO;~'Y27,o
..........~
321 II Transportation Injury (Specff)1
o DriYerlOperator 0 Passenger
o Pedestrian 0 Other - Specify'
33bW&d;;:'WlL --Q
33e License Nurrber
32g. location (Street, cityl1own, stale)
33d. Dale Signed (Month, day. yearl
.....0
;y.. '0 0 10 ~(p; f. Mc....c.1... C\ 2.€.~ C.
34. Name and Address of Person VYho CofTll~ Caus.@olDasth(ltam27) TypeIPrint .~
Wo.-t reI"" 1\ _ Wc...TlliN .'t "-y
"isCi$" ~l (' 11to-...~ Coo 14.rf".
~ rr. Co.
(See instructions and examples on reverse)
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