HomeMy WebLinkAbout03-16-06
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Register of Wills of Cumberland County
PETITION FOR PROBATE and GRANT OF LETTERS
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Estateof /J//}~?/t: E. (L)N./!.-~
also known as V /tJI iJ 1 ,t; (J{);J I't/f,;y(
No. 2-00(p" 0 2 3 'f-
To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
, Deceased.
Social Security No. /~.1-;;' r - t/,J.{)/
The petition of the undersigned respectfully represents that:
Your petitioner( s), who is/are 18 years of age or older, and the execut..a.i..i named in thelast will of~e
above decedent, dated )/< ('I ,~ \- /770' ,20 ,: ",>
and codicil( s) dated /
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in (! "/11 h P 11. l..4A/ t/
Pennsylvania, with h!.(llast family or principal residence at
/ t) I Lu,v~ /11 P A tI rlw ,S 1-1t -e -et /JJ e<-'~ Art) ,/.~ 5, 11 vl ~"- ,/J 4
(I , (list street, number and municipality)
County,
/ J(),J-;-
Decedent, then .21:J... years of age, died /lI1fJU..4 'j , 2000 , at haT"\. {L
Except as follows, decedent did not marry, was not 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:
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:
$ fA vV ~,~ fi/17 A-t~cZ
$
$
$
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented
herewith and the grant of letters r~~ T/I/1I()A)filJ.rL~
v (testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
Residence( s) of Petitioner( s)
~~~~J;.~ik3~;;tJJ:fj;,;: ~ ~~;~S-
Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEAL TH OF PENNSYL VANIA
}
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 according to law.
, ~ft~.
Sworn to or affIrmed and subscribed
Before me this 1St/) day of
Lf/}tl/tdl ,20 ()~
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Estate of
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW .~ /~ 1ft 20 O~, 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
~ 1!1 :lS f h J I q 7=5 , described therein be admitted to probate filed of record as the last will of
Viol ef C, Conrad.... ; and Letters are hereby granted to F;laiJ1L M. I-ftlrbold anti-
t!..enne th E. Conr().cX-
Automation Fee...................
Bond.............................. ...
Total
Filed-~ /t;lh
FEES
Probate, Letters, Etc. ............. $
Will ............ . . . . . . . . . . . . . . . . . . ... $
Renunciation... . . . . . . . . . . . . . . . . . . . . $
Short Certificates (3) ............ $
JCP.................................. $
$
$
$
20 00
20,00
t:::. 00
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RegisterofWil~ ~ ~
No O++ornctj Present
Attorney (Sup. Ct. LD. No.)
1.1..00
J 0.00
5,00
Address
&1.00
Phone
rllll.).,~U:l Kt:V I/O)
-'---'1is is to certify that the information here given is correctly copied from an original certificate of death dq}y filed with me as
Local Regi,strar. 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.
/7
1(M1~'~ ~~~
Local Registrar --
Fee for this certificate, $6.00
p
12337750
7Jt~ I~ -loot
Date
c;
H 105 143 Rev 011\lO
TYPElPRINT IN
PERMANENT
BLACK INK
1 Name of Decedenl (Flrsl middle, last)
COMMONWEALTH OF PENNSYlVANIA. DEPARTMENT OF HEALTH · VITAL RECORDS
CERTIFICATE OF DEATH
Age (Last bmhday)
II Decedenl's Usual Occ alian Kmd 01 work done dUfIll most 01 wo,~, ble: do not stale ,etlred
Kind or Work Kind of Business/Industry
Packer Business Su lies
16 Decedenl's Ma~mg Aod,ess (Slreel, clfy~own. slale, ZIp code)
h hest rade co Ieled 14 MarnalSlalus Married, Nevel mamed,
College (14015.) Widowed, DIVOrced (SpeClM
Residence 0 Othe,. ~___
10. Race. Amellcan If,dlan. IIlacl<. WMe. elc
( SpeCify)
White
15 Surviving Spo~e (II wile, gIVe ma.<len name;
101 Longmeadow St.Mechanicsburg PA
Dec~nl:es~
Aclual Residence tla Stale
17b County
l?A
CUml::erland
Old Decedent
live\lla 17c JO Yes, Decedentllvedll1_u,
T ownsh~1
Monroe
T.-p
17d 0 No. Oi!Cedentlived wlll"n
Acluallimts of
CIly.BoIO
16 fathei's Name (Fusl. middle.lasl)
f9. Molher's Name (fKSI, ffilddle, maiden surname)
William Knaub
20a Inlormanl's Name (Type/punt)
_~ Wentz
2Ob. Infolmanl's Mailing Address (Slleel, cily~owll, slille, zip code 1
Elaine M. Harbold
15 Pine Ridge Road, East Berlin, PA 17316
2lZPtdce 01 OosposlllOn (Name 01 cemetery, cremalory or Olher place) 21d LocallOn (C'yllown. slale. Z" cod~'--'-
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o Aell10val ~om SIale
o Oonahon
tvBrr:rial G:I.n:b-s Carlisle" PA 170 13
8 Market Plaza Way
Home Mechanicsburg, PA 17055
23b license Nurrber 23c. Dale Slgnoo (Month, day, yeal)
24
25. Dale Pronounced Dead (Month, day, year)
26 Was Case Referred 10 a MedICal ual1llne.iCoroner?
March _~2006
CAUSE OF DEATH (See instructions and examples)
hem 27. Pa~ I Elller the ~ - dISeases, in/.Jues, or comphcations -Ihal dlleclly caused Ihe dealh DO NOT enler lemlinal evenls such as cardlilc slIesl.
respwalory arrest, or venlrlCular fibrillallOn wilhout showi1glhe eliology 00 NOT abbreviale Enler only one cause on a bne
o Yes 111 No
: Approximate Interval
: onsel1o dealh
Pa~ /I Enter olher sioniflCanl condillOns conlribuhna 10 deall1.
but 1101 resuhlllll in Ihe underlyrng cause given in Pall I
28 Did Tobacco Use Conlrlbute 10 Dealh?
DYes 0 Probably
, 0 No 0 Unknown
'....EDIA TE CAUSE (Final dISease Of
cooonion resuI,ng in dealh) ---7 a
-------LQ f D___
oue,to (:as L"tr1' ...
Due 10 (Of aZ\onseQuenc6
'Due l~ (or as aco!:ulnce o~
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SequenllilWy IISI condAlOns, If any.
Ieadrng 10 lhe cause listed on line a
. Enter lIle UHDERl YING CAUSE
(dISease or Il\jUry Ihal inihaled lhe
IJ a<ellls 'l:SUnlnglll dealh) LAST
d
30a Was an Aulopsy 30b Were Autopsy FIfldlf\ljS 31 Manner of Dealh
Performed? :t~~u~~ :~e~h~lTl>lellOn X! Nalural 0 Homicide
tl IX 0 Accldelll 0 PeHdlng lrweshljahon - ] - -_. -.. .--,-,--, - - ----- --- - --- - - ;1
o Yes No 0 Yes No 0 SUICide :!2dll,ne allrllury .... 32e InfUry al WOlk? - 321 II Tlan>POrldlKln Inlury ISpeclfJ1 32g LocallOn (~lrect cdi~uwn slate)
no".""''"''''''''} 0 Co., ,,, '" '''"."~ ~---"- _-" '::_0 n: _ ""i~:-::::" ~:'~'" _~_n n ... u _u_ --. -
Cerlilying physic~n (PhYSICian cellllylng cause 01 <leath when another phYSICian has PlOOOUnced dealh and compleled lIem 23) R.c. L~. II /\
To lhe be~t of my knowledge, death occurred due to the cause(sl and manner as staled...... ..is L-l/) I ~_ ~~ _
3Jc' ~se~ -- 33d-Oate5IgnedIMoOth d~ea;)-----
Pronouncing and cerlilylng physician (PhYSICian both plOnounclng d"alh and ce~lfyrng 10 cause 01 d"alh) ~~
To the best 01 my knowledge, dealh occurred al the lime, dale, and place, and due to lhe cau~e(sl and manner as slaled.. 'u...."___ .[) V1!) 12....c5~ Y L '6 o.fa..
MedICal examlner/coroller. . .. ,1 ~~ P ~lTl>letedc.u~''-fiD_eal!l(I~em 7 T 'PI - ~
On the basis of elamin.ltion and/orlnvestigallon, In my OpiniOn, dedlh occurred al Ihe hme, dale, anld Place:_and d~~he cause(s) and '~l1IIer as.~~,= .~___. ~~ 01 eftn, ~ I '
35 Aeil~Jt:lr S'\lf\dlu,e and D151'ICI Nun1lel d () . l2.i ~leflled(Monlh'day.Ye"1) ID~j~15v'i-h...u- ~jre~-t:-
- v.-a ~ ~.~_~~~n~n.uI~~i~~r~';;;; a~~;~~fro~ ;';se) ~ <-fi-' ?O't ~~n n.__._____
32a Dale ollnlury (Month, day, year)
32b Describe how Inlury Occufled
29 " Female
o Hal pl6gnant wQIUn pasl year
o Pregnanl al \lme of dealh
o Not ptegnanl, but p'egllanl Wl\hlll 42 days
01 death
o Nol plegllanl, but pregllant 43 days 10 1 ,ear
belote death
o Unknown If pregnant ""UIln lIle paS! year
32c Place of IlljlJry Home, Farm, 51rea1. Fac\ory. 6it.ce
Buoldl<lg. elc (SpeClfJ1
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LAST WILL AND TESTAMENT OF VIOLET E. CONRAD
I, VIOLET E. CONRAD, of Mechanicsburg, Cumberland County,
Pennsylvania, be ing of sound and disposing mind, memory ahd'.
understanding, do make, publish and declare this my Last Will'
and Testament.
1.
I direct the payment of all my just debts and funeral expenses
as soon after my decease as the same can conveniently be done.
2.
I give, devise and bequeath all the rest, residue and remainder
of my estate, of whatsoever nature and wheresoever situate, to my
children, to wit, Elaine M. Conrad and Kenneth E. Conrad, share
and share alike.
LASTLY, I nominate, constitute and appoint my children,
Elaine M. Conrad and Kenneth E. Conrad, Co-Executors of this ~'rry
last Will and Testament.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
~,J'~ day of ~ ' A. D. 1975.
.2J.~ t ~
Violet E. Conrad
(SEAL)
Signed, sealed, published and declared by the above named
Violet E. Conrad, as and for her Last Will and Testament, in the
presence of us who have subscribed our names hereto as witnesses,
at the request of said testatrix, in her presence and in the
presence of each other.
, W.R~~
~~.
.
Name of Decedent:
CERTIFICA 'FliON OF NOTICE UNDER RULE 5.6( a)
iJiuLe't- ~. f?LJW~
.~
Date of Death:
-3 - 9 -0 "
Will No.
Admin. No.
To the Register:
I certify that notice of (beneficialllllterest) estate administration required by Rule 5.6(a) of the Orphans' Co~es was
served on or mailed to the following beneficiaries of the above-captioned estate on L) I tJL.e-t E, CiJlV :
Name
Address
E L/t, '".,. e.- /17, j-hirz- kJ tJ 4:1......
/S" ~~e ~,~ 1<n&'-, P,H-! 13~d-L"'),). ~#" /)3/~
.!<e,v ili ~.~ E. CO,vttAcJ..
C';Z 7~) 5. L,)r,u d ,!J/h ~T ~J~i..... I /176?cA A1LJ,'c:~ IrI JI ~") , t:J 19-1 7t~'"
::........j
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
(,,",,)
( "
Date:
/JJa~ It ~()()b
,
a~-P m., 1rkd~1
Signature
Name
ELm~e, 41, ~i)tJLd
Address I!) ~4; e Ifl cI;..e /4; m1-
E:hf iJe4L///J
,
,t/4 /)::J/b
Telephone (-7/7) ;;l.9 J- - tl ~ i-r
Capacity: .--bersonal Representative
_Counsel for personal representative
@
Register of Wills of Cumberland County
OATH OF NON-SUBSCRIBING WITNESS
Estate of l//tJl~-+ E. ~AAJ;tJ4cl
Also known as
No.
, Deceased
Flm.~ /71.. ~lJvi"-
f{~"1,/t1l~,~ E, &,vt1d
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
A-J-€- familiar with the signature of {/ /b'l(lf E~ eel,,) .ltnl , testat-'l&... of (one of the
subscribing witnesses to) the codicil/will presented herewith and that'f(epelievelbelieves the signature
on the cadieiltwill is in the handwriting of t/ /0 L-R..-t r ('tt,v tZ/1..;( to the best of
V4t~"I'/l... knowledge and belief.
Sworn to or affirmed~ubscribed
Before me this I j L-r J day of
L/T)f1A t?--IJ ' 20M
Jju/~JUA_/iia(k;F~
/~(!J:ffz)rL//{atL~~5
t&~~ /it 41..,L;d~L
(Name)
/~ ~t,-It;~ ~ e~ .&~-~ J /,4
(Address) I 73/{.
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(Name)
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(Address)