HomeMy WebLinkAbout03-28-06
Register of Wills of Cumberland County
Estate of [- r-tJ (~ vtA
also known as
PETITION FOR PROBATE and GRANT OF LETTERS
,a 1- OLv- O'a/7~
13 /2 Id~0
No.
To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
, Deceased.
Social Security No. /7 7 '-- ((" (p 1. 46
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/~18 years of age or older, and the executo (L named in th~ last will of the
above decedent, dated <-( '- S c:=: ,71. / , l!l ; q PJ n
and codicil( s) dated
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in e. q Y1tL r{ (::'r1 Lt'1 0-- c{ County,
Pennsylvania, with h,(rlast family or princi~l resid~nce at . ,
f)6 ( AI NfIlA(() J en -:\. { ;; It n.J I ~ {t.' PA / r 0 13
(list street, number and municipality)
Decedent,then:lf(yearsofage,died '~/<1 ,200C; ,at l6c\( IV I"';;'f)l'c>r)(~. r'::? (/I/I~Y4(-
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
(lfnot domiciled in Pa.) Personal property in County
Value of real estate ill Pennsylvania
situated as fcHows:
7, c. c{ f I fa5~
$
$
$
$
WHEREFORE, petitioner(6) respectfully request(s) the probate of the last will and codicil(s) presented
herewith and the grant ofletters Ad ,,,,,,-, (.v (c '?/L ~ reG!;....!
(testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
thereon.
.-
~Q:::;;r~~~S)
Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEAL TH OF PENNSYLVANIA
}
SS:
COUNTY OF CUMBERLAND
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 ofpetitioner(s) and that as personal representative(s) of the above
decedent petitioner(s) will well and truly administer the estate accor~g to law.. "
sW"orn to or affmned ~r,ub3Cribed , { (;{J IiU. C{ J.Jr~ ~A_
Before me thj~_ ---,...~y of
JY\{1 R err, 20--Ll.LL
I. .~" ~.~ r) \
\tLLu0R-fCi\llll~vJ)CU1 ! /
lIe~vmif~~<OII_()lro~rr})
Estate Of E TH [:L f\~. B KI DrJ , Deceased
r/J
~.
l>>
2"
...,
...
---
~
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW ry, A1\ c H ZB 200lv, in consideration of the petition on the reverse side
hereof, s~tisfacwR' proof having been presented before me, IT IS DECREED that the instrument(s), dated
q. ~ ' ICJ~" ' described therein be admitted to probate filed of record as the las,! will of
Fn~(L C'l'\, .oRI C J\J ; and Letters are hereby granted to DON' AU) L. BIZIO~
$ --15.0f)
$ ~0.Cf)
~ ~,'~8
Automation Fee................... ~ \ ~ '88
Bond................................. $
Total lo $ ~<6 I 00
Filed fY\A'RcH Lr 20flk
FEES
Probate, Letters, Etc. .............
Will............................. ....
Attorney (Sup. Ct. J.D. No.)
Renunciation...................... .
Short Certificates (d\) ............
JCP..... ...... .. ... ....... ...........
Address
Phone
This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Lucal Registrar. The original certificate will be furwarded to the State Vital Records Office for permanent filing.
w
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fce ror this certi ricalc. 56.00
~". ;;;;ti71-'-7;~~>~
""I' U OF "-,
/~(I"~~\h- PEi----~_
,f'\\~/ ~~~
i~' ~/ 'Jlt.~.~;.~
/~ ~i _~- ~ ""Y ~
i~ Q, -~~. :~~
:\~u\_ ,'i~f . _-~~
\~.-. *-~ >. ~(..: ,$
"-~'\...""\'
.~ ~' .' /~/
%)9!;;--V~\'; ....
~-,/"ENT \\ 111"""
~
L)
1 )?7n":)'~)ur1
~~ - L. '-' ,.) V
;\' 0 .
Hl05.143 Rev.01AJ6
TYPElPRINT IN
PERMANENT
BLACK INK
1 Name of Decedenl (First. middle. Ias1)
2l.... ~. "'~&.~~e..,
Local Registrar
MAR 1 4 2006
Date
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH STATE FILE NUMBER
3. SocialSecurilyNurrber
Ethel /.1. Brion
7. Daleof8inh Monlh,da ,
~I .
Cumberland
Carlisle Bora
11 Decedenfs Usual Oce al;on Kind of wOlk done durin mosl of workin life; do nol slate retired
Kind of Work colt~g~Sinee<511ni to y
16. Dec en s a Ing
lree ,cilyllown, slale, zip code)
Ul
QJ
.rl
0,
o
u
801 N. Hanover st.
Carlisle, Pa. 17013
lB. Falher's Name (First, middle, last)
Morris Fred Edmister
17a.Sta1e
Pa
17b. County
C'nmhprl"nd
19. Molher's Name (First middle, maiden surname)
179- 16
o ERIOut
OCher
Iient 0 DOA Nursin Home
9. Was Decedent of Hispani: Origin?
G){No 0 Yes.(ltyes,specifyCuban,
MeXK:an,PuerloRk:an,elc.)
o Resid8f1ce 0 OOler.S
10. Race: American Indian, Black, While, elc.
(Specifrl
White
hi nest rade co leted 14. Marital Stalus: Married, Never married, 15. SurviVing Spouse (It wife, give maiden narne)
College (14 or 5+) Widowed, Divorced (Specify)
Wid
Did Decedenl
live in a 17c. 0 Yes, Deceden1 Lived in Twp.
Township?
17d. j{
No, Decedenl Lived within
h::!ualLimilsof
Carlisle Bora
CltytBoro
\.0
Oonald L. Brion
Clara Agnes Small
2Ob. Inlormanl's Mailing Address (Slreet, cilyl1own, stale, zip code)
Carlisle, Pa. 17013
104 Creekview Dr.
2Oa.lnformanl'sNarne(Type/prinl}
o
w
'"
::>
'"
<(
::J
<(
21c. Place of Disposition (Name ofcemelery, cremalory or otner place)
. lIems 24.26 musl be co~led by person
who prooouncesdea!h
24.
13
2CC> fa
CAUSE OF DEATH (See instructions and examples)
Item 27. Parl t: Enlerlhe~-diseases,in~rles,Orco~lications-tnaldirecUycausecllhedealh. DO NOT enlerlllrminal events such as cardiac arresl,
respifatory arres\, or venlricula, tibr~lalion without showing 1/la elic 0 NOT abbraviate. Enler only one cause on a ~ne.
IMMEDiATE CAUSE (Final disease or
conditionresultingindealh) ~ a.
Due lo (or as a
: Approximaleinlerval'
: onset 10 dealh
uu:....
SequenliallylislCOndijions, nany,
IeadinglothecauselisledooUnea.
- Enter the UNOERl Y1NG CAUSE
. (diseaseormiurylhalin~iated\tle
evenlsresu"ingindealhlLAST
7r-J
b.
Dueto (or as a consequenceoQ
d.
3Ob. Were AuIopsy Findings
Available Prior to Coll1llelion
01 Cause or Dealh7
DYes 0 No
32d. Time of Injury
3Oa. Was an Aulopsy
Perlormed?
31 Manner of Dealh
lit Natural 0 Hornci:le
o Accident 0 Pending Investigation
o Suicide 0 Couk! NoiSe Delermined
32a. Dale 01 InJUry (Month,day, yeal)
32b. Descrbe how lntury Occurred'
32g. Location (Slreel,cityilown.slate)
o Yes __No
M.
>-
Z
w
o
w
<:>
w
o
u.
o
w
'"
<(
z
33a. Certlrler (check only one)
Certifying physician (Physician certifying cause of dealtl when anolher physician has pronounced death alid compleled l1em 23)
To the best of my knowledge, death occurred due 10 the cause(s) and manner as stated .......... ................................................................................
Pronouncing and certifying physiclin (Physician both pronouncing death and certifying 10 cause 01 death)
To the bGsl of my knowledge, death occurred al the time, delle, and place, and due 10 the cause(s) and manner as slaled .....................................................................0
Medical examiner/coroner
On the basis of examination andtor Investigallon, in my opinion, dealh occurred a! the lime, date, and place, and due 10 the cause(s) and manrK!r as slated ........0
..jJ:
I d. I \ 10 I
I~ II
(See instructions and examples on reverse)
26. Was Case Referred 10 a Medical ExaminerlCoroner?
o Yes 0 No
Pari I!: Enlerolhersiooiocanlcondijionsconlribu!inolodAalh,
butnol resutting in the underiying cause given in Pari I.
28 Did Tobacco Use Conlribute 10 Death?
o Yes 0 Probably
,ll(.No 0 Unknown
29 ltFemale
JI Not pregnanl wijhin past year
o Pregnantaltimeofdealh
o Nolpregnan\,bulprelJflanlwitllin42days
ofdealh
o Nol pregnanl,bul pregnalll 43 days to 1 year
beloredealh
o Unknown if pregnanl w~hir1ltle past year
32c. Place of Injury: Home, Farm, Slreel, Faclory, OfIice
Building, elc. (Specify)
/hk,,-/ cf~'..k-
~
32f. IfTrallsportalionlnjtJry(SpecifYj
o DriverlOperalor 0 Passenger
o Padeslrian 0 O:her - Specify:
33b.S 1""U;~b
33c. License NurrtJer
4..u
33d. Dale Signed (Month,day, year)
/ J /J.-! /Jte-. </0
U.yt) "3/-e12./Z
"
34. Nal'll€ and Address of Person Who Completed Cause of Dealh (lIern27) TypefPrinl
PI,'WI€d
J';' It', /~I1-'-r t'14t ~aEE, /ho:;
Register of Wills of Cumberland County
RENUNCIATION
Estate of
-'-.-. ft'
L::::. \ 1 ~ L
JVl 7) all 0 tV
t;' ,. (-j c::: L J'V'\ --
No.
~ I/O lY '- 1/7~
Also known as
73 a Ie! It.)
, deceased
To the Register of Wills of Cumberland County, Pennsylvania
The undersigned Lo l {'T 13 fl/\("";::/L fG~ ~ c1VLtt( ltiL~ C C (:=..'1-. Cet.L 'TtJ A.....
(Name) (Relationship) (Capacity)
of the above decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that ,~)
Letters
be issued to D () IU f\, ~ D L,
-,.."
l-S n f(~.0
Witness my/our hand(s) this 02 d.. day of {\fl Ct rC k
,200t.
Affirmed and subscribed before me this
,.J:1 day of {\ \ CL L ~ ~_
J-C\.f...-,
/J /I "
ct:;;cl ti a /tt-J:vlity'
otary Public I j
~/ r g' -h' L'
C /--("ci/ /.;;2, / /( t.~ f/ '" '-,
(Signature)
3't/C' ~ce~ 7JJli!L~'t:,,'U AI::~
, , ' !/(Addre)
"","11I'""", ...dt('(fL d l7'-t~) -;/ /.:zJ, ..::< 7 <;:// 0
", ~A rl/ '" ;' ,
~...... dp..\"V" "C"" ""
~ ^'v ........ ~A"
.... ~~ .. .. "~ ..,.
! Qj .... NOTARy.... :J- ';
€ {PUBLIC \ \
: : ---- : :
S Q \JA'f Comm. ExpireS! 0 :
'; ~ ...Nov. 27, 201q.. ~ $
~ ~ .. ~~' ,
~,~ .......... ,,,~
"'",01/0 CO'J ~~...".~
""",,, I ~~t't'\\.'
Affirmed and subscribed before me this
_ day of
My Commission Expires:
/1- ;27,'
2('/U
(Signature)
Or
(Address)
(Signature)
Register of Wills
(Address)
Deputy
(Signatu.re and seal ofl'~otari or other official
qualified to administer oaths. Show date of
expiration of Notary's commission)
Register of Wills of Cumberland County
OATH OF SUBSCRIBING WITNESS
Estate of
/-~ <r I-f (-' L-
,,-::> '
nil I ~ f( ( (! tV
, "G r.1\1~-
n' I.'. '~', ',. J
No.JLJ....u \'-UA <-I
Also known as f 7- fli L
f'1
f5~-:-r6rJ
, Deceased
. \ (' r, 1"'" tV) J1 1.. fl, <~ ,L ~' to eL-
l}? PI (2 1/\ /VI /1 is L / ~ s:
(each) a subscribing witness to the wilVcodicil presented herewith, (each) being duly qualified according
to law, depose(s) and say(s) that W "C.'r e..present and saw
[, T fJ l. L (V/ . 13 R J ~ N , the testati:.JX, sign the same and that
jo.~n ('vi. g }<4.C K w~ tI o...~ fVlo.r' io.r'l ~g~e~ ~sS.a witness at the request of the testator .. x.. in h <? Y'
presence and (in the presence of each other) (in the presence of the other subscribing witness(es).
Sworn to or affirmed and subscribed
Before me this 1 ~. day of
",1 A R c..H , 20~
Q<.~",- G~\.QQ~m
( ame)
(,737 RO<'~i- 'lIt Li.6e.K~ rt2 /69JO
(Address)
;X-~-L~ ~i. )J.LLJt~,,-ij.~
Ret,<i&ter rJ ~\ '/ "" d f u.. b i I <;..
h] d~d~ /i Ii !c~
(Name)
GSC f3/r;s.s );/~2.t'Yzla~~ x::!
(Address )f<. ~ f ~ ./:) / ? Ii u
~ L-& \...t.,!/: / t ;;..
II .
vi
Deputy
COMMONWEALTH OF PENNSYLVANIA
Notarial Sea:
Sheila A Guillaume, Notary Public
Liberty Twp., TIOga County
My CommiSSlOO Expires Aug. 28, 2007
Member. PennSyivania Association or Notaries
1Kast lIill attb Wcstamcttt
I, ETHEL M. BRION, of Liberty, Tioga County, Pennsylvania,
do make, publish and declare this to be my Last Will and Testament,
hereby revoking all former testamentary writings made by me.
ITEM #1: I direct the payment out of my estate of the
expenses of my last illness and funeral.
ITEM #2: All of my property, real and personal, and
wherever situate, I give in two equal shares, one share to my
daughter, Lola M. Mertes, per stirpes, and one share to my son,
Donald L. Brion, per stirpes.
ITEM #3: In addition to the powers vested in fiduciaries
by law, my personal representatives and their successors shall have
the following powers, applicable to all property held by them,
including all property held for minors, both principal and income,
effective without the order of any court and until the actual dis-
tribution of all such property:
(a) To retain any and all property at any time received
by them;
(b) For the payment of debts or for any purpose of ad-
ministration or distribution, to sell all or any of my real estate,
at public or private sale, for such prices and upon such terms as to
cash and credit as they deem proper, without liability on the part
of the purchasers to see to the application of the purchase moneys;
(c) To compromise any claim by or against my estate
without the consent of any beneficiary;
(d) To make distributions hereunder in cash or in kind or
partly in cash and partly in kind at such valuations as they may
fix;
(e) To give options without obligation to repudiate the
same in favor of a higher offer; and
(f) To carry investments in the name of a nominee or
nominees.
ITEM #4: I appoint my daughter, Lola M. Mertes, and my
son, Donald L. Brion, Co-Executors of this Will and direct that
they shall not be required to give any bond or enter any security
in any jurisdiction in which they may act.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
this j ~j[ day of
c: ,,~f~
"""'-C/;.I 'v
I
1 /,~.,
9 DC'.
J:".,? ; l 1. I I.'
C f~-/U,-":"
/,.
l./:".--~--:~.-/"'! ...'
(SEAL)
SIGNED, SEALED, PUBLISHE:D AND DECLARED by the above-named
Testatrix, Ethel M. Brion, as and 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.
8.BLo
residing at QUJ 1l.J(K,yt).? j IJe.fi~ 1].
/
residing at It) /Jf I 13 0'<: I 4.