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Home My WebLink About04-07-06 PETITION FOR PROBATE and GRANT OF LETTERS Estate of FAYETTA K. PAGE No. a \- 0 lo---{')1L <' also known as To: Register of Wills for the Deceased. County of C':l1mhprl ;:mc'l in the Social Security No. 183 - 03 - 6 933 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or oldhf/~n t~eOe~<:cut rix in the last will of the above decedent, dated 0 U.1.. Y L't, U 1 and codicil(s) dated none ~ (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumberland County, Pennsylvania, with h er last family or principal residence at Mess~ah V~llage, Mechanicsburg, PA 17055 (list street, number and muncipality) Decendent, then 9 5 ____~ears of a~e, died April 5, 2006 atMessiah Villa~e. Mechan~csburg. PA 17055 Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution ofJhe will offered for probate; was not the victim of a killing and was never adjudicated incompetent: n a Oecendent 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: ,~ $ $ $ $ 585,000.00 -0- -0- -0- o WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) pre<;ented herewith and the grant of letters T est ameTl t a ry (testamentary; administration c.La.; administration d.b.n.c.t.a.) theron. '" or dt, ~ ~~M,r I:l6Jg j@ 4L'i1 -;;)c... ~ ~ - '" a:. . ~. ~:::.-~= / ..-- ) 0/';;' ><::};}v/--;nO)/rti "f ~ An~ta L. tiogert 2630 Arcana Rd. Mechanicsburg. PA 17055 -1"./:"."":: \~,~_./ _"",J OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ') ,,, /"" s~ COUNTY OF C':TTMRFRT ANn J The petitioner(s} above-named swear(~) or affirm(s) that the statements in the foregoing petition are true and corret;t to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well a~ry~y ad i 'ster e es te according to law. Sworn to or affirmed and subscribed 1 ~ befpre me this 7 f""'... day of ~. C~ V} ) 2-(!L:1o is - fv1 i't/ ' ;: m;~~Jf~ ! No. tJ (-0 ~.. 65()/ Estate of FAYETTA K. PAGE , Deceased DECREE OF PROBATE AND GRANT OF LETTERS April 7, 2006 AND NOW . , 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 July 24. 2001 described therein be admitted to probate and filed of record as the last will of Fayetta K. Page and Letters 'T'P ~ r .::Jmpn r.q ry are hereby granted to Ani ta L. Bogert, Executrix ~'1?cr/:C?I/U<- ye;~A"') L . ~( t/rf!I:(;rp7~" /J"?? // ~jC/ J/ ~--1;..,:~ / ~w~~ / Y if C" t) Probate, Letters, Etc. . 0 0 0 . . 0 .. $ Sh C of' (I.) $ ;! Lr (;, L) . art ertl lcates ~ . . . 0 0 . . . . . . J,/ t ) $ / r / J RenUIICiafibn \1;- 0 0 0 \ 0 0" 0 0 0 0 0 0 0 ) . G v el:}.; f+J /7) $ ;' ('--- r/ TOTAL _ $ :// lot tn) Filed ..... ..'1f ~ p. ~ . . . . . 0 . 0 0 0 . . 0 . . 0 . 0 . 0 FEES Albert Z. Bogert, Esq. Sup. Ct. ID # 06350 ATTORNEY (Sup. Ct. I.D. No.) P. O. Box 314 Machanicaburg. FA 17Q55-03]4 ADDRESS 717-697-1918 PHONE \ ~ ( . ;~ "ll'l"uh that the mfmmation here given is correctly copied from an original certificate of death duly filed with me as ! Rl'~istl"ar Thl' on~ll1al certificate 'vvill he forwarded to the State Vital Records Office for pcrmancnt filing. ; I-O~/6"7\ ( ckt..1'l ~ WARNING: It is illegal to duplicate this copy by photostat or photograph. F~l' tor this certificate. $6.00 :\(1. /OIIilifiiliXij7;;/- #~'~~,\\ OF it;;---__ /.,.~\,.f'~-~4: - 4\\\'~/ ...... ____ '{;-"=:. ;~~_Ol!.l.a. \~~ i~ '""'!. . ~~ '"7" ~~: - .~. \~~ ~=I aF I-~ ~...c...." . .'1.". ".h~ \ * \,..- .' -~ .. ~/ * ~ ~ a\ ...~_. /~,~ ~~~" .' //~/ ~- :t-?~ .. / ~'r.\\\ ~ !MENf\\~~'ltl' '~'''J'///''o'UIIJIIJ/I , Local Registrar p 12410114 APR ,A: 6 ZOOB~ Dati.>'" C) ()", ;8\1.01106 :INT IN NENT ;INK 1 - Name of Decedent (Firs!, rriddle, last) COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH STATE FILE NUMBER 5- Age (Last b,nhday) 95 7. Dale of Birth Month, da . ear Dec. 27, 1910 3. Social Security NurTtler 4. Date of Death (Month, day, year) Fayetta K. Page y" . 183 _ 03 _6933 April 5, 2006 8. Birth lace C' and stale or lore = Bb, County of Death ~ Cumber land Upper Allen Twp. 6d. FacilitY Name (If nol inslnulion, give street and nurroer) /YEJliL.uih Uitl ~ 12. Was Decedent ever i 'Ihe US 13. Decedent's Education S ec n h' hesl rade co leled 14 Mar~al Status: Married. Never married, 15. Surviving Spouse (Itwite, give maiden name) Armed Forces? ElemenlarylSeccndary (0-12) College (1-4 or 5+) . WJdowed, D~rced (Specifyj o Yes ~ No 2 Wldawea ~~~~~.nca 17.. Slat. PA ~~a~~edent 17c. ~ Yes,DecedentLNedln Upper Allen Twp Towl\Sh~? Other o ERlQut alienI 0 DOA ursin Ho~ 0 Residence 0 Other. CJ. 9. ~N~ec~en~~~ ~,~s::;~~~:6uban, 10. (~:~;,:;nerican Indian, Black, WMe, etc Mexican, Puerto Rican, etc.) Whi te _ 'fT Decedent's Usual Ckc~lion (Kind 01 work done durin roost 01 workin life; do nol stale retired .Regis tetn~t'1~llrse Haspf!fft'sinew1ndUSlry 16. b~-edenl's Maili~ fI1id~ess (Stree,\citytlown, stale, zip code) 10u Mt. Allen ur. Mechanicsburg, PA 1705Q Twp. 17b. County Cumberland 17d, 0 No, Decedent Lived within Ac:tualUTMSof CilylBoro 18. Father's Name (First, rOOdle, last) 19. Mother's Name (First, middle, maiden surname) Miles Kann Bertha Whitcomb 208, Inlormant's Name (Typalprint) Anita Bogert 20b. JI:lformant's MaAing h:ldress (Street, cityllown, state, z~ code) L630 Arcana Rd., Mecnanicsburg, PA 17050 014819 L Springs, PA o Removal from State 21b. Date of Dispos~ion (Month. day, year) April 7, 2006 21c. Place of Disposition (Name ot cemelery, crematory or olher place) 21d. Localion (CityAown, slate, zip coOe) 22b. License Nurrber 23b. license Nurrber 23c. Dale Signed (Month, day, year) 25. Dale P nounced Dud (Month, day, year) t ',.5 . CAUSE OF DEATH (See instructions and exam ) nem 27. PM I: Enter the ~ - diseases, injurieS, or cOfTlllications - thai direclly caused the death. 00 NOT enter lerminal events such as cardiac arrest. respiratory arrest, or ve~tricu~r filrijlation withoul showilg the etiob.~' DO NOT abbreviate. Enter only one cause on a line, IMMEDIATE CAUSE (FIl\aId.aasa0' (I V/1- condition resulting in death) -7 a, .... Due 10 (or as a consequence o~' 24 Time ot Death /1.0 !J() M, 26, Was Case Relerred 10 a Medical ExaminerlCoroner? ~es 0 No flcproximate mterval: onset 10 death Part II: Enter other slanifr.anl condhions contribulino to death, but nol resulting in Ihe underlyina cause given in Part I. 1'f7JJ 28. Did Tobacco Use ContrtlUle to Dealh? o Yas t::J)'robab~ o No V Unknown 29. ~Ie .p Not pregnant. w~hio past year o Pregnant altlme 01 dealh o Not pregnant. but pregnant within 42 days ofdealh o Not pregnant, but pregnant 43 days to 1 year before death o Unknown if pregnant within the past year 32c. Place of Injury: Home, Farm. Street, Factory, Office Buiijing, alc. (Spacif)1 Sequentially list cooditions, if any, leading 10 the cause Iisled on Une a Enler tha UNDERLYING CAUSi' (disease or iljury thaI in~iated the events resuRing in death) LAST Due to (or as a consequence o~ Due to (or as a consequence of) 3Oa. Was an Au10psy Performed? DYes r/'NO d. ~. Were Autopsy Findings Available Prior 10 CofTllletioTl of Cause of Death? o Yes 0 No 31. Manner of Death i. Nalural 0 Homicide o Acccent 0 Pending lnvestigalion o Suicide 0 Could Nol Be Oelennned 32a. Date ot Injury (Month, day, year) 32b. Describe how Injury Occurred: 32d. Time of Injury 32e. Injury at Work? o Yes 0 No 7) 6.600 <s? (( t/-SC:: 33<J:;;& J~tl;Y' yaar) 34. Name and Address of Person Who ColT1l~ted ~ause 01 Death (lIem 27) TypeIPrinl /00 /'? r ,.4-11-e4'1 lYL 321 32g Location (Street. cityl\own, slate) M 33a, Certifier (check on~ one) Certifying physician (Physician certifying cause 01 death1Vhen another physician has pronounced death and cofTl)leted l1em 23) To lhe best of my knowledge, death occurred due to the cause{s) and manner as stilted .......................... Pronounclng.and certttying physician (Physician both pronouncing death and cer1.ilying to cause 01 death) To the best 01 my knowledge, death occurred at the time, date, and plice. and due 10 the cause(s) iilnd rT1iilnner as stated.., Uedk:al examlnerlco~ner On the ~sis of examination and/or Investigation, In my opinion, death occurred at the time, date, and place, and due to the cause(s) and manner as stated ........0 ~istrar;natu"andDisirictN I eXl / 102-..1 /1 /1 36;teF;;0;;;')c. m.m.......m.mmX /l}t',(IJ!Z/J I CS hu/ AA,/70~\ (See instructions and examples on reverse) iEClSt Bill Club ffic6t&11tcnt BE IT REMEMBERED THAT I, FAYETTA K. PAGE, of the County of Cumberland and Commonwealth of Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this to be my LAST WILL and TESTAMENT, hereby revoking and making null and void any and all Wills and Codicils, or writings in the nauture thereof, at any time heretofore made by me. 1. As my Personal Representative, I appoint my daughter, ANITA L. BOGERT, Executrix of my LAST WILL. In the event my daughter is unable to qualify or ceases to act for any reason as Executrix, then I appoint my daughter, MYRNA A. MORGAN, to succeed as Executrix of my LAST WILL. 2. I direct that my funeral and burial expenses, and my just debts, be paid from my ESTATE as part of the administration of my ESTATE. 3. I direct that all taxes assessed and payable because of my death, be paid from my residuary ESTATE as part of the administration of my ESTATE. 4. For all purposes of this LAST WILL, my ESTATE shall mean and include l ~ 0", ~ all real and personal property of any kind and every nature whatsoever, wherever situate, in which I may have any interest at the time of my death, including any property over which I may have power of appointment. 5. I give, devise, and bequeath all of my ESTATE to my daughters, ANITA L. BOGERT and MYRNA A. MORGAN, in equal shares, but if either fails to '~ \j i ,,- <) survive me, then all to the survivor. 5. In the event my daughters both fail to survive me:then I give, devise, and bequeath my ESTATE in equal shares to those of_my, grandchildren, ALLISON P. NIEMI, ANDREW Z. BOGERT, a~:~ESS1P.:_MORGA.N,- who survive me. ! . . . , 7. If any legatee, beneficiary or devisee, shall fail to survive me by thirty (30) days, I direct that shall be deemed to have survived such legatee, beneficiary or devisee and that this Last Will and all its provisions, except where specifically stated otherwise, shall be construed on this assumption notwithstanding the provisions of any law establishing a contrary presumption. 8. I direct that no Executrix appointed by this Last Will shall be required to give any bond, notwithstanding any provision of law to the contrary; but if any bond shall be necessary no sureties shall be required. IN WITNESS WHEREOF, I have subscribed my name and affixed my seal this ;2 ~ day of J u L '-I I , 2001. FAYt~~~~~fJ,!~J " " ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS: I, FAYETTA K. PGAE, 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 WILL, that I signed it willingly and that I signed it as my free and voluntary act for the purposes therein expressed. FtR~f~~K~^AG(<< /h/'~J Sworn or affirmed t9?and acknowledged Testatri x, th i s07f' day of ~L_C~j (J/ before me by FAYETTA K. PAGE, , 2001. , ,--cfCeUtLU j) ~t ct f J 711 C/I) Notary Public , Notarial Seal HValene S, Stacknick, Notary Public ampde,,! T~p" Cumberland County My CommIssion Expires Nov, 30, 2004 Member, Pennsylvania ASsociation 01 Notaries AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND We, Albert Z. Bogert, Esquire, and John G. Hanna, Jr., 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 the Testatrix sign and execute the instrument as her LAST WILL, that FAYETTA K. PAGE 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 eighteen (18) years or more of age, of sound mind and under no constraint or undue influence. ~~~ r /.~y~ ,/ cY~~' ~)~~~ Sworn or affirmed to and acknowledged before me t~(~LfL~ay of ':'.::~~Lcj- , 2001. _/ "-{qCttL( '.j ktcctil1Ccc.A Notary Public Notarial Seal Valerie S, Stacknick, Notary Public Hampden Twp" Cumberland County My Commission Expires Nov. 30, 2004 Member, Pennsylvania Association of Notaries