HomeMy WebLinkAbout04-26-06PETITION F,.O~R PROBATE and GRANT 1O1F"LETTERS
Estate of SSSiC ~ ~ af~c~~r No. .~ (~ V lW ~ ~ ~"~ f
also known as To:
Deceased.
Socia( Security No. X66 - 07- 378'S
Register of Wills for the
County of C t~_m ~au-~o~d in the
Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older an the executoi x named
in the last will of the above decedent, dated ~te~inbPa- /b , ~zao3
and codicil(s) dated
(state relevant cirenmstances, e.g. renunciation, death of executor, etc.)
Decendent was domiciled at death in CfRM ber~ana~ County, Pennsylvania, with
ham' last family or principal residence at S~~ S Wi•so' L2ne .S~Q~ /yl~„/e „iz`~3L
~I~Qn csbur<i
(list street, number and muncipality)
Decendent, then 99 years of age, died _ ~sri% 7, ~~Da(o
at .sk.%/~d /!/l.~rsiag a~' /3efll~iv !/r%/~c ~ ~i,_ S~/
Except as follows,"decedent did ndt 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:
Decendent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property $ /S, Do0• °O
(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:
WHEREFORE, petitioner(s) respectfully req}~est(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters ~'S1`~J1P/If1cru
(testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
theron.
;, ;~
C ~,
~ ;, n o 0
~o
a9io G~;~ s C'has~ Ly~u
"~ fan,; /j11s .ai~fo/
Na
~w
~c
c
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA ~ ss
COUNTY OF e k M13 ~RL~,t/~6
The petitioner(s) above-named swear(s) or 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 represen-
tative(s) of the above decedent petitioner(s) will well and truly adminisyer the estate according to law.
~ ' f ~ ~
1,
Sworn to or affirmed and subscribed x- " ~~~ " >-- .~Yt,G-~~r- v,
before me this :` ~ day of ~,ri~lo0e. 4/.~i1~o ~~
~l . / •j'9 °~~ A
~t i;~~~~"~'.if=~ `~~% ~i'~)~'%`~ Register
No. ,;<,t{JtJ.- 0 33!J
Estate of JeS5'lf [. PotfCnt?r
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW (Lf '-j J ;;< (; I h W 2t)(J0, in consideration of the petition ;m
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated Df N' /YJ be j/ /0),~ CO:3
described therein be admitted to probate and filed of record as the last will of Ie 551 ( 6. Pc) t fen (r
and Letters
FEES
J~a '1 t'iVLL1 M1ad'a~/~
Register of ~1z'7YJ;JWV;.J; t,~7Y
f!4du p.~:tIC
A TIORNEY (Sup. Ct. I.D. No.) .3,3"~-/3
~ Cbusu- Rd./ /J1ec.hJU1./cs"u~,;JA /7os-S-
Probate, Letters, Etc. .........
Short Certificates( It, . . . . . . . . . .
Renunciation ................
$ 00
$ 1 ir
$ I
$
TOTAL _ $
ADDRESS
7/7 - 7'" -tJ2LJ'1
PHONE
Filed
I ' ;-~ (~ If 1 I t;L>n i~e(-e ~~>i~•en is a~rrrctl~~ co~aied from an ori~~inal ~ertii~irate ~~ .l~~;uf~ ci~ll~. ;l;tl ~~_,; ~~~,~ .,..
`' -~`~- ,~ ~ ~~ I_ Ill: ~L,,~_irate wi(1 be forw~uded to the Stake Vial Records Office fol ~ ~~Ir,~.,nc,l` `i'~11~_
~'
s~`Al~?~ell!`Jsa: It is illegal to duplicate this copy by photostat or photograph,
,. I,,~p~~H Of pf'-.. ~ '
rr'.~~~ ~yy~ ~~ I
r, _ _-_
~ . ~ - --- r
I\ Oc, ~ Z
i. * a d ' ~~
- -_ _ ~ 99j ~ ~ ,,,
~~~ ~..~1ENT 9Frrlj ----
,1`
_,
a
:,
-,
r~
• 5
{
I~luS iea ~r V ciJlliUt
rrPe IvrtlNr.N COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
PtkM~NEril
B`^`"'"° CERTIFICATE OF DEATH
I Name ul Dnced I(n 'I mgdl¢ last Ili STATE FIIENUMBER
-~~ ~ ~~ P~T~ C.. EI2. 2 s~ J G ~~ n~Nwn~ < Da ol0ealn,Moom da
i~~ -0~--3~as l ,¢~,1(
5 A~qa.~ (rase BalndaYl Under 1 ea I lnder 1 da 8 Dale of Binh Monih. da ~ -f~ rte/
G Mu lns f Iruus ~s e:a 7 BuN Ixe C 1 and slate or lore r 4unlr Ba %ace W Death CnecM ml one 1 zJl
Mx
ov . a5 q o ~ -~ Hcnpaal Diher
do ru,yerLUam _ ~ cry &xo wp',Irx-an ""~ V>/ ^Inpaoem ^ERi~~~mw•M ^DpA (~N:ls~n
Bd Face ,y Narie 1.1 I 5111u'ran. g re street aM nwnberl 9 ~iun ¢ ^Res den'.e ^OI ¢r op. iry
(~~ ~ A,D 1~~ ~ ~ ~sn.~ g Was Decedel IH'panlcOg 'I~No ^Yes IU Rac A.en-an nWian dlacn White ul
r, '~I ~„-'1 ~ `~..1 t~~ U, yes p¢cryc h ~ sce ry
11 pe<edent J-, a10 otp;rornr (K n t nl wax den . d m mt,sl of woM ~ I fe Qv not slaw rei red 1 12 Was Deceder 1 e r r Ne 13 Decerknfs EOu:aMn S Mealran, P no NKan el 1
K r d ~I Work x:~nd o! Buvnes511ndusUy U S Arnlest F tces+ (D¢nt1' oMy hgne5l grade ¢OmWeled) Id Mental Slalus Marravl. Never Marn¢0 75 S.rrv v r S
~(~~ M Elemenlwylsemnoa~y(a,21 ~ cale9¢(,~«s.l Wduwed, a.wc¢d (srkc~ry~ y rnu~~.u was g.¢maa¢, naR,¢I
1o OtlCHk M Nt'y P,tlA`~¢s1s 1~11¢el cityllowt~l ~~11 LL1n A IEr/~
5 Z2.5 W- ~~tJ ~# a 3 ~--- D¢cee¢nis ~A//~~~ ~t~vw' 1/ 1) d 1a 1K'1c•l ,J
~~ 1 A 9ual Resx]encn 7 )a Stele ~1 _-~`~ W (j N. I R °'° °~`~Bn1
~ Llvelna „c®reaa~aaeMl~.ed~n_~~E~a EIJ
rwP
~~ ~~~CJIA ~-(J p ~~~ ne co"nry~~~~ 1 .~~~ Townsnip?
nd ^ No oa¢edem rl~¢a w~aw,
fn F n F:n .tale lass s rclal AcwN L.dts ul
eme I cny ~ a.~a
_R ~ Is InYrsnap~¢(Firsl meal. alr>e qma, 1
/l.l N'GC r.¢
'2Ga ants N I Iype ~ Pnnil ~ ~ ~~ 1 C
N ~ 1 /, ~ ~ C • yv ` r r /~ 2CW In' i®s Matllny AdGess (Street, ury I wn dale. zep wrd , l_ J
21a Memodolp¢posioca w v^Grematlon Uu,'avann 1 1~~1 Jl 2,h Dalao,Di(''jt 1\,~`-\-N S x~ NN ~-~.S ~ 1 ~01
^Bw~al ^Ne~i~usal lit,n~lale ® sposMOn (Monty. day yexl 21%ace of DsposNOn(Name of cemetery, cremalorya odxs plarnl 'Id LdcaWn(Gfyl krwn. slam. tp code)
' Waa Cram Uon or Donallon Aulnorizad
^iltr~. s,~~,r, ;bYMadicatEa.rn;n.r,Gdron•r2 ^y¢s^Ne PR l.lo OOb m NIT IFiz E(aIST U Ql•Il.
22e w2 dl Fnnera~ Sen 22n L ~ - PA - 0 3
• I we perswt acNny as sKnl Icensa Numoel 2 c Name and Address of Fxdny
~ • ~ ~ I a3(o ~, E ~ onnE~JC. CAmp A ~ ~s n.. ~
a I 27a 'a n i ~Nry y 2Jd Ti. he fR¢I n 'Y "nUwlEdya. deelh w cwled al the I me. Gala at%1 pace t Izd (S rnalwe atld I I'uj O I
rA t hle. a .f Je~ 2. LkH Se Number 21 [:a.e Sgned iMq~ d y
r 1~, 1 a'1o3~ 2L o~ - o. ,ea,
• u an; itc nix eabn>zlsc.: 24 Tnw of L7aaln `~ _ ,
• 25 Dale Prorwnced C ad ( In. day, yea 1 26 Was Case Relerred to Medical E~ani for a Reason
n ,eat u. a n ~ ~ ~~ ~ ~ ~ - ~~ ter ~aoner omel ma Bret taiwn of G,rel ~n~
M ^ Y N
CAUSE OF DEATH (S L b and aaamplea)
4: 2.' NAR f I e 111 1 t I J _ I I t I! 1 ly ud U deaN W NOi ei 0.i lert ~al events 5uU as ca d ac attest Afryvcv r ale nterval Pd, II Enter oN w9 [cy (¢y,.Idlgnl L4lLrl~l((~i'J 1q p¢Clh 18 Dq is p art, Conln W e I< Claalf ?
- ~ yare'I or vvt ocular (b I lunw VC,ul sl ,x y nc et nkgy l I;x ly one cause on each We ~ (Hsel o4aN dtl tot result gtt ire wukdyxrg ceuseg vet iri Panl ^ iv Nrubady
IMMEDIATE CAUSE Ir a:LSeex n ~ / 'NO ninuw
1 I :s;nJnun r~>uMng m dr-i,lr. _~ 1 ~' G ~ ~t'L ! G` Lp~ ! n
w ~,„ 1 z9 II F~,n
~y-• f q I) /~~~
'?' .xv~ :mauy lot cwmmcns I c 1 Nol pmy"uul w:n~~: pwl year
~ 'ada:gncaase NSlal lw. I:.:aaa~y n~ ~i`/~~r~~ /1'/'.: ~i j.al" '~
Enier Ilse UNDERLYING CAUSE Due to (or as a av~soq~ren~.e "r) ^ Pleynuu al bme of deart~
IJisease ~r nlurr dial in~ualA lne vrn ea,~.rc ^NW pleynanl but picgrienl w~;r~i, i[deys
qAS tesulOny ui d¢alh 11 A57
D~.rol~, aaa ,ll of rm
(~„ -' ^ la,l weynam ow hay~,e"I aJ r r, I,, l r,,.,. •
u -- el oaalh
al W iAUlopsy W A 1 p yF dlge 7 Ma I0.-Ir 32a Dale of In ^ Jrxnuwn IV 3 I .. vl y,:,v
! , ~w~ 1 r YA P C ~ IurY (M~xtlh, day ye u( 32b De to How inj y Oc' W. 32c %ace 1 In x Hp F' t ~ f alur
olc c;f Damn ltl nl ^rwt tree " rvv y
Ohre Bu uN~y L (Suwdy.
W ^ Yep N~. ^ t.-s Nu ^ ~ acre ^ Pent ny Ir vest yawn 32d Ttme W Inlury 32e Iryury a, W rA~ 721 I, Transpdnalwn Inµry (Spuuyl 729 LdcalttMt of Injury I".uee1 c ly l wwn slalel
^~w:de ^coamNel~cxlerminad ^ves ^Na ^fn~~IlgY~relor P-senger ^Pmesalan
- a Candor (cne;x only onel M ^Omet .span
v
• e.mty a pny n l%~ y „y ~. . I 1 n nc l ll p, .clan n p ,d d¢em a d w~~nl,rlau uem 2s1 73 gnawre wa Tae of cemrlet
Imo, To lnoubt r yxnowladp aln«cu wd 111 ann tl•Q ____ _____ ____________________..
Ir /J u nPy p,n~ ~dnand ~¢,ry,swcvuse oluealnl ~'K-t7 /~, ~ ')
io m• beat of n y xnoMedpe ha•an «wn.d n m•ilun•, dau. and pace, .na dna ld m• u.ulq.nd m,nn•r aublgq, _ . D J~: Lxunse N.mdx/ Dele Sy IMwnn day y.:e.,
<; M•dtcalEUm /E't G V
,., on tn. wai. a
u, i In•ypalton,mmy ognwn, death occurred Mln•Ilm•, dab, p _______________' V z ` `~
r, ~ nandD~klNmdror, // and l+<.,.nad~bm.~>s'wlaFx: Irbnm,aay.ltar(~ (. O¢t .,C ,,{{ (~w¢
J3 Rey V' Wt 7G Nam¢a A o1 P¢rson Whu Cwn lad Cause of DeaVi (Vem t7 I _ //.~ L)G
o J (/ ~/J I Ype I Pnnl
~ ~ ~ ~' L. ~ ,.,, L~ 1 ~ I ~ I -~ I ~ I r. L 1 '~lx Lr y ~7
(See instruction and examples on reverse)
REGISTER OF WILI.~ OT C u m ~E'~2l~~up _ =~OUNTY
OATH OF SUBSCRIBING WITNESS
C~iS/i~,¢GES F. ~SiS/iEZOS 1 L
-~~~~
h) a subscribing witness to the will presented herewith, {eael~} being duly qualified according to
law, depose(s) and say(sj that HE' 1.~1~hS'
_ present and saw
ESS/E ~: /°o~'/C~YE77
the testatriX ,sign the same and that /`IF'
signed a a
witness a~ the
request of testatLr~._. in har presence and~^ ~'-~ --
r~° ~-~«_~~) (in the presence o~ the
other subscribing witness(es)).
Sworn to or affirmed and subscribed before
me .phis _ ~ ~ ~ ~ da ~ of
5
~ ~~
''''' ~ )~ " ~~r : ~- ~ ~
<~" ~~~~ ~'-~ ~ "(~ ~'-j Register
,~
~ --d ~ ~"~
~ G'lousc.r' /i d. ~ /fleC~2lues6cc rq. Pi9 / 70S'S
(Address)
(Name)
(Address)
REGISTER OF WILLS OF C ~c~~3~T1L~/d COUNTY
OATH OF NON-SUBSCRIBING WITNESS
--Fene~i} a subscriber hereto, (~a~- being duly qualified according to ]aw, depose(s) and says) that
~~~ ~S familiar with the signature of ~C-YS/F F. ,~oTiC~Y
~ ,
-e~ed-ie-i~-
testat-~_ of
the will presented herewith and
~_.,
that SNF believes the signature on the will is~n the handwriting of
_.,7~ESS/F E. ~T/CNE/Q
to the best of NER knowledge and belief.
Sworn to or affirmed and subscribed before
me this l cx~ day of
C~ ~ ~~~K
j ~ ',~~f ~,~:°,~ `~r' ~~.L'~j. ~ N Register
/r
"~ rJ
F~eiie%ae ,' ~~'ame)
~9/o G/.i~~u~r ~l ts~ k>a~~ /~,~,a~oa/.s , /~Y,d Z~ Yo /
(Address)
(Name)
(Address)
L
I, JESSIE E. POTICHER, of Bethany Village, Lower Allen Township, Cumberland
County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make,
publish and declare this my Last Will and Testament, hereby revoking and making void any and all
prior Wills b_y me at any time heretofore made.
1.
I direct that all my just debts and funeral expenses be fully paid and satisfied as soon as
conveniently may be after my decease.
2.
I give all clothing, jewelry and household goods and furnishings in my possession at the
time of my death unto my niece, PENELOPE BANELLO, to be disposed of by her at her sole
discretion. In the event my said niece predeceases me, then this gift and authority shall go to my
niece, PAMELA STEELE.
3.
I give all the rest, residue and remainder of my estate unto the CARE ASSURANCE
FUND OF BETHANY VILLAGE.
4.
It is hereby directed that my executor, hereinafter named, shall pay all inheritance, state,
succession and legacy taxes to which my estate or the transfer of any property hereunder may be
subjec and to charge such tax as part of the administration, payable out of my residuary estate.
5.
I nominate, constitute and appoint my niece, PENELOPE BANELLO, to be and act as
my sole Executrix of this my Last Will and Testament. In the event of renunciation, death,
resignation or inability to act for any reason whatsoever of my niece, PENELOPE BANELLO,
I nominate, constitute and appoint my niece, PAMELA STEELE, as Executrix of this my Last
Will and Testament. In the event that she is unable or unwilling to act as Executrix I appoint
ORRSTOWN BANK to be my Executor in her place and stead. My Executor shall not be
required to post bond or security.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this /~~i
`~ day
of -~le~~~, , 2003.
~~ ~ s p~,~ ~ --
~< c ~ ~~2 ~ (SEAL)
JE IE E. POTICHER
Signed, sealed, published and declared by the above-named JESSIE E. POTICI-IER as and
for her Last Will and Testament, in the presence of us, who at her request and in
her presence, and in the presence of each other, have hereunto subscribed our names as witnesses.
/-