HomeMy WebLinkAbout05-01-06
Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
No. 21-06- '011
Estate of Virginia C. Watson
also known as
, Deceased Social Security No. 204-01-6843
Harry R. Watson, Jack K. Watson, Sr., Margaret J. Gordon, June L. Allison and Nancy J. Heddy
Petitioner(s), who is/are 18 years of age or older, appl(ies) for:
(COMPLETE 'A' or 'B' BELOW)
o A. Probate and Grant of Letters Testamentary and aver that Pefltioner(s) is/are the named in the last Will of
the Decedent, dated and codicils dated
State relevant circumstances, e.g., renunciation, death of executor, 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 incompetent:
(c.t.a; d.b.n.c.la; pedente lite; durante absentia; durante mmoritate)
Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs:
[!J B. Grant of Letters of Pdministration
Name
Relationsh~
Residence
-..J
See attached schedule
(COMPLETE IN ALL CASES:) Atach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his/her family
or principal residence at 210 Big Spring Road West Pennsboro Township, Newville, Pennsylvania 17241
(list street, number, and municipality)
Decedent, then
90
years of age, died
04/23/2006
at Carlisle Regional Medeal Center Calis Ie, PA 17013
(Location)
Decedent at death owned property with estimated values as follows:
(If domiciled in PAl All personal property
(If not domiciled in PAl Personal property in Pennsylvania
(If not domiciled in PAl Personal property in County
Value of real estate in Pennsylvania
46,000.00
$
$
$
$
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 letters in the appropriate form to the undersIgned:
Signature Typed or printed name and residence
Harry R. Watson 24 South Fayette St.
Shlppensburg, PA 17257
/"'I~JZ 0~
/(uJ~'
Jack K. Watson, Sr.
2S.M.E.
Shippensburg, PA 17257
Margaret J. Gordon
564 Middle Road
Newville, PA 17241
June L.
son
Form RW.1 (1991)
Nancy J. Heddy
In the Court of Common Pleas of
IN RE:
Estate of
Virginia C. Watson
Cumberland County, Pennsylvania
ORPHANS' COURT DIVISION
NO. 21-06- 0311
also known as
I Deceased
Social Security No. 204-01-6843
Petition for Grant of Letters
(Continued)
Name of Decedent:
Date of Death:
Virginia C. Watson
04123/2006
Name RelationshiD Residence
June L. Allison Daughter 35 Bridgewater Road
Newville, PA 17241
Margaret J. Gordon Daughter 564 Middle Road
Newville, PA 17241
Nancy J. Heddy Daughter 18 Winding Hill Drive
Mechanicsburg, PA 17055
Harry R. Watson Son 24 S. Fayette Street
Shippensburg, PA 17257
Roy Arden Watson Son 1910 Sunflower Drive
Junction City, KS 66441
Jack K. Watson, Sr. Son 2S.M.E.
Shippensburg, PA 17257
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Oath of Personal Representative
Commonwealth of Pennsylvania
County of Cumberland
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 he 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.
before me this
.tr
/ day of
~ a (Y"~
Harry R. Watson
~Ku/~~.
Jack K. Watson, Sr.
1J1~A,t~ p~
Mar ret J. ardon
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Sworn to or affirmed and subscribed
m.tl .JON;
( . /11 (I (} rfi) f/lPA ~ I)qJ ~~ L
) 1. iJ Ii " ,. Fot the Register
/IU' lfl,{..U&11 WI rvu. ~1d'
I
No.
21-06- 021 c)
Estate of
also known as
Virginia C. Watson
, Deceased
Social Security No: 204-01-6843
Date of Death:
04123/2006
AND NOW,
. in consideration
of the Petition on the reverse side hereon. satisfactory proof having been presented before me,
IT IS DECREED that Letters 0 Testamentary I!l of Administration
(c.I.a.; d.b.n.c.l.a.; pendente lite; durante absentia; durante minoritate)
are hereby granted to
Harry R; Watson, Jack K. Watson, Sr., Margaret J. Gordon, June L. Allison and NanC4V J.
Heddy, S"2 g
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~
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in the above estate and that the instrument(s) dated
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Short Certificate(s~..................... $
deScribed in the Petition be admitted to probate and filled of record as the last WII of Decedent. ..... }'.. /....~_} '~.. ~;
FEES ,. G< ~ /U<-- ;>'YlYk,S'h .-:::
nO. '. t7 "')
Letters.......................................... $ '1 ..-' . .
I;) 70-Jv:.Jo
~ 5' Attorney; Richard L Webber, Jr., Esquire
-.I
Renunciation............................... $
JCP Fee.......................................$
lO
49634
Weigle & Associates, P.C.
126 East King Street
Shippensburg, PA 17257
Telephone: 717-532-7388
Address:
Affidavits ( )...........................$
I.D.No:
Extra Pages ( )......................$
Codicil.......................................... $
weigleattywebber@earthlink.net
Inventory...................................... $
E-Mail:
TOTAL.... ........................ $
S
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Copyright (c) 2004 fO~ software only The Lackner Group, Inc.
Form RW-1(1991)
Other.. ..................... ...... ...............$
Prepared by the Pennsylvania Bar Association
Register of Wills of Cumberland
County, Pennsylvania
RENUNCIATION
Estate of
VIAGINIA C. WATSON
No.
:2 1- ('l (p - b37 tj
also known as
, Deceased
The undersigned, ,Roy Arden Watson
Son Administrator of
(Relationship) (Capacity)
the above np.cedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters be issued to
~rry R. Watson, Jack K.
, -
Watson, Sr., Margaret J. Gordon, June L. Allison, Nancy J. Heddy
'd-6fl, 7J ( "
~~ g ,y;;~ dOO~
(Signatu '
19;0 -8 flower Drive
Junction City, KS 66441
WITNESS my/our hand(s) this
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(Signature)
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(Address)
(Signature)
before me this
Swom to or affirmed and subscribed
J-6f ~
day
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(Address)
of
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No ry Public
My Commission Expires: Jj'7 I"; ~:> () V {.
(Signature amI seal of Notary or other official
qualified to administer oaths. Show date of
expiration of Notary's commission.)
NOTE: Renunciations executed outside the Office of Register of Wills
in some counties are required to be notarized.
Prepared by the Pennsylvania Bar Association
Copyrigtt (c) 2004 form software only The Lackner Group. Inc.
Form #RW-4 (1991)
"n~."r.::- ?,~\'
Thi:--, 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.
Fee foe lbis certitkate. $6.00 ~
Local Registrar
No.
~~~ z.e>o'~
Date
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12540393
90 VIS.
Bb. County 01 Death
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TYPEIPIIlNT IN
PERMANENT
BLACK INK
I Name 01 Decedenl(Fnt middle, 1asI)
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH STATE FILE NUMBEIl .
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3 Social Se<urly Nu....r
7. Da'le 01 Bir1h Monlh. da, r
Cumberland South Middleton
11. Oteedent's Usual Dee lion ind 01 work done durin IOOSI of work' ife; do not ,tale fetir
KInd or Work KOld of BusInossJIndUS1ry
Homemaker
16 DecedeIrt's Mailing Address (Streel. cilyllown. stale. zip code'
Twp. Carlisle Regional Medical Center
12. Was Oetedenl ever in lhe US 13. Oecedenr's Educat on h' hesl Ide
::~rctNo E_lary_ryt~t Co"ge(l~orS+1
::..... 17,. Stal. pennSylvania
14. Marital Stalus: Married. Nevel married,
w"rd~\S~ (Spocif)\
210 Big spring Road
Newville, PA 17241
18, Father's Name (Fill, middle, laSt)
~~onl 17e. d' Ves,Doclldenll.Nod~ W. Pennsboro
Townsh,,?
T"Il
17b. CormIy cumberland
17d, C No, Decedenl Lived wthin
Actual L.mts of
Ciy.tioro
19. MoI:her's Name (First. middle. niden surname)
Harr L. Mundorff
200. InIom1onl" Name (Typo/prill)
Elizabeth M. Long
200, Informanl's MaIno Acldress (Strllt. ~J\own, slale. z" codIJ
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Harry R. Watson
21.. _olDisposlIion
DII IluriIII D Cr_lion
o DIher.
~ 228. ~lure o~rll Service li:ense8 (or person actitg IS such)
'l.../.-.. S. ~ 9-. FD-012984-L
~..... 23e-c only _ col1itying 231. TOj;; 0I1ff/ kno'!'odge, deell1 or:cmed Illhe limo., dolO,nd pIeca otalod. (SignaIUfl ,nd !lie)
physi:lan is not .vauble .llme of dtalll to l
C8ltiIy co... 01 deell1 e.o.r. ' ..... /V..l II\J\.I.)
. ....2H6_bo~byptllSOl1 2.. T....olDeelh 25. Dal. Pronounced Dead (MonIh,doY.Yllrl
"""_l1li111.
21b. 0'11 01 Dispodion (Molllh, doy, yao~
24 S. Fayette Street, Shippensburg, PA 17257
210 PlecoolDisposilion(Hlmeofcomelery,crlll'Bloryoroll1erplaco) ~~'I&rr~ii'led,'1t'rl.ty,
spring Hill Cemetery Shippensburg, PA 17257
22<:. Namelnd_ossolfl<ili\y
o Ra""",,11rorn Stal'
o OorIIlion
Fogelsanger-Brid(er FUneral Ii:me Inc.,
231:1. Lbtnse Nurrber
17257
1
to
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3
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CAUSE OF DEATH ISle Ina\rU<tIonollllleullljllolj
"em 27, Pan I: Emer the ~ - diseases, nj,lries. Of co!ll)lations -ll\It dlredly caused She deI1h. 00 NOT enter lermNt evenb; such IS Clfliiac arresl,
respiralo. ryl"". r.o,ventri:uIet_wilhoutshl>Mlglbeeldlgy.OOKOT _. En1r::" co...kline.
IIIlEDtATECAUS.E(filoldiseese01 1k'17 -.J /7 Pet? a ,'--' - }
condum'esuIing."llalhj -'>.. _ .( a...~- _ J ""'-"
Due to Of IS a consequence oQ:
Soquontiely 1st c:ondilions, n 'ny, b.
\e&ding\o the cause Bted on lJle 8
. Enler Ihe UNPERL YlNG CAUSE
. (disuse Of injufyU\atinlilted tt\e
IVInts resu.ilg in dealh) lAST.
17 ,"''- G
.a-ris D No
: Approxilw.le inlllVll:
: OI1IeI"dIIlh
Pari II: Em_ other slonifr.nl ~nMlnn!l. f!M!rihufinn 10 deillh.
but no! resLllling in the urderIying ca.egiven in Part I
28. D~ Toboaxl Use Conlti>u1.1o 0111111
o Ves 0 P,robebly
o No iiMJ_
29. nfomele'
o NO! pragnenl wilhil pesl yesr
o PJegnam at time of dea""
o NO! pragnenl. but pr_nl wihil'2 doys
ofdealh
o Not. pregnam, blll pregnant 43 days to 1 year
beforedealh
o Unlmownlpragnenl wilh~ the pest yllr
32e. PIec:, of Injury: Home, f,rm. Street, fac:1ory, Otfic.
1Uding. .In. (SjJeci/)j
. Due to (or as a consequence oQ:
Due 10 (or as a consequence oQ:
IJ
308. Was an ~opsy
Por1ormed?
D Yes ~
d.
:lOb. Wer. Autopsy findongs
AvoIiablePriorIoCorrjJlelion
01 Cause Df 0ea1h'?
DVes ~.
31 Mannet ofDeeth
41lurat a Horri::ide
o Accident a Pending Investigalion
o SuicIle [J Coukt ~ Be Determined
32a. Del. of Injury (Monlh, doy, Yllr)
32b. Describe how Injury ()cc:u.e<l
32d. Trne oll"iurv
32g. toc:al"" (Slr..1. eiyAown, sial.)
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"'" Cerllt1er (check only one)
CetUfylng physM:ian (Physician certifying cause 01 death when anottls! pl\yMcMm has pronounced dealh and co~ecl nem 23)
To the besl of my Imowtedge. dpth occurred due 10 the eause(s) and manner as stated ..~......"...."........._..........__..._~...~.."._..",,"._."
Pronouncing and eerttfying physk:ian (Physician both prooouncinu dea.t~ and certily~ \0 cause of dea'h)
To the besl of my knowledOf. death occurred at lhe time. date.lutd place, and due to lhe caUse("lnd manner as stated._......_...."......"....."._.~...".._...."."...."......D
Medical uamlner/COfOner
On the basis of examlnalion and/or Investigation, In my opinion. d
35. Regislrar's SignatUIC and Dish::l Nunt>er
33<1. Det. Signed (Month, doY, yea,)
/7<273 C" - .:?~-of;
34 ~an~~ressoj Pe~~~U5eofD~ath (1Iem27) ~in1 , AI#-... ,~ \3
)\'P 7-1 ?7~T/( ft:" IS u (<;;,170 N't: t/"'lj'
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