HomeMy WebLinkAbout04-20-06
Register of Wills of Cumberland County
...
,1
Estate of T~sl1 A. S'IDU ~t1-:72
also known as
PETITION FOR PROBATE and GRANT OF LETTERS
~\-~~-~~S\
,
No.
To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
, Deceased.
Social Security No. :<
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, and the executD( named in the last will of the
above decedent, dated ~" ~'-o '1 , 200 '-f
and codicil( s) dated }
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in Lu-vv.. ~ ~.~ County,
Pennsylvania, with ~ last family or principal esidence at \.. . /J
~~\Z- ~{ AVen~ ~ A \,0 t \ ~v At \~~ \W~r
(lIst street, number and municipality)
Decedent, then ~ years of age, died tltJ n' L ~ , 2oQ.!L., at q '- s:s- ~
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:3~ \'?- ~ ~,~ ~', \ \, ~ A. l'ltC \ \
$ 5\(.41)9_0 q
$
$
$
~~ap 000
.
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented
herewith and the grant of letters
thereon.
C ~~[peti~one~s)
(testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
~lidenc; ofP~one~
&b lA.b.i(~<T;. ---Ol\A IV( { \ 1. 2,
\
\-Id 'OJ U\~'{\o58~?~n8
\4 ltlnU0 SJ,NHdUO
~o )\8318
\ 0:\ Wd 02 ~d~ ~nni
, ,~."",r I /\ ("\'Jnw/,,(y=:q
-,.1J' -( v11., .~ u I..J ..J U t..J \./ '", ~.,......
_I -' ......
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 know ledge and belief of petitioner( s) and ,at as person esentative( s) of the ove
decedent petitioner(s) will well and truly administer the estate 0 ding to a\v.
Sworn to or affirmed and ~ubscribed {
Before me tills .:2- 0 . .gay of
(I pn I ' 20 cr
~o& diU #v;Jry~i--
{fi' ~-1 ftr/!fiuf~ I Ot;1 No.
en
~.
~
2"
""I
~
~
')..\#,~\-~sS \
Estate of "',"\ ~ ~ ~~ ~ \ ~"
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW ~ \ ~ \L ~ ~ 20~ ~, 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
-:S~~. '\ \ l.. '\Jt.\-., , described therein be admitted to probate filed of record as the last will of
""'-'\~~ ~\~~ ~~~" ; and Letters are hereby granted to ~~~~~~ ~.. :.~\~~ ~~\.:{
Automation Fee. ... ...............
Bond. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....
Total
Filed '-\ -).. ~ -
FEES
Probate, Letters, Etc. ............. $
Will ................................. $
Renunciation.. . . . . . . . . . . . . . . . . . . . . . $
Short Certificates (5) ............ $
JCP.................................. $
$
$
$
20~
~\~
\S
~~ '\~" ~
~ ~.r ofWl~~ ~.~ I.f\~, ~)
. ~ \~. ~"'-'-)
~ ~~ \\~~'"
\~}. )
Attorney (Sup. Ct. I. . ..~o.
~
').~
\~
Address
~
~~~ ~
Phone
In \ ~ '\ - ~ t~ _ <:J~) S \
This is to certify that the in1'orn1ation here given is correctly copied from an original cert t'icate of death dtl:; 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.
No.
thn-/?l~
Fee for this certificate. $6.00
Local Registrar
'\')~ ~ \~~ {'\ 't,-~ .
)
,~( '<'. \. ~~ ~ \ ~\(~ ~,~~~
, "
~~~.
~ 1 0 Z[f
c- 0 0"
:;;;:. Wte >
pJ-O -0
'J3~~ ~
~f~~~ 0
'.Joo
~38-n
. :n
:0--;
):>
-0
:x
-.7"1
f)~~
~;=J C:J
(:.:)0
- ;-1 -rl
11
CO)
rTl
.'-)
';:',:,
p
12410217
o
:V 0212006
RINTIN
,NENT
:INK
,. Name 01 Decedent (First middle, last. suffix)
Theresa A. Stouffer
'-\ .' ..~~ ..~\
"v~~ ~ 'S " \~, ~
\'S ,~~~~~
COMMONWEALTH OF PENNSYLVANIA · DEPAKIMt:NI ur n~,.'\L....
CERTIFICATE OF DEATH
.~ECORDS
STATE FILE NUMBER
17011
12. Was Decedent ever in the
US. Armed Forces?
o Yes ~NO
Decedent's
Actual Residence 17 a. Slate
17b. County Cumber land
13 Decedent's Education (Specify only highest grade completed)
Ei"2ntary f Secondary (0-12l College (1-4 Of 5+)
5912
4. Date of Death (Monlh, day, yea-)
April 8, 2006
Yrs
6. Date of Birth Monlh, d , ar
7. Birth ace Ci
5. Age (Last Birthday)
56
Other
May 5, 1950
Harrisburg, PA
DooA
Nursing Home
No Dyes
~ Residence 0 Other - Specify:
10. Race: American Indian, Black, White, elc
_ j S/J!lcify)
Wh1te
11. Decedent's Usual Occu tion Kind of Y<<lI1l done durin most of worki kfe. Do nol stale retired
Kind of Work Kind oL Busines~ f IndusJry
Office Manager Exel Log1St1CS
14. Marital Status: Married, Never Married,
Widowed, Divorced (Specify)
Widowed
8d Facility Na-ne (II not inslilulion, give streel and number)
Cumberland
Lower Allen Twp.
3812 Cedar Ave. Camp Hill, PA
17c. ~ Yes,DecedenlLivedin Lower Allen
17d. 0 ~~iu~~~rived within
Twp
City f Bora
18 Falhers Name (First, middle, last, suffix)
Josh Intrieri
19. Mother's Name (First, middle, maiden surname)
Pearl Ott
2Oa. Informant's Name (Type f Print)
Tony Stauffer
2Ob. Informant's Mailing Address (Street, city f town, slale, zip code)
523 Warren St., Lernoyne,
21c Place of Disposition (Name of cemelery, crematory or olher place)
oIling Green Memorial Park
21d. Location (City f town, state. zip code)
Camp Hill, PA
23b. License Number
KtJ 2-<:;;'L 7-
Zo D (,...
26 Was Case Referred to Medical Exa-niner f Coroner for a Reason Olher tnan Cremation Of Donalion?
o Yes 19 No
DYes 0 No
31. Manner of Death
~ Natural 0 Homicide
o Accident 0 Pending Investigation 32d. Time of Injury
o Suicide D Could Not be Determined
: Approximate interval: Part II: Enter other sianificant conditions conlributino to death 28. Did Tobacco Use Contribute to Death?
: Onset 10 Death but not resulling in the underlying cause given in Part I 0 Yes 0 Probably
o . tJ Unknown
29. II Female
~ pregnant wilhin past year
o ~regnant at lime of death
D Not pregnant, but pregnant within 42 days
01 death
D Not pregnant, but pregnant 43 days to 1 year
of death
o Unknown if pregnanl WIthin the pasl year
32b. Describe How Injury Occurred 32c Place of Injury Home, Farm, Street, FacIOf'!,
OffICe Building, etc. (Specify)
=~~~~e~~~~; J;~~ dise~
c.e.. { (
Ct\rLl/~~
Sequentially list conditions, If any,
~~~1: ~~~:~ ~Zi,k
(disease or injury thai initialed the
. events resulting in dealh ) LAST.
b.
Due to (or as a consequence of)
Due 10 (or as a consequence of)
. 3Oa. Was an Autopsy
Pertormed?
:lOb. Were Autopsy Findings
Available Prior 10 Completion
of Cause of Death?
o Yes ~o
32g. Location of Injury (Street, city f town, slate)
M
33a. Certifier (check only one)
. ;:~::I:~~r~~lak~::'~: :=~c~~~= ~~~e~~~u~~~le~~~~~:~e~~.~=:~ ~e~t~ ~~ ~:~_"~ 2~)_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~
. Pronouncing and certifying physician (PhysICian bolh pronouncing death and certifying 10 cause of death)
To the belt of my knowledge, delth occurred at theUme, date, and plece, and due to the cause(.) and manner a. ItatltL _ _ _ _ _ _ _ _ _ _ _ _ . _ _ _ _ ..D
. ~~::~m~~~~~f~~~:' Ind I or inve.tigation. in my opinion, delth occurred at the time. date. Bnd pllce. Bnd due to the cause(.) Ind mlnner II Italf<!. _ ..D
i..:
33d. DA~~trth. ;;;:arl (,~
34. Name a1Address of Person Who Completed Cause of Dealh (Item 27l Type f Print j~J-'
A . f,. 1.. tAl f1, '(). J U~J'1 '-l I- S:":G .2 ()~
/..tht~, 17c'f.1
(See instructions and examples on reverse)
33c. License Number
HD'O+2/0L'L
35. Regi~Signature and ~N~
~ t..bn/n_ / ~ /C7..-1~1..t..~-d~
36. Dale Filed (Monlh, day, year)
1 ~I / ~ 1/ 1/ I
ep\wills\STOUFFER,THERESA
'J.\ -\0~- ~~~ \
LAST WILL AND TESTAMENT
OF
THERESA A. STOUFFER
I, THERESA A. STOUFFER, of Lower Allen Township, Cumberland
County, Pennsylvania, declare this to be my last will and revoke any
will previously made by me.
ITEM I:
I direct that my Executor hereinafter named shall pay
all my just debts and funeral expenses as soon as conveniently may be
done after my decease from the residue of my estate.
ITEM II:
I devise all my real property together with all its
contents, located at 3812 Cedar Avenue, Lower Allen Township, Cumber-
land County, Pennsylvania, to my son, JOSEPH A. STOUFFER.
ITEM III: I bequeath any motor vehicles which I may own at the
time of my death to RICHARD SWOPE.
ITEM IV:
I devise and bequeath all the rest, residue and remain-
der of my estate, of every nature and wherever situate, in equal
shares to my three sons, JOSEPH A. STOUFFER, CHARLES D. STOUFFER, and
VINCENT M. STOUFFER, as survive me.
Should any of my sons predecease
me, I devise and bequeath the share of such child to his issue, per
stirpes; and should any such child of mine leave no such issue living
following my death, I devise and bequeath the share of such child to
my issue, per stirpes.
ITEM V: tdl'~t~J@!9~)B~8i~n3'tate and other death taxes payable because
lUn08 S.NVHd80
of my death, with~~~t to the property forming my gross estate for
I 0 : I Wd 02 HdV 900l
Page 1 of 2
J ~ur, ~.~ r..: J,(J' rJ. :1 Cll-{l'J.-' :i l-.!
.J .,..,\')J..J.-- ...."",,--,\,..1 ~"'"
tax purposes, whether or not passing under this will, together with
any interest or penalty imposed in connection with such tax, shall be
considered a part of the expense of the administration of my estate
and shall be paid from my residuary estate without apportionment or
right of reimbursement.
ITEM VI:
I appoint my son, JOSEPH A. STOUFFER, Executor of this
my last will.
ITEM VII: No fiduciary acting hereunder shall be required to post
bond or enter security for the faithful performance of his or her
duties in any jurisdiction.
IN WITNESS WHEREOF,
C1+0
I, THERESA A. STOUFFER, have hereunto set my
day of '(OlJ\IA,(l~", > , 2006.
-- (J
hand and seal this
'-,'; !
~..
(,'
I .
.)_..,', '.' {,";'_ (C. . .;{r:':t' ( { .'
-- ~ '",,'" -'" '-.' . ";x, ),,\. . '-,
THERESA A. STOUFFER
SIGNED, SEALED, PUBLISHED and DECLARED by THERESA A. STOUFFER,
the Testatrix above named, as and for her Last Will and Testament, and
in the presence of us, who at her request, in her presence and in the
our names as witnesses.
414 Bridqe St. , New Cumberland, PA
~ Address
(\~ ~ 414 Bridqe St. , New Cumberland, PA
Witn~ Address
Page 2 of 2
Register of Wills of Cumberland County
OATH OF SUBSCRIBING WITNESS
Estate of
THERESA A. STOUFFER
No.
~\ -~~-~~S \
Also known as
, Deceased
DAVID H. STONE
KATHLEEN KEIM
(each) a subscribing witness to the will/codicil presented herewith, (each) being duly qualified according
to law, depose( s) and say( s) that THEY WERl'resent and saw
THERESA A. STOUFFER , the testat RIX, sign the same and that
THEY signed as a witness at the request of the testatRI~ h ER
presence and (in the presence of each other) (in the presence of the other subscribing witness(es).
Sworn to or affi~~ubscribed
. 20d~ .
~B:::: ~~~
Deputy
idge Street
NplAT r.llmhprl::lnrl, "PA 17070
(Address)
(N ame)
414 Bridge Street
N~w Cumberland7 PA 17070
(Address)
Vd '" 08 Ut''',r'ilt.i38V~n8
lHOOJ SiN\fr\dtJO
::10 ~831~
, 0 :, Wd 02 HdV 900l
:\()
-f" .r"' ""~"',(~\ li.\f\-,',l
"(\ j'J'1 1 '. \ iJ''''':; lh' · 1",(01
:JU J t2j]V I j....;I..J\...\",....;"'"