HomeMy WebLinkAbout06-13-06
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Register of Wills of Cumberland County
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Estate oj \
also known as
PETITION FOR PROBATE and GRANT OF LETTERS
S b;J-/i( L- No. ~ -OLD - sa. ~
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To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
, Deceased.
Social Security No.; --"2 '- () / -- 0 ~~~1~'
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The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 ye"rs of age or older, a~d the execut~ named in the last will of the
above decedent, dated /n t:J K- C ~ 1 I 0,' /q f !-j. , 20 ___ ---..
and codicil(s) dated _ I
~
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(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in (!,. f...A.vlf /:J-i2 u2l~-1 Dir cf
Pennsylvania, with 11::r last family or principal residencJ4lt-) - ( (~" I '-'/.. L" j
'-fDI.f l2~f?vfJdJ Fe(o _ :)'~'P H ,
(list street, number and municipality) ..
Decedent, then ff? years of age, died r;1.1tj !2. , 20/) Go> ,at ).')7 Prill 4r /-I/JRJI f ~ bel (':1' Ilpsl1 ria I
Except as follows, decedent did not marry, ~as nor divorced and did not have a child born or adopted after if
execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent:
County,
0~ J 70(
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: J q (.) L(
(l/~h to
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WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented
her~th and the gJ"ant of letters Ie S +4 Vvl {'.,:1:" \"'"~
,j'~::- ~ 6.~ (testamentary; a 'nistration c.t.a.; administration d.b.n.c.t.a.)
, thereon. 0:: ... ~
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Register of Wills of Cumberland County
....
OATH OF PERSONAL REPRESENTATIVE
COMMONWEAL TH OF PENNSYLVANIA
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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 according to law.
Sworn to or affmned ~nd subscribed
Before me this , ~ day of
~ 2oLllo
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No. c9J-lHo-5:}lf
Estate of~ S (-1U,L;\
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, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW ~L\.x0.l. \.3 20~, in consideration of the petition on the reverse side
hereof, satisfac ~rOOf havmg been presented before me, IT IS DECREED that the mstrument( s), dated
3- lO - let . , described therein be admitted to pr~b~te filed of record aAthe last will of
::L_LnR S C -X"l . -' J ; and Letters are hereby granted to VI c+6l'i (;..., (l f~j,~5 ()
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FEES
Probate, Letters, Etc. ............. $
Will ................................. $
Renunciation.................. ..... $
Short Certificates (4-) ............ $
JCP.................................. $
Automation Fee................... $
Bond. .,. .... ..................... .... $
l3 Total_ $
Filed lo - ~)- 0.., 20_
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Register of Wills '\. 'j- n ,. ~ ~
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Attorney (Sup. Ct. I.D. No.)
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Register of Wills of Cumberland County
OATH OF NON-SUBSCRIBING WITNESS
Estate of 0u.. VIe S.. C/J U I
No. <:21- 6l.R -5J t/
Also known as
, Deceased
(J;l:?t:~~! :~::~~e~~ ~ f7~6 1(~ heft (!, C-aLL/
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
L d J;'VI familiar with the signature of \.1 t.L PI ~ S'., r:; b {~ / , testat_ of (one of the
subscribing witnesses to) the codicil/will presented herewith and that I- believelbelieves the signature
on the codicil/will is in the handwriting of "' J u.. VI (' S ( C a t.L ( to the best of
m Y knowledge and belief
Sworn to or affirmed and subscribed
Before me this I ~~ ~ day of
CCJ~ ,20 ~
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(Nan1e)
'1oLf Dee~/P(e (J jU, r'dmt/(hlf.l/f
(Address) I / (
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This is to certify that the infonnation here given is correctly copied from an original ce:~ific~te of death du~~. filed with lne as
Local Registrar. The original certificate will be forwarded to the State Vital Records OffIce for pennanent fIlIng.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No.
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Local Registrar
Fee for this certificate, $6.00
P 12623645
hAY 3 i 2006
Date
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COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
:s:-
Yrs.
August 27, 1918
Harrisburg, PA
STATE FilE NUMBER
4. Dale of Oealh (Month, day. yea-)
Ma 12, 2006
S.
Gaul
5. Age (Last Birthday)
6. Date of Bit1h Month. d ,
7. Birth C' IWld slate or
87
8b County of Dealh
Dauphin Harrisburg
11. Decedenfs Usual most of life. Do not stl'lB 18Ilred.
Kind r:J Work Kild of Business J Industry
Clerk Retail Sales
16. Decedenl's Maiing Adlhss (Street, city f town, slate, zip code)
ad. FadIily NM1e (II not i1stitution, giw! ~t and number)
o Residence 0 Other - Specify:
10. Race: American Indian, Black, White, etc.
(Specify) whi t e
Harrisburg Hospital
12. Was Deceden! ewr In the
u.s. Armed Forces?
Dves ~No
Decedenfs
Actual RlIsidenc:e 17a. State
Pennsylvania
17b. County
Cumberland
17c.liJ Ves. Decedent Uved in
17d. D ~~~Uvadwilfin
Lower Allen
Twp.
City f Born
21b. DaI& ItDillposition (Monlh, day, ye8')
19. Mother's Name (FIfSL middle, maiden SIlmM1e)
Ada Froelich
2Ob. Infornmt's Mailing Address (S1reeI, city flawn, slate. zip code)
404 Deerfield Road, Camp Hill,
21c. Place of Disposition (Name of cerneteIy, cremaklry or oIterplace)
PA 17011
....
Resurrection Cemetery
22c. Name and Adc:i9ss of FactllIy art e mo r e
P.O. Box 431, New Cumberland, PA 17070-0431
23b, l.k:ense Number 23c. Dale Sl~ (Month. day, year)
21d. I..ocatioo (City flDwn. state, zip code)
W. Hanover Twp., PA 17112
Complele I1ems 23a-c orIIy when ceftifying
physDan is not iMIiIabIe at ime It dealh 10
0llItfy ClIlJlI8 of deaIh.
ItBms 24-26 must be c:ornpleIed by penlOIl
who pIOIlOOOCllS dealh.
24. Tnne It Death
26. Was Case Referred 10 Medical Examiner J Coroner for a Reason Other than Cremation cr Donation?
o Yes [Xl No
25. Date Pronounced Dead (Month, day, year)
2 ',2 pM. Me:.. /2 2.C00
CAUSE OF DEATH (SM Instructions and examplea)
IIIlm Zl. PART ~ Enlar 1he ~,diseases, i1juries, or ~ -thatllnlclly caused 1ha death. DO NOT enIer lermi1a1lMl1lls such as cadiac lIT1lSI,
/llIIIliaDy 8II8St. or WlI1tricu1l1'lIbriIIalionwllhout showi1g the etiology, LIsI orIIy one cause on eech 106. 'f
IMMEDIATE CAUSE (Final disease or l" , . J, I J ~ {
ccndItion RllIIiting in deaI1) ~ a. fA. -r' \ V () v\ YV\ I.'V'\ CI\. v 7 /1''''' I )
Due lD (or as 8 consequence ofT. 1::: k /1
e;; lei condIions. if 8n(, b. C ,,,I V1/')'\ '" ~ '1 .' ./ . ~ 1./' ~
kl C8IJ8l!IIiIIlId on Ine a. ~.( .. a oonsequence of)j:( I J
En1ar UNDERl YlNG CAUSE _ () . I I
(disease or !!!iWY IhaI initiafed 1ha c. ". ~ ,~. '^"", Ii\ \ vV'\
lMlIlts resulting m death ) lAST, Due lD (or as a oonsequ"nce of):
Approximate iltervat:
Onsello 0aaIh
PlI'IlI: Enter oIher significanll:llllditnl!l mnIIbdinn III dealh
but not resulting in the lI1derIying cause given in Pat I.
28. DId T oIR:to Use ContrIbute \0 Death?
D Yes 0 Probably
D No D Unknown
29. IfFemala:
D Not pregnant wilhin pas! year
o Pregnant at time It death
o Not pregnant, but pregnool wtthln 42 days
01 death
o Not pregnooL but pregnan143 days to 1 yef!J:
01 death
D Unkrll:1Nn if pregnant wilhin the pas! year
32c. Place r:J Injury: Home, FlI'IT1, SIraet, Factory,
Oftk:e Building, ele. (Specify)
i 7 7 ~.v
d.
Dyes I2rNo
D Ves D No
31. Manner of DelIlh
~NatuI1li 0 Homicide
o Aa:idenl 0 Pendlng Investigallon 32d. Tme It I~ury
o Sulckle 0 Could Not be Detllrmlned
32g. Location of Inj~ (Slnlet, city f town, slate)
30&. Wes 00 Autopsy
Performed?
3Ob. W_1odDpsy FIndings
AvalabIe Prior In CompIelIon
of Cause of Death?
M.
33a. CertIfier (check only one)
. CertifyIng phyalc:1en (PhysiciIr1 certifying cause It death ~ another physician hes pronounced death and complellld Item 23)
To the belt of my knowledge, dnth occuM'ld due to the CllUIe(a) lIlld IMI1l111r II ataIll,sI_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ..D
. ~:~a:: =::h~Um~~=:tJJ::-=,':,~a~~:=:~t~ IllII1ntr II ltattcl_ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _..D
. ~~ ~== and J or Invea1lgatlOIl, In my opinion. death oecuM'ld at !he time, d.... and place. and due to the ClUM(I) and manner ultatfl! _ ..D
35.
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ijI~at t]f June S. Gaul 0' Camp Hill
~C CO, 11_..CQmm~~wealth .
in, the County of Cumberland and~ aT .rennsylvanm,
beint of sound mind, memory and understandint do make and publish this my
last Will and Testament, hereby revoking and makint void all former Wills by me
at any time heretofore made.
,l\nb ~ir&t, ~ direct that my funeral be conducted in a manner correspondinJ
with my estate and'situation in life and that a,ll my just debts and funeral expen-
8e8 be fully paid and satisfied as soon as conveniently rnay be after nty decease.
!\nb to such estate as it has pleased God to entru~st to me, I dispose of the
same lUJ follows, vizj
1. I give, devise and bequeath all my property, of whatever nature
or kind and wheresoever situate, to my beloTed husband, Charles W. Gaul,
and I do constitute and appoint the said Charles W. Gaul to be the
executor ot this my last will and testament.
2. It the said Charles W. Gaul dies before me, or if he dies
without having probated this will, then paragraph "1" aboTe shall be null
and void, and instead thereof, I giTe, devise and bequeath all my property
of whatever nature or kind and wheresoeTer situate, to my children, share
and share alike. --.----
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J\l1h I hereby nominate, constitute and appoint daughter, III
Victoria A. Bosso to be the I
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Executrix
of this my la st Will and Testam ent.
cln :mibu.. ~~ereoff;JI June S. Gaul
the Testat or , have to this, my Will written on one sheet of paper, set my hand
and seal, this lOth day ol March A.. D. One Thousand
Nine Hundred and eighty-four (1984).
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Signed, sealed, published and declared by the abot~e named June S. Gaul
a.Y and for her last Will and Testament,
in the presence of us, who have hereunto subscribed our names at her request as
Witnesses thereto, in the presence of the said TestatJr , and of each other.
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