HomeMy WebLinkAbout06-16-06
Estate of
also known as
PETITION FOR PROBATE & GRANT OF LETTERS
No. 21-06- S-L( 0
To: Register of Wills for the
County of Cumberland
Commonwealth of Pennsylvania
JEAN I. BEECHER
, deceased.
Social Security No.
209-12-7010
The Petition of the undersigned respectfully represents that:
Your Petitioners, who are 18 years of age or older and the Co-Executors named in the Last Will of the
above decedent dated Auaust 29.2000 , and codicils dated none . The
Executor named none died . Renunciations for none attached hereto.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his last family or principal
residence at 2910 Dickinson Avenue. Camp Hill. Pennsvlvania
Decedent, then ~ years of age, died
East Pennsboro Township. Pennsvlvania
Mav 20
, 2006, at
Beverlv Health Care.
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: N/A
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 PA
(If not domiciled in PA) Personal property in County
Value of real estate in Pennsylvania, situated as follows:
2910 Dickinson Avenue. Camp Hill. Pennsvlvania
$125.000.00
$
$
$150.000.00
WHEREFORE, Petitioners respectfully requests the probate of the Last Will and Codicil(s) presented
herewith and the grant of letters testamentary thereon.
Signature(s) and Residence(s) of Petitioner(s):
rt/l~~ .c&:-.
agar. I in, Esquire
. OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
The Petitioner(s) above named swear(s) or affirm(s) that the statements in the foregoing petition are
true and correct to the best of the knowledge and belief of Petitioner(s) and that as personal representative of
the above decedent, petitioner(s) will well and truly administer the estate according to law.
Sworn to or affifZ'ed and subscribed
before me thisl Udayof
June, 2006.
~-rS 1?{( ftJiurf/! ~'"
I V Reg~re
hrJ
IV
3NOHd
898G-6vG-L ~L
. . . . . . . . . . . . t.J1~/tl'Ji"I7)' . . . . , . pal!::J
00'G98$ . . .. :lV.1O{
00'9 ~ $.... ....... !I!M JaLllO
00'9 $..'......... aa::J uOlrewolnv
00'0 ~ $.................... dOr
$ . . . . . , . . . .. (S)UO!lB!OUnUaCl
OO'G ~ $ . . . . . . . (-8- )salBO!I!lJao lJOLl8
00'0 ~8$ . , . . . . . 'oB 'sJaual 'alBqOJd
833::J
. .
U!MJI 's JaooCl
Ol palUBJ6 AqaJaLl aJB AJBlUaWBlSa.1 SJanal pUB ~ JaLlOaas '1 UBar 10 II!M lSBl aLll
SB pJOOaJ 10 pal!l pUB alBqOJd Ol paU!WpB aq U!aJaLll paqposap OOOG '6G lSnOnv palBp
(s)luaWnJlSU! aLlllBLll 033Cl030 81 .11 "aw aJOlaq palUasaJd uaaq 6u!^BLllOOJd AJoPBlS!lBS 'IOaJaLl ap!s aSJa^aJ
a4l uo UO!mad a4l JO UO!lBJap!SUOO U! '900G ' 'g ~ aunr 'MON ONV
SH3.L.L3~ d:O .LNYH~ ~ 3.LyaOHd d:O 33H:l30
.pasea~ap I H3H:l33a .1 NY31 JO atetS3
r h5<J -90-1Z .ON
i' i" l) c,~'rl1h that lhL' lllCormation here given is correctly copied from an original certificate of death duly filed with me as
R(gi,tr~lr. The ()ngin.d certificate will he forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
;'\u,
~"'/fiJ/
~~~~\\\ OF il:i-----__
;t";".~v:/ ~'J'/-"':.
~ -~. ~~
it~ ~~-.. '$\
I~ ~! ... :;;2:~
i\\\~....~ ..~')~J
"i:. ~~. . /....~\I~
.", (';<)" /.;:;:;. ,I
-:. ~L1" /'<''r ,,'
....- 'Y1tfii-" -<. 't-'\.. ,I
-....../" ENi \\'"",111'
//'0/////111111
thn.-l:;? ~~
Local Registrar
h'e for:his L'crllficltC. S6.()()
P 12412328
MAY 23 ZOQa
~1
Date
,-.''')
l Rov 01106
PRIKT IN
IANEKT
CKINK
1 Name 01 Deeedenl(Firsl. "",die. ~sl)
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH STATE FILE NUMBER
5. Age (Last bll1hday)
20,2006
81 Yrs
Other:
o ERIOul alienI 0 DOA Nursin Home 0 Residence 0 Other - S ci:
9. ~s Oeceden of ispanc Origin? 10. Race: American Indian, Black, WMe. etc
......NO 0 Yes (If yes. specify Cuban. l5peF"Yl
Mexican. Puerto Rican. ele.) W h 1 t e
2910 Dickinson Ave.
Camp Hill, PA 17011
17b. Counly
Cumberland
14. Marnal Status: Married. Never married, 15. Surviving Spouse (If wife. give maiden name)
Widowed, Divorced (5pecif}1
never married
Did Decedenl
live in a
T ownsh,,?
17d)C ~iu~~:;~Y'ed withiC amp Hill
17c.0
Yes. Decedent Lived in
Twp
C~illoro
lB. Falher's Name (Firs!, middle, Iasl)
Herman D. Beecher
19. Mothe~s Name (Firsl. middle. maiden surneme)
Anna Woods
2O.a. Informant's Name (Type/print)
Sarah W. Finnen
2Ob. Informant's Mamng Address (Slreel, cityAown. stale, zip code)
1812 Gobin Dr.,Carlisle,PA 17013
21b. Dale 01 Disposition (Month, day, year)
21c. Place 01 Dispos~ion (Name 01 cemetery, crematory or other place)
21d. Localion (C~Aown. stale, ZI> code)
o Removal from Stale
CJ Donation
Rolling Green Cern
amp Hill,PA17011
17043
Musselman FH&CS,324 Hummel Ave.,Lemoyne,PA
22c. Name and Address of Facility
22b. L~ense Number
FD-013163-L
23a. To the best of my knowledge. death occurred al the time, dale and place slaled. (Signalure and title)
LG." (t~". C'\ ;{~. (~1 .~., /t-
24 Time of Death 25. Dale Pronounced Dead (Month, day. year)
'7,;(5' M 5/cJo/C200('L
CAUSE OF DEATH (See instructlo"" and examples)
Item 27. Pari I: Enler the chain of events - diseases, injuries, or complicalions -that directly caused 1l1e death. 00 NOT enler terminal events soch as cardiac arrest,
respif'Blory arrest. or venlrcular fibrillation without showing lhe etiology. DO NOT abbreviale_ !:nler only one cause on a tine
IMMEDIATECAUSE(Finald~easeor ~+"I...-t-1. ....r-,..J.'l"<>.,~,
condihon resuhing in deall1) ----?t- a. ,
Due 10 (or as a consequence oQ.
23b. license Number
23e. Dale Signed (Month, day. year)
5 / c.2 0. J 0< C, c) (-Q
v{I-J .J&.17 J I~,L
26. Was Case Aelerred to a Medical Examiner/Coroner?
o Yes [!HI;
: Approximale inlerval:
: onsello dealh
Part II: Enter other sianiticant conditions contribulina 10 death,
but not resuhing in the underlying cause given in Part I.
2B Did Tobacco Use Ccnlribule 10 Dealh?
o Yes 0 Probably
o No ..liil(., Unkncwn
29. II Female:
~Not pregnanl within pesl year
o ?regnanl al time of dealh
o NOI pregnanl. bUI pregnanl within 42 days
of dealh
o Not pregnanl, but pregnant 43 days 10 1 year
before death
o Unknown if pregnant wfl.hin the past year
320. Place 01 Injury: Home. Farm. 51reel, Faelory. Off"e
Building, etc. (5pe<:1f;J
Due to (or as a consequence 00'
~ ~".(1. r
SequenliaHy UsI cond~lOns. il any.
leading 10 Ihe cause listed on Une a
Enler the UNDERLYING CAUSE
. (disease or injury Ihal initialed Ihe
ovenls resuhing in death) LAST,
b.
Due 10 {or as a consequence oQ'
o Yes )s.No
d
3Qb. Were Aulopsy Findings
Available Prior to CofllJletion
of Cause 01 Dealh?
o Yes 0 No
31. Manner of Death
"NaMal 0 Homici:le
o Accidenl 0 Pending Investigation
o Sutckle 0 Could Not Be Determined
32a, Dale of Injury (Month, day, year)
321. It Transportalion Injury (5pe<:1f;J
o OriverlOperator 0 Passenger
o Pedestrian 0 Other - Specify:
33b. Signature and TIlle of Certifier
32g. Location (Slreel, citynown, stale)
308. Was an Autopsy
Performed?
32b. Describe how Injury Occurred'
32d. Time o!lnjury
M.
33a. Certifier (cheel< only one)
Certttytng physiclan (Physician cenifying cause 01 dealh when another physcian has pronounced death and cof11)leted Kern 23)
To the besl of my knowledge, death occulTed due to thA.cause(sl and manl1@ras stated h.
Pronouncing and certifying physician (PhysICian both pronouncing death and certifying 10 caUS8 of death)
To the best of my knowtedge, death occurred at the time, date, and place, and due to the cause(s} and manner as stated.._.................._....~................_._............._.....O
Medical examner/coroner
On the basis 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
lure and D~trlC\ r. . 36. Dale Frled (Month. day, yeer)
n_ /'(" ;;;~::/54.t1...tfil--a.~ I ,;( I / I eiJ.. I / I" I S /.t. "3
......................................................0
?I'v~ -
""''''=
33c. License Number
1"1 .,)">. vJj~)) - L
33<1. Date Signed (Monlh. day, year)
L () .) .l'-
35
oTdt/ (
(See instructions and examples on reverse)
r" "! '(.?.
34 Name end Address of Porson Who Col1'jlleted Cause of Dealh (Ilem 27) TypelPnnt
~ '>\"""0/ ~. "f ..,..-r, "" ,.)
J'1 ~ -I' ,./.i......... \,hv.- Jl,.. /! /.
<.. r., '11\, 9,""-. 1 ~ \
J !- 0 ~ - ())c{ iJ
J 1.~ D (y'. DC; Lf D
LAST WILL AND TESTAMENT
I, JEAN I. BEECHER, of the Borough of Camp Hill, Cumberland County,
Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly
revoking all Wills and Codicils heretofore made by me.
1. I direct my executor to pay all of my debts, funeral and administrative expenses as
soon as may be done conveniently after my decease.
2. I authorize and empower my executor to sell any realty owned by me at my death
and not specifically devised herein, at either public or private sale, and to give good and
sufficient deeds therefor, in fee simple, as I could do if living.
3. I give, devise and bequeath all of my estate of every nature and wherever situate
as follows:
(a) 1/3RD to S1. Paul's United Methodist Church of Wormleysburg, P. O. Box
259, Lemoyne" Pennsylvania 17043~
(b) 1/3RD to S1. Labre Indian School Educational Association, Ashland, Montana,
and,
,
(c) 1!3RDto the Arthritis Foundation, 17 S. 19TH Street, Camp Hill, Pennsylvania~
4. I nominate and appoint Roger B. Irwin to be the executor of this my Last Will and
Testament; he is to serve as such without bond. Should he die before my death, renounce or
refuse to serve for any reason, or die leaving any of my estate unadministered, I nominate and
appoint Marcus A. McKnight, III and James D. Hughes, as substitute executors, also to serve as
such without bond, with the same powers as are given herein to my executor.
5. I hereby suggest that my personal representative retain the services of Irwin,
McKnight & Hughes, as attorneys in the settlement of my estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this 29TH day of
August 2000.
1:A~ B~C~ nllM/ (SEAL)
Signed, sealed, published and declared by JEAN I. BEECHER, the Testatrix above
named, as and for her Last Will and Testament, in the presence of us, who at her request, in her
presence and in the presence of each other have subscribed our names as witnesses hereto.
~41 ;/ -tUevxr/
~tJ4rtt~'7l~
2
ACKNOWLEDGMENT AND AFFIDAVIT
WE, JEAN I. BEECHER, CHERYL L. CLELAND and MARTHA L. NOEL, the
testatrix and witnesses respectively, whose names are signed to the foregoing instrument, being
first duly sworn, do hereby declare to the undersigned authority that the testatrix signed and
executed the instrument as her Last Will, and that she had signed willingly, and that she executed
it as her free and voluntary act for the purpose herein expressed, and that each of the witnesses,
in the presence and hearing of the testatrix, signed the Will as a witness and that to the best of
their knowledge the testatrix was, at that time, eighteen years of age or older, of sound mind and
under no constraint or undue influence.
O,,-lv>V / c0pJ,y./
JE~ I. BEECHER
t~~ r/ eI~AtrL
CHER . CLELAND
~
COMMONWEALTH OF PENNSYLVANIA
ss:
COUNTY OF CUMBERLAND
Subscribed, sworn to and acknowledged before me by, JEAN I. BEECHER, the testatrix
herein and subscribed and sworn to before me by CHERYL L. CLELAND and MARTHA L.
NOEL, witnesses, this 29TH day of August, 2000.
r !'
! My .y
. IVI e rnlJe r ~<Pen;isvi\i;:;,. :;;~:~~, ~-,:; ~~,'u71Oi ;',; oSr~ es