HomeMy WebLinkAbout06-20-06
PETITION FOR PROBATE and GRA1 ?~ !,~Tf~
Estate of Helen M. Rider No. ,\ (; ," ~-
also known as To:
Register of Wills for the
, Deceased. County of Cumberland in the
Social Security No. 203-10-9668 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older and the execut rices named
in the last will of the above decedent, dated Julv 22. 1991
and codicil(s) dated
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in Cumberland County, Pennsylvania, with
h er last family or principal residence at 1 Lonaview
(list street, number and municipality)
Decedent, then 85 years of age, died 6/12/2006
at Holv Soirit Hosoital (East Pennsboro Townshio)
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 $
(lfnot domiciled in Pa,) Personal property in Pennsylvania $ 70.000.00
(lfnot domiciled in Pa.) Personal property in County $
Value of real estate in Pennsylvania $
situated as follows:
None
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters testamentary
thereon. (testamentary; administration c.t.a.; administration d.b.D.c.t.a)
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nnette Burns
Lonaview Drive, Mech. Pa 17050
C.c.,.~;
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYL VANIA } ss
COUNTY OF Cumberland
The petitioner(s) above-named swear(s) or affirm(s) that the state
true and correct to the best of the knowledge and belief of pet't' er s
tative(s) of the above decedent petitioner(s) will well and, a
Sworn to or affirmed and subscribed
before me this day of
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No.
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Estate of Helen M. Rider
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW /1; Afl.R d j It I ~ tfV &- , 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 ' 7/;1 / q /
described therein be admitted to probate and filed of record as the last will of lie k n /VJ ;(J;:( ..p r
and Letters T.( s fa /Yl.ev~
are hereby granted to Yv vh I.J;~ {}fl. I't\ a." {.. ,,}<o nJ'J -etfr ,C...H/l/J
~o~~~e~~
, ot '3~(
135
Probate, Letters, Etc.. . . . . . . . $
Short Certificates ( }...... $ / f7..
ReRJmdation. . 0,1'11. . . . . . . $ I '5
V Cpr fIV)l) $ I ~
TOTAL _ $ (/7.,,1)
Filed. . . . .b. ( ;J;V.f. () b. . . . . . . . . . . .
FEES
ADDRESS
PHONE
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This 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 pcnnancnPfiling.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
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Fee for this certificate. S6.00
P 12594090
9~/S; qOd,"
, Date
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"'~~~&~;';TO,~1Jci COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH' VITAL RECORDS
P:1RA~~NI~~T CERTIFICATE OF DEATH STATE FilE NUMBER
'-Nan;otii~c~;ni-~rt~d~~-!.ij-- - - ------ ---~ 12 Se) 'Social Secunty Nun'bel
___~_~]~~, ~_~m_~-~-;;e~___ __ _____ _-~_~=_=__1i~~ -~;---- ~-~ 9668-
:) Age (LdSIUlllluja,1 1.~.-J:l~!!!..t[!.. r.____.- _ UII~'1..EEL_I1-_0tlleolelr1hlMonth day Yearl_I~~hPlaceil.tyaMstl{eorloreKl"cOtln.!ryL _ ~~ealtl\Clleckoo1y~
Mull"l:; DQi'!. How:; I Mmule~ / / . bu Ho~Jil*aI Other
_.~~~_~._ ______ ___ _ _ ____ ..Q!..Q? 1921 ___ __ HarrlS rg, ~_ II'1n"""", 0 EHO" al,.n' 0 DOA 0 N."o ""me 0 f~.,d"'~a 0 OIh".' cd
," Co'n~ 01 De,,, . . .f>: ell, Sor. 1.p 01 Daath . J8d Fa,,"', Name (IInOI 05l"'.m gwesl"a'andnonb", . 9 ~SN~et~.n~~:'(~:S::;~~~;~uWn 10 I~:,~..an InOOn ~Ck Wh...oc
ti o=~~C;:~mOOJW0~' d~~'~~ ~~~~~~9~e=:::_ ~-:as OetOO,;.,.t{9. J:E' ~~~S ~:~~al: s-,!:~;e!: ~I~'ed.. I 14 Ma".1 ~tu~'~::~::~,~:::~a:) 15 ~~~i~;~",a (II w.le glV' nw~en namel
m KlOd o1.Work 1 KlI1d of BuslnesS/lnduslry Armed Forces'? Elementary/Secondary (0-12) College (1-4 or 5t) WKJowed, DIVOlCeo (Spediy)
~ .-!'or~__~~_______ . Dress Mal1ufacturin 0 ~__ lL_____________ Widowed
& 11:;. Deced\!nl~Ma~IfIlJAddress(Slreel citylloo\'n 5Iale.Zlpcode) ~~~~:ld€nce 173 SIdle Pennsylvania ~:e~~edant 17c Q( Yes,D~edenlll\ledWl
1 Longview Drive To.oshll'
Mechanicsburg, PA 17050 17b Coun~ ~lcll1g 17d 0 ~i~~:~~~lVadwrth'"
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.silver. Sprin <J
Twp
. Cllyilla,o
18 Falher s Name (Fir::'!. rrVdOlii!. (aslj
19 Molhel',) NJlJle (HISI, middle. maiden surname)
William Howard Conrad Jr.
----------
Viola Esther Kerns
2Oo~tormant's Mailina Address ISlree\, c~yAClwn. stale, lip code)
20a Inlo.nlc1nl'S Name (lype/pllnl)
Yvonne L. Baughman
700 Robert street, Mechanicsburg, PA 17055
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21 a Melhod 01 DlSposrtllKl
H- Bunal 0 CrematIOn
o Olllel Sptlufy
22a SignallJ'S 01 Funl;!,al ~-ltcensee (Ol-p~son aCllng-as;,UCtij-_._- ._-
-:b. < ..//
o RelTllJval ftorn Slale
o Donalun
21c. Place 01 Dispos/hOfl {Name oJ cemelBty, crematory or other place)
21d locahon (C/t'Jr1o""n. stare. lip code)
Trindle Spring Cemetery
22C Name and Address ot FacllRy
Silver Spring Twp.
8 Market Plaza Way
Malpezzi Funeral HOlle Mechanicsbur PA 17055
2Jb licBJlse Nun'bel 23c. Dale Signed {Month. cJaV. ygarl
M1> 4::{ h14\ Jt.l-l,U. 15, 2<n"
011667-L
213 To lhe tJeM 01 mv kflOwjed~e,-dearf1 occurred iilllhelllJle:-dale and plac;5ialed, (Slgnalule and lil~--~
. Ilems2426rTlJslb~COlTJlleledtJ~pelson 24 Tlmeoj6~ ---~ DaleProoourlcedDead{MOOIh day y~ - ---- ~ -~- 26 WasCasaAeJenedlaaMedlCalExamioerlCaraner?
who plOflOuhces dealh ~1_
__________ ~_ ______~ ~);.J'\~__.Ld_...aClOCa __ ______ _ 0 VesAf"No
CAUSE OF DEATH (See lnstrucUons.OO example,) : Approximate InltllVal Paf111 Enlel olller sKlflrticanf Cjl{~Ofll1buhno to dea.lh 26 Dd Tobacco Use Contltlute \0 Dealh?
!\;;m27 Polrt I. Enlt!1 U\a k!h.OO.~ - dl5t:a:ies_IfIJ1.l'i&. OJ corrplic.ahuns ~ Itlal direCl1y cau~ed ttle dealh DO NOT elller ternilnaf events suth <is cardlelC aJfo.:;l. : Ofls~t to death but nol resullin\lifllh-e undertyinguus8 given in Pari I g ~~s ~~n=n
resp11afurj arres!. or viintrculiJ, IibrillalX},r) WIIJIJUI.shuwlf)!;j the eliolo'l.( 00 NOT ilbblelJlale fnlel only one cause un a ~ne
~~~d~~I:~'~I~~~~::;d."-,-,;. ooS~'::,:~nr:5.~~~~l :,: ~~+
S~u.;(llldll)'llSICOI1dIlI01l5,llao~ \::m ~. '. ~ . _ . p\5~~_S''''~
~a,jlO~ 10 Ihl:l C03use Ic>lod onlIne a Due 10 t;r.~\ a corisequen;;-- 0 . r, -"7 :. _ -. ~ - .. ---- \'.. -'
: ~';:::::~~~::;~~N:'~t~~h: . . c ~':I~1.. . (<~~\v\,A.~6.~~.:.0 Q t}<?Q")~
I events l~ulllflQ III nealh) LAST Due 10 (or as a consequence 01) ,
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30a Was an Autops~
Pellofl1ted1
31)t:::;::'t'"lh~ ;::;n:~ll'esl~'vn. 12~..~:O.flni~r~:r:dalY.,r."0_~-tb.-. O'.5C._~r~OOw .lnjurY..~~rad._.. - _ ~._"__ __
32d Tllne of Inlury 32e UlfUr}' at Wotk? 321 II TransportatIOn lnlury (SjJeclfy) 32g. location l~n~el. cl1y",own, slate)
n SUk:lde [J Could Nvl ~ ()~(errrulled 0 Yes (J No 0 OllverlOpe.atol 0 Pas:>>enOCI
M 0 PweslTlan 0 Othel ~ $penry
5ia Certiheqcnec"kOnryone) ------~ --- ---~---~- ----~- ~ -----~ - -~--- n_ - -- '33b~STyllatlfreaIk1Tif/eotC8mtief
Ceft/t)'illi phY$k~n (PIIY1,.J<:ldfi c.:fbf)'lrHJ c;:Ju:;e vi tJedO'1 when drlolher pll~~lCia/l lias prUfluLJflted \leaHl and Lurr~leldd Ilem23) ~" If- ....J. W /
To lhe best 01 Ill)' k.now~ge, dulh occurred due to Ule C.luse(S) ~nd manner ilS 5(."'00 _ . . L1 ,.-u
Pronouncing.nd certilylng phrs~"n Wh,s<~n boll. P'OllIlUllC"'i ,,,,h a"d cel'"''''1I to call," 0' d.,,'hj 33Z-t <en:.:'N;;; .,' -~.." '=~_~_.l ---~ 33d-a". 'S'unediMoo''''daYi..~---
~:~.~:~::;:~::,,:ll', d..'h O",tred " the lime. dal', ..d place and due 10 the "usc(SI'1Id "","rKlf.. s,.,cd ..;)r . ___ __fV'\J;z ~_~ G7-...:LL__. 3~ _~ ~I _ -& 5~ (, ----'__.
On the b.i~is 01 eJ..m;ll.Jfion anl11\>f investig.aliofJ. in my opinion, death Qt:CUffed at Ihe lime, dile, and plac(',.1nd dtlf 10 Jhe C:ius(<(s) .nd n~nner ;Iii slated U J4 NiHlte ar,d Ackfrt5S 01 PiJ:rS{JI1 WilD ComflJelcrJ CaUSl:l 01 Dealh (Item 27) 1 vpeJPunl
j;-~,,~I~:u;;a~.O."ilN~[f~.;1/---- --.-.------. -:~~i~~L-t-~~..-r~~~di~~~~~y~~:.Z. hu~y~ A:n' '.(~J; ~)~~_____
- /\~~ !l~,..~----- -.-(S~-i~l~~~t~ns a~~;~~Ple-;; r~~ers~)-------.---- ..----1. I.
;21-[\ )'- t1'))I)
o yesfi NQ
a
30lJ Ware AuloPSY F.Mlflgs
Available Plll)f 10 Conl1lt:llUn
oj Causd 01 Oedlh?
o Yf:5 0 No
29 If feme1e
o Not plegnall'lrfllhin pasl yeal
o Pregoanl al lime 01 death
Q No! pregnant blJS plegnant within 42 days
olde.alh
o Not plsgnanl. but plegnaol43 days 10 1 Veal
befole dealh
nknown it pregnant withlll the past yeal
32c. Place of Ir\fury: Home, Facm. $treet. Faclo~, Otfiu
BuI~lI1g. etc (Spoalrl
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LAST 1tJILL_ ANp- TE~1AHE1~T OP HE~E.!Ltl~ RIDER
I, HELEN H. RIDER, of the Borough of Hechanicsburg,
Cormty of Cumberland and State of Pennsylvania, being of sound
and disposing mind, memory and understanding, do make, publish
and declare this my Last Hill and Testament, hereby revoking
and rnaking void any and all prior 1dills by me at any time
heretofore made.
1.
I direct the payment of all my just debts and funeral
expenses as soon after my decease as the same can be conveniently
done.
2.
I give, devise and bequeath all the rest, residue and
re~ainder of my estate, real, personal and mixed, whats6~ver "
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and wheresoever the same may be situate, to my two (2) daughters,
to hri t, YVONNE RAUG:r:HAN and JEANNETTE BURNS, share and share
alike, or to the survivor of said two, absolutely and unconditionally,
should either of them predecease me.
a.) In the event that both of my daughters, the aforementioned
YVONNE 3A'JGHHAN and JEANl'\"ETTE BURNS, should predecease me, then in
such event, I give and bequeath my entire estate, of whatsoever
nature and wheresoever the same may be situate, to my grandchildren
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who are living at the time of my death, share and share
alike.
LASTLY, I nominate, constitute and appoint my two (2)
daughters, the aforesaid YVORNE BAUGH1.1AN and JEANNETTE BURNS,
Co-Executrices of this my Last Will and Testament, and direct
that they be excused from posting bond or other security for
the faithful performance of their duties.
IN i;JITNESS vJEEREOF, I have hereunto set my hand and seal
t his IQro...
day of July, A. D., 1991.
Ii g' at? K:/.-L-~/
----:/-:...l-.{r - -.ll----=flI
. Helen M. Rider
(SEAL)
Signed, sealed, published and declared by the above named,
HEV~N H. HIDER, as and for her Last vIill and Testament, in the
presence of us, who have subscribed our names hereto as witnesses,
at the request of said testatrix, in her presence and in the
presence of each
other. ,<///)' ,~.,
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COMMONWEALTH OF PENNSYLVANIA )
,COUNTY OF ,CUMBERLAND
55.
I, HELEN M. EIDER , the testat rix
whose name is signed to the attached or foregoing instrument, having
been duly qualified according to law, do hereby acknowledge that r
signed and executed the instrument as my Last Will and Testament;
thae ! signed it willinglyj and that I signed it as my free and volun-
tary act and deed, for the purposes therein contained.
Sworn and affirmed to and acknowledged before me by
BELEN H. RIDER t the testat rix , this :.);})....)
day of July , A. D., 1991.
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
55.
We, the undersigned, J. ROBERT STAUFFER
and RUTH ANN FULWIDER , the witnesses whose names are
signed to the attached or foregoing instrument, being duly qualified
according to law, depose and say that we were present and saw the
testat rix, RUTH ANN FULWIDER , sign and exe-
cute the instrument as ~/her Last Will and Testament; that the
said testatrix , RUTH AI\m FUL\'JIDER , executed it as
~/her free and voluntary act for the purposes therein expressed;
that each of UB, in the hearing and sight of the testat rix , signed
the Will as witnessesj and that to the best of our knowledge, the
testatrix was, at the time, eighteen (18) or more years of age,
of sound mind, and under no constraint, uress or undue influence.
//
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Sworn and s~bec~1bed to before~
me this y-} J...,[ day of
July ,1991.
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