HomeMy WebLinkAbout06-26-06
Register of Wills of Cumberland County
PETITION FOR PROBATE and GRANT OF LETTERS
Estateo/31m/jP/ H ~/JuJ//L. No. ,7 J- 06~ 6s1:J-
also known as To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
, ~eased.
Social Security No. o("3(:;j~ - 5'505
The petition of the undersigned respectfully represents that:
YO,Uf petitioner(s), who iS71.afre18 years 9fage or older, and the execut..cii named in the last wi1\ of the
above decedent, dated Ju_~ / L ;-Z& /9 '79'
and codici1(s) dated
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in Cu mberbn2
Pennsylvania, with h last fa ily or,princip<ll...tesiclence at
. Q , 1Y'no<?Y' J) rJ V
(list street, numoer ana municipality)
Decedent, then 87years of age, died ~Y}e 1 D , 20Q.&, at
Except as follows, decedent did not marry, was not divorced and did not have a ild born or adopted after
execution of the wi1\ offered for probate; was not the victim ofa ki\ling 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~{) 0 6
$ ,
$
$
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented
herewith and the grant of letters
thereon.
r:} Si~ret:;1~dW'
\ (~n VfL,
(testament~; administration c.La.; administration d.h.n.c.t.a.)
~ ReS~e(S) of )itioner(S) ~ ~
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Register of Wills of Cumberland County
OATH OF NON-SUBSCRIBING WITNESS
Estate of
~muel
J--' J3 q{JuJ I vt No.
J 1- Db ()\}'2_
Also known as
, Deceased
cPorb~ A- chCl\(~ uJ I t/\.
(each) a subscriber hereto, (each) being duly ualified according to w, depose~s) and say(s) that
familiar with the signature of rn u {? H / J W f4t testat_ of (one of the
subscribing witnesses to) the codicil/will presented herewith and that _ believ'elbelieves the signature
on the codicil/will is in the handwriting of Sa m LA. e I g ~(d uJ J //\to the best of
-1JJ/- knowledge and belief.
Sworn to or affirmed and subscribed
Before~. . his ,r9 10 Y- day of
." '1Au2 , 20~
ffiJ11[;G'i JL1IULJhv.)~ L
Reglste 1 I
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Deputy
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j/(o OfAO/7 !Jure;( ))r;'ue
(Add,~ ;J /)./J "/)() "
{JClC7{JI1/ If-/;" /~u 0
(Name)
(Address)
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Register of Wills of Cumberland County
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 ofpetitioner(s) and that as personal representative(s) of the above
decedent petitioner(s) will well and truly administer the esta~e ar~in to ~~. /1. ,<;
Sworntooraffirmeg.ands~bscribed {~QZ:tlC{ 1A3J/dv0/~ /
Befor this , -/ (0 ~ ~- day of (/l
, 20 () :.; eg"
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2"
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, ~S. I frush.. '~U t.., f
Register '
t- viA Y ("6 r. t--)
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No.,~ ;. l) ill'- [) 5'7~
Estate of .S~11 t{;-f21 II t?ti (U)iyJ , Deceased
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DECREE OF PROBATE AND GRANT OF LETTERS
ANt> NOW I , t~2t , 2(,,~ in consideration of the petition on the reverse side
t- . -
h~~f,tatitaC~ry pr of having been presented before me, IT IS DECREED that the instrument(s), dated
. 7 II ! (1 1 c \ ' described therein be admitted to pro,~ate filed of record a& tlj1e la~t rill of
f I ; and Letters are hereby granted to ,';Iv- I hI!' n.1/J;, (< { '" (,\.; , ,v
FEES
Probate, Letters, Etc. ............. $
Will ................................. $
Renunciation....................... $
Short Certificates (J ) ............ $
J CP . . . . . . . . .. . . .. . .. . . . . . . . .. .. . . . ... $
A utomation Fee................... $
Bond. . . .. . . . .. . . . . . .. . . . .. . .. .. . ..... $
Total $
Filed (;: l:s-l 20{\ ("
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':fJ{L11 (111 :-../7" it ti- .kI7121S ~c~.... L.
Register of Wills ~ (.. f t 1111/~7 ~7
ClO.oD
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Attorney (Sup. Ct. I.D. No.)
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Address
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Phone
Register of Wills of Cumberland County
OATH OF SUBSCRIBING WITNESS
Estate of Samuel H. Baldwin
No.
J /'-(j U.' -S"7J-
Also known as
, Deceased
James D. Bogar
(~ a subscribing witness to the wil1/~ presented herewith, (~) being duly qualified according
to law, depose(s) and say(s) that he was present and saw
Samuel H. Baldwin , the testa~, sign the same and that
presence and
signed as a witness at the request of the testatorin h is
(in the presence of the other subscribing witness( es).
he
Sworn to or affirmed and subscribed
Before me this ;).. (p+ '-- day of
~ I AJilO , 20~
I
-;;f5,/f)f\lO cf ~
COMMOftWEAlTM Of PEMNSYlYANIA
IIm4DIAI I:nl
IOffNIE L. WilliAMS, NOTARY PUBlIC
"'IREMAHSlOWH BORO., CUMBERlAND CG.
MY COMMISSION EXPIRES APRIL 18 200t
(l~~
(Na . e) James D.~-
One West Main Street, Shiremanstown, PA 17011
(Address)
(Name)
(Address)
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Thi" is to certify that thc 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 iis illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
p
12645203
No.
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Date
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H10S 143 RC'I 011\)6
TYPE/PRINT IN
PERMANENT
BLACK INK
1 NarTk;! of Dececlenl (FIrsT mtddle, last)
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
STATE Fill NUMBEn
H. Baidw.<..rt ate -3-:~'~;;;:Nu,,;e~ _ 5505Eca""..;;.u,Z'J~
7 O~~~. Monlh.d.1. 1C"",~.ndS1''''or''''kJ'CO~_ ",_Pi.ic;;uj[lealh(C~~"nIt!>!'L__ - -=:IliYLe. _-rUoT) -
. Oc.:t.obe~7L _N et{~~_~_ ~'"'\"'nl Ll EIVOut """'~lJ~g~~u""~lton!._..p......r,~,!,,~g_~~~~___
Be CIty, 8orn, 'wp olOealh tld ! aC11rt'l Name {U llOIIoS\RUll:>f\, give ~\lt:el ana nuntler) 9 rxSN~OC~~l.:t~:~ ~~:::;:~r;l~uban, 10. /;:.)~tC4Jlll.n'han. Black Wh4~. t:lc
Camp HUt S ~ J/r";:'r..;.J. Mm';<lIl. PW"O Hcan.elC) While
13. ~e_n"SEd~~~~!Jl!.~~~~l__ 14 MarIldISl<:l[u~ Married,NevernlillrlOCl. 1~ SofW'NlIlgSpouse (lfwife,gwemal.knnaOte.l
EJemenlclrylSecondary (012) College {I-. Of 5't} Wido*ed, 1)I'fOlcoo (SpectM
._JL____ V~~Q1.~. eel
(M Uecedenl
Pennllyi.VQrt.<..a. lIve!na
Townstl~?
17b CounlV Cumbelttand
Age (laSl blf1hda~)
87 y"
8b Counly 01 Death
Cumbeltlartd
~
n 16
4
3527 Sep:tem6 €.It
Camp HUt, PA
11a Slale
N/A.
17e []
Yes, Oeeedrml Uvoo ill
T"Il
l/d~
No, Decedent! Ned wdhill
kluall.lf1k1s 01
Camp HUt
C')'/UOfO
Haltotd Batdw.<..n
19. ~~le (hrsl, middle, maden surname)
18 Falhei's Name (fltSt. rnddle. lasll
R~ehaltd H. Batdw.<..n
Unk.nown
20b lnlotmanl's Ma~ll1g MdreSS(SkeiJ!. cily~--;n. Wite, l~ code:)
273 We~:t Alte6a Avenue, HI, Helt~hey, PA
77033
20a, Informant's Name (T~'pe/pfinll
-~
21 a U~U\Od 01 DISPOSlhOn
o Burtal pi( CremallOII
o Oher. SpecIfy:
2?aS'\jnalureo nral rv Lze(:!:?fPng'>SUChl S:t.ephen R. Fd-072068L
CofTlllere Ilems 23a only when certltYlng 23a. To ltIe best 01 my kllo~ediJe. death OCCUI~he lime. dale alid pLice staled, (Signature and 11110)
physK:tao is not available af lime 01 dealh 10
certify cause 01 death
2tc. Ptaceol Dis~s.l\icm (N.ame~l;eR'lelel)l. Cle1na\o1)l 1.)4 o\hel place) J 21d lOCiloo (Clyllown, stattl. z., code)
COrt-O-Lile.. Cltema:t.oltlJ _uSc.hae66elt~:towl'!, PA 77088
22cN.moandAlldrOlSSullacd'V Tlte6z C. Bow~e.1t Furteltat Home Inc..
1J..L WeM Ma.<..n S:t.lte~, HWTI"'.etMown, PA .JJ~_
2~ (xen~ NunDer . lie ~poo I~ ~Y. YM'1
-.--~- 2fi-W:;SCase Ij~le~-to7McdicdllxantneflCotooef?--~ --_._~-~
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21lJ Date 01 DISpOsitIOn (Monlh, day. year)
o Donahoo
o Removal horn State
"
24 TmwolDnalh '/:- 3u{'M I~:al~or:':~D;'I:~9;'Y:?CV'
CAUSE OF DEATH (See ioslrUl:tions .and e.w:.amples)
Item 27 Part I Enter Ihe ~ - diseases. injlJ/ies. or coolJhcahons - Illa! dlfeclly cau~,ed Ihe dei;ilh DO NOT enlt~lltmJlmal e\lenl~ such as eardl<lC arrest,
lespualOl'120llesl 01 ven\!J;;u\;':n l'blJ\\d\lOn wltl10ul shOwllg Ihe elk);Y UO NOl abbreYldle Enlli' only one caus~on e
IMMEDIATE CAUSE IFlIlal O"ease" /). . / /.,.::, ~ I. - /,' /
condllon re,ullng In d.alll) --7 . //U" (/;C)'? UY' 'ff'1";:U ((/I/f../
DU:JP-JOf as i:I cons e 01) \ / '- / 6
Sl!qo.nll,IIy""cond,xm"lanv ,>e-14?-<I' ,J~/'" al)/I~/ .6~tr;:;'r
Ieadlflg 10 lhe cause Il5led on line a Due 10 (or as a J:.fl uenee'l) _ / ' /
: ~~~::o~~n~u~~::~;~~ !?e./)"I V(c("'/ (! 1J-"hJ<
/1 evenl:i ,esultlng In aealh) LAST dOlo' to I as a cunsequ~/1ce 01)
30a Was an Autopsy 30IJ Were AuIOP$V Ftlxhngs 31 MalltltH of Oeitlll
PerlOlmecj'l Available PrlOf 10 COflllletJon
01 Cause 01 Death?
: I ~~I
: 3 cl:p
. lIems 24 26 musl be coolllelcd by person
. W~lQ plOnounces dealt!
, Approxllnale Ifllm......l
: on:;cllo dealh
,.:
..(
II
o Yes ~No
Pdrl ii((;lefOlile, ~1~~;lt.ffi~.d;l;J-;;;~;t,"~~I;~~~.
bul nolresultlng In lilt' und~flyll\g cause fJIVellln Parll
26OdTobacco u~f.500I/bJle 10 DeaUI?--
o Yes 0 Plcbably
Jl1. No 0 Unl<"",,"
29 II FeH~1e
o Nol pregoanl""un past vear
o Pregnant al time 01 death
o NoI plegnanl. btl pl"'l""nt wihin <2 ~\'S
oIdealh
o No! Pfec}1Jnt. but pl'egnanl 43 days 10 1 year
bene death
o U,*nown d preg\alll wifWI me past Veal
32c f\1ce 01 Injury .~. Fa;m. Sheet. Factofy. Ofhct!
Bu<kJ11<j.eIc(~
o Yes ~No
o Ac-cidenl
o PendiltlJ IllvesligallOn
o Could Not Be Dele/intned
32;o.le 01 1"1"'1 (M.;nlh. dav-:-~l:j;;;;-D"-":-'''e "ow '''Iury Ou;U"L:;;--~ -----
32d TIH;o;inj~ 3;l~~W~~- J2jIlTIJn~f~n-ln~~rY(SfJf.:C~ty)---'~-----~--'-- 32g locali>n(S!leel.cllyl\o'ollfl.s.late)
DYes U No 0 DrlVer!Q>eralor 0 Passenger
o Pedestri.clf\ 0 O\hef. SpeCIfy
Cl(Nall.nal
o HOlllK:lde
DYes 0 No
o Swede
M
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t--:
~
8
u
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o
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~
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33a Cer1itier (check only one)
Certifying physk:ian (Physician certifying cause 01 dealh ..hen another physician has PlOflOUnced death and completed llem 23)
To the besl 01 my knowledge, death occurred due to the c.a\.lse(s) and manner as slated ....
Pronouncing and certifying physic;:ian (Phvsician bolh pronouoctng death. and certltyln'J \0 cause 01 de-a\ll)
To the best or my knowledge, death occurred at the lime, dale, and place. and due ~o Ihe cause(s) .lOd manner as staled... . m
Uedic.al euminerkoroner
On the b.asis of eumtnatio" andJOl investigation, in my opinion. dealh occurred lllhe lime, date, and place,.and due (0 lhe cause(s) and manner as staled.
35 fleg""a" S~;'.I~"",O:'<~No"..,er
.
. ]kIMonlh.d,v.vearl
C~~uluL~~~_,. _'Lc"
(See instructions and examples on reverse)
......0
33b Stgn.alurea~lilleOfce~ilif... --
Mc;-;;u/ du7'-Nt.:;>
31c lICense Nunber :rij- Dale SIlJfl€!d (Monlh. da~. yeall
"111032/<:' f( C_
34 Name ~ AJdrq 01 Pers,on 'IIho CoOllleled ~ause 01 Death (Item 27) T ype;Vr1l1
/c::.:ctr.~t;1.!n.tVr"' /,../" Jvlrl)
/oJ' {.Ct<VkC" ,Jfr~fl- Lt"h""'O)'r'-'/;.-{- / 7i'tL_
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E&st Ilill &ttb Westament
OF
SAMUEL H. BALDWIN
I, SAMUEL H. BALDWIN, of Fairview Township, York County, Pennsylvania,
make, publish and declare this as and for my Last Will and Testament, hereby
revoking all other Wills and Codicils heretofore made by me.
FIRST: I direct the payment of all my just debts and the expenses
of my last illness and funeral from my estate, as soon after my death as
conveniently may be done.
SECOND: I devise and bequeath all the rest, residue and remainder of
my estate of whatever nature and wherever situate Wlto my wife, NAalI H. BALDWIN,
provided she survives me by sixty (60) days.
THIRD: Should my wife, Naomi H. Baldwin, predecease me or die on or
before the sixtieth (60th) day following my death, I devise and bequeath all the
rest, residue and remainder of my estate of whatever nature and wherever situate
unto my children, BARBARA A. BALDWIN, RIrnARD H. BALDWIN, MARrnS A. BALDWIN and
JAY T. BALDWIN, or the survivors thereof, in equal shares.
FOURTH: My Executrix and personal representative shall have the
following powers in addition to those vested in them by law and by other
provisions of this Will, applicable to all property, exercisable without court
approval and effective until actual distribution of all property:
(A) To sell at private or public sale any real or personal property
for such prices as they deem proper.
(B) To compromise any claim or controversy.
(C) To exercise any option, right or privilege granted III insurance
policies or in other investments.
FIFTH: I direct that any and all inheritance, estate and transfer
taxes imposed upon my estate passing under my Will or otherwise shall be paid
out of the principal of my residuary estate.
SIXTH: I nominate and appoint my wife, NAC1v1I H. BALDWIN, Executrix
of this, my Last Will and Testament. In the event of the death, resignation or
inability to serve for any reason.wnatsoever of the said Naomi H. Baldwin, I
- ,
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nominate and appoint BARBARA A. BALDWIN, Executrix of this, my Last Will and
Testament. I hereby relieve my Executrix from the necessity of posting security
in connection with her duties as such in any jurisdiction in which she may be
called upon to act insofar as I am able by law to do so.
IN WITNESS WHEREOF, I have herennto set my hand and seal to this, my
Last Will and Testament, this /1 ~ day of $) i- f ' 1979.
d{~ #- #aA~~
, Samuel H. BaldWln
(SEAL)
Signed, sealed, published and declared by the above-named Testator as
and for his Last Will and Testament in our presence, who, at his request, in his
presence and in the presence of each other, have herelll1to subscribed our names
as attesting witnesses.
Mdress
L~ Jj zl.t..&ta~
Mdress
7
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