HomeMy WebLinkAbout07-19-06
Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Estate of Stella Fay Richardson
also known as
No. 21-06- ,
, Deceased
Social Security No. 185-07-5638
Linda Elaine Burd
Petitioner(s), who is/are 18 years of age or older, appl(ies) for:
(COMPLETE 'A' or 'B' BELOW)
~ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the
the Decedent, dated 03/04/1991 and codicils dated
Executrix
named in the last Will of
State relevant circumstances, e.g., renunciation, death of executor, etc.
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents
offered for probate; was not the victim of a killing and was never adjudicated incompetent:
Decedent was married to George Herbert Richardson. He diecbn March 18, 2003
o B. Grant of Letters of Pdministration
(c.t.a; d.b.n.c.ta; pedente lite; durante absentia; durante minoritate)
Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs:
r Name Relationship Residence 1
-.
(COMPLETE IN ALL CASES:) Atach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his/her family
or principal residence at 210 Big Spring Road, West Pennsboro Township
(list street, number, and municipality)
Decedent, then 86
years of age, died 03/17/2006
at Greenrid
Decedent at death owned property with estimated values as follows:
(If domiciled in PAl All personal property
(If not domiciled in PAl Personal property in Pennsylvania
(If not domiciled in PAl Personal property in County
Value of real estate in Pennsylvania
situated as follows:
192,000.00
$
$
$
$
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant
of letters in the appropnate form to the underSigned:
Signature Typed or printed name and residence
Linda Elaine Surd 70 Enola Road
Newburg, PA 17240
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Prepared by the Pennsylvania Bar Association
Copyrigtt (c) 2004 form software only The Lackner Group, Inc.
Form RW-1 (1991)
Oath of Personal Representative
Commonwealth of Pennsylvania
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 tie knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will
well and truly administer the estate according to law.
Sworn to or affirmed and subscribed
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L da Elaine Burd
before me this
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day of
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For the Reg{stef k 'i:K 1~ f)
No. 21-06- C l,
I,),
, '
Estate of Stella Fay Richardson
, Deceased
also known as
Social Security No: 185-07 -5638
Date of Death:
03/17/2006
AND NOW,
, in consideration
of the Petition on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters 00 Testamentary 0 of Administration
, I
(c.I.a.; d.b.n.c.l.a.; pendente lite; durante absentia; duriWte minoritate),
c...'
are hereby granted to Linda Elaine Burd,
in the above estate and that the instrument(s) dated
3-4-1991
described in the Petition be admitted to probate and filled of record as the last Will of Decedent.
Renunciation............................... $
Attorney:
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Registerbf Wills
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Richard L Webber, ~ire
FEES
Letters.......................................... $
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Short Certificate(s)...................... $
LI.OC
Affidavits ( )...........................$
I.D. No:
49634
Weigle & Associates, P.C.
126 East King Street
Extra Pages )......................$
Address:
Cotlttil..... L.';~:.. .\.\........................ $
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Shippensburg, PA 17257
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JCP Fee.......,.....".:.......................$
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Telephone: 717 -532-7388
E-Mail:
weigleattywebber@earthlink.net
Inventory...................................... $
Other............................................ $
TOTAL............................ $
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Prepared by the Pennsylvania Bar Association Copyright (c) 2004 form software only The Lackner Group, Inc.
Form RW-1(1991)
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rhi, 1" to ccrt 1\ th:ll the infornutiol1 here given i, correctly copied from an original certificate of death duro filcl \\ith Iile a'
L"ed Regi"tr'IL 1"11,' ori.~inal cerllficall' \vill Dl' fOr\\;mkd to the State Vital Record" Office for permanent r lilli-',
WARNING: It is illegal te- duplicate this copy by photostat or photograph.
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MAR 2 (l 20D6
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Datc
Hl05.143 Rev 01106
TYPEI?RINT IN
PERMANENT
BLACK INK
.
1. Name 01 DececWll {First middle, 'asl) I' 5" 3 SocialSe<:urnyNurrtler I' Dale 01 Oealh (Month, day, yeaw ~
5 tella F. Richardson F 185 - 07 - 5638 March 17/""2006
5 Age (Las1 birtf1dal') 6 Under 1 '" Under1~ 7 Oaleol8irlh MOnlh,da . eo, , Binholace C~vand5laleor fofe' nooun( Sa. P!aceo(Oealn Checkonl\l(Ule '--
86 ) Monlhs Days Hours 1 Minutes 1 Ma r . 1,1920 ~. Mifflin Twn I ~s~::~\ffinl 100har
y" o ERlDu\ lienl o OOA Ill:! N~rSina Home o Residence o OIt1er-Soocilv-
- Bb. CounlyofOea\h ae. C~y. BolO. ,!~. of Death I Bd F"'Ii"N,me III OO,,"""",',",g''''',''',"d 00"""1 9. Was Decedenl of Hispanic Origin? 10 Race: AmElrican Indian, Black, While,stc
XI No o Yes (llyes,specityCuban, ISpwfyt
Cumb W. PennSboro Greenridge Village Mexican, Puarlo Rican, 91e.) white
.
11 Decedenl's Usual Occuoation Kind of work done durin mJs(o(workin iife;donotslatererired 12 Was Oecedenl ever in Ihe US "- Oeceden)'s EdUl'2!iDn {~jlv ~hj hesl made cOrmleled 14 Marilal Stalus: Marr~, Never married, 15 SUIVf.lint;l'SpolJSe (Il wife. gwe maden name)
Kind 01 Work j Kind of BusinessllndlJstry Armed Forces? I Elemen~rylSeCOodary((}12) I College (1-4 or 5+) Widowed, Divorced (Specify)
Cook Elementr" S~~~" DYes tu No Widowed
- 16 Decedenl's Maihng Address (Stree\. cilyJ1own, slale, lip code) Decedent's Did Decedent
210 Big Spring Rd I\:llJalAesidence 17a.Slale Pa Liveina 1k 0 Yes, Deceden\ LivBd in W. PpnnRho,t'o Twp
TownshtJ~
. Newville, Pa 17241 17il.O No, Oec&dent Lrvedwijhin
17b. ColJnty Cumb Actual Limits of CityiBoro
18 Falher'sName (Fils\, middle,lastj 19 Mother's Name (!=irsl, middle, maiden SlJrname)
Egert Mowery Bertha Oiler
2Oa. Inlormanl's Name (T ypelprirdj 20ll. Informant's Mailing Address (Strelll, cityllown, stale, zip code)
Linda E. Burd 70 Enola Rd. Newburg, Pa 17240
21a. Method of Disposition 21b. Date of Disposilion (Month,day,yearj 21c. Place of Dlsposilion (Name o! cemetery, crematory or othel place) 1210. Loc".e IC",'owe, ,to"~. "p cod,)
. Xl 8urial o Cremali.:/n o Reroova! from Slale o Donation 3/22/06 Hill
o Qther,Specify: Prospect Cern Newville, Pa
. 228 Si911al.~ ~J:meral Service Licensee (or person acting as such) l22b Li"",N,_, 1,22C. Name and Address 01 Facility 15 Big Spring A....e.
- '/r~ c. evv-- "1<\1.3 Egger Funeral Home Inc. Newville pa
Co.le Items 23a-c only when certifying 2&-1b'" 0' '"' kIlO.,,,,,,, ,,,," "'-'",,'" "th, 'im" dot, ,'" p." st"'" 15"""'10 "d "") 23b. Licel\Se NlHroer 23c.oateSign~nlh,day,year)
physdan is oot available al liTMofdealh to ' . me /"'" ) PAI/~D 309L tf?tVI c , /7/ :/ 0 U&,
cerli/yccustlollleslh< _ /L..;t 7 [..tL...- " .-1.. (r),MiQ.- \ /'0
. Items 24.2fi must be completed by person 24 Time 01 Oealh 125 Da!e Pronounced Dsad (Monlh,day,year) 26. Was Case Referred 10 a Medical uaminerlCoroner?
. WhoPfol'lCUrlCesdealh. gJ lofM (YIa.ilC t" I 0 ;;;..., D D (, ~ No
: o Yes
CAUSE OF DEATH (See Instructions and examples) Approximate Jiterval: Part Il: Enter of her sianificant cond~ions conlribulina to death, 2B Did Tobacco Use Contribute 10 Death?
Item 27. Pall!: Enter the chain of events - diseases, injuries, or complications - that directly :alJSed the death, 00 NOT enter lerminal e~en1s SlJCh as cardiac arrest, onsel/ollealh bUloolresuRingif"llhelJnderlyingcalJSegivllniflPanl DYes o PrObably
",p"'o~ "'''', PI """,,,", 1ib,,0a1k," "'''',,' '"OW'y' ,''''ogy. DO ~OT ,bb,,,.,, Eo'" '"" 0"' "u," '"' Ii", "-No o UnKnoWI)
~~~~~:~~R~~~;J:~;d~e~r e. /,~~ J-t.~ /'M!f..J!.~ 29 II Female
!3-Not pregnant w~hin past year
Sequentially list conditions, ilany, b ~o:~ j)p~~ o Pregnanlaltimeoldeath
leading to the cause listad on Line a. o NOlpregnanl,blJlpregnanlwilhin42days
- Enler!tle UNDERLYING CAUSE DUelo (or asll'consequ9Ilce oD oldeath
. (disease or injury Ihat in~iated Ihe , o Nol pl'egnal1l, but pregnant 43 clays to 1 yeef
eyentsr8Sultingmdealh) LAST Due 10 (01 as a conseqlJence oD beloredeath
d o Unknown il pregnant within the past year
3Oa. Was an Autopsy Wb. Were Aulopsy Fitldings 31 Mannelof Dealh 32a. Dale 01 IniUry (Month,day, year) 32b. Describe how InjlJry OcclJrred 32c. Place Of Injury: Home, Farm. Slreet. Factory, OffICe
Performed? Available PrKlrto COf1'llletion tJ'"Nalural o HomicidB BlJikling,elc. (Soecifyj
01 Cause of Dealh?
o Yes ITN' 0 V" o ..,-- o Accident o Parnlinglnvesti!}lllion 32d. Time 01 Injury 132' '"j,~"Wo~' 321. l!Transportalion Injury (Specify)
32g. Location (Street. cityl1:own, stale)
o SLJicidll o CotIkJ Nol a-e Delerminad DYes 0 No o OriverlOperator o Passenqer
M o Pedestrian o Olher-Specify:
3:la. Certifler(checkon~lJne) 33b.~:lJreandTdIeOfCerfi~
Certifying physltlan (Pllysician certifying caLlSe 01 dealh When another physician has pronounced dealh and completed Item (3) '/'r~ / ~ /Iv
To the best of my knowledge, df!ath occurred due to the caU5e(sJ and manner as stated ..._..._'M.....~.._............_ m........._....._ ...........m._..... ...--.... ..............m...,.O
Pronouncing and certtfying physician (Physician both pronouncing death and certifying to calJse 01 death) . 33fLiceflseNurmer 33d. Date Signed (Monlh,day,yearj
To the best or my knowledge, death occurred at fne time, date, and "w.:e, and due 10 Ihe ~use(s) and manner a~ stated..._.... ....... "_.m'" ......m_ .......w._m._ ..,..0 () 5';} tJ ) /1 tJ *- 20 /A-.=- rJ ,:
Medical examiner/coroner 34.
On lhe ba.lls of examln.llion and/or Investigation, In my opInion, death occurred at the lime, date, and place, and due 10 the cause(s) and manner as stated ........0 Nalll!l and I>iJ.dres]1 perso~1 COrnp;~ CeU~1 ~~alh (Item 27) TypelPrinl
3S)t':S::'",~.D~~':: ~-t7, \. ),.:\ Dat~ ,aed :!h:~;~:a~ (' 0 U S 1'/ i c '" flf
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH STATE FILE NUMBER
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(See instructions and examples on reverse)
Last Will and Testarflel1t
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L ~~/l:4~~____';1-,y__~~ ______ - pre~entl\ c~idil1l!;>t
----3--2 ~. ~:;j}~-1-~-~'~'!- idiZ~-u~~ 'Y7~~14___-1~_~'
do herehv make, publish and declar~:this to he my Last Will&lI1d Testament and do herch\ rC\nkc am and
all othl'l Wins and Codicils heretofore made hy me.
. ?{-I..!~,,~+..OJ /~ ',.11 -' l.~
First. I am marned to____-_'-VJ:- ~~~~~f't..L ---"'-----
Second. I order and direct that my Just dehts and funeral expenses. expenses for ad rninistr,ltioll (,f m\
estate and any inhcntance and successi.)t1 taxes. state or federaL upon my estate shall be p'lld as SO(lll after lt1\
death as may he practical
Third. I giv';: all my estate to my husband. In the event that my said husband shall predeu~ase IllC OJ
fa 1I~ to sunivc me for sixty (60) days, I give all my estate to my child ren, if any, who ...un i\C me 111 ell ual sha
per ~tirpes. 11 I am ~ur\ivcd by neither my husband, nor children, then I give my estate co:
to be his hers their... in eLlual shares or their survivor.
Fourth. I nominate and appont my hushand as Executor of this WilL In the event that 111\ hushand
sha II pn~decea~e me or fa ils to survive me or fails to serve as such Executor t hen in ~ uch nent. 'I 11()11l m:,.iJ\' and
,wpoint c::
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__~. ~.~.~ ~ _~~;-"4__~~'~ Executor Executrix of this my last \\i11 and i ('S!,IIl\:nl
I furt her direct t hat no appointee hereu nder shall he reLl ui red to give any bOlld for t he fa i l 1: tul perf, 'Ima !'C',' (\t
hiS hel duties.
Fifth. I herehy authorile my Executor Executrix to exercise all the pOWtT', rlghh. di~crl.>tlllllS ..]ql'
alld immunities eonlerred upon fiduciaries to the extent permitted by la\\ with full rO\\t'!' to ~l'li. l.:;l~,'.
mortgage. Im\'st, reimest. or other\vi~e dispose of the assets of my estate.
-!z!---------- Da\ ol'r-4~. I') Cfl
I subscribe lTl\ name to this Will this
at
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(Sign here)
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Signed. scaled. published and declared to be her Last Will and Testament by the within named Testatur
in the presence of us. who in her presence and at her request. and in the presence of each other. have hereuntll
subscnbed our names as witnesses:
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Affidavit
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City
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Personally appeared (I) "-. ~.~ ( (I \1) tl-I / 1'1 I. ( l ( (
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(2) 1) I (. v ' and (3) _________
who being duly sworned, d e and say that they attested the said Will and they subscribed the same at the
reljuest and in the presence of the said Testator and in the presence of each other, and the said Testator. signed
said Will in their presence and acknowledged that she had signed said Will and declared the same to be her
Last Will and Testament, and deponents further state that at the time of the executIon of said Will the said
Testator appeared to be of lawful age and sound mind and memory and there was no evidence uf undue
influence. The deponents make this Affidavit at the request of the Testator.
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Subscribed and sworn to before me this
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day of,L1. ,'U (j )___. 19CLL_
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(:\' otary Public)
( \; ota ry Seal)
----NOTARiAL SEAL--' -,,_.
TRACY L lEHMAN, NOTARY PUBUC
CARLISlE BORO, CUMBERlAND CO., PA.
MY COMMISSION EXPIRES MAY 16, 1994