HomeMy WebLinkAbout08-03-06
Register of Will, Cumberland County
Estate of Eleanor C. Phillips
PETITION FOR GRANT OF LETTERS
J. \ - d-()()\c - bLD~
No.
also known as
, Deceased
Social Security No. 166149069
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE "A" OR "B" BELOW:)
n A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut rix
UU Decedent, dated C f j .'(J, I; /e) and codicil(s) dated n/a
William C. Phillips havinQ died on December 3, 1994
named in the Last Will of the
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 incapacitated:
o
B. Grant of Letters of Administration
(c.I.a., d.b.n.c.l.a.: pendente lite, durante absentia; durante minoritate)
Petitioner(s) after a proper search has/have ascertained the Decedent left no Will and was survived by the following spouse
(if any) and heirs:
I Name Relationship Residence I
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(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family ij:principal
residence at 135 West Biddle Street, West Fairview, East Pennsboro Twp, Pennsylvania 17025
(list street, number and municipality)
Decedent, then 86 years of age, died April 18 ,2006 ,at Beverly Health Care Center
(Location)
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 ........................................................................................ $
Total ..................................................................................................................... $
3,500.00
26,420.00
29,920.00
Real Estate situated as follows:
1135 Biddle Street, West Fairview, East Pennsboro Township, Cumberland County, PA 17025
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 appropriate form to the undersigned:
Typed or printed name and residence
Sher L. Deibert
16 Hummel Avenue
Cam Hill PA 17011
RW-7
Oath of Personal Representative
Commonwealth of Pennsylvania
County of Cumberland
The Petitioner(s) above-named swear(s) and 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(s) of the Decedent,
Petitioner(s) will well and truly administer the estate acco~d!fl~ to la~. . _I' (i<~
Sworn to and affirmed and subscribed ~) .. "-- /U f.,.,;;/ ~0 AY.....et...t..e /.
before me this "3 day of
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DECREE OF REGISTER
Estate of Eleanor C. Phillios
Deceased
No, ~\. atb\o.t\o~
also known as
Social Security No: 166149069 Date of Death: 4/18/2006
AND NOW, ~ YnA(~l':~~' ,2006 , in consideration'of-the PetitiGln
on the reverse side hereon, satisfactory pro f haVing been presented before me, . .
IT IS DECREED that Letters ~ Testamentary 0 of Administration
I
(c.I.a., d.b.n.c.l.; pendente lite; durante absent(a; dur<lHlii minoritate)
are hereby granted to Sherry L. Deibert
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in the above estate and that the instrument(s), if any, dated
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
en
Letters .................................... $
~cP
"do-. .J-QL-Jl\L(
>'ct!,
FEES
Extra Pages (
$
$
$
$
$
$
Inventory & Tax Forms............. $
Other ..............~~.......... $
dO oD
~ 'S. DC
L/kl,
/ - Attorney
---
Short Certificate(s) .....?.....
Renunci3tion ..,...\.:;,?)\\.........
Affidavit (
) .......................
)............ ..
Codicil .................................
JCP Fee .................................
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Attorney: Susan H. Confair
1.0. No: 70241
Address: 2331 Market Street
Camp Hill
Telephone: 717-763-1383
DATE FILED:
PA 17011
TOTAL .............................$
li-to .00
RW-7A
Cumberland County
Estate of Eleanor C. Phillips
OATH OF SUBSCRIBING WITNESS
'a \. ~l)l:\o' D\oYLo
No.
also known as
, Deceased
Mario R. Magaro
(each) a subscribing witness to the 0 codicil(s) I&) will(s) presented herewith, (each) duly qualified according to
law depose(s) and say(s) that she/he/they was/were present and saw the above Testator(rix) sign the same and
that she/he/they signed as a witness at the request of the Testator(rix) in her/his/their presence ancO in the
presence of each other I&) in the presence of the other subscribing witness(es).
. ) '. 1 .
~~i!~~ ( . . ttc) t ... ,~~/
" / f C.__, /, (Signature)
--' Mario R. Magaro
816 S. Humer Street, Enola PA 17025
(Address)
(Signature)
(Address)
Sworn to or affirmed and subscribed
'111~
before me this (I .
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!2CLr'.-<..:eeMMeNWEALTH OF PENNSYLVANIA
Notarial Seal
Deborah L. Brenneman, Notary Public
Camp Hill Boro, Cumberland County
My Commission Expires June 18, 2010
Member, Pennsylvania Association of Notaries
C)'~I
No/Public
My Commission Expires:
(Signature and seal of Notary or other
official qualified to administer oaths, Show
date of expiration of Notary's commission.)
NOTE: To be taken by officer authorized to administer oaths. Please have
present the original or copy of instrument(s) at time of notarization.
RW-2
Cumberland County
Estate of Eleanor C. Phillips
OATH OF SUBSCRIBING WITNESS
~ \ - ()\0- D~~
No.
also kno'vvn as
. Deceased
Robert E. Radebach
(each) a subscribing witness to theO codicil(s) IlJ wHits) presE3Jltedherewith, (each) duly qualified according to
law depose(s) and say(s) that she/he/they was/were pre~~nd sJw the a? e I stator(rix) sign the same and
that she/he/they signed as a witness at the request of v' Test r(rix) in Jer/his eir pres nee ancQ in the
presence of each other !El in the presence of the oth eri g wityl6s; s). It
.I
Robert E. Radebach
912 N. River Road, Haiifax
PA 17032
(,I\ddress)
(Signature)
(Address)
Sworn to or affirmc<<:9 ~~scribed
before m this (~J day of
COMMONWE.ALTH GF PE.NNSYLVANIA
NOTARIAL SEAL
JOANN.E M. HOFFMAN, Notary Public
Halifax Twp" Dauphin County
My CO'."I7l'.!_;o~.~EJ(fJ;~.~!~,~ 17,.gOIO
(Signature and seal of Notary or other
official qualified to odrninister oaths. Show
date of expiration of Notary's commission.)
NOTE: To be taken by officer authorized to administer oaths. Please have en
present the original or copy of instrument(s) at time of notarization.
P'Af-2
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APR 2, 1 2006
l Rev 01106
PRINT IN
UNENT
CK INK
1 Name of Decedent (First. '!"lied Ie, last)
~ \ - ()~- (J\0~
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
STATE FILE NUMBER
\
4 Dale Qf Death (Month. day, yearr
C'
Apr.18,2006"
86 v"
3. Social Securrty Nurrner
Phi 11 i
5 Age (Laslbtrthday)
Cumberland
East Pennsboro
Other
o ERiOul alient 0 DOA 0 Nursin Home 0 Residence 0 Other. 5 ci
9. ~~ec~er1~~~ ~1~s::s~~p~r~f;~Uban, 10 (~~~~!:er;can Indian, Black, Whrte, ete
Mexican. Puerto RlCar!, elc,) W hit e
most at workin life; do not state relired
KindofBusines~ndustry
home
DYes
Oecedenl's
Actual Residence
13. Decedent's Education S eci
ElementaryISecondary(O-t2)
12
170 Slal, ~!lnsy 1 van i a
Cumberland
17b. County _~_______
hi hest radeeo feted
College (t-4 or5.f-)
14. Marital Stalus Married. Never married, 15 Surviving Spouse (If wile, give mafden name)
Widowed, Divorced (Specify)
widowed
135 Biddle Street
West Fairview, PA 17025
Did Decedent
Live in a 17C.}5. Yes, Decedent Uved in _EQ...8 t P e.nn s b 0 ,x;: 0____ Twp
Township?
17d 0 No, Decedent Lrved within
Actual Limits 01 ____~.___Crtyl13oro
18 Father's Name (Firsl, m~jdle, last)
Franklin Kessler
19, Mother's Name (Firs!. middle, maiden surname)
Ruth Gulick
20a.lnlormanl'sName(Typeiprint)
2Gb. Informant's Mailing Address (Streel, cityllown, stale, zip Code)
Sherry Deibert
16 Hummel Ave.,Camp Hill,PA17011
21b. Date of Disposition (Monlh, day, year)
21c Place of Disposition (Name of cemetery, crematory or other place)
21d. Location (City!lown, state, zip code)
o Removal tram Slate
L Musselman
23b, License Number
. Ilems 24.26 must be completed by person
. who pronounces death
24, Time of Death
/j7J 3.)1 L
26
lIem 27. Part I: Enler the chain 01 events - diseases, injuries, or complications -that directly caused the death. DO NOT enter terminal events such as cardiac arrest,
respiratory arrest, or ventricular fibrillation without showing lhe etiology. DO NOT abbreviate. Enter only one cause on a line.
IMMEDIATE CAUSE (Final disease or C () \ fY') L&-
condllion resuning In death) ---7 a. ,
Due to (or as a consequenceoQ: \_;... _ f\ Db l \
SequenliaIly Iisl conditions. ifany r J~ 31
; leading la lhe C2L1Se listed on Linea
Enter the UNDEAL YING CAUSE
(diseaseorinjurythalinitiatedlhe
evenls resuning in death) LAST
o Yes 0 No
: Approximate intervaJ: Parlll: Enter other sianificant conditions contributinQ to death, 28 Did Tobacco Use Contribute to Death?
: onsel10 dealh but not resulting in lhe undellying cause given in Partt 0 Yes 0 Probably
o No 0 Unknown
3Oa. Was an Autopsy
Performed?
32b. Describe howfnjury Occurred
29 HFemale
o Nalpregnanlwithinpaslyear
o Pregnanlallimeofdealh
o Nolpregnant.bulpregnanlwrthin42days
ordealh
o Notpregnanl, but pregnant 43 days 10 1 year
beforedealh
o Unknown if pregnant wilhin the past year
32c Place of injury' Home, Falm. Slleet. Factory, Office
Building, elc. (Spedfy)
Quelo (or as a consequence 00
Due 10 (or as a consequence oQ'
DYes Jl- No
30b. Were Autopsy Findings
Available Prior 10 Completion
01 Cause of Dealh?
DYes 0 No
31 Manner of Death
32a.Daleoflnjury(Month.day,year)
Passenger
JiI Nalural
o ACCIdent
o Suicide
o Homicide
o Pendinglnvestigalion
o Could No! Be Determined
32d. Timeo! Injury
321
32g Locallon(Streel,cilyr'town,slale)
33a Certifier (check only one)
Certifying physician (PhysK:ian certifying cause of death when anothe' physK:ian has pronounced dealh and completed Item 23)
To the best of my knowledge, death occurred due to th$.cause(s) and manner as stated ___,.____._._
ProllOunc;ng and certifying physician (Physician both pronouncing death and certifying 10 cause o'dealh)
To the best of my knowledge, death occurred at the time, date, and place. and due to thecause(s) and manner as stated
Medical examiner/coroner
On the basis of examination and/or investigation, in my opinion, death occurred at lhe lime, date, and place, and due to the cause(s) and manner as stated. ......D
36. Date F'iled (Month. day. year)
.... . . .......... . . ....... .. ....................0
33d. Date Signed (Month. day, year)
.......0
34. Name and Address of Person Who Completed Cause of Death (lIem 27) TypeJPrinl
",
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(See instructions and examples on reverse)
LAST WILL AND TESTAMENT OF ELEANOR C. PHILLIPS
I, ELEANOR C. PHILLIPS, of the Borough of West Fairview, Cumberland
County, Pennsylvania, being of sound and disposing mind, memory, and
understanding, hereby declare this instrument to be my Last Will and
Testament, revoking any and all wills and codicils by be heretofore
made.
ITEM I. I direct that the expenses of my last illness and funeral
and all of my just debts be paid from my Estate as soon after my
decease as is convenient in the judgment of my personal representa-
tive.
ITEM II. I direct that all transfer, estate, inheritance, sucession
or other death taxes (including interest and penalties thereon, if
any) imposed or payable by reason of my death shall be paid from my
Estate at such time or times as my personal representative deems
advisable.
ITEM III. If my husband, WILLIM1: C. PHILLIPS,
survives me by ~ixty
. I
(60) days, then I give, devise and bequeath the entire rest, residue
and remainder of my Estate, real, personal and mixed, of whatsoever
nature and wheresoever situate unto my husband, 1iHLLIM1 C. PHILLIPS.
ITEM IV. If my Husband, WILLIA.M C. PHILLIPS, does not survive me by
sixty (60) days, then it is my express direction that all of my
estate be converted to cash, by either public or private sale as
deems proper in the judgment of my personal representative, and the
entire rest, residue and remainder of my said Estate after conversion
to cash I give, devise and bequeath in four (4) equal shares, per
stirpes, to my four (4) daughters, as follows:
1. One Share to SHERRY L. DEIBERT of Lower Allen Township,
Cumberland County, Pennsylvania.
2. One Share to PATRICIA R. ~~GARO, of West Fairview
Borough, Cumberland County, Pennsylvania.
3. One Share to FLORENCE E. BANNER, of West Fairview
Borough, Cumberland County, Pennsylvania.
4. One Share to MELVA M. GINGERICH, of the Borough of
Schuylkill Haven, Schuylkill County, Pennsylvania.
ITEM V. I nominate, constitute and appoint my husband, WILLIAM C.
PHILLIPS, as Executor of this my Last Will and Testament. In the
event that my said husband should be unwilling or unable for any
reason to serve as my Executor, then I nominate, constitute and
appoint my daughter, SHERRY L. DEIBERT, as Executrix of this my
Last Will and Testament, and I further direct that no bond shall
be required of either of these persons to serve as my Personal
Representative.
IN WITNESS WHEREOF,I have hereunto set my hand and seal to this my
Last Will and Testament, consisting of two (2) typewritten pages,
each bearing my signature, this
day of October, A.D., 1979.
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6----/:2'a~LIV (! / ulu. !!IlfoAL/ (SEAL)
ELEANOR C. PHILLIPS j
WITNESSES:
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