HomeMy WebLinkAbout08-03-06
PETITION FOR PROBATE & GRANT OF LETTERS
, deceased.
No. 21-06- t.~\O
To: Register of Wills for the
County of Cumberland
Commonwealth of Pennsylvania
Estate of GEORGE E. ANDERSON
also known as
Social Security No.
168-24-4105
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 Auqust 17.1999 , 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 310 Shady Lane, Carlisle, Pennsylvania.
Decedent, then ~ years of age, died
July 22 ,2006, at
Carlisle Reqional Medical
Center
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:
310 Shady Lane, Carlisle. Pennsylvania
$91,000.00
$
$
$108,000.00
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):
J<~ ~ ~
Kermit E. Anderson
1663 Trindle Road
Carlisle, PA 17013
( l. . I (
\,( '" ~,Leo /: .-/;;C .L
Naomi E. Anderson
310 Shady Lane
Carlisle, PA 17013
,'/S.......-
" 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 correctt9 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 affirmed and subscribed
before me this 3rd day of
August, 2006.,
, . r, , I
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, /) ---
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Kermit E. Anderson
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Naomi E. Anderson
No. 21-06- ()\ocIO
Estate of
GEORGEE.ANDERSON
, deceased.
DECREE OF PROBATE & GRANT OF LETTERS
AND NOW, Auqust 3 , 2006, 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 Auqust 17, 1999 described therein be admitted to probate and filed of record as
the Last Will of Georqe E. Anderson ; and Letters Testamentarv are hereby
granted to Kermit E. Anderson and Naomi E. Anderson
Register of Wills
FEES
Probate, Letters, Etc. . . . . . . . $260.00
Short Certificates( -3-) . . . . . . . $ 12.00
Renunciation(s) ........... $
JCP .. . . . . . . . . . . . . . . . . . . $ 10.00
Automation Fee. . . . . . . . . . ..$ 5.00
Other Will . . . . . .. .... $ 15.00
TOT AL: .... $302.00
Filed........................... .
PA 17013
717 -249-2353
PHONE
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TYPE I PRINT IN
PERMANENT
BLACK INK
1. Name 01 Decedent (First, middle, last. suffix)
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JLJl. 2 5 (DOS
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(I'
Cr€DJ2,6~ F
{;. ;41\);>;;:-I2,$'8N
Carlisle Regional Medical Center
12, Was Oel;edenl ever m lhe 13 Decedent's Educalioo (Specify only higheslgrade compJeled)
U,S, Armed Forces? ~Iementary I Secondary (0-12) College (1-4 or 5+)
Ov" f]No 11
310 Shady Lane
Carlisle Pa 17013
18, Falher's Name (First,midd1e,lasl. suffix)
Decedenl"s
ActualResklence 17a.State
PA
Cumberland
19. Mother's Name (Firs!. middle, maiden surname
17b, County
John R. Anderson
2Oa. Informant's Name (Type I Pm!)
Naomi Anderson
.ot
o Residence 0 Other - Specify
10 Roce,Americanjll(jian.81ad\,While,elc
(Specify)
White
14, Marital Slatus: Married, Never Married
Widowed, Oivorce<l (S{Jf!Clfyj
Widowed
Did [)e{;edent
liveina
Township?
17c, r&l Ves,DecedenlLivedin Middlesex
17d. 0 ~iU~i~~rlved WIthin
Twp
City/Boro
Laura Golden
2Ob, Informant's Mailing Address (Street, cily I town. stale, zip code)
310 Shady Lane, Carlisle,
21c. Place of ~ition LName 01 cernetefY. crematory Ol'olher place)
Cumberland Valley Memorial
Pa 17013
"
w
::>
01
"
. ~ ,
Complete Items 23a< OIlly when certifying
physician is no! available at bme 01 death to
cenifyc:auseoldealh
lIems 24-26 musl be completed by person
. who pronouncet death
I'
:r '4b f' M
CAUSE OF DEATH ISee instructions and examples)
llem 27 PART I: Enler the ~tmm!l. diseases, injuries, or complications. that directly caused the dealh. DO NOT enter lerminal events sud1 as cardiac arres!.
respiratory arrest, Ol' 'o'f!f1lricular fibrillalion withoul showing lhe etiology List ooly one cause on each tine
: Approximate interval
: Onset 10 Death
=~:~~~~~~; J:~~ d5e~
<!~t{c;;... &O-",.c, L.fn;;~CL
Due to (or as a consequence 00" _ ~
iJIO..AW'/ rOr;,,'II(,:, ..;;>EPS;(5
"""'O'''As"p'f"AO,4.TIOAl P))CI1,JO;'/;,4
Due to (or <lS a consequence of) .
f'IIAl'.i illS C)J ~ 1)) gc liS (;
/Ill, It,S
, 2. "{;u..p
~.3~
yt2.S>
Sequen~anyhslcondi1ions, ilarlY,
~~~ ~~~~(~~ ~Z'u~
(disease or Iniury that initialed the
ewntsresullrngtndeath/LAST.
30a Was an Autopsy
Per1ormed?
:JOb. Were Autopsy Findings
Available Prior to Complebon
of Cause of Death?
31 Man~Death
ErNa!ural DHornicide
o Acooent DPendinglnvesbgatioo
o Suicide 0 COllkl Not be Oeterrmned
32d. Timeoflrllury
Oy,,~
21d, location (Cily 11own, state. Zip code)
Carlisle, Pa 17013
Hoffman-Roth Funeral Home
DYes
g..ro--
Pert II: Enlerothersianificanlconditionsrontribulino todealh
but not resulting in \he undertying c:ause given in Pan I
28. Did Tobacco Use Contribute to Death?
Dves OProbably
o No 0 Unknown
29. If Ferna1e
o Nol pregnaflt within past year
o Pregnant allime of dealtl
o NOlpregnanl, but pregnant wilhin 42 days
afdeath
o Nol pregnanl, but pregnanl 43 days 10 1 year
ofdealh
o Unknown it pregnant WIlhm the pasl year
32c. Place oftnlury'. Home, Farm, $treel, Fac10fY
Office 8uilding, elC. (Specify)
r...=T11f''t'C IfAA
II., a.'ri-l- (-!-(fl::,.'?-I<...i.t9T'~
1> raA.1-4:;j M.,tt.ll.-' f i.(.4
3~'- tf Transportation iniury (SpeedYI
0"""" lap.,.", OP""'''''"'
o Other. Specify.'
33a_ Certifier (ct\eCll only one) JJb. Signature, TiDe of Cerlif!e
. ~:~z:f:r~~k~= =~~c~~: ~~~e~~~h;::;~~~~~e~~IP;:;~~ ~~l: ~~ ::~:~_l~~}_ _ _ _ _ _.. _.. _ _ _.. _ _ _ _....D ~ /] ~
Pronouncing and certifying physician (Physician boIh pronouncing death and ceftifying to cause 01 death) 3c_ License Number
To the belt of my knowledge, death occurred It the tlma, date, and place, and due 10 the cauI&{s) and manner as slattd_ -...... -.. - - - -.. - - - - - _..IJ' fL..l P If 2..( ? q .:s.
~~~:~:;~r:~~;.f~= and I or inllesligalJon, in my opinion, death occurred at the time, date, and place, and due to the cause(s) .nd m.nner as Ilat!d_ _ ..D
Oy" OND
i
::;
~
I~I
, ,9, I f I() I
32g, Localion of Injury (Strl*lt. city I Iown. stalel
n
b{,
34. Name and Address of pe. ~on wtlo C~pleled Sflse 01 Death (l1em ?1) )tt>f? Print
/(:..4..; r:H1V~ 11-'" iY-.R~r"~
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GL-;vT(1'L..
LAST WILL AND TESTAMENT
I, GEORGE E. ANDERSON, of Middlesex Township, Cumberland County,
Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly
revoking all Wills and Codicils heretofore made by me.
ONE: I direct my Executrix to pay all of my debts, funeral and administrative expenses
as soon as may be done conveniently after my decease.
TWO: I give, devise and bequeath all of my estate of every nature and wherever situate
to my wife, HELEN E. ANDERSON, providing she survives me by thirty (30) days or more.
THREE: If at my death, my spouse has predeceased me, or failed to survive me by
thirty (30) days or more, I specifically give, devise, and bequeath all of my real estate situate at
310 Shady Lane, Middlesex Township, Carlisle, Cumberland County, Pennsylvania, to my
daughter, NAOMI ESTHER ANDERSON. Ifshe fails to survive me, then this specific bequest
will become part of the residuary estate of this my Last Will and Testament.
FOUR: If at my death, my spouse has predeceased me or failed to survive me by thirty
(30) days or more, I give, devise and bequeath all the rest, residue and remainder of my estate of
every nature and wherever situate to my following children, KENNETH E. ANDERSON,
WAYNE E. ANDERSON, THELMA E. CONRAD, MARTHA E. CRUMLICH, KERMIT
E. ANDERSON, LOUISE E. GOSSAGE, NANCY E. KLINE, GEORG-ETT A
ANDERSON and ABIGAIL E. FREEBURN, in equal shares per stirpes. If one of my above
named children have predeceased me the share of said predeceased child will be equally divided
by the issue of said deceased child. If one of my children has predeceased me without living
issue said share will be equally divided by my children named above who survive me.
FIVE: I nominate and appoint HELEN E. ANDERSON to be the executrix of this my
Last Will and Testament; she is to serve as such without bond. Should she die leaving any of my
estate unadministered, I nominate and appoint KERMIT E. ANDERSON and NAOMI E.
ANDERSON, as substitute executors, also to serve as such without bond, with the same powers
as are given herein to my executrix.
SIX: My Executrix may, at her discretion, compromise claims, borrow money, retain
property for such length of time as she may deem proper; lease and sell property for such prices,
on such terms, at public or private sales, and she may deem proper; and invest estate property
and income without restriction to legal investments.
SEVEN: No Executrix or Executor acting hereunder shall be required to post bond or
2
enter security in this or any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this 17TH day of
August, 1999.
A ~ ~{' c. ~ (SEAL)
. GE GE E. ANDERSON
Signed, sealed, published and declared by GEORGE E. ANDERSON, the above named
Testator, as and for his Last Will and Testament, in the presence of us, who, at his request and in
his presence and in the presence of each other have subscribed our names as witnesses hereto.
Mrf j/iBud
00DL ~.'-flr~
3
ACKNOWLEDGMENT AND AFFIDA VIT
WE, GEORGE E. ANDERSON, CHERYL L. CLELAND and MARTHA L.
NOEL, the testator and witnesses respectively, whose names are signed to the foregoing
instrument, being first duly sworn, do hereby declare to the undersigned authority that the
testator signed and executed the instrument as his Last Will, and that he had signed willingly,
and that he executed it as his free and voluntary act for the purpose herein expressed, and that
each of the witnesses, in the presence and hearing of the testator, signed the Will as a witness and
that to the best of their knowledge the testator was, at that time, eighteen years of age or older, of
sound mind and under no constraint or undue influence.
~A~E~
i ,I ~ L::#/;
.>!" .~. L~2/ .
CHERY' L. CLELAND
~~;f.<-;JAJ-d}
THA L. NOEL
COMMONWEALTH OF PENNSYLVANIA
SS:
COUNTY OF CUMBERLAND
Subscribed, sworn to and acknowledged before me by, GEORGE E. ANDERSON, the
testator herein, and subscribed and sworn to before me by CHERYL L. CLELAND and
MARTHA L. NOEL, witnesses, this 17TH day of August, 1999.
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'-' \-. ' { '-' -
j) Notary Public
Notarial Seal
Betzl I~. Morrison, Notary Public
C~r!isle BmD. Cumberland County
MV 'J'~~~2.!_:~iot Expires Dec. 15, 2000
Member. 1"ennsyivanla Association of Notaries