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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 '.: \._/ , /) --- \ ' x/(~ r' ~ Kermit E. Anderson l ;:" . . {: ~l; .1 , <; ,,( I\. [L.U_'I!.,.~..C (. ~ l~ ~>,l.-< l .-~L_ '- 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 ':'llL: \,',:-') h...:n:- ~~l\'..?ll 1''' ",-'i"lITC\..'ll 'li(~llc \\'ill he' j'J"H-\_\ardt~(.!. hi Ih' ')\ \. ;( 11 l'rt 22 i n~d 1,~ '- R",_,l!\l> Ol! WARNING: It is illegal to duplicate tl1is copy by photostat or \) !l! ':1 ,~L.> ")(, ( 1 ~if-i;::-~'~~>J'-~~ '?~, " ,,' \~'-:'c r .t' -':, "'.~- Jj-',c.c;. {tLr~~'}11 ~. * ~~~.. */ ''cd .~. ~" \~ . ~~,>,.: c-<f'/1-rNl"\ 'T;\",'" ~~~::~:!..<~,/~>j P 12726453 d \ - Olo- ()\.o\O Hl05143REV 0212006 TYPE I PRINT IN PERMANENT BLACK INK 1. Name 01 Decedent (First, middle, last. suffix) 2k.~. ~~"t"~~~ JLJl. 2 5 (DOS !-",; 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"~ CArU.i~C fl<.:~,.Jk- I'I-U'OJ'-'k.. 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. ./i Jr/' If 'f;-.~t'.., 12 \ !,' J II I'. ~(" ~.' . .\ '~'. ,r I.',,' \ '.... I / kl 'L. i '-' \-. ' { '-' - 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