HomeMy WebLinkAbout08-04-06
Register of Wills of Cumberland County
Estate of (lIe:'( ~y~ C.
also known as
PETITION FOR PROBATE and GRANT OF LETTERS
1-,'/v.c!sey No. ~ \ ~DUL"Ol9q<;
To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
, Deceased.
Social Security No. I Cf::< - J 1- - I:, </ t~
The petition of the undersigned respectfully represents that:
...... Ex.~cu.t..-;X
Your petitioner(s), who is/are 18 years of age or older, and the executOr named in the last will of the
above decedent, dated ::rlAAle / q J I q <1 ~ , 20
and codicil(s) dated
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in ~ LA. (V\. be .,.....1 Q rI (1
Pennsylvania, with h~fj"ast faJ;Dily or principal residenceaf~
S S",-(tJ, r~ ;v c IV' ~
(hst street, number and municipality)
Decedent, then 12: years of age, died 'T:i' '1 .2 9 , 20 0 6, at 1 <j S" 5" cJ '1 fh Sf("/~3 (;.<{ feA .flY s:t. 0
Except as foIlows, decedent did not marry, was not divorced and did not have a child born or adopted after Carl/51€' r ("{,
execution of the wiIl offered for probate; was not the victim of a killing and was never adjudicated incompetent: J 7 cJ J :3
County,
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) AIl personal property
(Ifnot 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 s: <t(JV I crtJ
$
$
$
$
Q;2, OOD ,00
.
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented
herewith and the grant of letters
(testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
:2.
ltJ6-S
Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEAL TH OF PENNSYL VANIA
}
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 estate according to law.
~ C}~ 11 7it=~
Sworn to or affIrmed all(~ ~ubscribed
Before me this l day of
~ ~ u,\- ,20 CJ..iJ
d
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Regist~ '
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Estate of
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, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
Lf
2ri1c, in consideration of the petition on the reverse side
been presented before me, IT IS DECREED that the instrument(s), dated
, described therein be admitted to probate filed of record as the last will of
; and Letters are hereby granted to Cb.-ro~~ ~ K..u-N"-- q
;;-
FEES
Probate, Letters, Etc. ............. $
Will................................. $
$
$
$
Automation Fee................... $
$
$
2~
l~ :blAM JiAM~
Register of Wills .
JkO,CD
rS.QO
Attorney (Sup. Ct. J.D. No.)
Renunciation... . . . . . . . . . . . . . . . . . . . .
Short Certificates 0) ............
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Address
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Total
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WARNING: !t is illegal to duplicate this copy by photostat or
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12728571
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2 2006
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i1OS_14-4 REV, 0212006
TYPE I PRINT IN
PERMANENT
BLACK INK 1130-297
1, Name of Decedef11 (First. middle, last, suffix)
Claire
5. Age (Last Birthday)
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH (CORONER)
C
Lindsey
6, DaleofBirlh Montl1,da
7, Birth lace(Ci
<I, Dale of Deatl1 (Month, day, year)
~ I .
6b, COlJntyofDeath
92
September 25,1913 New Cumberland, PA
&I. Facility Name (If not institution, give street and Ilumber)
485 South Spring Garden Street
esidence 0 Other - Specify
10. Race: American Indian, Black. White, etc
(Specify)
White
12. Was Decedent ever in the
U,S. Armed Forces?
Dy" 63 No
Decedent's
ActualResidence 17a, State
13 Decedent's Educatioo (Specify only highest grade completed)
Elementary I Secondary (0.12) College (1-4 or 5+)
12
1<1_ Marilal StatlJs: Married, Never Mamed,
Widowed, Divorced (Specify)
Wicb.ved
l7b. County
PA
Cumberland
Did Decedent
uveina
Township?
Hc. E!a Yes, Decedent Lived in
l7d, D No. Decedent lived within
Actual limits 0(
South Middleton
Twp
City/80m
16 FathersName(Firsl,midd1e,I3Sl,suffix)
J. Morris Freeburn
2Oa. Informant's Name (Type I Print)
John A. Lindse
19. Mother's Name (First, middle, maiden sumame)
Jennie Fisher
o
3
11
"
2Ob_ Informant's Mailing Address (Street, city 'town, state, zip code)
4447 Dunmore Drive, Harrisburg, PA 17112
21b Date of Disposition (Month, day, year) 2k Place of Disposition (Name of cemetery, crematory or other pl~e) 21d, Locabon (City' town, state, zip code)
Ashland Cemetery
Carlisle, PA
22c. Name and Address of Facility
Ewing Brothers Funeral Hone, Inc., Carlisle, PA 17013
23b. UcenseNlJmbef
23c.DateSigned(MOIlth,day,year)
Complete Items 23a--c only when certifying
physician isnol available aI lime of death to
certily calJse 0' death
lIems24.26mlJstbecompletedbypernoll
whopronouncesdealh
DYes ONo
31 MannerofDealh
t! Natural 0 Homicide
o Accident 0 Pending Investigation
o Suicide 0 Could Not be Determined
26, Was Case Referred 10 Medical Examiner' Coroner for a Reason Olher than Cremation or Donation?
~Yes DNa
: Approximate interval Part II: Enter oIher sr:mificanf coodilions conlribulino to deatl1 26. Did Tobacco Use Contribute 10 Death?
: Onsel to Dealt1 but oot resulting in the underlying cause given in Part I 0 Yes 0 Probably
o No 0 Ullknown
29 IIFemale
o Not pregnant wllhln past year
o Pregnanlaltlmeofdeath
o Not pregnant. bul pregnant within <12 days
of death
o Not pregnant, but pregnant 43 days to 1 year
of death
o Unknown if pregnanl within \he past year
32c. Place of InJUfY: Home, Farm, Street, Factory,
Office 8lJilding. etc, (Specify)
2<1_ Time of Death
Aprx.
25_ Date Pronounced Dead (Month, day, year)
July 30, 2006
CAUSE OF DEATH (See instructions and examples)
Item 27 PART I Enler Ihe<;;tlairL~- diseases, injlJries, or complications -Ihaldireclly caused \hedealti, DO NOT enter lerrnmal events such as cardiac arrest,
respiratory arrest. or ventricular fibrillation wilhout showing theeliok)gy, ListOl1lyonecau seon each line
:~Tt~~ie~~t~~; ~~~ dise~
Atherosclerotic Cardiovascular Disease
Due 10 {or as iI conseqlJence of)
Sequentially lisl condilions, if any
~~~~o S:g~~~~N~ ~~~E
(disease or injury that Initialed the
.. events reslJltmg in death) LAST.
Due to (o'asa COllsequenceof)
Due 10 (or as a consaQuence of)
3Oa, WasanAlJlopsy
Performed?
JOb, Were Autopsy Findings
Available Prior 10 Compleliorl
of Calse 01 Death?
DYes t2i.NO
32d, Timeoflnlury
32g, location of InjlJry (Slreet. city I town, stat1!)
33a, Certifier (check only one)
Certifytng physician (PhYSician certifying cause of dealh when another physician has pronounced death and completed Item 23)
lothe best of my knowledge, death occurred due to the cause(s) and manner as statesl_ _ _ _ _ _ _ _ __ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - - _..D
Pronouncing Ind certifyIng physician (Physician both pronouncmg death and certifying 10 cause of death)
To the best of my knowledge, death occurred at the Ume, date, and place, and due 10 the causal!) and manner as staltd_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _..D
MedIcal Euminer / Coroner
On the basis of examination and I or investigation, in my opinion, death OCCIJ"ed at the time, date, and place, and due to the C3lJse(s} and manner as stat!<t -
Chief Deputy
Coroner
33c:L Dale Signed (Monlh,day,yearj
~
, "<""""'"~'~"~~~~~
Irl--II I'~I \
10 1
August 1, 2006
34 Name and~gd Jf Pee: WhE~T.t~~~~dkOe,ath (Eh~)~r I Bi~ pU t Y Co r one r
6375 Basehore Road, Suite #1
Mechanicsbur PA 17050
35 R
F\FILES\DA T AFILE\WILLS\3470 WIL
LAST WILL AND TESTAMENT
I, CLAIRE C. LINDSEY, of South Middleton Township, Cumberland County, Pennsylvania,
being of sound and disposing mind and memory, do hereby make, publish and declare this to be my
Last Will and Testament, hereby revoking any and all former Wills or Codicils by me made.
1.
I direct that all my just debts, funeral expenses, testamentary expenses and all inheritance
taxes (whether such taxes may be payable by my estate or by any recipient of any property) shall be
paid from my residuary estate as soon as practicable after my decease and as part of the
administration of my estate. My Executors shall have no duty or obligation to obtain reimbursement
for any such tax so paid, even though on proceeds of insurance or other property not passing under
this Will.
2.
I give, devise and bequeath all of my estate, both real and personal property, in equal shares,
unto my children, JOHN A. LINDSEY, RICHARD A. LINDSEY and CAROLE A. KUHN,
absolutely.
3.
I nominate, constitute and appoint JOHN A. LINDSEY and CAROLE A. KUHN as
Executors of my estate.
4.
I direct that my Executors shall not be required to file a bond to secure the faithful
performance of their duties in any jurisdiction.
5.
I authorize and empower my personal representatives, in their sole and absolute discretion,
to purchase or otherwise acquire and retain any investments of which I die seized or any real or
personal property of any nature; to sell, lease, pledge, mortgage, transfer, exchange, dispose of or
grant options in regard to any or all property of any kind forming a part of my estate for such terms
and such prices as they may deem advisable; to borrow money for any purposes connected with the
C. C.oI.
C.C.L.
Page 1 of 3 Pages
protection and preservation of my estate; to mortgage or pledge any real or personal property forming
a part of my estate or to join in or secure the partition of same; to compromise any claims or
demands of my estate against others or of others against my estate; to make distribution in kind and
to cause any share to be composed of cash, property or undivided fractional shares in property
different in kind from any other share; to employ agents, attorneys and proxies and to delegate to
them such power as my personal representative considers desirable and to pay reasonable
compensation for such services as may be rendered by such agents, attorneys and proxies; and to
execute and deliver such instruments as may be necessary to carry out any of these powers.
I Cj~ day of
IN WITNESS WHEREOF I have hereunto set my hand and seal this
~
,1996.
~ ~
fA.'-uL. (l. AL)
aire C. Lindsey
SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testatrix, as and
for her Last Will and Testament, in the presence of us, who at her request, have hereunto subscribed
OUujjLn~1: presence of ili~ sa~d tT~S:triX ;; ~f e:Ch ~the~, C .
,
,
Page 2 of 3 Pages
COMMONWEAL TH OF PENNSYL VANIA )
SS.
COUNTY OF CUMBERLAND
)
I, Claire C. Lindsey, Testatrix, whose name is signed to the attached or foregoing instrument,
having been duly qualified according to law, do hereby acknowledge that I signed and executed the
instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary
act for the purposes therein expressed.
(1~ c? ~
Claire C. Lindsey
~ Sworn or affirmed to and acknowledged before me by Claire C. Lindsey, the Testatrix, this
I day of r-. , 1996.
(1-M~~~'AJ
Notary Public
Notarial Seal
Corrine L. Myers, Notary Public
i Carlisle Boro, Cumberland County
i My Commission Expires May 27,1999
COMMONWEAL TH OF PENNSYLVANIA )
: SS.
COUNTY OF CUMBERLAND )
We,
the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified
according to law, do depose and say that we were present and saw Claire C. Lindsey, the Testatrix,
sign and execute the instrument as her Last Will; that the Testatrix signed willingly and that the
Testatrix executed it as her free and voluntary act for the purposes therein expressed; that each of
us, in the hearing and sight of the Testatrix, signed the Will as witnesses; and that to the best of our
knowledge the Testatrix was at that time 18 or more years of age, of sound mind d under no
constraint or undue influence.
;'
(
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Address
/)) \(
( C;/A~;,t<~j;;> t d "
( ..}z t t<c v t"c :I ~(; "" ~/,. ,:. /
K
Sworn or affirmed to and subscribed before me this I ct day of rnL , 1996,
I ~WIV
! Corrine LN~~~~~I, ~~~~ry Public Notary Public P I ~
Carlisle Boro, Cumberland County
! My Commission Expires May 27, 1999
Page 3 of 3 Pages