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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 v:)Q.~:h~,-1t~ Regist~ ' { CIl cjqO ::l ~ :- .... A ~ No.~\- ()lD-OlDq~ Estate of ~ , 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) ............ JCP................................ .. !d.o t:IJ IO.a; 'S.CO Address Bond........ .............. ....... .... Total i-\ ~- 6 ri..c:."P -CD Filed Phone .. ~ l j 11 I~)c fur\\~Jrd(. n ~Ui i)n~jn~d "... ~ I'll fi " Inn 11,:1">. ,-:I\eT L> L'Oll\ t 'i ,--" ~\ \ L~ il:d H~t_'~':1j~ ()1!;,-'( WARNING: !t is illegal to duplicate this copy by photostat or l~l'. "h ,';:; , ,: '~' ~;,-; ;~/;" . ~~ ~:.;,> "",~ '>'.' \j J- Pf,f"<, ./~,*' "//{;;o; /~.~. ~.'~.~\ i''''' >' 'Y<', ~~ ;a =;~\ ~ (....) ':;SC h~: \~i:..' ~" .,i/ -.,:.t-f.",. ...<; ~ ,I' '-c~c:/1fUi1 '0\ ~~"" '-::'':..~0!.!.!..r' .!..::!;~.- ~'~lf'4I.~. ~~~~~~ p 12728571 A\JG 2 2006 .-' - Ci' ' .~ \ _ DU-l)\.0 \ J 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. ;' ( ','_ ;'<c f ,( Ie. 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