HomeMy WebLinkAbout08-07-06
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Register of Wills of Cumberland County
PETITION FOR PROBATE and GRANT OF LETTERS
Estate of. Carl R. Gelbaugh, Sr.
also known as
No.
To:
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Register of Wills for the
County of Cumberland in the
Corrnnonwea1th of Pennsylvania
. Deceased.
Social Security No. 1 1')4- ~()-?995
The petition of the undersigned respectfully represents that:
Yourpetitioner(s), who is/are 18 years of age or older, and the execut rixnamed in the last will ofthe
above decedent, dated January 25 x~ 1993
and codicil(s) dated For litigation purpOOC:J
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in Cum berland
Pennsylvania, with h_last family or principal residence at
211 Woods Dr. Mechanicsbllrg, PA 17n"in
(list street, number and municipality)
County,
Decedent,fuen...Q2yearsofage,died May 7 .20-D.5..,at Hnly Spirit- Hn~pit-rll
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after
execution of the win offered for probate; was not the victim of a lalling and was never adjudicated incompetent:
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(lfnot domiciled in Pa.) Personal property in Pennsylvania
(lfnot domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
-0-
$
$
$
$
-0-
WHEREFORE, petitioner( s) respectfully request( s) the probate of the last will and codicil( s) presented
herewith and the grant ofletters fr < t-pst-rlmpnrrlry
(testament.aJ:y; administration c.ta.; administration d.b.n.c.La.)
thereon.
Signature(s) ofPetitioner(s)
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5~~ ~i2e Rd., Car e, PA 13
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Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
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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.
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No. d.\ -D10-01DD
Estate of ~i'lTl R. Gp.lhi'lllgh .Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW --.:I ~ \ 20 ~ in consideration of the petition on the reverse side
hereof, satisfactorx goofha g been presented before me, IT IS DECREED that the mstrument(s. ), dated
..)CLi"'i oJ:) \ '1 ~ ~ . described therein be admitted to probate filed o~ecord as the last will of
; and Letters are hereby granted to \'r~S'C\.. ~ P \ \:::x4'
FEES
Probate, Letters, Etc. ............. $
Win................................. $
Renunciation....................... $
Short Certificates ~ ..... .... ... $
JCP.................................. $
Automation Fee............ '" .... $
Bond....... ...... .................... $
~ Total $
Filed~ 7 - 2c()bi.p
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#79456
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1300 Linglestown Rd. , Harrisburg, PAl 7110
Address
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717-238-2000
Phone
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WARNING: It is illegal to duplicate this copy by photostat or photograph.
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COMMONWEAL TH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
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TYPE/PRINT
'N
PERMANENT
BLACK INK
CERTIFICATE OF DEATH
s rATE f-ILt, NUMbER
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NAME OF DECEDENT (First, Middle, last)
1
AGE (Lasl Birthday)
BIRTHPLACE (Cily and
Stale or Foreign Country)
5
COUNTY OF DEATH
67 y"
.bCumberl and
DECEDENT'S USUAL OCCUPATION
(~f~:()~~,~;:,ieO~ d~~"u~~~~,::tt
MARITAL STATUS. Married
Never Married, Widowed,
Divorced (Specify)
14. Mar r i e d
SURVJVING SPOUSE
(11...,1.. 'd'''llm..fd'',,''ame.j
211 Woods Dri ve
,rechanicsburg PA
15 Dana L.
Silver Spring
Ma
/Wp
17050
17b Cuuntv
Cumberland
dlyfbUll)
FATHER'S NAME (First, Middle, Last)
,. William S~
INFORMANT'S NAME (Type/Print)
20a Dan a L. Gel b a u g h
METHOD OF DISPOSITION
BUlldl lil Crellldtioll ~emuvdl from Sidle 0
Other (5IJucify)
OF FUN
DATE OF DISPOSITION
(MoOlh,D,,):.. V"<l')
2'b. :> - 1 2 - 2 005
AS SUCH LICENSE NUMBER
22b FD-012662-L
C e met e r 2'.l1 e c h ani c s bur g PAl 7 055
NAME AND ADDRESS OF FACILITY
22eM ers Funeral Home 5
LICENSE NUMBER
cj
27, PART I: Ent.r th. oi....... InJurlu or complication. which cau..d th. daath
Llal only on. C.l.ua. onaach Un.
23b.
WAS CASE REFERRED TO A MEDICAL EXAM!NER ICORONER?
26. Yes 0 No IlC]
; ApproximClte PART II:
. interval between
: onset and death
DUE HJ {OR AS A CONSEQUENCE OF}
;,-.(.._"l
I
I :
DUE TO (OA AS A CONSEQUENCE OF)
'..(.
L,
WERE AUTOPSY FINDINGS
AVAJLABLE PRIOR TO
COMPLETION OF CAUSE
OF DEATH?
MANNER OF DEATH
DATE OF INJURY
(MooLh,O"f, YlldlJ
TIME OF INJURY
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED
c.~
Ye, 0 No li()
Ye,O
NoD
Natural ~
Accident 0
Slllclde 0
Humicide
o
o 30a, 30b M 30c'
o Pl. ACE OF INJURY. At home. farm. street, factory. uffiLe
tIlJlloHiiol,ttlciSI''''cify)
30a
Ye, 0 No 0
P..mding Invc..,liy..lliQII
Could Illl! bt: (1t;lctlliillcd
28a 28b
CERTIFIER (Check only one)
.~ ~~~~F~~~tGor~~~~~~%\f~~~~c~~~hc~~~~I;~~~adu~: l~ tl~:~~~~;~i:)i~~~~K~I~~i~~d~li'~t~I~~t~.l~~~~:.~ ,~~~:~l. ~r.,~ .~~~ ~~~~~:~.~ _i:e.I.I~.~:.I...
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'PRONOUNCING AND CERTIFYING PHYSICIAN (Ptiy..,iCldll baltl pronounCIng ciCdlh and I.:tJltlfyiny tu c<\ul;e (,.f dv.lth)
To the b<llst of my knowledge. dealh o~c,urred at the time, dahl, lInd place. and due to the cauaes(lil and mannti'f as tltdleu.
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34
LAST WILL AND TESTAMENT
I, CARL R. GELBAUGH, SR., of the Township of South Middleton, County
of Cumberland and State of Pennsylvania, being of sound mind, memory and
understanding, do make, publish and declare this to be my Last will and
Testament, hereby revoking and making void all former wills, codicils and
other testamentary dispositions by me at any time heretofore made.
1.
I direct my Executrix, hereinafter named, to pay as soon as practicable
after my decease all my just debts and the expenses of my last illness and
burial.
2.
I give, devise and bequeath all the rest, residue and remainder of my
estate, whatsoever and wheresoever situate, unto my wife, Dana Lea Gelbaugh,
providing she survives me by sixty (60) days.
3.
Should my said wife, Dana Lea Gelbaugh, predecease me, or die on or
before the sixtieth day following my death, then and in that event, I give,
devise and bequeath all my estate unto my children, Carl R. Gelbaugh, Jr.,
Cathy Louise Meals, Michael John Gelbaugh, Diana walters and Lori Ann
Gelbaugh and my wife's nieces, Doreen Anna Maxwell, Robin Angela Maxwell and
Krystle Lynn Gosman, equally, share and share alike.
4.
I hereby nominate, constitute and appoint my said wife, Dana Lea
Gelbaugh, Executrix of this my Last Will and Testament. Should my said wife
fail to qualify or cease to act as executrix, I appoint my sister, Margaret
Wilson, Executrix of this my Last will.
5.
I appoint my wife I s niece, Doreen Anna Maxwell, guardian of any
property which passes, either under this will or otherwise, to a minor and
with respect to which I am authorized to appoint a guardian and have not
otherwise specifically done so. Such guardian shall have the power to use
principal as well as income from time to time for the minor I s education
(including post high school education), support and welfare, or to make
payment for these purposes, without further responsibility, to the minor,
to the parent of the minor or to any person taking care of the minor.
IN WITNESS WHEREOF, I, CARL R. GELBAUGH, SR., the testator, have
hereunto set my hand and seal to this my Last Will and Testament this.).. ,} ~7'"
day of
1', ~ .::'"'~_ i -,:;
, 1993.
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(SEAL)
Signed, sealed, published and declared by the above named CARL R.
GELBAUGH, SR. 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 hereunto subscribed our names as witnesses thereto.
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COMMONWEALTH OF PENNSYLVANIA
ss.
COUNTY OF CUMBERLAND
I, CARL R. GELBAUGH, SR., Testator, whose name 1S 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.
Sworn to and acknowledged before me by CARL R. GELBAUGH,
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the
Testator, this
;A;';>4{
day of
,,/"'... ~'",~7'
, 1993.
COMMONWEALTH OF PENNSYLVANIA
Notarj~f);;f (!(~ti i. (7
Nolanal Seal
Jellrey A. SUl"':1ay, Notary Publk:
Med13i1ltsb\~rg 8010. cumtlerta,!1d C~
My Cor\1ml~n SXOlrs& J~IIy~, ,......
., :\\MVNii'~M.oaiGr !'IfIt
ss.
COUNTY OF CUMBERLAND
We,
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(-H.4i11'~ '>I"; Y C:~/i:.7R;Z 1.t:.Y-l~-
, 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 the Testator, CARL R. GELBAUGH, SR., sign and execute the
instrument as his Last Will; that he signed willingly and that he executed
it as his free and voluntary act for the purposes therein expressed; that
each of us in the hearing and sight of the Testator, signed the will as
witnesses; and that to the best of our knowledge the Testator was at that
time 18 or more years of age, of sound mind and under no constraint or
undue influence.
Sworn to and subscribed before me by ~~. ,,'- //),~ i., s: ~prl), ,.j...:# ~';yJj",;.. 71{./
y (......'e;.:~/l'_.80
, witnesses, this .';::-y';r',;'-day of d'i/Vc....lr<v
~y _ ~ 4~f4<r
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Notary~r, 'cY / ;\
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Notalial Seal
Jellrey A. Suflday, Notary Pu~
Med1<lni~;burg 8010. ClJmbert<~nd county
My Cornm~'SSion ExpresJlIly20. 1005
~rn~\', ~timWNitiii~~i1'bt
, 1993.
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