HomeMy WebLinkAbout08-10-06
Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Estate of Judith Louise Brown
also known as Judith Louise (Crull) Brown
No. 21-06- 0 -1 \ /.:.;
, Deceased
Social Security No. 193-26-4179
Barbara Jane Gilbert
Petitioner(s), who is/are 18 years of age or older, appl(ies) for:
(COMPLETE 'A' or 'B' BELOW)
00 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the
the Decedent, dated 06/28/2006 and codicils dated
Executrix
named in the last Will of
State relevant circumstances, e.g., renunciation, death of executor, etc.
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents
offered for probate; was not the victim of a killing and was never adjudicated incompetent:
o B. Grant of Letters of Administration
(c.La; d.b.n.c.t.a; pedente lite; durante absentia; durante minoritate)
Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs:
I Name Relationship Residence I
,
.'
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his/her family
or principal residence at 515 Chickadee Drive, Mechanicsburg, PA ' ~ ~" ~
(list street, number, and munic ality)
Decedent, then 58 years of age, died 07/31/2006 at Claremont Nursing & Rehab Center
(Location)
")
Decedent at death owned property with estimated values as follows:
(If domiciled in PAl All personal property
(If not domiciled in PAl Personal property in Pennsylvania
(If not domiciled in PAl Personal property in County
Value of real estate in Pennsylvania
35,000.00
$
$
$
$
150,000.00
situated as follows: Home situate at 515 Chickadee Drive, Mechanicsburg, PA
Wherefore, Petitioner(s) respectfUlly request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant
of letters in the appropriate form to the undersigned:
Signature
Typed or printed name and residence
Barbara Jane Gilbert 1400 Bent Creek Boulevard, Apt. 208
Mechanicsburg, PA 17055
Prepared by the Pennsylvania Bar Association
Copyright (c) 2004 form software only The Lackner Group, Inc.
Form RW-1 (1991)
Oath of Personal Representative
Commonwealth of Pennsylvania
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 of Petilioner(s) and that, as personal representative(s) of
the Decedent, Petitioner(s) will well and truly administer the estate according to law.
S~m to 0< .ff"m"" ood ,"b"",d ~ ~~~ (. ~
Barbara Jane Gilbert
day of
No.
21-06- 0, \ ~
Estate of Judith Louise Brown
also known as Judith Louise (Crull) Brown
Social Security No: 193-26-4179 Date of Death:
, Deceased
07/31/2006
AND NOW,
, in consideration
of the Petition on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters 00 Testamentary 0 of Administration
(c.I.a.; d.b.n.c.l.a.; pendente lite; durante absentia; durante minoritate)
are hereby granted to Barbara Jane Gilbert, Executrix
in the above estate and that the instrument(s) dated
6/28/2006
described in the Petition be admitted to probate and filled of record as the last Will of Decedent.
FEES
Letters............... ....... ........ ...... ...... $
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Jti, t> ()
/ $""". 00
(y
Short Certificate(s)...................... $
--Rei lul ,\-idllon....?0.l/L........... $
Affidavits ( )...........................$
Extra Pages ( )......................$
Wiley, Lenox, Colgan, & Marzzacco, P.C.
Address: 130 W. Church St.
Codicil......... ....... ............. ............. $
DiIIsburg, PA 17019
JCP Fee.......................................$
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Telephone1 717-432-9666
Inventory................................ ...... $
etner.........&}D..............$
E-Mail:
TOT AL............................ $
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Prepared by the Pennsylvania Bar Association Copyright (c) 2004 form software only The Lackner Group, Inc.
Form RW-1(1991)
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WARNiNG: It is illegal to duplicate this copy by photostat or pnntograp""
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BLACK INK
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, Name of Oecede~1 (First. mKJdle, last) 12 So> f Socia! Security Number I' 8ale ofOealh (Monlh,day,year)
Judith L. Brown Female 193 _ 36 _ 4179 July 31, 2006
5 Age (LaSlbirtl1day) 5 Under 1 ~ear U~der 1 da 7 Date of Birth Month.dav.vear e Birth lace C and slate or Joreil]ncounlry) 8a, PlaceofOealh Check on '"'
I Monlhs Days Hou~s ! Minutes I 29, 1948 I Easton, Pa I ~si~la~lien( ':1 DOA I ~h%urSiflg Home
58 v" June o fR/Oufllalien( o Residence o Olher-SM:itv:
- 8b. CounlyofDealh Be. City, Boro, Twp 01 Dealh I"" F"""yN,m, III eo, '"li'cli,,",,,,, "'''',"d "CO,,,,} g Was Oecede~\ 01 Hispanic Origin? 10, Race American Indian. Black. Whrte, elc
Claremont Nursing & Rehabilitation H No 0 Yes (If yes, specify ClIban, (Specify) White
Cumberland Middlesex Twp. Mexican, PuerloRican,elc.)
. ("on+-o,,"
11 Decedent's Usual Occupalion Kind of wor~ done durin mostofworkin lite;donotstatereliled 12 WasOeceden1everinlheUS ! 13 Decedenl'sEducahon (Specify on hihest radeco !eled 14 Marilal S(afus: Married, Never married, 15 StlfVivI1'lq Spouse (Itwrte, give maiden name)
Kind 01 Work ,I Kind of Businessllndustry Armed ForCel;? I Elementary/St;ndary(G-12) I CoUege (1--4 orS+) WKlowed, DivorCed (SpeciM
Housinq Technician Aqriculture DYes lil No
. 16ti~~~~ri~rNJ~;fihst' ~teR~~~b. Center Oecede~rs DidOecedent Middlesex
Actual Residence 17a.Slale .R'l Uveina 17c, Ck Yes, Decedent Lived in TWO
. 1000 Claremont Rd., Carlisle, PA 17013 Township?
17d.D No,Decedenllivedwrthin
17b. County ('llmbl?rl"nn Actual Limits 0/ Cityl8ofo
18 Falher's Name (Firs1. middle. last) " Mother's Name (First. middle, maiden surna~)
Lewis R. Crull Marguerite Smith
20a Informant'sName(Typefpflnf) 20b, Inlormanl's Mailing Address (Slree!, city/town. slate. zip cod,~)
Barbara J. Gilbert 1400 Bent Creek Blvd. , Mechanicsburg, PA 17050
21a. Method of DlsposrtKln 21b, Date of DisDOsi1ion (Morlth,day, year) 21c. Place of OisDOsrtlon (Name of cemelery. crQmalory or other place) l2Id. lo''''ooICi~'o"", S"'""p'Od,}
. o 8urial R Cremallotl o Removal from State o Donation August 2, 2006 Yorktowne Cremation Service York, Pa 17404
o {)Iher-Speclfy
~ 22, Sig~o'F"""" S'N<' L<,"s," I" P"'l2,~g" sCFh}_, 122'. ~~';~: 122'. """" eo' Add,,,,,, F,"li~ Hoffman-Roth Funeral Home
. /lc~LG(.J" /1 c .ULC-Lt./LA/\ L 219 N. Hanaover St., Carlisle, Pa 17013
Complete lems 23a-c only when certifying 2::J:i:"Yn9'd"~"";e;7lill'} 23b, License Number 2\~:'S"""'IM,"'h'd",""}
physicianisnofaV81lablealtirnaofdaalhlo tt-J 3-i3 iSO L- v-\",2:J \ ,-t,U~
cerlifycauseofr:lealh
. Ilems 24-26 roosf be cOI'Tll!eled by person 24 Timeo/Dealh 125. \'~~"'D';IM~"lhd"~C;-o 2& Was Case Referred to a Medical ExaminerICoroner?
. whopronouncesdealh \\ 30 f\
M ~ ~a(Yes 0 No
CAUSE OF DEATH {See mstrw;tlons and examples! : A,oproximaleinterval Partll:Entero(her~ntconditionsconlribu(inalodeath, 2B Did Tobacco Use Conlribule 10 Oeath?
lIem 27, Part I: Enler the chain of events - diseases, Injuries, or complications - thaI directly caused the dealh, DO NOT enler termlllal events SUCh as cardiac arres\, : onsel to death bu1 ~of resu~ing in the underlying cause given in Part [ DYes 0 Probably
resp;ralo-ry arres!, or venlrtular librillalion wi/hou! Sl1ow1.lhe eJiology. DO NOT abbreviate, Enter only OM caUse on a line : o No o Unknown
'MMED'ATE CAUSE IF'"'''''''''" )/ 'I ',f?,. J(].t\ \ :)'({.r:>v DIN U-. : " If Female
cond~lonresuMlnglndealh) ~ a. oueto(orha'co':s~uenceoo: . ., .-- -- ,-- ~----,_._-- o Nolpregnant within paslyaar
o Pregnant at lime ofdealh
Sequent~lIylislcondi!ions,ifany, , -- o Notpregnanf,butpregnantwifhin42days
leadinqlolllecauSelisleDOfll!nea Due to (or as a ca!1sequence o~
. Enler the UNDERLYING CAUSE oJ death
. (diseaseorinlurythalinrtiatedlhe , o Nolpregnartt, bufpregnant 43 days 10 1 year
events resuDing indeatflJ LAST Due to (oras a consequence on beloredealh
d o Unknown i/ pregnant within Ille past year
3Oa. Was an AuIOPSY 3Qb, Were Autopsy Findings 31 Manner of Oealh 32a. Da\e of Injury (Monlh. day, year) l32b. D"'''Ib, how ,"'c. Cleo""", 32c. Place of Injury: Home. Farm. Streel, Faclory. Office
Perlormed? Available Prior 10 Complefion tt:Nalural o Homicide Building, pic, (Specify)
of Causa of Death?
o Accidenl o Pendinglnvesfigalion
DYes "fJ" DYes tDpIo 32d,TIlTleo/lnjury 132' '"jc." ""'"' 321, II T ransponatir:m In;wy I Spedfy; 32g. localion (Streel, ci!yilown,slale)
o Suicide o Could Not Be Defermined DYes 0 No o Driver/Operalor tI Passenger
M o PedestJian o {)Iller - Specify.
338. Certifier (check orllyone) 33b. Si~~IeOICertifie~7
Certifying physician (Physician cerlilying cause of death when another physician has pronounced death and cOrTlJleled rlem 23) m........m....~. ./ v /-c,i Y .c '--
To the best ot my knowl~ge, death occurred due to the cause(s) and manner a!S staled.....
Pronouncing and certtfytng physician (Physician /:101/1 pronouncinq dealll and cel1ilyinglo cause of dealh) 3&, License Number 33d, Datl:! Signed (Monlh,day,year)
To the best 01 my knowledge, death occurred at Ihe time, date, and place, and due to thecause(s) and lhanner as stated... ... ....... ...............0 Of.()O{;H L.-,,- ~) } jOL
Medical examine-rIC-aroner
On the basis of examination and/or Jnves.tlgatlon, In my opinion, death occurred al the time, dale, and place, and due to the cause(s) and manner as stated. ......0 34 Name aM Ai1<!r855 01 Person Who Corr,pleted Cause of Dealh fllem27) Type/Prinf 11" 'JJ). ,-.. Jl,o
35 RLr::'~':<~" .J't4- \ I ~ ::'~d I~'"':;;~b 0_ 1? 14':})vil "', 7." 11-)- h!/ll....'y
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~ (See instructions and exa1l,ples on reverse) 'J'
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH 51 ATE FilE NUMBER
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fuast IIill ann m~gtam~ut
OF
JUDITH LOUISE (CRULL) BROWN
BE IT REMEMBERED, that I, JUDITH LOUISE (CRULL) BROWN, of515
Chickadee Drive, Mechanicsburg, Cumberland County, Pennsylvania, being of sound mind,
memory and understanding, do make, publish and declare this as and for my Last Will and
Testament, hereby revoking and making null and void any and all Wills and Testaments
and writings in the nature thereof made by me at any time heretofore.
ITEM 1:
I direct that all my just debts and funeral expenses be paid as soon
after my demise as may be convenient.
ITEM 2:
All the rest, residue and remainder of my estate, of whatsoever nature
and wheresoever situate, whether it be real, personal or mixed, including property over
which I have a power of appointment, I give, devise and bequeath unto my sister,
BARBARA JANE GILBERT.
ITEM 3:
I direct my hereinafter named Executrix to pay all inheritance, estate,
succession and legacy taxes of whatsoever nature and kind, to which my estate or the
transfer of any property passing hereunder or otherwise passing by reason of my demise,
may be subject and to charge such taxes against my residuary estate, it being my intention
that none of the aforesaid taxes, either federal or state, on any property required to be
included in my gross estate, under the provisions of any state or federalllaw now in force
or hereafter enacted, shall be prorated among the persons interested in my estate to whom
such property is or may be transferred or to whom any benefit accrues.
WITNESS:
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DITH LOUISE (CRULL) BROWN
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ITEM 4:
I appoint my sister, BARBARA JANE GILBERT, as Executrix of
this my Last Will and Testament.
ITEM 5:
I direct that my Executrix or her successor shall not be required to
give bond for the faithful performance of their duties in any jurisdiction.
ITEM 6:
My Personal Representative shall have the following powers in
addition to those vested in them by Law and by other provisions of this" my Last Will and
Testament, exercisable without court approval, and effective until distribution of all
property:
WITNESS:
1.
To retain any or all of the assets of my estate, real or personal,
without restriction to investments authorized for Pennsylvania
fiduciaries, as they from time to time may deem proper, without
regard to any principle of diversification or risk.
2.
To invest in all forms of property without restriction to investments
authorized for Pennsylvania fiduciaries, as they from time to time
may deem proper, without regard to any principal of diversification
or risk.
3.
To sell at public or private sale, to exchange, or to lease for any
period of time, any real or personal property and to give options for
sales, exchanges or leases, for such prices and upon such terms or
conditions as they from time to time may deem proper.
4.
To allocate receipts and expenses to principal or income or partly to
each as they from time to time may deem proper.
5.
To borrow money from persons or institutions, themselves ind uded,
and to mortgage or pledge any or all real or personal property as
they in their sole discretion shall choose, without regard to the
dispositive provisions of this instrument.
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JUDITH LOUISE (CRULL) BROWN
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6. To compromise any claim or controversy asserted by or against my
estate or trust estate.
7. To make distribution in cash or in kind or partly in cash and partly
in kind, and in such manner as they may determine, and at
valuations finally to be fixed by them.
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IN WITNESS WHEREOF, I have hereunto set my hand and seal this .~\~ay
of June, 2006.
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JrlDITH LOUISE (CRULL) BROWN
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COMMONWEAL TH OF PENNSYLVANIA
: SS
COUNTY OF YORK
We, JUDITH LOUISE (CRULL) BROWN, JAN M. WILEY, ESQUIRE and
JULIE A. RUDY, the Testatrix and the witnesses respectively, whose names are signed
to the attached or foregoing instrument, being first duly sworn, do hereby declare to the
undersigned authority that the Testatrix signed and executed the instrument as her Last Will
and Testament and that she had signed willingly (or willingly directed another to sign for
her), and that she executed it as her free and voluntary act for the purposes therein
expressed, and that each of the witnesses, in the presence and hearing of the Testatrix,
signed this Last Will and Testament as witness and that to the best of their knowledge the
Testatrix was at the time eighteen (18) years of age or older, of sound mind and under no
constraint or undue influence...
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Sworn to and subscribed
before me this ~ay of
(CRfJLL) BROWN
June, 2006.
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NOTARY PUBLIC
MY COMMISSION EXPIRES:
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
S, Dawn Gladfelter, Notary Public
Dillsburg Boro, Yor1< County
My Commission Expires May 17, 2009
Member. Pennsylvania Association of Notaries
4