HomeMy WebLinkAbout08-24-06
1/
Register of Wills of Cumberland County
PETITION FOR PROBATE and GRANT OF LETTERS
Estate of i;2'~~.J IL&~I
also known as
No.
To:
~ \ .. Olo' c)"IS J
, Deceased.
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
Social Security No.
The petition of the undersigned respectfully represents that:
i
Your petitioner( s), who is/are 18 years of age or older, and the execut '(..,( !--named in the last will of the
above decedent, dated 'l - ,;{ q .- c___3 , 20
and codicil(s) dated
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in :C cLtLd.te/; yl (}iL~ t~t~-:/ ~~ County,
Penn. ~~a~a, ,-"ith. h.' last family or principa!1f.sidence at; ._, ;'.'J i..J
/.;><; 7z{. . ~.c..-I-..L/Y'-- .J"r.... C t l':-L(<l/i?..; \""""",c"t-
(list street, number and municipality)
n",d,nt, th,n 1 C ye",s of age, died 11- -3 - 03 , 20_, at J!ui{~J~~~j;;j'
Except as follows, decedent did not marry, was not divorced and did not have a child born or adop dafter
execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent:
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 Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
$~;(0 ..;{ t-, t
$
$
$
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.)
~;f7 .i tJ~~dence(s) ofPetitione,(s)
LA- ~. 170/3
f- ,)
C;J
Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
}
COUNTY OF CUMBERLAND
COMMONWEAL TH OF PENNSYLVANIA
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 petitioner( s) and that as personal representative( s) of the above
decedent petitioner(s) will well and truly administer the estate according to law. <
Sworn to or affmned ~IJd ~bscribed {(1)~vL~ ~;J
Before ~ this <:Q I f1l,.< ,day of
_ lli\gt;LS t , 20 O~
_~f~ ~ ,lJAvjliL~
Registep'JY1"-~/?
SS:
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Estate of
') I
I...-X'
No.t) I {)(P OZS;{
[thl/n! 61ceF,u
, Deceased
cYf1
DECREE OF PROBATE AND GRANT OF LETTERS
:Jh ' , '--/
AND NOW
hereof.1;atisfactory proof ha~i
~~c~~~ ~o~L3
t,'! 1 far,!
2~~, 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 recor~/the last will of
; and Letters are hereby granted to 8M Ice (j /1 P e- J--
FEES
Probate, Letters, Etc. ............. $
Will................................. $
Renunciation... . . . . . . . . . . . . . .. . . . . . $
Short Certificates G) ............ $
J CP . . .. . . . .. . . .. . .. . . . .. .. .. . . .. .. . .. $
Automation Fee.... . ........ .. .... $
Bond. . .. .. . . .. . .. . .. . .. \/1.... . . .... $
~otal j J?'- .0lJ $
Filed XI~L/ - 2\J()]L
t
/.35. 00
!5,d)
j. 00
. ') OD
10\ .
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~ . aL.l
Attorney (Sup. Ct. LD. No.)
Address
Phone
,j ,YJ I
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Register of Wills of Cu.mberland County
RENUNCIA TION
/'-',
(J L! ~.1
. ~,.' ... . ..L ' .
Estate of _ 0l;-ZC L.(--'''''. x. f~:AL.
Also known as
No. ~) C)lo \SI':S~
, deceased
To the Register of Wills of Cumberland County, Pennsylvania
The undersigned Aet(~,4.}) \>>1/Jr!u:tn0 clau~hlel~ ;.51 Erf>('-u-!-eZ
(Name) (Relatio ship) (Capacity)
of the above decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
Letters ~cl///vj ~ If:}? d:. )/~~O/;V Sfr('ef
be issued to ~ II JU / C f. D II ue Ie.
~
Witness my/our hand(s) this ! /P day of a i(!/'l ~; +-
, 202fR
Affirmed and subs!<fibed befeM-me this
I~day of C It 18L~;
..~
\ J\~\\V'\ l.::.\u.nC
Notary PublicI
; f5'l) "
(Signature)
)"
1 u~ (~
I (Addres )
t'-f2d~~z
P/4-
1)75-[
My Commission Expires:
NQTARIALS flU
DfANN YOUNG. NOTARY PUBLIC
ClINTON lWP.. LYCOMING COUNTY
PI'( COMMISSION EXPIRES MAR 26. 2010
Or
(Address)
Affirmed and subscribed before me this
_ day of
(Signature)
Register of Wills
Deputy
(Address)
(Signature and seal ofl'~ctary or other official
qualified to adn1inister oat'1s. Sho\v date of
expiration of Notary' s commission)
\.^;:~
t\ t'V I
Register of Wills of Cumberland County
OATH OF SUBSCRIBING WITNESS
Estate of ~C~;~jl-/YLX-) k 8t~L-V
N d \ - Dlo- 01 C:J'd-.
o.
Also known as
, Deceased
_ ,,_'~/Z->-<'-~'L-~ tL/ yfy~t. ~--€'1u,-t>--(-L
(each) a subscribing witness to the will/codicil presented herewith, (each) being duly qualified according
(",
to law, depose(s) and say(s) that ~'-.,J ." present and saw
_ <2 V ",j, /K(' d ti< tV~~,-"-" , the testat , sign the same and that
_ '~i.. ~- U,! \ " " . . 7( tLiL~igned as a witness at the request of the testat_ in h;.>'c/
presence and (in the presence of each other) (in the presence of the other subscribing witness( es).
Sworn to or affirmed and subscribed
Before me this /.5" day of
4t,/6-I..) SF , 200fO
're~ ~il.~.k~
(Name)
~ ") 2. '" \..lJ \ \ l \;(~ 'J"'-~7 vX4\.. '" V'<"./
(Address) G."-'~t-....A.;,,-i) .A.-W) 1--1 \J~
44~ 1Jid&.
Register .
Deputy
j..Jc)//Wj ST err II))
I-IMF~l/ OvPJ T7
C,(~: /f)j;/ b$?
(Name)
(Address)
)
1...0
Register of Wills of Cumberland County
OATH OF SUBSCRIBING WITNESS
L, /
Estate of (1. >C:: ,,(..( )L(
".
~1/
Lf .-, ';
,jC-cH.. Ii,
No.
d.. \.. 0\.0- OJ S'd..
Also known as
, Deceased
.,
.-J .,,':' ;/ :-/ / : ". \
./I__vy>"U;!../j , Ox! _ ,rj:),--{.Je./-'j
./
(each) a subscribing witness to the will/codicil presented herewith, (each) being duly qualified according
r
19 law, depose(s) and say(s), that ""- 'c-- present and saw
'~1/1Jzti {~/J~./ / t/l-h"i 712.
, ..' , ,'~(' :r i' , I
<?- .,.". . " (..'-of' FoG:' I, i
__ l' L-<--l L.t. '. t, ""-. - IJ.",- ( "
, the testat_, sign the same and that
signed as a witness at the request of the testat_ in h~
presence and (in the presence of each other) (in the presence of the other subscribing witness( es).
Sworn to or affirmed<!.tl9 f.!lbscribed
Before me this I d~y .of
(U.-( J t.J , 20~
)
.,- ~ Ti
~" " . ' I '. " 0";
.j')Ut1( k .f IJ-..c.;)' ."' <j.. )L
Rrgister ^
. '&..L ( i.;. II '\ '7 ~J"'{ /oj
Deputy /
!fr:J, ?r (
(Address)
(jet ic:..l_z J. ({ I \l/L
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This IS t:) cerrih' that the' int;)l'mation here givc'll h dJIT,:d
Local Rq'.isrrar. The original certificate will be tUr\vardcd [I'
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:in (lrl~:ln;li
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WARNING: It is illegal to duplicate this copy by photostat or photograph
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0171
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Fcc tnr this lcnIll,atl'. ';200
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COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
:tINT
STATE r'LE ~UMeER
'ENT
'NK
NAME OF DECEDENT (F'fSl. M'dOIe. Lasll
Evaline
I.
K.
Goens
SEX
,female
SGCl1 '94R'TY "u~g 8403
3. - -
DATE OF OEATH ,MOtIf ~I
November ....2003
....GE(laSlElof!May)
UNDER 1 YEAR
Months Days
UNQER 1 DAY
Houri Mi4"1ules
BIRTHPLACe :C,ty ilrod Pl.J\CE OF OeATHICtoe<:k Of'IYI)f"e -- .;.ee ,n~'rlJC!~)I'"3 c:lc:l01~' ':ltOfll
3~e '" FCI'9[1 COl.rV1 HOSP1TAl~L
P~~na~ e, Inpa...nd1:l-
7. Sa.
FACILITY NAME (If no! 't"lS:'n.Jl,OO. give slree! and numbefl
~."O
70 y"
..
COUNTY OF DEJJH
lb.
Ie.
Regional Medical
RACE - Amenean Indian, Bleck, Wh.... etc.
,Spec"" B1 a c k
,.,.
~
Cumberland
OECEOENl'S USUAL OCCUPATION
(G,'~ lunct 01 work done durlf1g mosr
olr",!"",",.;""~,.fi"'<I' . r. Carl; sle
".Casn~er- ;)uperv~s ".. .
OECEDENl'S MAIUNG ADDRESS ($lreet CityfTown. StaI8.llpCodel
127 West Lincoln Street
Carlisle,Penna. 17013
1..
10.
MARITAL STATUS - Mamed
Never l>.Aa",&<:l, Widowed.
OIYO,C&<:l(SpecftyJ
Divorced
SURVIV1NG SPOuse
(n ~. grve malClen name)
DECEDENT'S
ACTUAL
RESIDENCE
{See J"SlrucllOl'\S
on oll'ler SIde}
th, SliHe
Cumberland
Did
dlKedenl
live Ii'll
TownShip 1
..."
lTh. County
No, oeC9de1'lf t~
17d. wrtl'l,nlC1u.alljmrtsof
Carlisle
FATHER'S "A~E ,F,,~ "'''''A!l enS mall woo d
II.
INFOAMANT'SNAME(TY~aton ia R. Ne Ims
2Oe.
METHOQ OF OISPOSIT;!
Bunal CrematiOn 0 Remow.I "om Sllte 0
"""",,,,,,[] "'he, ""
21..
SJGNA7URE:
MOTHER'S NAI>.AE ,Flfsl. ,",rdelle, Mardens..."n,wne}
1.. Helena Davenport
'N''1'1;S (Se~ tOOf):'! 'fj'c'6'l'i1 ~'t r ~~t , Car 1 i s 1 e , Pen n a . 17 1
'Db.
~~C~,O,:;.~~C'~'~ b~; 1 c~mB.'~T c'v~'i 1 e y lOC:J~~ 'tfT"""r e s~'n ~ bc;r 0 T w 12 .
"e. Memor~aI ardens ,~.umber and County, Penna.
NAME ^!,OAOORESSOF FACjUTY Sou th Hanover S tree t
,kw~ng Brothers: arl~sie Penns ivan~ai/o13
liCENSE NUMBER
eOv-'
kc.v""-e. ""'1" V" /l /,lr rr'l
Iv (/Aj'L<-f"(:>""
I ApprOXlmafe
:i"lltrvalbe~"n
: onset and (jell/'!
:
PAAT II: orner signiflcam eoncfIt;ons conIributng 10 dealh, but
not resulliog in 'he ~ C8UM 0iWn in PA.RT I.
DUE YO (f'lA AS A CONSEOUfJ'lCE ~OF):
b~ ~ ..,-" .''V? L ,-, -rc..;5
DUE TO(()f\ AS A CONSEOUENCE Of):
DUE TO(OA AS ACONSEOuENCE Of)"
d
WERE AUTOPSY FINDINGS
AVAILABl.E PRIOR 10
COMPLETION OF CAUSE
OF DEnH1
MANNER OF DEATH
Nah".'
3
o
o
DATE OF INJURY
(Month, Day, '!'earl
TIME OF INJURY
INJURY AT 'NORK1
DESCRIBE HOW INJURY OCCURRED,
Accident
Pand,og InV9~liQalion
o
o
o ~~CE OF INJURY. At home, lar~.O:;eel. factory. otfice
building, el(:.I$poc,rvl
,be.
Yo> 0 NoD
Homicide
NoG
Yo> 0
NoI2f
Suicide
Could t'IOf be delermmed
~. 30e.
.MEDICAl EXAMINER/COAONER
On the buis of eumlnltlon and/otlnvestlgation, in my opinion, duth occurred at Ihe lime, date, and place, and due 10 the cause(s) and
manne, as stlted.. , . . . . . . . . . . . . . . . . . . . . . . . . . . . , . , . . . , . . . . . . . . . . . . . . . . . . . . .
3b.
REG'SrRARSS'ONATUREANONU~~. ~~~~
A.I
k~,I,.~, \ 101
o
j?,..
(-?'>f:J
2k. 28b.
CERTIFIER (Ct-eck oNv ooe)
.CERTIFYING PHYSICIAN (Ph)'SICI8"Cf!l'I"Y'''9 cause d dt!oalh wtler- anOl"et phvSIC..,n tlas plOt"lO<.Jnceo deattl ana comple!ed Item 231
To the best of "'y knowledg-e, de.th oecun'ed due to the cause(s) and mOIl"".' as slated, . .
:ro.
'PRONOUNCING AND CERTIFYINQ PHYSICIAN (Ptoy9CllIn boIh ;>ronounc>ng aea1l'l andcert"V,ng 10 cause of aeillhl
To the t_t of my knowled9l'1, death occurred a' the lime, date, Jlnd place, and due to the cause(s) .nd manner a. slaled..
G. ~OO~
.:~ \ - Dlo Dl ':>d-.
LAST WILL IN TESTAMENT OF
EV ALINE GOENS
Julv 29. 2003
I, EV ALINE GOENS, of 127 Lincoln Street, City of Carlisle, County of
Cumberland, Commonwealth of Pennsylvania, being of sound mind, memory and
understanding, declare this to be my Last Will in Testament, hereby revoking any Will
previously made by me.
SECTION I:
LIFE INSURANCE POLICY
Clause One: I direct the Executrix of my estate to distribute monies from my
insurance policy, as soon as practicable after my death, in the following manner: After all
funeral and burial expenses have been satisfied, all funds remaining from this policy are
to be equally divided between my three siblings/daughters: Letitia Smallwood, Linette
Smallwood Alexander and Latanya Green.
SECTION II:
PENSION/RETIREMENT FUNDS
Clause One: I bequeath any and all money remaining from this fund, to my two
minor grandchildren: Shabre L. Cumberbatch and Alex Nelms. Should these
grandchildren be minors at the time of my death, I select as guardian over their affairs,
(their mother) Latanya Green. Should Latanya Green cease to serve in this capacity,
guardianship will be designated to Kevin Smallwood.
>>-<.,"l
l..: -,
.1
...._~~
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. p.)
PAGE 1 OF (pJ
TESTATOR EVALINE GOENS
LAST WILL IN TESTAMENT OF
EV ALINE GOENS
July 29. 2003
SECTION III:
REAL ESTATE
Clause One: I bequeath my real property, with all policies of insurance thereon,
(three story home) located at 140 West North Street, Carlisle, Pennsylvania, County of
Cumberland, in which I have a fifty percent interest, to my two minor grandchildren,
Shabre Cumberbatch and Alex Nelms. Should these children be minors at the time of my
death, I select as guardian over their affairs, (their mother) Latanya Green. Should
Latanya Green cease to serve in this capacity, guardianship will be designated to Kevin
Smallwood.
Clause Two: I bequeath my real property, with all policies of insurance thereon
and all furnishings included, (one-half double house), located at 127 Lincoln Street,
Carlisle, Pennsylvania, County of Cumberland, to my three daughters: Letitia
Smallwood, Linette Smallwood Alexander and Latanya Green.
SECTION IV:
TANGIBLE PERSONAL PROPERTY
Clause One: I bequeath my tangible and personal property located at 127 Lincoln Street,
Carlisle, Pennsylvania, County of Cumberland, with all policies of insurance thereon, to
my three daughters: Letitia Smallwood, Linette Smallwood Alexander and Latanya
Green.
TESTATOR EV ALINE GOENS
PAGE20F6
LAST WILL IN TESTAMENT OF
EV ALINE GOENS
Julv 29. 2003
Clause Two: I bequeath my diamond ring to my minor granddaughter, Shabre
Cumberbatch. Should this child be a minor at the time of my death, I select as guardian
(her mother) Latanya Green. Should Latanya Green cease to serve in this capacity,
guardianship will be designated to Kevin Smallwood.
Clause Three: I bequeath my silver service set located at 127 Lincoln Street,
Carlisle, Pennsylvania, Cumberland County, to my daughter, Linette Smallwood
Alexander.
Clause Four: I bequeath my mother's ring, located at 127 Lincoln Street,
Carlisle, Pennsylvania, Cumberland County, to my daughter, Letitia Smallwood.
Clause Five: I bequeath any automobile that I own at the time of my death or at
the time that I become incapacitated (currently a 1988 Cadillac), to my minor grandson
Alex Nelms. I further stipulate that if Alex is not oflegal age to own the car at the time
of my death or incapacitation, that the car be sold and the proceeds be placed into a bank
account for his education, or until age 21, if he does not use the funds for educational
purposes between age 18 and 21.
Clause Six: I bequeath all money in the account at Harris Savings and Loan, in
Carlisle, Pennsylvania, to my daughter Letitia Smallwood, imprisoned at the State
PAGE 3 OF 6
TESTATOR EV ALINE GOENS
LAST WILL IN TESTAMENT OF
EV ALINE GOENS
Julv 29. 2003
Correctional Institution at Muncy, Pennsylvania, Lycoming County. If Letitia meets her
demise prior to her release, the funds are to be designated for her funeral and burial
expenses. I appoint my Executrix, Eunice Oliver to handle the designation of this money
in case of the death of Letitia Smallwood.
Clause Seven: I bequeath my fifty percent joint tenure CD of$15,000, Goint with
Latanya Green), held by Prudential Insurance Company, to my two minor grandchildren,
Shabre Cumberbatch and Alex Nelms, to be placed in an educational fund, to be used to
enhance their education.
SECTION V:
FUNERAL ARRANGEMENTS
Clause One: It is my desire to have all funeral and burial arrangements made by
my Executrix, through Ewings Funeral Home, Carlisle, Pennsylvania. All expenses for
funeral and burial will be paid from my insurance policy.
SECTION VI:
APPOINTMENT OF EXECUTRIX/EXECUTOR
Clause One: I appoint Letitia Smallwood who resides at the State Correctional
Institution at Muncy, P.O. Box 180, Muncy, PA 17756 and Eunice Oliver who resides at,
427 North West Street, Carlisle, PA, 17013, as Executrixes of this, my Last Will In
Testament. Should Letitia Smallwood and/or Eunice Oliver fail to qualifY or cease to act
as Executrix, I appoint Kevin Smallwood, who resides at 3326 Willoughby Beech Road,
Edgewood, Maryland, 21040, Harford County, as my Executor.
TEST A TOR EV ALINE GOENS
PAGE40F6
LAST WILL IN TESTAMENT OF
EV ALINE GOENS
July 29. 2003
SPECIAL NOTE
This Last Will In Testament will also serve as Power of Attorney over all my affairs, if
at any time prior to death, I become incapacitated and/or not able to handle my affairs
on a daily basis. The Executrix and/or Executor, appointed for my will is also
appointed as my Power of Attorney.
IN WITNESS WHEREON, I have hereunto set my hand this \ \
h\.9l1S-t- , 2003.
day of
TEST A TOR - Evaline Goens
The preceding instrument, consisting of five typewritten pages, each identified by the
signature of the Testator, was on the date thereof, signed, published and declared by
Evaline Goens, the Testator therein named, as and for her last will, in the presence of us,
who at her request, in the presence of each other, have subscribed our names as witnesses
hereto.
WITNESSES
Name:
Address:
Eunice Oliver
427 N. West St., Carlisle, PA
~~;u'~ St~JL)L)
,
SIGNATURE
Name:
Address:
Samuel Oliver
427 N. West St., Carlisle, PA
dr~hj/ff"/(3
, SIGNATU I
Name:
Address:
Kevin Smallwood
3326 Willoughby Beech, Rd.
Edgewood, Maryland
~-~~.~ ~~~
SIGNATURE
TESTATOR EV ALINE GOENS
PAGE50F6
LAST WILL IN TESTAMENT OF
EV ALINE GOENS
Julv 29. 2003
SIGNATURE OF TESTATOR IN FRONT OF NOTARY
~-z; i!t~,- ~
~ -
Evaline Goens
Subscribed before me this \ \ th day of ~Wjl\5t ,2003
~\.)J).~ 0.. :\likQJC
NOTARY
Mv Commission Expires:
Notarial Seal
KlmbeI1y A. Bitner, Notary Public
Cartlsle Borough, Cumberland COunty
My Corm1Isslon Explroo NO\! 12, 2000
Member. Pennsylvania Nl8odl;1Wln ,"'If Nl1lw~
TESTATOR EV ALINE GOENS
PAGE 6 OF 6