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Home My WebLink About08-31-06 I m.so:; REV 1105 Estate of Wayland R. Gifford Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS No. Q\, D\p~ b 115 also known as , Deceased Social Security No. 091-28-1699 Marian J. Trone Petitioner(s), who is/are 18 years of age or older apply(ies) for: COMPLETE "A" OR "B" BELOW:) ~ A. Probate and Grant of Letters and aver that Petitioner is the executrix named in the Last Will of the Decedent, dated March 12,2003 and codicil(s) dated N/A 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.t.a., d.b.n.c.t.a.: pendente 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 last family or principal residence at Forest Park Health Center. 700 Walnut Bottom Road. Carlisle. PA (list street, number end municipality) Decedent, then BL- years of age, died Auaust 9.2006, at Carlisle Reaional Medical Center. Carlisle. PA (Location) Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property ................................................................................ $ 4._....; " pg (If not domiciled in PA) Personal property in Pennsylvania ..........................................~ c:r- r=;':!' C) (If not domiciled in PA) Personal property in County ....................................................~~ ~ C"' C) Value of real estate in Pennsylvania ..................................................................................................fl1.~ ~ c; ~ Real Estate situat::~; f~ii~;;';;:.."". .......................................... ............................. ......... .................:; ~'i 4 0-= . ~~ g Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presente~~is ~tion'~ the rant of letters in the a ro riate form to the undersi ned: P::o. C?'::; Si nature Typed or printed name and residence j$ (J1 ~,-\ Marian J. Trone 333 Third Street New Cumberland, PA 17070 Form RW-1 Page 1 of 2 (Cumberland County - Rev. 9/92) 'T'l-::<; ;~ ~C; cer~ifv that the information here given is correctly copied from an original certificate of death duly filed with me a~ Local Rcgislr;lI ~ The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 No. t2wn- /Jp 1;;;-c/'~ Local Registrar ( p 12626943 AUG 11 2006 Date (") ~~ ~.:'.;,1 10 -:0 r- :~ m '-);0> ~ ':D 7 (f) 7' 000 ,--" 0 -n '- j c.: 9::0 - :-t :g ~ ~ CT" :JII- c::: (;") w ~ C2 c..n ,N :0 --;J:.) \:r~ f~~ ':iJo ~,~~ ":b C) f'T1 r-- c,/) C) ..,., lEV. 0212006 PRINT IN ANENT KINK I. N,""" 01 Decedem (Fils!. micIde, lasl, ...'IIKI Wayland COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH Yrs 6. Dale at Birth Month. 7. Bi<Ih ace and slale or 1 091 - 28 -1699 Sa. Place 01 Death Ched< one HospiIaI Inpaliool 0 ER 1 CltJIpalient 0 DOA 0 NlKSing Home 9. WasDecodOnlolHIspan;cGngin? IVI No Dyes (If yes, specify Cuban. lI'" Mexican. Puerto Rican. Olt.) 2006 R. Gifford 5 AiJ8!Las1 Bnhdayl 79 Sept. 3D, 1926 . .. ..,. Cumberland Carlisle 8<1. Facilly Name (W nol institutiOn. giwlslroel and n...bor) Carlisle Regional Medical o Residence 0011101 . Specify: 10. Race: Amorlcan Indian. Blad<. While, ole (Specify) white 8b County of Deottl .,. 11. Decodonrs U...'" most 01"",1<' Iifo. Do n<lf sfale ",1iI8d ; Kind 01 Wen Kind 01 Busiloss Ilnduslly ~ Packer Federal Governmen ~~ 16. Oocodonf. Mlitog Address (SlrooI, city I lDw1>, stale. zip codej 1 700 Walnut Bottom Road ~ Carlisle. PA 17013 18. FaIhef'. Name (FIISI, midd1o.last. suffix) 12 Was Decedent_ in Iho U.S. Annod For...? oVos &;1No Decodont'. Ac\lial RIISidooco 17a. Slalo 13. Decedenfs Education (Specify only highesl grade CIlmjlIetodj Elemonsary 1 Secondary (0-121 College (1-4 or 5+) 12 14. Marital Slatus: MaITiod. Never MaIl1od, Widowed. DiYorcod (Specify) Widowed 21. Method of 0isIl0sitian o Bu<ial 0 Removal from Stale Did Decodenl Pennsylvania LNein. T _ship? Cumberland 19. Motho(s Name (Rrsl. micIde, maiden sumame) Irene Borthwick 2Ob. Inlonnant's Maiing -.. (SilQot, cily I town, slate, zip cede) 333 Third Street, New Cumberland, PA 17070 21b. Dale of 0isp0si1ior1 (Month. day. year) 21e. Place ollJlspasittan {Name of comelofy, CRIIIlaloty or _ place) 21d. Locallon ICity llown. slate, zip cede) Carlisle City I Bora tlb. County 17e 0 yes. Dec:edont lNod in 17d f8) ~~~ivod_ Twp. II, 2006 Evans Crematory 22<. Name and Address of Fociity Schaefferstown, PA 17088 ~ _ 23u anlywhen <:enI)ing ~ is not avolallIo BlIimo of deottl k> ceftiIy C3IJll<! c:J doalh IIoms 2-4-26 roosl be """"""'" by porsoo who _ death CS, Inc., P.O. Box 431, New Cumberland, PA 17070 231>. Ucenao HIJllbor .A..o hl>07i;322-L :~Oinlefval: , Onset k> Death Part II: EnIef otl1er _ilicanl mnditms _In dellllL but nol rosutlIng in \he undel1ying caJSO ~ in Pan I =~~US:J:~lise~ .1ly C J i',r'] 28. Did T o#lacCo Use Conlribule 10 Death? o Yes 0 Probably ~ Unknown 29. II Female' o Not pregnant wilhin post yoar o Pr.gnant alllme 01 doa'" o Not pregnant. bul pregnanl withrn 42 daY' of death o Nc< pregnant. bul pregnant 43 days In 1 yoar 01 doalh o Unknown II pregnant withtn the pasl year 320. PIoco 01 Injury: Homo, Farm. S"""1. Faclary. Office Building. ale. (Specify) O'uonIIaIIy Iisl COIlllmns. II any. ~iIl caISIllistod on ine. .... iI..e UNOERl Y1NG CAUSE ;g... 0( if1tuty that ini_ \he ,"'IS rosu11i1g in death) LAST. ,:+-€....,i., ~ ~ ~ .. Due to (or as a mnsequence ('It) c.rtlflor (checI< only one) c..ttIytno physlc:lln (PhysiciM cenfying cause 01 death when anoIhor physician has pronounced death and completed lIorn 23) To III' _01 mykllllWlqe, dul/l occunad due to tho ""1(.) and /IWl"'......esf_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _..D "'onounclog ,nd C3IlfIymg pIlysielan (Physician bolh pranouocing deoIh and certifying 10 eauso of death) To tho lint 01 "'Y knowledgo, duIII occunad at tile limo, dale, ,nd place, Ind d..to till toutoll) Ind I!IIIInBr.1 '''l<t _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ..D =::~ ~= and I 0' InveoIlga\lon, in my oplniQn, _ occuMd oltho time, dlle, Ind pIIce,.nd d",to tho <aUIe(., and manner," lla\ffI. _..D AlII , s' I~I/I~II ( I 3211. Time of Injury 320. location of tnl'"Y (Streel. city I town. .taIe) . WillS an Autopsy Performed? 3Ql W,'" Autopsy Findings Avail_ P1ior 10 Completion ~ 01 Cause of Death? lYos OVes oNo 31.Mar,""'~ ~ D Homicide o Accident 0 Pending Invostigab1 o Suicide 0 Could Not be De_ M -('#' i 7-[-( f) 1-0 " - 07 7-.5 11jnst lIill nub wel1tamcut OF WAYLAND ROMAINE GIFFORD I, WAYLAND ROMAINE GIFFORD, of Fairview Township, York County, Pennsylvania, do make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils by me at any time made. ITEM I: I direct that all inheritance and estate taxes becoming due by reason of my death, whether such taxes may be payable by my estate or by any recipient of any prope.rty, shall be paid by the Executor out of the property passing under ITEM III of this Will, as an expense and cost of administration of my estate. The Executor 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. ITEM II: I direct the Executor to pay the expenses of my last illness and funeral expenses from the property passing under this Will as an expense and cost of 8 g administration of my estate. ~.71I~.o ~ ':1:J r- en t;: m w :2:u5~ - o ITEM III: I give, devise and bequeath all the rest, residue and re~~ of ~ <:)c -- my estate, not disposed of in the preceding portions of this Will, to my friend, ~J. <;? U'1 TRONE, of New Cumberland, Pennsylvania, if she survives me. If she does not survive me I.N devise and bequeath such rest residue and remainder to her son, JERRY A. TRONE. . .2..( - 0 ~ ~ D 11 S \ _jU' '~:':;'"'-l (-c::i (:-) :.:b C;J 'IT C:J <::::> i ,~'7""t :-:-1. c5 Tn , ITEM N: In addition to powers given by law, the Executor shall have the following discretionary powers applicable to all real and personal property including property held for minors, effective without court order and until actual distribution: (a) To retain any property received by the Executor; (b) To sell real estate for any purposes, publicly or privately, for such prices and on such terms as the Executor deems proper, without liability on the purchasers to see to application of the purchase moneys; (c) To compromise controversies; (d) To distribute in cash or kind or partly in each at valuations fixed by the Executor; (e) To hold investments in the name ofanominee; and (t) To undertake all other acts in the Executor's judgment deemed necessary for the proper and advantageous administration and settlement of my estate. ITEM V: I hereby nominate, constitute and appoint MARIAN J. TRONE to be the Executor. The Executor is specifically relieved from the duty or obligation of filing any bond or other security. IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Will and Testament, consisting of this and the preceding two (2) pages, at the end of each page of which I have also set my initials for greater security and better identification this 1;7 4day of ~ ,2003. A#)}~ )iiLAND ROMAINE GJ ORD (SEAL) We, the undersigned, hereby certify that the foregoing Will was signed, sealed, published and declared by the above-named Testator 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 set our hands and seals the day and year first above written, and we certify that at the time of the execution thereof, the said Testator was of sound and disposing mind and memory. ~ ~~EAL) (/ .1-.t 13 It'" J-.J lul'e. {. " Residing at fp {tlr; FA /7/11 ~ {lrv. ;gtuU>~(SEAL) y1,j~ f/!l~~ (SEAL) Residing at ~s g~ ~ hi C,,~ /fid" M l?o II Residing at o/tI..} Va.~ ~ /l~1 (}~~~ /JJ /7070 , ~ :316255 _1 Oath of Personal Representative Commonwealth of Pennsylvania County of The Petitioner(s) above-named swear(s) and 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 Decedent, Petitioner(s) will well and truly administer the estate according to law. ;x/J!/[k~?'. j ---~ Sworn to and affirmed and subscribed before me this ~ J (f day of ,20~. ()A.{rplSf DECREE OF REGISTER Estate of Wayland R. Gifford, Deceased also known as Social Security No.: 091-28-1699 No. JI-n<O-077f Date of Death August 9,2006 AND NOW, ,2006, in consideration of the Petition on the revers Side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters t8J Testamentary D of Administration (c.I.a.; d.b.n.c.t; pendente lite; durante absentia; durante minoritate) are hereby granted to Marian J. Trone in the above estate and that the instrument(s), if any, dated March 12.2003 described in the Petition be admitted to probate and filed of record as the last Will of Decedent. ~d4 firM .)~J}7Z~ (!. Nfl A_ Register of ~~ i:. ptA .~ f11 (i~J ~ Ig ~ ";t:>~:D Z(/)';1'. C.J ('") 0 nO" OC :~ :g FEES Letters................................ .. Short Certificate( s) 5 ... ...... Renunciation................. ....... AUiettvit ( ) ...W.l.I..I. .... ..... ... Extra Pages ( ) .................. Codicil................................. . J C P Fee..... ;1:. fu.J.T]........ .. Inventory & Tax Forms ........ Othe r .................................... TOTAL.q'J\'.~.~... $ 30 . 0 0 $20.00 $ $ l5..aO $ $ $ \5,~u $ $ Attorney: 1.0. No.: Howell C. Mette 07217 3401 North Front Street Harrisburg, PA 17110-0950 717 -232-5000 <{ b 'Of') $ Address: Telephone: DATE FILED: Form RW-1 Page 2 of 2 (Cumberland County - Rev. 9/92) 455193v1 ~ S .. cJ1 ~ --0 ;~t.; f~ [~3cg ~...,-i ITl ':.:rJ CJ C)O -fl ::{i :::~ -; ..' C) ::::.- \T1 ~::'J") \;~