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HomeMy WebLinkAbout09-08-06 . Register of Wills of Cumberland County PETITION FOR PROBATE and GRANT OF LETTERS Estateof VVd!iu/'Y\ 6. It-rnp\e__ No. d)\ 6\0 tnC\,~ also known as To: Register of Wills for the County of Cumberland in the Commonwealth of Permsylvania .. Deceased. Social Security No. I Cj ,- 12. - C; ~ 2- '5 The petition of the tmdersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older, and the execut(i(' named in the last will of the above decedent, dated :=e b ['""Ii (i 0j I Li , .W- I q ~ and codicil(s) dated - (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decedent was domiciled at death in {I (,l I'll b ~ ,-.\ c.... nA Pennsylvania, with h.t last family or principal residence at laD l\i\t. AiIPI", Dr. Ili\e.L~'h'L.'.Jhu_r'1- PA i70'iS- (list street, number an~ municipality) Decedent, then.1L years of age, died I{ (.i.~k j l: ). I , 20~, at I ,J? q {7 Except as follows, decedent did not marry, as not dIVorced and dId not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: -- County , 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 <. I; G'. ()(.10 / $ $ $ $ WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters 125m I }f.k nt?u"ft/ estamentary; admlmstratlon c.t.a.; admmistration d.b.n.c.t.a.) thereon. Si~~~) ~f petition:;s~ 'i:~J}' '/.. / J1-r/Y1. .; V' .... _ _. '. ._' Residen~ofPetitioner(s) 3(.1 f V.I- t:=./Inu('/c/J:. t:._, 1/;1? { rl(l r) ,f' 5btcJ(J' /:?4 / 7 [i 'J:Y o .~-n ::0 :~:):~ i~2 rTl ;( f 1 c:) r""'l c.... V'j l'"1 v I C.:> ,', ", ~) . ~_:.-::~ \_!3 .-") CJ -Tl -a , , - "-i-'\ --"- ::~ 'J :;..-.:. w .. ,- -) 1:-1"'1 ()1 N . Register ofWnls of Cumberland County OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } SS: COUNTY OF CUMBERLAND The petitioner(s) above-named swear(s) or affmn(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. @ ~ .- '1') I , {/ n ')U I. ))/fv:7,0r:;t Sworn to or affmned and stscribed Before,.IJl~ ~ ~ day of ~ Y' , 20 fX..t, { /) JlKb.!fauw,~ Registe~' .:( No. Estate of ~ \ \)~ ~lq~ , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW g 's:'-i!: 2~, in consideration of the petition on the reverse side herel?f}\satjlJf3ftory proof ha been presented before me, IT IS DECREED that the mstnunent(s), dated V rt /b 0 ~ . ,described therein be admitted to pro te filed ofr~ M~llU . rLA ; and Letters are hereby granted to fIne. cJ. FEES Probate, Letters, Etc. ............. Will ........................... ...... $ $ $ $ $ Automation Fee................... $ Bond........................... ...... $ q 1~1- 20tf!J; $ I - Renunciation.................... ... Short Certificates G:> ... ... ... . . . JCP.................................. I;) .O() 10 . DO SOu Address 87.0 ZJ Filed Phone :~ (..) (n N rn. QQ' ::l ~ C ,a ~ r..... ) r.:::~:J t~;' ;) c..;;"'\ U) ~:f u I CO -... ,----) Thi~ h to certify that the information here given is correctly copied from an original certificate of death dul:, filed wilh me ~i' Loc~d Regi'>lrar '1'1... ()riginal cerl1fiL'ate will be for\varded to the State Vital Records Office for pernl~llk'llt fi li1g. WARNING: It is illegal to duplicate this copy by photostat or photograph. i','l' I,ll' thl' l'lTtili,'alc. S6.()() /jiliffffFl'r:;-;;---:-... .\l~~\,\~.Qfjl;& I/:ff> </f.;;;_~ "I <:::;; ..... '\ ;.-:: ,,:~ ~ ~~. 7!i"~.e::.", >~. - .~~ !% c;), ,;aA', " , - ~I '.. C->, 'J.;!!' " ~, \... , " - . ~ \~ * c' ~..._" *;! '\~> /~.d ,~~ ~,;;~<-~""y .~--_ Q/1i' - \~"\. ,\\~Y ~-;,'''ENi ~ ",t'~' ~~ P 12627582 ,\, '. ;A\ G 19d-. Q\.o a --f. .", /~..,--", "'/ C/i v'Y2.- /.-~ /a-1.&-uh~..;1~ -------- --------- -'--d---'- L,)(;!i I<l'~i,tr;II' ( i j(" ') 0 2006 ,\U',J (.,,~) i )all' o ':::;C) XJ u ") ,r--..., '-.~~ --Ti COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH STATEI'ILE NUMBER 1 Rev,01/Q6 PRINT IN AANENT "'........, c:::) L.....::.;) C..7"l en '-'-1 _C',"""" v I C) -"':) G.) en CKINK 1'.) , Name of Deceden\ (First, middle, last) I' Sex 13 Soo,,1 S""" Nu","" I' 0,,, 01 O,,'h (Moo'h, d,y, y,,') \0: \\'<J...<<' ~ ~,"'-~\~ \~\ I q \ - 1.,1 - <;:S 4;01 \ 0'8 -9\ -.,2()O(., 5 Age (Lasl birthday) 16 Under 1 '" Under 1 day 7 DaleolBir1hMonth,d~ar 8. Birtholace Citvand stale or forei ncountry) Sa. Place of Death Check anr. one C\\ I Months Days HOUIS 1 Minutes \ 1\ -..)C) - \ C\ \ <4 IGreensburg, PA I Hosprtal I Other YIS o Inna'tienl o ER/Oul alien! o DOA LJ/N~rsinn Home o Residence o ();h", Soeci~. Bb. County 01 Dealh Be City. Bora, Twp of Death I ~. ~ :m~n;s:;,u,:gt~''''vd ;unmn ~ '1 ~ g. ~sN~ec~en~z~ ~1~s::;~~~~~n~Uban. 10. Race: American Indian, Black. Whrte, ale ~ (Specify) Cumberland Upper Allen Twp. Me~ican, Puena Rican, etc.) Whi te ~ 11 Oecedei1t's Usual Occuoation Kind of work done durinn rmst of workin life: do not state relired 12 Was Decedenl ever in the US 13 Decedent's Education Snecitvontvhi ties! radecormletedi 14 Marrtal SIalus: Married, Never married, 15 SUfVrving Spouse (lfwlle, g've maiden name) ~ School "1"~~~~er I Publt~ol~~t'1~~l'Y Armed Forces" I ElementaryfSecondary(O'12) 15+ eoltege(1-4 or 5+) Widowed, Divorced (Specif'/J ~ Yes o No Widowed ; 16 Decedent's Mailing Address (Stree!, crtyltown. state, zip code) Decedent's t'A Did Decedent Upper Allen Twp. 100 Mt. Allen Dr. Actual Residence 17, Slate Lrveina 17c. Q{ Yes, Decedent Lrved in Twp Mechanicsburg, PA 17055 I7b. Coun~ Cumber land Township? 17d.O No, Decedent Lived wrthin AclualLimits of CityiBoro 18 Father'sName{Firsl,middle,lasl) 19 Mother's Name (Firs!, middle, maiden surname) Alfred J. Temple Ella E. Shugar 20a.lnlormanl'sName(fypelprinl) 2Ob. Informant's Mailing Address (SIleel, cityltown, stale, zip code) Lynne Mahood 303 W. Elmwood Ave. , Mechanicsburg, PA 17055 ! 21a Melhod.ofDiS~ 21b. Date of Disposrtion (Monlh, day, year) "0 PO" ~' Ol<posrtrin {N,me 01 "me','Y. "'melo'Y 01 o!h" pl"'1 I"d L",,'rin (C"^,,,n, 5"", z. cod,) o Burial rernation o Removal from State o Donation AUgust 24, 2006 'T. o Other. Specify: Holllnger Funeral Home & Cremat on Mt. Hollv SDrinQs PA - '~;'.L.7;/~in:~ 1;~~o;~ ;u7 1220. Name,"dAdd'essolF"ili~ Myers-Harner Funeral Home - 1903 Market St. Camp Hill PA 17011 Complele lIems 23a-<: only when certilying 23a. To the best of my knowledge, death occurred at the time, date and place stated. (Signature and title) 23b. Licensl~Number 23c. Date Signed (Month, day, year) physician is not available at lime of death to certily cause ofdealh - 1\ems 24-26 must be completed by person 24 Time of Dealh 125 Date Pronounced Dead (Month, day, year) '6 Was Case Referred 10 a Medical Examiner/Coroner? - w110 pronounces death 1'33 0 M g- d I - d. OD Co ~~Yes o No CAUSE OF DEATH (See instructions and examples) : Approximate interval Pari II: Enterolher~ditionscontributinatodeath, 28 Did Tobacco Use Contribute 10 Death? l1em 27 Part I Enter the chain of events - diseases, in/llries, or co~lications -thai direclly caused the death. DO NOT enter terminal events such as cardiac arrest, 'onsettodealh but nol resul1ing in the underlying cause given in Part I DYes o Probably respiratory arrest, 01 ventrcular fibrillation without showing lhe etiok)gy. DO NOT abbreviate. Enter only one cause on a line Q"No o Unknown IMMEDIATE CAUSE (Final disease or tJ ylJZ U ryl 011/ C1 :;? >i'PC I<s ..(;'iI /1)((' !n '-/1i i , vI' clL<o/' 29 If Female cond~ion resulting in death) -7 ,. D"'f..lol pregnanl wrthin past year Due lo~or as a consequence 00 fo cU. nU' YJI7 H 0/- o Plegnanl at time of death Sequentially list condrtions. ii any, b --- o Not pregnant, but pregnatlt wrthin 42 days leading 10 the cause lisled on Line a Due to (orasa consequence 00 A 1:c11t'11/II?r 5 +r.i /I.e of death - Enter the UNDERLYING CAUSE (diseaseorinjurylhatinrtiatedlhe 0 ,~--'- o Not pregnant, butpregnanl 43 days 10 1 year . Due to (or as a consequence 00 (erCh,'otVtis'C&,!tU t1';("C/(C before death events resutling in death) LAST : o Unknown if pregnant wrthin the past year d. 30a. Was an Autopsy 30b. Were Autopsy Findings 31 Manner 01 Death 32a.Dateoflnjury(Monlh,day,year) l32b. Oesc,ibe how InIU'Y Qocu""" 320 Place of Injury: Home, Farm. Street. Factory, Office Per1ormed? Available Prior to Completion t:Yffa.tural o Homicide Buik:ling, etc. (Specify) of Cause of Death? DYes Q" No DYes Mo o Accident o Pendinglnvesligalion 321 32g. Location (Street. Cityll.OWfl, slate) 32d. Time of Injury 13".,nIU'Y"WOI" If Transportation Injury (Spec#y) o Suicide o Could Not Be Determined DYes 0 No o Driver/Operalor o Passenge' M o Pedestrian o Other - Specify' 33a. Certifier (check only one) 33b. Signature and TiUe of Certifier Certifying physician (Physician certilying cause of death when another physician has pronounced death and completed Item 23) c;f ~~;{~u11f} To the best of my knowledge, death occurred due to the cause(s) and manner as stated ............. .......n...... ...................,........ ......... ........0 Pronouncing and certifying physician (Physic~n both pronouncing dealh and certilying \0 cause of death) m..m......~ 33c. LicenseNumber 33d. Date Signed (Month, day, year) To the best of my knowledge, death occurred at the time, date, and place, and due to the cause(s) and manner as stated...... .. InOi/d~ rile; Medical examlnerfcoroner On the basis 01 examination and/or investigation, In my opinion, death occurred at the time, date, and place, and due 10 the cause(s) and manner as stated ........0 34 Name and Address 01 Person Who Completed Cause of Death (llem 27) Type/Prinl SI4-tL14 1/ /V Of) ",2.&1'-1115,/-/ I} 71) 35~'~is~","..e" ..< I~I 11""<'1/ ( 136 ;7:/:;/;;~ /00 /)) T ,4LLG IV M /vc I 70 ",,;: / /'.:7/;4 .. (/'fl?.. -. I /JJE C H /J-rv 1 C S7-h,'/E f. )'214 V.,..c.L..- ~ U (See Instrucllons and examples on reverse) C) 1lIast Mill nub Wtstauttut (,J OF r.... ~~' l f",J WILLIAM G. TEMPLE (:) I, WILLIAM G. TEMPLE, a citizen of the United states, and a resident of Pinellas county, Florida, 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 other Wills and Codicils by me at any time heretofore made. FIRST: I direct that all my legal debts and liabilities, including funeral expenses, be paid out of my estate as soon as practicable after my death, provided that such debts and liabilities should first be paid out of the assets of my Living Trust as described herein below, if such Trust is in existence at the time of my death. Such debts and liabilities shall be paid out of my estate only to the extent that the assets of my Trust are insufficient to pay the same. SECOND: I devise certain personal property to my beneficiaries in accordance with a list which I shall draft and sign after the execution of this Will. Such separate instrument is made in accordance with Florida Statute 732.515 and is intended by me to be a complete andflnal disposition of the property named in such separate instrument to my beneficiaries. If no such list can be found as of thirty (30) days after the PAGE ONE OF A SIX PAGE WILL ilJfL ll--l , '-I date of my death, then all personal property which I own at the time of my death shall become a part of the residue of my estate and pass according to the residuary clause of this, my Last Will and Testament. THIRD: All the rest, residue and remainder of my estate, both real, personal and mixed property, of every kind and nature and wheresoever situate, of which I may own or have the right to dispose of at the time of my death or thereafter, including the proceeds of any insurance on my life payable to my estate or Personal Representative, and including any Powers of Appointment in my favor, I give, devise and appoint to that REVOCABLE LIVING TRUST, dated \ ' ___;t, [. .......... . -~ "- . .. /{ , 1993, of which my wife and I are the Grantors, to be disposed of in accordance wi th the terms of said Trust and any Amendments thl~reto executed by me at any time prior to the execution of this Will. FOURTH: In the event that the aforesaid Trust is not in existence, or is, for any reason, unable to receive any assets passing under this, my Last Will and Testament, then I give, devise and appoint all the rest, residue and remainder of my estate, of whatever kind or nature and wheresoever situate, which I may own or have the right to dispose of at the time of my death or thereafter, including the proceeds of any insurance payable to my Personal Representative and including any poweI:S of appointment in my favor, I give, devise and appoint to the beneficiaries of said Trust, in strict accordance with PAGE TWO OF A SIX PAGE WILL /1 '-1"1: /:- / dispositive provisions of such Trust, and any Amendments thereto executed by me at any time prior to the execution of this Will. FIFTH: If my wife, MILDRED M. TEMPLE, should die with me in a common accident or under circumstances which make it difficult to determine which of us survived the other, then it is to be presumed that I survived my wife and the administration of this estate is to be in accordance with that presumption. If any beneficiary named herein, other than my wife, fails to survive me for a period of ninety (90) days, then it shall be presumed that for the purposes of this, my Last Will and Testament, that such beneficiary predeceased me and the disposition of the assets in my estate shall be made in accordance with such presumption. SIXTH: If, at the time of my death, I own any property jointly with any other person or persons, as tenants by the entirety, as joint tenants with right of survivorship, or which is payable to either co-owner or the survivor of them, then it shall be conclusively presumed that such property was owned jointly and such property shall pass to such person or persons as a result of their survivorship, and shall not be considered a portion of my probate estate. SEVENTH: I make, nominate and appoint m~ wife, MILDRED M. TEMPLE, as Personal Representative of this my Last Will and Testament. I request that my Personal Representative serve without bond and I expressly give and grant unto my Personal PAGE THREE OF A SIX PAGE WILL /fkFI '/ '/ Representative full power and authority to sell any or all of the assets of my estate without notice and without order of any Court. In the event she does not survive me, or in the event for any reason she does not qualify as Personal Representative of this Will, or having qualified shall fail for any reason to act, then and in such event, r hereby appoint my daughter, LYNNE T. MAHOOD, as Alternate Personal Representative of this my Last Will and Testament. EIGHTH: Without limitation of the powers bestowed on my Personal Representative by statute, common or general rules of law, I authorize and empower my Personal Representative in the administration of my estate at any time and in my Personal Representative's sole discretion to sell, mortgage, or otherwise encumber without notice and without order of court any assets of the estate including any real or personal property belonging to my estate and to settle any claims, either in favor of or against my estate, as to which my Personal Representative shall deem best to retain any stocks, bonds, notes, other securities and other property, real and personal, without liability for any decrease in value thereof, and to execute any and all proper and necessary deeds, conveyances and receipts. All powers bestowed on my Personal Representative shall be applicable to any successor Personal Representative, acting hereunder to the same extent as though expressly named herein. IN WITNESS WHEREOF, I, WILLIAM G. TEMPLE, have hereunto PAGE FOUR OF A SIX PAGE WILL II L1/- set my hand and seal in Pinellas County, Florida, this day of February A.D., 1993. A. / .. ~. . . / / l. . U~'~/"'~ ...... . .L ..... . ' / ..::;" t./~./" -,d.--"J~L__L-~~ :),<_~,/ ~__""~>-J-~--i:.___~? J : WILLIAM G. TEMPLE / ~ ( SEAL) The foregoing instrument was on this JL) day of February A.D., 1993, signed, published and declared by WILLIAM G. TEMPLE to be his Last Will and Testament in the presence of each of us, who thereupon at his request and in his presence and in the presence of each other have hereunto subscribed our names as witnesses this day and year last above written. /J11M residing in Palm Harbor, Florida (Y'Le~I..Jfl..L~c_reSiding in Safety Harbor, Florida STATE OF FLORIDA COUNTY OF PINELLAS We, WILLIAM G. TEMPLE, the testator and Mark W. Brandt and Melissa H. Nelson , witnesses respectively, whose names are signed to the attached or foregoing instrument, having been sworn, declared to the undersigned officer that the testator, in the presence of witnesses, signed the instrument as his Last Will, and that each of the witnesses, in the presence of the testator and in the PAGE FIVE OF A SIX PAGE WILL /-f_~,J- presence of each other, signed the Will as a witness. WILLIAM G. TEMPLE . . :?:j~.''/IC --.,..-0' c-~(- '-0 ~~~ :17; (, / 00 " l,:. Testator .MdJb4 Witness rJ~D~ Witness STATE OF FLORIDA COUNTY OF PINELLAS The foregoing acknowledgment was acknowledged before me this ID-+hday of Februarv , 1993 by WILLIAM G. TEMPLE, the Testator and by Mark W. Brandt and Melissa H.Nelson , the witnesses, who are personally known to me or have produced d Yl vef (5 _I. e.en~e as identification and who did/did not take an oath. '-Cl~ '-(y\ .~~ Notary Public My Commission Expires: OfFiCiAL NOTARY SEAL DAW~.J M ;vlM:VIN NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO, cco,m26 MY COM MIS310;-'; EX!', OCT. 20,1994. PAGE SIX OF A SIX PAGE WILL '/ L ;, /::.L/L./ /.-/ a \ \)\.0 (),(\~ Frazer Hubbard randt Trask L.L.P Attorneys At Law JOHN G. HUBBARD MARK W BRANDT , THOMAS].TRASK *RICHARD A. ALEXANDER LYNN A. BRAUER June 11, 2001 1\1r. & Mrs. William G. Temple 4833 E. Trundle Road #512 Mechanicsburg, PA 17050 Dear Mr. & Mrs. Temple: Enclosed please find the original Wills which you requested. If I can be of any further assistance, please advise. Sincerely, FRA~~~~& TRASK, L.L.P. MARK W. BRANDT MWB/dp Enclosure f'.....) c.".) c~~ c~'\ I CJ C.1 (.11 r'0 Post Office Box 1178 595 Main Street Dunedin, Florida 34698 Telephone 727-733-0494 Fax 727-734-9581 'Fax 727-733-2991 A Limited Liability PartnershiP