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Home My WebLink About09-12-06 Register of Wills of Cumberland County PETITION FOR PROBATE and GRANT OF LETTERS ..... '"" "'\ urn O\C(l Estate of ~ 0..-'<;: "C \ €.. J-\~~ J"\.x- e'S3 No. 0\ I...Y also known as To: Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania , Deceased. Social Security No. \ \.. C\ co......\. CO '\ The petition of the undersigned respectfully represents that: j. 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 ~ - ~ - a.Q't)~ , 20 and codicil( s) dated \. 0 - ~ - 9-0'0 "3" (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decedent was domiciled at death in ~ \.Io-~ 'ces \CL ~d. Pennsylvania, with ~...:...~last family or principal residence at \ ~O ~,\.on ~~e..~u.....€.. (2.0.-.,\..\..~\.~ ~~ ~D \.~ (list street, number and municipality) Decedent, then '\. ~ years of age, died ~v-..'\ u...st: IJ.. <0 ,20 o~ , at 'l. :.> o-() Except as follows, decedent did not marry, was 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: $ $ $ $ o WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented r---_' herewith and the grant ofletters :) ~.::> thereon. ~stament~dministration c.t.a.; adrriID~tion d.b~i..t.a.) Signature( s) of Petitioner( s) Residence( s) of Petitioner(~)-2 -0 ) ~~')~ ~ ~ ~"'-'o" "'-~. c::.~~\..'s.~~"" ~,,\.~' ~________ \'5i-l."""l c::::,\~"E..~S :>\a, "'tt~eo~"'~\.e~~oro~ .. OJ 0.. : :..) --- 1 f'.,,) . ( n :.~~-~ U) Register of Wills of Cumberland County OATH OF PERSONAL REPRESENTATIVE: COMMONWEALTH OF PENNSYLVANIA } SS: COUNTY OF CUMBERLAND The petitioner(s) above-named swear(s) or affrrm(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. Sworn to or affrrmed and subscribed { Before me this \ IJ... day of ~e.~~~~Q~ ,20 c<Q . X ~ j J 'AA \'~~re )~.~\~ .,b \~ ~lvLl '-N~ '\ ~":':~ ~~<;... \ CIl ~. ~ c ... <> ,-. '" '-' Estate of Q' 0 to 0 --\91 , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW ,~ ~\ 200\0, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s), dated () c-\- a a OO~ , described therein be admitted to probate filed of record as the.1{lst wiU of . """ . ; and Letters are hereby granted to 0\<3-..(' ~\~~ S,-,-<:,: \-\-v-..;("'~ C'..u'\ 0..' oS \ ~- c\ -n:;1S'S ~~t~'-'~br.~~. .cWl Register of Wills "C~O'l..\ FEES Probate, Letters, Etc. ............. $ Will................................. $ Renunciation....................... $ Short Certificates 5) ............ $ JCP................ .................. $ Automation Fee................... $ Bond................................. $ 10,t~ ~ $ Filed q~20_ Attorney (Sup. Ct. LD. No.) - ,"'--') ! Q() .00 1$.00 ~') 1~.OO \D .06 S.oO 1'0 Address ~- '- -'.'--j f~-..) C9J. ()() C'1 \.D Phone I<! ~ \ This is to ccrtifv that the informatIon here given is correctly copied from an original certificate of lkath dLlI:- filed wltl1 ilL' ,[', Loca! Registrar. The original certificate will be forwarded to the State Vital Records Office for perIllanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. No. j I' f "lil/;;;;:;;;;;'",,,,.-, . 11111'~~\'\liJllerl----- l~7 ,,~V;;;---- /l$jl -~~~ i~~.' ~\?:::. \I~~. ..... '.~~ ~c..,)' .~#"'. ;~~ ~ ' ,':i" 1 ' " . ;: \~*~~.. ~"c.r',*~ ~\ <?:: . ". '~l ;. ;,() ..... /~" " __ ~-?"- /~~VII ~------ rirEN-1- \\'i: ~ """' ............... I,ll ,......"''',//11111/1 TI,-...., ~:,~~{:~;~~ Fcc for this certificate. S6.00 P 12727010 AIIG 2 8 2006 Dalt' /.''') f'-...) ~ \- t>lo- CYl <1J " .) i -:--~ H10S.143 Rev.OllQ6 TYPE/PRINT IN PERMANENT BLACK INK 1. Name 01 Decedent (First. rOOdle, last) COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH STATE FILE NUMBER (}1 I..f) 92 Feb. 9, 8, BirthlaceC" andslaleOl'bl'e Carrie S. Age (LaSlbirthday) y" 7. Dale 01 Birth Month,da. cQ I . CUmberland Carlisle Othe< tient 0 OOA Nursin Home 0 Residence 0 Other - S 9 Was Decederll of Hisparll: Origin? 10. Race: Americarllrldian, Black, WMe. etc. I:kNo 0 Yes (II yes, Specify Cuban. (Specifyj Mexican. Puerto Rican. etc,j White Bb. CounlyofDealh 11 Oecederll's Usual Occ tion Kind ot work done durin most 01 workin Iile; do nol slate retired Kindor,Work KirldolBusinessllnduslry SUpervlsor . 16. Decedefll's Mailing Address (Streel. c~Yl\own. state. zip code) Thornwald Home 442 Walnut Bottom Rd. 13. Oecedenl'sEducahon eel ElemenlaryfSecorldary(G-12) h'hesl redeeo Ieled College (t-4 or S+) 14 Marital Status: Married, Never married. 1S, Surviving Spouse (II wile, give maiden name) Widowed, Divorced (Specif)1 o Yes Deeedenf's Actual Aesidence 17a, Slate PA Did Decederll Liveina 17c, [) Yes. Decedenl Lived in Township? Twp. 17b, County C'llmh<>rl"nn 17d, ~ No. Decedent Lived within Actual Limilsof Carlisle CilylBoro 19. MOlher's Name (First, middle. maiden surname) Harry S. Gabel Jennie M. Baker Marilyn S. Hurley 2Ob. Inlormanrs Mailing Address (Slrest, cityllown, stale. zip code) 120 Walton Ave., Carlisle, Pa 17013 208.. InlolrTent's Name (Typelprinl) o w UJ ::> ~ :J <C o Aem:wal worn &ate o Donation 21c. Place 01 Disposition (Name 01 cemetery, crematory or olher plal:e) 21d. Location (Citynown, slale, ZlJ code) Aug. 30, 2006 22tJ. License Nurmer 014351 L Newport Cemetery Newport, PA 22c. N,mo'IId""""""''';Oy Hoffman-Roth Funeral Home 219 N. Hanover St. Carlisle PA 1 ;m,~SO;;O 7' F'I (.. 23c ;;':;~;ZY"'I 26, Was Case Referred to a Medical ExaminellCoroner'? - lIems24-26rooslbetorTllleledbypelson woo pronounces dealh. 23a. To the best o,~~nowledge. de~l~ occ~ at the lime, dale and Place. stqled. (Signalure and title) ~~c2-t:-c~. y-".<- /..--0 ~/p 24. Time 01 Dealh 2S. Dale Pronounced Dead (Month, day, year) s:' /.;;(# /~C" CAUSE OF DEATH (See instructions and examples) lIern 27. Part l: Enter Ihe~ -diseases. in;.nies, Of cO"l!lications-that direclty caused lt1e death. 00 NOT enter terminal events such as cardiac arrest, respira.lory arrest, o.r ventr-=ular fbrillalion wilhool showing the etioiogy. DO NOT abbreviate. Enter t)' one cause on a line / ~ IMMEDIATE CAUSE {Final diseas8 or (I ~ fr--<- condilionresullingmdealh) ~ a. ..?.LoO M. o yas /!wroximalelnlerval: Orlset to death Part II: Enterolh8l'~nditionsconlrDutinQtodeath, butnol resulling in the undertying cause given in Part I. 28. Did Tobacco Use Conlrilute to Death? DYes 0 Probably o No 0 Unknown o YeS~NO d. JOb. Were Autopsy Findings Available Prior to Co"l!lelion oICauseo/Death? DYes 0 No 31. MarlnerolDealh ~atural 0 Honicide o Accident 0 Pending lnvestigalion o Suicide 0 Coukl Not Be Determined 32a, Dale ot Injury (Monlh. day, year) 32b. Describe how Injury Occurred 29. If Female: o Not pregnant within past year o Pregnanlaltimeoldeath o NOlpregnant,bulpregnantw~hin42days o/death o Not pregnant. bul pregnant 43 days 10 1 year beloredeath o Unknown if pregnant within Ihe past year 32c, Piece 01 Injury: Home. Farm, Slreet, Faclory.OfIice Buikling, etc. (Specify) Sequentially list conditions,il any, leading to the cause lisled on Line a. - Enter the UNDERLYING CAUSE _ (diseaseorinjurythatir1~iated'he events resuning in death) LAST. DUeto(orasaconsequenceo~: Due to (01 as a consequence ofj 3Oa, Was an Autopsy Per1ormed? 32d, Time 01 Injury 32e.\njuryatWork? o Yes 0 No G J~?-z.' I! Nameandhl~essorpersm~c:th~t~?~Or.Dea~~)~ \~inl MO 8D 3 -17 ,0~~ 14-'<. P')?tt ~4- 110'~ 321. 32g. Location {Street, citynown, slate) I- Z W o w frl o u.. o w ::;; <C Z 33a. Certifier (Check only one) Certifying physician (F't1ysician Cer1ilying cause 01 dealh when anolher physician has pronounced death and COf1llleled lIem 23) To the best of my knowledge, death occurred due to the cause(s) and manner as staled ._..._._.._......_.... .. .........._.....__.._.__..........M. .-...--.-.-..-.....-..-..... ...._~ Pronouncing and urtlfylng physIcian (Physician bolh pronouncing death and certifying to cause 01 death) To the best of my knowledge, death occurred at the time, date, and place, and due to the cause(s) and manner as stated..._......_._...._.._.................._...._ .......0 Medlulexamlnerltoroner On the basis of examination and/or Investigation, In my opinion, death occurred at the time, date, and ptace. and due to the cause(5) and manner as stated .__...0 35. 36 DaleFUed (Month,day, year) lal I~II 10 I _~"6 d,\)C:lb (See instructions and e mples on reverse) Register of Wills of Cumberland County OATH OF NON-SUBSCRIBING WITNESS Estate of Q C\.~ ~ \"e.. 'J:\.o......\oe...\.. ~"'-~ ~ No. b ~ \ au, ()'lq 1 Also known as , Deceased ~ a..'c"\.'~"",,, ..... C2. \., \. ....:.."J ''''\.L~.e \ ~ (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that familiar with the signature of c..o-, ~ \.e. ~_ ~ ~ 0':'<-:;> , testat_ of (one of the subscribing witnesses to) the codicil/will presented herewith and that ""'~~believelbelieves the signature on the codicil/will is in the handwriting of ~,'\'; '-~ ~ ~"6 <b S to the best of "'- e.. "\""'"' . knowledge and belief. ~.~.~-\ S~..'-~~ (Nan \ \ Sworn to or ~ffi~~d subscribed Be~.ee m.e. thIS ~ " ''--..' dCr~f ~~c..fLI\ \..;'-'---.- ,20 j \ Q..~O U-:J a... ,,-, ~ "'i:\. ~ '\Je.. . (Address) ~'\..~S,e. .~~ \.\.0 \..-=S 11 UL\ "-~ (Name) (Address) ".,') ~ '-") ") t\.) (~:"l \.0 REGISTER OF WILLS YORK COUNTY OATH OF SUBSCRIBING WITNESS Bruce C. Bankenstein, a subscribing witness to the will presented herewith, being duly qualified according to law, deposes and says that he was present and saw Carrie G. Gross, the testator, sign the same and that he signed as a witness at the request of testator in the testator's presence and in the presence of the other subscribing witness. Sworn to or affirmed and subscribed before me this /{b ~ day of September, 2006. &eeu(~ Bruce C. Bankenstein 48 South Duke Street York, PA 17401 ../) r....'..:l r",,,) Ul \..0 ... ~~ ~A Notary Public My Commission Expires: COMMONWEALTH OF PENNSYLVANIA Notarial Seal Treva M. McWilliams, Notary Public City of York, York County My Commission el(p;~ M.,.. .., 2008 Member. PennsylvanIa Assoclatlon or Notarles LAST WILL AND TESTAMENT l)F CARRIE G. GROSS I, Carrie G. Gross, of Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding and considering the uncertainty of life, do therefore make, publish and declare this to be my Last will and Testament, hereby revoking and making null and void any and all wills and Testaments or writinq~ , in the nature thereof by me at any time heretofore made. .'-) (..~-, ARTICLE ONE ~j I direct the payment out of my estate of th.~ expenses of ~y r'.,"'\. last illness if any, my funeral expenses, and my just depts, ttre (J1 \.D same to be paid out of my estate by my Executor hereinafter named, I~- ) "cl as soon as conveniently may be after my demise. ARTICLE TWO I give, devise and bequeath all of the rest, residue and remainder of my estate and property, real, personal or mixed, of whatsoever nature and character and wheresoever situate, of which I may die seized or possessed, or to which I am in any way entitled at the time of my death, or over which I have any power of testamentary disposition as follows: A. One-third (1f3) thereof, in trust, unto the Trustee of the T.L.G. Trust which I have established on this date, naming my son and daughter, James R. Gross and Marilyn s. Hurley, as Trustees, and my granddaughter Lauren Hurley as Successor Trustee, with regard to my child, Terry Lee Gross, as part of that Trust for the uses and purposes and under the terms and conditions as therein 1 set forth, so long as such Trust is in existence a.t the time of my death; and if the T.L.G. Trust is not in existence at the time of my death, then this one-third (~) share of the remainder of my estate shall be added to the other shares of my residuary estate in the same proportions as they now bear to each other. B. One-third (~) thereof unto my daughter, Marilyn s. Hurley, if she shall survive me, and if she does not survive me, then unto her issue who survive me, per stirpes; and if my said daughter does not survive me and leaves no issue who survive me, then I give, devise and bequeath this one-third (~) share of the remainder of my estate unto my son, James R. Gross, or his issue, who survive me, per stirpes. C. One-third (~) thereof unto my son, James R. Gross, if he shall survive me, and if he does not survive me, then unto his issue who survive me, per stirpes; and if my said son does not survive me and leaves no issue who survive me, then I give, devise and bequeath this one-third (V3) share of the remainder of my estate unto my daughter, Marilyn S. Hurley, or her issue" who survive me, per stirpes. ARTICLE THREE I nominate, constitute and appoii"1t my son and my daughter, namely, James R. Gross and Marilyn S. Hurley, or that one of them who survives me, to be the Executor of this my Last will and Testament. ARTICLE FOUR All federal, state and other estate, inheritance and death taxes payable because of my death, with respect to the property 2 passing under this Will, including any interest or penalty which may be imposed thereon, shall be considered a part of the expense of the administration of my Estate and shall be paid out of the residue of my Estate before distribution of the residue is made, so that all residuary beneficiaries, whether charitable or otherwise, shall proportionately share in the payment of the same. ARTICLE FIVE I direct and request that any fiduciary under this my Last will and Testament, shall not be required to enter bond or security of any nature whatsoever in any jurisdiction in which such fiduciary may act. IN WITNESS WHEREOF, I have hereunto set my name and affixed my seal to this my Last will and Testament which consists of three (3) ;Vi) pages this 1- day of 0 G IV t3 t? rz , 2003. C~J t~~.l- V'~1 .,J,} -'CAv:J-~ (SEAL) Carrle G. Gross S.S.#179-09-1001 SIGNED, sealed, published and declared by the above-named Testator as and for the said Testatoris Last will and Testament in the presence of us who have hereunto subscribed our names at the Testatoris request as witnesses thereto, in the presence of the said Testator and of each other. ~...---, I / /7 ,/ ~//:- I ./ ~, .' ..,.(. -----=>- r.. (,?> '_____ /-----yv~- \ " r:~/J~ 3