HomeMy WebLinkAbout09-19-06
PETITION FOR PROBATE and GRANT OF LETTERS
Estate of Helen F. Clark No. ex /-6 f/;- (J ~~ ~
also known as To:
Register of Wills for the
, Deceased. County of Cumberland in the
Social Security No. 206-10-8996 Conunonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner( s), who is/are 18 years of age or older and the execut ors named
in the last will of the above decedent, dated October 1 1993
and codicil(s) dated NONE
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in Cumberland County, Pennsylvania, with
h er last family or principalresidence at 824 Lisburn Rd. Aot. 214 Camo Hill PA 17011
(list street, number and municipality)
Decedent, then 88 years of age, died Seotember 4. 2006
at the Woods at Cedar Run
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: NON E
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property $ 199.000.00
(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:
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters testamentary
thereon. (testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
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1322 Longfellow Circle
Roseville
1531 N. Drexal Road #53
West Palm Beach
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEAL TH OF PENNSYL VANIA} 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 represen-
tative(s) of the above decedent petitioner(s) will well and truly- administer the estate according to law.
Sworn to or ~ffmnmnd subscribed {" ~ -=:h>.~,R~ ~
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Estate of Helen F. Clark
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
()
AND NOW ~r-e / 9,' !-'2 () /)7p , 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 1 0/1/1993
described therein be admitted to probate and filed of record as the last will of Helen F. Clark
and Letters Testamentarv
are hereby granted to
Michael Lowell Clark and Christy Rae Clark
FEES
Probate, Letters, Etc.. . . . . . . . $dft; IJ .ou
Short Certificates ( 6 ) . . . . . . $ 8A .01)
R . ri: (,., I fLL- $ t. S. 0 D
lU1YfielR on. .v. .......
V c P.f 1'ItJ1l) $ I ;'.0 ()
TOTAL _ $ Vlr).(JU
Filed. . .711 9!O~. . . . . . . . . . . . . .
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p!:gi"e~~ /lA---
Debra K. Wallet, Esq.
23989
ATTORNEY (Sup. Ct. I.D. No.)
24 North 32nd Street
Camo Hill
PA 17011
ADDRESS
(717) 737-1300
PHONE
H10).XO) REV 1/05
This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. 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.
No.
t2wn- fJ? ~(!t1;A'~rR-
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Fee for this certificate, $6.00
Local Registrar
p
12838220
SEP 082006
Date
02I200Il
/TIN
:NT
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1. NlIne of Decedent (F"n~ middle. last. suftix)
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
88 v...
8b County 01 Deaf1
12-8-1917 Harrisburg, PA
ed. FacIity Name (I' not ilSftlllon, giYe met and number)
STATE FILE NUMBER
4. Dolo of DoIlh (MonIl, day, ,earl
9-4-2006
5. I>(Je (Last Bt1hday)
F. Clark
6. Dolo 01 Bir1h MonIl,
7. ICe enelllale Of
Hill
moot 01 ....Donot_l8IInld.
1<incl00~'lrwluslry
COEIOuwealth of P
16. o-Ient's ~ Adcha (snot, cly 11uwn. _. zip code)
405 Haldeaan Avenue
Hew Cumberland, PA
18. F8II1er's N_ (F.... midcIe,la8l. sullix)
eu.berland
11. llec8denrs Usual
Kr>d of WOlle
17070
12. W. Decedent over In ...
U.S. Armed Forces?
Ov"' IaNo
Docodent's
Actulll Residence 170.81R1e
17b. County
pp-nn~ylvania
Cumberland
17e. 0 v.. DocodenlUvodin
17d.k) ~~ofUvod"'" Hev Cumberland
TW\>.
CIty'8oro
19. -. Nom! (Fnt, millie, maiden sumane)
Beulah Fennel
2Ob. Infllrnart's Md1g Adcha (S1meI, eIty, Iuwn. _. zip code)
1322 La fellow Drive, Rosevi1le, CA 95747
210. PIaoaof DIIposJIIon(Nameofcemollry, aem8by oro"'qli8ce) 21d. LoclIlion(CllyIIDMl. _. zip code)
Paul Fine an
200. InI:lrm8nI'1 Name (Type' Pmt)
Harrisbur , PA 17109
Services, Inc.
Xl&<: My whM
phyoiD1 is not ........ ..lime of dIlolh b
corIIy CIIUIIIl 01 de8tI
_ 24-:/1) nut be axnpIeled by fJOIlIOI1
.,., pronounces_.
23c. Dolo SIgned (Mon1h, day, y&fW)
24 Tmeolllellh r- LJ 25. lletePronouncedIleed
~ ~ (" I M.
CAUSE OF DEATH CSeeI.-u........ and .nmpIM) : AppIOllImlIle Inlerval:
110m '0. PART t Enter...~-........Injuie&.orOOlllllfication-1hlllclnlctlyCllllllld'" ded1. DO NOT onIorlllnrinlll _Is such.ClIdlac I11I8II. : Oneellll DoeI1
IIMMDATECAIJSE'::=_roMrW;:::r(:~wort(orIO~~~~IM€ .$' r--- ~ $vd&~ ~
cordmreoul1ingllClelllh) -+ .. ~ r ",.,
b. a"ru~oI): W( 0 L:&~& (~( , l( ~f.(, 11(1)1f..
c .C"6 rcrt;v,oI): k ,f I ~ ~ ct.s: .e_ !
Due to (or as I OOI1IeQUl!IncD ot): :
28. W. Case ReIemlcIIo ~ EXMIIner 1 Coroner for 8 Re8son Oller 1h8o C!8mlIlion or lloneIon?
o v.. [31fo
ParI II: Enler otIer _ <mdlImo _ In _ 28. Old Toboa:o lire ConIJbJ1e III DeeIh?
but not resuling In'" urder1ytng COlI.. gNon ill'Ir1l. 0 Yes 0 PmbebIy
~.. 0 Ur*nown
29. ~~wilhiIpeslyeer
o Pregnent at lime of death
o ~:~ but pregnonl within 42 days
o ::::'IIl~ but pragnant 43 days lJ 1 year
o Unknown ~ pregoant wiIlil1he past yeer
321:. Place oIlnjlll}': Home. FII!II. SIr8et FllCtlry,
0lI00 1luIdIng. etc. (SpecIfy)
.",
em Irt oancIliono, ~ any. .
10 auelrt8d ClIft a
En18r llNDERL YIlG CAUSE
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d.
M.
300. W. 111 AI*'POY
Performed?
oV.. ur'
~. WentAl*'POYFIIldInQo 31. _~
~=~~ (9'NalInI oHami:ido
0....-/ 0 Aa:Idonl 0 Pendng kNeotIgalIon 32d. lire It Irjury
V.. 1:1 No
o SUIclda 0 CooId Not be Dellltmlned
33a. CertlIIer (d1ocIc CIIIy lIl8)
. CellIIyIng p/IyIlc:Ian (Physician certiIying caure It death when lIlolller phyolcirJ h. pnlIICIlmlld death ond ccmpIolod Itom 23)
T.tho_afmyknowtedgl,doolhoccurrwlduololllaClUOl(sllndllllllne,u~____ _ _____ _ ____ _ _ ___ __ _ _ _ _ _ _ _. ___..D
. PnlIlllllllCinO ond cortIIyIng phyoIclon (Ph~ both pronounc;ng deaI1 and cortifying III cause 01 daath)
To lhe b88l cI my JcnawIodge, d88Ill oecumd IIlhe Ume, dolo, and pIooo, and duo 10 lhe _8I(s) and IllIIlner II stal&tl. _ _ _ _ _ _ _ _ _ . _ _ _ _ _ _
. ..... EumI....' eo""""
On lI>8 _18 af aumlnalbl ond' or InVMtlgallan, In my oplnIoA, doolh occurrwl It lhe llml, dlts, and pIooo, Ind duo to tilt cauoa(slllld monnor .. ~ _..D 34..
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LAS T
W ILL
AND
TESTAMENT
o F
BEL E N F. C L ARK
I, HELEN F. CLARK, of New Cumberland, Cumberland County,
Pennsylvania, being of sound and disposing mind, memory, and
understanding, do hereby make, publish, and declare this to be my
Last will and Testament and hereby revoke all other wills and
Codicils, if any, that I have made.
FIRST: It is my wish, and I direct, that after my death, my
body be cremated through the auspices of the Harrisburg Cremation
Society and that my ashes be buried in the cemetery plot next to
my late husband in Slate Hill Cemetery, of Mechanicsburg,
Pennsylvania. I also wish that a memorial service be held within
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a week of my burial at my home church, Baughman Methodist Church,
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in New Cumberland, Pennsylvania.
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SECOND:
All the rest, residue, and remainder of my Estate,
of whatever nature and wherever situate, I give, devise, and
~ bequeath in equal shares, to my son, MICHAEL LOWELL CLARK, of
West Palm Beach, Florida, and to my daughter, CHRISTY RAE CLARK,
so long as each shall survive me by thirty (30) days. Should
either of my children fail to survive me by thirty (30) days, but
be represented by children then living, these children shall
take, per stirpes, the share to which my child would have been
entitled if then living.
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THIRD: All interests of any beneficiary in the income or
principal of this Estate, while undistributed and in the
possession of my Executor, even though vested and distributable,
shall not be subject to attachment, execution or sequestration
for any debt, contract, obligation or liability of any
beneficiary and, furthermore, shall not be subject to pledge,
assignment, conveyance, or anticipation.
FOURTH: All inheritance, estate, and succession taxes
(including interest and any penalties thereon) payable by reason
of my death shall be paid out of and be charged generally against
the principal of my residuary estate without reimbursement from
any person.
FIFTH: I nominate, constitute, and appoint my son, MICHAEL
LOWELL CLARK and my daughter CHRISTY RAE CLARK as Co-Executors of
this, my Last will and Testament. In the event of the
renunciation, death, resignation, or inability of either one to
act for whatever reason in this capacity, then the other may
serve as sole Executor. I direct that no representative named
above shall be required to post security for the faithful
performance of his/her duties in any jurisdiction insofar as I am
able by law to relieve him/her of such obligation. Any of my
representatives shall be entitled to reasonable compensation for
the performance of the duties set forth here.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
this i~1'" day of
Otiobel""
, 1993, on this, the Third of
Three typewritten pages. I have also signed the left-hand
margin of the first Two of these pages for purposes of
identification only.
J~'~~
HELEN F. CLARK
SIGNED, PUBLISHED, and DECLARED by the Testatrix, HELEN
F. CLARK, as her Last Will and Testament, in the presence of us,
who at her request, in her presence, and in the presence of each
other, have hereunto subscribed our names as witnesses.
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ACKNOWLEDGMENT
Commonwealth of Pennsylvania
County of Cumberland
I, HELEN F. CLARK, Testatrix, whose name is signed to the
attached instrument, having been duly qualified according to law,
do hereby acknowledge that I signed and executed the instrument
as my Last will and Testament; that I signed it willingly; and
that I signed it as my free and voluntary act for the purposes
therein expressed.
~.~/~
HELEN F. CLARK
Sworn or affirmed to and subscribed before me by HELEN F.
CLARK, the Testatrix, this ~. day of ~
, 1993.
&~~~--
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Notary Pu ~c
NOT ARIAL SEAL
KATRINA K. WASS, Notary Pu~!ic
~r\isle Boro, Cumberland County, Pa.
'Nti Commission Expires Sept. 19, 1994
J..
AFFIDAVIT
Commonwealth of Pennsylvania
County of Cumberland
We, Debra K. Wallet and
AG(;,71,u F G:. i>e)G~
,
the witnesses whose names are signed to the attached instrument,
being duly qualified according to law, depose and say that we
were present and saw the Testatrix sign and execute the
instrument as her Last will and Testament; that HELEN F. CLARK
executed it as her free and voluntary act for the purposes
therein expressed; that each of us in the hearing and sight of
the Testatrix signed the Will as witnesses; and that, to the best
of our knowledge, the Testatrix was at that time 18 years of age
or older, of sound mind, and under no constraint or undue
influence.
~AN\A. ~ . WCUMJ-"
/JJ. ~ ~
U~.n-":::I'... ...~
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Sworn or affirmed to and subscribed to before me by
~a II. Ub!Jd f
and O/.It~f//J /'! ~(l~
~~
,
witnesses, this Jd day of
, 1993.
(4;;~~~
Notary Public
NOTARIAL SEAL
K~TRINA K. WASS, Notary Public
CarlIsle B?r~, Cumber/and County, Pa.
My ~::I.~n...~~~~Sept. 19, 1994
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