HomeMy WebLinkAbout09-21-06
Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Estate of
ELSIE MAE FRANCIS
No.
J21- 6 ~- ({i 31
also known as
. Deceased
David Wynne Francis
Petitioner, who is 18 years of age or older. applies for.
(COMPLETE "A" OR "B" BELOW:)
A. Probate and Grant of Letters and avers that Petitioner is the executor named in the Last Will of the
Decedent, dated Mav 23.2001 and codicil(s) dated NONE
Social Security No. 202-24-7489
IE]
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:
NO EXCEPTIONS
CJ
B. Grant of Letters of Administration
(d.b.n.c.l.a.: pendente lite; durante absentia; durante mlnorilate)
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
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(COMPLETE IN ALL CASES.) Attach addItional sheets .f necessary. . .~ (J) 52 \,':)
Decedent was domiciled at death in Cumberland County, Pennsylvania, with her last family or Princf~encl!t '~3 (11
30 Buckthorn Drive. South Middleton Townshio. PA 17013 )C -"-
(list street, number and municipality) ::::j' ~
Decedent, then -ZL years of age, died Seotember 4.2006, at Holv Soirit Hosoital. East Pennsboro TO';~ShiO. Cum~and ~~~~.
Pennsvlvania.
(Location)
Decedent at death owned property with estimated values as follows:
(If domiciled in PAl All personal property ........................................................................................... $
(If not domiciled in PAl Personal property in Pennsylvania...................................................................... $
(If not domiciled in PAl Personal property in County................................................................................$
Value of real estate in Pennsylvania ............................................................................................................................ $
Total.................................. ............................. ..................................................... $
Real Estate situated as follows: 30 Buckthorn Drive South Middleton Townshio Carlisle PA 17013
140.000 .00
150.000.00
290.000.00
Wherefore, Petitioner respectfully requests the probate of the last Will presented with this Petition and the grant of letters in the appropriate form to the
undersigned:
Typed or printed name and residence
David Wynne Francis. 67 Derbyshire Drive, Carlisle, PA 17013
Fonn RW-1 Page 1 of 2 (Dauphin County) - Rev. 9/92
621749.1
Oath of Personal Representative
Commonwealth of Pennsylvania
County of
No. () J ~ fJlo- 0 t3 '1
Estate of E /8 (L, VI. (). e Frtth v,'J Deceased
Social Security No: OJ D;(- ~ Y-7 Cf (9 Date of Death: . q / '1/2-0()"
AND NOW, ~ba ;2/ ,20~. in consideration of the Petition on the
reverse side hereon, satis ctory Rfoof having been presented before me,
IT IS DECREED that Letters cYrestamentary 0 of Administration
are hereby granted to iJvt;vJ' cI lVYIt/tL ~1-1t c~ f
d.b.n,c,t.; pendente Ine; durante absentia; durante minoritale
in the above estate and that the instrument(s) dated
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
FEES
Letters...... ..................... $ 3J D
Short Certificate{ s )..l..J.), $ -.:3~
Renunciation.. ................ $
Affidavit ( )................ . $
Extra Pages ( )............ $
Codicil....................... ... $
J CP Fee......}... PN:Cl)... $ \~ul)
Inventory .. . .. . . . . .. . . .. . . . .. . . . $
Other............. ~ .\) \..... $ \<;,0\)
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Register of Wills ~
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Attorney: Stanley A. Smith . .~ ~S '7 ~ C~; c:~
1.0. No: 33782')~ :::~>-.: ~~
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Address: Rhoads & Sinon LLP. PO sOX 1146 0
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1 South Market Square. HarrisburQ. PA 17108-1146
Telephone: 717-233-5731
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TOTAL. ...............
$ .r '11 d.. \ro
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Form RW.l Page 2 of 2 (Dauphin County) . Rev. 9/92
.......1..,,1-1 J'\.c'V lIt}.')
illS :S ~o 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.
~~~~~
Fee for this certificate, $6.00
p
12727209
SEP
8 2006
Date
H105.143 REV. 0212006
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lUCK INK
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
5. Age (LJsI8irIlday1
73 Vrs.
8ll. County d 0eeIIl
Ctunberland
l'.~'UoonoI
KiIldolWottl
Homemaker
OResidenco 0 0t/1eI. Splcify:
10. Race: American Indian. &ad<. While. eI<:
(SpsctIy/ White
30 Buckthorn~, Dr.
Carlisle PA 17013
18. FIlbet', N.... (Fill. mlddle.laoI. suffix)
Theodore Reich
OocodenI',
AcIoalReslcfenc;e 17a. SlIlIe
PA
14. MariIaI SIIIus: Married, __,
Widowed. 0MlR:ed (Spe<;ify)
widowed
Oil Oacedant
Uweina 17c.6a Yes,08cedenfUwdin ~ Mi An' t:Jrnn
T_p1 17dO ~~dLiYod-
lwp
17b. Comly
Ctunberland
Cily/Boro
200. """""-""sN..... (TjllO/Pmt)
David W. Francis
19. Mollie!'> Harne (Firsl. middle, mliden sumama)
Margaret Wehry
2Il>.lnIonnanr.MaiIng_ls_.<:ltyI.,..,.sl....Zl>Cllde)
67 Derbyshire Dr. I Carlisle, PA 17013
210. Placeofllisposjlioll (Nameol....-y. aomallltyor_placel
Westminster Cemetery
22c NaneIl1dAdd....oIFac:iily Hoffman-Roth Funeral Home, Inc
Hanov r St. Carli 1 P 17 1
23b. ~Numllor
21d. Localioo (CiIy 11owo. staIll.lip code)
Carlisle, PA 17013
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COl1Ifycaused_.
IIoms 2....26 musI be compieIed by_
whopnlll(JUl1Cll$dealt\
23c. Dale Signed (Menth. dllf. yeer)
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26. Wes Case Re_Ill_ E_I Coroner lor . Reason 0IIler..., Cnlmatia1 or Donillon?
o Ves tftlNo
AppoJdmaIe ilIe!vll:
Onset 10 Oeall1
PM II: Enter oN' limJli:Mt cnrtdiIWwri ~iinn In M"
blltnatresulting in \l1e underlying ClllJSllgNen in Part I.
28. Oill~.. Contribulo" Ooalh1
o Ves 1IJ Probably
o No 0 Unknown
19. KFemaIo:
)Zl NoI_lwiIIUn ""'I year
o f>leg\ent "lime o'''alII
o NoI pmgIa!II. but plO9MIlIwiIhin 42 days
ddelth
o Not pltIgIIOI11. buI plegn...143 days 10 1 '/fI8t
01 death
o Unknown If JlfO'lNIllIwilhinlhe past '/fI8t
32c. Place d injufy: Home. Farm. SIIooL Factort.
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Enlor UNDfRL YlNll CAUSE
Cdiseaseor..., llaI_lhe
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Due to (or _ a conseQuence of)
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Due- to (or as a CORlIeqUItflClt 01)
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31:11. Wen> Aulqlsy Findings
Av_ Prior" Competion
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31. _oIOee11l 32>. Oated r;.y (Month. dll'. '/fI8t) 32b. _HawlnjUlyO<:curred:
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o- OP0ndir9ifMloliga11on 3211. T""'ollnjufy
o Suic:Qo 0 CooId NoI be DeIormi1ed
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33a. ~ (d1edl only one) 33b. SignaIure II1d TItle ol CMifierj' /. .
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Pronoonclng and ceotilyIng ""'""'*' IPhysic:i;wl bolh pronouncing dealh II1d COI1i!ying" cause of dealt11 33<. l.icanae Number 3Jd. Dale Signed (Men"'. day. yeer)
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::::::::-...::;:::, ond I '" I~. In my ",""loll. _h occumd" 1M 'Imo, -. ond",.... slid dUl to IhtI c:o<IM(l1 snd........ " 'lllfcl. _ J] 34. NlII1lll and Address of """'" WOO c.ompoted Cause olONth 111em 27) Typo' Ptint
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(See Instructions nd ex mples on reverse)
M'D.
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LAST WILL AND TESTAMENT
OF
ELSIE MAE FRANCIS
I, Elsie Mae Francis, a resident of and domiciled in the Commonwealth of Pennsylvania,
make, publish and declare this to be my Last Will and Testament, revoking all wills and codicils
at any time heretofore made by me.
ARTICLE I
IDENTIFICATION OF FAMILY
The names of my children are: Rhys William Francis; Steven Howell Francis; and David Wynne
Francis. All references in this Will to "my children" are references to the above-named children.
ARTICLE II
PAYMENT OF DEBTS AND EXPENSES
I direct that the expenses of my last illness and funeral, the expenses of the administration
of my estate, and all estate, inheritance and similar taxes payable with respect to property
included in my estate, whether or not passing under this will, and any interest or penalties
thereon, shall be paid out of my residuary estate, without apportionment and with no right of
reimbursement from any recipient of any such property.
ARTICLE III
DISPOSITION OF ESTATE
I direct that my residuary estate, including any real estate, personal property of every
kind, and insurance proceeds, be distributed to my children in equal shares. If a child of mine
does not survive me, such deceased child's share shall be distributed in equal shares to the
children of such deceased child who survive me, by right of representation. If a child of mine
does not survive me and has no children who survive me, such deceased child's share shall be
distributed in equal shares to my other children, if any, or to their respective children by right of
representation. If no child of mine survives me, and if none of my deceased children are
survived by children, mx,~e~iduary estate shall be distributed to my heirs-at-Iaw, their identities
and respective shares to ~,~~~iri~,Hf1,m the laws of the State of Pennsylvania, then in effect,
as if I had died intestate atlli~Jt~_fi~~r distribution under this provision.
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ARTICLE IV
APPOINTMENT OF EXECUTOR
I appoint my son David Wynne Francis, of Carlisle, Pennsylvania, as the Executor of my
will. If David Wynne Francis is unable or unwilling to qualify as executor or having qualified is
unable or unwilling to act, I appoint my son Rhys William Francis, of Euless, Texas, to be the
Executor. I direct that my executor shall not be required to furnish bond or security in any
jurisdiction.
ARTICLE V
EXECUTOR POWERS
My Executor, in addition to other powers and authority granted by law or necessary or
appropriate for proper administration, shall have the right and power to lease, sell, mortgage, or
otherwise encumber any real or personal property that may be included in my estate, without
order of court and without notice to anyone.
My Executor shall have the right to administer my estate using informal, unsupervised, or
independent probate or equivalent legislation designed to operate without unnecessary
intervention by the probate court.
ARTICLE VI
MISCELLANEOUS PROVISIONS
A. Liability of Fiduciary. No fiduciary who is a natural person shall, in the absence of
fraudulent conduct or bad faith, be liable individually to any beneficiary of my estate, and my
estate shall indemnify such natural person from any and all claims or expenses in connection
with or arising out of that fiduciary's good faith actions or nonactions as the fiduciary, except for
such actions or nonactions which constitute fraudulent conduct or bad faith.
B. Beneficiary Disputes. If any bequest requires that the bequest be distributed between
or among two or more beneficiaries, the specific items of property comprising the respective
shares shall be determined by such beneficiaries if they can agree, and if not, by my Executor.
HB:41755.10000-33
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IN WITNESS WHEREOF, I have subscribed my name below, this 23rd day of May, 2001.
~,~~~
Elsie Mae Francis
We, the undersigned, hereby certify that the above instrument, which consists of five (5) pages,
including the page(s) which contain the witness signatures, the self proving clause, and affidavit
was signed in our sight and presence by Elsie Mae Francis (the "Testatrix"), who declared this
instrument to be her Last Will and Testament and we, at the Testatrix's request and in the
Testatrix's sight and presence, and in the sight and presence of each other, do hereby subscribe
our names as witnesses on the date shown above.
Witness Signature:
Name:
City:
State:
~ <~,~~
Mary Ann Kane
Harrisburg
Pennsylvania
Witness Signature:
Name:
City:
State:
~.j. ~?!-
Antho . Potter
Harrisburg
Pennsylvania
HB:41755.10000-33
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Pennsylvania Self-Proving Clause
Commonwealth of Pennsylvania
County of Dauphin
~~~
Elsie Mae Francis
I, Elsie Mae Francis, Testatrix whose name is signed to the attached or foregoing instrument,
having been duly qualified according to law, do hereby acknowledge that I signed and executed
the instrument as my Last Will; that I signed it willingly and as my free and voluntary act for the
purposes therein expressed.
Sworn or affirmed to and acknowledged before me by Elsie Mae Francis, the Testatrix, this 23rd
day of May, 2001
~f).7JMdr~
/ Notary PublIc
My commission expires on
Notarial Seal
Judith A. Nordstrom, ~otary Public
Harrisburg. Da~phm County
I My Commission ExpIres Sept. 21,2001 I
Member. Pennsylvania Association of Notaries
HB:41755.10000-33
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EMF MAK ASP
Affidavit
Commonwealth of Pennsylvania
County of Dauphin
We, Mary Ann Kane and Anthony S. Potter the witnesses whose names are signed to the
attached or foregoing instrument, being duly qualified according to law, do depose and say that
we were present and saw Testatrix sign and execute this Will as her Last Will; that the Testatrix
signed willingly and 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 a witness; and that to
the best of our knowledge the Testatrix was at that time 18 or more years of age, of sound mind
and under no constraint or undue influence.
Witness Signature:
Name:
City:
State:
On"hr~~~b
Mary Ann Kane
Harrisburg
Pennsylvania
Witness Signature:
Name:
City:
State:
~~~
Anthony . Potter
Harrisburg
Pennsylvania
Sworn or affirmed to and subscribed to before me by Mary Ann Kane and Anthony S. Potter,
witnesses, this 23rd day of May, 2001.
~cLdi if 77M~
Notary Public
My commission expires on
Notarial Seal .
Judith A. Nordstrom, ~otary Public
Harrisburg, Oa~phm County
My Commission ExpIres Sept. 21, 2001
Member. Pennsylvama Association of Notaries
HB:41755.10000-33
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EMF MAK ASP