HomeMy WebLinkAbout10-05-06
Register of Wills of Cumberland County
PETITION FOR PROBATE and GRANT OF LETTERS
Estate of R f!j P11.2 (if! T ~ {;: ~"4 L .0
also known as
No. (;2. 1- D& - ()~q ,
To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
, Deceased.
Social Security No. t g 7 - ," - G I? 7
The petition of the undersigned respectfully represents that:
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 ' 20
and codicil( s) dated
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in C: 'lA, vV\ f.= ~ L tA 111 0
Pennsylvania, with h_ last family or principal residence at _
'Z 0 1 2. j 14 ..r- rJ L ~ f,AD't ///t: I f' A. )7 (j 4,3
(list street, number and municipality)
County,
Decedent, then~ years of age, died Z () S E'?T, 20:;lb, at H d L~ ~f I R / T H6S P I fA L
Except as follows, decedent did not marry, was not divorced and did not have a c lId born or adopted after
execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent:
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
(lfnot domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania 1\1 .....}
situated as follows: fJ Il g
$ :;)"C;- / ~ ('J CJ ~b
$
$
$
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Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEAL TH OF PENNSYL VANIA
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SS:
COUNTY OF CUMBERLAND
The petitioner( s) above-named swear( s) or affirm( 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 affirmed and subscribed
Before me 9lls ::f day of
() 0lJ.k. y , 20 d10
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p-u ~ Register 7-
~~ No.,7-/-0b-Onc;
Estate of ~ k I- (}. c;. V J'" , Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW () (I- S 2e1! f,t? 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
2> / a. c, / ~ '2-..., , described therein be admitted to probaje filed of record as the last will of
,;Z. 0 t;u-. /' I- G-. G-oJ l--Q ; and Letters are hereby granted to 1<" Ibi::;~ I L. G-o 4./ L-LJ
}Jut tIu diu~ Sfnvb;L
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Register c1tWills . ~
FEES
Probate, Letters, Etc. ............. $
Will................................. $
Renunciation.... .. . . . . . . . .. .. . .. . .. $
Short Certificates ( ).. . . . .. . .. .. $
JCP...........:...................... $
Automation Fee.......... ...... ... $
Bond. ......... ...... .......... '" .... $
Total $
Filed J aJfj/ /J-Y;-- 20
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Attorney (Sup. Ct. LD. No.)
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Address
Phone
H 1()5.~05 REV 1105
This is to certify that the information here given is correctly copied from an original cer~ificate of death dul~. filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records OffIce for permanent fIhng.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No.
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Local Registrar
Fee for this certificate, $6.00
p
12839066
SEP 252006
Date
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.3 REV. 0212006
E I PRINT IN
RMANENT
ACK INK
1. Nameol~t(Firsl.~~ t
5. Age (Last Bi1hday) Urde< 1
Moo..,
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
83
]/22/1923
. r
]6 - 6177
Sa. Place of Death Check 00 one
HosIliIaI: Other:
~atient OERfOutpaient OllOA ON...ingHome
9. W..~loIHispri;Origin? IE No DYes
(W yes. specify Cuban.
MeJCican. Puerto Rican. elt.)
14. Marital Slatus: Married. Never Married.
WIdowed. Divorced (Specify)
Widowed
-.J
Vrs
&-
G-ow&
6. Dale 01 Birth Month. d
Cud:>er land
o Residence 0 OIher. Specify
10. Race: AmeIlcar1_. Blad<. While. olt
(Specify/
\-hite
. 16. Decedent's Maling Addtess ISIreet. dty I town. slate. ~ code)
20 12st.
. Apt. 124 Essex lbuse, LeIroyne, PA 17043
18. F_s Name IFinl. middle. Iasl. suffix)
Daniel S. Gould
Decedent"
ActualR_""" 17a.Slat. PA
17b.Co..,ty Culberland
lib. County 01 Death
Clerk
moslol_i ile.Do no! ,tale retired.
Kind 01 Business /lndusl7y
U.S. Postal Service
1 I.. Decedent's USUal
Kind 01 wort<
17c. 0 Yes, Decedent Lived in
17d ~ ~ ~ JiYlld with~ Leroyne
Twp
City f8oro
19. Mothef's Name (Firsl. middle. maiden sumame)
Helen A. Hanable
2Oa. 1_r.Name (Type/Pml)
Robert L. Gould
21 a. Melhod of Disposition
IX! ~riaI 0 RemovaIlrom Slale
2Ob. informMt', Maiing Addtess (5_. dty floWn. Slalo. Zip code)
III N. Enola Dr. t. 6 Enola, PA 17025
21b Date of Dispositioo (Month. day. yoar) 21c. Place oIllisposition (Name of cemetefy. cremalo<y or o!her place) 21d. Localion (City floWn. slalo. ~p code)
Rolling Green CeiEtery l.CMer Allen 1Wp. PA 170] I
22c. NlIT1e and Address of F acili1y
29 S. Enola Dr. Enola, PA 17025
ComclfeIe Items 23a<; only when certifying
physician is nol a_ aI ime of death to
certify caJSe of dealh
Items 24-26 must be completed by person
who pronounces death
23b. License Number
23<:. Dale Signed (Mooll1. day. year)
24. Time of Death
IO.Og--A/IIl M
reed Dead (Month. day. year)
q - 20'- 0 -6
26. Was Case RefelTedto Medical Examiner f Coroner lor a Reason DIher lI1an Cremalioo or DonalIon?
o Yes 1ZI No
CAUSE OF DEATH (SM I~.truello". and ..ampl..,
110m 27 PART I: Enter tho ~-,"".....'njunos. or complications -Ihat di'ecUy caused the death. DO NOT onlor IllIll1lnalo_is sudl as cardiac ....,.
respiraIory arn!Sl or 1IOfllricular fibrilalion wiIhoul ,howing the otiology. Lisl oo~ one cause oo.ach lino
~,~~~ ~pwJ PhlN~
: Appro~male ~lervaI'
: On... 10 Dealh
PIl1I1: Enter other Mlilr.3nt mndib'll r.nntrihutiM In death
bul nol .....11ing in tho underlying cause given in Pari I
28. Did Tobacco Use C001ribu1e 10 Death?
o Yo, 0 Probably
No 0 Unknown
29. If Female
o Not plegnant within pasl yoar
o Pregnanl at lime of death
o Not pregnanl. bul pregnanl wilh,n 42 days
of death
o Not pregnanl but pregnanl43 days 10 1 yellt
ddeath
o Unllnown if pregn....1 wilhin the pasl yellt
32c. Place oIlnjl.<y: Home. Farm. Streel. Factory.
Office Bulding. ole. (Spedy)
==~J:~-'-;'
2. c.W-y S.
=lislconditiooS. W....y.
. lJ cause _ 00 ine a.
Enler UIIlERI. YING CAUSE
(dl!Iease or ir1jury thaI_ tho
.....15 Ie5lIiting 11 de.lh ) LAST.
Due to (or as a consequence of)
Due to (or as a consequence on'
o Yes III No
OVes ONo
JCJ Natural 0 Homicide
o _I 0 Pending -Iilialion 32d. Time of Injury
o Suicide 0 Could Not be OeIennined
IA
321. nransportation Injury (Speci/yj
o Driver I Operator 0 Passenger
o OIher . Specify
33b. Signature and TiU. of Certifier
329. location of Irjury (Slreel, city flown. Slate)
:lOa. Was.... Au10psy
Performed?
n. Were Aufopsy FIndings
Av_ Prior lJ Completion
ot Cause of Death?
31. lA....nor of Death
330. C_Ichect< ooty 000)
c..tlIytng physician IPhysICian OIlftifying cause 01 death _ anoIt1er physician has pronoureed death and completed Item 23)
To the bnl 01 my knowIodgo,_ occuneddu.lothe cou"o(","ndmonner""mtf!!_ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _..D
Pronouncing ond certifying p/oyIlclan (Physici.... both pronouncing dealh and certifying 10 cau.. 01 death)
To the belt 01 my knowlodge. _ occuned 01 the tfmo, dol., and p1aco. and duo to the COuu(I) and mannor II "tatacl _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
=::~~~= and lor invOltigation, in my opinion, duth occuned 01 tho timo, dato, Ind ploca. .nd duo to the coU"(I) ond ",,"nor a. "talf'l. _ ..D
I ..LI I I ...c...1 / I 'I
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34. Name and _ of Persoo Who Completed Cause of Death (l1em 27) Type I Prinl
T~l4 6:tc:j{M
33d. Dale Signed (Monlh. day, yoar)
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(See instructions and examples on reverse)
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Register of Wills of Cumberland County
OATH OF NON-SUBSCRIBING WITNESS
Estate of f. ro ~ If; ~ T . G, ~ t79eu L D
No. J /, tJlJ'"O~l L
Also known as
tJ I 11
, Deceased
~~6ER6 L., G6~ L b
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
t1 e I SO familiar with the signature of R 0 ~ IE f.J.;- G @ t9"U L ;[), testatQQ of (one of the
subscribing witnesses to) the codicil/will presented herewith and that He believelbelieves the signature
on the codicil/will is in the handwriting of _~ 0 ~~ R r G _ G-lJ -U CD to the best of
,~ -, S knowledge and belief.
Sworn to or affirmed and subscribed
Before me this fil"-- ~of
() l.JOtK-I' ,20
f<~.2 --'-2~
(Name)
~J \ f'..). f;~'i ~ OIL /Jr7 b (~,...n~ p (t. /70.)
(Address)
.~~ 1tUIIILL&1~St'lU
Re1ter 1
,w_)..{A ~.
Deputy
(Name)
(Address)
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L I :6 S- IJO 9002
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Register of Wills of Cumberland County
OATH OF NON-SUBSCRIBING WITNESS
'~
. Estate of J (!jfl[;. ~1'" (;.~ G 0 'Ut r>
No. J 1- 010- OD11_
Also known as
~1z4
, Deceased
P1Jtl1V"b- L G.~1ALf)
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
St-J € l~ familiar with the signature of ~ 0 -pE ~ \' G. G-o-z,{ L (:'\, testatDDof(one of the
subscribing witnesses to) the codiciVwill presented herewith and that _ believe/believes the signature
on the codicil/will is in the handwriting of {~!:J (3.&".,... G (;:' <!1'l..( L 0 to the best of
I-! E C\ knowledge and belief.
Sworn to or affirmed and subscribed
Before me this 6'r--r- day of
() cf79.t J-(' 1.. , 20&
~~ X .;/~d
(Name)
/ II AJ ~/d ~ ;t a ~-r~ t;dp 14..
(Address) /71,)5
. ~ k HiJlIlk S/~itffi7 L-
Register C~I1. ~
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Deputy
(Name)
(Address)
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W ILL
()
I, ROBERT G. GOULD, of Susquehanna Townshij;)j~
Dauphin County, Pennsylvania, declare this to beiny;
last Will and revoke any and all Wills or Codici-is
previously made by me.
ITEM I:
I give, devise and bequeath all of my
estate of every nature and wherever situate to my wife,
JEAN E. GOULD, providing she shall survive me by sixty
days.
ITEM II:
Should my wife, Jean E. Gould,
predecease me, or die on before the sixtieth day
following my death, I give, devise and bequeath my
estate in equal shares to my son, Robert L. Gould, of
Lemoyne, Cumberland County, Pennsylvania.
ITEM III:
In the event I should die survived
neither by my spouse nor my son, by reason of common
accident or otherwise, I devise and bequeath all of my
property, of whatever nature and wherever situate at
the time of my death to my wife's sister and her
husband, DOROTHEA PARK and GEORGE PARK, of Coral
Springs, Florida, or the survivor of them.
ITEM IV:
All death taxes (not income taxes) that
may be assessed in consequence of my death, of whatever
nature and by whatever jurisdiction imposed, shall be
considered a part of the expense of the administration
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of my estate, and my Executrix shall have the absolute
power in her discretion to pay the same at once whether
or not the law under which they are imposed permits the
postponement of payment of all or part of them to a
later date.
ITEM V:
I direct and empower my Executrix to
sell any and all real estate of which I die seized, at
such time and upon such terms as she may deem best, and
to deliver good and sufficient deeds therefor to the
purchaser or purchasers thereof.
ITEM VI:
No interest of any beneficiary of my
estate, either in income or principal, shall be subject
to anticipation or pledge, assignment, sale or transfer
in any manner, nor shall any beneficiary have power in
any manner to change or encumber his or her interest,
either in income or principal, nor shall the interest
of any beneficiary be liable or subject in any manner
while in the possession of the Executrix of the
liabili ty of such beneficiary whether such liability
arises from his or her own debts, contracts, torts or
other engagements of any type.
ITEM VII:
I hereby nominate, constitute and
appoint my \-life, Jean E. Gould, Executrix of this my
last Will. Should my wife predecease me or fail to act
as Executrix of this my last \'lill, I appoint ~
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. , Executor of this my last Will.
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IN WITNESS WHEREOF, I have hereunto set my hand
and seal this ~~ day of March, 1982.
~~~
ROBERT G. GOULD
(SEAL)
The preceding instrument, consisting of this and
two other typewri tten pages, identified by the
signature of the Testator, was on the day and date
thereof signed, sealed, published and declared by
Robert G. Gould, the Testator therein named, as and for
his last Will and Testament, in the presence of us,
who, at his request, in his presence and in the
presence of each other, have hereunto subscribed our
name!i"as wi tnesses~'
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BEFORE THE REGISTER OF WILLS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ESTATE OF ROBERT G. GOULD,
DECEASED
NO 21-2006-0879
DECREE OF THE REGISTER OF ~LS
AND NOW, this 5th day of October, 2006, upon consideration of the Petition for Grant of Letters
of Administration filed by Robert L. Gould for the above decedent and the instrument offered for
probate as the Last Will and Testament of Robert G. Gould, dated March 26, 1982, IT IS DECREED
that all typewritten portions of The Last Will and Testament not cancelled by a line through them are
admitted to probate. All hand written modifications to the instrument are not accepted into probate. IT
IS FURTHER DECREED that Letters of Administration c.t.a. be granted to Robert L. Gould as the
person entitled under Pa. C.S. 20 93155(b).
Gle~=~IS