HomeMy WebLinkAbout09-20-06
PETITION FOR PROBATE and GRANT OF LETTERS
Estate of BETTY J. BURLESON No. RI-tJlg -08"'3/
also known as . To:
Register of Wills for the
, Deceased. County of CUMBERLAND in the
Social Security No. 162-22-0556 Commonwealth 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 RICES named
in the last will of the above decedent, dated JULY 5. 2005
and codicil(s) dated
(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 principal residence at 3755 SULlVAN STREET. BOROUGH OF
MECHANICSBURG. CUMBERLAND COUNTY. PENNSYLVANIA
(list street, number and municipality)
Decedent, then 78 years of age, died 9/7/2006
at HOLY SPIRIT HOSPITAL. EAST PENNSBORO TOWNSHIP. CUMBERLAND COUNTY. PA
Except as follows, decedent did not marry, was flot 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: NONE
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(Ifnot 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:
3755 SULLIVAN STREET, MECHANICSBURG, PA 17050
$
$
$
$
195.000.00
0.00
0.00
75.000.00
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters TESTAMENTARY
~~Vlth_ereon. j7 ~ . . / d ' ("'"m'''''Y~~1m;.~;~~;~~~~~~~~"" db.,'.]
_ if~~~ HARRISBURG PA 17112
g PATRICIA K. GIVEN ~ 3725 SULLIVAN STREET 0
~ _ -;.. rPwtAJ..PhL /}r; . _ MECHANICSBURG PA ~~O
~ i DARLENE M. NOGGL~:;Fc)
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA } 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 represen-
tative(s) of the above decedent petitioner(s) will well and truly~tzordi '$ to law.
Sworn to or affi d a~subscribed { X - ~
before this day of ~
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No. 'Jj -Ow - 83 (
Estate of BETTY J. BURLESON
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW . ~to1Y\..1J.u <10 ;lDoltJ , 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 7/5/2005
described therein be admitted to probate and filed ofrecord as the last will of BETTY J. BURLESON
and Letters TESTAMENTARY
are hereby granted to
PATRICIA K. GIVEN and DARLENE M. NOGGLE
FEES
Probate, Letters, Etc.. . . . . . . . $ ~IO. QU
Short Certificates ( )...... $ ;)...0 ,C>O
~..~. .... $l~ on
cM....._::h..~ . ,,~
~cp $ /0 .JO
TOTAL _ $~(oO .00
Filed. . .9/~lqtp. . . . . . . . . . . . .
A TTORNEY (Sup. Ct. I.D. No.)
414 BRIDGE STREET
NEW CUMBERLAND PA 17070
ADDRESS
717-774-7435
PHONE
~
H105.805 REV 1105
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.
"~I;p~~
Fee for this certificate, $6.00
Local Registrar
p
12838258
SEP 092006
Date
VII.
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
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:V. 02J2006
RINT IN
lENT
:NK
1. Nameol_(FiIII._.Ioo\sulfix)
Ul
Betty J. Burleson 0556
5. .. (lIo1 Brtlday)
78
6. 0"'01_ MonIl,
12/5/27
7. lWIdola~"
Phoenixville,PA
ORes<lence OOll1er-Specify
10. Race: American Indian, Black, White, ele.
(S~i te
81>. COUnIy 01 lloaIh
Cumberland
8d. FaciltyNamel"noIiIsIiJli>n,gNo._andrunber)
\.\0\ i+cJ
11. Decedenrs Usual most of wotk' Me, Do not slalt retlntd
KJnd of WOlI< Klrd 01 eu...../lnduny
Housewife
o 16. -'MailWIgAddnlssi-,Oty/_,..,Zilcodel
3755 Su livan st.
Mechanicsburg, PA 17055
_.
AciJBlResicIence 17a.SIaIe
NK
Pennsylvania
Cumberland
1.._Sllllua:hIarried,_Maniod,
W_, 0N0r0ed (Spocifyj
Married
17b.Cot.w1~
00_
UYelna 17e.O Ves,_UvedIn
Township?
17d.tJ ~~~YOdwllhln Mechanicsburg
Twp.
City/Boro
18. F_.Name(F",I._Ie,lasl.suftixl
19. Molhe(. Name (Filii, mildle."- surnamel
Harry Heller
Sadie Hoffman
201>. lni<lllnlllf.MallIngAddnlss(S_.Oty/_._. zipcodel
3755 Sullivan st. Mechanicsburg, PA 17055
21e. Place 01 Olsposillon (Name 01 cemeIe<y, ~,,""" place) 21d. Location (City ,_, .1Ble. ,p codel
Grandview Cemetery Annville, PA
220. NamelWldAdd....oIFacil~ Sulli van Funeral Home
51 N. Enola Dr. Enola, PA 17025
23b. License Number 23<. Osle Sipd (Monlh, day, year)
200. ~...... Name (TYl'" I PrInt)
21a. "l!!l'doflJispoollion
I!llBurial OR_lromSI8le
o 0lIler - Spadfy:
221. Slgnal\lIa 01 F.....
o ~
Ccmplelo Ilolra only _ cer1IIying
phyticiarIlsnot_alimooldoalhb
C8Itify cauoa 01 dealt
1_ 2"26 ml.Ol be COfI1Ille~ by poI1OIl
who pronounces death.
s:
...,z~
25. Was Case Relemld to MedIcal Examiner I Coroner for a Reason Other than CremaIb'l or Oooalion?
o Yes ~
24. Tme of Death
:~lnlorlli:
: OnselloDeIth
Part II: En... other siarVficanl rDIditiv'd; ari'ibtDlo 10 dealh
bul not rnuIIingin!he undertylng calle given in Part I
28.OOTobaccoUsaConbibuleIoOealh?
o Yes OJ)'batjy
g...r 0 Unknown
29."_:
o Nol prognant within pasl year
o P<egnanl at ime 01 death
o Nolplllgllent,bulpl1lgnanlwilhin.2dll'fS
o/~
~_~l.butrngnanI43dayslo 1 year
ofdealh
o Unltnown it pregnant within the pasl )'HI'
320. F'lacao/~:Home.Farm,S_,FectoIy,
OfllcaBuiding.eIc. (SpecifyI
=~~r~--..;.
AM l- (. Luc.k....,....,2A- I
Due 10 (Of''' . consequence 01)"
=liI1condllions,ianv,
IotaUII iIIed on ine a.
Enter UIIllERL YING CAUSE
(dIsa""inil"lIlal-1he
....Is resuIIIng . death JUST.
Du. to (or as a conleQuence or,.
cu. to (or.. . conleQuence of)
Ov.. ON.
31,M..ner~
B1laoural 0--
O-nt O_1nYeeIgaIlon
o S'- 0 Could NolbeOe_
3201. Tmaollljufy
32g. \ocaIlOflolk;utyISroot,city/_,s1a1e)
OVes
JOb. Were Auloply Finclngs
Avall8ble Prior D Completion
01 CaIS8 of Death?
. 308. w... Autopsy
Parformad?
M
338. C..-(cI1eckonlyone)
. CadIfylng p/lyeII:ton (Pl1yaician carifying cauoa of death when anolher phyticiarI hes pronouncad _ and ~ Item 231
ToUtt....oImyknowledgl.dHlhoceumdduetotMClIIH(.).nd mlnner..'tItIJt_ ___ _ _ _ _ ___ _ _ _ _... __ __ _ _ _ _ _ _... __ __..._
Prono<lnclnllond_p/lyeII:Ian(Phyolcian_"..,..,.,.,.;._,"",_locauoaofdealhj
T. u.. beet 01 my ..-Iedge. de8l1l ........... u.. lime. _. and placa. end d.. to u.. CIllM(s) and msnnar as slaltll.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .IJ
=.:san:-..=:: Iftd I Of Invastlgallon.1n my ......Ion. _........... u.. lime. daIa. Iftd place. and due.. u.. ,euee(sjlftd mannaras sIaIt<I. _.IJ
'35 RegIstrao'."""'""'~ ff.....
~ ~ /C?a-U
33c. l.icenoa Num 33d. Dale Sipd (Month. day, year)
""<,.,,,1"}1~(<.. "'t~YI.(.
:w. Name and Addnlss 01 PeBon Who Com~ Causa 01 0eatI1 (Item 27) TjpOl PlIn.
A.G A-t.t(<l"..... rL (k,
'''''' CVl'\."'l d'''tl( ~",M)
CA""",-I'l,4".\.",,", ,,"" ,"ld(
ep\wills\BURLESON,BETTY
LAST WILL AND TESTAMENT
OF
BETTY J. BURLESON
I, BETTY J. BURLESON, of East Pennsboro Township, Cumberland
County, Pennsylvania, declare this to be my last will and revoke any
will previously made by me.
ITEM I:
I direct that my Executor hereinafter named shall pay
all my just debts and funeral expenses as soon as conveniently may be
done after my decease from the residue of my estate.
ITEM II: I devise and bequeath my one-half interest in premises
known as 3755 Sullivan Street, East Pennsboro Township, Cumberland
County, Pennsylvania, in equal shares to my children, WILLIAM H.
CRANDY, DARLENE M. NOGGLE, PATRICIA K. GIVEN, RONALD L. CRANDY, and
DIANE M. HAULSEE, or to their issue, per stirpes.
ITEM III: I devise and bequeath all the rest, residue, and
remainder of my estate, of every nature and wherever situate, in equal
shares to my children, WILLIAM H. CRANDY, DARLENE M. NOGGLE, PATRICIA
K. GIVEN, RONALD L. CRANDY, and DIANA M. HAULSEE, or to their issue,
per stirpes.
ITEM IV: For purposes of equitable distribution, the principal
balance due at the time of my death under the loan of money which I
have made to my daughter, DIANA M. HAULSEE,
shaiL'J.;'I1De?id:a~:tl.n~o the
\w ~.'< .:,,1.:, ' 'I: 1'11\
I' 'I~" \,'. l' ,\ \'" ~," tlv
l.:j ~\.),) ,'~'I\2.~'~1r~u
A~:,1J
Page 1 of 5
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residue of my estate to be divided under Item III above and the
principal balance due at the time of my death of such loan shall be
charged against her share. It is my intention to forgive all interest
due at the time of my death on such loan to my daughter, DIANA M.
HAULSEE. In addition to the principal balance due under the above
stated loan, the principal balance due at the time of my death under
the loan of $5,000.00 which I have made to my daughter, DIANA M.
HAULSEE, shall also be added to the residue of my estate and the
principal balance due at the time of my death of such loan shall be
charged against her share. It is my intention to forgive all interest
due at the time of my death on such loan to my daughter, DIANA M.
HAULSEE.
ITEM V: I appoint my daughters, PATRICIA K. GIVEN and DARLENE M.
NOGGLE, or the survivor of them, Co-Executrices of this my last will.
ITEM VI: No fiduciary acting hereunder shall be required to post
bond or enter security for the faithful performance of his or her
duties in any jurisdiction.
IN WITNESS WHEREOF, I, BETTY J. BURLESON, have hereunto set my
hand and seal this
.5'
day of ~
{/
, 2005.
~ff.~
B~TTY J. BURLESON
Page 2 of 5
SIGNED, SEALED, PUBLISHED and DECLARED by BETTY J. BURLESON, the
Testatrix above named, as and for her Last Will and Testament, and in
the presence of us, who at her request, in her presence and in the
presence of each other, have subscribed
/~~
<Witnes
~~S)~
our names as witnesses.
'lIt{ /!;v;~ JJ; ~~/14
Addre s s / 7cJ7 U
"" ~'"" ~~~~
Address
Page 3 of 5
COMMONWEALTH OF PENNSYLVANIA:
SS:
COUNTY OF CUMBERLAND
I, BETTY J. BURLESON, the 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 this instru-
ment as my last will; that I signed it willingly and that I signed it
as my free and voluntary act for the purposes therein contained.
~fl~
BRTTY J. BURLESON
Sworn to or affirmed to and
COMMONWEAlTH OF PENNSYLVANIA
NOTARIAL SEAL
DANIEL M. HARTMAN, Notary Public
New Cumberland Boro., Cumberland Co.
My Commission Expires Jan. 21. 2009
me by BETTY J.
BURLESON, the Testatrix, this
, 2005.
Notary Public
Page 4 of 5
COMMONWEALTH OF PENNSYLVANIA
SS:
COUNTY OF CUMBERLAND
We,
~U..A ~&/("f
and
C" ~~ \.. :\~
the witnesses whose names are signed to the attached or foregoing
instrument, being duly qualified according to law, depose and say that
we were present and saw Testatrix sign and execute the instrument as
her last will; that Testatrix signed willingly and that she 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; that to the best of our knowledge, the Testatrix
was at that time eighteen or more years of age, of sound mind and
under no constraint or undue influence.
~
..\> .~
Witness
Sworn to or affirmed to and
~4:18f J.. f!2,d"Ce/J/0,- ,
witnesses, this ~day of
COMMONWEAlTH OF PENNSYlVANIA
NOTARIAL SEAL .
DANIEL M. HARTMAN. Notary Public
New Cumberland Bora.. Cumberland Co.
My CommisSion Expires Jan. 21. 2009
me by