HomeMy WebLinkAbout10-27-06
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Register of Wills of Cumberland County
Estate of Virginia L. Rush
also known as
PETITION FOR PROBATE and GRANT OF LETTERS
No. J./- 0 ~-Da4l
To:
, Deceased.
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
Social Security No. 184-38-2284
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 October 8 , 20 06
and codicil(s) dated N/A
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in Cumberland
Pennsylvania, with h~last family or principal residence at
20 Hillside Circle, East Pennsboro Township
(list street, number and municipality)
County ,
Decedent, then ~ years of age, died October 16 , 20~, at 96 S. Enola Drive, Susquehanna Twp.
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:
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: 20 Hillside Circle East Pennsboro Townshio
$ 125,000.00
$
$
$ 160,000.00
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented
herewith and the grant of letters testamentary
(testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
thereon.
/...---~a~~~itioner(S )
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245 E. Louther Street
Carlisle, PA 17013
Residence( s) of Petitioner( s)
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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.
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Local Registrar
Fee for this certificate. $6.00
P 12727881
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TYPElPRINT IN
PERMANENT
BLACK INK
1 Name 01 Decedent (First. middle, IaSl)
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH STATEFILENUMBER
7. Dale of Birth Month, da , ear
3. Social Security Nurrber .. Date 01 Dealh (Month, day, year)
184 - 38
ea. Place of Death Check on one
Hospilal:
o In I~nl 0 EF\IOtsI
White
usquehanna Twp.
11. Decedent's Usual Occ lion Kind 01 won.; done durin most 01 workin life; do not stale retired
EJrecutl~WOfJirector D3r0c~~frces~t1cus
Croxton Slane Residence
20 Hillside Circle
Camp Hill, PA 17011
17a. Slale
13. Decedent's Education ecl
ElemenlarylSecondary (0-12)
12
PA
h' hasl ade co Ieled
College (14 or 5+)
14 Marital Status: Married, Naver married, 15 SurvivlnQ,Spouse (If wile, give maiden name)
Widowed, Divorced (sP,8Cif)1.
Never Married
~~eDin~edent 17c.1ll Ye"DecedentLwedin East Pennsboro
Townsh~?
Twp.
_ 16 Decedent's Mading Address (Street. c~yltown, state. zip code)
l7b. County
Cumberland
17d. 0 No, Decedenl Lived within
Acluallimits of
City.tloco
18. Father's Name (First. middle, last)
19. MoIher's Name (Fll'sl, rriddle, maiden surll8.me).
John W. Rush, Jr.
Anna Beverly Rohrer
21)). Inlormanl's Mailing Address (Street, cityllown, state, z~ code)
2Oa. Inlormanl's Name (Typelprintl
Charles Anthony Washington
245 E. Louther St., Carlisle, PA 17013
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21c. Place 01 Disposrtion (Name 01 cemetery, crematory or other place) 21d. Localion (Cityltown, Slale, zip code)
S Patrick's New Catholic Canete Carlisle, PA
22c. Name and Address 01 Facility
EWing Brothers Funeral Hane, Inc., Carlisle, PA 17013
23b. License Number
23c. Date Signed (Month, day, year)
. hems 24-26 musl be c~leted by person
. who pronounces dea.lh
24 Time 01 Dealh
25. Date Pronounced Dead (Month, day, yearl
26. Was Case Referred to a Medical Examiner/Coroner?
DYeS~
Approximale interval. Pan II: Enter other sianiflc.anl cond~ions conlribulina 10 death, 28. Did Tobacco Use Contnbule to Death?
onset 10 death but nol resuning in the underlying cause given In Pan I. 0 Yas 0 Probably
o No 0 Unknown
6: 40 P. M October 16, 2006
CAUSE OF DEATH (See Instructions on<! .xamples)
Item 27. Part I: Enter Ihe chain of evenls - diseases, injuries, Of co~ications - that direclly caused the death. DO NOT enler terminal events soch as cardiac arrest.
respiralory arresl, 01' ventreular Ibrilalil:)n w~houl showWig the etiology. DO NOT abbreviate. Enler only one cause on a line.
:~~~~;~~~~;J:~;d~~ a 1Hri'.,,-r'/'K17 (... ~tV()fMA 0,:;. P/ttVCU-A-r
Due to (or as a consequence ot)
o Yes No
d
JOb. Were Aulopsy FindinQS
Available POOr k:l Co"l'lelion
of Cause 01 Death?
o Yes 0 No
31 Man of Dealh
Natural 0 HolTicide
o Accident 0 Pending InvestigatIOn
o Suicide 0 Could Not Be OeterrNned
32a. Dale 01 Injury (Month, day, year)
32b. Describe how Injury Occurred
29 If Female:
o Not pregnanl within pasl year
o Pregnanl at time of dealh
o Not pregnant, bul pregnant within 42 days
ofdealtl
o Not preQnanl. bul preQnant43 days to 1 year
belore death
o Unknown if pregnant within the pasl year
32c. Place of Injury: Home, Farm, Street, Factory, Office
Budding, etc. (Specif)1
Sequentially list condmn" ff any,
Iead~ to the cause listed on Une a
- Enler the UNDERLYING CAUSE
. (disease or in;Ury lhal initiated Ihe
evenls rMufting in death) LAST
b.
Due 10 (or as a consequence at):
Due to (or as a consequence ot):
3Oa:. Was an Aulopsy
Performed?
32d. Time 01 Injury
329. Localion (Street, cilyllown, sl8le)
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338. CertJfler (cneck only one)
Certifying phvsiclan (Physician certifying cause 01 death when another physician has pronounced death and col11lleled Item 23)
To the besl of my knowkidge, dGth occurred due to lhe c.ause(s) and manner as stated ..._...._..........._..
Pronouncing and certffyh1g physician (Physician both pronouncing death and cerlifying 10 cause 01 death)
To the besr of my knowledoe, death occunad allhe time, date, and place, and due to the cause(s) and manner as slated..."".."".................
Medkal exaninerJcorarw
On the basis of examination and/or InveaUgaUon, In my oplnton, death OCCUrred allhe time, dale, and place, and due 10 the cause(sl and manner as staled
35
s?nat",.at\:~~&.~~
1d..1 { 1c;l.1 I III I
(See instructions and examples on reverse)
3~:~/:~7;;Y."')
34. N:a a~e;;s q! Person Who Cofll)~Ea~ 01 Death (!lem ?7) TypelPrint
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Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEAL TH 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 of petitioner(s) and that as personal representative(s) ofthe above
decedent petitioner(s) will well and truly administer the estate a~pg to I/~ ~
Sworn to or affirmed ancj.,subscribed { Y ~ y;.
Before me this 01. 7 day of
D / /1 tk. f , 20 (/ If
.l1CeiIJJJ.ll RIA mdlll..5 b(;/--
/f~ ~gist r. _ '
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No.
J. IDle' "0447
Estate of
Virginia L. Rush
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW October 27 20~, in consideration ofthe petition on the reverse side
hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s), dated
October 8, 2006 , described therein be admitted to probate filed of record as the last will of
Virginia L. Rush ; and Letters are hereby granted to
Charles Anthony Washington
FEES
Probate, Letters, Etc. ............. $ 3 I 0 .0' ,
Will................................. $ ~
Renunciation... . . . . . . . . . . . . . . . . . . . . $
Short Certificates ( ~ ............ $
JCP...........,...................... $
Automation Fee................... $
Bond................................. $
Total $
Filed~20_
52651
Attorney (Sup. Ct. I.D. No.)
61 West Louther Street
Carlisle, PA 17013
Address
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10 -CD
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(717)249-1177
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Phone
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Last Will and Testament
............................................................................................................................................................
BE IT KNOWN that I, I Ri~1 U I ~ ~ ~U~H
of C,14 m P t~ i ~ , County of ..'
in the State of P tWllD ~.!:1 k \I t1 /.J I tl , being of sound and disposing mind and memory
and over the age of eighteen (18) years, and not being actuated by any duress, menace, fraud, mistake or undue
influence, do make, publish and declare this to be my Last Will and Testament, hereby revoking all my prior Wills and
Codicils at any time made.
I. Marriage and Children
I am married to rJ I A
my
following children:
Name: W I A
Name:
Name:
Name:
(husband or wife) are references to
, and all references in this Will to
(him or her). I have the
Date of Birth:
Date of Birth:
Date of Birth:
Date of Birth:
II. Executor
'--.....)
I appoint lLl~nR-~~~ Aut1~6U~ /i)A~~ ItJ&TDlJl of (l~~R~t.J~~~)R~ "
as Executor of this, my Last Will and Testament, and provide that if this ~x~cutor
is unable or unwilling to serve, then I aypoint 1'1 AR-...~ I Q.~ k D~ f1/AR-IJ Sk~ r ICl -rflJ)i).:..~-
of il U U A hi I /LiD 1l.D 6 F ha Q)) U ~e.~ pi) . - as alte)-nate-;
Executor. My Executor shall be authorized to carry out all provisions of this Will and pay my just debts,-Qbligatlons
and funeral expenses. I further provide my Executor shall not be required to post surety bond in thisorany otlter
jurisdiction, and direct that no expert appraisal be made of my estate unless required by law. ~~~
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III. Guardian
Ul
G)
In the event I shall die as the sole parent of minor children, then I appoint ---.U..J Q
as Guardian of said minor children. If this named Guardian is unable or unwilling to
serve, then I appoint as alternate Guardian.
IV. Bequests
I direct that after payment of all my just debts, my property be bequeathed in the manner following:
Name: A u un m I ~i1)' U
Address:L/&G'6 d,~ fUJ ~ k~, R!J ~ e1)ucJ2S PI)
Relationship: m ()Tli ~p
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2/- 0 It; ....0f147
Name: fY\ A ~ I Rll8 ~
AddressPJ-IS' & U2l.!.~~, &"
(}~ PJd g ~ ~ P DIg
Relationship: S I & I~ e.. Property: ; /1 ..,-/-i 0 F m ~ t>.:m Ii Iln IlDb- A~~ts
'U(t.lld~/U/c;' rn~ 1-L6MJ: nu~ ir9. F(d~jJ/~i~ IIJJ&Si tv1,~ ~/f-)Q/Au~ f\u.l') rvt6u~Vj IlD M~L-\ <1.H~aJ&
Aub ~~ V/U~ ti M~O-ili5
Name: J"blJ 11 it ~ IlLt AhA QH~W II[ Address: q6~ ID UoR..Jl-J RT
. IJ.flI4JQ~ PA
Relationship: b I\JD~ ~.P Property: i ('7 r..J (),:' m~ ~BY\~ flJl iJ," A3~r.s
IIJatJ-nll\t:r nt~ W()~AU~ Irs F1^-0JI~i-i\~tf.31 h'lf:') (i~A"Q. I'"H) r'i~~ Mb~'t.~ 1tJ> m,,~ c..Ql1lJ(ILv(o/ tQu.D
.gAVIUbS A OUlurrS L l2.DlJ)/IU~~ OlJ Ar-nqL!.N E;t PV\6-t
V. Simultaneous Death of Spouse
In the event that my l\ I A (husband or wife) shall die simultaneously with me or there is
no direct evidence to establish that my (husband or wife) and I died other than
simultaneously, I direct that (lor my husband or wife) shall be
deemed to have predeceased (me or my husband or wife), notwithstanding
any provision of law to the contrary, and that the provisions of my Will shall be construed on such presumption.
VI. Simultaneous Death of Beneficiary
If any Qeneficiary of this Will, including any beneficiary or any trust established by this Will, other than my
j..J ( ~ (husband or wife), shall die within 60 days of my death or prior to the distribution of my
estate, I hereby declare that I shall be deemed to have survived such person.
VII. All Remaining Property; Residuary Clause
I give, devise and bequeath all of the rest, residue and remainder of my estate, of whatever kind and character,
and wherever located, to my ~ A (husband or wife), provided that my
(husband or wife) survives me. I make no provision for my children, knowing that, as their parent, my
(husband or wife) will continue to be mindful of their needs and requirements. If my
(husband or wife) does not survive me, then I give, devise and bequeath all of the rest, residue and remainder of my
estate, of whatever kind and character, and wherever located, to my children per share, but if any child predeceases
me, then his or her share will pass, per share, to his or her lineal descendants, natural or adopted, if any, who
survive me; but if there are none, then his or her share will lapse and pass equally as part of the shares of my other
named children; but if none of my named children survives me or leaves a lineal descendant who survives me, then
according to the order of intestate succession in the State of
VIII. Additional Powers of the Executor
My Executor shall have the following additional powers with respect to my estate, to be exercised from time to time
at my Executor's discretion without further license or order of any court:
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IX. Optional Provisions
I have placed my initials next to the provisions below that I adopt as part of this Will. Any unmarked provision is not
adopted by me and is not part of this Will.
If any beneficiary to this Will is indebted to me at the time of my death, and the beneficiary evidences this
debt by a valid promissory note payable to me, then such person's portion of my estate shall be diminished by the
amount of such debt.
Any and all debts of my estate shall first be paid from my residuary estate. Any debts on any real property
bequeathed in this Will shall be assumed by the person to receive such real property and not paid by my Executor.
I direct that my remains be cremated and that the ashes be disposed of according to the wishes of my
Executor.
I direct that my remains be cremated and that the ashes be disposed of in the following manner: _
I desire to be buried in the
cemetery in
County, State of
X. Severability and Survival
If any part of this Will is declared invalid, illegal or inoperative for any reason, it is my intent that the remaining parts
shall be effective and fully operative, and that any court so interpreting this Will and any provision in it construe in
favor of survival.
Testator's Initials: LJ, lL
Execute and attest before a notary.
Caution: Louisiana residents should consult an attorney before preparing a will.
IN WITNESS WHEREOF, I have hereunto set my hand this 1;11-t
20 0 L , to this my Last Will and Testament.
Testator's Signature: (J.V J.flgP-ll! ~
XI. Witnessed
day of 6 ~T6 /2,2;Q.
The Testator has signed this Will at the end and on each other separate page, and has declared or signified in our
presence that it is his or her Last Will and Testament, and in the presence of the Testator and each other we have
hereunto subscribed our names this ?J~ day of OcTC>BEe ,20 <Xc,.
>< Witness' Signature: df~() 'J~~
Address: It? Jd-,'// SIde t21 ,,-c:...)-e-
Lt:!J?1 fJ /J, oJ f PI}- I 7 () / /
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Witness' Signature: #~ :;Z:Z~
Address: '30 ~~ \\ ~:;;.clQ c..\~\ E>-
Q {'.I fi1~ \-\: ,\ f~ (70' \
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x
L Witness' Signature:
Address:
Acknowledgment
State of ~ )
County of . V7Y\bev-luncC)
We, tv\o..t~:r~'~h'mp\c. ' \-\o\'~-oolln<pil)
L-Cl\J..,a. ZG..."2..worco\:.., ,and \[ir"~'nlc\' L Rush
the Testator and the Witnesses, respectively, whose names are signe 0 the attached and foregOing Instrument,
were sworn and declared to the undersigned that the Testator signed the instrument as his or her Last Will and
Testament and that each of the Witnesses, in the presence of the Testator and each other, signed the will as a
witness.
Testator:
liAlrjtl' ~,~
~-
Witness: . '\
Witness:
Witness: _.c. . ~/
On O~{Dher ~ \ ,20cx::' , before me, \('Q.c.P-l.( C:> ~eut n~
appeared \) , (":J 't'd4 L. (Gu~~ ,personally known to me (or proved to me
on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument
and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by
his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted,
executed the instrument.
WITNESS my hand and official seal.
'':~c'~~
Signature of Nota
Affiant Known Produced ID
TypeoflD 1'A \8 tts~ !fCY? 'lJlvC(S~(.el'\~e..
(Seal)
NCTillili'L SlM
TRACEV ~t;I~,NER !,j01HY f'ublic
Er~o:,i Cumoc"nl ()J PA
My Commission E:<OI:~5 'Ik, ~ 2009
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