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Home My WebLink About10-31-06 Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of Ronald P. Suplee also known as No. 21-06- q(P 5 , Deceased Social Security No. 160-01-2735 Budd Anne Prigge Petitioner(s), who is/are 18 years of age or older, appl(ies) for: (COMPLETE 'A' or 'B' BELOW) 00 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the the Decedent, dated 02/13/1997 and codicils dated Executrix named in the last Will of 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: ~l,'~ ;) ..~ . ) .'c "" :J I-~ D B. Grant of Letters of Administration C,.) (c.t.a; d.b.n.c.t.a; pedente lite; durante absentia; durante mmontate) Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if anyi.~nd h6[i~ Name Relationship Residence (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his/her family or principal residence at 824 Lisburn Road, Apt.#238, Camp Hill, PA (list street, number, and municipality) Decedent, then 91 years of age, died 10/07/2006 at Healthsouth Hospital, Lower Allen Township, PA (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 situated as follows: None $ $ $ $ 6,135.00 Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and COdicil(s) presented with this Petition and the grant of letters in the appropnate form to the underSigned: Signature Typed or printed name and residence /1 Budd Anne Prigge 1109 White Dawn Lane Mechanicsburg, PA 17055 Prepared by the Pennsylvania Bar Association Copylight (c) 2004 form software only The Lackner Group, Inc. Forni RW-1 (1991) Oath of Personal Representative Commonwealth of Pennsylvania 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) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. ~~~ B~d Anne Prigge I , 3 C:.:::;t ;._...;J c.--' ~, ) i Sworn to or affirmed and subscribed before me this ~ day of C,,) .'1 ...._, :"':~) ,..J ) t_-~J ,-) -;--1 -', -:..:.:-.,: .-oK., R'~JiYJi~ 0/ S- 21-06- Yip ( ,) , .'1 No. Estate of Ronald P. Suplee , Deceased also known as Social Security No: 160-01-2735 AND NOW, Date of Death: 10/07/2006 , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters [IDTestamentary Dof Administration (c.I.a.; d.b.n.c.l.a.; pendente lite; durante absentia; durante minoritate) are hereby granted to Budd Anne Prigge, Executrix in the above estate and that the instrument(s) dated 2/13/1997 described in the Petition be admitted to probate and filled of record as the last Will of Decedent. /. Short Certificate(s)..................... $ 20.00 /: ~ FEES Letters.......................................... $ 45.00 ..... Renunciation........ ............ $ Attorney: Marielle F Hazen Affidavits ( )........................$ Extra Pages ( 0 ).....W.\.\~.....$ 15.00 ID. No: 68003 Law Office of Marielle F. Hazen Address: 2000 Linglestown Road, Suite 202 Codicil.......... ................ ................ $ JCP Fee.....................................$ 10.00 Harrisburg, PA 17110 Telephone: 717-540-4332 Inventory. ....... ........... ................. $ E-Mail: MFHazen@Hazenelderlaw.com Other........ .A-..0:t:9.......... .......... $ 5.00 TOTAL............................ $ 95.00 P,'lpared by the Pennsylvania Bar Association Copyright (c) 2004 form software only The Lackner Group, Inc. Form RW-1 (1991) HI05.905MS REV. 6/06 This is to certify that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Records in accordance with Act 66, P.L. 304, approved by the General Assembly, June 29, 1953. O~I'- (Jep S WARNING: It is illegal to duplicate this copy by photostat or photograph. /7 ~ -4 Cd() ~ Cf~\c ff9J'&(oL No. Frank Yeropoli State Registrar Calvin B. Johnson, M.D., M.P.H. Secretary of Health 0957795 OCT 2 6200L Date 160 - 01 ,~,) -') ,--, COkRE.CH~.D ITEMS &2.. H1EZ~~::~TO,~06 PER: r/J;;. DATE IDj11/oa.tUI- COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS P~i'..C^:,~~T CORRECTED ITEM(S): 3 PER: FD DATE: 10-26-06 ba~ERTIFICATE OF DEATH STATE FILE NUMBER Cumberland 3 Social S€CUI~Y Nl;rnter Name of Decedenl (First. middle, last) Age (Laslblr111day) ~/ Lower Allen Other '. _ __ o ER'Oul 311en1 0 DOA 0 NurSln Home 0 Residence 0 Other 5 C! 9 Was Oecedenl 01 HispanIC Origin? 10 Race American Indh3t1. Black. While. ate ~NO 0 ~~~i~~~~~uS:;~i~~~~b~~) Wj{~CI~ e 91 y<; 8b Coun"lofDealh ~ I if e do rlQ t s fa ~ P. t e t I! ed, onlyhlhes\ radaco leled College(j.4or5+) 14 Marital Status Married. Ne~p.r mamed, 15 Surviving Spouse (If wile. gi~e maiden name) Widowed Dfllcrced (Specify) Kin:jcIWo'k 824 Lisburn Rd.,Apr.238 Camp Hill,PA 17011 17a, Slate .P~s..y l_v_ax! i a _~___._ ~~e~~~edent 17c X Yes Decedenllived In Low~All en __~_.~___ _ Twp Townshf'? 17d 0 No. Decedenl Lived wrthin Actual Umits 01 ____~~_~~_~_._________ CitylBoro 16 Dee ents ailing resslSlreeLcrtf1owr, stale Zip co "I I7b. Co",~_S\1I11~~~I:~n 9________ Charles Suplee 19 Mother's Name (First, middle. maiden surname) Anna Lightfoot 18 Falher'sName (Firsl. middle. lasil Budd Anne Prigge lOb. Iflformaflt's Mailing Address (Slreet cityr1.own, state. zip code) 1109 White Dawn Lane Mechanicsburg,PA 17055 21c Place of Disposition (Name 01 cemelery, cremalory or other place) 21d Localion (City,1own, state, zipcodel 20a. Intormanrs Name [Type/plln\: i o w U) ::> U) <( :::; <(I I 1 ~ -J ~ t- Z W o w ~ o "- o w '" <( Z o RerrovalfromSlate Evans Cremation Service us selman eola,PA 17540 PA17043 F8~CS,324 Hummel Ave.,Lemoyne 22c Name and AddrElSS 01 Facility Co ete Rems 23a-o only when certifying phYSK::lan ls rIOt available al time o!death 10 oertily cause of death . "e~ 24-26 must be co~leled by person who pronounces death 23b. liceflseNumber 24 , () ; 30 A M CAUSE OF DEATH (See instructions and examples) Item 27. Part I: Enler the chain of e~ents - diseases. inlufles or COmpllCahoflS -that dlreclly caused the death DO NOT enler terminal e~enls such as cardiac arrest respiratory arrest or ve~trlCUlar fibrillalro'l W.~hOUl shOWln.Q the etiology 00 NOT abbre~ia\e Enter on~ one cause on a '- r.l ~~~~~I~;e~~~~~~ J:~~~:dlse~r a ___ C f.t> S ~ \ ~ \ \).NV\ .__~_il'~~_le.- ___ ~e~uential~listcond~ions. i!aflY ~~_~~.~OIasaco'lilefeo~ ~ ~ \ ~ . ~~le'~~h:~;Dc;~~~:~~~~~~~ea DuetO{Orasa::=~o~: \\.1 lV\ _ ~_.. ~ ~. \ It: _ . (disease or injury that Inrt13ted the ~ ~'---l.&-- ~--- events resutting in death) LAST DuetO(orasaconsequ~ : Approximate inlerval Par111 Efl1er other sianlficanl conditions conlflbutina to death 26 Did Tobacco Use Contribute 10 Death" : onselto death but not resuRlng in the undertying cause given in Part I 0 Yes 0 Probabty o No 0 UnknoWfl DYes )l No d 30b Were Aulopsy Findings A~ailable Prior 10 Completion 01 Cause o/Death" DYes 0 No 31. MannerofDealh )l'Natura: 0 Homicide o k:cldenl 0 Pending Investigation o Subde 0 Could Not Be Delermmed 32a Dale o! In)ury (Month,day.year\ 32b. Describe how Inlury Qccufled 29 If Femal!1 o Nol pregnanlwithin past year o Pregnantal\imeofdealh o Notpregnant.bulpregnanlwrthin42days o!dE,ath o Nolllregnan1.butpregnant43daysto' year beloredeath o UnkllOWn if pregnant within the past year 32c Place of Injury Home, Farm, Slleel. Factory, Office Building, elc. (Speci/y') 32d Timeollnjury 33d. DaleSig 10 (Month. day, year) 'foG 30a. Was an Autopsy PerlormOO ? 321 32g lOCillion (Street, city,~own, stalel 33a. Certifier (check only one) Certifying physician (Physician certifying cause of death when arlOther physician has pronounced death afld compleled lIem 23) To the best of my knowledge, death occurred due to the cause{s) and manner as stated ...... ...... ... .......... ....0 Pronouncing and certifying physician (PhysK:ian bolh pronouncing deal'1 and certifymg 10 cause 01 dealh~ To the best 01 my knowledge, death occurred at the time. d3le, and pl3ce, and due to the cause(s} and manner as stated... ..........0 Medical examlnerl<:oroner On the basis of elI3mlnation and/or investigation, In my opinion. de3th occurred at the time, date, and place, and dueto the cause(s) and manner as stated. .....D R tral'sSignatureandOlStrictNu I ~ / l.,t I / ( 34 Name and Address of PerSOfl Who Corl1lleted Cause of Death (llem27) Type/Prin' Dominic mlra:ch ( ]) CJ rO$ /...cu..rhe.~ ~ .(/~mo'l'/1e., 1111 ('7t> '(3 (See instructions and examples on reverse) 002696-00003/February 7. , 997/CRW /SLR/60839 . . <, \.., 'Ilc ~:; jEast 31IJIill aub illegtament OF RONALD P. SUPLEE ""::1 --<I " <'- ,j I, RONALD P. SUPLEE, of the Township of Lower Allen, County of Cumberland, and , Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking all other Wills heretofore made by me. ARTICLE I I direct the payment of my legal debts and the expenses of my last illness and disposition of my remains from my estate as soon after my death as conveniently may be done. All of the : foregoing shall be considered expenses of the administration of my estate, ARTICLE II I bequeath all of my tangible personal property (excluding cash or securities), together with any existing insurance thereon, to my daughter, BUDD ANNE PRIGGE, if she survives me for a period of thirty (30) days. If she does not so survive me, I bequeath said tangible personal property to her children, to be divided between them in as nearly equal shares as possible by my Executor after giving due regard for their personal preferences. 002696-00003/February 10, 1997/CRW/SLR/60839 ARTICLE III I devise and bequeath all of the residue of my estate to my daughter, BUDD ANNE PRIGGE, if she survives me for a period of thirty (30) days. If she does not so survive me, I devise and bequeath all of the residue of my estate in equal shares to her children. ARTICLE IV I appoint my daughter, BUDD ANNE PRIGGE, Executrix of this my last Will. In the event of her inability or unwillingness to act or continue to act as Executrix, I appoint my son-in-law, EDWARD M. PRIGGE, Executor. ARTICLE V I direct that my Executrix, or her successors, shall not be required to give bond for the faithful performance of their duties in any jurisdiction in which they may be called upon to act, insofar as I am able by law to do so. IN WITNESS WHEREOF, I hereunto set my hand and seal this day of February, 1997. ",-<7 ,. /< l ~ c., ;. ..' ,{ " /.l /', " r" " ~'~~~-ld~~:~~PI;:"'~~-'L~ 1'~t:,/ (SEAL) Signed, sealed, published and declared by the above-named Testator 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 names as witnesses. (~ I dbL{ ~a I ~ 1 ',ld ., / 002696-00003/February 7. 1997/CRW ISLR/60839 ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA ss: COUNTY OF CUMBERLAND I. Ronald P. Suplee, Testator, whose name is signed to the foregoing 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. /"> ,,/\. t . .)..."- ~ ./ ",>..~ ~Jh~d1J"~S:PI~' " . ../, ,.t"r" ,.' Sworn or affirmed to and acknowledged before me, by Ronald P. Suplee, the Testator, this l ~ ~ay of February, 1997. Q..!~ ~~ Notary Publi . '''_ ~ NOTARIAL SEAL DIANNE LENIG, Notary Public Lemoyne Borough Cumberland Co. My Commission Expires Dec. 21,1997 002696-00003/February 7. 1997 /CRW /SLR/60839 . . AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ss: COUNTY OF CUMBERLAND We, C.Q~~~JWlI\. ~. and'~~~~ -H-{(iL.~/v the witnesses whose names are signed to the foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testator sign and execute the foregoing instrument as his Last Will and Testament; that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as witnesses; and that to the best of our knowledge, the Testator was at least 18 years of age, of sound mind and under no constraint or undue il)fluence. (/fit Jl/=c~==j-- m~~a.?4~ Sworn to or affirmed to and subscribed to before me by ~. {( ~ "N ~fv"'-.l-...., "(;' and ~~"Ll'''-'--.. ,~_ {( ~"w-'"' ,witnesses, this ) ~ ~ay of Fe bru"iry , 1997. ~1Nl--L ~r~ Notary Public,.:) 0 NOTARIAL SEAL DIANNE LENIG, Notary Public Lemoyne Borough Cumberland Co, My Commission Expires De~~.,~1, 1997