HomeMy WebLinkAbout10-30-06
"", _ .. PETITION FOR PROBATE and GRANT OF LETTER,8
Estateof Samuel Woods. Jr. No. 02-/- OLD - q5lf
also known as To:
, Deceased.
Register of Wills for the
County of Cumberland
Commonwealth of Pennsylvania
in the
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(state relevant circumstances, e.g. renunciation, death of executor, etc.) ;-0 :-\ -
Decedent was domiciled at death in Cumberland County, Pennsylva~, with -J
h is last family or principal residence at 2707 A Walnut Street. Camo Hill. Pennsvlvania. 17011
Social Security No. 211-22-6547
The petition of the undersigned respectfully represents that:
Your petitioner( s), who is/are 18 years of age or older and the execut rix
in the last will of the above decedent, dated Januarv 5. 1989
and codici1( s) dated
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Oist street, number and municipality)
Decedent, then 84 years of age, died 10/21/06
at Holv Soirit Hosoital. Camo Hill. Pennsvlvania
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:
$
$
$
$
19.000.00
1227 North High Street
Duncannon P A 17020
OATH OF PERSONAL REPRESENTATIVE
COMMONWEAL TH OF PENNSYL VANIA } 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 represen-
tative(,) of the above decedent petitioner(,) will well an~ .ly' admini'ter the e,tate accor~ to law.
Sworn to or ~ffmned IDbscribed {~ ~ ~ ~11~
before&,: s day of. ~
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No. c!lI-m 0 - 9~
Estate of Samuel Woods. Jr.
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
ANDNOW ~u..l 3D ~~ , 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 1/5/89
described therein be admitted to probate and filed of record as the last will of Samuel Woo~ Jr.
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and Letters Testamentarv ryaIg
are hereby granted to \::;j: 3 ~
Kathleen C. Zimmerman n/b/m Kathleen C. ZOQby C1 G'f'
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. \ FEES I~- dU
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Probate, Letters, Etc.. . . . . . . . $1 nf) .tJD
Short Certificates ( },.,.,. $ I U .IIl)
~__~ ~-torr.a.:U:l>>'\... $ J s-: t!O
,.. ..j(1P' - $
. TOTAL _ $ Jl110 (N
Filed. .I(J.I.~~/oi:P. . . , . . . . . . . . .'.
ADDRESS
717567-3139
PHONE
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H105.805 REV 1/05
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.
Fee for this certificate, $6.00
. thn- J?? ~
Local~
p
12840553
OCT 2 6 2008
No.
Date
ITEM # ~()It
SHOTJlD RF.An AS FOLL~____
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I REV. 02n006
:/PRlNTIN
UWENT
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1. Nomeol~(FiI1t.mIdcIe.l8sl,sulIix)
COMMONWEALTH OF PENNSYLVANIA . DEPARTMENT OF HEALTH . VITAL RECORDS
CERTIFICATE OF DEATH
STATE FILE NUMBER
4. Dale of Death (Monlh. day. year)
O'-tcb<.:' r ." I
Samuel Woods Jr.
3. Soc:iaI SeaIity Numbor
211 _ 22 -6547
5 Age (lIsIllirtlday)
84
0Il0r
6. Dale 0I1IIrIl\
7.
. 81d_or
5/28/22
Alabama
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lid. F-*y N.... (W not _lion, gi'/I_ 81d-'*l
o Residence OOlhe<. Specify:
10. Race: AmoricIn 1_.IlIack. WliIe. etc.
(Specifyj
White
Cumberland
11. ~UsuaI
Illnd 01 Work
Foreman
_of 110. 00 not_relIrod.
Ca~pamttlly
. 16. ~sMllng__(__ciy/bwn._.zipClldo)
2707 A Walnut st.
Camp Hill, PA 17011
Doc:edenf.
AclJ8I~ 17..SIaIe Pennsvl vania
l1bCounty Cumberland
17e. 0 VII. llocedonllMld in
17d GI: :....o.:-oIUvedwtlhi1 Camp Hi 11
Louiza Colbert
18. F-'Name(FlrsI._.IaIl. UbI
Sam o. Woods
\':. 19. IAoIhor's Name(F'ItIt._, mIidonlUmame)
200. InIormanl's Nome (Typo I PrilII
Twp
City/Bora
2Ob. InIonnlI1t's Milling __ (~. city Ibwn, _, zip code)
1227 N. High st. Duncannon, PA 17020
21b. Dale of ClisposItion (MonIh, day, yell') 21c. PIac8 ofDlsposillon (N....ofC8fMBy.CIIIIl1lIlDIy or_ pIaoIll 21d. l.ocaIon (City/bwn. Sl8le. zipClldoI
10/27/06 Cam~.qi~l Cemetery Camp Hill, PA
22c. N....81dAddlessolFacity.,.', ....Sulli van Funeral Home
51 N. Enola Dr. Enola PA 17025
23b. license Nuriler 23c. Dale Signed (Month. day. yell')
(YIl)lf-2773f (0.2--1 C' C
211. Motlod of llispodIan
Iia - 0 Removal fnlm SIaIe
24. r... of Death
S' ~
25. DlIle Pnlnouncod Dead (Month, day. year)
f M. 10 , z,t . 0&
: Appfo>dmaIe interval:
: Onset 10 DeaIh
PorI II: Enlor "'* lianillcanl anlitb1s aDrbllino 10_
but not I1lUIing in Ihe UI1lIortjtng taJI8 given in Part I
26. Was Case _nod 10 Medical ElllIlliner/ Ca1lner lor. Reason 0Ihe< Ihen C_ or llanalIon?
o Yes 9 ~
28. Did T abaca> Use Conlribute to Dealh?
o Ves O~y
o No 01inknown
29. W Female:
o Not pregnant wti1 pasl yell'
o Pregnanl aI time ol_
D Not Pf8!1\lI'II, but pregnant _ 42 days
oIdealh
o No! pregnM~ but p<egnMI 43 deys 10 1 _
ol_
D Unknown d jngnant _Ihe pasl_
32e Plac8011njurf: Home, Fann. Sne~ FacIDfy.
QIIIr.o BuildIng. eto. (Spocifyj
CAUSE OF DEATH 11IMlnetructlona ond .llII........1
1em'lT. PART I: Enlorlhe~.__.~. or~ .1haI<hctytaloed Ihe_. DO NOT _1eminaI....... such ..cardiac......,.
respiraIory...... or__fIIritoIion wiIhoul showing lheetiofogy. list only one CIUIOOIl each line.
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Due to lor .. . conuquence 01)'
=1iIt........lany.
1o....1iIIIIcI0Il1ne..
Enlor UIIIERL YIIG CAlJSE
I_or !'iU'Y 1haI_1he
_Is I1lUIing ,,_) LAST.
Due to (or.. . c::onaequenOl 01)'
Due so (01 _ . oonMqUenCe of)
3Oa. _ III Aulapsy
-.nod?
32g. I.ocaIon 01 Injury IS1nIet, city r bwn. _)
XII. w... Aulapsy Fondings
A_ PIior 10 CcmpIeIion
01 Cause of OoaIh?
31. MannerofDealh
~ D-
O- OPwldngIm<eollgallon 32d. Tlmeollo1urY
o Suic:ide 0 Could NoI be Determined
M.
321. If T........-,Injury (Spedyj
o OlIve< / 0perIl0r 0 Passenger 0-IIl
o 0Ihef. SI>Kty:
33b. SignIJhne 81d rille 01 Certifier
~ (11,/).
33c. liconse 0 0 4- z. 7 7') <if
o Yes [J1qO
OVes DNa
331. CertlIIor 1- only...}
. ~ physIdIft (I'IIysiciIn c8lIIying C8I.U 01_ -. ........ pllyIician his Pf'II'lCUICOd _ 81d compIeled 110m 231 ~
Totlll_al""...-..__duI 10 till cauoofll Md__-,,_ ____ ___ ___ __ _______ __ __ _ ____ _ _ __ .
. ==::-n~':'===:"'-::I:1:::"~~~--IIoIacl____ __ _ _ _ _ __ _ _ ___ Ll
. __,COftlMf
On ~ booII 01__ I Of 1.-Jgollon,In my opinion, doolh _II tIlI_, _, ond.......1I1Cl duo to till.....) _...._ _ .talftI. _ Ll
35.Regisn'I'
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33d. Dale Signed (Mllnlh. day. year)
ICJ. l (.o{;"
34 N.... 81d _01_ Who ComjJIeted Couse 01 00IIh (110m 27) Typo I Prill
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I, SAMUEL WOODS, JR. of the Borough of Camp Hill, C~BeBla~ C~~,
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Pennsylvania, declare this to be my Last Will and Testa~~ h~b~~~~
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LAST WILL AND TESTAMENT
OF
SAMUEL WOODS, JR.
revoking any will previously made by me.
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I - I direct the payment of all my just debts and funeral
expenses out of my estate as soon as may be practical after my death.
II - I devise and bequeath all of my estate of whatever nature
and wherever situate unto my daughter, Kathleen C. Zimmerman, providing
she survives me by sixty (60) days.
III - Should my said daughter fail to be living on the sixty-
first (61st) day following my death, then I devise and bequeath all of
my estate of whatever nature and wherever situate unto her issue per
stirpes.
IV - I appoint my daughter, Kathleen C. Zimmerman, Executrix of
this, my Last Will and Testament. Should my said daughter fail to
qualify or cease to act as such, then I appoint my granddaughter,
Suzanne o. O'Donnell, to act in this capacity. Neither of my personal
representatives shall be required to post bond in this or any jurisdic-
tion.
L
/ L~
Z'?.~~ORN"HHAW' "" MARKH """T. LAM' ",LL. .. "'"
Page 1
...
IN WITNESS WHEREOF, I have hereunto set my hand and seal on this
the
day of
, 1989.
~el~#'
(SEAL)
Signed, sealed, published and declared by SAMUEL WOODS, JR., Testator
therein named, on this and one (1) other sheet of paper as and for his
Last Will and Testament, in our presence, who, in his presence, at his
request, and in the presence of each other, have hereunto subscribed our
names as attesting witnesses.
~
Name
(l~ /I~. A.
Address
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7,,7/1-n1-d- If ~
1 Name
rJ Cl4I-f' 4~f,? CJ.-
Address
ARNOLD & SLIKE, ATTORNEYS-AT-LAW, 2109 MARKET STREET, CAMP HILL. PA 17011
t ·
COMMONWEALTH OF PENNSYLVANIA)
SSe
COUNTY
OF
CUMBERLAND)
WE, the undersigned, the testator and the witnesses, respectively,
whose names are signed to the foregoing instrument, being first duly
sworn, do hereby declare to the undersigned authority that the testator
signed and executed the instrument as his Last Will and Testament and
that he signed willingly (or willingly directed another to sign for
him), and that he executed it as his free will and voluntary act for
the purposes therein expressed, and that each of the witnesses, in the
presence and hearing of the testator signed the will as witnesses and
that to the best of their knowledge the testator was at that time
eighteen years of age or older, of sound mind, and under no constraint
or undue influence.
LT~~iY~~/
~
Witness
J~ t- Ju
Witness
and
day
ibed, sworn to and acknowledged before me by the testato~,
'bed and sworn to before me by both witnesses, this ~,~
, 198~.
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otary Public
NOTARIAL SEAL
THELMA S, McCAUSl!N, '''~tary Public
Camp Hill: ~ A Cumberland County
My CommIssIon Expires July 3, 1992
ARNOLD &: SLlKE, ATIORNEYS-AT-LAW, 2109 MARKET STREET, CAMP HILL, PA 17011