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HomeMy WebLinkAbout11-07-06 - Register of Wills of Cumberland County Estate of €LV'A IV\' WAG.NER also known as PETITION FOR PROBATE and GRANT OF LETTERS ~ \ t)~ tC\~ No. To: Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania , Deceased. Social Security No. 1"7 'do 0; ~~l ~;~ The petition ofthe undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older, and the execut~ named in the last wilI ofthe above decedent, dated , '-0 I ('i(q 5 and codicil(s) dated (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decedent was domiciled at death in ~UM~E~LA t.J D Pennsylvania, with hM last family or principal residence at c..UHi~.ElY\o/.J'r AiLfRsiki& lJojY1€ I CA~.LlS:U: <?,fl ,,013 (list street, number and municipality) Decedent, then 9.L years of age, died ~PT. lin , 20~, at cf: 4 5 ~M Except as folIows, 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: County , Decedent at death owned property with estimated values as folIows: (If domiciled in Pa.) AII 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 folIows: $ ~~b~5'. .5<~ $ $ $ (') WHEREFORE, petitioner(s) respectfulIy request(s) the probate of the last wilI and codicil(s) presented herewith and the grant of letters (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) thereon. ;: Si:;ture(s) ofPetitioner(s) ~It "'Yh....~ "'- 711 J i"'~ _) .---._~ 'j c:-;: Register of Wills of Cumberland County OATH OF PERSONAL REPRESENTATIVE } COUNTY OF CUMBERLAND COMMONWEAL TH OF PENNSYL VANIA ss: 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 above decedent petitioner(s) will well and truly administer the estate according to law. @ !.tJAoL 4.. ~L~"-. Sworn to or affirmed and subscribed Before.l1{e this '1 day of ~)v~'oLr- ,20 d...D [/1 QQ' ::l ~ Z .... <> --" '" ~. ,~.......\ . , r.,_"'l (":."' () '::-.~ I -_J Estate of , Deceased en DECREE OF PROBATE AND GRANT OF LETTERS 0 AND NOW "1 ~bUe..N"'\b.r 2~, 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 ~cXl ~ \ q q 'S , described therein be admitted to pro~~ ~le4 of Aecord as the last will of \ ; and Letters are hereby granted to (.) ~ \-\. ~~ FEES Probate, Letters, Etc. ............. Will.........,...."...,.......... ... $ $ $ $ $ Automation Fee.............,..... $ $ $ 20l)1o Renunciation... . . . . . , . . . . . . . . . . . . . . Short Certificates A) ............ JCP.................................. Bond....,.....,.......... ........... Total 1\ \, Filed ~~~ l..Q 0 . cD i~.CO Attorney (Sup. Ct. LD. No.) %.DD )O.Q) S.oD q~.OO Address Phone This is i() cenit\ that the Illfonnation here given is correctly copied from an original certificlll' of ie~llh.lll Lkj \\ III: me: ~l' Local RegJ\lIJr The tJllglnal certificate will be for\l,arded to the State Vilal Records OITice ,",H' peil1alWnl '!jn~, WARNING: It is illegal to duplicate this copy by photostat or photograph. \,;.,1, (iilii-'t,Iiii'-;;/;';'-;0~ \,;\I"i~~\.\\t[Ff..fi"~\ ~,~/ "~ij"\\ ~" <::Sf "..~\~ ~\ ~~ ";n\ ,,",, .. ~~\ !~ c::::). . ;r,1l'. :-~I I::. w\ 'j ~t. '" ,.:b.~1 \~ " - ---~' - - ., -...:, ~*~..>, *~! ~a" .... "'~!)I' ;, ~, . ." /..{;5 ", \:;. ~p'/ .~'<- .'V '<----.;'l/,f ~EN~T ,,\ ~ ,#/ ~;/"tN 1 u 1I"d, ~~ t2n/t"L-- h' lor 'hi. ccrlJ calc SC.OO Lllct! l<c~]'!r]iI P 12838819 SEP 20 2006 ))~dl :-....,) I -J c::) ~ \ - 0 La - O~ ~ I en o v 0212006 ~INTIN NENT INK 1. Ncrne of Decedent (FIrSt, middle, las~ suffix) COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH Elva 5. Age (last Brthday) 6. Date 01 Birth Mcnlh, d , 7. Birth C' 172 - 01 STATE FILE NUMBER 4. Dale of Death (Month, day, ye~) September 16, 2006 Cumberland Middlesex Twp. Claremont Nursing 8a Piace 01 Coaih ChecI< ooe Hospital" D'npatient DERI~t DOOA ~Nu..;ngHome 9, WasDocodentofH;spank:Orillin? IJa No Dyes (II yes, specify CUban, Mexlcan, Puerto RIcan, ele.) 13. Decedenrs Educatloo (SpecIfy only highest grade completed) 14. Mar1tal Status: Mamoo, Never Married, Elementaly I Secondary 10-12) College (1-4 or 5.) 'Mdowed, Divoreed (Specify) 12 widowed 91 y... December 8, 1914 Steelton, D Residence D O~er - Specffy' 10. Rcre: American Indian, Black, While, ete (Specify) white 60. CotinlyofDealtl &I. FBCfIty Name (If /'IO! institution, give street and number) 11 Decedenrs Usual Occupation Kind of work done durin most of ~Je. Do not slate rettred. Kind of WOO: KInd of Business I Industry Bookkeeper Education 16. Decedenfs Mailing Address (Slre8t, crty I town, state, zip code) 375 Claremont Drive Carlisle, PA 17013 16. Father's Name (First middle, last, suffix) 12. Was Decedent ever In the U.S. Armed Forces? Dyes 1&1 No Decedent's ActualResidence 17a.State 17b.County Pennsylvania Cumberland 17e. 00 yes, Decedent Uved in 17d. 0 No,D~nILivedwilhin Actual Umits of Middlesex Twp ChylBoro 19. Mothe(s Name (Rrm. middle, maiden surname) Louis P. Lanza 20a. InformanfsName (Type/Print) Carol A. 21a.MethorlolOiapoaition iii Buri~ D Remov~ IRlI1l State DOIher-Spacify; 22a. SlgnatureofFune ~ 21b, Date of Diaposilion (Mon~, day, l"ar) Chlorinda Acri 2Ob. InformanlaMalllng_l_ cltyllow11, state, zipoode) 15 Stone Sprin Lane, Camp 21c. Place of Disposition (Name of cemetery, aemaklry or oIher place) Hill, PA 17011 21d. location (Cl~ I town, sfale, zip code) Lower Allen Twp., PA 17011 CAUSE OF DEATH (See Instructions and. pi..) 119m ZT. PART I: Enterthe ~- diseasas, injuries, a complicalions -that directly caused the dealh, DO NOT enter Iermina events such as cardiac arrest. respiratory arrest or vefltriculll' fibriflation 'Nithout sOOwing 1he etiology. list only one caJS8 on each line. P.O. Box 431, New Cumberland, PA 17070 23b, Lk:ense Number P.N34401 ;),L Complete Items 23a-c only wI'Ien certifying physidan is notavail~a1limaofclealhto certify cause of death. _24-26mustbecompfefedby""""" I 'Nho pronounces death. Approximate interval Onset ~ Dea~ Part II: Enter other si!;lnifr:anl Mnrtitions mnltihullno kl dP.ath but not resulting il the undMying cause given in Pi:I1: 1. =::~~~~J~)disease~ 1--.).11.,,-, (T) o,.J A...cvY\ . A 28, Old T oI>acco Usa ContIlbuteto Death? D yes D Probab~ o No EJ'Unknown 29. If Female: lErNot pregnMI within past year D Plegnant at time" dea~ D Not pregnan( but pregnant wlhln 42 days ofdeatl1 o Not pregnant, but pregnant 43 days to 1 year of death o Unknown if pregnC'rlt within the past year 32c. Place of InjUfY: Home, Farm, Street. Factory, Offlce Buiklng, e~ (Specify) Sequentially ist conditIoos, if any, ~~~=ERl~':~lJ$e {disease or iry jury lhaIinitialed the events resulting In death l LAST, b. I)Je 10 (or as a consequence 01')' +1\ P -.: ItA crV ,^C Co PO Due to (or as 1!I consequence of): Due 10 (or as a consequence of)' CO""O...k'~ .~"'r 'O~ d. Dyes ~ Dyes DNa 31 Manner of Death 0'Natural 0 Homicide D Accklent D Pendi1g Investigation D SiJlclde D CoLOl Not be Determined 32<1. TITle of Injury 32g. Location of Injl<y (Sbeel. city I town. ""lei 3Oa. Was an Autopsy Performed? JOb. Wn Autopsy Findings AvoIatie Prior ~ Comr:Aetion of Cause of Death? M 33a. Certifier (check only one) Certlfytng physician (Physicial'1 certifying cause of death 'Nhen ~other physician has pronourx:ed death and complel8d Item 23) To the best of my knowledgt, dnth occurred due to thecaUla(.) 8IId Il18nneras .1atB!I___ _.... _ _ __ _ _ __ _...... _ ___ _ __ _....... _ ___ ~:;~u:~~a: :~~:~~~a~~==:u:~~~~da~:t~ :U:U~=d mMner as statR<l_.. _.. _.. _ _ _ _ _...... _.... ..D ~::~n:;:~~a:~ aAd I or Investigation. In my opinion, death oecurrtcl at the tIme, date, and place, and dllt to the caUt8(sj.nd manner a8 mite!. .. ...D 35, Regislra~s ~ and District N~1 (<1'--- ... ~n/1"2- / ":/ >~'Z,,".i<?/t.,,:.,.:~..,"7l7 33d. Date Signed (Month, day, l"ar) q - IJ'-<lT. I..?II I~I/ 1/ 1 34. Name and Address 01 Person Who Completed Cause 01 Deati'1 (Item 27) Type (Print ,gW<SJ'1 1'-1. -J<>St;;.-r:: t "-0 ,1'30 c;6D() /<lop" ,eD e>vot..-A. p,4 '70:1-:;' // (See instructions and examples on reverse) 009875-00001lMarch 20, 1995/JRD/DKL/42432 11I&!it mtll &Un m~!it&m~nt '"..... , ;" OF ELVA M. WAGNER '-,Tl (~"; I, ELVA M. WAGNER, of the Borough of New Cumberland, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. I. I direct that all my debts and funeral expenses, including my gravemarker, and all expenses of my last illness that by Executrix is obligated to pay, shall be paid from my residuary estate as soon as practicable after my decease as a part of the expense of the administration of my estate. II. I bequeath my automobile, household goods and personal effects and other tangible personalty of a like nature (not including cash or securities), together with any existing insurance thereon, to my children, CAROL A. MADARA, RICHARD L. WAGNER, ROBERT S. WAGNER and ELIZABETH M. KUHN, to be divided among them by my Executrix with due regard for their personal preference in as nearly equal shares as practical. III. I devise and bequeath the residue of my estate of every nature and wherever situate, in equal shares, to my children, CAROL A. MADARA, RICHARD L. WAGNER, ROBERT S. WAGNER and ELIZABETH M. KUHN. In the event that my any of my children, CAROL A. MADARA, RICHARD L. WAGNER, ROBERT S. WAGNER or ELIZABETH M. KUHN, shall predecease me, I devise and bequeath his or her share to his or her then living issue per stirpes. 009875-00001/March 20, 1995/JRD/DKL/42432 IV. I appoint my daughter, CAROL A. MADARA, Executrix of this, my Last Will. In the event that my daughter, CAROL A. MADARA, shall fail to qualify or cease to act as Executrix, I appoint my son, RICHARD L. WAGNER, as Executor of this, my Last Will. V. I direct that my Executrix or her successor shall not be required to post bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 3()":/) day of /'t :.:- I, if~ .~" /.-1 , 1995. ~ .I ,;71 '1/ ~~~~~./~~~~t:11~L- (SEAL) Signed, sealed, published and declared by the above-named Testatrix, as and for her Last Will and Testament, in the presence of us, who, at her request, in her presence and in the presence of each other have hereunto subscribed our names as witnesses. 'k /,1 ;.." 1./' /1 " / '''~~'' 'il !J(f.i / ; ~ -".,,-.- , ' ,f ~ /C / ",---' , -....-- ~z' -2- 009875-00001/March 20, 1995/JRD/DKL/42432 ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA : ss: COUNTY OF CUMBERLAND I, EL V A M. WAGNER, Testatrix, 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. ~i /iJJ'.') / (,...-i---..... -u:.._ ~) ." _/ J~' --:L .- .-. - " ~ ELVA M. WAGNER ~~ .:.} n_L.o,- -. __ ",$,.worn or affirmed to and acknowledged before me, by EL V A M. WAGNER, the Testatrix, this '1, :::;"oay of ", '\ ,~. --_\\ , 1995. !.~ ....~".."- \'" Notary Public "1::".- .......;,'-. \ '. , '\ .,~--' NOTARIAL SEAL ~ DIANNE lENIG, Notary Public lornoyn, Boroogh CumlJorland Co. My CommISSion Expires Dec. 21,1997 ~~----"""'.-----..~. ......_l>J -3- 009875-00001lMarch 20, 1995/JRDIDKL/42432 AFFID A VIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND !" We, ~I'A\l' ,,' ,T' 'If' land \:::Vc. '."'--~ ),,' -\~"t;-,~ witnesses whose names are signed to the foregoing instrument, being duly qualified according to law :clo depose and say that we were present and saw the Testatrix sign and execute the foregoing instrument as her Last Will and Testament; that she 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; and that to the best of our knowledge, the Testatrix was that time at least 18 years of age, of sound mind and under no constraint or undue influence. ,,\ -0., L' .... "..' 1,\ IJ.; \' ''- ,- ...--~ / /.//' )/1 . __"/ -' Lr "'_w_- ( ~. /. ( , ' \,--- ~ I " Sworn or aftirmed to and subscribed to before me by "~ '1'\ .,~;,:__,. "\; ~\ -" ,'- , . " . .' '. 'II" -..:; \,-<, ,'''~'' "..,,,.;-\-,wttnesses, thIS ')"" day of, \ ':', ~ ,~~,. ',,>.. '-- ~ ~ -- and ---,... .~, ,~. , ,," ,.... ~ '\ ' 1995. (" ~";"'-- ____ \J.,") '_ 'r- ...._ r \ '''~ Notary Public NOTARIAL SEAL DIANNE lENIG, Notary Public lenlOyna Borough Cumberland Co. My Commission Expires Dec. 21,1997 -4-