HomeMy WebLinkAbout11-07-06
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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)
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Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
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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.
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Sworn to or affirmed and subscribed
Before.l1{e this '1 day of
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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
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Filed
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Attorney (Sup. Ct. LD. No.)
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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.
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~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'---
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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
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//
(See instructions and examples on reverse)
009875-00001lMarch 20, 1995/JRD/DKL/42432
11I&!it mtll &Un m~!it&m~nt
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OF
ELVA M. WAGNER
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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.
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(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.
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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.
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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.
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Notary Public
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NOTARIAL SEAL ~
DIANNE lENIG, Notary Public
lornoyn, Boroogh CumlJorland Co.
My CommISSion Expires Dec. 21,1997
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009875-00001lMarch 20, 1995/JRDIDKL/42432
AFFID A VIT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
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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.
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Sworn or aftirmed to and subscribed to before me by "~ '1'\ .,~;,:__,. "\; ~\
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NOTARIAL SEAL
DIANNE lENIG, Notary Public
lenlOyna Borough Cumberland Co.
My Commission Expires Dec. 21,1997
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