HomeMy WebLinkAbout11-16-06
Register of Wills of Cumberland County
Estate of.. June R. Clark
also Iawwn as
PETITION FOR PROBATE and GRANT OF LETTERS
No. at - 0(0 -Iblf/J
To:
. Deceased.
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
Social Security No. 201-18-5007
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 February 2 . 20 05
and codicil(s) dated
(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
1840 Holly Drive (Camp Hill) Lower Allen Township, Cumberland County
(list street, number and municipality)
County,
Decedent, then ~ years of age, died November 4 . 20~ at 1840 Holly Drive, Lower Allen Township .
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: 1840 Holly Drive (Camp Hill) Lower Allen TownshiD Cumberland County
$ 57,000.00
$
$
$ 150.000.00
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.
Si~p~on~
..,t.~. () ,I. =~
Residence( s) of Petitioner(s)
4330 Roth Farm Village Circle, Mechanicsburg, PA 17050
(")
~L}
-=-- ~
'. l,J
n~rl
_.:~J <> r--
~,--;~~
_..JOO
;:-) 0 11
OC:
; :0
:0-;
p
"""-,,
<:::)
c:::::I
<J"'
L
',", loon
: 1', ::-)
(, ) c..")
~d~~
:~":".J C.J
~.;~; ~~~
,.'1
(::=5
r-Tl
~
o
If!
0"\
>
:x:
" ..",":"";
...
Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
}
COUNTY OF CUMBERLAND
COMMONWEAL TH OF PENNSYLVANIA
SS:
The petitioner(s) above-named swear(s) or affmn(s) that the statements in the foregoing petition are true and
correct to the best of the knowledge and belief ofpetitioner(s) and that as personal representative(s) of the above
decedent petitioner(s) will well and truly administer the estate according to law.
i-( ~ r}~-;-;u
Sworn to or affirmed an~~cribed
Before me this it 0-+1'-- day of
~uem~
{
No. OJ-/JtJ -IOJ(P
Estate of ~ 'K (I k f{.." , ne<eased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOw_No\) . ILP 200l.t? 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
,iJ r;J - ()5 , described therein be admitted to probate filed of record as the last will of
?j..r.c.AL.L R.. ~ . ; and Letters are hereby granted to F. !?/')luA+ P .L'~ -rr
FEES
Probate, Letters, Etc. ............. $
Will................................. $
Renunciation......... ....... ....... $
Short Certificates ( ). .. . .. .. .. .. $
JCP.................................. $
Automation Fee. . . . . . . . . . . . . . . . . .. $
Bond................................. $
J Total $
Filed fI(/CP 200b
Cf.l
~.
I
tn
'-'
(~~~
Register of Wills ~
~(S7~ E. Jd,~~:tl=:tiG(~~
Attorney (Sup. Ct. J.D. No.)
r~'So Ro'fi. tF~ U/('~~~
A~~ ~ I?>"'~
7(( # 1.1/" · <:~~~ (") ~
~ 0 C"'\
:;~ :0 Z
',l.,-o 0
"~~~ :
_JOo
::-) 0 11 :r:-
OC :x
~ :0
::-0-1
)>
810.00
IS-. OD
5. (to
J../. i) . cJD
10.00
1;,00
~<:;{O . QC>
Phone
""l'."J
~~
_1....1
C~"J
r-rl
CJ
C)
.Tl
--n
- C)
,_ rn
, /}
~
105.805 REV 1105
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.
am../1l~..
Fee for this certificate, $6.00
Local Registrar
p
12841020
NOV 1 Q 2006
Date
Clark
o
:;:=0
,.. ::rJ
m-o
F-'?~~
~CA:::O
., JJA
:~!C)O
:.)011
c)C
::IJ
STATE FILE NUMBER --f
4. (Mon.1. doy,l'H'l
November 4, 1006
'"
<:::::)
<=:>
CT\
Z
C)
<:
:':1:.]
r'n
C)
C)
:J::J
C)
rn
CJ
(:J
"1'1
-Tl
C)
rn
0"\
v. 02I3lll6
~TIl
':T i/30-380
1. NlIne aI 00cIdInl (First. n*lIII,llIl suIix)
June
5. .. (l.811i1hdl1y1
80
COMMONWEALTH OF PENNSYLVANIA. DEPAR.NT OF HEALTH · VITAL RECORDS
CERTIFICATE OF DEA'tt (CORONER)
>
::n::
-
..
R
{/ j r;~~?
VIS.
6. OaltalM _, ,
June 27, 1926
ace lIId_OI
lib. County of llooII1
Cumberland
idence 0 OIher, SjIecily:
10. Race: AmoI1can _,IlIack, _, elc.
~te
11.0ecIldlInl'.~
12. W.llocodsnt _ in Ihe
t u.s. Armed F.....?
Ov.. mNo
00cedenI'.
Ac1ual Rosldonce 17.. Stale
17b. C<uIty
PA
Cumberland
170.K) V",OecsdenILiwldin Lower Allen
17d. 0 ~~i\llld""in
Twp.
CIty/Bom
" 19. _. N.... (First, _, _ sumame)
Grace Sutton
20b 1nfamanI'. MaIIng __ (SIreet, cIIy / _, _. zip code)
1840 Holly Drive, Camp Hill, PA 17011
210. Place 01 ClioIIJooiticn (Nane aI cemeIery, c:remaIoIy OIolher place) 21d. LocaIIoo (CIty I klwn, slal8. zip code)
Rolling Gl:ee:.n Memorial Park Camp Hill, PA 17011
221:. NlIlltlndAddlllsofFacIIly ..........
Stone & Murray FH 408"Thll:.d Street" New Cumberland, PA 17070
,dHIh 0CClITtd IlIhe lime, dele and place 1l8Isd. (SignaUe and 1itIe) Zlb. Ucenei......... 23c. Dell Signed (1Aon1h, day, jUI)
o v...
Dves ONo
31._oIlloeIll
~ NaIunlI 0 Homicide
D Acddent D Pending ~1Iion 32ll. TIme of InjIy
D SOOdo D CcUd Net be Ilotonninod
26. Was c.. Reforred III ModicaI examiner I Conlner lor e Reason 0Iher IIwr1 CII!IIIIlicn 01 Donation?
t1 v.. D No
P8I111: Enlerolher_"-_ "'_ 28. Did Tobaa:o Use Cormbule III Deelh?
but not redng in Ihe undeIlying cause given in PlIIH D V.. D Probably
o No D Unknown
29. W Female:
D Not pregnlIlIwilhn past year
D i'IIgnanl II lime of deelh
o ~~ butp<egnanlwithin 42 days
D Net pregnn, but pregnant 43 doys III 1 year
a1delllh
D Unknown W pIllgI1anI wilhin Ihe past year
32c. Place of In;oy: Home. Farm, S_. FacIDly,
0lIice BuIIcIng, 04t. (Specify)
M.
CAUSE OF DEATH (Seel...trucll""e end olWllplH)
1Iom'll. PART I: Enlerlhe ~._'....... OIcornplic*rd. IIllldiedly CIIJIId ..._. 00 NOT ......leIminale_ suc:II as cardiacanest,
IespireIDIy ...... 01 _ _ _ !lIlclIoilg Ihe etioIDgy. UsI oniy one cause on each line.
~~~~~ Hvpertensive Cardiovascular Disease
DueIll(OIIS._oI)'
25. Dale Pmnounood Deed (MontI. day, jIllll)
November 6, 2006
=Ist~rany,
III CIUIt Iislsd on .. lL
EnIer UNIlEIlL YI<<i CAUSE
(~0I~1hlII_1he
_ oesuIng.,_) LAST.
Due III lOt IS' __ 01)'
Due to 10f' _ . conuqueftOl of)
. 300. Was.. Autopsy
_?
n. _ AdlopIy Rndings
A_ PrillI' III eompetian
of Calle of 0eaII1?
tot
338. ~ (cI1edt oniy one)
. c.tIIyIng phyoIclon (Pbysician certifying cauee of death when enoIher phyIocien has llfOI\CUIlC*I de"" and compIeled Item 23)
Tolht_ofMyknowlodgo.__....to...cauMC.l.nd_osotololt_ ____ ____ ____ _ _ __ ___ _ _ _ __ __ __ _ _ __..D
. _Ing ond..ulylng phpIciIIn (Ph~ _ pronouncing _ and COt1IlyWlg III cause 01_1
To'" _ of My knowlodgo. _ _II'" _. _. ond placo. ond duo to... caUN(t) ond _ H "tattt. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ..D
. IIodIcaI EumIrw I c-
On"'''''' of __ ond I or 1nvestigIlIon,In My opinion. _ _..... _. _. snd platt, and duo 10'" --<.1 ond........ os.taItt_
andllitlrlcl_
/J;a-::
Coroner
33d. Dale SIgned (MonIl1, day, year)
November 9, 2006
34. N.... and __ of Person Who CorrlpIeIl!d Caale rJ lleelh (_ 27) Typo I Print
311 ~""(Monlh day jIlIII) Michael L. Norris J Coroner
107 1/ ~ 1/ 1/ I // / "t ~~~~a~i~~~~~~J R~idI78~~te ill
(See instructions and examples on reverse)
331:. L.Jc:ensO Number
..,
~)
..
LAST WILL AND TESTAMENT
OF
JUNE R. CLARK
I, JUNE R. CLARK, of Lower Allen Township, Cumberland County,
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 and making void any and all
wills by me at any time heretofore made.
1. I direct that all my debts and funeral expenses be paid as soon as
practicable after my death by my Executor hereinafter named.
2. I give and bequeath the sum of Two Thousand ($2,000.00) Dollars
to my friend, KATHY HOOPER, absolutely.
3. I give and bequeath my jewelry to my daughter, BETSY E. CLARK
and son, DOUGLAS CLARK LANGILLE, as follows:
a) The diamond necklace and original wedding ring to my daughter;
b) the diamond watch to my son;
,.....,
>J g
~ 0 CT'I
c) four diamond rings to be divided equally between mEgMht~
_.~-' ):> r-
and son, each to receive two. My daughter and son shall decij~twciin
-:J
themselves the rings each is to receive; :)S~ 5t
...J::u _
:T.J --l . .
)>
+-
'-,
;';1
C)
(:i~
~:~j;~
C.J
C)
" -I
-rl
,':"3
r-n
'. .1'. ~.
~,
d) all other jewelry not mentioned herein shall be divided equally
between my daughter and son.
4. I direct that my daughter, BETSY E. CLARK, and my son, DOUGLAS
CLARK LANGILLE, should each be entitled to select items of my tangible
personal property having a family or sentimental significance; otherwise,
all of my property of a tangible nature shall be sold and converted to
cash, including my real estate, if any, and added to my other cash or
intangible assets.
5. I give, devise, and bequeath the intangible assets realized from sale
and other cash and intangible assets I own at my death to Commerce
Bank, Lower Allen Township, Cumberland County, Pennsylvania, or its
successors and assigns, as Trustee, in trust, for my daughter, BETSY E.
CLARK, and my son, DOUGLAS CLARK LANGILLE, subject to the
following terms and conditions:
a) My Trustee is directed to pay from accumulated income and
principal from the trust to my daughter, BETSY E. CLARK, the sum of
Two Hundred ($200.00) Dollars monthly, and a like payment of Two
Hundred ($200.00) Dollars monthly to my son, DOUGLAS CLARK
LANGILLE.
b) Said monthly installment payments of Two Hundred
($200.00) Dollars each to my daughter and son shall continue to be paid
until such time as the accumulated income and principal has been
expended, or in the discretion of the Trustee if the principal and
accumulated income of the trust shall become less than Five Thousand
($5,000.00) Dollars in fair market value, and the Trustee determines it
shall be uneconomical or otherwise inappropriate to continue the trust,
my Trustee may, in its absolute discretion, anticipate the termination of
~r
the trust and distribute the remaining principal and accumulated income
equally to the beneficiaries, absolutely.
c) In the event either my daughter or son predecease the other,
the payment of Two Hundred ($200.00) Dollars monthly shall continue to
the survivor until the accumulated income and principal shall become
less than Five Thousand ($5,000.00) Dollars in fair market value and the
Trustee determines it shall be uneconomical or otherwise inappropriate
to continue the trust, my Trustee, may, in its absolute discretion,
anticipate the termination of the trust and distribute the remaining
principal and accumulated income to the surviving beneficiary.
d) In the event both my daughter, BETSY E. CLARK, and my
son, DOUGLAS CLARK LANGILLE, should die before the entire principal
and any accumulated income of the trust has been distributed or
expended, the remaining principal and accumulated income of the trust
as then constituted shall be distributed absolutely to West Shore Baptist
Church, Borough of Camp Hill, Cumberland County, Pennsylvania.
e) All income or principal held for the use and benefit of the
beneficiaries of this trust shall not in any way or manner be subject to
anticipation, assignment, pledge, sale or transfer, nor shall any such
interest, while in the possession of the Trustee, be liable for or subject to
the debts, contracts, obligations, liabilities or torts of the beneficiaries, or
to attachments, executions or sequestrations under process of law.
f) The Trustee shall receive fair and reasonable compensation
hereunder.
g) The Testatrix's express intent is that the Trustee shall serve
without bond of any sort in any jurisdiction.
,.,.--- I
h) The Trustee shall maintain accurate records and accounts,
and shall render statements to the beneficiaries hereunder, showing
receipts and disbursements of principal and income, no less frequently
than annually.
6. I give to my Trustee the following powers in addition to those
otherwise provided herein or by law:
a) To invest and reinvest, alter, vary, change investments of all
or any part of the trust estate in such stocks, bonds, securities and
certificates as it in its discretion shall deem proper; however, the Trustee
is not authorized to invest in real estate.
b) To compromise claims, without the necessity of court
approval.
c) To pay administration expenses from income or principal,
and notwithstanding any of the foregoing provisions of this will, to use
such expenses as deductions for income tax purposes, as may be deemed
advisable, without any requirements of making adjustments or
reimbursements to the beneficiary.
7. I direct that all estate, inheritance, succession and other taxes
payable by reason of my death on any property forming part of my estate
for the purpose of such taxation, whether or not such property passes
under my will, shall be paid out of my residual estate. I authorize my
Executor and Trustee to pay all such taxes on remainder interests or
future interests at such times as may be deemed advisable.
8. I hereby nominate, constitute and appoint my attorney, E. ROBERT
ELICKER, II, as Executor of this my Last Will and Testament but should
he predecease me or fail to qualify, then in such event, I nominate,
constitute and appoint my friend, JAMES E. BLACKSMITH, D.O. as
Executor of this my Last Will and Testament, and I further direct that no
person serving as Executor shall be required to post any bond to secure
the faithful performance of his duties in the Commonwealth of
Pennsylvania or in any other jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand
/
and seal to this my Last Will and Testament written on ~
pages this c2. ~ day of ~/;~<U7' , 2005.
SIGNED, SEALED, PUBLISHED and DECLARED by JUNE
R. CLARK, the Testatrix above named, as and for her Last Will and
Testament, in our presence, who, in her presence, at her request, and in
the presence of each other, have hereunto subscribed our names as
attesting witnesses.
~
(SEAL)
COMMONWEALTH OF PENNSYLVANIA
: ss:
COUNTY OF CUMBERLAND
We, JUNE R. CLARK, ~Mi eOl~~ , and
S~ '1<. ~"kJ , the Testatrix and the witnesses,
respectively, whose names are signed to the attached or foregoing
instrument, being first duly sworn, do hereby declare to the undersigned
authority that the Testatrix signed and executed the instrument as her
Last Will and Testament, and that she had signed willingly, and that she
executed it as her free and voluntary act for the purposes herein
expressed, and that each of the witnesses, in the presence and hearing
of the Testatrix, signed the Will as witness and that to the best of his or
her knowledge the Testatrix was at that time eighteen years of age or
older, of sound mind, and under no constraint of undue influence.
~
Witness
~<< 0mt/
Itne
Subscribed, sworn to and acknowledged before me by JUNE R.
CLAR ,Testatrix, and subscribed and sworn to before me by
. ~~y~ and
~ eAt '1\. ful)~ witnesses, this J ul day of
'f~~\}J ,2005.
'~'fJriL UuGV Cv-
Notary Public
Notarial Seal
Bridget Ann Corcoran, Notary Public
Carlisle Boro. Cumberland County
My Commission Expires June 10, 2006
~J1l;mber. Pennsylvania AssociatIon of Notanes