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Home My WebLink About11-29-06 - - . PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of William F. Reed also known as File Number 6t1-C>& - /DSr2J . Deceased Social Security Number 072-05-5313 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE ~' or 'B' BELOW:) JZ] A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is 1 are the Executor last Will of the Decedent dated 11/16/2005 and codicil(s) dated named in the (State relevant circums tances, 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 instrument(s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: o B. Grant of Letters of Administration (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate) Petitioner(s) after a proper search has 1 have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (If Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) " I Name Relationship Residence ] (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. Decedent was domiciled at death in Cumberland 3433 Bedford Drive Cam Hill P A 17011 (List street address, townlcity, township, county, state, zip code) County, Pennsylvania with his 1 her last principal residence at Decedent, then 99 Pennsvlvania 17011 years of age, died on November 19,2006 at Beverly Health Care, 46 Erford Road, Camp Hill, Decedent at death owned property with estimated values as follows: (If domiciled in P A) 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 $ C) $ QfY,(}~(} .0(') ,-., - '.0'$ . . $"-' "k_'" situated as follows: 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 tIieappropriatefotrn to the undersigned: '. C) . -':'"'j Si nature r,) R. (jj~ /7CJ~ Form RW-02 rev, 10.13.06 Page 1 of2 tI. ~ 'II Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CM?1 bel' ~c1 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 ofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. S worn to or affirmed and subscribed before me the d q 11/ If.lf1 bJ: it) sj!~"m~pJj!.~ Signature of Personal Representative .~~ Signature of Personal Representative File Number: ~/ -0&;-105:2 Estate of William F. Reed , Deceased Social Security Number: 072-05-5313 Date of Death: 11/19/2006 AND NOW, ---1lJ (), ,L(JYt hth ,)Cj , ,-2 onrc ' in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Harry R. Barlow and that the instrument(s) dated 11/16/2005 described in the Petition be admitted to probate and file in the above estate I i=). DO 10. n () S.o() Attorney Signature: t; rn~~ if/3C?/ /t// 5.~fsr; ~ );9; I ;V6"S- FEES Letters ............... $ Short Certificate(s) . . . ;3. " $ Renunciation(s) .......... $ --144-D-- . . . $ ~~ ...$ .' . )l~ won Ov\ '" $ '" $ '" $ '" $ '" $ ... $ ... $ TOTAL . . . . . . . . . . . . .. $ ([;{). ()() /,1 , ()() Attorney Name: Supreme Court J.D. No.: Address: (7/~) 796 -;)/ tfJ{) Telephone: J DJlOO Form RW-02 rev. 10.13.06 Page 2 of2 ! 11 "" VI)" 1) r:\' 1 '''~ 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 he forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. No. "",(~(W'iiF'pl~--____ ,l'~ ~,l~ t~~'/ 9.[i;~\ ! ~/ .'~ \~~ ~ c::Jf ;I~ .!.i:~ ...W",,_'it~ ,'~ ~*'~" ~'<".'.".." ",*~ - <::2 ,.' ''l:;- ~ \. ~ /~ "" .,,~ /~\\ ""----..iflMENl (\\ ~~"",,\ """"'##"IIJJIIIII1 .~I?~ Fcc ,'or this certificate. $6.00 Loed Registrar P 12841424 NOV 2 0 2006 Date n >~, , ,J } -c&.~- /052 --.:) 143 Rev,01106 :IEIPRINT IN :RMANENT LACK INK 1 Name or Decedent (First, middte, Ias1) COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH . VITAL RECORDS CERTIFICATE OF DEATH STATE FILE NUMBER ;,'0 -.l 99 3. Social Security Nurrbel 4. Date 01 Death (Month. day. year) 5 Age (Last birthday) 072 - 05 ov.19 2006 Cumberland East Pennsboro Twp. OIher' o EFVOuI alient 0 DOA 0 Nursin Home 0 Residence 0 Other - S cr : 9. '(("5 Decedent of Hispanic Origin? 10. Race: American Indian, Black. Whrte, etc. .....i( No 0 Ves .(lfYes, specityCuban, (Specffy) MeKlca.rl, Puerto Rican, etc.) W hit e Vrs. Bb, CounlyolDealh rroslolworkin lile;donolslateretired Kind of Businessllndustry 13. Decedent's Education S eci Elemenlary/Secondary (0-12) 9 h' hest rade co Ieted 14. Marrtal StatlJs: Married, Never married. i5, Survrving Spouse (If wife, grve maiden name) College (14 or 5+) Widowed. Divorced (SpeciM wid W Did Decedenl liveina t7c,lI:I YeS,DecedenlLivedin East Pennsboro Twp Township? r 17d 0 No, Decedent Lrved within Actual UrrVIs of Crtyl8oro 16 3433 Bedford Dr. Camp Hill, PA 17011 17a.Slate ppnn~ylvrinirl Cumberland 17b. County 18. Father's Name (Firsl,middle,last) 19, Mother's Name (First. middle. maiden sumame) George M. Reed Myrtle Olson 20a. Jnlormanl's Name (Typelprinll Harry R. Barlow 2Qb. Informanl's Mailing Address (Street city"OWrl. slate, zip code) 3433 Bedford Dr., Camp Hill,PA 17011 o AerrovatfromSlale 21c. Place of Dispd!;jlion (Name or cemetery., crematory or other place) '- 21d. Location (Cityilown, slate, zip code) FD 013163-L Evans Cremation Service Leola PA "c. Nameaod.\dd,",sofFacility i'lusselman FH&CS, Inc. 24 Hummel Ave.,Lemo ne,PA 17043 23b. License NlJrrber 23.:. Date Signed (Month. day, year) lIems 231< only when certifying physi:ian is nol available at lime 01 death to certify cause or death . Items 24-2{j roost be co~leted by person who pronounces dealh 24. TimeolDeath 25, Date Pronounced Dead (Monlh. day, year) 26 /6 ;: do ce.. 171 M CAUSE OF DEATH (See instructions ~nd examples) Item 27. Part I: Enler Ihe ~ - diseases, in~ries, or cOrf1llicalions - thaI direclly caused the death. DO NOT enter lerminal evenls such as cardiac arres!, respiratory arrest, or ventocular fibrHlation without showing the etiology. DO NOT abbreviate. Enler only one cause on a Nne =d~~~~e~~~~~EJ::; d~e~r a /J1 E-7?1--S 17t-n ~ Due to (or as a consequence o~ Approximate interval onsello death Part II: Enter other sianjficant condHions contribulinllto death, but not resuning in lhe underlying cause given irl Part I 28. Did Tobacco Use Contribute 10 ealh? o Ves 0 Probably o No ;ll!' Unknown 29 tfFemale o Not pregnant wrthin past year o Pregnanlaltimeofdeath o Not pregnant, but pregnant wrthin 42 days of death o Not pregnant. bul pregnanl 43 days to 1 year beloredeath o Unknown if pregnanl within the past year 32c. Place of Injury: Home. Farm. Street Factory, Office Building, elc, (Specifyj LA--N~ Sequentially list conditions, if,any, leading 10 the cause listed on Line a. . Enter Ihe UNDERLYING CAUSE . (disease or injury that inHialed the evenls resutting in death) LAST Duelo (or as a consequence 00: Due to (or as a consequence o~: 30a. Was an Autopsy Performed? o Yes .I No d JOb. Were AlJtopsy Findings Available Poor to Coflllletion or Cause of Dealh? o Yes iNO 31 Manner 01 Death y Natural 0 Homicide o Accident 0 PendifllJ Inveshgation o Suicide 0 Could Not Be Determined 32a. Date or Injury (Month, day, year) 321 If Transportation Injury {Specitn o Driv81!Operator 0 Passenger o Pedestrian 0 OIhel - Specify: 33b. Signature and nle of Certiliar 329. Location (Streel.city"own,state) 32b. Descrbe how Injury Occurred 32d. Time or Injury 33a. Certifier (check only one) Certifying physician (Pllysician certifying cause of death when another physician has pronounced death and corfllleled lIem 23) To the best 01 my knowledge, death occurred due to the cause(s) and manner as stated .", .....,..,..............". ....................................... .........,.................... ..............0 Pronouncing and certifying phYsician (PhysiCian both pronOU/'lCing death and cer1ifying to cause 01 death) To the I:Jest 01 my knowledge, death occurred at the time, date, and piace, and due to the c~use(s) and manner as stated ........................................................... ....:...,s. Medical examlner/coroner On ~he basis 01 ex.1min~tlon and/or Investigation. in my opinion, death occurred atlhe lime, date, and pl~ce, and due to the cause(s) and manner as stated ........0 ~.r1..L, '1'<> 33c. License Nurrber 33d, Dale Signed (Month. day, year) 3S ?- / I 2-C) (J G (See instructions ana examples on reverse) Pi/III 0-5063-97/1- L / 1- 2<:; - 06 34 N,meaod Add'"''l~j:!j~hoFt~f~~~~F:r.T'I1'tt g 90 ;70'" LI'/"7C. c: t-vl/<.t.. t?-.cf C::,('h...1' t-{ ILL ,4. . 70 I I LAST WILL AND TESTAMENT BE IT REMEMBERED THAT I, WILLIAM F. REED, a resident of Dauphin County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my LAST WILL and TESTAMENT, hereby revoking any and all Wills and Codicils previously made by me. I I declare that I am not married and that I have no children. II I direct that all my just debts and funeral expenses shall be paid from my residuary estate as soon as practicable after my decease. III I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. IV I give, devise and bequeath all my property, whether real or personal, wherever situate, including any property over which I may have a power of appointment to HARRY R. BARLOW provided that he survives me by thirty (30) days. If Harry R. Barlow predeceases me or fails to survive me by thirty (30) days, then I give, devise and bequeath all my property, whether real or personal, wherever situate, including any property over which I may have a power of appointment to OLGA MONIGHAN. If Olga Monighan predeceases me or fails to survive me by thirty (30) days, then I give, devise and bequeath all my property, whether real or personal, wherever situate, including any property over which I may have a power of appointment to DENNIS MONI~~N. :--._,'1 c~) r',' -....,; v I nominate, constitute and appoint HARRY R. BARLOW as Executor of this LAST WILL, to serve without bond. If HARRY R. BARLOW is unable or unwilling to act in that capacity, then I nominate, constitute and appoint DENNIS MONIGHAN as Executor of this LAST WILL, to serve without bond. IN WITNESS WHEREOF, I, WILLIAM F. REED, have set my hand to this LAST WILL this /~ -rd'- day of /aI~ ,2005. w~F;Q~ WILLIAM F. REED Signed, sealed, published and declared by the above-named WILLIAM F. REED, as and for her Last Will and Testament, in the presence of us, who, at her request and in her presence, and in the presence of each other, have hereunto subscribed our names as witnesses. ~ N~ err ~L ~t{.~~Ldr- 2 ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMIUW..l. A 1>TD t>Ai.WI/N I, WILLIAM F. REED, Testator, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my LAST WILL; that I signed it as my free and voluntary act for the purposes therein expressed. ?;J~ T~ WILLIAM F. REED Sworn o~firmed to .ay.d acknowledged before me by WILLIAM F. REED, Testator, this /~ day of lVo~6'E/2., 2005. .\ AFFIDA VIT COMMONWEALTH OF PENNSYL VANIA ss. ~ COUNTY OF CUMD[RLAHD ~'~/J We, ...JOI-IIJ Ir ~ r and ;fA~((9 /l.. f!A/!.t.() W , the witnesses whose names are signed to the attached or foregoing instrument being duly qualified according to law, do depose and say that we were present and saw Testator sign and execute the instrument as his LAST WILL; that WILLIAM F. REED 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 the time 18 years of age or more, of sound mind and under no constraint or undue influence. -<~~~ "~ti, ,Ltmrb- Sworn o~rmed to ~ aCknowledg. ed before me this 1& day of IYtI~~, ,2005. COMMONWEALTH OF PENNSYLVANIA NoIaIIaI Seal Joseph W. Souders, NoIaIy PubIc Susquehanna Twp., Dauphin Colny My CommIssion ExpIres Feb. 5. 2001 Member, Pennsylvania Association If Notaries ~~..1