HomeMy WebLinkAbout11-30-06
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYL VANIA
Estate of Margaret June Park
also known as H. ~V'iat"et P~vk.
File Number
~\\)\Q\~Y'S~
, Deceased
Social Security Number 201-16-4576
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
~ A. Probate and Grant of Letters Testamentary and aver that Petitioner( s) is / are the Executor
last Will of the Decedent dated May 20, 1998 and codicil(s) dated
named in the
(State relevant circumstances, e.g., renunciation, death ()! 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
a! applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate)
Petitioner(s) after a proper search has / 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.)
Name
Relationship
Residence
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
Decedent was domiciled at death in Cumberland
80 I North Hanover Street, Carlisle, Pennsylvania 17013
(List street address, town/city, township, county, state, zip code)
County, Pennsylvania with his / her last principal residence at
Decedent, then 80
years of age, died on November 5, 2006
at South Middleton Township, Cumberland County, P A
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
$ l.J.u leCe .--
$
$
$
situated as follows:
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codieil(s) presented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
, T ed or rinted name and residence
RichatdE, Park,/./i., 960 Glebe Street, Taunton, MA 02780
Form RW-02 rev. /0.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH 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 representative( s) ofthe Decedent, Petitioner( s) will well and truly
administer the estate according to law.
Sworn to or affirmed and subscribed
fi'~/<---
Signature of Personal Representative
before me the
Signature of Personal Representative
Signature oJPersonal Representative
File Number:
~ \ () Ul \ 1)"5 ~
Estate of Margaret June Park
, Deceased
Social Security Number: 201-16-4576
Date of Death: November 5, 2006
AND NOW, }/::> (\)a\....'\e!('(l\::1L(' , ~o'Dlo, in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to Richard E. Park, Jr.
in the above estate
and that the instrument( s) dated May 20, 1998
d,,,rib,d in tho Potit:;:; ,dmittoo to pmb,re ond fi1,d o~~~+~
Letters ...,...",..... $ ~ \.O.J CO Reglstero{Wllls ,- U
Short Certificate(s)......,. $ ,a., 00 Attorney Signature: gL~ cr'h\./v---"---".
TOTAL
..........$
$
$
$
$
$
$
$
$
$
$
Renunciation( s)
li)\ \\
~Q?
~\o
IS.(j)
,a.CD
5.00
Attorney Name:
Thomas E, Flower, Esquire
Supreme Court LD. No.: 83993
Address:
2109 Market Street, Camp Hill, P A 170 II
Telephone:
717-737-3405
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Form RW-02 rev, 10,13.06
Page 2 of2
H II)) );0':' REV 1;0'\
This is to certify that the infonn,Hion here given is COI rectiy lupit'd from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded w the Stale Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No.
~~.~~~
Local Registrar '.
Fee for this certificate. S600
P 12994766
NOV 1 0 2006
Date
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H105, 143 REV. 0212006
TYPE f PRINT IN
PERMANENT
BlACK INK
1. N<Ill8 of Decedent (FIISt, mk:ldls, last, suflIx)
Margaret Park
5. ..&.ge (Lasl Bi1I'lday)
80
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
June 14, 1926
Carlisle PA
STATE FilE NUMBER
4. DaloofDeolhIMoo~.d'1."'"
November 5, 2006
y~.
6. Daleof8lrth Month,d ,
7. Birth CI:e C. andstaleod
11. Decedenfs Usual Occu most 01 life. Do not state retired.
Kind of Work Kind d Business I Industry
Nurse Nursing Home
. 16. Oecedenfs Mailirlg Address (Street city I town, state, zip code)
801 N. Hanover St.,
Carlisle PA 17013
12. Was Decedent ever In !he
U,S. Armed Forces?
DYes I1!INo
Decedents
.b.clualResidenr.e 178,State
13. Decedent's Educallon (SpecIfy only highest grade completed)
Elementary f Secondary (0-12) College (1-4 or 5+)
4
14. Mailal StabJs: Married, Never Married,
Wldowed.Olvon:ed(Specify)
widow
ORssidenco OOlher-Spodfy:
10. Ra:e: Americ:arllndilll1, Black, While, elc
(Specify)
. White
15. Surviving Spouse (If wife, give maiden name)
8b CoonlyofDeaIh
ad, Faciity Name (If not i1stilulion, give street and number)
, I
Cumberland
S. Middleton,Twp. Carlisle RegiOnal Medical Center
17b.County
PA
Cumberland
DId Decedent
Uveina
Township?
17c.f):y".__. N. Middleton
17d.0 ~=Jwd-
Twp.
CltyIBoro
c
~
~
19. Mothe(s Name (First, middle, maiden surname)
Nora Yost
2Ob. InformEllrs Mailing AddI'8SB (Street, city f laWn, stale, zip code)
960 Glebe St., Taunton MA 02780
21d. l..llc:atioo (City IkMn.stBt8. zip code)
Mt. Holly Sprin IJ065
24. TImedDeath
:2-~~A"" ;/
CAUSE OF DEATH (SMlnatructloM and exampl )
llem'Zl. PARTI: Enterlhe~-disea!les, quries, fX~-1haldrucllyCaJS8d lhedealh. 00 NOT .lem1ilal events such as cria:: crrest,
respirmry arrest, OfventJiculll'lIbriIlalion wilhaut8howlng the etiology. Lblony ooecaJS8oneech line.
='=~~S:~ld""'-+ c vA
Approximaleilterval:
QnselbDeal1
Part II: Enlerolher!liJrJific:antOCflditilns CJ:ll'lhib.JinO IDdeaIh
ootnotres~ijngillhe undllflyi1g cause gMIn in Pat!.
28. D1dTobaccoUseCorrtJlbuteIoDealh?
DYes OP_
J2I ,.., 0 Unknown
29. If Female:
c;rNolp'"lJllll1lwilllinpasl'fO"
o PregnanlalDmeof_
o Nolpllllpl8n1,butpregnmllwflhln42days
ofdea1h
o Nolpognad,butllfll9nant43daysb1'fO"
ofdeath
o Unknown if pregnant within 1he past year
32c. Place d InillY: Home, F!WlTI, Slr8et, Factory,
OftIceBuldlng.e~.r_
Due to (or 1UI a consequence of).
~istcoodilions,ifll"lY'
. to cause listed CIlIne a.
Enter UNOERl. YING CAUSE
(disease or i)iury thai inilialed the
BVi!I1ls resulting In death) LAST,
b.
Due 10 (or as a consequenceof)'
Due 10 (or as a COh58quence of):
<t
rE:
d.
::::c
<:(
<t:
DYes IZlNo
DYes t:ilNo
j;lI- D-
O- O_k1vestigellln 32d. T'rneofl~..,
o SIkIde 0 """'" Not be ~Ined
3Oa. Was an Autopsy
Pertormed?
3Qb, WereAulopsyFlOdings
AvalabIe PrIor to CompetIon
of Cause of Death?
31. MnwofOeatll
~
f;'
o
~
321'. lfTremportaIionlnjury(Specify)
ODliverIOperatotOP....nger
M. OOV>er-Specify
333. Certifler(checkonlyone) 33b. Signaturel!lldTille~
. =:'Pf';;~==:."''::''''':Ih~.::i':=~~.~~~~~_":~I__ m___ m__ _ m_ LI .. /.r?"~/
Pronounclng.Ad certifying phyalcl.n (Ph)'Sicm boll pronouncing deall and certifying to cause of death) 33c LIcense Number 33d. Cillo Signed (Mon1h day
To the beet of my knowIedge.dnth oc:wmd II the time, daIe,llfld pIace,and duetottHtceuee(slandmaflltM"ostatacL_________________...RJ.. ~ __ .il "'t'"" k- /'-~
Medical Extmlner/CortlMt r 11..--/ tJ.:, Z.. ~'3 ~ iJ.- // f>
On the basis ofexaminaUon ,ndl or IllY981Igatlon. III my opinion, death occurred at the Ume, data, and place, and due to IhtC'Uee(1) and mtnner asstattt_..D 34. Name and~dress ofPerBOn Who Complatad C8lJS6of~th (Item 27) TypelPrinl
. J:;>,I/ fJ...z)"" t'H
-'-1 )-t( C_r~
35.
w.
~
:""''''''""Iriclr'"\l'' tI~
. ~.~~
~ 1\ I~I\ 101
('J"-)'.~ lz PA 11"0 IS
(See instructions and examples on reverse)
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I
SAIDIS,
SHUFF &
MASLAND
AlTORNEYSoAToLAW
26 W. High Street
Carlisle, P A
LAST WILL AND TESTAMENT
OF
MARGARET JUNE PARK
I, MARGARET JUNE PARK , of Carlisle, 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 all other Wills
and Codicils heretofore made by me.
FIRST
I direct the payment of my just debts and expenses of my
last illness and funeral from my estate as soon after my death as
conveniently may be done.
It is my desire to be buried in my cemetery lot in Mount
Holly Cemetery and that my personal representative have conducted
graveside services only.
SECOND
I give, devise and bequeath my estate as follows:
(A) To my son, RICHARD E. PARK, JR., my civil war era Colt
45;
(B) All the rest, residue and remainder of my estate, I
give, devise and bequeath equally to my children
RICHARD E. PARK, JR. and MARGARET A. BLACKSMITH, per
stirpes.
, "' ,
L' ,
."
THIRD
I direct that any and all inheritance, estate, and transfer
taxes imposed upon my estate passing under this will or otherwise
shall be paid out of the principal of my residuary estate.
FOURTH
In addition to the powers conferred by law, I authorize any
personal representative acting under this instrument, in his
absolute discretion:
~~
'-
(c::.
SAIDIS,
SHUFF &
MASLAND
ATTORNEYS.AT.LAW
26 W. High Street
Carlisle, P A
A. To retain in the form received, or to sell either
at public or private sale any real or personal property;
B. To exercise any options to subscribe for stocks,
bonds, or other investments;
c.
To join in any plan of lease,
mortgage,
consolidation, exchange, reorganization or foreclosure of
any corporation in which my estate or any trust may hold
stocks, bonds or other securities;
D. To sell, transfer, convey, mortgage, pledge, lease
or exchange any property, real or personal, which at any
time may form part of my estate, for the payment of debts or
taxes, or for any purpose of administration or distribution,
for such prices and upon such terms as my personal
representative, in his sole discretion, may deem wise, and
to execute and deliver deeds of conveyance or transfer
thereof;
E.
To make settlements and compromises on such terms
as my personal representative in his sole discretion may
SAIDIS,
SHUFF &
MAS LAND
ATIORNEYSoAToLAW
26 W. High Street
Carlisle, P A
deem wise without the necessity of obtaining
any
court
approval thereof;
F. To make distribution hereunder either in cash or
kind, as my personal representative in his discretion may
deem wise.
FIFTH
I do hereby nominate, constitute and appoint my son, RICHARD
Eo PARK, JR., to act as Executor of this my Last Will and
Testament. Provided, however, that if he is unwilling or unable
to act as Executor, I direct the duties of Executrix be performed
by MARGARET A. BLACKSMITH.
SIXTH
I direct that no personal representative, guardian, trustee
or other fiduciary appointed under this instrument shall be
required to give bond for the faithful performance of their
duties in any jurisdiction.
IN WITNESS WHEREOF, I, MARGARET JUNE PARK, have hereunto set
my hand and seal to this my Last will and Testament, consisting
of three (3) typewritten pages, the first two (2) of which bear
my signature in the margin for identification, this.~ day of
, 1998.
Signed, sealed, published and declared by the above-named
Testatrix, Margaret June Park, as and for her Last will and
Testament in the presence of us, who have hereunto subscribed our
SAIDIS,
SHUFF &
MAS LAND
ATIORNEYSoAToLA W
26 W. High Street
Carlisle, P A
names at her request as witnesses thereto, ln the presence of
said Testatrix and of each other.
,
,
/
I
-'-.....
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ADDRESS ~ tv {'I-?/''t~
(~?,/}l( I~
ADDRESS;).d <;, CL\..j~.(~--~'~
Ccl. '-..\.-'0...\..."-:"'1.. I "70\-S
\C~cn""~~JO>\ Cll....c~
SAIDIS,
SHUFF &
MAS LAND
AITORNEYS-AT-LAW
26 W. High Street
Carlisle. P A
COMMONWEALTH OF PENNSYLVANIA
ss.
COUNTY OF CUMBERLAND
We, Margaret June Park, ROBERT C. SAIDIS
and nORTS .1
MARCH
the Testatrix and witnesses, respectively whose names
are signed to the foregoing or attached 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 signed willingly and that
executed as her free and voluntary act for the purposes therein
expressed, and that each of the witnesses, in the presence and
hearing of the Testatrix signed the Will as witnesses and that to
the best of their knowledge the Testatrix was at the time
eighteen (18) or more years of age, of sound mind and under no
constraint or undue influence.
, Witness
\1.:~ ~~Y\(t-A..C~l.
Doris J. M rch , Witness
Subscribed, sworn to and acknowledged before me by Margaret
June Park, the Testatrix, and subscribed to and sworn or affirmed
to before me by
Robert C. Saidis
and Doris J.
March
, witnesses, this 20th
day of May
1998.
'--;f~~ dJ~
Nbtciry pubJ.tfc
NOTARIAl SEN..
KANDI L LfNKER. NOTARY PU8UC
CARUSI.E BORO. CUM8ERI.N<<) COUNTY
'W COMMISSION EXPIRES FEBRUARY 20. 2001
~r .e