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HomeMy WebLinkAbout12-15-06 Register ol: Wills f<y thJ Deceased. County ot~um er an in the Social Security No. 193-36-4476 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut or in the last will of the above decedent, dated April 23. 2004 and codicil(s) dated PETITION FOR PROBATE and GRANT OF LETTERS a \ Dlo \~\\ Estate of also known as JAMES ZINN JAMES PERCY ZINN No. To: named , 19_ (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumberland .. CenteCrO,U!lt>i....Penus.v1vania,.with h 1." S I f'l .. I'd Golden L1.VH15 11 v f'op.rclr . ast amI y or pnnclpa res I ence aJ - . _ _ Church Rd., -.c~mp Hill, PA 17011 (list street, number and muncipality) Decendent, then 62 years of age, died 12/10/06 ,19 at _.___ Except as follows, decedent did not marry, was not ~ivorced 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: Decendent at death owned property with estimated values as follows: (I f domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (I f not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: $10,000.00 $ $ $ 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.I.a.; administration d.b.n.c.l.a.) theron. g L._ B~~~Bickley 114 South St., Harrisburg, PA 17101 ~--;- / - :J ;..... ~ .~ -:J:;: ~:~ 7::' ~ - . . .-----':7 _ ...-----b~~ "":J -__ 7 Q (;::0 -;-0 .'. J;J _';t~ -..a'y-;' OATH OF PERSONAL REPRESENTATIVE'5J . .::0-j COMMONWEALTH OF PENNSYLVANIA I ::-> r 88 COUi'TY OF j ':;..Ij :r: ~ -=-- = ~ o rfl " t,t} -0 ::::.: ~ '" 0,) 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 represen- tatin?(';) of the above decedent petitioner(s) will well ~..rfuIY admini":::~_ the estate according to law. Sworn ((1 01," affirmeL, and 'U,b. scribed {Ki/ /~ 7 ~ b,,,, met ':'- ~~ // I ~ e~ister 2 No. d\ bUL \\\\ Estate of L\ Y'.r'\ ~CUl'1e~ , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW ~~'w- IS --1'9 ;))liP , in consideration of the petition on the reverse side hereof, satisfactory proof having been presented be ore me} IT IS DECREED that the instrument(s) dated d;--J described therein be admitted to probate and filed of record as the last will of -. r JA.J\-. and Letters are hereby granted to uS 1J Probate, Letters, Etc. 0 0 0 0 . 0 0 ., $ T .{) Short Certificates( )/. 0 0 0 o. . 0 0.0. $ ()tJ, tJO "W)J 1500 ~lOn . 0" 0 0 iPiAj' ~ (:J~1J . ,T<?~L _ $ 1.5' .m Filed .,... 0 . 1.2: I j;? l ~ ?to , , 0 0 . 0 0 . , 0 0 0 . 0 0 FEES "~~,Y:-~~ 7p 2-JC''/f ADDRESS r-f0 J i1j (7/7) 2.7'-(oJ7) ( 1 (I) / PHONE o '70 " :tJ :-0 =co lff3 ..-, ~ <::::" <:::> '='"' c:;J r.., (J .~--~ ;~n ~d -Ti ~ c.n -0 _. ...... ~ I'v 0;) Thi, 1, 10 l'\.:rti!\ thul the informal!on here given is correctly copied from an original cenii'icatc nl dlJth ,jdh filed 1\ ni' 11l\' L\)(;\i Re).'i'lr..ll' Till original C'~rtJiicate will he forwarded to the State Vit,;l Record, Otlice I'll' p,:rnuncnl ling WARNING: It is illegal to duplicate this copy by photostat or photograph. 'c,- for till' L'crtili,atc, S6.00 ~(iil--;(i;r;;;:;7,;;:~ ,.:...< ~\.\~JlIpr;;;;"::;; /~\\l~'\.,/--- -'''_~;* -::~, I;"~ ~/ "~~ ,'l~.~/ ~~\<:?~~. '~ :e ~, 'P . ~c::::;:, >> ~::':. \~ <-',}:'1' '. ':b~,f ,~ *i;.._.~: " > ~,,' *l \"t:. ~" / ~/ ~ ~"'. / ~", ~----_-_'-9r~tEN~-i n:;; ~<";'i'\\\ ................. \) J",~/ ///"/~ P 12842461 ----~--,_._------- \: D. HEM #..2 I 13. SliOULD READ AS FOLLOWS: /02..//5/~Ot) C t2wn-1? tf;;:;~~~ t2nm- fr( ~ ~------.-~--~--.... -------..~---- -----'.1 = dl CJ"" CJ r.-, c-> .lr~~ I'~l,t:i,l: ;>::::~ -.....,-0 -'CC"I- Q Ct2j~ 2.0~ --:~;C5 r-:- <'{~"'\ :~U ---I - -~ -----~_r_ :; ry N co a\ D\....o \\\\ COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH C"mhPT1"nd 19. Molher's Name (F!l'St, middle, maiden surname) Doroth Roth lOb. Informanfs Manlng Address (~treet, city ftown, stale, zip code) 6. Date of Birth MonII1,d , ar 62 8b. County of Death Cumberland Golden Livin Center 12. Was Decedent ever In !he 13, Decedenfs EducalfOl1 (Specl~ only hlghesl grade completed) U,S. Armed Forces? Elementary I Second'iKY (0-12) College (1-4 or 5+) OVes IiilNo 12 of PA Decedent's Actual Residence Us. Stale Pennsylvania 770 poplar Church Road Camp'Hill. PA 17011 18. Fetner's Name (FItS!, mWdle, lasI, suffIX} Perc Zinno II 208. Inlormoors Name [Type/PrInt) 17b. Coonly 21b. Date of Disposition (Month, day, year) . ~ Complele Items Iy when certify1ng phySiiarl is not awiJab/eal time of dealhto certify cause of dealh 1t8ms24-26mustbocornpleledbypelllOll who pronounces death. c '<2." CAUSE OF DEATH (So Instruction. and oxamplM) Item 7{. PART I: Enter the ~- diseases, iljuries, or complications - that directly caused the deaIh. DO NOT enter terminal events such as cardiac arrest. respiralDl'yarrest or ventricular fibriHation lNif.hotrt showing the 8lioIogy. t..m 0fl1y one cause on each line. ~~C:01:l 0 c~J/~~ b. CtJA-~~~~ d f##cr..... DtJe 10 (Of as a consequence : L-, ~ DJ!:!,. Z ~d Tf:.r.IA 'R//i6 Due 10 (or as uenoo ar): : Approximale inlerval' : Onset to Death ~~/^" ~Hln/( =~C:~~=d~ SeQuentialy ist condi1ions, ~ "'Y. leading ID caJse listed on ine a. EnterllJe UNDERLYlNG CAUSE (disease or injury ll'1at initiated the events resulting In death ) LAST. d. 308. Was al Autopsy Perfonned? 3()t>. W...Aufa!'sYFindings Available Prior to Competion OfCallseof~th? 31. MannerofDeattl ~ o Homk:id. o Acddent 0 Pending I""""gallon o SuIdde 0 Could Not be Det9rm!ned M OVe, ~ OV" ONo 32d. Trneoflriury ~ STATE FiLE NUMBER 4, Dale of Death (Month, day, yec:r) . 193 36- 4476 Sa Place of Death Check ani one Hospital: Other o Inp.tient 0 ER I Ou~.~ent OOOA :() NU"ing Home 9. Was Decedent of Hispanic Origin? Xl No 0 Yes (If yes, spoofy Cuban, Mexk:an, Puerto Riean, elc.) December 10 2006 DR".."", OO~er-Specify: 10. Race: American Il'ldian, Block, While, ele (Specify) 17,.0 Ves._'U>edm 17d:() :~e~:"cij>ed wifuin Camp Hill Twp. City I Born PA 17109 Services. Inc. Pattfl: EnlerotherlliOnificantoondition!lconlributill9 k:ldealh but not resulting In the undertylng cause givttn in Part I. 28. Old Tobacco Use Contrtbule 10 Death? o Yes 0 Probab~ [3.oio 0 Unknown 29. 'Female: o Not plllgnsnt wlhin past year o Pregnant at time of tteath o Not pregrlsnt, but pregnant wi'!tl(n 42 days of death o Not pregnanl, but pregnant 43 days 10 1 yell' of death o Unkoown if pregnan! wilhin!he past year 32c. Place of Injury: Home. Farm, Slmet, Factory, 0fIk:e Building, etc. (Specif;j ~~,~~c~m ~ h (H~fljt'/'n>-7 kt.. ("...-z-~m-~ . 319, loc:atioooflnjuy{Stme~cilyflown,state) ~ \ D'-O \\.C1 LAST WILL AND TESTAMENT OF JAMES ZINN >2 '=0 <'.:26 'j-'() ) 5:~ \~ "~~D ~ {--.:) ;:.-.:::;. r---,) = co::> 0-' -",. -~ c:J M c-> U1 -0 r:-? ..J N I, James Zinn, domiciled and residing in Colonial Pines, Harrisburg, Dauphin CQW1ty, Pennsylvania, being of sound mind, do make, publish and declare this to be my last Will and Testament, hereby revoking and making void any and all former Wills made by me at any time heretofore. 1. I direct that the expenses of my burial and all my just debts be paid as soon after my death as may be convenient to my Executor hereinafter named. 2. I hereby nominate, constitute and appoint as Executor of this, my Last Will and Testament L. Rex Bickley, Esquire, with all powers under law and as further given below. 3. I give all of my property, real, personal and mixed to my sister, Sandra Zinno 4. To the extent that such requirements can be legally waived, I direct that no Guardian, Executor, or other fiduciary hereunder shall ever be required to post any bond or give any security in connection with his or her duties, whether in the Commonwealth of Pennsylvania or elsewhere. IN WITNESS WHEREOF, I, James Zinn, hereunto set my hand and seal this 71 day of y 2004. J~~ Signed, sealed, published and declared by the above named JAMES ZINN, as his Last Will and Testament in the presence of us, who at his request, in his presence and in the presence of each other have hereunto subscribed our names as witnesses. /~/Affw- Cup~~/!WOi OF OF Ju /11 fY'IAfJ tU. g / I ti~f)/ ,?I; * * *ACKNOWLEDGMENT* * * COMMONWEALTH OF PENNSYL VANIA : : SS: COUNTY OF DAUPHIN : I, James Zinn, Testatrix, 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 willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and acknowledged before me, tv; , 2004. this 'Z I /Jay of ---,.",.,,,. -- ~------........, [--'NO~ALst::tl ! L. REX 8lC!~t ;:":'/, 1" ,- I I ~'''ri:,burg " " ., : "'....~ ~r ~. "- I . 't\;~y "JGrrl~II.~;;:-I..'\1 __J L':~____"C"-' I l:.:L~-._...__.._~ ~f~ (( fI * * * * AFFIDA VIT * * * * COMMONWEALTH OF PENNSYLVANIA . . : SS: COUNTY OF DAUPHIN : We Susan Zuercher and Crystal R.,;~ , 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 the Testator sign and execute the instrument as his Last Will; that he signed willingly and that he executed it as her free and voluntary act for the purpose therein expressed; that each of us in the hearing and sign ofthe Testator signed the Will as witnesses; and that to the best of our knowledge the Testator James Zinn, was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed to and subscribed to before me by witnesses, (W~ is ttrd day of~, .----;-:;::~:-, -':1'c:';>~:;' ,,,",--...-..,~~ ~ t,,(1 \i>,t.,,-.~ , "'..~"~ t..""'....-v t1j.-"'- 'j' " " 'i.~t.: /\ ,~,'" , ~1'v:; " .~ L~' '~ .....--...,"---~'".- v 2004.