HomeMy WebLinkAbout12-28-06
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF
COUNTY, PENNSYLVANIA
Estate of eyER f-lL~Ir)v E
also known as J
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File Number R I-DlD -1/ (0 J.
, Deceased
Social Security Number 1"1 7..... { "'2. '-33 (, 8
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 f; XE!:. u ,(f) l(
last Will of the Decedent dated and codicil(s) dated I <t iJ (f) tJI CJ If
named in the
(State relevant circumstances, 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 instrume~) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: C) :::6
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o B. Grant of Letters of Administration
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(If applicable, enter: c.t.a.; d. b. n. c.t.a.; pendente lite; durante absentia; durante miJ!ir~te)
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Petitioner(s) after a proper search has I have ascertained that Decedent left no Will and was survived by the following spouse9fapy) a~eirs:
Administration, c.t.a. or d.b.n.c.t.a., enter date oj Will in Section A above and complele list oj heirs.) ,-.;;: ':'~"i :1:
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(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
. U .5- County, Pennsylvania with his I her last principal residence at ,~ ()... ALE
L 17
Decedent, then
15..s;- years of age, died on \ "L -19 -t1?Aat '\-fo L Y S P ) R f T
~ V\- WI f1 1"'1 ILL)
HdS r i 1J4L
rt4. 17d 1/
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 P A) Personal property in County
Value of real estate in Pennsylvania
$ of J (11 ~ t'l ~
$
$
$ ~ t!) Of &od, _~c
situated as follows:
l; ~S,...
PE1\JNSBV~o
'T f) W AJ~#/"P} C' L.( M 13 cJ!(L If IJ]);) (1 CJ) PA
Wherefor, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to
the under ned:
;x
Ty ed or rinted name and residence
7SS"~
Form RW-02 re\!.10./3.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and con-ect to the best of
the knowledge and belief ofPetitioner(s) and that, as personal repr sentative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
day of
X
Signature of Perso
Signature of Personal Representative
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File Number: ~I - 0\.,,) - lIlt J.- . - ;l
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E"at' of , )ltA.ot J.~,&,,-"- . ~ . <(.<>f>~ ' D""$~
Social Security Number: \11 - \ '2 - 3 3lo ~ Date of Death: 1;):- 1'8' - OLP ~ :'-":::1
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AND NOW:-tD ~ 1i.N\..~ :.lfl , .;]ro\""J), in consideration of the foregoing Petition, satisfacto~ proof
having been presented bef?1J me, IT IS DECREED that Letters \-€ 'S I A Mf.~TP\CLj
are hereby granted to ~ U\ tJQ l~ f -^f "6 cr-.
and that the instrument(s) dated II.. I q - 0 L.j
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
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in the above estate
FEES
Letters ."............ $?'/ D . aD
Short Certificate(s) . . . . . . .. $ c9Ll. 0D
Renunciation(s) .......... $
LA.'); \\ $ 1S'.0D
~c.P $ \(). cO
D...u...XO"YvY>.TJla.c-.... . . $ F S .00
.. . $
... $
.. . $
.. . $
$
$
TOTAL .............. $ 3l.O<-l, ()\)
Attorney Signature:
Attorney Name:
Supreme Court J.D. No.:
Address:
tJ (f) b ~q'a I W\ R /J{,(,ET S'(.
c.. 2A M P (-{) L t, P IL
1 70 11- 4 z-Z:7
'J (7 -7 '3;- () 404
Telephone:
Form RW-02 rev /0./3.06
Page 2 of2
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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.
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III'~ ~\.\\\ OF PEI;-.-.
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Fcc for this certificate. S6.00
Local Rcgi\tral
P 12842648
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1 9 2006
Date
Es
5. Age (l1tst Birthday) 7. BI1I1 ace
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tEV, 0212006
'RJNTIN
ANENT
KINK
1. Name of Decedent (FlISt, middle, lasl suffix)
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
i (-',:)
85 v~
Bb Coon~ of Dealh
Cumberland
11. Decedonr. Usu~ Occu
Kind of Work Kind of Busiress /Industry
Technical Assistant Insurance
. 16. Decedenfs Mailing Address (stn!et. city I town, state, zip coda)
3 Gale Road
. Camp Bill, PA 17011
18, Father's Name (FIrst, middle, tasL suffix)
Ppnnf;ylvnn;:.:I
17bCoun~ Cumberland
;".'1' 19. Molher's Nane(First, middle, maiden sumame)
17. iii V".DecedontUVlldin East Pennsboro
17d. D ~=ofUYlIdwl~in
fwp.
City/80m
110 East Hoover Street
21b. D...oflli8pooitioo(Mon~,day,year) 21c. PlaceofDispositioo(N.....of~._aIllryorolherpl""')
12-20-2006 Cremation'- Societ' ofPA
220. Nameand-ofFaclltyAuer Memorial. !lome
Harrisbur PA 17109
Cremation Services, Inc.
~ Dale Slgned (Mon1h, day, year)
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26. w. Case Referred 10 Medical Exarriner / Coroner for I!l Reason Other th8'1 Crematloo or Donation?
D v.. D No
Approxi_nt""~,
~11o Death
Part II: EnterolhersiJnllir:antconditinnllcmlrilulinolndeath
but not r9Sl.lUing In 1he und8ftying cause given in Pail.
28. DId Tobacco Use Contribute to Death?
D Ves Dprobably
D No D Unknown
29. WFemale,
D Not pregnlWll. wittin past year
o Pregnanlatijmeddealh
o Not pregnant but pregnml within 42 days
of death
D Not progn",\ but pregnanl43 days 10 1 year
01 death
o Unknown if pregnant within the past year
32c. Place of Injury: Home, Farm, Street. Factory,
DftIceBuHdklg, etc. (Specify)
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Due to (or 8S& eanseq:uence 01'):
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b.
Due to (or as 8 consequence 01'):
Due to (or as a consequence 01'):
d.
D yes ~o
D Ves [El.t!o
31.~ofDoall1
M-Nalunli D Homicide
D AccIdenI D PondIng Investlgallon
D Suh:lde D Could Not be De1srmined
32d. Trneof~ury
. 3Oa. Was an Aulopsy
Periormed?
JOb. W... Autopsy Rndings
Available Prior 10 Conpletlon
of Cause of Death?
M.
321.lfT....portaIIonlnjury(SpecIfyj
D DINer I Operator D P....nger D P_Io",
DOIher-SpecIfy:
33b. stgnalllluld 1lIIe of Certifier
32g. locabonoflnjury(str1lOt.cily/_,_J
330. Cortlfl.. (cl1eck an~ one)
CertJlylng physicl,n (PhysK:ian ~ng cause of death wMn ",other physician h.. pronouncod death and complollld I1em 23)
10 the bestolrnyknowl8dge,deathocculTtCldul'toth'ClUle(I)andmanneral ~___...... __ ___....... ___.. __.. __.. __.......... ____
. ~:;:=~'':: =:::'::!=:~=':.t ~~,~,:' :':::'::=d_nor "1IoItd_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ...D
. MedlClI Examiner I Coroner ...D
.. On the ball oI8X1minatlon and I or Investigation, In my opinion, death occurred at the lime, dati, and place, and due to the CluM(sjlnd manner 18 staIfq, ...
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LAST WILL AND TESTAMENT
OF
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GERALDYNE L. ESPY
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Cumberlllnq,,- _
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I, GERALDYNE ESPY of the Township of East Pennsboro, Count)r',.6t
Commonwealth of Pennsylvania, declare this to
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be my Last Will and revoke ,any will .fit' codi<i'i,:;~
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previously made by me.
ITEM 1:
Upon my demise, I direct that my body be cremated by Cremation Services, Inc.
of 4100 Jonestown Road, Harrisburg, Pennsylvania and my services be handled by Auer & Zimmerman
Memorial Home of Harrisburg, Pennsylvania both of which have been prearranged and prepaid. I direct
that my ashes be placed next to the ashes of my late husband, George H. Espy at Camp Hill United
Methodist Church, 417 South 22nd Street, Camp Hill, Pennsylvania.
ITEM 2:
I direct that all my just debts and funeral expenses be paid as soon as practical
after my death.
ITEM 3:
I direct that all taxes and interest and penalties thereon 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.
ITEM 4:
I give, devise and bequeath all the rest, residue and remainder of my estate of
every nature and wheresoever situate, together with insurance thereon, to my son, GEORGE H. ESPY,
JR. of 110 East Hoover Street, Mountville, P A 17554 provided he survives me for a period of thirty (30)
days.
ITEM 5:
Should my son predecease me or is not living on the thirty-first (3151) day
following my death I give, devise and bequeath all the rest, residue and remainder of my estate of every
nature and wheresoever situate, together with insurance thereon as follows:
Page 1 of4
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A. Fifty Percent (50%) to my daughter-in-law, AMY B. ESPY; and
B. Twenty-five Percent (25%) to my granddaughter, KATHRYN NICOLE ESPY;
and
C. Twenty-five (25%) Percent to my grandson, JOHN CARL ESPY.
Should any of my beneficiaries, predecease me or are not living on the thirty first (31 SI) day following
my death, I direct that share should be distributed in equal shares to my then remaining living
beneficiaries, noted in this Item.
ITEM 6:
Should any beneficiary entitled to a share of my estate not have attained the age
of twenty-five (25) years at the time of distribution to him or her, I devise and bequeath the share of such
beneficiary to my daughter-in-law, AMY B. ESPY, as Trustee, to be held in separate trusts, to hold,
manage, invest and reinvest the share so received, in accumulation of income thereon, and to use and
apply the income and principal, or so much thereof as, in Trustee discretion, may be necessary or
appropriate for such beneficiary's maintenance, support, and education (including college education, both
graduate and undergraduate) without regard to his or her parents' ability to provide for such maintenance,
support or education, or to make payment for these purposes, without further responsibility, to such
beneficiary's parents or to any person taking care of such beneficiary. Any principal or income not so
applied shall be distributed to such beneficiary absolutely when he or she attains the age of twenty-five
(25) years. If he or she dies before attaining the age twenty-five (25), the Trust shall terminate and such
share shall be distributed to his or her personal representative.
ITEM 7:
Until distributed, no gift or beneficial interest shall be subject to anticipation or
voluntary or involuntary alienation.
ITEM 8:
I appoint my son, GEORGE H. ESPY, JR., Executor of this my Last Will.
Should my SOI1, George H. Espy, Jr. fail to qualify or cease to act for any reason as my Executor, I appoint
my daughter-in-law, AMY B. ESPY, alternate Executrix ofthis my Last Will.
Page 2 of 4
ITEM 9:
I direct that my personal representative, or their successors, shall not be required
to give bond for the faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and
Testament, this \ ~ day of 1\ C!~'-'h.-
,2004.
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Signed, sealed, published and declared by the above-named Testatrix as and for her Last Will and
Testament in our presence, who, at her request, in her presence and in the presence of each other, have
hereunto subscribed our names as attesting witnesses.
residing at
residing at
Page 3 of 4
COMMONWEALTH OF PENNSYLVANIA )
) ss:
COUNTY OF CUMBERLAND )
We,
GERALDYNE
L.
ESPY,
L ~f\ M.k\€ CU'1fV E
and
ffiv.-r-1 F- Lu, f'JG
, 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 that she
had signed willingly, and that she executed it as her free and voluntary act for the purpose therein
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 the time eighteen (18) years or
older, of sound mind and under no constraint or undue influence.
A~I,;., F G ro 1tt-v.- by
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GERALDYNE L. ESPY, the Testatrix, and subscribed and sworn to before me by
!ISJ4 /H1h2/E ~Iu;t: and J./:.#url F t2t,y /\It:: , the witnesses, this
/91}.dayof~.,r~k ,2004. n ')
(2~~,- );,~~~v~
(SEAL
Notary Public
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Gr,)L!an, j~-rotary Publi{;
;hro~ Cumberland County
Expire:; Aug. 6. 2005
Subscribed, sworn and acknowledged before me
Page 4 of 4