HomeMy WebLinkAbout01-16-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Anna-Maria Wri~ht File Number 21-07 - oaS()
also known as Ann-Maria Wri~ht
, Deceased
Social Security 219-50-7085
Petitioner(s) who is/are 18 years of age or older, apply(ies) for:
[XI A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Executor named in the
last Will of the Decedent dated April 13,2004 and codicil(s) dated
N/A
(state relevenat 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 instrument(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: No Exceptions
[ I B. Grant of letters of Administration
(If applicable enter: c.t.a.; d.b.n.c.t.a.; endente 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.I.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
I Name Relationshm Residence 1
Gerald W. Wri~ht Son 42 Teaberry Dr.,Carlisle, P A
COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his/her last principal residence at
2132 Circle Road, North Middleton Township, Cumberland County
(List street address, town/city, township, county, state, zip code)
Decedent then
71 years of age died on Jan. I 0,2007 Carlisle Regional Hospital
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.)
(If not domiciled in Pa.)
(If not domiciled in Pa.)
Value of real estate in Pennsylvania
situated as follows:
150,000.00
T
Gerald W. Wright
42 Teaberr Drive Carlisle PA 17015
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Page 1 of 2
OATH OF PERSONAL REPRESENTATIVE
COMMONWEA TLH OF PENNSYL VANIA
COUNTY OF CUMBERLAND
The petitioner(s) above-named swear(s) or affirm(s) that the statement in the foregoing peition are true and corn
to the best of the knowledge and belief of petitioner(s) and that as personal representative(s) of the Decedent,
Petitioner(s) will well and truly administer the estate according to law. .,
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erald W.,~ g~t-/>' ~. P'
Sworn to or affirmed and subscribed
before me this \ lo '-Ii:.. , dc,,~
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. For the Register
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21-07 OasU
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Estate of Anna-Maria Wright
(....,)
, Deceased
Social Security Number:
219-50-7085
Date of Death
10-Jan-07
AND NOW
having been presented
are hereby granted to
, 20~in consideration of the Petition, satisfactory proof
DECREED that Letters Testamentary
Gerald W. Wright
in the above estate
and that the instrument(s) dated April 13,2004
described in thte Petition to be admitted to probate and filed of record as the las Will (and Codicil(s) of Decedent)
FEES
Letters
Short Certificates
Renunciation
WIll
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Is - oD
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Attorney Name Stephen D. Tiley
Sup. Ct. I.D. No
32318
Address:
5 South Hanover Street
Carlisle, Pennsylvania 17013
Telephone:
(717) 243-5838
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TOTAL.. .
Page 2 of 2
11105,805 REV 110.<
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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Local Registrar .
Fee for this certificate. $6,00
P 12995985
JAN 1 2 2007
Date
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H1()5..143 REV 11f2006
TYPE I PRINT IN
PERMANENT
BlACK INK
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
Homemaker
. 16. Decedent's MaIling Address (Street. city I town, state, zip cocIe)
2132 0.ircle Rd.
Carlisle, Pa 17013
18. Father's Name (First, middle, Ias~ suffix)
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7085
10 , 2007
D Yes !]!No
Decedenrs
ActuatResidence 17aState
ea. Place of Dealh (Check on one
Hosp/laI: Other:
XJ Inpatient 0 ER I Outpatient 0 DOA 0 Nursing Home 0 Residence OOther - Specify:
9. Was Decedent or Hispanic Origin? IKl No 0 Yes 10. Race: American Indian, Black, White, ek:.
IIf yes. speci~ Cuban. I Spedfj1
Mexican,Pueflo Rican, elc.) . White
14. Marital Status: Married, Never Married,
W"""",,,DivomedISpedfj1
Divorced
6. Date of Birth (Month, day, year
71
V!S.
Deceinbet='_20:;';.193
Sb. County of Death
17b. Counly
Did Decedent
Uveina
Townsttip.'
He. Gt Yos. Docodont u.ed;,
Hd. D No, Docodont u.ed with"
AcIuaIUmilsof
Gerald wri ht
North Middleton
Twp.
CIty/Bom
19. Mother's Name (First, middle, maiden sumame)
20a. Informant's Name (Type' Print)
Gerald Wright
2Ob. Informanrs MaIling Address (Street, city' town, state, zip code)
42 Teaberry Dr., Carlisle, Pa 17015
21a. Method of Disposilion
21c. Place of DIsposition (Name 01 cemetery, crematory or other place)
Hoffman-Roth Funeral Home &
21d. Location (City ftown. state, zip code)
22a Signalufe of F
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Cornpl9le Items 23a-c only when ng
physician is not available at lime of death to
certify cause 01 death.
Carlisle, Pa 17013
Hoffman-Roth Funeral Home & Crematory
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23c. Date Signed (Month, day, year)
J/lo/07
IIems 24-26 must be completed by p8fSOll 24. TIme 01 Death
whoproncuncesdealh. 0 Z~S,4..>.<.
CAUSE OF DEATH (See Instructions and examples)
Item 27. Pari I: Enter ltIe ~ - diseases, i~ries, or compIca1lons - that cirectly caused !he death. DO NOT enler lemlinal events such as cardiac arrest,
respiratory arrest, or ventricular libnllalion wiIhouI showing the etiology. Usl only one cause on each fine.
A- C v1'( f17 v (~ /I- -1' ,Pfl- ;(Vy fr (Z- ('I, ? '"
Due 10 (or aJ.1~nce of):
b. V, ^ ~t.-rt ) ,1-1.,.( /.. L ( -,...,j
Duelol"'asa~R.of): _. ,,f.c /? . -)
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Due 10 (or as 'i conseqLIence Of):
2fi Was Case ReferTed 10 Medical Examiner f Coroner for a Reason Other than Cremation or Donation?
Dves ~
Approxlmatelnlerval:
Onset 10 Death
Pari II: Enter other silJ'lificanl condiIions contribulloo to death,
buI not resulting in lhe underlying cause given in Pari I.
28. DId Tob8cco Use Contribute 10 Deall1?
D Ves DP-
DNo Du""",""
29. If Female:
o Notpregnantwilhinpaslyear
o Pregnant at time of deatt1
DNotpregnan\bulprsgnanlwllhin"'days
oIdea~
o Nolpregnanl,bulpreglanl 43 days 10 1 year
beloredeath
D Unknown if pregnant within the past year
32c. Place of Injury: Hoole, Fann, Street, FacIoIy,
Office Buildlng,elc. (Specify)
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_Mslccndilicns.lany,
leading to lhe cause Iisled 00 line a.
Enter !he UNDERLYING CAUSE
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308. Was an Autopsy
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d.
3Ob.__F_gs
Avall8blePriorIoCompletion
of Cause 01 Death?
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31. Manner 01 DeaIl1
g-Nownol D Horn....
DAccldentDPen<lngI~
Dsu.... DecuONclboDolennlned
32d. TIme of InjllfY
M.
32f. 11Transportalloo rnjul)' (Specify)
D[""',,'_ Dp....nge< Dp""""""
Othe<.SpedIy:
33b. Sl{r.ature and TrtIe of Cerli
4-
DVa ~
33&. Cerllf...ldleck cnly enol
CertItyIng physician (Physician certifylng cause of death when another physician has pronounced death and completed Item 23)
To lhe best of my knowledge, dtIth occumtd duI to 1M CIIuse(.) and manner u statecL _ _ _ _ _ _ - - - - - - - - - - - - - - - - - - - - - - - - --
=::':t~='~:~;::ti~=~,::~l~==~~a~~ manner as stated.. ___ _ __ _ __ __ _ _ _ __ _ 0
~:b';~~= and I Of' Investigation, In my opinion. death occurred at the time, date, and place, and due to the cause(s) and manner as slated.. 0
33d. Date Signed (Month, day, year)
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35.
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34. Name and Address of Pe7 Who Completed Cause 01 Dea\ll(ltem 27) Type f Print
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MILITARY TESTAMENTARY PREAMBLE: This is a MILITARY TESTAMENTARY INSTRUMENT
prepared pursuant to Title 10 United States Code, Section 1044d, and executed by a person authorized to receive
legal assistance from the military services. Federal law exempts this document from any requirement of form,
formality, or recording that is prescribed for testamentary instruments under the laws ofa State, the District of
Columbia, or a territory, commonwealth or possession of the United States. Federal law specifies that this document
shall be given the same legal effect as a testamentary instrument prepared and executed in accordance with the laws
of the jurisdiction in which it is presented for probate. It shall remain valid unless and until the Testatrix revo~ it.
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LAST WILL AND TESTAMENT
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OF
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ANNA M. WRIGHT
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I, Anna M. Wright, a resident of the Commonwealth of Pennsylvania, make, publish and declare
this to be my Last Will and Testament, revoking all wills and codicils at any time heretofore made by me. I am a
dependent ofa person who is retired from the military service of the United States.
FIRST: I direct that the expenses of my last illness and funeral, the expenses of the
administration of my estate, and all estate, inheritance and similar taxes payable with respect to property included in
my estate, whether or not passing under this will, and any interest or penalties thereon, shall be paid out of my
residuary estate, without apportionment and with no right of reimbursement from any recipient of any such property.
SECOND: It is my desire that, upon my death, my body be cremated.
THIRD: I give all tangible personal property owned by me at the time of my death, including
without limitation personal effects, clothing, jewelry, furniture, furnishings, household goods, automobiles and other
vehicles, together with all insurance policies relating thereto, to Lori Wallace, if Lori Wallace survives me.
FOURTH: I give the sum of Ten Thousand Dollars ($10,000.00) to Gerald W. Wright, if he
survives me.
FIFTH: I give all the rest, residue and remainder of my property and estate, both real and
personal, of whatever kind and wherever located, that I own or to which I shall be in any manner entitled at the time
of my death (collectively referred to as my "residuary estate"), as follows:
(a) If Lori Wallace survives me, to Lori Wallace.
(b) If Lori Wallace does not survive me, my residuary estate shall be paid and distributed to
Gerald W. Wright ifhe shall survive me.
(c) Ifnone of the beneficiaries described in clauses (a) and (b) above shall survive me, then I give
my residuary estate to those who would take from me as if I were then to die without a will,
unmarried and the absolute owner of my residuary estate, and a resident of the Commonwealth of
Pennsylvania.
SIXTH: If any property of my estate vests in absolute ownership in a minor or incompetent, my
Executor, at any time and without court authorization, may: distribute the whole or any part of such property to the
beneficiary; or use the whole or any part for the health, education, maintenance and support of the beneficiary; or
distribute the whole or any part to a guardian, committee or other legal representative of the beneficiary, or to a
custodian for the beneficiary under any gifts to minors or transfers to minors act, or to the person or persons with
whom the beneficiary resides. Evidence of any such distribution or the receipt therefor executed by the person to
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whom the distribution is made shall be a full discharge of my Executor from any liability with respect thereto, even
though my Executor may be such person. If such beneficiary is a minor, my Executor may defer the distribution of
the whole or any part of such property until the beneficiary attains the age of eighteen (18) years, and may hold the
same as a separate fund for the beneficiary with all of the powers described in Article EIGHTH hereof. If the
beneficiary dies before attaining said age, any balance shall be paid and distributed to the estate of the beneficiary.
SEVENTH: I appoint Gerald W. Wright to be my Executor. If Gerald W. Wright shall fail to
qualifY for any reason as my Executor, or having qualified shall die, resign or cease to act for any reason as my
Executor, I appoint Lori Wallace as my Executor. I direct that no Executor shall be required to file or furnish any
bond, surety or other security in any jurisdiction.
EIGHTH: I grant to my Executor all powers conferred on executors under the Pennsylvania
Probate, Estates and Fiduciaries Code, as amended, or any successor thereto, and all powers conferred upon
executors wherever my Executor may act. I also grant to my Executor power to retain, sell at public or private sale,
exchange, grant options on, invest and reinvest, and otherwise deal with any kind of property, real or personal, for
cash or on credit; to borrow money and encumber or pledge any property to secure loans; to divide and distribute
property in cash or in kind; to exercise all powers of an absolute owner of property; to compromise and release
claims with or without consideration; and to employ attorneys, accountants and other persons for services or advice.
The term "Executor" wherever used herein shall mean the executors, executor, executrix or administrator in office
from time to time.
NINTH: I direct that for purposes of this will a beneficiary shall be deemed to predecease me
unless such beneficiary survives me by more than thirty days.
IN WITNESS WHEREOF, k Anna M~Yign my name and publish and declare this
instrument as my last will and testament this i3:- day of .., 2004.
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I:' Wa}1!~ r))A {! t
Anna M. Wright
The foregoing instrument was signed, published and declared by Anna M. Wright, the above-
named Testatrix, to be her last will and testament in our presence, all being present at the same time, and we, at her
request and in her presence and in the presence of each other, have subscribed our names as witnesses on the date
above written.
A'.P~ ~.X - 0
having an address at
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(..o...r \ ~ } to(>) f A
11013
having an address at
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MILITARY TESTAMENTARY INSTRUMENT SELF-PROVING AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA, COUNTY OF CUMBERLAND, ss.
We, the Testatrix and the witnesses, whose names are signed to the attached or foregoing
instrument, being first duly sworn, do hereby declare to the undersigned authority that in the presence of the military
legal counsel and the witnesses the Testatrix, Anna M. Wright, signed and executed the instrument as her military
testamentary instrument, that she had signed willingly, and that she executed it as her free and voluntary act and
deed for the purposes therein expressed. It is further declared that each of the witnesses, at the request of the
Testatrix, in the presence and hearing of the Testatrix, the military legal assistance counsel and each other, signed
the military testamentary instrument as witness, and that to the best of his or her knowledge the Testatrix was at the
time at least eighteen years of age or emancipated, of sound mind, and under no constraint, duress, fraud or undue
influence.
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Anna M. Wright J
Testatrix
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Witness
pri~~c~c
Witness
Subscribed, sworn to and acknowledged before me by
subscribed and sworn to before me by the above-named witnesses, this
otary Public
My commission expires on~JJ./. ~
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Notarial Seal J
Betty S. Kistler. Notary Public
Carlisle Bore, Cumberland C':'rnty
My Commission Expires May 14, 2005
Member, Pennsylvania Associat/:'n !.'; No!-.j '8