HomeMy WebLinkAbout01-17-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Dorothy G. Sherbourne File Number 21-07. ObW
also known as
, Deceased
Social Security 174-20-8268
Petitioner(s) who is/are 18 years of age or older, apply(ies) for:
[X] A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the person
last Will of the Decedent dated December 12, 1994 and codicil(s) dated
N/A
named in the
(state relevenat circumstances, e.g. renunciatIOn, death at 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:
[ ] 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.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list afheirs.)
Name
Relationship
Residence
Decedent then
97 years of age died on
1/14/07 at Carlisle Regional Medical Center
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: 23 Greenfield Drive, Carlisle, Pennsylvania
150,000.00
125,000.00
-,
.t:"
Page 1 of Z
OATH OF PERSONAL REPRESENTATIVE
COMMONWEATLH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
The petitioner(s) above-named swear(s) or affirm(s) that the statement in the foregoing peition are true and corre
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.
Sworn to or affirmed and subscribed
before me this ," ~f\IJ..a.J'\....L.l ~I_
:1 I
( \~~~~
. For the Register
.~ ~a-tvL~u;~o-.Rl~('l ~-
atricia J. Ruda
File Number:
J.. \ D 1 ODln~
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[state of Dorothy G. Sherbourne
, Deceased
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Social Security Number:
174-20-8268
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AND NOW> \'\ , 20~in consideration of the Petition, satisfactory proof
having been presen d before me, IT IS DECREED that Letters Testamentary
are hereby granted to Patricia J. Ruda
in the above estate
and that the instrument(s) dated December 12, 1994
described in thte Petition to be admitted to probate and filed of record as the las Will (and Codicil(s) of Decedent)
FEES
Signature
Letters
Short Certifi
Renunciation
WI\\
,-V P
k~
Attorney Name Robert G. Frey
310
20 Sup. Ct. I.D. No 46397
/'/
IS.OO Address:
\0 Db
S.LD
Telephone:
5 South Hanover Street
Carlisle, Pennsylvania 17013
(717) 243-5838
TOTAL. . .
2:;I.d) < CD
Page 2 of 2
H lOS.80S REV I/OS
This is to certify that the information here given is conectly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded 10 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, $6.00
P 12996105
JAN 1 6 2007
Date
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H105.143 REV. 0212006
TYPE I PRINT IN
PERMANENT
BlACK INK
1, Name of Decedent (FilSt. mickle, last. suffix)
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
Twp.
"J007
Doroth
5. Age(LasIBithday)
6, Date of Birth MonIh, d
7.Bil1tI
79
July 10, 1927
0""-. OO!l1",sP"'"f
10. Race; American Indian. Black. White, etc.
(Spodfy)
White
11. Decedenfs Usua' moslof life. Do no! slal9 nttired
KindofWorI\ Kind of Business I Industry
Manager Phone Company
. 16. Oecedenl'sMaiingAddre5$(SIreet.cityllown,slale,zipcod&)
23 Greenfield Dr.
Carlisle PA 17015
12. WasDecedenteverin
U.S. Armed Fortes?
OV" (liNe
Decedent's
Actua Residera 171. staIfl
14, McwitaI Status: Married. NeYer Manied,
Wdowed. OMxted (Specify)
Divorced
17b. Coon"
PA
Cumberland
Did Decedent
LiYeina
Township?
17e.lJ Ves,OecedlIntUvedin
17dO~~."'c,LIYed"""
S. Middleton
Twp.
18. Father's Name (Firs~ middle, last, suffix)
City I Boro
o
rg
~ ..
19. Mother's Name (first, middle, maiden surname)
Anne Wingerd
2Ob. Inrorm..,l's Mailing Address (Street, city I town, slate, zip code)
411 Wagner Dr. I Carlisle PA
Com _23a<:onIy_~
~ysil:ialisnclavailat*l8l.meofdeatho
ceI1iI'ycauser:ldealh
'_24-26muslbea>mpJeledbypel1CJll
who pronounces dealt!
,d-007
: Approximateinlerval:
: OnsetIoOeall
PIW111: Enlel' other silJ'Iificanl rmdillms conIribulim III death
bJloolresutlingilllheuodertyi1gcause~InPartl
28. Did Tobacco Use Conlrtlote to Death?
OV"O~
o No 0 U"""'""
29. If Female
o Not pregnant within past year
o Pregf1Nlt at time of death
DNoI~anl.bulpregnantwilhin42da)'S
ofdealh
o Not pregnant, but pIeQTlaot 43 days to t year
~de'"
o Unknown if pregnant within \tie past year
32c. Pla:;eoflnjlKy:Home,Farm,Street.FacfOry,
"""" B_....,. (Spodfy)
'0
~.
3
o
_9
~
<\..)
.:s::..
/)
1J,~c...a'
. events resulling Ifl death I LAST.
DUB to (or as a consequence of)
Ov" I}JNo
OVes ONo
321. IfTransportationlnjlry(SpecifyJ
DOri...,_ Dp""""",,, O-~'"
o Q!I1e,. SpocIy'
3Jb. Sign.""..,'" T" 01 CefIiller
· 7f1a1a..t.;;o
32g.localiaIoflnjury(S\ree{,cityltlwn,sta1e)
308. WasillAulopsy
.-
3Ob. Were Autopsy Finciogs
Ayailable Prior 10 Comp!elioo
of Cause of Death?
M.
.
. ~~~~&.~
I;:). I \ 1;11 I 101
33c. liceoseNumber
!Z
~
o
I
330. CenlfIor(ched<onIyonel
. Certtrytng phyIlclln (F'hysicia1 certifying cause of death when another physicicwl has prooounced death lI'ld compI&ted Item 23)
To u..bdtof my MowJedft, dnthoecwnd du.totht ClUNfs) and manner.s stat.;.... _ __ ___ __ __ _... _.... _................... _.......... _..D
Prvnounclng.nd ~ physldan (Physidan boIh pronouncing deaIf1 <n:I certifying 10 cause ofdealt1)
To the bnt 01 my knoMedgI, dHth lXClMTeclll the time, dItt, and piKe, Ind due to the CluM(a) tnd II\IInn... n slH!d.. .. _ _.. _.. ..... _.... .. .... .. .. _..Sl
::: ~~a:: and I or IlWfttigatlon, In my optnlon, dI.... occurred II: the tme, dati, and pilei, Ind d.... to the tauM(s) IfKI manner u stllfd.. _ ..D
35
I
(See !nst~ctions and.-!xamPlt on reverse)
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d rt- c&>at.: (}O
LAST WILL AND TESTAMENT
OF
DOROTHY G. SHERBOURNE
I, DOROTHY G. SHERBOURNE, a legal resident of South
Middleton Township, 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 that all my just debts and cremation
expenses, shall be paid from the assets of my estate as soon as
practicable after my decease.
SECOND: 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.
THIRD: I devise and bequeath the residue of my
estate, of every nature and wherever situate, to my daughter,
PATRICIA J. RUDA, provided that should she predecease me or die
on or before the thirtieth (30th) day following my death, her
share shall be distributed to her issue, per stirpes.
FOURTH: I direct that the share of any beneficiary
under the age of thirty (30) years shall be held, IN TRUST,
however, by my sister, BARBARA G. KRIECHBAUM, as Trustee, to hold
said share for the benefit of each said beneficiary under the age
of thirty (30), upon the following terms and conditions:
A. To pay the income and so much of the
principal as may, in the sole discretion of
my Trustee, be necessary for the educational
expenses, either undergraduate, postgraduat~
or trade school, for each such beneficiary;
during the administration of such Trust(s)
principal and income shall be used solely for
such educational expenses, and for
administrative costs and tax liabilities
incurred by the Trust(s) .
.....,
---;
j -<<0
(,-'
..
B. The amount to be paid for the benefit of---' ~!=-
any of said beneficiaries shall be determined
from time to time by the need of each of said
beneficiaries, and the amounts and times of
said payments shall be determined by such
need.
A!II
initials
C. To pay the accumulated income and
principal then remaining in her hands to the
said beneficiaries, upon each beneficiary's
attaining the age of thirty (30) years.
D. Any and all payment or payments of any
sum or sums, whether in cash or in kind, and
whether for principal or income, payable to
said beneficiaries, shall be made upon the
sole receipt of the respective beneficiary to
whom the paYment is made, and free from
anticipation, alienation, assignment,
attachment and pledge, and free from control
by the creditors of any such beneficiary.
All shares of principal and income herein
given shall be free from anticipation,
assignment, pledge or obligation of any
beneficiary, and shall not be subject to any
execution or attachment.
E. In the event of the renunciation, death,
resignation, or inability to act for any
reason whatsoever of the said BARBARA G.
KRIECHBAUM, I nominate, constitute and
appoint FARMERS TRUST COMPANY as Trustee
under the terms and conditions of this
Paragraph Fourth.
SIXTH: I nominate, constitute and appoint my
daughter, PATRICIA J. RUDA, Executrix of this, my Last will and
Testament. In the event of the renunciation, death, resignation,
or inability to act for any reason whatsoever of the said
PATRICIA J. RUDA, I nominate, constitute, and appoint my sister,
BARBARA G. KRIECHBAUM, Executrix of this, my Last will and
Testament. I hereby relieve my Executrix or her successor from
the necessity of posting security in connection with their duties
as such in any jurisdiction in which they may be called upon to
act, insofar as I am able by law so to do.
IN WITNESS WHEREOF, I have hereunto set my hand and
seal to this, my Last will and Testament, consisting of two r#
typewritten pages, each of which bears my initials, this /;?--
day of .L)€c~~I!!!iER , 1994.
~}.~ (SEAL)
Dorot G. Sherbourne
Signed, sealed, published, and declared by the above-
named Testatrix, DOROTHY G. SHERBOURNE, as and for her Last Will
and Testament, in the presence of us, who, at her request, in her
sight and presence, and in the sight and presence of each other,
have hereunto subscribed our names as witnesses.
~f~
~
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA }
.
.
COUNTY OF CUMBERLAND }
SSe
I, Dorothy G. Sherbourne, 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 by
Doro~.:y G. Sherbourne, the Testatrix, this I~~ day of
1Jl.J.l'J/'(tJ#J , 1994.
.~
~J.~~
Notary Public U
NOTARIAL SEAL
SUSAN K. GUYER. Nolary Public
Carlisle. Cumberlanc1 County
My Commission Expires Sept. 4. 1995
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA )
.
.
COUNTY OF CUMBERLAND )
SS.
We, Edward L. Schorpp and KC)(?)GR-T R. gLA('~jt. ,
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 Testatrix sign and execute the
instrument as her Last will; that Dorothy G. Sherbourne signed
willingly and that she executed it as her free and voluntary act
for the purpose therein expressed; that each of us in the hearing
and sight of the Testatrix signed the will as witnesses; and that
to the best of our knowledge the Testatrix was at that time
eighteen or more years of age, of sound mind, and under no
constraint or undue influence.
sworn~ affirmed and subscribed to before me by Ed~~
L. SChorPlbJand ~~Ee-T P-. ~LA~jL , witnesses, this I ..
day of (' P/yL! , 1994.
~~SEAL)
Witness, Edward L. Schorpp
~
Wl.tness
~EAL)
)h'1
(SEAL)
NOTARIAL SEAL
SUSAN K. GUYER, Notary Public
Carlisle, Cumberlano County
My Commission Expires Sept. 4. 1995