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PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
File Number a I-()f- 3<6S-
Estate of Mary Jane Boust Lindemuth
also known as Mary Jane Lindemuth
. Deceased
Social Security Number 195-16-8833
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
IZI A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the Executrix
last Will of the Decedent dated December 30, 1994 and codicil(s) dated (none)
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 instrument(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: n/a
o B. Grant of Letters of Administration
(Ifapplicable, 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~ouse (if any)~ heirs: (If
Administration, c.t.a. or d.b.n.c.t.a., enter date ofWi/l in Section A above and complete list of heirs.) (::::;; 0 ~
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Name
Relationshi
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(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
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Decedent was domiciled at death in Cumberland County, Pennsylvania with his / her last principal residence at .&:-
Messiah Villal!e. 100 Mt. Allen Drive. Room 255-D. Mechanicsburl! (Upper Allen Township). Pennsylvania 17055
(List street address, town/city, township, county, state, zip code)
Decedent, then 81 years of age, died on April 2, 2007
Township. Cumberland County. Pennsylvania
at Messiah Villal!;e, 100 Mt. Allen Drive, Upper Allen
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
150,000.00
$
$
$
$
0.00
situated as follows: n/a
Wherefore, 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 undersigned:
T d or rinted name and residence
Nancy J. Myers, 366 West North Street, Carlisle, PA 17013
Form RW-02 rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
The Petitioner(s) above-named swear(s) or affinn(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) of the Decedent, Petitioner( s) will well and truly
administer the estate according to law.
Sworn to or affinned and subscribed
before me the }~ day of
O~ . C)o:)i
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Signature of Personal Representative
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File Number: c2.1- 0'\- o?:l"S-
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Estate of Mary Jane Boust Lindemuth
, Deceased
Social Security Number: \ q 5" - \ to- <2 <633
Date of Death: April 2, 2007
AND NOW, ~ \ C\ , ~OO f. in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to Nancy J. Myers
in the above estate
and that the instrument(s) dated December 30,1994
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES
Letters ............... $ 9(Qo, 0\)
Short Certificate(s) .. . . .. .. $ ~ .0D
Renunciation(s) .......... $
W'\\\ ...$\S-~Oi)
,,\ ~ \) .. . $ IlJ llR')
~~:\\D'A.. ... $ S. <5D
.. . $
.., $
.. . $
...$
.. . $
...$
TOTAL.............. $ ~\L\.oo '&.e6
Attorney Signature:
Attorney Name:
Stephen L. Bloom
Supreme Court I.D. No.: 49811
Address:
2100 Longs Gap Road
Carlisle, PA 17013
Telephone:
717-249-7717
Form RW-02 rev. 10.13.06
Page 2 of2
HI 05 .805 REV 1105
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 certiUcate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
&;....~.~~
. Local Registrar .
p
13445356
APR
Date
4 2007
No.
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CEFmFlCATE OF DEATH
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LAST WILL AlII) TBSTAIIDT
BE IT REMEMBERED THAT
I, MARY JANE (BOUST) LINDEMUTH, a resident of cumberland
County, Pennsylvania, being of sound and disposing mind, memory and
understanding, do make, publish and declare this to be my LAST WILL
and TESTAMENT, hereby revoking any and all Wills and Codicils
previously made by ~e.
I
I declare that I am not married, my beloved husband, DONALD L.
LINDEMUTH, having predeceased me, and that I have one (1) child,
NANCY J. TORIBIO.
II
I direct that all my just debts and funeral expenses shall be
paid from my residuary estate as soon as practicable after my
decease.
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I direct that all taxes that may be assessed in cons~enO&of
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my death, of whatever nature and by whatever jurisdictiqn~~~po~~d,
shall be paid from my residuary estate as a part of the_ $tpensQ~ of
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III
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the administration of my estate.
IV
I direct that all of my clothing be given to charity.
V
I give and bequeath the sum of ONE THOUSAND DOLLARS
($1,000.00) to SAINT MARK LUTHERAN CHURCH, Mechanicsburg,
Pennsylvania, for the purpose of reducing the debt of the church.
VI
I give, devise and bequeath all the rest, residue and
remainder of my property, whether real or personal, wherever
situate, including any property over which I may have a power of
appointment as follows:
TWENTY PERCENT (20%) to my daughter, NANCY J. TORIBIO, per
stirpes;
EIGHTY PERCENT (80%) to be divided equally among the
following, per stirpes: ELLEN CAMP BLOOM, ELWOOD CAMP, JR.,
DALE LINDEMUTH, RICHARD LINDEMUTH, SALLY LINDEMUTH, IRV
LINDEMUTH, JR., CHARLES M. BOUST, ROBERT BOUST, and TIM BOUST.
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VII
I direct that I be buried in the Northumberland Cemetery in a
lot between my husband, DONALD, and my sister, ANN BOUST.
VIII
I nominate, consti tute and appoint my daughter, NANCY, as
Executrix of this LAST WILL, to serve without bond. If my daughter
is unable or unwilling to act in that capacity, then I nominate,
constitute and appoint PNC BANK as Executor of this LAST WILL, to
serve without bond.
IN WITNESS WHEREOF, I, MARY JANE (BOUST) LINDEMUTH, have set
my hand to this LAST WILL this 30th day of December, 1994.
~~~.)X~
~E (BOUST) LINDEMUTH
signed, sealed, published and declared by the above-named MARY
JANE (BOUST) LINDEMUTH, as and for her Last will and Testament, in
the presence of us, who, at her request and in her presence, d in
the presence of each other, have hereunto subscribed our es as
witnesses.
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ACDlOWLBDGBKD1'1'
COMMONWEALTH OF PENNSYLVANIA
ss.
COUNTY OF CUMBERLAND
I, MARY JANE (BOUST) LINDEMUTH, 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 WILLi that I signed it as my
free and voluntary act for the purposes therein expressed.
~~~~
Sworn or affirmed to and acknowledged before me by MARY JANE
(BOUST) LINDEMUTH, Testatrix, this 30th day of December, 1994.
A)~ !!1.~
Notary Publ1c
Notarial Seal
u.....D1ane M. Smith, Notary Public
1VlW\illl1lnlalburg Boro, Cumberland County
My Comml\lSlon Expires June 22, 1996
AJ'I'IDAVIT
COMMONWEALTH OF PENNSYLVANIA
ss.
COUNTY OF CUMBERLAND
we,/"rtu-rel f? tAJalf.lj"$,:I1X and marlJ Lou- Ru"t-hkDSk:t- ,
the witnesses whose names are signed to the attached or fore~oing
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 WILLi that MARY JANE (BOUST) LINDEMUTH
signed willingly and that she executed it as her free and voluntary
act for the purposes therein expressed i 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 e
time 18 years of age or more, of sound mind d under nq const int
or undue influence.
-!!f11~~hfl v?A~t
Sworn or affirmed to an ac nowledged before m~
this 30th day of December, 1994.
JJ~ )y,.~
Notary Publ~c
Notarial Seal
Diane M. Smith, Notary Public
Mechan!csburg BolO, Cumberland County
My Commission Expires June 22, 1996