HomeMy WebLinkAbout05-01-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
Estate of MARTHA H. MOHN
also known as
File Number
01\
a I D'--\ tCj
, Deceased
Social Security Number 179-12-4059
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
IZJ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the EXECUTRIX
last Will of the Decedent dated SEPTEMBER 9, 2005 and codicil(s) dated
named in the
RENUNCIATION DATED APRIL 27.2007 IS ATTACHED HERETO
(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:
o B. Grant of Letters of Administration
(If applicable, 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 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 of heirs.)
Name
Relationship
Residence
: ......
~ (:;
')
---.J
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
Decedent was domiciled at death in CUMBERLAND
'I A/tJ(.fA mlfurT!e lJl ftJ !..JIt;t/};:J, PII
(List street address, town/city, township, county, state, zip c e)
County, Pennsylvania with his / her last principal resi~en<:e at
17'2-'10 .' .
Decedent, then 85
PENNSYLVANIA
years of age, died on April 25, 2007
at GREENRIDGE VILLAGE, NEW'4LLE, \.0
r"-'
I.......)
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
500,000.00
$
$
$
$
situated as follows:
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 ed or rinted name and residence
LINDA L. EMIG, 28758 CYPRESS ROAD, SELBYVILLE, DE 19975
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 affirm(s) that the statements in the foregoing Petition are true and correct to the best of
the knowledge and belief ofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
\
~1.:4:flj
Sworn to or affirmed and subscribed
before me the
day of
Signature of Personal Representative
Signature of Personal Representative
File Number:
<9.\ 01
OYJg
Estate of MARTHA H. MOHN
, Deceased
Social Security Number: 179-12-4059 Date of Death: APRlL 25, 2007
AND NOW, , /lOJl , in consideration of the foregoing Petition, satisfactory proof
having been presented before IT IS DECREED that Letters TESTAMENTARY
are hereby granted to LINDA L. EMIG
in the above estate
and that the instrument(s) dated SEPTEMBER 9, 2005
described in the Petition be admitted to probate and filed of reco d as the last
Letters ............... $
Short Certificate(s) . . . . . . . . $
Renunciation(s) .......... $
JCP ... $
AUTOMATION FEE ... $
WILL . . . $
.. . $
. .. $
.. . $
. .. $
...$
...$
TOTAL.............. $
410.00
4.00
5.00
10.00
5.00
15.00
Attorney Signature:
FEES
Attorney Name:
Address:
60 WEST POMFRET STREET
CARLISLE, PA 17013
Telephone:
(717) 249-2353
449.00
Form RW-02 rev. 10.13.06
Page 2 of2
H105.805 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 certificate will be forwarded to the State Vital Records Office for permanent filt~~.
WARNING: It is illegal to duplicate this copy by photostat or photOgr~
r.:~-;l
(~
--'
No.
...0
Fee for this certificate, $6.00
p
13236725
. N
~~71~1
Date
1.Nlmed_(FlI8l,_,...._1
Martha H. Mahn
5.19t (l.osl Bkthdily) Under 1
.....
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse) STATE FILE NUMBER c9 I 0 I 0
4. Dale of Death IMonth, day, year)
;9-/1/f I. /... ,f2 ~
Hl05-1<I3 REV 1112006
TYPE I PRlNT IN
PERMANENT
IlI.ACl<INK
\
6, Dale of _ (Month, doy,
7.1llflI'4>Iac8 and_"
;zo07
85
VIS.
~ 14, 1921 ~e, PA
lid. FoclIly Non'oIK nol __, p"'" and.....-)
GI/,et.#.) R.Dje. thl/ e...
12.___~lhe 13._',Educa1ion(Specifyorlyhighest compleIedl
u.s, Anned FllfCOS? Elementary ISecondIry (lJ.12) College (1-4 or 5+)
Ov.. IlINo 12
8b. Cou1Iy 01 00a1h
Cumberland
11. 0ecIdInf1 UIuII
Knlof_
IbDe Maker
4 North M::Juntain Road Nei1.turg Fa. 17240
llb. County
PA
OD:lerland
Married
llid_
lNelna
TClOO!lellip?
17e. 0 Yes, _ Uwcl ~
17d IXI :... ~.\""'_ Nei1.turg
Twp.
_'s
~ ReIIdence 171. Slate
QIy
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18. F_'s ......IFnI,-, "",sulIix)
Frederick. &mle1 Sollenberger
200. J--. NImll (lipe I PlinII
I..ima. Elnig
21.. Malhod 01 Dlapooition
El _ 0 __ Slate
OOll1ar.SpecIIy:
22a.' dF_ (or
19. Molher's Non'o(FllSl,__........)
Elsie Rebecca 90iartz
2011, Infonnanl's MaIi1g-..s (SlraaI, ciIy IIllon, _, q. axIa)
21d.lllc:ationIQlyI_,_,q.axIa)
9Jir.perlsl:urg Fa. 17257
112 West .
23b. license Noo1bef
/(NZz,4{fit{S- L.
Pa. 17257
23c.;'";nrarIZoo 7
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CAUSE OF DEATH (See Instructlone end .umple.)
1lam27,Parlt EntarIlle~__i;Jrias,"~-lhaIdiNclIycausadllle_OONOTanler__oud1..CllIdiac._,
r__"----.glheeliology.l.lBIonIyona......"'aadllina.
I~~
~~rvaJ:
On&ello Death
26. Was Case Referred ~ Examiner I Coroner for a Reason Oltler It'ran Cremation 01' DonatIon?
OVBS I!iiJ'No
Part H: Enter other siriic8nt COhliIiorvi emlribuli'll] k:l dMIh, 28. Did Tobacco Use Conlfbie to Death?
bulnol""""",,,~lhelnleo1ylng""""givan~P"'1. 0 Yes O~
B'NO 0-
29. tf Female:
Q-rlOI pIBglBIlO _ past year
o ~atli11aold8a~
o NoI_,bulpragnanI_42doys
of_
o NoIpragnanl.buIp1BglB1lO43daysIo1vos'
-,dealh
o Unlcnownlpragnanl_lIlepostyosr
:I2c. Place of hjoMy: Home, Fann, Slreel, Fac1oly,
QlficeBuiding,aIc.(SpacIIy)
.... 24-26 .... be ........... by pelIOIl
. who pronCllI'lC8IdIIlh.
24. Tme 01 Death
5": ;z.S"
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Due lo (01' 88 a-consequence 01):
~tIsl-.,any,
to causelstedonllnea
Enlar UNIlERLYlNGCAUSE
=-~~~~
b.
Due 10 I" as. consaquence 01):
Due 10 (" as._oI):
~
3Oa.Wasan~
-
d.
n. Wan! AuIopsy Findilgs
_Priorlo~
of Cauoe 01 Ded1?
OVBS ~
31.toIannarJ!.D"""
~I D-
O - 0 Penclngm.astigalion
0- OCouldNolbelleleminad
32d. Tme of InjIny
<t
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OVBS r::iJ.NO'
M.
33a.Cat1ifierI_onIyonaJ
. CeI1Iyll1llp/lyolclan~~......of___physiclanhasprollOlSlClld_andCOlJ1llaledt1em23)
To the beat of"" knowtedge, deIth GCCl.IT8d due to the CIIIIt(.) and InInMI' 8S IIIIecL - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --
. =-:;=ga'1::..=:::~....~=o"::""~~:mannerBSaIaled..m____m____ _ __ 0
. ::: =-..= and I or 1rrYeatigIUofl, in my occuned at the time, date, and P'Ke, and due to the cauae(s) and manner 1& sl8tecL 0
01
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35. RegIstrar's Signalure and District
~
DisposiIion Pemlil No.
Last Will and Testament
of
Martha H. Mohn
I, MARTHA H. MOHN, of Newburg Borough, Cumberland County, Pennsylvania,
declare this instrument to be my Last Will and Testament, hereby expressly revoking all Wills
and Codicils heretofore made by me.
ONE: I direct my Executor to pay all of my debts, funeral and administrative expenses as
soon as may be done conveniently after my decease.
,
TWO: I specifically, give, devise and bequeath the sum of Three Thousand and 00/100
($3,000.00) Dollars to the NEWBURG UNITED METHODIST CHURCH,uf Newburg,
Pennsylvania.
....... ....
. ''-r.!
r<:
THREE: Upon my death, I give, devise and bequeath all of my remaining and residual
estate of every nature and wherever situate to LINDA L. EMIG and MELLON BANK, Co-
Trustees, subject to the following provisions:
a. The Co-Trustees will establish One trust to be allocated the principal to the
following with no principal share becoming negative:
To my daughter, LINDA L. EMIG.................................................50%
To my grandson, BRADLEY CORNMAN.....................................25%
To my granddaughter, ANITA WEA VER.......................................25%
b. The net income from each Trust Share will be payable by the Co-Trustees, to
my husband, HARRY A. MOHN, in monthly payments during his lifetime. The Co-Trustees
may invade the principal of the Trust for the benefit of my husband, HARRY A. MOHN, at its
sole discretion. The Co-Trustees in their sole discretion, may also invade the principal of the
Trust for the health, education or welfare of the named residuary Trust beneficiaries, being
LINDA L. EMIG, BRADLEY CORNMAN and ANITA WEAVER, from their respective
Trust Shares. Upon the death of my husband, HARRY A. MOHN, the remaining trust
principal and accumulate income, the Trust will be distributed by the Co-Trustees to my
residuary beneficiaries as set forth above. If one of my beneficiaries has predeceased me or die
during the existence of this Trust, the principal and accumulated income shall be distributed
equally to the issue of my beneficiary who has died. If one of my beneficiaries has died without
living issue, then the share of my deceased beneficiaries shall be distributed equally to my living
beneficiaries. All undistributed income will be paid upon final distribution of the Trust principal
to the beneficiaries as set forth above.
c. The Co-Trustees shall have the following powers, in addition to those vested
in it by law, for my property held for the benefit of my beneficiaries, whether income or
principal, exercisable without Court approval and effective until the distribution of all property
under the terms of this Trust; the Co-Trustees, at their discretion, may compromise claims,
borrow money, or retain property for such length of time as it may deem proper, sell lease,
pledge, mortgage, transfer, exchange, convert or otherwise dispose of or grant options of all or
any portion of the Trust property for such prices, on such terms in public or private transactions
as it may deem proper, and invest Trust property and income without restriction to legal
investments.
2
d. The Co-Trustees will have the power to use a Corporate Trust to assist the
Co-Trustees. The Co-Trustees also retain the power to remove any Coporate Trustees, which
they have retained to assist them as Co-Trustees.
e. If one of the Co-Trustees is unable to serve, I appoint MARCUS A.
McKNIGHT, III, Esquire, Trustee in their place.
FOUR: I appoint my husband, HARRY A. MOHN, to be the Executor of this my Last
Will. If he has predeceased me, failed to qualify, or ceased to serve as Executor, then I appoint
LINDA L. EMIG, to serve as Executrix of this my Last Will. If she is unable to serve I name
ANITA WEAVER and BRADLEY CORNMAN, Co-Executors in her place of this my Last
Will.
FIVE: My Executor may, at his discretion, compromise claims, borrow money, retain
property for such length of time, as he may deem proper; lease and sell property for such prices,
on such terms, at public or private sales, as he may deem proper; and invest estate property and
income without restriction to legal investments.
SIX: No Executor, Co-Executors or Co-Trustees acting hereunder shall be required to
post bond or enter security in this or any jurisdiction.
J..
IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~ day of
September 2005.
Pi adlp;.. 1Y.M ~ (SEAL)
MARTHA H. MOHN
3
Signed, sealed, published and declared by MARTHA H. MOHN, the above named
Testatrix, as and for her Last Will and Testament, in the presence of us, who, at her request and
in her presence and in the presence of each other have subscribed our names as witnesses hereto.
4
ACKNOWLEDGMENT AND AFFIDAVIT
WE, MARTHA H. MOHN, SHARON L. SCHWALM and KAREN S. NOEL, the
testator and witnesses respectively, whose names are signed to the foregoing instrument, being
first duly sworn, do hereby declare to the undersigned authority that the testator signed and
executed the instrument as his last will and that he had signed willingly, and that he executed it
as his free and voluntary act for the purpose herein expressed, and that each of the witnesses, in
the presence and hearing of the testator, signed the will as a witness and that to the best of their
knowledge the testator was, at that time, eighteen years of age or older, of sound mind and under
no constraint or undue influence.
/rJ~ 1~.'/1~
MARTHA H. MOHN
COMMONWEAL TH OF PENNSYL VANIA
: SS:
COUNTY OF CUMBERLAND
Subscribed, sworn to and acknowledged before me by MARTHA H. MOHN, the
testatrix herein, and subscribed and sworn to before me by SHARON L. SCHWALM and
KAREN S. NOEL, witnesses, this 1. day of September, 2005.
Notarial Seal
Marcus A. McKnight,lII. Notary Public
Carlisle Bora., Cumberland County
My Commission Expires Oct. 10.2006
Member. Pennsylvania Association 01 NoIarles
5
~ \ l) I O~\CJ
RENUNCIATION
REGISTER OF WILLS
CUMBERLAND COUNTY PENNSYLVANIA
,
f'-. :
Estate of MARTHA H. MOHN
, Deceased
I HARRY A. MOHN
,
(Print Name)
EXECUTOR
, in my capacity/relationship as
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
LINDA L. EMIG
APRIL 27, 2007
(Date)
~..~
(Street Address)
OM
c- if !liJ/yn IlJ()unhJ" ?I.
~.ie\(-e-r-- -t4t+l.-'l~ '
'Vn. Il2LtO-9zQ3
(cf>l~ ~l\[)~
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purpo(j stated within on this day
of pf)~ t __ ' Q
nQ;'( 9-11~
Notary Public
My Commission Expires:
Deputy for Register of Wills
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev. 10.13.06
COMMONWEALTH OF PENNS ;VANIA
N'ltarial Seal
Klll"9il S. Noel. Notary Public
CIIIl'H.11l Bo{v, Cumberland Coon
My Comnllsslon Expires Dec. 8, 23(n