HomeMy WebLinkAbout10-11-07
Estate of
PETITION FOR PROBATE AND GRANT OF LETTERS
Register of Wills of Cumberland County, Pennsylvania
File No. c2/- 0 1- q 19
Social Security No. 204-01-2016
MARY MARJORIE NEILSON
Petitioner, who is 18 years of age or older, applies for:
(COMPLETE "A" OR "B" BELOW:)
A. Probate and Grant of Letters Testamentary and aver that Petitioner is the
named in the Last Will of the Decedent, dated June 2nd, 1998 and codicils(s) dated
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Executrix
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:
D
B.
Grant of Letters of Administration
(if applicable, enter: c.I.a.; d.b.n.c.t.a.; pendent elite; durante absentia; durante minoritate
r'......)
I Name I
(COMPLETE IN ALL CASES): Attach additional sheets if necessary.
Relationship
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Decedent was domiciled at death in Cumberland County, Pennsylvania, with her last family or principal res,~ctence at
801 North Hanover Street, Carlisle, Cumberland County, Pennsvlvania
(List street, address, town/city, county, state, zip code)
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Decedent, then 92
years of age, died on
September 1. 2007 at Church of God Home. Carlisle. Cumberland County, PA
(Location)
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) 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 ......................................................................................................................$
T otal......................................................................................................... $
20,000.00
20,000.00
Real Estate situated as follows:
Wherefore, Petitioner respectfully requests the probate of the last Will presented with this Petition and the grant of Letters in the
appropriate form to the undersigned:
Sianature Typed or printed name and residence
~(j 'rrJjtf~ n~c-?\ Mary Marjorie Neilson
477 Delancey Court
Mechanicsburg, PA 17055
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
The Petitioner above-named swears or affirms that the statements in the foregoing Petition are true and
correct to the best of the knowledge and belief of Petitioner and that, as personal representative of the
Decedent, Petitioner will well and truly administer the estate according to law.
Sworn to and affirmed and subscribed
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Before me this J day of
Q>c;;tIDb.eA.- , 2007.
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File No. cQj - 01 - q r9
Estate of
MILDRED E. BROWN
, Deceased.
Social Security No: 204-01-2016
Date of Death:
September 1. 2007
AND NOW, Ct.~DA U ,2007, in consideration of the foregoing Petition, satisfactory
proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to
MARY MARJORIE NEILSON in the above estate and that the instrument dated June Zd. 1998
described in the Petition be admitted to probate and filed of record as the Last Will of the Decedent.
FEES
TOT AL.........
$ ur).oO
$ I (sJ . 00
$ S.o.)
$
$ I-S- - w
$
$ lo~cU
$
$ S .a.")
$ \\L C{:)
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Letters...........................
Short Certificate(s)
Renunciation............. .
Affidavit ( )..................
~xtFel rBges ( )lM."\.\
Cod ici I............................
JCP Fee.......................
Inventory......................
Other..............................
Attorney: EDMUND G. MYERS
I.D. No: 20558
Address: Johnson. Duffie. Stewart & Weidner.
301 Market Street. P.O. Box 109. Lemovne. PA 17043-
Telephone: 717-761-4540
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate. $6.00
Certification Number
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.
~ iJl ~.. SEP Or 200'i
P 13857936
Local Registrar
Date Issued
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REV 1112006
PRINT IN
<ANENT
CK INK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on revarse)
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Bd. Faclli1y Name (11 "'" Inttftution. ~ '_IIld"-~
Church of God Nursing Home
STATE FILE NUMBER
1. Name of Decedent (Rrat, middle, last, su1IIx)
Mildred E. Brown
2016
4. Date 01 Daeth I!A<>nlh, da~lyear) 00
September ,2 7
5. Age (lAsl Birthday)
92
6. Date 01 Bl~h (Month, day. year)
uly 5, 1915
Wormleysburg,
ea. Place 01 Daeth (Chedc oo~ ooe)
Hospital:
D Inpatient D ER I Outpatient D DOA
9. Was Decedent 01 HI8pllnic Origin?
(n yes, specify Cuban,
Mexican, Puerto Rican, etc.)
11, Decedent's Usual Occ most 01 WOI'kin Ife. Do not Slate retired
Kind of Work Kind of Buainess I Industry
Teacher Public Schools
. 16. Decedenfs MaiJingAddrtss (Street, city flown, stale, zip code)
12. Was Decedent ever in the
U.S. Armed Forces?
D Ve, CiNo
Decedent's
ActuaIResidence 178. Stale
17b. County
13. Decedenfs Education (Specify only highest grade completed)
Elementary I Secondary (()'12) College 4"4 or 5+)
Old Decedent
Live In a
Township1
14. Marital Stalus: Married, Never Married,
_ed. Divorced (Speciljj
Single
Twp.
V~.
17111
Dauphin
17c. 0 Yes, Decedent Lived in
17d. CX~=~lJved within
Harrisburg
City I Boro
19. Mother's Name (First, mIdde, maiden surname)
Ora Belle Groff
Pennsylvania 17055
PA 17109
CAUSE OF DEATH (See lnatructlona .net eXamples)
Item 27. Pari I: Enter the CbIkJ....o.l.mn - diseases, injuries, or complications - thai directly caused the death, 00 NOT enter terminal events such as cardiac arrest,
respiratory 8IT851, or ventricular fibrilation wilhoul showing the etiology. Ust only one cause on each Ihe.
~~t~=\~ a. OO"~~~F-S+~('.oA b~
Due to (or':t; consequence ot):
=:t IJst condHions, if any, b.
= UND':~I~~~~~ a. Due to (or as a consequence on:
=,".:u~~n~~~!he
35. AegiSlrar's
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r~_
I ~ (I 01-.1 / I / I
Disposition Permit No. DO
Approximate Inletval: Part II: Enter other sIanIlicanl oondltioM c:ontrIbtJlinolo dAath, 28. Did Tobacco Use Contribute 10 Dealh?
Onee110 Death b<J1 not resulting in !he underlying cause liVen In ~ I. D Yes D Probably
D No D Unknown
29. 11 Female:
o Not pregnant wlkl pasl year
o Pregnant at time 01 death
o Not pregnanl. bUI pregnant within 42 days
a/death
o Not ~nl, but pregnanl 43 days 10 1 year
beloredeath
o Unknown If pregnant Within the pasl year
32c. Place 01 Injury: Home, Farm, Slreel, Factory,
Office Building, ele. (Specify)
c.
Due to (or as a consequence of):
3Oa. Was an Autopsy
Performed?
d.
JOb. Were Autopsy Findings
Al/allablePriorloCOfTlIIetion
olCauseol Death?
o Ve, 0;'"
DVes ONe
31.M~ofDeath
e:r Natural D Hem'ide
o Acddanl 0 Pe""ng Investigation
o Suicide 0 CoukI Not be Determined
32d. TIme of Injury
32g. Location 0/ Injury (Street, ciry I town, state)
M.
331. Certtfier (chedc only onel
~:;:::r:=::~=:~~~l~::::~:ro~~:~: ~~8~..a~~~~:n ~~.. _.................... _........ 0 It-
~:=~n~a:; ~ns:=B~u~:: ::~I==~in~e~~~:rt~ot~:~:a8~~ manner II stated.. ...... _ _.. ...... .... ............ 0
:c:::~~m~~~;~= and I or Investigation, In my optnlon, death occurred It the time, date, Ind place, .nd due 10 the cause(s) and manner n stated_ 0
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34, Name and Address or Person Who Completed Cause of Dealh (Item 27) Type I Prlnt
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OF
MILDRED E. BROWN
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I, MILDRED E. BROWN, OF THE Township of Susquehanna, Dauphin County,
Pennsylvania, declare this to be my last will and revoke any will previously made by me.
I.
I direct that all of my legal debts and funeral expenses, including my grave marker and all
expenses of my last illness, shall be paid from my residuary estate as soon as practicable after
my decease as a part of the expense of the administration of my estate.
II.
I devise and bequeath the residue of my estate of every nature and wherever situate as
follows:
A. One-half (1/2) thereof to my friend, MARY MARJORIE NEILSON.
B. One-tenth (1/10) thereof to my mother's niece, PEARL HEIGES KENT.
C. One-tenth (1/10) thereof to my father's brother's grandchild, CONSTANCE
WRIGHT BROWN GRIGGS.
D. One-tenth (1/10) thereof to my father's brother's grandchild, CHARLES DANIEL
BROWN, JR.
E. One-tenth (1/10) thereof to my mother's cousin's child, GERALDINE COCKLIN
HAMMAKER.
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F. One-tenth (1/10) thereof to my mother's cousin's child, WINIFRED COCKLIN
PAULUS, and her husband RALPH PAULUS, or the survivor of them.
In the event that any of the above-named individuals does not survive me, I devise and
bequeath his or her share to his or her then living issue, per stirpes, and in default of any such
issue his or her share shall be added to the other shares of my residuary estate in the same
proportion that they now bear to each other.
III.
I appoint DAUPHIN DEPOSIT BANK AND TRUST COMPANY, of Harrisburg,
Pennsylvania, guardian of any property which passes either under this Will or otherwise to a
minor and with respect to which I am authorized to appoint a guardian and have otherwise
specifically done so, provided that this appointment of a guardian shall not supersede the right
of any fiduciary in its discretion to distribute a share where possible to the minor or to another
for the minor's benefit. Such guardian shall have the power to use principal as well as income
from time to time for the minor's support and education (including trade school and college
education, both graduate and undergraduate) without regard to his or her parent's ability to
provide for such support and education, or to make payment for these purposes, without further
responsibility, to the minor or to the minor's parent or to any person taking care of the minor.
IV.
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 part of
the expense of the administration of my estate.
V.
I appoint DAUPHIN DEPOSIT BANK AND TRUST COMPANY of Harrisburg,
Pennsylvania, Executor of this, my last Will. Should DAUPHIN DEPOSIT BANK AND TRUST
COMPANY fail to qualify or cease to act as Executor, I appoint my friend, MARY MARJORIE
NEILSON, Executrix to this, my last Will.
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VI.
I direct that my Executor and Guardian, or their successors, shall not be required to give
bond for the faithful performance of their duties in any jurisdiction.
INFHEREOF. I have hereunto set my hand and seal this
, ,1998.
,
~ day of
)'JUu~ & ~=-
MILDRED E. BRO
(SEAL)
Signed, sealed, published and declared by the above-named Testatrix, as and for her
Last Will and Testament, in the presence of us, who, at her request, in her presence and in the
presence of each other have hereunto subscribed our names as witnesses.
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ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA :
COUNTY OF AAII...IN ~: 55.
I, MILDRED E. BROWN, Testatrix, whose name is signed to the foregoing instrument,
having been duly qualified according to law, do hereby acknowledge that I signed and executed
the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my
free and voluntary act for the purposes therein expressed.
~&~
M LDRED E. BROWN
Sworn or affirmed to and acknowledged before me, by MILDRED E. BROWN, the
Testatrix, this ~ day of ~ ' 1998.
i~r~~~
Notary blic __,
NOTARIAL SEAL '
JEANNE A. SHEARER, NOlafy Pui'i' ,
Wormleysburg Bora, Cum~;,:, land
My Commission Expires Do". 29~22!J1 J
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AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
ss,
COUNTY OF DAUPHIN
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We, z)4 j;f~ and ('''''fiY<<A- ':'S, ~'tl~'" ,
the witnesses whose names are signed to the foregoing Instrument, being duly qualified
according to law, do depose and say that we were present and saw the Testatrix sign and
execute the foregoing instrument as her Last Will and Testament; that she signed willingly and
that she executed it as her free and voluntary act for the purposes 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 at least 18 years of age, of sound mind and
under no constraint or undue influence.
,
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and
Swam or affirmed to and subscribed to before m;) ~ ,.,A ~ -;;:t
Co-~ -S . 'W~, witnesses, this . day of , 1998,
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Nota P~~ ~ NOTARIAL SEAL
JEANNE A. SHEARER, Notary Public
Wormleysburg Boro. Cumber1an~~~.
My Commission Expires Dec. 29, ,UO I
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RENUNCIATION
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of
MILDRED E. BROWN
, Deceased
I, JOSEPH A. MACRI. Trust Officer, Manufacturers and Traders Trust Company. successor to
Dauphin Deposit Bank & Trust Company. named Executor for the Will of the above named Decedent,
hereby renounces the right to administer the Estate of the Decedent and respectfully requests that Letters
Testamentary be issued to MARY MARJORIE NEILSON, Successor Executor under the Last Will and
Testament.
WITNESS my hand this~11 J day of U~ b.e v
,2007.
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(Date)
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Executed in Register's Office
Executed out of Register's Office
a
C..rl
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF
SWORN to and subscribed before me
this _ day of ,2007.
Before the undersigned personally appeared the
party executing this Renunciation and certified
that she executed the Renunciatio~r the
purposes stated within on this ~ day of
O~, 2007.
N!&= f}fj. {~
My Commission Expires:
Deputy for Register of Wills
COMMONW~OF PENNSYLVANIA
Notarial Seal
~nna /vi L?ngnaker. Notary Public
M Oty Of H~~sblJrg, Dauphin County
Y CommISSIon Expires Oct. 27, 2007
Mamber PAnn I .
# . sy V?ma lJ.:s~:.ociati:)i1 v"f Not .
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