HomeMy WebLinkAbout12-28-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF C V'M 6~.t' I eL~
COUNTY, PENNSYL VANIA
Estate of
G""~12-
mW"'~'
I
MO' ""17,,,, ~/7
File Number
R\
0\ \\\'d....
also known as
, Deceased
Social Security Number / C; 1- 2;z.. - .;. ~ / ~-
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
c::g.rA. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the (/1 e .......e If Ct ~ /" I
last Will of the Decedent dated / 'j 0 (...1 / '1 'i Yand codicil(s) dated / 7' J::" r r- I 'i' 7 Y
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 bom or adopted after execution of the instlUment(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
(Ifapplicable, enter: c,t,a,; d.b,n,c,t,a,; pendente lite; durante absentia; durant~inoritate) ;;:;
':"'=0 ~
Petttioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following sPOUs~f any) antt.l:Jeirs:
Administration. c.t.a, or d,b.ll.c.t.a.. ellter date of Will ill Sectioll A above alld complete list of heirs.} , .<~~:::? M
Name
Relationshi
r:-.:>
w
-l:'-
(COMPLETE IN ALL CASES:) Attach additiollal sheets ifJlecessary.
Decedent was domiciled at death in Cv "'t 6 4/ /",,,,d' County, Pennsylvania with his / her last principal residence at
Ca...rrtA-yL Lo....",.e I'V1 (?c-h.a....ic..f~v/1 /'e:t.-- i 701-0
(List street address. town!city, township. county. state. zip code)
7v'L
Decedent, then 1i?o
years of age, died on "/,;,1;'()()7 at
/
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(If not domiciled in PAl Personal property in Pennsylvania
(l[not domiciled in PAl Personal property in County
Value of real estate in Pennsylvania
99 {,DU
$
$
$
$
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:
h(;(./..~-1
01- C"rY'Ift
11tfC'
)70 'Ie)
Form RW-O] rev 10.13.06
Page 1 of2
Oath of Personal Representative
COMMON'vVEAUH Cd' !'ENNSYLVANIA
SS
COUNTY OF
The ['eIIUI,olierl,,1 ,1h'il 'C--!L::n.:d "'.c~lt(:;J c1C ,: "fil I11(S) that the statements in the foregoing Petition are true and conect to the besl of
th: ki:GV, kd:!,e JI1J bc!id' of F'ctttiol1cr(s) ,mu tInt, 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 the
day of
Signllture of Persona! Representative
'., )
C;;~6
: }:2 (-~l
- -:~-~ i~".;
r-...>
=
=
-..I
---I
!-~-t
, -'
Siglluturr:: q( Personal Rt:presenfative
a
,""I
n
N
co
~
'c"l
.'j.;::,-,;'::;,
('J
"
::!':
'\-'
File Number:
a\
Or \11')...
:..:J
U ---1
J."'"
N
W
.&:""
-r---<
:1'1
Estateof Q.f~ ~~, ~)~me"<"j ,Deceased
Social Security Number \ ~\ dd.. 'd-'8;\"S; Date of Death: 1\ \d.\\ol
.
AND NOW,
having been presented before me, IT IS DECREED that Letters
are hereby granted to ~() L. s.~ \\
DL-\-Db-r \~
in the above estate
and that the instrument(s) dated
described in the Petition be admitted to probate and filed of record as the last Ylill (and Codici (s)) of Decedent
\~~co
FEES
Letters ".., ~<:tLD. ' . ' $
Short Certificate(s) , . . ,~. . $
Renunciation(s) $
wd\ $
....) cfJ $
_~ \-0 $
"3 ~() $
_ --.::J or. '" \0-.1(. $
$
$
$
$
TOTAL ........... $
;>..0
8
~
Attomey Signature:
\~
\t)
!5
\'5
1<5
Attol11ey Name:
Supreme Court LD. No.:
Address:
Telephone:
~
Forlll RW02 rev 10,13,06
Page 2 of2
H10S.90SMS REV. 6/06
This is to certifY that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Records In accordance
with Act 66, P.L. 304, approved by the General Assembly, June 29, 1953.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
/7 ~ ~d
c-o ~ ~~ tf~oL
No.
Frank Yeropoli
State Registrar
Calvin B. Johnson, M.D., M.P.H.
S~cretary of Health
1245949
DEe
4 2007
Date
o
:-:>
c;:':>
c;::>
---'
c::J
('n
("")
N
c:>
)':~
-0
>
N
.'
<.,.)
s:-
~105"14)REV 11/2006
T'fPE I PRINT IN
PERMANENT
BLACK INK
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' vnAL RECOROS
CERTIFICATE OF DEATH
(See Instructions and examples on rever.e)
STATE FILE NUMBER
a\bl.\tl~
11/03/1927
~urlty Number
D~te ot Death (Morth. day year)
AD Yrs
- 22
:~/21/2007
. Name of Decedent (Fifst, milfllle,lasl. suMxl
Gr.-ace
5 Age (Last ElirlMayl
6 Date 01 Birth (Mol'lth,day, year)
11. Decedents usual O<:cu alIon Kind of work done duri most of workin life. Do not state retired
KlI'ldafWork Kind 01 BLlSinessJ Inclustry
Homemaker Self employed
16 Oeceden(s Mailing Address (Street. city flown, st;ne, ZIP code)
702 Carriage Lane
Mechanicsburg, PA 17050
ame ll'$.ml e. ast! Jl
12. WasOecedentev8I'inlhe
U.S Armed Fortes?
Oy" 111I'"
Olnpalienl OER/OulJlatierlt DOGA DNursin~Home
9. ~~~:p:~t~~:~~anIC Origlf1 ~ No 0 '(e~
MeJlCiln. Puerio Rican, m.l
1.. Mri3I Status: Married, Never Marned
Widowed, Divorced {Specify}
IZ':IRe~ldence DOther-Sowty
10 Race:Amellcanlndioln,8Iac!<.,lf-lMe,etc
($pfJOfy!
White
110 C"""~ Cumber 1 and
17c 0 Yes. OeclWenl Lived in
170. ~ ~iu~n:~~~ivedwith'f\ Mechan:c.sbu:-q
I
--.j
Bb County of Death
~d Facility Na-ne (If not instMon, give stJeelllnd numbef)
;;.,
Cumberland
Widowed
tee ns
Ac1ua1Resiclence HI. Stale PA
Tw,
c.ry I Bora
Marco Andrew Avellino
19'. ~ameF~rnaaen-$u~
Carmella Sabatelli
20.1 InlormanrsName(TypelPnnlJ
Sharon Stoll
In9 ress(::itreet.cltyllown, state. Zlp collef
702 Carriage Lane Mechani~sburg, PA 17030
21b. Date of Disposilioi'\ (Month, dS}', year) 21c, Place af Oisposlbon (Name 01 cemetel)'. crematory Of othet place)
21d, locatJon (City Ilown. stale, llfl{;Ooe)
St. Catherine's Cemetery
lZc, Namll and AdOrlS$of FlCiiltt/
Mosc:)\-.J,
r~ 18444
Carlucci-Gold~n-DeSantis Fu~eral Home
318 East Drinker Street, Dunmore, PA 18512
Complete Ilems 23a< only when C Inll
p~yslclan is nOl aVilllabll at lime of death to
certify cause 01 death
lte!TIs24-26mustbeco~letedbyper!lon
who pronounCl!S death
2)b. license Number
23c Date Signed (Month, day year)
24 Time arDeath 25. Dille Pronounced Dead (Monll1, day. yea-)
10: 10 p" 11/2112007
26 Was Case Referred III Mledil:.al Examner I Coroner lor a Reaso" Other lI1an Cremation or Donauon1
DYes ~No
CAUSE OF DEATH IS.. Instruction5 and .xamples)
Item 27 PART I Enter lhe chain of events" diseasas, injuries OfconIJlitalioM-lhal directly calJ5ed1he death. DO N~T enter terminal evenls sllC~ as cardiac arrest
resplrat0l1Ji'rm07'V!1\Iiicular fibrulaaon WltIIout showing the eliology. list ollly one cause on each line
.64lproximalelnlelval
, OnsettoDeath
Part II Enter other SIgnificant condillons contributll1Q to death L' .Did T. 0 '.-acea US.' Contnbute 10 Dealh?
bul not resulting in ltIe ullderlying eau5e given in PM1 I DYes OPrObatlly
_ ~~OUI'l~nown
29,lfFei"lale
IZI NotpregnaNwilh,npaslyear
o Pregnanlal1imeoldealh
o NOlpre~flanl.b",pfe9f1antWlthln42t1ays
ofdealh
o NOlpregnanl.tMpregflant43ctaysto1yEaI
ofllealn
o Unknown If pregnarn wllhin tne past year
1 ]" ~'~: ~:~:~~fo"lS:'~~1 Sb... 'KIo"--
)2g Localion 0' InlllY (Street cityl;~w~'Slaiei -~ -- -
IMMEDIATE CAUSE (Final disease or
co~dilion resulll'lg m Qei1ltl} ---+
DYes IZINO
Oy" IZINo
UK-
Sequefltally "stcondtions. if any,
I~~~nt~ ~~~~~~~No~~~;E
(liisea5eorlnlllrylhalinlllaledll'le
evenlsresul!iflgin !ieath )UST
30a WasiIIlAulopsy JOb WereAutOpsyFinllinQs 31 MannerofDiatl1
Perlormell? Available PriOf10 COl'flllelion
of Cause of Deam1
3Jil Certifi., (cllec~ only one)
. i::t;:l~~T:i~~:;::I;: ~::V~:::~~do~:::~:~::~)~:n~~~: l'I:.s :;;:U~C~ ~e~ _an~ ~~~~ ~~) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~
. ProAOunci"9 and ctf'tltying physician (PhyslCtiin both prooouncil'lg dum and certifymg ~ cause or death)
Totlllbe5tof my kAOWltdge.deatll occltl'Ted at tn. tlml, dlte.anclpllcl, illld due to thl CIll..(S) anclrnan"..u statld_ _ _ _ _ _ _ _ _ _ _ _ _ _ __0
. Mldicll Eumin...1 Coroner
On tlte blli, of Il.smin.oon iIfId I or invlltiption, In my Of)inion, dllth occulTed It the timl, dltl, .nd pl"e, Ind due to the CIIIII(I) and INlnner as stated__ D
""
....
~
'"
o
....
'"
~
35,Regls\rar'~SignatllfeandDistrictNllrn/........ . 3
~ or ~ c-~...xJ2de~-c I IS-I 31 .;,1\ 71
DiSl/OsitionPemvtNo
C002089
F: IFILES\DA T AFILEI WILLSI962S. WIL
LAST WILL AND TESTAMENT
I, GRACE MARY MONTGOMERY, of31O Mountainview Way, Seranton, Lackawanna
County, Pennsylvania, being of sound and disposing mind and memory, do hereby make, publish
and declare this to be my Last Will and Testament, hereby revoking any and all former Wills or
Codicils by me made.
1.
I direct that all my legally enforceable debts, funeral expenses, testamentary expenses and
all inheritance taxes (whether such taxes may be payable by my estate or by any recipient of any
property) shall be paid from my residuary estate as soon as practicable after my decease and as part
of the administration of my estate. My Executrix( or) shall have no duty or obligation to obtain
reimbursement for any such tax so paid, even though on proceeds of insurance or other~roperty nOl
r.".".o -~
- -or) ,:""~'"}
'- r,"7 f'!'"':
passing under this Will.
2.
C)
f"-)
co
~
....'
I give, devise and bequeath all of my estate, both real and personal property, in e4tl.~1 shar%
-,
(.)
- ....)
unto my children, MARK. MONTGOMERY and SHARON STOLL, absolutely.
.-
-
3.
In the event either of my said children shall predecease me or fail to survive me by more than
thirty (30) days and shall be survived by issue, then my deceased child's share shall be held, in trust,
by my surviving child as Trustee for the following purposes:
a. I direct that my Trustee shall hold, invest and reinvest the same, collect the income
arising therefrom, and after paying all expenses incident to the management of the trust, to use and
apply as much of the income and principal as may be necessary in the sole discretion of my Trustee,
in equal shares, for the support, well-being and education ofthe issue of my deceased child.
ff J;1.h;.
G.M.M.
Page 1 of 4 Pages
b. I direct that each of the beneficiaries thereof shall have the right of withdrawal of his
or her equal share of the principal and any accumulated income of said trust as each attains the age
of twenty-five (25) years.
c. In the event that either of my said children shall predecease me or fail to survive me
by more than thirty (30) days and not be survived by issue, then his or her share shall be distributed
to my remaining child, or his or her issue, per stirpes, in accordance with the terms hereof.
d. To the extent that the same is permitted by law, none of the beneficiaries hereunder
shall have any power to dispose of or to charge by way of anticipation any interest given to such
beneficiary; and all sums payable to such beneficiaries hereunder shall be free and clear of the debts,
contracts, alienations and anticipations of the beneficiaries, and all liabilities for levies and
attachments and proceedings of whatsoever kind, at law or in equity.
4.
I nominate, constitute and appoint my daughter, SHARON STOLL, as Executrix of my
estate. In the event she shall be unable or unwilling to so act, then I appoint my son, MARK
MONTGOMERY, as Executor of my estate.
5.
I direct that neither my Executrix( or)nor my Trustee shall be required to file a bond to secure
the faithful performance of their duties in any jurisdiction.
6.
I authorize and empower my Executrix( or) and Trustee, in their sole and absolute discretion,
to purchase or otherwise acquire and retain any investments of which I die seized or any real or
personal property of any nature; to sell, lease, pledge, mortgage, transfer, exchange, dispose of or
grant options in regard to any or all property of any kind forming a part of my estate for such terms
8: m.h;.
G.M.M.
Page 2 of 4 Pages
and such prices as they may deem advisable; to borrow money for any purposes connected with the
protection and preservation of my estate; to mortgage or pledge any real or personal property
forming a part of my estate or to join in or secure the partition of same; to compromise any claims
or demands of my estate against others or of others against my estate; to make distribution in kind
and to cause any share to be composed of cash, property or undivided fractional shares in property
different in kind from any other share; to employ agents, attorneys and proxies and to delegate to
them such power as my Executrix( or) and Trustee consider desirable and to pay reasonable
compensation for such services as may be rendered by such agents, attorneys and proxies; and to
execute and deliver such instruments as may be necessary to carry out any of these powers. In
addition, I direct that my Executrix(or) shall have the power to conduct an inventory of any safe
deposit box necessary to the administration of my estate.
IN WITNESS WHEREOF I have hereunto set my hand and seal this I q ~ day of
0(1D'ot( , 199~.
.cr ~'ln~ ~~(SEAL)
Grace Mary Montg mery
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, have hereunto subscribed
our names as witnesses thereto, in the presence ofthe said Testatrix and of each other.
~r7 ;;:(~r
?td~~a .~~
Page 3 of 4 Pages
COMMONWEALTH OF PENNSYLVANIA
COUNTYOF ~~
)
: SS.
)
I, Grace Mary Montgomery, 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.
,J'~7tJ~ fn~
Grace Mary Montgo ry
Sworn or affirmed to and acknowledged before me by Grace Mary Montgomery, the
Testatrix, this \ ~ay of OQtd0Qf , 199~
~;A.1ft
Notary Public
Notarial Seal
Denise L. Nye, Notary Public
Carlisle Bora, Cumberland County
My Commission EXJ:wos F=eb ~f 2001
Member, Pennsylvania Associaticn nf ~\!(\tarjes
COMMONWEALTH OF PENNSYLVANIA
COUNTYOF ~
)
: SS.
)
We,f.e.e.-..v ~. ..;z~ and -Run Wi. a · tun ('l,Q
the witnesses whose names are signed 0 the attached or foregomg mstrument, bemg duly qualIfied
according to law, do depose and say that we were present and saw Grace Mary Montgomery, the
Testatrix, sign and execute the instrument as her Last Will; that the Testatrix signed willingly and
that the Testatrix 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 18 or more years of age, of sound mind and under
no constraint or undue influence.
e. LE.,~ N 6 (L G:Z A (T j\l J\
Address 3/ (J.. fV \ () () N TAl N V I ~ i.t.J IV It Y
Sf!.~ArL;{) rI > fA /8'..so 8"
:j)qJrl (/ ~ a.. Vll~1 ~~o
Address /I:;~}/~~~~~ f*
Sworn or affirmed to and subscribed before me this J qJ.- day of ~
~,~
Notary Public
, 199~
4 of 4 Pages