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Home My WebLink About01-15-08 Register of Wills of_____ Cumb_~rl~n~L_ _ County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of Lydia T. Willis also known as No. 21-08- D\)'S \ , Deceased Social Security No. Lydia F. Mogel Petitioner(s), who is/are 18 years of age or older, appl(ies) for: (COMPLETE 'A' or '8' BELOW) ~ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the the Decedent, dated 0812412006 and codicils dated Executrix named in .the last Will of 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 documents offered for probate; was not the victim of a killing and was never adjudicated incompetent: D 8. Grant of Letters of Administration (c.t.a; d.b.n.c.t.a; pedente 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: Name Relationship Residence . ~ (COMPLETE IN All CASES:) Attach additional sheets if necessary. Der.edent was domiciled at death in Cumberland County, Pennsylvania with his/her family .::- Dec(,dent, then 86 404 Silver Springs Road, Mechanicsburg, Mechanicsburg Borough (list street, number, and municipality) . years of age, died 1012512007 at Holy Spirit Hospital, Camp Hill, PA (Location) or principal residence at 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 23,000.00 $ $ $ $ situated as follows: Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Pelition and Ihe grant of letters in the appropriate form to the undersigned: Lydia F. Mogel Typed or printed name and residence 310 W. Siddonsburg Road DilIsburg, PA 17019 Prepared by the Pennsylvania Bar Association Copyright (c) 2004 form software only The Lackner Group, Inc Form RW-1 (1991) Oath of Personal Representative Commonwealth of Pennsylvania 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 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 1.0 (lr affirmed and subscribed ~ ~ ' 'jJ {~ Lydi F. Mogel before me thl:. _1.!:1!~ day of , ,:)(')03 No. 21-08- ot:> S \ Estate of Lydia T. Willis , Deceased also known as Social Security No: Date of Death: 10/25/2007 AND NOW, 15t.h r1(U 6 Ob CJL01u'laA.~ , ;JrIJ(~ , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters I!lTestamentary Dof Administration (c.I.a.; d.b.n.c.l.a.; pendente lite; durante absentia; durante minoritate) are hereby granted to Lydia F. Mogel, Executrix in the above estate and that the instrument(s) dated 8/24/2006 :) Short Certificate(s)..... .. $ ~o Renunciation.. ................ ... .... ...... $ Attorney: , David J. Lenox AffiJdvil:. ( ).W.\\.\....... .....$ IS I.D.No 29078 The Wiley Group, PC Address 130 W. Church Street Extra Pages ( )......................$ Codicil..... ........ .......... ....... ............ $ Dillsburg, PA 17019 E ~\o JCP Fee.......................................$ \5 Telephone1 717-432-9666 E-Mail: Inventory....... ..... ... .......... ...... ....... $ Other.. ......... ........... ........... ........... $ TOTAL............................$ \ \ D Prepared by the Pennsylvania Bar Association Copyright (c) 2004 form software only The Lackner Group, Inc Form RW-1(1991) H 105.805 REV (01/07) LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. P 1 3 9 8 8 31 4,. 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. .~ /Jl ~~ OCT fl7 2f/J7 Local Registrar Date Issued Fee for this certificate, $6.00 Certification Number ------,~~--<">-..~~._------~- r--.....') (":";::) ~ co <- :r:r- -",.... ..r.h.... 'j ---~~~._~-_.~~.__..~--_._.._~_.__.~--~~-~~- U1 -0 :x ~;:i5 -."1 w " REV HrlOO6 , PRINT IN ~ANENT CKINK COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples on reverse) .:::- \v'1 L-L.-IS 06'5\ .;.l.OO~ OOthe. - Specify: 10. Race:,Amefican Indian, Black, While, elc. (Specify) Widowed 17b. Coooty PA CUmberland Did Decedent Uvein a Township? 17c. 0 Yes, Oeced&nt \.Mld in 17d.:&J ~~tolUved wrt/;n Mechanicsburg TWO. 404 Silver Springs Road . Mechanicsb PA 17055 Decedent's Actual Residence 17a. Stale C<y I Boro 18. Father's Name (First, midtIe, last. sufflx) Charles s. Tritt 19. Mother's Name (FlISt, midde, maiden sumame) Frances Mason 208. Informant's Name (Type I Print) 2Ob. Infoonant's Ma~1og Address (Stree(city flown, stale, zip code) 310 W. Siddonsburg Road, Dillsburg, PA 17019 21c. Place cf ~\oo (Name 01 ce1T\9lery, crema\ory Of other place) 2td. LocaflOn (CUy ltown, state. zip code) Rolling Green Mem:>rial Park Hill, PA 17011 stone & Murra Funeral Hane 408 3rd SLNew CUmberland. PAl7070 23b. License NumItot 23<:. Oa.. Signed (Month, day, yea~ Ml) 4-2..6 ~ ~ 24-26 must be oompleted by person who pronoooces death. 24. Time of Death '5 AM _~~~and~1 25. oate Pronounced Dead (Month, day, year) lO --U'-o M. 26. Was Case Referred to Medical Examiner I Coroner lor a Reason Other than Cremation or Donation? Dves ONe CAUSE OF DEATH (See Innuctlons and examples) 1\em27. Pa"I: EIIIer"'~--, injul\es,Of~.lM\diTOCIly<:aueed...death. 0000, _lefminelllY8lllssuchas_ecarresl, respiratory erreet, Of ventricular fibrillation wlthoIX sI-.g ... e1illlogy. U~ only one cause on each I.... ~~~~=I~ Approximate interval: Onset to Death Part II: Enter other slnnif'1C8r11 conditions r.ontrIIutino to death but not resulting in the undertying cause !;Mn in Part!. 28. Did Tobacco Use Contribute 10 Death? DYes OPlllbably o No 0 Unknown 29, " Fema.: o NoI pl8gla1\t 'HiINn pest yell' o PlOgnant at bme of death o NoI pl8gla1\t, bot P"'9"ent within 42 days of death o Not Pf9Ql'WIt. but prggnant43 days 10 1 year before death o Unk""",,"~'HiINn""pestyear 32c. Place of Injury: Home, Farm, 9:reet. Fa.ctory, Otti<:e Buidinq, e\t. (SpecJfy) Sequenti:~~~U:'~~a = UNDERLYING CAUSE =:e~n~~~ a, C~O~P/U~c.. ~ b. Ouap~~f(yar({,AL. 'rD{~Ht.fruU Out ~ {or as a consequencl of): J _ J at'l?,l") /'JMJ.( QJ2w'i\J ('f I S eH.(P Due to (or as a conseque~ -, \AA d. OVes 0 No Dyes ONo 31. Manner 01 Death ~awral 0 Homidde o - 0 PendInq IIWesligellon o Suidda 0 COuld Not be Determined 32U. Time of l~ury 32g. Location of In~~ (S1roet. "'" 1_, s,.,.j :lOa. Was an Autopsy _? 3Qb. W... Autopsy RndIngs AvailablePriorlo~tion 01 Cause 01 Death? 32t.IfTran_tionln~(SpecifyI o O",e. 1 Opera"" 0 Passenge< OPedestrian M, Other-Specify: 338. Cel1ilier (cheCk only one) 33b. Signawra and Title of Certifier Cortttylng pIIy<lelen (Phy9ciarl certilj\<Ig '""" of death _ another phj>Ician has pronool'A>ld death and oompIeted 116m 231 ~.~ \\ To the bell of my ~ delthoccurred due to tf1ecause(s).nd m.nner asttated...... _ _..... _.. __.. _.... _ _.. _ -.... _ -.. - -........ -.... t8' ~ ~ Pronouncing .nd certifying physictan (PhysIcian both pronouncing death and certifyiog 10 cause of dealt1) 0 33<:, License Number To the besl of my knowledge, death occurred allhe time, date, and place, .nd due to the cause(s) and manner as stated- .. - .. .. .. .. .. .. .. .. .. ... .. - ... - ... 0 I t.j S '7--1 E ~.!.~~~~IS~neer,l.mC: and I or I estl.-l....., In my opinion, death occurred It fue time, d..., .00 pi..., and due to the cau..ala) and manner 8B stated.. 0 VII u"'"..... ~....., OV\ 34. Name and Address 01 Person Who ~ted Cause of Death (Item 27) Type f PMnl :r~;4S4C,u.H.4^1 .~ a..~ P~r j:b.<J 1-/ a. f2tc. .q l"'fll W 35. ~ 1021/ IO?I /1/1 Dlspos.klnPenn;tNo. 007tJ'I/3 '1, . if. ;.1(#: JII" - ~.; LAST WILL AND TESTAMENT OF LYDIA T. WILLIS I, LYDIA T. WILLIS, of Cumberland County, Pennsylvania, declare this to be my Last Will, hereby revoking all prior wills and codicils. FUNERAL EXPENSES FIRST: I direct the payment of my funeral expenses, including my gravemarker, as soon as may be. convenient after my death. , PAYMENT OF DEATH TAXES 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 administration of my estate. PERSONAL PROPERTY THIRD: I bequeath those items of my household furnishings, personal effects, and personal property as I may set forth in a separate signed memorandum to the persons named in that memorandum. DISTRIBUTION OF RESIDUE r--..) (-) ~ FOURTH: I give the entire residue of my estate to LYDIA F. MOGEI;;~movidirt she shall survive me for a period of thirty (30) days. If she shall not so survive ~,c~giv~ the entire residue of my estate to TODD MOGEL. )<: Fi; c..n :d(f~ PROTECTION OF BENEFICIARIES (Spendthrift Provision) :-.0 --1 FIFTH: No interest in income or principal shall be assignable by a beneficiary or available to anyone having a claim against a beneficiary before actual payment to the beneficiary. -u :J:: w .. TRUSTEE OF ESTATE OF MINORS AND INCAPACITATED BENEFICIARIES f'I SIXTH: If any income or principal shall be payable to any person who shall be a minor, my executor, as trustee shall hold such income and principal during minority and shall be entitled to apply such income and principal to the health, maintenance, support and education of such person during minority without the appointment of any committee or any authority of court. My trustee shall be entitled to make direct application hereunder or to make application by payment of income and principal to the parent or other person in charge of such minor or to his or her guardian or to a custodian under the Uniform Transfers to Minors Act. Trustee may, in discharge of all the Trustee's duties, pay any minor's share deemed impractical of administration to the parent or other person in charge of the minor or to his or her guardian or to a custodian for the minor under the Uniform Transfers to Minors Act. Any remaining income and principal to which such person shall be entitled shall be distributed to such person upon such person reaching the age of 18. My Trustee shall have the same powers as my executor and shall serve without bond. If any income or principal shall be payable to any person who shall be incapacitated for any reason, my executor, as trustee shall hold such income and principal during incapacity and shall be entitled to apply such income and principal to the health, maintenance, support and education of such person during incapacity without the appointment of any committee or any authority of court. My Trustee shall have the same powers as my executor and shall serve without bond. POWERS OF EXECUTOR SEVENTH: I confer upon my executor the right to sell or otherwise convert any real or personal property at public or private sale, at such time or times, in such manner, and for such price or prices, and upon such terms and conditions as my executor shall determine, and to execute and deliver good and sufficient conveyances, assignments and transfers thereof, without liability of any purchaser for the application of any consideration; to borrow money and to secure its payment by mortgage of real or personal property, pledge of investments or otherwise, without liability on the part of the lenders to see to the application thereof; to retain any investments at discretion; to invest and reinvest at discretion, without restriction to so-called "legal investments;" to make distribution in cash or in kind; and to do all other acts and things necessary or appropriate in the management, administration and distribution of my estate. APPOINTMENT OF EXECUTOR EIGHTH,!,'11 appoi~i LYDIA F. MOGEL executor of my will. If LYDIA F. MOGEL is unable or unwilling to qualify as executor or having qualified is unable or unwilling to act, I then appoint TODD MOGEL as executor hereof. I direct that my executor shall not be required to furnish security in any jurisdiction. INTERCHANGEABILITY OF LANGUAGE NINTH: Words used in the singular may be read to include the plural or the plural may be read as the singular. Similarly, the masculine form may be read to include the feminine and neuter; the feminine may be read to include the masculine and neuter; and the neuter may be read to include the masculine and feminine. HEADINGS TENTH: The headings used on the various paragraphs of this Will are included for convenience only and shall have no legal significance. I have signed this Will this 24th day of August, 2006. ~ tJe.. o / ~~T< '~tL/ L"X IA T. WILLIS ll~L--- Witness ACI<NOWLEDGEMENT and AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA: SS. COUNTY OF CUMBERLAND I, LYDIA T. WILLIS, thttestatrix/or in, and -=r0o Yrttt-S (J"; AArtJ15' and LLuJ.A,,,(~ (}'( t6 (ClcL. , the witnesses to the last will, the attached or foregoing instrument, who have signed the instrument, having been duly qualified according to law do depose and say: (a) that I, the testatrix/or, do hereby acknowledge that I signed and executed the instrument as my last will, that I signed it willingly and as my free and voluntary act for the purposes therein expressed; and (b) that we, the witnesses, were present and saw the testatrix/or sign and execute the instrument as her last will, that she signed it willingly and 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/or signed the will as a witness and that to the best of our knowledge the testatrix/or was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. ~~4L L/ IA T. WILLIS 1lA~ Witness eOMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL JUDD M. AHRENS, Notary Public Mechanicsburg Boro., Cumberland County My Commission 5;p)!es Mav 23, 2009 ~~ Witne ~~O)JM' ~ No Public