HomeMy WebLinkAbout02-13-08
Estate of _Sarah J. Matter
Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
,?\
No.
o ~ 6) S~
also known as
, Deceased
Petitioner(s), who is/are 18 years of age or older, apply(ies)for:
(COMPLETE "A" OR "B" BELOW)
Social Security No. 202-20-5166
rxl A. Probate and Grant of Letters and aver that Petitioner is the executor named in the Last Will of the
DecE~dent, dated March 3, 1998 and codicil(s) dated
State relevant circumstances, e.g., renunciation, death of executor, etc.
Except as folllows, 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
.......0.....................................................................................
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B. Grant of Letters of Administration
(c.I.a., db.n.c.I.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:
Name Relationship Residence I
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(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with her last fa~ily or principal
residence at Bethanv Villaqe, 325 Wesslev Drive, Mechanicsburq, Pennsvlvania 17055
(list street, number and municipality)
Decedent, then 80 years of age, died February 5,2008, at Holv Spirit Hospital. East Pennsboro Twp., PA
(Location)
Decedent at death cwned property with estimated values as follows:
(If domiciled in PAl All personal property....................... ......__............................__...........................m.... ....................$1,200.000.00
(If not domiciled in PAl Personal property in Pennsylvania
(If not domiciled in PAl Personal property in County
Value of real estate in Pennsylvania..............................__............................--............................--............................--....................$ -0-
Total............................................................ __............................ __.......................................................... --.................... .$1 ,200,000.00
Real Estate 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
appr . te form to the undersigned:
John D. Killian
1064 Count Hill Drive
Harrisburg, Pennsylvania 17111
Form RW-1 Page 1 of 2 (Dauphin County). Rev. 9f92
Oath of Personal Representative
Commonwealth of Pennsylvania
County of Cumberland
~
The Petitioner(s) above-named swear( s) and 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, s rsonal represe tative(s) 0 the Decedent, Petitioner(s) will
well and truly administer the estate according to law. \ -.. ( "
Sworn to and affirmed and subscribed
/3 day of
200g/
/ l' 11:-
.......~..................................................................
REE OF REGISTER
Estate at Sarah J. Matter
also known as
Deceased
I:) I (J ~ ()) (~~3
No.
Social Security No: 202-20-5166 Date of Death: February 5, 2008
AND NOW, Vr h rTuLI't/e 13 ' 20~n consideration o!the Petition on the reverse side hereon,
satisfactory proof having been presented fore me, IT IS DECREED that Letters [EJ Testamentary 0 of Administration _
are hereby granted to John D. Killian
in the above estate and
that the instrument(s), if any, dated March 3,1998
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
FEES
Letters.....! l' JOl;IJ.Qa ..
Short Certificate(s)..(1 0).....
Renunciation.............. ....
Affidavit ( ).................
Extra Pages ( )............
-GodiciJ. .~)U!..............
z ;1 /-e-;
JCP Fee......~.~...........
Inventory.... ...................
Other......,.................... .
TOTAL............... .
Form RW-1 Page 2 of 2 (Dauphin Count) - Rev. 9/92
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Register of Wills,:{)fJ>~-{ (;.l(:t
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Attorney: Shaun E. O'Toole
1.0. No: 44797
Address: 2813 North Second Street
HarrisburQ, Pennsylvania 17110
Telephone: (717) 213-6653
DATE FILED:
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LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, S6.00
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This is to certif) that the information here given i:
cOlTectly copied f"rolll an original Certificate of Deat!
duly filed with me as Local Rq,istrar. The origina
certificate will be lorwarded io the State Vita
Records Office tDl~lanent liling. FtB 07 200:
thn.. /J; ~ /
Local Registrar Date Issued
P 14121613
Certification I\ulllbcr
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REV 1112006
PRINT IN
1ANENT
::K INK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse)
. Cumberland
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3. Social Security Number
202 -20
5'" J-c J &/
1. Name of Decedent (First. middle, last, suffiX)
Sarah Jane Matter
5. Age (Last Birthday)
y"
6, Date 01 Birt1l (Month, day, year)
80
10-02-1927
Harrisburg,PA
o Other - Specify
10. Race: American Indian, Black, White, etc
(SpecifY!
White
8b. County of Death
Bel. Facility Name (II not institution, give street and number)
11. Dece<!ent's Usual Decu ':ion Kind 01 work done durin most of workin lile, Do not state retire<!
Kind of Work Kind of Business IlndUstr
Telephone empl. Former Bel Te
. 16. Decedent's Mailing Address (Street, city I town, state, zip code)
Bethany Village 17055
. 325 Wes ley Dr., Mechanics burg, P
21a. Method 01 Dispos~ion
. ~ Burial 0 Removallrom State
D Othe,. Specify
2~
12. Was Decedent ever in the
U.S. Armed Forces?
Dyes J(]No
13. Decedent's Education (Specify only highest grade completed)
Elementary I Secondary (0-12) College (1-4 or 5+)
12
PA
Cumberland
14. Marital Status: Married, Never Married,
Widowed, Divorced (Specify)
Widowed
Decedent's
Actual Residence 17a. State
Did Decedent
Live/na
Township?
17c.D Yes, Dece<!ent Lived in
"d. @ ~~iu~:t':~~\i""'wi1h;' Mec ha nics bu r g
Twp
17b. County
City/Boro
18. Father's Name {First, middle, last, suffix)
William H. Spotts
19. Mother's Name (First, middle, maiden surname)
Minnie McCleaf
Beard
2Ob. Inlormant's Mailing Address (Street, city I town, state, zip code)
914 Lower River Road, Youngstown, NY 14174
21c. Place of Disposition (Name 01 cemetery, cremalory or other place)
Riverview Cemetery
21d. Location (City ftown, slale, zip code)
Halifax, PA
2nd St., Harrisburg,
A
22c. Name and Address of Facility
Neumyer Funeral Home, 1334 N.
23b. License Number
23c. Date Signed (Month, day, year)
25. Date Pronounced Dead (Month, day, year)
Pc::;5R..ulu.-' 5- ;100 g
26. Was Case Relerred to Medical Examiner / Coroner lor a Reason Other than Cremation or Donation?
Dyes .~o
CAUSE OF DEATH (See instructions and examples)
!Iem 27. Part I: Enter the ~~ - diseases, injuries, or complications - thaI directly caused the death. DO NOT enter terminal evenfs such as cardiac arrest,
r"l>. ""o~""st, "ve'lri<ul"fibrillationw;lho~show;"I1theeti~ogy. ListonlY~
IMMEDIATE CAUSE IF""I d,sees." /) L:> '" (1.'r. ~j
cor1(j,!lon resulting In death) ---.- a. ,,""'- J " .;. . (.
b OU'IO("~~ue~~ <:;, Lc.( fc.
OU'IO("esacoos~ (,.,
c. ( ~. . CO. ~
Due to (or as a consequen I):
Dyes DNo
31. Manner 01 Death
~. 0 Homicide
o Accidenl 0 Pending tnvesligation
o Suicide 0 Could Not be Determine<!
Approximate interval: Part II: Enter other sianificant conditions contributillO to death, 28. Did Tobacco Use Contribute to Death?
Onset 10 Death but not resu~ing in the underlying cause given in Part I 0 Yes 0 Probably
o No ..Ja'1Jnknown
29.!IFemale:
o Not pregnant within past year
o Pregr\8nt at lime of death
. Not pregnant. but pregnant within 42 days
01 death
o Not pregnanl. but pregnant 43 days 10 1 year
before death
o Unknown il pregnant within the past year
32c. Place ollniury: Home, Farm, Street. Factory,
OffIce Building, etc. (Specify)
Sequentially list conditioos, i1~ny,
~~t~~~o :D~R~i~~~AU~ni a
{disease or injury that initiate<:' the
events resulting In death} LA~;T.
3Oa. Was an Autopsy
Perlormed?
DYes ~
3Ob. Were Autopsy Findings
Available Prior to Completion
oi Cause of Death?
32d, Timeo/lnjury
~.RegiSlrar'SSignature2~r
M
321. II Transportation Injury (Specify)
o Driver I Operator 0 Passenger 0 Pedestrian
Other - Specify:
33b. Signature and Title of Ce
32g. Location of Iniury (Street, city/town, state)
33a. Certifier (check only one:
Certifying physician (Physician certifying cause 01 death when another physiCian has pronounced death and complete<! lIem 23)
To the best of my ~:nowledge, death occurred due to the C8Use(S) and manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
~~~:u:~~ a~~ ~~:=~hJ:~~~a~~~:r:i~~ :~l~~:;n~e;:~c~~~~rt~~~~ot~::~~)~~~ manner as stated. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0
~~~::~;:~m;::~I;~~::~ and / or investigation, in my optnlon, death occurred at the lime, date, and place, and due to the cause(s) and manner as staled_ 0
Disposition Permit No. b"
OF
SARAH JANE MATTER
I, SARAH JANE MATTER, declare this to be my Last_- Will and
Testament and hereby revoke all prior wills and codicils made by
me.
FIRST: My Executor shall pay from the residue of my estate
all my debts, funeral and administration expenses and all estate,
inheritance, succession and transfer taxes imposed by the United
States or any state, territory or possession which shall become
payable by reason of my death. It shall not be necessary to file
any claims therefor, nor to have them allowed by any court.
SECOND: In the event my husband, HAROLD E. MATTER, JR., fails
to survive me by sixty (60) days, I give and bequeath the sum of
Eight Thousand ($8,000.00) Dollars to my sister, DOROTHY ANN JOHNS,
if she survives me, on the condition that she use a portion of this
bequest to pay for the removal of the mobile home located on my
property in which she now resides in order to facilitate the
eventual sale of my property.
THIRD: I give and devise the residue of my estate, real,
personal and mixed, of whatever kind and nature, and wherever
situate at the time of my death, including any property over which
I now have or hereafter acquire a power of appointment, to my
husband, HAROLD E. MATTER, JR., provided that he survives me by
sixty (60) days. If my husband, HAROLD E. MATTER, JR., predeceases
LAST WILL AND TESTAMENT
OF
SARAH JANE MATTER
me or lS not living on the sixty-first (61st) day after my death,
I give and devise the residue of my estate to the TRUSTEES OF THE
CHURCH OF GOD HOME FOR CHILDREN, Box 391, Sevierville, Tennessee,
IN TRUST, the income of such trust to be used for educational
purposes to benefit the children residing in such facility.
FOURTH: I nominate, constitute and appoint my husband, HAROLD
g. MATTER, JR., Executor of this my Last will and Testament, to
serve without bond or security, and to make distribution of my
estate in cash or in kind, or partly in cash and partly in kind,
and in such manner as he may determine. I authorize, empower and
direct him to sell and convey, by good and sufficient deed, in fee
simple estate, any and all of my real estate, at public or private
sale, for such price or prices, upon such terms and conditions, as
in his judgment is best for my estate, and to that end to sign,
seal, execute, acknowledge and deliver all deeds or other
instruments necessary therefor, as effectively as I could do if I
were personally present.
In the event my husband does not survive me, or refuses to act
as Executor or does not complete the duties of Executor, then I
nominate, constitute and appoint JOHN D. KILLIAN, ESQUIRE, as the
alternate Executor, to serve without bond or security. My
al ternate Executor shall have all of the powers , privileges, duties
and immunities granted to my Executor as provided herein.
2
LAST WILL AND TESTAMENT
OF
SARAH JANE MATTER
FIFTH:
No beneficiary shall have the power to anticipate,
encumber or transfer his, her or its interest in my estate or any
trust created herein in any manner.
No part of any trust or my
estate shali be liable for or charged with any debts, contracts,
liabi1ities or torts of a beneficiary or subject to seizure or
other process by any creditor of a beneficiary.
IN WITNESS WHEREOF, I, SARAH JANE MATTER, the Testatrix, have
to this my Last will and Testament, set my hand and seal thiS~~
day of ~~ry, 1998.
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M~l~nl "l/'?litiu-v
SARAH J MATTER
(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 have hereunto subscribed our names at her request, as
witnesses hereto, in the presence of the said Testatrix, and of
each other. The preceding document consists of this and two (2)
other consecutively numbered typewritten pages.
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ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
SS. :
COUNTY OF DAUPHIN
I, SARAH JANE MATTER, the 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; and that I signed it willingly and
as my free and voluntary act for the purposes therein expressed.
Sworn to or affirmed and acknowledged before me by SARAH JANE
MATTER, the Testatrix, this ;5~ day of Foerud~.V' -, 1998.
- tllD..-rc.'n..
Notarial Seal .
Jody Lynn Crist, Notary Public
Harrisburg, Dauphin County
My Commission ExpIres Oct. 1, 2001.
Member, Pennsylvania Association of Notaries
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Te tatrlx
(SEAL)
Attorney-at-Law
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
SS. :
COUNTY OF DAUPHIN
We, ~o""'-~ C'~~~\~s~ and tlAf.JlV E. ~ I TT Ie,
the witnesses whose nam s are signed to the attached or foregoing
instrument, being duly qualified according to law, do depose and
say that we were present and saw the Testatrix sign and execute the
instrument as her Last Will; that the Testatrix signed willingly
and executed it as her free and voluntary act for the purposes
therein expressed; that each subscribing witness in the hearing and
sight of the Testatrix signed the Will as a witness; 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.
. Sworn to or affirmed and subscribed
~ O~N ~\IV\ ~ \~~~e." and Hf\r(Z.J2--Y 6
witnesses, this ~~) day of February, 1998.
rrJa-reh
to before
t- 1fT Ie
me
by
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ltness
Notarial Seal .
i Jody Lynn Crist, Notary Pubhc
, Harrisburg, Dauphin County
\ My commission Expires Oct. 1. 2001
-;..~rmt.er Pennsylvania Association of Notaries
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(SEAL)