HomeMy WebLinkAbout03-03-08
PETITION FOR PROBATE AND GRANT OF LETTERS
C it II1/3PU/!,t/..o
REGISTER OF WILLS OF
COUNTY, PENNSYLVANIA
Estate of
/ilt'id/e4 ,.f }/ee'l&U1
File Number
~\ OK 6o,L\:o.
also known as
, Deceased
Social Security Number
/
Petitioner(s), who islare 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
.J8J A. Probate and Grant of Letters Testamentary and aver that Petitioner~is I_the EX~fr;x
last Will of the Decedent dated Allf';?~ ;Joo;l and codicil(s) dated
named in the
(State relevant circumstances, e.g., renunciation, death oj 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 instmment(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.,' pelldente lite; durante absenlia; duranle minoriwte)
Petitioner(s) atier a proper search has / have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (If
Administratioll, c.I.a. or d.b.lI.c.t.a., enter date oj Will ill Section A above and complete list oj heirs.)
c
Name
Relationship
Residence
;ft.., ",;
- ) .---')
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Decedent was domicilpd at death in
-1L E 5chOt!'/s/cle IJr.
(List slreet (Iddre~'s, 10wlI/city, towllship, COllllty, state, zip code)
::<;
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. I
C t(", b~r/~ut eI County, Pennsylvania with_/ her last principal r ~itl~ce at'-':"
. I1f W l7oS-55
_.~...
Decedent, then
0-0 years of age, died on 0.;13, mot at {, e. S~/.5;de /Jr., /'J!eMtW/'c!sJ1oJ
en
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(If not domiciled ill P A) Personal property in Pennsylvania
(If not domiciled in P A) Personal property in County
Value of real estate in Pennsylvania
.]; S; E)otJ. H)
$
$
$ 010, PO". ,N)
situated as follows:
" E. 5ehpol.s;tI~ /Jr. /iledJlln/CSbu
(iUJ1t ~t.rW
Wherefore, Pelilioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters inlhe appropriate form to
Ihe undersigned:
FOI'II/ RW-OJ rev. /0. /3.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF C u mI3Bt/.A-A/P
The Petitionerr;.tabove-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and con-ect to the best of
the knowledge and belief of Petitioner~and that, as personal representative($}ofthe Decedent, Petitione~ will well and truly
administer the estate according to law.
before me the
x{l~~
Siglla/ure of Persollal Represell/ative
C 4-~ /JWLI'/V'/o(
Swam to or affimled and subscribed
Siglla/w'e of Persollal Represell/a/ive
- ",')
~.""_f
Siglla/w'e of Persollal Represell/a/ive
I
0.:
:2
File Number:
c:J\
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o <6 O~~a-
/$/CEAI/fAl
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Social Security Number: /
AND NOW, (Ylar (,h ( <3 /:1Jj)~ , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters 7e SICllJ1eIJ It[ rl{
are hereby granted to {!MLJt.. /Jtt)t~l'le# J
Estate of
, Deceased
(J',
Date of Death:
Feb. ;(3, ztJoE'
in the above estate
and that the instrument(s) dated 4<<(, :; 7, 2.aJL.
described in the Petition be admitted to grobate and filed of recor
FEES
Letters . .~-'J),qp, '..:-' $
Short Certificate(s) . . .Y. . . . $
Renunciation(s) .......... $
CU)I/ .., $
----Jcl ... $
I~Jv ... $
.. . $
...$
.. . $
.. . $
.. . $
.. . $
TOTAL .......... . . . . $
620
dQ
Attorney Signature:
^'?
Regis/er of ills . i/ :/
~~ E~7!T
Charles E -S/,:e/ds :ilL
38~/3
~ C-II'/IIJer /l~
#ee.A4I7/CsJh7/ ~ /7lJ-SS-
1<'
/0
-'
S
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
7/7. 7~6-61.zEJ7
lie)
Fun" RW-02 reI'. 10.13.06
Page 2 of2
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph,
h:e lor th" l',:rtllkalc, ,,(1,()(j
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C,~rtllicall"n Numher
H105143REIJ 1112006
TYPE 'PRINT IN _A
PERMANENT
BLACK INK
8. \ O~ O&4~
ThiS is (0 cc'rt:t\ tlilt the InforlllilllOIJ here' gi\u] i~
c:olTl'clly COPied In J1J an onginal Certificate of Death
duly filed with inc' il~ Local Rcgi-tnr. TIll' ori~,inal
certd icate \\ ill b, forwarded to the State \filal
Records Oflicl' 'I' pt'rlllanent fi Img.
2/02.5; /oL
Date Issued
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(
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COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse)
STATE FilE NUMBER
c,n
... O..llf OId\(Month, day, p.)
Februa
23,2008
S. Age (last 8tthdar)
andstatllotfor
Sa. PlK:eofo..th CMck
-,
0'_ OEA'''''..... 0""'- 0............ 1iI- O"""',S_
g. Wuo.c.o.ntofHispnc()igin? (ilNO DVM 10. R_:Arn.icanlndia'l.SIact.,~,1Ilc
1.....opoQIyC_. (S/*ift1
","""",,"-Ibn,of<) White
13. OeoIdenrs E~ (Specify onIy.$1"d axnp6Med) 14w:::~=:*{~~.....n.d, 15. Swviving Spouu (U"', gi--. maiden naIM)
E........,'_(..'21 CoilogoI'....S+) ~"
12 Widowed
t Name ol o.c.dllll (First, middle, !a$I, sulb)
Mildred R. Heenan
6. DceofBinh Month,da, e
7.8irUl
80
November 2,1927
Philadelphia, Pa.
v~
lb. County 01 D.aln
&d. Faciity N..... (If not inlliIution, P It.. and number)
Cumberland
6 East Schools ide Drive
11 Decedern', UJUa!
Kindc:lWor\
Homemaker
mostofworkio We. Donotilater-tltUcl
KindalBusiness/lnduSfly
Own Home
12. WaaOec:edlntev.inlhe
U.S. ArmeclF0Il:I8I1
Ov" ll!I.o
_'I
Actual Re$idence 17L Slate
17b.County
PA
Cumberland
1i. Moch<<'. Name (Fnt, middl., maiden 1l.rI\MIe)
Adelia O'Rourke
6 East Schoolside Drive
Mechalnicsburg, PA 17055
18. FaIh.',NII/1WI(Fir$l,middIe,Iast,Sl.Ilfil)
Franklin Krier
20a Inkwm..f,fllame lTwe/Print)
196 - 20
l>d_
Live in ,
TOVlflship'l
He. 0 Vea, Oecedent Lived in
17d. [iJ ~=~VedWltIhin
Top
Mechanicsburg
City/Boro
Carol Molovich
o c,om_ 0 Dan_
2lll. Infcrment', "'_k'Ig Ada", (s..... c:icy ,.... $lite, zip c:ode)
6 East Schoolside Drive Mechanicsburg, PA 17055
21c. PlaceolDispo5ition(Namtol~,allma\ol}oto4hwp""} 21d LOCIItion(Citr/bMI.staIe,zipcodl)
"
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Holy Sepulchre Cemetery
Philadelphia, PA
22c. Name Ind Ackhu d Flk:it(y
Myers Funeral Home, Inc, 37 East Main Street Mechanlcsburg, PA 17055
2.. Time ol Dealh a.. 25. Date Pr~ Deed (Mcnltl, dtir, ye_)
-']0 .4'M -'2.'.> ~ z..:oB
CAUSE OF OEA TH (S.. In.trucUon$ and -..c,amp".,
Item 27. PART I: Enl.1h8~.diseaS8$, if1!Ul'iIIs, orc:omplicaliOfl,.ltlaldirec:tlrcausedthedealh. DO NOT en\efwminaleventssucn uca'"dlac: mhl.
,,,,,,,,,,,'m~ ..""""",,, ""',.I<oo...........""..t- u~"":""'''''''''''.''''J... t ()
IMMEDlATE CAUSE (Flnallbease IS
""'-"..."'.".~) -' H1~r e(l(",lIe Clr. I Dt/{A.~(() 4./ ).C
eu,ta(Ofei'C ~M1C'OI)
Sequenlla/ly hi oorldIlIOn. II M1r
~~ ~EF~~~'Q ~~'u~ Due \0 (Of I' I connquencI 01):
(dS41.~O{injl6')'ri1.intll.awd1!le
..,enli rewlling in dealh I LAST.
. I~, 24-26 mU$l be completed by person
..tIoprQOOUnces dealtl
ApfItomn.imarval:
Onset to Oealh
7~
Due to (Of eilConuqulnCI 01)
~.WI$....AtrlOpSy
Perfam~
JIll W.eAotopsyFinangs 31. Marm.ofDeaItl
~"~:~~:n;amPletiOO iii Natural D Homicide
Ov" liil.,
o Acddenl OP~lnI'eSIig"tion 32d. Timeoflnjla"y
o Suicide 0 Could Not be Determined
M
Ov" iii.,
z
w
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33. C~(taedlQflIyOf'lllJ
Cef1if)lng ph)'liclan (Phr$iQ1II ceI1Itying c&uH at dliad1 wnen anOltl.. phy$id.tll has prOflOWlCed death 6/'Jd oomplsted llflrn 23)
lo the be.tof my knowledi..de.th occurred due to thl caule(.) and mannw.. ilUtad_ _ _ _ _ _ _ _ _.. _ _ _ __ _.. _ __.... __.... _ _ __ _ _ __
~:~:u:'::f:: ~=:''::.:":!uh~:=:: U:~~cn:~:::~7~u;: :u:UO~:;~d manner al ttatecL _ _.. _ _ _ _ _.. _ _.. _ _ _ _ _ _.D
~ed~~'~b~::n~~:~:;~-:; Ind i (lr ",.,..tiiloon, In my opinion, c1e.at occurred at th, tIm" datI, Mld pJact. and due to the Caul"') and lnll1ner.. .tated. _ _ ..D
36. Dee Filed (Uonlh, dar, re_)
I~II ~ II I~I !ih.%;}coK"
Disposition Permit No I q 3 22.. ()
~
23b. License Number
2Jc. Date S9*I (Month, dar. )'11-)
26. W.. C... ReMn-ecl to Medical ExMIinar I Coroner for a Reuon Oth<< lh... Cr..-nEicn Of Don...?
o V" liI.o
p ~ It EIlW otn. JiaIi~CetlI conditions conWibutino. to death
butnotrelWltinginlheundlrfringClR.lUlP"f\inP.-t1
C-L;>f'1>
c 01 d C.1I II
p'9>>lllMlhin pa&! Y"
o Pregnant 11 Wne 01 daillh
o Net. ~ngn.nt. but prtgl&rll wilt>>n 42 dajl'
01"'"
o NofP9ant bulp-tl9flMIl 43 ct.)', 10 1 y..
01"'"
o 1Jnkno.Ml" p-egnant WIthin 1M pul ,..
l2c. Plate of 1njI.-y. Home, F.-rTl. S.... f Idc:ty,
omc. Bu~. ell: ,Specify,
32g. Loc.ationollnjury(S...citvJk)v<<\,stMl
LAST WILL AND TESTAMENT OF MILDRED R. HEENAN
I, MILDRED R. HEENAN, unremarried widow, of the Borough of Mechanicsburg,
Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding,
do make, publish and declare this my Last Will and Testament, hereby revoking and making void any
and all prior Wills by me at any time heretofore made.
1.
I direct the payment of all my just debts and funeral expenses as soon after my decease as the
same can conveniently be done.
l.a.
I give and devise my residential property situate at 6 East Schoolside Drive, Mechanicsburg,
Cumberland County, Pennsylvania, to my daughter, CAROL MOLOVICH. I understand that this
specific devise will be free of death taxes and that any fees or charges typically assessed against the
value of it during the estate settlement process will be paid from the residue of my estate provided it
is sufficiently large to carry the same. I make this statement of my understanding so that my
I:;hildren will understand that such is my confirmed wish.
In the event that my said daughter predeceases me, and is survived by her spouse by at least
thirty (30) days, then this specific devise shall go to her children. If they are minors at the time,
then my son-in-law shall act as trustee for them and shall take title for their benefit in such capacity.
In the event that my said daughter predeceases me and is not survived by her spouse, by at
least thirty (30) days, then this gift shall lapse and shall be come part of the residue of my estate and
shall be divided and distributed as is therein provided.
2.
:'.,)
, -.,,~ ,-~- ~.)
All the rest, residue and remainder of my Estate, real, personal and mixed, wh~ever arid;
- I -.'-"-,..,
, , " '.'-'.'~
wheresoever situate, I give, devise and bequeath in equal shares, per stirpes, amongst my'childrerr,to '
I
C)
wit: MARY CYBAK, PATRICIA LOCKARD, THOMAS HEENAN, FRANCIS HEENAN,:.rpDY__
EAMES, JAMES HEENAN, PATRICK HEENAN and CAROL MOLOVICH
3.
~1
r:.}
Ul
I nominate, constitute and appoint my daughter, CAROL MOLOVICH, to be the Executrix
of this my Last Will and Testament. In the event that she should predecease me or for any reason
be unwilling or unable to act as such Executrix, I nominate, constitute and appoint my daughter,
MARY CYBAK, to be Executrix in her place and stead. In the event that she should predecease me
or for any reason be unwilling or unable to act as such Executrix, I nominate, constitute and appoint
'in dkd t\ I~
my daughter, JUDY EAMES, to be Executrix in her place and stead. I further direct that they shall
not be required to file bond or other security in the Office of the Register of Wills for the purpose of
administering my Estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this 21ft day of
~/t{t/
, A.D. 2002.
za~rfi/~
(SEAL)
Signed, sealed, published and declared by the above-named MILDRED R. HEENAN 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 hereunto subscribed our names as witnesses.
~C:::~~~
1-~~
~ \ 0'6 ()fjl\~
OATH OF SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
(! lllJ1 /38eL~M COUNTY, PENNSYLVANIA
I
(.,)
""'tJ
(,)
Cq
Estate of
/J1ILf)~e If /I~/IIJ!
, Deceased
{!//#~LE5 E
SIl/~.5 //1
,~ a subscribing witness to
(Prin! Name/s)
the~ Will-Q Cedieil(s) presented herewith,~) being duly qualified according to law, depose(s) and
say(s) that ~I he l-ffiey was ~ present and saw the above Testtlto~ I Testatrix sign the same
and that -sfte-f he 14hey- signed the same and that ...sfle-.i he I they signed as a witness at the request of
the --Testator-I Testatrix m her ~ presence and in the presence of each other.
-a@A p~~
(Signature) (!#/l-A?LE5 E ~/a.?'.5_
b C/tJtlje/' ~d.
(Signature)
~'treet Address)
(Street Address)
If!edt~h leSbUI'J/ ;J~ J7P5S
~~ily, Stale, Zip)
(City, State, Zip)
Executed in Register's Office
SWom to or ,,,ffirmed and subscribed
before me this ~ '3
Executed out of Register's Office
Sworn to or affirmed and subscribed
before me this
day
of
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization.
Form R WoO] rev 10.13.06
J \ 08 oaL\o
OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
CttA//3E7tM,,{Il) COUNTY,PENNSYL VANIA
~ 1
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Estate of
/It I L.tJ~EZJ /?, IIE'EN/!#
) , Dece;:J:Sed
-"'''''1 ....
(I'
"
C/M/JL /JtPttJ Pi e/l!
and
~) being duly qualified according to law, depose(s) and say(s) that she I bg / tbey was ,l were well-
acquainted with /J1IL.f)~ pi! #6-CJV#JtI and arn.Lal:e- familiar
with the handwriting and signature of the decedent, and that the signature of 111 /Lf)~ED R. IY'~AIJ/
to the foregoing instrument purporting to be the Last Will and Testamentl~odicrr-of /J1 /LlJ/C.eb (/f?,
I/El:7II/Iit/ is in ~her own proper handwriting.
-#-flJ ~
(Signature) {!./I-I!p(.. /Ut)t:-Pf/I(!,.~
t? E: .5cht'()Is/~ ~r.
(Street Address)
-'MedJllhle5/~rt;, ;J,1 / ;0$"5
(City, State. Zip) II .
(Signature)
(Street Address)
(City. Stale. Zip)
Executed in Registet's Office
before me this
S'ivom to or affirmed and subscribed
--?
,,-') ~)~d
/mr6)1 , .c!I.J'JL-
of
Form RW-04 rev. 10.13.06