HomeMy WebLinkAbout05-02-08
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYL VANIA
Es te of Rachel W. Martin, Deceased
als known as
:2,\ 0<6 6~q)
File Number
, Deceased
Social Security Number
Pe itioner(s), who is/are 18 years of age or older, apply(ies) for:
(C MPLETE'A' or 'B' BELOW:)
.{ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the Executrices
las Will of the Decedent dated March 4, 1994 and codicil(s) dated
(State relevant circumstances. e.g., renunciation, death of executor. etc.)
named in the
Ex ept 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:
B. Grant of Letters of Administration
(If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate)
itioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (If
ministration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
Name
Relationshi
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OMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. 88~
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County, Pennsylvania with his / her last princ~retsidence ar
U er Allen Townshi Cumberland Coun Penns Ivama 17055 ...
Dec,edent was domiciled at death in Cumberland
ssiah Villa e 100 Mount Allen Drive Mechanicsbur
(Lst street address, town/city, township, county, state, zip code)
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Decedent, then 95
P nns Ivania 17055
years of age, died on April 24, 2008
at Messiah Village, 100 Mount Allen Drive, Mechanicsburg,
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) 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
$
$
$
$
99,000.00
herefore, 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
t e undersigned:
T ed or rinted name and residence
Marilyn M. Forbes, 13406 Bladon Road, Phoenix, MD 21131
Linda M. Bauman, 347 Covered Bridge Road, King of Prussia, P A 19406
Carolyn M. Thomas, 430 N. Mount Joy Street, Elizabethtown, P A 17022
orm RW-02 rev. 10.13.06
Page 1 of2
Oath of Personal Representative
C MMONWEAL TH OF PENNSYLVANIA
C UNTY OF
SS
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
th knowledge and belief ofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly
inister the estate according to law.
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File Number:
:l \ 0 '6 0 ~q~
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, Deceased
Estate of Rachel W. Martin, Deceased
Date of Death: April 24, 2008
AND NOW,
Social Security Number:
,~~
a d that the instrument(s) dated lYla/[/h '-f /99t..f
d scribed in the Petition be admitted to probate and filed of record as the las
FEES
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etters ............... $
ort Certificate(s) . . .it? . .. $
enunciation(s) .......... $
0,,1 ... $
JcP ... $
~~ ... $
... $
... $
.., $
... $
... $
... $
TOT AL .............. $ c2<tJ '-I of.:> f'r.fJ&-
orm RW-02 rev. 10.13.06
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Attorney Signature:
J'S
10
S
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
Page 2 of2
H105.112 RE . 1/05
(FEE FOR TH
CERTIFICATE $6.00)
WARNING: IT IS ILLEGAL TO ALTER THIS COPY OR
TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF HEALTH VITAL RECORDS
:2 \ 6 <i 6 qq ~
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
GERT. NO. T 6192984
5-01-08
Date of Issue of This Certification
Name of Decedent
RACHEL
W.
MARTIN
Last
First
Middle
Sex
FEMALE
Social Security No.
164-34-3406
Date of Death
4-24-08
Date l' Birth
1-15-13
Birthplace
PENNSYLVANIA
Place of Death MESSIAH VILLAGE
Facility Name
CUMBERLAND
County
UPPER AT IT ,EN TWP
Pennsylvania
City, Borough or Township
Race VJHITE Occupation SCHOOL TEACHER Armed Forces? (Yes or No)
Decedent's
Marit Status WIDOWED Mailing Address 222 MESSIAH CIRCLE MEC.HANICSBURG
NO
Number
Sli'eElt
City or Town
PA
State
Infor ant CAROLYN M. THOMAS Funeral Director DAVTD '1' SEKET.Y
Name and Address of
Funer I Establishment 130 N. MARKET STREET ELIZABE'1'H'J'OWN. Pl\
Part t: Immediate Cause
Interval Between
Onset and Death
(a)
INANITION
(b)
DEMENTIA OF ALZHEIMERS TYPE
(c)
(d)
Part I: Other Significant Conditions
Homicide
Pending Investigation
Could not be Determined
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Mann r of Death
Natur ex
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Nam and Title of Certifier
SARAH NOORRAKSH M n
(M.D., D.O., Coroner, M.E.)
Addr
100 MT AT.T.ENDR.
MF.('HANTrSRTTRr,.
his is to certify that the information here given is correctly copied from an original certificate
l' death duly hied with me as Local Registrar. The original.certificate will be forwarded to the
tate Vital Records Office for permanent fj Ii ng'4t.
/~R.9't{ 1frt'tJt-t~ 3 6 D~t'~ ~
4-?R-OR
Dale fleceived by Local Registrar
?t:; TRTS C'TRCLE
Street Address
ELIZZillETHTOWN
City. Borough. Township
1Eagt Dill anb m~gtam~nl
I, HACHEL H. HA..RTIN, of llechanic~;burg, County of Dauplnn ami
C'ommOI1\'lealth of Pennsylvania, being of sound mind, memory and understanding, do
make, publish and declare this to be my Last Hill and Testament, hereby revokiWi
and making void any former "Jill or Hrj. ting in the nature thereof, by me, at any
time heretofore made.
fIRST: I ord.er and direct my Executrix hereinafter named to pay all
my just debts and funeral expenses, including the cost of a grave lot, grave
marker and the final lettering thereon, to be placed on my grave as soon as can
be conveniently done after my decease.
SECOND:
I hereby order and direct that all inherit~mce, estate,
transfer, succession and death taxes, of any kind \.,hatsoever, other than income
taxes and death taxes on the special "use" value of real estate. and special
"use" value of qualifying businesses (including any interest and penalties
t.hereon), v1hich may be payable by reason of my death, whether or nc,t \lith respec"':
to any pensions, profit sharing or retirement plan, shall be paid out of the
residuary estate passinq under Paragraph THIRD herein. Taxes on future interests
~;hall be prepaid. Such payment shall be made as an expense of admini~ration ~d
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\li thout. apportionment and reimbursement. ~:E(.) ;...
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THIRD: It is my desi.re that Five Hundred Dollars (S5~~be ~t
{...... ("') 0
..QQ:n -0
aside for each of my grandchildren not married or Hho have not re~~.:t t.be::age
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I)f t\lenty-five (25) years at the time of my death. This money shaW be pai~to
m
HARILYN H. FORBES and CAROLYN H. THOHAS to invest in Certificctte~: I)f Deposit ;:ts
they deem appropriate until distribution on said grandchildren's marriage or
twenty-fifth (25th) birthday. whichever first occurs.
FOURTH: I give and bequeath the rest, residue and remainder of my
estate of \.,hatsoever kind and Hheresoever the same may be situate at the time ot
my decease in the follOWing manner:
A. 'l'here may be found at the time of my dedt:h certain lists
specifying items to go to my children, grandchildren and others. If said lists
are found, the items contained therein shall be distributed as though said li~:ts
are fully incorporated into this Hill.
B. All remaining tanqlble personal property I give, devise and
bequeath unto my surviving daughters to be distributed and/or disposed of by them
dS the\! d'~em app::op;:iat;::, It is mv des.Jet'e that e;:lch t)f my grandchiLdren ~:halJ.
receive some item of my personal property.
C. I giVE. devise and bequeath five percent (5':;;) cf the rest,
residue and remainder unto ELIZABETHTQ\lIN BRETHREN IN CHRIST CHURCI-l.
ElizabethtO\ID, Ft~nnsylvania, a.bsolut,ely,
D. I qive, devise and bequeath five percent (5%) of t:he rest,
residue and remall1der unto BRE;THREN IN CHRIST Vl0RLD IIISSION, absolutely.
E. I (jive, devise and bequeath an equal share of five percent (5'1)
of 1:h,,< rest, residue and remainder of my estate or the sum "f fU(1 Thu'J~,o.:(n'::,
Dollars and 00/100 ($2,000.00). Hhichever is less, unto each of my grandchildren
1 iving at, the t.ime of my death.
:;:pecified in Paraqraph THIRD,
F. Aft,er all tbe above dist.rJJ-Jutions have been made. id 1 tlj,~ n'~'"i
Thi~, sum shall be in addit.ion to that,"3\li
p~sldue and remainder of my estate shall be paid as follO\.1s:
(1). I give. devise and bequeath tVlenty-five oercent (:~~'si uf
said r<~maining sum unto my dauqhter, HARILYN H. FORBES, Phoenix, Iiarylancl,
absolutely. In the event that: she should predecea:::e me, die in Ci conmon dj~iL::t!~r
\!Lth me or Viithin thirty (30) days of the dat,e of my death, then hee share of my
estate ~3hall pass to her children. in equal shares, absolut_eJ,y, ~.
(2). I give, devise and bequeath tVienty-five percent (25%) of
~;c\i:1 r ~maLnnq ~,lJm unto my d.:mqhter, LINDA 11. BAUliAN, Einq of Prussia.
:ibsulutely. In the event that she should predecease me, die in a common disaster
\/ith me or vlithin thirty (30) days of the date of my death, then fiel' ~.-jarl~ of mv
estate shall pass to her children, in equal shares, absolutely.
(3). I give, devj.se and bequeath tHenty-five per<::eDt 1251.) :)f
::oaid remaining sum unt.o my daughter, CA.'R.oLYN II. THOHAS, Elizabethtmm.
Penm:,ylvania, absolutely. In the event th;:l.t she should predecease me, die ir, a
common disaster \li.th me or \lithin t.hirt:y (30) days of the date of my death, then
her share of my estate shall pass to her children, in equal share5. absolutely.-
(4). I give, devi.se and bequeath twelve and one--half percent
(12 } 12*) of said rema:i.ninq sum unto my grandson, DAVID \~ALTERS. Bethesda,
llaryJ.and, absolutely..
(5), I TLve, devise and bequeath tVlelve and om-haJ_f percert
(12 1/n) of said remaining sum unto my grandson. ROBERT "fALTERE. Bethesda.
iIaryland, absolutely.
FIFTH: It is my desire that all money due my grandchildren under
Paragraph FOURTH
"E" and "F"
above shall be paid to them on their twenty-fifth
(25th) birthday. Until that birthday said sums of money shall be held by and
invested by said child's surviving parent. If both parents of said child have
predeceased, then said sum shall be invested and held by the cnild' s leqal
9uardian and one of my surviving daughters, until said distribution date.
SIXTH: I authorize and empmfer my Executrix hereinafter named to
sell any real estate of 'vhich I may die possessed, at either public or private
sale at her discretion, and to give good and sufficient deed or deeds of
conveyance to the purchaser or purchasers thereof.
SEVENTH:
I nominate, constitute and appoint HARILYN H. FORBES f
CAROLYN H. THOHAS and LINDA H. BAUHAN, or the survivor of them, to be the Co--
Executrices of this my Last \'1i11 and Testament. Said Executrices to serve in
such capacity in any jurisdiction vlithout the necessity of giving any Bond. _
IN \'lITNESS NHEREOF, I have hereunto set my hand and seal this _Lt__
day of __March ______, in the year of our Lord, Nineteen Hundred Ninety-four
(1994) .
.-1..<./;; ;} ;/)/J -)/1 ~. /
.' / r~Aru-(.. ,/ r / /l~''f..-.t.-{/7!-:!.. (SEZ\L)
RACHEL W. HARTIN
SIGNED, sealed, published and declared by the above- named Testatrix.
RACHEL W. ~rnRTIN, as and for her Last Will and Testament, in the presence of us,
vlho. at her request. in her presence, and in the presence of eaCl1 other, have
hereunto subscribed our names as witnesses thereto.
_./fL//[{L tZP/WJ(L
, residing at
Elizabethtown, PA
Sbf't1a~ X'J~x<.xeSiding at
Eli zabe thtown , PA..___
cmUIONvlEALTH OF PENNSYLVANIA
SS:
COUNTY OF LANCASTER
We, RACHEL \f. l'rnRTIN, the Testatrix,
Tina Renda and
_~t~'"'h'AT\:::~ L_~hanL___. \vitnesses, respectively, whose names are signed to
the attached or foregoinq instrument, being first duly SHorn, do hereby declare
to the undersigned authority that the Testatrix signed and executed the
instrument as her Last V1i11 and Testament and that. she signed Hillinqly, and that
she executed it as her free and voluntary act for the purposes therein expressed,
and that each of the I'litnesses, in the presence and hearing of the 'restatrix,
signed the Will as witness and that to the best of their knowledge, information
cl.nd belief, the Testatrix \'1a5 at that time eighteen years of aqe or older, of
:,:;ound mind, and under no constraint or undue influence.
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( TESTATRIX
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iUTNESS
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._-- , -WITNESS-------------..
SUBSCRIBED, SvlOrn to and acknoYlledged before me by RACHEL W. HARTIN,
the Testatrix, and subscribed and sworn to before me by
Tina Renda
and
Stephanie L. Shank Hi tnesses on March 4
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, 19':'4.
'117 tl;?--! a (? (;;/J{JOt.."
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NOTARY PUBLIC
Notarial Seal
. Maria C. ConscU, Notary Public
Elizabethtown Boro, Lancaster County
My Commission Expires July 7, 1991