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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 -;1" ~:o o OMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. 88~ c ::D 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) N .." :x QC~ " -'n -'n ~~~~ i~. j ~;' 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. - .. r . (.1 "') ,'-) ;. File Number: :l \ 0 '6 0 ~q~ r 0'\ , 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 o/j 606 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 .;lID ;;1 j 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 o o o --)) :~.i) Mann r of Death Natur ex Accid nt 0 o ~ ~) (~\ ~'1f~ ..x J c:;; ~;~ =fi ~.:-!:J !-" rn c-) <::) i l ~ .. .,f:-. CI'\ 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 =-- 0 00 -.. :0 :x \li thout. apportionment and reimbursement. ~:E(.) ;... ~. '1> r- -< (. 21Tl I 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 --f - 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. ~/?4c - f ;- ~. :M~ ~. 2ff!::_~___!:~~___ ( TESTATRIX ~1d ~/~__________ iUTNESS ~ - / fl#1fctu~ t7f .jMl4'l.~ ._-- , -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 ----------, , , 19':'4. '117 tl;?--! a (? (;;/J{JOt.." ----- NOTARY PUBLIC Notarial Seal . Maria C. ConscU, Notary Public Elizabethtown Boro, Lancaster County My Commission Expires July 7, 1991