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HomeMy WebLinkAbout05-16-08,, , PETITION FOR PROBATE AND GRANT OF= LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVA~ IA Estate of Mary A. Mowery t=ile Number 21-08- also known as ,Deceased Social Security Number 201-18-1262 Karen Bodde Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE A' or 'B' BELOW:) ~X A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the EXeClItrIX named in the last Will of the Decedent, dated 07/1$/2001 and codicil(s) dated Stare 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 e:Kecution 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 app ica e, en er: c..a.; ..n.c..a.; pe en e ~ e; uran e a sen ra; uran a rmnon a e 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: (If Administration, c.t.a. ord.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) r,,_~ .=; C7 e-~ Name Relationship Residence }~ ~9 J . .~ I" ~ .~.~ rn ~~ ~j J` -_` ~ ~T } ~~ 1 _ J ~-^ '. 3`J 67 (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. 'F' Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at Green Ridge Village, Newville, West Pennsboro, Cumberland, PA 17241 (List street address, town/city, township, county, state, zip code) Decedent, then $2 years of age, died on 04/07/2008 at Green Ridge Village, Nevuville, PA 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 $ situated as follows: 5,373.00 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 appropriate form to the undersigned: Signature Typed or printed name and residence ~ / Karen Bodde '181 Pugh Drive .~ //_ ;5hippensburg, PA 17257 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 1 of 2 r ' Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } SS CC'UNTY OF Cumberland } The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true alnd correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s;l will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before me this ~_ day of t\NI i-i11 /VV VG' .~ ~~ ~('V'\ C. Signature of Personal Representative For the Register Signature of Personal Representative File Number: 21-08- ~1~- j _ Estate of Mary A. Mowery _ ,Deceased A!K/A Social Security Number: 201-18-1262 Date of Death: 04/07/2008 AND NOW, ``~JL1 ~ ~ ~ [ ~.,~..-1 ~~: f ra ,~ , in consideration of the foregoing Pmt on, satisfact`a~'' proof having been presented before me, IT IS DECREED that Letters Testamentary '; ~ -~} ^. are hereby granted to Karen Bodde J ~'~~ r- ~- ~*-I - =din tr h~bove estate - and that the instrument(s) dated 07/18/2001 ~~ ~.'> v:- r described in the Petition be admitted to probate and filled of record as the last Will (and Codicil(s)) of Decedent. -~ ~ _~' , . - --f ~~ Ln .~' FEES Letters .......................................... $ ~}~ ~~ `.'~ ~ , ~ ~^~ Short Certificate(s) ........................ $ '4'• ~~ egister ills %,~ ~ ~(~ Renunciation(s) ............................. $j . ~ Attorney Signature: ~ i ~ ~ l~ $ ~'~- ~ Attorney Name: rry A. Weigle Esquire J C.~ $ 1 a ~~ l ~'^~ Supreme Court I.D. No.: 01624 Weigle 8~ Ass;ociates, P.C. $ Address: 126 East Kin<1 Street $ Shippensbur~g, PA 17257 $ Telephone: 7171532-7388 $ $ TOTAL .................................. $ ~~'• Q V Form RW-Q2 Rev. 10-T3-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2 RENUNCIATION REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Mary A. Mowery ,Deceased ~, Robert A. Plumb in my ca~iacity/relationship as (Print Name) nephew/co-executor of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued 'to Karen A. Bodde ~-t' 3-~ ~ (Date) M tI~ ., ~ ~_ C1._ __J -° tz + ;~ t~ r=-; J ~. ~r - -_-_ -~ t-.L! ~ - ~- , ~ i ~ ; t s= (~ -~:_ rsa ©c. `~' U :.., Executed in Register's Office Sworn to or affirmed and subscribed before me thi~day of ~1 ~`- , Deputy for Registe of Wilis v' ~~~ (Signature) Robert A. Plumb 12970 Lower Horse Vallley Road (Street Address) Orrstown, PA 17244 (City, State, Zip) Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposes stated within on t`'' day Notary ru~uc L~ ~ My Commission Expires: ~~? ~CJ~~~CI (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiretion of Notary's wmmission.) NOtarlai 9ai Rhonda R. Wotford, Notary Public Shlppensburg Boro, Cumberland COUMy (:ommission Expires Jan. 20, 2009 Form RW-OB Rev. 10-13-2006 Copyright (c) 21H16 form software only The Lackner Group, Inc. OCAL REGISTRAR'S CERTIFICATION ~~F DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee fa' this certificate. $b.0O ~ ~_~235L~.~:1 Certification Number 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 certifir(te will be forwarded to the State Vital Records ~~~ e for parr nt tiling. _- ~ K d~ 08r ocal isirar Date issued ~~ r-a C~ S n ~~ c : c~ , -~,~ .-~ _t ~ _< ~- ~--- ~. - ;- , ~- ' ,fly. _. H1DS7/3 REV 112006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS `~ ~} ~- ~ - . TYPE /PRINT IN - ,~ PERMANENT CERTIFICATE OF DEATH • w • BLACK INK See Instructions end exam lee on reverse C P ~ STATE FILE NUIaHER C.J~1 ~\I x~ l al a 0 1. Name of Decedent (First middle, last, sue) 2. Sex 3. Social Securiy Nanber 4. Date of Death (Month, d r) ~y A, y e 201 - 18 - 1262 Ar l 7, 2008 5. Age (Last Binhdey) Under 1 year Untler 1 day 6. Dale of Binh (Month, day, year) 7. BlMpkce (City end sate a lomign coudry) ea. Place d Death (Check only one) B2 kbrpw ^°y8 H01M5 Mr'mB6 Hospikl: Other: Ym. Ju1.y 4, 1925 Harr1S1711CTj PA. ^ kfpatiem ^ ER I Outpatidff ^ DOA Nursing Home ^ Rasldenro ^OMer • Speciy: 66. County d Death Bc. Ci1y, Boro, Twp. of Death 9d. Fedllty Name (II not msf , gNa sired end number) 9. Was Decedent d Hispanic Origin? ®No ^Yes 10. Race: American kWan, Black, While, eu. Cx b l d b 2v~ /1 jj ~ J/• (If Yes, spadty Cuban, ISP~'llY7 ~ ~ m es ~l WPSt Pams aro Mexican, Puano Rican, etc.) 1+~lte L.~ e n ! ~ V ~ Decedent's Usual tan KiM d work done tlu ~ most o1 woMm Ne. Do not stale retiretl 11 12. Wes Decedem ever in the 13. M's Eduwtia+( tphesf grade compleletl) 1d. ManW Status: Married, Never Martied 15. Sumving Spouse QI wee, gbe meitlen mme) . WOrk I(ind d Buskwss / IMudry _ _K U.S. Armed Forces? ElemerdaN! Secondary (012) College (1 ~4 a 5a) Widowed Divorcetl (`w iM ~~ ~ Te.L1 16L Nrjtlppal Bank ^Yes ~]No 12th V71C317.~°•-d ~ 16. Decedent's MeiGp Atltlress (Slreel, cay /lows, stale, zip cafe) Decedent's ~ ~~^I Decedem Lived in W2St P~1TISbOYb ZtyjJ• two k Pa. live wt a 17c ®Yes id 17 R 9 210 Big Spring Rd. Newvil7-e Pa. 17241 . . , Actual es ence a. a T°y"':hi°? 17d ^ No Decedem Livetl wiNin . , 17b. Canty ~r~.N)d Actual Litnils d City / Boro 16. Father's Name (FFd, rtktltlk, lest, soKul 19. MdMr's Name (First, mitlde, mehen surname) David I1aDSher Tia~a1 IfPI;~ 20a. Imormenl's Name (type / PnnU 20b. InlamaM's Matlag Address (Bred, cdY /town, stale, zip code) KarexL g~1e 181 PLTg}L Drive ShippensL~xm1 Pa. 17257 27a. Method d Dkposnion ^ Cremation ^ ponekon 21b. Dale d Dk:posaron (MOnM, day, year) 21c. Plane d Oepo9lfion (Name of asmdery, aemelay a ouex pace) 21tl. Locdion (Cey l Iavn, akle, z'p croe) ~] Banal ^ Removal Irom Slate j Wes Cremation or Donelbn Authodzed ~i1 t 1 2008 b..-jly~ Hi 11 ~'~'pterSx ^Y` ShiPpensl~l>r'g pa. 17257 ^ pryer . S~yyy. f M' MedIW Examiner / Coroner? ^Yes ^ No 22e. ~ lure Fare Se ~ L' adkp as such) 22b. License Number 22c. Name antl Adtrns of Fadldy ~ 014351-L Fbgelsgiger-Bricker ~lmeral fkme Inc. '112 West King Street ~zT'i~~ahn-g Pa. 17257 Complete kerns 23et ayy when candying physinan k not evadable al lime d death to 23a o the best of my kfrowktlge, death arced al lime tlate and place slated. (Signalae end Mle) 236~JLicense Number ~7 _ P~ <~ ~ ~ ~ y~ 23c. "Dal/4 Signetl (MOmh, day,/y~ear)(~ !J - Q ~. / I y cen9ycauseoldeelh. /~ ~ C1 / l/ CJ Items 24-26 must be oomOkLed by person 4 Time of OeaN 25. k Pronouncetl (NbMh, day r) 26. Was Case Felened to Medical Examiner! Coroner trn a Reason Other than Cremation or Doretion? wM prrnaunces death. ~ 3 30 v M. ^Yes No CAUSE OF DEATH (See Inalrucll a ntl examples) r Approximate kner dl: Pan IL Emer dha sjggl'icenl condaiau mnldbufrw to tlealh, 23. Did Tobacco Use Comdbde to Death? Item 27. Pan L Enter the cha'n d evenk - osroses, Injuries, or canpimliore - trel tliredty caused the tleeth. DO NOT enter leminal evade such as cardiac arrest r Onset to Death but not resuaing in the u^denYing rouse given In Pan L ^Yes ^ Pmbehly respiratory artesl, or vemriader lbndetia wsMd stuwkfglife dalogy, Lid only one cause on each line. ' / ~ ^ No ^ Unknown IMMEDIATE CAUSE (Firel tleease a I ^ ~ ~,, ( ~ ~p r ( rnMilpn resulting m dn) _~ [. Q_]- Q' { ~ ~G,/l~J^r- ~ 1 ~•~- ~-.~ i a. 2g. H Female. ^ N al ilhm Due to (or as a consequence d): r year ol pregnant w pe ^ Regnant et lime of death Sequemislryry Isl ,xxxlaiafs, a any. b, ~ IearNr~A to tlfe cause kdetl on line a. Due to uerxxf ol)~ ~ or as a conu ^ Nol Dregrenl, but pegnam wihin 42 days q j Emer the UNDEflLYING CAUSE d dadh (disease a injury Ihd initialed the ~, r events resdlfng m death) LAST ~ Due to (or as a consequence of): ^ Not pregnant, but pregnem /3 tlays to t year belle tlealh tl. 1 ^ Udcnam it pregnam within the past year 30a. Was an Autopsy 306. Were Autopsy Findkgs 31. Manre ealh 32a. Dale of Injury (Month, day, year) 326. Describe How kfpaY Occwred 32c. Place of Injury: Home, Ferm, Street Factory, Perbrnfed7 AvaikDk Pda b Completion d Cause of DeaIM lurel ^ Homicide Odice BuikFg, etc. (SpeGlyJ ^ Acddenl ^ Pending Imestigatbn 32d. Tme of Inlay 32e. Iryury al Work? 321. N Transpalalbn Injury (Specily) 32g. Loralron of Iryury (Sired, sky /town, stale) ^ Vas ^Yes ^ No [] Suldtle ^ Coultl Nol be DelennNletl ^Yes ^ No ^ Driver / Operdor ^ Passenger ^Pedesdian M ^Olrer ~ Spealy: 33a. Cendier (check mly one) 33b. Sgnalure antl Titled ie /~ • CerlllyMg physkim (Physician cenityng reuse of tlealh when earner physician has pronancetl death and ewnpldetl Item 23) To the bell of mY mowledge, dedh occurted due to Ire rouse(s) and manner u ahlee~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ ' t-/ v • Prorrouncirg and cenKying physiden (Physician both pafasclTMl desN are cenilymg to reuse of dealhj To the best d my krrowletlge, deem acurred el the Ilme, dale, end place, eM tlue to the cause(s) antl manner as akletl_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ • Nedkal Exemlrxr I Coroner 3:ic. License Number ~ / ~ ~ ( ~ __ ~ l 33d. Dale igned,(klpn717, tlay, ea I I ~(/~ t On the Desk d e r Invesligalion, In oplnio de acurretl al the time, tlele, antl place, end due to the cause(s) and manner es slekd_ ^ 34 Name and Atltlress of Person Who Complel Caused edh (Item 27) type !Print Regrsvai s Signal re ant Dklr tier ~ I ~1 I / I ~ I / . C I /t ti7 36. Date Filed (MOnlh, daY, yea' ~ ~,. Z 2 f'. /U i ~'sJ I, , 2b o C Disposition Permit Ne. (_,/l~ 7C'>~D~ LAST WILL AND TESTAMENT I, MARY A. MOWERY, of the Borough of Shippensburg, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament and revoke any Will or Codicil previously made by me. ITEM I: I direct that all my just debts (except as may be barred by a Statute of Limitations) and my funeral expenses (including my gravemarker and expenses of my last illness) shall be paid from my residuary estate as soon as practicable after my decease as a part: of the administration of my estate. ITEM II: I bequeath those articles of my household furniture and furnishings and those articles of my personal effects and personal property as set forth in a separate memorandum (which is signed by me, dated and makes specific reference to this Will and memorandum, which I shall place with my Will or deposit with my attorney), to the persons therein desi;~ated. ITEM III: I devise and bequeath the residue of my estate of every nature and wherever situate in equal shares to such of my nephew and niece, ROBERT A. PLUMB and KAREN A. /'`~ ~_~ ~ J L':af ~: ~? BODDE, as shall survive me by thirty (30) days. `-_~' ~_-~ - ITEM IV: Should either my nephew, ROBERT A. PLUMB, or my niece,.:iREI~._A. r , c°, BODDE, predecease me or die on or before the thirtieth day following; my deall~`~b~t leaving __, ~_ ~. = a -- descendants who so survive me, such descendants shall receive, per stirhes, the=~~are that~~ch - , predeceased nephew or niece would have received had he or she so survived me. ITEM V: If any property passes outright (either under this Will or otherwise) to a minor (which shall be defined as anyone under twenty-one (21) years of age) and with respect to which I am authorized to appoint a guardian and have not otherwise specifically done so, I decline to appoint a guardian but instead authorize my Executor to distribute such. property to a Custodian selected by my Executor (and my Executor may act as such Custodian) a;~ Custodian for the minor under the Pennsylvania Uniform Transfers to Minors Act. Provided, however, that this appointment shall not supersede the right of any fiduciary to distribute a share where possible to the minor or to another for the minor's benefit. ITEM VI: 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 the non-charitable portion of my residuary estate as part of the expenses of the administration of my estate. ITEM VII: I appoint my nephew, ROBERT A. PLUMB, and my niece, KAREN A. BODDE, co-Executors of this my Last Will. ITEM VIII: I direct that my Executors, custodians or their successors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. ITEM IX: The interests of the beneficiaries hereunder shall not be subject to anticipation 2 "C ~,,y~J or to voluntary or involuntary alienation. IN WITNESS WHEREOF, I hereunto set my hand and seal to this my Last Will and _... Testament, written on four (4) sheets of paper, dated this day of ~. ~ ; ~ , 2001. -.~~ `G (SEAL) MARY . MOWERY Q~ The preceding instrument, consisting of this and three (3) other typewritten pages, each identified by the signature or initials of the Testatrix, was on the day and date thereof signed, published and declared by the Testatrix therein named, as and for her Last Will, in the presence of us, who, at her request, in her presence, and in the presence of each other have subscribed our names as witnesses hereto. f ~~' ~ residing at 1/ ~Zl%~M.~(.~~f ~1~~ residing at l ~~i~' ~~~ i 3 COMMONWEALTH OF PENNSYLVANIA . ss. COUNTY OF CUMBERLAND I, MARY A. MOWERY, 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. (SEAL) MAR A. MOWERY Sworn to or affir ed an acl owledged before me by ~ D Q,r' ,the T tatrix, this ot~ day of - ~ , 2001. ~ ~ ' ~- Notary Pub c Notarial Seial Nichols J. Kellen, Notary Public Shfppensburg Boro, Cumberland County My- Commission Expires Aug. 18, 2003 COMMONWEALTH OF PENNSYLVANIA . ss. COUNTY/O~F CUM/BERLAND We, %r)U..(}~I I ~r~ ~• ~~/4~ and L~~~ ~ ~ ~l /SIJY~, the witness whose names 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 volunt~uy 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 eighteen (18) or more years of age and of sound mind and under na' constraint or undue in:Eluence. ,~. ,, ~~~r ~~~~'~- Sworn to or affirmed and subscribed to before me by t - /fit viS and Notarial Seal G SD witnesses Nrd~ols ~• Kellen, Notary Public ~SQ.Y~ , , rg Boro, CUrnberland Coun this ~ of ~ , 200. My ~~slon Expires aug. ~a. 200` n. L Notary Public v~- 4 PERSONAL PROPERTY MEMORANDUM TO ACCOMPANY WILL OF MARY A. MOWERY' As provided in ITEM II of my Will, I hereby designate that the following listed property shall go to the persons whose names are designated hereon. ITEM NAME DATED: SIGNED: MARY A. MOWERY