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HomeMy WebLinkAbout07-11-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of LYDA J. MONISMITH also known as Deceased Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the CO-EXECUTORS last Will of the Decedent dated JULY 7, 2004 and codicil(s) dated named in the (State 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 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 liter durante absentia; durante minoritateJ 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. or d. b. n. c.t.a., enter date of Will in Section A above and complete list of het.'rs.) (COMPLETE IN ALL CASES:) Attach additional sheets iJnecessary. Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his /her last principal residence at 1535 LONGS GAP ROAD NORTH MIDDLETON TOWNSHIP CARLISLE CUMBERLAND COUNTY PENNSYLVANIA (List street address, town/city, township, county, state, zip code) Decedent, then 83 years of age, died on JUNE 12, 2008 at CARLISLE REGIONAL MEDICAL CENTER, CARLISLE PENNSYLVANIA 17013 Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 55,000.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ 136,000.00 situated as follows: 1535 LONGS GAP ROAD, NORTH MIDDLETON TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA 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 fornl to [he undersigned: Si nature T ed or rinted name and residence G' RICHARD L. MONISMITH, 273 NORTH MIDDLETON ROAD, CARLISLE PA 17013 _ , ~ ~ //`~_ /'~, _ LYNDA K. COLLEGE, 35 SHARON DRIVE, SHERMANS DALE, PA 17090 THOMAS E. MONISMITH, 2210 LONGS GAP ROAD, CARLISLE, PA 17013 COUNTY, PENNSYLVANIA File Number Social Security Number 201-16-4687 Form RW-02 rev. 10.13.06 Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND 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 the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed ahnd subscribed before me the `" day of ~ ~ ~ , C____~---' or the Register J File Number: Estate of LYDA J. MONISMITH Deceased Social Security Number: 201-16-4687 Date of Death: JUNE 12, 2008 AND NOW, , in consideration of the foregoing Petition, satisfactory proof ~~ having been presented before me, IS DECREED that Letters TESTAMENTARY are hereby granted to RICHARD L. MONISMITH, LYNDA K. COLLEGE AND THOMAS E. MONISMITH in the above estate and that the instrument(s) dated JULY 7, 2004 described in the Petition be admitted to probate and filed of record as the last Will (end Codicil( FEES '~ ~+c ~-j")~- yam, Letters ............... $ 260.00 Short Certificate(s) ...... .. $ 4.00 Renunciation(s) ........ .. $ JCP $ 10.00 AUTOMATION FEE $ 5.00 WILL . , . $ 15.00 . .. $ . .. $ . .. $ . .. $ . .. $ . .. $ TOTAL ............ .. $ 294.00 / ~ !~ .+ Signa re fPe oval Representative ~~ C7 r ~ K~ - (R ature of Personal Representative ~~~ ~ r~.:: > r ~- - t 4~ Signature of Personal Representative ,~ ~ ~ 7 -~ - ,.. --~ i ~ Attorney Signature: Attorney Name: Register of Wills fC ;~~~''--~J ~``~-~~ G ROGER B. IR ,ESQUIRE Supreme Court LD. No.: 6282 Address: Telephone: 60 WEST POMFRET STREET CARLISLE, PA 17013 (717)249-2353 Form RW-02 rev. !0.13.06 Page Z Of 2' Huls.su~ Nev ,ovu~, LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. ~ Fee for this certificate, $6.00 P 1648714 Certification Number This is to certify that the information here given is correctly copied fi-om an original Certificate of Death duly filed with ins as i_ocal Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. ~- , ~Yh~E-/ ~z ~~~- JUN 4 Oaf Local Regisn-ar Date [slued __ rs n f_~ o ~-:. .. ~, ~... . _ ~ , ~ - ~ ~ r-- ; _ . , ,-, ,- ., ; ~ ~ ~ -' Htb3.143 REV 11120DS COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS - ' ~"'- - ~ - - ' •. - l` " TYPE! PRINT IN ---t ~ CERTIFICATE OF DEATH ~ PB ~ ~ ~ r 4 ; ~ ~~y Ua u (See Instructions and examples on reverse) STATE FILE NtlY718ER _ w ~I a 0 1. Name d De stied (First middle, fall, suffix) 2. Sex 3. Serial SecurNy Number 4. Dale of Death (MOnI , year) Lyda J. Monismith Female 201 - 16 - 4687 June 12, 2008 5. Age jlast &nMay) UMer 1 year Under 1 day 6. Dale of BiM (Month, day, year) 7. Bidbplan (Ci ary state or I Caunl ) Ba. Plan of Doalh (Check on one) 83 Manna Days Nwxs IAiuxes Dec. 4, 1924 Newville, PA Ho4pdal: Ofnec Vrs. ®Irysatient ^ER(Outpalient ^DOA ^Nursing Home ^Resyenn ^Otlser-Speciy: 80. County of beam &. City, Boro, Twp. d Death 8d. Facility Name pf rot katiWMn, give street and nwnMr) 9. Was Decedent of Hispank Origin? [~ No ^ Ves 10. Race: American Indian, BIacN, While, etc. Cumberland S. Middleton Tw p • Carlisle Re tonal Medical Center g etYae,apepirycahan, M P R j White exican, uedo kan, etc.) 11. Decedent's Usuel gecu Lion KirM d work tl one tlu most d Itle. Do not stale refired 12. Was Decedent ever in IM 13. Decedent's Education (Speclty oNy 111gMst grade comp leted) 14. Mahal Slalus: Maryletl, Never Martietl, 13. Survrving Spo use (II wile, gNe maiden name) 'litled'~°utter .t(nd°deBusgecs°IlMuslry Sam JI1 U.S.AmletlForns? Elementary/Senntlery(P72) Collega(1-4or5+) Wtl,Drv°rced(SpeciM p ll, ^Yaa ~]Ne 8 Widowed • 16. Decg~pt' Address (Sre dry / I ,slate, ip code) ~oadZ 1~~~~on s ~a Decetlent's Ditl Decedem PA uveya ~ North Middleton A lR n l S g p Carlisle PA 17013 dua esk ence a. lale 17c. Vss, Decedent Lived in Twp. Cumberland T°w"~'"°? 17d.^Na, Decetlenl Lived wimin 17b c , . oanry Aclaal llmNsd ciry/13ao 13.Fmher'aName(FUS6nktlde.laU.audix) Robert Russell 19Mdher'shame(Fusl,middle,maidensumeme) Sarah Hurley 20a. Inlorment's Name (Type! Pdntl 20b. InlarmanYs Mailhg Adtlress lSMel, Ury! sown, slate, zip code) Lynda Colledge 35 Sharon Drive, ShermansDale, PA 17090 21a. Memod d Disposilkn I ^ Cremation ^ Donaton 21 b, Date d Dispositbn (Mmm, day, yearl 21c. Place d Dispoailien (Name d cemetery, uematory a IAMr pace) 21d. Location (City /town, stale, zip code) ` al ^RertavallromSmle I~s C3BUn • ~Ebn~DOial~umodzad June 17, 2008 Cumberland Va1~a ens°rial ' Carlisle, PA 17013 ~ l ^ ~ ^Yes^NO I d 22a.SgretuedFuner ~ see (a personaclkgassuch) 27b..UcgnFr,MwMer 22c.NameaMAtldressdFadliry o man- of unera aura rematory, nc. ~ _ 219 N. Hanover St=, Carlisle, PA 17013 Conglete Items 23ac oNy when ndityilg 3a. To the bell d my knoMedga, tleam acwrtetl ffi the time, tlete and place staled. (Sgnature ant ktb) 23b. License Number 23c. Data Signed (Month, day, Year) pnyskaan is riot available of lime of death y ' cMily cause d tleam. kern 24.2fi must M canpletad fry person 24. Time of Death p ~ ) 25. Date Pronounced Dead jAlontll, day, year) 26. Was Case Referred to Merkcal Examiner /Coroner for a Reason DIMr Ulan Cremelkn or Donation? wMprondncesdeam. y ~ ~ -1 "PP ^+. June 12, 2008 ^Yee ~ CAUSE OF DFATH (Sae instruglons end examples) r Approximetw interval: Part II. Emer dher simific m condilw»s caMM~_nn to =th, 28. Did Tobacco Use CentriMle b Deem? Item 27. Pad I: Enter IM rAaia d events -diseases, injuries, or nmpkcelkrns -that tiredly caused IM death. DO NOT enter terminal events such as cardac artesl, r Onset le beam I respirelary artesL or venaaWar BhriUatlon wklhwt slawng U w etl d o g/. list pNy on e cause on each Fite lw1 not res dlm9 m IM uMadyxlg cause given'n Pad I. ^ Yes Probably . / / NE E ^Unknown AIAT C~ IFne, tliseas w / y ~ ,, ~ / ~ ~ ~ ~_ C rznd6on resdfi n em +~- s - `~ A~ '~ 2B. B Female: ~ 1~'+ a. t e- /v4`{.cwi9f ~l{~ i '" ~m ~y ~ Due to (or as a consequence oN: r preglem within past year Saqu list candeans, it any, p, I to the reuse listed m Ime a ~ - ^ Pregnarlt al lime of tleam . Enter UNDERLYING CAUSE Due to (or as a consequence dJ: I ^ Nd pceryyenL by gegnelM within 42 days (disease or njtry that initialed the c r events resuNing n death) LAST. , _ of tleam Due to (or as a consequence dl: r ^ Not pregnant Ma ptegren143 days m 1 year r Mkre deem d. r ^ Unknown H pregnant within IM pall year 30a. Was en Autopsy 30b. Were AuapsY Fkxfkgs 31 Maurer d Death 32a. Dace of kqury (Monet, day, yearf 32b. Describe Now Injury IXpxretl 32c. Platy d Injury: Horne, Farm, SueeL Factory, PeMrmed7 Available Prior b Compleda~ Wral ^ Homxatle Office BWdlnp, ek. (Specify) of Cause d Deem? ^ Yes ^ Yes ^ Accident ^ Pendng Investigation 32d. Time al Injury 32e. mtury ar Work? 321. II Trartsponalkn Irqury (Specify) 32g. LoceMn d Injury (Street, city /town, stele) ^ Sukye ^ CoWd Nd M Detemurwtl ^ Yes ^ No ^ Driver (Operator ^ Passenger ^Petlestr1an M ^Other - Speydfy: 33a. CeNker (dieck only one) 3~. Sgrelme and T41e of iM ' • CerBtymg PNYskian (Physkun certifying cause d death when andhar physkian rtes pronaxlced death and canpletetl Item 23) O ~ To tM Ma[ of m know y kdga, hem occured due to ma cauae(s)ary manner ere alabtl_________________________________ ^ • Pronouncing ant nnityl~ phyaklan (Pnysician bdh pmnouncirg death and cediryaig to cause of death) Te Vle Mel of my Wwwbdge, deem occurred at 1M time, data, cry place, and due to me cause(s) and manner ac etate~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ . Unnsa NumMr y 33d. Data Manm, day, year) lam' O S ~ ~ ~ ~ ~ • tMdkM Examiner / Coroner - ltf~y Q, I ~ F~Q ~ -" O On IM baste d examinatlon end I m mveatlgetWn, m my aplnlon, death occurred at tM lima, date, and plan, ary due to IM cause(s) and marlnr ere sUted_ ^ 34. Name and Address ul PersalJQmo.Cgmpleled Cauye of De {Item 2Z) Type I Print 35. Re ~ /fs'•Gg-n,atu-re a'nd Di NJum//pe~Q ~ ~ /~ ~ ry- /y ~ ® ! ~[X~ ~ ~ ~ / ~ ~ v /x+-VL( +d F ( 36~, D{a'le Rlad (Monln, dayryyear) ~/ l)~ ~ ~ ~ 1/_l_ n /''~ C ~ V - K~f / XQ -(.(iL•> /u D 6 .rM A2 i Ih. t.g.~-. ~/L--. Dispositron Permit No. ©~.~aSadxS r~.> ~ r~ LAST WILL AND TESTAMENT ;J=° ~,:~ ~. ~~ , ' i n ---•- ~ .. .....; ; :.- ~.~ I, LYDA J. MONISMITH, of North Middleton Township, Cumberland ~ounty~ < -;- ---~ .. v J _. .. Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressl°~„ ' revoking all Wills and Codicils heretofore made by me. 1. I direct my Executors to pay all of my debts, funeral and administrative expenses as soon as maybe done conveniently after my decease. 2. I authorize and empower my Executors to sell any realty owned by me at my death, and not specifically devised herein, at either public or private sale, and to give good and sufficient deeds therefor, in fee simple, as I could do if living. 3. I devise and bequeath all of my estate of every nature and wherever situate to my three (3) children, share and share alike, the child or children of any deceased child taking the share their parent would have taken if living. 4. I nominate and appoint RICHARD L. MONISMITH, LYNDA K. COLLEGE and THOMAS E. MO?~TISMITH to be th° ~XPCutor~ of this „Zy T ast Wi_1d and Testament; they are to serve as such without bond. 5. I hereby suggest that my personal representatives retain the services of Irwin & McKnight as attorneys in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this '~ ~ day of July, 2004. a ~ (SEAL) LYDA . MONISMITH Signed, sealed, published and declared by LYDA J. MONISMITH, the above-named Testatrix, as and for her Last Will and Testament, 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. "r ~ ';" ~ 2 ACKNOWLEDGMENT AND AFFIDA VAT WE, LYDA J. MONISMITH, CHERYL L. CLELAND and SHARON L. SCHWALM, the Testatrix and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and Testament, that she had signed willingly, that she executed it as her free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as a witness and that to the best of their knowledge the Testatrix was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND . SS: Subscribed, sworn to and acknowledged before me by LYDA J. MONISMITH, the Testatrix herein, and subscribed and sworn to before me by CHERYL L. CLELAND and SHARON L. SCHWALM, witnesses, this 7r day of July, 2004. 3 . cam, Public --~ Notarial Seal Roger B. Irwin, Notary Public Carlisle Boro, Cumberland County My Commission Expires Oct. 3, 2004 Member, Pennsylvania Associatianot Rlotaries 3 - t - SHARON L. SCHWALM