HomeMy WebLinkAbout07-18-08PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUI~TTY, PENNSYLVANIA
Estate of GENEVIEVE L MARTIN File Number 21 ' ~~' ~~
also known as
GENEVIEVE L MARTIN ,Deceased Social Security Number 191-16-6275
STEPHEN F J MARTIN
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 EXECUTOR named in the
last Will of the Decedent dated 1/2/2008 and codicil(s) dated
(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
(/f applicable, enter: c. t. a.; d. b. n. c. t. a.; pendente lite,~ durance absentia; durance minoritate)
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:(/f
Administration, c.t.a. or d.b.tt.c.t.a., enter date of Will in Section A above and complete list of heirs.)
Residence
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(COMPLETE IN ALL CASES:) Attach additional sheets if necessary. = `7 ~
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Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with his /her last pri aT{reside
" nc~ 4905~4~T
TRINDLE ROAD MECHANICSBURG PA 17050 HAMPDEN TWP ' ty - ~ ~._~,r_
(List street address, town/city, township, county, state, zip code) '~
Decedent, then 85 years of age, died on 7/7/2008 at HOLY SPIRIT HOSPITAL
CAMP HILL PA 17011
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) A11 personal property $ 275.000.00
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $
situated as follows:
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
STEPHEN F J. MARTIN
1930 DEER PATH ROAD HARRISBURG PA 17110
Page 1 of 2
Form RW-02 rer 10.13.06
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA ;
SS
COUNTY OF CUMBERLAND
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 affim-~ed and subscribed ~`_~~
~ p.~.~ Signature of
before me tae !.~_._~ day of
J Ll LY ,_,__ , 2008
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For the Register
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Representative STEPHEN F J MARTIN
Signature of Personal Representative
Signature of Persona! Representntive ~ ~ e°
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File Number: '~ `" ~
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Estate of GENEVIEVE L MARTIN , Dec~sed tv
Social Security Number:191-16-6275 Date of Death: 7/7/2008
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AND NOW, JULY ~ O , 2008 , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that LettersTESTAMENTARY
are hereby granted to STEPHEN F J MARTIN
in the above estate
and that the instrument(s) dated 1 /2/2008
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES
Letters ............................
Short Certificate(s) ~?~~~
Renunciation(s) ••••••••••••::
AUTOMATION FEE
JCP FEE ....
WILL ....
TOTAL
Register of Wills ~~
310.00
$ 20.00 Attorney Signature:
$ 5.00 Attorney Name: JAN L. BROWN
$ 10.00 Supreme Court I.D. No.: 67993
$ 15.00
$ Address: 845 SIR THOMAS COURT, SUITE 12
$ HARRISBURG
$ PA 17110
$
717-541-5550
Telephone:
$
$ 360.00
Form RW-02 rev. !0.13.06 Page 2 of 2
OCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
~ Fcr f~ys this certificate, X6.00
F 1.4~~~8~~i,
Certification Number
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I H105.143 REV 112006
TYPE PRUJT W
PERAUNENi
&ACK INK
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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
certificate will be forwarded to the State Vital
Recrn-ds Office t~)r permanent tiling.
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Local xRegistiar Date Issued
COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH 7 p
(See instructions and examples on reverse) srnrE FILE Nun4DeR / __ I • Q x • ~ ~~
1. Name d Decedent (F'rsl, midLe, Wsl. suttee 2. SBx 3 5«lal Security Nrmbel q. Dale d DeaN (MorM. tlay, year)
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191 - 16 - 6275 July 7 y 2008
5. Aga ILasl &nhday) Udder 7 year Under 1 day 6. Dale of Dinh (Monet, tley, yea!) 7. &rmpace ICiry and slate a for country) Ba Place al DBdm (Oheck only anal
ry,_
MgrNS WYS Ilaurs 11wa1Ba YloSpdal: Vugr.
85 Yrs. 1/2/1923 Philadelphia, PA Cg,npabenl ^ERlodpatenl ^DOA pNarsing Hone ^ResderYCe ^Oder Speciry.
&. County d Deals &. City, Dorn, Twp. of Deam 8d. Faca4y tyame iN trot instdulion, gwa setae[ and nwber) 9. Was Receded d Wspane Orign7 ~ No ^ Ves 10. Race: American Indan, Blacu. Wlde, ek.
Cumberland
East Pennsboro
Holy Spirit (II yes, spedfy Cuban,
Maxican,PuenoRman.ek) I Specify)
White
I I Decedent's Usual Occ tkn Ned of work tl we der most d workb life. Do nd stale reared t2. Was Decedent ever in Ise /3. Decetled's Education (Speciy qtly hyMSl grade carrpl eletl) 14. Marnd Slates: Marneq Nev« MarMd. 15. Surviving Slw use (If wile, give maiden ,wee)
YuM d WoM Kntl d Dusmess! udustry U.S. Armed Forces2 Elementary! Secadary (0-12) Gdlege (1-4 «5.) W~~' Retorted (~~
Teacher Education ^Yes ~Nn 2 Widowed
• Ifi Decetlarts Maikrrg Addess (Street uty !town. state, Zp code) Detalenl'S Did Decederd
sale Pennsylvania Live ., a „°
Meal Residence na
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Receded Liv
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9905 E• Trindle Rd. .
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Mechanicsbur PA 17050 °anty
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18. Father s Name IFust rtktlde. last suAu) 19. MoGer's Hams IFrd, nrddle, mai0en s«dme)
Francis Gerhardt Catherine Lange
20a. Inlomarrt's Name (Type ! Pndl 20b. Iniprred's MaiWy Aaaress (Street, ciy / bwn, slate, zq mda)
Stephen F•J. Martin 1930 Deer Path Rd. Harrisburg, PA 17110
Zta Meued of Disposivon ~ []Cremation ^ DOrlation 216. Date d asposnian (Matlh, tlay, yeazl 21c. Place d Deposfiorr (Name d cemetery, aemalay a amer place) ltd. Location ICh r tam, stale, zp rnde)
Q caeca ^ Removd b«n slate w.. cremation « DaMUdn Adnorl:ed Jul 1
2
2 0 0 Mary's Cemete
St Salem , N J 0 8 0 7 9
^ OIMr - Spenty: by Nedlal ExamMer / CoreMr7 ^ Yes ^ No ,
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~ 22a Signature Fu al Se Lit (a g hI 22D. Cleanse NuMd 22c. Name and Adkeu d Facialy Neill Funeral Home Inc .
- - cap FD 013239 L 3401 Market St. Cam {fill PA 17011
Complete pen t orgy when ceNlyarg 23a. To de best d my kzrovAedga, death xcuned a[ the Lime, date and place stated (Sgnamre and title) 2;Ib. License Number 23c. Date Signed IMOdn, day, year)
physiuan avaaaok aI d,w d doaN b
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Ikvtu 2426 muss M competed by person 24. 7 ne of Death
• 25. Dale Pralwtced Dead (MOnW, day, year)
" 26. Was Case Relerred to Medical Examner / Coraw la a Reason War own Cremalbn a Donatwl?
wM gorwukes deem. ~ s Op ~ µ. ~ ', 0 ~ []Yes ~b
CAUSE OF DEATH ISM Inetructlon~ rtna M~mplae) r Apyroximale nlend: Pan II; Enter dher Iq,ygtllp, 28.Od ToOacw use CCnmUUle to Deem?
erase 2l Pan I. Emer me dstia d eve ru - dseases. ayunns, a cwrµrkcatrors -that direQty caused Ne deem. DO NOT aad lermbd evade 5u Ji as caNiat arrest, r Onsal b Deam LN rql resukKq m Ne adarlyYg Wuse given xl Pan 1 ^ YB5 ^ Probably
resgratory aned, a vedrkular IIM4lalion widwul 5homrg IM atabgy. LiA ady one cause al earn Gne.
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e No ^ UNVwwn
YIMEDIATE CAUSE IFuW dueasea ~~~~ I e„ / y.~y r(1,~~-. IQ ,
rnldtm resutlng in Oeauq _~ a t~'-(~ Vl l./1 ~¢ z
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lea6rq 10 me CduSd Etiled ar ine a Dub to for as a NrISBGUBrN:B ol)'. 1
En r Bee UNDEfllY1NG CAUSE Nd t but 1 wrthm 42 da s
^ pragnan. pegnan y
Idw~~ew uy U,aI,NU.aCJ Ica (~,do `/ ~
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evens wwlw
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Drab (nr ae a nmu•glwlx a „Ij t ~-
' ~ M4 piyyuuA. ten Ine,yiwN 41 rlsys N I ypa
d_ 1 ~L bekne death
Ly Unkrawzrr d pepwd widen IM past Yawl
30a Was an AWOpsy 300. Were Mutopsy F'rntings 31 Manner of Death 32a. Dole of Irjury (Monty, aay, year) 326. Describe How Injury Occurred 32c. Place d Irµuy: Hares Farm, greet Factory.
Penomwd? Available Pow to Compldion
a cause d Deam?
^ N01urd ^ Manicde Ohre ButlOng, ek. (SpedN!
Yes [~ No ~ Yes ~ No ^ Acadent ^ Pending Investigation 32tl. Time d Iryury 32e. Inury el Work? 321. II Transportation Injury (SpenNl 32g. Local d Injury (Strad, city ! bwn, sWe)
Sukpe ^ Could Not be Debrmned ^ Yes ^ No ^ Driver I Operator ^ Passenger []Pedestrian
M aMr spe<;N
33a CRrYfrer (drack Wy one! 33b. $ynabre and TiM of Ceniler
• Denityirtg phyaicw (Pnysrun wrtirymg rouse d deals when an0lher pnysbian has pronounced deaN and conrpleletl Item 23)
To de MStdmy Ynowleage, deaN acarted drebthe cauae(s)aM mamer as abted_________________________________ ^ -
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• Prorwurrcinq and ceniryfng pnyalcisn (Physician bolo pronounung deem and ceNfpng Lo cause of deaN) 33c. License NaNer 33d. Date Sgned jMonm, day, Yearl
To Ne best of my knowbdge, deem attuned aM tM lime, dale, and place, antl due to IM caocela) and manner as alaled_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
• Medcal Examiner I C«a~r
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On de basis d examWUan and / or MvestigaUOn, in mY opinion, deem otturred at tM time, date, and plxe, and due to ue causBla) aM manner n atitad_ ^ 7 Prim
re antl Address of F'ersan WM Com
leted Cause d Deam (Mm 27) Type
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Dispos'dion Permit No. ~~ r~ r~ 1 / V [J
LAST WILL AND TESTAMENT
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GENEVIEVE L. MARTIN } ~ ~ ~ `±
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GENEVIEVE L. MARTIN, now domiciled in Cumberland County, Penns~~nia,
I de~ar e :
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this to be my Last Will and Testament. I revoke all other wills and codicils that I may'lT'ave
previously made.
Article I
My just debts and expenses of my last illness, funeral, and administration of my estate shall
be paid by my Executor from the principal of my residuary estate as soon as practicable after my
death.
Article TT
All inheritance, estate, and succession taxes (including interest and penalties thereon, but not
including any generation skipping tax) payable by reason of my death shall be paid out of and be
charged generally against the principal of my residuary estate without reimbursement from any
person. This provision is not a waiver of any right which my Executor has to claim reimbursement
for any such taxes which become payable as the result of any property over which I have the power
of appointment.
Article III
I give, devise and bequeath in accordance with any memorandum which I have either
handwritten or signed, located with my will or with my valuable papers and found within 30 days of
the probate of my will. Gifts may only be to persons who survive me or to organizations which exist
at my death, and if there is a conflict, the memorandum having the latest date shall govern.
Article N
I give and bequeath all personal property, including but not limited to my jewelry, household
items, furniture and photographs to my son, STEPHEN F. J. MARTIN, of Dauphin County,
Pennsylvania.
Article V
All the rest, residue and remainder of my estate, of whatsoever nature and wheresoever
situate, I give, devise and bequeath as follows:
SEVENTY FIVE PERCENT (75%) to STEPHEN F. J. MARTIN; and
TWENTY FIVE PERCENT (25%) to my son, ARTHUR J. MARTIN, JR. of
Haddonfield, New Jersey.
If STEPHEN F. J. MARTIN predeceases me or fails to survive me, I give and bequeath his
share to THE ORDER OF FRIAR SERVANTS OF MARY, or its successor(s), 3121 West
Jackson Boulevard, Chicago, IL 60612 to be used at its discretion.
If ARTHUR J. MARTIN, JR. predeceases me or fails to survive me by thirty (30) days, I
give, devise and bequeath his share to STEPHEN F. J. MARTIN.
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Article VI
I nominate, constitute, and appoint STEPHEN F. J. MARTIN as Executor of my Last Will
and Testament. In the event of the renunciation, death, or inability to act, for any reason whatsoever
of my Executor, I nominate, constitute and appoint my attorney, JAN L. BROWN of JAN L.
BROWN & ASSOCIATES, or its successor(s), or any attorney with JAN L. BROWN &
ASSOCIATES or its successor(s) as successor Executor of my Last Will and Testament. I direct
that my Executor or successor Executor be permitted to serve without bond and in addition to those
powers granted by law, I grant them power to distribute in cash or in kind in like or in unlike shares
and to file any qualified disclaimer I could have filed if living. My Executor or successor Executor
shall receive reasonable compensation for services rendered to my estate.
Article VII
In addition to the powers conferred by law, I authorize my Executor and successor Executor,
in his/her absolute discretion:
(a) to retain in the form received and to sell either at public or private sale, any real estate or
personal property except that which I specifically bequeath herein,
(b) to manage real estate,
(c) to invest and reinvest in all forms of property without being confined to legal
investments, and without regard to the principal of diversification,
(d) to exercise any option or right arising from the ownership of investments,
(e) to compromise claims without court approval and without consent of any beneficiary,
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(f) to file any federal income tax return for any year for which I have not filed such return
prior to my death,
(g) to make distributions in cash or in kind, or in both, and to determine the value of any
such property,
(h) to employ any attorney, investment advisor, or other agent deemed necessary by my
Executor; and to pay from my estate reasonable compensation for all their services,
(i) to conduct alone or with others, any business in which I am engaged in, or have an
interest in at time of my death, and
(j) to receive reasonable compensation in accordance with their standard schedule of fees in
effect while their services are performed.
IN WITNESS WHEREOF, I, GENEVIEVE L. MARTIN, hereby set my hand to this my
Last Will and Testament, on ~'
2008.
ENEVIEVE L. MARTIN
In our presence, the above-named GENEVIEVE L. MARTIN signed this and declared this
to be her Last Will and Testament and now at her request, in her presence, and in the presence of
each other, we sign as witnesses.
Name
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Address
845 Sir Thomas Court, Suite 12 Harrisburg PA 17109
845 Sir Thomas Court, Suite 12, Harrisburg PA 17109
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I, GENEVIEVE L. MARTIN, Testatrix, who signed the foregoing instrument, having been
duly qualified according to law, acknowledge that I signed and executed this instrument as my Will,
and that I signed it willingly as my free and voluntary act for the purposes therein expressed.
Sworn to or affirmed and
acknowledged before me by
GENEVIEVE L. MARTIN, the Testatrix
on ~" 2 2008.
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Notary Public
OMM~NWEAtTIi OF PENNSYLVA
NOTARIAL SEAL
PAULA K. WHITE, NOTARY PUBLIC
LOWER PAXTON TWP., DAUPHIN COUNTY
MY COMMISSION EXPIRES APRIL 5, 20D8
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ENEVIEVE L. MARTIN
We, the undersigned witnesses who signed the foregoing instrument, being duly qualified
according to law, depose and say that we were present and saw the Testatrix sign and execute this
instrument as her Will; that she signed and executed it willingly as her free and voluntary act for the
purposes therein expressed; that each of us in her sight and hearing signed the Will as witnesses, and
that to the best of our knowledge, that she was at that time eighteen (18) years or more of age, of
sound mind, and under no constraint or undue influence.
Sworn to or affirmed and
subscribed to before me~' ~ ~
by~' ~?<
and J o ~ ~ - ,
witnesses, on I - 2
Notary Public
MMONINEALTH OF PENNSYLVA
NOTARIAL SEAL
PAULA K. WHITE, NOTARY PUBLIC
LOWER PAXTON TWP., DAUPHIN COUNTY
MY COMMISSION EXPIRES APRIL 5, 2008
~ ~
Witness
2008.
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tness
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