HomeMy WebLinkAbout09-09-08PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF ~~"~~L~ COUNTY, PENNSYLVANIA
Estate of RUTH A. MELLON File Number ~ I V 0 ~ 1
also known as
,Deceased Social Security Number 221-07-8428
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 F.xcu-i~firi ~r named in the
last Will of the Decedent dated March 25, 1998 and codicil(s) dated
(State relevant circumstances, e.g., rem~nciation, 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; db.n.c.t.a.; pendente lire; durarae absentia; durante minoritate)
Petitioners) after a proper search has /have ascertained that Decedent left no Will and was survived by the following s~ e~if any) at~teirs:.(If '__
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Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) ~ ~ f~r'i t`
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(COMPLETE WALL CASES:) Attach additional sheets if necessary. ,_
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at
(List street address, town/city, township, county, state, zip code)
Decedent, then 92 years of age, died on Auqust 14, 2008 at Manorcare Health Services,
1700 Market Street, Came Hill, PA 17011
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ 120,000.00
{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:
Si azure T d or rimed name and residence
!~'~'/', ~ MARGARET R. FULTON, 721 Second Street, New Cumberland, PA
17070
Form RW-02 rev. 10.13.06 Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF
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 and subscribed
Signature of
k~efore me the ~ day~f --
Signature ojPersona! Representative
FOr thyme a Reglgter Signature ojPersonal Representative
File Number:
Estate of RIJ'I'H A- MELLON
Social
AND NOW, _~
having been presented
are hereby granted to _
Number: 221-07-8428
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R. FtJLTON
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,Deceased
Date of Death: Auclust 14, 2008
in co~tsiderationpf the foregoing Petition, satisfactory proof
IT IS
and that the instrument(s) dated // l~lr[,-~1 ~ ~
described in the Petition be admitted to probate and filed of
FEES
Letters .... ~°`~~.QaD..
j~ $ p~(g~
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Short Certificate(s) ... $
iation(s) ..........
Renu
nc $
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JC ... $ ~~
t ~ ... $ ~5
... $
... $
... $
... $
.".. $~
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.TOTAL ...... _ ....... •~:~e--~-~
$~~53
in the above estate
as the last Will
Register ojWi![s /1'~ / p~-~-F^rf-G(-/`;
Attorney Signature:( ~/ ~U~^^~
Attorney Name: Harry M _ Rate sri n _
Supreme Court LD. No.: 83006
Address: 2604 N. Second Street
Harrisburg, PA 17110
Telephone: 1J_1Z,~ 2~L-427
Farm RW-oz rev. ro.rs.o6 Page 2 of 2
H 105.805 REV (OI/U7)
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
3 REV 11Y2006
/PRINT IN
IMANENT
ACK INK
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
Records Office for permanent filing.
A~Ji ,4 ~~
o is ar Date Issued
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse) ~T~rr: ~„ ~ ~,,,,,Ofe ,~ I
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1. Name of Decedent (Flrst middle, last, sWfix) 2. Sax 3. Social Security Number 4. Date of Death (Month, tlay, yeap v
Ruth Adeline Mellon female 221 - 07'- 8428 Au ust 14, 2008
5. Age (last &rthtlay) Under t year Under 1 day 6. Date of Birth (Month, day, year) 7. &rthplace (Cary arid state a lorei n country) Be. Place of Death (Check only one)
Monms Days Hours twMee Hospital: Other:
92 yrs. February 15, 1916 Chest Springs, PA ^Inpatlem ^ER/Oulpahent ^DOA ~]NUrsirgHOme ^Residerce ^otner-speaty
Bb. County of Death &. City, Boro, Twp. of Death 8d. FadNly Name QI not imaNfion, give street end number) 9. Was Decedent of Hispanic Origin? ®No ^ Yes 10. Race. American Indian, Black, Whae, etc.
Cumberland Cam Hill
P Manor Care (It yes,spedryCuban, ISOeciM
M
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P
R
ex
Wn,
uerto
iran, etc.) Wh 1 t e
11. Decedent's Usual Occu tan Kind of work dme du' most of workin life, Do not slate retlred 12. Was Decedent ever in the 13. Decedent's Educatbn (Specify only highest grade completed) 14. Marital Status: Married, Never Mamie4 15. SurvNing Spouse Qf wile, give maiden name)
KiM of Work Kind of Business /Industry U.S. Armed Forces? Elementary /Secondary (P12) College (1-4 or 5+) Widowed Dlvorcetl (Speclyr
rioting printing ^ves k7Nn 12 never married
16. Decedent's MaNkg Address (SlreeL dry I town, stale, zip code) Decedent's Did Decedent
Pennsylvania li
i
1700 Market Street ve
Actual Residence 17a. Slate
ns 17c.^YeS, Decedent wad in
Twp.
PA 17011
Cam Hill
P t7b. COOnry Cumberland township? 17tl.®NO, Decedem Lived wthin
Ca
Hill
, mp
Actual Limns of
City / Born
16. FaNer's Name (First, middle, last wffix) 19. Mdher's Neme (First, middle, maiden wmame)
Frederick T. Mellon Marian E. McGonegal
20a. InfomumYS Name (Type I Prnt) 20b. Inlommnl's Mafiing Address (Street, city I town, state, zip code)
Peggy R. Fulton 721 Second Street, New Cumberland, PA 17070
21a. McNOtl of DlspoWtpn j ^ Cremation ^ Donakon 21b. Date of Disposifian (Month, tlay, year) 21c. Place of Dlsposilbn (Name of cemetery, crematory or other place) 2/tl. Laraticn (City /town, state, zip code)
^ 0® BunaS~rry^ HemovalFranSlate ~ wletwri~Do/neCtbnor~ArutThalud^Yes^No August 18, 2008 Holy Cross Cemetery Swatara Twp. , PA 17112
22a. SigmaN neroLSe ~ ~ Berson acdng as such) 22b. License Number 22c. Name aM Address of Fadliry
- / If FD 012 848 L Parthemore FH & CS, Inc., P.O. Box 431, New Cumberland, PA 17070
Comldele Items 23ac Dory when cerfifying 23a. io Me best of my krgwledge, death occured at the lime, date and place staled. (Sigrature and Title) 23h. License Number 23c. Oats Signed (Month, day, year)
physican is not avenaWe at time of death to
cerAly cause al deem.
Items 2426 must be completed try person 24. Time of Deem 25. Date Pronounced Dea
d (Month, day, year) 26. Was Case Refened to Metlkal Examiner I Coroner for a Reason Other than Cremation or Donation?
who Pronounces death. (] ~
(~ •) S 1_",. y
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1. ^ Yes ^ No
CAUSE OF DEATH (See inetructtona and examples)
, Approzimete imervel: Pan II: Enter other sionificent corditians coMnhufrw to death, 26. Did Tobacco Use Contribute to Death?
Item 27. Pen I: Enter ttre chain of events -diseases, injures, or complka/ions -that drectly caused me death. DO NOT enter terminal evems such as rardiac arrest, r Onset to Deem
respiratory arrest, or venlrkular fibrilla without showing Iha elblagy. list only one cause on epch Ilne. r but not resulting in the underrying cause given in Pan I. ^Ves ^ Pr
IMMEDIATE CAUSE 1Rnal disease or i ^ No nknown
condkbn resulting in death) _i a. , 29. yIf F~emale:
Due to (or as a c of)' I7_d N01 pregnant within pall year
Sequenaalry liar condifions, if any, b ~
lead' to the cause listed an line a ^ Pregnant at tlme of death
. Due to (or as a copse uence o :
Enter the UNDERLYING CAUSE q ~
^ Not pre rant but
g pregnant within 42 days
(dl5ease or i(ry'ury that inniatetl the c .
events rewmng m death) LAST r of death
Due to (or as a consequence off: r ^ Nol pregnant, bW pregnant 43 days to t year
r
d~ r before death
^ Unknown if pregnant within the pall year
30a. Was an Autopsy 30b. Were Autopsy Findings 31
r of Death 32a. Date of Injury (Month, day, year) 326. Describe How Injury Occurred 32c. Place of Injury: Home, Farm, Street Factory,
Pertonned? Available Prior to Completbn ~
Natural ^ Homicide Office Building, etc. ISpecity)
of Cause of D
e
ath?
/
^ Yes No ,
-
/
^ Yes I yxyO ^ ~~denl ^ Pending Invesligahon 32d. Tme of Injury 32e. Injury at Work? 321. If Transponation Injury (Specify) 32g. Localim of Injury (Street dry /town, state)
TTT ^ Suicide ^ Caid Nol he Determined ^Ves ^ No ^ Diiver /Operator ^ Passenger ^ Patlestran
M Omer ~ Sperry:
33a. Certifier (check only one) 33b. Slgnawre and T
• Certitying physician (Physician cerrrying cause of death when another physician has prmamced deem and completed Item 23)
To the best of my knowledge, death occurred due to the cause(s) and manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
• Pronoundng erM cedHying physician (Poryswian both pronouncing death aM cenirying to cause of death)
To Me heat of my knowledge, death occurred at the Time, dale, arM place, and due to the cause(s) end manner as shted_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ . L um r 330. le 'red (Month, day,
/ `
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• Medical Examiner /Coroner ~
` Il
(~~J
On the heats of examination and I or investige6on, In my opinion, tleaM ocamed at the time, date, and pace, and due to the cause(s) and manner as ataled_ ^ i
~ and A s of Pe ho Completed Cause of th 7) ype / P
Re Synature and ' ~ I / I ,] I / ~ I 36. Date Rletl (M ,tlay, year) _
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LAST WILL n ~ ~=r
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RUTH A. MELLON , ~
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I, Ruth A. Mellon, now domiciled in Cumberland County, Pennsylvania, declare this to be my
Last Will. I revoke all other wills and codicils that I may have 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 II
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.
Page One of Five
Article III
I give, devise, and bequeath, all my property, real, personal, and mixed, to my beloved sisters,
Loretta P. Weir and Helen M. Ilioff, in equal shares provided they survive me by thirty (30) days. In
the event either of my sisters should fail to survive me by thirty (30) days, her share in my estate shall
pass to her living children.
Article IV
In addition to the powers conferred by law, I authorize my Executor, in his 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,
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,
Page Two of Five
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, and
I. to conduct along with or with others, any business in which I am engaged in or have
an interest in at the time of my death.
Article V
I nominate, constitute, and appoint Margaret Fulton, Executrix, of my Last Will and
Testament. In the event of her renunciation, death, resignation, or inability to act for any reason
whatsoever as my Executrix, I nominate, constitute, and appoint Patricia Danner, to act as my
Executrix. I hereby relieve my Executrix, whether original, substitute, or successor, from the
necessity of posting security in connection with her duties as such in any jurisdiction in which she may
be called upon to act so far as I am able by law to do so. My Executrix shall receive reasonable
compensation for services rendered to my estate.
IN WITNESS WHEREOF, I, Ruth A. Mellon, hereby set my hand to this my Last Will, on
this ~~51~ day of _~ ~,r,~-~ ~- , 19~ at Harrisburg, Pennsylvania.
(~,~e.~. Ci x'1,1-e-~-~,'r..~.,--'
Ruth A. Mellon, Testatrix
Page Three of Five
In our presence, the above-named Testatrix signed this and declared this to be her Last Will
and now at her request, in her presence, and in the presence of each other, we sign as witnesses.
Address
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I, Ruth A Mellon, 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
Ruth A. Melon, the Testatrix,
this ^' `" day of
a 19~
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NOTA AI. SEAL
~ATRICIA A PAT~TON Notary Putf~:.
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!_ower PH~v",fin t-Dauphin C~?
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Ruth A. Mellon, Testatrix
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
Page Four of Five
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 ' /~
s 'bed t bef me y
and ~~ ~ ~ ~ . fitness ~
witn es, his -~ ~- d of
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NOTARIAL SE.AI_
r'ATRICIA A. PATTO~d, Notary PubFC
Loeser P~:,~a. ~~ = . t~'~uD'nin Go
Page Five of Five