HomeMy WebLinkAbout09-09-08PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of MABEL S. ROBINSON
also known as
Deceased
COUNTY, PENNSYLVANIA
File Number
Social Security Number 180-07-9375
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 EXECUTOR
last Wil] of the Decedent dated NLY 26, 2007 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: e.t.a.; d.b.n.c.t.a.; pendente liter durante absentia; durante minoritatel
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following~ouse (if any d 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 heirs.) _ ~ c
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Name Relationship ___ Residetic~^j ~ ~ ~"
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(COMPLETE INALL CASES:) Attach additional sheets if necessary. ~ j `~' t
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Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his /her last principal residence
442 WALNUT BOTTOM ROAD, CARLISLE, CUMBERLAND COUNTY, PENNSYLVANIA 17013
(List street address, town/city, township, county, state, zip code)
Decedent, then 90 years of age, died on AUGUST 27, 2008 at CARLISLE REGIONAL MEDICAL CENTER,
CARLISLE CUMBERLAND COUNTY PENNSYLVANIA 17013
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
$ 49,000.00
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Leners in the appropriate form to
the undersigned:
,~ ~'~~~~ ,,~ ~` ~ ROGER B. IRWIN, 60 WEST POMFRET STREET, CARLISLE, PA 17013
Form RW-O2 rev. 10.13.06 Page I Of 2
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 affirmed and subscribed
before me the ~ day fdi
Signature of.
Signature of Personal Representative
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For the Register Signature of Personal Representative
File Number: °~ ~ U ~ (~ ~7 l ~
Estate of MABEL S. ROBINSON ,
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Social Sec rity Number: 180-07-9375 )/ ~ Date of Death: 08/27/2008
AND NOW, ~ , ~?c~~b1-> in consideration of the foregoing Petition, satisfactory proof
having been presented efore me, IT IS DECREED that Letters TESTAMENTARY
are hereby granted to ROGER B. IRWIN
in the above estate
and that the instrument(s) dated JULY 26, 2007
described in the Petition be admitted to probate and filed of
FEE5
Letters .............
.. $ 90.00
Short Certificate(s) .... .... $ 12.00
Renunciation(s) ...... .... $
,-Cp $ 10.00
AUTOMATION FEE $ 5.00
WILL $ 15.00
... $
... $
... $
... $
... $
... $
TOTAL .......... .... $ 132.00
as the last Will~(nd Codicil(s))
Regis~Eer~of Wills
Attorney Signature: ,~`'~~ l~ ~J
Attorney Name: ROGEI~B. IR~IN,
Supreme Court I.D. No.: 6282
Address: 60 WEST POMFRET STREET
CARLISLE, PA 17013
Telephone: (717) 249-2353
Form RW-01 rev. 10.13.06 Page 2 of 2
I05.K!15 REV rR}!0^)
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00 ,,,,////~~ ~~~~~--., This is to certify that the informatio^ here given i
tl p>,ZN Of pF~-
kao5y~E yy =_ correctly copied from an original Certificate of Deat
/~A`'p~~~~ duly filed with me as L,ocai Registrar. The origin
)~`~~ ~ ~~z certificate will be forwarded to the State ~'it~
(~ ~' ~y ~a~ Records Offiee for perrnanent filing.
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P 14 8 0 616 0 ~=`~99~-~~~,,a`~1~1''° ~a~~„s
Certification Number '--.!HEN ~F,,,+
Local Registrar
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b H105-133 REY tlpgD6 ~ ~ COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~ 'f C ',
TYPE /PRINT IN
PE&RA"~ ",NKT CERTIFICATE OF DEATH
(See instructions and examples on reverse) „_.__
4u~ 3 6~ 200E
Date Issued
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I. Name of Decetlenl !Rrsl mgEle, lazn. Suphl 2. $ex 3. Social $xudry NaMer 4. pn a of Death (Month, sat, yeeN t -- '
Mabel S. Robinson F 180 - 07 - 9375 Au st 2008 - ' ." ~+
6. Aye!lssl Bmhday) UMer 1 yew Untler I day 6. Date of Binh (MOnIA, day, year) 2. BMhpace ICiry all slate w foreign country) ga. Place of Dealn (Check onty morel
Monm d'ay Hgli Mmules M
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Mlal'. 01her:
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90 yrs 10/ 9/ 1917 LaPorte City, IA I~+npapenl (] ER i Oulpanent ^ DOA ^ Nursing Rome ^ Residence QOgm . Speofy
Bo. Caunry of Deam Bc. City, Bwo. Twp. d Death Btl. Faxtiply Name (N rim mslaNgn, give Shell and numbN) 9. Was Decetlenl al Hispanic Origin? ]~ No ~ Yes ,D. Race' Amerkan IM'un. &ack. White. etc.
Cumberland outh Middleton (lf yes. speciy Cuban.
Carlisle Re Tonal Medical Center Mexican.PuenoRican.ek.I !$papM
White
11. Decedent's Usual Occu non (Kell of wok dome tlurin moll of woMi gle. Do not slaw retired) t2. Wu Decedent ever n the 13. Decedent's Education !Spsciy only highest gratle completed) 14. Marital $latu5' Married, Never Married, 15. Surviving Spouse (II wife. give maden name)
Knd of Wok KIM W Business; mdrstry U.S. Armed Forces? Etemamary i Secontlary IP 12) Collage !t ~4 or 5+) WMowed, Divorced (Speciyl
Secrete Mec csbur Naval OYaS C~Nn 12 Widowed
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16. Decedertl'a Maiing Adtlress (S)teel, dly I Iwm, stole, Tip =ride) Decetlent'S PA Did Decedent
442 Walnut BOttQii Rd. Actual Residence 77a. gale Uva Trio ,7=.Q Yes. Decedent Livedm iwp.
Carlisle , PA 17013 t nsnip?
,?b. ca,nly Qsnberland I7d. ~a. Derndem LWetl whnin Carlisle
Actual t.knps al C;ry; Barn
18. Falltar's Name (First. middb, last. 5upix) 79. MaherS Name IFasl, mttlde, maiden surname)
John C, rd 'tin - M'll
20a. Inlpmynl's Name (Type l Pnm) 20b. mfamanl's Mailing Atldress (Steal. city r tam, sole. Eq code)
Dale J. J. Le rd
' 144 Sitnnons Rd. Mechanicsbur PA 170
21a. Methgd d Dis,ua0
ron ^crematbn ^ Dananon 210. pale of Drsposnion (Hoorn, day, year) 21c. PMCe al pisposdion (Noma of cernete cremal
ry, ary a abet pace)
2ttl. Localwn (Ciry; town, stale, rip mde)
® Burial ^ Removal Iron gate I Was Cmmallon or Donalbn AuUanzed
^ omen sPe~h: ; mMediw,Eaaminer)cnuanerv ^reSONa
- 9 2 2008 Lon sdorf Cemete New Kin stawn, PA
22a. SgrsaNre m F
Licensce (w az . 22b. License Number 22c. Name antl Address of Facility
- FD 012633 L Fkvin Brothers Funeral Home, Inc., Carlis le, PA 17013
Canpfete penis c anry when ceruly'ug
- a t of my krowledgB earn asumed at pie time. tlate all plaza stated. (Signxnne and title) ~~ 27b. license Number 23c. Date Signed (Hoorn
tlay
year)
physiian
rs iql avepaMe N fine d tleam la ,
,
cxnay cause d Beath.
IMmS 2426 mull be completed by person
who Panaunces Beam 24. Time of Deem
'~ ~ 25. Prwidaxed peed IMOn day, year) 26. Was Case Relened to h1e ' aminer I Carona for a Reason Omer than Cremation a Donatan?
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p'F+. ~ ~ O~ ^ yes
CAUSE OF DEATH (See inatrucliona end amples) oxemle interval:
Item 27. Pan I: Enter me Ghan d eveNS - d5eases, njoMs, or cwnpppnms -mat directly bused ma deem, DO N0T niter tenon M avmt5 such as rarda= anent, ~ ~
OrKet m Deam
respiratory anent. a vemricWar pbdpafian wimoW showing Va etlalagy, list omy one cause on earn kris. Pan II: Enlar oma atom c Jinonagyn~- a~± le nmm
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but not retyping m me wtlerlying cause given'n Pan I.
28.01d Tobacm Use Conbid0e w Dealn?
Yes ~'7.pmbabN
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IMMEDIATE CAUSE Finai tlisease a 2
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tandoori reselling in ~a1h)
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8/L 1. 29. II Fema '
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Due to ( s a consequence ot): Nol pregnant wilNn pis) Year
$egoallNp, p!i cafdpiore, a etry. b.
leading b pia cause IiSied m one a. ^ Preynanl ar time of deem
Due to Ia as a tonne 1
Enter me UNDERLYING CAUSE querca ol: ^ rval pregnant. b~l pregnant wimin 42 Gays
(dsease a that a'AiMed Me
c
mwnb resin deem) LASL
01 tleam
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Due to I,a as a tonne uence of ^ Nat pregnant. but pregnam a3 da}s m I year
d. betas seam
^ Dnkarwn it prcynem wiih'm pR pa51 year
30a. Was an Autopsy 300. Were Aulapsy fedings 31. Manner Deam 72a. pate d Inryry (Mmm, day, year) 320. Descrbe Haw Injury Ocwmed 32c. Pmce m Injury'. Fiur:e. Fatm
Street
Faaory
Pedormea?
Available Prior b Camplet
9aturel ^ Haniciae ,
,
.
Olt BupR,ng, etc. (Specify)
al Cause of Deem?
Ye5 ~ Yes ~ No ^ Ntti02nl ~ Pendng mvesligauon 32d Tithe of Inury 32e. Injury al WoM? 721. II Tranapwlapon Injury fSpecdyl ?<<"g. Ladnon of Inury ISVeet. Lily i bwn, stale,
^ Suicide ^ Coub Na be Detenn;ned ^Ye5 [] No ~ ~' Operator Q Pazsanper QPetleslnan
M ^Omer ~ SpedN,
33a. Cernkr Icheck amy anal 35b. $ignalwe all of Cengar
' CwNNin9 PhYa~ IPhysiwn cer9lyirg pose of tleaM wi+en aromer physician has prarouncea Beam all completed Item 23)
7o Ira bell of nrv knorAnaltga.daam recurrce due to dx busgsl aria manner as acted--------------------'---- ~
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• Pronounndag and xnityug ptrysician (PMyskiari MAN p*onwr~cmg seam all ceniying m boas of tlbml .Lice 1u r 33d. !e 5~9ned !Homo. eav. year
7o Ipe best a1 my knowkdga, deem occurretl et Nro pme, sate, antl place, and due to me cause(s) antl manner as sated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
• Medkel Eaaminer/COmner ~ C ~ ~ ~ _~ n ~ V
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Dn Ytre basis of examinafron and / or Inveatigetion. in my opinion, death occurred of Ins time, date, and place, and due to the cause(s) and manner as sated_ ^ J
3=. Name ar•d AMre55 of
ompiEl aura C am iltem 27% Type Print
3;. P tgnalure and ~L
1 far a5 ~
` pale Filed !flo tn. da a'; ~+
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LAST WILL AND TESTAMENT ~ ° n ~~~'
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Mabel S. Robinson -
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I, MABEL S. ROBINSON, of the Borough of Carlisle, Cumberland County,
Pennsylvania, being of sound mind, disposing memory and full legal age, do hereby make,
publish and declare this to be my Last Will and Testament, hereby revoking all Wills and
Codicils heretofore made by me.
1. I direct my Executor to pay all of my debts, funeral and administrative expenses as
soon as convenient after my decease. Furthermore, I direct that all state, inheritance, succession
and other death taxes imposed or payable by reason of my death and interest and penalties
thereon with respect to all property composing of my gross estate for death tax purposes, whether
or not such property passes under this Will, shall be paid by the Executor of my estate.
2. My Executor may, at his discretion, compromise claims, borrow money, retain
property for such length of time as they may deem proper; lease and sell property for such prices,
on such terms, at public or private sales, as they may deem proper; and invest estate property and
income without restriction to legal investments unless otherwise provided hereunder.
3. I authorize and empower my Executor to sell any realty and/or personalty owned by
me at my death and not specifically devised or bequeathed herein, at public or private sale or
sales and to give good and sufficient deeds and/or bills of sale therefore, in fee simple, as I could
do if living. My Executor are authorized and empowered to engage in any business in which I
93
may be engaged at my death, for such period of time after my death as seems expedient to said
Executor.
4. I give, devise and bequeath all of my estate of every nature and wherever situate as
follows:
a. I give the sum of $5,000.00 to ROBERT BOUDER, SR. and RUBY
BOUDER, his wife; and
b. All the rest, residue and remainder to my nephew, DALE J. LEPPARD, and if
he is not living at the time of my death, to his wife, SUSAN M. RILEY
5. It is my desire that the following items remain indefinitely in the Leppard family:
Wooden shoes -sewing table - 2 trunks - 2 old chairs (refinished) -
writing desk -all family photographs -wall shelf -all the dishes in the
china closet -family Bible -mantle clock -carnival glass vase and old
pint size ice cream freezer.
6. I nominate and appoint ROGER B. IRWIN to be the Executor of this my Last Will and
Testament; he is to serve as such without bond. Should he die before my death, renounc and
refuse to serve for any reason, or die leaving any of my estate unadministered, I nominate o to
MARCUS q, McKNIGI-IT and DOUGLAS G. MILLER-, as substitute Executors, als
appoint
ch without bond, with the same powers as are given herein to my original Executor.
serve as su
o erson(s) shall benefit hereunder unless such beneficiary shall survive me by sixty
7. N p
(60) days.
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8. No beneficiary may assign, anticipate or pledge his or her interest in any income or
principal held or distributable hereunder, and no beneficiary's creditors may levy, attach or
otherwise reach any such interest.
9. 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, 207.
MABEL S. ROBINSON
(SEAL)
Signed, sealed, published and declared by the above-named Testatrix as and for her Last
Will and Testament, in our presence, who, at her request, in her presence and in the presence of
each other have hereunto set our names as subscribing witnesses.
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ACKNOWLEDGMENT AND AFFIDAVIT
WE, MABEL S. ROBINSON, KAREN S. NOEL 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 that she had signed willingly, and 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.
SHARON L. SCHWALM
COMMONWEALTH OF PENNSYLVANIA
. 5S:
COUNTY OF CUMBERLAND
Subscribed, sworn to and acknowledged before me by MABEL S. ROBINSON, the
Testatrix herein, and subscribed and sworn to before me by KAREN S. NOEL and SHARON
L. SCHWALM, witnesses, this ~` day of July, 2007.
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Fublic
+va~rial Seat
Ftogef B. Irwin, Notary Public
Carlisle Boro, Cumberland County
MY Cordon Expires Oct. 3, 2008 ~
ber, Pennsylvania Association Of Notaries