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HomeMy WebLinkAbout10-30-08 (2)PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of William E Mattern File Number _ ~ ~ ~w J ~~ ~ r also known as William E Mattern ,Deceased Social Security Number 204-03-6922 JoAnn M Donohoe Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' OR 'B' BELOW.•) Q A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the ExeCUtrlx named in the last Will of the Decedent dated 4/24/2006 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 bom 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 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:(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.) Decedent was domiciled at death in Cumberland County, Pennsylvania, with his /her last principal residence at 904 Bosler Avenue Lemoyne PA 17043 Borouah of Lemoyne (List street address, town/city, township, county, state, zip code) Decedent, then 85 years of age, died on 10/16/2008 at Claremont Nursina and Rehab 1000 Claremont Road Carlisle PA 17013 Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property ([f not domiciled in PA) Personal property in Pennsylvania (If not domiciled in PA) Personal property in County Value of real estate in Pennsylvania 904 Bosler Avenue, Lemoyne Borough, Cumberland County situated as follows: $ 4.000.00 $ 162.351.00 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 r/~ /~ .` ;h(i ~ 1x1 ~'L JoAnn M Donohoe 132 Hummel Avenue Lemo ne PA 17043 Page 1 of 2 Form RW-02 rev. 10.13.06 (COMPLETE 7N ALL CASES:) Attach additional sheets if necessary. `= N Q 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 ~.%E~L before me the day of October 2008 rJl l ( ortheee ,Rl e(gister l~ of Personal Representative JoAnn M Donohoe Signature of Personal Representative Signature of Personal Representative t~-~ ~.., W:~ File Number: ___ ' ~ © ~ Estate of William E Mattern _ ,Deceased w: Social Security Number:204-03-6922 Date of Death: 10/16/2008 _s-J --i ~° rv AND NOW, October ~ ~i~1 , 2008 , in consideration of the fore+going Petition, satisfact ~ry proof having been presented before me, IT IS DECREED that Letters Testamentary _ are hereby granted to JoAnn M Donohoe in the above estate and that the instrument(s) dated Aril 24. 2006 described in the Petition be admitted to probate and filed of rec~o,9rd as they last Will (and Codicil(s)) of Decedent. FEES ~.~ X.~~(LCi~~t ~.~Q h.. J ~-,'l ~ ' ilk . , , ~,`. Register of Wills (,% ^'1' f ~ '~~'~ Letters ............................ $ 260.00 v' ~" Short Certificate(s) ''•~"•~~~ $ 16.00 Attorney Signature: Renunciation(s) •••••••••••••••• $ Will .,.. $ 15.00 Attorney Name: Jan L Brown Automation Fee .... $ 5.00 Supreme Court I.D. No.: 67993 JCP Fee .... $ 10.00 TOTAL ................... ..., g Address: 845 Sir Thomas Ct Ste 12 ~~'~ $ Harrisburg .... $ .... $ PA 17109 .... $ $ Telephone: 717-541-5550 ..... $ 306.00 Form RW-01 rev. 10.13.06 Page 2 of 2 r., // ~'- LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat ojr photograph. ~ Fee for this certificate, $6.00 This is to certifi- that the in~ormation hL~re given is con-ectly copied~fi~orr1 an original Certificate of Death duly filed with me ifs 1_~cal Registrar. The original certificate tilill be forwarded to the State Vital Records nfiice for permanent filing. • P 148085~..~ Certification Number ITEM # /~ - -- -/~ - - - w/ _.--- _ _ ~/) _ ocr 2 2 00~ ~~" c~ egi. •a ~ Date Issued Y'~_~ ~a C~ '-=u"' %:~ i ~ ) - ~ ~. _ , co _~ •• __ ~ c~ REV tl/21x>s COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS PRINT IN "^NENr CERTIFICATE OF DEATH CHINK (See instructions and examples on reversal 1. Name d Decedent (First mitltlla, Wsl. suffix) 2. Sex 3. Serial Seanry Number 4. Date of Death (Month, day, year) William E. Ma - '' ct.16 2008 5. Age (Last Birthday) Under 1 year Under 1 day 6. Date of BIM (Month, day, ear) 7. Brnhplace (City antl stale or foreign count j Ba. Place of Death (Check mty one) rauww 8 5 y den Hwrs sxnuras May 3 0 , 19 2 3 Lemoyne , P A Hospital: r O t--he rs ^ Inpahem ^ ER / Oulpatlent ^ DDA qt '~ '~ Y~„raursing Home ^ Residence ^Other -Specify: 86. County of Death Bc. City, Borc, Twp. of Death 8d. Facility Nsme (If not insliMbn, give street arM number) 9. Was Decedent of Hlspa:nk Origin? I•~Z No ^ Yes 70. Race: American Indian, Black, VJnile, etc. `i Cumberland Middlesex Tw P• CLaremont Nursin ~ Rehab (r yes, apedry c°ban, Y 1~~01 g Mexican, Puerto Rican, etc.) w i t e 11. Decedent's Usual Oc tbn KiM of work done Ourm moll of wor ' kle. Do not state retired 12. Wes Decedent ever in the 13. DecedenYS Etlucation (Specify only highest grade completed) 16. Martial Slalus, Marded, Never Marred, 15. Surviving Spouse (II wife, give maiden name) Kirb of Work K'md d Business / Irquslry U.S Anned Forces? Elementary! Secnntlary (0.12) College (1-a or Sr) Widowed, Divorced (Specify) . electrician union 1~9 4fe5 ^No 12 widowed • tfi. Deredent's Maifinq Address (SYreet dry !town, state, zip code) Decedent's Did Decedent Pennsylvania L Act l R id 7 S 904 Hummel Ave. ua es ence 1 a. tate rve in a 17c. Yes, Decedent Nvetl in M 1 (~ Cj ~ P R P X ~, Twp Lemo rte, PA 17043 y Township? troCodny Cnmh~rland 17d.^"4DeaadenlDvedwnhb Actual Limits of Gry/aora 1B. Famer's Name (Fast, middle, last, sWAx) 19. Mother's Neme (First, midtlle, meitlen surname) Harold C. Mattern Grace B. Drawbau h 20a. Informant's Name (Type /Print) Jo Ann Donohoe 20b. InlormenYs Malpng Address (Street, dry / mwn, stela, zip Dods) 132 Hummel Ave.,Lemoyne,PA 17043 21a. Metfvxi of DisposNOn j remaaon ^ Donason 21b. Dale of Disposton (MOmh, day, year) 21c. Place d Dapositbn (Name of cemetery, crematory or other pace) 21d. Lacalion (Clry I town slate zip code) ^ Bartel ^ Removal Irom Slate Waa Crematlon or Donatbn AWhonzed Omer ~ Speoty: " ~ by AMdkal Examlrter / CoronM Yes ^ No O C t. 1 H, 2 0 0 8 H o 11 fi n g e r Crematory , , 7 t. H o 11 y S p r i n 3~s 5p A ' Nre'Jf Funeral Lkensee (or person echng as srxm) 22b. Lkxsnse Numher 22c. Name aM Address of FadRry ~ c ~ FD 013163 L v e pp ve7043 M l F LHum~ ee ~ . - - usse man uneral Home, Inc.,324 i S A kerns 23ac arty rR~en certifying physican n not availade at lime of tlealh to 23a. To the of rtry edge, deem urtetl at the lima, Bala and sptetl. (Sgnanae and title) ~ / 23b. Licans~ Numoer ~ 23c. Date Signed (Month, day, year) certlly cause d deem. ~ 7 ~ ~- '~ ~ rr ;) Meets 24-26 must be competed Dy person 24. a of Death ~ 25. Dale Pronounced Dead ( ,day, year) 26. Wes Case Referred 1 edical Examiner I Coroner for a Reason Other than Cr ~matbn or Donatbn? who pranamcea tleam. I~j M. ~ :, ~~) ^ Ves CAUSE OF DEATH (See InatrucNona and examples) r Approximate interval: fleet 27. Pan I: Enter llre than of events -diseases, injuries, or complicatlms -that duectty caused me deem. DO NOT enter terminal events wch as cardiac aresl r O t t D m Pan II: Enter Wher III cnnditkns mntnbut'na to tlealh, 26. Dltl Tobacco Use Cwldhule to Death? . nse o ea esprelory areal, or ventricuWr fibnllaaon wahal showing the eadogy. LM Doty one cause on each line. but not resMtin in the untle n cause Nen in Part'.. 9 nyi 9 9 Yes ProbaW ^ ^ Y IMMEpATE CAUSE IFinal disease or r II f r ' ^ No ^ Unknown des conddion rasul5ng in m) ~ a. 1 lA aV`~ t' tab/. ~ 29. If Female: Due to (or as a consequ/enc~ oIj*~ ,. ~ ~ ~ ~ ~s ~ ^ Not pregnant within past year ` ^L ,L(l xy~b f S i L~~ ~ '~ Y~ a_ b. ~° Y rill r li( Uu A_{_xl,~, - I ee D ^ Pregnant al time of tlealh ue to (or as a consequence oQ: t Enter UNDERLYING CAUSE ^ Nol pregnant, but pregnant within 42 days ad 16sease or bryry Ihat inNat me p events resulfing m tleam( UST. D t r of tlealh ue o for as a rnnsequence op: ^ Not pregnenl, but pregnant 43 tlays to t year d. ~ before tlealh ^ U Nnown it pregnenl wtthin the peal year 30e. Was an Autopry Penomwd? 306. Were Autopsy Fwfmgs Avakade Prior to Compelion 31 Mann§§rr of Deam ,-, / 32a. Dale of In pxY (MOnM, day, year) I ry 32h. Describe Flow In'u Ocaretl 32c. Place of Injury: Home, Farm, Street, Factory, of Cause of Deam? Nrel ^ Homidde Office Building, etc. (SpeciNl ^ y~ ~ ^ y~ ^ ~ ^ Acgtlent ^ Pending Invastigafion 32tl. Titre of Injury 32e. Injury al Work? 321. II TransponetNm Injury /Specify) 32g. Locatbn of Injury (Sheet city /town, stale) ^ Suicide ^ Could Not lxs Delemnnetl ^ Yes ^ No ^ Dover /Operator ^ Passenger ^PetlmMdan M Omer' Specfy: ~' ~~"" ( °nty °°e) • Cartltying phyakian (Physidan cershyirg reuse d death wlierr ammer physician has prawuncetl tlealh and competed Item 23) 336. SigneN and lilk of Certifier ~ • 7o dre best d my knowledge, deeU occurred due to the cause(s) arM manner m sated - ~ ~ ~ '~'- ` " ( Q ' f ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ • Prortouncin and cenlf in h skle Ph kr b rn v ~ec.~ .,, ~/-~ ~. • ~ g y g p y n ( ys an o pmnoundng tlealh artd cenltying to cause of tleam) To the beat of my knowledge, death occurred at the lime, sate, and place, and due to IM caueela) end manner es elated 33c. License NuMer 33d. Date Signed (Monet, day, year) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ • AUNal Examinx/Coroner O th h l f i i _ /~ { ll ~ ~ ~ Ls l,(~~j ~~ ~ ~h..~~( ~~ n e ea s o exam nat on end 1 or investigation, in my opinbn, death occurred el the Ilme, date, erW place, and due to Nre cause(s) and manner as attled_ ^ 3a Name and A/Jdress of Person Wno Compknetl Cause of Death (Ite m 27) Type I Prim 35 R S naNre and~ryf~ I ~ ~ I 1 I / I ~ / _ oT ~ ~ ~ 36. Date Flletl (Month, day, year) fi _ ~ \V r T ' , I < / O17 ~ ~ / li' _ ~ J ' ' A.tl. t Disposition Permit Na. V /~ ~ ~ ~ ~I LAST WILL AND TESTAMENT OF WILLIAM E. MATTERN c~ ~_ . ~ -_t} ~' c~ =_, r._. - -, ; ,i - :_ ~ _..: -, --~ -~ ~, {-~ ~e;~ c~a ~~. ca ra a I, WILLIAM E. MATTERN, of Cumberland County, Pennsylvania, declare this to be my Last Will and Testament. 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 (whether or not the assets generating those taxes pass under this Will) shall be equitably apportioned among those beneficiaries to whom any benefit from my estate accrues, in the proportion that the value of the property or interest received by a beneficiary bears to the total value of the property and interests received by all such beneficiaries. 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. ,- -; -1- 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 acid found within 30 days of the probate of my Will. Gifts may only be to persons who survive me or tc~ 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 my pool table and pool accessories to the West Shore Bureau of Fire. It is my desire that said items be used in the Herman Avenue firehouse. Article V I give and bequeath the sum of TWO THOUSAND DOLLARS ($2,000.00) to my brother-in-law, KURT OWENS. Article VI I give and bequeath the sum of TWO THOUSAND DOLLARS ($2,000.00) to my granddaughter, KALEY ARNOLD. Article VII I give and bequeath the sum of TWO THOUSAND DOLLARS ($2,000.00) to my grandson, SHAWN DONOHOE. Article VIII I give and bequeath the sum of TWO THOUSAND DOLLARS ($2,000.00) to my granddaughter, MEGAN DONOHOE. -2- Article IX I give and bequeath the sum of TWO THOUSAND FIVE HUNDRED DOLLARS ($2,500.00) to the CALVARY UNITED METHODIST CHURCH, or its successor(s), at 7`" and Market Street, Lemoyne, Pennsylvania, to be used at its discretion. Article X I give and bequeath the sum of TWO THOUSAND FIVE HUNDRED DOLLARS ($2,500.00) to WEST SHORE BUREAU OF FIRE, or its successor(s), to be used at its discretion. Article XI I give, devise and bequeath any and all real estate I own at the time of my death, not to include the contents of the house, to my daughter, JoANN M. DONOHOE, of Cumberland County, Pennsylvania. Article XII I give, devise and bequeath IN EQUAL SHARES the contents of any and all real estate I own at the time of my death to my daughter, JoANN M. DONOHOE, of Cumberland County, Pennsylvania, and my daughter, CINDY L. ARNOLD, of Lebanon, Pennsylvania. In the event that JoANN M. DONOHOE or CINDY L. ARNOLD predecease me or fail to survive me by thirty (30) days, I give, devise and bequeath her share to my remaining daughter, F'ER CAPITA, NOT PER STIltPES. Article XIII All the rest, residue and remainder of my estate, of whatsoever nature and wheresoever situate, I give, devise and bequeath to JoANN M. DONOHOE. If JoANN M. DONOHOE -3- predeceases me or fails to survive me by thirty (30) days, I give, devise and bequeath her share to her issue who survive me, per stirpes, or if she has no issue, the share(s) are 'to be added equally to the other shares. Article XIV Where under the provisions of this Will my Executor is authorized to distribute or expend the income or principal of any fund to, or for the benefit of, a person who is a :minor, said Executor may distribute such income or principal directly to such minor, to the person having custody of him or her, to the guardian of his or her estate, to the guardian of his or her person. or to a custodian for such minor under any applicable Uniform Gifts (or Transfers) to Minors Act, whether previously appointed or appointed by them for the purpose of receiving such distribution, all without liability on the part of them to see to the application thereof and without required bond or surety. Article XV I nominate, constitute, and appoint JoANN M. DONOHOE Executrix of my Last Will and Testament. In the event of the renunciation, death, or inability to act, for any reason whatsoever of my Executrix, I nominate, constitute and appoint my son-in-law, TO1VI DONOHOE successor Executor of my Last Will and Testament. I direct that my Executrix 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 Executrix and successor Executor shall receive reasonable compensation for services rendered to my estate. -4- Article XVI In addition to the powers conferred by law, I authorize my Executrix 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 <;onsent of any beneficiary, (f) to file any federal income tax return for any year for which :[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 a.m 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. -5- IN WITNESS WHEREOF, I, WILLIAM E. MATTERN, hereby set my hand to this my Last Will and Testament, on ~`~"~ , 2006. WILLIAM E. MATTERN In our presence, the above-named WILLIAM E. MATTERN signed this and declared this to be his Last Will and Testament, and now at his request, in his presence, and in the presence of each other, we sign as witnesses. Name ~t.u,~.-~C LyG~~-~x. Address 845 Sir Thomas Court, Suite 12, Harrisburg, PA 17109 845 Sir Thomas Court, Suite 12, Harrisburg, PA 17109 -6- I, WILLIAM E. MATTERN, Testator, 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 WILLIAM E. iVJ,ATTERN, the Testator, on , `~- a~ ~f ,2006. WILLIAM E. MA'TTERN COMMONWEALTH OF PENNSnYArnA NOTARIAI SEAL JA~UELINE A. KELLY, NOTARY PUBIIC IAWEA PAXTON TWP., DAUPHUI COUNTY MY COMMISSION EXPIRES DEC.17 2007 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 Testator sign and execute this instrument as his Will; that he signed and executed it willingly as his free: and voluntary act for the purposes therein expressed; that each of us in his sight and hearing signed the Will as witnesses, and that to the best of our knowledge, that he 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 R - ~ SG~ ~ e - ~ ' S ~~.. and tness witnesses, on , 2006. ~ ~~ ~ ~ ~ ~ ,n ~ Witness ~-- ~.~ otary P `blic COMMONWEALTH OF PENNSYLYANUI _ '7 _ NOTARIAL SEAL JACQUELINE A. KELLY, NOTARY PUBLIC LOWER PAXTON iWP., DAUPHIN COUNTY MY COMMISSION EXPIRES DEC.17, 2007