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HomeMy WebLinkAbout10-30-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of William E Mattern File Number /~ ~ ~~~ ~ ~ ~ ~~ also known as William E Mattern ,Deceased Social Security Nurnber JoAnn M Donohoe 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 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 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 life; 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.rt.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 Lemovne PA 17043 Borouoh of Lemovne (List street address, town/city, township, county, state, zip code) Decedent, then 85 years of age, died on 10/16/2008 at Claremont Nursino and Rehab 1000 Claremont Road Carlisle PA 17013 Decedent at death owned property with estimated values as follows: 4,000.00 (1f 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 $ 162,351.00 904 Bosler Avenue, Lemoyne Borough, Cumberland County 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 undersiened: Signature Typed or printed name and residence // "~ ~ ~xJ1i.~C JoAnn M Donohoe 132 Hummel Avenue Lemo ne PA 17043 Page 1 of 2 Form RW-02 rev. 10.13.06 u (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. - tv O 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 affirme~d-(and subscribed before me the ~-~E~_ day of of Personal Representative JoAnn M Donohoe OCtOb .r _ , ~<7~8 Signature of Personal Representative } .~ t~,J ~Ur-the Register Signature of Personal Representative r~,> -~ ti-~ r. j ~ ,l ~__ ~ ~..,, f File Number: ~' - ~ r.'1 ` / U ~~ ~ ~ { Estate of William E Mattern _ ,Deceased -: '- -.~ Social Security Date of Death: 10/16/2008 _, f ~~ rz~ r*,> AND NOW, October ~3O ~ / 1 , 2008 , in consideration of the foregoing 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 record as the last Will (and Codicil(s)) of Decedent. FEES Letters ............................ $ 260.00 Short Certificate(s) '~•~~~~ $ 16.00 Renunciation(s) •••••••••••••••• $ Will ,.., $ 15.00 Automation Fee .... $ 5.00 JCP Fee .... $ 10.00 .... $ .... $ TOTAL ••..•••••••~~• .. $ 306.00 Register of Wills CJ ~1~ ~~~3k1 Attorney Signature: V Attorney Name: Jan L Brovvn Supreme Court I.D. No.: 67993 Address: 845 Sir Thomas Ct Ste 12 Harrisburg PA 17109 Telephone: 717-541-5550 Form RW-01 rev. l0.13.06 Page 2 of 2 lossosKr-.v olro' n~ I - (~/ ; -~ I (:~ r l~ LOCAL REGISTRAR'S CERTIFICATION OF DEATI-I WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate. $6.00 'P 14808512 Certification Number _. - - JI1V~L 1V:t111 ~A7_.I'l7LLLTR:7. .. . - - - This is to certit~r that )r.~ ini~lnnation hart. given is con•ectly copied h•om an otigir.al Certificate of Death duly filed with me as Local Registrar. `fhe original certificate will he f(Trr.~m-dcd to the Slate Vital Records Oflice for perrrxLnent filing. ~/) OCT Z 2 OOa~_ ~~"~~cal Phegi. .a --- ~ Dates Issued r1 T"- _~ ::_a 4:-"a 4. -. --%. ~ C"3 E '3 '. ~ I ~ ~') .--4 - _- ~ _ --, __ , ---~ _ .. _ ~ 0 REV n/znos COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS MNIENTN CERTIFICATE OF DEATH CK INK (See instructions and examples on reverse) STATE FILE NUMBER s :1 1 s I. Name W Decedent (Fast, mitltlle, last, suRx) 2. Sex 3. Social Security Number 4. Dale of Death (Mmth, day, year) William E. Ma - c .16 2008 6. Age (Last Birthday) Under 1 year UMer 1 day 6. Dale of BiM (Month, day, er) 7. BiNplace (City antl state or forego country) 6a. Place of Deam (Check only one) kwnms Den Mans ukxnes Hospital: Other 8 5 yrs May 3 0 , 19 2 3 Lemoyne , P A ^ Inpatient ^ ER / ot, ,ion, ^ DOA Drsi Homa Na ~ rsg ^ Resitlence ^Other ~ Spedy: 60. Cwnry of Death &. City, Boro, Twp. of Death /34. Facility Nertre QI not inslbutbn, give street and number) 9. Was Decedent of Hispank Origin? P~ No ^ Yes Y"~ 70. Race: Amenwn Indian, BWck, Wnile, etc. Cumberland Middlesex Twp. Claremont Nursing ~. Rehab (II yes, specify Cuban, Mexicen,PuertoRicen,stcJ ( ecijyi w ite 11. Decedent's Usual Occu tkn KiM of work d one darn most of waki Yle. Do not sate retired 12. Was Decedent ever in the 13. Decedent's Educatkn (Speciy only highest grade comp leted) I d. Mahal Status: Marred, Never Married, 15. Surviving Spa se pf wife, give maiden name) Kind of Work Kind d Business I IMUSIry U.S AmruW Forces? Elementary / Secrondary (0.12) Collage (1-d or 6+1 WMowed, Divorcetl (Specify) electrician union ~•1(ea ^Np 12 widowed 16. Decetlenl's Maifmg Address (Srael ary I sown, slate, zip code) Decedent's Dkf Decedent Pennsylvania Live in a ~ M T (~ f] 1 P R 904 Hummel Ave. s?p, y~ psp~nl Gvetl in Adwl Residence I?a. State P X Twp. Township? 1 Ttl. ^ No, oecedem used wamn ro L~mOyner PA 17043 I . county C n m h ~ r 1 and Actual Limits of CitylBoro 16. Famer's Name (FrsC mitldle, last sulAx) 19. Motner's Neme (Rmt miMle, maiden surname) Harold C. Mattern Grace B. Drawbau h 20e. Informant's Name (Type / Pnnt) 20h. InlormenYs MaiNg Addresa (Street, d1Y 1 town, slate, zip cods) Jo Ann Donohoe 132 Hummel Ave.,Lemoyne,PA 17043 21a. Mebad of Disposition anon ^ Donation 21b. Date of DispoeNOn (Month, day, year) 21c. Place of Disposition (Name el aanetssry, crematory ar omer place) 21d. Locatkn (City /town, state, z'Ip code) ^ Budal ^ Removal Iran Sate Wa Crematlon or Donation Atsltarized ~ 2 0 0 8 O c t. 18 H o 11 fi n g e r Crematory t. H o 11 y S p r i n~~s Sp A Dinar . Seedy: ~ ~ by Matlkel Exemirser! farone(1 Ves ^ No , aNre'JI Funeral Licensee for person ading as such) 22b. License Number 22c. Name antl Adtlress of FaciFry v e pp ve7043 L e ~ 2 c.~~+ FD-013163-L A Hum~ie S Musselman Funeral Home, Inc.,324 me Items 23a< onry when cermying physidan 5 not avaiWble at lime m tlealh to 23a. To Ire of rtry edge, death urred at the time, dale and stated. (Sgnanre arM gtle) ~ / 236. Ucans Numoer r 23c. Oate Sgned (Month, day, year) ceNly rouse d deem. i ; t_. ~' -~-~ ' -~ ` L/ G. (,/) ~~ it ~ 7 .. , ~„ Items 2a-26 must be completed M person 24. a of Death 26. Date Pronounced Deed ( ,day, year) 26. Wes Case Refertad t Medical Examiner /Coroner for a Reason Other than Cr matbn or Donatkn? who prawunces death /'j M. c .~ ~ G`) ^ Yes [ to CAUSE O F DEATH (See Inatructlons and examplea) t Approximate imerval. Pen II: Enter other Sjgpj(lgaltl andtions contdbutinp to death, 26. Did Tobacco Use Canlrhute to DeaM? Item 27. Pan I: Enter bra chain of events -diseases, injures, a CortbNkalions -Thal tliredry causetl the death. DO NOT enter terminal events such as cardiac artest r Onset to Death but not resultlng in Ire underlying cause given in Pan I. ^ Vas ^ Probably respiratory artesl, w ventricular fibrkadon wimout shmwing Ire etidogy. Lai only one rouse on eacn line. t i ~ ^ No ^ Unknown IYYEgATE CAUSE (Fatal d¢ease or f _ F~ r tati m d atn dl ~ - A ~ 29. II Female. xsn res ng mn e n r - b k r j ~ a ^ r Due to (or as a Consequence o : Not pregnant within pass year /~ Sequenaaay IM condlims, tl any, b. C~ {~ s ~ ~ A.(JLA.Y.~`I e• j~I `[, ~,A.C 1l1µ f / ; `{ (YQ r ^ Pregnant al time of death to me cause timed on one a. Due to (or as a ansequence oft: ~ r Enter UNDERLYMG CAUSE ^ Nol pregnant, but pregnant within 42 tlays (dsease or inwy That initialed die ~ s events resuaing in deaml LAST of death , Due to (a as a consequence oQ~ r ^ Nol pregnant, but pregnant 43 tlays l0 1 year d. helore death ^ Unknown it pregnant within the past year 30a. Was an Autopsy 30h. Were Aulapsy Fmtlings 31. Manner of Death 32a. Date of Injury (Month, day, year) 32b. Describe How Inlury Occurred 32c. Place of Injury: Home, Fartn, Sreel, Fadory, Pedormad? Available Prior to Competkn atusal ^ Homidtle Ot6ce Building, etc (Speedy) of Cause of Death? ^ Yes ~ C J ^ Yes ^ No ^ Accident ^ Pendng Investigation 32d. Time of Inryry 32e. Injury at Work? 32f. If Trensponation Injury (SpacytyJ 32g. Location of Injury (Sreel, City /Town, state) ^ Sukitle ^ Geld Not be Detenninetl ^ Yes ^ No ^ Orver /Operator ^ Pesserger ^Pedestran M ^Otller' SP~'1/Y; 33a. Certifier (check Doty ale) • CadN in ph aieian (Ph saxan cersryk cause of deem when ammer ph sidan nos ronounced deem and cart leted Ilsm 23) 336. SignaN aM Titk of Cerifier ~ ` . ( ,,> ~ y g y p y g y p To Nte best d m y knowkdge, deem oaurretl due to the casroe(al and manrser es sleted_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ , ~ .. - p ~ e g a \~ ~1 »> 'l.L/.XJU` ~ .ar ...Xi" ~ f • Pronouncing end sxxtdying physldan (Physidan both pronouncing deem and cenlrying to cause of dealhl 33c. Lkense Number 33d. Dale Signed (Mmth, day, year) To the beat al my Imosdedge, deem occurred M me time, dale, and place, and due to the ceuse(sl end manner ea atated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ • Yadktl Faamimr l faron•r r.s ~~ ' ~-` ~{ / ~I~ ~ J , !~ J ~ ~ . (~ lJt/ l~l j 1 On me Beale of examirsation end I or investigation, in my opinion, death occurred at the time, dale, and place, and due to the cause(el antl manner as steled_ ^ r 34 Name and f~tltlress of P ompletetl Ca 7) Type / Prnl er so C 2 use of Deem Qtemt /n Wnog ~ 36. Regis SgnaNre y~y,~,y/~ bar / ~ / / 3fi. Date Rled (Month, day, year) , , r t u y , y . ~ JC~V ~ f " " G f'~ I I I I / ~Q~ ~l ' ~ / i,~~ Dispositon Permit No. ~ ~ `-' ~ O ~ ~.` LAST WILL AND TESTAMENT OF WILLIAM E. MATTERN c~ -~_ ., -~; ~ -_ ~ _.. ,; `- _ -; .: -, --i -', i !'~' ,.-, ~: `; w ~~t a N 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 T 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 anal 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 anal 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 IV 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 7cn 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;l, 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 STIRPES. 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, TOM 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 consent of any beneficiary, (f) to file any federal income tax return for any year for which l: 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. -5- IN WITNESS WHEREOF, I, WILLIAM E. MATTERN, hereby set my hand to this my Last Will and Testament, on ~`~"o~ , 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 L - ~~ S a.u-~a-~C ~UG~~ 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. INTERN, the Testator, on , `~~- a3 ,2006. WILLIAM E. MATTERN CpMMpNWFJ,LTH of PENNSriYANu ~- NOTARIAL SEAL JACQUELINE A. KELLx NOTARY PUBLIC LOWER PAXTON TWP., OAUPHIN COUNIr MV COMMISSION EXPIRES DEC. 11 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 ~ ~ C SoI ~ e ~ ~ C S C~ and tness witnesses, on , 2006. ~ ~ I/~~~ Witness r -- . ``~ otary P 'blic C0MMONWFhl1N OF pENNSYLYANUI - 7 - NOTARIAL SEAL JACQUELINE A. KELLY, NOTARY PUBLIC LOWER PAXiON TWP., DAUPHIN COUNTY MY COMMISSION EXPIRES DEC.17, 2007