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HomeMy WebLinkAbout11-25-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland Estate of Mabel D. Bodtorf also known as COUNTY, PENNSYLVANIA Deceased File Number ~ 1 - ~~ ~ (I o Social Security Nurnber Petitioner(s), who is/are 18 years of age or older, apply(ies) for: C7 c~~ _: (COMPLETE 'A' or 'B' BELOR:) =. 0 ~„' _ ~ - _ ~ Q A. Probate and Grant of Letters Testamentar executor and aver that Petitioner( ) i / th ~ : 1 y s s are e ~ tamed in the t last Will of the Decedent dated July 29, 1997 and codicil(s) dated ` _~ 1 ~' Ut - - - - ~' ~ -- - k _ , t3 (State relevant circumstances, e.g., renunciation, death of executor, etc.) J ~ ~ ~ ' _ Exce t as follows, Decedent did not m ~'' p arry, was not divorced, and did not have a child born or adopted after execution of the instrumen ~ t(s) Q,fSered for probate, was not the victim of tt 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 lire; 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: (lf Administration, c. t. a. or d. b. n. c.t.a., enter date of Will in Section A above and complete list of heirs.) Name Relationshi Residence (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at 128 Winston Drive, Mechanicsbure PA 17055 (List street address, torvn/crty, township, co:mty, state, zip code) Decedent, then 96 years of age, died on November 21, 2008 at Good Samaritan Hospital, Lebanon Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 200,000.00 (If not domiciled in PA) Personal property in Pennsylvania $ ([f not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ 120,000.00 situated as follows: 128 Winston Drive, Mechanicsburg, PA 17055 Wherefore, Petitioner(s) respectfully request(s) the probate ofthe last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to the undersigned: Si na u T ed or rinted name and residence ~~ ~ Karl Bodtorf 302 W. Main Taylors, SC 29687 Form RW-02 rev. /0.13.06 Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland SS 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 of x 1h.L' Fort Register of Personal Signature of Personal Representative ~ _ Signature of Personal Representative ~-~ ~ m -. + ~ p ` ~ ! _T_ c-~ ... -- , - ; ,,,~ t File Number: ~ ~ - C~~- ~'~ Estate of Mabel D. Bodtorf , ,_r _ Decea4erl-+ -, Z; - Social Security Number: 169-44-3942 AND NOW, ~1~ , having been presented before , IT DECREED that Letters r " are hereby granted to Regist¢F2~1'ui/ls , ~/ ~ . ~/ ~ Attorney Signature: (\ ~ ~~l C k ~ / ~1 Attorney Name: John M. kin Supreme Court I.D. No.: 6351 in the above estate and that the instrument(s) dated ~' ~ ~-nj 7 described in the Petition be admitted to probate and filed of re~ord as the last Will (and Codicil(sl) of Decedeni. FEES Letters ............... $ Q~ Short Certificate(s) ........ $ Renunciation(s) .......... $ ... $ ~ F . . . $ ~~ ti... $ ~~ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ ~_ Address: Market Square Building Date of Death: November 21, 2008 ~i't--. ; ~ - ~: N - _ ,F O W in consideration of the foregoing Petition, satisfactory proof Mechanicsburg, PA 17055 Telephone: 717-766-317.? Form RW-02 rev. 10,13.06 Page 2 of 2 OCAL. REGISTRAR'S CERTIFICATION IpF DEATH WARNIIVG: It is illegal to duplicate this copy by photostat or photograph. ~ Fee for this rertiticate, 56.0f) P 15337404 Certification Number `This ir, to certify that the information here given is crn~rectly copied li~om an original Certificate o;F lleath duly tiled with me as Local Re~Tistrar. The original certificate will be forwarded to the State Vital RecorcL<: Olficr ti>r permanent filin~~. ~~~!?-°~--- f~ l ~~tl~~ P Local registrar Date Issued r-a n O c~ -- -~~ ! ` - ro _~_ :"> Q .~ ~- r - N y;- '17J ~ _- -' ~ 1 _::~ ~ ~'~ ''`v N ~ . i . O W Hlu>-1 J.i riLV 11'2DDb TYPE~PRINT IN PERMANENT BI ACK INK I Name W Dacccenl IF usI. mltltlle. last sumx) I Mi i Age Itasl Blnndayl Urger 1 I COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL gEI~ORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) SLATE FILE NUMBEN 2. Sez 3 Serial Secwdy Norther 4 Dale o(Death (Mnnm, day, year) Bodtorf _ Female 169 - 94 -3942 , , ,. ,. ,.._ _._ __._ _.._._.,..,._....,, oo r„w ui beam I~rrea{ onry ixw) .m oarx Nair. rn,emez Noapital: on,e.: 9 6 Yrs eD. COUN I Death 1 2 / 1 3 / 1 1 Ova 1 , P A Inpabenl ^ ER / OOlpalu:nl ^ DOA ^ Nursmy Nom¢ ^ Fesi4nw ^Olner ~ Spedty. Y L &. Cny Boro, Twp of Death tb Facitily Name (lf tier inskwlwm, gore sheet aM number) 9. Was Decedent of His panty Origin? ~ No ^ Yes t0. Race: Amerwan mean, Black. wnae. etc Lebanon m r¢a. ao«iro Qoan, I~,M Lebanon Goo Samaritan Hos ital Mezwan. paenG Rwan ewe 11. Decedem's Usual On~u Iron IKnd of work done tlui moll of woa~ lets. Do nor dale lemea 12. Was Decedem ever in the 13. Decedent's Educatbn Whit e Kntl d Work KIrW of Baseness / Industry U.$ Armed FOrceS? (Spen1Y onN m9nesl grade compleletll N. Manbd $IaWS: Marred. Never Marred. 15. Surnvlrg Spouse In tyre. give maiden name) Elementary /Secondary (D-12) College (I-4 or 5.) Wtdoxed. Dnorcetl (Sy rr/N PL~tRniSh3t1~ A~ciStarYF StatE ~ 1 ^Yes ~INo 4 Wi(lowed I6 Dxedenl s Maling Address (Sheet cry f town, stale. lq code) Decedonl s Dld Oecetlenl 128 Winston Drive AcwalResdarce vadale Pann~l~>ania Lrveina Ill ~ras.DecedumLwedn Tncrt=r A1lpn Mechanicsbur PA 17055 ,]DCG~NY Cumberland T°'"'""'p' ,]~.^NO,Da~edeNLwedw;u~n Twp IB Famer's Nanw IFirsl. mMae. last sunix) ~~ ~~ w Gly Boo 19. Mumer s Name (Fx$1, midde. nlaidan wrnarne) William Ira tbu pert Gertha Drucilla Laubach 2qa. InlormaN s Name IType/ Pnnl) 26D. Inlwmanl's Manirg Adtlress (SUOeI, city I kwm, stale, tip code) rl Bodtorf 302 W, Main Taylors, SC 29687 21a Mamod of D~spusa~Gn I ^ Cremauon ^ Donation 2YD. Date of Disposikon IMOnm, der . err 21c. Plaze of Di Ian N Banal ^ Removal Irom Stale y ye ) sPosr I ame d remelery. crematory or older place) 21 d. Loralwn IGIy; awn. slate, zp code) ^ ~ i Was Cremation or Donation ANNOrUed r spar~N , ; byMedwalExam;neryc««I¢r, ^Yea^Nn 11 /24/08 Rose Hill Cemetery Altoona, PA 16601 22a. Sgnalwe cl al Se Lrerise r per sucnl z2e. Lcense NwMer 22c. Name aM Adoress w FacNrty ~ +/ Neill Funeral Herne, Inc FD 013239 L Compete gems 23a- y wren cendyln9 23a. To bell d y knowledge de unetl al me lime. dale aM place slaletl (Signalwe and Nle) 23b. License Number physrun is not a' Ne at ume of deem to ~ 23c Date Slg qd Moro(n), day, year) envy cause am I. In 1 kDl'~~It, J~ ~~I~ I~OS IWems 24 2b must Le completed Oy perlat 24. Time of Deam 25. Dale Pronounced D/'ead 1MOnm, tlay, year) 2B. Was Case Ralerretl to Mescal Exnminer I Coroner I« a Reason Other Than Cremation « Donalwrl7 Iw prawulwes death ~ I ~ L P M. i I_l I O Q ^'fas No CAUSE OF DEATH (See Inslrucllons an0 examples) W ozimme interval Pan II. Enter atwr rem ~/ P,n I Eula vw cGauLfz€y~gs -asoases, inlwws. a contplicaeais -mat arecll x A r 51gHLGaWCyUgingpn-wmrduWn to seam 28 Da Tobacco use Contrmuta w Deamz respralory arrest. « venblcular LDraeWn wiltwul snowng Lne auokgy. Llsl one useJ me deelh Dry NOT enter lornnnal events suer as caN~ac arrest. Onset to Doom but rwl re>ulung n me wKkrlypg cause ryvan xr Pan I ^ Ye5 ^ Probably y one causer on uacn Inw IMMEDIATE CAUSE Fnal assess w ,1C f~ ~ ^ No ^ Unkrww conawn resunvg h beam) _~ ~~, A S 1 S ~~ ~YTU(~~}l5 1 ~~ a 29 11 Female: U. Due wLo (J!J I, )`(`o`~ IE t'l e~It~ ^ Na preyrraN wllhilt pail year s¢w,enlwly Ilat conaeons n any ~ U/~(t ~G-I'L~U ~'UI t~~' r ^ Preyrtaru al tine of aam wa~lg w me Hansa Inled „n Iwe a C t Ems Bte UNOEglY1NG CAUSE Due W I nseq dl [] pru~ n:un Dul I<asau52 ur xyury mere kxtiamtl Iha 01.-~'>'711~ ~+ ~ 2!1 .1 I ~ ~ ~ Nol 3 prr;ynam nilrwi J[ Gays vanes resulting in deaml LAST. u ` ~r ' ` ~ IJ "l wI ` `' W dzaln D to 1 s~ a conee9pe Il [] Nut pregnant DN 1.13 ere I 1 a P~1iC fLrIJkL ~~,y~~ ~ vraynar~ ysn year Detora deatn 30a Was an Autopsy 31JD Ware Autopsy FndngS 71 Manner N Death ^ lAgrrrown q praynaa moon v,e pest veer PenurmeS' AvwlaDw Prwr w Cuntplalwn 321. Data of Iryury (Monet, day year) 32D. Describe How Inlury O:curred 32c. Ple~e I Inryry. ebme farm. Sheol Fxlory, .~J~ggq w cause ul DaaIM ~Nnlwal ^ Iloiniada Un a Biildng, w. lSyenNl ^ Yes ~ Nu [~ Yes [] No t_ ~ A~:ra:nl ^ Pei ~tluiy Imewyaual 32tl Tutor of Inlu7 72e. Iryury at Work? 3f21111 Tluruponalxm Inlury l5p¢cityl 32y. Lucaliat of Inlury lSUael. ary ~ town stale) U Su,ri Ja ^ Goultl Nw La Delemm~atl ^ Yas ^ No ^ Glvur r Opornlw ^ Passerger ^Pedu:.lnen M Oll~er~ Spet'ily: 33a Leatwl Icheck oNy «~¢) - en Cenilyirg phymcian IPnyauian cei bl m 33b Sgnalur d 7Aw CeN(wr I To the Desl olm know t 9cau>e al Ueelli nl ') • y ledger, dadlh OCOUIr¢d due 10 the cn anolnul yny.lCian na> prawuncetl Otani entl Conlple:aG Vern 23i n cause(s)and manneru sMled___ _____________________ _ t-~ ~ I • Pronouncing and ceNOymq phynman (Physlaan both piunaunung dean and cendying l0 cause of daolnl Ta tNe best of my knowledge, death occurred et the bete, date, Intl place, artl due to the teasels) and manner as sUted_ _ _ _ _ _ _ _ _ _ _ _ _ {~ 37c lcarue Number 'tad. Dale Sigred Ihkrlh tlay. year) • Metlrcal Ekaminer/Coroner ----- ~-J ~~(v~)IOOI ~1 ~~ O~ On Uw basis of eaaminMion and I or invesliyollan, in my opinion, tlealti «curred at the lime, dole, and place, and duo to Ih0 wuse(a) and manner as aMled_ ^ U 7 V i 74. Noma artl Address of Pers«~Yyho Curnplolatl Cause of Dcdm item 2]I Type' Prml ;> N dD n po ~ ~Z ~~ ~;~ ~~ 3s Date Flied IMpmn, say year) y ~--~y~~~.aan _ t ~ ~ I ~ .Z ~ t ~ 2 ~ ~1"(/oya~"eM [~r~H ~~ 1"~t~t Q-v-o N~Il,~ic~~ti/ ~ ,k IP . 1.~I~6~~ P,~~~~o~z DlsposiLUn Permit NG. ~ Y\ / ~ I~~/ ~.~~ iX~ ~.z~t~ `~.~~~~t~ezt# -~o i ij~r~ b OF :,_, rv r . - C_r"1 cJ: MABEL D. BODTORF ~° ~ `~~ ~_ -~ _~ N _~ .. iJ I, MABEL D. BODTORF, of the Township of Lower Allen, County of Cumberland and Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this my Last Will and Testament. 1. I direct the payment of all my just debts and funeral expenses as soon after my decease as the same can conveniently be done. 2. I direct that there shall be paid out of my residuary estate all estate, inheritance and like taxes together ~~aith any interest or penalty thereon imposed by the Government of -the United States, or any state or territory tizereof, or by any foreign government or political subdivision thereof, in respect to all property required to be included in my gross est<~te for estate, inheritance or like tax purposes by any of such governments, whether the property passes under this will or oi:herwise. -_ _>> 4 '. ,___~ '_~ - 1 - 3. I direct that I be interred in Rosehill Cemetery, Altoona, Pennsylvania. 4. I give and bequeath the following items of personal property to my daughter, BEVERLY B. McNAMARA: my Master Bedroom Suite, a pair of vases which I received from my family anal the coin collection marked with her name and the following Hummel figurines: Flower Vendor 381 Apple Tree Boy 142/3/0 Little Fiddler 4 Hello World Sensitive Hunter 6/1 Puppy Love 1 Umbrella Girl 15/13 Timid Little Sister 394 Spring Dance 353 Christmas Angel with my small Nativity set 92 Bell Doll Mother 67 March Wind 43 March Wind Crystal Wash Day with medallion 321 Co-Boy-Jelly Maker 5. I give and bequeath the following items of ~~ersonal property to my daughter, GLORIA B. CLARK: my White Bedroom Suite, the pair of vases received as a gift from Nettie Ross; and the coin collection marked with her name and the following Hummel figurines: Happy Days 150/4 - 2 - Little Sweeper 17]'_/4/0 Smart Little Sister 34Ei Merry Wanderer 7/~~ Auf Weidersen 153• / 1 Strolling Along 5 Stormy Weather 93Ci Farewell 65/1 I Brought You A Gift 479 Mother's Darling 176/0 Chicken Licken Balloon Lady Co-Boy-Bookworm 6. I give and bequeath the following items of ,personal property to my son, RARL R. BODTORF: my Bedroom Suite, t:he coin collection marked with his name and the following Hummel figurines: She Loves Me She Love Me Not 174 Chimney Sweep 12/:?0 Village Boy 5/10 Be Patient 197/1 Close Harmony 336 Serenade 8 5 / ]L 1 Umbrella Boy 15/] 7 Little Miner _ Kiss Me 311 Wall Vase (Boy-Girl) 360/'A Watchful Angel 194 Todays Children (2) Co-Boy - Skier Mug-Monk 7. All the rest, residue and remainder of my estate, real, personal and mixed, I give, devise and bequeath in equal shares to my three children, BE~JERLY B. McNAMARA, GLORIA B. CLARK and KARL R. BODTORF. 8. Lastly, I nominate, constitute and appoint my son, KARL, R. - 3 - BODTORF to be Executor of this my Last Will and Testament and I further direct that no bond or other security bE~ required of my personal representative to guarantee faithful performance of his duties. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~ ~ day of July, 1997 . ~~ ~ o~~ ~ -c--~7~~i~-," ( SEAL ) Mabel D. Bodtorf Signed, sealed, published and declared by the above named MABEL D. BODTORF as and for her Last Will and Testament, in the presence of us who have subscribed our names hereto as witnesses, at her request, in her presence and in the presence of each other. ~. ' ~., ~~ ~~ti ~~ - 4 - f J OATH OF SUBSCRIBING WITNESS(ES) REGISTER OF WILLS Cumberland Estate of Mabel D. Bodtorf COUNTY, PENNSYLVANIA John M. Eakin and Susan A. McCoy (Print Name/s) the ®Will ®Codicil(s) presented herewith, (each) being duly qualifie< say(s) that she / he /whey was /were present and saw the above and that she / he they signed the same and that she / he the Deceased (each) a subscribing witness to l accordiing to law, depose(s) and Testator Testat,-- r j sign the same signed as a witness at the request of the Testator Testati in her his presence and in the presence of each other. (Signature) S1~uIerS~ee.~ (Street Address) Mechanicsburg PA 17055 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Q g (Street Address) Mechanicsburg, PA 17055 (City, State, Zip) Executed out of Register's Office Sworn to or affirmed and subscribed before me this ~ ~ ~ day of nICVr? I~t hem , G"Da ~'" -'1 Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization. 6NOTARIAL SEAL Form RW-03 rev. !0.13.06 FIEIDI M NELSON Notary Public McCF WVC~Cs 80ROl1GF~ CUV~DCOIaVIY My Commission Expires Jun 27, 2011 (Signature Market uare Buildin (~ ~--. /.-~ t~ CTJ '. '_ - ~ sit:.. .. .. ~ - -_ __ .-- -- ~; , -,~ -_~ N ".,, v ; o w