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HomeMy WebLinkAbout01-29-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Connie M. Minich File Number 21-09- b ~~~ also known as onstance mic ecease Social Security 173-38-6076 Petitioner(s) who is/are 18 years of age or older, apply(ies) for: [X] A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Executor named in the last Will of the Decedent dated March 24, 2005 and codicil(s) dated N/A state re evenat circumstances, e.g. renunctatton, eat o 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: 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 231 North Middleton Road Carlisle PA 17013 North Middleton Townshi ist street a ress, town ctry, towns ip, county, state, zip co e) Decedent then 59 years of age died on 1/14/09 at Hershey Medical Center Decedent at death owned property with estimated values as follows: (If domiciled in Pa.) (If not domiciled in Pa.) (If not domiciled in Pa.) Value of real estate in Pennsylvania 20,000.00 situated as follows: Bradley Drive, Carlisle, PA tv C7 ca _ __ ~~- _ n ~ ,.~ --, ,_ , ,-,.; -- -~ > ~„ -, ~ ; _°i ,, rV -_ { . ~. _..~.~ lfl c -_ .r+ ~ ? Y .~ Page 1 of 2 [ ] B. Grant of letters of Administration (If applicable enter: c.t.a.; .n.c.t.a.; en ente ite; urante a sentia; urante minontate) Petitioner(s) after a proper search hasJhave 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.) 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 aoorooriate form to the undersiened: OATH OF PERSONAL REPRESENTATIVE COMMONWEATLH OF PENNSYLVANIA COUNTY of CUMBERLAND The petitioner(s) above-named swear(s) or affirm(s) that the statement in the foregoing peition are true and corn 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 this a1~`~' ~ o ~~ .~ ~ ~l For the Register Marsh M. Minich N -~ c~ -rn ..~ c7 _._ -, __ ~ :. ; _ ~ _.. File Number: ~ -`-r ~ --, ~ , : .-~ Estate Of Connie M. Minich Social Security Number: 1/14/09 AND NOW d`1`~` i Ca ~ ~~,~, , 20 Dc1 in consideration of the Petition, satisfactory proof having been presented be e me, IT IS ECREED that Letters Testamenta ry are hereby granted to Marshall M. Minich .c- Deceased in the above estate and that the instrument(s) dated March 24, 2005 described in thte Petition to be admitted to probate and filed of record as the las Will (and Codicil(s) of Decedent) FEES Letters RDA ~~~ a I (~ Short Certificates I "` Renunciation l,J ~ ~ J ~ +, - I~}~ TOTAL... yi 173-38-6076 Date of Death Attorney Name /5 °`~ Address: U dJ Telephone 5 South Hanover Street Carlisle, Pennsylvania 17013 (717) 243-5838 Page 2 of 2 Sup. Ct. I.D. No 46397 OCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. lee 1~~~)- thi. certific.lte, Sh.i)O -- ~ 150~3_~30 __ Certificatil>r) l~,uml_tcr This is to certiF, thai the inftlrnurt'iuu here r~i~~en is rorreetly copied-from an ori~~inal Certificate of Dc.~(h duly 171ed with me a, Local Rr«i,irar. The ~~ri<ainal certificate ~~ill he fnr~~~arded lip the State A~ital Records Office fLn hermanenl filin~~:. L~x~e ~~~'e~ac~-~ `Dett~.X' Jq~V 1=12b~9 Local Reeislrar f>ate Is,ued na - C7 ca ~- ,T ~ ~ r - ' N ~ ;~ -~ J ~ `w _ _~ = ~ _ i i _~ l~ ~ ~' H705-143 REV 11/2006 TYPE /PRINT IN PERMANENT BLACK INN COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VRAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) __.__ _.. _ _ _ __ y~l t i~r4 r~. / ~ I _....____.._...__.. v w t. Name d Decedent )Firs), midtlle, ksL sulfa) 2. Sez 3. Social Seadry Number 4. Data of Death (Month, my, year) Connie M. Minich emale 173 - 38 - 6076 Jan. 14, 2009 5. Age (Leaf Birthday) under 1 under 1 day s. Date a Berth (Moan, day, rear) 7. Birthplace (any am skw a faeign Camay) ea. Place a Dam (Check Dory erne) 59 - ~'" ~` "~t"a June 6, 1949 Carlisle, PA ,"a°'k orbs` Vrs' ate- lipetlenl ^ ER / Oulpetient ^ DCA ^ Nursing Harre ^ Resitlenca ^ghar - Spedy: - Bb. Ctunry a Death Bc. CM. Bore, Twp. of Death gd. Fanlhy Name (lf rid insdtuaon, gNe rhea and number) 9. Wad Decedent d Hispenk Odgin? ~ No ^ Yes 10. Race: American Indian, Black, Where, ek. Dauphin Derry Twp. M.S. Hershey Medical Center ("''~~'pea'y'`~"' 1 Mexican, Puerto Rican, etc.) t~Vttlte 11. Deceeem's Usual Occu son KkM a work dew mod a wok' Ne. Do not state reared 12. Was Decedent aver in the 13. Decedent's Education (Spedly Doty highest grade compktm) 14. Marital Status: Herded, Never Maam, 15. Surviving Spouse (If wife, give maiden name) Kintl a Work Kind of Business / aqustry U.S. Artrwd Farces? Elementary / SamrWery (0.12) College (1-0 «5.) Wimwutl, Divorced ISPet/41 n ^Ya ~'° 10 Married Marshall M. Minich ~ ts. Da-ema a Magirg Ammar (greet. dN /town, sade, rIP axk) Decwmnra Da Decedent AUUEI Reedence nor swe PA Lrve k a „~, yes, Deceeem Ilvm In N. Middleton 'Iry''~. 231 N. Middleton Rd. Twp O . T°w'w6pP nd. No,DeteaenllAwewlbkn Carlisle, PA 17013 t7b.Camy C' Tmharl nd aaaelumika ~, Bat 19. Father's Name (First mkfele, lea, sNfa) 18. Mdher's Name (First rtktlJe, maiden surname) Ral H. Co le Genevieve Dosh 20e. Inkmwa'a Name (Type / Pdnt) 206. InlamanYS Malting Atldress (Street, city / form, slate, zp coda) Marshall M. Minich 231 N. Middleton Rd.y Carlisle, PA 17013 21 a. Metlwd a Dispositlon ~ ^ Cremetlon ^ Dmatkn ® adal ^ RemovalhomSele w c l 21b. Daw a Dhposition (MMm, my, year) J 17 2009 21c. Place a Dkposilbn (Name a cemetery, mmalory a other pace) 21tl. Location (City /town, akte, zp code) ~ aa rema kn«D«utlonAUlhoHad ^ Omar - S zsa'y M' Medkal Examine / C ? ^ ^ an. , Waggoners United Methodist Churc Carlisle, PA 17013 y r «awr Yes No ~ 22a SignaOxe a F (a palm actlng a such) " -.~ 220. Lxwnse Number 138425 72c. Name arld gddrass a Fealily Hof fman-Roth Funeral Home & Crematory , Inc . 219 North Hanover Street, Carlisle, PA 17013 Carpets dams 23aa dory when cer"yxg ' .Tome heal al my knowKdgO, dam oaurretl at ma time, cete and place slalm. (SigneNre em ark) 23b. Lkenee Number 23c Date Si rwd (Hoorn d physcwn s ax available al6me a death to . g , ay. year) c«"ly cause a deem. henw 2426 must he canPklm by person who Pronasxws deem 24. Timer of Deam ` s 25. Date Praainx.'ed Dead (Halm, day, year) 26. Was Case Rekrred to Medkal Pxamirrer / Coroner for a Reason Omar then Crematkn a Dawtian? , - , / . , ( ( ff1 M. ~ClnL1ClC ~ ` LF 9 01-00 ~ ^ Ya L y ^.'+o CAUSE OF DEATH (See InalrucUOns antl examples) hem 27. Part I: Era« the chain of evens- tliseasea, kryurks, a carpYratkns -mat Erectly ceuem me deem. DO NOT sera lemknal evertor such as certec arrest r Approzm191e kkly8l: r Onset ro Deem Part IL Emer otywr ' ~ but nor resdlirg ro the undadying cause given m Pad I 28. o6acw Use Conbibule to Deam? Yes ^ Piebabl respirslory anesL a vemrxzW Poakdon wPoaa showeg me elidogr. List aJy one cause on each ins. IMMEDIATE CAUSE (Erna Eisease a \ / e - r . y ^ No ^ Unkmrm - ~ 1 ~~ p ~ ~~ ~i c«hblion raularg in deem) _~ a. ~'`-~/~Z"t.lk-C.. l 'C%L,1'lCP~f ( t,l ~ Q1A ~ I LZ C>t Cn nY' ~ 29. ,"-F,~ma/~a,. D ue to (a as a consequence of): s L/XFbt pregrent wimin Iwst Year ~ / C1 D SeWemialy list coridaons,"arty, b. I"LC'.`~CQFC~yI.eUC TAFCI C~',EiUl fl k b the cause Nslm an hoe a. ^ Pregrwnt attimeadeam Enter $le UNDERLYING CAUSE Due to r as a consequence off:/~ Na ^ pregwnL, Wt pmgnant whhk 42 days (()) (Okeaseainjury that irrtlalm the c, ~..Q~L/.,r[~ ~T~tJS~~I'~ events resulting in seam) LAST. ; dmem Dud ro (a as a consequence op: r ^ Na praawnL ba pregrwm 43 days Ie tyar b f d m d. ~ e ore ee ^ Unknown d pmgwnt witlen me peal year ~ 30a. Was a Autopry Pedomled? 300. Were Aubpay Rmhlgs Avaikde Pdor ro Campeaon a taco a D m? 31. of Deem NaNml ^ fbnkcida 32a. Date a I 'u Maah, m , M ry ( Y Year) 320. Dascdce Hew in(ury Occurmtl 32c. Place of Inury: Home, Ferm, Slreel, Faaory, Ofice Butl6ig, ek. (Spearyl . ee ^ Ya r~ ./_ L!J"^' ^ V~ ^ ~ ^ Accident ^ Pendng Imestlgetim 32d. Tme a mjury 32e. Inryry at Wok? 32f. "Trsneponagon InJurY (Spadly) 32g. Laaaon a Injury (Slreel, city /earn, state) ^ Suicide ^ CaM Na be Detamaned ^Yes ^ No ^ ~/~~ ^ Passenger ^Pemslrlan M Omer - Specify: 33a Cedifwr (clwck Day one) 33b. SlgnaNre and o/ Certifwr • C«Iltying phyakMn (Physkien ceNrying tales a deem wlwn analwr physiaat has pmmincm death am mmpleled Item 23) - ~~ ~ To the Oat of mY knowbtlge, OeaUl occurred dudbthe aua(s)aM rrennxaeteted_________________________________ ^ • Pronoundrg arM cedKyirg plryakisn (Physician Dom praiaxong mem arM ceNtyYq b [al6e d deem) 7o the twat a my Mwwlmge, darn attuned at the time, Mk, am plea, am due to the eausgs) and manner as slated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 33c. License Number 33tl. Date Signed IMonm, my Year) • Matlkal Examiner /Coroner e•,~ ~ la ` ] ~ ~ n GCC.v~ ~ CF ) of M ;~LZn On me 0eala o/ ezamirwtion and / a invatigatbn, In my oplnbn, death occurred at the tlme, date, am pkce, am due to me cause(s) erM manrwr as atetetL ^ , - , 30. Noma end Amress of Parson Wrw Completed Cause of Death (Item 27) Type / Pn'pt~ mar 35. Regisaafs m Die ~ tC L 1r F ~ ~ l ~ ~~ Id ~ t ~ ~ - a~ 3B''Da'e Faetl ( m'tray' year) M.S. Hershey Medical Ctr. MAi~1 A 1~bS-Al P. l= Hershe PA 17033 a . \ 4~J.C (l , y Dlsposliion Permit No. O~ I 0 1 LAST WILL AND TESTAMENT OF CONSTANCE M. MINICH I, Constance M. Minich, of North Middleton Township, (231 North Middleton Road, Carlisle, PA 17013), Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void ar~and all Wills and Codicils heretofore made. ~? ~~ - ,T ~ ~a 7 ~, ; `._ ,; FIRST N ~ _, _ I direct the a ment of m ust debts and funeral ex enses as son r ` death as may be convenient. y ~ p ~~` ~ ~ `, ~, - _5 .~ _ ~ ..~ __, ~ - SECOND I declare that I am now married to Marshall Marlin Minich, Sr. and that we have two (2) children, to wit: a daughter Michelle M. Bottoms of 2822 Springflower Drive, Wilson, North Carolina 27896, and a son Marshall M. Minich, Jr. of 30 Haven Way, Lugoff, South Carolina 29078. I have no deceased children nor any other children living by my husband or otherwise. THIRD All the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath to my husband, Marshall M. Minich, Sr.,his heirs and assigns, to the exclusion of my child or children, born or unborn, provided my said husband shall survive me by a period of ninety (90) days. In the event that my said husband should predecease me or fail to survive me by the aforesaid period of ninety (90) days, then in such event all the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath, as follows: (A) If my spouse does not survive me by the aforesaid period of ninety (90) days, I make the following specific bequests: (i) To each grandchild which I may have at the time of my death, I give and bequeath the sum of Two Thousand ... ($2,000.00) ... Dollars, (ii) To my daughter Michelle M. Bottoms I give and bequeath all of my personal jewelry. (iii) To my son Marshall M. Minich, Jr., I give and bequeath all guns and my gun cabinet or cabinets which I may have at the time of my death. (B) All the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath in equal shares, per stirpes and not per capita, unto such of my children as shall survive me by ninety (90) days. At the present time I have two children as aforementioned. FOURTH Any and all payment or payments of any sum or sums, whether in cash or in kind and whether for principal or income, payable to any said child or children, shall be made upon the sole receipt of the respective individual to whom the payment is made, and free from anticipation, alienation, assignment, attachment and pledge, and free from control by the creditors of any such beneficiary; All shares of principal and income herein given shall be free from anticipation, assignment, pledge or obligations of any beneficiary, and shall not be subject to any execution or attachments. ~'l,~U,t Last Will and Testament of Constance M. Minich FIFTH I hereby nominate, constitute and appoint my said husband as Executor of this my Last Witl and Testament. In the event of the renunciation, death, resignation or inability to act for any reason whatsoever of my said husband, I nominate, constitute and appoint my daughter, Michelle M. Bottoms, and my son, Marshall M. Minich, Jr., together as Co-Executors of this my Last Will and Testament, or the successor or survivor of them alone as Executor of this my Last Will and Testament. I further direct that no bond or other security shall be required of any Executor or Executrix appointed in this Will for the performance of his, her or its duties in any jurisdiction in which he, she or it may be called upon to act. SIXTH In addition to, and not in limitation of, the powers conferred by law or by other provisions of this Will, my Executor shall have the following powers, each of which may be exercised from time to time by my Executor in his sole discretion: (a) To retain in the form received, and to sell either at public or private sale, or to distribute in kind, any real or personal property. (b) To manage both real and personal property. (c) To invest and reinvest in all forms of property, notwithstanding the fact that any or all of the investments made are of a character or size which but for this expressed authority would not be considered proper for an Executor (d) To exercise any option or rights arising from the ownership of investments. (e) To compromise claims without court approval and without the consent of any beneficiary. (f) To join with my husband, or his personal representative in the filing of any federal income tax return for any year for which !have not filed such return prior to my death and to consent to the treatment of any gifts made by him as being made one- hatf by me for gift tax purposes, notwithstanding the fact that such action may result in additional liabilities to my estate. Any income or gift taxes due on such returns and any deficiencies, interest, penalties or refunds thereon, shall be allocated between my estate and my husband or his estate, or all to any of them, in such manner as my Executor and my said husband or his personal representative may agree. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament, written on three (3) pages (including notary pages), this day of March, 2005. ~..-...1 ._ / Constance M. Minich Signed, sealed, published, and declared by Constance M. Minich, the Testatrix above named, as and for her Last Will and Testament, in our presence, who, in her presence, at her request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. Last Will and Testament of Constance M. Minich COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF CIJMBERLANp ~ SS: We, Constance M. Minich the Testator and the witnesses, respectively, whose attached or foregoing instrument, being first dul savor undersigned authority that the Testator si ned names are signed to the Last Will and that he had signed willin I y n, do hereby declare to the 9 and executed the instrument as his and that he executed it as his free andv olunta illin I expressed, and that each of the witnesses ~ g y directed another to sign for him), Testator, signed the Will as witness and ry act for the purposes therein Testator was at that time eighteen ~ ' ~n the presence and hearing of the that to the best of their knowledge the under no constraint or undue influen $e.Years of age or older, of sound mind and Subscribed, sworn to and acknowledged before me b the T witnesses above-named, this ~ ~: day of March, 2005y estator and the ,- Notary Public ~ ~ ~ ~~~~~~~ ~_ NOTARIAL SEAL TRISHA A. UESS, NOTARY PUBLIC ~SOROUGH OF CARLISLE, CUMBERLAND CC., PA s~ h, MY COMIU4NSSION EXPIRES MAY 20, 2006 Minich ~ ~ ~py~sta'~CeM• ~~,Y~ .,, ..~~'~ es~~ ,, ~y ,~ --r Constance IVI `~ ~``- `~ ~ ,.., Mmlch