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HomeMy WebLinkAbout05-27-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF ri uuaFR~ tsNp COUNTY, PENNSYLVANIA .."sv ~wTUOVU nnaRg File Number ~ ` ~ U \~~~ Estate of also known as MtsRY K DOBBS Deceased Social Security Number Petitioner(s), who is/are 18 yeazs of age or older, apply(ies) for: (COMPLETE 'A' OR 'B' BELOW.) G~~~••+rix named in the A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / aze the last Will of the Decedent dated °t~~t~nc~3 _ and codicil(s) dated none (State relevant circumstances, e.g., renunciation, death ojexecutor, 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) (COMPLETE INALL CASES:) Attach additional sheets ijnecessary. ~ Decedent was domiciled at death in r~ imhPrland County, Pennsylvania, with his /her last principal residence at 203 S. ~"' ~hmaton Street Mechanic~b~~ra ~A 17055 Mechani (List street address, town city, township, county, state, zip code) y g ot~t~nnS at u..i., e.,~~~+ u.,~„.+~t Decedent, then 88 ears of a e, died on pq 17011 _~ „_ „~.~ ,. Tn~.inahin Camn Hill F- r Decedent at death owned property with estimated values as follows: $ 48.000.00 (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 $ $ 0.00 Value of real estate in Pennsylvania none 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 undersigned: Signature Typed or printed name and residence A ~ ~ 11 /1 FRANKIE L. HENSEL _ _ _ ____ Page 1 of 2 Form RW-02 rev. 10.13.06 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 a...:~:..t,.,,*;,,,, ,. r ., .,r d h n c.t_a.. enter date of Will in Section A above and complete list of heirs.) r-~ Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA ; SS COUNTY OF n"~'nco~ e~p _ 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 anrd/subscribed before me the / day of ~_.. For the Register of Personal Representative FRANKIE L. Signature of Personal Representative Signature of Personal Representative ,~c~ -~f- --=`~', -. `a~ N O -~ N J r ~' _ C~J ~_, .' ~ ~C J File Number: ~ ~ ~~ \ b~~ l 1' _~. W Estate of , ~eceased w c ~~ 1R1-n5-7874 Date of Death: °1't'^O8 Socia~ curi Number: AND NOW, , ~nng , in consideration of the foregoing Petition, satisfactory proof having been presented before m , T IS DECREE hat Letters are hereby granted to in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and filed of rec ~ ~ ~fi the la~ Will (awl Codicil(s,~)~ f De~ dent. ~~ FEES (~(~t~' Letters .... .~.........~........ Short Certificate(s) Renun iation(s) •••••~••~••••••• ~-SC .... r~ .... $ ~~T $ ~ $ _ $I ~J,, $ .... .... $ $ .... .... $ . $ ... .... $ TOTAL ............................. $ o~ Register Attorney Signature: Attorney Name: Supreme Court LD. No.: '"~'~ Address: 3~ Fa°` ~'•~ ct~oo+ Telephone: '"'-~°'-d~50 Page 2 of 2 Form RW-02 rev. 10.13.06 I05.805 REV (Ol/071 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 14Z_~25~- Certification Number This is to certify that the information here given Is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vita: Records Office for permanent filing. ~~ ~ -~ ~,ti q / 5 /c~8 Local Registrar Date Issued r.s n ~_ © "° ~ ~ r i ~(~ _ i i n s~• ~ ; ., 1, -.. - -~1 iT?-1 ,_. ,-; N :~ _ l ~_) Ti1 -.~ _~ `- _ l.~ -~ ~a Hm6-ls3 REV nrzdo6 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS TYPE/PRINT IN CERTIFICATE OF DEATH PERMANENT d ' O 6 BUCK INK (See instructions~and oxamples on reverse) STATE FILE NUMBEfl 2. Sex 3. Sadd Seax% NaMer 1. Dale d Dean (Malt day. Year) NamedDeceded(fxst.nliddw,wst.wmx) Female 181 _ 05 _ 7874 September 3, 2008 Mary Kathryn Dobbs 5. Aqe (Last Buudayl Under 1 year UMar 1 day 6. Dale d Bu1h IMonn, da .year) 7. Birtllpwce (City and side a b ' axadryl Ba. Pwce d Deam (CMCM a,el gher 88 '~" wyx """' ~` March 27, 1920 Lemoyne, Pennsylvania IrpaWM ^ER /Dulpetienl ^D00. ^NUrsing Hane ^Residence ^Omar'Specify'. Yrs Y 10. Race: Artwcan Nldan. nwcL, Whae, ek 9. Was Deeded d Hispanic gigirl7 No ^ es - eo. Crxmry d Dean &. C%~ Baa, Twp. d Dean ed. Fad% Name In not inatintian. give Wed and numherl ~ (~`'~ W h Its Cumberland East Pennsboro Speciality Care at Holy Spirit Hospital 1 ~~;, eel • It. DecedeN's Usual - Knd d weA uu chin moU d we. Do not stale retired 12. was Decedera aver w me 13. Dersded's Education (Spedly Wy IuWast grade ampwledl 11. Hared SYduc: Horded, Nevar Married, 16. surviving spouse (N wile, g^'a maiden rwrw) u.sAmledFowas7 El«nenwn/ rylo-,z) CWe9elld«5.) widow~d.DwandlsP•uM mod, °v Widowed ~~er~c Commonweal of Pa. ^Yes ~Na DacadenYS Did Deaatl«a 16. DecwwnYa Heirq Aaaess (sued dry / wwn, sew. zp toes) PA Uva h . 17c. ^ Yea, Daceud Uwe h T"p 203 S. WOShingtOn Street AaualR.adarwa va.6Yets Towndap7 +~ ~ry Cumberland nd f~ ~ adwan~ Mechanics erg c%/e«e Mechanicsburg, PA 17055 1S. FaTwr's Name (Fvd, rtddu. wsl, s~wl 19. Ho7wrs Name (Fvsl, mdda, maden clanarlwl Bertha Elizabeth Snyder Upton Howard Ward ZOa. Inlartlant's Name (TYPe I Pdnll 20b. uganwrlYS Hailing Atlhess (9red csY / Icwn, sww, ]ip ado) Frankie L. Hensel 18 fast Keller Street Mechanicsburg, PA 17055 2ta. HeYadd Dispossial ^Genwdm ^Donalbn 210. Dew d Disposition (Haug daY Yur) 21c. Place d Disposilim (Name d aemetwY• crenwwrY a dMr pout 21d. L«aum IC%/ dxm, torte, zp codal Cam Hilt Pa. 17011 Roiling Green Memorial Park P r o ~..Baw ^ RemavdlranSww • waaam.lbn«DawuonAUthMZW by YMkd Eaardrw I CamarT 9-6-2008 ^ N Yes ^ ^ Other ay: ~ e d Funerd u ~ 22a ss wen) ~ ~ 22e. Name and Address d Fadl% Myers Funeral Home, Inc. 37 East Main Street Mechanicsburg, PA 170 ~ . +/ FD-012662-L ~ _. .- .a..__ gy doe and dwl n. Mu MU N .dean oaefrBd al dle Idlla, ddb and Pwu Sword. (Sgna 230. Licarwe Number 23c. Date Sgwd (Haan. daY. Pearl phYsidan N Tort Svailaole ar time d death w A urWY rouse d dean. r/ 2/. Tana d Deam 25. Dow Prmanad Dead (/H-orn, my, year) Hans 2126 mull u ampded Oy person a, M. S ~ 'J~Q M JL le 3 ~ ~ rAw gaaurcas dun. ~ 5 ' CAUSE OF DEATH (Sea InsvucUona ~rM aaampsaal , gpgoxmale raen Inan 27. PM I: Enter ne Ulad d events - tiseasas. vyaws, a carpGcations -drat &ectly rause0 dIe uan. DO N0T enter IermNld avenw such as cartliac anent i Onsd w Dean respul~aFFlory aped, a vedriCUwr iOrQYlaaton~w~M7wl[s`haxarg Ne droWgv. ~ ~Y ~ u16B o^ eatll Gne. r r m~idtio'nTreEe,Wrlq l~n de NI -; a. ` ' W 1 L R4.-sn~ +el~s o Q y ~-fl-I w~r~- ; Due w la as a consequence dl: ~~ a, i L~ I V 4 F+ F ~iYl_ ~-'-~~s Sequanwry ssl conalwns, a env. b. ~ lY1LY J ~ w~Yg n ~ cause ~~ o" a1B a. Due w la es a cansequerke on: Enner Bw UNDESIYNIG CAUSE l IJwasa a xryury that uxluled pw ~. r evenw rcsulwg xi uanl LAST. Duct w (a ss a consequence of) r d, Qydy~'+'EZ.IC (~4~vi~t I~Pf1 W2F _ 30a. Was an Adopsy 300. Wore AdopsY Fntings 31. Manner d Dean 32a. Daw of Injury IMOnn, uy, Year) 32D. Desaihe How cowry warred Pedortnal? Availade Pur b Canplelan ~ „~ ^ ~mN~ d Cause d Dean? 1. W'pW1°' 32 Loranon Au:iunl ^ Perdirg Inveslignlion 32d. Tme d Injury 32e. ulyry d Work? 321. II Transponatian mpxy (Spaxly/ 9 ^ Ves [(~O ^ Ddver / Operala ^ Passenger ^Peusoun I ^ Yes [~ ^ Suicide ^ Could Na u Delerminad H ^Ves ^ No Over - so«+7 ~ 33D Sigretu and Tltw d aver ~ 33i Cenctier IdacA ady anal , \ n A i+C~l n • `~ -- ~ Cartitying phyabiarr (Phys iaa cenuprq cause d doom when arwma pnysician nos piawincea loam and cwnpwletl uem 23) V Vv J To Uw bold my knowtatlS•. dean xcurtatldw to nor u„aMq wd maruaru eWerL________________________________ 33c. Lkanse iurtMr • Prarwundng antl carWYwg pnydcian (PhYSinan Odh gorwunrng dean ard ceNNm9 w cause d uem) _ -' -' -' ^ ~ ~ ~S i- To tlr beat d my drwwbtlga, dean accurratl as u» dwa, dew, antl pores, aM tlue w tlro cwsela) mtl maarer as swled_ _ _ _ _ _ _ _ _ _ _ NJ .YF • Isedred Eumwar 1 C«,mar 34 Name Address d Pwsa Who Conplewd Caused [ c°wr On nor Gda d aaaminadon aM / a {nvexligation, in mY opinion, uem occurretl d bre tOlre, door, and Plan, and due w u1e uuselal and manner as WteL D ~ ?nP _ .. - ~ ( O ~ V I • I ~ `u Dow F (Montt! uY. Y~1 ~J 1J 'I'-,,,;,,, dl e P.~o~ 0 36.R.d s re and Nu Ia) ~, ~) ~ I ~l ~v~ IS•~ ~5 Q 9 11 Disposldon Permu No. ~'~ ' S l (~ 6 3 Was Caw Relerred b Aledicd Examiner / Camw Mr a Reawn Ouwr rran cremation a ^Y•a ~° Pad M: Eruct dlwr Out rot resrAYlq n ne aldedYng cause Wan r Pan 1. NI. Dd Tobacco Use C«udxaa to paanT ^ Yes ^Probetuy ^ No ^ UNugwn 29. n femaw. ^ Nd pegnam wltlun past year ^ Pregnant M Wna W dean ^ Nd geyraN, o-A gdq.xa w~ttw~ a2 day: d awn ^ Nd ge9lad. Out geynwa a3 days w I Year ddore dean ^ lNUerown u gagnai4 wdvn Ins past year 32c. Place d klpuy !boor, Farm. Sded. Factory. DIAn Buudrq, dc. (spec%) cuY 1 bwn, Iadhf, ~d'a% yea) O U ~ P~ III LAST WILL AND TESTAMENT BE IT REMEMBERED THAT I, MARY K. DOBBS, a resident of Cumberland County, Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this to be my LAST WILL AND TESTAMENT, hereby revoking any and all Wills and Codicils previously made by me. ;-_~ :r~ ,A ,_ , I _~~ ~ :~ ~ ~ I°J I declare that I am not married, my beloved husband, JAMES R ~ ~ _i J PC~$BS,-, ~J ~t having predeceased me, and that I have three children, JAMES R. DO~,B~, JR.,•,~' ~~,, CYNTHIA K. LARKIN and FRANKIE L. HENSEL. ~~~ II I direct that all my just debts and funeral expenses shall be paid from my residuary estate as soon as practicable after my decease. III I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. N I give, devise and bequeath all of my property, whether real or personal, wherever situate, including any property over which I may have a power of appointment, to my children, JAMES R. DOBBS, JR., CYNTHIA K. LARKIN and FRANKIE L. HENSEL, in equal shares, per stirpes. IX I nominate, constitute and appoint my daughter, FRANKIE L. HENSEL, as Executrix of this LAST WILL, to serve without bond. If FRANKIE L. HENSEL is unable or unwilling to act in that capacity, then I nominate, constitute and appoint my son, JAMES R. DOBBS, JR. and CYNTHIA K. LARKIN, as Co- Executors of this LAST WILL, to serve without bond. IN WITNESS WHEREOF, I, MARY K. DOBBS, have set my hand to this LAST WILL this ~ 5 day of - ~ ' , 2003. r /~` MARY . DOBBS Signed, sealed, published and declared by the above-named MARY K. DOBBS, as and for her Last Will and Testament, in the presence of us, who, at her request and in her presence, and in the presence of each other, have hereunto subscribed our names as witnesses. ?' }~,, ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND I, MARY K. DOBBS, Testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my LAST WILL; that I signed it as my free and voluntary act for the purposes therein expressed. MARY K. DO S Sworn or affirmed to and acknowledged before me by MARY K. DOBBS, Testatrix, this a s ~~ day of a~.~,Q.~.t,._.- , 2003. ~..~:~'~..~E--- Notary Public ~~.. NOTARIAL SEAL DEBORAH L. RYAN. NOTARY PUBLIC ' CITY OF MECHANICSBURG, CUMBERLAND COUNTY MY COMMISSION EXPIRES JUNE 11, 2006 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA . ss. COUNTY OF CUMBERLAND ~~~~~~~ `~ L ~~ L ~~ ~( and ~ ~ ~' ] f'~ra ,sxJ/ ~ We, X the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified accordie acute the instrument as her LAST WILL, thapMARY and saw Testatrix sign and K. DOBBS signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sigY~t of the Testatrix signed the Will as witnesses; and that to the best of our knowledge, the Testatrix was at the time 18 years of age or mo , of s ~ ind ~, 'Wunder no constraint or undue influence. ~ / ~ f' l~ I F t{ /' Sworn or affirmed to and acknowledged before me this ~-S~day of ~~~.~-~- , 2003. N~J~C9-c3~0~^- ~ ~ ~' "W'vv~ Notary Public NOTARIAL SEAL DEBORAH L. RYAN, NOTARY PUBLIC CITY OF MECHANICSBURG, CUMBERLAND COUNTY MY COMMISSION EXPIRES JUNE 11, 2006