HomeMy WebLinkAbout10-05-09PETITION FOR PROBATE AND GRANT Off' LETTERS
REGISTER OF WILLS OF
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Mary R. Melvin
also known as
. Deceased
File Number ~~ ~ ~-/ _ Q~7~
Social Security Number 180-28-2072
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:,I
®/ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the Executrix
last Will of the Decedent dated 1015/2004 and codicil(s) dated N/A.
(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
(lfapplicable, enter: c. t. a.; d. b. n. e.t.a.: pendente Iite; durante absentia; durante minoritate)
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(COMPLETE /N ALL CASES:) Attach additional sheets if necessary. _ _. ~~ ;,. -
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Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her Last principal resid~t}ce at ~
Country Meadows 4837E Trindle Road Mechanicsburg Hampden Township Cumberland County, Pennsylvania 1705 ~_
(List street address. town/city, township, county, state, =ip code) f3~
Decedent, then 91 years of age, died on 07/20/2009 at County Meadows, 4837 E. Trindle Road, Mechanicsburg,
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ 41,000.00
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $
situated as follows: N/A
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 tbrm to
the undersigned:
Si nature T ed or tinted name and residence
,r" +'^! ~ , Geraldine M. Melvin, 51 W. Main Street, New Kingstown, PA 17072
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named in the
Form RW-02 rev. 10.13.06 I'ag8 I Of 2
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.)
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 ~u~~ / r ~~~'
~j,J Sign Lure of Personal Representative
before me the ,_~. day of
Signature of Personal Representative
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For the Regist r Signature of Personal Representative ~ ~? ~ i- i;
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File Number: ~ ~' ~ - ~~ a.. ~,
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Estate of Mary R. Melvin ~n
,Deceased __
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Cpl
Social Sec ~~ Number: 180-28-2072 Date of Death: 07/20/2009
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AND NOW, ~ Z-~~ ,inconsideration of the forego ing Petition, satisfactory proof
having been presented be me, IT IS DECREED t hat Letters ~e ~-A me .v'~-+ti.;,
are hereby granted to ~CL~r~.~-t.A I'~
in the above estate
and that the instrument(s) dated
described in the Petition be admitted to probate and fil ed of recor as the last it hand Codicils) , f Decedent.
7 I,
FEES
Letters .........
...... $ Regi ter of Wills
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Short Certificate(s)
........ $ ~n ~ cx~
Attorney Signature: l~/~
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Renunciation(s) .. ........ $
Attorney Name:
James W. Kollas
_
J ~ 1~' ... $ I (J • ~'~ Supreme Court LD. No.: 81959
Address: 1 104 Ferriwood Avenue
... $
.. , $ Camp Hill, PA 17011
... $
... $
• • $ Telephone: 717-731-1600
... $
TOTAL ...... ........ $ 0.00
l~o,~„~ Rw-oz re~~. 1n.~3.o6 Page 2 of 2
OCAL REGISTRAR'S CERTIFICATION IMF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fc•c Il~r this certificate. Sfi.OU
P '~56 X9345
Certification Number
,rl-~,;, Thj< is tlj rrrtil~ that the nrf(n~mation bete gi~•en is
I,~~P~jN OFpfN~ __ colleclly u~pied ~nnzl an ott~_mal Certi(7cate of Death
~ ~ ~`r~ _ duly tiled Stith me a~ Ll~cal Registrar. 'The (~I iginal
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse) __._._ _.. _ _.__.
l Nmne of Dcaedanl IF,;1. middle. Iasl. sutlul 2. Sex 3. Sa:ial Secaily NunMer 4 Dale d DeaN (Monty, day. year)
Mary R. Melvin female 1 80 -• 28 - 2072 July 20, 2009
5 4ye (t e;l Dinhdayl Under I year Urger 1 day 6. Dale of Dinn (MOnm, tlay, year) 7. IAntlpNCa Icily and dale a laegn camryj Sa. Place d Death (Check OrYy owj
tla~lr„ Dars Ha,r, raw,u,. Faspeat. an¢r
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Yna Nov. 4, 1917 Rossiter, PA ^lnpalknt ^ER, a,lpalmm ^DOa Nursing Ybme ^Resnd¢nce ^Wrel-Speedy
BE County W Dealn gc Cily Dorn Twp of DeaN Bd Fadlily Narna 111 rwl insnlulkn, give slre<I and rwmber) 9. Was Decedent of Wspank akin? ~ No ^ Yes 10 Race. P4nencan IMan, Duck, Wnle. ¢k
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16 Decetlenl s hlailx,y Atltlress (Street. my t )own, stela- xp code)
51 W. Main Street PO Box 277 Decetlenl's Did DBCed¢nl
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New Kingstown PA 17072 ro
Cumberland Township?
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1E FeNeis Name Ifirsl middle, last, sudu) 19. MoNa's Name IFlrsl, midde, maiden sumamel
Phil].i Terrance Antoinette (UnkiwFm)
2Da Iolcrmanl; Narne jTyp¢ I PnnN 20n InlormaM's MarNrg Address (SVeel, city / bwr, slate. vD cafe)
Gerry Melvin 51 W. Main Street, PO Box 277, New Kingstown, PA 17072
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21 a. Localgn ICb' i bwn, slate, ilp cede)
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22a Sngnalwe of Service Licensee ( person xeng as such) 22E. Licunu Number
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L~, FU-138630 Mal zzi Funeral Home Mechanicsbur PA 17055
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CAUSE OF DEATH (Sea Inslruellona end BxampNa) ~ r ppproxxnale xderval.
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LAST WILL AND TESTAMENT ~-~ o ~ ~ ~ .
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OF _ m t
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MARY R. MELVIN ~ ~ ~ ~ `' ~ ""'
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I, MARY R. MELVIN, residing at Yeager Personal Home Care, 103 W. Keller°~
Street, Mechanicsburg, Cumberland County, Pennsylvania, do make and declare this to be my
last Will and Testament, hereby revoking all prior Wills and Codicils.
FIRST: I direct that all my debts and funeral expenses be paid as soon after my
death as may be practicable. I further direct that all estate, inheritance, transfer, legacy, or
succession taxes which maybe assessed to my estate, or any part of my estate, whether passing
under my will, shall be paid out of my residuary estate as an expense of administration and
without apportionment.
SECOND: I give my personal property, tangible and intangible, and all the rest
and residue of my estate in equal shares to my grandchildren, Valerie Green of Camp Hill,
Pennsylvania; David Melvin of Camp Hill, Pennsylvania; Elaine Connolly of New Kingstown,
Pennsylvania; Sean Melvin of Camp Hill, Pennsylvania; and Greg Melvin of Mechanicsburg,
Pennsylvania, per stirpes.
THIRD: I appoint GERALDINE M. MELVIN, of 51 W. Main Street, New
Kingstown, Pennsylvania, Executrix of this Will. No Executrix acting hereunder shall be
required to post bond or enter surety in any jurisdiction.
FOURTH: In addition to having all the powers conferred by statute or by general
rules of law, my Executrix, with respect to properties in my estate under this Will, subject to any
limitations stated elsewhere in this Will, are specifically authorized and empowered:
(a) To invest any funds of my estate in any corporate shares, bonds,
notes, or other securities or personal property, including any common or commingled funds
maintained by my Executrix hereunder. This is to reflect my intention to give the broadest
investment powers and discretion to my Executrix;
(b) To sell or otherwise dispose of any property, real or personal, at
any time forming a part of my estate, for cash or upon credit, in such a way and on such terms as
my Executrix may deem best;
(c) To manage, operate, repair, improve, mortgage, and lease for any
term any real estate at any time held;
(d) To make distribution in cash or in kind upon any division of my
estate; and
(e) In general, to exercise all powers in the management of my estate
which any individual could exercise in the management of similar property in his own right, and
to do all acts which my Executrix deems necessary or proper to carry out the purposes of this
Will.
--F h
IN WITNESS WHEREOF, I hereunto set my hand this /S 'day of
~-~ ~L~ , 2004.
A„ ~ri~J Rm~"~
MARY R. MELVIN
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
We,
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SS:
S ~ou2c~£»~
and /~~ ~Fl ~~
the witnesses whose names are signed to the attached instrument, being duly qualified according
to law, do depose and say that we were present and saw the Testatrix, MARY R. MELVIN,
sign and execute the instrument of her Last Will and Testament; that she signed it 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 sight of the Testatrix signed the Will as witnesses; and that to the best of
our knowledge the Testatrix was at that time 18 or more years of age, of sound mind and under
no constraint or undue influence.
Sworn to and subscribed to before me by u Sr- Y~ uU~ and
%~~,er3n ~p ~ ~~ a u 2 ~~»~ witnesses, this ~ day of ~~'+~~ he--~' 2004.
,~
/'`Witness
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Notary Public
NOTARIAL SEAL
CAROLE A ROSE
Notary Public
TWSP OF LOWER ALLEN
CUMBERLAND COUNTY
My Commission Expires Oct 21, 2007
_~
Witness
SIGNED, PUBLISHED and DECLARED by the above, MARY R. MELVIN, as and
for her Last Will and Testament, in the presence of us, who, at her request, in her presence, and
in the presence_of each other, have hereunto subscribed our names as witnesses:
i
~~- r ~-.
COMMONWEALTH OF PENNSYLVANIA
~~,~... ~ 1-1~i- ~~ ry~~ ~ l 7 ~ ~~
SS:
COUNTY OF
I, MARY R. MELVIN, Testatrix, whose name is signed to the foregoing
instrument, having been duly qualified according to law, do hereby acknowledge that I have
signed and executed the instrument of my Last Will and Testament; that I signed it willingly;
and that I signed it as my free and voluntary act for the purposes therein expressed.
Sworn to and acknowledged before me by MARY R. MELVIN, the Testatrix,
this ~~--~~ day of ~-~~.~i''~2004.
M Y R. MELVIN
.~~~. Q~ `Z~~
otary Public
'~ NOTARIAL SEAL
CAROLE A ROSE
Notary PubUc
TWSP OF LOWER ALLEN
CUMBERLAND COUNTY
M Commission Ex res Oct 21.2007