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HomeMy WebLinkAbout12-04-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland Estate of Glenn H. Mickey also known as Deceased Petitioner(s), who is/aze 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 Executrix last Will of the Decedent dated 0 2 ~ 13 ~ 9 0 and codicil(s) dated none (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 bom or adopted after execution for probate, was not the victim of a killing and was never adjudicated an incapacitated person: B. Grant of Letters of Administration named in the ,~3 ~'",, C""• ~.z. (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente life; durante absentia; dura oritate) ~ '`'"" =s-i t Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following sp~se (if any) a~teirs: (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.) (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 Forest Park Health Center, 700 Walnut Bottom Road, Carlisle, Cumberland Countv Pennsvlvania 17013 (List street address, town city, township, county, state, zip code) Decedent, then 87 years of age, died on November 28, 2009 at Forest Park Health Center 700 Walnut Bottom Road, Carlisle, Cumberland Countv, Pennsylvania 17013 Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ / ~/ 0 ~ 0 O~ (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ /Z O, p o ~ situated as follows: _ ~ Z 7 Cy~~ ~~~~ ~/i V L ~ ?/ ~~ S hi~ / ? °/J 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: Linda M. Powell, 15 Derbyshire Drive, Carlisle, PA 17015 COUNTY, PENNSYLVANIA File Number 2 ~ l f~ l ~ {' ~~ Social Security Number 178-16-4223 Form RW-02 rev. 10.13.06 Page 1 of 2 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 aff ran and subscribed bef re irr~ the ~ ~ day of ~'Ea~'t~~1J , 20~ r -~' ~~r For the Register Signature ojPersonal Representative Signature ojPersonal Representative C7 t~~+ f'~'! r,~ ;i v t"7 c:r`3 a t c=z - File Number: ~~'O /~ II ,~~ ~ ~ a' ~ 3 Estate of Glenn H. Mickey , De ~ ~~;~ .r Social Security Number: 178-16-4223 Date of Death:November 28, 2009 AND NOW, o , in consideration of the foregoing Petition, satisfactory proof having been presented before m I' IS DECREED that Letters testamentary are hereby granted to Linda M. Powell in the above estate and that the instrument(s) dated ~ ' ~~`' " ""' described in the Petition be admitted to probate filed of re ord as the last Will (and Codicil(s) of Decedent. - Regis er of Wills ' Attorney Signature: Attorney Name: Michael A. Scherer Supreme Court I.D. No.: 61974 Address: O'Brien, Baric & Scherer 19 West South Street Carlisle, PA 17013 FEES On Letters ............... $ ~• Short Certificate(s) ........ $ -tea Renunciation(s) .......... $ inl; l ~ ... $ (S.o 0 mc~fi' ... $ 5.oc~ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ aJ`~ .~n-~ Telephone: (717) 249-6873 Form RW-01 rev. 10.13.06 Page 2 of 2 OATH OF NON-SUBSCRIBING WITNESS(ES) Cumberland REGISTER OF WILLS COUNTY, PENNSYLVANIA Estate of Glenn H. Mickey ,Deceased Linda M. Powell and (each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were well- acquainted with Glenn H. Mickey and am/are familiar with the handwriting and signature of the decedent, and that the signature of Glenn H. Mickey to the foregoing instrument purporting to be the Last Will and TestamentJCodicil of Glenn H. Mickey is in his/her own proper handwriting. ~. dQ. (Signatur 15 Derbyshire Drive (Street Address) Carlisle, PA 17015 (City, State, Zip) Executed in R~giSter's Office Sworr, to or aff rmed and subscribed befoie me this "~'~ day ' ~'`--~ Deputy Register of Wills (Signature) (Street Address) (City, State, Zip) tV Ca ~ -T.3 ;::~ ~ ~ , A ~ n ~ ~ `Y'7 t~' ~ ~ ' ' ( ~ i 1 1 = c_~ ~ . -` ~--. .. N cv~ ~~ ti` 3 1',a Form RW-04 rev. 10.13.06 OATH OF SUBSCRIBING WITNESS(ES) REGISTER OF WILLS Cumberland COUNTY, PENNSYLVANIA ,~ o _._> ~~ +~~ ~y-~ /~~ r~ -~ C.r~' .4~ _.; i J 1 t-t- t s' 1 ~' ~ '~-+ Estate of Glenn H. Mickey ~s ~,.~ ~cea~ -. a ~, ~_ ;- Karen E. Faircloth 'r ~~~ cx;, (each) a sulribing w~ess.to "' (Print Name/s) the ®Will Q Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that she /~/ 1~x~ was /~ present and saw the above Testator /if'$sta~hdxx sign the same and that she ~~exl~t)~gx signed the same and that she~t~~Ci~~ signed as a witness at the request of the Testator / "3~c~~c in xlaelc/his presence and in the presence of each other. (Signature) (Street Address) (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this of day Deputy for Register of Wills i. (Signal eJ Q~7/ J ( ~ /~~(J / ~~ w..~ 0 rya l~'O (StreetAddress) / / < 7~ (City, State, ZipJ Executed out of Register's Office Sworn to or affir`me~d an subscribed before me this y - day of , ~DOq No Publ c M ommis ' n E Tres: (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 co r en § ~ ~ ~ r^,~ A r ~" ~§~ tt~@f~tanzahon Jri~'i'f:^ :~. 'fir. '!}:~t~n~t P~,„l3!s:. Form RW-03 rev. 10.13.06 Car' ir;,~; „ .:.-;~-+, Or:~~ n Ra~i/ : ,~~ 7 < +r,~, ~~, ~~91 ors;. _ ,. ~ ~ ~:a i - arcs __ ~: ems gr~~ ,~y~-, _ ~I-0~/ ~~/~ LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 15932668 Certification Number s~ H10Ztap REY,1r10pp „~,~iw I This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. ~~-~~°~ ' ~ DEC 2 ~ 2009 Local Registrar Date Issued COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (Sss instructbns snd axsneolrr on rrvrrwrl c~ ' 1 .a ~:,, r, © -r •~ n'i ~;; `" ' ~. ~ {°! tri r' _ ~ :.. ~.: ._.. >-~ ~'' z ,. wra oeoea.d Irh+. ^+as,,m ea41 z Sr s. Smr 8eaey Mama aV a. oeb a oarn (Maori, a.v, rrA Glenn H. Micke Male 178 - 1 - e. ~a M1ar areerrl MaYr, urr, e. oer a eim ~. eed rw a ea rrr a D.am dra «... Hen r,o.s nse. Nrpet Otlia 87 rn Sept. 11, 1922 Oakville, PA ^hparWN ^allaep.wr ^ca Jj~NasYq lwr ^n.rdrw ^odw.spsar eb corer a o.am eG rrp. a own as F.orr ~• n nor ixrabn dr rnr rrnurmerl x. wr o.rdra a MYparde agha ®ro ^ ne m. wa: Nrr~rr barn, pbas wrr eb , . Cumberland Carlisle Forest Park Health Center a~~~ ( Whit l e ,,.p.ae0reuar a.pnaa. rra ranarr ,zwro.adrx.eabnr ,xnararreaEawronlilreera+7~a~•anwbbxl ,a. ManeararMrrrd,X.rrMeraM, ,SSavrmp~are(xxde,desmerenrwr) 1me a ar a srr., be.iy u.a Mae rao.~ anrrYn' l ~~ w~dore, Orrrd (spry la-,21 c e u S `An a .p. ( a s.l n ystems alyst Naval Su 1 De o pr« ^rb 12 Widowed t&~s~P~k~eallt~~ent ~ a PA er ~rfMebrbe msr. L wab ,7C^nadrd^a(aeah t„p, ~~1~~}$utP~o~ti8~13Rd. ,n.caaxr Cumberland ~eHp4 +idp rx.ah C l ~~a ar isle ayleao ,a Frrre rere fRet eme, rr. errh) ,e. Morrre wr (Fie!, ear, mebr a.rrr) Erskin Mickey Ruth Boyer 2a blorrraY r.r Rros l F7e) Linda Powell 2aa bbmenh Meiip redw (sisal, ary lb.•,.rr, 7b ma( 15 Derbyshire Rd., Carlisle, PA 17013 21a WIlnaadapoeYar ^Oanelon ^Oaulan 210. Ord Dlepoeren (Morris dry, Y•al 21a FMSw q ciAosrori Msnr a r^rrY, aertrr a oma Fbrl 2Ad Laraem (Cry / bMl, arb, efpary ~~~ ^ cmr =~ ~E ~r ^w.^ra Dec. 3 2009 Westminster Memorial Gardens Carlisle PA 17013 , ~ `~ itlb°"ii°'~ ~0.10"'~""iba zz~wrrr~m~.eaFealr o man- of unera Home & rematory, Inc. - 138504 219 N. 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Nems end adaire caripeed CrrdOrm (He m 271 tpe/Re ~~•••~p~~«~. - ~~~ ~r FYa (Mar«r. roan ~O„SZ ~ ~EU. , M~ -~z~xtc k~ . t' Imo- I f I ~, 11_ I b I c~ 3n,~ ~. &.~t: r., c Av ~ . Mt . t1 e I I S ,° ; s Pr/ ~•~o FMmi~ rb. CX-lC0 X73 v c., ~; ,~ LAST WILL ANA TESTAPiENT ~~'I, GLENN H. MICKEY, of North Middleton Township, Cumberland County, Pennsylvania, being of sound. mind,'memory and understanding, da make, publish and declare this as and for my last Will and Testament, hereby revoking and making void all former wills by me at any time Heretofore made.. FIRST. I direct all my just debts and funeral, ..expenses be fully paid and satisfied out of my `estate by ~y personal representative hereinafter named as',soon as conveniently may be after my decease. SECOND. I give, devise and bequeath all of my estate, real and. pe-rsonal, to my wife, Ann M: Mickey, absolutely. THIRD. In the event that my said wife predeceases me, then I give, devise ar~d bequeath all of my estate, real and personal, to my daughter, Linda M. Powell, or her issue. LASTLY, I nominate, constitute and appoint my said wife, Ann A;. Mckeyy Executrix, if living and able to serve, otherwise my daughter, Linda M. Powell, Executrix, if living and able to serve, otherwise my granddaughter, Kristin A. Hall, Executrix of this my last ~1i11 and Testament. IN'WITNESS WHEREOF, I have hereunto set my hand and sell this ~~, day of ~~„~~~,~ A. D . , 1990 ~ SEAL) Signed, sealed, published and dec-la~red by the above named Testator, Glenn H. Mickey, as ,and for his last. ~. , k~ and Test,~ment i '4i~,1. t°he presence of us, who, at his .. request ancf^ ~in pv ~ i N i ~., t~ris pre,~~en'~e' ~ , ~ y:~~. ,~ .~ ~ p; h ~ ~, .,~ 'd' iii tl~~"'~pre`se~n,~c~".of °+rh other, ~h~ave `~iereunto sub- ~ ; -~~`' gibed o names as witnesses thereto. . . ---~ " . ~ ~, ' ' ~ ~,..: {_ f_~ W ~..1 `-~ ~L ~ ~~~ ~ ~ e W4 ! ~..j