Loading...
HomeMy WebLinkAbout01-20-10PETITION FOR PROBATE AND GRANT OF LE'T'TERS REGISTER OF WILLS OF ~~lJ,~~,P/~iuC~ COUNTY, PENNSYLVANIA Estate of~~(~~~Xl '~ ~~S`~ L~ ' also known as Deceased File Number ~ ~ ~ (~'~D ~~ Social Security Number _0~% -~t~ 3~~~ Petitioner(s), who is/are 13 years of age or older, apply(ies) for: (COtY1PLETE 'A' or 'B' BELOW.) t~l A. Probate and Grant oC Letters Testamentary and aver that Petitioner is are the _~~~~t~.TQ~ last Will of the Decedent dated Og-~/- 09 Warned in the __ and codicil(s) dated (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 e,,xge~cution of the instt~nt(s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~/// '~' ~^ o ' ^ B. Grant of Letters of Administration ~~=tn-- ~= ' ' (ljapplicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lire; durante absentia; ifiil+~~rt~' oritnt~ ' -- Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the followit~g~~~{tf any~ttd heirs: (~_i Administration, c. t. a, ord.b.n.c.t.a., enter date of Will in Section A above and complete list ojheirs.) ~= j .- ~? ~ Name Relationshi •• R ence W (COMPLETE IN ALL CASES:) Attach additional sheets ijnecessary. Decedent was domiciled at death in ~~i~~~Lf~il~ County, Pennsylvania with his /her last principal residence at ~~ r~~Ile~/~Lr(7__`Sl:" lilcili~~LL~ SD,4 ih-~tli~ .~.r~ . ,..~ (Lis[ street address, tower/city, township, counq~, state, zip code) Decedent, then ~~ years of age, died on X02 as Q ate--~YC<-/~.,~E /1'~~~Qi(~~L ,I~/~~ ~~ Decedent at death owned property with estimated values as follows: (If domiciled in PA f s~p~ All personal property $ ~~ QQ l (!f not domiciled itz PA) Personal property in Pennsylvania $ ' (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ situated as follows:_ ~T ~~ Fi9i~~C%~i/y~ ~', ~~J~~~~ ~- Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petaion and the grant of Letters in the appropriate form to the undersigned: Si~nanue Tv ed or rioted name and residence /~ir`~ GG/S Form R6V-U3 rev. 10.13.06 Page 1 of 2 1 ^J ~~ Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF ~ ~ . 'The Petitioner(s) above-named swear(s) or affirn~(s) that the statements in the foregoing Petition are tine 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 affirm~~edppand subscribed bye me the I~~ day of Signature ojPersonnl Represenrnrive o_ G.... __ ~ -`~-~rn N Register Signature ojPersonnl Representative ~° cf> ~-, ~ ~-3 ~_ - _~ ~ ~/ V ~~~~ b f~ File Number: ~ '~'~ Estate of ~l~ard ~ ~~ ~~ r e ~ ~r• ,Deceased Social Security Number: " i ~ r~3 ~~S Date of Death: I o~ V oZ °~- - O AND NOW, fi (1 2d I ~ ,inconsideration of the foregoing Petition, satisfactory proof having been presented b,~ft;re met IT IS DEC D that Letters ~ ~S+Q (Yl~f`l~C.l are hereby granted to C. i ~ i r,..,' . . __ __ ~, 'ter l ,.'"._ 7 ~-' in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and filed o FEES Letters ............... $ i Short Certificate(s) ........ $ Renunci lion(s) .......... $ ... $ ... $ .~ .$ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $- ~Ll t~aomey ~tgnarure: Attoniey Name: Supreme Court I.D. No.: Address: Telephone: r-~r-,~r Rw-n? rev. ro.l3.oh Page 2 of 2 ~l -lC~ (~dS° ~agt .i[I and ~egtantent ~..~ OF ~ ° ~ © a ~_ Howard J. Mesick ~---~, c_.. '' ' ~~ ~::: ~ -o n ~.. - ~Tl~r- ~ ~? ~- ~ . ~ ~ f '~ (U _. _._.. I, HOWARD J. MESICK, of the Borough of Newville, Cumberla~i~%'`County, L 7 ;,"~ i ~ _::rC3_~~ 3" i Pennsylvania, being of sound mind and body, declare this-' C~'-nstru ~nt _ -i ''~ ~:.~,~ to be my Last Will and Testament, hereby expressly evoking ~11 ~ ~? Wills and Codicils heretofore made by me: 1. I nominate and appoint Phyllis Ann Mesick and Howard J. Mesick Jr. to be the Executors of this my Last Will and Testament. If either one of them cannot serve, I hereby nominate and appoint Noelle Suzanne Shack as alternate. They are to serve as such without bond. 2. I hereby grant to my Executors all powers and authority which in their best judgment may be necessary for the proper and advantageous management, investment,.and distribution of my estate and that power may be exercised as often as is deemed necessary or advisable, without application to or approval by any courts in any jurisdiction. 3. I hereby bequeath the following: to Phyllis Ann Mesick, my daughter, and Howard J. Mesick, Jr., my son all of my property located at 10 Fairfield Street, Newville, PA., home of Phyllis A. Mesick where I have been residing. This property is located in the rear ground floor bedroom, a bed and chest of drawers located in the middle bedroom on the second floor, and a bed and two (2) chests of drawers located in the rear bedroom of the second floor. All other property in the house or shed is the property of Phyllis Ann Mesick. They shall have the privilege of giving, selling or keeping this property according to their wishes. ~ 1 4. I give my residuary estate, that is the rest of my property not specifically disposed of by this Will or in any other manner, in equal shares, to HOWARD J. MESICK JR. AND PHYLLIS ANN MESICK. 5. There being no real estate to dispose of as I had previously given the property at 10 Fairfield Street, Newville, Pa. as follows; To Phyllis Ann Mesick a sixty (60) percent share, controlling interest, of the above mentioned real estate. To Howard J. Mesick, Jr. the remaining forty (40) percent share of the above mentioned real estate. 6. If any beneficiary under this Will, in any manner, directly or indirectly, contests this Will or any of its provisions, any share or interest in my estate given to the contesting beneficiary under this Will is revoked and shall be disposed of in the same manner provided herein as if that contesting beneficiary had predeceased me. 7. Except as specifically stated otherwise in this Will, I instruct my executors to first pay my just debts, and expenses necessarily incurred after my death, from my residuary estate. 8. I direct my Executors to take all actions legally permissible to have the probate of this Will, if necessary, done as simply as possible and as free of court supervision as possible under the laws of the state having jurisdiction over this Will, including filing a petition in the appropriate court for the administration of my estate. 9. Under no circumstances will any real or personal property be sold at public sale. 10. I hereby direct my Executors to retain the services of Charles E. Shields,III, 6 Clouser Road, Mechanicsburg, PA. 17055 as Attorney in the settlement of my estate. 1 2 / IN WITNESS WHEREOF, I hereunto have signed my na~me/to this my Last Will and Testament, consisting of (( ~~yp w~ ritten pages, this // day of 2009. L Howard J. Mesi , Testator In our presence, the above-named Testator signed this and declared it to be his Will, and now, at his request and in his presence and in the presence of each other, we sign as witnesses: < .,~.- STATE OF PENNSYLVANIA ) )ss COUNTY OF CUMBERLAND ) I, HOWARD J. MESICK, having been duly qualified according to law, acknowledge that I signed the foregoing instrument as my Will and that I signed it as my free and voluntary act for the purposes therein expressed. oward J. Me ~ Testator We, having been duly qualified according to law, depose and say that we were present and saw HOWARD J. MESICK sign the foregoing instrument as his Will; that he signed it as his free and voluntary act for the purposes therein expressed; that each of us in his sight and hearing and at his request signed the Will as witnesses; that to the best of our knowledge he was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. ~. ~..-~ x N°r~ A4 ~y~'~e-~/'~twcl 3 Subscribed, sworn to or affirmed, And acknowledged before me by the Above-named Testator and by the witnesses whose names appear opposite on this ~~/yI day of ~_, 2009. C t ~~ Notary Public COMMONWEALTH OF PFq~NgYWANIA Notadel6ea9 ~. Public Charier E. ghh~umberla d County Monroe 7wp., My Commission Expires J st~en ~ Net~ries Member, Pennsylvania l~s9eoi 4 105.905 REV.(3/09) r - ~' '~/ ~ V This is to certify that this is a true copy of the record which is on file in the Pennsylvania Department of ealth, In accord nce with the Vital Statistics Law of 1953, as amended. WARNING: It is illegal to duplicate this copy by photostat or photograph. Linda A. Caniglia State Registrar H10S143 REV 11/2006 TYPE /PRINT HJ PERMANEy7~ BLACK INK `~ .1~ Fl.l 5332909 No. JAN 0 4 2010 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS Date CERTIFICATE OF DEATH (See Instructions and examples on roverlMB) _ ~„ ~ •,,,,,oCe ,. Name a DeuedaM (Bret, mine. rl, eamq Howard J. Mesick z Ma 1 e 3. soaa s.a.ny Nrax 1.Oa1e a Deem (MOnm, dry, wa> 069 - 10 -3455 December 22, 2009 s. ABe (L.u annrr) Urax 1 Yrr utMa 1 6. D.M a arm (MOah, say, yrq T. aMplace ero atue a ro ' aaMny) e e. Place a Deem (draw art) 9 2 "°"'° nry. Nwe rare 12/lq /1917 Albany NY Hoep181: oaMn Yn ®epebnt ^ ER / OaWdem ^ DOA ^ Nuebg Hone ^ Reaparae ^OtlMr ~ Bpeciy: EA Carty a DeYh ec. Cny, Boro, Twp. a Dorm South Middleto 8a. Fedlly Name (tl ml' give alryel era nun 9. Wr Derdwtl a laePenb OriDF7 ~ No ^ Yr 10. Race: Amalnn ettllr, Black, Yl1ie, et. Carlislee ional~ Medical Cumberland Twp. t~.aT» Centeg IHnbeon~yPUatoRorueka white 17.Oeadae's Ususl Kbtl a rark dor mat a IN DO M sole re8r 12. Wr Dertlerx ever m me 18. DecetlsrH's Ed~ptlan fSpedty only NpMSI grark conpylap) 14. Mriel aadn: Memetl. Nsver 1.`rriatl. 15. Survivirp 5parr (H wih. glv maven rrmq U B A mred Faces? Y/IdoaeO Dnacatl (S eaY 1 ~ ao Kna a woA U . ~ a Y S I . P. ~ , . O 1 Elemareary / Sxatlary (P12) Oabge (t<ar 5.) SU eT V1S0r ~yYeS ^NO 12 WidOWed ~ t8. Deadant's Maiiq AdAer 19net, / bwn, We, np mde) Dxetlrrs Db OxarMre ~ P A - Ir b 10 Fairfield Street e ncaw liasidavre 1?e. seta e nc. ^ Wp, Depeasa uses M T ? wp. Te M Newville PA 17241 wm p 1Tb.ca,ny Cumberland na.[}~ l>o~~masphm Newville ~w cm/~ Ifl Fervor's Narna (First, mid/e, Irl mtI6V 19. MumMS Name (Fist, nktla4, maitlan wrtMm) Charles E. Mesick Jr. 20a. mbnrra'a Nerr (Type / Ptmq Phyllis A. Mesick 20b. momwes Meru Atldms IBaeaL ~ /ban, smM, ' wde) 10 F fi l~ St N ill PA 17241 air e ewv e zm. MenMa a DepoaiHon ^ Danabn M ~ zro. ore a I]epoNlbn (Naar, ar. rrrl zb. Plwa a oa DlapoNtlan Wane d wmaen, aemabry a omr pxe) 21d,APOelbn (Cip'6` " ~ ^ ~ O ~.t~+~ w.. Awl.rrrea 12/26/2009 1~ 1 i n s Hollinger Crematory MMLL~ ti g ^ ~ ~Yr^~ pA 17065 2z.. sgtru~alFwMra (a peson ectltrp r eam) zzb.lxaw NumM gg strasryr a B l g p r i n g ve - ~ FD 13895 L Newville PA 17241 CatpMe rrr 29ea Day teen oeayitq phyadrrtw arYWlan Bnnaarmro Be hea K me lime. dW and pace Wed (SgWUn antl re) 23b. ' Numbs ~y ~iQ ~ 230. Dale a0ned (Mart, dsY.Ywl rdlyaewadrtlk - ~~ (J ~~ -7 fZ'L Z -2-~ Yin 2428 moat bs cerr91e1aa by person 21. T 26. Date PbnaeKed Dena (MOah, dry. 28. Wr Car ReFerrea ro Medal Examkw / Carver br a Beeson Omer tlMn Cnmelbn a ? ' - rmoacreuaeetlrtlt. M, ~~Z ZZ ~Yr dNp CAUSE OF DEATH (aN NretrllplbM rM eaampNS) AppmeimaM brorvac Pei II: Enter War . 28. gdTaMxo Ike CaerWte b Dart? earn 27. Pert I: Errr ms areit a «eh - drrr, kytetea a aarplcsaae-HMI deectly awed me deem. W NDT rMrtemntMl ever wet r uNac awe, Qwt b Doom W rat M the tree mpiaay etretl. a vwrkarr avaetlm weed shaWa tlM eltcbtlY. !b ady oro arse an saw Iw. 7 nYkq wre tlNr b Pert L ^ Yr Ptdxbly ^ ~~ aalEOrTE CAUSE ~F~ wawa ~ ,, // /~ oaMem raaWlbq kt tlMm) ~ a 29. H FrIM: ~ ~ /I.LYr /fH /f / ^ Na PrvPtrn rtlYn WM Year ' 7 Dr b (a r aareegtwwe on: /~ ~~&~~ ~ ket m ^ Pn rMa Y tlme d tla Hf da 8 ~ foh..~lw ..~"P ~X B rt ore. e MtY• b. .:Ye` b raw ritl m Ir e. Duero (a r e axuMaenca oQ: ^ Na preptrL tad pMprtrl wept 12daYa UIOERLYNNi CAIpE _ anwt~ ~me ~. aeon ) Due ro fa r a corlaeQlMtca a): ~ ^ Na OraAnanl, ba pmpurtt 43 aeW ro 7 yrr a. ~ Oebta drm ^ lhenotm M pegtMm wltlen dr pea yex 30a. Wr n Aubpry Perbrmr? 30b. WmANOpay Fbbge Avarbb PAa b Cmplaw 31. Mamer d Drm -~ 32a DW a injury IMoan, ry, year) 32b. Oeacnbe How Injury Oaatetl 32c. Place a Nmoaxry~ Har, Farm. 9MN. Fsdary. Da B 'ky B a care d Drina ~ ^ Hamk:w L~Na ce u n2, ek. l PedlY) ^ ~ ~ / L d'~ ^ ,w ~ ^ Ncieenf ^ Prdrq Invaelgetlal 3M. T a IMery 32e. Irryu7 el Work? 321. H TranapoReUM Injury /BPaa/Yl 32g. LogOm a Injury (amt. CXy / bwn. stffie) . ^ Suidab ^ Could Nd Oe DNerminetl ^ Vr ^ No ^ ~'Br/ opwabr ^ Prrnger ^Peervian M OmM ~ Specify; 33a. Cedrr (wew sty art) 33b. Sane Title d CanHMr • DMlxrNttl plY'iclen ( wMraw are a arm w1w endMr ImYaar nr praeurwa assn am wmgnea Hein z3) - ~ To tlM e.lamylmoewpe. aaetltoaarr awrom.ru~(e)etw merxwralewL-------------------------------- iLa~~_ /l~r~ ' Pmrwetdnp and oeNryYq Pn1'alWrt (Physidet botlt pmnaaldn2 arm and crKYeN b coot a tleah) ro tle brla my lopeedtls, deem oecaretlntM tlrr,Mle, end pYCe, era drroaM auss(e)end mcwrreMir_______--_- ^ 33c. ' Number 33d. Dale Sipma(Ma~k ary,yrr) • ~Y ~ ©~ ~ O ~ / ~ ~ ~ ~ O On tM tw a ixamintlon rd / a Nrvrtlyetlort, in my opetbn. drN occurred at tlr iMne, dw, and Pler, erM dr to IM pwya) and naraMr es aletsQ. ^ 36. Noma art a Pawn Who Canpetr Cope a Orin (Hem Z>) Type I PHa ' 36. Rephtrer' Nrt atb Diarbt - ~" ,~ Ir lair iai . Gate Files (Mmm, day, yrr) ~ J ~ I Ud ~o~ s <~~~.: s , L v Diapoatbn Pormn No. `~ ~¢ 1 ~~~ n tV O Q ~ ~ "" ~ e' f ~ N - -? c~ - - '~. O y y ~'~ ` _` 4 1 r..., .~ W N RENUNCIATION ~° t r7 ~ ~. _;~, ~ ~ .~ ~„ ~,, _ REGISTER OF WILLS ~' ~`~ ° _ ~~ C u Af B~huD COUNTY, PENNSYLVANIA ' ~=' ,'-~ ~ o 005 Estate of ly~w~~~ ~ h'/ES 1 Ck ,Deceased I, ~-/DI~A-IZ ~ ~1~- /1~E'S/Ci(', .Tiff, , in my capacity/relationship as (Print Name) S'd~J ~F~dp ~j/,¢,tjjE-p Cp-~-XECL~T~ of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to ~Y s>S:~x P~r«is ,~~~ ~~~~ A!C.3o, zoo9 (Date) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , Deputy for Register of Wills Forn: RW-06 rev. 10.13.06 (Signature) h/e~~~ J"' ~,Fs' k/ ~~ (StreetAddress) 3,3 ,Sow/nQn 4. /y4 n0 y~"i P'¢ ~ 733/ (City, State, ZipJ Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposes stated within on this 30 ,/`~ day of ~~~y e~,oa ~ 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.) COMMONWEALTH OF PENNSYLVANIA Notarial Seal Charles E. Shields lil, Notary Public Monroe Tvrp., Cumberland County My Commission Expires June 2D, 2912 Member, Pennsylvania Association of Notarl~a n RENUNCIATION o -, -~~ REGISTER OF WILLS - r~' ~f. ,:;' Cumberland COUNTY, PENNSYLVANIA ` _' ~ -? ~ ~~ ~~- dD~s`~ -~~ ~~ Estate of Howard James Mesick ~.a b C:7 -,l ~ ~.. ~.. o _ `; ~, -~ ~ Tf ,Deceased I, Noelle Mesick Shack _ , in my capacity/relationship as (Print Ntmte) ~randdauQhter / ~xecul"o~" of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Phyllis Mesick t lS~ a-v/d ~~) Executed in Register's Office Sworn to or affirmed and subscribed before me this ~ ~ day of ~?~N ~)O Deputy for Register of Wills ForntRW-06 rev. 10./3.06 (Si ) 112 Overhill Rd (Street Address) Bala Cynwyd, PA 19004 (City, State, Zip) Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposes stated within on this ~ 5 day of ~Qa ~~a --~2e.~- 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 J COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL SEAN LAUr;HLiN, Notary Public Lower Marion Twp., Montgomery Coun 12