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HomeMy WebLinkAbout03-11-10Register o! Wllls of CUMBERLAND County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of Gertrude Mittelsdorf No. ~ I- I u- ~~. u a also known as ,Deceased Social Security No. 139-09-7984 Petitioner(s), who is/are 18 years of age or older apply(ies) for: COMPLETE "A" OR "B" BELOW:) [/~ A. Probate and Grant of Letters and aver that Petitioner(s) is/are the executrix named in the Last Will of the Decedent, dated November 26. 2004 and codicil(s) dated N/A A Renunciation dated and executed February 19, 2010, by Co-Executrix, Janet Nintzel, requesting that Letters Testamentary be issued to .Diane Gertz, Petitioner, herein. -- -- tate 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 documents offered for probate; was not the victim of a killing and was never adjudicated incompetent: ^ B. Grant of Letters of Administration (c.t.a., d.b.n.c.t.a.: pendente liter durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if anv) and heirs: Name Relationship Residence „~~ Q e~ ~~ r`~-.~~ GIs :~~~ ~ ; ~ C3 ..~ r'-~~~- . -~-:) ~,~~T~ , -_..., t"_ -; (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. ~~~ ~ ~~' r~.::.:~ ~,~ Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal r~dence 4 ~: -~ ~ at Bethany Village at 5225 Wilson Lane. Mechanicsburg, PA 17055. ,... .,, (list street, number and municipality) Decedent, then 99 years of age, died February 13, 2010, at Bethany Village at 5225 Wilson Lane. Mechanicsburg1 PA 17055. Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property ................................................................................ $23,000.00 (If not domiciled in PA) Personal property in Pennsylvania ............................................ $ (If not domiciled in PA) Personal property in County ...................................................... $ Value of real estate in Pennsylvania ................................................................................................... $ Total ..................................................................................................................................... $23,000.00 Real Estate 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 Diane Gertz, 225 Beaver Drive, Mechanicsburg, PA 17055 Form RW-1 Page 1 of 2 (Rev. 9/92) Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland The Petitioner(s) above-named swear(s) and 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. A Sworn to and affirmed and subscribed ~1~2c~ ~~~ before me this I) day of `~ ~ ~Clr ~4'~ , 2010. t,V I C~r~~~ ~ ` 'n Estate of Gertrude Mittelsdorf, Deceased also known as Social Security No 139-09-7984 Date of Death February 13, 2010 AND NOW, ~~ r Lh ~ ~ 1 ~ , 2010, in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary ^ of Administration (c.t.a.; d.b.n.c.t.; pendente life; durante absentia; durante minoritate) are hereby granted to Diane Gertz in the above estate and that the instrument(s), if any, dated November 26. 2004, described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES Letters ................................. Short Certificate(s) .............. Renunciation ......:................ 7~ffiidavit ( ) .vt.1. !..~. ~............ Extra Pages ( ) ................. Codicil ................................. JCP Fee .............................. Inventory & Tax Forms........ 160173 Y: ~ '-~ $ ~~ . ~ egister of Wills ~2~ r j~_ $ ~-o . cst~ $ h - CSC l $ I ~ • C.n ~ $ ~~ ~ ~ U $ ~ - O~ TOTAL ................... $ ~ ~ ~ ~ ~ Attorney: I.D. No.: Address: Telephone: DATE FILED: :~ ~_~ ~r~ a'; ,~ _ _... ._ r ~ ,~ ' _x~ ~..., ~ : ~ - _.. DECREE OF REGISTER <.~,,~. y~~~ .rr` -tj ~ N ;~~ ~ r~;rr q c~^ ~ Stanley J. A. Laskowski, Esq. 37422 3631 North Front Street Harrisburg, PA 17110 717-232-7661 Form RW-1 Page 2 of 2 (Rev. 9/92) . ~ . . , , - 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 16244313 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 Vital Records Office for permanent filing. ~5 .~d Local Registrar Date Issued C`) ~' C. ' -^- ca ~r ,+ ._.,.~ ~ ~O ._..,..I 3C 3y _ r? Y~~~ ~:.:::7 .r / /'1 -~g /` ate' ... 3 -.l (.7~ ~ .. " ~ •• ' -- t3 ..~ ~t Fta3 REV 112006 YPE /PRINT IN PERMANENT BLACK NJI( 0 U `~ COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reversal .._.__ ~. _ ..... 1. Name d Decedent (First, midrib, het, sulNx) 2. Sex 3. Social Security Numtrer - - -- -- 4. Date of Dam (MorNh, day, Year) emale 1 39 - 09 - 7984 Februar 1 3 2010 5. Age (Last BirthdaYl Under 1 lMder 1 6. Date d Birm Momh, da . 7. and stab a fie. Plan of Dam Ctreck one 9 9 Yrs. Montle Dsye Hour Mkwtes 1 0 -1 2 -1 91 0 Newark , NJ Hospital: ^ ~,~„~ ^ ER / oulpaderd ^ DOA rrOmer: LalVrxeirg Home ^ Residence ^ otlrer . Spsrjh• 8b. County of l)eab 8c CNy, Rao, Twp. of Deem Bd. Fadity Name (N not irretlbAOrr, give street and number) 9. Waa Decedent of Hiaparic Odljn? ^ Yes 10. Race: Amerinn Indian, Black, WhNa, etc. Cumberland Lower Allen Bethany Village ( P ~,et.) y,J e 11. Decedents Usual Khd of wale d are moat of Nh. Do not stale 12 Was Dendent ever in the 13. Deadera's Eduction (Specify ony tkghat grade comp lete0) 14. MariW Shtus: Herded Never Married t 5 Surviving Spo use (d wile ive maiden name) Kind of Work Kkd of Busirress /Industry U.S. Amred fans? Ehmenfary / Y (0-12) CaNege (1-4 or S+} , , 4Krdovred, Divand /Speofy) . , g Bookkee er Jew lr ^ Ya 6. Decedent's MaNing Address (Street, city / bwar, stab, zip code) DecedenPs P e n n S y 1 V a n 1 a Dd Decedent r3b Lower A 1 1 A"'~ R 17a ~h 5 2 2 5 Wilson Lane 17c. L_1 Yea, Dendent lived in - n Twp. ~ Mechanicsbur PA 17055 1~.~Y t'1,mF~e,rlanrl red.^ a dwi~n coy/Bore 18. Falfrefs Name (First, midAe, leaf, wffac) 1g. Motlrefs Noma (Feat, rridde, maiden wrtrartre) Peter Schlothan Minnie Engelberger 20a. krfamanYs Name (Type I Pmt) 20b. InbnrreM's Mailing Address (Street, atY t bwv4 stria, ap code) Diane C. Getz 225 Beaver Drive Mech nic ur PA 1 21a Metlrod of DhposiGon r ^ Cremation ^ Daretlm 21 b. Date of Diapnidon (Month, day. Year) 21c. Play d Diepoei6on (Name of cemetery, cxengtory a omer place) 21 d. Localbn (City /bwm, state. zip code) ~ ~'xhl ^ "b°'"~`e ' "'"~"'"'"°"OfDOn"'°"""~'~"' ^ Omer - r by Mar/nl ExYmirrer/ ^ Yes^ No 2-1 7-201 0 Restland Memorial Park East Hanover NJ I 22a nti as such) 22b. License Number 22c. Name and Address of Fadlity - ~ FD-012662-L M ere Funeral Home 37 E Main St Mechgnicsburg PA 17055 Name qtly nrtNyirrg physichn m not avaNabh at erne d deem b m th best d , dam axxsred time, dab place stated. (' axe and tide) 1 /\ 23b. Linrree Number ~I SQ~U~~ L 23c. Date Sigred (Mordh, day, y.ar) ~~~ ~ a yaueeadam. ( ~ -~,~ -~ hems 2h2b must be canplebd by person who Ixaraarces death 24. tans at Deem /~ 5~i~/ / 26. Date P Dad (AbJrtlh, day, Year) 1 O 26. Wav Case Referred b Medical Examiner / Caorrer br a Reason Other tlren Cremation a DgrreYm? . , M. -! ~--~( ^ Yes ^ No CAUSE OF DEATH (SN Inatnwkbns end sxaunphre) i Approximate irdervat dam 27. Pan I: Enter dre lflltdflfi - dresses, in(rrks. a campieaNons - tlret directly caused th death. DO NOT enter hrrrrYrel events such as nrdiec arrest, r Oroet b Death r i t Pert N: ErNer otlrer ' but rqt nsrrlhg ~ th Ong Hues given in Pert I. 28. Did Tobacco Uae CarMbuh b Death? ^ Yes ^ Probably resp ra ory arrest, a ventriader lbdgelion wNhout ahax*g the eticbgY. List atlY are ease on eedr Nne. ' NtM1EDIATE CAUSE (F W dh r ^ No ^ lJnlarown r eea a /~~ ~ cardllon nwMMg in dsWr) _~ a. l_.l~ ~ ~ S?~ V ~ ~C/TI~1 a 1 1 1 w ~ C~ ~ ~s1rs ~ l~. Na ~ ~ r ~ ~ ~ ~ Female: ^ N Due b,1/~~r sae Yaaco~Megrrna Y~ J7 ~ ~ ~ ~..~'1 r~1,,. \ i e~r Ny lrt caratlare. N any, b. riT FA • T fv _ ~ ~'J K.~1 t/~..a l 1 VI V r Mtlrq b lhe~~ m.. Nebd on Nns a / a pregrunt wNhin past Yser re grant at ~d deslh ^ N r (d~hwa aU i~araiihe c Due b (a as a conae9uenca Dry. ~ evaAS raaAtkrg n death) LAST. r C/1~ V ~ f'~+ (-r~~/~(/VI/~. ~ t ^ a d dest PreDlerR wAhn 42 days ^ (pu!b-(or a a f ' ) r V y «~ ' - ~Y ~~ Z y~ Nd pregnant, but pregnam /3 days b 1 year ~ ~ r T/~ ~ d..1 I ~a r, o~V Y wy - ~/ ^ Uid<rwva, it pregrrd wfYrin dr peat Ysr 30s. Was an Aubpay Performed? 30b. Wen AutaQsy Firdrrgs Avaiabh Prior b Canpbtlm 31. Mamar d gatlr 32a. Data d Injury (Month, day, Year) 320. Descnbe How bNrY Ocaared 32c. Plan Of Yry'raYc Home, Farm. Street, Pettey, a Cwns a Deem? I ^ Homickle ~0B ~~. ~' (/ ^ Yes (~ ^ Yea ~'Ap ^ Aoddant ^ ParxYg Imropigadon ~. Time d Injury 32e. krPall M Wok? 321. d Tranaportadon Injrxy (Specify) 32g. Location of injury (Street, G4' I bwn, state) ^ $ulcide ^ Could Nd be Datertnirred M ^ Yes ^ No ^ DrHer/Operate ^ Passenger ^ Pedealien Other • Spedy 33a. Cerdfw (t)rack ordy one) 33b. Slgnaarre and Title of CertiNer ~MYing PhY~ (PMsidrr ardlYirq nua d deem when aratlrr physician tree pronornced deem and canpbtad Item 23) '~/~/J ~~r v `~ `~ - - Totlbbatdmytaaerbdga,daMhoawndduabtlreawa(yandmararaastahd--------------------------------- ^ Pronorerctrp and dN-YMrg phyakhn (Phyticwr both promrax9rg deem and nniyirg b Huse d deem) To d» bat d my knowhdpa, a.tlr eeeernd r nr tla», aw, and pha, and due b nra • Marital ExamkrarlCerorrar eaua(s) and manner a abbd_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ 33c Lkrerree Number M p ~- yG) ~ 3 33d (Month, day. year) ~ I'a I' Q On the bash of axandnaUOn / a Inveatlpadon, M my opYriorr, dent ocerrrrad at tlx thre, dab. rd place, and due b tM ease(s) and marrw a sbterl. ^ 3a, Wparrw and Address of Person Who Caused (Ibm 27) /Pmt '~ ~ - I ~ I ,~ I ~ I ~, I ~ I °~" Rhd f""°""'' da''''""} ~r ! I'o ~ 0 2 ~1 N I OV 1 - 1 l 3H~ i ~dIY ~~ Cc. f~~, ~A1~11 PomwtNo. U ~/t5 d~ ~S "! C7 ~ ,~. RENIJNCIATIOI~I~ ~ ~ A.~~ ~ ;r <:M } Y ...~ REGISTER QF Wn.t .fi =' ~ ~ '`~ -- ` i. CUMBEIi:I.,A~ND COUNTY, Pb'NNSYLVANIA ~~ ~-~ ~M~ ~ --~, -`x7r ~.-._. : ;: ~~~ ~ ~_ rev Estate of ~~~~ 1Viittc~sdorf .Deceased I, Janet Nintzel in my capacity/relationship as {Prr,» Nasrej Co-Executrix of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Diane Gertz. ~.-~ f..Q~G~- 1~ ~ 2 0 l .~ t~~ Execrated in Reg~srter's Office Sworn to or affirmed and subscribed before me this day of , Deputy for Register of V~ilis 5~5 ~3 each War ~5"Iree:.IdaFrss) t~-~Ct V' ~ ~ e~~ e r I V ~ c7 8 ~73 {Cary, 5ltatr, zip) .Executed out o, f 'Reg~,ster's D, ffice Before the undersigned personally appeared the party executing this renunciatian and- certified that he or she executed the renunciation for the purposes stated within on this _ ~1 ~~' day of . ~~ o2O / U . v ~ .--r Notary Public IViy Commission Expires: (Signeh~ce snd SEaI of Notary oc athcr offiicial quelif iod to sdminis+tor aa~hs. Show die of expiration of 1Votaty's Commission,} PHILOMENA J. PMITANO Form RW-p6 „er. -n. ~3.n6 NOTARY PUBLIC OF NEW JERSEY COmmission E~Ires 1/30/2013 LAST WILL AND TESTAMENT ~-o ~ ~ ~ _ GERTRUDE MITTELSDORF '~''=~~~ -~ y ..R ~. _ :~ ~_ ,.:.,. - I, GERTRUDE MITTELSDORF, presently of Cumberland Couri~y, Penn~va r~~E-~„;~ ~ ~, _, ~ being of sound mind, memory and understanding, do make and publish this as my Last Will and Testament hereby revoking all prior Wills and Codicils. FIRST: I direct that all of my just debts, my funeral expenses and the costs administering my estate be paid as soon as practicable after my death. I also direct my Executrix to pay any and all inheritance taxes that may be assessed against any beneficiary or beneficiaries in connection with my Will or my Estate. SECOND: I specifically devise the sum of ONE THOUSAND DOLLARS ($1,000) to each of the following beneficiaries: 1. my grandson, GRANT NINTZEL, if he survives me; 2. my granddaughter, JANELE NINTZEL, if she survives me; 3. my grandson, BRIAN GERTZ, if he survives me; 4. my grandson, AARON GERTZ, if he survives me; 5. my granddaughter, KAREN OLSEN, if she survives me; 6. my granddaughter, KARLA ROMBERG, if she survives me; 7. my granddaughter, KARYL STELGER, if she survives me; 8. my church, PLEASANTDALE PRESBYTERIAN CHURCH, Located in West Orange, New Jersey, to be used by it as it deems appropriate. THIRD: I incorporate into this Will by reference a document, in my handwriting, titled "Identification of Bequest of Tangible Personal Property", which document is annexed to this Will. It is my express intent to dispose of such tangible personal property as I direct in the above referenced document. FOURTH: I give, devise and bequeath the rest, residue and remainder of my estate, both real and personal, of every nature and wherever situate, of which I may die seized or possessed, to my children, JANET NINTZEL, DIANE GERTZ, and GAIL STELGER, in equal shares. If any of my said children shall predecease me, their respective share shall be given to their surviving issue in equal shares, per stirpes. FIFTH: (a) If a beneficiary under the age of twenty-one (21) becomes absolutely entitled to any property under the foregoing provisions, such property shall immediately vest in such beneficiary. However, the distributing fiduciary in his/her discretion may distribute the property at any time if that fiduciary feels the funds will be properly expended directly to the beneficiary or to a parent or any other person or entity on behalf of the beneficiary, or to a custodian for the beneficiary under a Uniform Transfers to Minors Act, or to the Trustee named in this Will. If the property is distributed to the Trustee, the Trustee shall hold the property as a separate trust for the benefit of the beneficiary and shall pay to or apply for his or her benefit all the net income and so much of the principal at any time and from time to time as the Trustee with sole discretion believes advisable to provide adequately for the beneficiary's health, maintenance, education and support in reasonable comfort. a (b) All funds not paid to or applied for the beneficiary in accordance with Paragraph FIFTH (a) above, shall be paid to the beneficiary at age twenty-one (21) or to the beneficiary's personal representative in the event of the beneficiary's death priorto age twenty-one (21). Upon obtaining a receipt from the person to whom distribution is made, the Trustee shall be relieved of any further obligations with respect to the property distributed. SIXTH: I nominate, constitute and appoint my daughters, DIANE GERTZ and JANET NINTZEL, to be and act as co-Executrixes, or the survivor of them and then in that event individually, of this my Last Will and Testament. In the event of renunciation, death, resignation or inability to act for any reason whatsoever of both of my daughters, DIANE GERTZ and JANET NINTZEL, as co-Executrixes, I nominate, constitute and appoint my daughter, GAIL STELGER, as Executrix of this my Last Will and Testament. I hereby direct that no Executrix appointed hereunder shall be required to furnish any bond or other security in any jurisdiction for the faithful performance of their duties. I hereby direct that the Executrix of my estate shall receive no greater than a total of five percent (5~io) of the value of my gross estate for Pennsylvania Inheritance Tax purposes, and the co-Executrixes as named herein shall divide this amount equally, for services rendered by them in that capacity to my estate. SEVENTH: I nominate, constitute and appoint my daughters, DIANE GERTZ and JANET NINTZEL, to be and act as co-Trustees, or the survivor of them and then in that event individually, of this my Last Will and Testament. In the event of renunciation, death, resignation or inability to act for any reason whatsoever of both of my 3 daughters, DIANE GERTZ and JANET NINTZEL, as co-Trustees, I nominate, constitute and appoint my daughter, GAIL STELGER, as Trustee of this my Last Will and Testament. I hereby direct that no Trustee appointed hereunder shall be required to furnish any bond or other security in any jurisdiction for the faithful performance of their duties. EIGHTH: I authorize and empower my Executrix, in addition to all powers conferred by law and without the necessity of court order, to sell, convey, mortgage, leases, invest, reinvest, exchange, manage, control or otherwise deal with any and all property, real or personal, comprising my estate; to adjust, compromise and settle any claim or demands in favor of or against my estate upon such terms as is deemed advisable; and to make distribution under this Will in kind or in money, or partly in kind or in money. NINTH: I authorize and empower my Trustee, in addition to all powers conferred by law, to sell, exchange, mortgage, lease, bargain, sell, convey or otherwise deal with the property with which she is so entrusted, without regard to any limitation upon investments by fiduciaries which may be imposed by any law, and without the need for authorization by any Court in this or any other jurisdiction. It is my intent by this Paragraph NINTH to authorize my Trustee to deal with the corpus and the income of such trusts as though she were the absolute owner and to authorize her to make payments for the benefit of beneficiaries whenever she in her sole discretion shall deem them necessary for the purposes hereinbefore stated; whenever the accumulated income shall be insufficient for such purposes, then she shall have the full power to invade the corpus to whatever extent may be necessary. 4 TENTH: I forgive, release and discharge each of my daughters, JANET NINTZEL, DIANE GERTZ and GAIL STELGER, of all indebtedness and interest thereon which may be owing to me at the time of my death, whether or not evidenced by a promissory note or other instrument. ELEVENTH: Throughout this Will, the masculine shall include the feminine and the singular shall include the plural, and vice versa, unless the context of the Will indicates otherwise. IN WITNESS WHEREOF, I have hereunto set my hand and seal this day of -~ , 2004. ~-~«~ ~~o GERTRUDE MITTELSDORF The foregoing instrument, consisting of this and four (4) preceding typewritten pages, was on the date thereof signed, published and declared by GERTRUDE MITTELSDORF, the Testatrix therein named, as her Last Will and Testament, in the presence of us, who at her request and in the presence of each other, have subscribed our names as witnesses. ~'`~ ~~~ Z-~, ~ "siding at ~ ~a ~ ~,.~,c~ 2 ~` Z-~-- ~.~ Cu. ~ Residing at ; ~ ~; s ~..~ ~~ ~.r.,..,_~' ,~ _ _ °`~'~.~ ~.~ s" ,.- r ~-7 ' ~~~ ~ ..: .. ....... Residing at ~ ran ~l-rC . 5 L~~ COMMONWEALTH OF PENNSYLVANIA ~ ~ ss: COUNTY OF ~ (/~ ~ PN ~ ~ ~ I, GERTRUDE MITTELSDORF, whose name is signed to the attached foregoing instrument, have been duly qualified according to law, and do hereby acknowledge that I signed and executed such instrument as my Last Will and Testament; that I signed the same willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Dn »fJ ~'~"~U~~ GERTRUDE MITTELSDORF Subscribed, sworn to, affirmed and acknowledged before me, a Notary Public, by GERTRUDE MITTELSDORF, this a~-t~ day of ~/1/~ ~~~~~e , 2004. NOTARY P LIC My Commission Expires: COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL NANCY L. BRE8KI, Notary Public Susquehanna Township, Dauphh County My Commissiop_Expires Nlancfi 16, 2008 6 ,T COMMONWEALTH OF PENNSYLVANIA COUNTY OF ~p v~~~a'J ss: WE, ~ and .~. 4.~-~ ~-~.- ,the witnesses whose names are signed~t the attached foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testatrix sign such instrument willingly and execute it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of such Testatrix signed such Last Will as witnesses thereto; and that to the best of our knowledge, such Testatrix was at that time eighteen (18) or more years of age, of sound mind and under no constraints or undue influence. Subscribed, sworn to, affirmed and acknowledged before me by G; .__. ~, -~-~-~- ~~-~ an u~-~.-~~.,'witnesses, this ~G D-day of ,,~clve~'~i.e.._.. , 2004. WITNESSES: ,~~~i ~. NOTARY UBLIC My Commission F~O~VWEAL~"h10F I'IE~It11SYLVANIA NOTARIAL SEAL 04-888/81574 NANCY L BRESKI, Notary Public Susquehanna Townsh~, Dauphin Courny Commii~sabn Mardt 18, 2008