HomeMy WebLinkAbout04-26-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cumber 1 a n d COUNTY, PENNSYLVANIA
Estate of Brenda G • Maloney File Number ~~~ ~'(-/ V ~~ ~~
also known as
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' OR 'B' BELOW.)
Deceased Social Security Number 16 5 3 814 3 3
A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the E X e C U t 0 r named in the
last Will of the Decedent dated 9 / 21 / 2 O O 9 and codicil(s) dated
(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:
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:(!f
Administration, c. t. a. or d. b. n. c. t. a., enter date of Will in SectionA above and complete list of heirs.)
B. Grant of Letters of Administration
(Ifapp[icable, enter: c. t. a.; d. b. n. c. t. a.; pendente liter durante absentia; durante minoritate)
Decedent, then 64 years of age, died ono/16/20],0 at Holy Splrit HOSpltal
503 North 21st Street Camp Hill PA 17011
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property
(If not domiciled in PA) Persona] property in Pennsylvania
(If not domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
$ 15,000.00
TOTAL $15,000.00
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
"`%~ ~ ~,. ~~~'~
v Michael J• Maloney 3600 Franklin Avenue
Mechanicsbur PA 17050
Page 1 of 2
Form RW-I)2 rev. 10.13.06
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(COMPLETE IN ALL CASBS:) Attach additional sheets if necessary. ~ _-i . - , C- ~
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Decedent was domiciled at death in Cumber 1 a n d County, Pennsylvania, with his /her last principal residence at -.~
3d^u Franklin Avenue Mechanicsburg PA 17050 Hampden Township
(Last street address, town/city, township, county, state, sip code)
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
/'~
before me the fi(~~t day of
r~the Register
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Signature of Personal
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Signature of Personal Representatives ~ c
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Signature of Personal Representative
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File Number: ~ I ~V -r V `f.~J ~ ~ J
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Estate of Brenda G • Maloney ,Deceased
Social Security Number: l 6 5 3 814 3 3 Date of Death: 4 / 16 / 2 010
AND NOW, '~ ~ ~~i ~~~ ~ •~~ -, / ~' ~ , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters T e s t a m e n t a r y
are hereby granted to Michael J M a l o n e y --
in the above estate
and that the instrument(s) dated 9 / 21 / 2 0 0 9
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES ~
Letters ............................. $
Short Certificate(s) ~~~~•~~~~~•~ $
Renunciation(s) •••••••••••••••• $
~1 ~ ~ .... $ -~--
r~,t
Aufi~t~~ ~~ ~~ti .... $ ~.
.... $
.... $
.... $
TOTAL
New Cumberland
$ PA 17070
$ 717-774-7435
$ Telephone:
$ ~,
Supreme Court I.D. No.: 4 0 4 8 6
Address: 414 Bridge Street
Form Rw-oz rev- ~n.~s.o6 Page 2 of 2
Attorney Name: Gerald J• Shekletski, Esa•
l~lQ~~y~:~. 711z5~
LCJCA~e REGISTRAR'S ~ERYI~I~ATit~ly {~F `~:~~`R
1~lARPa~iNG: !t is iilegai to tluplicatp this copy ~y photostat ar ~a#ao~rfrl ~)~~.
f~ 16245186
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
!cm inafruNinna and earamnles On reverse) ,.r.~ ~„ ~ .,, ,..ono
1. Name d Deeeaed (First mitlde. last sumxl 2 Sex 3. Social Seaairy Number
E' /65 -38 - l°f33
Fee+
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N 4. Date d Deem (Mmm, day, year)
p2olo
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$REND~1 Ml4L.o l
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5. Age (Last Bklhmy) Under t ear Under 1 m 6. Data d &M Monm, m , ar 7. BiM C' acct state a lore' Ba. Place of Deam Cherie m one
/ MoMw Days lours MmMes Mo ital' Other
(p ~ Yrs /IQRRGM ~ ~ l 9Y6 ~~~~ /.SLE/ Pa • ~npatient ^ ER I Oupamnt ^ DOA ^ Nursing Hare ^ Resitlerce ^ Omer - Specify
6b. Canty d Deam ec. Liry, Bao,®d Deem ed. Faciiry Name (n not Insewtion, gNe street antl naroer) 9. Was Da:emnt of Hispenlc Origi"?
C
b No ^ Yes 10. Race: American Intlien, Black. While, etc.
(S
eaM
(^ur~BFRt.h~9 ~. PLNNSBoRO u
an,
(p yes. speaN
NDeY SP/RI~r flaSO~TAe- Mexican,Puenofliran,ak.) -
p
WH,rE
1t. Decedents Usual tlm Km dwork done dui most of - Nfe. Do rot state ref t2. Was Decedent ever in me 13. Decedent's Edxation (Spedry Dory hghsst gram completed) tb. Marhal StaWS~ Maenad, Never
Wimwed Divorced (Speedy) Marred, 16. Surviving Space Ilf woe, give maiden name)
KudofWak Kind of Businesslindexsay U.S. Armed Faces?
Elementary/Secondary(U72) I Cdlege(1da5.) M
R~IE~ -
N]ICHAfL ,T VnRLOAlEr
PRDv£Rr Evr ~£AL Esr~rre ~
a
^ Ye5 Ne
1s. Decemnts Makrg Am ass (Street coy I town, slate, z^P codel oecem"rs p Dro Dint YT~
• A • Live n a i 7c
Decadent Liv
IJ Ves N AM P~ E~
ed In Twp.
3000 FlQ~gA/{~'t /n/ f~VC• ,
.
Actial Resimnce 17a. Stale
CUMBEKLAY~~ Tavmship? t70 ^Na, Deceded lived wttNn
MECNAA)IGS 4 G PA. / ~CSD t7h. c°a"N Actual Umnsd cirylBao
18. Fatmrs Name (First midde, last suffix) 79. Homers Name (First mkltlk, maiden surname)
E FRotuNFE~TER
EFF
/~~RIj£27' P,4ut L%T7~-E /
20a. Informants Name (Type I Pant)
N
E 20b. Informant's Meikng Amress ISUeeI, dry I town, state, zip code)
£cNA
3(
00 F
A/E
/KU D
17oso
~I(<SBGieG PA
ALON>
M1CNR£L J• / ,
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0
14A
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21 a. Marled of Duposuan ip Cremakan ^ Donation 21 b. Date of Disposua (Ham, my, Year) iron (Name of cemetery, ceamatary a dher fn~l
21 c. Place of Dapos 2trl. Laaam (CHI town, smu. zip erne)
^ Banal ^ Ramovalbanslam i WuCmmadonaDaYdonAellhor'vad
~
^ /~
P/jl L ~ 7 4~0(O /
E//~NS `Rtm/ZT~~I.~ S£f1~ICE ,LEoeA, PA.
Yes
No
^ ~. S ~ : r by Aledkal ExamirrerlCaorer? /}
~ 22a. Signs of Funeral Service Licensee (a pe "9 as ) 72b. License Number
orzi
( 22c. rte and Atltlress of Faalily
3~ot MARKET ST-
N~k+€ T'luc
u- Fiw~RA{ p
CaAM1P F~IC.L 7A
170/!
• ~ yy
- .
- .
Complete dens 23ac arty cenilyirg
physidan i5 rot avaiaae at time d deem ro 23a. To the best o1 my knowledge, deem occurred at the tlme, dale ace stated. (SignaNre ~ )
_ 23b. License Number p'
~ J~ 1 d l 23c. Date Signetl (Hoorn, day, year)
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,xnny raa5e d mom.
Items 24-26 must m mmpbted M person r
24. Tole d Death 26. Date Praxxnced Dead,(Mmm, mY, Year) 26. Was Case Refartetl,to Medical E
z
-zz
^ xammer I Carer for a Reason Other Nan Cre lion a Donelgn?
who praxurKes mom. r~
y
L , ~ I1 1 M. f l J ~ ~. No
vas
W
CAU E OF DEATH (Sea Instructions and aza ples) r Approximate inkrvaf.
Enter de rna n of events - tliseases, injures, or complications -mat drectly caused me mom. DO NOT emer terminal events sexh az cardiac arrest Onset ro Deem
Item 27
Pan t Part II: Einar other sianirit condmons conmDUtkw ro mom
but not resulOn9 in the mlderyirg rouse guar in Pan I. 28. Did Tobeavvvv~~o~a~~Uf111se Cmtnbne to Deem?
^Ves ~obably
.
.
respiratory artest a ventncuur fibnllatbn wiMd showing the etlolagy. List only one ease on each lace. ^ No Unknown
IYYEDIATE LAUSE FkW diseaze a L } (x
I l J nog ~ w !~(
neillnn resultkx
.n ~eam)
l ~ I 1 ~- ~(: 1 S Ma'~ (~
~ 29 d Female:
r~ Not
naet wimin
au
ear
e
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a
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y
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a
DY b (or a conseq OQ:
''r n r ~ ^ Pregnant at time a mom
h
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2
^
ryry r l condtias, n am. b
lea rig me cause lured on line a.
Dui to r s a uence
-°~ _ _ 1 ~
EN @~ UNDERLYING CAUSE 1_\
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and initiated me Y
a e a inju
d' n 4
mys
Nd pregrwit but pregnant w
h
of death
^ Nd
rent 43 m
s to t
ear
re
nant but
re
c
f
,
ry
ae
(
evenu resdang in mom) IAST. Due to (or as a wnseque on: y
p
g
p
g
y
betare deem
^ Unknown if pregnant wimin me past year
d
3m. Was an Autopsy 30b. Were AMopsy Flndings 31. Manner d Deem 32a. Date of Injury (MOnm, my, year) 32b. Describe Max Injury Oaurtetl 32c. Puce of Injury: Ikme, Farm, Smet Factory,
Office Buildkg, etc. (SpeaTyi
Periamed? Available Pna to Corrgletbn ~ NaNral ^ Haniom
pf Cause of Deam7
t ^ Pendng InvesGgat'wn
rd
^ A
32d. Time of Injury
32e. Injury at Wok?
32f. d Transportation Injury (Spacdyl 32 Locaaon of In Street ci /sown, slate)
9~ lu7l N
^ Ves ~ No ^ Yes ^ No en
a ^ Yes ^ No ^ Denerl Operator ^ Passenger ^ Pedestrian
^ Suicim ^ Could Nd m Detertnkred M. Omer
33a. Cedfier (check Day are)
d Item 23)
tl
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t
n
tl m
m 33b. na re d fCenifier
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v y:/ 1 - '
(p~
os pronoence
an
comp
e
e
o
• Cenftying physician (Physlaan certifying cause of mom when anomer physican
death a;curretl due ro the cause(s) atM manner m stated _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ yAl
k
bd
e
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be
t d , ' m
m
row
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• Proraurxing aM ceniryin9 fMYaician IPhysitlan born pronourx:ulg deem are cedNi"9 ro cause d mom)
To the best d my k"ow'ledg•, mtlh occurred m the time, date, and plse, and due to the ease(s) end manner u statetl_ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ ^ 33c Luen Number
,p _ ~ 6 t ~ 1- ~-- ,
Y. year)
33tl. Date kpred (
i ~ ~z~~~
• Metlksl Examiror/COrotrer
On the beats d examination and / or investigation, in my opinion, mom acurted al the time, ma, aM pkce, er,d due to the cause(s) and manner ae slated.. L~-~
34. Name am Atld 55 1 Person Who Computeo Cause of Dee (Ira 2 Type /Print ~ti~~ ~ l , ~x-~(%I
r . max, ,Mn ~.v~~
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] ; % 36. Date Filedd (Mom(hj, my]ye~ath,
DiaMd u
36. ~ rat ~ Nre an
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Disposition Perme No. ~, I ~ ~ 1 ~'
. ..~ 'Ep r ~ ~ c~-,.8-en~a.wpd
LAST WILL AND TESTAMENT
OF
BRENDA G. MALONEY
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I, BRENDA G. MALONEY, of Hampden Township, Cumberland County,
Pennsylvania, declare this to be my last will and revoke any will
oreviously made by me.
ITEM I: I devise and bequeath all of my estate of every nature
and wherever situate to my spouse, MICHF,EL J. MALONEY°, if he survives
me.
ITEM II: Should my spouse, MICHAEL J. MALONEY, fail to survive me,
I make the fol.iowing specific bequests:
A. My antique telephones to my son, BRYAN K. GRUNDON, of
Lincoln, Verrriont, if he survives me.
B. My antique guns to my daughter, CAREY A. MILLER, of
Boiling Springs, Pennsylvania, if she survives me.
ITEI~1 III: Should my spouse, MICHAEL J. MALONEY, fail to survive
me, I devise and bequeath all of my estate, of every nature and wherever
situate, in equal shares to such of my children, BRYAN K. GRUNDON and
CAREY A. MILLER, as survive me. Should any of my children predecease
me, I devise and bequeath the share of such child to his or her issue,
per sti_rpes; and should any such child of mine leave no such issue
Page 1 of 4
living toilowing my death, i devise and beq!~eath the share of such child
~o my issue, per stirpes,
ITEM III: I appoint my Executor ar.d his successors guardian of any
property which passes, either under this will or otherwise, to a minor
and with respect to which I am authorized to appoint a guardian and have
not otherwise specifically done so, provided that this appointment of a
guardian shall not supersede the right of any fiduciary in its
discretion to distribute a share where possible to the minor or to
another for r_rle minor's benefit. Such guardian shall :nave the power to
use principal as well as income from time to time for the minor's
support and education (inc]_udinq college education, both graduate and
undergraduate) without regard to his or her parent's ability to provide
for such support and education, or to make payment for these purposes,
without further responsibility, to the minor or to the minor' s parent or
to any person taking care of the minor.
ITEM IV: I appoint my spouse, MICHAEL J. MALONEY, Executor of this
my last will. Should my spouse, MICHAEL J. MALONEY, fail to qualify or
cease to act as Executor, I appoint my daughter, CAREY A. MILLER,
Executrix of this my last will. Should my daughter, CAREY A. MILLER,
fail. to qualify or cease to act as Executrix, I appoint my son, BRYAN K.
GRUNDON, Executor of this my last will.
ITEM V: Ne fiduciary acting hereunder shall_ be required to post
bond or enter security for the faithful performance of his or her duties
in any jurisdiction.
Page 2 of 4
IN WITNESS WHEREOF, I, BRENDA G. MALONEY, have hereunto set my hand
and seal this ~ Y'~day of ^ '~ 2009.
7 ~
' > .~,
BRENDA G . MALONEY ~~~_
SIGNED, SEALED, PUBLISHED and DECLARED by BRENDA G. MALONEY, the
Testatrix above named, as and for her Last Will and Testament, and in
~he presence of us, who at her request, in her presence and in the
presence of each. other, have subscribed our names as witnesses.
Witness'--~
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Witness
COMMONWEALTH OF PENNSYLVANIA:
. SS.
~OUNTY OF CUMBERLAND
414 BridC{e St., New Cumberland, PA
Address
414 BridcLe St., New Cumberland, PA
Address
I, BRENDA G. MALONEY, the 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 this instrument
as my last will; that I signed it willingly and that 1 signed it as my
free and voluntary act for the pv.rposes therein contained.
BRENL'A G. MALONEY r'
Sworn to or affirmed to and acknowledged before me by BRENDA G.
~_ ___ ,
MALONEY, the Testatrix, this ~~~' day of ',_=~~~~~C~-_ 2009.
,,
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(~pP1,M.^.,NWEAI~ ~F PENNSYLVANIA
--""`""'i~~pi'AFiIAL SEAL Public Notary ublic
CAROL L. TRC;XELL, NotaN
New Cumberland Boro. Cumberland Co.
My Commission Expires Dec. 27, 2009
Page 3 of 4
~.OMMONWEALTH OF PENNSYLVANIA
. SS.
COLINTY OF CUMBERLAND
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We , t ~= ~ rG ~ ,/ ~r/~/~~ and S-~t~;1~ ~"~ ~"~_ ,~e.~'"t ~'(.~ _ ,
the witnesses whose names are signed to the attached or foregoing
instrument, being duly qualified according to law, depose and say that
we were present and saw Testatrix sign and execute the instrument. as her
last will; that Testatrix 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 sight of the Testatrix signed the will as
witnesses; that to the best of our knowledge, the Testatrix was at that
time eighteen or more years of age, of sound mind and under no
constraint or undue influence.
Witnes ,~
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,r~=~' Witness
Sworn to or affirmed to and acknowledged before me by
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'~ Gc'` ~~;•~, / ~` /~."~~ ~ and ~~`f;Y~~,,~..~.. ~. ~r( §."'sr'X-~.
`_
witnesses, this ~~~ day of ~!"=~.= - ~~ ,~~'~~'- 2009.
~ ~ ~
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COf~',M,OiVV'~'~a_Tri OF PENNSYI.VA~~l.4 Notary Pub 1 i c
~Pdt~fARIAI_ SEAL
CAROL L. 'i R~?~ELL, Notary Public
rJew Cumberland Bora. Cumberland Co.
My Comrr:ission Expires Dec. 27, 2009
Page 4 of 4