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Home My WebLink About05-10-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of GEORGE K. MENTZER File Number ~ ~ "~ ~~ ~ ~} /~~ also known as ,Deceased Social Security Number 189-09-4525 Petitioner(s). who is,~are 18 years of age or older, apply(ies) for: (COMPLETE 'A' OR 'B' BELOW:) 0 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the CO-EXECUTORS named in the last Will of the Decedent dated 9/2911977 and codicil(s) dated NONE BETTY J. MENTZER DIED JUNE 17, 2009. JOAN MENTZER MARRIED AND CHANGED HER NAME TO JOAN E. SHOWERS (State relevant circumstances, e.g., renunciation, death of executor, etc.J 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 (lfapplrcable, enter: c. t. a.; d. b. n. c. t. a.; pendente life; durante absentia; durante minoritateJ 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 Section A above and complete list of heirs.) r~ ;~ Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with his /her last principal residence at 1000 CLAREMONT RD. S. MIDDLE TON TWP CARLISLE PA 17013 (List street address, town/city, township. county, state, zip code) Decedent, then 95 years of age, died on 4/7/2010 at CARLISLE REGIONAL MEDICAL CENTER 366 ALEXANDER SPRING ROAD CARLISLE PA 17015 Decedent at death owned property with estimated values as follows (If domiciled in PA) All personal property $ 25.000.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ 122.000.00 1501 WEST TRINDLE ROAD, CARLISLE, PA 17015 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 or Letters in the appropriate form to the undersigned: Signature Typed or printed name and residence f , j ~_I `" BEVERLY JEAN NARDI / -~ - ~'LC.~-~ 5480 UNION DEPOSIT ROAD HARRISBURG PA 17111 ~, ~ GEORGE K. MENTZER, JR 604 S. BROAD STREET MECHANICSBURG PA 17055 '-t'~1 /~' ~Zt JOAN E. SHOWERS \_ . . UGI'r~.~ 30 GORDON DRIVE CARLISLE PA 17013 Forn: RW-0: rev. 10.!3.06 Pa~O 1 Of 2 (COMPLETE W ALL CASES:) Attneh additional sheets if neeessnry. ~"`~ Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS 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. Signature of Personal L~,1~QN NA~,DI Signature of Personal Representative GORGE K. NI~.bITZEI~ JRy r,•~ Signature of Personal Representative J JOAN E. SHOWERS' =`7 - i r-- - _ ~.r~ T Q -_~-,, - File Number: ~ ~ _ ~ ~~ ~ ~-~ `t" ~•:/ ~~- ~ --i _ i n T, .. Estate of GEORGE K. MENTZER ,Deceased E-'~ ~ ~ Social Security Number:189-09-4525 Date of Death: 417/2010 AND NOW, ~~~ '~ ~ ,' ~~'~ ` , in consideration of the foregoing Petition, satisfactory proof having been presented before me, [T DECREED that Letters TESTAMENTARY are hereby granted to BEVERLY JEAN NARDI GEORGE K. MENTZER JR. AND JOAN E. SHOWERS Register of Wills and that the instrument(s) dated SEPTEMBER 27.1977 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES Letters ............................. $ •.Tlljo~• ~~ Short Certificates •••••••••••• D ~t-~e ~~ $ Renunciation(s) •••••••••••••••• $ t .... $ I~ 0 .... $ .... $ .... $ .... $ .... $ .... ` ~"~'> TOTAL ............................. $ L Attorney Signature: Attorney Name: in the above estate Supreme Court I.D. No.: 24849 Address: 54 E. MAIN STREET MECHANICSBURG PA 17055 Telephone: 717-697-4650 Form RW-0? rev. 10.13.06 Page 2 Of 2 Sworn to or affirmed and subscribed before me the ;~l day of 10590i RF.b"-(31097 ,~ _ f, ~?, This is tc1 certifji that this is a true copy of the record which is on file in the Pennsylvania Department o't'Hea~tli, in ct~darice with the Vital Statistics Law of ] 953, as amended. WARNING: It is illegal to duplicate this copy by photostat or photograph. Linda A. Caniglia State Registrar 5570041 ~`~ Nu. H105-1d3 REV 1f f200f TYPE /PRINT IN PERMANENT RIACK INK 1 Neme of Ue<edent (Prot, mltltlle, last, sufllx) George K. Mentzer c„~ w ~\ (~ .` \;/ (`y v V ASR 2 0 2~1~ Date COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) STATE FILE "JUMRER 2. Sex 3. Sadwl Sevunty Number d. Dale of Death iMontn, day. year) M 189 - 09 - 4525 Aoril 7, 201 "'" y "°"° '""' West Hill, Cumberl p'er` °'"eC 5 vra 2 22 1915 Count , PA. mpauam ^ ER / atpaliem ^ DGA ^ Narsinq Rpme ^ Reaiderw;e ^omer Specify. Bb. Cowrry of Death Bc. City, Bom. Twp. of Death Btl. Facility Name (If riot institutron, gve street and number) 9. Was Decedent of Hispanic Origin? Nc ^Yes 10. Race. Amerkan Intlian. Black, White. etc. Cumberland South Middleton °' yea' apeciy cabs". (spapir,7 Twp Carlisle Regional Medical Center Mexican.PpartnRicanetc.) Whi'~e 11. Decetlent's Usual Occupatan Kintl of wok done Burin mpst of worki life. D" not stale ratite 12 Was Decedent ever in the 13. Decetlent's Education (Specify only highest grade completed) 16. Marital Status'. Married, Never Married. 15. Surviving Spouse (It wile give maiden name) Kind of WoM Kind of Businessi Industry U.SI~. Armed Forces? Elementary / Secontlary (0-12) College (1-4 or 5+) Widowetl, Divorcetl (Spacity) Truck Driver At1 tic-Richfield Co. tgYea ^Np 12 Wit3cxved - 16. DecetlenT s Mailing AMress (Street, city /town, state, zip code( Decedent's Did Decedent Actual Residence 1]a. Slate PA Live in a 1]c. ®yes. Decedent Lived in M1ddl X Twp. 1 C00 ClarFSnont Rd. Township? 1]D county C(snberland na. ^ Np, Decedem Lroae wdnm Carlisle PA 17013 AapalL~meam clty/Rem ~ 6 Fatnar'S Name (First. mitltlle, last, suffix) 19. Mother's Name [First, mtlde, maiden aumarre) Herman C. Mentzer Martha E. Drawbaugh 20a. Informant's Name (Type /Print( 200. Inlortnanfs Maillrg Address (ffieet, city / bwn, slate, zip Code) George K. Mentzer, Jr. 604 Broad St., Mechanicsburg, PA 17055 21 a. M e lnotl of Dispositlun ~ ^ Crernafpn ^ Donation 21 D. Date of Disposition (Nbmh, day, year) 21 c. Place of Disposilpn (Name of cemetery, crematory or Omer place) 21 tl. Locelion (CiN /town, state rip code) - rr ~~ L. Burial ^ Removal !rom Slave ~ Wes Crametlan or Donatlon Authorizetl 4/12/2010 Westminster M~rial Gardens PA Carlisle ^ Otner~$pacity: i OyMedlcalExamirter/DOronM? ^Yes^NO , 22a. Slgnat of Fun al S a Licensee (or person suc 22b. License Number 12c. Name and Atltlress of Facility - ~ - FD 012633 L Ewing Brothers Funeral Hane, Inc., Carlisle, PA 17013 Gamplete Ilarr S23a-c only when certitpflg 23a. to the best of my knowla~eam pccurtetl al the Lme, date and plac¢ Staled. (Slgnalure and INe) 230. License Number 23c. Date Signed (MOnln, tlay. Veer) physician is not available at tlme of tlealh to cenity ca se of tlealh. Items 24.26 mull De completed Dy parson 24. Tme of DeaN 25. Dato Pronounced Dead (Month, day, year) 26. Was Case RelO rred to Medkal Examiner! Coroner far a Reason 01her loan Cremation or Donaton? wnp proncunpaa daatn. r•' ~ /o ~ M. ~f -- ~ - ? L7/ o ~ ^ vea d-~' "p CAUSE OF DEATH (See Inalructlons and examples) t Approx mate Interval: Pad II: Enter other SgnNrant mrrtl'rags [Drift but nC to dea th, 28. Did Tobago Use GontnbNe Ip Death? Item 2]. Part I: Enter the cha n of events -diseases, injuries. or complications -that tlirectly caused the death. DO NOT enter terminal events such as cartliac arrest, Onset to Death bM not resuding In the underlying cruse gven In Pad I. ^Yes [] Prpbady respiratory angst, or ventricular fibrillation witYpN showing the etiology LIA only one/cause on earn Ilne. < ' ~ , ^ N< .Unknown ~ {'~~~ J ~L! ~ /a-~ ~ ~ .~ ,y IMMEDIATE CAUSE (Foal diseas' / cmtlitar. resulting m death; r r ?~ti ((~ Q ire- ~ l (JGGYTLE~ 1 / `-~~'- ~ ~ ~ ~ ~j~~_C~ (L5 x ~ 29. If Female: a Due to i or as a consequence o9: ~ q ,~ ^ ~, ^ Not pregnant wham past year Sequentially list conddione, if any, D. H / l e w~ ~~27 G~-f_ F/Z> /q , ^~ ^ P:agnant at time pr death ieadmg to me cease lased on one a. Dae to for as a come f Enter the UNDERLYING CAUSE qua o): _ // ~/"~ /l ~ y ^ Nm pregnant Dm pregnam wnnin az aaya (disc se ar l ry that Initlatetl the c ants resultiing m death) LAST ' p LvL~~ c= -/ " id~ls z~I J PO of deattl •,7'~ . Due to o as a con c (r segue a oty: /,^ // /~ •~ {•-? x ^ Not pregnant, cut t 43 da t year pmgnan ys to belore death tl / ~ 4 L~~( i ~ ^ Unkncwn rf pregnant within the pazt year 30a. Was an Autopsy 30b. Were Autopsy ~intlings 3t Ma nner of Death 32a. Date of Injury iMpntn, day, Vear) 32b. Describe How Injury Omrretl 32c. Place of Injury. Home Farm. Street, factory. Penormetl? Availade P"or to Completion ' r~ Office Bulltlmg etc (Speedy! or cause of Deatm NaNtel ^ Haniclde .X~ ~,~ ^ Ye: IyT No ^ Ves ^ No ^ Accitlent ^ Pentling Investigahop 32tl. Time of Injury 32e Inlury at Work? 32f. It Transppnation Inlury (Specify) 32g. Loca'~on of Injury (Street, ary i town, slate) `[ ^ Suicitle ^ Could Not be Detertninetl ^Yes ^ No ^ Driver/ Operator anger ^Petlestean M Other-Speclry' 33a. Cerier (check only one) 33b Igneture a d ier q e o • Certilyirg physician (Physician certifying cause of death when arrother physician has pronounced tlealh and mmpleletl Item 23) _ / To the best of my knowledge, tlealh occurred tlue to the rouse(s) and manner as statetl_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ -. _ _ _ _ _ _ _ _ _ _ _ _ ~-_ _. • Pronouncing antl certitying physlcWn (Physician Ooth pronouncing death antl cediying to cause of tleathj 33c. Licens um ^ ~, 33tl. Dale Signatl MOnIn. day. year'. To the hest of my knpwletlge, death occurretl at the time, data, and place, and due to the cause(s) antl manner as statetl_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Q t • o /~/ ~/ ~ s_( ~ ~ /? • Metlleal Examiner/Coroner On the basis of examination and / or investigation, in my opinion, death occurretl at the tfrrre, date, and place, and due to the cause(s) end manner as slate d_ ^ ~ ~ ' _ J (_ 34. Na d Address Pers Who Completetl Cause cl Death Iltem 2]) ~ - / / (/ Type Print ~ v ~ 36_ Registrar s tl Dist 36. Date FJetl (Month. day, year) / '..w `~Zr 1 ~ ~ V r ~{ _ Disposition Permit No. C~t -(a lr 15 N . -~ c~ .- ~, o i~ ,:; ~ ~ ...L ~ ? •~ "7~r +~n ~ ~ --- - Q i _ ~~ -- ` i '_l ~. -.-i ~. .. fTi ` `~ i ~,, -~ c-; ~-~ ~~ -~~_ LAST WILL AND TESTAMENT -`_'-c7 ..-~',~ . -~- ~ ~ +7 . I, GEORGE K. MENTZER, of South ~~Iiddlefion To~anshi~,1' Cumberland County, Pennsylvania, being of sound and. disposing ~~ mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and `T'estament, hereby revoking and making void any and all former Wills, Codicils or writings in the nature thereof, by me at any time heretofore made. FIRST: I order and direct my Executrix or Executors, hereinafter named, to pay all of my just debts, funeral expenses, est;~mentary expenses, and all Inheritance, Estate, Transfer ar.d ;succession Taxes, as soon as may be conveniently done after my death, out of my residuary estate. SECOND: All the rest, .residue and remainder of my Estate, be it real, personal or mixed, of whaf,soever kind and v~hc~rescever situate, I hereby give, devise anal bequeath to my v~if~-, :Betty ,.7. Menf_.zer. THIRD: In f.,he event that my said wife shoul~~ predece;~se me, I hereby give, devise anal bequeath all the rest., residue anrT remainder of my estate, be it real, personal or mixed, of whatso- ever kind and wheresoever situate to my children., Beverly Jean Nardi, George K. Mentzer, Jr, and Joan Mentzer, in equal shares, s~~are and share alike, per stirpes, FOURTH: In the event that any of the issues of my c}~ildren shall not have attained the age of 18 years at the time of my deaf,h, I hereby give, devise a.nd bequeath. said issue's share to said issue's father, in Trust, nevertheless, for his or hFr use or benefit. The Trustee shall invest said funds in good and safe securities,, legal for Trust Funds in the Commonwealth of Pennsylvania, and shall use the net income derived therefrom and ~,,r°,~.,C'Z.--+ t Sri ~ `'~ "~ 'y~' t. t.-~. ~^__ ~t-~ ~,, so much of the principal as said Trustee in its sole discretion shall deem necessary for the support, maintenance, health, educa_ tion, and general welfare of said child or children until they sha:11 have attained the age of 18 years, at which tine the principal and accumulated income, if any, shall be distributed to said child absolutely and outright. LASTLY: I hereby nominate, constitute and appoint my said wife, Betty J. Mentzer, to be the Executrix of this, my Last Will anal Testament, she to serve without Bond in the Common- we a,l.th of Pennsylvania, or in any other jurisdiction. In the event that my said wife shall predecease me or be unable to serve as Executrix hereof for any reason whatsoever, I hereby nominate, constitute and appoint my children, Beverly Jean Nard`_, George ~. Mentzer, Jr. and Joan Mentzer to be the Executors hereof, they 1ikeUrise to serve without Bond. In the event that any of my saiu children shall predecease me, or be unable to serve as r~xecutor for any reason whatsoever, my remaining children shall .serve as Executors hereof. IN WITNESS WHEREOF, I have hereunto set my hand and eat this _.__'~l'!'~ day of September, 1977 --~~~~----~..~~ ~~ ~ ~ `~ ~J< ~ ( SEAL ) George~~K. Mentzer SIGNED, SEALED, PUBLISHED and DECLARED s,,~r ~ by GEORGE K. MENTZER, the above named `testator, as and for his Last Will and Testament in our presence, who, in his presence, at his request, and in the presence of each other, have hereunto set our hands as subscribing witnesses. r- ~r~ ~ ~ --- `~ < _~._~ - ~ r,~~-t ~1- .~e~a c ' L`am'-r~ ~ ~~ ~~!'' ~ ', ,,~ ~ ~~__, ~' i -2- OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA Estate of GEORGE K. MENTZER ,Deceased BEVERLY J NARDI and JOAN E. SHOWERS (each) being duly qualified according to law, depose(s) and says(s) that she / he /they was /were well- acquainted with GEORGE K. MENTZER and am/are familiar with the handwriting and signature of the decedent, and that the signature of GEORGE K MENTZER to the foregoing instrument purporting to be the Last Will and Testament/Codicil of GEORGE K. MENTZER is in his/her own proper handwriting. _ .-; (Signature) ~ 5480 UNION DEPO~~T ROAD (Street Address) (Signal r 30 GORDON DRIVE (Street Address) HARRISBURG PA 17111 /C~ty, State, Zip) CARLISLE PA 17013 (City, State, Zrp~ Executed in Register's Office Sworn to or affirmed and subscribed before me this 10TH day Of MAY , 2010 d Z~~,~~2,~ c.~ ~ ~ ~~ t Deputy foi• Register of is ~; - , ~, ` ; -i c7 ~ +.z r-- __yf..~ ~ _ ,. " ~- // ~~~~ VJ ) . ..... (~1 ~ "_ _,rt .. z- ~ . , c-> c..~ ' Form RW-0~ rev. 10.13.06