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HomeMy WebLinkAbout11-10-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA. Estate of Bruce H. Mizell File Number ~~,~ ~ + ~ _ ~ ~ ~~ also known as ,Deceased Social Security Number 204306009 Petitioner(s), who is/are 18 vears of age or older, apply(ies) for: (COMPLETE 'A' OR 'B' BELOW:) A. Probate and Grant of Letters Testamentary and aver that Petitioners} is /are the EXeCUtor named in the last Will ol'the Decedent dated 2/23/197$ 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: B. Grant of Letters of Administration (If applicable, enter: c. t. a.; d. b. n. c. t. a.; pendente life; 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 anyj and heirs:(ff .9dnzinistration, c. t. a. or d. b. n. c. t. a., enter date of Will in Section A above and complete list of heirs.] (List street address, towniciry, to~~~nship, county, state, yip code) _ ~?~ --- --~- -~ G7 j__, t_ ., , Decedent, then 70 years of age, died on 10/21/2010 at Cumberland County ~? ~~~'t`~'` ~ -~' Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property (If not domiciled in PA) Personal property in Pennsylvania (If not domiciled in PA) Personal property in County Value of real estate in Pennsylvania situated as follows: 571 N. Middleton Road Carlisle, PA 17013 _ _ } ~...~. I ~ ..._i . i $ ~ 6`O~OE~00 $ 39.000.00 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 571 N. Middleton Road Carlisle PA 17013 C~.~~,loLi, ~~ s'yl,.~~LG, Page l of 2 Form RW-02 rev. 10.13.06 ~ ~y (COMPLETE INALL CASES:) Attach additional sheets if necessary. ~~ ~ Decedent was domiciled at death in Cumberland County, Pennsylvania, with his /her last principa~~e~ence at ~ F7~f IU flAirdrllo~nn Qn~r1 (`~rliclc DA '17!1'1'2 -.j.~~ _~ ~-- 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. Sworn to or affirmed and subscribed `~~ before me the day of r- ~-~ ~ ~~ ~ , i C C -~~ ~ ~~~C~c 1, t (' 1~~5~ / _~ For the Register Signature of Personal Representative Signature of Persona( Representative Signature of Personal Representative ~~ ~-~ File Number: ~,~ '~ ~~ i~ j Estate of Bruce H. Mizell , De~se~d ~ .-.., Social Securi Number: 204306009 Date of Death: 10/21/2010 `~' ~ ~ ' ' _' "' ty rz --~~. ~- ~~, AND NOW, - -~'~-~ ~ 4 ~ ~ ~` ~' 1 , in consideration of the foregoing retit~o ~isfac~y pr6bf ^ having been presented before me, IT IS DECREED that Letters Testamentary f .,,`~_~ ~ _ ; are hereby granted to Clinton Mizell Executor -=~ ~~'~' _ '~ in the above est~~e'..a ~, and that the instrument(s) dated February 23, 1978 y~ described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES Cumberland Count 1~~~ ~ ti ~ ° ~ '~' " ~ ~~~-1' `~~'~ ~" Register,,~f~ it `~„~', =~~' ~ ~~ Attorney Signature: ~"~ ~ ''`~ S.~`~~'~ C~ is t ~C;~. ~_ 1i .~. h Letters ........................ Short Certificate(s) •••.••. Renunciation(s) ••..•••...• ~I~~ `~~ TOTAL .... $ I<~- C~T~~ .... $ .... S .... $ .... $ .... $ .... $ .... $ .... $ 1 r ~._~~ Attorney Name: Supreme Court I.D. No.: 36812 Address: 19 S. Hanover Street. Ste. 101 Carlisle Pa 17013 Telephone: 7172452698 f=orm Rw=o2 ~-ev. ~0.~3.oc ~ Page 2 of 2 ~ f tr~~. ....•~ ~ ~ it f~~ L~AL REGIS~RAR9S CERTMF~~~-T1t~N OF ®E~11C~- ~i~rt~#IRNING: It is illegal to duplicate this copy by photo:atat or ~-hotog~~a~ ~~. - ~'t' f(>".' l{l1'~ 1.`t'1-) lt)~'~UC. `'y{,.(,}(i ,..~f,,, ,rr 9 rirtj rr,r ~3 ~~ ~?~' ` A~~ t 1 ~ 'z il9!'~ 7 I ( 3'~)i 7-3111 lt)jl ~lci~t: t~i`~t'il 1S c. lt~ f iv r ') L ~ 'rllft~~)Ce (lb I)C~ITh ~~ ~l ~ ;9 i1 ~1' 6~, slt ' l~ i~) ~~ trt ~ .. , r -. t . ~ . ~. t +. C - ~ ' - om,' ~~. ,'' ~ ~ ~ . ~~1~ lr[irTi?~~1 ;~l 1 ~)~~~~ ~I~,t~ ~ti,1B~l IT)t ~ } f) ~Li!l T1 ~ _, ~ E ~: •~ 'y' c~l ~~,~ ' 'El 1i. 3G l't ti'~ ,~i1 , „ '.!'~.~, t"„ ',t1 ~ 1~" t'11.fl11.' ~ti' lt2)~ ,' ) ;~ .xs ~ ~~~ rzs' ~.; ~ ,*i r!° ~ti, ~3~~) , + )ir 3 I).l ll~l.! ;I~ii)1Y y * ?~'..^. ~^ 6 8 5 4 9 7 8 ~~ ,< ~,, ..~ . __ -~' ., ~p~.~ca~' CIC~' 2 2010 P , __ -- -- _ __ __ _ -- _ _----- ------- -------- ___ ---- ~'l1itVC(1[it){~ X1411?~~': i , < f ,r:_r? :' i d'~ ,f' ~~r`~"i`-.(t:l-` ~tiil(C_' ~S~IIC~C ..~--, ~ ~ ~I ... ~ ? 1, ~~ ~ ~ = . ~ ~ :,. ~~} 1 © 7 - i~ ~ ~, t .' ; -~)~~ ~ ~ ~' `~ 1 7 H105-143 REV 1112006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS PER/MMIENTIN CERTIFICATE OF DEATH BLACK INK /Srea Insrn,ctions and examples on reverse) erere nr c nn u,traco / i 0 a W v U w 0 LL O W 2 1. Name of Decedent (Flrst, middle, last, suffix) 2. Sex 3. Social Secudry Number 4. Dale of Death (Month, day, year) 30- 6009 10/21/2010 M 204 - Bruce H. Mizell 5. Age (Last Birdidey) Under 1 ar Under 1 de 6. Date of Birth Month, da , r 7. Bi lace Ci end state «forei count de. Place of Death Check on one ,7n Monms Days Hours kknules Hospital: Other: / V Yom. 11 /28/ 1939 Charleston, SC ^ Inpatient ^ ER I Outpatient ^ DOA ®Nursirg Home ^ Residence ^ 01her -Specify: • 6b. County of Death Ik;. City, Born, Twp. of Death 6d. Facility Name Qf not insUMi«i, give street and number) 9. Was Decedent of Hispanic Origin? ®No ^ Yes 10. Race: American Indian, Black, White, etc. l b ISP~M Ctunberland Middlesex an, (fi yes, spec ty Cu Clararont Nurslri & Rehab. Center Mexican, Puerto Rkan, etc.) White i 11. Decedents Usual lien Kind of work d one dudn most of I'rfe. Do rtot state red ving Spouse (II wife, give maiden name) 12. Was Decedent ever in the 13. Decedent's Education (Specify only highest grade completed) 14. Marital Status: Monied, Never Married, 15. Surv w~~ ~~ (~~) Kind of Wak Kind of Business)Industry U.S. Amted Forces? Elementary I Secondary (0.12) College (1.4 or 5+) ' d Wid Production tasks S. L. Abrasives ^YeeC~a 9 aae - • 16. Decedent's Mailing Address (Street, city /town, state, zip rxxie) Decedents Did Decedent North Middleton PH Live in a 17c Decedent Lived in Tw'P ~ Yes 571 N . Middleton Rd. _ . , Actual Aesxiertce 17a. State Cur<nberland Township? 17d. ^ No, Decedent Lined within Carlisle, PA 17013 t7b•coumy Actual Limitsot Ciry/Boro 18. Fathefs Name (First, middle, last, suffix) 19. Motlrefs Name (FlrsG middle, maiden surname) Monroe H. Mizell Martha C. Mizell 20a. Itrformanis Name (Type / PdnQ Mary Ellen Schlusser 20b. Irrformant's Mailing Address (Street, city I town, state, z~ code) 1 W. Penn St., Apt. 511, Carlisle, PA 17013 21a. Mettrod of Dispositbn ' ^ Cremation ^ Donation 21b. Date of Dispositan (Month, day, year) 21c. Place of Disposition (Name of cemetery, crematory «other place) 21 d. Locaton (City/town, state, rip code) ~ dma~ ~ . ~i • {!~[Bixial ^ RemovallromState ~ wa,~nm ^ 10 25/2010 / estIll121ster Mgnorial Gardens Carlisle, PA m ~ l ~ Yea ^ otli« - s .: by ~ 22a. Signs Fun l iwceneee (w as 22b. License Number 22c. Name and Address of Facidry FD 12 L FXain Brothers Funeral Hcane Inc. Carlisle PA 1 01 Compote hems 23ac only when certifying physician is rrot evehable et time of death to 23a. To die ~t of my knowbdge, des~I rred a;~t d~ie/tim/e~,(da~te arxLplece stated. (Si Iu and title) / /7 a A . ~ ~ ~ 23bPLicense Nrvu~~mber 9 ~Z ~ ~- ~ 23c. Date +lSignr~/d (Mon~t~hf, day, ye r")7 /) v l ! f !r- t/ - o ceNfy cause of death. I V ~ l../ U UV L- t J L%V f/ 1/ f~ J • Nems 24-26 must be computed by person ~ who prawunces death. 24. Time of Deem ~ s 3' O . A M, 26. Date Prtxiounced (Month, day, year) /+ LL 'f C T b ~e r ~ r h D j ~ 26. Was Case R to Medical Examiner /Coroner for a Reason Other than Cremation or Donation? ^ Yes CAUSE OF DEATH (See instructions and exempts) i Approzimete Interval: Pan I: Enter the chain al events -diseases, injuries, « cartipdcetiorts -that directly caused the death. DO NOT enter terminal events such as cardiac arrest, ~ Onset to Death dam 27 Part II: Enter other rJmiarJlrrf rxxldhions i'Antdhrrtkra to dfi~, but not resulting in the underlying cause given in Fart I. 26. Did Tobacco Use ConMbute to Death? ^ Yes ^ Probabhr . respiratory arrest, a ventricular tbrilodon without showing the etiobgy. Usi only one cause on each tine. r ^ No ^ Unknown 1 IMMEDIATE CAUSE (Final disease « ' candhion resulting m death) C~~~ l'C7~ (~ ~,,~ ~~ ~, a ~~ ~ i - 29. If Female: ^ Not pregnant within pass year _~~ a s Due to (or as a consequence of): ~ ^ Pregnant at time of death h any umbellIyy lot conddorrs i - 42~d s ithi ^ t t , , b b die cause ksted on kne e. w n ey Not pregnant, bu pregnan Due to or as a con uence o i Enter UNDERLYING CAUSE ( ~ g' iliaease « that initiated the ~ ~ of death but pregnant 43 days to 1 year re nant ^ Not mg m death) LAST. °' i events resuh p , g • Due to (or as a consequence oQ: i i - before death ^ Unknown if pregnant within the past year • d. 30a. Was an Auopsy 30b. Were Autopsy Findings 31. M ner of Death 32a. Date of Injury (Month, day, year) 32b. Descdbe How Injury Occurred 32c. Place of Injury: home, Fann, Street, Factory, Office Building, eta fSpea/y) Pedomred? Avadebo Prior to Completion Natural ^ Fiwnicide ~// of Cause of Death? ^ Accident ^ Perxerg Investigation 32d. Txne at Irr{txy 32e. Injury at W«k? 32(. If Transportation Injury )Speedy) 32g. Location of injury (Sheet, ctity /town, state) ^ Yes L~J No ^ Yes ^ No ^ Yes ^ Na ^ Dmrer/Operet« ^ Passenger ^ Pedestrian ^ Suicide ^ Coukf Not ba Determined M, Qdrer - Speclty: ~ ~~~ ( ~ ~) h ut d It 23 d d 33b. SignaNre and Title of CeNlier i ~ ' ~ ~ ` '~ e em ) deat an comp • Certirying physklan (Physicun ceniying cause of death when another physidan has pronounce _ _ _ _ _ _ _ _ _ _ _ _ ^ _ death occunred due to tM cause(s) end msnner as stated ud t W k T th b ~ - ~~~,~,.- ~7> , _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ my riow ge, e ea o • Prrxtourrcirg end rxrtdying physician (Physfcun both pronoixtr9ng death and certifying to cause of death) License Number ) *^~ 33d. Date Signed (Month, y, year) To the best of my knowodge, death oaurred st the time, date, and place, and due to the tease(s) and manner es atated_ _ _ _ _ _ _ _ ,. _ _ _ _ _ _ _ _ _ ~ 0 ~ ,,. V U ~ ~ ~ l U ~ • Msdkal Examiner/Coroner On tM heels of exsmination acrd / or Investigation, in my opinion, death occurred at the time, date, end pose, and due to the cauee(e) end manner as stated_ ^ 34. Namej~a~n\d Address of PefS'Q~~fI}~'~Who Computed Cause or Death (Item 27} Type /Print } 'j~) J I ~ I r I ~ I ~ I a I ~~ 36. Registrar' are and D)st/icyN(l~be>~ ~ 36. Date Fled (Month, day, year) n ~ ~ } / / n ~ ~ / $ f ~ j ~ ~ Disposition Permit No. ' ~~' U ~! ~ ~ ! W I L L I, BRUCE HAMPTON MIZELL, of North Middleton Township, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITEM ONE. I direct that all my just debts and funeral expenses, including my gravemarker and all expenses of my last illness, shall be paid from my residua,~,y estate as soon as practicable after my decease as a part of the expen of th administration of my estate. ,~ ~ ~ ~~n .C ITEM TWO. I bequeath my automobiles, household and personal effects,--~~l~the~-- tan ible ersonalt of like nature (not includin cash or securities; ~-~ ~ g P y g ) k-__ ~ y wife, EDITH LORETTA MIZELL. -' C'~p ~ _+j ...- ~- ~~--- ITEM THREE. I devise and bequeath all the remainder and residue of my.~~tate "~ of every nature and wherever situate to my wife, EDITH LORETTA MIZELL;y'providi~ she shall survive me by 30 days. ITEM FOUR. Should my wife, EDITH LORETTA MIZELL, predecease me or die on. or before the 30th day following my death, I devise and bequeath all of my estate of every nature and wherever situate to my son, CLINTON EUGENE MIZELL, and i:f he shall not survive me to his issue, per stirpes. -' L~ ~r .;~, U ~~ ITEM FIVE. Should my wife, EDITH LORETTA MIZELL, not be living on the 31st. day following my death, and should my mother-in-law, ERMA WAREHIME, then be living, I suggest, but do not require, that the heirs of my estate grant to ERMA WAREHIME the privilege of continuing to reside in her trailer located on the :Lot designated as Tract 2 in my deed recorded at Deed Book 25 E 631, under the same conditions as now exist for the lifetime of my mother-in-law, ERMA WAREHIME. ITEM SIX. I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shal]'_ be paid from my residuary estate as a part of the expense of the administration of my estate. ITEM SEVEN. I appoint my wif e, EDITH LORETTA MIZELL, Executrix of this my last will Should m wife EDITH LORETTA MIZELL fail to alif r e s ~ t t ___, :-~ S:s :i cw.~ r- ` -~ f . _ ..., ~-~ .. `:•o ~.~ _~. , ~ y qu y o c a E. o ac as Executrix, I appoint my son, CLINTON EUGENE MIZELL, Executor of this my last will. ~. ~ ITEM EIGHT. I direct that my Executrix, or Executor or their successors shall: not be required to give bond far the faithful performance of their duties in any juris- diction. ITEM NINE. In addition to the rights and powers given to fiduciaries by law and elsewhere in this will, I give to my Executrix or Executor during the full time necessary for the administration of my estate the following rights and powers to be exercised in her sole discretion. A. To retain any real or personal property which may at any time form a part of my estate so long as he or she deems it advisable. B. To invest in any real or personal property without restriction to ;legal invest- ments. C. To repair, alter, improve. or_ lease for any period of time any real or personal Page ane of two pages w ~ • c property and to give options for leases. D. To sell at public or private sale, for cash or credit, with or without security, to exchange or to partition real or personal property and to give options for leases. E. To make distribution in kind. F. To compromise claims. Y sY ~~e,.~' IN WITNESS WHEREOF, I have hereunto set my hand this, ~ ~ day of ~°'.,,~~~~ 1978. ~` SIGNED ,, ~ ~, ~,, ~~~t' The preceding instrument, consisting of this a,nd one. other typewritten page, each identified by the signature of the Testator, BRUCE HAMPTON MIZE:LL, was on the day and date thereof signed, published and declared by BRUCE HAMPTON MIZELL,, the Testator therein named as and for his last will, in the presence of us, who at his request, in his presence and in the presence of each other have subscribed our names as witnesses hereto. ,.----~. .-.-.,~ ~ e j r. yJ§qJ r-. ~' t Page two of two pages O_:~ ~'H (~~ NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS ~- , ~~~~~~ COUNTY, PENNSYLVANIA ,, Estate of ~ ~ ~~v L ~ G " (r ~~ r z-~L--~--~ Deceased A and v^ ~ ~- Z. ~ ~ ~ , (each) being duly qualified~according to law, depose(s) and say(s) that she / he /they v~ras /were well- acquainted with t 7 /C~.~(/~C- Gam- ,G'f j ~ ~'2-~z ~1---- and am/are familiar with the handwriting and signature of the decedent, and that the signature of l~ L (/~.-~' G1~~ /?'j ~~ /~~•-• ~ ;~ I to the foregoing instrument purporting to be the Last Will and Testament/Codicil of ~ -~ '~- -Z ,3 ~ C ~~ :~ ~~ p P g• ~G~~'L~ ~~ ~ ,~ ~ is in his/her own ro er handwritin ig„atu,•e) (Street Address) (City, State, Zip) Execceted in Register's Office Sworn to or affirmed and subscribed before me this <'~~>~ day ,. ~ ~ Deputy for Register of Wills ~_ `a ~ _ ~~~ - ~J .:~~ r--- ..~ CJ .1 ..^~~_st ~~ -n ~T '~C N "'Q :'~ .~- N __, t ~_ C" f' { ~ ~ - ~ _ _. , ` -~ ,. r r' ~ .- Fornt RW-04 ,•ev. lOJ3.0(