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HomeMy WebLinkAbout05-04-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of Mary C Norris a/k/a: a/k/a: a/k/a: SS NO: 187-34-8306 Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as applicable: ^ A. Probate and Grant of Letters Testamentary or ^Administration c.t.a., or d.b.n.c.t.a. (complete Part C also) and aver that Petitioner(s) is/are entitled to the aforementioned Letters under the last Will of the above-named Decedent dated 9/14/2007 - - __ _ __ _ _ _ _ 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 exf;cution of the instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated person, and was not a party to a pending divorce proceeding at the time of death wherein grounds for divorce had been established as defined in 23 Pa. C.S.A. § 3323(8): O B. Grant of Letters of Administration fir appucaoie, enter d.b.n., pendent lite, durante absentia, duraute minoritate) Deceased ESTATE NO: 21- ~ ~ - ~i ```~ ~.~ C. Petitioner(s), after a proper search, haslhave ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs (If Administration c.t.a. or d.b.n.c.t.a., enter date of Will in Section A and complete list of heirs); was not the victim of a killing; was never adjudicated an incapacitated person; and was not a party to a pending divorce proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(8), except as follows: P'' . l Name Address RelatiofnsTi' Decede~- - ~~ f"' `~ . t~ 1 IJSE ADDiTiONAL SHEETS IF NECESSARY - -- ~.~ THIS SECTION MUST BE COMPLETED: ~j; '° C .~ Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence At 2100 Bent Creek Blvd. Mechanicsbur PA 17050-1834 (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) Decedent, then 94 years of age, died 4/11/2011 at (Month, Day, Year of death) Estimated value of decedent's property at death: _If domiciled in PA If not domiciled in PA _If not domiciled in PA _Value of Real Estate in Pennsylvania Location of Real Estate in Pennsylvania: (Provide full address if possible.) Signature(s) ~...,., Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Mechanicsburg, PA. (City and State where death occurred) All personal property Personal property in Pennsylvania Personal property in County $ 132,.624.25 $ __ $ `_ Total Estimated Value $ 132,624.25 Name(s) & Mailing Address(es) Page 1 of 2 `~) ~~? ~~~ .> ~: _ , _~_~ . ~ `.,j .. r T'"t L.' J 5 1U~ IlP.~ ;; _ _ _ _ _ _ _ ~.C~A~ F~EGISTRAR'S C~~`I~I~~TlIC~N CaF DE,~w'1wN~ V~'~iRNING: It is iilega8 t0 duK~licate ~~~~; c~~y ~~ ~3hc~tO~tat ~r ~~h®togr~~lhi, ~~~~~: i~(rr lhi~, rertit~i~~ite. "~;(~-r-t) P 1742045 ~itil~iL<tlitl)) vui~llh~-~ - - H105-143 REV 11/21X)6 TYPE !PRINT IN PERMANENT BLACK INK n ~- ~~ r ,~ -~ L~ C..F i ~~ ~' 1. Name of Decedent (First, midge, last, suffix} Mary C. Norris 5 A La ' ,~ ~~~;~ 'hi. (t: , t i(:Ir l(~)1;1 h~~ ijil-(~rmati(7i~ here t.~i~cn i~~ +`''.'~ ~''~/ ~ t~lrt LC (~ ,' ~ t't)Il.'ti f ~ .i..3 i ,ill tiI"] t_'111~1~ (f'l-~If IC~lte O( ~~r'~lt~ s.- ~~~ d,,, '.~ ~ ~Lll~ ~j1c'tt ,`: II}1 ^'ls_ CI'~ ~_l)Cii~ Re'._T1SCr)-i.r. ~hc' C>("it,?Ill~l~ .. ."~ ,C: ., ~~~ ~~ ~,'~~ _~rts(~c;<j~° ~.~ )i~ it. '~1r~~;irt~e~1 t(~ khe titate Vital ~'~' ~ 'e~~t,~fl~ )fl~,.~t~ ,~It_~j~i~il~lnei~t tiliil~r ,. ., ;..., s,~, ~~ ,, . . ~1 l.~t(k.' {tiyiieCl COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) STATE FILE NUMBER 2. Sex 3. Saclel Security Ntxnber 4. Date of D th ( ,day, r Female t ft7 - ~/1 - avn~ Apri~ ~~~11 ge ( st Birthday) Under 1 ar Untler 1 de 6. Date of BiM Month, da , ar 7. Birth C and state or forei coon Be. Place of Death Check on one Months Deys Hours Minutes HOSpital' 94 Yrs. December 20, 1916 Philadelphia, PA other: - ^Inpatient ^ ER /Outpatient ^ DOA ®Nur;ing Home ^ Residence ^ Other -Specify: Bb. County of Death Bc. City, Boro, Twp. of Death 8d. Facisty Neme (If not kutitution, give street and number ) 9. Was Decedent of Hfspanld Origin? No (If yes, specify Cuban, ~ ^ Yes t0. Race: American Indian, Black, WNte, etc. Cumberland Mechanicsburg Bridges at Bent Creek Mexlran, Puedo Rican, etc.) (Sp~Thite 11. Decedents Usual tlon Kind of work done du moat of world IHe. Do not state retl 12. Was Decedent ever in the 13. Decedents Educatbn (Speclty only highest grade completed) 14. Martial Status: Monied, Never Marded, 15. Survtvin S Kind of Work Widowed, Divorced (SpealyJ 9 P^use (If wde give maiden name) Kind of Business/Industry U.S. Armed Forces? Elem it2ry /Secondary (D-12) College (1-4 or 5+) Homemaker Own Home ^Yea ~No Widowed __________________ 16. Decedent' Mai i Address (Street, city l town fate tiqq cods] Decedent's Did Decedent ~ 1 b`~ Bent C r e e'~ ~ 1V Q . Actual Residence 17a. State PA Live in a 17c ^ Yes, Decedent Lived in __- Mechanicsburg, PA 17050 ,7b.county Cumberland Township? 17d ~]No,DecedentUvedwlthin MechaniCSbllr Twp AclualUmitsof g City/Boro 18. Father's Name (Frst, middle, last, suffiz) 19. Mother's Neme (First, middle, maiden surname) John O'Callaghan Delia Hopkins 20a. IMortnanYs Name (Type / Pnnt) 20b. InfomtenYs Melling Address (Street, dty /town, state, zip code) Mrs. Eileen McMullin 3826 Carriage House, Camp Hill, ]?A 17011 21 a. Method of Disposttion ~ ^ Cremetbn ^ Donation 21 b. Date of Dlsposklon (Month, day, year) 21 c. Place of D y~ , isposkbn (Name of cemetery, crematory or other pace) 21 d. Location (City/town, state, zip code) 1J Burial ^ Removal from State r waecr«nedonorponatlonAuthoRzed Aril 16, 2011 SS Feter & Paul Cemetery Springfield, PA 19064 ^ Otrrer - ' : ' by Medkal ExsrrtlnerlCororser7 ^ Yes^ No p 22a. Signature of Funeral Service Licensee (or person actlng as h) 22b. Ucense Number 22c. Name and Address of Fadllty - - John R. Donohue 013264E The Donohue Funeral Home 8401 West Chester Pike ?~ Complete Items 23ec Doty when certMying 2 o the best W my ,death occurred at the time, date stated. (Signature ) 23b. Lk:ense bar 23c. Dat igned (Month, day, Year) - physkian is not avaYable at time of death ~1 j~ Certify Cdu9a Of death. y/ A / ~~ ~ ~~ ~O~/ Items 24-26 must Ix3 compleletl by parson 24. Time of Death 26 ronourx»d Dead (Month, day, year) 26. Was Case Refened to dial Examiner /Coroner for a Reaso Other than Cremation or Donation? ~, vAw pronounces death. / ~~O ~ M. ~ / ^ Yes No CAUSE OF DEATH (See Inatructlona a exempMs) r Approximate Interval: Pan II: Enter other ' Item 27. Pan I: Enter the ctlem of events -diseases, Injudes, or compAcatlons -that dlredry caused the death. DO NOT enter terminal events such as cardiac arrest, i t~51h. 28. Did Tobacco Use Contnbule to Death? Onset to Death but not resulting in the underhying cause given in Part I. ^ Yes ^ Prob_ably respiratory amest, or ventdcular fibrillatbn without showing the etblogy. List only one cause on each line. ~ I~ IMMEDIATE CAUSE (Final disease a i ^ No QUnknown conddion resulting in death) ^, iG ~~/~ ~ ~ -~ e. _ ~ 5~0'T_-~Y~ ~L LJRG~i 1 ~ y fit) ~T1~ i ~ 29. If Female: Due to (or a consequence of): , -- ~"ICdt pregnant within pest year Seouentlatly list conditions, it any, ~G2Cf?~f ~y ~~~0 s C i ^ Pre leading to the cause listed on line a. b' - ~rJ ~S i /U ~--f~ gnant et time of death EMer fhe UNDERLYING CAUSE Due to (or as a consequence of): ~ ^ Not pregnant, but pregnant within 42 days (disease or injury that insisted the of death events resulting n death) LAST. c. ~ Due to (or as a consequence of): ~ ^ Not pregnant, but pregnant 43 days to 1 year d ~ i dafore death ' ^ Unkrwwn if pregnant within the past year 30a. Was an Autopsy 30b. Were Autopsy Findings 31. Mannar of Death 32a. Date of Injury (Month, day, year) 32b. Descnbe How Injury Occurred 32c. Place of In u Home, Farm, Sheet, Factory, Panortned? Available Prior to Completion rf''~~ I ry: of Cause of Death? ~4 Natural ^ Homicide OHics Building, etc (SpecilyJ ^ Yes ~ No ^ Yes ^ Accident ^ Pending Investigation 32d. Time of Injury 32e. Injury at Work? 321, If Transportation Injury (SpeciyJ 32 . Location of in u M ) ^ No 9 j ry (Street, c' /town, state ^ Suicide ^ Could Not be Detertnlned M ^ Yes ^ No ^ Driver/Operator ^ Passenger ^ Pedestrian ^ Other -Specify: 33a. Certifier (check Dory one) 33b. Signature and • CeRNying physlctan (Phyeidan cenilrrg cause of death when another phyaiden has pronounced death and completed Item 23) ~~1'~~ To the best of my knowledge, death occumd due to the auss(a) and manner as stated _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ `^~' • Pronouncing and csRHying physician (Phyelden both pronouncktg death end certfrying to cause of death) _ _ - - - - ~ - - 33c. Llderue 33d. Date Signed (Month, day, year)Ap r i 1 13 , To the best of my knowledge, death occurred el the time, fists, end place, and due to the tauas(s) and manner as eWed_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ ~itia3 ~ .'3 3 ~ / • klsdlcal EzsminerlCoroner a.-.~~.~G.J _~f / ~3 /2.~J ~ ~ 201 1 On the bests of exeminatlon and / or inveadgetlon, In my opinion, death occurred et the time, date, end piece, end due to the eau a and manner as stated_ ^ // ~•i) 34. Name end Addre~ss~of P~ers~on Who Completed Cause of Death (Item 27) Typa! Print 35. R is Slgnelur arW DLgtrfct1Jumber r 36. Date Flied (Month, day, year) ~' // ~ 7~" S ~. /~AY~n ~'Y~ ~_~~ ~Q ~ - ~ .~ ~ 3 ~ ~ ~ ~ ~ ~ ~ (~_ ~s-moo ~ i Y F'i ~~ ~,2 . ~ rz rs~o .~- i » ~ o Disposition Permft No DS 7 d t0 C~ r-- r ; ~, -`7 LAST WILL AND TESTAMENT ~"~ ~ `-~ t~ OF 7, ~ , .: MARY C. NORRIS ~ ` ` ~ ~ ~~ ::- ~ -.- ~~ _- -i L~ KNOW ALL MEN BY THESE PRESENTS, that I, MARY C. NORRIS, presently residing in Cumberland County, Pennsylvania, do hereby make, declare, and pulblish this as my Last Will and Testament, hereby revoking all former Wills and Codicils~~ heretofore made by me at any time. PAYMENT OF EXPENSES I• Payment of Ex enses. I direct that my Executrix, hereinafter n~uned, shall have the power, but not the duty, to pay all my just debts, expenses of my last illness and funeral expenses from my estate as soon after my decease as shall be found conv~enient~ GIFTS II. Residuar Estate. I give, devise and bequeath my estate, whether real, personal or mixed, and of any nature whatsoever and wherever situated to my daughter, EILEEN M. McMULLIN, if she survives me by thirty (30) days. If she has pt•edeceased me or dies within thirty (30) days of my death, I give, devise and bequeath my estate to my son-in-law, RICHARD J. McMULLIN, or in default thereof, in equal shares to my granddaughters, ELIZABETH ZAMPOGNA and PATRICIA BOWDEN. If either of my granddaughters predecease me, her share shall be paid to my surviving granddaughter. FIDUCIARIES III. Executrix. I hereby nominate, constitute and appoint my daughter., EILEEN M. McMULLIN, of Cumberland County, Pennsylvania, Executrix of this my Last: Will and Testament. In the event that she should predecease, not survive me, or decline the appointment, I appoint my son-in-law, RICHARD J. McMULLIN, as Executor. IV. Bond. No Executrix/Executor shall be required to give bond or enter security for the performance of her/his duties. ..~.,. 4Yr, ,~t. _~_, ~_. t -- l -} :~ _~, ,_, . t,• ~ ~--~ ~~~ ~. , ~` . ,~p-yz-c..~----, -1- ADMINISTRATIVE PROVISIONS V. Management Provisions. My Executrix (Executor) shall have, in addition to the powers and authority conferred upon her by law, the following additional owers authority: P and A. Sell/Lease. To sell at public or private sale, exchange, lease, mortgage or pledge any property, real or personal, at any time, and upon such terms and conditions as she shall deem wise. B. Retain/Invest. To retain and to invest in all forms of real aa~d personal property, including common trust funds, mutual funds a~ld money market deposit accounts regardless of any limitations imposed by law on investments by executors or any principle of law concerning investment diversification. C. Extienses of Estate. To pay all costs, taxes, charges and expenses in connection with the administration of my Estate. D. Allocate. To determine what is "income" and what is "principal'." hereunder, and her decision thereon shall be final; and to purchase securities at a premium or discount, and to apply or charge said premium or discount against income or principal as the Executrix may determine. VI. Death Taxes: I direct that all transfer and inheritance taxes, state or federal, assessed because of my death, whether the funds, property or insurance proceeds to which such taxes are attributable pass under this will or not, shall be paid out of my residuary estate; that my Executrix pays, or provides for payment of all such taxes at such time, or times, and in such manner as my Executrix deems best. VII. Tax Options. I authorize my Executrix to exercise any options available in determining and paying death taxes in my estate. IN WITNESS WHEREOF, I, MARY C. NORRIS, the Testatrix of this, my Last Will and Testament, typewritten on three (3) sheets of paper which I have identified at the bottom ach page by my signature, hereunto set my hand and seal this ! ~/'~ ~Iay of ~~.;hc.l~e.~ , 2007. ~~~~~. ~~ ~G~~'`"Z'z~`'~~'--' (SEAL MA C. NORRIS ) -2- The preceding instrument consisting of this and two (2) other typewritten pages each identified by the signature of the Testatrix, MARY C. NORRIS, was on this day and date thereof signed, published and declared by MARY C. NORRIS, the Testatrix therein named, as and for her Last Will, in the presence of us who, at her request, in her presence, and in the presence of each other have subscribed our names as witnesses. ~ ~ ~` -3- COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND I, MARY C. NORRIS, 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 the instrument as my Last Will; that I signed it willingly; acid that I signed it as my free and voluntary act for the purposes therein expressed. ~~ ~ ~~~ VARY C. NORRIS Sworn or affirmed to cknowledged before me, by MARY C. NORRIS, the Testatrix, this / y ~=` day of ~-~ 2007. ~ ~ Notary Pu$~ ' " s ~ , I ~Y 4V,~bd~i::n~8~vsrR G.~i`a~ i -~:a ~~z~w G~,~"V1A COMMONWEALTH OF PENNSYLVANIA : COUNTY OF CUMBERLAND ~ SS: We, ~lion~,cr s ~ - ~a/°Pe/' ,and /~ ~ cLiQ nod ~. onn ~ // the witnesses whose names are signed to the attached or foregoing instrument, being dul qualified according to law, do depose and say that we were present and saw MARY C. NORRIS, sign and execute the instrument as her Last Will; that she signed willir~gly 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; and 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. '~ ~~~ __ _-_--~ ~ ~I _``, ~~ ~~ Sworn or affirme to and subscribed to before me by r and , ~ ~ U,r,~ ~ , a~ii e ~ ~ ,witnesses this /~/ ~``-` ~~loma5 ~ , ~~ aP~oer day of stern d e~ , 2007. -~; N tary is .~ .a.,.wb.,;~,~_,m,~,..,~ ViL~1^i~94e~,s~ `~.. !'~.,,i4p`~*~,''pc ."~e`a`-~ ,p 7 ~3y t4~s}a,a~f ~~i~i~~.e ~eG.31/i~ ~:9~ ~~e0'V L.EG ~~~~.~ .I.... sT~ ~I\~~~ ~7 /- alp N~.g1 P t 'r Cti°+siy:~:,~yl q . j~p~ i ~~ ~s~11~~6::x ~cVei ~/a~ ie d::~3 ~60y'y ~1~ ~V~ S