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HomeMy WebLinkAbout05-18-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of MIRIAM G. MITTEN a/k/a:--- - a/k/a: a/k/a:-- -~. _T . Deceased ESTATE NO: 21- ~ •-~ ~~~_~__ SS NO: 201-16-6880 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 Calso) and aver that Petitioner(s) is/are entitled to the aforementioned Letters Testamentary _ under the last Will of the above-named Decedent, dated 5/23/2001 and codicil(s) dated Paul R. Mitten predeceased Miriam G. Mitten. (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 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(g): none ^ B. Grant of Letters of Administration ~~r appucaaie, enter d.b.n., pendent lite, durante absentia, durante minoritate) C. Petitioner(sj, after a proper search, has/have 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 l; 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(g), except as follows: nt 'x~ THIS SECTION MLJST BE COMPLETED: _.., pp _. Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last famil or At 15 W. Main St. , Walnut Bottom, S. Newton T Cumberland Co, y P~~1171266residence `;~ ~1--~ wp , ~ ~ ._' _ ,. ~ _~ (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) Decedent, then _ 84 _ years of age, died 4/29/2011 at Walnut Bottom, PA (Month, Day, Year of death) (City and State where death occurred) Estimated value of decedent's property at death: _If domiciled in PA All personal property $ __ 150,000.00 _lf not domiciled in PA Personal property in Pennsylvania $ _If not domiciled in PA Personal property in County $ --- _Value of Real Estate in Pennsylvania $ - Total Estimated Value $ _ 150,000.00 Location of Real Estate in Pennsylvania: (Provide full address if possible.) None Signature(s) Name(s) & Mailing Address(es) Interim Form RW-02 revised 12?6.10 by Cumberland County pending action by the Court Page A of 2 Name .. . OATH OF PERSONAL REPRESENTATIVE Commonwealth of Pennsylvania ~ SS County of Cumberland : The Petitioner(s) herein named swear or affirm 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 this -=` - ~ ~" day of ~,. ~` . __ .. - --- `=T^ For the Register , -` . ..- ~ ` ` x> ` ~ ,=-~ --,-; DECREE OF PROBATE AND GRANT OF LETTERS Estate of __ Miriam G. Mitten Deceased file Number: 21- <<f~; ~ - ~~~""~'~ - ~, . ~,~ AND NOW, this _~ ~ day of / ~~~~,~ ~ ;~~' (~ , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED ghat Letters X Testamentary __ of Administration are hereby granted to: (If applicable, enter c.t.a., d.b.n., d. b.n.c.t.a., etc.) Robert A. Mitten the above estate and that instruments(s) dated s/z3/zool _"~-- - ~n described in the petitio~~~ be admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. FEES: P Letters ....................$ _ J(~ Will ....................... _ I ~ o Codicil(s) ..............,. (~) Short Certificates f ,;l _C.~,~ ( ) Renunciations......._ Bond ............................. Other ............................. ................................. Automation FEE......... _ 5 00 JCS FEE..................., 23.50 TOTAL ................$ ,. ;. ' ".~,~ __ '' ~ ~ ~ t;- lenda Earner trasbaugh ~ ~~ ~ "' Register of Wills ,~ Signature of Counsel Required to Enter Appearance Atty's Signature /~ r-T- PRINTED Name: Susan ~. artman _ _ Supreme Court ID No.: 65184 Address: 1 Irvine Row Carlisle, PA 17013 Phone: 717-249-7780 FaX: 717-249-7800 -------- Interim Form RW-02 revised 12.26.10 b_v Cumberland County pending action by the Court Page :? of 2 _ _ 1115 xn; izt ~~ in;nf Lm~:~A-L REGISTR~4R'S ~~~~"~~F~~~`~~ ~ ~.~~~~~~ 'F~~~iNING; It is illegal to ~l~rplil;~te thi~r, (::~)~:~~r ~~,r ~a~g~)t~4;~t~± ~.s. ~:~~~~ ~~_~ f~t•t~ t~(~r ~hi~ i•,°rtlCi~~,)tc,. ,~r~:.l}O -- _ ____P ~. 7.2 7__7.2._41.. _ (. C.1t1tIC:tI"t~tl ~,fl(Tj~`t~t H105-143 REV 11/2006 TYPE /PRINT IN PERMANENT BLACK INK 1. Name of Decedent (First, middle, last, suffix) Miriam G. Mitten 5. Age (Last Birthday) Under 1 ear Mooths Days 84 Yrs. Under 1 da Hours Minuses 8b. County of Death 6c. City, Boro, Twp. of Death • Cumberland S Newtoh T .r ,;,~ ~ ,,~~~,1iH 0~ c~~~ ~ ~ ~w, _: © -, ,~ ~ '~- ,~ ~ :~ ~, v ,,"d ~: i' _ ~ . f ~~r~~~ 6M y4 (l ,rr t - .__ .. i i a~;: L * J ~7 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS '^ l /. CERTIFICATE OF DEATH (See instructions and examples on reverse) STATE FILE NUMBER 2. Sax 3. Social Security Number 4. Dale of (Math (Month, day, year) Female 201 - 16 -6880 Aril 29, 2011 6. Date of Binh Month, da , r 7. Birth lace C and state orforei count 8a. Place of Death Check on one Hospital: Other: AllguSt 15 , 1926 Walnut Bottom , PA ^ Inpatient ^ ER / Outpetienl ^ DOA ^ Nursing Home ®Residence ^ Other - Specity: Bd. Facility Name (If not institution, give street and number) 9. Was Decedent of Hispanic Origin? ®No ^ Yes 10. Rtce: American Indian, Black, White, etc. (h yes, specity Cuban. (sa~h1 ~~ • 15 W . Main St . A t # 1 ~ Mexican, Puerto Rican, etc.) White 11. Decedent's Usual Occu lion Kind o1 work d d •' oat f rk ^~ ~(V -T V L ~. °w w 0 0 z one unn m o wo in Ida. Do riot state retired 12. Was Decedent ever in the 13. Decedent's Education (Specity onty highest grade completed) 14. Marital Status: Marled, Never Married, 16. Surviving Spouse (If wife, give maiden name) KirW o1 Work Kind of Business/Industry U.S. Armed Forces? Elementary /Seconda Wsdowed, Divorced (Sped/yJ (0-12) C ll 1 4 ry o ege ( . or 5+) Homemaker Own Home ^Yes ®No 1 2 Widowed 16. Decedent's Mailing Address (Street, cny i town, state, zip code) Decedent's Did Decedent Actual Residence 17a. slate Pennsylvania nc S . Newton 15 W . Main $ t . Live in a ®Yes, Decedent Lived in _ Cumberland Township? Twp. Walnut Bottom, PA 17266 17b.County 17d.^No,DecedentLivedwithin Actual Limits of 16. Father's Name (First, middle, last, suffix) ' City / Boro 19. Mother s Name (First, middle, rtsaken surname) Clair Goodhart Fannie Seavers 20a. IMormant's Name (Type /Print) 20b. Informant's Mailing Address (Street, city /town, state, zip code) Robert A. Mitten 225 East Orange Street Shippen 2 sburg PA 17257 , 1a. Method of Disposition ^ Cremation ^ Donation 21 b. Date of Disposttion (Month, day, year 21c. Place of Dis I~7 ~ ) position (Name of cemetery, crematory or other place) 21d. Location (Cny/lawn, state, zip code) up Burial ^ Removal from State t Was Cremation or Donation Authorized ^ Other-S 'byMrdiulExaminer/Coroner? ^Yea^No May 5, 2011 Rehoboth Cemetery 22a Si at Walnut Bottom PA 17266 . gn u net rvk;e rs acting as such) 22b. License Number 22c. Name end Address of Facility ~ ~ , ~. 014831-L labge].sanger-Bricjces F.H. Inc, 112 W. King Street C l t N 2 glippl~.,g PA 17257 omp e e s 3a•c onty when cenilying 38. To the best of my knowledge, death occurred et the time, date and physician is nos available at time of death to place stated. (Signature and title) 23b. Dense Number . ~ 23c. Date Signed (Month day year) cenity cause of death. , , ple y pe (Month, da , ear Items 24-26 must be cam led b rson 24. Time of Death 25. Dale Pronounced Dead y y ) 26. Was Case Referred to Medical Examiner /Coroner for a Reason Other than Cremation or Donation? wM pronounces death. 7 ; ~~ ~1 'l ~ P M ~ ~ , i ^Yes ~No CAUSE OF DEATH (See instructions and examples) r Approximate interval: Pan II: Enter other signi(icam catdniorts contrib li Item 27. Pan L Emer the chain of events -diseases, injuries, or complications -that diregly caused the death. DO NOT enter terminal events such as cardiac a t t ng to ash 26. Did Tobacco Use Contribute to Death? nes , Onset to Death bus nos resultin in the unde respiratory arrest, or ventricular fibrillation without showin the et' r 9 dying cause g g wlagy. List only one cause on each line. i Nen in Pan I. ^Yes ^ Pro y IMMEDIATE CAUSE (Final disease or r condition resulting m death) p ~^7~ e B ~ ` / I ~ ^ No ~ Unknown , ~~ ~r- e. , nI~' (/t}. r, Cllr~ I ) i 29IIF e: Due o or as a crortse uence of : s q ) i Seeqquentially list crondttions, ii any, r leading to the cause listed on line a. b' s Not pregnant within past year ^ Pregnant at time of death Enter the UNDERLYING CAUSE Due to (or as a consequence oQ: ~ (disease or injury that inttiated the ^ Not pregnant, bus pregnant within 42 days events resulting in death) LAST. c. r o+ death Due to (or as a consequence o1)' i ^ Nol pregnant, bus pregnant 43 days to 1 year d. i ' 30 W A before death ^ Unknown it pregnant within the past year a. as an utopsy 30b. Were Autopsy Findings 31. Manner o1 Death 32a. Dale of Injury (Month, day, year) 32b. Describe How Injury Occurred Pedormed? Available Prior to Completion ,,~~''~~//~~'' of Cause of Death? ~atural ^ Homicide ~ 32c. Place of Injury: Home, Farm, Sireel, Factory, ONice Bulking, etc. (Specity/ ~~~yyy ^ Accident ^ Pendi Investi text 32d. Time of Injury 32e. In u at Work? ^ Yes I..~No ^Yes ~No rig 9a' I ry 321, II Transpodation Injury (Specify/ 32g. Location of injury (Street, city /town, slate) ( ^Yes ^ No ^ Driver/Operator ^ Passenger ^ Pedestrian ^ Suicide ^ Couk Not be Determined M ^ Other - Spacity: 33a. Certifier (check only one) 33b. Signature and TBle of Cg ' • CenHying physician (Physician centlying cause of death when another physidan has pronounced death and completed Item 23) /.- r To the best of my knowledge death occurred due to the caus d , e(s) en manner as stated _ _ _ _ _ _ --------------------------- • Pronouncing and cenifying physician (Physician both pronouncing death end cenir i t f d y ng o cause o eath) 33c. License Number To the best of my knowledge. death oceurred at the time, date, and pace, and due to the cease(s) end manner es stated_ _ _ _ _ _ _ _ _ ^ !\ 0~ ~ ~ ~ • tMedlcelExaminer/Coroner -'-"-'-- 1 1 33d. ate Signed (Month, day, year) ~ ; ` ~ I . N / On the heels of examinetlon end / or Investlgelton, In my op(nlon, death occurred at the time, date, and place, and due to the utrse(s and manner as stated_ ^ ) 34 Name and Add l P . ress a erson Who Completed Cause of Death (h 35 Registrar's Si nature and Di t ~ ~`~~ ~~v ~ J Vi ~ em 27) Tyq~ / Prins . g s ti , • i m ~J /'~ I / I _ I ~ I 3f. to Filed (Month, day, Yaar) (a --I / SS (~ (V ('~ S ~j`)`~ 1 _I zo r I ~. ~ Pty l't S ~ -~• Di ttk P O ~© yJ spos n ermit No. ® • LAST WILL TESTAMENT OF ' . ~~ ~ _ . MIRIAM G. MITTEN, of South Newton Township, Cumberland County, Pennsylvania, being of sound and disposing rrund, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking any and, all other wills and codicils heretofore made by me. FIRST. I direct that all my just debts and funeral expenses be paid from my estate as soon after my death as practically and conveniently may be done. SECOND. I direct that my remains be interred within my family's burial plot in accord with my expressed wishes. THIRD. I authorize my personal representative to expend funds from my estate, in such amounts as my personal representative shall consider necessary and desirable for the purchase, erection and inscription of a suitable marker for my grave. FOURTH. I give, devise and bequeath any and all tangible personal property owned by me at the time of my death unto my husband, PAUL R. MITTEN, provided he survives me by thirty (30) days. In the event he fails to survive me by thirty (30) days, I give, devise and bequeath all said tangible personal property unto my son, Robert A. Mitten. FIFTH. I give, devise and bequeath any and all real estate owned by me at the time of my death, unto my husband, PAUL R. MITTEN, provided he survives me by thirty days. In the event he fails to survive me by thirty (30) days, I give, devise and bequeath all said real estate unto my son, Robert A. Mitten. SIXTH. I give, devise and bequeath all the rest, residue and remainder of my estate unto my husband, PAUL R. MITTEN, provided he survives me by thirty (30) days. In the event he fails to survive me by thirty (30) days, I give, devise and bequeath all the rest, residue and remainder of my estate unto my son, Robert A. Mitten. SEVENTH. I direct that any and all Inheritance, Estate and Transfer taxes imposed upon my estate passing under my will or otherwise, shall be paid out of the principal of my residuary estate. EIGHTH. I hereby nominate, constitute and appoint my husband, PAUL R. MITTEN as Executor of this my Last Will and Testament. In the event of renunciation, death, resignation or inability to act for any reason whatsoever of Paul R. Mitten, I nominate, constitute and appoint my son, Robert A. Mitten, as Executor of this my Last Will and Testament. I hereby relieve my Executor from the necessity of posting security in connection .. ~ f • ~ \_ __ .~_ r i with his duties, as such, in any jurisdiction in which he may be called upon to act insofar as I am able by law to do so. In addition to the powers conferred by law, I authorize my Executor, in his absolute discretion, to retain in the form received, and to sell either at public or private sale any real or personal property owned by me at the time of my death. NINTH. I have made, or may from time to time make, a written memorandum expressing my desire to give certain items of personal property to specific persons. I urge my Executor and beneficiaries to respect these wishes. Such a memorandum, if made, shall be stored in conjunction with this Will. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, consisting of two typewritten pages this~~:.~',~'''~lay of May, 2001. ~~ ..., ~~ AM G. MITTEN Signed, sealed, published and declared by the above named Testatrix Miriam G. Mitten as and for her Last Will and Testament, in the presence of us, who, at her request, in her sight and presence and in the sight and presence of each other, have hereunto subscribed our names as witnesses. f,_ .~ ,f i' ,, ~~'r r" ~ f ~, _ i ~~~'~,r,._~.. ~; ~,. COMMONWEALTH OF PENNSYLVANIA : SS. COUNTY OF CUMBERLAND I, Miriam G. Mitten, 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; and that I signed it as my free and voluntary act for the purposes therein expressed. RIAM G. MITTEN Sworn or a#~irmed to and acknowledged before me, by. Miriam G. Mitten this ~ ;~ clay of May, 2001. _ ~ ~ .~' Noty P ublic :.. COMMONWEALTH OF PENNSYL VANIA COUNTY OF CUMBERLAND NOTARIA(_ ;EA(_. Cynthia t.. Darr, fVotary~ ?ubl~c South Middlet+~n T~~~;., ~our,ty o` Cumberland My Comrr~issic,rs E~tn~~ es Aisa. 14, 2c~0~ ss. ~• ~i~~ ~. f1~'1<r/~,and ~'~ ~ . . We, ....:~~.~ ~.~, r P. , _' F - - - ~. ~: { ~ ~ ~ .~ ~~ t ~.. -~._,~i. ~ ~ ; ~ ~~ ~ ._.,, the witnesses whose names are sig>~lied to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Miriam G. Mitten sign and execute the instrument as her Last Will; that she signed willingly and that she executed as her free and voluntary act for the purposes therein expressed; that each of us in the hearing a.nd sight of the Testatrix signed the will as witnesses; and that to the best of our knowledge, the Testatrix was at that time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence_ Sworn or affirmed to and s~.bscnbed before rye by, ,~ ~.~ ,~. ~. j k t! ~~ ~ ~ ,~: r i f ~ ~ .~' witnesses, this ~ ~~ ~ - day of May, 2001. .,,, •' ~ .. Not Public ~/ ~` .:...,~_ .~--~~=f.' w~- t ~-- ~~ ~ .~. ~; NOTARIAL SEAL Cynthia L. Darr, Notary t'ublic South Middleton y.w~ , C;~r,r~t~ ~f Cumberland IV1y Cor~-~r»~t~esun rx~irs+~ Auc~, t ~, 2004