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HomeMy WebLinkAbout05-26-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of a/k/a: a/k/a: a/k/a: Donn H. Mowery Deceased ESTATE NO: 21- ~ ~ ' (~ ~.G ~' SS NO: 171-28-7003 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 Testamentary under the last Will of the above-named Decedent, dated _ 4//2011 and codicil(s) dated ~S (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(8): ^ B. Grant of Letters of Administration (1f applicable, enter d.b.n., pendent life, durante absentia, durante minoritate) C. 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 (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: Y! W ~~~ .- USE ADDITIONAL SHEETS IF NECESSARY -~-_.{ ~--~ CTl r-r•~t 1"~` ~ -~ ~'.~) THIS SECTION MUST BE COMPLETED: n~ ,...~ C7 ~ x-.~ M-:i-t Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family o~ipal res~ence -•~ -- ~! At 1400 Doublin Ga Road Lower Mifflin Townshi Cumberland Coun Penns Ivania ~~- - ~'~°-= ...~ (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) ~ ~;,,~ Decedent, then 86 years of age, died 4/12/2011 at Newville, Pennsylvania ~~ (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 $ 800,000.00 _If not domiciled in PA Personal property in Pennsylvania $ _If not domiciled in PA Personal property in County $ _Value of Real Estate in Pennsylvania $ - Total Estimated Value $ 800,000.00 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 Name(s) & Mailing Address(es) Page 1 of 2 Name . JJ~___ o rn~ ¢nc or,~, ,n, i..-,. - _. - - - -- LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph„ Fee for this certificate, $6.1:)0 P 17450618 Cerhficatlon Number ']`his is to certify that the information here given is correctly copied from an original Certificate of Death c(uly filed with me as 1Loca'I Registrar. The original certificate will he forwarded to the State Vital Records office for ~~ermanent filing. -~ L ~~ixye. ~~~-~,c- ~ A P~ 1 4/ 2011 1-,Deal Registrar Date Issued ..._ ~ 5 '+~ ~I • ~ l/•'.•'1 ~..+. ~.y ~~ P~ ~. H105.143 REV 1112008 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS TYPE /PRINT IN ~Bl~ CERTIFICATE OF DEATH ISHe Instntctiense ^nA axssmnlaae nn rover-sl 9-+ S _~ L 0 W 0 0 1. Name d Decedent (FNM, mdde, bst aua6c) Donn H Mower 2. Sez l - - n,c err n~m 3. Sodel Secudty Number 171 28 7003 ocn 4. ~b of Death (Month, day, year) . y ma e _ _ April 12, 2011 5. Age (l.aat Blrtlrdey) Under 1 UMer 1 8. Deb d Bkdt Month, 7. Bi and state a M. Pbce d DeaM Check one 8 6 "~"" D"e "•"` ~°a June 2 6 , 19 2 4 Newville P A Hospital: Other, • rttYe~r Yre' ^ Irrpadent ^ ER / Ot~eaent ^ DOA ^ Nursing Home ~'I Residence ^ Otlrer - Specity: Bb. d Deeat Bc. Gty, Born, d Death ed F g nql IratlWtlon, give etreet)tra rxmber) 9. Wes Decederd d Hispanic Origin? ~ No ^ Yes 10. Race: American Indan, Black,lVNb, ek;. • Cumberland West~ennsboro ~5~~2itner Highway (g ea a eai C b y , p ty u en, ~fe Mezkxn, Puerto Rlan, etc.) • 11. Decedent's lbtal Kind d work d one moat d IBe. Do not stab 12 Was Decedent ever in as 13. OecederN's Educatbn (Spedty ony ttl last rade com l et d) 14 M i l S Kind d Work Kkad Brrineee/Irrdratry Businessman Entertainm t U.S. Amad Forces? ~ Ems, / SerArtdery (a12) g g p e Cdlege (1.4 or 5+) . ar ta bbffi: Monied, Never Mertied, wfdoa'•4 Divorced (SpecHy) 15. Survivhg Spouse (N w8e, give maiden rams) en $ Y„ ^~, 12 2 Married Helen Piatt • 18. Decedents MaXkq Addrero (Street, dH /town, stab, xip code) Decedenya PA 7~ 1400 Doubling Gap Road "~ tTa.sbb 17a.L~JYes,Decedentllvedln- T.nT.-ar Miff] ..~,-~ Twp . . Newville, PA 17241 „~.~, Cumberland 1Te.^Pb,perxidenllJvedwlThtrr Achal L4rrlb d Cly/Born 18. Fetlars Name (Prat, mldde, ka>. etABz) 19. Moarera Name (Flret, middy, maiden surtarne) Jose h Levi Mower Mar Cleo Haller 20a. InlarnenYs Name (Type /Print) H e 1 e n Mowery lob. mkamertYs Ma9krg Addreae (~Ore•t, dly / bwn, ebb, code) 140 ~ 0 Doubling Gap 2oad Newville, PA 17241 21a Method d Dlaposltlan r ^ Cremation ^ ~~ ~ ^ Remwalfransbb ~ ® 21b. Date d Dispoeitlon (Month, day, year) 4/16/2011 21c. Place d DlepoaNion (Name d cernebry, crematory a odor place) 21d. Locetbn (City/town, state, ~ code) ^ o ~„ ^Yes^~ Iher Prospect Hill Cemetery Newville PA 17241 • ~'' ~ ` (~ ~n ~+9 ~ ~+- 226. Llcerae ""'~.' 22c. Name and Address d Facilky Egger F u n e r a 1 Home I n c . ~ D 13895 L 15 Bi S rin Ave. Newville PA 17241 Congbb tarts 23at any wMn . TQ d , death secured a<the tkro, de and place stated. (Slgrohre and IAIe) 23b. lkeroe Number phyalcbn : rat avaYeble at tkna d /~ ~~ ~ . Da,• ~ lMan~, daY, Year) aeray aauas d deaat H ~ © . / ' Z 3 ~ 01 - 2 Intro 24.28 ra.t be aarrpbbd by lxreon who prerraarcea aaenr. a ~ ~ 0 25. De (Mph, ~Y, ~) ^ 28. Wore Casa Rdarred to Medkrd F.xamir•r, Coroner kr Hassan OBrer Crematbn a Daretlan? , M. ~ d ^ Yea No CAUSE OF IDEA 8es Instrrwttau and Ma) r Approxkrote Inbrval; Pert II: Enbr oaar 28.Old Tobacco Use ContrbWe ro Deaar? Ibm ZT. Part I: Entx the g~~0(1- diseases, i~rays, or omglicetloro • pat dredy caused tM death. DO NOT order bmtkal events such as audfac arrest, r Onset b Death but nd nsul8rrg rn the urrdadykrg axaa given M Part I. ^ Yee ^ P reapiratay meat a ventrkubr fibrSetlon wilhaA b l W b d c l , ra a ty a s ng a e o ogy. Lis} ordy one cease an each Nro. ~ ^ No ^ Unknorm ^MIEdATE CAUSE Fkral dleeaee a ~ ~ r ,~~/ j i r corr6lion rmd8ng b 1h) / ~ ~ 1 ri S -1 p ~' /` 29 8 F C l ., [~ ~ ~ a .. . t . (( o~ ema e: t t~ K f ~ ~1 t. \ ^t7 .n ~ r Due to (a as a azrsegrance oq: i ^ Nd pregnant width past year b' i ~ ^ Pregnant al tkne d death ~ ~ ~ b camecatre Crebd onIm e a. Enter UNDERLYING CAUSE Due to (ar as a caroequerae of): ~ ^ Nd pregrrartt, but pregnant wilftin 42 days (dlaetea a kyury tlat ir~dated the c. r d death events n9 n death) LAST. r ~. Due b (or as a eonsequerae r ^ Nd pregnant, but pregnant 43 days to 1 year • d. , before death r ^ Unknown 8 pregnant wilhirt the peat year 30a. Wes an Autopsy 30b. Were F Autopsy mdirtgs 31. Manner d Deatlt 32e. Date d k4ury (Month, day. Year) 32b. Deeaibe How Injury Occurted 3'T.c. Pkce d Injuy: Hang. Farm, Stree4 Facbry, PeAamed? Avageble Prior to Corrtpletbn ® Nahael ^ Ybmkide Office Btullk8rtg, etc. /SpedyJ of Cause d Death? ^ Yea Y--r No ^ Yes ^ No ^ Accident ^ Parsing ktvsstMrlion 32d. Tkne of Irtpay 32e. Injury at Work? 32f. 8 Treroporation ktjuy (Sped/y) 32g. LocaGOn d kyury (Street, dty /town, state) ^ Yea ^ No ^ Driver/Oparetor ^ Paseenper ^ Padaetrian ^ SWdda ^ Corrkl Nd ba Ddermkad M Odter • Spsdy: 33e. Ceraller (check aay one) ~Mrq DhY~~ ( ~tYkq cause d death when eraaar plyaidert has praarsaed death and ~ completed Item 23) 33b. SigrteWre~pd)Tlaer y.~. ~ ~V / / ~. ^ To as taetdmy bawl.dg., aaaM oeeuned due to Una carae(e)ra mrrrarr abbd--------------------------------- • P ~ ~ ,n.. I , ~ •., `/ ~ /~J ~W'A, /J rOn0Yn~9 era ~Ykq P (Pltysldan bdh pronorsrdrg death and oerWykg b carve d death) To tla bat d my lurowbdga, d..m occurred at the dme, aeb, and paoa, era as b ohs ~(s).ndm.nn.ra.aba------- ^ 33c. Llcerae Number '1 ~'' - ^" ~ - v J l O 7 ~ E. 33d. ~ (~ daY~ Y•M ! ~a' ----------- • tdaaralEzamlrar/Cororrar ' ) r( u i On the bola d snmtnatbn and / or Invasligatlon, In my ophbn, dsNh occurad at as tNra, deb, and place. and ~e to the auaa(s) and msnner es ststad_ ^ 3a. Name and Addrros d Person Vj/to Cause d DeaM (hem 27) Type / PrNrt ' r 1 l ' ` C 3s. Registrars and r I t `~ L~, {~ ~ ~ ~ I ` I 38. Daa FAed ,day. Year) ~~{ ~.,,.. / . _r '~~ .3 ,~~- c L. , 1L -f .'~•.S' J~~,, ~,, M. /;. + N ~: ' t l t c C ` -( ~i~ ,1'~ l L r F~ c~. I I ~ . _ .s Dispasi8an Penult No. ~~/ ~~~ iG' LAST WILL AND TESTAMENT OF DONN H. MOWERY I, Donn H. Mowery, of Newville, 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 Testament, hereby revoking all other Wills and Codicils heretofore made by me. FIRST I direct the payment of my just debts and expenses of my Law Offices of Saidis Sullivan & Rogers 26 West High Street Carlisle, PA 17013 AL ~~~ last illness and funeral from my estate as soon after my death as conveniently may be done. If there be no cemetery lot available for my interment owned by me at the time of my death, I authorize my personal representative to purchase such cemetery lot with a contract for perpetual care, using therefore funds from my estate in such amount as they shall consider necessary and desirable, and I authorize my personal representative to cause title to or ownership of such lot so purchased to be vested in such person as my personal representative shall designs:te . Further, I authorize my personal representative to expend funds from my estate, in such amount as my personal representative shall consider necessary and desira e for e ~ ~' - ~, -n ~: C ~ ~ ~= o ..~„ ~-.. . ~ c ~ ~ z ~ r~.a cV purchase, erection and inscription of a suitable marker for my grave. SE_ I give, devise and bequeath all the rest, residue and remainder of my estate equally to my beloved sons, Joseph H. Mowery, John P. Mowery, James P. Mowery and Jay R. Mowery, per stirpes. THIRD I direct that any and all inheritance, estate, and transfer taxes imposed upon my estate passing under this Will or otherwise shall be paid out of the principal of my residuary estate. FOURTH In addition to the powers conferred by law, I authorize any personal representative, trustee or guardian acting under this instrument, in their absolute discretion: A. To retain in the form received, or to sell either at public or private sale any real or personal property; B. To exercise any options to subscribe for stocks, Law Offices of Saidis Sullivan & Rogers 26 West High Street Carlisle, PA 17013 bonds, or other investments; C. To join in any plan of lease, mortgage, consolidation, exchange, reorganization or foreclosure of any corporation in which my estate or any trust may hold stocks, bonds or other securities; 2 D. To sell, transfer, convey, mortgage, pledge, lease or exchange any property, real or personal, which at any time may form part of my estate, for the payment of debts or taxes, or for any purpose of administration or distribution, for such prices and upon such terms as my personal representative, in their sole discretion, may deem wise, and to execute and deliver deeds of conveyance or transfer thereof; E. To make settlements and compromises on such terms as my personal representative in their sole discretion may deem wise without the necessity of obtaining any court approval thereof; F. To make distribution hereunder either in cash or kind, as my personal representative in their discretion may deem wise. FIFTH I do hereby nominate, constitute and appoint my wife, Helen Law Offices of Saidis Sullivan & Rogers 26 West High Street Carlisle, PA 17013 ITIAL P. Mowery, to act as Executrix of this my Last Will and Testament. Provided, however, that if Helen P. Mowery is unwilling or unable to act as Executrix, I direct the duties of Co-Executor to be performed by James P. Mowery and Jay R. Mowery. SIXTH I direct that no personal representative, guardian, trustee or other fiduciary appointed under this instrument shall be 3 required to give bond for the faithful performance of their Law Offices of Saidis Sullivan & Rogers 26 West High Street Carlisle, PA 17013 duties in any jurisdiction. IN WITNESS WHEREOF, I, Donn H. Mowery, have hereunto set my hand and seal to this my Last Will and Testament, consisting of four typewritten pages, the first three of which bear my initials in the margin for identification, this 1st day of April, 2011. Donn H. Mowery Signed, sealed, published and declared by the above-named Donn H. Mowery, Testator, as and for his Last Will and Testament in the presence of us, who have hereunto subscribed our names at his request as witnesses thereto, in the presence of said Testat nd of each other. ADDRESS Witness Si tore -(, ~ ~~' ADDRESS Witn ss Signature l~+'~ I~S~ ~ ~ 1~~~ 4 The Declarant knowingly and voluntarily signed this writing by signature or mark in our presence. Witness's signature: ~ w~ Witness's address: 23~ ~ ~~~-~ '~~' v~t~ s ~ t"Zol ~ ,~~ ,~ Witness's signature: ~ ~ ~~~ ~ --~C~ Witness s address. a Law Offices of Saidis Sullivan & Rogers 26 West High Street Carlisle, PA 17013 4 CONII~lONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND w~ . Donn H. Mowerv, ~~n~~f ~. ~~`C~~~S and ~~51~• Sln~ tel.- the Testator and witnesses, respectively whose names are signed to the foregoing or attached instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his Last Will and Testament and that he signed willingly and that executed as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator signed the Will as witnesses and that to the best of their knowledge the Testator was at the time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. r{ Donn H. Mowery ,.--°''' ,Witness ,Witness Law Offices of Saidis Sullivan & Rogers 26 West High Street Carlisle, PA 17013 Subscribed, sworn to and acknowledged before me by Donn H. Mowery, the Testator, and subscribed to and sworn or affirmed to before me by _~ D6~.r~ C. ~Q-~ ~~~ and -.j Qs h ~~~I e,~ , witnesses, this 1ST day of April, 2011. ,,. -, ~ ...._ Notary Public ~OTARIALTSEAL BARBARA E. STEEL, Notary Public Carlisle Boro, Cumberland County, PA My Commission Expires June 7, 20]1 5