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HomeMy WebLinkAbout07-20-11PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of Helen C. Mayberry also known as COUNTY, PENNSYLVANIA File Number 21-11 ~ C~~ ~" ~~ ,Deceased Social Security Number 186-09-9008 Lester E. Mayberry Petltloner(s), who Is/are 18 years of age or older, apply(les) for: (COMPLETE i4' or '8' BELOW.) ® A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the EXeCUtOr named in the last Will of the Decedent, dated 04/11/2002 and codicil(s) dated State relevant circumstances, e.g., renunciation, death of executor, etc. After the execution of the documents offered for probate: Decedent did not marry; was not divorced; 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); did not have a child born or adopted; was not the victim of a killing; and was never adjudicated an incapacitated person, except as follows: B. Grant of Letters of Administration (lfapplicable, enter: c.t.a.; d. b. n. c.t.a.; pedente life; durante absentia; durante minontate) 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 on Section A above 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 (g), except as follows: Name Relationship Residence TJ `'~ ~ L.. m !. 7 ~-n - - ; r~~~ ~ r•_ ``i, T_ C/~ (COMPLETE /N ALL CASES:) Attach additional sheets if necessary. -p --~ • • "` D c~ ~ Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at ~;- 801 N. Hanover St.. Carlisle, Carlisle, Cumberland, PA 17013 (List street address, town/city, township, county, state, zip code) Decedent, then ~_ years of age, died on 04/24/2011 at Decedent at death owned property with estimated values as follows: (If domiciled in PA) (If not domiciled in PA) (If not domiciled in PA) Value of real estate in Pennsylvania situated as follows: All personal property $ 6.500.00 Personal property in Pennsylvania $ Personal property in County $ 0.00 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: ~Ignature Typed or printed name and residence Lester E. Mayberry 214 West Coover Street ~~ ,~/~ /7 Mechanicsburg, PA 17055 Form KW-UL Rev. 12-26-2010 (interim form, pending action by the Court) Copyright (c) 2006 form software only The Lackner Group, Inc. Page t of 2 Ipi.4tl5 121[b InIIIPI LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate. X6.00 P 17297212 Certification Number H10S113 REV 112006 ttPE /PRIM IN PERMANENT BLACK INK U 'This is to ccrtif~ that the iOforjr.atiuu h~_re ~~i~en i anrectly copieQ! IrcYjn aul ori~inul C•crtiticate of Dead duly filed ~~'id~ s;:e as L11cai Rc~i~4rar. ~fhc oril~in~L certificate wi11 °1c f~~r~~~arded I/I thc~ Statc y'ita Records Ofticc 11 .r I?ermanent f;iin~t. ~U~~ ------- ------_ --_-1_---1------ Local Re~~is[I~a l~latr t>ue~i . n -~ ~~ S., ~ :~-n n c__ C '" ~~ C7 aaa'-/ l7 ~ ~ f C -r 1 ~ . ~ ~ CIS p - --. -. _ ~ ~ ~ ` , 7~ ~' ~~ '`~ ~ _= ~ : D c~ gyp --~ c COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructions and nramnlas nn ro.,or~x,a t. Name d Decedent (Fuel, nwlde, kst wfixl 2 Sac 3. Soda) Security Number m 1. Dare d Death (Month day, yeu) Helen 186 - 09- s. Age (Last tirdaYy) Ungar t Untler 1 6. Dare d BiM Month, u . 7. Si erM stare « wur W. Place d Dutli Dh•ck ni are Manua Dew Hours M'xxYs Hospital: Ones 9 3 Yrs. Nov . 9 1 91 7 M e c h n ' ^ Inpat~nt ^ ER / Outpatbnt ^ DDA ®Nurwg Fbn~e ^ Resitlence ^ gl $ l _ pr - pad j. tlb. Couray d Dun Bc. Ciry, Soro, Twp. d Dean W. FapNly Name (K not instiWtlpn, give 5Irw1 aM rxrm6er) 9. Was Decadem d Hispanic Origin? (7 NO W ^ Vu 10. Race: AmetKan Indian, sleds 1VNre, etc. (If yea. seedy DUhan, (SpepQl Cumberland Mechanicsbu Church of God Home Akxcan•PUMORran,e") Whit • 71. Dxedenya Usual Kira dwork done moat d tile. Do not skk reti 12. Was Decetlem seer ro ne 13. Decedems Etlucetion (seedy oNy Nglwst gads completed) 10. Merest Sklus: Mertied, Never Marred. t6. Surviveg Spouse (a wile, 9h'e maiden nettle) Kkd d Work NirN d Busirxtssl lnduatry O.S. Armed Forces? pementary I Secomfary (0.12) Cdrege (1.4 « Sr) Witlowed, Oitvrced (Spxrry) f d ' oo service s o. l d stric ^Yea Ca~Na th widowed • 1fi. Decetlenys Meekg Address (Seed, WY l lows. state, zip code) DecuenYS Did Decedent i P A ~' R es dence ,7a. srere T nc. ^ tea. DepeOam IiueO n Twp 8 01 N . Hanover S t . ' Carlisle PA 17013 17bCouny Cumberland '° na.~c7NO.Ow:edenlLivedWtlnn Carlisle Actual limits d City/ Boro 19. Fanels Name (First, rndde, last sulfa) 19. Monels Name (FnN, mitldle, maitlu sumamej Har1aH 20a Inlormard's Name T /P im . ( ype r ) 20b. Imomud'a Mang Address (Street cdY /town. state. zip cede) Lester E. Ma berr 214 West Coover St. Mech. PA 17055 21a. Method or Disposnron ^ Crematbn ^ Dniation 21o Date d Diaposi0ni (Moms, WY. Year) 21c. Place d Dkposiani (Nacre d certkrery, crematory «onar place) ltd. LocaOan ICiy/town. skk, zip code) ® curial ^ Removal trpn state i Wm CrwrWUn « Daatlon Aulhor{zed ^ omer- ~OyM.dkrExaminer/caraner7 ^Yea^Np A ril 27 Mechanicsbur ,Canister M ch ~ ~ 22a Signs Licensee (« 220. License Number 22c. Name and Addmss d Facilely P A - •: M r-s-Ruhr.il F Main St.Mech 17055 .. carolN.it«txz3. wywWn~rtiykg z3a.rpneb•sld phyaidan o not avMleble al tlme d tlun b nA'ti"o~J~,~e.~aaU acwrred at the lme..j~a and place stated. (Sigri~/are atr~ titb) . z3b. I.kerxse Number 23c oau sig~ea (Moon, der. YaaO , ~ ' C ~ cxMy cause d dean. ~c~G f~ ~ ~ L ~'C~ ~ A2U K-N W ss3 ~~t ,~~~~ ~ ~~, ~,r NBrnB 24-28 mat W cempleted by penort ~ who piorources dedh 24. tans of Dean 9 ~ 25. Date Prm/w/ncetl Dead tn, tley, y'/ea~dv-/) ~ 26. Was Case Rarerred ro MrxFCal &amirer /Cornier for a Reason OIWr than Cmmetini « Owwtbn? ~ 15 M. K 1 L 7 L~J4l ^ vas IL~ No CAUSE OF DEATN (Sea inatructlone and examples) i Apgoxknare interval: Nam 27. Pan I: Enkr dw dM:l d aunts- Qwuus, in]pries. «mrripliceaons - Inat drettly caused M• dean. DO NOT emer temiinBl evems wtli as ceNiac anesl. Onset to DBam respiratory anent «venaiaAer fi0rila0on widwut showin tlx ti b li t Pan II: Enter other smT m nndPoaw ~ :~ t nM but rqt rawltlng in dp undenryg cause given In Pan I. 23 Did Tobago lke CamnLde ro Death? ^ Vas ^ P , g e o gy. s niy one cause ni urlt line. ^ ~ WMFDUTE CAUSE Fzal disease « ~ ~ known ceMOni resulting in ~eenl _~ r L Y~Q V• y ~{ J 1'•e yr d ~,j 2(jj ~Q 29 U F° ° a ~~ ~ ~ Due m (« u a caaeguence oQ. till candi0om, N ary, b 6GNot pregnant winin pest year ^ Pregwnt at doe d tlsstli . b ~~ twretl ni ~ a ~ En NDERIYING CAUSE Due m (« as a ' ~~~ ~: ^ ~pregnant, bW pregnant wNhm 42 days (d auae « k'txY dmt niWted the c evema rewking n dun) LAST. ^ Duero (« u a axaequence oQ. Nd t, bd pregren pregrem d3 days to t year C. ' Wlae dun ^ l/^ro~•'n H pregnant winin the past year 3>a. Was an Auropry Performed? 300. Were Aulopay Fntlinga Avaiede Pd« ro Completion 31. Maniac d Dun 32a. Date d In Jury (Mad1, day, yu~ 32D. Deacnbe How Injury Occurred 32c. Pkce d Iryury~ Home. Farm, street, Factory, Olf S d Cauca d Duch? t7 NaWral ^ Homicitle ce uMag. etc. (SpeaYy) r~~ ^ Yea L7 No ^ Yes ^ No ^ Accident ^ Pendng Irrvastgaipn 32d. Time d Injury 32e. Iryury at Work? 321 tl Transportatlon Iryury (Spep7y) 32g. l.ocef d injury (sheet. pry /town, sptej ^ Suidde ^ Cuuld Na W DerermO~ed M ^ Yes ^ No ^ Dover/Opemt« ^ Pasungn ^ PedBS(dan OtMr- Spea~y ~~ ~~ (~ niy ~) • CerlKylnp I>hYSiolan IPMsidari ceNydrp ceuu d death Wien arodwr ptrysidan has prapunced death antl rmpktu Item 23) 330. SgnaNre and T d G ' r n ([~~ ~ e-~ J To tW bsstdmy latowkdq,aulh otxumddw was wMa(e)and manner asamad------------------- `CJ ~~-x( --- - - - --- -- -- - ~ K Proroundrg and cartxrpg OhYsNdan (Phyaiden hdh prnipaKirg duln end certifying ro~pa~ dBean) to nr Wgdmy knowktlge,dun opcun.d atlWHme,tlMS, and place. arM tlpe to eve C•Wa(a)and mmlreruetatM__________________^ • MtllalExaltdnsr/caran.r 33c. License Nu ~t 1102-~2 f~~ Y 33tl. Date ~ ( n, say, y~ o`t 2~: zotl ton tW Wok d aramlrudknand /«Invastlgaaon, In my opinion, aeedt aaurtad al the time, date, and place, arM due to the cause(s) and msnrar u slaba_ ^ 34. Name an Address d Pgson Who Compreted Cause d Deam (N 27) Type /Pant ~ 1 l ~ Z ~ ~ re ~ ~1 ~ 36. Dare Filatl (Marsh. day, war) I I I ~ , f ~ . e ~, ~~r tl 2 © o ~ Q G i;.~ ~ (~~.f~ s41.~~~ (?~ r 7~~~ DisposiWn Perms NO. ~ ~ ~ e~ V ~'~ ^ C ! 5::~ ~ LAST WILL AND TESTAMENT ~n ,-`"-~ ~'.'`% ~ . ~- ~ ~ HFLFN C . I~'IAYBI~RRY ~' c~ ~''+ c I, HELEN C, MAYBh,RRy, of the Borough of Mechanicsburg, CouiZty of Cat;~barlr.,nd and State of Pe.r_nsylvani_a, being of sound and disposing mind, memory and understanding, do make, publish and declare this my Last Will and Testament, hereby revoking and making void any and all prior Wills by me at any time heretofore made. 1. I direct the payment of all my dust debts and funeral expenses as soon after my decease as the same can be conveniently done. 2. I ~;iva, dsvisa s..r~d baqusath all ±-he rsQ+, resid!?e an~1 remainder of my estate, real, personal and mixed, whatsoever and wheresoever the same may be situate, to my husband, LLOYD W. MAYBF~RRY, absolutely and unconditionally. 3• In the event that my husband, LLOYD W. MAYBERRY, should predecease me, or should he die within thirty (30) days from ttie date of my death, then in either of such events, I direct -1- the settlement and distribution of my estate to be made in the following manner, to wit: (a) I give and bequeath sixty (60'0) per cent. of my estate to my son, LESTs E. P'fAYBERRY, if he survives me. (b) I give and bequeath twenty (200) per cent. of my estate to my granddaughter, WENDY S. FISHER. (c) T give and bequeath twenty (200) per cent. of my estate to my granddaughter, LIZABETH A. KRANZEL. (d) In the event that my son, LESTER E. P~IAYBERRY, should predecease me, then in such event, I give and bequeath his sixty ( 6~) per cent, share of my estate to his wife, PATRICTA P~IAYSERRY, my granddaughter, WEl`1DY S. FISHER and to my granddaughter, LIZABETH A. KRANZEL, share and share alike. (e) In the event that both my son, LESTER E. P~IAYBERRY and his wife, PATRICIA MAYBI~~tRY should predecease me, then in such event, T give and bequeath my entire estate, of whatsoever nature and wheresoever situate, to my granddaughter, WENDY S. I'ISHER and to my granddaughter, LIZAB ~ H A. KftANZEL, share and share alike. LASTLY, T nominate, constitute and appoint my husband, LLOYD W. MAYF33~RY, Executor of tY~is my Last Will and Testament and in the event that my said husband should predecease me, or -2- should he be unable or unwilling; to serve in such capacity for any reason, then in such event, I nominate, constitute and appoint my son, LESTER E. MA.YI31~"tRY, Executor of this my Last Will and Testament, in his place and stead and should my said son also predecease me, or should he be unable to serve in such capacity for any reason, then in such event, I nominate, constitute and appoint my granddaughter, WENLY S. rlS~i}~, Executr~ cf this my Last Will and testament and in all instances, I direct that my said personal representatives be excused from posting bond or other security for the faithful performance of their duties in any 3ur'isdiction, IN [~JITNESS WIiEREOF, I have hereunto set my hand and seal this ~ day of April, A. D., 2002. ~'~c_-~z-.mac.,, ~~ , ~ _ v~ ,t~_. (SEAL) Helen C. May erry -3- COMMONWEAL'I'El OF PENNSYLVANIA ) SS. COUN'T'Y OF CUPiBERLANU ) i, FiELEN C. PJIAYBERRY the testatrix whose name as signed to the attached or foregoing instrument, having been duly qualified according tv law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that 1 signed it wil.ling.ty; and that i signed it as my free and volun- tary act and deed, for the purposes therein contained. S:•rorn and affirmed to and acknowledged before me by HELEN C. MllYI3ERRY _, the testatrix this f~ clay of April __~ A it• , 2002. t -i.;~ : ~.. -~ He 1 ti :pia K Varner, P~rr.3f f t~ ~:C t Y e ti~rg E3oro, Curntiertanri C~unt,~ NFrr CtKrx'trsvrn Expires ~~P.ar. 27, 2006 ~ Mcxr+b±-. ~nnsykarrca Asac~ation pFAb~ri~ ~ Notary Pub 1 i c COl:IP10NWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) We, ttte undersigned, J. ROBERT STAUFFER aril JOIiN M. EAKI~T the witnesses whose names are signed to the atl-aclred or foregoing instrument, being duly qualified according to law, depose and say that we were present and saw the testatrix ~ HELEN C P~~~RRY sign and exe- cute the instrument as /her Last Wi.l.l and Testament; that the said testat rix IL,LEN C, P~AYBi~RRY , executed it as XIS%her i:ree and voluntary act for. fire pu;_pcse.s thereir, 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 the time, eighteen (18) or more years of age, of sound mind, and under fro constraint, duress or undue influence. u ribed to bef day of 2002. 1`ori~';%~.: ~. 'v~:]r.'i<,+,f, PyCfri~! f'~i.):'!f: I~??~~c rF1;;5~jlt;~)fii:^.i%J~~?:,~r::1r1:7 C^~lr.~;• 1 hAy i~rtrr;,issior Expires N'a:. 27, 2or~' <JOOZ 'LE ~eW Seu~ U0tSSIrit1~J ~~ , ~J Aue~+ogrunO bc~ timq~~~~ ~rrl ~'s~`J 'reisl2A •h =ra:it~y -4 ____ ~ ~r~~,~_-. ~__._._-_ .. Sworn and me this Ax~ril