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Home My WebLink About10-13-11PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA --___ - -- Estateof Kathryn Elizabeth Moder File Number 21-11 IUl`5 also known as ,Deceased Social Security Nulmber 162-22-3460 Georgia Moder Martin _ Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or `8' BELOW:) ® A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the EX@CUtrIX named in the last Will of the Decedent, dated 07/14/2009 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 (If applicable, enter: c. t.a.; d. b. n. c.t. a.; pedente life; durante absentia; durante minoritate) 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 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 Ylad been established as provided In 23 Pa. C.S.A. § 3323 (g), except as follows: Name Relationship Residence C7 ~ -~ ~ c :; - , . : . .~ ~ r-~ - i~ .~. ~ - A ,/? ~ G= _J - (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. T> __ ~, ~ ~ Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at -. ~ ~~'~' Bethany Towers, Apt. 205, Mechanicsburg, Mechanicsburg, Cumberland, PA 17055 (List street address, town/city, township, county, state, zip code) Decedent, then ~_ years of age, died on 09/05/2011 at Carlisle Regional Medical Center, Carlisle, PA 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 All personal property Personal property in Pennsylvania Personal property in County g 4,000.00 Total 4, 000 situated as follows: 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 Signature Typed or printed name and residence I x~ Georgia Moder Martin 7 Nottingham Rd. ~ ,{...p~~CI.LCZJ C~~~~~~ "'" ~-- <i / C~C~~Z Camp Hill, PA 17011 Form RW-OZ Rev. 12-26-2010 (interim form, pending action by the Court) Copyright (c) 2006 form software only The Lackner Group, Inc. Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } SS COUNTY OF Cumberland ) 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. /"~ C~'~' V %.~'1 Sworn to or affirmed and subscribed before me this _ ~..,% day of For the Register Georgia Moder Martin Signature of Personal Representative n Signature of Personal Representative .~ _I C7 - ,,. r- _- r-n ~J) ,- -. _~r-. . ~ File Number: Estate of Kathryn Elizabeth Moder ~3 21-11 - ICl.~~ ~-+ ,Deceased .^ y 4 `~, t..j . . -- '1 G.7 C. .;J ~.. (=ri C"? `-'~ G --n Social Security Number: 162-22-3460 Date of Death: 09/05/2011 AND NOW, ~~.-{1-~ ~ ~~' l ~ .'~ i~C I ~ ,inconsideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Georgia Moder Martin in the above estate and that the instrument(s) dated 07/14/2009 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent FEES Letters ...................................... Short Certificate(s) ................... Renunciation(s) ....................... Automation Fee .... $ .... $ ..... $ $ JCS Fee $ $ $ $ $ $ Q TOTAL ................................... $ Form RIN-U2 Rev. 10-13-2006 30.00 12.00 5.00 23.50 70.50 Attorney Signature: / ----~-~ Attorney Name: Mar ells F Hazen. E~~a. Supreme Court LD. No.: _8003 Hazen Elder Law Address: 2000 Linglestown Road Suite 202 Harrisburg, PA 171'10 Telephone: 717-540-4332 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2 OCAL REGISTRAR'S CERTIFICATION OF DEA'~'I-il . WARNING: It is illegal to duplicate this copy by photostat or photogr,~ph+ tee 1~~~r Ihi~ ~crtifir.+te. ti6.~)11 Certifirstitm NulT+hrr - __ ~~~~ ~a, ao ii ,, ' ESN OFp `= ~ l- l~ i, ~1 i .~` .1 r 1111~rnr lilyn ! , ~ ~+~ n I. I ' ,,t~~,P.,- ~/j/~, _~~ Ilctl~ tC !c'r I ~na! (utllil tll t+f 1 )C.IIi1 <P ~~~~0~~' ~`~.- i~L~\ 1liCLl ~! ~1 ll 92c' [I~fI. ~SJI' I)il,_II1di ?~ ~ ~`- Z~ ',t.!l,~l~;llc s' '~' t tllil !n 117t" ~,1;IlC ~slia~ as ~?~' ; a~ !~ ;~ur~1> t).i . I ,r, ul.n filili_~. 1 F,o ~~ OF t`~ / ,;. - -- l..'~r.ll k~r +rtrr C~'~ ~_-:,. !).ltl. (,~y1r11 =>+n ~. ~ ~ L~ try ;~ C^ .,. n105.N3 REV nrzod6 COMMONWEALTH OF PENNSYLVANIA .DEPARTMENT OF HEALTH • VITAL RECORDS .D ,^^. ~~ G` TYPE PRINT IN -_~ BucK ~HK PERMANENT CERTIFICATE OF DEATH -..._ (See lnstructians and examples on reverse) STATE FILE NUMBER I. Name d Deadant (First. nodes, last. wd;el 2_ Sea 3. Saaal Secunry NumOer <. Dan d D.am Ilanm, hY, Karl Kathryn Elizabeth Moder Female 162 - 22 - 3560 September 5, 2011 6 Me ILasl arcimyl Umer t ar llrgBr t h 6. Oale d BiM Monm. h . 7 ~ Ci am sate «nre can Ba. Pnca of beam ICreca are Monms Day, Rauh AYa.ys _ HosgWl: Omer 82 vrs. Februar 21 , 1929 Harrisbur PA ®mpamm ^ ER.Outpamm ^ DOA ^ NIHLrp tlcme ^ ReWerae ^ Oanr-Spay Bo. Counrv d Deem &. Gry. Doro. Twp a Deam BC. Faa4ny Name pl nd insoluuon, give street arq nwrger, 9. was Decedent d MSpna Orgn? ®No ^ Ves to. Rana: Arrrarnan IMn. &adt Yalen, et. Car 11 s l e IB yea. w.ay cigar. ISpaayl Carlisle Carlisle Re ional Medical Center '"°.aan,PmmRgan,egl White 11. Decederlrs Usual Occ tan iK:ra of won mre ar ,,pct a ale Do na sole re0redl 12. was Decedent aver m me 13. Decedent's EmcaOan ISpeury mry nyresl grade mmplatml l4 Marinl Sinus. Horned, Never Marred t5. Su«rveg Spoua 01 wits. 4ve moan nml Kea of Won Nmd d Buwnassl Industry U. S. Mmad F«as? ElemenW Seconds !0 721 Colle Wgowed. Drvorce0 1SpenYyl Children's Libraria Public Librar ^rea ®Ne rylp ry. ~( a«'~l s Decehnrs Widowed Mainng Address (SOeet dry' Wwn crate. zp cWe) Decedent's Da Decehnl Bethany Towers, Apt. 205 AdualReaaem. noncan Penncy~vania Lveina t7d.®Yea.DecehntLrvedm- Lower Allen 335 We leyy Drive nccoanry Cumberland T°'""'"'0' nd.^o-ra,Ded,d,n,Lmedmm,n Tp. Mechanicsbur PA 17055 Actual Omn d _ ~,y Boo t8. Famefs Name IFYSL nxddle. last, comet tg. Homers Name lFrsl. made, magn surname) Charles S. Whittin ton Helen Leona Walters Na. InlornunYS Nana ITyp I Pnng 200. InlomlanYS Myerg Addess IStreat ury l :own, star, zp codel Mrs. Georgia M. Martin 7 Nottingham Road, Camp Hill, PA ].7011 2m Memod a Pspostnm ®crar,laeon ^ Dnae~ nh Dale a n~sPd„oal IMonm, h Y Yearl 21 c. Place of Drsposdan (Name of cemetery. crematory a Omer pacel 2yd. Lolatan IG,ry, town, sMn, zp adel • ^ ^ 9,ey1 ^ Renaval Iron JMIB ~ Wy DrwrWbn a Dorlallon Aumorved I°~'T"ea'E""~/ YK^r+P Se t. 12 2011 Cremation Societ of PA Harrisbur PA 17109 a : S e d Funeral Srvaeyc«vsea l« -rig as snail 720. L<ense NumOar 22c. Name aN Addass of Facniry GG FD-138753 Auer Cremation Services of Pennsylvania Inc. 4100 Jonestown Road Harrisbur PA 170 innn5 23a< a'W vayn arnying 23a. T sl szaw m «au a , dale am place soled. ISignawre and tgel 23c. Dan JnysrJan ¢ nd avalede M bne d seam 230. LKerw Numrer Sgyd (M«Im, hY, YeaQ ~e~y ~ sham DS--()J ~~~-~~L- ~T. S z.o ~~ ~ Menu NZ6 must h rorryr.ted W Arson 2a Time of Deem q 25. Day Proro«ced Deae IMmm, hy, yaarl 26. Wes Case Reterrm to Medal Eaamner Cor«yr to a Ranson Derr dvan Crerru0an « DonYOn7 wly proroaays deaar. ~/ / ~ M ~~p-gyp- ~ r /, Z p / ~ ^ Yes ®No CAUSE OF DEATH (Sea Inatruellona antl axamplea) i ApprormMle innrval: Pan A: Eisler Omer Ilrn 27. Pan I: EnW me fAln d events - dseases. rtpunes, or corrVlicaooru -mat duacly caused ay deem. DO NOT nnr tamyul even such as cardac anew .7th. 2B. Dq Taorm Use CoroiOur ro Daam7 respearory arrant, « venrrcuw fipnydhdn wtlaul snowrg Vy enaogy. Lut Onset w beam do not reswOng .n Ire undenymg cause qvn m Pan I. ^ ei ^ Pr00aply ~Fqa~ only one cause n each Ore. mlhon TES IFryll dsease « ^ No ^ UrYObwn ham ->- a. l a /~ Q ~1 'tt Gl {~tKt/'~' 1 ~s ] 1A~ /`2 29. !f Earner: Dm ro 1« as cansagueraa al. wl arldiaans, a arty. 0 ~{. t~ f S - ^ Nd pregnarK rNn Peal year q cause wad n lye a ^ Preplyy y Imo d awn EnW~UNOERIYH/G CAUSE Due to (« as a coruequence oQ~ pragrwa wWn ez Jaya Ide.+e. « ayray mat .wane me _ ^ Na prayrara, as aaryn msJ«g y a.aml canc. a aaam c Due to l« as a crosequerce M: _ ^ ~ -LT d. PraTara, lea Pra7ure e7 drys b 1 year Oelaa ham ~ Pen«med>~ 70D. Were Aulgyy Fmdngs 7t I Deem 72a. Dan d Iryury IMnm, day, yearl 720. Descna new m u Occurred - ^ Urwrbwn Apregyd aNlen ey PaY Kr Ava140q Pn« ro Compylan I ry 32c. Pisa d ~' yltlny, Farm, $taM( Faaay, ,,// a Cause a Deam7 Nawrav ^ Nonecide Olke Buadlq, aro. (Sywlyl ^ Yea ty~ NO ^ Yes ~o ^ Aaldem ^ PnWg Irnesagalwn 32d. lime d Inlu7 32s. Iryury a1 Wonn 721 11 TranspMauon Iryu7 iSGacJy'1 32g Localpn of ~rywy ISUeeI ary, lawn, SWeJ ^ Suicge ^ Cauq Nd W Dalemury0 M ^ Yes ^ No ^ Onver r Operator ^ Passa«ger ^ Pehsuan Olrer ~ Spe«y: )3a. Comfier (cna4 ody Dry) Certeying p1lYaieian IPhysayn ramrymg cause d mom wean aiwlner Sgrywm n~ Td du 7aN d m ynow PnYSicyn nos Prorn«ae0 mom am carpyroe Ilam 231 Y ledge, dMtlt ouwraa ew to dy auM(e) and mnner u erne _ _ _ _ Pmyrarcing and c«tllyiaq pNyakum iPliyyr. 1 Adis Pr«auncag deem and cerhlyup Io Wusa d Wam1 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 37c. LKanse Nu /,7~js Q / ~ J3d. Dale " 1 .day. YeY) To dr OaM d my krpveydge. ham occurtW a ma Orre, dew. era plea. era err W tM - ^ O ~~ 1 V I (,~ • NadicM EaurirwYCaropr cwaMsl one muurraeul.a----------------- On IM auw d eeamweaon nd / a invudgay opinion, ham mcurred al Ins canc. his, era Pnca. and due to tre au ~ a t ~ eNsl one manryr ae eWled ^ 3, Name amend Address d PPe7sm wno Competm cause a Deam Utam 271 Tr ~ Pml z - Reg¢ ' Wre Vid I ~ ~) ~ ~ Odle Fiyd lMnm, day. Wart ~ ( 1 Va'~6 /lam ~ CI U4~, Vie • ~7. i UY /~ Disputer Pemat rid. 0 6 6 7 4 7 6 LAST WILL AND TESTAMENT OF KATHRYN E. MODER C7 ~ -~? ,~ ~`} _:~_ n _ -- Ty f"T-1 -__ ~ - ,~ ~~ _yJ~-- _. .__ _~J __ ~T2 ~~ t - --~~ I, KATHRYN E. MODER, now domiciled in Cumberland County, Pennsylvania, declare this to be my Last Will and Testament. I revoke all other wills and codicils that I may have previously made. Article I My just debts and expenses of my last illness, funeral, and administration of my estate shall be paid by my Executor from the principal of my residuary estate as soon as practicable after my death. Article II All inheritance, estate, and succession taxes (including interest and penalties thereon, but not including any generation skipping tax) payable by reason of my death shall be paid out of and be charged generally against the principal of my residuary estate without reimbursement from any person. This provision is not a waiver of any right which my Executor has to claim reimbursement for any such taxes which become payable as the result of any property over which I have the power of appointment. e.-r;~lP rrr I give, devise and bequeath my tangible personal property to my daughter, GEORGIA M. MARTIN. In the event GEORGIA M. MARTIN predeceases me or fails to survive me by thirty (30) days, then I give, devise and bequeath my tangible personal property i:n accordance with any memorandum I have handwritten or signed, located with my will or with my valuable papers and found within 30 days of the probate of my will. Gifts may only be to persons who survive me or to organizations which exist at my death, and if there is a conflict, the memorandum having the latest date shall govern. To the extent no such memorandum is found, or all of my tangible personal property is not disposed of pursuant thereto, my tangible personal property shall be added to my residuary estate and pass under Article IV hereof. Article IV All the rest, residue and remainder of my estate, of whatsoever nature and wheresoever situate, I give, devise and bequeath to my daughter, GEORGIA M. MARTIN, of Cumberland County, Pennsylvania. In the event GEORGIA M. MARTIN predeceases me or fails to survive me by thirty (30) days, then I give, devise and bequeath all the rest, residue and remainder of my estate, of whatsoever nature and wheresoever situate to my son-in-law, BRIAN E. PVIARTIN, of Cumberland County, Pennsylvania. If BRIAN E. MARTIN fails to survive my death by thirty (30) days, I give, devise and bequeath all the rest, residue and remainder of my estate in equal shares to GEORGIA M. MARTIN's children, per stirpes. Article V I nominate, constitute and appoint my daughter, GEORGIA M. MARTIN, of Cumberland County, Pennsylvania as Executrix of my Last Will and Testament. In the event of the renunciation, death, or inability to act, for any reason whatsoever of my Executrix, I nominate, constitute and appoint my son-in-law, BRIAN E. MARTIN, as successor Executor of my Last Will and Testament I direct that my Executrix or successor Executor be permitted to serve without bond. In addition to those powers granted by law, I grant them power to distribute 2 in cash or in kind, in like or in unlike shares, and to file any qualified disclaimer I could have filed if living. My Executrix or successor Executor shall receive reasonable compensation for services rendered to my estate. Article VI In addition to the powers conferred by law, I authorize my Executrix or successor Executor, in her/his absolute discretion: (a) to retain in the form received and to sell either at public or private sale, any real estate or personal property except that which I specifically bequeath herein, (b) to manage real estate, (c) to invest and reinvest in all forms of property without being confined to legal investments, and without regard to the principal of diversification, (d) to exercise any option or right arising from the ownership of investments, (e) to compromise claims without court approval and without consent of any beneficiary, (f) to file any federal income tax return for any year for which I have not filed such return prior to my death, (g) to make distributions in cash or in kind, or in both, and to determine the value of any such property, (h) to employ any attorney, investment advisor, or other agent deemed necessary by my Executrix or successor Executor; and to pay from my estate reasonable compensation for all their services, (i) to conduct alone or with others, any business in which I am engaged in, or have an interest in at time of my death, and 3 (j) to receive reasonable compensation in accordance with their standard. schedule of fees in effect while their services are performed. IN WITNESS WHEREOF, I, KATHRYN E. MODER, hereby set my hand to this my Last Will and Testament, on '~ / ~- ~;. q , 2009, at Harrisburg, Pennsylvania. KATHRYI`6 E. MODER In our presence, the above-named KATHRYN E. MODER signed this and declared this to be her Last Will and Testament and now at her request, in her presence, and in the presence of each other, we sign as witnesses. Name Address ~, i ~~~ 2000 Linglestown Rd., Suite 202, Harrisburg, I'A 17110 ~~ 2000 Lin~lestown Rd., Suite 202, Harrisburg, ~'A 17110 4 I, KATHRYN E. MODER, Testatrix, who signed the foregoing instrument., having been duly qualified according to law, acknowledge that I signed and executed this instrument. as my Will, and that I signed it willingly as my free and voluntary act for the purhoses therein expressed. Sworn to or affirmed and Acknowledged before me by KATHRYN E. MODER, the Testatrix on ~~; (_, /'-{ , 2009. ~~ ~'~ 1~~:~~,L LF: ~- ~I1 ~ ~ ~, Notary Public f ~ 2~-z~'~.~, KATHRYN . MODER ,,. _. 11 ~._.~ ______ __ _..._.. ~ ..._ _.. ,_ ..... _. __.._._..r ...._.__..: We, the undersigned witnesses who signed the foregoing instrument, being duly qualified according to law, depose and say that we were present and saw the Testatrix sign and execute this instrument as her Will; that she signed and executed it willingly as her free and voluntary act for the purposes therein expressed; that each of us in her sight and hearing signed the Will as witnesses, and that to the best of our knowledge, that she was at that time eighteen (18) years or more of age, of sound mind, and under no constraint or undue influence. Sworn to or affirmed and Subscribed to before me by Gtr;Ul/c ~ ~G2~n and (~ - - r witnesses, on ,, l ~ ~ , 2009. Notary Public .,.. ~~_ . _I 5 ~~ Witn ss ~ ~ P, ~~~ wit s