HomeMy WebLinkAbout12-07-11PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF VIIILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of John M Wanner
also known as File Number 21 - ~ ~ - ~ ~+
Mark A Mateva ,Deceased Social Security Number 181-32-2900
y~a~~ u~ age or olaer, apply(ies) for:
(COMPLETE ;4' or B' BELOW.•)
® A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the
last Will of the Decedent, dated 01/11/2010 and codicil(s) dated named in the
State refevantdmumstances, e.g., renunciation, death ofexecutor, 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.(8); 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
(Ifapplicab/e, enter. c.t.a.; d.b.n.c.t.a.; pederMelite; duranfeabsentla; durenfeminontate)
Petitioner(s), after a proper search, has/have ascertained that Decedent left no Will and was survived by the following spouse cif any) and heirs (if
Administration, c.t.a. ord.b.n.c.t.a., enter date of ~1/ 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:
state, zip code)
1
Decedent, then ~e~ years of age, died on 11/20/2011 at 111 Conodotauinet Mobile Estate
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property
(If not domiciled in PA $ 12 000.00
Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County
Value of real estate in Pennsylvania $
situated as follows:
the undersigned: C
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Lettersja the appropriat~Drm to
SiOnature ._ r-, ---~ _r, ~n
I ypea or printed name and resi ~E:.t _ -_
Mark A Mateya 55 W. Churo~ e ~ r
Carlisle, PA' ~_ ~ t
,. ~,,~ ~ ` +-t . .
- - ,.:.:
CJ.J r ~ ; T
{yA:%
Forth RW-02 Rev. 12-26-2010 (inferior form, pending action by the Court) Copyright (c) 2006 form software only The Lackner Group, Inc.
Page 1 of 2
------ .....,.,..,,~a.r.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his !her last principal residence at
111 Conodoquinet Mobile Fwa+o tue....,:~r.. ~ .....__ ...~..__ _ _
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
couNTY OF Cumberland } ss
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.
Sworn to or affirmed and subscribed
before me this ~_ day of
t
For the Register
Signature of Personal Representative
Signature of Persona/ Representative
File Number: 21 ~ ~~ -- ~ ~~
Estate of John M Wagner
,Deceased
S ial Security Number: 181-32-2900
Date of Death: 11/20/2011
AND NOW, ~~(~~
having been presented before me, IT IS DECREED that Letters Tac+~ ; in consideration of the foregoing Petition, satisfactory proof
are hereby granted to
and that the instrument(s) dated
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES D
Letters .......................................... $ ~
Short Certificate(s) ....................... $ _~~ r---
~ .._
- - -z-, ,
in th~~~ove rtistat~~%
>~~
- ~ ~ _ ~ ~.-
'C~C~ -~ -
_ - %~
_' ~7 E.~3 ~ .._
~~ s~
Renunciation(s) ............................ $ ~ Attorney Signature:
l $~_
Attorney Name: Mark A. Mateva
$ :~ 3.
$ ~ ~) Supreme Court LD. No.: 78931
Address: 55 W. Church Avenue
$
$ Carlisle, PA
$
Telephone: 717-241-6500
$
TOTAL ................................... $
..e-
Form RtH QZ Rev. 10-13-2006
Copyright (c) 2006 form software only The Lackner Group, Inc.
Page 2 of 2
H1u5.805 REV (01/07)
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 17979939
Certification Number
This is to certify that the information here given i~
correctly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
certificate will be forwarded to the State Vita]
Reco~rd~s ,O~ffi-c~e for permanent filing.
L ~. t~eax~ee,~pl~.>s'c~s~C' pE~C 2 /2011
Local Registrar Date Issued
- r.,
_ ___ __. ___
- -------
_ .._ 0
. _.~
? ~a . ~
__ V7 ~ ~ - •
_
.~
' ~ ~ 1
3 ~ e.. ~{ 1
.-..r 1..,~j tYr/
t C%.
H703.iM REY 11200"
TYPE/PRIM IN
COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH
B1A0
$33-149 • VITAL RECORDS
CORONER'S CERTIFICATE OF DEATH
a O
t
~ (See Instructions and examples on reverse)
eceOwa ~Y61 °~A• ~• °°a°)
'
° STATE FILE NUMBER
John M
s A"° (tan &rtlidij'l u""" 1 Wa e r z' $B1 3. soar s.anry Naha
Male o. Dab a Dwm Mann. ear , yaer)
l~ t
,,,,,,,, ~ Na.. a..r _
e. Dr. a eem Munn.
K 7. 1 yb90Ye« ecPlaaa~ aw
November 20 2011
Itmd a xba
flan
uaceaxa'a Ailey Atlases (S6an, mY / ba+I, app, nil code)
111 Conodoguinet Mob. Est.
Iewville Pa
Fatlpfa Nam• IFmtl. mY4e. rw .aa..~
I xm. mblmpre Name (rya / mnj .
Mark Mate ea, Es
21n MaebeaDbBoama, ^~
y ILrlr ^ lienbeal has slate
^ rrr a.
• Speury: M eaeb
zza. ' aFr oenm~w
eE Fecily Name (n m1 Yutlalaon. Bh'e ebsn mq eI°Ilbar) - - - - - _ ,J .,., ~""°YA° u w., u wmro Nom. Rardaca ^oEler- 5b°sA'•
s. w.a oecaaere a lMPenlo agm7 Na ^ Yea 10. Rao.: AnlMmn mam, "leac Wn"e, Mc
ill Conodo uinet Mobile Estates ("~ ~~~• (
Msnan, PueM Rkwl, abJ
12 Wee Dandent ever m tlIa 1s. Demtlene EEUCetlon (sP°°lh ony Ng11en psde mnprp) u. Mv"r sleep: Memee, Nsv« Manetl, 1s. su Whit e
U.S. Artnad Facn7 Elenlenpry / SeaxWery (a12) ^'M^B sPoeae pl wre, yiue meban reme
^ Yee C°"°Ba (teas.) wlmwa,l, Dhpced (susoy1 1
Dentlerrtb
Aaur Reaitlwae na. seb P a .
LF/e m°e: °a" 77c. ^ Yea, Deaganl Used m T. n wa f M i f F 1 :...
l/h coaray Cumb. T°""'"Pr 17a. C7 NO, oaoedard thretl nrYn T`"B.
Aqun Ulrep d QA'/ Bas
1B. MgMfa Nenp (FYn, mlaaa, mrden senanp)
Helen Fickes
zeb. mbmpnra M°b°B Atldw (anal °"Y 1 ban. eWe, zb ah)
55 W. Church Ave. Carlisle, Pa. 17013
21 b. one d a°Paelaorl IMOran, e°r ysu) 21c. Free a ofaPPasa, Mama d
aaannY. apanay a slop place) 21E. lacetlon IDIh l town, nap, dp meal
^ra^No Nov. 27,2011 Prospect Hill Cem.
xxb. I.ianae NUmbx Newville, Pa
Tom. Name 9Ip Addraea a Easily
9963 gger Funeral Home Inc 15 Eig Spring Ave, Newville
•~^-,. M~ ~~ wrayag ae. ro me ben a my kiowMdge. seem acamd n the Bme, dap ens plain app0. IslBrpbre erq ab) P a .
pmda w na mrae n lop a tleem b
aw a Beam. z3e. I.Imrps Numbx zx Dap sped (MOnnI, Eay, Yell
)pins za.ze mup Da mnpaee M peam xe. Time a Deem xs. one Pralalawed Deed (Manor, say, yaar)
wro °' d1 B"~. A rx . 11:00 P 1~+~ ~. ceea R.Ienad ro Medcn Ersminar 1 caner for a Bassin amer men cremanm a oona"m9
November 22 -2011 rea ^No
Ipnl 27. Fan I: Fida tlw CAUSE Of DEATN (See InatrrFCWOna pntl exampya)
1~l$-BfEBh -tlsra, Inluna. a mnplpi"aIe _ yy1 yayy cypep me Elem. pp NOT eaa temtlrW eva~ such ae mNea enen, ~ ~b «""~: Per) II: Eller Dina ~ xB, py Taberoo lq Cpnbae b Daem7
reeparory erren. «vennosar Mriaaorl widna atbwYe me etplo"y, lJn ary ale cause m each Ins. Drrn b Deem Oa na npuh4p m me upenhq saws Mren m Fan I. ^ Yee ^ plabeay
laslEaaTe cause FYW aleew « '
"~""'""~'°"') -->. a Probable Myocardial Infarction '
oIp b (« as a mneagyeno, ail
'~cai°'~"•"'"1'• e. Occlusive Coronary Artery Disea4p r
b sews Ypdmipa
Fllpr IIYN~paEyRlr0lo CAl19E Orp b la a mnaeQUame 9
rseterg n ~ c~ i
Dua b (a u a eme•gpnce op: r
d.
i
7Ae rYae an Aleapy 3AD. Nhre Aubpy FFnmpt 31. Mempr a aam r
PeRarmed7 Avpleae Prior b Cangnbn ~y., ^ Ikmkge 3xa. Data d hurl' (Mash, deY• y7er) 3xb. Deeabe Flow coley OanmM
11cc--ii of Guae a Deam7 y5.1 Nat«.I
^ Y°° l7D No ^ Yea ^ No \ ^ ~°et ^ Faldkp Mwnpaym 32E. Tone a In)ury axe. Irylsy n Wak1 3x1. N T
^ Suidda ^ Call Na M Dnemrletl I°taparpptlotl "daY IsPecayl 3xB. lacaWn
M. ^ Yes ^ No ~Dewr/ oPeralar ^ Paawagp ^ \
99e CMYkr (arck aey ail) yp„yy.
' ~Ylre PMebipr (Ftlyeidpl °errriv mwa a deam wlxn atWtx pnyraen 1pa Prabalcad Seem and 3sb. Slpuawe siM7laa•1CnYll •- -
fiepl»na °•°M(q.n nrpprn mmplelsd loam 23
' Fragarar10 antl oartlylnp PNY°laeri lFhrntlerl bah aWad_~----~' ) ~
----------------------
nrpeeaaF°naaapew.derNxan.dnep MmandurayYlBbopwaasem ^
• Mmwea.napr/txras "'K°""Ppaq pn apbap nuage)pn mraprraMed------------------ ^ 39c. Ucenea Numlpr
~ Da 1Na brN a aaenineem eIn / or haaWBrree• m my opnbn, arm aaanaa n ma
tintti Eels, end Plan. all dIp p IM °°•Mp all 111MIIIN r ayyL N~yy /~tlyaae~f Pxpp Nqo
35. Regiebsre (~ srsr ~ ~{~- ~ '1.OAC (:. L'~ k~NMwE a
~ ~ • "e"`*"1`~ 38'0,°"R"d~""•d'r•~ 6375 BasehorenRdr~, aS~t
l~ I I I ~.I-I 101 ..,..
r;r I' Pa. 1705
a°Paaem Pemn No. 01„ Y~ l~T~
^ No ^ lArmtm
2B.eFamep;
^ Nol geprlwq ways per yen
^ Preplratllbpadeam
^ Na D~°Bnaal an Dr°Arnat wBlm @ days
a deem
^ ~ but Bre9nele 13 days b 1 year
^ 1Aeabtm rprepprd Worm ep Pen ran
3xc. ~ a mjay: ~1 gyyr, F°cM.
LAST WILL AND TESTAMENT
OF
JOHN MARK WAGNER ~-~
;~,
~1 C",, "T
-r.
rte- ..~
I, John Mark Wagner, of CME 111, Newville, Cumberland Count Penns 1 ~f [; make
this my Will. I revoke any other Wills or Codicils to Wills made by me. y y ~~ti'.''`-; `"~
._..,_
_. ~
~ __.._. ~''~ c~
ARTICLE I. DISTRIBUTION OF MY ESTATE ~ ~~
A• I give my tangible personal property to Dickinson Presbyterian Church, located
on Walnut Bottom Road, Carlisle, Cumberland County, Pennsylvania. Tangible personal
property includes stamp or coin collections but does not include other money or stock certificates
or other evidences of intangible rights or interests. Tangible personal property does not include
any property that is held primarily for investment purposes or used in connection with any
business in which I may be engaged or in which I may have any interest at the time of my death.
B• I give the residue of my estate to include my trailer and all contents to Dickinson
Presbyterian Church.
ARTICLE II. PAYMENT OF EXPENSES AND OTHER CHARGES
I desire to have a traditional modest Christian funeral and burial to lie held and conducted
by Dickinson Presbyterian Church. I do NOT desire to be cremated. I direct that I be buried at
Prospect Hill Cemetery in a plot beside my mother and father. I direct my Executor to pay for
my burial expenses (including the cost of a monument or marker). The estate, inheritance and
similar taxes assessable on my death (including taxes on assets not passing ~.~nder this Will) shall
also be paid as a cost of administering my estate and my Executor shall not request an
beneficiary to pay any part of such tax, y
Page 1 of 4
-~~ ~ J.M.W.
ARTICLE III. MISCELLANEOUS PROVISIONS
Matters of Interpretation. For simplicity, I have expressed prc-nouns and other terms in
one number and gender, but where appropriate to the context these terms shall be deemed to
include the other number and genders. The bold headings are for convenience and shall not
affect interpretation.
ARTICLE IV. APPOINTMENT OF FIDUCIARIES AND POWERS
I name my Mark A. Mateya, Esquire of Mateya Law Firm to be my Executor. It is my
desire for the Executor to be remunerated according to local custom. If administration of m
estate or trust should be necessary in any jurisdiction where my Executor or my Trustee is unable
to qualify, or if my Executor or my Trustee deems it necessary for any other reason, I give to m
Executor or my Trustee power to designate any individual or corporation with trust powers to y
serve with my Executor or my Trustee or in my Executor's or my Trustee°'s stead. I request that
no security be required of any Executor or Trustee, including an Executor or Trustee named
pursuant to the preceding sentence. References in my Will to my "Executor" and my "Trustee"
are to the one or ones~acting at the time, except where otherwise specifically provided.
B• Any individual who serves as Executor or Trustee shall be entitled to receive
reasonable compensation for his or her services and, whether or not such individual receives
compensation, shall be entitled to be reimbursed for expenses incurred for such services.
C. I grant my Executor and my Trustee the powers set forth in 20 Pa. C.S. §§ 3311-
3332 and 20 Pa. C.S. §§7771-7780 respectively. In addition, my Trustee may merge an trust
under this Will with any trust having the same trustee and substantially the same y
provisions. If at any time after my death the size of any trust under this Will' is so smalhthat, in
the opinion of my Trustee, the trust is uneconomical to administer, my Trustee may terminate the
trust and distribute the assets to the person or persons authorized to receive tlhe trust income in
such shams as my Trustee may deem appropriate. No Trustee who is also an income beneficiar
of the trust at issue shall exercise any discretion granted in the preceding sem:ence. My Executor
and my Trustee may distribute tangible personal ro ert
with whom the minor resides, and that person's re eipt shall be agsuffi elnt v Sucher an the erson
accounts of my Executrix and my Trustee.
Page 2 of 4
~' J.M.W.
ARTICLE V.
DEFINITIONS
The following definitions shall be applicable to all of the provisions of my Will except
where otherwise specifically stated:
1 • The use of the masculine shall include the feminine or neuter and the use of the
singular shall include the plural, and vice versa.
2• The term "estate" where appropriate, shall include any trust hereunder.
3• The term "minor" shall mean an individual who has not attained the age of
twenty-one years.
Executed this ~~ ~ day of
--~ __, 2010.
Jo Mark Wagner (SEAL)
.Signed, sealed, published and declared for and as his Last Will and Testament by
the testator in our presence, we all being present at the same time; and we, in his rese
his request and in-the presence of each other, have subscribed our names as witnesses wher od'at
all on the date last above written.
~~ ~ I~°
V ~ /
i
~~ ~ ~ 7 /~ yI/ ~J 9
Page 3 of 4
of 3~ S ~U~ ~C((u~ ~ ~ ! ~ rG ~/a l 7Gl ~
J.M.W.
COMMONWEALTH OF PENNSYLVANIA
CUMBERLAND COUNTY to wit:
Before me, the undersi ned authority, on this date personally appeared John Mark
Wagner, and a ~Q K A ~irA , and ~ AR y ~ .T y~.~'
~ ~/Am ,known to me
to be the testator and witnesses, respectively, whose names are signed to the foregoing
instrument and, all of these persons being by me first duly sworn, John :Mark Wagner, the
testator, declared to me and to the witnesses in my presence that said instrument is his Last Will
and Testament and that he had willingly signed and executed it in the presence of said witnesses
as his free and voluntary act for the purposes therein expressed, that saki witnesses stated before
me that the foregoing Will was executed and acknowledged by the testator as his Last Will and
Testament in the presence of said witnesses who in his presence and at rlis request and in the
presence of each other did subscribe their names thereto as attesting witnesses on the day of the
date of said Will and that the testator, at the time of the execution of said Will, was over the age
of eighteen years and of sound and disposing mind and memory.
Sworn and acknowledged before me by JOHN MARK WAGNER, the testator,
~1l2~( A - RT, ,witness, and ~~ ,~ . .1;(I~f~~}~A~
witness, this day of 201 i~ '
JO MARK WAGNE- R ~- °-
~._
Witness
~~a~~~~
Wi ess / ~
~,
~/~~~f.PO~ ~ lit, (~f
Notary Public
My commission expires:
Page 4 of 4
COMMONWEAL- T_ H OF PENNSYLVANIA
Notarial Seal
Frances A. Aumiller, Notary Public
South Middleton Twp., Cumberland County
My CommiGsion Exl:iras h~7eyrch 16, 2010
A"ember P~=~nrc4h.::
nia Nss;~c;iation e; Notaries
~!• ~' J.M.W.