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HomeMy WebLinkAbout04-05-12Reset PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for Letters as specified below, and irr support thereof aver(s) the following and respectfully request(s) the grant of Letters in the appropriate form: Decedent's Information Name: MARGARET E. MCINTYRE File No: ~ ( - I ~ - U C~ `~ a/k/a: M. ELEANOR MCINTYRE (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: MARCH 15, 2012 Age at death: 92 Decedent was domiciled at death in CUMBERLAND County, pENNSYT.VANiA (stare) with his/her last principal residence at 100 MT. ALLEN DRIVE UPPER ALLEN TOWNSHIP PA 17055 CUMBERLAND Street address, Post Offtce aed Zip Code City, Toweship or Borough Couety Decedent died at HOLY SPIRIT HOSPITAL EAST PENNSBORO TOWNSHIP CAMP HILL CUMBERLAND PA Street address, Post Office snd Ztp Code City, Toweship or Borough Couety State Estimate of value of decedent's property at death: If domiciled in Pennsylvania ............................ All personal property $ 50 000.00 Ijnot domiciled in Pennsylvania ........................ Personal property in Pennsylvania $ If not domiciled in Pennsylvania ........................ Personal property in County $ Value of real estate in Pennsylvania ......................................................... $ TOTAL ESTIMATED VALUE.... $ 50.000.00 Real estate in Pennsylvania situated at: (AUach additional sheen, if necessary.) Street address, Post Office sed Zip Code City, Toweship or Borough Couety A. Petition for Probate and Grant of Letters Testamentary Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated JULY 6, 2010 and Codicil(s) thereto dated State relevant circumstaeces (e.g. renunciation, death of executor, ere) Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, was not divorced, was not a party to a pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g), and did not have a child bom or adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. Q NO EXCEPTIONS ~ EXCEPTIONS 0 B. Petition for Grant of Letters of Administration (If applicable) c.t.a., d.b.n., d.b.n.c.t.a., pendente life, durante absentia, durance minoritate If Administration, c.t.a. or db.n.c.t.a., enter date of Will in Section A above and complete list of heirs. Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person. Q NO EXCEPTIONS Q EXCEPTIONS 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 (attach additional sheets, if necessary): Name Relationshi Address O :v ~ ~7 sn• = = ~ i ~ r - ~~~ ~ ,_y~m t , ~ ~ C ~ ~ ~~ ~- ~ _.~. -'_'~ C~ f..fl :lam ;^ ,~_.~ .~ ~.~--~ Al ~` V ~~ Form 12W-02 rev. /0/1 //2011 Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF CUMBERLAND ^(~~~r~I~-! •i~~~PWGt~V~~f i L~ I '. ,.~r.. A._I~i i~~-<-<~ ~;i j C' .. A. ~ l '~ a 2 ~~'R -5 ~r~ 8~ 5 4 Petitioner(s) Printed Name Petitioner(s) Printed Ad LISA MARIE COYNE I , ~' f`nU~r 1618 W. LISBURN ROAD MECHANICS U~l ,. •~ ~- , The Petitioner(s) above-named swear(s) or affirm(s) 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, the Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before - Date S Zc~/ Z me this ~_ day of ! 1! 1 _1_ ~ Date BY~ ~~~ 1 ~~ ~ L~~-~~ I~~ '~'7% ~ Date 1 For the Register Date BOND Required: Q YES Q NO FEES: Letters ..................... . ( 10) Short Certificate(s)..... . ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . $ C'. ~'C` ~~ C ~ Other ,,,..,,, h i l l ....... ~ ~~1 C~ Automation Fee ............... ~~7 (; (~ JCS Fee . .................... ~`^,~~~ L, TOTAL ..................... $ I ~,"~~f_X ~A:60 To the Register of Wills: Please eater my appearance by my signature below: Attorney Signature: Printed Name: LISA MARIE COYOTE Supreme Court ID Number: 53788 Firm Name: COYNE & COYNE, P.C. Address: 3901 MARKET STRF.RT CAMP HTi.T„ PA 1 701 1-4227 717-737-0464 717-737-5161 T.TSA(g~(:(7YNFAN17Ct7YNF ('(7M Phone Fax: Email DECREE OF THE REGISTER Estate of MARGARET E. MCINTYRE File No: ~ l - ~ ~~ - C ~~ (. j a/k/a: M. ELEANOR MCINTYRE AND NOW, r, ~"-~ ~ ~ ` ~~ ,~` _~_, in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters TESTAMENTARY are hereby granted to LISA MARIE COYNE in the above estate and (if applicable) that the instrument(s) dated JULY 6, 2010 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent Register of Wills ~„~, ~__ ~ ~;~ Form Rw-oz rev. 10/ll/loU Page 2 of 2 ~LQA,L,, STRAR'S CERTIFICATION OF DEATH '~~~~ 'Rf~111~ . ,I i illegal to duplicate this copy by photostat or photograph. 4-~~~1`_ _ `,, ` I ~ n_.. c__ .1_• 14c Lvl uJl~ L.cJ UJJCaIG, ~ V Thls is TO C'ertlt~ t~lt+-I the 10101"R]ah00 hele f?1Ve^ l ~ ~ ~3~R ~~ ~'~~ $~ ~~ correctly copied fr(~nJ an original Certificate of [jeatb duly filed with nJe av 1 ,)cal Registrar. TI(e ouginai C~~RK ~~ certificate will he tbr~(~anicd to tl-le State Vital ~Rp}-{~'~ (;Q~;~~ Records Office t~)r }~(, rjnanent filing. ~' 18161~~ ~ ~' : , " 1-~ ~a~ ~ 0 2or Certification Number %_, TYPe/Print In /~ Permanent zl 5 0 O_ L~.>cal RcgisU-ar 1.7ate issued COMMONWEALTH OF PEN NSVLVANIA. DEPARTMENT OF HEALTH ~ VITAL RECORDS 1. Decedent's La .... ~ v ~~ z s State File Number: gal Name (First, Middle, Last, Suffix) 2. Sex 3. Social Secu rlty Number 4. Date of Death (MO/Day/Yr) (Spell Mo) M. Eleanor Mclnt r e Female 010-O1-9759 March 15 2012 6a Age-Last Birthda (V Sb . y rs) . Vnder 1 Vear Sc. Under 1 Da 6. Oates of Birth (MO/Day/Vea r) (Spell Month) 7a. Birthplace (City and State or Forei n Cou t g n ry) Months Days Hours Minutes WBtertOiia7C1 MA 92 September 21, 1919 7b Birth lace (C t . p oun y) Middlesex Ha. Residence (State or Foreign Country) Bb. Residence (Street antl Number -Include Apt No.) 8c. Did Decedent Live in a Township? Penns lvania ww ~~ s, decedent lived In IJDner Hllen gd. Residence (County) lOO Mt . Allen Dr tw . _ p. Cumberland Se. Residence (Zip Code) Q No, decedenT lived within ilmits of city/boro. 9. Ever in US Armed Forces? 10. Marital Status a[ Time of Death Q Married Widowed 11 Survivi S ' . ng pouse s Name (If wife, give name prior to first marriage) Q Ves ][~[NO Q Unknown Q Divorced Q Never Married Q Unknown 12. Father's Name (First, Middle, Las<, Suffix) ' 13. Mother s Name Prior to First Marriage (First, Middle, Last) Michael Mu h Mar aret Rice 1 f ' 4a. In ormant s Name 14b. Relationship to Decedent 14c. Informant's Mailing Atltlress (STreet and Number Cit State Zi C d g , y, , p o ej Lisa Marie Co a 3901 M k G ar et Hi .... c .................................................•- •----...................................,..---... i..a, are o eac If Death occurred in a Hospital: Lla In Patient ......................... ec ort y one --- ..- --. - -------, --- ..- ---- :If Death O tl t -- ------~~------ l o J ccurre Somewhere O her Than a Hos ICai: P ~HOSPice Facility ~ Decetlen Hame----~-- Q Emarganry Room/OUtpa[I nt Q Dead n Arrival ~a5r u Q Nursing Home/Long-Term Care Facility Other (Specify) 15 b. Facility Name (If noT Institution, gives street and n tuber; ~ 15 Cit T ~ c. y or own, State, and 21p Code SSd. County of Death Hol irit Hos ital C ill am H PA 17011 Cumberland 16a Mathotl f Di S iti m . spos on Burial Q Cremation 16b. Date of Disposition 16c. Place of Disposition (Name of cemetery, crematory or other lace) Q Removal from State , p Q Donation other (spe~lfy) 03 21 2012 Indiantown Ga tional Cemeter 16d. Locarion of Dls oaltion (Cit T ~ p y or own, State, and Zlp) 17a. ature of Fu ral (ce Licensee or n In rge o Interment 17b Li N b . cense um er Annville, PA 014819 6 s 17c. d Cppip~n~Ad~dr f Funeral I h~'}ieeras- `~neraf `~ome 1903 M k ~ , ar et St., Camp Hill, PA 17011 ' lg. Decedent s Education -Check the boz that bast describes She 19. Decedent of Hlspa nic Orl`In -Check [he 20 De d ' t- . ce ent s Race -Check ONE OR MORE ra o indicate what highest degree or level of school completed at the time of death. box thaT best describes whether the decedent th d e ecedent considered himself or herself to be. Q 8th grade or less is Spanish/Hispanic/Latino. Check the "NO" White Q No diploma 9th - 12th Q Korean rade , g boz If decedent is not 5 panish/Hispanic/Latino. Black or African American Q High school graduate or GED com leted Q Q Vietnamese p No, not Spanish/Hispanic/La[Ino Q American Indian or Alaska Native Q Other Asian Some <olle Q ge credit but no tlegree , Q Yes, M¢xica n, Mexican American, Chicano Q Asian Indian Q Native Hawaiian Q Associate de gree (e. g. AA AS) g , Q Yes, Puerto Rican Chinese Q Bachelor's d grae (e.g. BA, AB, BS) Q Ve Q Guamanian or Chamorro O C b s, u an p no Master's degree (e.g. MA, MS, MEng, MEd, MS W, MBA) Q Yes, other Spanish/Htspa nic/Latino Q Jal alne a p se Q OThe Paciflc Islander Doctorate (e.g. PhD, Ed D) or Professional degree (Specify) Q Other (Specs . MD DDS DVM LLB JD ~') _ 21. Decedent's Single Race Self-Designation -Check ONLY ONE fo indicate what the decedent considered himself or h lf b ' ° erse to e. 22a. Decedent ~} s Vsual Occupation -indicate type of work [WhICe Q lapa nese Q Samoan done during most of working life. DO NOT USE RETIRED. Q Black or African American Q Korean Q Other Pacific Isla nd¢r Q American Indian or Alaska Native Q Vietnamese Q Don't Knaw/Not Sure Teacher Q Asian Indian Q Other Asian Q Refused 22b. Kind of Business/Industry Q Chinese Q Native Hawaiian Q Other (Specify) Q FIIiPI^° Q Guamanian or Chamorro Public ScYl00ls ITEMS 23 23 a - MUST BE COMPLETED 23a. ate Prono need Dead (MO Day/Vr 23b. Signature of Person Pronouncing Death (Only when applicable) 23c BY PERSON WHO PRONOUNCES OR Li . cense N umber CERTIFIES DEATN G ~, `/ ZO ~~~7~ 23d ¢ Signed ( o/Day/Vr) 24. Time of Death ' /V ~ . 25 W s Medi l . ca miner o er Contac[etl7 Q Ves No CAUSE OF EATH rpn Approxlm ate 26. Part 1. Enter the Chain of events-diseases, Injuries, or complications-that directly caused [he death DO NOT e t t . n er erm lnal events such ardlac arrest Interval: as c respiratory arrest, or ventricular fi brlllation without scowl fhe etlolo DO NOT ABBREVIATE n E s ~ . r o ly on ca u a Ilne. Add addl al Imes if ry Onset to Death ¢ e o n ce55a ~ IMMEDIATE CAUSE ---------------> a. ~ D ~t O ~ ~ ~i/ ~ ~~ ~~~~~~ ~ ~~ ~ ~' YTT - --^^ (Final disease or condition Oue to (o as a conse , uence of) q : resulting in tleath) b. Sequentially list conditions, Due to (o as a consequence of): If any, leading to the cause listed on line a. Enter the U NDERLVING CAUSE ~ (disease or injury that Due to (o as a consequence of): F initiated the events resulting d. ~ In death) LAST. Due to (or as a consequence of): 26. Part 11. Enter other s~nlflca nt conditi t Ib tl t d th but not resulting In the untlerlying cause iven In P rt 1 g a 27. Was an autopsy pe l ' fo~Jr+ed7 ~ _ ~ ~ Q Yes ~No _ 26. Were autopsy findings avaiiatrle to complete the causes of death? 3' 29. If Female: 30 0 Ves No Did T b . o acco Vse Contribute to Death? Q Not pregnant within 31. Manner of Death past year s Q Probably Q Natural Q Homicide Q Pregnant at time of death Q ~' No Q Q Unknown Q gccidenc Q P Q Not pregnant but re nant ndi ithi d I r- , p g w e ng n 42 nvestigation ays of tleath Q Suicide Q Coultl not be determinetl Q Not pregnant, but pregnant 43 days fo 1 year before tleath 32 Date of I . n Q Unknown If pregnant within the past year jury (MO/Day/Yr) (Spell Month) 33. Time of Injury 34. Place of Injury (e.g. home; construction site; farm; school) 35. Location of Injury (Street and Nu b m er, Clty, STate, Zip Code) 36. Injury at Work 37. If Transportation Injury, Specify: 38. Describe How Injury Occurred: Q Ves Q Driver/Operator Q Pedestrian ~ No ~ Passenger Q Other (Specify) 39a. Certifier (Check only one): Q Certifying physician - To the best of my knowledge, tleath occu red due to the cause(s) and m t r s ated Q Pronouncing Sa Certifying physician - To the best of my knowledge, death occurred at the time date d l , , an p ace, and due to the cause(s) and manner stated Q Medical Examiner/COrone basis minatlon, and/or Investigation In m o l nion d th Gza , y p , ea occurred aT the time, date, and place, and tlue to the cause(s) and m n r sTa [¢d Signature of certifier: Title of certifier: Y(+L .L1 Vicense Number: YL(e Q3 C >i (_~a:_ 39b. Names, Address and 21p Code f Person Completing Cause of Death (Item 26) 39c. D ¢ Signed (M /Day/Yr) HoGtJ~-D c ©E-tE ~,% rn- ~J 5/"7 <3 ~. 'Try, t xr (~ R,a~ _ Y1LEC~-t ~+urc - B u2 g i s ,~ /a oso - (- l -' 7---~ 40. Registrar s District Num er 41 Re istr ' . g ar s l~ 42. Registrar FI a Date Mo Day/Yr) 43. Amendments Disposition Permit No. 0670913 HSOS-143 REV 07/2011 ~~ ~~~~~~~~ ~o ~~~~~~~~ %~ ~ ~~ I, MARGARET E. McINTYRE of Mechanicsburg, Upper Allen Township, Cumberland County, Pennsylvania, declare this to be my Last Will and revoke any will or codicil previously made by me. ITEM 1: Upon my demise, I direct that my body be released to Myers-Hamer Funeral Home, Inc. of 1903 Market Street, Camp Hill, Pennsylvania where I have pre-arranged and pre-paid my funeral and burial expenses. I direct my body be laid to rest in a lot next to my late husband, Cleon D. McIntyre at Fort Indiantown Gap National Cemetery, Annville, Pennsylvania. ITEM 2: I direct that all my just debts and funeral expenses be paid as soon as practical after my death. ITEM 3: I direct that all taxes and interest and penalties thereon that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my Estate. ITEM 4: I direct my estate be distributed among the following persons or organizations and in the following manner: a. I give and bequeath to the CATHOLIC DIOCESE OF HARRISBURG the sum of Ten Thousand Dollars ($10,000.00) upon the condition that this bequest be used for retired.~-iests; '=~ .~'~' ' Ul - - ... y t7 ;~ ~.... _~ ~ r. ~ ---i ~,.~, - `: . ~=, 1 ~ ~~•, ~,_ b. I give and bequeath to the AMERICAN RED CROSS OVERSEAS ASSOCIATION, Post Office Box 7406, Ben Franklin Station, Washington, D.C. the sum of Five Hundred Dollars ($500.00); c. I give and bequeath to the ST. FRANCIS OF ASSIS CATHOLIC CHURCH, 1439 Market Street, Harrisburg, Pennsylvania the sum of One Thousand Dollars ($1,000.00); d. I give and bequeath my jewelry box and jewelry to my friend, DEBBIE WHITE; e. I give and bequeath my upholstered rocking chair to my friend, JENNY JOHANNSE[~l; and f. I give and bequeath my bar, Tea Table, Harvard Chair and all German articles and memorabilia, and remaining furniture and personal effects to LISA MARIE COYNE of 3901 Market Street, Camp Hill, Pennsylvania; ITEM 5: I give, devise and bequeath all the rest, residue and remainder of my estate of every nature and wheresoever situate, together with insurance thereon to be divided among the following organizations and in the following percentages: a. Ten Percent (10%) to the SALVATION ARMY of 1122 Green Street, Harrisburg, Pennsylvania; b. Ten Percent (10%) to ST. ELIZABETH ANN SETON of 310 Hertzler Road, Mechanicsburg, Pennsylvania to be used for the sole purpose of their CCD Program; 7n. ~ , ~ 2 c. Ten Percent (10%) to the BETHEDSA MISSION of 611 Reily Street, Harrisburg, Pennsylvania; d. Twenty Percent (20%) to the OFFICE OF VOCATIONS OF THE CATHOLIC DIOCESE OF HARRISBURG, Harrisburg, Pennsylvania, to be used for the promotion of priestly vocations in the Diocese of Harrisburg; and e. Fifty Percent (50%) to the SISTERS OF ST. FRANCIS OF PHILADELPHIA, in memory of my sister, Sister Catherine Murphy, to be used for the maintenance and operation of the Assisi House of 600 Red Hill Road, Aston, Pennsylvania. ITEM 6: Until distributed, no gift or beneficial interest shall be subject to anticipation or voluntary or involuntary alienation. ITEM 7: I further direct my personal representative to destroy by burning all my personal papers, photographs, or scrapbooks located at my residence at the time of my death except for such papers as may be necessary or requisite to effect the administration of my estate. In this regard, I further direct my personal representative shall have access to my personal effects, papers and property and access be limited exclusively to my personal representative or her duly authorized agents ur ~ representatives. ~ ~I mL~ 3 ITEM 8: I appoint LISA MARIE COYNE, ESQUIRE, Executrix of this my Last Will. Should Lisa Marie Coyne, Esquire, fail to qualify or cease to act as my Executrix, I appoint HENRY F. COYNE, ESQUIRE, Executor of this, my Last Will. ITEM 9: In addition to the other powers and authorities granted to my personal representative by Pennsylvania Law and by other terms and provisions of this Will, I hereby give to any personal representative the following powers and authorities effective without court approval and until actual distribution of all property: to compromise any claim or controversy; to make distribution in cash or in kind, or partly in cash and partly in kind, and in such manner as my personal representatives may determine and at valuations finally to be fixed by my persona representative; to invest in all forms of property; including any stock or other securities in any corporate fiduciary or its successor without restriction to investments authorized for Pennsylvania fiduciaries, as my personal representative deems proper, without regard to any principle of risk or diversification; to retain any or all assets of my estate, real or personal, without regard to any principle of risk or diversification; to sell at public or private sale, to exchange, or to lease for any period of time, any real or personal property and to give options for sales, exchanges, or leases, for such prices and upon such terms or conditions as my personal representative deems proper; and to allocate receipts and expense to principle or income or partly to each as my personal representative deems proper in their sole discretion. ~'ifG~ ~, 4 rT ITEM 10: I direct that my personal representative or their successors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this ~ day of ~ 2010. ~'~~ ~,~ ~~~~~ MARGARET E. McINTYRE Signed, sealed, published and declared by the above-named Testatrix as and for her Last Will and Testament in our presence, who, at her request, in her presence and in the presence of each other, have hereunto subscribed our names as attesting witnesses. t ~ residing at 1d9~~~~ ~~, ~~ ~~s~~,fj ~7Q~ g ~~~~iding at //rJ C. L.e ire.. / / !/.~1 /1 ~l tu..~ !ft ~~ +' f~ / 74~ r I 5 - - _ ~ ~ COMMONWEALTH OF PENNSYLVANIA ) ss: COUNTY OF CUMBERLAND ) We, MARGARET E. McINTYRE, i4~7! A ~ ~ • ~iwiv and rv -- ~t, ~w~ ,the Testatrix and the witnesses respectively, whose names are signed o the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and that she had signed willingly, and that she executed it as her free and voluntary act for the purpose therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the will as witness and that to the best of his or her knowledge, the Testatrix was at the time eighteen (18) years or older, of sound mind and under no constraint or undue influence. '" y MAR T E.1McINTYRE ~ ~~~. Witness lLl.-~- Wi ess Subscribed, sworn and acknowledged before me N r~ ~,u~ by MARGARET E. McINTYRE, the Testatrix, and subscribed and sworn to `before me by ~~~'~ ~ /~Onf~o~/ and /'+/1t~y~y ,C [~1NLS the witnesses, this ~' .day of , 2010. /~~ No ry Public (SEAL) COMMONWEAtTM,O~ ~N~iir'L11AN1M NOTAf~,IAL SEAL ' l_i~a Marie Coynt, Wptary Public Hampden Township, CumberlaAAL4ot-ntM My Commission Expires June #~,~20t~ 6