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Home My WebLink About04-24-12PETITION 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 in support thereof aver(s) the following and respectfully request(s) the grant of Letters in the appropriate form: Decedent's Information Name: Mary Ann C. Philhower a/k/a: a/k/a: a/k/a: Date of Death: Anri18.2012 File No: ~~ -' ~' ~ ~~ (Assigned by Register) Social Security No: 148-30-2377 Age at death• 71 Decedent was domiciled at death in Cumberland County, pennsvlvania (state) with his/her last principal residence at 103 Springview Road, West Pennsboro Township Cumberland Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 103 Sprinaview Road Carlisle Cumberland PA Street address, Post Office and Zip Code City, Township or Borough County State Estimate of value of decedent's property at death: If domiciled in Pennsylvania .......................... .. All personal property $ 5,000.00 If not domiciled in Pennsylvania ...................... ..Personal property in Pennsylvania $ If not domiciled in Pennsylvania ...................... ..Personal property in County $ Value of real estate in Pennsylvania .................... ..................................... $ 178,200.00 TOTAL ESTIMATED VALUE.... $ 183.200.00 Real estate in Pennsylvania situated at: 103 Springview Road, Carlisle Cumberland (Attach additional sheets, ifnecessary.) Street address, Post Office and Zip Code City, Township or Borough County 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 thereto dated 07/ 19/2007 and Codicil(s) State relevant circumstances (e.g. renunciation, death of executor, etc.) 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 born or adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. Q NO EXCEPTIONS ~ EXCEPTIONS B. Petition for Grant of Letters of Administration (If applicable) c. t. a., d.b.n., d.b.n.c.t.a., pendente lite, durante absentia, durante minoritate If Administration, c. t. a. or d.b.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 ®EXCEPTIONS Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (ifany) and heirs (attach additional sheets, if necessary): Name Relationshi Address =~- ~7 ~,,, t-- ; , }}_ , ~.. ~ ~ f-1'i ~.~ _' __ -~-' Form RW-02 rev. 10/11/2011 ~~~ Page 1 of 2 '~ Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF Cumberland } Official Use Only ~,~ - ~~~ - r-n r.~ _ ,- %~ Petitioner(s) Printed Name Petitioner(s) Printed Addr~~s~:-~ ~:,~ T - Karen A. Miller ._ 7 Shea Court Carlisle PA 17015 - T' Dou las H. Philhower ~ _. ~. 205 N. Forke Drive, Advance, NC 27006 x= The Petitioner(s) above-named swear(s) or affirm(s) the statements in of Petitioner(s) and that, as Personal Representative(s) of the Decede Sworn to r affirmed a ~t~ me this ~ _ day of 13y: ~~_~ ~ . ~ BOND Required: ~ YES Q NO FEES: Letters ...................... $ ( )Short Certificate(s)..... . ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other ........ Automation Fee .............. . JCS Fee . .................... TOTAL ..................... $ 0.00 foregoing Petition are true and correct to the best of the knowledge and belief the P tioner(s) will well and truly administer the estate a[~ccordin~g/to law. 1 ,(~ Date / l ~~ Date Date Date To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature: ,~" ' . ~ti `l ~' ~'`~ Printed Name: Mark A. Mateya Supreme Court ID Number: 78931 Firm Name: Mateya Law Firm Address: 55 W Church Avenue Phone: Fax: Email: Carlisle, PA 17013 241-6500 241-3099 ~n3u1(~.m3teyalatx~ cam DECREE OF THE REGISTER Estate of Marv Ann C. Philhower File No: ~~ - ~ -ri 7 ~~ a/k/a: AND NOW, /t-~-~ , in considerati n of the for going Petition, satisfactory proof having been esented before me, IT IS DECREED that Letters (~ /nt1~ ~ lit r e h r by granted to ~ 1 ~ Cl h li,,~ /~ ~,.[ ~, ~~j // I,/7~ts in the above estate and (if applicable) that the instrumei'it(s) dated ~7 described in the Petition be admit Form RW-02 rev. 10/11/2011 probate and filed of Register of Wills ...b.. ~. .,~ .... ~I- I ~.- ~~q~, ' )l ~ F'~J~~E~L~ t, .F1. ~.' 'i` '~~Y ~. .. I ..,'~ c~_~t~r~ ~'~ OR~N,^~N 5 I:;u~1~;T P 18 3 2 9 4 4 8 ci.ih~r~~~~I ~P~ ,. ,~ ~a, ~ L ~Zitive. ~ . t-e,~.c. APR 9 2 f! 12 Type/Print In ' _ -- COMMONWEALTH OF PENNSYLVANIA ~ DEPARTMENT OF HEALTH ~ VIAL RECORDS Permanent ; !'F~TI C~f"'ATC Ac n - -- State File Number: 1. Decedent's Legal Name (First, Middle, Last Suffix) ~ , 2. Sex 3. Social ecuri[y Number 4. Date of Death (MO/Day/Vr) (Spell Mo) Mary Ann Philhower Femal 14~ 30 23 e - - 77 April 8, 2012 Sa. Age-Last Birthday (Yrs) 56. Under 1 Vear Sc. Under 1 Da 6. Date of Birth (MO/Day/Year) (Spell Month) 7a. Birthplace (City and State Forei n Count ) ~~ g ry .71 Months Days H°„rs Minutes A Somerville, NJ 1 ug_ 3, 1940 2b. Birthplace (County) S` 8a. Residence (State or Foreign Country) Sb (Street and Number - IgcJude A t N p °') 8c. Did Decedent Live in a Township? YH 1`~~e"S~prin view Rl g 3 _ Yes, decedent lived in west Pennsboro tytp 8d. Residence (County) Cumberland ' Se. Residence (Zip Code) ]_ ]O15 0 No, decedent lived within limits of city/boro. 9. Ever in US Armed Forces? 10 arital Status at T(me of Death 0 Married ~ Widowed 11. Surviving Spouse's Name (If wife give name rior to ti rst i , p m ageJ ~ Ves ~ No Q Unknown ® pivorced ~ Never Married ~ Unknow err 1 Father's Na (F Mddle, Suffix) 13. Mot Name Prior to First Ma cage (First, Middle, Last) 2.loseph rt'VVaYchins~y Cat~=lerine Zamorsfci 14a. Informant's Name 14b Relation hi t D d ' 0 . s p o ece ent Karen Miller daughter 14c. Informant s Mailing Address (Street and Number, City, State, Zip Code) 7 Shea Ct_, Carlisle PA 17015 G s , ............................................. 15a. Place o D eat C ec only one If Death Occurred in H t l i ~ ~ ° a os e p : pa If Death Occurred Somewhere Other Than a Hos ital: ~~~~ ~~~~ ~~ ~~~~ ~~~~ ""' In tient p ~] Hospice Facility [Decedent's Home Q Emergency Room/Outpatient ~ Dead on Arrival ~ Nursing Home/Long-Term Care Facility ~ Other (Specify) 1 b F alit Narrte (If noC Institution, glY street and number; SSC. City or Town State, d ZI Code iSd. County of Death- ~0~ SYpringview Road Ca li le P 1p r s , A 7015 Cumberland a m 16a. Method of Disposition 0 Burial Cremation 16b. Dale of Disposition 16c. Place of Disposition (Name of cemetery, crematory, or other place) p Rempval frpm st r a e p °pnau°" Apr 10 , 2012 Ho££man-Roth Funeral Home & Crematory ~ Other (Specify) Z 16d. Location of Disposition (City or Town, State, and Zip) 12a. 6' t of Funeral or erson in Charge of Interment 176 License Number . Carlisle, PA 17013 138504 0 12c. Name and Complete Address of Funeral Facility Ho££man-Roth Funeral Home & Cremato , 219 North Hanover Street, Carlisle, PA 17013 18 ' m . Decedent s Education -Check the box that besT describes The 19. Decedent of Hispanic Origin -Check the 20. Decedent's Race -Check ONE OR MORE r o Indicate what hi h d t ~ g est egree or level of school completed ai the time of death. box that best describes whether the decedent the decedent considered himself or herself to be . Q 8th grade or less is Spanish/Hispanic/Latino. Check the "NO" (~ WhiTe Q Korean Q9 No di loma 9th 12th d p , - gra e box if decedent is not Spanish/Hispanic/Latino. ~ Black or African American ~ Vietnamese Q Hi h h l d g sc oo gra uate or GED completed ~ No, not Spanish/Hispanic/Latino ~ American Indian or Alaska Native 0 Other Asian ~ Some ll d b co ege cre it, ut no degree 0 Ves, Mexican, Mexican American, Chicano ~ Asian Indian ~ Native Hawahan ~ Associate degree (e.g. AA, AS) Q Ves, Puerto Rican ~ Chinese 0 Guamanian Ch ' or a morro ~ Bachelor s degree (e.g. BA, AB, BS) Ves, Cuban ~ Fili ino p 0 Samoan ~ Master's degree (e.g. MA, M5, MEng, MEd, MSW, MBA) ~ Yes, other Spanish/Hispanic/Latino 0 Japanese ~ Other Pacific Islander ~ Doctorate (e.g. PhD, EdD) or Professional degree S if ( pec y) ~ Other (Specify) . MD, DDS, DVM, LLB, JD 21. Decedent's Single Race Self-Designation -Check ONLY ONE to indicate what the decedent considered himself or herself to be 22a Decedent's Usu l O l . . a ccu pat on -Indicate type of work ~ White ~ Japanese Q Samoan tlo e d i rs ur ng most of working Ilfe. p0 NOT USE RETIRED. Q Black or African American ~ Korean ~ Other Pacific Islander ertl£1ed Nursing Assistant Q Americ n Indian or Alaska Native ~ Vietnamese ~ Don't Know/Not Sure 0 Asian Indian ~ Other Asian ~ Refused 22b. Kind of Business/Industry Q Chin ese ~ Native Hawaiian ~ Other (5 peclfy) Nursin m H p F g ome pino O ~°amanian °r cnam°rrp ITEMS 23a - 23d MUST BE COMPLETED 23 a. Date Pronounced Dead (MO/Day/Yr) 23b. Signature of Person Pronouncing Death (Only when a lica ble7 23 Li BY PERS pp c. cense Number ON WHO PRONOUNCES OR ~ ~ / ~- CERTIFIES DEATH ~ - `~ 1 ' 23d. Date Signe-dp(MO/Day/V r) 24. Time of Death ./~-r 1 O l~J ~ C3'- $ eZ ~ 26. Was Medical E or Coroner Contacted") Yes No GAlJSE OF DEATH Approximate 26. Part I. Enter the chain of events--diseases, injuries or complications--that directly caused the death. DO NOT enter terminal events such as cardiac arrest Interval: respiratory arrest, or ventricular fibrillation without showing the etiolo y. DO NOT ABBREVIATE. Enter only one cause on a line. Add additional lines if necessary O to Death ~J (~ et ~ ~ ~ IMMEDIATE CAUSE --------- -----> a. `-C- • li L G...L~( t.i L~ t~ ~S` (FI al disease o condition Due to (o as a consequence of): resulting in death) b. - Sequentially Ilst condit)o ns, Due to (or as a consequence of): if any, leading to the cause listed on line a. Enter the UNDERLYING CAUSE Due to (or as a consequence of): (disease orlnjury that _ vitiated the a nts resulting d. e In death) LAST. Due to (or as a consequence of): tj 26. Par[ 11. Enter other significant cond"dons co n[r'butin t d ih but not resulting in the underlying cause given in Part 1 27 Was an autopsy erformedT ~ . p O Ves No m 28. Were a opsy findings a ailable ' to complete the cause of death? ~ ' w O Yes O No 29. It Female: 30 Did T " o . obacco Use Co ntrtbute to Death T 31. Manner of Death ~ Not pregnant within past year ~ Ves 0 Probably ral _~Natu Q Homicide ~ Pregnant at time of death ~~cc--II -°~NO 0 Unknown 0 Accident ~ Pending Investigation N t Q o pregnant, but pregnant within 42 days of death ~ Suicide 0 Could not be determined ~ ~ No< pregnant, but pregnant 43 days to 1 year before death 32. Date of In'ur Mo Da /Yr 5 J Y ( / Y ) ( Pell Month) ~ Unknown if Pregnant within the Pasf Year 33. Time of injury 34. Place of Injury (e.g. home; construction site; farm; school) 35. Location of Injury (Street antl Number, City, State, Zip Code) 36. Injury at Work 37. It Transportation Injury, Specify: 38. Describe How Injury Occurred: 0 Yes 0 Driver/Operator 0 Pedestrian ~ No ~ Passenger ~ Other (Specify) 3 9a . Certifier (Check only one): ~ r ~f Certify(ng physician - To the best of my knowledge, death occurred due [o the cause(s) and m r slated Q Pronouncing Sa Ce rti ing physician - To the best of my knowledge, death occurred at the time, date, and place, and due to [he c se(s) and manner stated ~ Medical Examine C r On the basis of examination, and/or investigation, in my opinion, death occurred at the time, date, and place, and due to the cau ~ o er s e( d [l P( tafed a 1 (( {' ~ Signature of certifie Title of certifier: ~l ~ ~ License Number: ~ 'J ~ ) _ l- ~ ~' 9 N Adryress and 21p Code of Com plet~g C e of D h (Item 26) 39c. D to ~ d (~ ay/Yr) ' 40. Registrar s District Number 41. Registrar's 5' re 42. Registrar Flle Date (MO Day/Yr) a3. Amendments Disposition Permit No. 6~~ ! ),L7 H305-143 REV 07/2011 .'-~ . LAST WILL AND TESTAMENT =~ ~ , ,.:, _ , , -';> :, ~-~ ; ~. c,, Za >. ry MARY ANN C. PHILHOWER ~ _ .l: :,~ _. _ - r ~;, I, MARY ANN C. PHILHOWER of Cumberland County, Penns~ivania, --r~ 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 the expenses of my last illness from my estate as soon after my death as conveniently may be done. I direct that my body be cremated and that my remains be disposed of as my personal representative shall deem appropriate. SECOND I give, devise and bequeath all the rest, residue and remainder of my estate, to my children, CATHERINE P. McCARTHY, of Somerset, NJ, DOUGLAS H. PHILHOWER, of Advance, NC, KAREN A. MILLER, of Carlisle, PA, and DAREN J. PHILHOWER, of Flemington, NJ, in equal shares, perstirpes. THIRD SAIDIS, FIAWER ~ LIlVDSAY ~~~~S.AT.~W 2109 Market Street Camp Hill, PA In addition to the powers conferred by law, I authorize any personal representative acting under this instrument, in his or her 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, 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; 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 vv, ,.~. .hnn"r~nnal re~rPSP-'lt~tive, in hiS nr her 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 his or her 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 his or her discretion may deem wise. FOURTH I do hereby nominate, constitute and appoint DOUGLAS H. PHILHOWER, SAIDIS, FIAWER Sz LINDSAY ATTORNEl'S•AT•IAW 2109 Market Street Camp Hill, PA of Advance N.C., and KAREN A. MILLER, of Carlisle, Cumberland Co~.~nty, Pennsylvania, or the survivor of them, to act as Lo-Executors of this my past Vtiiii and Testament. FIFTH I direct that no personal representative, guardian, trustee or other fiduciary appointed under this instrument shall be required to give bond for the faithful performance of his or her duties in any jurisdiction. 2 IN WITNESS WHEREOF, I, MARY ANN C. PHILHOWER, have hereunto set my hand and seal to this my Last Will and Testament, consisting of three (3) typewritten pages, the//..first two (2) of which bear my signature in the margin for identification, this ~"c7ay of , 2007. ~~lAR,Y ANN C. PHILHOWER Signed, sealed, published and declared by the above-named MARY ANN SAIDIS, FLOWER S~ LINDSAY ATTORh~EYS•AT•IAW 2109 Market Street Camp Hill, PA C. PHILHOWER, Testatrix, as and for her Last Will and Testament in the presence of us, who have hereunto subscribed our names at her request as witnesses thereto, in the presence of said Testatrix and of each other. -~( ADDRESS Z ~• Qvl csl~e ~.3 ADDRESS ~~ ~~:~T ~~~•~ .~ ~~ ~~% ~~ / ~d~~ 3 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND W MARY ANN C. PHILHOWER, ~- and the Testatrix and witnesses, respectiv whose na es are signed to the foregoing or attached 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 Testament and that she signed willingly and that executed as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix signed the Will as witnesses and that to the best of their knowledge the Testatrix was at the time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. ___ _.__ ~ ,. , ARY ANN C. PHILHOWER Witness Witnes SAIDIS, FLOWER Sz LINDSAY ATNILYEYS•APIAW 2109 Market Street Camp Hill, PA Subscribed, sworn to and acknowledged before me by MARY ANN C. PNiL •~1'v"dE ih T e~tairix, aiid S~:bsC"ibec~' to a'~d ~ V^vrn ~r ffirrneu! t~ h°fnrQ ma by - and .~.~t~yvitnesses, this ~b` day of , 2007. IC 4 NOTARIAL SEAL MERLENE J. MARHEVKA, NOTARY PUBLIC CARLISLE, CUMBERLAND COUNTY, PA MY COMMISSION EXPIRES JUNE 8, 2010