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HomeMy WebLinkAbout07-27-12PETITION FOR GRANT OF LETTERS ~., ~=y ,-, REGISTER OF WILLS OF CUMBERLAND COUNTY, PEI;1(LVAA~A ~'`= ~, ,, ,_~ Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for Letters as specified below, and~Fport th~gof aver(~;thl following and respectfully requests the grant of Letters in the appropriate form: ...~ -. LISA A. MENTZER and TERRY L. ENGLE ~ u } ~ ; `_._ C- ` .... Decedent's Information Name: NANCY LOU LEMMING a/k/a: NANCY LEMMING a/k/a: a/k/a: Date of Death: 07/13/2012 Decedent was domiciled at death in Cumberland County, PA principal residence at 27 SPRING DRIVE, SHIPPENSBURG 17257 SOUTHAMPTON Street address, Post Office and Zip Code City, Township or Borough (State) with his/her last Cumberland County Decedent died at 27 SPRING DRIVE, SHIPPENSBURG 17257 SOUTHAMPTON Cumberland PA Street address, Post Offce 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 $ Ifnot domiciled in Pennsylvania ................. Personal property in Pennsylvania $ If not domiciled in Pennsylvania ................. Personal property in County $ Value of real estate in Pennsylvania........... $ Real estate in Pennsylvania situated at 27 SPRING DRIVE, SHIPPENSBURG 17257 (Attach additional sheets, if necessary.) 270,640.00 34,400.00 TOTAL ESTIMATED VALUE$ 305,040.00 SOUTHAMPTON Cumberland Street address, Post Offce and Zip Cade City, Township or Borough ^x A. Petition for Probate and Grant of Letters Testamentary Petitioner(s) aver(s) that he/she/they is/are the Executor(s) named in the Last Will of the Decedent, dated thereto dated 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 mar ,was not divorced, was not a pa to a pending divorce proceeding wherein the grounds for divorce had been established as defned in 23 Pa. C.S. ~§ 3323(8), and did not have a child orn or adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ^X NO EXCEPTIONS ^ EXCEPTIONS ^ B. Petition for Grant of Letters of Administration (If applicable) c. t. a.; .b. n.; d.b.n.c.t.a.; pedente ate; urante a sentta; durante mtnontate 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 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. ^X NO EXCEPTIONS ^ 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 Relationship Address DONALD LEMMING Son P.O. BOX 812 MARENVILLE, PA 16239 TAMMY LEMMING Daughter 2508 WALNUT STREET, APT. 1 HARRISBURG, PA 17103 TERRY L. ENGLE Daughter 1980 WENGER LANE CHAMBERSBURG, PA 17201 LISA A. MENTZER Daughter 27 SPRING DRIVE SHIPPENSBURG, PA 17257 See continuation schedule attached File No: 21-12 - -, t`y~ (Assigned egister) ~ "T' ..J Social Security No: 315-54-0958 Age at Death: 73 County Form RW-O2 rev. 10-11-2011 Copyright (c) 2011 fonn software only The Lackner Group, Inc. Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: couNTY of Cumberland } Official Use Only Petitioner(s) Printed Name Petitioner(s) Printed Address LISA A. MENTZER 27 SPRING DRIVE SHIPPENSBURG, PA 17257 TERRY L. ENGLE 1980 WENGER LANE CHAMBERSBURG, PA 17201 n C '_" ~ ~-a ~~ .?-, [ N ~' ' s -r ~Zc.,, ..,.~ - 0 The Petitioner(s) above-named swear(s) or affirm(s) the statements in, the foregoin Petition are true and correct to the be a know) e and`:= ~ s belief of Petitioner(s) and that, as Personal Representative(s) of the~ecedent, Pet}~'oraer(s) will we I and truly administer t - _ ate actor to IaV(r< r'n Sworn t affi~ed an ubscr' ed before ~'~ ~ ~ ~ 1 ) - - ~ ~ Date ~ !~`~ ~~ me thi day Qf ~©J~- ~ ~>/ ~, ~ ~ oats ~~~ ~, I -~ By: Date ~. o A~~~~A~ Date BOND Required? ~ Yes ~ No FEES Lett ................................. ( ) Short Certificate(s) ( )Renunciation(s)..... ( )Codicil(s) ............... ( )Affidavit(s) ............. Bond .................................... Commission ........................ Other. h/ I ,C/ ,~ ~ ~" ~ ' O` Automation Fee ............................. ,h . ~ c JCS Fee ......................................... -~~ 'Z/ TOTAL ........................................... $ , - ~_ To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature: Printed Name: Hamilton C Davis Supreme Court ID Number: 10264 Firm Name: Zullinger Davis, PC Address: 20 East Burd Street Suite 6 Shippensburg, PA 17257 Phone: 717/532-5713 Fax: 717/ E-mail: hdavis@Zullinger-Davis.com DECREE OF THE REGISTER Estate of NANCY LOU LEMMING a/k/a: NANCY LEMMING Date of Death: 07/13/2012 Social Security No: 315-54-095 File No: 21 -12 "' r AND NOW, ~ LL ~l-~ ~ ~~ ,~ L~ satisfactory proof having been pr ented before me, IT IS DECREED that Letters are hereby granted to LISA A. MENTZER and TERRY L. ENGLE in consideration of the foregoing Petition, Testamentary in the above estate and (if applicable) that the instrument(s) dated (,(,,~ r%t ~~ d U j described in the Petition be admitted to probate and filed of record as the a t Wiill (and Codicil(s)) o Decedent. I ~~~ Register of Wills Copyright (c) 2011 form software only The Lackner Group, Inc. 2of2 t~ ,,~ ;,` . -~ '~~r~av~€v~~: ~~ Irv ~~~,`~~ ~:- T ~;, ~,,w.Qt- [~eE~ ii~lr IhsS _rrtiic.uc. S(;.I)ti ( c(-lux }tifln tiullrFu~1 ./Print In ~!? JUL 27 AM I [. QS OHrrl,~d`5 ~;~1~~-~r CUMBERLAND Cp4 <~A COMMONWEALTH OF PENNSYLVANIA • pEPAPTMENT OF HEAIiH • Vligl RECORDS CERTIFICATE OF DEATH I. Decedent's legal Name (First, Middle, last, Suffx 2. Sex 3. Social Security Number 4. Date of Death (M9/Oay/Yr) 6pell Mpj c~ Lo 315-~4•- Swl 13~c>f~ Sa. Age-last Birthday lYrsj 5 nder l Year Sc. Under 1 Da ~ 6. Date of Birth lM9/D aV/Yearj (6Pe1 1 Month) )a. Birthplace (City ar}d S tate or Fo ign Coun tryj '"'7 Montns Days Hours Minutes r~ l - 1v / ~ ~-('.Y11 ~ ('.V I ~ I C~ ~J )b. Birthplace (County) ~~ Ba. Residence (State or Foreign Country) Hb. Residence (Street antl rvumber ~ Include Apt rvo.i Bc. Did Decedent Llve In a Townships 1 d ~ '• / ~ ~ I Yes. decedent lived In _sS ~I1 TYlt1 'vY4n~~'F %1 two. Hd. Residence (Counryl 1 ~ ~~ IYl~ (~ ~ y ls _1 L y 8e. Residence (Zip Codel ^ND, dxedent livetl within limits of city/born. 9. Ever In US Armed Forces) 10. Marital Status at Time of Death ^ Married Widowed 11. 9urvNing Spouse's Name Ilf wife, give name prior [o Przt marrlagel ^Yes ~N9 ^Unknown ^Divprced ^Never Married ^Unknown 12. Father s Name (First, Mltldle, last, Sufflxl 13. Momei s Name Prlpr [p First Marriage (First, Mitldle, Last) ~~: ~l~ ~'LV} A' 14a. Informant's Name 14b. Relationship to Decedent 14c. Informant's Ma l ll ng Address (Street and Number, CIN, Stale, Zip Coae p r ~~ ~(/ ~ 1 V I ~) c ~ G . . . Sa. P ace of Death (Check on one : _ . ... .......... ........................................... ............................. ^ patient u Deam oaprred m a Hospital: m ........................................................... ............................... ................................... V+~ ................................... If Death Occurred Somewhere Other Than a Hospital: [y Hospice Faclllry RF Decedem's Home ^ Emergency Room/Outpatient ^ Deatl on Arrival ~ ^ Nursing Home/Long-Term Care Facility ^ Other ISpeclN) 19b. facility Name llf not Institution, give street and number; 16c. fi or Town, State, antl tip Code 19d. County of Death J L 1 u1 C ~ Sfia. Method o DisposiD ^ Burial ~ Cremation 16b. Date 9f I osition s 16c. Plat Disposition (Name of cemetery, crematory, or other place) ^ Removal from state ^ Donation ~-F 1"I 1 - Other(Specify) / I~~GId , VV`^? CLV~I C..Y ('NnC(,-IUY V}A -<1N R111['Yr1 2 16d. location of pisposi[ipn (City or Town, State, and tip) IJa. Signa Fun al 5 rv ce LI<en a or person In Charge of Interment 1)b. license Number ' ;h~ .u~lsbu Pa 1~a57 f-L70137 Ltd o r vt rvame and coin tare Aedrea. 9r F9neral FaclutY 1~ CL 1 C ~ •.. W10. V- ~ I .'T$ `~ ICY > .. Li "c ) ~.~'J 7 1H. Dace ant's Education ~ Check the box tnat best tles<nbes me 19 Decea of Hispame Agin -Check the 10. cetlent's Pace - Chec ONE OR MORE rates to Indicate what highest degree or level of scnopl completetl at the time pf tleath. box [hat best describes whether [he decedent the decedent ronsidered himself or herself to be ^ Hth grade or less is Spanish/Hispanic/Latino. Check the "No" White ^ Korean ^ No diploma, 9th ~ 12th grade bor II decedent Is not Spanizh/Hispanic/latlno ^ Black or African American ^ Vietnamese ~ Nigh school graduate or GEO completed ($ No, not Spanish/Hispanic/latin9 ^ American Indian or Alaska Native ^ Other Asian ^ Some college credit, but no degree ^Ves, Meeican, Mexican American, Chicano ^ Asian Indian ^ Native Hawaiian ^ASSOCiatedegree le.g. AA, ASI ^Ves, Puerto Plcan ^Chinese ~GUamanian 9r Chamorrp ^Ba<heloisdegreele.g. BA. AB, BSj ^Vez, Cuban ^Filipino ^Samoan ^ Master's tlegree le.g. MA, MS, MEng, MEd, MS W, MBAI ^ vas, othe. Spanish/Hispanic/Latino ^lapanese ^ Other Pacific Islander ^ Doctorate le.g. PhD, Ed0i or Prolessl9nal degree ISpeclN) ^ Other (6pecIN) .. MD, 005, DVM, lLB 1D 21. Decedent's Single Race Self-Designs n -Cneck ONLY ONE to indicate what the decedent considered himself or Herself to be. Ip 22a. Decedent's Usual Occupation -Indicate type of work ~WM1lte ^lapanese ^Samoan tlone during most olw9rking life. DO NOTUSE RETIRED. ^ Black pr African American ^ Korean ^ Other Pacific Islander ^Amercan Indian or Alaska Native ^Vietnamese ^D9n't Know/NO[Sure `~ F~gY14•~-t1'1Y- l('~' ^ Asian Intllan ^ Othe. Asian ^ Defused 226. Kind of Business/Industry ^ Chinese ^ Natve Hawaiian ^ Other (6peciN ^Flllplno ^Guamanian or Chamorrp ~QYVIK'~~f}(.., ITEMS 23a -23d MUST HE COMPLETED 8Y PERSON WHO PRONOUNCES OR 23a. Dale Pronounced Dead (Mp/Day/Yr) 236. Signature o/ Pe Pronouncing Death ( rIIY wlyen apPllcable )! I n 23c. license Number CERTIFIES DEATH /~ '2 U I r3 aU J `. \ r`~krL1-+I.•(_• ) ~~..f_,~J].-~.,_~ ~ / V _ ~ r< <. C_ ~ •? ~ v~~~ • ~ 23tl. Date igned IMO/DaV/Yrl Z4. i _ 'J - " J C1 I~' _ ~ ~` 25~Was M¢dical Eramin¢r Or Coroner COn[dctedJ ^ Ves No CAUSE OF DEATH Approximate ifi. Part 1. Enter me chain of event:-disease:. injuries, pr cpmpl'iatipns--root etrealy au:ea m¢e¢am. Do rvor¢nten¢rm'inal evemF~urn a: cardiac arrest Imerval: respiratory arrest, or ventricular tlbrilla[ion without sh, the etiology. DO NOT ABBREVIATE. Enter only one cause on a sine. Add additional lines if necessary ~ Onset [o Death ~ IMMEDIATE CAUSE ------~-~--~-~-> a. ~~~ /,' r (Final disease or condition Due to for asaconse9uence of): resulting In death] b . se9umually list coneuipn:, oue m for as a c9n.e9uence orp. stony, leading to the cause listed on line a. Enter the UNDERLYING MUSE Due to for asaconse9uence 90'. (disease or injury that _ Initiated the events resulting tl. I^deaml wsr. operolo. asa~onse9 a ce or) 5 z6. Pan n. E^rer otnenlgnincant coneinons <pnmbunng to dean bin not reswnng m me I,ndenying cause groan m Pan I zJ. was an apmPay performed? ^ v [~-No E 28. Were autopsy findings available [o omplete the cause of death) c u ^Yes CJ'A- 29. If Ferpale: 30. DId~~.T~~ co Use Contribute to Death? ac 31 MaJ^er of Death E Q'NOt pregnant within past year (~•Ves ^ Probably [}'Natural ^ Homicide ^ Pregnant at time of death ^ No ^Unknown ^ gccitlent ^ Pending Investigation ^ Not pregnant, but pregnant within 42 days of dead ^ Suicide ^ Ceuld not be determined ^ Not pregnant, but pregnant 43 days [0 1 year before deatk 32. Date of Injury IMp/Oay/Vr) (Spell Month) ^ Unknown Ii pregnant within [he past year 33. time of Injury 34. Place of Injury (e.g. home; construction site; farm; scnooll 35. location of Inlury (Street and Number, Ciry, State, Zlp Cpde( 36. Injury at Work 3). If transportation Injury, Speciy. 3P. Describe How Injury Occurred- ^ Ygs ^ 0nvedOperator ^ Petlestna n p-Np ^Passenger ^omer lsPeciNl ____--.._ 39a. I jrtlfier (ChecM only one). C(CeniNing physician ~ To the best of my knowledge, tleatn occurred due to me ausels) and manner stated ^ Pronpuncing & CertiNing physician ~ To the best of my knowledge, death occurred at [he time, date, and place, and due to the ausels) and manner stated ~. ^ Mealcal Evaminer/Coroner ~ On [he basis of examination, and/dr investigation, in my opinion, des h occurred a[ [ne nine, date, and place, and due to the ausels) and manner stated Signature of certifier-C C ~ ' ( ~ ` Ttle of certlliar- ~ I `z > z '/Ir~~ license Number-l: ~ V ~ ~ ~ ~~ ~ ~ L ~Wy. Name, A, ddress and Zip Code of person Complfti Cau ^( Deat Ite 6j /'q ~ 39c. Dat Slg a (MO/Qa rl ~ 40. Registrar's District be ~ ~ 41. Re ' ig ~ ~I,tr nat~ 42 Re istr Hle Oate IMO/Day/Yr) ~ A ~~ • - h ~ ra 43. Amendments ~) ~~I ~I ll `'I PEV mnov Dispo:icon PermB Np „_ ~ ~ cry T, c =.. ~~:~ ~. , ~ 1 ~~ r , Cy __ ~ LAST WILL AND TESTAMENT n ~- ~ - --_=? - o ~= ~-- y~' o ::gyp I, NANCY LEMMING, of Southampton Township, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament and revoke any Will or Codicil previously made by me. ITEM I: I direct that all my just debts (except as may be barred by a Statute of Limitations) and my funeral expenses (including my gravemarker and expenses of my last illness) shall be paid from my residuary estate as soon as practicable after my decease as a part of the administration of my estate. ITEM II: I bequeath those articles of my household furniture and furnishings and those articles of my personal effects and personal property as I have or may set forth in a separate memorandum (which is or will be signed by me, dated and make specific reference to this Will and memorandum, which I shall place with my Will or deposit with my attorney), to the persons therein designated. ITEM III: I devise and bequeath all the residue of my estate of every nature and wherever situate in equal shares, per capita, to such of my biological children TAMMY LEMMING, TERRY LYNN ENGLE, DONALD LEMMING, JR. and LISA ANN MENTZER, as shall survive me. ITEM IV: My daughter, LISA ANN MENTZER, has lived with and taken care of me since August of 2008. As an expression of my gratitude toward Lisa, I wish to assist her in the securing of my home for her at my death. Thus, I give and grant to Lisa (and to her personally) the right and option to direct in kind distribution to her of my home and its contents. Such right and ~y~ 7 S option must be exercised by Lisa giving written notice to my Executor within four (4) months following my death. If such right and option is exercised, the distributive share of Lisa shall be charged with an amount equal to the date of death fair market value of my home and its contents as determined by my Executor for inheritance tax purposes. If the distributive share of Lisa shall be less than the value of my home, Lisa may exercise this right and option only on the condition that she pay to my Executor a sum equal to the difference between the value of my home and Lisa's distributive share of my estate. Should Lisa fail to exercise this right and option or should she notify my Executor in writing of her release of this right and option prior to its expiration, then my home shall be free of this right and option and may be dealt with thereafter as if this right and option had not existed. During the time following my death, for a reasonable period (not less than six months), Lisa may continue to live in my home and she shall not be required to pay any rent. ITEM V: If any property passes outright (either under this Will or otherwise) to a minor (which shall be defined as anyone under twenty-one (21) years of age) and with respect to which I am authorized to appoint a guardian and have not otherwise specifically done so, I decline to appoint a guardian but instead authorize my Executor to distribute such property to a Custodian selected by my Executor (and my Executor may act as such Custodian) as Custodian for the minor under the Pennsylvania Uniform Transfers to Minors Act. Provided, however, that this appointment shall not supersede the right of any fiduciary to distribute a share where possible to the minor or to another for the minor's benefit. ITEM VI: I direct that all taxes 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 part of the expenses of the administration of my estate. r ~ 2 ITEM VII: I appoint my daughters, TERRY LYNN ENGLE and LISA ANN MENTZER, as Co-Executors of this my Last Will. ITEM VIII: I direct that my Executor, custodian, or their successors, shall not be required to give bond for the faithful performance of their duties in any jurisdiction. ITEM IX: The interests of the beneficiaries hereunder shall not be subject to anticipation or to voluntary or involuntary alienation. IN WITNESS WHEREOF, I hereunto set my hand and seal to this my Last Will and ~~ Testament, written on four (4) sheets of paper, dated thi~ day of , 2011. (SEAL) The preceding instrument, consisting of this and three (3) other typewritten pages, each identified by the signature or initials of the Testatrix, was on the day and date thereof signed, published and declared by the Testatrix therein named, as and for her Last Will, in the presence of us, who, at her request, in her presence, and in the presence of each other have subscribed our names as witnesses hereto. C residing at ~ „.L„s ~~, ,~ /~,~ residing at ~~'~'-~-r~~~: 3 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND . ss. I, NANCY LEMMING, the Testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. (SEAL) N CY LEM G Sworn to or affirmed and acknowledged coMMOlvw~,l.,,.~. ill before me by NANO LEMMING, the Testatrix, this ~3r day of '~9ela M. SchaQ~pj~~, RubUc --~- Shippensburp 8oro, Cumberland County c J ~,l..l'~ o , 201 ~` ~~ MY Commtsslon Ex ireg Ma 15, 2015 MEMBER, PENNSYLVANL- q~O~An~ ~ NOTARIES r~ar~2 Pu3cl COMMONWEALTH OF PENNSYLVANIA . ss. COUNTY OF CUMBERLA--N~D~ We, ~,~yjl~~/7 C ,1 ~'(~/ S and /'i~lQ ~ '~L/1~'~_ ,the witnesses whose names are signed to the attached or foregoing instrument, being(.fluly qualified according to law, do depose and say that we were present and saw the Testatrix sign and execute the instrument as her Last Will; that the Testatrix signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testatrix signed the Will as a witness; and that to the best of our knowledge the Testatrix was at the time eighteen (18) or more years of age and of sound mind and under no constraint or undue influence. (' . ~~ Sworn to or affi ed and su bed to before me by ~/,~yyji/~(y'j ~, ~( ~)f r and witnesses, this 2011. COMMeN~I ~~ ~NN6i~LiiAWiA Notarial ~rl Angela M. Schaaff~r, Notary Public Shippensburg 80ro, CumberlanQ County My Commission Expires May 15, 2015 MEMBER, PENNSYLVANIA ASSOCIATION OF NOTARIES 4