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HomeMy WebLinkAbout10-09-12Reset 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 in support thereof aver(s) the.following and respectfully request(s) the grant of Letters in the appropriate form: Decedent's Information I _ ~ Name: Susan M. Morrow File No: a/k/a: - Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: September 7t9, 2012 Age at death: 88 Decedent was domiciled at death in Cumberland County, Pennsylvania (smte) with his/her last principal residence at 823 (green Boring Road Newville PA 17241 North Newton'Cwo Cumberland Street address, Post Otfice and Zip Code City, Township ar Borough County Decedent died at 823 Green iSorine Road. Newville PA 17241 North Newton Two Cumberland PA Street address, Post Ortice and Zip Code City, Township or Borough County State Estimate of value of decedent's properly at death: Ijdomiciled in Pennsylvanih ................... .. All personal property $ 200,000.00 ...... If not domiciled in PennsyDania ........................ Personal property in Pennsylvania $ n nn If no! domiciled in PenosylNania ........................ Personal property in County $ n 00 Value of rca! estate in Pennsylvania ........................................ ........... $ l 00,000 nn TOTAL ESTTMATED VALUEC.... $ 300.000 00 Real estate in Pennsylvania situat$d ar. 823 Green Suring Road Newville PA 17241 North Newton Twp Cumberland (Attach additions! sheets, ifnecessarp.) Street address, Post Office and Zip Code City, Township or Borough County A. Petition for Proba~e 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 February 18, 2005 and Codicil(s) thereto dated ' - State relevant circumstances (eg. renunciation, death ofezecufor etr) Except as follows: afterthee~ecution ofthe instrument(s)offered for probate Decedentdid not many, was not divorced, was notaparty to spending divorce proceeding wherein a grounds for divorce had been established as defined in 23 Pa. C.S. §:3323(8), and did not have a child bom or adopted; and Decedent was ^bither the victim of a killing nor ever adjudicated an incapacitated person. Q NO EXCEPTIONS ©~'~,EXCEPTIONS © B. Petition for Grant bf Letters of Administration Qf applicable) c. t.a., d.b.n., d.b.n.c.t.a., pendente llte, durante absentia, durance minorita[e If Administration, c.t.q. or /Lb.n.c.t.a, enter date of Will in Section A above and complete list of heirs. Except as follows: Decedentiwas not a party to a pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person. NO EXCEPTIONS ©~~~EXCEPTIONS Petitioner(s), after a proper seep-ch has/have ascertained that Decedent left no Will and was survived by the iFollowing spouse (if any) and heirs (attach additional sheets, if necessaryf: Name Relationshi CS .O '" ,4ddress - -; OG-. ~ rT } - ~ Z 0~ - D W l0 Form RW-01 rev. ro/uizou '. Page 1 of 2 ~ ~~ Oath of Personal Representative otl; ~ Daly ~ ; rn -o °. m , ~c= t ~ -i ~' COMMONWEALTH OF PENNSYLVANIA } ~~ __ i r : - } SS: r~' ~ COUNTY OF CUMBERLAND C7 ~ i } n a - T -_ 7 Petitioner(s) Printed Name Petitioner(s) Prind;d Address •• ~- Bradle A. Mentzer 2 Bradi Drive Cazlisle PA 17015 '~` The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition aze true and correct to the best of the knowledge and belief of Petitioner(s) and that, as Persqnal Representative(s) of the Decedent, the Petitioner(s) will well and tmb/ administer the estate according to law. Sworn to affirmed an bscr'bed b ore ~. Date f ~ ~ 9 a U I~ met ' ~'' day of , ~~~ Date By t Date the ReLdster BOND Required: Q YES Q NO FEES: ~~ /yl Letters .................. ..... $ ( 4) Short Certificate(s). ..... ~~ ( )Renunciation(s)..... ... . ( )Codicil(s)......... ... . ( )Affidavit(s)........ ... . Bond .................... .... Commis 'or . ............. .... ~, Other ..... .... To the Register of Wi[Is: Date Ptease enter my appearance 4y~my signature below: Attorne~gnature: I //V`~_ Printed Name: Andrew H. Shaw Supreme Court ID Number: 87371 Firm Name: Law Office of Andrew H. Shaw, P.C. Address: 200 S_ Snrinu Cixrden Street S uite 11 Carlisle. PA 1'7013 Phone: 717-243-7135 Fax: 717-243-7872 Email: andrew(~achawlaw rnm 5~ •Jv DECREE OF THE REGISTER Estate of Susan M. Morrow File No: ~~- ~ ~ - ~ L~~ a/k/a: AND NOW, ~~'` satisfactory proof having ~4-J~~ ~ , ~~ in consideration of the foregoing Petition, presented before me, IT IS DECREED that Letters Testsunentarv _ are hereby granted to Bradlev A. Mentzer the instrument(s) dated Fel described in the Petition be Form RW-OI rev. 10/11/10/1 2 of 2 .I LOC t,~ R'S CERTIFICATION OF DEATH WAR~~~jl~duplicate this copy by photostat or photograph. I't I. ~lI~J~L:~ ~... 'i'.'.uV ' Fee for this certificate., $6.00 ~~~? ~~T _9 A~ 9~ 34 This is to certify that the information here given is correctly copied from an original CertiYicate of Death duly tiled with me as Local Registrar- The original ~'.P. ., certificate will he forwarded to the State Vial pRP~~v'S (;QV{~T Records Office for permanent filing. P 18 8 !3 2 714 cwr~~ER~~vo co.. ~ ~~~-~~~ ~ Certification ~Jumber TYp./pen<In • o h 't/2o12 Loca] Registrar Dale Issued COMMONWEALTH OF pENN3VLVhNIq • DEPggTMENT OF HEALTH VITML RECORDS 1. Deceaent'a Legal Nema (Firer, Mltla e, LezC SuMV) r V CN i ~ State Flle Numbe,: M z. Sex 3. Seclal5ecurlH 1JUmbe, °r OeaM IMO De /Vr1(Spell Mo) r d Morrow 209-12-4631 g s .. Aga-L.at girtna.v IV,n s~. ae ~ emale eptember 29,2012 1 s Daca erg =. una.r 1 o Inn IMO/o.vrve.q Isp.u Mo <ro 6 e cna n I. npl.= to ane state er Fo.el[n cogn<ro o.va Henrz nnma<ex 'Oallcv~ ~e PA c , 0ctober 28, 1923 .. mane Ist.<e~. ait3ant >~ Tb. eo-mpmttc panHj I ab.Reamena ls<re.<ana Ngmbe.-Inc=ae g Cumber an <N ennay v p e Rd _j e=. ola D«.aen<u.,em.~mwnanipz 823 Green S ri ga. Rezroen=e rcognHj p ng ®vez, a.=aaen<weam PSOrth Newton Cumberland I ea. R.zmena ¢Ip ceaej 17241 ONO. aetteem rroea wl<nln umg r er n gmleeF esi 1 ~ V UA]i N O Unknown a e tal5tatuz et Tlme er OeeM pinrooo. le we 11. Survlvlne 3p°uae'i Na a (li wire, [IVe name prier to fl ~ D cea O Ne M ~ M „I ® ~r . Fabler i Name IFI,z[, Mlaale, L 12 ast, ver arrvetl =at merrla8el O Unk wn urRVj rl John Friclc 3. M°Mer's Name prier t° Fbx<Mar a[e (Fbs Mltlale, L ztl va..mro.m.nrz rv.me lab galabenznlP <e Deeeaen< Luc E . Wagner ' ._._._.... ._ ........ ' " ' ' ew v«. nm .m z 2 BradllnDr arena NOmb.nc • C lis le,H~PA z~7015 ~ .....: .......... ................ .. a..--~qP .at ec onyone IY o:. <n o=ca,red i,: a Heaagai. ..................... .... - ... -. ......... . ~ InPa<lent I"""' "'°~°-- E6' ~~ ' - ~~ a n ... -.... , . H Daa oe ,r~a semewne.e oil:e, ri:an a f7oapit.i:" .rgmeY Reem/Out E .dent oeea on grNVa p T e ~LTao:pie~ F:~iiiq':'°'-""-~y'o:«a:~'r':'iie::~s-- .. ralnv Hom./LOn[- a Nu rm are F lll 1 6 ~ ac 5 . F IIIH Nama (lr not Ina<I[u[I°n, [ acre antl n 15 H er (3PecIM a8 2 3 G mber~ c cIH er T°wn, a antl zip C°ae e e < _ teen S in , PA 17241 va. coanH Oro m Rd Newvi lie C b 1 noa er Dlxoealeen um er a n d 6O Removal hour state ~ e ~ IDen°<I ~ crema<len 166. Date ei Dizp°xltlon 16c. Place er plrpe¢IN°n (Name or comets ry cremato h , ry, er ot er place) ome. (speplro 10/3/2012 Cumberland Valley Memorial Gardena I6 tl , bca<I°n er Olzpesltl°n IClty Te n. State ntl Zlp) I[n re uryGUne ear person In CM1aRe er Interment lib. LI a 1 r. ervtt Ca rllelle, PAo,l 013 a z-~b• eNUmbe, Cen U 13895 L 1y FD ma.m complete gmrezs or G ,.I GacluH e ~ me Inc 15 Bi S tin Ave ewvi lie, PA 17241 1 ttaenrx Eag uon- r CM1eck tneb xeha<bext aezc,lbes th g~ Da h I <aa e 19. Oecetlent °i Hispanic Oe[In-Cnec4 Me 20. Dettaent'x Pace-CM1eck ONE OR MORE mP e e .ee ova a xmeel tt tea a e or seem. boa mat boa ce a Inm=ate was <n aaa tea .max wheme ma a.=aee n a ~ < n t N . <=enzmerea mm < salt er narxell ° be. a 3p nlah/Hlzpanlc/ a<Ino. M1eck <M1e "Ne^ O oalPlema, stn-lzth graaa ffiwnl<e zn i~KO,aan e°. Iraecaaent 1. noes O wa senoel graau.<e o. cED COm I ma v.nlzn/HIZP.n14Lae^e. Ogl+=k °. gratan gmenttn letna ~ N PanlzM1/Hlxpanl=/L tl a e ~ 5°m collage crem[, buC n° tlry, e ne 0 gmarlcan Intllan °r glazka Ne<IVe Q OMar gslan 0 Ve eklcan, Maalcan gmerlcan, CM1lcano ~ galen In n 0 qs Delete tlegrae le. g. qA 45) , ~ Native Hawaiian O eaehemrz tlegrae 1•-a. aq, qe, a 1 O ve., ~ can Rm.n O ehb,oa ~ c 'an °r Chemerro 0 FIII .I^ a 0 s tlegrae Ie.e. MA, M5, M ng, MEtl, MSW, MBA) O vex other 3panlan/Hbpanl4ra<I mean O O P e 0[ n° M1O dO1 er o• sslonal aegree 5 ~ her paciRC lalsnaer e Ie O O VM O IgPeclN,l 006 tne, I peelNl `z D L cetlent' S ingle puce self 1.~ Wr,R- ° ": Dezign t n-CM1ec40NLV ONE to lnmcetew ttne tleceaen<ceniltlarea M1lmseli er M1e,aelr ~ b ' o e. e. 0ecetlen< 1 o K rcnexe o s USUa1 O<cupatlon-Inalcete HpeMwerk o gl,=k e, gbl=an gmerlc.n o .n oovne °p pn. aunn.m°ztn w°rkln.IHe. oo NOT O3E RETIgE Ifl l l a t .= = a .nea, D. pqm ttnLmlan o. gl.zka Nan Oviemamaa= ble chi ne o qal. llnalal. ~n w/NOCSgre Oper ator OOme, gzmn p cvrmoe 'I ~ rv.OVe Hawauan p om~, tsPe=rNI zzb. ane m guzmess/Inauzcrv P1 ~cg.m.nl.n o. cnamome Drees $ Shoe Factory e'v viwaoia wrlo vnoNgourvces.oR o •~ D.<e Pronounce De. Mo .Y z3 . slgnam.e a ve..un pmnoun=mg oea< I agnclES o[ATH 5'ei'+e.+6E~ d 9 a o i ar On Y w en .pp le. a 33 c. Icena. Num et z3e. o.<e slenee ~ M°/Dave,) o..M z< n ~ d : 3 0 /{ M zs w . .a Mamttl Eaamin.r o, cemne, con<.rtaa> p Yez N e zs. p.ar-E,.Mabe=na nor eaene eaae eAUSE OF DEATH a, mrvrlex. or =omputt<mn:--<na<ao-ee<IV O°aaa <ne eea<n. Do rvor.n<er < r ezpl,atery a,rest i a ..m n eaen<a seen azttmlae .rrem i °r vent,lcular brlllatl°n wlM°ut sM1°wlnB Me etr°I°gy. DD NOT gggREVIgTE. En[°r onl ane t t y cause °n aline. gtle atlm<lanal lines ri necessary n¢e O ~OeaM IMMEOIATEUV3E --_---______ ~ G/-f r r ~ (cl al elsaaxe or cenmcl°n ' rexnnlna In ae.ehl '~. Due ° 1°r az o =ense°venee erj: v ual enure b. ? aaing =me Due m ter as a comeauen=e orl: i [ p ® IH ea °n une e[ En<er me k. 5 LVIN^jugVn'< '.. Due t°(°r exacon epuence erl; (ela u Ina tetl Mee <s reaul<Ing (1. i l a n aeetn) LAST, Oue <o (°r as a ceniequenca 1 ail: c~ a i 36. pa,t rL Ente e i ehe unevly au 1 P InBC eglvenn artl ~ zJ. We t°PaY perfprmaai ~ V es $, S xY flnalnp reliable gt° cem pl°tep[M1 O a ceuaa e1 tleeMi zg. Ivle: Va¢ paxt year 30. Dltl Tobacco Use C°n[rlbute <a Deathi anent wleFin 3 er er D h 3 ~ a ea ~~ ~as~JJ~~ aM 0 Vez ~ Yn n obwn i~ H ml<Iae 0 [nan<, but P,egnant wit ~ i tleeth ~ N° TtIL ~ h°claent c ae 0 Pemm~H Invartlga<len 0 N eBnan<. bu<pregnan[g3 ar berore tleaM ate ~ Sul Itl o<be ae<erm 0 Vnknown pregnant wltM1ln <ne part<yea,e 32. O of Injury (Me/OeY/Vr) (spell Monthl 0 cou n Inee I '.33. Time or Injury . place a Injury Vie, g, M1eme; comt,u zlte; term; acho°I) 3. Location o Injury (St,eet sna Number, CIH, state, Zip Cetlal W 36. Injury at ork 3T. 11 Tranaperta[ Inlury, 5veciry; e. DeacrlbeH In/ury O Nea O D e.^o a<p. O P < e o==ur,m. O o O vaxxa .r p D er (speelNj g n er^eM1 FCk on l a e) ^ T <n yknow rtiNl oboe °I~m leag.. seam e=mrr.e aoe emaese(ya t n nnar x< i tl ~ e rv a e negnelna g er/c - 0 eelcal E.amin rtlo loneP Yp cl<ni- To [ne pest or mV knpwlatlge, aeatn °ccurree at tM1e tme, Bate, ens I P •=a ma eua m me =.eze(a) ane manner na< or eaamin e a n . .e /o. m xlga<mn, In my °pmmn, ee.<n oau ° - r,ea a<me aura a.<a ane puree. ane eua M me =.g¢e(1 a manner ¢caab slgn.m,. er ttnnfler; ~~ -. z an T b. Nam., Aaarexx.na nP COae es ve. orP1.M IItem zsl ~_, c Date SI a ~ tM q Y n [ F e[I t~y umbe, a I . ReHlztrar ~ [latter Fl a ate l 'Lt- c~.<o 93~ " .gmanamenL '~'• I ao~a ~Cat~~ 3 ~ho~*1c~«cnc~`, a09-fa- X31 f ~ p_~-ca £w aPealean Permq e e ~t i ~{Y,a 1-E~ H1O6-1<3 DI N REV OZ/z011 N _O N n c _.~ to a a~ I, SUSAN M. NIIORROW, of 823 Greenspring Road, Newville, C:umberlan~County,~ Pennsylvania 1 X241, do hereby make, publish and declare this to be my last will and testament, hereby revoking all wills heretofore made by me. 1. I direct rr+y personal representative to pay all of my debts, funeral and administrative epcpenses as soon as convenient after my decease. I direct that all inheritance taxe'~ imposed or payable by reason of my death and interest and penalties thereon with respect to all property, whether or not such property passes under this Will, shall be paid bylmy personal representative out of my estate. 2. I authorize and empower my personal representative to sell any realty and/or personalty owned by me at my death and not specifically devised or bequeathed herein, at public or priv~te sale or sales and to give good and sufficient deeds and/or bills of sale therefore, irh fee simple, as I could do if living. My representative is authorized and empowered to e~hgage in any business in which I may be engaged at my death, for such period of time of}er my death as seems expedient to said representative. 3. I give, de~ise and bequeath all of my estate of whatever nature and wherever situate to my nephew, Bradley A. Mentzer, or if he is deceased, then to his wife, Cynthia Mentzer, or if shy is deceased, then as follows: A. 509~a to Scotland Orphans' Home, Scotland, Pennsylvania, or to its successors or assigns, for general purposes; and ~ ~~ m G> !/, _. , r-r~ _r7 C~ ~~ r'. ,r,. . ~ -ri -= F= r^ c~ B. 50~'o to Elizabethtown Hospital for Crippled Children, Elizabethtown, Pemnsylvania, or to its successors or assigns, for general purposes. 4. I nominate and appoint my nephew, Bradley A. Mentzer, to be the personal representative of my estate, to serve without bond. If he cannot or does not serve, then I appoint his wifle, Cynthia A. Mentzer, to be the substitute personal representative, also without bond. 5. I suggest that my personal representative retain the servires of Harold S. Irwin, III, Carlisle, Pennsylvania in the settlement of my estate. a, r IN WITNESS V1~IHEREOF, I have hereunto set my hand and seal this ~ day of February, 2005.1. ~1.r~r~J~.~-`~1 %? ~~w (SEAL) SUSAN M. MORROW Signed, sealed, published and declared by the above-named person as and for a last will and testameht, in our presence, who at said person's request, in said person's presence and ini,the presence of each other have hereunto set our names as subscribing witnesses. I 7 WE, SUSAN M MORROW, RHONDA S. IRWIN and ROBERT D. STAMBAUGH, the testatrix and witinesses respectively, whose names are signed to the 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 th~t she executed it as her free and voluntary act for the purpose herein expressed, and,that each of the witnesses, in the presence and hearing of the testatrix, signed the will ~s a witness and that to the best of their knowledge the testatrix was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influencej. c. SUSAN M. MORROW a _~~f/l~I~,~~ ~ c~„ ~,_~,11t,~2,~ RHONDA S. IRWIN ' p ROBERT D. STAMBAUGH COMMONWEALTH OF PENNSYLVANIA COUNTY OF CWMBERLAND :ss: Subscribed, swq'rn to and acknowledged before me by SUSAN M. MORROW the testatrix herein, ~nd subscribed and sworn to before me by RHONDA S. IRWIN and ROBERT D. ST MBAUGH, witnesses, this.1~ day of February, 2005. nwrARU-L s~AL HAROLD 5. Ri1MN, III, NbTARV PUBLIC CARLISLE BDRDU(#i, CWNij' OF CUMBERLAND MY CtMM~MSSION El(PIRES dCTORFR 22.2006 Notary