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Home My WebLink About02-18-15 PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF r�T81�1�V1F.�' ��,� (� COLT�TTY,PENNSYLV�.NIA Petitioner(s) named below, who is/are 18 years of ag� 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: �. � File No: a;k/1: y� (.�ssigned by Register) a/k,�a: a/lc/a: Social Security No: ��— �('�"�� 7 Date of Death: (�� ,� Age at death: �� Decedent was domiciled at death in ��pt� i �_County, �1�t (Srare)with his/her last principal residence at `-�`-1 y��i� ��-��t>.jci � `� 6 �2.S' Street address,Post Office and Zip Code City,Township or Borough County Decedent died at t °1 Ui �.,�nml�S�-��n � �Tb9 . � l' �� Street address,Po t ffice and Zip Code C'�,To ship or Borough County Statc Estimate of value of decedent's property at death: If don:ici(er!in Pen�isylvania....... ......... .... ...... .. All personal property � � . O �� _ --� If not don:iciled ii:Pen�:sylva�:ia. .. . ........... .... .... . Personal property in Pennsylvania $�� If noi domiciled in Pennsyh�ania. ......... ........ . ..... Personal property in Cow�ty $ Value of real estate in Pennsyfnania...... ...... ......... .... ............ . . .. ... ....... ...... $ CJ "� TOTAL ESTIMATED VALUE. ... $ — Real estate in Pennsy]vania situated at: '1� L, ��I,� S�- �'�le� I �" � ��b�^ (Attacll additionnl sheets,if nemssary.) Street address,Post Office and Zip Code City,Township or Borough County � A. Petition for Probate and Grant of Letters Testamentary , C Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of tl�e Decedent,dated �':`�" i � ' � � and Codicil(s) thereto dated State relevant circumstances(e.g.renuiaciatiort,death ojexectdor,etc.) Except as follows: after tl�e execution ofthe 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;aud Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. [�NO EXCEPTIONS ❑EXCEPTIONS �� c:� � � B. Petition for Grant of Letters of Administration (If applicable) � � '"'a r�t c.t.u.,d.b.n.,d.b.n.c.t.a.,pendente lite, �tru�ubsentier�urml�e�mtr�ritate r'r't If Administration,c.t.a. or d.b.�i.c.t.a.,enter date of VVill in Section A above and co ple,�e�t oi4r�irs: 7 "; , �,. r_. �, Except as follows: Decedent was not a party to a pending divorce proceeding wherein tl�e grounds for d�v'orce;�adt:b�en e�lished�a$�fiued in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person. ,,•, �NO�XCEPTIONS �EXCEPTIONS �' =� � � =� ; Petitioner(s),afrer a proper search has/have ascertained that Decedeot left no W ill and was survived by tl�e followiq�,S,pouse(if�)and trei�s(kattuch t i"1 udditiorial sheets.if necessary): - -: i`- f—.. G'� � � � Name Relationshi Address Fo��»,aw-nz ��v.iniiiizoii Page 1 of 2 Oath of Personal Representative Official Usc Only COMMON�VEALTH OF PENNSYLVANIA } } SS: COUNTY OF } Petitioner(s)Printed Name Petitioner(s)Printed Address � �. , �, " �l� � . '�a I a The Petitioner(s)above-named swear(s)or affirm(s)the statements in the foregoing Petition are true aud correct to the best ofthe knowledge and belief of Petitioner(s)and tltat,as Personal Representative(s)of the Decedeut,the Pet�ioner(s)will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before � / Date__�'_� me is �day o , ZDI Date �y N/�� Date Fa-1he Register Date BOND Required:Q YES �NO To tlie Register of Wi!!s: FEES: Please enter my appearance by my signature below: 00 Lett� . . . . . . . . . . . . . . . . . .. . . . $ � Attorney Signature: ( G) Sliort Certificate(s). . . . . . .DO ( ) Renunciation(s).. . . . . . . . ( )Codicil(s). . . . . . . . . . . . . ( )Aftidavit(s).. . . . . . . . . . . -,,.J Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: c_--� Commission. Supreme Court � �-^ r`� t'T7 . . . . . . . . . . . . . . . . . � O �f. � tl r . . . . . . . . ID Number: ��.- -- "T'1 c;� r �J.� ..1-1-r�—�,-� � . . . .. . . . �....� :7 C�.7 f'� .;� _ � � i ` 7 . . . . . . . . Firm Name: ` r-"� p�.. � ._ �. '�� . , , . , . Address: (� r r � �. .. .. . . . . . . . . . ��D 0 _� r _,,:3 . . _ . . . . . . . . . _ .. _..__ c 3 Phone: � -- t_+1 . . . . . . . . � Automation Fee. . . . . . . . . . .. . . . .D� Fax: ....., '� 'rn c"� JCS Fee. . �/ Email: •' ' "'�7 �"� TOTAL. . . . . . . . . . . . . . . . . . . . . $ v DECREE OF THE REGISTER Estate of G�1'� �- -�n r File No: �'' �� 1��Z a/k/a: � • L � AND NOW, �� l�rU ar �� , D �,�, in consideration of the foregoing Petition, satisfactory proof having been pres nted before ine,IT I EC ED that L tte s e.S G�77 � are hereby granted to /%"� - Q in the above estate and(if applicable) that the instr�unent(s) dated_� /� �Q described in the Petition be adm tted to probate and filed of record as the last Will (and Cod'cil(s)) of Decedent. � egis er of Wills rn' ; � ; Form RI�V-0? rei�. I011l%2011 2g8 2 Of 2 HIU5.BU5 REV i9/II) LOCAL REGISTRAR'S CERTIFICATION OF DEATH � WARNING: It is illegal to duplicate this copy hy photostat or photograph. E?ECQ�.L�_, :- . ,"� ��. ,:� �,,� ;_� . _ , , Fee for this certificate, $6.00 `'``'�,,,��^� � This is to certify that the information here given is �,, p�,TH Of pE�;� � co�re�tly copied from an or�ginal Certificate of Death � � ��E�� U � �j'� �;`'�� V`�'�_ � � duly Pileci with me as Local Registrar. The o�iginal rG z � � ?� �� y; certif�icate will be forwarded to � the State Vital � �� yy�' �a; ecords�Office for permanent filing. � _. ..� �� • , Q R t��` � . `��^� ��,��' P 213 719 8 6 ��;��y� ��qATMENT�F�EP°'' ?3 � � C'ertification Number � """""""� Local R a�strar ate Issued Type/Print In COMMONWEALTM OF PENNSYLVANIA�DEPARtMENT OF HEALTH•VITAL RECORDS P�^^•^e^: CERTIFICATE OF �EaTH Black Ink Stnie File Number: 1.��c�dent's Legal Name(Flnt,Mitldla,Lasi,Sufflx) 2.Sax 3.Soclal SecuHty Number 4.Date of Owath(Mo/Day/Yr)(Sp�ll Mo) C� R F '19'I -40-8297 Januar Sa.Ape-Lasi Birthday(Yrs) Sb.UnAar 1 Yfar Sc.Under 1 Da 6.D�t�of BIRh(Mo/Day/VearJ(Spall Month) 7a.BlKhpl>ce(Clty and Staie or ForsiQn Country) �9 Months o.ri �o�� ^^�^�s•• February "I 3� "1 9 3 5 7b.Blrthplac�(County) Dau h Ba.Residence(Stafe or ForeiQn CounCry) Sb.ResiAence(Street antl Number-I�clude Apt No.) 8c.�id Dacedan!liv�In a Township] Penns ZV � Yas,dscedentllvadin F PPTITCI'1llrn twp. aa.aa:m.��e(co��cv> 44 Lincoln St_ Cumberland 9a.Resldence(21p Cods) '� O No,d�ceden[Iivetl wicn�.,umisz or =t�y/boro. 9.Ever in US Armed Forces7 10.Marital Sialus at Time of Death 0 Marrled 0 WldoweE 31.SurvivinQ Spouse's Name(If wife,Qive name prlor to flrst marrlaga) �Vas C'-XNo �Unknown IX�Ivorced � Naver Ma��led �Unknow 12.Father's Nam�(Firzt,Middle,Last,Suffix) 13.Mother's Name Prior to Firzt Marriage(Flrsf,Mlddla,lasY) Albert Stoak 14a.Informeni's Name ' 14b.Relatianship fo O�c�dent 14c.InlormanYs MallinQ Address(Stra�f and Number,Clty,State,Zip Cotle) 1 3 O 2 5 g iCeO 540 Wc cumberland Rd_ Enoia PA G - - - - - - - - -- - -- - -i a. _ _ ea� - - - - - - � - - - - - - - '�' If DaaYh Occurrod In a Mospltsl: ❑ InpaSient �If Death Ocwrred5omewhere Othe Than s Hozpit�l: �Hospice Facllity Z7�ecedenYs Home a O Emargancy Room/Outpa�lent 0 Oead on Arrivai 0 Nursini Home/Lon -Term Cara Facility �Other(Specify) og 15b.Facllity Neme(If not Inst(cution,Qlve sVeet end number) '15c.Clty or Town,State,and Zip Code � 15d.County of DeaSh S1oan Hos dece Resi n Dau hin � 16a.MeChotl of Dlsposidon �] Bv�lal O Crema�lon 16b.Date of Blsposition S6c.Placa af Dlsposifion(Name of cemetary,crsmatory,or other place) � o "`�'�v'�+`�rt's"" o o��'�� 'I /23/20"1 4 Blue Ridge Memorial Gardens p ome�(sveoiN) 16tl.Loution of Disposition(Cliy or Town;State,antl 21p) 17 .Sign of F raFService Licensea or Psrso ge of Interment 17b.LJcense Number � Harrisburg, PA 'I 7'I 09 - � FD-O'I 4536 � 17c.Name anC Complet¢Addreas of Funeral Faclllty ' Harrisbur PA '1 7'1 "1 O 18.Decedent's Educatlon-Check the box that beze descrlb�s the 19.Dacadenc of Hlspanlc Origln- eck ths 20.Dacsden'z Ra<e-Check ONE OR MORE races�o indicate what � hlghesi dearee or level of school rompl�ted at th�iime of death. box that best tl�scribes whethar tha decedent [h�Aecetlent considered himself or herself to be. � 8th grada or less is Spanizh/Hispanic/Latlno. Check�he"No' Whiia 0 Korean �No d{ploma,9Sh-12th grada box if tlecedent Is noi Spanlsh/Hispa�ic/La<Ino. � Black or Africa�American � Vietnamwsw � HiQh school g�aduate or GED complsied �No,not Spanlsh/Hlspani</Lsilno O AmeMcan Indlan or Alaska Native � Ofher Asian O Soma colleQe redit,buY no d�gret �Ves,Mexlcan,Mexican Amarican,Chicano O /{sian Indlan O Native Hawailan � Assoclata deg ee(e.g.AA,AS) 0 Ves,Pverto Rican 0 Chlnese � G�amanlan or Chamorro � Bachelor's desree(e.g.BA,AB,BS) � O Ves,Cuban � Flllpino � Samosn � Master's degr�e(e.g.MA,M5,MEng,MEd,MSW,MBA) � Ves,other Spanish/Hispanit/Lailno �lapanese O Other Pacific Islander O Ooctorate(e.g.PhD,EdD)or Professional tlegrea (Spacify) �Other(SpecHy) .MD DDS OVM LLB JD 21.Decedani's Single Raca Self-Deslanstlon-Ch�ck ONLY ONE to Indicate what the tlecedent consitlered hlmself or h�rself to b��. 22a.�ecetlent's Vsual Occupotlon-Indicate type of work $� White �»Pan�se � Samoan Aone du�InQ most ot worklnQ Iife. �O NOT USE RETIREU. � BlackorAfrlcanAm�rican � Korean 0 OtherPaclficlzlander P=-e L'OO�C � Q Ame�ican Indlan o�Alaska Native �Vletnamese O Oon't Know/Not Sure p Azian Indian � Other Aslan � Refused 22b.Kind of Business/Indusiry � O Chinese � Native Hswalian � Othe�(SPecify) r � Fillpino O Guamanlan o�Chamorro ITEMS 23a-25 MllST BE GOMPLETED 23a.Daie Pronounced Dead(Mo 23b.Signature o Person PronouncinQ Death(Only when app ica le 23c.License Num e BY PERSON WHO PRONOUNGES OR �L .,i�� b ` . � CERTIFIES�EATM 23d.�ece Signstl(Ma/�ay/Vr) 24.Time of�ea�h 25.Was Metlieal Fxaminer or Goroner Confac[ad? � Yes No CAUSE OF�EATH � Approxlmata 26.Parc i. Entar the chaln of events--dlseases,InJurles,or compliutions-that direc[ly uusetl<h�tleath. 00 NOT an��r terminal avents such�s carAlac arrazt, � Interv�l: rospiratory arrest,or vwntricular flbrlllalion with t showint�ne atiology. 00 NOT ABBREVIATE. Enie�only one cause on a Iina. Add atltliilonal Iinas If necaszary. ; Onset to Deaih ou /��/ IMMEOIATECAUSE -------------> a. �� {��i� , (Final disaasa or conAli�on � e (o sequrnce of): � rezulting in deach) ��L�� /��'��^ � :b. L Sequentislly Ilst conditlons, , Due to(or as s consequmce ofl: ; if any,leadi�g to ch�cause Iisted on Ilne a. EnYer the UNDERLYINQ CAUSE Oue to(or as a consequence ofl: (dizeasa or InJury that � iniilated the ev�nYs resultinQ F e � Due to(or as a consequen<e of): � ¢� in death)LAST. � � 26.PaR 11. Enter oiher i ifl t tliti t Ib�tfna to death but not resultin¢In the underlyinQ cause given In PaR 1. 27.Waz an autopsy parfor�pd3 O Ves 8�� ' 28.Ware autopsy findings available � ' to c mplete cM caus of death? m 0 Yes No � 29.If Famal � 30.�id Tobacco Us�ConCrlb�ata to Dtafh7 31.Manna�of��aCh E �pragnani with{n past year � Yes O P^bably �@�'�tural � Homicids S � pregnant at tlmG of tleaCh � No �� known � AcclCent O Pa�ding Investlgatlon °� � NoS pregnant,but pregnant wlchin 42 tlays of tlaath � Suicide Q Could not be tleterminetl � Not pregnant,bui pregnanS 43 dsys to 1 year before death 32.Date of InJury(Mo/Day/Yr)(Spell Month) 33.Time of InJ�ry � Unknown If preQnant within the past yeer 34.Place of Injury(e.g.homr,construction slte;farm;school) 35.Location of InJury(Street and Numbar,City,County,State,27P Code) 36.Injury at Work 37.If TranzpoKation Injury,SpaeiH� 38.Describe How InJury Occurred: � Yes 0 ��Ive�/Ope�ato� 0 PeGestrlan O No � PassenQer � Other(Specify) 39a.Ce r-physiclan,certifled nurse practicioner,metlical examiner/coroner(Check only ona): Certlfying only-To the best ot my knowledge,death occurred tlue to She cause(s)and manner s�ated. 0 Pronouncing&Certllying-To thw.best of my knowl�tlQs,death occurred at the tima,date,anE place,and due To Yhe csuse(s)and manner statetl. . O Metlical Examiner/Coroner- t as�s of examinano nd/or InvestlQaHon,In my opinion,deach occurred c 2he t_, ime,date.'�+d pla<e,and due m the cause(s)and manner scaeed. ��\ Llcense Number: Slgnature of certifler: TI[le of ceKifler: C L_- 39b.N Ay ��d fZ�I{y�\C od�a pl riWs C+w�of Death(1 6 c.Data 6�ed�J(Mo/ y/Y=) �YV' ' � (�J� �!�`yI z �'� � �f� / J% � 40.Regisira�'s Diziflct N�mber � � � 41.N� r's SlQnafu 42. al t�ar Fil�Dais Mo Day r) � 43.Amendmen<s � -�: ` � � , . . .. , .. .. Dispositlon Permlt No.�� H305-143 REV 07/2012 REGISTER OF WILLS CERTIFICATE OF CUMBERLAND COUNTY GRANT OF LETTERS PENNSYLVANIA .; ! oF cuM _ , �� y �� e�� No. 2015- 00182 PA No. 21- �5- 0182 ,� 9 Es ta te Of: MARY E HENRY O D � lFi�si,Middle,Lastl V ��----�� a/k/a: MARY E STOAK � Late Of: EAST PENNSBORO TOWNSH/P , � � CUMBERLAND COUNTY Deceased y7r�p Social Security No: 191-40-8297 WHEREAS, on the lSth day of February 2015 an instrument dated April 19th 2001 was admitted to probate as the last will of MARY E HENRY (Fiist,Middle,Lastl a/k/a MARY E STOAK late of EAST PENNSBORO TOWNSH/P, CUMBERLAND County, who died on the 20th day of January 2015 and, WHEREAS, a true copy of the will as probated is annexed hereto. THEREFORE, I, L/SA M. GRAYSON, ESQ. , Register of Wills in and for CUMBERLAND County, in the Commonwealth of Pennsylvania, hereby certify that I have this day granted Letters TESTAMENTARY to: C/NDY L MALLIN who has duly qualified as EXECUTOR(R/Xl and has agreed to administer the estate according to law, all of which fully appears of record in my office at CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYLVAN/A. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my offi ce on the 18th day of February 2015. - � Register of Wi � r^-1 � ��% i�/' L� U; �`-� Deputy , �� ,... 4a..i LL..�' C� . �.., ... , � . �,. '� : �� !,s_ , t..�. t,., , c , C�"..) . - .. :f � �_, t _l ' r--'� _�.,. � C : (,..:7 + C..J _: U! Ci._ a (�:,.: i.;�,. � �, G.... � i_a L.�� b � � tt..f ►-{-r c� *�?,NOTE**`-�ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST � �:-:-� r.._. _J C:;� � � � m M. q V'_'�`i C"3 � +*l �� C'� '';�, ;.�7 �-�'t _.,. ,z J ,'� � :'� �''7 � . 7 LAST WILL AND TESTAMENT '��= �'�� co � .' ''� OF . , . , MARY E. HENRY � - � � :=a � � ca - ,:, _ _ ; F!A ;, c� I,MARY E. HENRY, of 44 Lincoln Street, Enola Post Office, East Pennsbore�Townsli�p, Cumberland County, Pennsylvania, revoke any prior Wills and Codicils and declare this to be mv Will. ITEM 1. I give my automobiles, household and personal effects and other tangible personalty of like nature (not including cash and securities), together with any existing insurance thereon, in as nearly equal shares as practicable, to my children, HARRY B. HENRY, CAROLYN L. KRAUSE, JEFFREY A. HENRY, CINDY L. MALLIN, and LLOYD M. HENRY. These gifts are subject to the survival provisions of Item 3 of my Will. I further request and am confident that my children will honor any and all preferences I may express in any memorandum of suggested gifts. ITEM 2. I give all the rest, residue, and remainder of my estate in equal shares to my children, HARRY B. HENRY, CAROLYN L. KRAUSE, JEFFREY A. HENRY, CINDY L. MALLIN, and LLOYD M. HENRY. These gifts are subject to the survival provisions of Item 3 of my Will. ITEM 3. If any of my five children does not survive me by thirty days,his or her share shall lapse and be given instead to my other children who do survive me by thirty days. ITEM 4. I direct that all my just debts and the expenses of my illness and disposition of my remains, shall be paid from my residuary estate as soon as practicable after my death as part of the expense of the administration of my estate. Document#:203656.1 ITEM 5. In addition to the powers granted by law or by other parts of this Will, my Executrix and Executor shall have the following powers: (a) To retain any and all assets of my estate, real,personal, or mixed, without regard to any principle of diversification, risk, or productivity, except as may be otherwise expressly provided herein; (b) To sell at public or private sale,to exchange,to lease,to pledge, to mortgage, to transfer, to convert, or otherwise dispose of, and to grant options with respect to, any and all property, real, personal, or mixed, at any time forming part of my estate or trust estate in such manner, at such time or times, for such purposes, for such price or prices and upon such terms, credits, and conditions as may be deemed advisable; (c) To invest and reinvest the trust property in stocks, bonds, mortgages, notes, insurance policies, annuities, common trust fund participation, or other property of any kind, real, personal, or mixed, irrespective of any statute, case, rule, or custom limiting the investment of trust funds, except as expressly provided otherwise herein; (d) To settle, compromise, contest, prosecute, or abandon claims in favor oi or against my estate or any trust as may be deemed advisable; (e) To allocate receipts and disbursements to principal or income or partly to both and to ascertain principal or income in accordance with the laws of the Commonwealth of Pennsylvania; (� To make distribution or division of the estate in cash, in kind, or partly in both, to postpone distribution by agreement with a beneficiary and to distribute Document#:203656.1 articles of tangible property to a minor or to any person to hold for a minor within the limits authorized by statute or rule of law; and (g) To exercise any law-given option to treat administration expenses either as income tax or estate tax deductions, without regard to whether the expenses were paid from principal or income, and without requiring reimbursement. ITEM 6. No bond shall be required by my Executrix and Executor, but if bond is nevertheless required, it shall be without surety. ITEM 7. I appoint my daughter, CINDY L. MALLIN, Executrix. If she fails to qualify or ceases to act, I appoint my son, LLOYD M. HENRY, Executor. ITEM 8. For the convenience of my Executrix and Executor, I note that this Will has been prepared by Jered L. Hock,Esquire, and the law firm of Metzger, Wickersham, Knauss&Erb, P.C. Executed this�day of , 2001. Mary E. Henry Signed, sealed, and published and declared by the above-named Testatrix, MARY E. HENRY, as and for her Last Will and Testament, in the presence of us, who, at her request, in her sight and presence, and in the sight and presence of each other, have hereunto subscribed our names as witnesses. �'�-'�--�' � Address , � � , � Address - ��1'��.� . �A Document#:203656.l , � . . i .. .. � f � . Commonwealth of Pennsylvania : : ss County of (�c��h�n : We,MARY E. HENRY, and .TP re�l L: !-�cr�' , and n�F i� (11- !`(1�ll�.r ,the Testatrix and the witnesses,respectively,whose names are signed to 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 (or willingly directed another to sign for her), and that she executed it 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 witness and that to the best of our knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. � Testat ' 7 a�--�-�'�-'' - ' r Witness �� -�. ' wi ess �`��RIv'ta or affirmed and acknowledged before me by the above named Testatrix and -�vitnesses this�<;''`day of /-��,-; � , 2001. �_' Notary Public My Commission Expires: (SEAL) NOTARIAL SEAL CAROL A. LYTER,NOTARY PUBLIC Harrisburg, Dauphin County My Commission Expires Dec.28 2004 Document#:203656.1