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HomeMy WebLinkAbout06-12-15 Reset 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 Name: Dolora L.Mitten File No: a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: 210-12-1819 Date of Death: June 2,2015 Age at death: 91 Decedent was domiciled at death in Cumberland County, Pennsylvania (state)with his/her last principal residence at 92 Lantern Lane,Shippensburg PA 17257 Southampton Two. Cumberland Street address,Post Office and Zip Code City,Township or Borough County Decedent died at 92 Lantern Lane, Shippensburg,PA 17257 Southampton Two. 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 $ 17,500.00 If not domiciled in Pennsylvania. ...... ..... ............ Personal property in Pennsylvania $ If not domiciled in Pennsylvania. ......... .............. Personal property in County $ Value ofreal estate in Pennsylvania......................................................... $ 115,00000 TOTAL ESTIMATED VALUE. ... $ 132.500.00 Real estate in Pennsylvania situated at: 92 Lantern Lane,Shippensburg,PA 17257 Southampton Cumberland (Attach additional sheets,ifnecessary.) Street address,Post Office and Zip Code City,Township or Borough County J 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 August 17,2013 and Codicil(s) thereto dated 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. •J NO EXCEPTIONS 0 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 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 Relationship Address c7 C M C m ('y-'{ —1 r Form RW-02 rev.10/11/2011 F�Page 1 of 2 Oath of Personal Representative Official Use Only COMMONWEALTH OF PENNSYLVANIA } } SS: RE.6bRDED OFFICE 0 E COUNTY OF } REGIS .ER �l ILL Petitioner(s)Printed Name Petitioner(s)Printed Addres n� Sherre Mitten Bell 1504 Letchworth Road Camp Hill PA 17011 u COU} CUMBERLAND CO.AA' 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 Deced a Petitio er(s wi 1 ell a trul administer the estate according to law. Sworn to or affirmed and subscribed before --- Dat > 0V/5 me this 14 day of �'C 2015 Dat (1 (� .� � _—�L�'L�Q By: l..1n Date For the Register Date BOND Required: Q YES Q'NO To the Register of Wills: FEES: Please enter my appearance by my signature below: Letters . . . . . . . . . . . . . . . . . . . . . . $ Attorney Signature: ( (,Q )Short Certificate(s). . . . . . ( )Renunciation(s).. . . . . . . . ( )Codicil(s). . . . . . . . . . . . . ( )Affidavit(s).. . . . . . . . . . . Bond... . . . . . . . . . . . . . . . . . . . . . Printed Name: Fiona K.Fadness,Esq. Commission. . . . . . . . . . . . . . . . . . Supreme Court Other. . . . . . . . . ID Number: 65283 . . . . . . . 15 16 . . . . . . . . 1 S Firm Name: Law Offices of Craig A.Diehl . . . . . . . . 15 Address: 3464 Trindle Road . . . . . . . . Camp Hill,PA 17011 Phone: 717-763-7613 Automation Fee. . . . . . . . . . . . . . . Fax: 717-763-8293 JCS Fee. . . . . . . . . . . . . . . . . . . . . Email: ffadne c,adiPhllaw nom TOTAL. . . . . . . . . . . . . . . . . . . . . DECREE OF THE REGISTER Estate of Dolora L.Mitten File No: c2i—i 6 —U&5 a/k/a: rr� AND NOW, c�(fL in consideration of the fore omg Petition, satisfactory proof having been presented before me,IT IS DECREED that Letters ISI Q are hereby granted to �,0.1 (iP �/� q4e4n ' in:the above estate and(it, plicable)that the instrument(s)dated described in the Petition be admitted to probate and filed of record as the last Will(and1Codicil(s))`of Decedent. d'on Register of Wills Form RW-02 rev.1011112011 P age 2 of 2 H105.805 REV(9/11) ' LOCAV R .$t CERTIFICATION OF DEATH WARNIIECftj i§liHeigal'to' uplicate this copy by photostat or photograph.. ?�1S �tlN 11 Pt'l 3 32 Fee for this certificate, $6.00 1(((�((,,,,f!!'��.�„--- This is to certify that the information here given is G L E RK Q )((I�Ep�ZH OF pfN�d'_ correctly copied from an original Certificate of Death ORPHANS' COO' , o� `_ l duly filed with me as Local Registrar. The original ,� - - �_ 9 certificate will be forwarded. to the State Vital C UµB E R ;v a Records Office for permanent filing. P 217 516 3 6too, is .,MENT OF Zr' Certification Number """""'jPI� Lo al.Registrar Date Issued Type/Print In COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF HEALTH.VITAL RECORDS Permanent Black Ink CERTIFICATE OF DEATH State File Number: 1.Decetlent's Legal Name(First,Middle,Lasi,Sufifix) 2.Sex 3.Social Security Number 4.Date of Death(MO/Day/Yr)(Spell Mo) Dalora L. Mitten Female 212-12-1819 June 2, 2015 $a.Age-Last Birthday(Yrs) 5b.Under 1 Year 5c.Under 1 Da 16.Date of Birth(Mo/Day/Year)(Spell Month) 7a.Birthplace(Cit and Stare or Foreign Country) 91 Months Days Hours Minutes Ma 7 1924 W.9t(AVale PA �' > 7b.Birthplace(County) Huntingdon Sa.Residence(State or Foreign Country) 8b.Residence(Street and Number-Include Apt No.) Be.Did Decedent Live in a Township? PA 92 Lantern Lane C9Qs,decedent lived In Southampton L-P .pC (c tv) Rd.gesumeoer`Zand Se.Residence(Zip Code) Q No,decedent lived within limits of elty/born. 9.Everin US Armed Forces? 10.Marital Status at Time cd Death 0 Married [.} Icld etl 11.Surviving Spouse's Name(If wife,give name prior[o first marriage) 0 yes � . Q Unknown 0 Divorced 0 Never Married 0 Unknow 12.Father's Name(First,Middle,Last,Suffix) 13.Mother's Name Prior to First Marriage(First,Middle,Last) Earle Scott Leone Brad le 14a.Informant's Name 14b.Relationship to Decetlent 141 Informant's Mailing Address(Street and Number,City,State,Zip Code) Sherre Mitten-Bell Dauaht r504 one_ _ _ _ _ _ _ _ If Death Occurred in a Hospital: Q Inpatient IIf Death Occurred Somewhere Other Than a Hospital_ 0 Hospice Facility T�ecedent's Homa e 0 Emergency Room/Outpatlent 0 Dead on Arrival 1 O Nursing Home/Long-Term Care Facility Q Other(Specify) 15 b.Facility Name(If not institution,give street and number) 15c.City or Town,State,and 21p Code 15d.County of Death \ 2 Lant ern La e i e sb PA 17257! m 36a.Method f Disp ition urlal Q Cremation 16b.Date o Dlsposliion 16c.Place of Disposition(Name of cemetery,crematory,or other place) Q Removal from State 0 Donation . Q Other(Specify) 6-6-2015 S rin Hill Cemetery �a 2 16d.Location of Disposition(City or Town,State,and Zip) 17a.Signature of F rel S Licens a or Person in Charge of Interment 17b.Ucense Number Shippensburg, PA 17257 FD-012984-1, E 17c.Name and Complete Address of Funeral Facility 8 FC elsan er-Bricker Funeral Home Inc_ 112 West K:Lna Street Sh b E O A 17257 m IS.Decedent's Ed uca tlon-Check the box that best describes the 19.Decedent of Hispanic Origin-Check the 20.Decetlent's Race-Check ONMORE races to Indicate what highest degree or level of school completed at the time of death. box that best describes whether the decedent the ,,,d¢nt considered himself or herself to be. 0 8th grade or less is Spanish/Hispanic/Latino. Check the"No" [�W hite Q Korean 0 No diploma,9th-12th grace boz�'Ld cetlent Is not Spanish/Hispanic/Latino. Q Black or African American 0 Vietnamese Q Hlgh school graduate or GED completed L�No,no[Spanish/Hispanic/Latino Q American Indian or Alaska Native Q Other Asian Q Some college cretl it,but no tlegree 0 Yes,Mexican,Mexican American,Chicano Q Asian Indian Q Native Hawa Ilan [��sociate degree(e.g.AA,AS) Q Yes,Puerto Rican 0 Chinese Q Bachelor's degree(e.g.BA,AB,BS) O Yes,Cuban - Q Filipino 0 Samoan Ian or Chamorro Q Master's degree(e.g.MA,M5,MEng,MEd,MSW,MBA) 0 Yes,other Spanish/Hispanic/Latino 0 Japanese 0 Other Pacific Islander Q Doctorate(e.g.PhD,Ed D)or Professional degree (Specify) 0 Other(Specify) .MD ODS DVM LLB,JO 21.Dec$$tle nk's Single Race Self-Designation-Check ONLY ONE to indicate what The decedent considered himself or herself to be. 22a.Decedent's Usual Occupation-Indicate type of work [s�CNhhe Q Japanese - 0 Samoan done during most of working Ilfe. DO NOT USE RETIRED. 0 Black orAfrican American Q Korean 0 Other Pacific Islander (3 Q American Indian or Alaska Native 0 Vietnamese 0 Don't Know/Not Sure Homemaker- C3 Asian Indian 0 Other Asian Q Refused 22b.Kind of Business/Industry Q Chinese 0 Native Hawaiian 0 Other(Specify) 0 Filipino 0 Guamanian or Chamorro own home ITEMS 23a-23d MUST BE COMPLETED 23a.Date Pronounced Deatl(Mo/Day/Vr) 23b.Signature of Person Pronouncing Death(Only when applicable) 231.License Number BY PERSON WHO PRONOUNCES OR CERTIFIES DEATH �} 23d. 12 c 61Sn¢tl(Mo/Day/v�) 24.Tim¢of Dee�aatth_ , ! C � t� l.� �_tG/c5 Q(Y1 25.Was Medical Examiner or Coroner Contacted? Q Yes No CAUSE OF DEATH Approximate 26.Part 1. Enter the chain of a --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 etiology. OO NOT ABBREVIATE. Enter only one a Ilne. A d dtlitlonal Ilnes If necessary. ' Onset to Death 1y�a]y[us\�e)O[n� a necessa 1 IMMEDIATE CAUSE ---------------> a, ` • `Q �\.�T`` }rJ\f�.T� �Z, t/�111 `/V , (Final disease or condition 1t_` Due to(oras a conse/q�uence f):/�,� resulting in death) \�1 - , V O I G� t•.�. b. Sequentially list<ondltlons, Due fo( s sequence of): _ if any,leading,to the cause -�C\�\ \ >--C U O'` 0> /1` listed on line a. Enter the VQ� 1 _ UNDERLYING CAUSE c Due to(.r6.co nseque^ce of): (disease or Injury that Initiatetl the events re sulTing d. in death)LAST. D e o(o a consequence of): S 26.Part 11. Enter other si-ifica nt condition,contributing to death but not resulting In the underlying cause given in Part I. 27:Was an-autopsy performedi - 0 Yes No 28.Were autopsy findings available m - - to<Omplete the tau oofodeath? Q Yes - 29.If Female: 30.Did Tobacco Use Contribute to Death? 31.Manner of Death `E [:;"ot pregnant within past yearQ Le Q Probably )yRatafal 0.Homicide 0 Pregnant at time of death 0 0 Unknown Q Accident -0 Pending Investigation m Q Not pregnant,but pregnant within 42 days of death 0 Suicide Q Could not be determined r- 0 Not pregnant,but pregnant 43 days to 1 year before death 32.Date of Injury(Mo/Day/Yr)(Spell Month) Q unknown If pregnant within the past year 33.Time of In)ury 34.Place of Injury(e.g.home;construction sie;farm;school) 35.Location of Injury(Street and Number,Ci oLn '-' LrC ty,State,Zip Code) 36.,Injury at Work 37.if Tra nsportaTion Injury,5pec1ly: 38.Describe How Injury Occurred: : yes Q Driver%Operator 0 Pedestrian O NO Q Passenger D Other(Specify) 39a. ertifler-physician,certified nurse praciltlontr,m¢di<al examiner/coroner(Check only one): Certifying only-To the best of my knowledge,death occurred due to the ca uses)and manner stated. 0Pronouncing! Certifying-To the best Of my knowledge,death occurred at the lime,date,and place,and due to the causes)aad manner stated. - © 0 Medical Examiner/Coroner-On the basis of examination and/or investigation,In my opinion,death occurred at the time,date,and place,and due to thecwa use(s)and man,eer stated. Signature of certifier: c Title of certifier: M - License Number:eN•��`'"_7 Z,d 39b.Name,A s and Zlp Co f Person Completing Cause of Death(Item 26) 39c.Data Signed(Mp/Day/Yr). Q0.= tiV._o ti P� ?aS7 - 3- lois 40.Registrar's'District Numb r 41.Registrar's Signature 42. egistrar File Date(MO/DaY/Y,) 0 43.Amendments O Is- 1195687 HSOS-143 Dlsposliion Permit No. _ REV 07/2012 L A S T WILL AND TESTAMENT 0 F DOLORA L. MITTEN I, DOLORA L. MITTEN, a resident of Shippensburg, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish, and declare this to be my bast C'*.) ?3 �, M Will and Testament, hereby revoking and making all p e ous5wil&n and Codicils heretofore made by me. n rn +-� M M � � ;;0 w N o FIRST `-� d I order and direct my personal representative hereinafter m ={ r named to pay all of my just debts, funeral expenses and exp `qpses involved or connected with the administration of my estate as soon after my death as is reasonably possible. However, my personal representative need not accelerate and pay those unmatured obligations which, in his, her or its opinion, it might be proper and more advantageous to retain or renew and pay as they become due and payable. If I do not own a burial plot or a grave marker at the time of my death, I authorize my personal representative, in his, her or its sole discretion, to purchase a burial plot and to erect a suitable grave marker at my grave, and to expend sums from my estate for this purpose. SECOND I give, devise and bequest the following special bequests: 1. To my daughter, SHERRE MITTEN BELL, I give, devise and bequest the sum of Twenty-seven Thousand Dollars ($27,000) , should she survive me by sixty . (60) days. In the event my daughter predeceases me, then this special bequest will revert to the rest, residue and remainder of my estate under Paragraph Third. 1 v LAST WILL AND TESTAMENT OF DOLORA L. MITTEN i 2. To my daughter, DARLA R. ILLO, I give, devise and bequest the sum of Seven Thousand Dollars ($7,000) , per stirpes. 3. To my son, BRIAN K. MITTEN, I give, devise and bequest the sum of Twenty-seven Thousand Dollars ($27,000) , per stirpes. 4. To my son, TED E. MITTEN, I give, devise and bequest the sum of Twenty-seven Thousand Dollars ($27,000) , per stirpes. It is my intention that my son, LARRY S. MITTEN, does not receive a special bequest as he has received $27,000 previous to my death in the form of the sum of $10,000 and a second ,sum of $17,000 for his son to purchase a mobile home. Furthermore, the bequest to Darla R. Illo is at a reduced amount as she had previously received the sum of $20,000 prior to my death. If there is not enough money in my estate after the sale of any real estate or personal property, then the special bequest stated above shall be reduced proportionately to Thirty and Seven Tenths (30.7%) percent of my estate to each of the following: Sherre Mitten Bell, Brian K. Mitten and Ted E. Mitten and Seven and Nine Tenths (7. 9%) percent to Darla R. Illo. THIRD I give, devise and bequest the rest, residue and remainder of my estate, together with all insurance proceeds thereon of whatever nature and wheresoever situate to my children, SHERRE MITTEN BELL, DARLA R. ILLO, BRIAN K. MITTEN, TED E. MITTEN AND LARRY S. MITTEN, in equal shares, per stirpes. Should one of my children not have any issue and predecease me, then the share of my 2 LAST WILL AND TESTAMENT OF DOLORA L. MITTEN estate to that child will be distributed among my remaining children in equal shares. It is further my desire that my personal representative, after consultation with any heir or heirs of mine who survive me, and in his*, her or its own discretion, choose such articles from my tangible personal property (exclusive of cash, stock certificates, bonds, and all other tangible evidences of intangible personal property) as he, she or it believes will be useful to such heir or heirs or desirable for him or her or them to have, either froma sentimental point of view or otherwise, and to deliver such articles to such heir or heirs or among such heirs in equal or unequal shares as determined by the further exercise of his, her or its discretion, provided no other heir objects to the distribution. All tangible personal property not so distributed is to be sold, either publicly or privately, by my personal representative, adding the proceedsof such sale or sales to my residuary estate and to be disposed of in equal shares among my surviving heirs after payment of my estate debts, taking into account the tangible personal property otherwise provided to them. FOURTH I grant my personal representative the following powers in addition to and not in limitation of such powers as my personal representative shall hold by law: (a) To retain all property received including the stock of and corporate fiduciary acting hereunder, provided such property remains productive. 3 LAST WILL AND TESTAMENT OF DOLORA L. MITTEN (b) To join in any corporation, partnership, recapitalization, merger, reorganization or voting trust plan; to delegate authority with respect thereto; to deposit investments under agreements and pay assessments; and generally to exercise all rights of investors, including but not limited to, the voting of shares. (c) To manage, operate, repair, improve, mortgage or lease on any terms and real estate held or owned by my estate. (d) To operate any business that I may own at my death. (e) To invest any funds of my estate in any stocks, bonds, notes or other securities or property, real or personal, without regard to the principle of diversification or any other statute or general rule of law in his, her or its absolute discretion, it being my intention to give my personal representative the broadest investment powers possible, providing such investments do not unnecessarily prevent the prompt settlement of my estate. (f) To sell or otherwise dispose of any property, real or personal, tangible or intangible, at any time forming a part of my estate in any manner and on such terms and conditions as my personal representative shall see fit in his, her or its absolute discretion. (g) To borrow money for the payment of taxes or for any 4 LAST WILL AND TESTAMENT OF DOLORA L. MITTEN other proper purposes in the administration of my estate, and to mortgage or pledge estate assets as security. (h) To compromise claims without court approval including, but not limited to, any controversies with the United States of America or the Commonwealth of Pennsylvania concerning estate and inheritance taxes on any interests that may pass under this my Last Will and Testament. (i) To distribute in cash or in kind upon any division or distribution of my estate. (j) To undertake any and all acts deemed necessary and proper by my personal representative for the proper, advantageous and prompt management of the settlement of my estate. (k) In general, to exercise all powers in the management of my estate which any individual could exercise in the management of similar property owned in his own right, upon such terms and conditions as to him, her or it may seem best and to execute and deliver all instruments and to do all acts which he, she or it deems necessary or proper to carry out the purposes of this, my Last Will and Testament. FIFTH No interest of any beneficiary of my estate, either in income or in principal, shall be subject to anticipation or 5 LAST WILL AND TESTAMENT OF DOLORA L. MITTEN pledge, assignment, sale or transfer in any manner to charge or encumber his interest either in income or principal, nor shall the interest of any beneficiary be liable or subject in any manner while in the possession of my personal representative for the liability of such beneficiary. SIXTH I nominate, constitute and appoint my daughter, SHERRE MITTEN BELL, of Camp Hill, Cumberland County, Pennsylvania Executrix of this my Last Will and Testament. If Sherre Mitten Bell is unable or unwilling to serve as Executrix of this my Last Will and Testament, then I nominate, constitute and appoint my daughter, DARLA R. ILLO, of Shippensburg, Franklin County, Pennsylvania, as Executrix of this my Last Will and Testament. I direct that my personal representative shall not be required to give or post bond for the faithful performance of his, her or its duties in this or any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand to this my Last Will and Testament this 2 14, clayof 20 13. WITNESS: DOLORA L. rTER 6 LAST WILL AND TESTAMENT OF DOLORA L. MITTEN ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF I, 0,3 10P , �. Mt 11�/l, 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 Testament; that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. r0 DOLORA L. MITTEN Sworn or affirmed and acknowledged befor me by DOLORA L. MITTEN, the testatrix, this 17 day of , 2013. otaryis MY co ission expires: COMMONWEALTH F PENNSYLVANIA NOTARIAL SEAL TAMMY SUE HELMAN,Notary Public Gu;ito�o Twp.,Franklin County My Commission Expires February 10,2014 7 LAST WILL AND TESTAMENT OF DOLORA L. MITTEN AFFIDAVIT COMMONWEALTH OF PENNSYL AVIA SS. v i Alt-)COUNTY OF '�" WE, and , the witnesses whose names are attached to the foregoing document, being duly qualified according to law, do depose and say that we were present and saw Testatrix sign and execute the instrument as her Last Will and Testament; the she signed willingly and the she 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 Last Will and Testament as witnesses and that to the best of our knowledge the testatrix was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn oraffirmed andsubscribed befor me by and �j �KZthis day of A,6 , 2013. otary My commission expires: COMMONWEALTH OF PENNSYLV NIA TAMMY SUEOHELMAN EN Notary Public 8 Guilford Twp.,Franklin County My Commission Expires February 10,2014