HomeMy WebLinkAbout06-23-15 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 ��]� /� �l�/�/
Name: Helen M. Mathna File No: �?� L/ / lD
��a: (Assigned by Register)
a/k/a:
�a. Social Security No: 201-18-5467
Date of Death: June 11 2015 Age at death: 90
Decedent was domiciled at death in Cumberland County, Pennsvlvania (Srare)with his/her last
principal residence at 210 Bi S rin Road Newville PA 17241 West Pennsboro Townshio Cumberland
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at Chambersburq Hospital Chambersburq Borouqh Franklin 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 $ 7,000.00
If not domiciled in Pennsylvania. ....................... Personal property in Pennsylvania $ 0.00
If not domiciled in Pennsylvania. ....................... Personal property in County $ 0.00
Value of real estate in Pennsylvania.............................................. ..... ...... $ 0.00
TOTAL ESTIMATED VALUE. ... $ 7,000.00
Real estate in Pennsylvania situated at:
(Attach additional sheets,ifnecessary.) Street address,Post Oftice and Zip Code City,'Township or Borough County
0✓ 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 09/23/2002 and Codicil(s)
thereto dated
Dana C. Mathna died 01/19/2014 Dana Alan Mathna is successor Executor
State relevant circumstances(e.g.renunciarion,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 bom or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
�✓ 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 comAlete 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.
❑NO EXCEPTIONS �EXCEPTIONS
Petirioner(s),after a proper seazch 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 Relationshi Address
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'=-�� P�a�e`�of 2
Form RW-02 rev.l0/!!/2011 " �
Oath of Personal Representative ofs�,�e Only �.�-,
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COMMONWEALTH OF PENNSYLVANIA } � � . � •; c.:`
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COUNTY OF CUMBERLAND �`T � y
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Petitioner(s)Printed Name Petitioner(s)Printed Address Q C:." -� �r`
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DONALD L LAY 3804 BRYTTON LANE HARRISBURG PA 17110 � ~ �� �. �-j
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The Petitioner(s)above-named swear(s)or affirm(s)the state in the foregoing Petition are h-ue and conect to the best of the knowledge and belief
of Peritioner(s)and that,as Personal Representative(s)of e Dece nt,the Petitioner(s)will we and truly administer the estate according to law.
Sworn to frmed ibed before Date 7 -� � 9 - �y
me this a�of ,Q��l Date
By: Date
F Register Date
BOND Required: Q YES � NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Lett . . . . . . . . . . . . . . . . . . . . . $ ` D� Attorney Signature:
( ) Short Certificate(s). . . . . . .��
( )Renunciation(s).. . . . . . . .
( )Codicil(s). . . . . . . . . . . . .
( )Affidavit(s).. . . . . . . . . . .
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name:
Commission. . . . . . . . . . . . . . . . . . Supreme Court
Ot er . . . . . . . . — ID Number:
�
. . . . . . . . Firm Name:
. . . . . . . . Address:
� � �s. . . . . . •ba
. . . . . . . . Phone:
Automation Fee. . . . . . . . . . . . . . . �Q� Fax:
JCS Fee. . . . . . . . . . . . . . . . . . . . . Email:
TOTAL. . . . . . . . . . . . . . . . . . . . . $ -�"0�
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DECREE OF THE REGISTER
Estate of ELMER L LAY File No: � � J ���� ��l�J
a/k/a: TIM LAY
AND NOW, CJ , in conside�ion of the fore oing Petition,
satisfactory proof ha ' g be esented before me,IT IS DECREED that Letters �'
are hereby granted to L> � _ _
i the above esta[e anci(if ap�licable)that
the instrument(s) dated /
described in the Petition be admitt to robate and filed d as th la t Will (and dicil(s)) of Decedent.
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g e f Wills
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FormRW-02 rev. l0/!!/20!l e Of2
REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA
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�,��1 r�� e�`�` No. 2015- 00706 PA No. 21- 15- 0706
O .�Z Estate Of: HELEN M MATHNA
lFirst,Middle,Last1
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\ �—� La te Of: WEST PENNSBORO TOWNSHIP
, CUMBERLAND COUNTY
M N ] Deceased
Soci al Securi ty No:
1750
WHEREAS, on the 23rd day of June 2015 an instrument dated
September 23rd 2002 was admitted to pro�bate as the last will of
HEL EN M MA THNA
(First Middle,LasU
late of WEST PENNSBORO TOWNSH/P, CUMBERLAND County,
who died on the llth day of June 2015 and,
WHEREAS, a true copy of the wi11 as probated is annexed hereto.
THEREFORE, I, LISA M. GRA YSON, ESQ. , Regi s ter of Wi 11 s in and
for CUMBERLAND County, in the Commonwealth of Pennsylvania, hereby
certify that I have this day granted Letters TESTAMENTARY to:
DANA ALAN MATHNA
who has duly qualified as EXECUTOR(R/X)
and has agreed to adrninister the estate accord.ing to law, all of which
fully appears of record in my office at CUMBERLAND COUNTY COURT HOUSE,
CARLISLE, PENNSYL VANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my office on the 23rd day of June 2015.
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**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)
LAST WILL AND TESTAMENT ,,
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KNOW ALL MEN BY THESE PRESENTS that I HELEN M. MATHI�Ar� pf �" ^
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Pennsylvania being of sound and disposing mind, memory and underst�rrdinc��-�"'�-clo _�'�,
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make, publish and declare this my Last Will and Testament, hereby revbking Fall ; ��
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prior v�ills anc� codicils by me at any time heretofore made.
FIRST: I direct the payment of all my legal debts, funeral expenses
including my grave marker and all expenses of my last illness, state, federal
estate and inheritance taxes, administration costs, etc., shall be paid as soon as
may be conveniently done following my decease leaving all specific bequests free
of tax to the legatee.
SECOND: I give, devise and bequeath all my property be it real, mixed or
personal, to my husband, Dana C. Mathna.
THIRD: If my spouse should predecease me or if w� should die in a
common disaster, then in either of those said events, I give and bequeath the
mauve recliner, tiger eye ring, 5 pieces cf p9!�k de�ress��� glass and the wnite
bible to Ronald L. Mathna.
FOURTH: If my spouse should predecease me or if we should die in a
common disaster, then in either of those said events, I give and bequeath the
spindle side-table made by Oliver Burkhart and all my books (excepting the said
bible) to Dana Alan Mathna.
FIFTH: If my spouse should predecease me or if we should die in a
common disaster, then in either of those said events, I give and bequeath the
drop leaf table to Richard L. Mathna.
SIXTH: If my spouse should predecease me or if we should die in a
common disaster, then in either of those said events, I give and bequeath the
bedside table (master bedroom) long side table and a set of pearls to Barbara A.
Mathna.
SEVENTH: If my spouse should predecease me or if we should die in a
common disaster, then in either of those said events, I give and bequeath the
ruby birthstone necklace to Janet Louise Walls.
EIGTH: If my spouse should predecease me or if we should die in a
common disaster, then in either of those said events; I give and bequeath
$ 1,000.00, the porcelain music box with birds and the Christmas village to
Brooke Mathna.
NINTH: If my spouse should predecease me or if we should die in a
common disaster, then in either of those said events, I give and bequeath
$1,000.00, the child's rocking chair and the Hess trucks in boxes to Tyler
Mathna.
TENTH: If my spouse should predecease me or if we should die in a
common disaster, then in either of those said events, I give and bequeath
$500.00 to Justin Davidson.
ELEVENTH: If my spouse should predecease me or if we should die in a
common disaster, then in either of those said events, I give and bequeath the
rest and residue of my estate be it real, mixed or personal to my children Janet
Louise Walls, Dana Alan Mathna, Ronald L. Mathna, Richard L. Mathna and
Barbara A. Mathna in equal shares, share and share alike, per stripes.
TWELTH: I nominate and appoint my husband, Dana C. Mathna as
Executor of this my Last Will and Testament. Should he fail to serve or be
unable to serve then in that event I nominate and appo;nt Dana Alan Mathna as
Executor. No executor appointed herein shall be required to post bond in this or
any other jurisdiction.
IN WITNESS WHEREOF, I, HELEN M. MATHNA, to this my Last Will and
Testament set my hand and official seal, this ����� day of September 2002.
�
����.�C�.�:.��,��y��.�, (SEAL)
Helen M. Mathna
Sworn to and subscribed, declared and
Published by Helen M. Mathna, as
Her Last Will and Testament, and so
Done in the presence of we the
Witnesses, who sign at her request,
And in her presence, and in the presence
Of each o�her.
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COMMONWEALTH OF PENNSYLVANIA:
:SS
COUNTY OF CUMBERLAND :
I, HELEN M. MATHNA, whose name is signed to the foregoing instrument,
having been duly qualified according to law, do hereby acknowledge that I
signed it willingly; and that I signed it as my free and voluntary act for the
purpose therein expressed.
�� /1 J, ���2c;�.�d?ivZt�.'
Helen M. Mathna
Sworn to and acknowledged, before me,
By Helen M. Mathna, the Testatrix,
This �� day of September 2002.
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Notary Public
COMMONWEALTH OF PENNSYLVANIA: rJo�ria� sea►
H. Anthony Adams, Notary Public
:SS Shippensburg I3oro, Cumberland County
COUNTY OF CUMBERLAND , MY Cor�:missiom Expires May 15, 2006
Member,�Nermr;ytvania,4ssc;ciationo!Notaries
WE, Darlene M. Bigler and Sharon Coleman Adams, the witnesses whose
names are signed to the foregoing instrument, being duly qualified according to
law, do depose and say that we saw the Testatrix sign and execute the
instrument as her Last Will and Testament; that she willingly and that she
executed it as her free and voluntary act for the purposes therein expressed;
that each of us in the hearing and sight of the Testatrix signed the Will as
witnesses, and that to the best of our knowledge and belief the Testatrix was at
the time at least eighteen (18) or m re yeGrs of age and of sound mind and
under no constraint or undue influ��. � ,%' . ��
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Sworn to and subscribed before me by,
Darlene M. Bigler and Sh�ron Coleman Adams,
The witnesses, this 3rc day of September 2002.
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Notary Public
Notarial Seal public
H, pnthony Adams. Nocary
Shippensburg Boro, Cnmberland County
My Commisston Expires May 15, 2006
N1ert�er,Pennsylvani2 Association ot Notaries