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Home My WebLink About08-09-05 PETITION FOR PROBATE and GRANT OF LETTERS Estate of MARY ELLEN ROBERTS No. ":l-'-~S-'\<::l5 a/so known as To: Register of Wills for the , Deceased. County of CUMBERLAND in the Social Security No. 195-32-4985 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older and the execut or named in the last will of the above decedent, dated 4/27/2005 and codicil(s) dated NONE (state relevant circumstances. e.g. renunciation, death of executor, etc.) Decedent was donticiled at death in CUMBERLAND County, Pennsylvania, with her last family or principal residence at 8402 SALEM PARK CIRCLE. MECHANICSBURG. HAMPDEN TOWNSHIP. PENNSYLVANIA (list street, number and municipality) Decedent, then 63 years of age, died 7/22/2005 at HOLY SPIRIT HOSPITAL. E. PENNSBORO TWP.. PENNSYLVANIA Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decedent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ 90.000.00 (If not donticiled in Pa.) Personal property io Pennsylvania $ 0.00 (If not donticiled in Pa.) Personal property in County $ 0.00 Value of real estate in Pennsylvania $ 125.000.00 situated as follows: 8402 SALEM PARK CIRCLE, MECHANICSBURG, HAMPDEN TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of lellets ...,-~ > i .. f '" , .t ~ '1 thereon. ~ (testamental)'; administration c.I.a.; administration d.b.D.c.t.a.) ~ )( -;y~ /- I JD. J INCoLN 105 CAMBRIDGE DRIVE MECHANICSBURG PA 17055 ~i' '" . . 0 cu'''::: ~~ _ 0 ~ " ,..., Vi = ::0 - ~ :'\'1 ...." ~o C) ". 0 _ -n c:: :::::0 ''''','-> ,,1;r""=:: en {=:J I In <::;-"0 UJ CJ OATH OF PERSONAL REPRESENTATIVE . ~FJ>'':;: c::> i"1 COMMONWEALTH OF PENNSYLVANIA } ss ~ -n _.-~ (J .~~ - ,,, COUNTY OF CUMBERLAND ::~ C!? .: .:J -.' N n The petitioner(s) above-named swear(s) or aftrrm(s) that the statements in the foregoing petition ate U1 true and correct to the best of the knowledge and belief of petitioner( s) that as rsonal resen- tative(s) of the above decedent petitioner(s) will well and doli . ter the es iog to law. Sworn to or affrrmed and subscribed / '" before me this ",,,,,, day of ~. 0 "'~'1t"\ ...~" 50 . s r:;' " ~ G~"t.._~~h. ~'n......~, ~ Re~er 'ft--. ~.~~, k.... ~ No. ':l.\ - ~S -"\,, s Estate of MARY ELLEN ROBERTS , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW ~~~~\ "I \ ")..<:::1,,5 , io consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instroment(s) dated 4/27/2005 described therein be adntitted to probate and filed of record as the last will of MARY ELLEN ROBERTS , and Letters TESTAMENTARY are hereby granted to D. JAMES LINCOLN FEES Probate, Letters, Etc.. . . . . . . . $ ~\<:I Short Certificates ( \.I, ~ . . . . . . $ "Ie. AlTORNEY (Sup. Ct. 1.0. No.) aefttJRiiiBt;~R. ~ ~~\.. . . . . . . $ \S 54 EAST MAIN STREET ':S"-~.~.,.,"""'...~'!. \5 MECHANICSBURG PA 17055 $ ADDRESS TOTAL_ $ 3'5<", 717-697-4650 Filed. . . ~.-:"\ ~~.S. . . . . . . . . . . . . . PHONE ,..., = ::P Q = run <-1 (, '--.0 ". ,~ ~~ c:: ::.l] \~~~:'"2 G> C'.J \ 'Tl ---~(Y, \::> . ~;: 0.~~ UJ --'C) CJ ~ 1- n -" \1 ~. -6 C!? ,1'1 0 ',:; N -n '" <.J\ 1l05.805 REV 1/05 ";)'\-<:l5 -"I<:l-S This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph, Fee for this certificate, $6.00 \1,~ll~~\.,\rarplM-.-_~_ ~I?~ .' ,l'~~ Local Re~ f~ ~,,' ,~\ !~I' ". . ~, -Q" '-. :::: !"~.I i* ''"' :_", .~ *1 P 11698047 ~* .' ,=,,-, ~", '\..~ ~~l JUl 2 f) 7m5 -~ -., :?!.tfENT \\\;:,1111" No. """-"'n,uIIJlI Date ,..., <=> ::D 0 cc' rn c;o cJ" 0 -.----.-..---.- """ ,-~ -:cD c:: ~J "--0 (;} _._..___."_ _'.0------ -I' C) ~--) !i~S3 I fll \.D C:J -..-----.,- -"'--' -"--- -~._._...- --- "-~-~----- . ,~n:..r:;. 0 '-f'l ~ -n --'-,~ C) ~~j C!? rTl lRav.2J87 COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT or HEALTH' VITAL RECORDS --, ./C) (,:,) ,J N --y\ ;~~ CERTIFICATE OF DEATH CD stATE FlI.iSNUMBER NAME OF DECEDENT (FirSt, MIddle, Last.) SEX I :OCIAL SECURITY' NUMBER DA.!S.,Qf DEATH (Month. Day, Yearj 1. Mary Ellen Roberts ,. Female 3. 195 - 32- 4985 ...:.JUI4 ,;U. ),00<:" AGE (lasl Birthday) 'YEAR UN , AY DATE OF BIRTH 13.IRTl-IPlACE,(t."-ityal\\! P C OF H h n -sein MOfIlhs I Days Hou~ Mlnu!e~ (Month, Day, Year) $tateorFU'llignCoun'M I-IOSPITAl, I~THER' . 5. 63 Yo . April 10,4 ,Harrisburg Pa 1"P8lien'l8J\ ERIOu""II6nlO 00,11,0 N=O ........0 =ty,O ... COUNTY OF DEATH 6e~;~ B;~~::'::THnl:CIJl~i~ ""S;;N;~7rfX;;~f$. / I;~CEDENT OF HIsPANIC ORIGIN? I~CE- American Indian, Bhllck, White, a . No Y~lfyes.spedfycuban, (Specify), ... Cumber land I~MICIln.P RlcatI,~~. Whl.te " DECEDE,,",S USUAL OCCUPATION KINO OF BUSINESS I INDUSTRY ~o,:~~g~~~~N (:~~~~;.t~~~~l MARITAL STATUS. Married, 3URVlVING SPOUSE (~w:.,~I~~od=u':~~=1 Never MalTled, WIdowed. (Wwife.g>v$maiden""....j Vf!SD NOIXl ''r.t-I -.. _IS~ Office Manager 11b. Senate of Pa ((L12) (1.(o.-SoI 14. Di vorc 111. 12. 12. 15. DECEDEN1'S MAILING ADDRESS (Street, Clty/Town, Stele. Zip Code) DECEDEtl7'S 11.. stale Pa 0_ 111;. gVes, <.Ie..ooenlllvedln HRrnpnl'm 6402 Salem Park Circle ACTUAL d"cOOant ..... RESIDENCE Mechanicsburg,Pa 17050 (Seeirl$lrucliona live in II 17d.D ~~~e=::::of 16. OfIolherside) l1b.Col.inlv CtunhPrl;mrl township? ...,- ,^""t'i.""" \!J"''eMTcHe'h MOTHER'SfAME lFirs~ ~Ie. Maiden Surname) 18. arec 0 S 19. A ta Dra ns taut INFORMANTS NAME (TypalPrlnt) \tlFOO~~~ ~l1~':"tlDRESS (Slreel, CltyfTOWfl, Slale, ZIp Code) 20.. D. James Lincoln 211b. '..:I. n.,," " '-~ n. no" . METHOD OF DISI"OSI~ JDATE OF [)'SPOSITIO~ PLAC'E OF DISPOSITION, Nem9 Of Cemetary, Crematory LOCATION. Cilyft"'own, State. ZiIl CMfl o I!.\lfial 1WIlalloT> CF.emO-Valtroms~te 0 \_.00),'f_>') orOlhBfPlace , ~"~ ''''; ~ 0 ",,July 27,2005 ",.Rolling Green Memorial Pa Iod. C"mn Hill Pa SIONATUR:..~ SI:. ORPERSONACTIN~SUCH 1,~ICEm.t~!)l~R." I~AM~~OM~OFfA.C\LlF' 1 ~ . 228 221;-. -1.. 22c. yers- mer unera Home IncFm-r. tH1T Fa 1 ~~;!1lBm523B-C n II To Ihe besl 01 my knowIeog& death(lC(:li.'IlIdllllhl:!tlme,~leilndplaraSltlled UCENSEI.jUMBER I~ATESIGNED ph an IS not 8vallllble allime <:If death 10 (Signature Bnd TItle) (Month, Day. ....e..r~ cet\lfycauseofde3lh. 23,.. 23Q. 23c =~~:=':::~bY ;;ME7lf''), 7 "I ~ATE~/uNCEDf~EAO (Mo:lt1. 061', Year) WAS CASE REFERRED TO A MEDICAL EXAMINER /CORONER? ..p. M 25. ~..J /) (i ;"L 1. . :2.D-.~ ". YesD N, KJ ZT, PART I: E_Ih. dll......, '''/<IrNl' e' ~m"""'do...""'lch e_1Od 11M 'iII.III, De n"to..l..."'" mod. 01 dJlng. 'f!Jt' Of urc!!..,.,.. ..........-Iery.......t. ."".k ,""".'tf.llur.. : Approximate PART II: QtherslgnlllcanleoodltlonsconlrlbutinglO<.Ieath,bu1 u.t"nly<)Mc'lIUanncl\IIM .1n18fValbetween not!ewltlngin\h6~~ell\vl>TlinPARTI. IMMEDIATE CAUBE (Final :onsal.nddeeth dlseaseorcondiliQn , R,-:>.(>.I-<tZ~ .+~.,v."~", resullln"lndealh)~ OUETO(ORASA ONSEQ\)ENCEOF}' SeqlJenlialyfislcondilions F L....~ CAN(~i""L- Ifany,lelldlngtoirnmedlate oueT ASACONsEQlJENCEOF)' ClIuse. Enter UNDERLYING CAU8E(Olsealleorinjury DUiS TO/OR AS A, CONSEQUENCE OF): that initlMedeven\$ rasulllngOl1 deelh) LAST d. WAS AN AUTOPSY WERE AUTOPSY FINDINGS MANNER OF DEATH - OA TE OF INJURY TlME OF INJURY INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED. PERFORMED? AVAILABLE PRIOR TO I'd""ltl,r~. y~",) COMPlETION OF CAUSE NatullIl 0 Homicide 0 OF DE"-TH1 0 0 YesD "kiD Accidenl PendlnglnvestjgaUon 30a. 3tJb. M. 3Oc_~'- 3Od. y~O N'# Ye~D N,O SlIicicIe 0 Couldnolb.delermlned 0 PLACE OF ItlJUR'>' . At home. fann. wee\, factory, oIflce 'I 1 ~OCATlON (Street, CflyfTOYm, Slate) ,... 28b. ". 3:~"g,.h:.(SPodfy) )1, 30f. CERTIFIER (Chqclconlyone) SIGNATUR7D t1...lE Of CERTIFIER '~~~~f"r~=~~~~aa:.:g~cau~mCnn~~~~~.~.~~~~.~~~.~~~~.~~~.~~~.. .......0 31b. t. .P{t~~:~I~G4Nk~=~I~:::Ho':.=:::~~~~r:':~=,d:=d~ :rer~2u~:(~i~d~:~~eras lllllted... ......... ........0 llCENSE NUMBER DATE SIGNED ~Orllt!, Dey. Year} 31c.. (.5 ~ 1(. J 1 ~( <..... 31d. 7/a ./<i \- NAME AND ADDRESS OF PERSON WHO COMFLETED CAUSE OF DEATH 'MEDICAL EXAMINERlCORONER {ltem~)T~orPrinl^" '{<lo~ On th. blUl. "f .xaml~tlon andlOf In\l'fttlptlon, tI\ my oplnlon, dnth occ\lnaG at the time, date, ahI;I place, ltl1d due 10 the causes!.; .nd _'."VI?-~t'...,.;'" ((.\vt~t( tl(.,\"l m.rlMr.....tn...... ............. ......................."." ,....... ........... ................... ............... .......'...... ....... 0 32. '1:.;2..-1............ \J.lq \'.....-\ (7...;i 31, REGISlRAR'"~M~ - 1.11 "I.,ll/I' I DATE FI\:.EO (Moolll, Day. YeM} - , 34. n. I .L 7 33. 7a1AA _. .J IN! { (f (/ LAST WILL AND TESTAMENT BE IT REMEMBERED THAT I, MARY ELLEN ROBERTS, a resident of Cumberland County, Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this to be my LAST WILL AND TESTAMENT, hereby revoking any and all Wills and Codicils previously made by me, I I declare that I am not married and that I have three sons, D. JAMES LINCOLN, MARK D. LINCOLN and STEVEN A. LINCOLN. II I direct that all my just debts and funeral expenses shall be paid from my residuary estate as soon as practicable after my decease, III 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 a part of the expense of the administration of my estate. IV I give, devise and bequeath all my property, whether real or personal, wherever situate, including any property over which I may have a power of appointment to my three sons, D. JAMES LINCOLN, MARK D, LINCOLN and STEVEN A. LINCOLN, in equal shares, per stirpes. V I nominate, constitute and appoint my son, D. JAMES LINCOLN, as Executor of this LAST WILL, to serve without bond, If my son, D. JAMES LINCOLN is unable or unwilling to act in that capacity, then I nominate, constitute and appoint my son, MARK D, LINCOLN, as Executor of this LAST WILL, to serve without bond, t-.o 0 ~ c.::.:> :JJ --:0 (;~ .-...---",., -~ .::::.1 ,... .----, c.: ~.. ',---- li-) ~.:::.: --,11 I :2! \.D _-I-_~ c: ,........ '"ie ,--, "-~ :z,. : -r -" -- -. - c= '?? __ rr , N /:>c -, Ul IN WITNESS WHEREOF, I, MARY ELLEN ROBERTS, have set my hand to this LAST WILL this 27th day of April, 2005. ~:dr Signed, sealed, published and declared by the above-named MARY ELLEN ROBERTS, as and for her Last Will and Testament, in the presence of us, who, at her request and in her presence, and in the presence of each other, have hereunto subscribed our names as witnesses. 7kff ~ OUL~ 1Yl,~ ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA ss. , COUNTY OF CUMBERLAND I, MARY ELLEN ROBERTS, 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; that I signed it as my free and voluntary act for the purposes therein expressed. ~~~~ Sworn or affirmed to and acknowledged before me by MARY ELLEN ROBERTS, Testatrix, this 27th day of April, 2005. ~cX~ Notary Public NOTARIAL SEAL DEBORAH l. RYAN NOTARY CiTY OF MECHANiCSBURG: CUMBERLA:O~~~~y MY COMMISSION EXPIRES JUNE 11. 2006 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND We,H~~L"'t... t? UAi.rk/Z f P and cL/cuu. /n.~m""Jl. , the witnesses whose names are signed to the attached or foregoing instrument, 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, that MARY ELLEN ROBERTS signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearin .-' and sight of the Testatrix signed the Will as witnesses; and that to the bes of knowledge, the Testatrix was at the time 18 years 0 age or m re, of so and under no constraint or undue influence. n~/n~ Sworn or affirmed to and acknowledged before me this ~7Uday of ~ ' 2005. Nl~ci+ NOTARIAL SEAL DEBORAH l. RYAN. NOTARY PUBliC CiTY OF MECHANICS BURG. CUMBERLAND COUNTY , MY COMMISSION EXPIRES JUNE 11,2006