HomeMy WebLinkAbout09-21-05
PETITION FOR PROBATE and GRANT OF LETTERS
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FRANCES W. MELLINGER
No.
Estate of
also known as N / A
, Deceased
To: Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
Social Security No.
184-12-2073
The petition of the undersigned respectfully represents that:
y our petitioner(~) is/'JGfie 18 years of age or older and the execut rix named in the last will of the
above decedent, dated November 7 19 83 and codicil(s) dated N/ A
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(state relevant circumstances, e,g. renunciation, death of executor, etc.)
Decedent was domiciled at death in Cumberland County, Pennsylvania, with h ~last family
or principal residence at 16 Center Drive, Camp Hill, Cumberland County, Pennsylvania
Lower Allen Township
(list street, number and municipality)
Decedent, then 81 years of age, died
at Essex House, Lemoyne, Pennsylvania
August 6
~ 2005
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 incom-
N/A
petent:
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.)
(If not domiciled in Pa.)
(If not domiciled in Pa.)
All personal property
Personal property in Pennsylvania
Personal property in County
200,000.00
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Testamentary
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probate of the last will and codicil(s) pr~ented ,~~~
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testamentary: administration c.t.a.: administration {gn.c.t.a.)
P.O. Box 7, Dover, PA 17315
WHEREFORE, petitioner(s) respectfully request(s) the
OA TH OF PERSONAL REPRESENT A TIVE
COMMONWEALTH OF PENNSYLVANIA]
SS
COUNTY OF CUMBERLAND
The petitioner(s) above-named swear(s) or affirm(s) that 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
above decedent petitioner(s) will well and truly ad mi ter the estate a ording t law.
Sworn to or affirmed and sub-
scribed before me this ~ OM day of
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For ~e Reg;stev
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NO.a/-os- - 8~O
Estate of
FRANCES W. MELLINGER
Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW, .:~{)+h So pi" ,1\ kr
~ J.OO~ in consideration of the petition on the reverse side
pr of having been presented before me, IT IS DECREED that the instrument(s), dated
g3
described therein be admitted to probate and filed of record as the last will of FRANCES W. MELLINGER
and Letters
TESTAMENTARY
are hereby granted to
PEGGY M. HOUSEAL, EXECUTRIX
FEES
JJLL ~~ ~v1 rA
Register of Wills' . C . L-
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Probate, Letters, Etc.................. $
ATTORNEY (Sup. Ct. J.D. No.)
Short Certificates ( )................. $
Renunciation.......................... $
ADDRESS
..................... $
PHONE
TOTAL. . .. . .... $
Filed
REGISTER OF WILLS OF CUMBERLAND
COUNTY
OATH OF SUBSCRIBING WITNESS - Q llO
JJ - 05 -0 ~ 1
PHYLLIS SHOEMAKRER
codicil
(each) a subscribing witness to the will presented herewith, (each being duly qualified according to
law, depose(s) and say(s) that
she
present and saw
FRANCES W. MELLINGER
the testat rix
,
, sign the same and that
she
signed as a witness at the
request of testat rix
in h er
presence and (in the presence of each other) (in the presence of the
other subscribing witness(es)).
scribed before me this
C~4.M~A7W~
(Name)
Sworn to or affirmed and sub-
(Address)
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REGISTER OF WILLS OF
COUNTY
OATH OF NON-SUBSCRIBING WITNESS
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
familiar with the signature of
codicil
subscribing witnesses to) the will presented herewith and that
codicil
will ]s 111 the handwriting of to the best of
, testat_of(one of the
believes the signature on the
knowledge and belief.
Sworn to or affirmed and sub-
scribed before me this
day of
(Name)
19
(Address)
For the Register
(Name)
(Address)
REGISTER OF WILLS OF CUMBERLAND
COUNTY
OATH OF SUBSCRIBING WITNESS JI -05 -~~O
PEGGY PARR
codicil
(each) a subscribing witness to the will presented herewith, (each being duly qualified according to
law, depose(s) and say(s) that
FRANCES W. MELLINGER
she
present and saw
, the testat rix
, sign the same and that
she
signed as a witness at the
request of testat rix
in h er
presence and (in the presence of each other) (in the presence of the
other subscribing witness(es)).
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(Name)
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OATH OF NON-SUBSCRIBING WITNESS
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(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
familiar with the signature of
codicil
subscribing witnesses to) the will presented herewith and that
codicil
will IS 111 the handwriting of to the best of
, test at _ of (one of the
believes the signature on the
knowledge and belief.
Sworn to or affirmed and sub-
scribed before me this
day of
(Name)
19
(Address)
For the Register
(Name)
(Address)
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RENUNCIATION OF EXECUTORS
We the undersigned, having been appointed executors by our mother, Frances W.
Mellinger in her Last Will and Testament dated November 7,1983, do hereby exercise our
right to renounce and be released from the responsibility of serving as executrices, and
further appoint our sister, Peggy M. Houseal to serve as sole executrix of the estate of our
mother, Frances W. Mellinger.
Peggy M. Houseal further accepts the responsibility of serving as sole executor of
the estate.
Executed this 18th day of August, 2005.
x/~J1. ~ff
-sharon E. Ludt
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COMMONWEAL TH OF PENNSYLVANIA
SS.
COUNTY OF YORK
On this the .L8..!!!..- day of it; at~ , 2005, before me, the undersigned
/ a
officer, personally appeared Sharon E. Ludt. Glenda M. Mellin2er and Pe22V M. Houseal,
known to me (or satisfactorily proven to be) the executors whose names are subscribed to
Renunciation of Executors Form, and that they, executed the same for the purpose therein
contained.
IN WITNESS WHEREOF, I have se my hand and official seal.
My Commission Expires: (; )2&/r2~fJ 9
OOMMONW A TH F P NSYLVANIA
Notarial Seal
DorIs MarIe DeHharmler. Notary Public
Conewago Twp.. York County
My CommIsslon Expires June 26, 2009
Member. Pennaylvanla Association 01 Notaries
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TIll' IS to certify that the information here given is correctly copied from an original ce~'~ific~te of death dLl~r filed with
I()ctl Registrar. The original certificate will be forwarded to the State Vital Records Otllce for permanent tIlmg.
me as
WARNING: It is illegal to duplicate this copy by photostat or photograph.
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Fee for this certificate. $6.00
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
81
UNDER 1 YEAR
Monlh. O.YS
UNDER 1 DAY
Hounl
SEX
2. female
STATE FILE NUMBER
SOCIAL SECURITY NUM8ER
3. 184 - 12 -2073
DATE OF DEATH ,Mcnlh. Da.,. '~ar,
..8-6-05
NAME OF DECEDENT (FirS!. Middle. lasrl
,. Frances W. Mellinger
AGE ILaSf 8irthClay)
DATE OF BIRTH
',Month. Day, '''ear)
PlACE OF OERH ICl'>eck only o,-.e -;ee 'flSln.IChOnS on O!her sl(j8)
HOSPITAL;
Franklin CO. Inpa.ienlO
7. PA 110.
FACILlT'V NAME (If nolln!if'full()l1, gIVe slresl and numDen
BIRTHPLACE IC,ry and
Stale 01' Fcretgn Country)
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ERIOuIDatient U
OOAO
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COUNTY OF DEATH
CITY.
Lemoyne
Ie.
RACE - Amencan Indian. BIaeJl., White, etc.
ISpeedy)
Cumberland
MI.
DECEDENT'S USUAL OCCUPATION
(~-:o,~~~~~r~:f Florist
llL F lor is t ,.'il,~ephensons
DECEDENT'S MAILING ADDRESS (Slreet CilyfTown. SIaIe, LIpCode\ DECEDENT'S
ACTUAl
RESIDENCE
(See,"""""",,",
on other SIde,
WAS DECeDENT eVE A IN
U.s. ARMED FORCES?
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10.
White
12.
MARITAL STRUS . Married
Never ~rrl8d, Widowed.
O_lSpecoty)
,t.'idowed
SURVIVING SPOUSE
(II WIle. 91ve maIden."\8me1
16 Center Dr.
,..Camp Hill, PA
17._St..te~
l>d
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Min.
l'l1mh,::>rl."lnn --' 17..~ :""00:'::::01 Lemoyne
MOTHER'S NAME (First. M'ddle. Maiden Surname)
, 19.Florence Trail
INFORMANT'S MAILING ADDRESS (Street. OtyfTcM;n, SIa1e, Zip Code)
~~O. Box #7 _Dover, PA 17315
PLACE OF OlSPOSfTlON. Name of Cemetery, CremalOfy LOCATION. Citytrown, Slate, Zip ~
or Other Place
Spring Hill Cemetery
21c.
17C.O Yea,decedentlivedin
Iwp.
17011
17b. Coon
cityJboro.
FATHER'S NAME (First Middle. Last)
~ Geor e Hi ensteel
INFORMANT.S NAME IT ypelPrintl
~eggy M. Houseal
METHOO 01' OtSPOS.TION
a_. rn C'.ma'"'" 0 _.."",s....O
01.... (Speedy
23b. 23c.
WAS CASE REFERRED TO MEDiCAl EXAMINERlCORONER?
....0 Noi!:l
LICENSE NUMBER
011248 L
NAME AND AOORE$S OF FACIlITY
l;l~sselman FH&CS
LICENSE NUllBER
1llllE000TE CAUSE (Flf1a1
dIseBs8 01 condition
resuling If"l death)--...
...
. Approximate
: in,,,,,,, between
I onset and death
,
i
PART II: omer Significant condIIions contributing 10 dealtt, bUt
not AtSUItlng in the undertytng CIIUH given in PIVrr I.
SequentiaIy list condittons
if env, IMding to imr'nedi8le
c:aus.. En.... UNDERlYING
CAUSE (Disease Of I(1fUrY
f\aI: initialed events
'e!IJIInO in de8lhlLAST
DUE 10 (OR .
DUE 10 lOR AS . CONSEQUE NeE Of),
WI.S AN AUTOPSY
PERFORMED?
d
WERE AUTOPSY FINDINGS
AWLA81E PRIOR 10
COMPLE1lQN OF CAUse:
01' DEATH'
MANNER OF DEATH
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DATE OF INJURY
(Monlh, Day, ~atl
TIME OF INJURY
INJURY I(f WORK?
DESCRIBE HOW INJURY OCCURRED.
Homicide
o
o
o ~'CE OF INJURY. AI home, tarm~~. lackNy. otl'ice
buiIdinc;J. etc, ISpec.dv)
300.
.... 0 NeD
A,ceident
Pending InyesUgauon
....0
No~
v.. 0
NeD
SuCKM
Could not be dete,mlned
M. 3Oc.
o
28L 28b.
CERTIFIER ICheck only onel
"CERTIFYING PHYSICIAN (PhYSICian certtfylng cause cJ death whel" anOlher phVSIC,an has pronounced death ana Completed Ilem 23)
To the best 01 my know~, death occurred due to Ihe cllIuae(s) and manne,.. stated. . . . .
29.
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"llEDICAL EXAlllNER/CORONER
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31a.
REGISTR
33.
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I, FRANCES W. MELLINGER, of 16 Center Drive, Camp Hill,
Cumberland County, Pennsylvania, do make and publish this as
and for my last will artd testament, hereby revoking any and
all wills heretofore made by me.
FIRST: Debts and Funeral Expenses: I direct my executor to
pay all of my debts, funeral and adminstrative expenses as
soon as convenient after my decease.
SECOND: Personal and Household Effects: I give all my auto-
mobiles and all other articles of personal or household use,
together with all insurance relating thereto, to my husband,
GLENN W. MELLINGER, if he survives me by sixty (60) days. If
he does not so survive me, I give all such property and
insurance to such of my children as so survive me, to be
divided among them as they may agree or, in the absence of
agreement, articles unsuitable for division may be sold and
the proceeds thereof added to my residuary estate.
THIRD: Residuary Estate:
remainder of my property,
GLENN W. MELLINGER, if he
If he does not so survive
all my property, real and
I give all the rest, residue and
real and personal, to my husband,
survives me by sixty (60) days.
me, then I give, devise and bequeath
personal, as follows:
A.
To each of my grandchildren, living at my death, the
sum of $2,000.00. If any grandchild is under the
age of twenty-one (21) years at my death, his or her
bequest shall be held in trust for said grandchild
by his or her parents or surviving parent. It is
my desire that this bequest be used for providing
an education for said grandchild beyond high sc~ol.
~~,' .~.;
B.
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$500.00 to the Grace United Methodist Chuy-qh, L~oYfie~q
Pennsylvania. I:; ~ S3
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$500.00 to the South Central Tuberculosis S99ie~:y. -, '-'
C.
D.
$200.00 to the American Heart Association and
$200.00 to the American Cancer Society.
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E. The balance thereof to my children, PEGGY M. HO~EAL,
SHARON M. LUDT and GLENDA M. KISHBAUGH, to be divided
among them share and share alike.
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FOURTH: Protective Provision: No interest in income or
principal shall be assignable by, or available to anyone having
a claim against a beneficiary before actual payment to the
beneficiary.
FIFTH: Death Taxes: All federal, state and other death taxes
payable because of my death on the property forming my gross
estate for tax purposes, whether or not it passes under this
Will, shall be paid out of the principal of my probate estate
just as if they were my debts, and none of those taxes shall
be charged against any beneficiary. Any death taxes on
future interests may be paid whenever my executor may think
best.
SIXTH: Management provisions: I authorize and empower my
executor to sell any realty and/or personalty owned by me
at my death, at either public or private sale or sales, and
therefor, in fee simple, as I could do if living. My execu-
tor is authorized and empowered to continue to engage in any
business in which I may be engaged at my death, for a period
one year after my death. I authorize and empower my executor
to use administrative or other expenses of my estate as income
tax or estate tax deductions and to value my estate for tax
purposes by any optional method permitted by the law in force
when I die.
SEVENTH: Executor: I nominate and appoint my husband,
GLENN W. MELLINGER, to be the executor of this my last will
and testament without the filing of bond. Should he die
before my death, renounce or refuse to serve for any reason,
or die leaving any of my estate unadministered, I nominate
and appoint the aforesaid children, who are living at my
death, as substitute executrices with the same powers as are
given herein to my executor, and also without filing of any
bond.
WITNESS my hand and seal this 1~ day of November, 1983.
~~~ Iy~tt~
(SEAL)
In our presence the above-named Testatrix signed this and
declared it to be her last will and testament, and now at her
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request, in her presence, and in the presence of each other,
we sign as witnesses:
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