The URL can be used to link to this page

Home My WebLink About09-16-05 PETITION FOR PROBATE & GRANT OF LETTERS , deceased. No. 21-05- ~")..~ To: Register of Wills for the County of Cumberland Commonwealth of Pennsylvania Estate of MARGUERITE E. MOUNTZ also known as Social Security No. 204-01-9567 The Petition of the undersigned respectfully represents that: Your Petitioners, who are 18 years of age or older and the Co-Executors named in the Last Will of the above decedent dated Julv 24, 1996 , and codicils dated none The Executor named none died . Renunciations for none attached hereto. Decedent was domiciled at death in Cumberland County, Pennsylvania, with his last family or principal residence at 252 Mt. Zion Rd" Carlisle. Pennsvlvania . Decedent, then ~ years of age, died September 6 , 2005, at her residence . 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: N/A Decedent at death owned property with estimated values as follows: (If domiciled in PAl All personal property (If not domiciled in PAl Personal property in PA (If not domiciled in PAl Personal property in County Value of real estate in Pennsylvania, situated as follows: $33.500.00 $ $ $ WHEREFORE, Petitioners respectfully requests the probate of the Last Will and Codicil(s) presented herewith and the grant of letters testamentary thereon. Signature(s) and Re 'dence(s) of Petitioner(s): OATH OF PERSONAL REPRESENTATIVE 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 of the above decedent, petitioner(s) will well and truly administer th state cording to law. Sworn to or affirmed and subscribed before me this \~...\., day of September, 2005. ~~~~~ Register \ '\ ~ <'~ ~~'" ').'".. \:,~ 8 j ;]:. .- I . I I ..V No. 21-05- ~ ~~ Estate of MARGUERITE E. MOUNTZ I deceased. DECREE OF PROBATE & GRANT OF LETTERS AND NOW, Seotember 16. , 2005, in consideration of the Petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated Julv 24. 1996 described therein be admitted to probate and filed of record as the Last Will of Marouerite E. Mountz : and Letters Testamentarv are hereby granted to Allen L. Mountz FEES Probate, Letters, Etc. . . . . . . . $ 90.00 Short Certificates(-1-) . , . . . . . $ 4.00 Renunciation(s) ........... $ JCP . . . . . . . . . . . . . . . . . . . . $ 10.00 Automation Fee. . . . . . . . . . ..$ 5.00 Other Will . . . . . .. .... $ 15.00 TOTAL: .... $ 124.00 Filed........................... . 60 West Pomfret St., Carlisle, PA 17013 ADDRESS 717-249-2353 PHONE - HI""'>'R1'\1'" "J...'\ -~S _ ~-.l-..C> This is to certify that the information here given is correctly copied from an original certificate or death duly r,1~d with Local Registrar. The original certificate will he forwarded to thc State Vital Rccords Officc IDr pcrnlclnent filing. me as WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate. $6.00 1) Q,: ;>, . ~~,;' ~:: t" ~, E.:-~~~~~ No, SEP 8 2005 Date r-.1 J'~".' \._f) ( H105.143 Rev.2J87 5. 91 Yrs. COUNTY OF DEATH COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH STATE FilE NUMBER TYPElPRINT IN PERMANENT BLACK INK NAME OF DECEDENT (FirsL Middle, Last) ,. Ma uerite E. Mountz AGE (LiilSt airthday) N R Months SOCIAL SECURITY NUMBER 3. 204- 01 heck -see'n I Ii DAfE OF DEATH (Month, Day, Year; 4. Sept. 6, 2005 DOAD RHid..nce [] :::'J~) 0 RACE. American Indilln, Black, Whitu, II (Specify) eX\ 8b CUmberland 10. White 1111, Nurses Aide 11b. Nursin Home DECEDENrs MAILING ADDRESS (Street, CilyrTown, Slate. Zip Code) DECEDENT'S 252 Mt. Zion Rd.. ~~~~DAELNCE 11j~rlisle, Pa 17013 ~~~~~~c:}ns FATHER'S NAME (First. Middle. Last) 18. Orden M. Husler INFORMANT'S NAME (Type/Prinl) 20.. Allen L. Mountz METHOD OF DISPOSITION . Dooalion 0 Burial Ul Cremllllon G<ffllO\/sl from Slatu 0 . 21il. Olt1er(specify) 21b. . SIGN R OF E 0 ON ACTING AS SUCH MARITAL STATUS - M,rried, Never Mllnied, Widowed, Divorced (Specify) 14. Widowed SURVIVING SPOUSE (Itwtl.., glvem.ld"n """"', Pn. D" c1ecedent liveina townshIp'? 17e. Kl Yes, decedllntlived in Lowpr Frankforn Twn Iwp. 17b, Countv 17d. 0 ~~~~~~~ii~i~ of dlylbol"O 27. PART I: En"'r III. cll...._, Inju...... or comptlutlon. whiCh c.lll&d Ih.. dulh. Do nOI.nl.r Ih.. mod.. of dying. .Ilch.. c.rGIIC or ...pil'lllory .""1, .hock or hurt f.lIllr., L1.1 only 0... c...... on..ch 1m.. Totl'le best of my knowledi:/e, dlleth oecurrlldClt the time, date endptllce slate d. (SignalUreand Tittej 23a, TIME OF DEATH ':>'ZO NAME AND ADDReSS OF FACtLlTY 22,. 219 N. Hanover LICENSE NUMBER >- z w @ " w " (; ~ z DATE PRONOUNceD DEAD (Month, OilY, Vear) 24. M. 25, -TNf\TIO, ,-0 G QUE TO (OR AS ^ CONStoOUF.NCE OF) (\ \ l:k(,.,~~ -\J\l"'~ 26. ; Approximale .Inlerva/between : onsel and death Other significant condlllons ntributingto deilth,bul not resulting in the undllrtying cause gl"'en in PART 1 SeqUllIlllallyMstCOlld/lions if any. leading to immedlale . eauSlI. Enter UNDERL. YING CAUSE (Disease or injury . thatinitialedeyenl.!l resulting on de,th) LAST WAS AN AUTOPSY 'WERE AUTOPSY FINDINGS PERFORMED? AVAILABLE PRIOR TO COMPLETION OF CAUSE OF DEATH? E QUI: TO (OR AS ^ COOSEQUENCE OF) DUE 0 (OA AS A CONSEQUENCE OF) Ye5D MANNER Of DEATH a- Accidllnt 0 o Netural Homicide Pendinlllnyesllgalion Could not be determined DATE OF INJURY (Monlh.Oa1,Vur) o D D TIME OF INJURY INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED. NoD Suicide YlIsD NoD 30.. 30b. M. 30c. PLACE OF INJURY -At home, farm, stnKlt, factory, office bulldiflg, elo. (Sp.Clfy) 30". 30d. LOCATION (Slree~ CilyfTown, Slate) 21la. 28b. CERTlFtER (Che<::k only one) .~~7~~F~tGJ~~';A~~hl.~~~ ~~~icrduJ: t':I ~8:~::~(:r~~3~6A~a~s h:~fa~~~~~~.~_~.~~~~..~~.'::,~~~~~,i,t~~.~~)... 29. 3<1.. SIGNA~ ,tNO TITLE OFr:.~TIFIER .......... D 31b. oL,-t::::. 0'--", LICENSE NUMBER .......12 31,.V'"'i)..:iI..<t7~,,-,"- 31d. "<l, vI NAME AND ADDRESS OF PERSON WHO COMPLETED CAUSE OF DEATH . "MEDICALEXAMINERlCORONER (Itum27)TypeorPrlnt LES l"bl-ti-..............t-(( . 31.~:~:::::;.:.::.~~'::'~~1I0"."41~'"~~.~?~~~:':::'.~.mYO~'"'''"'~~.~~~~~~~~. "'."m"'.~,~~~~~:~~,:~.~.~u~,o"'.'.~..~I~)~~~.. D " ~~"L~' ,~?- r4 \, ~" ) REGISTRAR'S SIGNATURE AND NUM8E~ _ (""'- DATE FILED (Monlt1, Day.~ ~f.lI.~~~U-tA! ~IISJllol 34 ~,'<:1 ~O\).S .PRONOUNCING AND CERTIFYING PHYSICIAN {Physidan bolt1 pronOlJnclng death and certifying to causa or death) To the bellt of my knowledge, death Occurred It the time, date, and place, IInd due to the eausn(a) IIlId manner iIS .tatHl. " LAST WILL AND TESTAMENT I, MARGUERITE E. MOUNTZ, of Lower Frankford Township, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament, hereby expressly revoking all Wills and Codicils heretofore made by me. 1. I direct my executor to pay all of my debts, funeral and administrative expenses as soon as may be done conveniently after my decease. 2. I authorize and empower my executor to sell any realty owned by me at my death and not specifically devised herein, at either public or private sale, and to give good and sufficient deeds therefor, in fee simple, as I could do ifliving. 3. I give, devise and bequeath all of my estate of every nature and wherever situate to my three sons, Allen, Kurtis and Randall, share and share alike, the child or children of any deceased son taking the share their parent would have taken if living. 4. I nominate and appoint Allen L. Mountz to be the executor of this my Last Will and Testament; he is to serve as such without 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 Kurtis R. Mountz and Randall C. Mountz, as substitute executors, also to serve as such without bond, with the same powers as are give herein to myexecutor. 5. I hereby suggest that my personal representatives retain the services of Irwin, ',I J,_/':.:'~' ':,~.-_;:j...~':=;Jjt McKnight & Hughes, as attorneys in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 2-1{-' day of July, 1996. -/Jl~ e. ~ (SEAL) RGUERlTE E. MOUN Z Signed, sealed, published and declared by MARGUERITE E. MOUNTZ, the testatrix above named, as and for her Last Will and Testament, in the presence of us, who at her request, in her presence and in the presence of each other have subscribed our names as witnesses hereto. Ir{ [lJlKV4 :I! ctto.d tw7~/ &-4~ 2 ACKNOWLEDGMENT AND AFFIDA VIT WE, MARGUERITE E. MOUNTZ, MARTHA L. NOEL and CHERYL L. CLELAND, the testatrix and witnesses respectively, whose names are signed to the 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, and that she executed it as her free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the testatrix, signed the Will as a witness and that to the best of their knowledge the testatrix was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence, /rt~ t;, ~~ MARGUERITE E. MO NTZ ~'lt~ Y_1--I1/Hjl MARTHA L. NOEL ~/~/ HERYL L. CLE~~D COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND Subscribed, sworn to and acknowledged before me by MARGUERITE E. MOUNTZ, the testatrix herein and subscribed and sworn to before me by MARTHA L. NOEL and CHERYL L. CLELAND, witnesses, this z..{ day of July, 1996. Nclarial Seal Roger B. irwin. Notary PII:*: CMIsle eoro, CumberIlI1d CcutJ My CanmIs6Ion ExpIres Oct. 3, 1996 MpmlJer, Pen as