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Home My WebLink About10-25-05 Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of Elaine R. Mayo No. 21--,} ~ ()t;;- q q ;l. also known as Elaine Ruth Mayo , Deceased Social Security No. 196-18-6118 John S. Mayo Petitioner(s), who is/are 18 years of age or older, appl(ies) for: (COMPLETE 'A' or 'B' BELOW) [RJ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the the Decedent, dated 07/16/1999 . and codicils dated 04/17/2000 Executor named in the last Will of State relevant circumstances, e.g., renunciation, death of executor, etc. Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incompetent: D B. Grant of Letters of Administration (c.t.a; d.b.n.c.t.a; pedente lite; durante absentia; durante minoritate) 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: Name Relationship Residence Ct.) (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his/her family or principal residence at 891 Means Hollow Road, Shippensburg, Southampton Township, PA (list street, number, and municipality) at Carlisle Regional Medical Center, Carlisle, (Location) Decedent, then 80 years of age, died 10/05/2005 PA 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 Pennsylvania (If not domiciled in PAl Personal property in County Value of real estate in Pennsylvania $ $ $ $ 100,000.00 600,000.00 situated as follows: 891 Means Hollow Road, Shippensburg, Southampton Township, Cumberland County, PA Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of letters in the appropriate form to the undersigned: John S. Mayo Typed or printed name and residence 6169 White Church Road Shippensburg, PA 17257 Prepared by the Pennsylvania Bar Association Copyright (c) 2004 form software only The Lackner Group, Inc. Form RW-1 (1991) ~ Oath of Personal Representative Commonwealth of Pennsylvania 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 Ihe D"<edem, Pelmooe",) w;n well ,"d INIy ,dm'"'''e. the e'~te '~"d'"g 10 I:~~ J SWorn to or affirmed and subscribed vf / ~ - John S. MayO' before me this 25 day of (/ I~' f No. Estate of Elaine R. Mayo also known as Elaine Ruth Mayo Social Security No: 196-18-6118 21-- 9. O() s- q'f?- , Deceased Date of Death: AND NOW, a~~/ q.f~ 10/05/2005 of the Petition on the reverse side he.eon, satisfactory Proof having been presented before me, IT IS DECREED that Letters 00 Testamentary 0 of Administration , d( CC'S , in consideration r......~) are hereby granted to John S. Ma 0 Executor -~ , -~~ (c.I.a.; d.b.n.c.l.a.; pendente lite; duranll!lIbsentia; dqrslnte minorlta,te1 in the above estate and that the instrument(s) dated . , ./ 7/16/1999 4/17/2000 . , ) ,-1 de',"bed '" ~e Pe""", be "mitt"" 10 P"'b"e 'ed filled of reco'" " lbe '2!,Jy;n of Oe",e"~ 9 A CO FEES 5/0 ~M,r~",~~<-. lettern....... ........ ...;;.......$ (0 00 -&<<'<1 ('H~"Z F"H~e~i~~ t' ~/~ ~ Y-l~l ::;:,e(,): /5 ~vu Attorney /~/g~i.Jr, 'repared by the Pennsylvania Bar Association Copyright (c) 2004 form software only The Lackner Group, Inc. Form RW-1(1991) Affidavits ( )...........................$ Codicil................ ................$ J 5". olb . I.D.No: 19231 Hoskinson & Wenger Address: 147 East WaShington Street Extra Pages ( )......................$ JCP Fee.......................................$ 1u rz) Inventory..................:................... $ f' /-. ",i) l.. . 1..- Chambersburg, PA 17201 Telephone3717/263_8535 5 ()D E-Mail: Other............ ......... .......... ............. $ TOTAL............................ $ 5b3 , a I JlD C;-l)(}t{~ Thi' i:-, 10 certify that the information here gi yen is correctly copied from an original cert i ficak or dl'ath du i) fi led with me as Lllc.tl Registrar. The original certificate will he forwarded to the State Vital Records Office 1'0' permanent tiling. WARNING: It is illegal to duplicate this copy by photostat or photograph. 1"II,'(~~ID1;-----__ /\I~ ,,<4'~.. \ I\~(... 9.~"" \~~ ~~f ,. \?~ ~c:;:,I. .~. '!~~ ~ c.-1\ _ . ~a._~~. ./.:J:::a.$ ..*~.._-,.*~ ~ .::2~-'Y~ /~ " \.~ . /~,l ~ 1'.-?~'f- "' ~.,.--- 'MEN1 ~{~ """ "'''''''''""""",,'111111 j . ~ ~I?~ Loc,d Registrar Fee for this certificate, $6.00 P 1. 1 .., 0 0 c;! r'~ , t t) , .1, \.0:.;1 "'" No. OCT 0 7 2005 Date f-....._1 ---:-1 Rev. 2187 COMMONWEALTH OF PEN~!SYLVANIA 0 DEPARTMENT OF HEALTH 0 VITAL RECORDS CERTIFICATE OF DEATH c/) NAME OF DECEDENT (~ir'>l IvMdle. last) SEX ::jTATE FilE NUMBER SOCIAL SECURlr: NUMBER. 4. Oc tober 5, 2005 1 Elaine Ruth Nayo 2. Fem&le 3. 196 -- 18 AGE (LaSl BIrthday) -PUNDER 1 YEA.R 'JNDEt1 , DAY -r-DATE ~)F BIATH L 8IATf.-lPLACE (CltfC'rrd PLACE OF DEATH (Check only one _ see ins!rucliors 011 olher S:df') ~s : rj&ys Hours I M;nutf:lsl (Munth l)ay Year' Slate or For~lgn COllntry) HOSPITAL . I ' I 5 Bay" it! --164-28.-1925 7 Da11astown, PA~:~ahenID ERIO"'p'hen,Tl! DOA[~J COUNTY OF DEATH C'i"'r'Y.'aORO, TWF' OF DFAff-' F.I\GrLlTY NAIvlE (If not insttu!ian. give s1r231 and number) 8b Cumberland 8e Carlisle 8dLhr\\...\c.. R~.< <oj""\ fv\",-,l\ccl\ Cer.-\(r DECEDENT',3 USUAL OCCUPA:rJON KIND 01:" BuSii\;ESSIlNDUSTi=lY WAS OECEDENl EVER IN DECEDENT'S EDUCATION MARITAl STATUS. Mdrri.<Jd (Give klrtj at work cant; during nl0s1 ,------...--- U,S_ ARMED FORCES? ~ only hiC'hel' illM~.fQr!) leted ~Jever ro..:arried, Widowec', of working life; do not use refired,) Yes 0 No 00 Ele'TlMlarylSecondary College Divorced (Specify} . lla. Homemaker 110. Own Home 1,3. 12(0.") L (1 '",5+) 14. Wido\ved DECEDENT'S MAILING ADDRESS (Street. City(fown, Slate, liD COdei IOECEDEN""S np ^ D ~outhamn ton 891 Means Hollow Road ~~~~~~CE 17a.slale_~__'_~~~Etdent 17c.OOYes,decedenllivedin ~_ ___~_- Shippensburg, PA 1725 7 ;~t~:rtrs~~;fn~ :~=~~~;p? 16. 17b. Counl Cumb e r land FATHER'S NAME (First, Middle. Last) 18. Samuel Eveler INFORMANT'S NAME (Type/Print) g~:;i1Y) 0 RACE. American Indian, Black, White, etc. (Specify) ~O. Whi te SURVIVING SPOUSE (If wile, give maiden name) l Iwp 17d.D ~~h~e~~t~~7~i~i~ 01 City/boro MOTHER'S NAME (First, Middle. Maiden Surname) IMMEOIATE CAUSE (Fina. dIsease or condirion resulting m deall))_ 28 F Approx:nate : ,nlerva! b~twl;li:ln I onsel ana deatt> {1 . 11 . I ~/~ : I/~RASASO"SEOUENCO~'V'~",...----------'------1-- (', ~UETC'(O~UENHoe),.~ 1;:- 'IJ : ~~/~--r ~~ r ~...I:'4v'-' , DUB"tO (OR AS A CCNSEOUE"lCE OF): --__-;--_.___ [ 19. Jeanetta Powden INFORMANT'S MAILING ADDRESS (Street, CityrTown, Slate, Zip COde) 20b. 2 Ian Drive ,Mt. Holl rin s, PA 17065 PLACE OF DISPOSITION. Name of Cemetery, Crematory LOCATION. Cityn-own, Slale. lip Code o,Olhe'Placo Cremai ton Socie ty of 210. Pa C~ematory 17109 "AMF AND AODRESS OF FACILITY Auer Memor-ial HornE' & Cremation ,22e. Services Inc. Harrisbur IUCENSE NUMBER I 1"10 +:2.4:> .2.L 2Jb. WAS CASE I;~FEARED TO MEDI~AL '(es . <; J L()(J~- 2"". Mrs. Constance Morgan METHOD OF DISPOS!TION I DATE OF DISPOSITION BL.:rial 0 Cremation [X) Removal from Slate C (Monlh, Day, Yea,-) Doool"" 0 Othe, (Spec,ly' 0 II'. r~ '1rv r~ .210. 21b. )- /-.><'_A)__ SIGNA~(JNE.~Al SERVI(;EL~CENSE~ O~N ACTIN9J'YSUCH . LICENSE NUMBER 220./ 4~:---/~ ~ ~~CC' ~M<...p.. '22b. FD 138312 ec.mplele _item!> 23a-c only when ce,~ ,. 0 e besl of my knowredge,.d ath OCCUr! allhe time, 1ale and place StltP.U P"'yslC-lan IS not available altirnA of jeatn 1(' '---] rgn."llurfr an':! Hie)" certIfy cause of deatn :13e. ',____..... ,/1 \-:....~~ L-'~/) c.~'\. f'l.-1.. b lIems 24-L6 rn'J~1 be complefed by ----lTiM~C5Fi5E'ATH- . ~IDME PRONOUNCEQ DEAD (Montf), ~j~\:"Yea~. _ person who pronounces death_ 1- -- /' () ,... t{ (\ _ 1 <-' 2- ", . ,.,..~_ ---.!24. _~__ I~ ~~~::-r oJ ~~.c- S 27. PA.RT I: Enle, the diseases, 'In;uries t1r ccmpticilt,or,s which c3u~ed tre death. Do nM enter the :"'lode Jt .jying, such C'S cardiac (If rer.plri:ltol)' arrest, shock or heart faih...re. Ust only one cause on each Iii...;! NOC: Other Significant conditions contributing to death, but not resulting :n !he underlying cause given in PART I Sequentially list condihl)f1s if any, leading 10 immectiate cause. Enter UNDERLYING CAUSE (D'sease or Inj'Jry that initla~ed events resuhing in death) LAST WAS AN AUTOPSY PERFORMED? u WERE AUTOPSY FINDINGS AVAILABLE PRIOR TO COMPLETION OF CAUSE OF DEATH? MANNER OF DEATH Natural ~ o o DATE c:.r INJURY (Monlh Dav, Year) TIME OF INJURY INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED Homicide o o o ~~~'CE OF INJURY. A! home, lar;,o:r~eet, factory, office M. building, etc, (Specify) 30e. Yo, 0 NoD Accident Pending Invesligation Yes 0 No Yes 0 No [ld-/ SUICide Could not be delermined 30c. 30d. LOCATION (Street. CityfTown. State) o .28a. 28b. CERTIFIER (Check only one) 'CERTIFYING PHYSICIAN (Fhyslclan cer~itYlng cause of death when another phYSICian has pronounced death and completed Item 23) To the best of my knowledge, death occurred due to the cause(s) and manner as stated. . . 29. .PRONOUNCING AND CERTIFYING PHY'SICIAN (Physlc1arl bolh pronouncing death and cenlr'ying to cause.:l: death) To tha best of my knowledge, death occurred at the time, date, and place, and due to the eause(s) and manner as stated.. o 310. . () lJ '} t'l () iZ 310. .y NAME AND ADDRESS OF PERSO~ WHO CQMPLETED CAUSE..O. F..,pEA. JH (Item 27) Type orPrifll J _ // / .0 ,/'1./ . t/ '- . / t' i:' $". It I G 6/ :::1 ,A/i' t-v' ./ i Let." If /~ /:> 2. '/( 'MEDICAL EXAMiNER/CORONER On the basis of examination and/or investigation, In my opinion, death occurred allhe time, date, and place, and due to the cause(E;) and manner as stated.. . .. ....... .. .........,. ....,. . . . . . . . . . . . , . . . . . . . . . ........ .. ................. . . 31a ._ REGISTRA~RE^~B~ ~ 133 ---- ,/ /M1Zd-I..I;!:tT~'" __ 1.,.; I "~ /~ 34. :: e:<~tJ{'" . r 10 ~ . . ~ J C\.) - JRZ - 5.1 Mayo.2 July 6, 1999 " , , . , LAST WILL AND TESTAMENT I, Elaine R. Mayo, of 891 Means Hollow Road, Shippensburg, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby declare this to be my will, hereby revoking any and all former wills and codicils thereto by.. me .,'} heretofore made. I. I direct that all my just debts and funeral expens'es, , , I including all expenses of my last illness, shall be paid from my estate as soon as practicable after my decease as a part of the expense of the administration of my estate. II. I give, devise and bequeath the residue of my estate of every nature and wherever situate to my children, namely John S. Mayo, and E. Constance Morgan, in equal shares. A. In the event my son, John S. Mayo predeceases me or dies on or before the thirtieth day following my death, his share shall be distributed to said beneficiary's issue, per stirpes, living on the thirty-first day following my death, and in default of any such then-living issue, such ~ c . ~ j ~ I share shall be distributed to his surviving spouse. B. Should my daughter, E. Constance Morgan, predecease me or die on or before the thirtieth day following my death, her share shall be distributed to her spouse, Charles Morgan. III. In the event that anyone entitled to a share of my estate shall be under the age of twenty-two years at the time for distribution to such beneficiary, I constitute and appoint Mellon Bank, NA, Shippensburg, Pennsylvania, as trustee of any property which passes either under this will or otherwise to said beneficiary. Said trustee shall in the trustee's sole discretion and without order of court, use principal as well as income from time to time as may appear to be necessary for the beneficiary'S welfare, comfort, medical care, recreation, support and education, without responsibility to the beneficiary or to any person taking care of the beneficiary; and the remaining balance in the hands of said trustee shall be distributed to said beneficiary when the beneficiary attains the age of twenty-two years. If such beneficiary dies prior to attaining the age of twenty-two years, said trustee is authorized in the trustee's discretion to pay part or all of the beneficiary's funeral expenses and the remaining balance in the hands of said trustee shall be distributed to the beneficiary's personal representative. In the event the funds held Page 2 io ~ . ~ j Co I .'. by the trustee for any beneficiary become in the opinion of the trustee too small for proper and efficient administration, the trustee, ln the trustee's sole discretion, may deposit such funds in a savings account in the name of the beneficiary. IV. I direct my executor to give my son, John S. Mayo, the option to purchase my farm situate as 891 Means Hollow Road, Shippensburg, Pennsylvania, at its appraised value. I direct my executor to secure the services of two independent appraisers and to average the appraisals to arrive at the purchase price for my farm. My son's, John S. Mayo's, share of my estate may be applied directly to the purchase of my farm. V. Any fiduciary under this will shall have the following powers in addition to those vested in them by law and by other provisions or my will applicable to all property whether principal or income, including property held for minors, exercisable without Court approval, and effective until actual distribution of all property: A. To retain any and all of the assets of my estate, real or personal, without regard to principle any of diversification of risk. B. To invest in all forms of property including stock, Page 3 io ~ rk L.\,J - ," common trust funds and mortgage investment funds without restriction to investments authorized for Pennsylvania fiduciaries as they deem proper, without regard to any principle of diversification of risk. C. To sell at public or private sale, to exchange or to lease for any period of time any real or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms or conditions as they deem proper. D. To allocate receipts and expenses to principal or income or partly to each as they from time to time think proper. E. To compromise any claim or controversy. F. To distribute ln cash or in kind or partly in each. G. To hold property in their names without designation of any fiduciary capacity or in the name of a nominee or unregistered. VI. 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. Page 4 t ~ 4 GJ .. ,', VII. The interest of the beneficiaries hereunder shall not be subject to anticipation or to voluntary or involuntary alienation; and the principal and income shall be paid by the trustee or guardian directly to or for the use of the beneficiary entitled thereto, without regard to any assignment, order, attachment or claim whatever. VIII. I appoint Mellon Bank, NA, of Shippensburg, Pennsylvania, as executor of this my will. IX. No bond shall be required of any fiduciary hereunder in any jurisdiction. X. In case of my death, I desire my cats and my dog, Kelly, to be placed in the care of my daughter, E. Constance Morgan. I further direct that with the help of Dr. Kathy Purcell, my daughter shall place my animals in loving homes or at the Helen Krause Foundation. Page 5 IN WITNESS WHEREOF, I hereunto set my hand and seal to this my last will and testament, consisting of seven typewritten pages, the first five of which bear my signature in the margin for the purpose of identification this /t: ~ day of <::/7 ~ 19-22-. E f2...,.. '- K. fI1~ (SEAL) Signed, sealed, published and declared by the above-named testatrix as and for her last will and testament in our presence, who in her presence, at her request and in the presence of each other have hereunto set our hands as attesting witnesses. 9u-eWJL/LjU ~%~ /J/~/+~y~~~,Ii. ~'J.q JI~~~,;a . We, Elaine R. Mayo, the JoeL If. ZtLU~ N6-ER testatrix and the and witnesses TaRA- R. rmL.<,I1J1J respec~ively, whose names are signed to the a~tached or 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 testament and that she executed it as her free and voluntary act for the purposes therein expressed and that each of the witnesses, in the presence and hearing of the said testatrix, signed the will as witnesses and to the best of Page 6 .' their knowledge, said signer was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. ~Y.. : ...... R. M(t Testatrix Subscribed, sworn to and acknowledged before me by the above--named signer and subscribed and sworn to before me by the above -named witnesses this 1(P+&" day of JuUf , 193!L. ,y ~~p~c NOrMAl SEAl TIINA M. UOOICENS. NDfar)' fIu&k ~p, IfIIIwrv lena, CumbeIfotld 0... itA M., CommW4/\ e.p,. "., If 2000 Page 7 - (J ~ - ~ J w .. JRZ - 5.1 mayo.2 March 24, 2000 CODICIL I, Elaine R. Mayo, of 891 Means Hollow Road, Shippensburg, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby declare this to be a codicil to my will dated July 16, 1999. I. I hereby revoke paragraph VIII of my said will which readEl~as follows: c.) "I appoint Mellon Bank, NA, of Shippensburg, Pennsylvania, as executor of this my will." IN LIEU THEREOF, I direct that the following be substituted: "I appoint my son, John S. Mayo, as executor of this my will. Should my said son, John S. Mayo, predecease me or fail to qualify as executor, I appoint Mellon Bank, NA, of Shippensburg, Pennsylvania, as executor of this my will." II. In all other respects I hereby ratify, confirm and republish my will dated July 16, 1999, together with this codicil as and for my will. ) . , ' IN WITNESS WHEREOF, I have hereunto set my hand and seal this I , fy- day of l--.( ./lJ..,~,c~ , 2dt:10. 2'~ R, M"1; (SEAL) Signed, sealed, published and declared by the above-named testatrix as and for her codicil to last will and testament in our presence, who ln her presence, at her request and in the presence of each other have hereunto set our hands as attesting witnesses. r .:"r'(....: '_' I . yo.....' {. '(, c:. ~ '- L 0 ~ ~ ',-'I >'" _ ....'L .' -~.~. ~/.' ~ , .. .. -f :., .<<;"'.... ~.'f....4<.;.. '>~ J ''-', I , /" / / ~R~ We, Elaine R. Mayo, y7)~t2tY.~,rt . Jutl? ~ and /dAd ~ the testatrix and the witnesses respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her codicil to her last will and testament and that she executed it as her free and voluntary act for the purposes therein expressed and that each of the witnesses, in the presence and hearing of the said testatrix, signed the codicil as witnesses and to the best of their knowledge, said signer was at that time Page 2 .' ... . . eighteen years of age or older, of sound mind and under no constraint or undue influence. ~~~. Ii~ 9d./'--t 7?, ij~A~;; -:<~ Wl tness / . ~d~ . Witness Subscribed, sworn to and acknowledged before me by the above-named signer and subscribed and sworn to before.~e by the above-named witnesses this II~ day of ~a ,. I , 2~. ~fbUbC/- Notarial Seal Hamilton C. Davis, Notary Public Shippensburg Boro, Cumberfand County My Commission Expires Sept. 22, 2000 Page 3