HomeMy WebLinkAbout11-10-05
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Register ofW"llls of Cumberland County
PETITION FOR PROBATE and GRANT OF LETTERS
Estate of BOYD M. MELLOTT
also known as
No. J I-{)L~- ()q~~
To:
, Deceased
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
Social Security No. 161-34-0782
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, and the execut RIX named in the last will of the
above decedent, dated NOVEMBER 10 ,20 1999
and codicil(s) dated
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in CUMBERLAND
Pennsylvania, with h_ last family or principal residence at
1 EMERALD CIRCLE, CARLISLE, PA 17013
(list street, number and municipality)
Decedent, then ~ years of age, died NOVEMBER 2 ,20~ at 5:00 A.M.
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:
County ,
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(Ifnot domiciled in Pa.) Personal property in Pennsylvania
(Ifnot domiciled in Pa.) Personal property in County
Value of real estate in pennsylvania
situated as follows:
$ 20,000.00
$
$
$
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WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)ipresenteJI: :0
herewith and the grant ofletters TESTAMENTARY-', :--'\ ,'-" i i:-')
(testamentary; administration c.t.a.; administrat~n d.o:i~c.t.a.) ,J ,,: ~c5
a 'j l~~
thereon.
/.. ' Si~:S~ ~petitio~
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Residence(s) ofpetitioner(s}
1 EMERALD CIRCLE, CARLISLE, PA 17013
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BOYD M. MELLOTT, of 1 Emerald Circle, Carlisle, South Middleton Township,
Cumberland County, Pennsylvania, being of sound and disposing mind, memory and
understanding, do hereby make, publish and declare this as and for my Last Will and
Testament, hereby revoking any and all other wills and codicils heretofore made by me.
FIRST. I direct that all my just debts and funeral expenses be paid from my estate as
soon after my death as practically and conveniently may be done.
SECOND. I direct that my remains be interred within my family's burial plot located in
Mt. Zion Cemetery.
THIRD. I authorize my personal representative to expend funds from my estate, in such
amounts as my personal representative shall consider necessary and desirable for the purchase,
erection and inscription of a suitable marker for my grave.
FOURTH. If either, Lester Hair or Ruth Hair is residing with me at the time of my
death then they shall be entitled to continue such residence after my death for as long as they
so choose. If either chooses to stay in said property they shall be responsible for any and all
expenses associated with said realty
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FIFTH. I give, devise and bequeath any and all tangible personal property owned"by nj~
at the time of my death unto my wife, MARTHA I. MELLOTT, provided she survivesiije by::"
thirty (30) days. In the event she fails to survive me by thirty (30) days, I give, devise add (:;)
bequeath all said tangible personal property unto my grandchildren, Charity Parthmore, Crystiil
Parthmore and Nicole Parthmore, in equal shares, per stirpes. \;?
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SIXTH. I give, devise and bequeath any and all real estate owned by me at the time '6t
my death, unto my wife, MARTHA I. MELLOTT" provided she survives me by thirty days.
In the event she fails to survive me by thirty (30) days, I give, devise and bequeath all said real
estate unto my grandchildren, Charity Parthmore, Crystal Parthmore and Nicole Parthmore, in
equal shares, per stirpes.
SEVENTH. I give, devise and bequeath all the rest, residue and remainder of my estate
unto my wife, MARTHA I. MELLOTT, provided she survives me by thirty (30) days. In the
event she fails to survive me by thirty (30) days, I give, devise and bequeath all the rest, residue
and remainder of my estate unto my grandchildren, Charity Parthmore, Crystal Parthmore and
Nicole Parthmore, in equal shares, per stirpes"
EIGHTH. I direct that any and all Inheritance, Estate and Transfer taxes imposed upon
my estate passing under my will or otherwise, shall be paid out of the principal of my residuary
estate.
NINTH. I hereby nominate, constitute and appoint my wife, MARTHA I. MELLOTT,
as Executrix of this my Last Will and Testament. In the event of renunciation, death,
resignation or inability to act for any reason whatsoever of MARTHA I. MELLOTT, I
nominate, constitute and appoint William A. Duncan, Esquire as Executor of this my Last Will
and Testament. I hereby relieve my Executrix from the necessity of posting security in
connection with her duties, as such, in any jurisdiction in which she may be called upon to act
insofar as I am able by law to do so. In addition to the powers conferred by law, I authorize
my Executrix, in his absolute discretion, to retain in the form received, and to sell either at
public or private sale any real or personal property owned by me at the time of my death.
TENTH. If any of my grandchildren, beneficiaries of this, my Last Will and Testament,
shall be under the age of twenty-three (23) years at the time of my death, then any portion of
my estate in which they share shall be held in separate trust for them with William A. Duncan,
Esquire as Trustee. The trusteeship shall end when the child attains the age of twenty-three
(23) years. As Trustee, William A. Duncan shall provide for the care and maintenance and
education of said children and shall from time to time use either principal or income from the
inheritance to provide for these needs.
ELEVENTH. I have made, or may from time to time make, a written memorandum
expressing my desire to give certain items of personal property to specific persons. I urge my
Executrix and beneficiaries to respect these wishes. Such a memorandum, if made, shall be
stored in conjunction with this Will.
IN WITNESS WHEREOF, I have hereunto set my h~~land seal to this, my Last Will
and Testament, consisting of two typewritten pages this (U ~a.Y of Nll..~; . e 1999.
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BO M. MELLOTT
Signed, sealed published and declared by the above named Testator Boyd M. Mellott as and
for his Last Will and Testament, in the presence of us, who, at his request, in his sight and
presence and in the sight and presence of each other, have hereunto subscribed our names as
witnesses.
V\A~(W^--
17~I~ J~
COMMONWEALTH OF PENNSYL VANIA
ss.
COUNTY OF CUMBERLAND
I, Boyd M. Mellott, Testator 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 willingly; and t~at Sl~it as my
free and voluntary act for the purposes therein expressed. - / J
~ ~ ~ ~
Boyd M. Mellott
Sworn or affirmed to and
acknowledged before me, by"
Boyd M. Mellott this /6 e:;- day
of ember 999.
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N 'a-:.~I ",,"',
01 I ,," '.'~U . bli
Cynthia L. Dai'~, ~~;~~~~~d ~oun\y
SOll~ Middleton 1 ""EP" '~es Aug. 14, 2000 j
My CommlS!lOn Xpl -
COMMONWEALTH OF PENNSYLVANIA
:SS.
COUNTY OF CUMBERLAND :
We, (;.)rA ,~~ ().. f\ cWv-J and fl'\o..s *~ T. ~ the
witnesses whose ~~ are signed to the attached or foregoing instrument, being duly qualified
according to law, do depose and say that we were present and saw Boyd M. Mellott sign and
execute the instrument as his Last Will; that he signed willingly and that he executed as his free
and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of
the Testator signed the will as witnesses; and that to the best of our knowledge, the Testator
was at that time eighteen (18) or more years of age, of sound mind and under no constraint or
undue influence.
\J\)QbWAMA.~
7Iya~ J)y#-ff
Sworn or affirmed to and
subscri~ore me l1Y ')
fA.... ' ~. kivfl( CUV- and
rn.- a~ ':i. WleJ1 A1d::l-;-witnesses,
this j ~ day of1"lov'e;be;,' 1999 ~
I .
C thO Notanal Seal 1
SOUlh rJ;~dI~':o~' -Rvarr, ~otary PUbUc
My CommiSSion l;),CreUSlnAbenand COllntv
.n,' ug. 14, 2000'
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Thi~ 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'l filing.
WARNING: It iis illegal to duplicate this copy by photostat or photograph.
Fee for this certificate. $6.00
P
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12064851
No.
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COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
STATE fiLE NUMBER
TYPE/PRINT
IN
PERMANENT
BLACK INK
NAME OF DECEDENT (First MI<)dle, Last)
,
AGE (l.a;,! Birthday)
SEX SOCIAL SECURITY NUMBER
Boyd M. Mellott 2 Male 3. 161 - 34
UNDER 1 DAY }1DATE OF BIRTH BIRTHPLACE (Clly and PLACE OF DEATH Check onl one
. H:l~'nUI'S FleMobnlh2' ,Da1"9v4,a5f1 Stale Or Foreign Country) HOSPITAL
McConnelsburg, k,pallenl 0 E:.HIOlllpolliOrllD DOA 0
5. 7. 8a.
- - -
CITY. BORO, TWP OF DEATH FACILITY NAME (If not institution. give slreet and number)
60
..
COUNTY OF DEATH
Cumberland
South Middleton
Slate
Pa
8b. 8c
. ~DEN.rs USUAL OCCUPA TION H_ -EKtND OF BU~~S{ INDUSTRY
(Grve kll'ld Qr work done dlJ/ll'Igmosl
"".'1<" ",. doe"'''......" Manufacturing
. \.-rane VperalOr
1111. llb.
DECEDENT'S MAILING f>.DDRE:SS (Sireei~citYjfown, Slate, Zip (~e) DECEDENTS
1 Emerald Circle ~~~~tELNCE
Carlisle, Pa. 17013 IS" ,n"""',on.
on other SIde)
WAS DECEDENT EVER IN
us ARMED FORCES?
vasO No0
12.
l7b. Coun",
Cumberland
MOTHER'S NAME (first, Middle. Maiden Sumame)
10 Nettie H. Deshon
16
--~-_._--
FATHER'S NAME (FirSI, Mldole Last)
18
INFORMANT'S NA-ME (Type/Pnnl)
Melvin F. Mellott
Resjden~e 00 ~~:~JlYl 0
RACE - AmeriCan IndIan, Black While, elc
(SpeCify)
,.
White
D,a
decedent
live in a
township?
MARITAL STATUS - Married. SURVIVING SPOUSE
Never Manied, Widowed. (II \IIIile.llrft maiden name)
Di,oM~~';i~'d') Marhta I Hair
14. 16.
17.. ('9 Vas. a",a,m I",a ,n South Middleton
twp
17d. 0 ~~hl~e~t~~7:'~i~sd of
CltY/OOHl
Martha I Mellott
~::ORMANT1S Et~'~~;IdCi~~I;'C~~r~~: pa~a 'NO'1'3
LOCATION CltyfTown, State, Zip COde
20a.
METHOD OF DISPOSITION - ~A TE OF DISPOSITION PLACE OF DISPOSITION. Name of Cemetery. Crematory
. D ,0 e",,,, lZl C"mallon 0 Remo"lfwm S"Ia [J 'M,"~ 0.,. Y"'j OC 01h" Pia" .
2~n:llc.l Olher \Specil~) _~ ___D 21b. Nov 5, 2005 21c. . Mt. Zion Cemetery
. SIGNA Of FU A1. I EE OR PERSQ CTING AS SUCH -lIJCENSE NUMBEFL --~D ADDRESS OF FACILITY
__ ____l~ I-D-0126~~~___1~~ers Funeral Home, Inc
the liesl of my knowltldge. death occurred at the time, dale and place ~Iated LICENSE NUMBER
(Signature i:lnd Tlth:l)
...
~
Cl
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Cl
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w
:2
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z
1:11 I 1211 12:l
._-----_..~-
23.
TIME OF DEATH
DATE PRONOUNCED DEAD (Month, Day Year)
5:00M 26. 'I~l...z.."h';-
24.
27. PART I: En'er tho diuasu, int...;.,. 01 eompl".atlon,. whiGt\ uuud tho death. Do not enter the mode of dyinl, lueh as c.,dia.. OIIe5pi..tory 111'011. ,hD..k 0' ho."f.i"ue
'''''"', 0"00,." 0" ...n I~.. ~
a__.tp,e~:.1'[' iL,. J:.M U.lLk-____.____
b~~tR~~~F'- T(jo.kt.>~_~s~
\ : --:::':::O::~~~Q~C~~__==-=--~-----
WERE AUTOPSY FINDINGS
AVAILABLE PRIOR TO
COMPLETION OF CAUSE
OF DEATH?
MANNER OF DEA TH
Df>..TE OF INJURY
(Mooth, Oar Yeolr)
21d.
Carlisle, Pa 17013
37 East Mam Slreet Mechanlcsburg, Pa. 17055
DATE SIGNED
(Monlh. Day, Yeal)
23b. 23c.
WAS CASE REFERRED TO A MEDICAL EXAMINER ICORONER?
2i. Vas 0 No US]
. ApproXimate PART II; Other significant conditions contribullng 10 death but
: interval between 001 resuttlflg in the under1ying cause given In PART I
: onset and dealh
TIME OF INJURY
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED
ACCldtml
Pilndlng InvesttgCltlon
o
o
30.1.. 30b. M
o PLACE OF INJURY. At home, farm, street. factory. office
b,,~dinll. II<:; (Spl ~J"'l
30e.
Vas 0 No 0
JOe. 30d.
LOCATION (Street, CityfTo'No. State)
lZl
o
o
Natural
HomiCide
Vas 0 No lZl
Ves 0
No IKJ
SuiCIde
Could not be determ'nt;Jd
~ 21b.
CERTIFIER (Check only one)
.l:~~~F:~~tGor::'~ll~~~~e~~~,:':;~~~hc~r~~~~?e~dd'~: ~~ 1h:t~).'~~:I~(:II\~t~dr~h~~I~~$h;:a~~~I~ounced death and cGrrlpleled itern ";3)
"
.PRONOUNCING AND CERTIfYING PHYStCIAN (PhySICian blJlh pronouncing death ann cuntlym!) 10 Ca\l5~ of deattl)
To the but of my knowledge, duth occurred at the time, d.ate, and place, .nd due to the c.uusltoland m.ann., u .taled
"MEDtCAL EXAMINERiCORONER
On Ihe ba$ts of u.amln.Jtlon and/or Invel:illgation, In my opinion, do.1llh occurred al the time, date, and pl.ac., and due to the cau5.IS(S) Ind
manner as .'ated_.
31.
RE~ISTRA.....~tGNATURE AND NUMBER
';(/ .,/ 1
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DfJNAID J KOVACS, MD
o Yellow Brl:t-ches Famtly Pri.lctil..e C;ont!:r
32 13Sll (ulllown Rd. Boil:uQ Sl-!,ings, f'A 17007
DATE Fll ED (Month. Day. Ye<lr)
34 .i1tl02M'f....,R~, ...2.GIC"#~'
.
Register of Wills of Cumberland County
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 ofpetitioner(s) and that as personal representative(s) of the above
decedent petitioner(s) will well and truly administer the estate according to law.
~o.ttd"l- ~Q \~~
Sworn to or affirmed and subscribed
Before me this I (}+-\-- day of
t-..\c'~ ~''''n Ie.) .:: /\. , 20 0 S
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~~Reglster IJ
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Estate of BOYD M. MELLOTT , Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW-----J./ Il^'tn1 bev j [J 20 OS: 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
NOVEMBER 10, 1999 . described therein be admitted to probate filed of record as the last will of
BOYD M. MELLOTT ; and Letters are hereby granted to n1 tl ~It ..-::r:-, /J1 e //0 rr
MARTHA I. MELLOTT
FEES
Probate, Letters, Etc. .............. $
Will ................................. $
Renunciation....................... $
Short Certificates (1 ) ............ $
JCP. .. .. . .. . . .. .. . .. . .. . .. . . .. . .. .. .. $
Automation Fee................... $
Bond... ... ... .. . ... ...... ... ... ...... $
Total~ $
Filed N U -V. I ~. 20 /) 5
(00
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10
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. DUNCAN, # 22080
Attorney (Sup. Ct. I.D. No.)
1 IRVINE ROW
CARLISLE, PA 17013
Address
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717-249-7780
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