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HomeMy WebLinkAbout11-10-05 - . 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 $ $ $ I ~,....,} "'"" ~ ' --., t .~ 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~ n()1 . ttr~~ - , Residence(s) ofpetitioner(s} 1 EMERALD CIRCLE, CARLISLE, PA 17013 "':',.""t 1>;'~'-; : ()~ l~rJ \;? r,,J en '~,__ .r /'J J )-05- OQC,3 iGnst lIi11 nUll IDcstnmcut of 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 . -) r--:> c:::::. C~'::) r'::11 .~u )-if (-") (~ - CJ . i..~J . ~ ::3 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. \;? :^'.) 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. d' / ~ .IJ:Itt. 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. - 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' c2 /. C 'S-() qq3 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 I 12064851 No. .r tun #: 'S-~h.~" Ld~j,~ ~~~ IL I!l1U2 R..e H1G~ 14~ Rev 2/87 ~ ,~/;I ~.h,,)/ r ""-cJ:;;,,.A~' ~M Local Registrar .' 7ltl7.u<?nk/)/~, ,;( () nS l [)ate ) 1'-',) ~:) ~.. :;, ('~....~, ::0 Ir] (J (:J :n (.:j 11'1 r::J c.".> ..,.) . :~":] .~ C) ''11 (::J -"."'," ":::J 1'<) <J) 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 w ~ Cl ~ w :2 .. 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 . """"'''/H..ul , '-A,~L=...~~~~. 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 { .~ 1----' ~~Reglster IJ . .-r,,\ No. :11- f) t; .f) q 13 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 /5 Ja 10 5- 1.. . DUNCAN, # 22080 Attorney (Sup. Ct. I.D. No.) 1 IRVINE ROW CARLISLE, PA 17013 Address . '/ r-,,,, c-::, t ,:,-.,) ;;:[1 CJ 717-249-7780 \? p....) (J1 Id~ Phone CIl ~. g .... A '" '-' ,J..') r-',""" (-~ -' (-=) --'oj . ,-j .j L:J (") ~'i~ ::'S . .n