HomeMy WebLinkAbout12-14-05
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Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Estate of Elizabeth Key Mott No. d I - C S- - 101 L/
also known as
, Deceased
Social Security No. 095-20-1869
Barbara Ann Dobie
Petitioner(s), who is/are 18 years of age or older, appl(ies) for:
(COMPLETE 'A' or 'B' BELOW)
00 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the
the Decedent, dated 07/11/2000 and codicils dated
Executrix
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:
N/A
o 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:
I Name Relationship Residence I
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(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 317 West Green St., Shiremanstown, PA 17011,
(list street, number, and mUnicIpality)
'I
Decedent, then
78
years of age, died
11/12/2005
at Harrisburg Hospital, Harrisburg, Dauphin Co., PA
(Location)
.+:;-
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 $
situated as follows: 317 West Green Street, Shiremanstown, Cumberland County, PA 17011
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:
159,330.00
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1;:::'1,': ~
I Signature
~~_~C~ .D~~
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Typed or printed name and residence
Barbara Ann Dobie 317 West Green Street
Shiremanstown, PA 17011
I
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
the Decedent, Petitioner(s) will well and truly administer the estate according to law.
Sworn to or affirmed and subscribed '1. ~ C~~ J:.:.J.,;.;, .." /
Barbara Ann Dobie
before me this i ~ay of
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'p...,- . -- '" - ~o'th. Reg;,te'
No. ~ \ -05"- 1rYI4
Estate of
Elizabeth Key Mott
, Deceased
also known as
Social Security No: 095-20-1869
ANDNOW,~QJ/.h'\ruA.... \4
Date of Death:
11/12/2005
,~C05
, in consideration
of the Petition on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters 00 Testamentary 0 of Administration
(c.I.a.: d.b.n.c.l.a.; pendente lite; durante absentia; durante minoritate)
are hereby granted to Barbara Ann Dobie, Executrix
in the above estate and that the instrument(s) dated
7/11/2000
described in the Petition be admitted to probate and filled of record as the last Will of Decedent.
FEES
Letters.......................................... $
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dOleD
I.D.No: 19475
Bogar & Hipp Law Offices
Address: One West Main Street
Short Certificate(s)...................... $
Renunciation............................... $
Affidavits ( )...........................$
Extra Pages ( ).~....$ is. (")()
Codicil...... ............ ..... ................... $
Shiremanstown, PA 17011
JCP Fee.......................................$ \ a . ('f:J
Telephone1 717-737-8761
Inventory............. ......................... $
E-Mail:
5.00
Other............................................ $
TOTAL............................$ 6L?O I c"D
Prepared by the Pennsylvania Bar Association Copyright (c) 2004 form software only The Lackner Group, Inc.
Form RW-1(1991)
Register of Wills of
Cumberland
County, Pennsylvania
OATH OF SUBSCRIBING WITNESS
Estate of
Elizabeth Key Mott
No. J I - 0 5,- /07 '-I
also known as
, Deceased
James D. Bogar
(each) a subscribing witness to the D codicil(s) [!] will(s) presented herewith, (each) being duly qualified according to law
depose(s) and say(s) that she/helthey was/were present and saw the above Testator(rix) sign the same and that she/helthey signed as
a witness at the request of Testator(rix) in his/her/their presence and [!] in the presence of each other D in the presence of the
other subscribing wiitness(es).
4t-ab~
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James D. Bogar
One West Main Street
Shiremanstown, PA 17011
(Address)
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(Signature)
f',)
Sworn to or affirmed and subscribed
(Address)
before me this
8+L
day
(Signature)
of 120 CO/mV-e-c , ,9.005
:]unnu or: ~0JrNJ
Notary Public
My Commission Expires:
(Signature and seal of Notary or other official
qualified to administer oaths. Show date of
expiration of Notary's commission.)
(Address)
Prepared by the Pennsylvania Bar Association
Copyright (c) 2004 form software only The Lackner Group, Inc.
NOTE: To be taken by officer authorized to administer oaths.
Please have present the original or copy of instrument(s)
at time of notarization.
COMMONWEAllll OF PENNSYlVAlM
NOTARIAL SEAL
BONNIE l. IWUIAMS, NOTARY PUBlIC
SHIREMANSTOWN BORO., CUMBERlAJIO CG.
MY COMMISSION EXPIRES APRIL 18 2009
Form #RW-2 (1991)
Register of Wills of Cumberland County
OATH OF NON-SUBSCRIBING WITNESS
Estate of Elizabeth Key Mltt
No. t9 \- 05--{ 0/4
Also known as
, Deceased
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
she is familiar with the signature of Elizabeth Key Mltt , testat rix of (one of the
subscribing witnesses to) the codicil/will presented herewith and that she ~elieves the signature
on the ~/will is in the handwriting of Elizabeth Key Mltt to the best of
her knowledge and belief.
Sworn to or affirmed and subscribed
Before me this I 4-ti-- day of
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a Ann Itl:>ie
~~1~~s~ 131-17011
(Address)
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Register
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Deputy
(Name)
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(Address)
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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
I (l(',JI Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
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Fee for this certificate. $6.00
Local Registrar
NOV 1 6 200J
Date
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143 Rev. 2187
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
r.....)
STATE FILE NUMBER
Yrs
Key
Mott
SEX
2. female
SOCIAL SECURITY NUMBER
3. 095 20
1869
1.
AGE (Last Birthday)
NAME OF DECEDENT (First, Middle. Last)
Elizabeth
n .
5. 78
COUNTY OF DEATH
HOSPITAl.:
Inpatient IX]
ERloutpatlentO
DOAD
Residence D ::~ify) D
RACE - American Indian, Black. lJI.t1ite. et
(Specify)
8b.
Dauphin
DECEDENT'S USUAL OCCUPATION
(~i,v~j~:k~~~ d~~eu~~r1r~ir~~ll
8c.
Harrisburg
KIND OF BUSINESS I INDUSTRY
10.
white
11.. Realtor lIb. Real Estate
DECEDENT'S MAILING ADDRESS (Street, CitylTown. State, lip Code) DECEDENT'S
ACTUAL
RESIDENCE
(See instructions
on other side)
AS DECEDENT EVER IN
US ARMED FORCES?
Yes D No [8J
12.
178. State
MARITAL STATUS ~ Married,
Never Married, Vvldowed.
Divorced (Specify)
14. never marrie
SURVIVING SPOUSE
(If wife, give maiden name)
17b. County
Cumberland
Did
decedent
live in a
township?
17c. 0 Yes, decedenllived in
17d. [ZI ~~hi~e~:~~I~~~ 01
twp
317 West Green Street
16. Shiremanstown, PA 17011
FATHER'S NAME (First. Middle, Last)
18. Claude Howard Mott
INFORMANT'S NAME (Type/Print)
20.. Shell M. Verber
METHOD OF DISPOSITION
Burial fi] Cremation ~emoval from Slate 0
Other (Specjty) D 21b.
L SERVICE LICENSEE OR PERSON ACTING AS SUCH
......,-::
Shiremanstown
citylboro
MOTHER'S NAME (First. Middle, Maiden Surname)
1~ Elizabeth Key Quesenberry
INFORMANrs MAILING ADDRESS (Street, Cityrrown, StBte, Zip Code)
20b. 688 St. John's Drive Cam Hill PA 17011
PLACE OF DISPOSITION. Name ofeamets!)', Crematory LOCATION w CityfTown, State. Zip Code
or Other Place
Park View Cemetery
18,200
NAME AND ADDRESS OF FACILITY
22c. P.O. Box 431
LICENSE NUMBER
0431
LICENSE NUMBER
22b. FD 012 848 L
To the best of my knowledge, death occurred at the time, date and place stated,
(Signature and Tille)
23..
TIME OF DEATH
/
23b. 23c.
WAS CASE REFERRED TO A MEDICAL EXAMINER ICORONER?
26. Yes D No 0
PART II: Other significant conditions contributing to death, but
not resulting in lhe underlying cause given in PART I
: ~~:Z~i~=een
: onset and death
a.
Sequentially list conditions
if any, leading to immediate
cause, Enter UNDERLYING
CAUSE (Disease or injury
that initiated events
resulting on death) LAST
E
/
\NERE AUTOPSY FINDINGS
AVAILABLE PRIOR TO
COMPLETION OF CAUSE
OF DEATH?
Accident
MANNER OF DEATH
~
D
D
DATE OF INJURY
(Montf1, Day, Year)
TIME OF INJURY
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED
Natural
Homicide
o
D
D
308. 30b,
PLACE OF INJURY ~ At home, farm, street, factory, office
bullling,elc.(Speclfy)
30e.
Yes D No 0
M. 30e.
Yes 0 No
Yes 0
~
Suicide
Pending Investigation
Could not be determined
28a. 28b.
CERTIFIER (Check only one)
*y;~J~F::tGor~~~~J~~e~hl.S~~:~h cgg~~~u:: t~ g.e:1ha~~:~(:r~~3rrC~X~i~a~s ~~f~.~~~~~. ~.~~~. .~~~ .~~.~~~:~.~. i.l~~ ?~).
29.
*PRONOUNCING AND CERTIFYING PHYSICIAN (Physician both pronouncing death and certifying to cause of death)
To the best of my knowtedge, death occurred at the time, date, and place, and due to the eauses(s) and manner as stated.
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LAST WILL AND TESTAMENT
f" '}
OF
-~ ,!
ELIZABETH KEY MOTT
I, ELIZABETH KEY MOTT, of the Borough of Shiremanstown;
Cumberland County, Pennsylvania, make, publish and declare this i,'
as and for my Last Will and Testament, hereby revoking all other
wills and Codicils heretofore made by me.
FIRST: I give and bequeath my household furniture and
furnishings, my personal effects, jewelry, and all other tangible
personal property, including my automobile, and excluding all
cash, bank accounts of whatever nature, certificates of deposit,
stock, bonds and other like securities, to BARBARA ANN DOBIE, for
her use during her life and as long as she continues to reside at
317 West Green street, Shiremanstown, Cumberland County, Pennsyl-
vania. Upon the death of BARBARA ANN DOBIE or upon her no longer
continuing to reside at 317 West Green street, Shiremanstown,
Cumberland County, Pennsylvania, I give and bequeath my household
furniture and furnishings, my personal effects, jewelry, and all
other tangible personal property, including my automobile, and
excluding all cash, bank accounts of whatever nature, certifi-
cates of deposit, stock, bonds and other like securities, in
equal shares, to SHELLY MOTT VERBER, my niece, MARIA MOTT
SEFEROVICH, my niece, REBECCA MOTT MAGUIRE, my niece, and HOWARD
OTIS MOTT, JR., my nephew, provided that should any of these
individuals predecease me, I give and bequeath their share under
this Clause, to their issue per stirpes by representation, and if
there be a failure of same, then I give and bequeath such
deceased individual's share to those surviving individuals
specifically named in this Clause, in equal shares. It is my
wish that said division be done in equal shares as nearly as is
possible with said arrangements for division to be handled
directly among the individuals named in this Clause. Any items
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of personal property so mentioned herein not claimed shall be and
become a part of my residuary estate to be disposed of as set
forth hereinbelow.
BARBARA ANN DOBIE shall not be required to give bond
for the safekeeping of any property passing to her under this
Clause nor shall she be liable for any loss, damage or
destruction of same no matter how it might occur.
SECOND: I devise and bequeath all the rest, residue
and remainder of my estate of whatever nature and wherever
situate, including any property over which I hold power of
appointment and together with any insurance policies thereon, in
equal shares, to SHELLY MOTT VERBER, MARIA MOTT SEFEROVICH,
REBECCA MOTT MAGUIRE and HOWARD OTIS MOTT, JR., provided that
should any of these individuals predecease me, I give and be-
queath their share under this Clause SECOND, to their issue per
stirpes by representation, and if there be a failure of same,
then I give and bequeath such deceased individual's share to
those surviving individuals specifically named in this Clause
SECOND, in equal shares.
THIRD: In addition to all powers granted to them by
law and by other provisions of this Will, I give the fiduciaries
acting hereunder the following powers, applicable to all proper-
ty, exercisable without court approval and effective until actual
distribution of all property:
(A) To sell at public or private sale, 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 (including credit, with or without security) or
conditions as are deemed proper. This includes the power to give
legally sufficient instruments for transfer of the property and
to receive the proceeds of any disposition of it.
(B) To partition, subdivide, or improve real estate
and to enter into agreements concerning the partition, subdivi-
2
sion, improvement, zoning or management of real estate and to
impose or extinguish restrictions on real estate.
(C) To compromise any claim or controversy and to
abandon any property which is of little or no value.
(0) To invest in all forms of property, including
stocks, common trust funds and mortgage investment funds, without
restriction to investments authorized for pennsylvania fiduci-
aries, as are deemed proper, without regard to any principle of
diversification, risk or productivity.
(E) To exercise any option, right or privilege granted
in insurance policies or in other investments.
(F) To exercise any election or privilege given by the
Federal and other tax laws, including, but not necessarily being
limited to, personal income, gift and estate or inheritance tax
laws.
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(G) To make distributions to my herein named benefici-
aries in cash or in kind or partly in each.
(H) To borrow money from themselves or others in order
to pay debts, taxes, or estate or trust administration expenses,
to protect or improve any property held under my will, and for
investment purposes.
(I) To select a mode of paYment under any qualified
retirement plan (pension plan, profit sharing plan, employee
stock ownership plan, or any other type of qualified plan) to the
extent the plan or the law permits them to do so, and to exercise
any other rights which they may have under the plan, in whatever
manner they consider advisable.
FOURTH: I direct that all inheritance, estate,
transfer, succession and death taxes, of any kind whatsoever,
which may be payable by reason of my death, whether or not with
respect to property passing under this Will, shall be paid out of
the principal of my residuary estate.
FIFTH: All interests hereunder, whether principal or
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income, which are undistributed and in the
fiduciaries acting hereunder, even though
able, shall not be subject to attachment,
tion for any debt, contract, obligation or
beneficiary, and furthermore, shall not be
assignment, conveyance or anticipation.
SIXTH: I nominate and appoint BARBARA ANN DOBIE,
Executrix of this, my Last Will and Testament. In the event of
the death, resignation or inability to serve for any reason
whatsoever of the said BARBARA ANN DOBIE, I nominate and appoint
JAMES D. BOGAR, of Shiremanstown, Pennsylvania, Executor of this,
my Last Will and Testament. I direct that my Executrix or
Executor, as the case may be, and their successors, shall not be
required to post security or a bond for the performance of their
duties in any juriSdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and
,:=C:-
seal to this, my Last Will and Testament, this / / - day of
/7
c~/ "~7
possession of the
vested or distribut-
execution or sequestra-
liability of any
subject to pledge,
, 2000.
~-4---<' ~- ~
ELIZABETH KEY 'OTT
(SEAL)
Signed, sealed, published and declared by the above-
named Testatrix as and for her Last Will and Testament in our
presence, who, at her request, in her presence and in the
presence of each other, have hereunto subscribed our names as
attesting witnesses.
Address
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Address
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