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HomeMy WebLinkAbout12-14-05 ,. 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 ~ 2~ r~- . , '. " .... ,,;; ~:.... I ,.-. . : ='1 s:) f';~ i-, " (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 r) 1;:::'1,': ~ I Signature ~~_~C~ .D~~ \ 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 'h.-~.x..h').h~^- . ,(~5 ~~~ . , "-'.1'-' '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.......................................... $ ~\^ . C'l1 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~ \,- ) . ) - ;-.c.C? ~~_'-l James D. Bogar One West Main Street Shiremanstown, PA 17011 (Address) C) ) (J :'.'''''''; (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 ~Q :xxY\~\.. , 20 D5 ~~~ ~= a Ann Itl:>ie ~~1~~s~ 131-17011 (Address) ~c\c. ~~V\.QA L1Uo.o~ Register ~%.~ Deputy (Name) f"'-,"j (Address) (--,~, -~ c-:-) :...--1 ." Co"} ::=_: 1-"] ,_~_') . I --: 1 ::"") r'V 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. D '" 1 C:...") I) 1"'. 8 r:: L 1. ,~~ "",~ J i.- f) i.J No. ,."l1ftlll""','",..... llll'~ \>.\.1\\ OF PE;;----.... \ll.~~"'''' _ ,l~' . "~'" t~_. ~\ ~~iL' \"P>. ~~l - -, I!:~ ~c:,...) __tz#:.j" i~'" ~ _ '1l)j , i ~ l*~..~... '/*~ ~~ . - /...~l ""'~ A~\\\ ...._~)),. - ,~'r,\\ --...',.,"'ENl \\\" "" '''''''''''#/#1111111111 II t2nm- fJl ?;1~ Fee for this certificate. $6.00 Local Registrar NOV 1 6 200J Date ,"'J :.. 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. 1-1 II" -1 ~ ~ \ ~\ 1 \JY' 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 ~ ~ \~ ~ /, ~' '! \' ~\A j 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. ~ ~ ~~ \ (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 \~ OJ ~ i 1 ~ .~ ~. 3 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 (/1/"" () 6~ ~ . -L- (-c_ Ppl;h~ Address 4