HomeMy WebLinkAbout01-25-06
PETITION FOR PROBATE and GRANT OF LETTERS
No. ;;'~06- ()(J77
To:
RUTH E. MICKEY
Estate of
also known as
Register of Wills for the
Deceased. County of Cumberland in the
Social Security No. 201-18 - 6671 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older an the executnr
in the last will of the above decedent, dated .T;mll~ry hi? 0 0 4
and codicil(s) dated None
named
,2t~
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Oecendent was domiciled at death in Cnmhprl rmd
ILEI-last family or principal residence at ? 1 J ClImber' and
TO\~A~ip (r~mp Hi]], p~ 17011)
(list street, number and muncipality)
County, Pennsylvania, with
Driue, Lmver ~llen
Decende'nt,then RF. years of age, died .J~pl1ary 13, 2006 ,:>>~
at "(.ower p.JJen TOvTnship, C'lI!lberland County, Plimnsylvania .
Except as follows, decedent did not marry, was not divorced and did not have a clilld born or adopted
after execudon of the will offered for probate; was not the victim of a killing and was never adjudicated
incompetent: NOT1P
Oecendent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Eennsy~~nia. r> ., _ . .
situated as follows.; L.L Ll CumDc;r ..!..and. Dr l ve, Lower
Cumoerland county, Pennsylvanla
$ 20,000.00
$
$
$ ,1'.. ~. ....
Allen 'l'ownshlp,
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters t- P R t- i"lmPTI t- A ry
(testamentary; administration c.I.a.; administration d.b.n.c.t.a.)
theron.
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA 1 ss
COUNTY OF ClJMRRRT.AND j
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 represen-
tative(s) of the above decedent petitioner(s) will well a d tr~IY inister the esta according to law.
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and SUbscribe~di
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N D0- 01J77
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Estate of
RUTH E. MICKEY
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW UMtiarJ a 5' +1J ~?nnf\ 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 :Trlnllrlry h, ?nn4
described therein be admitted to probate and filed of record as the last will of
Ruth E. Mickey
and Letters
are hereby granted to
Test6l.m€lnt6l.ry
David W. Mickev
JiWvJfL -1rwwl ~
Register of Wills"f'.e^ '.'
SNE BAK R' NNEMAN,P. C. .
55)
FEES
P b L E q- '1/I),O{)
ro ate, etters, tc. o. 0 0 0 0 0 0 0 .J ~__
Sh C ofi -1 I ~. tJ/J
ort ertl lCates(..:;) 0 0 . . 0 0 . 0 .. $ _
Renunciation ... 0 0 0 . 0 . 0 . . . 0 . 0 $ N I R
\,NIII 16.00
-refl fJU}V $ i~.b8
. TOTAL _ $ ~~;(. ()O
Filed o. .9.M: .f?.5.-. (1.0.0.0. . ..0.00..00.. .
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(717) 697-8528
PHONE
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H105 143 Rev 2187
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
STATE FILE NUMBER
TYPE/PRINT
IN
PERMANENT
BLACK iNK
"
AGE (last Birthday)
SEX SOCiAL SECURITY NUMBER'
~Female L201 18
-,.86 Yrs
COUNTY OF DEATH
_ALo
...
FACIUTY NAME (If not InstitWJn, give street end runber)
BIRTHPLACE (City and
State or Focelgn ColsWy)
Lisburn PA
.., Cumberl and
DECeDENT'S USUAL OCCUPA liON
fOI~:'~nol~~
u. LPN
DECEDENT'S MAILING ADDRESS (Street. CityfTlMfl. State, Zip Code)
214 Cumberland Drive
Jamp Hill PA 17011
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: Appfoximllle
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: onset IlOd death
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Sequentlally Ailt condition.
if any, leading 10 inYnediate
. cauae Enter UNDERLYING
CAUSE (Di$88$8 or Injury
. thai initialed event.
resulting on dealh ) LAST
WAS AN AUTOPSY Vvt:RE AUTOPSY FINDINGS MANNER OF DEATH
PERFORMED? AVAILABLE PRIOR TO
COMPLETION OF CAUSE Natural
Of DEATH?
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DUE O(ORM CONSEQ
NO;Jiiit'
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NOD
Suicide
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OA TE OF INJURY
~"ar*l, o.y, V_I
TIME OF INJURY
INJURY AT 'hORK? DESCRIBE HOW INJURY OCCURRED
Accident
Homicide
Pending InvesligatlOll
Could not Qe determined
o
o ..., ..b,..
o PlACE OF INJURY. At home. farm. street, factory. office
buIldIng..Itc(Speclly)
'00,
21.. 21b.
CERTIFIER (Check only one)
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.PRONOUNCING AND CERTIFYiNG PHYSICiAN (Physician both pronounang death and certifyklg 10 cause of death)
To the best 01 my knowledge, d..th occunwd .t the time, dIIte, and place, and due to the caula(a) and manner.. atated...
SIGNATURE A
. .....Ja 31b.
UCENSE NU R
..0"0, 0~1~(;~L ..0,01.-1,-010
NAME AND ADDRESS OF PERSON IJ\.41O COMPLETED CAUSE OF DEATH
(1tem27)T,poorPrln' ANA~tA<(u.!. ~"-t-e,,,M"
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:TET~M;~-) J7 ~60(,
.MEDICAL EXAMINERJCORONER
On the basis 01 ...mlnlltlon .ndlor Inve.tlgatlon, In my opinIon. de.th occurred .. the time, dahl, and place, and due to the cauae-<.. .nd
m.nner.......d.. ..... ..............
311.
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LAW OFFICES
LAST WILL AND TESTAMENT
I, RUTH E. MICKEY, of the Township of Lower Allen, County of Cumberland, and
Commonwealth of Pennsylvania, being of sound and disposing mind, memory and
understanding, do make, publish and declare this as and for my Last Will and Testament, hereby
revoking and making void all former wills and codicils by me at anytime heretofore made.
FIRST. I order and direct that all my just debts and funeral expenses be paid by my
Executor or Executrices as the case may be, hereinafter named, as soon as conveniently may be
done after my decease.
SECOND. I give and devise unto my brother, namely, RICHARD D. SHAFFER, the
right and privilege of residing in my real estate known and numbered as 214 Cumberland Drive
in Lower Allen Township, Cumberland County, Pennsylvania, for and during his natural lifetime
or until such earlier time as he cannot independently reside in said dwelling, on the conditions
that he pays all expenses of using and maintaining said real estate, including, but not limited to,
real estate taxes, home owner's insurance premium, utility charges, sanitary sewerage charges,
trash disposal charges, ordinary and routine repairs and maintenance and, lawn care. If my said
brother should fail or refuse to perform the above conditions or not be capable of residing
independently in said real estate, the foregoing right and privilege of possession shall terminate
and the person or persons entitled to the remainder interest under Item Third hereinbelow shall
be entitled to full possession of said property.
THIRD. I give, devise and bequeath all the rest, residue and remainder of my Estate,
real, personal and mixed, whatsoever and wheresoever situated, unto my son, DAVID W.
MICKEY, absolutely and in fee simple.
Ifmy said son, DAVID W. MICKEY, should predecease me, I give, devise and
bequeath my said residuary estate in equal shares unto my granddaughters, namely, CHRISTINA
M. FATZINGER and ANDREA M. RUARK, share and share alike, absolutely and in fee
simple.
appoint my granddaughters, namely, CHRISTINA M. FATZINGER, and ANDREA M.
RUARK, to be the Executrices hereof, each and all to serve without bond or other security as a
condition of qualification hereunder.
IN WITNESS WHEREOF, I, RUTH E. MICKEY, have hereunto set my hand and seal to
this my Last Will and Test~ettt,_whi~h consists of two (2) typewritten pages to each of which I
have affixed my signature thIS F+<-'~day of January, 2004, A.D., Two Thousand Four (2004).
;/) /-/ -r- . ff;
72-fL~pt (,. ?/-7 A-c/~r!f
. Ruth E. Mickey
(SEAL)
The preceding instrument, consisting of this and one (1) other typewritten page, each
identified by the signature of the Testatrix, was on the date thereof signed, sealed, published and
declared by RUTH E. MICKEY, the Testatrix therein named, as and for her Last Will and
Testament, in the presence of us, who, at her request' her presence and in the presence of each
other, have subscribed our names as witnesses her o.
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COMMONWEALTH OF PENNSYL VANIA)
: SS.
COUNTY OF CUMBERLAND
)
We, RUTH E. MICKEY, RICHARD C. SNELBAKER and JANE J. COONEY, 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 Last Will and Testament and that she had
signed willingly, and that she executed it as her free and voluntary act for the purposes therein
expressed, and that each ofthe witnesses, in the presence and hearing of the Testatrix, signed the
Will as a witness and that to the best of his or her knowledge, the Testatrix was at that time
eighteen years of age or older, of sound mind and under no constraint or undue influence.
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Subscribed, sworn to and acknowledged before me by Ruth E. Mickey, the Testatrix, and
subscribed and sworn to before me by RICHARD C. SNELBAKER and JANE J. COONEY, the
witnesses, this G, fi--t day of January, 2004. /I