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HomeMy WebLinkAbout02-03-06 Register of Wills of CUlnberland County PETITION FOR PROBATE and GRANT OF LETTERS Estateof He If iJ T (Y'Je d IF ( No. d I ~ 0 0 o'Jlil ~ also known as To: , Deceased. Social Security No. a 0 cj - '30 - S' 7;;: 6 Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner( sJ, ~are 18 years of age or older, and the executLlXnamed in the last will of the above decedent, dated Sp P rn hr r 10 J I '1 9 ? ' ~ and codicil( s) dated No' E I . (state relevant circumstances, e.g. renunciation, death of executor, etc.) County, Decedent, then ~ years of age, died 3 I :Fa 11 , 20o..!:e-, at / () 3 ,4l-k d I t A vf ~~S fe, /'rr+ Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after f'JS <! f<J..4 ~ execution of the ill gffered for probate; was not the victim of a killing and was never adjudicated incompetent: n~ Decedent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (lfnot domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: t?~ tv ' IS! ~ l~ X-f,h~ 0 ~-+~ ~~9 $ ~5) (Jon ,. 5) oUr WHEREFORE, petitioner(s) res ectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters ..p ,...., ary; administration c.t.a.; administration d.b.n.c.t.a.) thereon. ~~ature(s) ofPetitioner(s) ",G/ _ ..L ')./ a. . , r ~~ '] '-' 'I ' Register of Wills of Cumberland County OATH OF PERSONAL REPRESENTATIVE } COUNTY OF CUMBERLAND COMMONWEAL TH OF PENNSYLVANIA SS: The petitioner(s) above-named swear(s) or affiml(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. { )\~.qA'AM~ ;;V cV L~ CIl ciCi' ::l to C '"1 ~ ~ Sworn to or affIrmed and subscribed Before me this \3 r cI day of r:c h rl.A.!t r'-I , 20 0 ~ ( kt~ ~'17~ S~s}wl IV Ltt1 )1;, ()~17tr --' No. r9/~/Jh-{) /1 r Estate of fir/ (17 J. /h ~//Ir.II~/, Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW Up mo VV! V 2060, in consideration of the petition on the reverse side hereO? satisfactory proof having bee'n presented before me, IT IS DECREED that the.instrument(s), dated ~ /0 II fie; C; , described therein be admitted to probate filed of record as the last will of , . I / ; and Letters are hereby granted to'~ &i/e~ LJ'~J/ ~,cLc<- ~a YlUA- ~4/~ l ~[1 (jtfu~ ~ 'frl~,A 5' RegIster of Wills {/ FEES Probate, Letters, Etc. ............. Will.................... ............. $ $ Renunciation... . . . . . . . . . . . . . . . . . . . . $ Short Certificates (10) ............ $ JCP.................................. $ Automation Fee. . . . . . . . . . . . . . . . . . . $ $ $ 2C(')0 Bond............................. .... Total T:eh J; Filed /35" .I ..5' 40 Attorney (Sup. Ct. LD. No.) Address ( 0 5 ex 0 \" , Phone ~ I '()(p '-O/IJ LAST WILL AND TESTAMENT OF HELEN MENDLER I, HELEN MENDLER, NOW RESIDING AT 600 W. LOUTHER STREET, CARLISLE, PA 17013, BEING OF SOUND MIND AND UNDERSTANDING, DO MAKE, PUBLISH AND DECLARE THE FOLLOWING TO BE MY LAST WILL AND TESTAMENT. I REVOKE ALL WILLS AND TESTAMENTARY WRITINGS HERETOFORE MADE BY ME: ARTICLE FIRST A. I NOMINATE AND APPOINT MY DAUGHTER, BEVERLY, AS EXECUTOR OF THIS MY LAST WILL AND TESTAMENT. IF BEVERLY PREDECEASES ME, OR SHALL FAIL OR CEASE TO SERVE AS MY EXECUTOR, FOR ANY REASON WHATSOEVER, I NOMINATE AND APPOINT HER HUSBAND, EDWARD L. DEAN, SR., AS HER SUCCESSOR. B. I DIRECT THAT NO FIDUCIARY APPOINTED PURSUANT TO THIS WILL SHALL BE REQUIRED TO FURNISH BOND OR OTHER SECURITY IN ANY JURISDICTION IN WHICH THEY MAY BE CALLED UPON TO ACT. ARTICLE SECOND I DIRECT MY EXECUTOR TO PAY: (1) ALL OF MY JUST DEBTS; (2) THE EXPENSES OF MY LAST ILLNESS; (3) MY FUNERAL AND RELATED EXPENSES; AND (4) THE EXPENSES RELATED TO THE ADMINISTRATION OF MY ESTATE AS SOON AS PRACTICABLE AFTER MY DEMISE. ARTICLE THIRD I DIRECT THAT MY EXECUTOR SHALL PAY OUT OF MY RESIDUAL ESTATE ALL ESTATE, INHERITANCE, SUCCESSION AND OTHER TAXES TOGETHER WITH ANY INTEREST OR PENALTY THEREON, ASSESSED PURSUANT TO MY DEATH, IN RESPECT TO ALL PROPERTY REQUIRED TO BE INCLUDED IN MY GROSS ESTATE FOR ESTATE OR LIKE TAX PURPOSES. ARTICLE FOURTH A. I BEQUEATH TO EACH OF MY GRANDCHILDREN (KATHY BROWN, EDWARD L. DEAN, JR., GLORIA KELLEY, BARBARA DEAN, LEE KELLEY) THEN LIVING THE AMOUNT OF $2,500.00. B. I BEQUEATH TO EAQH OF MY GREAT GRANDCHILDREN THEN LIVING (STEVEN BROWN,.JENNIFERBROWN, CHRISTOPHER KELLEY, RYAN KELLEY, ~ .. .. I RACHEL KELLEY, JOHl'J"KEliLEY) THEN LIVING THE AMOUNT OF $500.00. :~>t :,= ~;-J 2 r ...,~; >ARTICLE FIFTH I ,: i A. I BEQUEATH ALL OF MY REMAINING PERSONAL EFFECTS TO MY DAUGHTER, BEVERLY. B. IF MY DAUGHTER BEVERLY, PREDECEASES ME, I BEQUEATH ALL OF MY REMAINING PERSONAL EFFECTS TO HER HUSBAND, EDWARD L. DEAN, SR. C. I DIRECT THAT ANY EXPENSES RELATING TO THE PROTECTION OR DISTRIBUTION OF THE ABOVE-REFERENCED ASSETS ARE TO BE PAID OUT OF MY ESTATE AS AN EXPENSE OF GENERAL ADMINISTRATION. ARTICLE SIXTH THE REST, RESIDUE AND REMAINDER OF MY ESTATE, INCLUDING BUT NOT LIMITED TO REAL PROPERTY, PERSONAL PROPERTY, AND ALL OTHER PROPERTIES REMAINING AFTER PAYMENT OF THE DEBTS AND EXPENSES WHERESOEVER LOCATED AND SPECIFIED IN ARTICLE SECOND HEREOF (REFERRED TO AS MY "RESIDUAL ESTATE"), I BEQUEATH AS FOLLOWS: A. I BEQUEATH MY RESIDUAL ESTATE TO MY DAUGHTER, BEVERLY. B. IF MY DAUGHTER, BEVERLY, PREDECEASES ME, I BEQUEATH MY RESIDUAL ESTATE TO HER HUSBAND, EDWARD. ARTICLE SEVENTH THE INTERESTS OF ANY BENEFICIARY CREATED AND LISTED HEREUNDER SHALL NOT BE SUBJECT TO SALE, ASSIGNMENT OR TRANSFER IN ANY MANNER, AND SUCH INTEREST SHALL NOT BE LIABLE WHILE IN THE POSSESSION OF MY EXECUTOR FOR THE DEBTS, CONTRACTS, OBLIGATIONS, LIABILITIES, ENGAGEMENTS, UNDERTAKINGS OR TORTS OF ANY SUCH BENEFICIARY. ARTICLE EIGHTH I GRANT MY EXECUTOR IDENTIFIED IN ARTICLE FIRST THE FOLLOWING POWERS, WHICH SHALL BE CONSTRUED BROADLY, TO BE EXERCISED IN THE EXECUTOR'S DISCRETION AS THE EXECUTOR DEEMS JUST AND PROPER, IN ADDITION TO AND NOT IN LIMITATION OF THE EXECUTOR'S COMMON LAW AND STATUTORY POWERS: A. TO MAKE ANY DIVISION OR DISTRIBUTION OF MY ESTATE REQUIRED BY THIS WILL, AND TO THAT END TO ALLOT SPECIFIC SECURITIES OR OTHER PROPERTY, OR ANY UNDIVIDED INTEREST THEREIN, TO ANY PERSON, SHARE OR PART, ALTHOUGH IT MAY DIFFER IN KIND FROM SECURITIES OR PROPERTY ALLOTTED TO ANY OTHER PERSON, SHARE OR PART; B. TO RETAIN OR DISPOSE OF ALL OR ANY PORTION OF MY ESTATE, REAL OR PERSONAL, IN ANY MANNER AND AT ANY SUCH TIME THE EXECUTOR DEEMS SUCH DISPOSITION OR RETENTION TO BE IN THE BEST INTEREST OF THE ESTATE; C. TO PAY, EXTEND, RENEW, MODIFY, SETTLE, ADJUST, COMPROMISE, RECEIVE OR ACCEPT, WITHIN THE EXECUTOR'S DISCRETION AND UPON SUCH EVIDENCE AS THEY MAY DEEM SUFFICIENT, ANY BENEFIT, OBLIGATION, OR CLAIM, INCLUDING TAXES, EITHER IN FAVOR OF OR AGAINST MY ESTATE; D. IN CASE A SPECIFIC BEQUEST BECOMES PAYABLE TO A MINOR OR TO A PERSON WHO IS, IN THE OPINION OF THE EXECUTOR, UNABLE TO PROPERLY ADMINISTER SUCH AMOUNTS, THEN SUCH AMOUNTS SHALL BE PAID OUT BY THE EXECUTOR WITHIN THE EXECUTOR'S DISCRETION IN ONE OF THE FOLLOWING WAYS, OR ANY OTHER WAY THE EXECUTOR DEEMS APPROPRIATE: (i) TO THE LEGALLY APPOINTED GUARDIAN OR CONSERVATOR OF SUCH BENEFICIARY; (ii) TO SOME RELATIVE OR FRIEND HAVING REACHED THE LEGAL AGE OF MAJORITY FOR THE CARE OR SUPPORT OF SUCH BENEFICIARY; OR (iii) TO THE EXECUTOR FOR SUCH BENEFICIARY'S CARE OR SUPPORT. E. THE DECISION OF MY EXECUTOR ON THE MATTERS INCLUDED HEREIN SHALL BE FINAL AND CONCLUSIVE ON ALL PARTIES. IN WITNESS HEREOF, I HAVE HEREUNTO SET MY HAND AND SEAL THIS "t~ 111- DAY OF THE MONTH OF ~EI"rGMll[;R. NINETY NINE. , NINETEEN HUNDRED AND 1ue(l/l/1 0?1~ ~ HELEN MENDLER SELF-PROVING AFFIDAVIT WE, THE TESTATOR AND WITNESSES, RESPECTFULLY WHOSE NAMES ARE SIGNED TO THE WITHIN WILL, BEING FIRST DULY SWORN, DO HEREBY DECLARE TO THE UNDERSIGNED AUTHORITY THAT THE TESTATOR SIGNED AND EXECUTED THE INSTRUMENT AS HER LAST WILL AND TESTAMENT, THAT HE SIGNED IT WILLINGLY, AND THAT HE EXECUTED IT AS HIS FREE AND VOLUNTARY ACT FOR THE PURPOSED THEREIN EXPRESSED; AND EACH WITNESS STATES THAT HE/SHE SIGNED THE WILL AS WITNESS IN THE PRESENCE AND HEARING OF THE TESTATOR, AND THAT TO THE BEST OF HIS/HER KNOWLEDGE THE TESTATOR WAS AT THAT TIME OF SOUND MIND, AND UNDER NO CONSTRAINT OR UNDUE INFLUENCE. ~ Jet fJ1 fJ14~ /II P ~AJ HELEN MENDLER, TESTATOR &.~L~ WITNESS ~ IJ'A~~ /Jp. ~ ./ WITNi;;- - - J Subscribed, sworn to and acknowledged before me, HELEN MENDLER, the Testator, and sworn to and acknowledged before me by t=1JU/A/l...D JJI3AA/ !3GVi5/U '{ 'Pf3.A-N ,the witnesses, this /~f~ _day of ~6P,entIIl5t< , 1999. - } d~)e~'}1 NOTARY PU IC . " Notarial Seal George L. Bowen, Jr., NotaI)LPubIic Carlisle Bora, CumberlafldCoonty My Commission Expires June 7, 2002 Member, Pennsylvania AssocIation 01 Notanes .~.<~"" : i ~ c,~~'~)' '~~~ ~"', 'l~. '.' '11';,1 I .OC:,' .. "1\ ""'f'.! '.' '1 ~H ,.7'1. . S~ ~.;'~ "'.'''.''.' I~~~:.I .$" ,! ~f~~ f::'~i' ~l~! ~:;. ' ;c':~1 ~jl~ ~. ~l r:~ :....~ e.:g~ ~;'qj :'.t.~ ~.i ~r I II f.~f; "",,'i'~rl' Ir.:l.\\ ~, if:1~~' "~' .. , ~1 ~i ~- ~~ 51: 3. ~, ~ .... ~ ~ ~oI ~ ~ -- '"-01 -. :::::=- 2t -~ -. . ~ ;j. ~ ':I' ~~ ~ ~: -'II --.. == -. ~ ;;!I. I I i '" I i ~ a ~ ;,; ~ ~ ('> ~::I ~ 0:1 DO 1 a legal Name of Decedent (Fi:sf. Middle, Lasl) Helcn J. Memller 1 b Also Known As (AKA), If Any (First. Middle. Last) 2, Sex F 3. S~I<JI ~if4~~o~57~e8 c ni Q) o '0 OJ E f'= ..0<: C ;=l 4a Age-Lasl Birthday 92 Years 4b. Under 1 Year 4C Under 1 Day 5. Date o( Birth (MoIDylYr) 6. Birthplace (City & StateIFOfeign Country) 03/20/1913 Carlisle, PA (" .....---- \ \.0 0: "" 0 iii 0 0 (l) N I- 0 '-- (,) '0 ..-< w J!l 0'l 0: co '-- 0 0 ..-< ...J ~ W Z ::l u.. >- CO 0 W I- W ...J Q. ::E 0 (,) w CO 0 I- C (l) r-I ~ '0 ~ Q) ~ E '" Z FOR STATE USE ONLY Place of Accident Da s HOUtfj Minutes Months 7b. County Carlisle o o 7a. Residence-Stale PA Cumberland Cross Class Received for limb Only D \ Record Contains , Amendment D 0.'" " . 'J H5156 7d Slreel and Number 600 W. Louthcr Street 7f. Zip Code 79. Inside City Limits? 17013 .eYes DNo 9a. Surviving Spouse Name (If wife, name prior to firsl marriage) "wNE 8a.. Evel in US Armed Forces? .oyesc(1N.O DU~k.-r'9:' r.iarilal. Status al Time of Death b If Yes, Name of War. ONever Mamed [JDivorced OMamed c:Qwldowed c.,War Service Dates (Fromffo). _ OMarned but Separated DUnknown 10a.iWas Decedent Ever Registered lOb If Yes, Status at lime of Death in a Domestic P<Jrtnership? DCunently Rcgdered in iJ Domestic Partnership DYes c:f1?No OPrev~ous Oon'i.~stlC Partnersl)~p, Partner Deceased DPrevlous Domestic PartnershIp, Legally Terminated 11 Father's Name (FITst, Middle, Last) - 12. Mother's Name Prior to First Marri',lg~(First, Middle, Hoyt E. Blocher Marl!;aret;t.a.:, o~rey 13b, Relationship to Oece'QMt DljliA,!H~r lOc. Surviving Domestic Partllar Name 13a. Nama of Informant Beverly Dean 13c. Mailing Address (SIreel and Number, CitY, Stale, ZiP. Code) 103 Atlantic Avenue, Somers l'oint, New Jersey 08244 14, Melhod of Disposition 15. Place of Disposition (Name of cemelery, crematory, other place) ~Burial DDonation Westminster Cemetery DCremation DEntombment DRemoval from Stale 16. Location.City or Town and Stale DOther (Specify): Carlisle, l'ennsylvania 17. Name and Complele Address of Funeral Facility Adams-}'erlect }'uneral Homes, Inc., 1650 New Road, Northfield, NJ 08225 . ' 19 NJ License Number 3"7~S- 22. Decedent Race - Chec~ one or more bONes to Indicate whal race the decedent considered himselflherself /0 be. .IIilWhite DBlack Of African Amern:an DAmencan Indian or Alaska Native (Enrol/ed or principa//ribe) DAsian tndian DFllipino DChinese DJapanese DOlher Asian (Specify) ONative Hawaiian DSamoan DOther Pacific tslander (Specify) DOther (Specify) 20. Decedent Educalion Highest degree or level of school completed at lime of dealh. DGrade 8 or less DGrade 9-12: no diploma <I!!Iliigh school graduate or GEO D50me college cledit, no degree DAssociate degree (AA, AS) DBachelor's degree (BA, AB, BS) DMasler's degree (MA, MS, MEd, MSW) DOoctorale (PhD, EdD) or Professional degree (MD, DDS, JO) ecedent of Hispanic Origin? Check one or more boxes that best describe if decedent is Spanish/Hispanic/Latino Check "No" box if decedent is not S,panjshlHispaniclLatino. 41lINo, N01 Spanish/Hispanicl latina OYas, Mexican, Mexican American, Chicano DYes, Puerto Rican DYes, Cuban DYes, Other SpanistllHispanicl Latino (Specify) DGuamanian or Chamorro DKorean DVietnamese 23, Occupation of Decedent (Type OfWOfk done most of life, even if retired) Owner/Operator 25. Name and Address of Last Employer Mendler Furniture Store, Chambersburg, Pa. ITEMS 26.30 MUST BE COMPLETED BY PERSON 261D;tWIPrm54Q~d Dead (/lAo/DaylYr) WHO PRONOUNCES OR CERTIFIES DEATH I j, I L IVb 24. Kind of Businessllndustry Furniture Store 28 Signature of Person Pronouncing Death (if other than Certifier) 29. License Number 27, T~.3~n~~ Dea~M 30. Date Signed (/lAo/DaylYr) 31. Date of Dealh (MoIDayrYr) 1/31/2006 32 Time of Death uk DAM DPM 34. PLACE OF DEATH (Chec~ only one) if Death Occurred in a Hospitai' Dinpatient DEmergency Room 35a, Facility Name (If not institution, give slreet and number) If Death Occurred Somewhere Other Than a Hospital: DHospice Facility ONursing Homeilong.,Term ~arl' Facility. h DOecedenl's Home [2Jbther (SpeCify): uau ~n(;er S . orne 35b. Municipality 350, County Immediate Cause - (Enter chain of events (diseases, Injuries, or complicatiOns) Ihet directly callsedcleath. DO NOT enter tenninal events such as cardiac arrest, or ventricular f1bril/alion without showing etiology, DO NOT ABBREVIA TE. Enter only one cause per line. Add additlonal/ines If rwcessary, a. Arteriosclerotic Cardiovascular Disease CAUSE OF DEATH 36a. PART I IMMEDIATE CAUSE final disease or condition resulting in death, Sub- Due to (or as a consequence of): sequently list conditions, if any, leading to the b. cause listed on Line a. Due to (or as a consequence of): Enter the UNDERLYING c, CAUSE (disease or injUry that initiated the events Due to (or as a consequence of): resulting in death) LAST, d, 36b. PA I. Enter other significant conditIons contributing to death but nol resultmg in underlying cause given in PART I 0: w u: i= et:: W U ...J ct (,) o w ::E >- CO o W I- W -J Q. ::E o U 44. Describe How Injury Occurred W CO o I- 37, Was an Autopsy 38, Were Autopsy Findings Available to Performed? Compte1e Cause of Death? DYes I&lNo DVes 41. Place of Injury (e.g., home, constructlonslle, resfauranl) 39. Date of Injury (Mo/DaylYr) 40, Time of Injury DAM DPM 43a. Location of Injury (Number and Street, Zip Code) 43b. Municipality 43c, County 42. Injury at Work? DYes DNo 43d. Slate 48 Old Tobacco Use Contribute to Dealh? 45. If Transportation Injury: OOriver/Operator DPedeslrian DPassen er DOther (spe 49. If Female: IllINot pregnant within past yea, DPregnant at lime of death DNot pregnant, but pregnant wRhin 42 days of death DNot pregnant, but pregnant 43 days to 1 year before death OUnknown if re nanl within the ast ear 47 Did Decedent Have Diabetes? DYes []tlo DUnknown DProbably DUnknown 46. Manner of Death 'OO;atural DPending TIAccident Investigation DSuicide DCouid not be DHomicide determined DYes OlNo 50. Certifier (Chec~ only one): DCertilying physician-To the best of my knowledge, death occurred due 10 Ihe cause(s) and manner staled. DPronouncing and Certifying Physician-To the best of my knowtedge. death occurred allhe time. dale, and place, and due to the eaus.e(s) and manner stated. KlMedical Examiner~On the basis of examinalionAnvestigation, in my opinion, death occurred allhe time, date and place, and due to the ceuse(s} and manner stated. 51. Name, Address and Zip Code of Certifier Hydow Park, M.D. 201 S. Shore Rd., 52, Signature of Cert' Ie OJ ~.., /" ~C---- NOrthfield, NJ 08225 54. Date Certified (MoIDayrYr) 1/31/2006 Local File Number 53. license Number This is to certify that the above is correctly copied from a record on file in my office. Certified copy not valid unless the raised Great Seal of the State of New Jersey or the seal of the issuing municipality or county, is affixed hereon. , DPM