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)
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Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
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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.
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Sworn to or affIrmed and subscribed
Before me this \3 r cI day of
r:c h rl.A.!t r'-I , 20 0 ~
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kt~ ~'17~ S~s}wl
IV Ltt1 )1;, ()~17tr
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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"
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40
Attorney (Sup. Ct. LD. No.)
Address
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Phone
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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
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>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.
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HELEN MENDLER, TESTATOR
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WITNESS ~
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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.
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NOTARY PU IC .
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Notarial Seal
George L. Bowen, Jr., NotaI)LPubIic
Carlisle Bora, CumberlafldCoonty
My Commission Expires June 7, 2002
Member, Pennsylvania AssocIation 01 Notanes
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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
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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
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FOR STATE
USE ONLY
Place of
Accident
Da s HOUtfj
Minutes
Months
7b. County
Carlisle
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7a. Residence-Stale
PA
Cumberland
Cross Class
Received
for limb
Only
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Record
Contains
, Amendment
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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
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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 ~..,
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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