HomeMy WebLinkAbout03-09-06
PETITION FOR PROBATE and GRANT OF LETTERS
Estate of Mildred E. Morrison No. 2000.- 02 of!'
also known as To:
Register of Wills for the
, Deceased. County of Cumberland in the
Social Security No. 160169782 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older and the execut rix named
in the last will of the above decedent, dated September 6. 2005
and codicil( s) dated
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in Cumberland County, Pennsylvania, with
h er last family or principal residence at Claremont Nursing 1000 Claremont Road Carlisle.
Pennsylvania 17013
(list street, number and municipality)
Decedent, then ~_ years of age, died 2/24/2006
at
Except as follow~, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of the will uffered for probate; was not the victim of a killing and was never adjudicated
incompetent:
Decedent 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 Pennsylvania
situated as follows:
$
$
$
$
6.000.00
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters testamentary
thereon. (testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
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1104 Pine Road
Carlisle
PA 17013
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA} ss
COUNTY OF Cumberland
The petitioner(s) above-named swear(s) or affrrm(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 and truly administer the estate according to law.
Sworn to or affirmed ,and subscribed {'-;ffJaJ2frM.& U)~ //j.!
before me this qfh davof
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Estate of Mildred E. Morrison , Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW ~t ql-l7) .)..{J()~ , 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 9/6/2005
described therein be admitted to probate and filed of record as the last will of Mildred E. Morrison
and Letters Testamentary
are hereby granted to ~ -u;~
FEES
Probate, Letters, Etc. . . . . $ 45. 00
f,oO
Short Certificates (2.. ) . . . . . . $
WUI. . J5,oO
.RcnlifletatIQft. . . . . . . . . . . . $
Jef y" f1.iJ-tD $ ; f), 00
TOTAL _ $ f3.o0
. ~ 11'" 200~
FlIed. . . . . . . . . . . . J . . . . . . . . . . .
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ATTORNEY (Sup. Ct. J.D. No.)
19 S. Hanover Street, Ste. 101
Carlisle PA 17013
ADDRESS
7172452698
PHONE
-........ lIr
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H' ('" "P" PI'" ,'n"
This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local 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.
Fee for this certificate, $6.00
p
12269945
No.
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Local Registrar
FEB 2 7 2006
Date
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Hl05.143 Rev. OMl6
TYPElPRINT IN
PERMANENT
BLACK INK
1 Name of Decedent (Firs!, middle, last)
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH STATE FILE NUMBER
. and slate or for .
7. Date 01 Birth Month, da , ear
92
March 11
y,
Bb. County ot Death .;:.
I .
Cumberland
Middlesex Twp.
o Yes XI No
Decedent's
Aclual Residence 17a. Slale
J?A
Cumberland
laremont Nursing & Rehab. Ctr.
- 1000 Claremont Rd. ,Carlisle, PA 17013
17b. County
ClIher:
lien' 0 DOA Nurs' Home 0 Residence 0 Clher. S
9. Was Decedent of Hispanic Origin? 10. Race: American Indian, Black, White, etc.
:gJ No 0 Yes (If yes, specily Cuban, (Specify)
Mexican, Puerto Rican, elc.) Whi te
h' hesl &de co Ieted
CoUege (1-4 or 5+)
14. Marital Status: Married, Never manied,
Widowed, Divorced (SpBCifyj
W'
15. SurviviAO Spouse (If wije, give maiden nalM)
Did Decedenl
Live ina
Townsh~?
17c. IX Yes, Decedenl Lived in
Mi odlesex Twp.
17d. 0 No, Decedenl Lived within
Aclual Umits 01
Cityllloro
qacob Addison Wolf
20&. informant's Neme (Typelprint)
Sarah F. Bear
19. Mother's Name (Firs\, middle, maiden surname)
18. Falher's Name (Firsl, middle, Iasl)
2Ob. Informant's Mamng Address (Streel. cilyl\own, slale, zip code)
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o Removal from Slate
o Donalion
886 Bower Rd., Shermans Dale, PA 17090
Darlene Metz ar
. lIems 24.26 rIIlst be CO"1>teted I:ly person
who pronounces dealh.
24.
: Approximale inlerval:
: onset 10 death
./UuLtiJ ~ f 'I U1./ i
CJJ
CAUSE OF DEATH (See Instructions and examples)
lIem 27. Pan I: Enter the ~.. diseases, injuries, Of cOlJll/icalions - thai directly caused the death. DO NOT enter terminal events such as cardiac arrest,
respwalory arrest, or ventncular IibntlalJOn without shOWIng the elKllogy DO NOT abbrevlale Enter only one cause on a line
IMMEDIATE CAUSE (Ftnal dlSBase Of F- d L: ~
condnKln resuftll1g In dealh) -7 a - r1 7 alP
Due to (or as a consequence oQ
Sequenllally Iisl cond4Klns.11 any,
. leading ill the cause listed on Line a.
- Enter the UNDERLYING CAUSe
. (disease or injury that inniated the
evenls resufting in death) LAST.
Due to (or as a consequence oQ:
V
.J
<;...
~
E.
Due 10 (or as a consequence oQ:
d.
3Ob. Were Aulopsy Findings
Available Prior to Completion
ot Cause ot Death?
o Yes 0 No
32d. Time ollnjury
32a. Date ollnjury (Month, day, year)
308. Was an Autopsy
Performed?
31. Manner ot Death
'IjJ Natural 0 Homicide
"d- Accident 0 Pending Investigation
o Suicide 0 ColAd Not Be Determined
es .'i~l No
Part II: Enler other slombnl condnions conlrbutino to dealh,
but not resufting in the underlying cause given in Part I.
2B. Did Tobacco Use Contrbute 10 Death?
o Yes 0 Probably
o No 0 Unknown
32b. Describe how Injury Occurred'
29. If Female:
o Nol pregnanl within past year
o Pregnant at lime of dealh
o Not pregnant, but pregnanl within 42 days
of death
o Nol pregnant. but pregnant 43 days 10 1 year
before death
o Unknown n pregnant within the pasl year
32c. Place 01 Injury: Home, Farm, Stree!. Faclory, Office
Building, etc. (Speci/Y)
33a. CertlfM!l' (check only one)
Certifying physician (Physician certifying cause of death when another physician hes pronounced death and co~ed lIem 23)
To the best Of my knowledge, death occurred due to the cause(s) and manner as stated ..............................................................................................................................~
Pronouncing and certifying physician (Physician both pronouncing death and certifying to cause of dealh)
To the best 01 my knowledge, death occurred at the lime, dale, and place, and due to the cause(sj and manner as stated.......................................................................O
. Medical examlnerlcoroner
On the basis of examination and/or Investigation, In my opinion. death occurred at the time, date, and place, and due to the cause(s) and manner as stated .........0
'strt"s Signat~~
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o Yes ')( No
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(See instructions and examples on reverse)
321.
32g. Location (Street, city~own, slale)
33d. Date Signed (Month. day, year)
2006
34. Name and Addross of Person Who
Ken Harm, MD
1830 Good Hope Rd., Enola, PA 17025
LAW OFFICES OF
STEPHEN J. HOGG
19 S. HANOVER STREET
SUITE 101
CARLISLE, PA 17013
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WILL OF
MILDRED E. MORRISON
I, Mildred E. Morrison of Cumberland County, Carlisle,
Pennsylvania, declare this to be my last Will and hereby revoke all
prior Wills and Codicils.
1. I direct that all my just debts, funeral expenses,
gravemarker and administrative expenses shall be paid
from my residuary estate as soon as practicable after my
death.
2. I direct that all inheritance, estate, transfer, succession
and death taxes of any kind whatsoever which may be
payable by reason of my death shall be paid out of my
residuary estate.
3. I direct that my entire estate be distributed as follows:
A. I direct that 750/0 of my entire estate go to my
niece, Barbara Wiser.
B. I direct that 250/0 of my entire estate go to, my
niece, Pricilla Alspaugh.
C. If either Barbara Wiser or Pricilla Alspaugh should
predecease me, their share shall lapse and go to
the surviving niece.
4. I appoint Barbara Wiser, as Executrix of this my last Will.
If Barbara Wiser should predecease me or cease to act
in such capacity, I appoint Pricilla Alspaugh as alternate.
5.
The Executrix of this Will shall have the power to
distribute my estate in kind or in cash, or partly in either.
6.
I direct that no Executrix acting under this Will shall be
required to enter bond in any jurisdiction.
IN WITNESS WH . RE
~ day of .
O~tf\
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LAW OFFICES OF
STEPHEN J. HOGG
19 S. HANOVER STREET
SUITE 101
CARLISLE, PA 17013
The preceding instrument consisting of this and one other page
was on the day and date hereof signed, published and declared by
Mildred E. Morrison as and for her last Will in the presence of us, who
at her request, in her presence and in the presence of each other have
subscribed our names as witnesses hereto.
O~\r\}~J'tl~
WITNESS
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WITNESS
LAW OFFICES OF
STEPHEN J. HOGG
19 S. HANOVER STREET
SUITE 101
CARLISLE, PA 17013
ACKNOWLEDGMENT
State of Pennsylvania
ss
County of Cumberland
I, Mildred E. Morrison, the Testatrix, whose name is signed to
the attached or foregoing instrument, having been duly qualified
according to law, do hereby acknowledge that I signed and executed
the instrument as my last Will; that I signed it willingly and as my free
and voluntary act for the purposes therein expressed.
)A ~a-11J~wPq/
il red E. Morrison
Sworn to or affirmed and jlcknowledge
E. Morrison the Testatrix, this ~ day of
,2005.
~ NOTAAW.IEAL.
~ ~ HOOG. NOrMy PuBuc
AlYonu.....1ON ~ CO.. PA
19TEM8EA 3. 20ClI
AFFIDAVIT
State of Pennsylvania
ss
County of Cumberland
We, ~'nty G "'\~~J\\ and /Jjl9 ~ ~~t:1J/c , the
witnesses w~se names are signed to the attached or foregoing
instrument, being duly qualified according to law, do depose and say
that we were present and saw the Testatrix sign and execute the
instrument as her last Will; that the Testatrix signed willingly and
executed it as her free and voluntary act for the purposes therein
expressed; that each subscribing witness in the hearing and sight of
the Testatrix signed the Will as a witness; and that to the best of our
knowledge the Testatrix was at that time 18 or more years of age, of
sound mind and under no constraint or undue influence.
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ubscribed to before me by witnesses,
,2005.
NOT~~
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