HomeMy WebLinkAbout07-12-06
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
PETITION FOR GRANT OF LETTERS
Estate of JAMES N. BRENNEMAN
also known as
No. J, \ - c G (;~~ I
, Deceased
Social Security No. 206-32-4025
Jill L. Mellios
Petltioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE "A" OR "S" SELOW:)
GJ
A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut rix
Decedent, dated 7/20/2001 and codicil(s) dated
named in the Last Will of the
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 incapacitated:
o
B. Grant of Letters of Administration
(c.I.a., d.b.n.c.l.a.: pendente lite, durante absentia; durante minoritate)
.)
Petitioner(s) after a proper search has/have ascertained the Decedent left no Will and was survived by the followifig spouse!
(if any) and heirs: .
I Name Relationship Residence ! I
,
,
. ,
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(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal
residence at 1450 Timberbrook Lane, MechanicsburQ, Hampden Township, Pennsylvania 17050
(list street. number and municipality)
Decedent, then 63 years of age, died July 2 , 2006 , at M.S. Hershey Medical Ctr., Hershey, 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 .......... ............................................................................. $
Total .................................................. .................................................................. $
2,500.00
0.00
2,500.00
Real Estate situated as follows:
1450 Timberbrook Lane, Mechanicsburg, PA 17050
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:
Typed or printed name and residence
Jill L. Mellios
37 Brittan Blvd. Marlton NJ 08053
RW-7
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Oath of Personal Representative
Commonwealth of Pennsylvania
County of Cumberland
The Petitioner(s) above-named swear(s) and 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 estat1&~ liYJx } ) . J
Sworn to and affirmed and subscribed . , J.J;;fj
Jill . Mellios
befor~ me this j,:< day of
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DECREE OF REGISTER
Estate of JAMES N. BR,ENNEMAN
Deceased
NO~ i U 6- (0;)/
also known as
Social Security No: 206-32-4025
Date of Death: 7/2/2006
AND NOW, 2006 , in consideration of the Petition
on the reverse side hereon, satisfactory proof having been presented before me,
-,:"1
IT IS DECREED that Letters IZJ Testamentary 0 of Administration
(c.I.a., d,b,n,c.l., pendente lite; durante absentia; duranterninoritate)
are hereby granted to JILL L. MELLlOS
in the above estate and that the instrument(s), if any, dated July 20, 2001
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
FEES
Letters .................................... $
-/
Short Certificate(s) .......).....
$
$
$
$
$
$
Inventory & Tax Forms............. $
\, '\ \ \
Other ........7:.~.......................... $
Renunciation......................... .
Affidavit (
) .......................
)............. .
Extra Pages (
Codicil........ ........................
JCP Fee ...?..~v.~~,j................
TOTAL .............................$
RW-7A
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f'.J.u.. ht-LfIJ;1 Jrix&L(;h(:o~z{ 1"-,,
Register of Wills .. . f)
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Attorney
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Attorney: Jill M. Wineka, Esquire
1.0. No: 58802
Address: 1719 North Front Street
Harrisburg,
PA 17102
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Telephone: (717) 234-4178
DATE FILED: 1/12/0 (p
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12827020
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COMMONWEALTH OF PENNSYL VANIA. DEPARTMENT OF HEALTH . VITAL RECORDS
CERTIFICATE OF DEATH STATEfILE NUMBER
N . __ B 1": n n_ema_~ ~H_ - _ _ - _ - ----_=J ~~~ l' ~;~se:~Nc;<~-_~_~Q~~ r-~"~C~D~h";t~~'Yl;)~~-------
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1 MIIlUI~....~:t__~2~~~~ ~~c~an~~~~~_r~ PA i~I~_~EKUUldll~nl QUUA r~h~I~'n~H0me _QHes~ellLe ~~~_____
Iii (Iy t~)rl r,.,.~ ulDdU, [J rdcl,lyN<lI1I€(llnollllslltulk.lll gl\esll"cldli.JrUlliL~!) 9 WaS DecedelllotHI"pam::Oflgm? 10 Race Arr)Cncanlndaan, Bklck Whlle,elc
~ No 0 Yes (II yes Specify ( ubdn (SpeCify)
Dilllpbin l2\;fITTW1--- _ _M~ Hersl1.~Me<J.i.clll~~..!I..t~ __ __ ~"<"'P""IOR<""'" White
11 ~~~ I Ih~':!.1 C"- Jf~l~ I I.K 111 "t ~~ ~.-.! e ljl,l~~~~I~1 w _I~ J ~ ~(J r!?! ~ 1~lr~ 12 Was DoceJenl <M~lll, Hw US I~~~~~~!~ t9~'~1 !2t,::r-1 or, ~~~~ ~~ 1~ M.Hi\ill Slillus Married Tjewn\1r~ -'\5-scrv-IJr;g$pous~-;if~~~;a;d-.Jnr:~~
K'ld 01 Hurk [l\lr"1 ul dU~1I ~~~j(1dlJs\ry AIIl)((j Force,,? Elemenldl)' Secondary (012\ (oJlege (14 or 5t) Widowed DNorced (SpeCtl,,1
_S~le? _ _ AlJ.tc:J.ITl()t'.\'~~__ Q!~~~,,,,,-~ __ __12 ___ _______ _JU,!,Q!".fed___ n__.___~_____
Hi Ot:...e 1~1I1 ~ Mailing Murt;o;:; {~II~d clf1Jwn ;IJIC llj cud~J ~l~:~~n~SSIOel\i,;e I!J ::;1..le P A ~I~e~:~edenl llc ~ Ie., Delt:d~nlllved Ir1 Ham p den 1....p
1450 T i mbe rb roo k La ne '".o;hO'
17d 0 No O""t:JeIlILlv.-:d....llIlIO
M e c h ani c s bur 9 PAl 7 0 5 0 lit (coOlI Cum b e r 1 and "',",' liml; 0' elll_&"
18 -fdl1~l:r~-NJII-;iI-IISl u~di;lilS~ ~ - ~ ---~ ~- - -- ------ 19-M()lher'sr:Lrn;;(Firslr;jddle~ma-;densLJrname)
James
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;',Yi:!ld51l-H1!,.Jdyj
J. Lee Brenneman
Sara
Fasick
il)a IIL10rn",nIS ~j"lIne 1I,'pe.Vrll;lI
2ObIIliOl~----nrsMiil!rngMdress{Slfeel:C;~~-;_S~I~~'~eT--~------~~----__..~______w_~_~_
Jill Mellios
37 Brittany Blvd. Marlton NJ OB053
~ I.. M':dhod 01 DqJ0sl1li.Jn
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[) HdliUvdllr0lT,St..It:
-- ----- -Ilb O:ie 01 DlspOSlllOl~Morllhd;Yye<lI)~ - - 21c placeoi Dlsposlhon (Name olcemt!I&1) tr8ma!0/)' or other Pia:e)~l21dTO;;llOn {Clly10wn slaIel~ude)
o "","'0' 7 - 4 - 2 0 0 6
_CQ.!lglite I!,ematory ___ _ SChaefferstow'L.P.A 170 B
------- =r~~'~'ON~~~~-L--__J:c~y'~;;'"'o;~"~ERAL HOME 37 East Main MECHANICSBURG
I illY ~lIo"'kd\l-;-;-d-e~Jlh ocZ;;;-ect at It;';; l~edJle ~nd p~L€Slaled- (:iI\lIlJ.lu~e-.wd lllie) ~ - -~ ~-------I3b l <'''' N""',, ---n-----I"'~S'g;'" '"volh do, ,'01)
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j:jj--Certihel\.:I1"'C~GnlY0ne! - -- - - ______n_ ]]lJ -Sl\l~;aluv/---,".'.-!;d-fl~-.'~~. ..- A--.;.'.~-^-
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To the bot:Sl 01 nlY kr.owle<.Jge death occurrN dueto the c~u~liliO) ilnd nlilnnel ~1iO slated .1/1-- ~
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Tolhebe~lorlllykMwt.>dge,d~Jthocclllledallhetill)e,uJre,Jndpl.lce,and due to IIleCaUSe1s).lInd rnanner as state(] U ~ T t cg ~ ~ g 5
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Onlhe basis 01 e~Jll\jn.111011 Jodi0r il1~()~II\jJtlon. III lilY Opl11l00, d.:!Jlh lKCUlfl>J:I al the limc, dale, and place, and due 10 the c.lu~l'(liOl ilnd lNllne, .IS st"led
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M.S. Hershey Medical Or
Hershey, PA 17033
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Last Will and Testall1ent
of
J all1es N. Brennell1an
I, JA..1.iES N. BRENNEMAN. of Mechanicsburg, Cumberland
COUflt:1; Pennsll1 \r3.!l_i 2 I c~'2:clare thi S t<:) be rn~{ Last :~7i 11 arid
Testament, and revoke any and all prior wills and Codicils made
by me.
ITEM I: I direct that all my just debts and funeral
expenses, including my grave marker and all expenses of my last
illness, shall be paid from my residuary estate as soon as
practicable after my decease, as a part of the expense of the
administration of my estate.
ITEM II: All federal, state and other death taxes payable
because of my death with respect to the property forming my
aross estate for tax purposes, whether or not passing un~er
this Will, including any interest or penalty imposed In
connection with such tax, shall be considered a part of the
expense of the administration of my estate and shall be paid
out of the residue of my estate, without apportionment or right
'._J
of reimbursement.
..
ITEM III: I give, devise and bequeath the rest, residue
and remainder of my estate of every nature and wheresoever
situate outright to my daughter, JILL L. MELLIOS, on condition
that my daughter surVlve me by thirty (30) days.
ITEM IV:
In the event my daughter, JILL L. MELLIOS,
predeceases me or fails to survive me by thirty (30) days, I
give, devise, and bequeath the rest, residue and remainder of
my estate of every nature and wheresoever situate to my sister,
SALLY L. BILLER.
ITEM V:
I appoint my daughter, JILL L. MELLIOS, Executrix
of this my Last will and Testament.
Should my daughter, JILL
L. MELLIOS, fail to qualify or cease to act as Executrix, I
appoint my sister, SALLY L. BILLER, Executrix of this my Last
Will and Testament.
ITEM VI:
I direct that no Executrix or her successors
serving hereunder be required to post bond or enter security ln
any jurisdiction.
ITEM VII: Where appropriate throughout this my Last will
and Testament, all references herein to the singular or the
feminine shall include the plural or the masculine,
respectively.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
i'
day of
, 2001.
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r~~~;' I j I '!:.J..,<-1-1.J'11'1,tf.-'- (SEAL)
AMES N. BRENNEMAN
this
2
The preceding instrument, consisting of this and two
other typewritten pages, was, on the date thereof signed,
published and declared by JAMES N. BRENNEMAN, the Testator
therein named, as and for his Last Will, in the presence of us,
who, at his request, in his presence, and in the presence of
each other, have subscribed our names as witnesses hereto.
./,;-1.
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residing at
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residing at \-1o\YV\'S\o'v\YCj y/.+ \1/1 ~
3
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
WE, JAMES N. BRENNEMAN,
and
C' .~~ '
~C \' . .,'\,0,5 '\ ell'\
the Testator 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 Testator signed and
executed the instrument as hlS Last Will, and that he had
signed willingly and that he executed it as his free and
voluntary act for the purposes therein expressed, and that each
of the witnesses, in the presence and hearing of the Testator,
signed the will as witnesses and that to the best of thelr
knowledge the Testator was at 1::.hat time e19}lteen years cf age
or older,
of sound mind and under no constraint or undue
influence.
Q /1;/
I/'~~J II~' -3PA--t...,/\.a/';/}'L~'~-^'
(bAMES N. BREl'-JNEMAN
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Witness .
,.
C ~~~~'Jl~~,,-~l~
vh tness
Subscribed, sworn to and acknowledged before me by JAMES
to before
N. BRENNEMAN, the Testator, and sub~ribe~a~d s~orp
me by ::' > . / and ~"o'\Ji' LG:?\5\eh
witnesses, this .~( /1 day of jfi'Jfj 2001~
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Notary Public
"
4
I Notarial Seal
! Bonita E. Prussack, Notary Public
! Harrisburg, Dauphin County
My Commission Expires Sept. 24, 2001