HomeMy WebLinkAbout08-17-06
PETITION FOR PROBATE and GRANT OF LETTERS
Estate of "/1JdYY E, Jf/(lpft;' No. c21~01.J -1c2(P
also known as To:
Register of Wills forJre . /. . j
, D~c,f!J!.Sftd. County of Cud'/. 't"J"/d!:tLJ in the
Social Security No. / ~..f- i!2 - ~YO,h Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who 10ltIare 18 years of age or older an the execut OV{
in the last will of the above decedent, dated .r1A)'\ e.., I q
and codicil(s) dated
nq7ed
, 19
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Deeenden! was d?mkiled at death i? (' /,jJ1tffiJ/~-Jt,I 14 cnn,,& Penct;llYlj,~with
V last fa Ily or nnCI al residence at , ~ tJ<< (14 , , f'. 'J,,5, r:
- ;'
(list street, number and muncipality)
Decendei}f, then 'J fit ~s of agc-1ied t'ff.t1..J f # ' ~ .2/)/)f;,
at 6.rO If.. {)U ~f? ") C .! e ~ .I 7~ l~ .
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of the will offered for probate; was not the victim of a killing and was never adjudicated
incompetent:
Decendent 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: 7. L 'i1 ~
~PIJ n.. au/ ~fI J c
.s;()~/) ,06
/
$
$
$
$
('dY/ l..fle.,. ~ '
90I10/J, tJ{)
:~-~~~
,-~ -,
'-:.J
',......
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and C9dicil(sf
presented herewith and the grant of letters
theron.
(testamentary; administration c.t.a.; administration d.b.n.c.t.a.)~
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA !..ss
COUNTY OF 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 and truly administer the estate according to law.
Sworn to or affirm.~~....an,d snbscrihed { (? .fto,__ - C3=7J) '"
~.1ff-'; I ~~~~)gf ~I/" f/.0-A:U/ I
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No. ca/-o~-12J.Q
Estate of .~/f/tY
DECREE OF PROBATE AND GRANT OF LETTERS
L-=-. /tJ/lKT/tV
, Deceased
AND NOW /lttfl{.f f 1~_.___~".ab-. in cor:sicieration C'-'C:
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated .ruM E ,i 11ft{ 7
described therein b admitted to probate and filed of record as the last' will of P1~ 11 Y ~,
dr 'J1, (
. 'In
and Letters
are hereby granted to
FEES
Probate, Letters, Etc. ......... $..::llD. CO
Short Certificates( ).......... $ '.;1, .00
~~......... $ 16.0D
J~ \o.cc
~~.nS ~.()Q
TOTAL _ $~5:L. 00
Filed . .~.-:- .l.7:-. 9~.....................
PHONE
Thi" is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Lm ,i1 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.
No.
~.~~.~~&.~
Local Registrar ~
Fee for this certificate. $6.00
p
12726760
AUG 1 4 2006
Date
=-'.~, -;,
, .
CJ
c::>
tl05.1~REV,02I200)
TYPE/PRINT IN
~,::~,:rr 1/30-311
1. NiJ"Oe of Decedent (FiB!, middIe,last Sllffill)
Mary
5. Age(lasIBirthday)
94
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH (CORONER)
Apr. 18, 1912
STATE FILE NUMBER
4. Date or Death (Month, day, year)
August 10, 2006
E
Martin 162
6. DmeofBirlh Monlt1,d
Bb CountyolOeath
680 West Louther Street
12. Was Decedenleveril1Ihe
U.S. Amled Forces?
Ov" mNo
Decedent's
Actual Residence 178. Stale
13. Decedent's Education (Specify only highest !Vade oompleted)
Elementary I Secondary (0-121 College (1-4 or 5+)
8
PA
Cumberland
14, Marital Stalus: Mwried, Never Married
W.""". DM>reed (Specify)
Widawed
, lb. Comly
17c. 0 Yes, Decedent Uved in
17'. 6a ~=-~...- Carlisle
T.,..
CllyIBoro
18. Father's Name (Fil1~ rnddIe, last, suffix)
David Hei es
lOa. InlormlW'll'sNCITlll (Type/Prill)
Susan C. Bear
19. Mo\her's Name (First. middle, maiden surname)
Gertrude Mae Blackford
o
~
~
2Ob. Inform..,I's Ma~ing Address (Sreet. dly Ilowl1, slate, zip code)
384 Mooredale Rd., Carlisle, PA 17013
21c. Place 01 Disposib (NamedcemelerJ,cntmalDfYotoltlerplace) 21d. Localion(Cityltown,stBte.lipcode)
Complele Items 23a-c only when certifying
physiciWlisnolavaiableallimeofdeathkl
certify CaJSe 01 dealh
"ems 24-26 must be completed by person
whopronoul'lCeSdeath
Hollinger F. H. & Crs:natory
22c. Name and Address of Facility
a..ing Brothers Funeral Home, Inc., Carlisle, PA 17013
OCCtIrred aI the time. date and place stated. (Signature and 1iI1e) 2:lb. License Number 23c. Date Signed (Month. day, year)
Mt. Holly Springs, PA
24. TimeofOeall1 prx.
11 : 00 P .
25. Dale Pronounced Dead lMonlh, day, year)
M August 11, 2006
26. Was Case Referred to Medical Excrniner I Coroner lor a Reason Other than CremaOOn or Donation?
E(v" ONo
CAUSE OF DEATH (See Instructions and example.)
Item 27. PART I: Enlerlhe~-diseases.injuries.orcomplicalions.thaldi"ecllycaused lhedealh. DO NOT enlerlern1imlevenlssuctl as carcliac arrest.
respiralory arrest,orventr'i<Uarftbrilation wilhoulshowi"lg lheeliology. Lisl only one cause on each line
: Approwimalel1lerVaI:
: OnseIIoDealh
Par1 11: Enter other nifant condilicns r.onlribu~f'I1ln dealh
bulnolresu/tinginlheunderlyingcaJSegiveninPar11
2f!. Did Tobacco Use Contribute 10 Death?
OV"O_,
Ia1'o 0 "ok","o
29.IIFemllIe
o Nol pl9gnarll within pasl year
o Pregn51lellimeofdeath
o Nolpr8!J'Ianlbutpregnantwithin42days
oIdea~
o NoIpregnant,bulpregnanl43dayslolye81
oldealh
o Unknown K pregnil'll within !he past yell"
32c. Place of Injury: Home, Farm. SlrgeI, Factory,
Office Buiktng, etc. (Specify) Home
=~~~z=~
Closed Head Trauma
Due 10 (or as a conaequence of)
Fall in Home
DlJe 10 (or as a consequence of)
~alylislcoodilions,.dany
~nl:g: =:;'~N~ ~:~
(diseaseor~juryll\alini1laledthe
eventsresuttilg Ifldealh lUST.
DlJe 10 (or as a consequence of)
~YElS DNo
)l!lv" 0 No
o Natural D Homicide
JtAccidenl DPerdinglnvesligatioo
o Suicide 0 Could Nol be Determined
head on concrete floor
JOe WasCWlAulopsy
Performed?
JOb. Were Autopsy Findings
Available Prior \0 Completion
of Cause of Death?
31 Manner of Oealh
3'MIWtrW'N
P.M.
32f.lfTransportationlnjury(Specify)
00.;..,/0,."", OP"sooger
O"""'.Speci/y'
J3b. Signature a
PA
~
i
~
33a. Cartiflar (check only one)
c.rtlfylng physlc.n (Physician certifying cause 0# death when another physician has proooonced d9atn and completed Ilem 23) ..
To 1M best of my knowltdgt, delllh occUf1Wd due to thecluse(I)lndmlnnarH stnsI_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _..D
Pronouncing and cartlfylng phyIlciln (Physician both prooooncing death and certifying 10 cause of death)
To IIMi tltst of my knowiedgl, dNth occurred atlhe 1imI, dIIe, and pllcl, Ind due 10 1M cI~lland manner II llItf;d_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _..D
Medlcll Euminer I Coroner
On tha balls of IXlmlnat\orllncl1 or In..,..tlgMlon, In my opinion, dHth occu~ II 1M tlma, date, and p1acl, and duI to the CallM(l) and INInn<<.1 It8I!Ct. _
Coroner
33c. lk:el1se Number
33d.DaleSigned(Month.day,yearl
14, 2006
35. Reg
~
."","aKl~~~tu..~~
1,;;{111<9.lllC'l I
Ob
August
34. ~rctimofter:oo WOl-om!l~ ~ause~'ge~~(~ 2p Type I Print
6375 Basehore Roadr Suite #1
Mechanicsburg, PA 7050 .
I~~~~~--
LAST WILL AND TEST AMENT
OF
MARY E. MARTIN
I, Mary E. Martin, a legal resident of the Borough of Carlisle, Cumberland County,
Pennsylvania, being of sound and disposing mind, memory, and understanding, do hereby
make, publish, and declare this as and for my Last Will and Testament, hereby revoking all
other wills and codicils heretofore made by me.
FIRST: I direct that all my just debts and funeral expenses, including my grave
marker, shall be paid from the assets of my estate as soon as practicable after my decease.
SECOND: I direct that all taxes that may be assessed in consequence of my death,
of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary
estate as a part of the expense of the administration of my estate.
THIRD: I devise and bequeath the sum of Five Hundred and no/lOO ($500.00)
Dollars to my brother, John L. Heiges, provided he shall survive me. Should he fail to survive
me, I devise said sum to his daughters, Bonnie Bowman and Marlyn Diehl, equally, or to the
SUrvIVOr.
FOURTH: I devise and bequeath the residue of my estate, of every nature and
wherever situate, to my good friends, Glenn and Susan Bear as tenants by the entirety, or to
the survivor. Should both Glenn and Susan fail to survive me, I devise and bequeath the
residue of my estate to their daughter, Sharon Busey.
FIFTH: I nominate, constitute and appoint my good friends, Glenn and Susan
Bear, Co-Executors, or the survivor as Executor, of this, my Last Will and Testament. In the
event of the renunciation, death, resignation, or inability to act for any reason whatsoever of
the said Glenn and Susan Bear, I nominate, constitute, and appoint Sharon Busey, Executrix,
of this, my Last Will and Testament. I hereby relieve my Co-Executors or their successor
from the necessity of posting security in connection with their duties as such in any
jurisdiction in which they may be called upon to act, insofar as I am able by law so to do.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will
and Thspunent, consisting of three typewritten pages, each of which bears my initials, this
/9~ day of cr v~tt!E ,1997.
~ E. ~ (SEAL)
Mary E. in, Testatrix
n.''''
I;
,,_! 'r ,; -J
r-
Signed, sealed, published, and declared by the above-named Testatrix, Mary E. Martin,
as and for her Last Will and Testament, in the presence of us, who, at her request, in her sight
and presence, and in the sight and presence of each other, have hereunto subscribed our
names as witnesses.
.~~~
/(Aj'"dw A. t(~ "1
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA )
COUNTY OF CUMBERLAND
SS.
)
I, Mary E. Martin, 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 that I signed it as
my free and voluntary act for the purposes therein expressed.
Sworn or affirmed to and acknowledged before me by Mary E. Martin, the Testatrix,
this /9' :zt?day of ~ ,....d~ , 1997.
~thtw~
Testatrix, M . Martin
/
i Notarial Seal .
'\ s K Guyer Notary Public
usan. 'b \ nd County
\ Carlisle Bora, cum; er ~ept 4 1999
My Commission Exp,res .,
~M b po;:;-ne"7., iVU@al\ll60ClatlOnootarles
em eL ~,,~,
AFFIDAVIT
coUNTY OF CUMBERLAND
)
)
SS.
COMMONWEALTH OF PENNSYLVANIA
We, Edward L. Schorpp and II tV D ~ A, '(Ch~ (V\ , the witnesses
whose 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 Testatrix sign and execute
the instrument as her Last Will; that Mary ,E. Martin signed willingly and that she executed it
as her free and voluntary act for the purpose therein expressed; that each of us in the hearing
and sight of the Testatrix signed the Will as witnesses; and that to the best of our knowledge
the Testatrix was at that time eighteen or more years of age, of sound mind, and under no
constraint or undue influence.
Sworn or affirmed and subscribed to before me by ~ward L. Schorpp and
L j'1\d A A. Pc ~ tl\ , witnesses, this /771- day of C~r
1997.
~~~~ (SEAL)
Witness, Edward L. Scho P
/vn~ // 1?oim
Witness .....
(SEALt
)st,L~ +< ~~ (SEALt
Notary Public l,)
Notarial Seal
Susan K. Guyer, Notary Public
Carlisle Boro, Cumberland County
My Commission Expires Sept. 4, 1999
Member, Pennsylvania Association of Notaries