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Home My WebLink About09-19-06 Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of Nancy L. Mixell also known as No. 21-2006- tfld ~ , Deceased Social Security No. 198-30-4220 Michael L. Mixell Petitioner(s), who is/are 18 years of age or older, appl(ies) for: (COMPLETE 'A' or 'B' BELOW) 00 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Executor the Decedent, dated 09/06/2006 and codicils dated named in the last Will of 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 incompetent: (c.t.a; d.b.n.c.ta; pedente lite; durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: o B. Grant of Letters of Pdministration I Name Relationshp Residence I (COMPLETE IN ALL CASES:) Atach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his/her family or principal residence at 6 James Drive, Newville, PA 17241, North Newton Township (list street, number, and municipality) Decedent, then 67 years of age, died 09/08/2006 at 6 James Drive Newville, PA 17241, N. Newton Township, Cumberland Co.. PA. (Location) 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 $ 55,000.00 situated as follows: One-half interest in real estate located inNorth Newton Township, Cumberland Couriy, Pennsylvania, knONn as 6 James Drive, Newville, PA 17241 4,000.00 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: Signature Typed or printed name and resj.Eience Michael L. Mixell 1345 A$p,," rive Bolling~ings, PA 17007 ,~ Qflf\I .,/ ,J '" Prepared by the Pennsylvania Bar Association Copyrigtt (c) 2004 form software only The Lackner Group, Inc. Form RW-1 (1991) Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland 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 l1e knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before me this --1t- day of 5cp~l{h ~ ZOl\\I jJ{p-lAJ; I~q~ ~bllAt~ Ai For the RegIster / fkA c- -~5111 1!I;ivj} j nyD ~ Michael L. Mixell 21-2006- O</, I ~ No. Estate of Nancy L. Mixell , Deceased also known as Social Security No: 198-30-4220 09/08/2006 Date of Death: AND NOW, , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters 00 Testamentary 0 of Administration (c.I.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate) C) 2; ,~ C) ~ (/) iT! -0 ~;.,: ~~-~; , j (-) ; -I (n_) --."J !:-:-":l , }-J are hereby granted to Michael L. Mixell, Executor in the above estate and that the instrument(s) dated 9-6-2006 . t~ ........-, .....,..--./ ::...:'~ '- ) f"(-; -';"1 t ) '-Tl Short Certificate(s)...................... $ described in the Petition be admitted to probate and filled of record as the last Will of Decedent. ,~d:~ ~tl.M 8g)~ky fX'/.- t! ~~egister of Wills --;.J /1V1--~ Richard L Webber, Jr., Esquire FEES Letters.......................................... $ 135.utJ . I ~ ;0 J (5.60 ) '._~) r1 Rermrrcimion.....WLn............. $ Attorney: \(.tJ1) 49634 Weigle & Associates, P.C. 126 East King Street Shippensburg, PA 17257 Telephone: 717-532-7388 Address: Affidavits ( )...........................$ I.D.No: Extra Pages ( )......................$ Codicil.......................................... $ 'A-J\b JCP Fee.....:t................................$ weigleattywebber@earthlink.net Inventory...................................... $ E-Mail: Other............................................ $ TOTAL............. .... ........... $ f7l~o 0 Prepared by the Pennsylvania Bar Association Copyright (c) 2004 form software only The Lackner Group, Inc. Form RW-1(1991) I05S05 REV 1/05 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. No. ~~1;;~' Local RegIstrar .. Fee for this certificate, $6.00 p 12838356 SEP 11 2006 Date C") --g - -1 1"--) c::> = Cl"" (f) ril -0 ill ?::: _.J -:-~--l o --J V. 0212006 tiNT IN IlENT N< 1. N... of Oec:odenl (Filst. middIe,last. suffix) Nanc.y Mixe.U 5. Aqe (Last BirIhday) COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH . VITAL RECORDS CERTIFICATE OF DEATH 13 ducation (Specify only highest grade compleW) Elementary / Second8/'( (0-12) College (1-4 or 5+) 8 STATE FILE NUMBER 4. Date 01 Death (Month, day, vear) Septembek 8, 2006 7. Birth C' and slale or 67 AU.gMt 8, 1939 Ne.wv-i.i.le., PA o Other - Specify 10. R~: American Indian, Blacl<, While, ele (Specify) wh-i.te 8ll County of Death 17b. County PA C umb ek.f.a.nd 17e. 0 Yes, Oec:odent Uved in 17d. e ~=lsnlJYOdwilt1in Ne.wv-i.i.i.e. BOJr.o. Twp 18. F_. N_ (First. middle, last, suffix) Theodoke R. Ne.-i.d-i.gh 2Oa. InIomlInfsName (Type/Pri111 M-i.c.hae.i. M-i.xeU 21 a. MeIhod of Dispositfon o llooaI 0 R..-.ova from SIale o 0Iher . Spec;(y 221. F City/Born 19. MoIher'. Name (First. middle, maiden sum_I Edna E. Se.-i.tz 2Ob. Informant. Maffing AtIdreos (Slmet, city flown, state, zip code) .. CompIele'1Iems 23a< only _ certfy1ng physician is nof avaiabIe aI .... of death III certify caJSe 01 death IIems 24-26 musl be ccmpIeled by peI>On who pmnounces death tu',^- CAUSE OF DEATH (See Inatructlona and Il!rn II PART I: Enler lite cIliIcJ~- 6......., 1f1jwies, or ~.Ihat oodV caused !he dealh. NOT enler lem1inalevenls such as cardiac arrest. respiral:lry an..t. Of YOlllricufar fiblilation witloul showing lite etiologv. List only one cause on each line, ~~~~~d~~ }qk~(rtc:,t; <. Lv- t'\ ~,~... 1\ ~ DtJe 10 (Of 85 . COOleQUence of) <J Dyes ONe Dyes ONo 31. Manner of Death o Natural D Homcide o Accident 0 P_ng Invesligalion 32d. Time of \njuly o Suicide 0 Could Nol be Detennined Part II: Enlerolher sionlflr:anl CDll!;fions oonlributiro to death 28. Did Tobacco Use Conlribule 10 Dealh? bul nol resulting to the unde!tying cause given in Part I 0 Yes 0 ProbablV o Ne 0 Unknown 29 ff Female o Not pregnanl w~hln pasl year D Pregnanl al time of death o Not pregnant. but pregnant with,n 42 davs ofdealh o ~=nant, but pregnant 43 days 10 1 yew: o Unknown if pregnant 'Nithln the past year 320 Place of Injury: Home, Farm, Street. Fac1ll1Y, Office Building, ele. (Specify) ~tiIy jjsf COIl<Mions, d any, . to cause Iieled on line a. Enler UNOERl YING CAUSE (diseaseOfinjurylhati_lIte IlYenIs resulting in death ) lAST, DtJe to (or as a COl'lMQUen~ of) Due to (01' as a consequenCf!' of) 308. Was an Autopsv Perlormed? 301>. W..., Autopsy Findings A._ Pnor III Completion of Cause of Death? 32g. Location of Injury (Street. city / town, slate) M. 330. c._ (check only one) CortJfyIng phyolclon (PI1yslCi<w1 certifvlng cause of delltll_ anoIttef physician has pronounced dealt1 and compIeled Item 231 To tho boot 01 myk.-.clgo, daoth oeeurred duo 10 Iho caull(a) and mann" II otatosl_ _ __ _ _ _ __ _ __ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.D _Iog.nd CIItiIyIng physlelon (Pllysidan both pronouncing _ and ce<1Ifying 10 cauoe 01 death) Tolho boot 01 my k.-.clgo. _ occurred litho limo. dot., and placo. and duo to th. caull(s) and mann" II atall'l_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .D = =~= and / Of Invoollgollon,ln my opinion, _ occurred altho limo. dol., .nd pi.... and duo to tho caull(o) and ma__ II slllt{ _ .D 35. R ~ ~aMe7fJ~ ~ l:'. ~~:'>1..,;('-/~-,'l..'P~;:T'~~ 1....z..1/1~1/1 /1 1/ (See instructions and examples on reverse) ~ cY I-{){p- Ii r/ p LAST WILL AND TESTAMENT I, NANCY L. MlXELL, presently residing at 6 James Drive, North Newton Township, Cumberland County, Newville, Pennsylvania 17241, being of sound mind, memory and disposition, do hereby make, publish and declare this my Last Will and Testament, hereby revoking and making void all Wills by me at any time heretofore made. FIRST: PAYMENT OF EXPENSES - I order and direct the payment of all my legally enforceable debts and funeral expenses as soon as may be convenient after my decease. SECOND: RESIDUE OF EST A TE - I give, devise and bequeath all my estate, real, personal and missed, whatsoever and wheresoever situate, to my son, STEVEN A. MIXELL. THIRD: CONTINGENT BENEFICIARY - In the event that the said STEVEN A. MIXELL should. predecease me or is not living on the 60th day following my death, I then distribute all of my estate. to my son, MICHAEL L. MIXELL. FOURTH: PERSONAL REPRESENTATIVE - I nominate, constitute and appoint my son, MICHAEL L. MIXELL, to be the Executor of this my Last Will and Testament. In the event that he be unable to fulfill the duties of Executor, I then nominate, constitute and appoint my son, STEVEN A. MIXELL as Executor of this my Last Will and Testament. FIFTH: WAIVER OF BOND - I direct that my personal representative(s), Guardians, and Trustees shall not be required to give bond for the faithful performance of their duties in any jurisdiction. SIXTH: COMPENSATION OF FIDUCIARIES - My Executor shall be entitled to reasonable compensation for his services rendered from time to time and reimbursement of out- of-pocket expenses. SEVENTH: TAXES - I hereby direct that all federal, state and other death taxes payable because of my death, with respect to the property forming my gross estate for tax purposes, whether or not passing under this Will, including any interest or penalty imposed in connection with such taxes, shall be considered a part of the expense of administration of my estate and that such be paid out of the rest and residue of my estate. ) l'-..I LO:\\ I ,-',", D(,\I"~l 6 j ci.:,') ;u,.. -::,:', :'''':-''''('''-'.~-i'";,'')}_1\/ _f.." I" _\,:\ ~.1', ':':";,-',1) \J:::'-1\.j.~j\j..J'w (Jl.. u\D U D- 0 WEIGLE & ASSOCIATES, p.c. - AT~otltN'E:'?'~ AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17257-1397 ~ IN WITNESS WHEREOF, I, NANCY L. MIXELL, have hereunto set my hand and seal to this my Last Will and Testament, written on two (2) page, the first pages signed for identification only, this t f I..., day of~{' +0"", b< r , 2006. ~~I~ (SEAL) This instrument was by the Testatrix, on the date hereof, signed, published and declared by NANCY L. MlXELL to be her Last Will and Testament, in our presence, who at her request and in the presence of each other, we believing her to be of sound and disposing mind and memory, have hereunto subscribed our names as witnesses. ,to~ u ~~ It rlT0 gR o '- &4~ COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND I, NANCY L. MlXELL, the person whose name is signed to the 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. bI~L~ Sworn or affirmed to and acknowledged before me by NrNCY L. MIXELL, the Testatrix, this ~ day of ~A +M~ r- , 2006. t NOTARIAL SEAL RICHARD L. WEBBER JR., NOTARY PUBLIC SHIPPENSBURG BORO, CUMBERLAND COUNTY MY COMMISSION EXPIRES JULY 15, 2010 AUA<vJ~ /? Notary Public WEIGLE & ASSOCIATES. Pc. - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17257-1397 COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND We, 6rl/f/' I") J.n )~(,,/ and ~,/ -h't /--.' 7S/f,~4~ ~ the witnesses whose names are signed to the foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw NANCY L. MIXELL, the Testatrix, sign and execute the instrument as her Last Will; that she signed willingly and that she executed it as her free and voluntary act for the purposes 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 the time eighteen (18) or more years of age and of sound mind and under no constraint or undue influence. J,IU& /O~SW () ,--, ~~ Sworn or affirmed to and subscribed before me J . ^ ('KG-II r2-_ ~F71&v, ~ "1 witnesses, this IfL day of ~6~-h A~f." 2006. --ILJ /( 1/\--. _ A Notary Public - by fS/:-'Vf.r r ) and (' vr7.', NOTARIAL SEAL RICHARD L. WEBBER JR., NOTARY PUBUC SHIPPENSBURG BORa, CUMBERLAND COUNTY MY COMMISSION EXPIRES JULY 15, 2010 WEIGLE & ASSOCIATES, P.Co - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17257-1397