HomeMy WebLinkAbout10-24-06
Estate of
Register of Wills of Dauphin County, Pennsylvania
PETITION FOR GRANT OF LETTERS
No. ,:;1- JO - (1,3/1
Harold E. Matter, Jr.
also known as
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE "A" OR "B" BELOW:)
, Deceased Social Security No. 201-18-7059
la
A. Probate and Grant of Letters and aver that Petitioner is the executor named in the Last Will of the
Decedent, dated and codicil(s) dated
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:
l:J B. Grant of Letters of Administration
(d.b.n.c.t.a.: pendente 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:
Name
Relationship
Residence
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his last family or principal residence at
325 Wesley Dr., #103. Mechanicsburo, PA 17055
(list street, number and municipality)
Decedent, then ~ years of age, died October 17, 2006, at 325 Weslev Dr.. #103. Mechanicsburo. 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 ........................................................................... $ -O-
Real Estate situated as follows:
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
John D. Killian
218 Pine St., Harrisbur , PA 17108
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Oath of Personal Representative
Commonwealth of Pennsylvania
County of Dauphin
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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 wen and truly administer the estate according to law.
Sworn to and affirmed and subscribed
before me thiS~. day of
~
~
~m.~
No.
Estate of Harold E. Matter. Jr.
011, O~.. '13(P
Deceased
Social Security No: 201-18-7059 Date of Death: 10-17-06
AND NOW, ONO~/ c:;<.J, ' 2006, in consideration of the Petition on the
reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters lXJ Testamentary 0 of Administration
d.b.n.c.t.; pendente lite; durante absentia; durante minoritate
are hereby granted to John D. Killian
in the above estate and that the instrument(s) dated '!J1oJch ...~ /99lJ
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
FEES
Letters. . . . . . . . . . . . . . . . . . . . . . . . . . . $ :;(J 0-0
Short Certificate(~).{........ $ dO. o~
R . t' ttd i l $ ,S 6u
enuncla lon....y.':........... .
Affidavit ( )................. $
Extra Pages ( )............ $
Codicil.......................... $
JCP Fee........................ $_\0,. aU
I nventory~.... r~""":"'"'''' $
Other......~ ~.~..... $ 5. DC>
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w.h }..... -- .
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Attorney:
1.0. No:
Address:
TOTAL................
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'-'rs .S to certify lh,lt the information here given is correctly copied from an original certificate (d death dulv filed vvith me as
dl_'al Regi',\rar. '111,_' original certificate vvill he forwarded to the State Vital Records Office for !'l'rl1lanent fiIin,~.f:j) / _ O~l' 93fc
WJ!\RNING: It is illegal to duplicate this copy by photostat or photograph.
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P 12840324
REV 0212006
/ PRINT IN
\~~~~T 1130-368
1, Name of Decedenl (First. middle, last. suffi~)
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH (CORONER)
Harold
E
Matter
STATE FilE NUMBER
4. Dale of Death (Month, day, year)
2006
Twp
City/8oro
lIems 24-26 must be completed by petSOn
. who pronounces dea1h
24 Timeo/Death
Aprx. 11: 00
25. Date Pronounced Dead (Month, day, year)
PM October 18, 2006
26, _W, Case Referred to Medical E~aminer I Coroner lor a Reason Olher than Cremation or Donation?
ti[ Yes 0 No
CAUSE OF DEA TH (S.e instructions and examples)
flem 27. PART J: Enler \he cham~ - diseases, inJUries, or comphca~ons" that direclly caused the death, DO NOT enter terminal evenls such as cardiac arresl.
resptratory arres!, or venlricular fibrillation without showing Ihe etiology Ust only one cause on each line
: Approximateinlerval
: Onset to Death
Par1I1: Enter olher sianilicant conditiOn!; conlribu~no 10 death
oot not resulting in the underlying cause given in Part I
DuE' to (or "s 11 coo5equence of)
Occlusive Coronary Artery Disease
NIDDM
28_ Did Tobacco Use Contribute to Death?
DYes 0 Probably
DNO ~own
29, If Female
o NOlpregnanlwilhin past year
o Pregnant at lime of dea1h
o Not pregnanl, but pregnant within 42 days
of death
o Not pregnant, but pregnant 43 days to j year
of death
o Unknown if pregnant within the pas1 year
32c Place of Injury Home, Farm, Street Fac!Ofy,
Office Building, etc.ISpecify}
=~~~~~tn~~;J;:j djsea~
Sequentially IIs1 cl?"dilions" if any.
~~:~~o ~oE:~G ~~SE
(disease or injUry thai initialed the
aveots rasulllng In death) LAST.
Due to (or as a consequence of)
Due 10 (Of as a consequence of)
o Yes riND
DYes ONO
31. Manner of Dealh
.l(Natural 0 HomICide
o Acddent 0 Pending Investigation
o SuICide 0 Coukl Nol be Delermined
32d Time of InJury
32g, Location of InjUry (S1reel. city! to'Nrl, stale)
30a Was an Autopsy
Performed?
3Ob. Were Aulopsy Findings
Available Pnor to Complelicrl
of Cause of Dealh?
321 If Transportation Injury (Specify)
o Driver I Operator 0 Passenger
M 0 Qlh" Specify
33a, Certifier (check only one) 33b Signature and Tille of
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MadloalExamloOfICo<ollOf hf October 19, 2006
On tho ba.l. of "'mln,""" Ind I 0< I",,"~atloo, 10 my 0010100, dOl'h O"U"'" " tho limo. d.,o. aod P<ICO. and due <0 tha oaUH{a) and ""onOf II """<I. _..j!!I. 34. Name aod Add",,, 01 Po""" Who Completed Cause of Dea~ (Item 271 T"", I POo'
35 Reg"."SS~'J"'l7andDI"""N~ ~ 36. Da!eFt IMoo~. a''''OfI Todd C. Eckenrode, Chi:f Defuty Coroner
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OF
,=>
-71
HAROLD E. MATTER, JR.
55
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I, HAROLD E. MATTER, JR., declare this to be my Last Will and
Testament and hereby revoke all prior wills and codicils made by
me.
FIRST:
My Executor shall pay from the residue of my estate
all my debts, funeral and administration expenses and all estate,
inheritance! succession and transfer taxes imposed by the United
States or any state, territory or possession which shall become
payable by reason of my death.
It shall not be necessary to file
any claims therefor, nor to have them allowed by any court.
SECOND:
In the event my wife, SARAH JANE MATTER, fails to
survive me by sixty (60) days, I give and bequeath the sum of Eight
Thousand ($8,000.00) Dollars to my wife's sister, DOROTHY ANN
JOHNS, if she survives me, on the condition that she use a portion
of this bequest to pay for the removal of the mobile home located
on my property in which she now resides in order to facilitate the
eventual sale of my property.
THIRD:
I give and devise the residue of my estate, real,
personal and mixed, of whatever kind and nature, and wherever
situate at the time of my death, including any property over which
I now have or hereafter acquire a power of appointment, to my wife,
SARAH JANE MATTER, provided that she survives me by sixty (60)
days.
If my wife, SARAH JANE MATTER, predeceases me or is not
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LAST WILL AND TESTAMENT
OF
HAROLD E. MATTER, JR.
living on the sixty-first (61st) day after my death, I give and
devise the residue of my estate to the TRUSTEES OF THE CHURCH OF
GOD HOME FOR CHILDREN, Box 391, Sevierville, Tennessee, IN TRUST,
the income of such trust to be used for educational purposes to
benefit the children residing in such facility.
FOURTH: I nominate, constitute and appoint JOHN D. KILLIAN,
ESQUIRE, Executor of this my Last will and Testament, to serve
without bond or security, and to make distribution of my estate in
cash or in kind, or partly in cash and partly in kind, and in such
manner as he may determine. I authorize, empower and direct him to
sell and convey, by good and sufficient deed, in fee simple estate,
any and all of my real estate, at public or private sale, for such
price or prices, upon such terms and conditions, as in his judgment
is best for my estate, and to that end to sign, seal, execute,
acknowledge and deliver all deeds or other instruments necessary
therefor, as effectively as I could do if I were personally
present.
FIFTH: No beneficiary shall have the power to anticipate,
encumber or transfer his, her or its interest in my estate or any
trust created herein in any manner. No part of any trust or my
estate shall be liable for or charged with any debts, contracts,
liabilities or torts of a beneficiary or subject to seizure or
other process by any creditor of a beneficiary.
2
LAST WILL AND TESTAMENT
OF
HAROLD E. MATTER, JR.
IN WITNESS WHEREOF, I, HAROLD E. MATTER, JR., the Testator,
have to this my Last will and Testament, set my hand and seal this
6~ day of ~~%, 1998.
A~~~{SEAL)
HAROLD E .TT R, ... R. t
Signed; sealed, published and declared by the above named
Testator, as and for his Last Will and Testament, in the presence
of us, who have hereunto subscribed our names at his request, as
witnesses hereto, in the presence of the said Testator, and of each
other. The preceding document consists of this and two (2) other
consecutively numbered typewritten pages.
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3
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
SS. :
COUNTY OF DAUPHIN
I, HAROLD E. MATTER, JR., the Testator 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; and that I signed it willingly and
as my free and voluntary act for the purposes therein expressed.
Sworn to or affirmed and/aekn~dged before me by HAROLD E.
MATTER, JR., the Testator, -this 3 day of Feb:t:tHUY, 1998.
f'I)~
Notarial Seal .
Jody Lynn Crist. No~a~ PUn~hC
Harrisburg. Dauphin O~u 1 Y2001
My Commission Expires .. .
Member. Pennsylvania Association of Notanes
4I~i~~);
Testa or - {I
.~zf.. /yt::~- (SEALI
;; Not iP ~ c'-
~/ Attorney-at-Law
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
SS. :
COUNTY OF DAUPHIN
We, ~O'A:N C'..N~-'rn~\,U,;~ and ~AR.Q'i E \..:1-r71~ ,
the witnesses whose nam s are slgned to the attached or foregolng
instrument, being duly qualified according to law, do depose and
say that we were present and saw the Testator sign and execute the
instrument as his Last Will; that the Testator signed willingly and
executed it as his free and voluntary act for the purposes therein
expressed; that each subscribing witness in the hearing and sight
of the Testator signed the Will as a witness; and that to the best
of our knowledge the Testator was at that time 18 or more years of
age, of sound mind and under no constraint or undue influence.
Sworn to or affirmed and subscribed
~.::,~ <:' .~V'f'.~~ and-14tt~~y E
witnesses, this '3 . day of ~~ 1998.
to before
L ,'ii le
me
by
Notarial Seal .
Jody Lynn Crist. No~ary Public
Harrisburg. Dauphin County 1
My Commission Expires Oct. 1. 200 .
Member. Pennsylvania Association of Notaries
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'1-1 Oyuw~. ~
Witn~s
i-.
(SEAL)
ry-
6r
Attorney-at-Law