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HomeMy WebLinkAbout05-04-07 ~ PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA File Number 21-07-tf~q Estate of Doris L. Halter also known as , Deceased Social Security Number 209-12-9232 Richard L. Halter Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE~' or 'B' BELOW:) ~ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Executor last Will of the Decedent, dated 07/27/2006 and codicil(s) dated named in 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 instrument(s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: o B. Grant of Letters of Administration (If appllcaDle. enter: c.I.a.; d.D.n.c.t.a.; pedente lite; durante aDsentla; durante mmontate) 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: (If Administratton, c.t.a. or d.b.n.c. t.a., enter date of Will in Section A above and complete list of heirs.) Name Relationship Residence (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his / her last principal resictEm.rie~lit 15 Newville Road, Shippensburg, Southampton, Cumberland, PA 17257 (List street address. town/city, township. county, state. zip code) (11 N Decedent, then 80 years of age, died on 03/21/2007 at 15 Newville Road, Shippensburg, PA 17257 Decedent at death owned property with estimated values as follows: (If domiciled in PA) 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 situated as follows: 25,000.00 $ $ $ $ Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and CodicH(s) presented with this Petition and the grant of letters in the appropriate form to the underSigned: Signature Typed or printed name and residence Richard L. Halter 3 Burkett Road Shippensburg, PA 17257 Form Rev. 10-13-2006 Copyright (c) 2006 torm software only The Lackner Group. Inc. Page 1012 .. Oath of Personal Representative } SS } 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 the 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 'QrrJ fJ.- 001 i'~J .:t~ Signature of Personal Representative Richard L. Halter day of Signature of Personal Representative Signature of Personal Representative -.-"' . , <:.,.:, _~ ~_ -ri -r"'! File Number: 21-07 - tJ.- ':)!j .::'::/ , Deceased c.n N Estate of Doris L. Halter Social Security Number: 209-12-9232 Date of Death: 03/21/2007 AND NOW, , !lm7 , in consideration of the foregoing Petition, satisfactory proof Testamentary are hereby granted to Richard L. Halter in the above estate and that the instrument(s) dated 07/27/2006 described in the Petition be admitted to probate and filled of record as the last Will (and Codicil(s)) of Decedent. Renunciation(s).................... ......... $ ~~i b[ _ _ ~V1v Attorney Signature: FEES Letters................ ......... ................... $ ( pO, 00 g.tJO Short Certificate(s)........................ $ .~oo I ' I . ,O/) I; . (){) Attorney Name: $ $ Supreme Court 1.0. No.: 01624 Weigle & Associates, P.C. Address: 126 East King Street $ $ $ $ $ $ $ Shippensburg, PA 17257 Telephone: 717/532-7388 q~ov TOTAL.................................... $ Form RW-02 Rev. 10-13-2006 Copyright (c) 2006 fonn software only The Lackner Group, Inc. Page 2 of 2 HlO;.~~5 REV '/05 ';/' ..() 7 .... (j;;0 This is to certify that the information here given is correctly copied from an original certificate of death duly filed with l~~ as' Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filmg. Fee for this certificate, $6.00 WARNING: It is illegal to duplicate this copy by photostat or photograph. ~, No. ~21?,pe7 Date p 13236603 'J ~ :.....,..:, . ...:> ~ ~ ~:.:"") .--..1 -.,:r ,":,,~-~ -.;: , " '-~_' 6. 00Ie of Bi1h (MonIh, dB . 7. 7 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH (See Instructlona and examples on reverse) Hl05-143 REV llf.!006 TYPE I PRINT IN PERMANENT IltACK INK ( and .... or 80 VII. 4/24/26 15 Newville Rd., Shippensb~g 13. _'I Educalioo ISI*Ify only ...... grods ~ ~1-ry(().121 CoIoge(l-4or5+) DOOher.Sl>ecify; 10. Race: AnwIrican Indian, 8I8ck, White. etc. (Spsc/I)j ~l Bb. Cor..-Iy of 0eaIh Cumberland Southampton Twp, 11.00csdsnl'.Uu1 K>1dofJOllk_ _of Ille.Doncll_ K>1dofWork K>1dof_l_ Laborer Quaker Oats Co. . 16.-.Moing-...(Slreol,clly/_,.....,zipcoda) 15 Newville Road Shippensburg, PA 17257 16. F-'_(FirI\ _,IosI.JUIix) John Frohm ed. FIIdlily Name ClncII_, ~_ WId """'*l 12. Was Deced8nl8Y8f In ItIe u.s. Armed FOl't'8I? DYes []io, _'I AdUIIRtlidenc::e 17a.SIIlt 17b. Coony Pennsylvania Cumberland t:~nl 17c.~ V_.Oeoed.HiYedil ~? 17d.D No,_lMdwilhil AetuIllilillof Southampton Top. City/Boro ~ 19.MolI1eI\NImo(Firl\_,'-_) Elsie Farner 2OiI.lrlonnanl', -.u-(9roeI, cIIy ,_, _ ~ coda) 15 Newville Road, Shippensburg, PA 17257 ~ !Ii Oi 210 PlaceofOispooltion(Nlmoof_, CIItllIOJry......'plscel Cumberland Valley MemQrial Gardens 22oNlmoWld-...ofFIIdlily Fogelsanger-Bricker Funeral P.O. Box 336, Shi ensburg, 23b.Licsnse~ 21d l",",!" (Civ 1_, _, zip coda) arlJ.sle Cumberland Ct.. Home, Inc. PA 17257 PA 17013 --: 0nsel1O 0Ialh PatIII: EnlerollerlirdicanlmrdlonllcotiJulinolodAlllh, bulncll...uting"1he\lldllty;ng....~n"Psrt'. =iII_.IIIl1Y, 10 cause IsIed online a. EnIef UNDERLYING CAUSE =-~~~sf~ b. End. -,l~ rAQ rn n~ . 28. Did Tobecco Use Contribute 10 Death? DYso DI'!obaIJly [!1No 0"""""'" 29.IfI'''''''' ~NoIprepnaolwilhinpastyear o "'"-'" ''''' d deslll o Nol_,,,,,,,,_~_~2dBys oldealh D Nell prepnl, buS pregnanl43 days 10 1 year beforedealh DUnkF'lOMlIf~lwithinlheJl8Slyear 32c.=:=:~)S1reel,F8Clory. ~=~=~ c. :na. Was al~Y Per1ormed? Dves ~ d. 3Ilb. Were AuIop6y Findngs Aval8blePriorloCoo1Jlelioo ~ Cause 0( 0ea1h? Dves DNo 31.~ Dead1 ~NaI1Ka' 0_ D-DPoncIngInYeslIgalion 0- DCoUdNolbe__ 32d. r... d InO>ry 32g.loc:olion d Injury (SIres', ciIy Ilown,_J M. 338. CeItiI..(_ only one) CorIlIr'f1gpl1yslc:ilnCPhysicIan_gcauseddeslhwhen snolher ""ysiOsn hos",onooo<:eddeslh.""_"",, 231 To the besl of my knowtedge, dnth occurred due to the cause(s) and mltfIf'le1l11i NtecL _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ __ :=:':t.~::~=~~=::~~::~.::tI~~~~~mannerustalecL _ __ __ _ __ __ _______ 0 =' ~m::~ and I or InvestigBlion,ln my opinion, death otcurred at the Ume, date, and place, and due to the cause($) and manner as slatecL 0 Oisposition Permil No . LAST WILL AND TESTAMENT I, DORIS L. HALTER, presently residing at Southampton Township, Cumberland County, Pennsylvania 17257, being of sound mind, memory and dispositio!l, do hereby make, publish and declare this my Last Will and Testament, hereby revoking and making void all wills by me at any hme heretofore made. FIRS1"_ I order and direct the payment of all my legally en"Jrceable debts and funeral expenses as soon as may be convenient after my decease. SECOND. I give, devise and bequeath all my estate, real, personal and mixed, whatsoever and wheresoever situate, to my beloved husband, RAYMOND JUNIOR HALTER, provided that he survive me by a period of sixty (60) days. THIRD. In the event that the said RAYMOND JUNIOR HALTER should predecease me or is not living on the 60th day following my death, I then give, devise and bequeath all my estate, real, personal and mixed, whatsoever and wheresoever as follows: (A) The full sum of ONE THOUSAND DOLLARS ($1,000.00) to four of my grandchildren, RODNEY LEE HALTER, JR, RYAN LEE HALTER, CRYSTAL GUSTINE NEIL and ASHLEY DANIELLE HALL; and (B) The remainder of my estate to my son, RICHARD L. HALTER. FOURTH. I nominate, constitute and appoint my son, RICHARD L. HALTER 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 THE ORRSTOWN BANK to be the Executor of this my Last Will and Testament. FIFTH. I direct that neither my personal representative nor successor shall be required to give bond for the faithful performance of their duties in any jurisdiction. SIXTH. 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 ~,th such ~es, shall be considered a part of the expense of administration of my estate and that sucti, be pafa:~ out of the rest and residue of my estate. . . " I ( '. 17 en N WEIGLE & ASSOCIATES. RC. - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17257-1397 IN WITNESS WHEREOF, I, DORIS L. HALTER, Testatrix, being unable to sign my name because of illness, have had my name subscribed for me in my presence and at my direction by Richard L. Webber, Jr., Esquire, whereupon I have made my mark unassisted, in the space between my name this July 27,2006. DORIS L. HALTER ~ (SEAL) On this July 27,2006, DORIS L. HALTER, the above-named Testatrix, in our presence declared the preceding instrument, consisting of this and one (1) other typewritten pages, to be her Last Will and Testament and being unable to sign her name hereto because of illness directed her name to be subscribed for her which the undersigned Richard L. Webber, Jr., Esquire, did subscribe as directed in the presence of the Testatrix and in the presence of the undersigned, whereupon the Testatrix in our presence unassisted made her mark or cross in the space provided between her name, and we, in the presence of the Testatrix and in the presence of each other, at the request of the Testatrix, have subscribed our names as witnesses. COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND I, DORIS L. HALTER, the Testatrix whose name is subscribed to the foregoing instrument at her direction by Richard L. Webber, Jr., Esquire and by affixing her mark unassisted thereto, having been duly qualified according to law, do hereby acknowledge that I signed and executed the WEIGLE & ASSOCIATES, P.c. - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17257-1397 instrument by my mark 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. DORIS L. ~AL TER ~ARK Sworn or affirmed to and acknowledged before me by DORIS L. HALTER, the Testatrix, this .). 7t~ day of J (, I ) ,2006. ~ ~'~dLJ NOTARIAL SEAL RICHARD L. WEBBER JR., NOTARY PUBLIC SHIPPENSBURG BORO, CUMBERLAND COUNTY MY COMMISSION EXPIRES JULY 15, 2010 WEIGLE & ASSOCIATES, P.c. - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17257-1397 COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND ~ we~x~ ;J. &<f/-d and ]es~ I (~ Q. Le Gmt\. _ , ~ ~ V"lC\ c..../1 Fre (I ., , 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 DORIS L. HALTER, the Testatrix, sign and execute the instrument by her mark 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. ~/) OJ l/ I / f~aa#'- /0, 2LL '~A Sworn or affirmed to and subscribed before me by 19~ 'J. GeU~ ( ~ ~v, riD J'\ (::- J"f \./ J and JeSSI(11 /2. if Sore 'J t( witnesses, this :)"} day of )&17 ,2006. iJJ 1/. t-JLj~ NmA~IAL IUL RICHARD L. WEBBER JR., NOTARY PUBUC SHIPPENSBURG BORO, CUMBERLAND COUNTY MY COMMISSION EXPIRES JULY 15, 2010 WEIGLE & ASSOCIATES. P.c. - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17257-1397