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HomeMy WebLinkAbout10-22-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA File Number 21-07 - 0 q@ Estate of Helen C. Bender also known as , Deceased Social Security Number 211-22-6581 Timothy J. Fuhrman Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) I!l A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the last Will of the Decedent, dated 12/03/1981 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: D B. Grant of Letters of Administration (If appllcaOle, enter. c,t.a; d.O.n.c.t.a.; pedente lite; durante aOsentla; 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 Administration, 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 o ...::.::..:,) (COMPLETE IN ALL CASES:) Attach additional sheets if necessary, Decedent was domiciled at death in Cumberland County, Pennsylvania with his / her last principal residence at 770 Poplar Church Road, Camp Hill, East Pennsboro Twp., Cumberland, PA 17011 (List street address, town/city, township, county, state, zip code) Decedent, then 77 years of age, died on 10/02/2007 at 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 situated as follows: $ $ $ $ 150,000.00 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: Typed or printed name and residence Timothy J. Fuhrman 9632 Carriage house Lane Sandy, UT 84092-2549 Form Rev. 10-13-2006 Copyright (cl 2006 form software only The Lackner Group, Inc, Page 1 of 2 COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland Oath of Personal Representative } SS } 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 Timothy J. Fuhrman o c~o <::J:J :~.~~ f. ) f-~. before me this ~ day of ,~7 Signature of Personal Representative r'_) r'v Signature of Personal Representative '--' N OJ File Number: 21-07- oQSa Estate of Helen C. Bender , Deceased Social Security Number: 211-22-6581 Date of Death: 10/02/2007 AND NOW, , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Timothy J. Fuhrman in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and filled of record as the last Will (and Codicil(s)) of Decedent. Letters... $ 8.lo0.()O 8n.oO FEES Short Certificate(s)........................ $ Renunciation(s)...... ...................... $ Attorney Signature: wd\ {\Cp lhr\ 0 l'r\Cltt'r1v\ $ \5 .00 $ -,0. 00 $ - 00 n. Attorney Name: Michael L. Bangs Supreme Court I.D. No.: 41263 TOTAL............... $ $ $ $ $ $ $ 3\{),OO Address: 429 South 18th Street Camp Hill, PA 17011 Telephone: 717/730-7310 Form RW-02 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. fee for this certificate, $6.00 P 13859151 Certification Number This is to certify that the information he-e given is correctly copied from an original Certlfica.e of Death duly filed with me as Local Registrar. Tle original certificate will be forwarded to the State Vital Records Office for permanent filing. OCT ~ 100/ I~.mg~ Date Issued o ::c "U C' r',) N (~ N Q) REV 11/2006 . PRINT IN ~ANENT CK INK COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples on reversal STATE FILE NUMBER ,. Name of Decedent (First, middle. Ias!, suffix) H. Carole Bender 5 Age (La'1 BlrthdaYI West Shore Health & Rehab 6. Dale of Birlt1 (Month, da, ar) 7. Birthplace (el and slale or 77 Yrs. November 5, 1929 Johnstown, PA Sd. Facility Name 111 not institution, rjve alreel and number) Cumberland Pennsboro Twp. 11.OecedenfsUsua1Occ tion Kinclolwork done du, moslof llIe.Oonotstaierelired Kind 01 Work Kind 01 Business I Industry Registered Nurse Healthcare . 16. Decedent's ~ai11ng Address (Street, city flown, stale, zip code) 512 S. Arlington Avenue Harrisburg, PA 17109 18. Father's Name (First, mickle, last, suffIX) Thomas W. Bender 12. Was Decedenlever in the U.S. Armed Forces? DYes lXINo Dtcedenrs Actu8I Residence 178, Stale 17b. County 13. O._nr. Educat~ (Spedfy on~ hlghe.t grade compIe1sd) Elementary f Secondary (0-12) College (1,4 or 5+) 12 4 Pennsylvania Dauphin 3. Social security Number 211 - 22 6581 4. Dale of Death (Month, day, year) October 2, 2007 8a. Place of Death (Check onty one) Hospttal: Other: o Inpatient 0 ER I Ou1pat~nt 0 DCA 1!9 Nursing Hom. 0 Residence oOth". Speoi~: 9. Was Decedent of Hispanic Origln? ~ No DYes 10. Race: American lillian, Bl&ck, Wh~e, ete. (II yes, specify Cuban, (Sped/yI Mexican, Puerto Rican, etc.) white 14. Marital Status: Married, Never Married, W_sd, Olvo_ (Spociflj Never Married Twp. Old Decedent Live ina Township? Lower Paxton Fe. IKI Yes, Decedenl Uved in 17d. 0 No, Dscedenl Lived within ActusJLOlitsol City/BolO 208. lnform&nYs Name (Type! Prinl) Olivia B. Fuhrman 19. Mother's Name (RBI, middle, maiden surname) Anne C. Plumkett 2Ob. Inmanrs Mailflg Address (Street, ctty! town, slale, zip code) 307 Sixteenth Street, 21c. Place 01 Disposition (Name of cemetel'y, crematory or other place) Holy Cross Cemetery New Cumberland, PA 17070 21d. Location (Crty I town, state, zip cocIe) Swatara Twp., PA 17112 22c. Name and Address of Facility Parthemore FH & CS, Inc., P.O. Box 431, New Cumberland, PA 17070 24. lime of Death (y,5-0 AM 25. 0ll1S P""""""sd Dead (Month. dey, yssn 16.2,'<17 CAUSE OF DEATH (See Instruction. and examples) lIem 27. Pari I: Enter the ~ - dseases. injuries. or complications - thet directly caused the death. 00 NOT enter terminal eventB such as C8JdIac arrest, respiratory arrest, Of ventricular fibrillation wllhoul showing the eIioIogy. Us! only one caLIM on 8ICh irl., (,t <.: ut t.. Nt .F-o~. b oueto(or~tn~lL. 6 b sf\..,-, L. c. Ou.to(orasaconseque . or~I?&.s.:.~ ouelo~ti~i~o~ it\, Approximate Interval: Onset to Death =-r:J.~~~ trm~ djse~ I I I I I I I r I ""C'W-(/;~: I I I , I I a. ~uen:r~~=,~ ~~ a. Entsr 1: UNDERLYING CAUSE (dsease Of i~ry that initiated Ihe events resulting In death) LAST. 304. Was an Autopsy Performed? 328. Dale of Injury (Month, day, year) n. Were Al.IlopSy Findings Available Prior 10 Completion 01 Cause 01 Dealt1/ DYes [3'No o Hom"~. o Accldenl 0 Pending Investigation o S<olclde 0 C<oldd Nof be Oste""ned DYes ~. 32d. Time of Injury M. 338. Certilier(checicontyOll8) Certlfytng physician (Physician certifying cause of death when another physician has pronounced death and completed nem 23) To the Mslot my knowledge, death occurred due to the cauee(s)and manner as state<L _.... _.............................. _ _.......... _ _........ 0 Pronouncing and certlfyfng phytk:lan (Physician both pronooocing death and cerlilying 10 ca\JS& of death) To the best of my knowledge, death occurred allhe time, datI, and place, and due 10 the cause(a) and manner as slated.. .. .. .. .. .. .. .. .... .. .. .. .. .. .. .. _ Medletl EllImlner I COf'oner On lhe basis of Ixamlnltion and! or investigation, In my opinion, death occurred at the Ume, date, and place, and due 10 tlle eauae(s) and manner as stlted.. 0 10<1 I) <::>71 / 1,1 o;sposllionPerm~No. 0(')'7('>":"'112. 23b. UceI'tS6 Number 23c, Date Signed (Month, day, year) 26. Was CaS& Referred 10 Medical Examiner! Coroner lor a Reason Other than Cremation Of Donation? DYss ~ Pall II: Enler other sionlllcanl COl'1dIions conlributlna 10 death, but not resulting in the uncIertying cause g+ven in Part I. B 6 ~i:i--y1(,~ ~s ~ l>~ 28. Did Tobacco Use Conlribule to Death? o Yes o.~roba~y ~D Unknown ~8~" I.!::t"'NoI pregnant within past year D Pregnanl allime of/__th D Not pregnant but pregMnt within 42 days 01 death o NoI pregnant. but pregnant 43 days to 1 year belore death o Unknown if pr9gn8rn within Ihe past year 32c. Place 01 Injury: Home, Farm, Street, Faelory, OIIice Building, elc. (Specify) 32g. location of Injury (Street cHy I town, stale) la~t Bill aM QJt~tcutttnt ~-_..~, --'] -, OF f -" HELEN CAROLE BENDER <: :" ) l;._-) I, HELEN CAROLE BENDER, domiciled in Cumberland County in the State of Pennsylvania, being of lawful age and of sound mind and memory, and not acting under duress, menace, fraud, or undue influence of any person whatsoever, do make, publish and declare this to be my Last Will and Testament. I hereby revoke any and all former Wills and Codicils to any Wills hereto- fore by me made, and I hereby declare this to be my only true existing Will and Testament. I hereby direct that all my just debts, including the expenses reasonably incurred in the administration of my estate and the expenses of last illness, fun- eral and burial, inlcuding a suitable grave site and grave marker, be paid out of my gross estate, in such amount as my Executor, hereinafter named, may deem proper and without regard to any limitation in accordance with the priority of payments set forth in the applicable law. I direct that all estate, inheritance, legacy, succession or transfer taxes, imposed by any law with respect to all property taxable under this my Last Will and Testament, and whether such taxes shall be payable by my estate or by the recipient of any such property, shall be paid by my Executor, hereinafter named, out of my gross estate with no right of reimbursement from any recipient. This Will and every part thereof is made with reference to the presently existing laws of the State of Pennsylvania relating to Wills and estates and trusts and trust with distribution by Will, and without regard to the laws and regulations of any state or county where I may happen to be at the time of decease, or where any portion of my estate may be situated. I therefore direct that, to any extent permissible by law, this Will and every part thereof shall be construed and interpreted and its validity and effect determined, with reference to the law of the State of Pennsylvania, no matter in what jurisdiction my Will may be probated. I hereby appoint TIMOTHY J. FUHRMAN, my nephew, to be the Executor of this my Last Will and Testament. The Executor shall have such powers, rights and duties as set forth hereinafter. Last Will and Testament Helen Carole Bender I I - 2 - The Executor shall not be liable for any loss or damage which may result to my estate by reason of the exercise of any discretionary powers conferred upon such Executor, except in the case of willful default or bad faith. The said Executor shall serve without bond being required and without comp- ensation except for expenses or costs reasonably incurred within the scope of his duty as Executor. In the event that any provisions of this Will should be held invalid, the invalidity of such provision or provisions shall not affect any of the other provisions hereof, it being my intention that each of the provisions shall be independent of each of the others, so that all valid provisions shall be strictly enforced, irre- spective of the invalidity of any of the others. It is my express intent that any beneficiary not specifically provided for in this Will shall be excluded herefrom. All of my property both real, personal and mixed, wherever situated, of which I may die seised or possessed or in which I may in any way entitled, or in which I have any interest at the time of my death, including property over which I have power of appointment, I grant, give, devise and bequeath to my sister, ANNE C. BENDER, absolutely and in fee simple. If ANNE C. BENDER shall not be alive at the time of my death, then all of my property shall pass to the Executor to be distributed in his sole discretion. My Executor, while in possession and control of my estate during administra tion is hereby authorized to retain, hold, sell, encumber, convey, lease, invest, reinvest, and keep invested according to his sole discretion in such securities or other properties, personal or real, and upon such terms and for such length of time, as to him shall seem advisable, without any limitation upon his power or authority to do so, either by statute or rule of law. I further authorize and empower my Executor in the distribution of my estate, in his sole discretion to make division or distri- bution in kind or partly in kind or in money. I, HELEN CAROLE BENDER, domiciled in Cumberland County, State of Pennsylvan a, do hereby make, publish and declare this as and for my Last Will and Testament, here- by revoking any and all former Wills and Codicils at any time heretofore made by me. I (Last Will and Testament IHe1eh Cardle Bender I I I I I - 3 - IN WITNESS WHEREOF, I have hereunto subscribed my name this , _.I day of 1\ (, ..{!j .I2A__<:::',Je-J , 1981. ,_I II /) ~ i /'--J.l..-Cfi/t-LC1auJ q ~) ~t:( clc/}-- HELEN CAROLE BEN~ER (SEAL) The foregoing instrument was on this ,J day of () .. U J2<!-e---l:...,. ~ / 1981, subscribed at the end thereof by HELEN CAROLE BENDER, the above named Testator, and by her signed, sealed, published, and declared to be her Last Will and Testament, in the presence of us and each of us, who thereupon at her request, in her presence, and in the presence of each other, have hereunto subscribed our names as attesting witnesses thereto. ~. ~ 6L"GL~~J~scf,-t~.,'C,A) t "') _.O-VVt/)Q..' I <>I--t.Lk.. ,I u-. ADDRESS I &/\ '.t.' , , ~'~LL'U-~t~:~~ (^ '> c. J< ,; ~/." , r~-(j J "r. :/) C ,,c-VY'J.::2) N-cL( , f/ a AD ESS / . '/ /'-0 u!L / "'\.",';".".1 l\ 0L lj(j/'L.' (7)'! L}-{,l; -zt . WITNESS /'"~ .., '.. iJ \.._,.(~ 7YvJ:V )'.:fC.f..J,- ,r a. . ADIfR-ESS / I Last Will and Testament H~l~n Ca~ole Bender " - 4 - STATE OF PENNSYLVANIA COUNTY OF ;" , ~ /.i :.'. / " ,~~-r'1~L,!:..-a, Before me, the undersigned Notary Public in and for the State and County aforesaid, on this day personally appeared HELEN CAROLE BENDER, LU~J-~'/-. e'717':.,-7-/1/ ;) !,!:L-J--rv~ f~' /~/' v , and If~'"J~;;>"--U"h.-Lt:L'1.-L known to me to be the Testator and the witnesses, respectively, whose names are signed to the attached or foregoing instrument and, all of these persons being by me first duly sworn, HELEN CAROLE BENDER, the Testator, declared to me, and to the witnesses in my presence, that said instrument is her Last Will and Testament and that she had willingly signed the same, and executed it in the presence of said witnesses as her free and voluntary act for the purposes therein expressed; that said witnesses stated before me that the foregoing Will was executed and acknowledged by the Testator as her Last Will and Testament in the presence of said witnesses, who, in her presence, and at her request, and in the presence of each other, did subscribe their names thereto as attesting witnesses on the day of the date of said Will, and that the Testator, at the time of the execution of said Will, was over the age of eighteen (18) years, and of sound and disposing mind and memory. / /,1 C" 131 I C(-f.-~Et/G all}.( t " <i'C'Ld Lt/}../ HELEN CAROLE BENbER (SEAL) .~~ JJJ (~~~f~~J. ~ efIef (SEAL) (SEAL) '1t!l~fi Wuc!i// WI NESS (SEAL) Subscribed, sworn and acknowledged before me by HELEN CAROLE BENDER, the Testator; and subscribed and sworn before me by I(() . /, '" ,(J!,. ~ 'I ""'/" ::' /~,C;-L-<:-<,' .-' \,j '< ::::(,.12,<.". ,/; / , " '/1., , ,.::.Le.[l-f'<< rt-?--) ('. 1<"'.~ ';?''-''j<l' 'f " ~ \..) day of , and '1~u'.Jc";7 'vY;'u'<z.) L , the witnesses, this IJ u e-~-<-/ , 1981. My Commission Expires: /:', " Y;;'~ .-! ;f~A-J' NOTARY PUBLIg' RUTH RYAN, NOTARY PUBLIC My Commission Expires Dee, 19, 1981 Camp Hill. PA Cumberland Co.