HomeMy WebLinkAbout01-08-08
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
Estate of SANDRA L. NEIDIGH
File Number c9. \ - G(~ - (j (J ..~ Co
also known as
, Deceased
Social Security Number 195-32-2165
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
[(] A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the EXECUTRIX
last Will of the Decedent dated 07-28-2005 and codicil(s) dated
named in the
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Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution ofth~~~ment1lrl offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: .,~ :--':.
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(State relevant circumstances, e.g., renunciation. death of executor, etc)
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D B. Grant of Letters of Administration
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(If applicable, enter: c. t.a.: d.b.n.c.t.a... pendente lite; durante absentia: durante-~inoritate) __-:'
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Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spouse (if any~d 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.) \.0
Name
Relationship
Residence
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
Decedent was domiciled at death in CUMBERLAND
342 DOUBLING GAP ROAD NEWVILLE P A 17241
(List street address. town/city. township. county, state, =ip code)
r Co~nt Pennsy lvani~i~ .his / PC{ last ~.rt~~i~aJ,'f\si. dence at
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Decedent, then 65 years of age, died on 12-22-2007
MIDDLETON TOWNSHIP, CUMBERLAND COUNTY, PA
at MANORCARE HEALTH SERVICES, SOUTH
Decedent at death owncd 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 P A) Personal property in County
Value of real estate in Pennsy lvania
15,000.00
$
$
$
$
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:
T ed or rinted name and residence
342 DOUBLING GAP ROAD, NEWVILLE, P A 17241
Form RW-02 rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
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 beliefofPetitioner(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
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Signature of Personal Representative
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For ~e Register
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Signature of Personal Representative
Signature of Personal Representative
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Estate of SANDRA L. NEIDIGH
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, Deeeased
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Social Security Number: 195-32-2165
Date of Death: 12-22-2007
AN D NOW, '~m do..,~ C;:( ~ \ n n u (, Ii~ ' ,;, (i ! j( , in cons i derati on of the foregoing Petition, satisfactory proof
having been presented befo e me, IT IS DEC ED that Letters TEST AMENT ARY
are hereby granted to PAMELA M. HEDRICK
in the above estate
and that the instrument(s) dated 07-28-2005
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES ,Lt~~( Il Cli) 1Uf lULl JJti c{ n\hcu~qi };(/ f d F}} (<<1;)
\. ./ RegIster of Wlllu\ ,T -
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Letters ............... $ (iJ, CO
Short Certificate(s) . . . . . . .. $ 3~ . GO
RcntlnG;al;vll(~) .w: ~ \ . . . . $ I:') OU
\c p . . . $ ) O. oU
f\1 ~'() ,'\ '\CChdTf\ . . . $ ~:') U<J
$
$
$
... $
$
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... $
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TOT AL . . . . . . . . . . . . . . $ ,1\'7-
Attorney Signature:
Attorney Name:
WILLIAM A. DUNCAN
Supreme Court I.D. No.: 22080
Address:
1 IRVINE ROW
CARLISLE, PA 17013
Telephone:
717-249-7780
Form RW-02 rev. 10.13.06
Page 2 of2
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LOCAL RE(iISTR.AR'S CERTIFICATION OF DEATH
\WAF~NING: it is illegal to duplicate this ('OPV by photostat or photograph.
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II 05.143 REV 111'2006
TYPE f PRINT IN
PERMANENT
BLACK INK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse)
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65
4/2/1942
NEWburg, PA
195
- 32 - 2165
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1, Name of Deoed<lnl (First, middle, Iasl, suffix)
Sandra
5. Age (LBst BirthdaYI
6. Dale 01 Birth (Monlh, day, year)
Ki~~y~S~USICo .
. 16. Decedent's Mailing Address (Street. city I town, slale. zip code)
12. Was Decedent ever in the
U.S. Armed Forces?
OVes @No
Decedent's
Actual Residence 178. Stale
13. Decedent's Educahon (Specify only highest grade completed)
Elemenlary f Secondary (0-12) COllege (1-4 or 5+)
12
PA
Cumberland
6a, Place ot Death (Check only one)
Hospital: Other
o Inpatienl 0 ER / Outpalienl 0 DOA I>> Nursing Home 0 ReSidence 0 Other - Specify:
9, Was Decedenl 01 Hispanic Origin? [XNo 0 Ves 10, Race: American Indian, Black, White, elc,
(I! yes, specify Cuban, (Specify;
Mexican, Puerto Rican, elc,) White
14. Marital Status; Married, Never Married,
Widowed, Divorced (Specify;
8lJ. County 01 Dealh
Bd, Facility Name (I! not inslrtulion, gOte slreet and numberl
ManorCare Health Services
W ic10Ned
342 fuubling Gap Rd.
. Newville, PA 1 7241
16, Falher's Name (Firsl, middle, last, suffix)
WoodrCM W. Vau hn
Did Decedent
Live in a
Township?
17c./iJ Yes, Decedent Lived in
17d. 0 No, Decedenl Uved wrthin
Actual Limits of
South Middleton
Twp.
17b. County
City/Sora
19, MoIher's Name (First, middle. maiden sumame)
Edna B. Robinson
200, InlOl11lant's Name (Type / Prinl)
rob. Informant's Mailing Address (Street, city I town, stale, zip cooe)
Parrela M. Hedrick
342 fuublin Ga Rd., Newville, PA 17241
21c. Place of DispoSition (Name of cemelery, crematory or olher place) 21d, Location (City flown, slate, Zip code)
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fuubling Gap Church of God Can.
Newville, PA
Brothers Funeral Hone, Inc., Car lisle, PA 1 701 3
"ems 24-26 must be completed by pefSOfl
e who pronounces death.
23b. License Number 23c. Date Signed (Month, day, year)
!<tJS;to qq f L /JLcun..J;u!~ ~A rJt>07
26. Was Case Referred 10 Medical Examiner! Coroner for a Reason Other lhan Cremation or Donation?
OVes ~NO
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CAUSE OF DEATH (See Instructions and examplea)
Item 27. Part I: Enter the ~ - diseases, injuries, or complications -Ihat directly caused the dealh. 00 NOT enter lenninal events such as cardiac arrest,
respiralory arrest. or ventricular fibrillation without showing the etiology. List only one cause on each line.
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Due 10 (or as a consequence of)
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Approximate interval: Part II: Enter other siannicanl conditions cootribLIlina to death, 26. Did Tobacco Use Contribute to Death?
Onsello Dealh but not resulllng in Ihe underlying cause given in Part lOVes 0 Probably
.ca-<o 0 Unknown
29, If Female
o Nol pregnanl wnhin pasl year
D Pregnant al time of death
o Not pregnant, but pregnant wtthin 42 days
of death
D Not pregnant, but pregnant 43 days 10 1 year
before dealh
o Unknown ij pregnant within the past year
32c. Place of Injury: Home, Farm, Street, Faclory,
Off>ce Building, eie, (Specify!
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Sequennatly liSt conditions, rt any
W~t~;t.o UU;:DW~I~~"'bru~W a
{disease or ir:Jjury that initiated the
events resultIng In death} LAST.
b.
Due 10 (or as a consequence of)'
Due to (or as a consequence aD:
'(:)
(,
o
3Oa. Was an Aulopsy JOb. Were Autopsy Findings 31. Man~f Death
Performed? ~~~~: :~~e:h~ompleliOn ~tural 0 Homicide
o Yes ~ 0 Yes 0 No 0 Accidenl 0 Pending Investigation
o Suicide 0 Could Nol be Delenmned
32d, Time 01 Injury
321. If Transportation Iniury (Specify)
D Driver I Operator 0 Passenger 0 Pedestrian
o Other. Specify:
33b, Signalure irid.lJtlfot~rtilier
,'~f . i./)
33c. lice ~um ..~
(, l' 10':; IS -" L
32g. Location of Injury (Street, city / lown, slale)
330. Certifier (check only one)
Certifying physician (PhysiCIan certifying cause 01 dealh when anolher physician has pronounced dealh and completed Item 23)
To the best of my knowtedge, death occurred due to the cause(s) and manner as stateeL _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Pronouncing and certifying physician (PhysiCian both pronouocing dealh and certifying to cause 01 dealh)
To the best of my knowledge, death occurred at the time, date, and place, and due to the cause{s) and manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0
Medical Examiner I CDfoner
On the basis 01 examination and! or investigation, In my opinion, death occurred at Ihe time, date, and place, and due 10 the C8USe{S) and manner as slated_ 0
33d, Dale S'gned (Month, day, yearl
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34. Name and Addrestf4~ -'; ~PI~2~s~ ~~~27) Type / Pnnl
(-"'/I/{'J-Ie, /,11- /70r:?
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Disposition Permit No.
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LAST WILL
&
TESTAMENT OF
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I, SANDRA L. NEIDIGH, of 635 Shed Road, Newville, Cumberl{l~d':1 Co~ty,
Commonwealth of Pennsylvania, being of sound and disposing mind, memory and-uimerstan~g,
do hereby make, publish and declare this as and for my Last Will and Testament, l:f€reby revo1{ing
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any and all other wills and codicils heretofore made by me. \.C
FIRST. I direct that all my just debts and funeral expenses be paid from my estate as
soon after my death as practically and conveniently may be done.
SECOND. I direct that my remains be interred side-by-side to my beloved husband
Charles I. Neidigh in the family's burial plot in Doublin Gap Church of God Cen1etery, Lower
Mifflin, in accord with my expressed wishes.
THIRD. I authorize my personal representative to expend funds from my estate, in such
amounts as my personal representative shall consider necessary and desirable for the purchase,
erection and inscription of a suitable marker for my grave.
FOURTH. I give, devise and bequeath all of my estate of whatever nature, be it real,
personal or mixed, and wherever situate unto my daughter, who has been a great comfort to me,
PAMELA M. HEDRICK, per stirpes.
FIFTH. I direct that no provision be made for my son, TERRY ALAN NEIDIGH, in
this my Last Will and Testament.
SIXTH. I direct that any and all Inheritance, Estate and Transfer taxes imposed upon my
estate Passing under my will or otherwise, shall be paid out of the principal of my residuary
estate.
SEVENTH I hereby nominate, constitute and appoint PAMELA M. HEDRICK as
Executrix of this my Last Will and Testament. In the event of renunciation, death, resignation or
inability to act for any reason whatsoever of PAMELA M. HEDRICK, I nominate, constitute and
appoint WILLIAM A. DUNCAN as Executor of this my Last Will and Testament. I hereby
relieve my Executrix from the necessity of posting security in connection with her duties, as
such, in any jurisdiction in which she may be called upon to act insofar as I am able by law to do
so. In addition to the powers conferred by law, I authorize my Executrix, in her absolute
discretion, to retain in the form received, and to sell either at public or private sale any real or
personal property owned by me at the time of my death.
EIGHTH. If any of the beneficiaries of this, my Last Will and Testament, shall be under
the age of Twenty-Five (25) at the time of my death, then any portion of my estate in which they
share shall be held in trust for them with WILLIAM A. DUNCAN as Trustee. The trusteeship
shall end when the child attains the age of twenty-five (25) years. The Trustee shall provide for
the care, maintenance and education of said beneficiary and shall from time to time use either
principal or income from the inheritance to provide for these needs. If any beneficiary by Trust
dies prior to attaining the age of twenty-five (25) years, the Trust terminates and all such funds
shall be paid over to the beneficiary's legal heirs. The trusteeship shall end when the child
attains the age of twenty-five (25) years. As Trustee, WILLIAM A. DUNCAN, shall provide for
the care, maintenance and education of said children and shall from time to time use either
principal or income from the inheritance to provide for these needs.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and
Testament, consisting of two typewritten pages this ,./f! day of IlI- [1-- ,2005.
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Signed, sealed published and declared by the above named Testatrix SANDRA L. NEIDIGH 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.
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COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND
I, SANDRA L. NEIDIGH, 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.
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SANDRA L. NEIDlOH
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S worn or affirmed to and
acknowledged before me, by
SANDRA L. NEIDIGH this ;?;?
of -.r--\ ~
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N;;tt~ c7' y V~l^J\YVYW~
COMMONWEALTH OF PENNSYLVANIA
day
20051 NOTARIAL SEAL .
, . Y\<1thy L. Mummert, Notary Public
; 3o:'CUg:l of Carlisle, Cumberland Co., PA
I r.ly Commission Expires Aug. 11, 2007
:SS.
COUNTY OF CUMBERLAND
We, -S'~JC.\.('\ "'b Pt),dJV\S and \;J{' ( Uo V(l A.'l>.Alcc<n 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 SANDRA L. NEIDIGH sign and execute
the instrument as her Last Will; that she signed willingly and that she executed 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
that time eighteen (18) or more years of age, of sound mind and under no constraint or undue
influence.
rJrJ!) {/~htA2
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Sworn or affirmed to and
subscribed before me by Seo.. f\. ~
\J'J ( ~ \ ( ()YY\ (\ Dv 1\( U ('-
this .9,~ day of ~,l \{
(\dun\5 and
, witnesses,
, 2005.
NOTARIAL SEAL
, Kathy L. Mummert, Notary Public
,i Borough of Carlisle, Cumberland Co., PA
_ r.ly Commission Expires Aug. 11, 2007