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PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
Estate of MarQrieta C. Hewev
also known as
File Number
;) {- O~ '()OSLf
, Deceased
Social Security Number
Susan H. Thomas
Petitioner( s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' OR 'B' BELOW:)
lXI A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) isxxre: the Executor named in the
last Will of the Decedent d:atlxb<undated ~~r~r~
SEE ATTACHMENT TO PETITION FOR PROBATE, WHICH IS INCORPORATED HEREIN BY REFERENCE
(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 instrnment(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 applicable. enter: c.t.a.; 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: (if
Administration, c. t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list (~f heirs.)
Name
Relationshi
Residence
C\
:p-.
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. -,,,.
C)
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his / her last principal;.residence at ..
Bethany Villaae, Mechanicsburg. Cumberland Cty. PA 17055 ~-' g;
(List street address. town/city. township. county. state. zip code)
Decedent, then 97
years of age, died on 12/27/2007
at Bethanv Villaae, Mechanicsbura, PA
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) 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
$
$
$
$
100.000.00
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 fom1 to
the undersigned:
Signature
Typed or printed name and residence
Susan H. Thomas
5250 Meadowbrook Drive Mechanicsbur
PA 17055
Form RW-02 rev. 10.13.06
Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
The Petitioner(x) 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(;B) 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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Ju1'~1{ --' ..p. ['9!pyi4'. L/
Susan H. Thomas
day of
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Signature of Personal Representative
Signature of Personal Representative
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Signature (!f Personal Representative
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File Number:
ZJ -O~ - 005 LJ
(51
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Estate of Margrieta C. Hewev
, Deceased
Social Security Number:
Date of Death: 12/27/2007
AND NOW,
having been presen e
are hereby granted to
Il , 2008 , in consideration of the foregoing Petition, satisfactory proof
before me, I S DECREED that Letters Testamentarv
Susan H. Thomas
in the above estate
and that the instrument(1ff~atOO undated
described in the Petition be admitted to probate and filed of record as the last Will (mIct:f:mi~) of Decedent.
Lette,,~ES $ 210.00 ,-JiLn,~ if~":lJ!;;~1:;l~ fllig~
Short Certificate(s) $ 40.00 Attorney Signature: .tt/tllA t'l/LIt61
Renunciation(s) ................ $
Will $
JCP/Automation $
$
$
$
$
$
$
$
TOTAL ............................. $
15.00
15.00
Attorney Name:
Dean A. Weidner. Esa.
Supreme Court J.D. No.: 06363
Address:
WIX. WENGER & WEIDNER
PO Box 845. Harrisburg. PA 17108-0845
Telephone:
(717) 234-4182
280.00
Form RW-02 rev. 10.13.06
Page 2 of 2
Attachment to Petition for Probate
Petitioner and her accountant, Crystal Hackett, CPA, referred her mother to
Robert L. Kreidler, Jr., Esquire for estate planning purposes in January of 1996.
Petitioner is advised, believes, and therefore avers, that Robert L. Kreidler, Jr. is
no longer practicing law, having suffered illness and memory loss. However, the
attached will was recovered from the records of Robert L. Kreidler, Jr. The date of the
proposed acknowledgement, never completed, was May 26, 1996.
Shortly before May 26, 1996, Petitioner was asked by her mother, the decedent,
whether she would be willing to serve as her mother's executor, to which she agreed.
Therefore, Petitioner believes, and therefore, avers, that the will attached to this Petition
was executed on or about May 26, 1996, and is her mother's last will and testament.
F:\daw\8412 - THOMAS, SUSAN H\ 14825 - Estate of Margrieta C. Hewey\Documents\Attachment to Petition for Probate.doc
1/15/084:08 PM
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LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fce tor this certificate. $6,00
P 14118952
Certification Number
MjI'l5.~.t3 REV 1112006
TYPE {PAINT IN
PERMANENT
BLACK INK
This is to certify that the information here given is
correctly copied from an original Certificate of ~eath
duly filed with me as Local Registrar. The ongl~al
certificate will be forwarded to the State VItal
Records Office for permanent filing.
/-JJ 1 IlA .If Z.Lj(~:L'Z. ~~ /2- / /-S'>' /(.'"1 7
Local Registrar .1 Date Issued
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COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
en
I~-,:~:.:
1. Name 01 Decederll {First, middle, last, suffix)
i l
STATE FILE NUMBER
5. Age (Last Bir!hdaYl
Ba, Place of Death (Check o."y one)
Hospital
o Inpatient 0 EA! Outpatient 0 DOA
g. Was Decedent of Hispanic Origin?
(If yes. SPecify Cuban,
Mexican, Puerto Rican, etc.)
14. M~rilar Status: Married, Never Malried.
Widowed, Divorced ($peci'Y)
Widowed
DOlh",Spetify'
Margrieta C Hewey
6. Dale of Birth (Month, day 9a~
97
v".
Apr 25,1910
Buffalo NY
Bb. County of Dealh
. Cumberland
Bct. Facility Name (JI not ins~tulion, give street anct number)
Bethany Village
11. Oecedenl's Ususl OctU
KinclofWork:
Teacher
.. 16. Decedent's Mailing Address (Street, city I Irwn, slate, zip code)
Bethany Village
Mechanicsburg Pa 17055
12. Was Decedent ellM in the
U.S. Armed Forces?
o v" ooNO
Oecedenrs
ActualRestdence 17a. Slate
a
17b, County
Cumberland
19. Mother's Name (Firs!, middle, maiden surname)
Lulu S Slevenson
18, Falher's Name (First, middle, last, suffix)
Charles J Coit
20a. infall'l1anl's Namo (Type I Prinl)
J. Social secutity Numlle(
208 20
9745
4, Date of DD~d~~t~~?t7~rko07
17C.O Yes, Decedent lived in
17d. ~ ~~IT:~to~V&dW~hin Mechanicsburg
TWO.
City/BolO
Susan H
Thomas
2Ob. Informant's Maiflng Address (Street, city I town, state, lip code)
5250 Meadowbrook Drive Mechanicsburg, PA 17055
21d. LocaHon (City I town, stale, zip code)
Lewis Run PA 16738
211:. Place of Disposilion (Name o( cemelery, crematOly or ot~r place)
Approximate interval: Part II: Enler oIher siQniflca"t COI'H1iIioos oonlri~, 28. Did Tobacco Use Conlribute to Dealh'
OnsP./lo Dealh bul nol resuml'9 in the underfying cause given in Part I. 0 Yes 0 Probably
o No 0 Unknown
C.H-P.iONll (IONl(Y DLl.f~ "'F,m.l,
. 0 Not pregnant Wilhin past year
^~lRO"V1E.~"1llV~ 0 ''''9",",,''lm,o,"'''h
o Not pregnan!, but (Xegnanl wfthi" 42 ctays
R>\k""ED1 N (i 01 de",
o Nolpregnant,butpregnant43daysto1yellr
ANE)'Y) \ ~ 0 ~~~~:~~r~rngnantwllhlnlhepaS!year
32c, Place of Injury: Home, Farm, Stree!. Faclory,
OlficeBuilding,elc, (Specify)
321. If Transpor1ationJ"fury (Specify)
OOriver/Operalor DPassenger DPedeslrian
Olher-Specify:
3,.. Cortlll" Ie'", mly 0",1 :3b. Sq;ignrU: a~ct ~rtle of ~rtifier ,
Certltylngphye:lclll11 tPhysician certifying cause of death 'NOen anotherphysic;2~ ~aspronounceddealhandcompleledltem23) ~ '\J~ ~
To the best ofmy Imowfedge, death occurred due 10 lhe C!use{s) imd manner as stated.. _ _ __ _ _ _ _ _ __ __ _ _ _ _ __ _ _ _ _ _ ___ _ _ _ _ _ 0
~~o~::=;;~ a~~ :~~:r;~:tJ::~I~::U~::~ I~~~~~~:;:na~a;,':e~~~~~:rol~~a~~~~~~~~~~ manner as slatelL _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ $J 33eM. liCl!n~ Num,t ..... ~ --::L. 3.....
Medical ExamIner! Coroner .!..J ...-. 0... , 1 ...:>
On the basis 01 exmmlnation and I or investrgalion, in my opinion, death occurred at the lime, date, and place, and ctue to Ihe C:8use(s) and manner as !talelC 0
o
w
~
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Items 24.26 musl be comp!eted tlyperson
who pronounces death.
CAUSE OF DEATH (See Instructions and examples)
tlem 27. Part l: Enler tne ~ - diseases, in;uries, orcomplicalior1s -lt1atdirectlycaused!he dealh, DO NOT enter lerminalevents sud1 as cardiac arrest.
respiratory arrest. or ventricular fibrillation wilhout snowing the etiology, list onl~ one cause on each ~ne
~~d~~~A~5t~~~~ j~~~\ dise~
IN(l\Jl11()N
Due to ~r as a ~on,sequence of):
b /'t(}.Mf\.);" ~
Due 10 (or as a consequence 01):
c. 1\ Dv ("'J-I\I U;J)
D:.Je 10 (or as a conSeQuence of):
Sequentially iislcondrtioos, If any,
~~t~~~: J';:D~Al~/:a~~~~ a,
(disease or irljury that Initialed the
e'/ents resul1lngIn dealh) LAST.
ro +n n've.
D ~ <e J\.I/ \ r.\
30a.Was,mAu1opsy
Performed?
JOb WsreAuropsyFindlngs
Available Prior to Campletlon
of Cause 01 Death?
31. Manner af Death
~I 0 Homicide
DYes ~
o Accident 0 Pendirlg Investigation
o Suicide 0 Could NQf be De!efll'1ined
DY&5 DNa
32ct.Timeollnjury
..
32g.Localion oflniury (Slreet, city I lown, stale)
MIJ
3hiteiM~N,sDW~Vmr~ted.KitJ{aHt~pn
~ Tf2.,ll\io lIE /<;of'rO Gf\-rv1P HJ LL /1-0/)
DiSpcsition Pennit No.
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LAST WILL
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OF
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MARGRIET A C. HEWEY
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I, MARGRIETA C. HEWEY, of Camp Hill, Cumberland County, Pennsylvania,
declare this to be my LAST WILL. I hereby revoke all prior Wills made by me.
Article I
I declare that I have two children, namely, LENORE H. HALL and
SUSAN H. THOMAS. References in this will to "my children" are to them.
The term "descendants" refers to all naturally born or legally adopted descendants
of all degrees of the person indicated.
Article II
I give all of my property to my two daughters, Lenore H. Hall and Susan
H. Thomas, including all property over which I hold a power of appointment, if they
survive me. If either daughter does not so survive me, I give their share to their
descendants per stirpes.
Article III
I appoint my daughter, SUSAN H. THOMAS, as executrix of this will. If
SUSAN H. THOMAS does not survive me or otherwise fails or ceases to act as
executrix, I appoint my daughter, LENORE H. HALL, to serve as executor in her place. I
authorize my executrix to employ, at the expense of my estate, such attorneys, custodians,
accountants, investment advisors, or other professionals as my executrix believes are in
the best interest of my estate. In addition, I authorize my executrix to serve without bond
and to administer and to settle my estate independently, without the participation or
supervision of any court, to the maximum extent permitted by the applicable law. If an
ancillary administration of my estate is required in other jurisdictions, I authorize my
executrix to serve in such jurisdictions or to designate an executor to serve in each
ancillary jurisdiction.
I direct that my executrix shall not be required to give bond for the faithful performance
of their duties in any jurisdiction.
Article IV
(1) I direct my executrix to pay all expenses of administration and all
inheritance, estate, succession, and similar taxes "[death taxes]" imposed
upon my estate by reason of my death, from the assets of my residuary
estate, whether or not the expenses of administration of death taxes are
attributable to property passing under this will.
(2) I authorize my executrix to exercise all elections available under
Federal and State law with respect to:
(a) the date or manner of valuation of assets,
(b) the deductibility of items for State or Federal income or death
tax purposes.
@ the marital deduction,
(d) other matters of Federal or State tax law, in accordance with
what my executrix believes to be in the best interests of my estate.
I relieve my executrix of any duty to make adjustments to the
shares or interests of persons who may be adversely affected by
such elections and from any liability for making such elections.
Article V For purposes of this will, a beneficiary is deemed to survive me only if the
beneficiary is living on the 60th day following my death
In witness whereof I have signed this will on
19
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"/ ::/(;/ ~-'-~ ,
Margrieta C. Hewey
Signed, sealed, published and declared
by Margrieta C. Hewey, The Testator, as
and for her LAST WILL, in the presence
of us who have at her request signed our
names as witnesses hereto in the
presence of the said Testator and of each
other.
STA TE OF PENNSYLVANIA
: SSe
COUNTY OF CUMBERLAND
I, Margrieta C. Hewey, having been duly qualified according to law, acknowledge
that I signed the foregoing instrument as my will, and that I signed it as my free and voluntary
act for the purpose therein expressed.
/i,'/.,j 'i-,!L.- (._- !~.
Mafgrieta C. Hewey
'r-; ',;' // - -
. '. '-:
l./
We, having been duly qualified according to law, depose and say that we were
present and saw Margrieta C. Hewey sign the foregoing instrument as her will; that she signed it
as her free and voluntary act for the purposes therein expressed; that each of us in his sight and
gearing and at his request signed the will as witness; and that to the best of our knowledge he
was at that time 18 or more years of age, of sound mind and under no constraint or undue
influence.
Subscribed, sworn to or affirmed,
and acknowledged before me by the
above named testator and by the
witnesses whose names appear
opposite on May 23, 1996
Notary Public
OATH OF NON-SUBSCRIBING WITNESS(ES)
CUMBERLAND
REGISTER OF WILLS
COUNTY, PENNSYLVANIA
Estate of MARGRIETA C. HEWEY
, Deceased
!lie-I' / L, Lrtf,'l"l
and
(each) being duly qualified according to law, depose(s) and says(s) that she / he / they was / were well-
acquainted with MARGRIETA C. HEWEY and am/are familiar
with the handwriting and signature of the decedent, and that the signature ofMARGRIETA C. HEWEY
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of
MARGRIETA C. HEWEY is inhis&er own proper handwriting.
{2,:J! f!~~
(S gnature) .
.;(2 fl(( ;JbaJ(//tr.A r1 {;DA Ifl-
(Srreer Address)
l2~ei <UL)rptlL:ffJtJg /7'r2?5L
(Ciry, Stare, Zip)
(Sigllature)
(Streer Address)
(Ciry, Srate, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
, / ,+11
before me this I U day
o~.QOOR .
~~
Deputy focr Register O(jWills
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Form RW-04 reI'. 10.13.06