HomeMy WebLinkAbout02-04-08
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF
Cumberland
COUNTY, PENNSYL VANIA
Estate of
also known as
Reed S. Henry
File Number
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, Deceased
Social Security Number 204-03-8784
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE ~' or 'B' BELOW:)
IZI A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is I are the
last Will of the Decedent dated June 5, 1985 and codicil(s) dated (None)
Co-Executors
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: None
o B. Grant of Letters of Administration
(Jf applicable, enter: c.I.a..: d.b.n.c.t.a.: pendente lite: durante absentia: durante minoritate)
Petitioner(s) after a proper search has I 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
. <-:--)
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his I her last principal residence at
207 North 19th Street, Camp Hill Boro., County of Cumberland, P A , 17011
(List street address. town/city, township, county, state, =ip code)
_,,_I
Decedent. then 86
years of age, died on January 10,2008
at 207 North 19th Street, Camp Hill, P A-t70 II
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
$
$
$
$
75,000.00
0.00
0.00
175,000.00
situated as follows:
207 North 19th Street, Camp Hill, P A 17011
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:
David Reed Henry, 3218 North Second Street, Harrisburg, P A 17110
Deborah Dietz Cavallario, 259 Thompson Boulevard, Watertown, NY 13601
Form RW-02 rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEAL TH 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 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.
before me the
L\
day of
Sworn to or affirmed and subscribed
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(
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~i nature of Personal Representative
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Signature of Personal Representative
File Number:
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Estate of
Reed S. Henry
, Deceased
Social Security Number: 204-03-8784
Date of Death:
January 10,2008
AND NOW, hJ l)~^-(('~ i\.. \ l.f .-;J.CD '( / , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to David Reed Henry and Deborah Dietz Cavallario
in the above estate
June 5,1985
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FEES
Letters .. J. s,c: 1 cel:, . , $
Short Certificate(s) . . .le, . . $
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Attorney Signature:
.......... $
$
$
$
$
.. . $
$
$
$
$
.............. $
Renunciation(s)
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Attorney Name:
Marvin Beshore, Esquire
Supreme Court J.D. No.: 31979
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Address:
130 State Street, P.O. Box 946
Harrisburg, PAl 7108-0946
MBeshore@beshore1aw.com
Telephone:
717-236-0781
Facsimile: 7]7-236-0791
TOTAL
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Form RW-02 rev. 10.13.06
Page 2 of2
LOCAL REGISTRAR'S CERTIFICATION 0
WARNING: It is illegal to duplicate this copy by photostat or
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse)
STATE FILE NUMBER
-6. Date of Birth (Month. day, year)
November 16, 1921 Clear Ridge, FA
ad. Facility Name (If not institution, give street and number)
207 North 19th St.
11. Decedent's Usual Occu aliGn (Kirod of work dOfle durin most of workin life Do not stale retired
Kind 01 Work Kind a/Business! Industry
Elevator R~air Otis Elevator Co.
.. 16, Decedent's Mailing Add'ess (Slreet. city town, stale" zip code)
207 North 19th St.
Camp Hill, FA 17011
12. Was Decedent ever in the
U,S. Armed Forces?
KJv" ONo
Decedent's
Actual Residence 17a, Stale
13. Decedent's Education (Specify only highesl grade compleled)
Elementary I Secondary (O-12) College (1-4 or 5+)
12
17b. County
FA
Cumberland
,
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3. Social Security Number
204 - 03
4. Date of Death {Month, daY,~Ml
8784 January 10, 2008
Other
D Nursing Home [ZJ Residence OOll1er. Specify
9 Was Decedent of Hispanic Origin? ex No 0 Yes 10 Race: Amencan Indian, Black, While, alc
(II yes, specify Cuban. (Specify)
Mexican, Puer10 Rican, etc.) \.Jhi te
14. Marital Status: Married, Never Married,
Widowed, Divorced (Specify)
Twp
Widowed
17c,D Yes, Decedent Uvedm
17d.~ NO,DecedentU"dwilble Camp Hill
Actual Umitsof
City/Bora
19, Mother's Name (First, middle, maiden surname)
18, Father's Name (First, middle, last. suHix;'
Samuel C. Henry
M rtle G. Sho
2Gb. Informant's Mailing Address (Slree\, city ftown, state. zip code)
R&O-fJ ; yCc 1C vy
?!ril as' coesequecce ~I) V
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Due to iJor asa consequence 01{: ,
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Due to oras a consequence of),:1
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30a Wasan~IOPsy IiOb~t;SYFmdm9S 31 Manner of 0 th
PertormecP :;~I:~~: :~~re~th~OmDlehon ex Natural '0 HomlclC!
_~~'~ ~ N~ __ ~_: _ 0 No ?~~,~~d~~.~~~~~::::::'~. 32d:~~~:_______~3~~~~~_ &;:::~~~:~:IU[{=~gec ~;:::a:_3::_L::on :~~: (Sl"e~~~~.~:~ _~==_~~~'I
333. Cerlifier(ched( onlye'ne\ 33b, Signature and Title 01 Certilier I
Certifying physician (PhYSICI<'ln certitying callSe 01 death when another physician has pronounced death and completed lIem 23) tp.- ~ J'-O../"--t:..L'v'l H ()
To the best of my knowledge, death occurred due 10 the cause{s) and manner as slated_ - - - - - - - - - - - - - - - - - - - - - - - -.- - - - .. - - - 0 1
Pwnouccing "d cortHyieg physiciac (Physt.'" bolh pcoence"eg dealh acd ''''ityieg 10 cause 01 dealh) ,. Uconse NumOO' ------J 33d Dale Signed (M~;;;dai-Y~;;I---"- -. .
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Disposilion Poem,' No 0093761
24. lime of Death
11:00
25. Date Pronounced Dead (Month, day, year)
Th January 10, 2008
~~d~Pr:~~attn~1~ ~~~~I dise~
: Approximate interval:
: Onsettc Death
,
,
,
,
,
,
,
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,
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t7 TN, (!J'~: __
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32a. Date of InjUry (Month, day, year) 32b. Describe How Injury Occurred
CAUSE OF DEATH (See Instructions and examples)
Item 27, Part I: Enter the ,(;~ - diseases, injLJies, or complications -that direclly caused the death, DO NOT enter terminal events such as cardiac arrest,
respiratory arrest, or ventricular fibrillatiorl without showing the etiology. List only one cause OIl each line.
I~; lC<...16
Sequenliallylislconditiorls, II any,
~;~~~~o JhJD~~t~ll~~~~U~E a
(disease or injury that iniliatedthe
events resultll1g Indealh) LAST.
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s FA
23b. License Number
23c. Date Signed (Month, day, year)
26. Was Case Referred to Medical Examiner I Coroner for a Reason Other than Cremation or Donalion?
!JllVes DNa
Pan II: Enter olher sionificant conditions conlributin n 10 death,
bulnot resulting in lhe underlying cause given in Part I
28. Did Tobacco Use Contribute 10 Death?
o Yes OP~obably
o No 0 Unknown
29. 11 Female:
o Nol pregnanl withlrl past year
o Pregt18ntaltimeotdealh
o Notpregnar' but oregnant wlthlrl 42 days
ofdeatr.
o
bUlpregnant43d?yslo1ye?1
o Unknown iforegnant within lhepasiyeal
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1JIast llill mtb <1It$tawnt
OF REED S. HENRY
I. REED S. HENRY, of the Borough of Camp Hill, Cumberland
County, Pennsylyania, make, publish, and declare this to be my Last
Will and Testament hereby revoking and making void any and all Wills
and Codicils made by me heretofore.
1. I direct that the expenses of my burial and all my just
debts be paAd as soon after my death as may be convenient to my
Executrix hereinafter named.
2. I appoint as Executrix of this Will, my wife, Eleanor
Dietz Henry provided she survives me by more than thirty (30) days.
If my wife does not so survive me, or is unable to serve as Execu-
trix, I hereby appoint as Co-Executors my step-daughter, Deborah
Dietz Cavallario and my son, David Reed Henry. If either of my
appointed Co-Executors is unable or unwilling to serve in that
capacity, the other shall serve as sole Executor or Executrix.
3. I give all my property, real, personal and mixed to my
wife, Eleanor Dietz Henry, if she survives me by more than thirty
(30) days. Without conditioning in any way this grant to my wife,
it is my desire that my personal belongings and effects be distribu-
ted to my children, David Reed Henry, Daniel Martin Henry and
Marianna Frances Heeter, share and share alike, when my wife dies.
4. If my wife does not survive me by more than thirty (30)
days, I give, devise and bequeath my property as follows:
8. My personal belongings and effects to my children,
David Reed Henry, Daniel Martin Henry and Marianna Frances Heeter,
share and share alike.
b. All household belongings and personal effects which
were my wife's, to my step-children, Deborah Dietz Cavallario,
Suzanne Dietz Irwin and Eleanor Dietz Irwin, share and share alike.
e. All the rest, residue, and remainder of my Estate
shall be divided into six equal shares to be distributed to my
children and step-children: David Reed Henry, Daniel Martin Henry,
? 'RSi
,;1&2.-1'<' I 'i ~ -. . l' .
Marianna Frances Heeter, Deborah Dietz Cavallario, Suzanne Dietz
Irwin, and Eleanor Dietz Irwin,. If any of these named legatees
should pre-decease me, such legatee's share shall pass to his or her
surviving issue, if any. If any such legatee is not survived by
issue, his or her share of the Estate shall be equally divided among
the other surviving legatees.
5. To facilitate settlement of the Estate I give to my
Executors the following powers, which are to be construed in the
broadest manner consistent with their validity and with their duties
as fiduciaries. I give the powers stated here in addition to those
granted by law and I give them to adminstrators who may succeed the
fiduciaries I have appointed.
a. To retain any or all of the assets of my estate, real
or personal, without regard to any principle of diversification or
risk.
b. To invest in all forms of property, including stocks,
common trust funds and mortgage investment funds, without restric-
tion to investments authorized for Pennsylvania fiduciaries, as they
deem proper without regard to any principle of diversification or
risk.
c. To sell at public or private sale, to exchange or to
lease, for any period of time, any real or personal property and to
give options for sales, exchanges or leases, for such prices and
upon such terms or conditions as they deem proper.
d. To allocate receipts and expenses to principal or
income or partly to each as they from time to time think proper.
e. To borrow money from any person or institution, and
to mortgage or pledge any or all real or personal property as my
Executor or Trustee, in their sole discretion shall choose, without
regard for the dispositive provisions of this instrument.
f. To register securities in street name or in the name
of a nominee or in such manner that title shall pass by delivery and
to vote, in person or by proxy, securities held hereunder and in
such connection to delegate discretionary powers.
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g. To compromise any claim or controversy.
h. To choose the optional valuation date for federal
estate tax purposes.
i. To exercise any law-given option to treat administra-
tive expenses either as income or as estate tax deductions, without
regard to whether the expenses were paid from principal or income.
j. To exercise any law-given option to pay death taxes
in installments, the payment of interest due on such installments to
be a charge against principal.
k. To make distribution in cash or in kind, or partly in
cash and in kind, and in such manner as they may determine, and at
valuation finally to be fixed by them.
6. To the extent that such requirements can be legally
waived, I direct that my Executor or Co-Executors shall not be
required to post any bond or give any security in connectin with
their duties hereunder, whether in the state of Pennsylvania or any
other juriSdiction.
IN WITNESS WHEREOF, I, REED S. HENRY, hereonto set my hand and
seal tbis r;.r!1 day of June, 1985.
4
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REED S. HENRY
f~~' .5 1);/ l) /' /f S; H
Signed, sealed, published and declared by the above-named REED
S. HENRY as his Last Will and Testament in the presence of us, who
at his request, in his presence and in the presence of each other
/I
have hereunto subscribed our names as witnesses.
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ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF DAUPHIN
I, REED S. HENRY, testator, whose name is signed
to the attached or foregoing instrument, having been duly qualified
acc:ordingto law, do hereby acknowledge that I signed and executed
the~ instrUllIlent 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.
Sworn or affirmed to and acknowledged before me, by
REED S. HENRY, the testator, this S"'i.-'day of June
1985.
(SI~A..L )
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CO]~ONWEALTH OF PENNSYLVANIA
COUNTY OF DAUPHIN
lJ. . Harvin B9lithor9 and L. Rex Bickley
~hA w~~<<..... w~.. nam~8 are signed to the attached or foregoing
instrument, being duly qualified according to law, do depose and
say that we were present and saw testator sign and execute the in-
strument as his Last Will; that REED s. HENRY
signed willingly and that he executed it as his free and voluntary
act for the purposes therein expressed; that each of us in the hearing
and sight of the testator signed the Will as witnesses; and that to
the best of our knowledge the testator REED S. HENRY
wa.s at that time 18 or more years of age, of sound mind and under no
constraint Clr undue influence. '
SWClrn. or affirmed to and subscribed to before me by
. hi e-- r\ d f June 1985
wJ.tnesses, t s ./ ,-/ ay 0 < .
(SEAL)
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Witness L. Rex Bickley.
( '-(Of'f~~J~;~Jit;~)\i}j~~\,i
OEBOKflH LEt:. 1M: dJl..S, NOT:YY t~UBUC
My Commission Expires NO~fimbel 10, 1986
~urg, PA Dauphin County