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HomeMy WebLinkAbout02-01-08 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYL VANIA Estate 0 f also known as JEANNETTE HULL STEVENS ANNE JEANNETTE HULL File Number d / - 09.-0/ /1 , Deceased Social Security Number 196-14-1325 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE ~' or 'B' BELOW:) lZI A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the Executrix last Will of the Decedent dated April 12, 1996 and codicil(s) dated N/A 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 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 of heirs.) :.::::2 Name Relationship ~i;'~~l,~ --', , - ,J.. ~ -.~ ~ L (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. \:J -,-- .) Decedent was domiciled at death in Cumberland County, Pennsylvania with his / her last principalfesidence at 317 Messiah Circle. Mechanicsburg. UDDer Allen Townshio. Cumberland County. P A 17055 (List street address, town/city, township, county, state, zip code) r:? o c'\ Decedent, then 88 years of age, died on January 18,2008 at Messiah Village Decedent at death owned property with estimated values as follows: (If domiciled in P A) All personal property (Ifnot domiciled in PA) Personal property in Pennsylvania (If not domiciled in PA) Personal property in County Value of real estate in Pennsylvania $ $ $ $ 95,600.00 0.00 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: S i nature T ed or rinted name and residence Holly Stevens Handley, 405 Spruce Road, New Cumberland, P A 17070 Form RW-02 rev. /0.13.06 Page 1 of2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND 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 ofPetitioner(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 the /." . 1&+ Estate of day of x ~(~~ Signature of P. rsonal Representati Signature of Personal Representative ,..:) . ") Signature of Personal Representative --,(:) ;,JJ j'i-i CO I C'O . j. File Number: ~/ -Of -- (JI/q 1'0 JEANNETTE HULL STEVENS o O~I , Deceased Date of Death: January 18,2008 if in consideration of the foregoing Petition, satisfactory proof Testamentary AND NOW, having been presented before me, IT IS DECREED tha are hereby granted to Hollv Stevens Handley in the above estate and that the instrument(s) dated April 12, 1996 described in the Petition be admitted to probate and filed ofrec rd as the last Will (and Codicil(s)) of Decedent. FEES Letters Short Certificate(s) . . . . . . .. $ Renunciation(s) .......... $ Automation Fee . . . $ JCP Fee $ Will $ Inventory $ $ . .. $ ...$ ...$ .. . $ TOTAL.. .. .. .. .. . .. . $ Form RW-02 rev. 10.13. 06 $ 210.00 20.00 5.00 5.00 ".00 15.00 15.00 Attorney Signature: xr;; tic gtqr Attorney Name: Wayne M. Pecht Supreme Court I.D. No.: 38904 Address: Pecht & Associates, PC 1205 Manor Drive, Suite 200 Mechanicsburg, PA 17055 Telephone: 717-691-9809 ~ ft>a.~O.OV Page 2 of2 H105.805 REV f01/07) :21-Cf -'I/t( LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 14120642 Certification Number ~----------_._..,--_..,_._.__..~..~-,..._~---,_.._---- - --_._-----~_._.....~-- _.._-~.~""_..._-_.._-~._~-~-._---_._---_._-~...._.._--~ REV 1112006 PRINT IN .1ANENT CK INK This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. :::kn..1'l ~44.t.'cr-JjN 7 ZlDD8 Local Registrar Date Issued r'-~ = ,.~, --:~, ,~) .:::D } ....." - J <= -"., (T; 0:; I --r; v ::z: lV COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples on reverse) c::> m 1. Name of Decedenl (Firsl, middle, IaSI, suffix) Jeannette Hull Stevens 5. Age (Lasl Birthday) 88 Vrs 8b. County ot Dealh Twp. 6. Dale of Birth (Month, day, year) 7. Blrthplaco (C. - 1325 18. 2008 8a, Place 01 Death (Check on one) Hospital: o I"".l~nl 0 ER I O"lpal~n1 OOOA 9, Was Decedent 01 Hispanic Origin? (If yes, speclfy Cuban, Mexican, Puerto Rican, etc.) 19. Mother's Name (Firs!. middle, maiden surname) Margaret Latham 20b. fnfonnanrs Mailing Address (Streel, city flown, slate, zip code) 465 Spruce Road. New Cumberland. PA 17070 21c. Place of Disposllion (Name of csmelery, crematory or other place) 21d. Location (City I town, stale. zip COde) Sept. 6. 1919 Cumberland 11. DececlenI's Usual lion Kind of WOl1I done duri most 01 world life. Do not state reti Kind of Work Kind 01 Business flnduslry Editor PA Medical Societ - 16. Decedenl's Mailing Address (Street. city Ilown, state. zip code) 317 Messiah Circle Mechanicsbur . PA 17055 18. Father's Name (First, midc:Ie, last, suffIX) George Ross Hull Decedent's AdualResidence 17a.$tale Pennsylvania Cumberland 17b. County Other: Nursing Home 0 Residence DOth&r. Specify: IX! No 0 Yes 10. Race:.American Indian, Black, White, etc (Spec;/yj White 14. Marilal Status: Married, Neller Married, Widowed, DillOrced (Speci!J.1 Divorced l7c.1JiI Ves, _I LNed m Upper Allen l7d.O No, _ILNed","", Actual Limilsof Twp. C,~IBoro Cremation Society of PA Harrisburg. PA 17109 ~.~.oo~"mF~~ Aller Memorial Home and Cremation Services, Inc. 4100 Jonestown Road Harrisbur PA 17109 23bl"; 7<<:' Cj Y 3 _ '-- Approximate Inlerval: Onset It> Death ~=S~~~)dlsea~ B. Y'vvl SH1fl!'" ('Di'7tft"sh\ff: Iv'a I r../!./11 LHP Due to {()( as a CO;;;;;;-nce on: f))f?fll <, ~~~~~';~a. = UNDERLYING CAUBE ~~~~~ b. Due 10 (or as a consequence of): Due to (or as a consequeoce of): 308. Was an Autopsy Partormad? 301:1. Were Autopsy Findings All8ilable Prior to Completion of Cause of Death? o Ves g-No 31. Manner of Death ~luraJ OHom<ide o Acddenl 0 _"o1nvBSlIgBtlon o S_ 0 Could N~ be Oe1.nninod o Ves rn-' 32d. Time of Injury 23c. Date Si~ (Month, day, year) 26. Wu Case Referred to Medical Examiner f Coroner for a Reason Other than Cremation or Donation? OVes ONo Par1ll: Enter other sionhol condiliorn: contritUinn 10 dAAlh, 28. Did Tobacco~~tribule to Death? but not restiting in the underlying Cluse ~n in Part I. 0 Yes EfProbabiy o No 0 Unknown ~'ivuc vlhUrld.. Ofh}Y/J.U)ve.. jN.I vrIJr1()v-j d;xa5c, f/e0 '/YO 1(.(- u.1 Ijl'l-/cJ '!5 W'iI-i1 tiJ! n x. ({)lI1I'N' 9/ec' 29. If Female: [3"'NoI pregnant within past year o Pregnant at Ume 01 death o Not pregnant, but pregnant within 42 clays ofdealll o Not pregnant. but pregnant 43 days to 1 year I beloredeath o Unknown if pregnanl wfthin the past year 32c. Place ollnjurt Home, Farm, Street, Factory, 0Ifice BUlldiflg, etc. (Specify) 338. Ce<1fliw I""" orly one) Certtfytng physician (Physician certifying cause of death when aflOftMtr physician has Pronounced death and completed Item 23) To the btlt of my know\tdge, dteth occurred due to the cause(S) and manner IS atIt8d... _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _... _ _... _ _... __ _... ;~o;:~~.: :"::,,=I:C~=:~ ::u::::n=~:m:tl~:=~:a: manner IS stlled_ _ _ _... _ _ ...... _ _ _ _ _ _ _... _ D ~~ ~~mo':':'~=I: and I or investigation, In my opinion, dhth occurred al the time, date. and place, and due to Ih. cause{a) and manner as statecL 0 32f.lITransportationlnjury(Spsc;ty) o Driver I Operator 0 Passenger DPedestrian Olhar . Specify 31'>. Slgn.ture.ndTll1e01 Certi'" / ~ c)-ttt242-c,,(."1--'J!-Ic.uc I'~> 33d. Date Signed (Month, day. year) 01- ;2; -.2-00 Y M. 32g. Location ollnjul)' (Street, city I town, state) 33c. Ucense Number /nO"-Id5-V1S 1';<1 / 1 o?l /I/' 1 34. Name and Address of Person Who Completed Cause of Death (Item 27) Type (Print '::>/}.I'<.;cil-l /\/(';;OI"!-Srlk_S:ft ;y)V / C')O rJ~ ;-- vi l. L- e 1'-1 1>,1:./. I vE /)/If"c/-1/:);VI6'f,;,,/;(6. ,;JrJ I}():i:.<; Disposhion Permit No. 0093931 SAIDIS, GUIDO, SHUFF & MASLAND 2109 Market Street Camp Hill, PA I' ,- LAST WILL AND TESTAMENT OF JEARHETTE BULL STEVENS -~.-.:"l ..... ~ i I co .,,,. . .-'"'C' . . I, JEARHETTE BULL STEVENS of the Borough of Ca~p~~Hill 1;.,) - , .. Cumberland County, Pennsylvania, declare this to be my Las~Will and Testament, hereby revoking any will previously made by me. I - I direct the payment of all my just debts and funeral expenses out of my estate as soon as may be practical after my death. II - I bequeath my tangible personal property, not including cash and securities, to my daughter, Holly Stevens Handley. Should my said daughter predecease me, I bequeath my tangible personal property to my son, George Myron Stevens. III - I devise any interest in real estate which I own at the time of my death to my daughter, Holly Stevens Handley, if living; and if not, to my son, George Myron Stevens. IV - I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate unto my two children, Holly Stevens Handley and George Myron Stevens, in equal shares. Should either of them be deceased, his or her share shall be paid to the one who is living. If both of my children are deceased, then I direct that the residue shall be divided among my grandchildren who are living at the time of my death. tt1-'5 Page 1 I- I I "I I I I I I v - I appoint my children, George Myron Stevens and Holly Stevens Handley, Co-executors of this, my Last will and Testament. Neither of my personal representatives shall be required to post bond in this or any jurisdiction. this, the IN WITNESS WHEREOF, I have hereunto set my hand and seal on . '? ~ / ~ day of o/A.f , 1996. ~-;tt.. H.Jli S~SEAL) Jeannette Hull Stevens Signed, sealed, published and declared by JEAHHETTE RULL STEVENS, Testatrix therein named, on this and one (1) other sheet of paper as and for her Last Will and Testament, in our presence, who, in her presence, at her request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. SAIDIS, GUIDO, I SHUFF & G MAS LAND 2109 Market Street Camp Hill, PA /] /J )/ ,U /! C~ . ~~r q. Address b!Q /II P II Address Page 2 SAIDIS, GUIDO, SHUFF & MASLAND 2109 Market Street Camp Hill, PA COMMONWEALTH OF PENNSYLVANIA) SSe COUNTY OF CUMBERLAND) WE, the undersigned, the testatrix and the witnesses, respectively, whose names are signed to the foregoing instru- ment, being first duly sworn, do hereby declare to the under- signed authority that the testatrix signed and executed the instrument as her Last Will and Testament and that she signed willingly (or willingly directed another to sign for her), and that she executed it as her free will and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the testatrix signed the will as witnesses and that to the best of their knowledge the testatrix was at that time eighteen years of age or older, of sound mind, and under no constraint or undue influence. ~1~01t. - .J.J-u ere' 0~.ty(tY tJ Testatrix Subscribed, sworn to and acknowledged testatrix, and subpcribed and swo~ before nesses, this /27!l day of ~ before me by the me by both wit- , 1996. /~iJ.ot:~ ,.Notary Public NOTARIAL SEAL THELMA S. McCAUSLIN, Notary Public Camp Hill, Cumberland County My Commission Expires July 3, 1996 -. ""---.--.....-.............. j j-Dg-CI/q RENUNCIATION ......J ""-,. REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA '~'7""; -0 :..?: ,', ..'.) _'0 "", C) -.j Estate of JEANNETTE HULL STEVENS , Deceased I, GEORGE MYRON STEVENS , in my capacity/relationship as (Print Name) Co-Executor and Son of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to HOLLY STEVENS HANDLEY January 25, 2008 (Date) (Street Address) W ttl!.,l e.. - tV (City, State, Zip) o /{ Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposes stated within on this as#...... day of ~ u~ ' ,;),00 g ~LU~~ Not ublic My ommission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) Form RW-06 rev. 10.13.06 l eO:=;;~;ll!:O~ ~,~NN.VLVANIA ~ Corp~,~:':","__ _____ ri~;1mber, P':;:nn~;~i!':;;:;-:id J;;:.::<;;~: ::'",;-1 (,If ~\~',',i(?~"IQ3 INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYL VANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } SS File Number rJJ ~ Of --OJ IC! Personal Representative(s) of the Estate of JEANNETTE HULL STEVENS deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. I verify that the statements made in this Inven- } tory are true and correct. I understand that false state- ments herein are made subject to the penalties of 18 Pa.C.S. g 4904 relating to unsworn falsification to authorities. Attorney -- (Name) Wayne M. Pecht (Address) Pecht & Associates, PC, 1205 Manor Drive, Mechanicsburg, PA (Telephone) 717-691-9809 (Supreme Court ID. No.) 38904 17055 DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO. January 18,2008 317 Messiah Circle, Mechanicsburg, P A 17055 196-14-1325 FIGURES MUST BE TOTALED Three CD's at Belco 30,132.00 GNMA Bond 25,000.00 Southern Company Stock 40,442.00 -r~ f ''11 ee' I ~.. -', ......... 'V ~-..... -1.... r~ o ~....; (Attach additional sheets as needed) TOTAL: I 95,574.00 NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative include the value of each item, but such figures should not be extended into the total of the Inventory. (See 20 Pa. c.s. f 330J(b)) Form RW-09 rev. 10.13.06