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
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(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
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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)
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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
/."
.
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Estate of
day of
x ~(~~
Signature of P. rsonal Representati
Signature of Personal Representative
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Signature of Personal Representative
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File Number:
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JEANNETTE HULL STEVENS
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, 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:
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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
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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, $6.00
P 14120642
Certification Number
~----------_._..,--_..,_._.__..~..~-,..._~---,_.._---- - --_._-----~_._.....~--
_.._-~.~""_..._-_.._-~._~-~-._---_._---_._-~...._.._--~
REV 1112006
PRINT IN
.1ANENT
CK INK
This is to certify that the information here given is
correctly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
certificate will be forwarded to the State Vital
Records Office for permanent filing.
:::kn..1'l ~44.t.'cr-JjN 7 ZlDD8
Local Registrar Date Issued
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
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1. Name of Decedenl (Firsl, middle, IaSI, suffix)
Jeannette Hull Stevens
5. Age (Lasl Birthday)
88 Vrs
8b. County ot Dealh
Twp.
6. Dale of Birth (Month, day, year)
7. Blrthplaco (C.
- 1325
18. 2008
8a, Place 01 Death (Check on one)
Hospital:
o I"".l~nl 0 ER I O"lpal~n1 OOOA
9, Was Decedent 01 Hispanic Origin?
(If yes, speclfy Cuban,
Mexican, Puerto Rican, etc.)
19. Mother's Name (Firs!. middle, maiden surname)
Margaret Latham
20b. fnfonnanrs Mailing Address (Streel, city flown, slate, zip code)
465 Spruce Road. New Cumberland. PA 17070
21c. Place of Disposllion (Name of csmelery, crematory or other place) 21d. Location (City I town, stale. zip COde)
Sept. 6. 1919
Cumberland
11. DececlenI's Usual lion Kind of WOl1I done duri most 01 world life. Do not state reti
Kind of Work Kind 01 Business flnduslry
Editor PA Medical Societ
- 16. Decedenl's Mailing Address (Street. city Ilown, state. zip code)
317 Messiah Circle
Mechanicsbur . PA 17055
18. Father's Name (First, midc:Ie, last, suffIX)
George Ross Hull
Decedent's
AdualResidence 17a.$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
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Disposhion Permit No.
0093931
SAIDIS, GUIDO,
SHUFF &
MASLAND
2109 Market Street
Camp Hill, PA
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LAST WILL AND TESTAMENT
OF
JEARHETTE BULL STEVENS
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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.
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Page 1
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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
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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
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RENUNCIATION
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REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
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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
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(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