HomeMy WebLinkAbout02-21-08
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF
COUNTY, PENNSYLVANIA
Estate of
1'1 .
lOR I N Nt'.- S
He fh rn I ~I 8/~) (-2.....
File Number
~\
0% 0 I ~7
also known as
, Deceased
Social Security Number
1'('1 - \ ~ -.'~d 5";
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COiHPLETE 'A' or 'B' BELOW:)
I
[!JA, Probate and Grant of Letters Testamentary and aver that Petitioner(s) is I are the :I () (\l ~ f\ ri /1.\ KESS I N 8 ~named in the
last Will of the Decedent dated 11.0 q - I q 6 I and codicil(s) dated
(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 bom or adopted after execution of the instrument(s) offered
fOt" probate, was not the victim of a killing and was never adjudicated an incapacitated person:
o B. Grant of Letters of Administration
(lfapplicable, enter' c.t.a.: db.n.c.t.a., penden/e lite: duran/e absen/ia; durante 1Il111ori/a/e)
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, et.a, or db.Il,c,t.a., enter date of Will ill Section A above and complete list of heirs)
Name
Re\ationship
Residence
(COi'>'IPLETE IN ALL CASES:) Attach additional sheets if necessary.
) ~ I
. , County, Pennsylvania with his / her last principal residence at
r....'
Decedent, then
~ &, years of age, died on d - I Y 'd..ODt3 at
~\o \y C;,p (~ l1
r-I rhp Ii aJ
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(If not domiciled in PAl Personal property in Pennsylvania
(If not domiciled in P A) Personal property in County
Value of real estate in Pennsylvania
.;) 000
I
$
$
$
$
~0 OOD
situated as follows:
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codietl(s) presented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
~~\v<e
1-70 l/
r---,
ON s1-oU) I r/i
rinted name and residence
i
\...-
Forl/lRfI/-(}J rev. 10.1306
Page 1 of2
Oath of Personal Representative
COi\IMONWEAL TH OF PENNSYL VANIA
SS
COUNTY OF
Tbe Petitioner(s) above-named swear(s) or affim1(s) that the statements in the foregoing Petition are tlUe and conect 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 tnIly
administer the estate according to law.
/\.
"
Sworn to or affirmed and subscribed
9--- .'--.
\J
Signature of Personal Representalive
-". ~j
Signature of Personal Representative
df OF or87
S 1-1 e n0Yl. ( J11J'e I
Social Security Number: I 77 /;;) ;);287 Date of Death:
AND NOW, 1t'lrua ~I dJ ,;l'Of), in c~nsideration ~fthe f.oregoing Petition. satisfactory proof
having been presented before me, IT IS DECREED that Letters -rt'...J tCi/Ye.rJftJ,jl(
are hereby granted to ..j(-<J7C Hnn f-{7JSIr\ Ck. ,-
u
Estate of
File Number:
~Oy I (l VIe
, Deceased
f"",~
in the above estate
and that the instrument(s) dated
described in the petition be admitted to probate and filed ofrecor~ l~ the last Will (an
FEES ~~ .
fa:) B S-
Letters ........, O.o.U. $
l/l olV
Short Certificate(s) . .c.Y.. . .. $
Renunciation(s) .......... $
Ii))// ...$
Jf $
A.A fc $
$
$
$
$
$
$
TOTAL .............. $ /6/
Attomey Signature:
IS
/$
S-
Attorney Name:
Supreme Court LD. No.:
Address:
Telephone:
Form RW-1J2 rev 10.IJ06
Page 2 0[2
HI(I,;,-!l" Rl'\' ill I /{)~I
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fcc for this certificate. S6.00
P 14122198
~~
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This is to certify that the infonnatlol1 here given is
correctly copied flOm all original Certiticate of Death
duly filed with me as Local Reglstrar. The original
certificate will be forwarded to the State Vital
Records Office fur permanent filing.
Certification Number
~ /J; ~ . FJB 1 ~ 2008
Local Registrar ~ Date Issued
86
y~
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse)
REV 11/2006
PAINT IN
MNENT
CK INK
1. Name or Decedent (First, middle, last. suffix)
Corinne
5. Age (Last Birthday)
6. Date of Birth (Month, day, year)
Bb. County ot Death
Cumberland
10. Race: American Indian, Black, White. ate
(Specify)
Whi te
11. Decedent's Usual Occu tion (Kind of work done durin most of workin me. 00 not slate retired
Kind of Work Kind 01 Business I Industry
Clerical Insurance Co.
14. Marital Status: Married, Never Married,
Widowed, Divorced (SpecifY!
Widowed
. 16, Decedent's Mailing Address (Street, city I town, state, zip code)
100 South 15th St.
Camp Hill, PA 17011
Decedent's
Actual Residence 17a, State
17b, County
PA
Cumberland
Hc.D Yes, Decedenl Lived in
17d, ~ No. Decedent U,ed wtthin Camp Hi 11
Actual Lim~s of
Twp
18. Father's Name (First, middle, last, suffix)
Elwood Schrader
City/Boro
19. Mother's Name (First, middle, maiden sumame)
Helen Darstein
20a. Intormant's Name (Type ! Print)
Jane Kessinger
2Gb. Informant's Mailing Address (street, city I town, state, zip code)
215 West Courtland Ave., Shiremanstown, PA 17011
21c. Place of Disposition (Name of cemetery, crematory Of other place)
21d. Location (City/town, state, zip code)
Rolling Green Memorial Park
Myers-Harner Funeral Home
t. .
Camp Hill, PA
23c. Date Signed (Month. day. year)
2-00 t
26. Was Case Referred to Medical Examiner I Coroner for a Reason Other than Cremation or Donation?
Dyes KlNo
Sequentially list conditions, ilany,
~~l~~to ~~O~~~~II~~~~~ a
(disease or i~jury that initialed the
events resulting In death) LAST.
"
Approximate interval: Part II: Enter other sianificant conditions contributina to death, 2B. Did Tobacco Use Contribute 10 Death?
Onset to Death ootl1Ot resulting in the uncler1ying cause given in Part I 0 Yes 0 Probably
o No 0 Unknown
29.lfFemale
o Not pregnant within past year
o Pregnant at time of death
o Not pregnant bulpregnanl within 42 days
of death
o Not pregnant. but pregnant 43 days to t year
before death
o Unknown if pregnant within the past year
32c. PI~ce of Ini~ry: Home. Farm, Street, Factory,
Office BUilding, etc (Specify)
:n~~~A;e~attn~~~ ~~~\ dise~
a.
.J..,: c..
, '?
32d. Time of Injury
JOa. Was an Autopsy JOb. Were Autopsy Findings
Performed? Available Prior to Completion
of Cause 01 Death?
Dyes Q:N<>
Dyes DNO
31. Manner 01 Death
~atural 0 Homicide
o Accident 0 Pending Investigation
o Suicide 0 Goold Not be Determined
M.
321. If Transportation Injury (Specify)
o Driver! Operator 0 Passenger DPedestrian
DOther - Specify:
33b. Signature and Title of Certifier
32g. Location of Injury (Streel,city I town, state)
33a. Certifier (check on'Yone)
;~~~~r~i~~i~~:::n~:fy:~~~~ ~~~~I~h:~nU:~~~rn~:~~~r~: ~:.n~_ed_ d~~ _a:d ~..m~~~ ~e~ :~ .. .. _ .. .. .. .. .. .. .. .. .. .. .. .. .. _ 0 ...
:~~~~bne~~~fa~ ~~::~hJ:~~~a~~;~~i: ~h~~I=:~~~nagn~e::~~~~~~rt~~~1ot~hC:~:~~(~~~~ manner as stated.- _ _ _ _ _ _.. _ _ _ _ _ _ _ .. _ ~
~~~~a~;:~m~~:~~~~~:t:~ and! or investigation, in my opinion, death occurred at the time, date, and place, and due to the cause(s) and manner as stated_ 0
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3/?....:>;I
35. Registrar's Signatur
~
, J.-,I
I~! ,II
34. N~me and Address of PerSOf) Who Completed Cause ~f D~th (Item ~:) Type I Print
$/ dt'~~ ~/C,4PEP)J.g:;.>
~bS-~- ('0/' S-r L;PA?1o. /1 .
Dispositioo Permit No
0093962
LAST WILL AND TESTAMENT
OF
CORINNE S. HEMMINGER
I, CORINNE S. HEMMINGER, Borough of Camp Hill, County
of Cumberland, and Commonwealth of Pennsylvania, being of
sound and disposing mind, do hereby make and declare this to
be my Last Will and Testament, and I do hereby revoke and
make null and void all prior Wills and Codicils made by me
at any time heretofore.
ITEM I. I direct that all my legally valid
debts, funeral and administration expenses, including a
suitable and proper grave marker, and inheritance and estate
taxes incurred on account of my death shall be paid by my
personal representative out of my residuary estate as soon
after my death as practicable.
ITEM II. I give, devise and bequeath all of the
residue of my estate of whatsoever nature and wheresover
situate to my husband, KENNETH F. HEMMINGER, if he survives
me by thirty (30) days. Should my husband, KENNETH F.
HEMMINGER, not be living on the thirty-first day after my
death, I give, devise and bequeath all of my estate of
whatsoever nature and wheresoever situate to my step-
daughter, JANE ANN KESSINGER.
ITEM III. Should my husband, KENNETH F. HEMMINGER,
and my step-daughter, JANE ANN KESSINGER, fail to survive
me, I give, devise and bequeath all of the residue of my
estate of whatsoever nature and wheresoever situate to the
children of my step-daughter, JANE ANN KESSINGER, which
survive me.
ITEM IV. Should my husband, my step-daughter and
any children of my step-daughter all fail to survive me,
then I give, devise and bequeath all the residue of my
estate of whatsoever nature and wheresoever situate one-half
(1/2) unto my heirs-at-law as then determined under the
intestate laws then in effect of the Commonwealth of Penn-
sylvania, and the other one-half (1/2) thereof unto the
heirs-at-law of my husband, KENNETH F. HEMMINGER, as then
determined under the intestate laws then in effect of the
Commonwealth of Pennsylvania.
ITEM V. I appoint my husband, KENNETH F. HEM-
MINGER, as Executor of this my Last Will and Testament. In
the event of the refusal or inability of said KENNETH F.
HEMMINGER to serve or continue to serve as my Executor, I
nominate and appoint my step-daughter, JANE ANN KESSINGER,
as my Successor Executrix.
ITEM VI. I direct that my Executor and Successor
Executrix shall not be required to give bond or post any
other security for the faithful performance of their duties
in any jurisdiction.
ITEM VII. My Executor and Successor Executrix
shall have the following powers in addition to those in-
vested in them by law and by other provisions of my Will
applicable to all property, whether principal or income,
-2-
exercisable without Court approval, and effective until
actual distribution of all property:
(a) To retain any or all of the assets of my
estate, real or personal, in their sole discretion.
(b) To sell at public or private sale, to ex-
change or 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 as they deem proper.
(c) To make distribution in cash or in kind. or
partly in cash and partly in kind. and in such manner
as they may determine, and at valuations finally to be
fixed by them.
IN WITNESS WHEREOF, I have hereunto set my hand and
seal to this my Last Will and Testament, consisting of three
(3) typewritten pages, this
day of /
-; ~
1981.
~<?~ ..-0SEAL)
CORINNE . E R
We, the undersigned, hereby certify that the foregoing
Will was signed, sealed, published and declared by the
above-named Testatrix, CORINNE S. HEMMINGER, as and for her
Last Will and Testament, in the presence of us, who at her
request and in her presence and in the presence of each
other, have hereunto set our hands and seals the day and
year above written, and we certify that at the time of the
execution hereof, the said Testatrix was of sound and dispos-
ing mind and memory.
/"1.. . j ^.' C . . . .
\ {.. q,. c/ / \ {. (,;' ~/.-. h.
residing at
. ! "
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t.
.~ ':";c' ,'~
. .
, .
9~t- R dA
residing at IL._/{.(~.. .0
.,~ . . .~( I'~
-3-
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF DAUPHIN
ss. :
We, the Testatrix, CORINNE S. HEMMINGER, and
'I I ' " / I j " ' , ' and ';'/," 1," / ',. " ' ' ,
(~\<i_; I _ '. i"
witnesses, respectively, whose names ate signed to the
foregoing instrument, being first duly sworn, do hereby
declare to the undersigned authority that the Testatrix
signed and executed the instrument as her Last Will and that
she had signed willingly, and that she executed it as her
free 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 witness and that to the
best of his/her knowledge the Testatrix was at the time
eighteen years of age or older, of sound mind and under no
constraint or undue influence.
the
e~;r)~
Testatrix
//
'f / ~. \' ,.
. {~ ,
Witness
~-vd R-~~
W nes,
Subscribed, sworn to and acknowledged before me by the
Testatrix, CORINNE S. HEMMINGER, and suhscribed and sworn to
before me by
/ -~ '\ ; -,. ,
/ ;
and
",.,-~.
~--:.-:
<.,(,.
witnesses, this
day of
I 1981.
~:>,
Notary
(SEAL)
MY COMMISSION EXPIRES: