HomeMy WebLinkAbout04-09-08
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYL VANIA
JI 08- oyd
Estate of CLARENCE E. GOODHART
also known as
File Number
, Deceased
Social Security Number 174-05-0342
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
IZI A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the CO-EXECUTORS
last Will of the Decedent dated AUGUST 13,2003 and codicil(s) dated
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.) (") to..v
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Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his / her last principal residencfat :. r
FOREST P ARK HEALTH CENTER. WALNUT BOTTOM ROAD. CARLISLE. CUMBERLAND COUNTY. PENNSYL V A~ 17013
(Li5t street address, town/city, township, county, state, zip code)
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Decedent, then 99 years of age, died on MARCH 1, 2008 at FOREST PARK HEALTH CENTER, WALNUT
BOTTOM ROAD, CARLISLE. CUMBERLAND COUNTY, PENNSYLVANIA
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 P A) Personal property in County
Value of real estate in Pennsylvania
4,500.00
$
$
$
$
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:
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LEE P. GOODHART, 966A ALEXANDER SPRING ROAD, CARLISLE, PA 17013
CHARLES D. GOODHART, 208 TODD CIRCLE, CARLISLE, PA 17013
Form RW-02 rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH 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 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
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Signature of Personal Representative
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Signature of Person~l Representative
before me the
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Signature of Personal Representative
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File Number:
"1) 0"6 tf1.: vt
Estate of CLARENCE E. GOODHART
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Social Securi>lNu~ber:7774-05-0342 Date of Death: 03/01/2008
AND NOW, (~9 , 2()2f{', in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters TESTAMENTARY
are hereby granted to LEE P. GOODHART AND CHARLES D. GOODHART
and that the instrument(s) dated AUGUST 13,2003
described im the Petition be admitted to probate and filed of record
FEES
in the above estate
Letters
$
30.00
4.00
Attorney Signature:
r1 '3 ~'
~OGE~ ESQUIRE
Short Certificate(s) . . . . . . . . $
Renunciation(s) .......... $
JCP ... $
AUTOMATION FEE . " $
WILL . . . $
... $
.. . $
...$
...$
...$
...$
TOT AL .,. . . . . . . . . . . . $
Attorney Name:
10.00
5.00
15.00
Supreme Court LD. No.: 6282
Address:
60 WEST POMFRET STREET
CARLISLE, PA 17013
Telephone:
(717) 249-2353
64.00
Form RW-02 rev. 10.13.06
Page 2 of2
HI05.805 REV (0110]1
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Certification Number
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.
Fee for this certificate, $6.00
P 14126171
~. ~eu..~-t"~Ari 4/2008
Local Registrar Date Issued
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Hl05-143 REV l1flOO6
TYPE' PRINT IN
PERMANENT
BLACK INK
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
STATE FILE NUMBER
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most of life. Do no! slate
""'01 BusIness ,_
Millworker Lumber Co.
. 16. Deoed&rlt'sMaiIingAddress (~city/lown. stale,ziI;!code)
Forest Park Health Center.
Walnut Bottom Rd. CArlisle,Pa
12. Was Dececlent ever In the
U.S. Armed Forces?
DYes (XNo
Decedenf,
Ac:tueIResidence l1a.SI:ale
13. OececIent's Education (Specify only hqlesI grade completed)
Elementary I Secondary (0-12) College (1-4 Of 5+)
12 yrs.
4. Dale of Death (Month, day, year)
March 1 2008
5.....(....1_'1
E. Goodhart
6. Date of Birth Month, , ar)
7._IC'
99 Y~.
Bb. Counly of Dealh
May 1, 1908
Kerrsville, Pa.
oOlhe<.SpoQty,
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&:I. Facility Name (If not institution, give street and number)
Forest Park Health Center
14, Marital StaIUs; Manied, Never Married,
W_._I_
Widowed
17b. County
Prt
Cumberland
Did Decedent
Uve~.
Township?
17c.D Yes, Decedent lived in
17d.Xl No._Uvedwithin
ActuallJmll&oI
rep.
Carlisle
CIty 1 Bora
18. Falher'li Name (First, middle, last, sulftx)
Th
208. Infofmanfs Name (Type f Print)
Charles D.
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19. Mother's Name (Firsl, mldde, maiden surname)
t Alic ffer
2Ob. Informant's Mailing AO:Iress (Street, city ftown, slata, ~ code)
208 Todd Circle Carlisle 17013
21c. Place of Disposition (Name of cemetery, Cf8IT\lItpry or other placal 21d.localion (Cily I !own, stata, z;, code)
2008 Hollinger FH/Crematory Inc Mt.Holly Spgs.PaJ7065
22c.NameandA......of'aciIty N. Ba timore Ave.
Hollinger FH/Crematory Inc. Mt.Holl S rin sPa. 17065
23b. Ucense Number 23c. Date S9l8d (Month, day, year)
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26. Was Case Referred to MedIcal Examiner I Coroner lor a Reason Other Ihan Cremation or Donation?
DYes oNo
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3Oa.W..m_ 3l>>.__F1ncIngo
Performed? AvallablaPnorIO~
of Cause or Death?
oy" ~ DYes ~
31. Manner of Death
[;J.IclW.aJ D-
O- 0_"_
0- oCouldNolbaOote_
I Approximata interval:
: Onset to Death
,
,
,
,
,
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,
PartU: EnterothersioniflcBntcordtionsc.onlribulinotodMth 28. OidTobacco~QslPtrWeIoOealh?
butnot""""",~u.a_.........~PartL 0 Yes ~
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29.IfFernale:
o NoI__paslyaar
o Pregnar< aI time 01_
o NoI_l.but__42"",
of death
o NoIpIOgOOI1I.butpregnanl43daysIo1yaa'
-. des"
o_,__u.apaslyaar
32<:. Place 0I1rOayo Hama, 'ann. Slreat, '''''''Y,
OOcaBullclng, all:. (_I
=:~~~=)dsea~
~f"'_.'any,
IelclnQIoU'18C8Ull&l5ledonlinelt
Enlerh UNDERLYING CAUSE
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b.
Due to (or as a consequence of):
32d. TIIl'le of Injury
32g.loca1IonoflnjulylSbael,otyl_"'1a1
M.
33a CertlIIar (check only one)
C..ofylng phyolclan 1_ '""'''''''.....01 dea~ _ anothe<_ has _ dea~ and compIatad 110m 231
10 thtbHt 01 my 1crIoWftdge, dHth 0CCUlNd due to thtCBUH(., and mlnl'l8l' as stated.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
~=~:=~~:~~:~and~~=ol~ca:~~a: mannera. stated.._ __ __ _____ __ ____ _ 0
= ~~m~c: and J Of InYestlgatlon, In my opinion, death occurred at the flme. date, and place, and due to the cause(s) and manner as stated. D
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LAST WILL AND TESTAMENT
I, CLARENCE E. GOODHART, of the Borough of Carlisle, Cumberland County,
Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly
revoking all Wills and Codicils heretofore made by me.
I. I direct my Executors to pay all of my debts, funeral and administrative expenses as
soon as may be done conveniently after my decease.
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2. I authorize and empower my Executors to sell any realty owned by me a!~~~ath~
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and not specifically devised herein, at either public or private sale, and to giv~5~oa an~
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sufficient deeds therefor, in fee simple, as I could do if living.
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3. I give, devise and bequeath all of my estate of every nature and wherever situate as
follows:
(a) One-half (l/2) to LEE P. GOODHART and HELEN J. GOODHART,
his wife, share and share alike, or the survivor; and
(b) One-half (l/2) to CHARLES D. GOODHART and BETTY JANE
GOODHART, his wife, share and share alike, or the survivor.
4. I nominate and appoint LEE P. GOODHART and CHARLES D. GOODHART to be
the Executors of this my Last Will and Testament; they are to serve as such without bond.
5. I hereby suggest that my personal representatives retain the servIces of Irwin,
McKnight & Hughes as attorneys in the settlement of my estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this I r day of
August, 2003.
~L~
CLARENCEE.GOODHART
(SEAL)
Signed, sealed, published and declared by CLARENCE E. GOODHART, the above-
named Testator, as and for his Last Will and Testament, in the presence of us, who, at his
request, in his presence and in the presence of each other have subscribed our names as witnesses
hereto.
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ACKNOWLEDGMENT AND AFFIDA VIT
WE, CLARENCE E. GOODHART, KAMELA S. CORNMAN and SHARON L.
SCHWALM, the Testator and witnesses respectively, whose names are signed to the foregoing
instrument, being first duly sworn, do hereby declare to the undersigned authority that the
Testator signed and executed the instrument as his Last Will and Testament, that he had signed
willingly, that he executed it as his free and voluntary act for the purpose herein expressed, and
that each of the witnesses, in the presence and hearing of the Testator, signed the Will as a
witness and that to the best of their knowledge the Testator was, at that time, eighteen years of
age or older, of sound mind and under no constraint or undue influence.
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, SHARON L. SCHWALM
COMMONWEAL TH OF PENNSYLVANIA
SS:
COUNTY OF CUMBERLAND
Subscribed, sworn to and acknowledged before me by CLARENCE E. GOODHART,
the Testator herein, and subscribed and sworn to before me by KAMELA S. CORNMAN and
SHARON L. SCHWALM, witnesses, this n" day of August, 2003.
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· (ta Public
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Notarial Seal
Roger B. Irwin. Notary Public
Carlisle Boro. Cumberland County
My Commission Expires Oct. 3. 2004
Member, PennaylYanleA~orNorarl9$