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Home My WebLink About05-13-08 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA Estate of Vera Hoffinan also known as File Number :1/-0P-05:27 , Deceased Social Security Number 039-14-2758 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) o A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the last Will of the Decedent dated 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 ofthe instrument(s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: I{] B. Grant of Letters of Administration (If applicable, enter: c.t.a.; db.n.c.t.a.; pendente lite; durante absentia; durante minori/ate) 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 afheirs.) I Name Relationshin Residence I Gregory Michael Hoffinan Son 2802 Chestnut St., Camp Hill, PA 17011 Russell E. Hoffinan Son 29 S. 29th St., Camp Hill, PA 17011 (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. Decedent was domiciled at death in Cumberland 29 S. 29th St.. Camp HilJ (Camp Hill Borough), PA 17011 (List street address, town/city, township, county, state, zip code) County, Pennsylvania with his / her last principal residence at Decedent, then 78 years of age, died on April 22, 2008 at Camp HilJ (Camp Hill Borou!1;h), Cumberland County, PA Decedent at death owned property with estimated values as follows: (If domiciled in P A) All personal property (If not domiciled in P A) Personal property in Pennsylvania (lfnot domiciled in PA) Personal property in County Value of real estate in Pennsylvania 1,850.00 $ $ $ $ 235,000.00 situated as follows: 29 S. 29th St., Camp Hill (Camp Hill Borough), PA 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: T or rinted name and residence egory Michael Hoffinan, 2802 Chestnut St., Camp Hill, P A 170 II Russell E. Hoffinan, 29 S. 29th St., Camp Hill, PA 17011 Form RW-02 rev. 10.13.06 RECORDED OFFICE OF REGISTER OF WILLS. \. 2008MAY13 ~ CLERK OF /1 ORPfL\NS' COURT CU?lffiERL\ND CO., p"~ Oath of Personal Representative SS COUNTY OF 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) ofthe Decedent, Petitioner(s) will well and truly administer the estate according to law. before me the Sworn to or affirmed and subscribed lo11t Signature of Personal Representative File Number: 2/- Oft' 05~7 Estate of Vera Hoffman , Deceased Social Security Number: 039-14-2758 Date of Death: 4/22/2008 AND NOW, &fXJf , in consideration ofthe foregoing Petition, satisfactory proof having been presented before me, IS DECREE that Letters of Administration are hereby granted to Gregory Michael Hoffman and Russell E. Hoffman in the above estate and that the instrument( s) dated described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES Letters ............... $3JO.OO Short Certificate(s) . . . . . . .. $ :J<t, Ci) Renunciation(s) .......... $ ~ ... $ ID.on MoJYla~ ... $ 6,{)[) ... $ ... $ ... $ .. . $ ... $ ... $ ... $ TOT AL .............. $ :!;LJ9 It.OU" Attorney Signature: Attorney Name: \ W. Scott Staruch, Esq. Supreme Court J.D. No.: 23887 Address: Laws, Staruch & Pisarcik 20 Erford Rd., Ste 305 Lemoyne, PA 17043 Telephone: (717) 975-0600 Form RW-02 rev. 10.13.06 OFFICE OF RECORDEDR OF WILLS . REGISTE . ' 2008 MAY 13 n~ CLERK OF H..~NS' COURT ORP . ND CO., P.-\ CU1-.IDERLA. 1'!"i.S05 Rf:\ ;;1{- Of" 05:17 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Certification Number 11",11111"/"",........, \\lllfil~~\.1\\ OF Pfi:----_. ,\\~~J);",- /$!~. ...... ~\ ~~! 0 _ \~~ ~ ~\ - ~~~::. i~~ ':t _ . '-IJ. ... ~ l*~ ..~..,/ *~ ,,-.::2>.. .~~ .. ~" :.. /~ "' ""- ~-?~/~~.,\,I -----.., 'lMENl \)\ ~ JJ'" "''''''''#//1 JlI11"'" 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. F~e for this certificate. $6.00 P 14329827 ~~,~.AP~)!,,3I~~ RECORDED OFFICE OF REGISTER OF WILL~ 2008 MAY 13 /f CLERK OF ORPHANS' COURT CUMBERLAND CO., PA I REV 1112006 I PRINT IN MANENT \CK INK COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples on reverse) STATE FilE NUMBER y,.. 8/9/1929 039 -14 -2758 4. Date 01 Death (Month. day, year) 4/22/08 1. Name of Decedent (Rrst, middle, last, suffix) 5. Age (Lasl Birthday) Vera Hoffman 6. Date of Birth (Month, day, year) 78 Providence, ea. Place of Death (Check only one) Hospital: Other o Inpatient 0 ER I Outpatient 0 DCA 0 Nursing Home ~esidence DOther - Specify: 9. Was Deced&n! of Hispanic Origln? IX) No 0 Yes 10. Race: American tndian. Black. WI1ite, etc. III yes, spedfy Cuban, ISpedfY! Mexican, Puerto Rican, etc.) Whi te 14. Marital Status: Married. Never Married. 15. Surviving Spouse (If wife, give maiden name) Widowed, Divorced (SpecifY! Divorced Sb. Counly 01 Death Sd. Facflity Name (If not insttMion, give str&et and number) Cumberland 29 S., 11. Oecedent'sUsual lion indofworkdone most of RIa.Donolstaleretired Kind of Work Kind of Business f Industry Retail Sales Several .. 16. Decedent's Mailing Address (Street, city I town, state, zip code) Decedent's Actual Residence 17B. Stale 29 S. 29th St. 17b. County 17c. 0 Yes, 0ece0en1 lived in 17dKl ~or=lrwl~in Camp Hi 11 Twp. City I 80m 2Oa. Informant's Name (Type I Print) 19. Mother's Name (RtsI, middle, maiden surname) Harry Nerses Ard mis K n 2Ob. lnlormanrs Mailing Address (Street, city I town, stale, zip code) Russell E. Hoffman 29 S., 29th st., Camp Hill, pa 21b. Date of Dtspositioo (MooJh, day, year) 21c. Place of Disposition (Name 01 cemetery, crematory or other place) 21d. Location (City ftown, state, zip code) . ~ Evans Cremation Service Leola 22c. Name and Address of Facility Sulli van Funeral Home E 1 pa I ~ /j 0(, / 1/ I 36~/.}2;t!:.1~ ",nos",n Pemm No () /1 S- CJ b ~ Referred 10 Medical Examiner I COIOIler 'Of a AeasOf'l Other than Cremation or Donation? DNo Items 24-26 must be completed by person . who pronounces death. 25. Data Prttlounced Dead (Month, day, yea~ 1 :00 'P,M 4/22/08 CAUSE OF DEATH (See Instructions and examples) Item 27. Part I: Enter the ~ - diseasas, injuries, or complications -that directly caused the death. 00 NOT enter tennina1 events such as cardiac arresl, respiralory arrest, or venlricular fibrlllaUon witt10ul showing the etiology. Ust only one cause on eaCh Une. (~V" p b",.. \1" I 0a \r 11-0 i 'AI'~ Due to "tor as a consequence of): 24. Time of Death Due 10 (or as a consequence of): I Approximate interval: : Onset to Dealh , , , , , , , , , , , , , , , 28. Did Tobacco Use Contribute 10 Death? DYes DProbably o No 0 Unknown 29. If Female: o Not pregnant within past year o Pregnanl at time 01 death o Not pregnant but ptegnant within 42 days of death o Not pregnant. but pregnant 43 days to 1 year Oeforedeall1 o Unknown if pregnant within the past year 32c. Place of Injufy: Home, Farm, Street, FacfOty, OffICe Bullding, etc. (Specify) =f:~~S:~~ldise~ =:tlisda~:'~a. En:C UNDERLYING CAUSE (cJsease or injlny ht .initiated the events reSUllil'l9ln death) LAST. b. Due to (or as a COflsequence 00: d. DYes DNo 31. Man Death alural 0 Homiclde o _I 0 Pending tn_gation o Suicide 0 Coo~ No1 be Del.""ned 32d. Time of Injury 329. location of Injury (Street, city ftown, state) 3Oa, Was an Autopsy Perlormed? DYesyt 3Ob. Were Autopsy Rndings AvaDabIe PrioI" to CompIelion of Cause of Death? M. 330. Certifier (d\eck only onel Certlfytng physician (PhySician certifying cause of death when another physician has pronounced death and G'On1pIet6d Item 23) Tothl best of my knoWledge, death occurred due to thecause(s)lnd mennet' as statecL.. _ - -........... - -.......... -... - -.................... - - -..... -.. ~O;:=fa:~ =:=ocC:S~~ =ij~::=: '::':ro~:::(~.~ manner IS stated........ .. ......... _... _.. _...... ...... ..... 0 ~tc.:~sm~n:~= .nd f or investigation, in my or;Mnion, death occurred at the time, date, and place, and due to the cause(s).nd manner as slated.. 0