HomeMy WebLinkAbout05-29-08PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Marian R. Hockenberry File Number 21-- n~ . ~S ~~-
also known as
,Deceased Social Security Number 182-30-0814
Fred L. Hockenberry
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE A' or 'B' BELOW.)
~X A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) islare the Executor named in the
last Will of the Decedent, dated 04/23/2007 and codicil(s) dated
State relevant circumstances, e.g., n:nunciation, death o/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:
B. Grant of Letters of Administration
app Ica e, en er c..a.; ..n.c..a.; pe en e i e; uran e a sen ia; uran a moron a e
Petitioner(s~ after a proper search haslhave 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.)
Name Relationship Residence
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(COMPLETE IN ALL CASES:) Attach additional sheets if necessary. ' -
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal resider at ==_
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198 Chamberlin Road, Shippensburg, Hopewell Township, Cumberland County, PA 17257 c:a
(List street address, town/city, township, county, state, zip code)
Decedent, then 70 years of age, died on
04/22/2008
at Chambersburg Hospital, Chambersburg, PA
Decedent at death owned property with estimated values as follows:
(If domiciled in PA)
(If not domiciled in PA)
(If not domiciled in PA)
Value of real estate in Pennsylvania
situated as follows:
All personal property $ 32,128.00
Personal property in Pennsylvania $
Personal property in County $
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:
~ Signature Typed or printed name and residence
__-
Fred L. Hockenberry 198 Chamberlin Road
"~~ Shippensburg, PA 17257
Form
rrev. ro-ro-zuvo
Copyright (c) 2006 form software only The Lackner Group, Inc.
Page 1 of 2
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 of Petitioner(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
O~-+~'~l
befcre me this ~_ day of
_ ''Yl C:~,L ~ 2~
~~~ ~~ ~'~
For the Register
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File Number: 21-- (J~. ~~`~
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Estate of Marian R. Hockenberry , Decea~c~
A/K/A ~:~
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Social Security Number: 182-30-0814 Date of Death: 04/22/2008 ~ _ ~~
AND NOW, , in consideration of the foregoing PetRtorjsatisfactory proof
a:~~ .~¢ -
having been presented before me, IT IS DECREED that Letters Testamentary --~
are hereby granted to
Fred L. Hockenberry >' - ~'
in tl~above estate
and that the instrument(s) dated 04/23/2007
described in the Petition be admitted to probate and filled of record as the last Will (and Codicil(s)) of Decedent.
FEES
Letters ................3Z \~•~ $
Short Certificate(s) .............~........ $
Renunciation(s) ............................. $
V.l,~~~ $
J C~' $
~~ $
X10. c~0
~-
I~j.C70
i0.o~
5 0~
$
$
$
$
$
$
TOTAL .................................... $ `~Z ~~
Attorney Signature:
Attorney Name:
Supreme Court I.D. No.
Signature of Personal Representative
Signature of Personal Representative
Fred L. H,,e~"cenberry
~~
A. Weigle Esquire
01624
Weigle & Associates, P.C.
Address: 126 East King Street
Shippensburg, PA 17257
Telephone: 7171532-7388
Form RW-O2 Rev. f0-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2
OCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
fee fur this certificate. $6.UO
P 1.~'~235~'~~
Certification Number
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- This is to certify that the information here given is
correctly copied from an original Certificate of Death
duly tiled with me as Local Registrar. The original
certificate will be forwarded to the State Vital
Recor ~ •fice t~Tr pert ~ ant filing.
o ~ ~ s'
Loca egistrar Date Issued
H10S143 REK11l2006 N '~f "~-- - COMMONWEALTH OF PENNSYLVANIA• DEPARTMENT OF HEALTH • VITAL RECORDS
TYPE/PR Nr,fN 'b .• - ' -- CERTIFICATE OF DEATH
PERMANENT ~1 ^ (~
BLACK INK ~ ~ I (See instructions and examples on reverse) STA7F FII F NI IMRFR / ~ ° L 1 ~ • ~~lS
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1. Name of OdpeeM (FireQ®tfle, last, suAiz) ~ ~, 2. Sex 3. Social SomrNy Number 4. Dale of Death (Month, day, year)
Marian ~, Hockenberry Female 182 -30 - 0814 April 22, 2008
5. Age (Last BinMey) Under t year UMer 1 tley 6. Date of Binh (Month, day, year) 7. Birthplace (CNy entl stale a lo regn moot ~ 8a. Place of Death (Check only one)
MonNS Days Haxs IIMa HosDNal: goer:
70 yrs 11-19-37 L3TICZISV]11e, PA ^Inpatienl ®ER/ONpadem ^DOA ^Numing HOme ^Resgenp ^gher~Specity:
• Bb. County d Death &. Coy, Boro, Twp. of Death Bd. Fadgty Name (II rot institution, give street end number) 9. Was Decetlem of Hispank Origin? ®No ^Yes 10. Race. AAerican koien, Blade, While, etc.
(N yes, apedry Cuban, (Speayy
Franklin Chambersburg Chambersburg Hospital Mexipn,PuenoRipn,etc.) White
11. Dacstlenl's Usual Oct tbn Kintl of work done tlu' most of world life. Do rat slate retired 12. Was Decedem aver N the 13. Decedent's Education (Sprdty Doty highest grade completed) 74. Merril $talUS: Merne4 Never Merrieq 15. Surviving Spouse (U wile, give maiden name)
Kkd of Work Kintl of Business llrtdrstry U.S. Armed Forms? Elementary / secantlary (042) College (t-4 a 5~) Widowed, Divorced (Speri!)'j
Avon RepresaLtative CI>smetic ~S' ^rea ~No 12 ears married Fred L. Hockenberry
- 16. Decedents Magiltg Atltlress (S1reeL city /town, slate, zip mtle)
198 Chamberlin Road Decedent's Did Deptlent
Aduel Residence 17e, slate PA ova in a t7c. ®res, Decetlem Lived in Hopewell Twp. T
wD
Shippensburg
PA 17257 Township?
17D. County Cumberland 17d.^No, Decetlenl Lined within
, Actual Limos of cay/Boro
76. Father's Name (First, middle, lest, suNix) 19. Maner's Name (First, mrode, maiden surname)
Lloyd Musser Edith Ginder
ZOa. Imormenl's Name (Type /Prim) 20b. Imamenl's Meikn Address Street,
g ( idy /town, slate, zip coda)
Fred L. Hockenberry 198 Chamberlin Road, Shippensburg, PA 17257
21 a. Methotl of Disposnkn ^ Cremation ^ Dorlelim 216. Dale of DisposNbn (Monty, day, year) 21c. Pkp of Dispos4im (Name of cemetery, cremelay a other pace) 210. Lmelion (City 1 town, slate, zp code)
® Bartel ^ RemovallromSlate ' w.xCrem.tron«Donnionamnodz.d ^~
^ gher - Speciy: ~ by Medlpl Fssmlror / Comner7 ^Yes 4-26-08 Mt. Pleasant Cemetery Chambersburg, PA 1720Y
~ 22a. Sgplure of F era! Servke Licensee rson ' g es such) 22b. License Number 22c. Name entl Atltlress of Fadlity
- - ryq - S• FD-012984-L Fogelsanger-Bricker Funeral Home Inc., Shippensburg, PA 17257
Canplne Items 23ac mty when rsdtlyi~ 23a. To die best of my knowledge, tleaM omurtetl al the time, tlak aM place slatetl. (Sippture entl tck) 23b. License Number 23c. Dale Signed (Mmth, tlay, year)
prysitlen is nd available al time d death to
ceniry pose of death.
' hems 24-26 must ba cmlpleletl by person
- 2/. Time of Death ~/+~
~ • ~~ 26. Date Prorwunratl ad (Mom7h, day, yCg~y)
~~ 26. Wes Case Relertetl t edpl Examiner /Coroner for a Reason gher than Cremation or Donelien?
wTO prorrounces death 1 M. zL ' Q O
^Yes o
CAUSE OF DEATH (See Instructions end examples) r Approxknale imervel: Pan II: Enter other sknNipm cmtlakre comnhtgno to,~ath, 26. Did Tobacco Use Conlnbde to Death?
Item 27. Pen I: Enter Hte chain of events - tliseases, injudes, or congNCatkre - U1a1 direcNy pusetl Ina tlealh. DO NOT solar lemdpl evems such u prdiec arreal,
Onset to Death
but nd resuring n the untlenying pose gNen in Pan I.
^Yes ^ Probabty
respiratory artest, or vemriculer bbnaalim wilhoel showing the etbrogy. List Doty ore pose on each Noe.
non
IMMEDLITE CAUSE IFnal tlisease o []'Fo ^ Unkmvm
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Contllion restyling in death) 29. N Female:
y
f~'w
_' a
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r e
Due fo (o
s a co
nsequence oQ: ~ ~ [[]
Nm prappN within pall year
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yy
b, - -" Cab ~..•s~lTN_~~ - r
ISead~rgnto Cheep tad oneire a ^ Pregpnt al time d death
.
Emer fhe UNDERLYING CAUSE Due to (or as a consequence op: r
^ Na pregnant, but pregpnt withn 42 days
(dsease a injury that initiated the
i
events resuNmg m tleath) LAST. c' r
_
d death
Due to (or es a consequence oq:
1
~
^ Nol pregnant, but pregnant /3 days l01 year
d before death
^ Unknown if pregnant widtin the past year
30s. Was an Autopsy 30b. Were Autopsy Fintlings 31. MaOOeznl Death 32a. Dale of Injury (Month, day, year) 32b, DescrNe How Injury Occurtetl 32c. Place d Injury: Home, Fartn, S1reeL Factory,
Pedarmetl? Availede Prkr to Completion ~7~-
I~ I,atural ^ Homkitle ONice Buildin ,etc.
9 (Sp~'M)
of Cause d Dealh7
^ Yes []'Ro ^Yes ^ No ^ ACdtlenl ^ Pentling Irnesligelbn 32d. Tine of Injury 32e. Injury al Work? 321. II Transponakon Injury ($z>cily) 32g. Location of Injury (Street, city /town, slate)
^ Suicide ^ CoWd Nd be Delemdrxd ^Yes ^ No ^ Drrver /Operator ^ Passenger ^Petlesbian
M ^gher ~ spedry:
33a. Candler (check mry one! 33b S eture a Title Nmr
9n
• Certifying physklan (Physician cenilying cause of death when anmher p,ysician has prmourlcetl tleath entl mmpkletl Nem 23) ,M-~kl
To the best of my knowledge, death oceurtetl due to the cause(s) end manner ae slaled_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ £/] -
• Prorlwncing erM certiying phyeklan (Physician bdh proreamcing death entl certifying to pose of death)
To the best of m
knowled
e
death occurtetl at the Ifine
dale
and
kc
d d
t
th
^ 33c. Larense Numbe~ 33d. Dale Sgnetl (Month, tley, year)
Q
y
g
,
,
,
p
e, en
ue
o
e cause(s) end manner es staled_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
• Medical Examiner/Coroner ~, J ~ ~ sy ~ ~ O jJ-
M ~Z ~z lp ~ ~
'J ] % 1--. .C Cl
On the basis of examinetion end I or Investigation, in my oplnlon, gealh tarred el Ina lime, dale, entl p1sce, entl due to the cause(s) end manner as eletetl_ ^
34 Name entl Atldress of P
er
son Who Canpkled Cause of Death (Item 27) Ty
p
e / Prml
35. Regislrae's Signature entl ktr~c 36
l
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Disposition Pcrmil No. ~~ ' 1 b 21~
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LAST WILL AND TESTAMENT ^~ _LL~
~~~
_ -
I, MARIAN R. HOCKENBERRY, presently residing at 198 Ch~mberl ~-. Road,
Shippensburg, Cumberland County, Pennsylvania, 17257 being of sound midi, mer~ery and-.~-
disposition, do hereby make, publish and declare this my Last Will and~~I'estamen~ hereby
revoking and making void all Wills by me at any time heretofore made.
FIRST. I order and direct the payment of all my legally enforceable debts and
funeral expenses as soon as maybe convenient after my decease.
SECOND. I give, devise and bequeath all my estate, real, personal and mixed,
whatsoever and wheresoever situate, to my beloved husband, FRED L. HOCKENBERRY,
provided that he survive me by a period of sixty (60) days.
THIRD. In the event that the said FRED L. HOCKENBERRY should predecease
me or is not living on the 60~' day following my death, I then give, devise and bequeath all my
estate, real, personal and mixed, whatsoever and wheresoever situate to my children, namely,
BARBARA A. LAHR and BRENDA J. JOHNSON, in equal shares, on a per stirpes distribution
basis.
FOURTH. I nominate, constitute and appoint my beloved husband, FRED L.
HOCKBNERRY, to be the Executor of this my Last Will and Testament. In the event that he
unable to fulfill the duties of Executor, I then nominate, constitute and appoint BARBARA A.
LAHR and BRENDA J. JOHNSON or the survivor thereof, to be the Co-Executors of this my
Last Will and Testament.
FIFTH. I direct that neither my personal representative(s) nor Guardians shall not be
required to give bond for the faithful performance of their duties in any jurisdiction.
SIXTH. I direct my Executor to retain the services of Jerry A. Weigle, Esquire of
Weigle & Associates, P.C. with offices located at 126 East King Street, Shippensburg,
Pennsylvania 17257, with respect to the settlement of my estate due to his familiarity with my
affairs.
IN WITNESS WHEREOF, I, MARIAN R. HOCKENBERRY, have hereunto set my
hand and seal to this my Last Will and Testament, written on one (1) page, the first page signed
for identification only, this .+~- ~ day of~tu~ _ L, , 2007.
.'~?~,ti~J ~. , ~~.~ ~`-~~-+a-~.ti~ (SEAL)
WEIGLE & ASSOCIATES, P.G. - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG. PA 17257-1397
This instrument was by the Testator, on the date hereof, signed, published and declared by him to
be his Last Will and Testament, in our presence, who at his request and in the presence of each
other, we believing him to be of sound and disposing mind and memory, have hereunto subscribed
our names as witnesses.
1
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS
I, MARIAN R. HOCKENBERRY, the person whose name is signed to the foregoing instrument,
having been duly qualified according to law, do hereby acknowledge that I signed and executed
the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and
voluntary act for the purposes therein expressed.
t'',~lth.¢x.s,.J 1 `~ ~ fdi c`'z_F':.st-~v~-~r...t,tiw~_
Sworn or affirmed to and acknowledged before
me by__ 1!vI~RIAN R. HOCKE~TBERRY, the Testatrix,
this ~ y of Q~~, .p07.
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t~r,
NO RIA~, ......
Jerry A, Weigle, Notary public
Shippensburg; PA Cumberland County
MY Comr^;•~ion Expires C~tai:~r 7, 2010
WEIGLE & ASSOCIATES, P.C. - ATTORNEYS AT LAW - 12.6 EAST KING STF2EET - SHIPPENSBURG, PA 17257-1397
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
and ~uXan.lw. ~ - C~~~~r ~ ,the witnesses whose names are signed to the
foregoing instrument, being duly qualified according to law, do depose and say that we were
present and saw MARIAN R HOCKENBERRY, the Testatrix, sign and execute the instrument
as her Last Will; that she signed willingly and that she executed it as her free and voluntary act for
the purposes therein expressed; that each of us in the hearing and sight of the Testatrix, signed the
Will as witnesses; and that to the best of our knowledge the Testatrix was at the time eighteen (18)
or more years of age and of sound mind and under no constraint or undue influence.
Sworn or affirmed to and subscribed before me
and ~ ~`k'C,~ K ~~ ~ ~ ~,~.Q. ~ fit'
witnesses, this `?~ ay of
M ~ ~ ~ ~l ~~
ti.. ...~'
2007.
r~orn~i~~,=~ sue..
Jerry A hJek, --'. ;Votary Public
Shippensburg, i'". _umberlard (~ourrty
My Comlr:issi~~l;':~~ :sires Ociot~ti;,', 2010
WEIGLE E ASSOCIATES, P.C. - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG. PA 17257-1397