HomeMy WebLinkAbout05-29-08PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Mary E. Hawley File Number 21-- ~ ~ ~~~
~~
also known as
,Deceased Social Security Number 181-14-6964
Sarah E. Lake
Petitioner(s), who is/are 18 years of age or older, apply(ies) for
(COMPLETE A' or `8' BELOW.)
QX A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Executrix named in the
last Will of the Decedent, dated 09/02/2004 and codicil(s) dated
Sfate 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:
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 ~a; uran a moron a e
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.)
~ Name ~ Relationship ~ Residence ._ r-., ~
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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 principal residence at ~°'
330 East Fort Street, Shippensburg, Cumberland, PA 17257
(List street address, town/city, township, county, state, zip code)
Decedent, then $7 years of age, died on 05/23/2008 at 330 East Fort Street, Shippensburg, Cumberland County, PA 17257
Decedent at death owned property with estimated values as follows
(If domiciled in PA) All personal property $ 163,703.00
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $ 275,000.00
situated as follows: Borough of Shippensburg, Cumberland County -known as 328 - 330 - 332 East Fort Street
Wherefore, Petitioner(s) respectfully request(s) the probate of the last WiII and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
~i-~i~.~2.~ ~ ~ V`Ct.•11l21
Sarah E. Lake
810 Mickey Inn Lane
Chambersburg, PA 17201
Fomr KW-UL Rev. f0-13-2006 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.
$worn'ro or affirmedQand subscribed
before me this ~ `~1 day of
For the Register
of
Sarah E. Lake
Signature of Personal Representative
Signature of Personal Representative
File Number: 21-- (~ • ~~ ~~
Estate of Mary E. Hawley ,Deceased
A/K/A
Social Security Number: 181-14-6964
Date of Death: 05123/2008
AND NOW, , in consideration of the foregoing Petition, satisfactory proof
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having been presented before me, IT IS DECREED that Letters Testamentary _
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are hereby granted to Sarah E. Lake "' -'? - '
- ~-~ in=tom above estaate
and that the instrument(s) dated 09/02/2004 - ~~
rn
described in the Petition be admitted to probate and filled of record as the last Will (and Codicil(s)) of Decedent. -~
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/~ ~E1S
Letters .............~C. ..t..t~.~J.,~?~ $ '"T~ ~ W
Short Certificate(s) ..............~..... $ 2•~-,
Renunciation(s) ............................. $
~~l \ $
~.,~ $
~a'U1fi~ $
Attorney Signature: ~ J,~~ ~ / ~~~~
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~5. ~U Attorney Name: rry A. Weigle Esquire
10.t)~~
Supreme Court I.D. No.: 01624
S• ~D Weigle 8~ Associates, P.C.
Address: 126 East King Street
Shippensburg, PA 17257
Telephone: 7171532-7388
$
$
$
$
$
$
TOTAL .................................... $ ~~. GCS
Form RW-OZ Rev. 10-}3-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2
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LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
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Certification Number
- This i5 to certify that the information here given is
correctly copied frorn an original Certificate of Death
duly i''iled with me as Lvcal Registrar. The original
cerlifialtc will be forwarded to the State Vital
Records Office 1c ~ernr lent filing.
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oca egistrar Date [slued
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H1115~143 REV 112006 COMMONWEALTH OP PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS _. J ~ - -
TYPElPRIMIN ~I'--I -~~~ ~ l
PERMANENT CERTIFICATE OF DEATH ~ -~`~I ?
BLACK INK (See Instructions and exam lee on reverse _ '7 i,(~ ~~~'-"1. ~~
P ~ STATE FILE NUMBER I
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ad, s~ 1 2. Sex 3. Social Security Naliber ?Dete.gl Deem (Month, r)
Name of Decedent Ifird
mitltlle
1
,
,
.
MARY LIZABETH HAWLEY Female 181 - 14 "- 6964 •Ma 23 2 8
5. Age (Last Birdbay) tattler 1 year Under t day fi. Date d Berth (Month, day, year) 7. BinhWece (City and sale or tadgn caadry) tie. Place d Death (Check ody one)
"° °a~ """° "fnMB° New Grenada Hnspilac rnnar:
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_
87 Yrs. A r . 4 1 921 Fllltarl OOL4k P ^ Inpetant ^ ER / OulpaOed ^ DOA ^ Nursing Home ®Resitlence ^Other ~ Sperdly:
Gwny d Death &. City, Boro. Twp. of Death
6b 8d. fedNy Neme (If not in6tddim, give dreel eM number) 9. Wes Decedent d Hispanic Origin? [}(] No ^ Ves 10. Race: gmencan Indian, Slack, While, etc.
. (II ye6, epedly Cuban. ISG~+M
Cumberland 5hi ensbur 330 East Fort Street Mexiran.PUarwPocan,d6.) White
Decedents Usual Drs of worh done d ~ most d world INe. Do not slats retired
11 12. Wes Decoded ever bt the 13. Deceded's Educalbn (Spedly Doty highest gretle completed) 14. Merial Status: Monied, Never Manietl, 15. Surviving Spouse (II wile, give maiden name)
'
.
Kind of Work ~ KIM d Buamess /Industry Q'j
U.S. Amwd Faces? Elememary! Secondary (672) Cdlege (1-4 or 5+) Widoxwd, Divorcatl (Spep
^Yes ®No
16. DecetleM's Mekug Address (Street, dry /town, sate, zp cotle) DecetlenYs Did De6eaem
Decoded lived in Twp.
Pennsvlvania Live fine 17c
^Yee
330 East Fort St. .
,
Adud Resitlence na. Sate
Townsrop? t7d
Decadent Uvad wdnin
®No
Shi ensbur PA 17257 .
.
'yb. Dou"ty Cumberland Adaal Umiam ShioDensbura CirylBaa
18. father's Ndre (FUSE middle, last, sufiu) 18. homer's Neme (Brat, midde, maiGat surtame)
Otto A. Benson Ile ueen Houck
20a. Inlomtant's Name (Type / Pnnl) 20b. Inlormdd's Medug A~resa (Brest, city (bxn, sale, iq coda)
Sarah E. Lake 810 Micke Inn Lane Chambersbur PA 17202
21a. Megwd a Disposaton ^ Crentetbn ^ Donefgn 21E. Dale a Disposllan (MOdh, tlay, year) 21c. Pace d Disposilpn (Name d mmdery, aemelory a dher place) 21 d. Locdion (City! town, sate, i~ cotle)
_
® Bural ^ Removal fran State j Was Cromatbn or Oonetbn Audwrlaetl
'
^ pryer. ~ M ExruMrrorlCoronert ^Yea^No Ma 27 2008 $ Tin Hlll Cemeter sbur A 7
h
~ 22a. - t d funeral Se ' on actin such) 22b. lirense Mahar 22c. Name and Atldress d Fadlity 112 W. K7.1'KJ St.
- - FD 011776-L - 17257
Carplde Kew 23a-c ody when cenityup 23a. To die OI my krowedge, deelh aaurred et date ant sated. (Sigalure erd Mle) 23b. Lioanse Number 23c. Data Signetl lMonl'n, day, Year)
physuen a not available et time of tlealh to ` v0 ~ ~
l ? ~ U ~ C'
j'
wniry cause d seam. C rl
Tone d Oe
24 25. Date Deed (Month, day, year) 26. Was Case Rslened to Metldel Examiner / Caaler fa a Re OOwr than C moan or Donatbn?
Kama 24 26 mud be canpldetl by person . ^ Yes ~plo
who prernunces tleath. ant,
CAUSE OF DEATH (See Inatrucffons and example r Appropmete interrel: Pan II: Eder omen dendicem candkbns contnbn'rg to tlealh, 26. Did Tobacco Use Canlfi6ule to Death?
Kem 27. Ped I: Enter the chain d evens - tliseases, MNr~, a complications -and directly rausetl die death DO N0T r termiral evma such as c8ftiac artesl, ; great 1o Death bN not resdl'og'm me undertyMg reuse given in Pan I. ^ Yes ^ Probably
respiratory ened, a vednc~dar 1lbripelron wghoa showing the eliobgy. L'sl Doty one cause on each one. ^ No ^ Unknown
IMMEDIATE CAUSE IFlnal d'aease or A 7~ is AN G E ~ ®E M E ~/ / l A t
candaicn resdling'n 6) _..~. a
~ 2S. K female:
m
unin
s
ear
^ Na
.
Due to (or a`co/nsequnence q„~ r
Sequadalty Gd caxitlbra, N any, b
~ys !w ~ ~ ~ ~ ~ ~ pas
y
pregna
w
^ Pregnant el lime of death
. _
lead tome Cause tided on lute a. i
UNDERLYING CAUSE Due to (or as consequence oQ:
th
E ^ Nol pregnant, but pregrad willtin 42 days
e
mer
• idisease a' _ ry that initialed the C r
~ of death
g m tlealh) LAST ~
events resull
Due to (or e6 8 consequence ol)~. ^ Not pregnant, hul pregnant 43 days b {year
bekre death
d. ~ ^ Unknown N pregnant within the past Year
30a. Was an AWOpsy 30b. Were 0.aopsy Ftraetys 31. Ma d Death 32a. Dale d Injury (Month, tlay, year) 326. DescrAe How Injury Occared 32c Pace d Injury: Nome, Farm, Sired, Fedory,
Ollke Building, etc. (Specily)
Pedametl? Availade Prior to Completion
d Cause d Deelh? Natural ^ Hanidde
^ Accdent ^ Pendipl Invedigation 32tl. Tme of Injury 32e. Injury al Wak7 321. tl Transponation Injury (Specily) 32g. Location d Injury (Sired, dly /tam, sate)
[] Yes (~. No ^ Yes ^ No ^ Suirade ^ Dodd Nd be Delemlmetl ^ Ves ^ No ^ Ddia 1 Operate ^ Passenger ^Petleslnan
M. ^Ollrer ~ Spem'ly:
33a. Ceniher (heck ody one) 336. Sgnature Title of Cenilier ~ ~-y
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• CeNltying physlCan (Physidan cenilying cause d death when another physician has pronounced death erq compldetl Item 23)
To the heal of my knowktlge,dath occunetl due to the cause(s)antl mamrer es ebted_________________________________ ~ l
-
• Pronouncing and renltying physician (Physidan both pronwndng death and cenilying b cause of tlealh)
To the best o1 my knowledge, death occurred at the time, date, and place, and due to the cease(s) entl manner as sated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ 33c. Lce Nu fiber
, ,I
ro .-a~ / L 33tl. Dak Sigrietl (Merllh, day, year)
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er
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ca
em
oron
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tcer
On the basis d exeminalion end! or InvesUgalbn, in m io deelh occurred el the time, dale, and pace, entl tlue to me cause(s) and manner es staled.. ^ ~ Namn aq Adtkesa of Person Who etl use I Death Ile 7) Tyqe !Print/ ~ ~ ~ f ~pTL ANA
Any
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35. Regidmr's Sigrelure a islriCl Nu i
~l~ I xl~ ISl 36. Dale Filed (Month, day, year) ~
ChfRM/~E2SBU~G A~ 172a 1
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Dlsposkion Permit No. A~'7 G ~ 3 D
LAST WILL AND TESTAMENT
I, Mary E. Hawley, presently residing at 330 East Fort Street, Shippensburg,
Cumberland County, Pennsylvania 17257, being of sound mind, memory and disposition, do
hereby make, publish and declare this my Last Will and Testament, 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 children, namely, Walter M. Hawley,
Henry M. Hawley, Janice H. Donley, Elizabeth Ann Howland, Sarah E. Lake, in equal shares,
on a per stirpes distribution basis.
THIRD. In the event that any beneficiary of this my Last Will and Testament is
under the age of twenty-one (21) years, I then give and bequeath said beneficiary's share to and
appoint as Trustee of any property which passes under this Will or otherwise, M&T Bank, of
Shippensburg, Pennsylvania, AS TRUSTEE, NEVERTHELESS, to invest and re-invest the same
until the said beneficiary reaches the age of 21 years, with the following powers in addition to
those presently given by law:
A. The power and obligation to expend the income towards the health, support
and maintenance, and education, including a college (both undergraduate
and graduate), trade, business or technical school education, of the
said beneficiary;
B. The power and obligation to expend the principal, within the discretion of
the said Trustee, if the income is insufficient, towards the health. support
and maintenance, and education, including a college (both undergraduate
and graduate), trade, business or technical school education, of the
r~ _ said beneficiary;
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_ , , C. The power to sell any and all real estate, within the discretion of the
_ - said Trustee;
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WEIGLE & ASSOCIATES, P.C. -ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBU RG, PA 77257-7397
D. The power and obligation to distribute the balance of principal and interest,
if any remaining, when the said beneficiary reaches the age of 21 years,
without the necessity of a formal adjudication of the Trustee's Account in
the Court of Common Pleas of Cumberland County, upon the receipt of a
good and valid release; and
E. The principal of the Trust and the income therefrom shall be free from the
debts, liabilities, and engagements of those beneficially interested therein,
and shall not be subject to assignment by him or her, nor to attachment or
execution under any legal, equitable or other process for the enforcement
of judgments or claims of any sort against them, either individually
or collectively.
FOURTH. I nominate, constitute and appoint my daughter, Sarah E. Lake, presently
residing at 810 Mickeys Inn Lane, Chambersburg, Pennsylvania 17201, to be the Executrix of this
my Last Will and Testament. In the event that she be unable to fulfill the duties of Executrix,
I then nominate, constitute and appoint my son, Henry M. Hawley, presently residing at
7970 Lincoln Way East, Fayetteville, Pennsylvania 17222, to be the Executor of this my Last Will
and Testament.
FIFTH. I direct that my personal representative(s) 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,
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, Mary E. Hawley, have hereunto set my hand and seal to this
my Last Will and Testament2 written on two (2) pages, the first page signed for identification only,
this.~'~~t,ul day of - , 2004.
_.
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WEIGLE & ASSOCIATES, P.C. - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 172.57-1397
This instrument was by the Testatrix, on the date hereof, signed, published and declared by her to
be her Last Will and Testament, in our presence, who at her request and in the presence of each
other, we believing her to be of sound and disposing mind and memory, have hereunto subscribed
our names as witnesses.
~ _.
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
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SS
I, Mary E. Hawley, 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.
Sworn or affirmed to and acknowledged before
me by Mary E. Haw '~, t NTes~trix,
this... day of ~:~'' , 2004
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II NJTA~IAl.. SF~L ; ~' "
Jerry A. V~JF7irl2, ~:otary Public t
Shippensburc~, ~'-, i:,;~~ c,~ nand County
My Commission ~=x~iras yctober 7, 2CC6
WEIGLE fx ASSOCIATES, P.C. - ATTORNEYS AT LAW - 126 EAST" KING STREET - SWPPENSBU RG, PA 17257-1397
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
We, _~ ~ ~ l~J
and ~ /ND A x - ~~ ~ ~~ ,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 Mary E. Hawley, 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
Y / (((('',,,,
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and L f N j /t ~. K L~ ~n!
this 2'u~! day of , 2004.
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JerN ~" ~~'t~"='`' T~i':,tary Public
Shippens~+ar9 P,~,~ r;"-~~~,Lerlend County
Jlv Comlr~lssion ~=x~i+"f•s October 7, 2006
WEIGLF_ & ASSOCIATES, RC. - ATTORNEYS AT LAW - ~Z6 EAST KING STREF_T - SHIPPENSBU RG, PA 17257-1397