HomeMy WebLinkAbout07-07-08PETITION FOR PROBATE and GRANT OF LET7['ERS
Estate of Louise J. Heineman
Also known as
deceased
Social Security No. 180-14-1789
No, ~.~°~~S • 1 ~~~
To: Register of Wills for the County of
Cumberland County in the
Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is 18 years of age or older an the executors named in the last Will o~tl-e
above decedent, dated December 3, 2007 and codicil(s) dated ~ ° -
C O c_._ r
Decedent was domiciled at death in Cumberland County, Pennsylvania, with~~~t fa~ly o~ ~'a
principal residence at 130 Wilson Street, Carlisle, PA 17013 ~- ~ ~ ~ _i , , i!
Decedent, then 86 years of age, died July 1, 2008 at Thornwald Home. ' ~' ~~ ~ x" '.
n
Except as follows, decedent did not marry, was not divorced and did not have a chi d~rn or a~ted ~_ ~~ a
after execution of the Will offered for probate; was not the victim of a killing; and was ~`v~r adjud~ted '' • ~ ` _~'_
incompetent: p
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property
(If not domiciled in PA) Personal property in Pennsylvania
(If not domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
Situate as follows:
$_~, a~
$_
$_
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented
herewith and the grant of letters testamentary thereon.
Douglas R. Heineman
130 Wilson Street. Carlisle. PA 17013
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS
The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and
correct to the best of the knowledge and belief r(s) and that as personal representative(s) of the
above de:,~eUent petitioner(s) will well and truly administer the tate according 1:0 law.
Sworn to or aff rmed and subscribed
;3efcre me this•~ day ~f`~~
o~r~^
Register
No. 'Z~•CI~S•"~11P
Estate of Louise J. Heineman, Deceased
DEGREE OF PROBATE AND GRANT OF LETTERS
AND NOW, July 2008, in consideration of the petition on the reverse side hereof, satisfactory
proof having been presented before me,
IT IS DECREED that the instrument(s) dated December 3, 2007 described therein be admitted to probate and
filed of record as the last will of Louise J. Heineman and Letters Testamentary are iaereby granted to Douglas
R. Heineman and Dale L. Heineman.
FEES
Probate, Letters, Etc. ~3~?44'?~..$ ~IC1.C10
Short Certificates (5) ............ $ ~~
.)~~ie~. ~.CP .l. ~t:~l~ ... $ 15.0
TOTAL _ $glpo, ~
Filed .......................... ................
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~~.~~?nC' ~ h
Register of Wills ¢t~--~~e~•
onald . Johns n `squire 16453
78 West Pomfr~
Carlisle, PA 17013
717-243-0123
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LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat olr photograph.
Fee for this certificate, $b.00
P 14649026
Certification Number
Y~
N105-143 flEV I72D06
TYPE /PRINT IN
PERMANENT
BLACK INK
~i
This is to certify that the information here given is
~orrecPly copied from an original Certificate of Death
iuly filed with me as Local Registrar. The original
certificate will be forwarded to the State Vital
Zecords Office for permanent filing.
Q! • +~e~-~,.~'~i.,t~D~scf~P,~.. ~~- 1 / 2008
~ocal l~~egistrar Date Issued
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL REC'.ORDS ~• ~
CERTIFICATE OF DEATH ~
(See instructions and examples on reverse} ~rer< <„ ~ ,,,,,,o~0 7 t. (~~ . l I ,~G
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1. Name of Deadanl (Ersl, mitltlle, last, suffix) 2. Sex 3. Social Security Number 4. Dale of Deelh (Mglih, day, year)
Louise J. Heinsnan F 180 - 14 - 1789 July 1, 2008
5. Age (Lass einntlay) Under t year UrMar 1 my 6. Date o! Binh (Month, tlay, year) 7. &rttrplace (City antl stele a camlry) Ba. Place of Deam (Check onty one)
xw"uw Dan lean M:,mos Hospital', Omer:
86 Yre. 12/31/1921 Philadelphia, PA ^Inpalianl ^ER lOutpallem ^DOA Nursing HOme ^Residence ^Other Specity:
Bb. County of Deam Bu Ciry, Boro, Twp. of Deam Bd. Facniry Name III not inatilulial, give street antl number) 9. Was Decadent of klispanic Origin? ~No ^Yas 1D. Race'. Amerwan Intllan, Black, Wnlte, etc.
(If yes, spedly Cuban, (SpeciM
Ctunberland Carlisle Boro. Thormaald Hone Mexican. Paenp R^.an' elca White
11. DecetlenYS Usual lion Kkd of waF done dud nlosl el work' life. tb rct 4ate r&ir 12. Was Decedent ever In the 13. Decedent's Etlucalion (Spedly only highest grade completed) 14. Marital Slalua. Marred, Navar Marred. 15. Surviving Spouse (Ii wile, give maiden name)
Kira el WoM Kind of Business f Intlustry U.S. Armed Forces? Elemenmry /Secondary (012) College (1-4 w 5+) WMOwnd, Divorced (Spaciryq
Han~naker Her own home ^rea Lie 2 Widcrwed -
ifi. Decedents Meiling Address ISlreel, city! town, stale, zip code) Decetlent's Did Decedent
PA
130 Wilson St. Actual Residence 17a. Sale
Live in a 17c. ^ Yes, Decedent Lived In T ,
wP
Carlisle
PA 17013 t7b.cd~nty Ctunberland rownahi°? 17a.~o,DePadenlLredwiwn Carlisle
, Actual Limns of City /gyre
16. Fame's Name (Ersi mitlAe, lea( sufl0) 19. Mother's Nerve (First, rtlklde, maiden sunlame)
Walter C. Lefferts Florence - Hamer
20a. InlormanYe Name (Type /Print) 200. Inlortrenl's Mallhg Addles6 (SUeei city! lows, sfaro, Zip :odaj
Ibuglas R, Heineman 130 Wilson St., Carlisle, PA 17013
21 a. Memod a Dispositon ^ cremation ^ Donation 21 b. Dale el Dispositien (Menm, tlay, year) 21c. Place a1 OisposAian (Name of inmate?. nematay a omen place) 21a Lamuon ICM /rows. slate, zip code)
[~$urial ^ Renavai from gate j Wee Cremelbn or Dorratlon AuOwrixed
^ abet-space' byMxqulEx.min.rlcoroner? ^vea^Np
7 3 2008
Westminster M~mrial Gardens
Carlisle, PA 17013
~ Yta. Sigrewre a F l Mce lkansee (a es sucLyy
r 22b. Lkame Number 22c. Name and Adtlress of Facility
- ~ FD 012633 L EYain Brothers Funeral Hcxne, Irlc., Carl isle, PA 17013
Canplele Items ?3ec only when cennying 23a. To the best of my kit ,deem occurted al Bre Ikne, date antl plere staled. ignelure eM IPoe) 23b. License N
urt
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ba 23c. Date Sgned lMmm, d
a
y, yea
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)
physidan H mt avaaable al lime of deem Ic
ceralY muse d deem. ( _
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Hems 21-26 must 0e canpletetl by person 2<. Time a Death -
5, Dal rorrounc Dead (Month, mY. year) 26. Was Case Rstened to Metlical Examirrer /Coroner br a Reason Other then Cremation or Donation?
~ wno pronounces mom. M. I - ,'1
V ^Vas No
CAUSE OF DEATH (See inetructlona end xemptea)
r Approximate interval:
Item 27. Pan 1: Enter the dhain of erants - tllseeseb, mjudes, or oomplimtiorw - met dirOCm/ mused the death. DO NOT enter terminal events such as cardiac aresi, Onset l0 Oeath
k
l Pan n: Enter abet 5jgpj~~nt mndltrons camrou
but trot resulnrg in the undedyirg muse tlno to math,
given in Pan I. 28. Did Tobacco Use ConlribNe to Deem?
^ Yes ^ Prabady
resp
a
ory arrest, a ven(rlalar gbdlladon without showing Ure aiology List only one muse on each line.
IMMEpATE CAUSE (Final disease or
-~ No ^ Unknown
caeabn resulting Nde~m) -~ a p S ~ ~ i ~^ ~th 29. If Female:
Duero (ar as a mnsequarrce op: ^ Nd pregrrent within past year
Segrenlielry list cpMbions, n enY. b.
tc the muse I'sted on Fite a.
^ Pregnant et time d tleath
Enter UNDERLYMG CAUSE Due to (a as a consequence oq:
^ Not pregnant, but pregnarn within 42 tleys
(dsease a kdury met IrrAlBletl dre c.
events resuking m tlaeM) UST. of deem
Due to (a as a consequanm op: ^ Nol pregnant, but pregnant 43 days to 1 year
tl. Beare aealh
^ Uarnovm H Pregnant within ma peat year
ace. Waa an ANOpsy
Pedomred7 300. Were Autopsy Endings
Aveukbk Prror to Completim 31. Mannar W Desm 32a. Dale of Injury (MMm, day, year) 32b. Describe Haw Injury Occurred 32c. Place of 1 ry'. florra, Farm, Blfeei, Faq
~~
of Cause a Deem? 12(NaN21 ^ Hanidde Office Building, etc. (Spealyf
^ Yas 110 ^ Yes ^ No ^ Amitlant ^ Pemsng Invesligaear 32d. lime of Injury 32e. Injury at WoM7 32f. If Trenspodaaon Injury (Spaci(yJ 32g. Location of Injury (6treet, city! town, stele)
^ Sukrde ^ Count Nd 0e Determined ^ yes ^ No ^ Dever! Operetor ^ Passenger ^Petleslnan
M. ^Other- Speclly
_
33a. Certiher (dredr aNy orw)
33b. Slgnat~eM Tr11e of Cerhfrer
• CerlXying physkien (Physiden mrbMn9 muse of deem when aromer
physxian has pronounced dmlh antl completed Item 23) \X
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To the beat of kit
my wkd9e, deem aeurretl due to the ceuae(a) end msm»r as atate~ _ _ _ _ _ _ _ _ _ _ _ .. _ _ _ _ _ _ _
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Pmnourchg erM cerlllylrg phyaklen IPhysidan bom prorouncing tleath antl cenilyvi9 to muse of death)
To the beat of my knowledge
tleath ottuned at Ure time
date
and
kre
and a
b th
^ 33c. License Number 33tl. Dale Synetl (MOWN, day, year)
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e rouse(s) antl manner a ate0ea_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
• MAdicY EasmfrorlCworrcr ry.,~ p I b ~ N I ~ 1 a0 O
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Dn mle basis o/ exeminatbn ant / or Investl
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e tlme, dale, and p18re, end tlue to the muse(s) and manner ae sl8tetl_ ^ ~ Name and Atldress "I Person Wlp ComaA
ed Cause of Deem (Ite
~ m 27) Type / Pnnl
35. Regis r' grelure anq~slriq~~be n
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Disposition Permit No. , / ~ ~d3~
LAST WILL AND TESTAMENT
OF
LOUISE J. HEINEMAN
~ ~ =1
I, LOUISE J. HEINEMAN, of the Borough of Carlisle, Cumberland Cou~ennsy~ma; -~:
being of sound and disposing mind, memory and understanding, do hereby make, l~~h-~nd ~ lara. ~~ ~:
this as and for my Last Will and Testament, hereby revoking all other wills and cdiei~'heret,~fore=~'~'; ~;'y-+
.u~^ `^ r1
made by me. -='r,Q ~,, -~
J ~-~ ~
~~_ _ ~~
FIRST: I direct that all my just debts and funeral expenses, irrclu~ng my~ave ~ : ` -.'
marker, shall be paid from the assets of my estate as soon as practicable after my~ecease. o
SECOND: I give, devise and bequeath the sum of ~~ 10,000.00 to each of my
grandchildren and my step-grandchild living at the. time of my death, namely, KRISTOPHER V.
HEINEMAN, ANDREA HEINEMAN, REGINA HEINEMAI\f, JAMES SHIRLEY,
CHRISTINA HEINEMAN, STEPHANIE DYER, ABBY HEINEMAN.
THIRD: I give, devise and bequeath the residue of my estate, of every nature
and wherever situate, to my children, equally, namely, DOUGLAS R. HEINEMAN, DALE L.
HEINEMAN, JANE L. FIRESTONE and CARL W. HEINEMAN pxovided that should any of
my children predecease me their share shall be distributed to their issue, per stirpes, living at the time
of my death and in default of such then living issue, such share shall be added to the share or shares
for my other children and/or their issue.
FOURTH: I direct that all taxes that maybe assessed in consequence of my death,
of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a
part of the expense of the administration of my estate
FIFTH: 1 nominate, constitute and appoint, DOUGLAS R. HEINEMAN and
DALE L. HEINEMAN, or the survivor of them, Executors of this my Last Will and Testament. I
further direct that my Executors shall serve without compensation.
SIXTH: I direct my Executors and their successors s17a11 not be required to give
bond for the faithful performance of their duties in this or any other jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and
"T stament, consisting of two (2) typewritten pages, each identified by my signature, this 3 day of
2007.
` ~l~/ (SEAL)
Louise J. Heine
Signed, sealed, published and declared by the above-named Testatrix, Louise J. Heineman, as
and for her Last Will and Testament, in the presence of us, who, at her request, in her sight and
presence, and in the sight and presence of each other, have l~.~eunt, sc 'bed our names as
COMMONWEALTH OF PENNSYLVANIA )
SS.
COUNTY OF CUMBERLAND )
I, Louise J. Heineman, Testatrix, whose name is signed to the attached or foregoing
instrument, having been duly qualified according to law, do hereby acknowledge that I signed and
executed the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it
as my free and voluntary act for the purposes therein expressed.
Sworn or ffirmed to and acknowledged before me by Louise J. Heineman, the Testatrix,
this ~ day of ~G~~~ __ 2007.
EAL)
GOMMONWEALI'H OF PENNSYLVANIA
NOTARIAL SEAL
SHELLY SEXTON, Notary Public
Carlisle Boro, Cumberland County
M Commission Expires April 26, 2011
COMMONWEALTH OF PENNSYLVANIA )
SS.
COUNTY OF CUMBERLAND )
We, RONALD E. JOHNSON and ~ 1 C ,the witnesses
whose names are signed to the attached or foregoin instrument, being duly qualified according to
law, do depose and say that we were present and saw Testatrix sign and execute the instrument as her
Last Will and Testament; that Louise J. Heineman, signed willingly and that she executed it as her
free and voluntary act for the purpose 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 knov~Tledge the Testatrix was at
that time 18 or more years of age, of sound mind and under no constraint or undue influence.
S~~~or or affirmed to and subscribed to before me by RONALD E. JOHNSON and
s ,witnesses, this ~ day of ~ 2007.
ss
COMMONWEALtH OF PENNSYLVANIA ~ _ "'~ `"~ (SEAL)
NOTARIAL SEAL W Mess
SHELLY SEXTON, Notary Public ~
Carlisle Boro, Cumberland County
Commission Ex Tres ril 26, 2011 Nota u lic
AFFIDAVIT