HomeMy WebLinkAbout07-21-08PETITION FOR PROBATE & GRANT OF LETTERS
Estate of RICHARD N. CULBERTSON No. 21-08- D`ll~~
also known as To: Register of Wills for the
deceased. County of Cumberland
Soci<~1 Security No. 198-05-1194 Commonwealth of Pennsylvania
The Petition of the undersigned respectfully represents that:
Your Petitioners, who is/are 18 years of age or older and the Executor named in the Last Will of the
above decedent dated November 8, 2005 ,and codicils dated none .The
Executor named none died .Renunciations for none attached hereto.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his last family or principal
reside,~ce at 52 Ashton Street, Carlisle, Dickinson Township
Decedent, then 93 years of age, died June 16, 2008, at Penn Hall Nursing Center,
Chambersburg, Pennsvlvania
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of the Will offered for probate; was not the victim of a killing and was never adjudicated
incornpetent:~_
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Decedent at death owned property with estimated values as follows: , ~ c
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(If domiciled in PA) All personal property $70 000.0 G c7 r-- _
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(If not domiciled in PA) Personal property in PA $ " --T rn cv ' ` ~
.
(If not domiciled in PA) Personal property in County $ `=°t~~~:; '- -
Value of real estate in Pennsylvania, situated as follows: $_ ', ?~ -o -
_> ~ ~ =
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WHEREFORE, Petitioners respectfully requests the probate of the Last Will and Codicil(s) presented
herewith and the grant of letters testamentary thereon.
Signature(s) and Residence(s) of Petitioner(s):
Philip J. Hippensteel
52 Ashton Str t Carlisle PA 17013
717-258-5616
OATH OF PERSONAL REPRESENTATIVE
CGMMONWEALTH 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 end correct to the best of the knowledge and belief of Petitioner(s) and that as personal representative of
the above decedent, petitioner(s) will well and truly administer the estate according to faw. _
Sworn to or affirmed and subscribed
bete m this ~ ,day of
2008. , Philip J. Hippensteel
~f (,
inter
No. 21-OS- o-~
Estate of RICHARD N. CULBERTSON, deceased.
DECREE OF PROBATE & GRANT OF LETTERS
AND NOW, July OS l , 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
November 8, 2005 described therein be admitted to probate and filed of record as
the last Will of Richard N. Culbertson ;and Letters Testamentary are hereby granted to
Philip J. Hippensteel
FEES
Probate, Letters, Etc...... .. $ 135.00
Short Certificates(-2- ) .. .. $8.00
Renunciation(s) ......... .. $
JCF' .................. .. $ 10.00
Automation Fee ......... .. $ 5.00
Other Will .. .. $ 15.00
TOTAL: .. .. $ 173.00
Filed .................. ..........
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Register of i s
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SALZMANN HUGHES PC
atricia R. Brown, Esq. (27474)
ATTORNEY (Sup. Gt. I.D. No.)
354 Alexander Spring Road, Suite 1
Carlisle. PA 17015
ADDRESS
717-249-6333
PHONE
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IOS.ft05 REV 101/071
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 1~2:~5597
Certification Number
H706-143 REV 11ItgNi
TYPE / PRINT IN
PERMANENT
BLACK INK
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This is to certify that the information here given i.
correctly copied from an original Certificate of Deati
duly filed with me as Local Registrar. The origina
certificate will be forwarded to the State Vita
Records Off~ceYfor anent filing.
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oc Registrar _ Date Issued
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS '~ C~ ~ ~ = -;
CERTIFICATE OF DEATH ~~ ' (" _ `
(See instructions and examples on reverse) STATE FILE NUM6E41'•~f~a -
1. Name d Dwxdem (First, rtitltlNS, NM, Mnkx) 2. Sex 3. Sadel Security NuMer 4..DWe th (Momh, deY. YEA - "'.
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Richard N. Culbertson Male 198 - OS -1194
5. Aga (last BirdMay) Untler 1 Umbr 1 day 6. Dale d Binh (MOMh, day, year) 7. BinhpWce (CNy and state w Iweign coudry) Sa. Piece of Death (ChacN Drily one)
Mmpa Days 11ous Millen HwpHal: DNwr'.
93 rrs. - July 13, 1914 Morrisville, PA ^Irgauwn ^ER/Outpatient ^DOA ®NUrsup Home ^Residence ^Other-SpecHy:
fiD. County a Death &. CHy, Beo, Twp. a Death 8d. Fadliry Name (II rot iaMUtion, give street all nurMwj 9. Was Derodem d Fgspenk Origin? ®No ^Yes 10. Race: American hxlian, Black, White, etc.
(H Yes, apedry Cuban, (SpecilyH'
Franklin Chambersburg Penn Hall Nursing Center Meziwn,PwnoRicen,etc.) White
11. DewdeM's Usual Kill d wwk d one dam most d Ne. Do not state retiretl 12. Was Decedent aver in the 13. DecetleM's Etlucatbn (Spedly ody Mghest gretle conp leled) 14. MarHel Satus: Herded, Never Monied, 15. Survwing Spo use (h wile, gh'e maitlen name)
Kintl d Wwk Kid d Buekass / Kdustry U.S. Armed Fomes? Elementary /Secondary (0.42) College (1 d e Sr) Widoeed, Dirorced (Syxdly)
Mechanic ~ U.S. Air Force ®Yes ^ND 12 Divorced
16. DBCetlaM'F'~MBiGrg Atltlress (S1reeL Lily/town, state, zip code) DecedeM'e Penns lvania upeml
Aaual Resldenw na. Sate Y
t7c.®vea, Decetlenl Lwedm Dickinson Twp
52 Ashton Street .
TowraNp
DacetlentLivedwilhin
Cumberland rid.^
Carlisle, PA 17015 ~w
17b.Counry
~ eoro
18. Fetlals Name (First, midde, bM, eutlb) 19. Mdher's Name (First, mitldle, maiden wmeme)
Herbert Culbertson Anna Mar Witter
20a. IMwmad:'s Name (type / Pnd) 26b. Inbmanl's Ma6mg Address (SreeL d+Y / Iwm, state. zip code)
Philli Hi ensteele 52 Ashton Street, Carlisle PA 17015
21a. Metllod eA DepwHbn I ^ Cremation ^ Donatan 21 b. Dale d Disposition (Noah, day, year) 21c. Place d Disposition (Name d cemetery, urenalay w Omer plow) 21d. Locaton (City /town, slate, zip code)
® Burial ^ Removal from Slate ~ Was Cmmtbn w Dons6on Audtonzed
^ other-speaY: MHadIwE^aminar/caranan ^vea^No
June 21 , 2008
Spring Hill Cemetery
Shippensburg, PA 17257
e d Funeral pe as such) 22b. Licertw Number 22c. Name and Address a Fadytly
- (+•• FD-011776-L Fo elsan er-Bricker F.H. PO Box 336 Shi ensbur PA 17257
Conglele Mama 23a<oMy when wndYinG
phyadana not avdileble of time ddeeth to 23a. To Yw best d ml' , death acwrretl M da Kure, dale and place staled. (Sgretu arxl title)
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~ 2~. Licertae Number
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3 ~ 23c. Date Signed (Mmth, day, year)
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Hama 24.26 mat ba wmpbkd by person 24. Tana a Death _
v 25. Dale Pmrounwb Dead (Month, day, year) ('~ 26. Was Case Relerred tyAedval Examner /Coroner fro a Reason gher than Cremation or Donatbn?
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rota pnxtemwrs deem. O ~ /
j A M. ~ (,(i'>LQ~ / ~ ~~Q O °
7
^Yes L
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CAUSE OF DEATH (See Instructions end exemplea) , Approzimate mlerval: Pan II: Eder omer siontlirad wrdanris Mneaia I deem, 20. Did Tobacw Use Canrdde to Deatn?
Item 27. Pan L Eller tl1e dram d evens- dseaaes, ktjuks, or CompKCatiws -that tliredy caused me deem. DO NDT eMw temtkal events such as wrdec arrest, r Onset to Dwm bW not resutlip in tlw underlying rouce given n Pan I. ^Yes ^ Probably
respkaory ertesL w verdrin4ar flbnaetion wNtadd sttowitg the alobgy. List aAy one wuw on each qne. ~
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No ^ Unknown
WMEDIATE CRUSE 1Faal dsease or ((,, t
mtl
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29.NFemele:
cor
on res
ng
ea
) -~ e, /\~R~l ctts x~.., ~nfv.~.. rn.r:. ~ 1~~-.~fil,a t'~n~)r'h.r ^
Dues a consequence off: 1 y ,
aky lea wndtiora, H any, b. E n t~ S('C r ~t'wv~'I(, ~_ Na pregnant waMn past year
^ PregwM el time d death
~b the ease tiMetl on Kne e. Due to (w as a censeque al: '
Eller UNDERLYING CAUSE , ^ Nd gegtwd, bd quad w4hin 42 days
(diwase w ptpry that wlieled the c r
r
evens resutlin
a death) LAST d deem
q
.
Due to (w as a txnwquence oq; , ^ Nd gegrwnt, M gepnent 43 days to 1 year
d. r balwe death
^ Unknown d pregtanl wHNn the past year
30a. Was an ANOpsy 30b. Wwe Autopsy Fillings 31. Maurer d Death 32a. Date d Injury (MOMh, day, yew) 32b. Deswibe How kyury Owuned 32c. Place d M(wy: Hortie, Fartn, Slreel, Factory,
Perkxmnl? Avageble Pdor m Completion Naturel ^ Hwddde Office Buildup, etc. (Spealy)
01 Cause d Denh7 ~
^ Yes ~ No
^Yes ~ No ^ AwMenl ^ Perxang Invedgetion 32tl. Tme of Irqury 32e. Injury e1 Wodc? 321. If Transporletron Irryury (Spedty) 32g. lacMion d Irpury (Street, cHy /town, slate)
^ Suidtle ^ Codtl Na be Delemmted ^ Ves ^ No ^ Driver /Operate ^ Passenger ^Petledrren
H Other - spady:
33a. Certiliw (dteck onry one)
• Cerligylrtg physician (Physician wnifykp rouse of deem when erotlar physkian has promwnwd deem and wmpleted Hem 23) 330. Signature ell TAIe d CerlAier
To the best of my knowledge, deMh occurted due to the cacao(s) all manner os sletetL _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_____________ rn
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• Pmwuneing ell cenlrying physician (Physiden both promeacirg tlea!h all cenilying to cause d tleah)
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^ 33c. License Nu r 33d. Dne Speed (Mesh, nay, year)
ue
o
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H
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me,
ek, an
p
ace, ar
manner as stale
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
To mw beet a my Knowledge, tleath ocam
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iner I Coroner
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On 6x basis of examination ell / or mvestlgdion, In my opmbn, death al the time, dde, all place, entl due to the rouse(s) and manner es slaterL ^ .
34 Name and Address of PeJ~n Whq Completetl Cause d Death pram 27) Tyq I Prnt
35. Registrars Signature a~ Dislria ~ / ~J / 1 {
I ~ ( ~ I h/ I 36. Dale Filed (Madh, day, year) m, env ({o ~„• (zl~y er ~r w~ T+C V,~~-~~
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Disposition Permit No.
~~x~# `t1I ~~th c~ e~#~trttextt
I, RICHARD N. CULBERTSON, of Penn Hall, 1425 Philadelphia Avenue,
Chambersburg, Franklin County, Pennsylvania, 17201, being of sound mind and
memory, do make, publish and declare this my Last Will and Testament, hereby'~~'
n ~'
revoking and declaring null and void any and all wills and codicils by rr~,~any
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time heretofore made. '~? '"
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FIRST: I direct my Executors to pay any debts which I may pvy~
which are not barred by the statute of limitations and are considered just ~ my `r`
Executors, the expenses of my last illness, and my funeral expenses.
SECOND: I give, devise and bequeath all of my estate, of whatsoever
nature and wheresoever situate, to my following named nieces and nephews
who survive me: Charles A. Culbertson, Philip J. Hippensteel, John Culbertson,
Dianne L. Reynolds, Carol Jean Beaver, Scott A. Culbertson, Frances V. White,
Richard E. Miller, and Darlene K. Englehart.
Should any of my above-named nieces and nephews fail to
survive me, his or her share shall be distributed to his or her issue, per stirpes,
surviving me, and in default thereof, in equal shares, to my other above-named
nieces and nephews who survive me.
THIRD: I direct my Executor to pay out of the principal of my estate,
all federal estate, state inheritance, estate and succession taxes imposed upon
or with respect to my estate or any property in which I may have an interest,
including any property not forming a part of my testamentary estate, but included
Page 1 of a Four-Page Will
in my gross estate for tax purposes, in such manner as my Executor, in his sole
discretion, shall deem advisable; and no such taxes or any portion thereof so
paid shall be collected from or paid by any other person, persons, or corporations
by way of reimbursement, proration, apportionment or otherwise.
FOURTH: I name and appoint my nephew, Philip J. Hippensteel,
Executor of this, my Last Will and Testament.
I direct that my Executor shall not be required to post bond
for the faithful performance of his duties in this or in any other jurisdiction.
IN WITNESS WH t~EOF, I have hereunto set my hand and seal this ~~`
day of ~~~ -cam ~C-~G'..~vt 005.
WITNESS:
~' /',~ ~". _ f~~ ~~._ ~r ~r & ~ r~~' ~,~~-~~:---' t SEAL
Richard N. Culbertson
.1 ~T
ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF FRANKLIN
I, RICHARD N. CULBERTSON, the Testator 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
Page 2 of a Four-Page Will
and Testament; and that I signed it willingly, and as my free and voluntary act for
the purposes therein expressed.
WITNESS my hand and official seal, the day and year aforesaid.
~; „
RichardI~ Culbertson, Testator
Notary Public
ONW AL_„TH OF PENNS AMA
Chan~abtx~pBao ~FNt~ Cotmiy
My Canmissfon A~ 22, 2008
NMn~r, P~nmyA~rM~ AwooMtlon o! IVof~rNa
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF FRANKLIN
We, ~ i ch a.~ K . ~a s~~+ oso~1 and ~ Q n e, h . ~J' ` P P ~e ns~`e. Q
the Witnesses whose names are signed to the attached or foregoing instrument,
being first duly sworn and qualified according to law, do depose and say to the
undersigned authority that we were present and saw the Testator sign and
execute the instrument as his Will; that the Testator had signed willingly (or
willingly directed another to sign for him) and executed it as his free and
voluntary act for the purposes therein expressed; that each of the subscribing
Witnesses, in the presence and hearing of the Testator, signed the Will as a
Page 3 of a Four-Page Will
Witness; and that to the best of our knowledge Richard N. Culbertson, the
Testator, was at the time 18 years of age or older, of sound mind and under no
constraint or undue influence.
,,
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WITNESS ~` `WITNE S
Sworn and subscribed to before me this
S'-E~ day of ~ oy-vr~.~/) , 2005.
~.
Notary Public
CO ONWEALTH OF PENN Y NU
_ NOtarfal8eal
Charnba~aburp Boron F'~udciin County
My Commiselon Expiros Mar. 22, 2008
Member, Panny~wnl~ Aaa~Won of NotaAea
Page 4 of a Four-Page Will