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HomeMy WebLinkAbout12-29-08P~~ITION FOR P'IZOBATE AND GRANT OF LETTk;R~ REGI~ZEROF t'ti'ILLS OF ~'~~3r~~1~:.~5 COL``~TY, PE~ISYLV?~i_ Estate of ~~~'{~/u ~ S ~ l~ 8 e C.1 c/l Fiie Numbe; ~\ rs~ `~~~ also known as ,Deceased Social Security iv`umber . Pe~itienerls), who is/are 18 pears of age or older, apply(ies) for: (CO:YLPLETE 'A' or 'B' BELOIY:) A. Probate and Grant oC Letters Testamentary and aver thai Petitioner(s) is ; are the ~ ~ ~~~ ~ named in the last ~Vi1; of the Decedent dated~~ 2, O"7 and codicil(s) dated (State relevant circumstances, e.g., renunciation, deatJr of executor; etc.J Except as follows, Decedent did not marry, was not divorced, and did no[ 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: c=.a C7 :~'a ^ 8. Grant of Letters of Administration _-_r ~ (COrY1PLFTE ItY ALL CASES:) Attach additior:al sheets if necessary. C>ecedent .vas domiciled at death in C,_.= 'r~~L34 e~'L./~.~,7~_ _ County, Pem~sylvania with his /her last principal residersce at____.__~_ _~G°2i~Jc:,~..c.. ~-.~/UC.. C4 33t"' /~l~c. /~'/~ ! 9ci [~ - (List;tr eet address', town/cityLlownslrip, counh~, state, zip code] Decedent, then ~ i ~_ years of age, died on ~ 1J~- t~ at ~ ~2 '7' ,~/~'! ~-~fC~L~ SP~~j1 ~~5 !J~ /i~ L Decedent at death owned properly with estimated values as follows (If domiciled in PA) A11 personal property $ L ~~ © ~ (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County ~ - Value of real estate in Pennsylvania $ / ~Z ~Et?~? - - situated as follows: l ~Cvl'c•11e e.L Q,~'/vC ~i4ellll /~fl~ ~.~ ~l`h~"___~_ G`G 9 /~f i r'~.~/~.11 6ti'e:usL~le.u"~•1 ~LA~1)~~ Wherefore, Petitioner{s) respectfully request(s) the probate of the last Will and Codicil(s) presented with ti~is Petition and the grant of Letters in the appropriate form to [he undersigned: Signature Typed or printed name and reside~ue I <~z~~` r/~tc~.~----- l~oBc'47' L /{c~cu~.~ ~ c~;,Q.yr~ci ,D~ C;q.M ~t/rcLf~ 17c7 i( Fo,r„ ativ-m_ ,~~~-- lo.r3.o6 Pale 1 of 2 (IJapplica6le, earer,~ c1-a.; d. b. n. c. r. a.; perrdente lire; durance absentia; durarateinirrgrirate) r'--= Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spottse;{jf any~d heir's; (if Adruinistration, c. t. a. or cf.b.n.c.t.a., enter date of Will in Seaton A above and carnplete list ofhezrs.} ~ ~_~ Oath of Personal Representative COiv1~10NtiVEALTH OF PENNSYLVANLA SS COUNTI" OF ~-~.t~3~~~~it1~0 The Petiticner(s) above-named swear(sj or atfitzn(s) that the statements in the foregoing Petition are true and cot7~ect to the best of the kno~~~ledee and belief of Petitioners} and that, as personal representative(s) of the Decedent, Petitioner(s) will well and tru,y administer the estate according to law. Sworn to er affirmed and subscribed b~:fora me the _ ~`Z__ day of ^ 4 ~ lc~ IP' J For the Register Si,onati~re oJPersonal~apresentnu~e Si,~nnture of Personal Representntive i': (.' -. ~ :~iJ -' ~~~ .~~ Signature oJPersonn! Representative ;-j _ ~ --. l_a File Number:_ ~ ~ Q V ~ a gQ - ~-~`~ -- __. ., Estate of ~/~4,MA 4" ~~ j~y~?~~~.~ ,Deceased ~-~~ Social Security Number: ,~,G( - / ~ - Zl ~ ~ Date of Death: i ~~t? 2 ~ l~ ~1S AND NOW, ~~ t`~-~ ~P~ ~`~~`, z~C~-in7--consideration of 1e foregoing Petition, satisfactory proof having been presented before e, 1T IS ECREED tl at Letters / e t are hereby granted to ~Q1,~r ~ L ~~U ~('' in the above estate and that the instrument(s) dated ~~ ~ r ~~"7 described in the Petition be admitted to probate and filed of reco as the last W ~il (and Codic~l "s^^)),n,,,o~~f IDecedent. FEES ~~ .;1}~~'l~ ~JV Cl,l~t-i%L~~.' ~~ `7 ~~ ~! ~ $ ~~ /> Register oJWills , / Letters ... ........... v `.~- Short Certificate(s) . ~U.. .. $ ~ f~ Attorney Signature: Renunciation(s) ...~... .. $ ~~ L~~ ~ ~ $ /~ _ _- Attorney Name: ~~~~ • 1~ • - ~ Supreme Court LD. No.: __ N-~-t T~ .. $ ~ $ Address: _ . .. ~ _ .. $ _ . .. $ ' ' ~ Telephone: _ . TOTr1L ............ .. $_ .. $--~IZ-J~-- Form RW-0? rev. 10.13.0(> Page 2 Of 2 liu;ar>HH:, rnro LOCAL REG{~TRAR'~ CERT{F{CAT{O{V OF DEATH WARN{NG: It is iilegal to dupiicate this copy by pho!ostat or phatogr«ialT. Fee for this certificate. `~i~.i)G ~ertificl~+it~I~ ~ufnber 3EV 1112006 PRIM IN (ANENT ,K lNK -=~ ~TH Of ' Tht~ It to °I~If~, h ,t Sl~l' In ~ ~ u ~ ~ ~ ~ ' ~, ,,, ~. _- F E ,,ICE !Yy=y 1 - ' ' ~ ati iiic tt. c~t De Lonertl~ cu )ed f' , ,) ~1i t„,,, lta l ~ l 1 P - ' ~l ~ ~ ~ _, duh tiled ~~3 }~ ,);t~ I~ Lc~~ i1 Kc~ f 1 r~ i hL fn Dui x. ~~~ CerLlClca[e ~A ,f i ~' { ~t~\A dSded Itt 1JL" t1,it~. ~' IC.1! ~ ; ~~~ Ke~tyrds Ottl t~ ~niclncnt iii I+2. -- ~ _' t ~ ~~~° ~~~ DEC 0 8 2006 ' ~ ~~ ~ LGnn _ _ ?; ,, , ~~ ~ F ~''''~~ l~1fNS ~ ~ - --._. - - - ---- 1-_ , inunr'.i y~ ~_OCfl1 I\e`l~tlvlI~ I~~l): f;\=ll:'~i try, <-~ (.1 ~~ `-~ ~ c: `. ~ :"~ t _ _ L _i N .___ ~~ _ _ c _~ _- _ .. -t .. r_ti> COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH ~.yl (See instructions and examples on reverse) sTATF Fu F Nl1MRFR a ~ ~~ \ ~ 7~1 ) 1 Name M Decadent (First, mialVe, last, SMf) 2. Sex 3. Social Secuhty Number 4. Date of Death (Month, tlay, year) Thomas F. Hoover male 201 - 18 ''- 2133 December 2, 2008 5. Age (Last Birthday) Under 7 year Untler 1 day 6. Date of Birth (Month, day, year) 7. Birthplace (City and state or loreign country) Ba. Place of Death (Check only one) Monihs Days Hours Minute, Hospital'. Other. 84 Yfe August 8, 1924 New Cumberland, PA mpauem ^ERloutpaeem ^DOA ^NUrsmgHOma ^Resitlence ^omer spe°IfY. Boro. Trop. of Death Ciry of Death 9c Count Bb Bd. facility Name (lf n°I Institution, give street and number) 9. Was Decedent of Hispank Origin? ®No ^Yes t0. Race. Amencan Intlian, Black, White. etc. , . y . - (If yes, specity Cuban, (Spenryl Cumberland E. Pennsboro Twp. Holy Spirit Hospital Mexican,PaenoRican,etc) white Decetlenl's Usual Occu lion (Kind of work done Burin most of workin life. Do not state retired 11 12. Was Decedent ever in the 13. Decedent's Education (Specify only highest gratle completed) 14. Marital Status-. Married, Never Marr ied. 15. Surviving Spouse (N wile, give maiden name) . Kind of Work Klnd of Business I Industry U.S. Armed Forces? Elementary /Secondary (0-12) College (1-4 or 5+) WidoweQ Divorcetl (Speciy) Sales Counselor Electronics ^vaa ~]NO 12 widowed 16. Decedent's Mailing AWress (Street, city r town, state, zip code) Decedent's Ditl Decedent Pennsylvania wema ,7c g}rea Decedent lwad m Lower Allen Twp 1 Cornell Drive . , Acwat Reaidance 17a. Slate T°w"snip? ,7d i ^ta Da d mLi ad min Camp Hill, PA 17011 °a a ~ w . , nn c°~n,y Cumberland Acwal omits of ciryi Bore 1i3. Father's Name (First middle, last suffix) 19. Mother's Name (First, middle, maiden surname) Helen Rigling :Lloyd Hoover 20a. Informant's Name (Type / PnnO 20b. Inlormant's Mailing Address (Sheet. city I town, stale, zip code) Donald R. Hoover 1445 Old Mountain Road, Wellsville, PA 17365 , 21 a. Method of Dispwition ®Cremation ^ Donatron 21h. Date of Disposflan (Month. day, year) 21c. Place of Disposition (Name of cemetery, crematory m other place) 21 d. Location (Ciry /town, state, zip code) ' WasCrematbnorponabonAuthodzed ^ Bunal ^ RemovailromSlate • 200 December 4 Evans Crematory Schaefferstown, PA 17088 ^ Other - gpecily j by Medical Examiner /Coroner? ~ Yes ^ No , 22a. Signature of Se ~ wen ,(or person acting as such) 22b. License Numher `^- FD 012 848 L 22c. Name and Address of Facility Inc., P.O. Box 431, New Cumberland, PA 17070 Parthemore FH & CS ~ ~l+'IGx-~' , Complete Items ty when cenilying 23a. To the nest of my krrowietlge, death occunetl at the time, date antl place staletl. (Sgnature antl line) 23b. License Number 23c. Date Signed (Month, day, year} physkian is not available at time of tleath to - cemy cause of death. 24. Time of Death n 25. Date Pronounced Dead (Month, day, year) 26. Was Case Refercad to Medical Examin er /Coroner for a Reason Omer Than Cremation or Donations hems 24-26 mull be completed by person pyi " ^Yes [~ No who pronances Beam. ~. )v1. ~ ~ ~ 2 U iJ4 CAUSE OF DEATH (See instructions and examples) ~ Approximate interval: t d Pad II: Enter other SjgOificant coM'tons contr'nutin iv lti in th nderl in cause t l C e to death, en In Pan I 28. Did Tobacco Use Contribute m Death? ~Ves ^ Probably iac arres , t Onset to Death Item 27. Pad I: Enter the rpain of events -diseases, Injuries, or complications -that direIXry caused the death. W NOT enter terminal events sues as car y g g u w resu ng e u . resgretory anest or venmcular fibrillation without showing the edobgy. List only Dire cause on each line. ^ No ^ Unknown IMMEMATE CAU$E~inal disease a ~) y ' condition resulting in am) a • (7 "C u~ ' 29. II Female. ^ N t re n t with st ea _' r Due b (or as a wnsequence oq~. ~ p g an y s o m oa ^ Pregnant at lime of tleath r a ern b penttalry rsl cond'Aions se , , , g leatltng to me rouse listed on line a. pup to (or as a consequence ot)~. ' ^ Nol pregnant, but pregnant within 42 days Enter tTe tiNDEALYING CAUSE ~ (disease a injury that initiated the c of tleath events resulting in death) LAST' ^ Not pregnant ON pregnant 43 days to t year i7ue to (or as a consequence og: before death ^ Unkmem if pregnant within the past year d 30a. Was an Autopsy 30b. Were Autopsy Findings 31. Manner of Deam ' 32a. Date of InJury (Month, day, year) 32h. Describe How Injury Occurted 32c, Place of Injury: Home Farm, Street Factory, ONice Building, eta (Specify) Performed? Available Pdor to Completion m? f D ~ ,,~{ ~.H4tural ^ Homicide % ea of Cause o ^ Accident ^ Pestling Invesfigeaon 32d. Time of Inryry 32e, Injury at Work? 32f. It Tmnsponaaon Injury (Speary) 32g. Location of Injury (Street, city 1 town, stale) [] Yes ~' No [] Yes ~NO ^Yes ^ No ^ Driver /Operator ^ Passenger [] Petlesman ^ Sukide ^ Cald Not be Detemdnetl M Other ~ Speciy: 33a. Certifier (check only one) 33b. Sgnature antl Tmk of ~ ~ ~~~/, • Certifying phyaiclen (Physican canityitq cause of Beam when anomer physiaan has pronounced death and completed ttem 23) _. _ _ _ _ _ _ .. _ _ _ _ _ _ _ _ _ _ _ _ _ ^ _ _ red due to the cause(s) and manner as stated u d th d ' ~ ~ ~ _ _ _ _ _ _ _ _ _ _ r ge, ea occ To the best of my knowe • Pronouncing and certifying physician (Physician bath pronouncing death and certiying to cause of death) ^ 33c. tacense Numher ' 33d. Date Signetl IMon1h, day, year) ' To the best of my knowledge, tleath occurred at the time, date, and place, and due to the cause(s) and manner as slaled_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ • Medical Examiner /Coroner ^ ~ ~/ ~ - ~~M Y-! ~ ({y~ / V 1 ~ ~ ~ ~ ~ ? / J `~ Om the basis of examinatbn aMl 1 or investigation, in my opinion, death occurred at the lime, date, and plate, and due to the cause(s) and manner as aWtetl_ ause of Death ( P rson Wno Completed C 34. Name arM Address of e Item 27) Typa /Print } { l _ ~ 1 ~ ~ /~ ~`~, krv) 35. Regislmr's Su3natur ~¢,(f _. 3fS. Dale FNetl ore da Year) Y - ~~ c~`U ~ i ' `'"' ~ n ^ . Disposition Permit NO. ( _ __ .-, , .. .~ LAST WILL AND TESTAMENT ;~ OF - ~ :_~ THOMAS F. HOOVER _~ ~ ~~ fY . I, THOMAS F. HOOVER of, 1 Cornell Drive, Lower Allen Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this to be my Last Will and Testament, hereby revoking all other Wills and Codicils previously made by me. ITEM I: I direct that payment of all my just debts, expenses of my last illness, funeral expenses, and the costs of administering my estate from my estate as soon after my death as conveniently may be done. ITEM II: It is my will that my body be cremated. ITEM III: I give, devise and bequeath to Robert L. Hoover, my son, my house and lot at 1 Cornell Drive, Lower Allen Township, Cumberland County, Pennsylvania with his 1/3 share of total distributive share as hereinafter mentioned to be charged at tax assessed value of said house and lot. ITEM IV: I give, devise and bequeath to Donald R. Hoover, my son, all my land of approximately l0 acres in Warrington Township, York County, Pennsylvania with his 1/3 share of total distributive share as hereinafter mentioned to be 1 charged the tax assessed value of said land. ITEM V: I give, devise, and bequeath all of my distributive property equally to Robert L. Hoover, Donald R. Hoover and Thomas F. Hoover, Jr., my sons, except if the said house at 1 Cornel Drive and/or my acreage in Warrington Township, York County, Pennsylvania is/are an estate asset then they shall go as above set forth with the 1/3 distributive share of Robert L. Hoover and Donald R. Hoover to be charged as set forth so that all three sons are equal in computation. ITEM VI: I nominate, constitute and appoint Robert L. Hoover, Donald R. Hoover and Thomas F. Hoover, Jr., my three sons as sole executors of this my Last Will and Testament, to serve without bond. IN WITNESS WHEREOF, I Thomas F. Hoover, have, to this my Last Will and Testament, set my hand this ~~~-day of E~ i~N~. 2007. ~ .f ~' ~'~~'~~~i;~''~ ~~0~~''~G~G`L`'~''` (SEAL) THOMAS F. HOOVER Signed, sealec the above named llPVL the presence of us, each other, have, wi-~n~sses he,~eto. e ~ ~ ' ,~ published and declared by THOMAS F. HOOVER, Testator on the ~,j 1'1`{ day of _, 2007, as for his Last Will and Testament, in who, in his presence, and in the presence of at his request, subscribed our names as residing at /,S 1/'~~UL y,~,;~ ~lC~ U Y~~x ~,~ v~ . ~~ ~ ~~ 7c 2 .~'~ Z-~ k-- , i.~~ ~.'--Z~~~-~-'1~,~?~"~'~'-~ residing at ~~~y ~s-~-„ ~ ~ ~, ~ J ~~ Name ;' -U-r.~... ,.~ .3 is' z' Name COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS WE, the undersigned, the Testator and the witnesses, respectively, whose names are signed to the foregoing instrument, being first duly sworn and qualified according to law, do hereby declare to the undersigned authority that we were present and saw the Testator sign and execute the instrument as his Will, and that he had signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as witnesses and that to the best of their knowledge, the Testator was at that time eighteen years of age or older, of sound mind and under no constrain or undue influence, and I, the said Testator, 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. V T.es ator < n J e Witn ~:.,~.-mil ~v"~----.-- Sworn to and subscribed before me this ~.~-~~- day of <,J~, d1J C~ , 2 0 G ~~. ` Notary Public U My Commission Expires : ~ _ t~ -O~ sau~~o~ _ 6002 '~> . ~ ~..~u W ~~t?r ;. 4~fJiVil~it}NWar~i:('i°i OF AS~NNSYLVANIA Notarial Sea! ~oberi r. Nryer4, Notary Rublic 3 Fairview Twp., York County rtiy Commission iF_xpires Jan. 19, 2009 ~Rsmbsr, g~~,,., ~,,~,y;a Assccia*,ion of Notarial residing at ,~, o ~ ~a~ ~~ - ~: - , ,~, -;- I~~i~~~Ti`~C~A~I®~a = t- ;. , ,_r REGISTER OF WILLS ~'G ~F3c~G~~•.'A __ COUNTY, PI;NNSYL~'ANIA -, ~~1 Estate of ~ r_ De; cased I, ~ G, J,~f ~ ~ ~ ~ ~ y ~ ~~ , in my capacity/relationship as (Print Name) SG ti _ ___ _ of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to !~ ~,~~ /~T ~ /~ ~ ~ u `~ jDate) .~xeeuted in Register's Office Sworn to or affirmed and subscribed bef me this ay of ~, r 1 !~ Deputy or Regi er of Vv ills .~ ~~ ~ _ (Sianata~re) ~/ ,/~ (,S'v'eet Acidness) Lr.~ c 1.~5 u~L.c. ~ :'~'''j ~'~,:3G (City, State. Zip) ``Executed ouf of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposes stated within on this day of > Notary Public iV1y Commission Expires: (Signature and Seat of Notary or other official qua;ified to administer oaths. Show date ofexpirat~on of Notary's Commissi~;n.) Form R%V-06 rev. 10.13.06 a~ o~ ~a~ Estate of r_. .: _, ~, ~I4~JI~I~IATI~~ _ ~ ; ~> ,. REGISTER OF ~~'ILLS ~~~ .~3~ ~¢-~~ COtNTY, PENTi SYLVANIA _ r a> 5 ~ ~~ ,v~'~ ~~ _ in my capacitylrelationship as (PrinWame) ~ ~ ~~ of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to ' ~n~~t~ Executed in Register's Office S«~orn to or affirmed and subscribed before me this day of , (Srgnautre) (,ltreetAudre~sJ C ~'~-l /7'~ 115 l,~ ~T ~ ~ 3'7 (City, State. Zlp) Executed ouf of Register's Office ~~~11~t141f 11!llij~~~' oo~~ osTE~ ''~ Deputy for Register of Wills ~~`~~~ s a Q. .Z ~h~ ~ 'Q 0 .~ '.~ ~ : Off: ~~~~~~iigrTAT ~ 1~~~~~\`\\ Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciat,i.q~ for the pu oses stated within on this ~~ day of t-- c~'~~ _.._.-_ _ r- ~~~ ~l\ 1~C1 ~, ;~--~ ) . s ~ otary Publics,,,,, [y Commission-Expires: (~~-~j~~3, c~~)l ~ (Signature and Seal of Notary or other official qualified to administer oaths. Show date of ext~iration of Notary's Commission.) Form Rl6'-Oh rev. 10. /3.06