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HomeMy WebLinkAbout03-05-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Betty C. Smith also known as File Number 21-- Deceased Social Security Number 174-20-0841 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE <I' or `8' BELOW.) Q 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 08/31/2000 and codicil(s) dated John C. Smith first named Executor died June 4 2001. The Last Will and Testament of John C. Smith has been probated at the Cumberland County Register of Wills at Estate No. 21-02-0365. State relevant cin;umstances, 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 ap Ica e, en er. c..a.; ..n.c..a.; pe n e e; ura e a sen ia; uren a mmo 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 loll in Section A above and complete list ofheirs.) Name Relationship Residence C~ o ~~ •° .. ._J i ; :, „--• - - (COMPLETE 1N ALL CASES:) Attach additional sheets if necessary. `- ~ ~ ~ ~~ , ~ Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal resid~€'iSt N , - ~ •`~~~t 540 Brentwater Road, Camp Hill, Lower Allen, Cumberland, PA 17011 ~ (tJst straer address,rows/city, Township, county, state, zip code) Manor Care, Carlisle, South Middleton Township, Cumberland County, Decedent, then 82 years of age, died on 01/22/2009 at Pennsylvania Decedent at death owned property with estimated values as follows: (If domiciled in PA) $ 10,600.00 (If not domiciled in PA) (If not domiciled in PA) Value of real estate in Pennsylvania situated as follows: None All personal property 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: or printed name and residence S. Hillegas 540 Brentwater Roac Camp Hill, PA 17011 ~~~ Form -0 Rev. 10-13-2006 Copyright (c) 2006 form software onry The Lackner Group, Inc. rage r or z 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. J _ ~~ ,r a~ , / tit/ ~/~~ Sworn to or affirmed and subscribed before me this ~_._ day of ~G~hr--- t S. Hillegas ;, ..o I .~ Signature of Personal Representative ~~ C.fl ~ _ ~ ~ .~ J For the Register `n'om` L.i , c~ -d-I ~ _ -rf = ~_i •. _7 File Number: 21-- ~ ~a1~j ~ Deceased Estate of Betty C. Smith Social Security Number: 17/)4-20-0841 Date of Death: 01/22/2009 AND NOW, ~~(~'~ L ~ ~~~` `~ ~~ `~~~~ ~ in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Sharon S. Hille aS in the above estate and that the instrument(s) dated 0813112000 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. /b FEES Letters ................. ~'....................... Short Certificate(s) .............1.......... $ ~ V $ ~~ ~,~ :y ~_J Attorney Signature: ~~.~ce~I~~'' ~"~'!v~"~ Attorney Name: James D. Bog2tr Renunciation(s) ............................. ~1 /i $ ~~ f $ ~-ft~ $ ~~xoo ~-~cc~lll $ _ ~ ~ ~ - Supreme Court I.D. No.: 19475 j Bogar 8~ Hipp Law Offices a Address: One West Main Street Shiremanstown, PA 17011 TOTAL .................................... $ ~ . Telephone: 717-737-8761 Page 2 of 2 Form RW O2 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. OCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph, I-ec IL11- Ch15 Cel-11hGiie. `>h-Ol) r "" ~- jh(~ Iti 1r t_c f:I'. `'U I;iL Ill+c'+'ll tirltl7 Ill( 1111 Cl 1~ 1 t~`ZN OF pC ,t 11~~(, ~- il~~ l'Ot!(.l t~\ ~ tO]~d ~i to ti t1 (1111 Illal ( tillt~ Il_ lyI l~~ a~i ~``o~~ ~`~~ dilly hied eAlth ;nt t, Lk1~ t; Re f~uar. he <xf t fat ~•~~ h;~ ceftlilcate ~~ill ht tin~~..,ude1 tL3 'hc~ St11(t: ~I[.)I ,~ z ;, i~~ ~a Recc3rd~ ~>i~~:r• , ,, s1t'fI„Llf,el~z r-~I;h~.JAN 2 4 2009 - ----- MFNZ ~~ 1 _ ---- ' - ~ --~- ----- CertitlCLltirm \t.,lnhcr ~-~.~,,,n„urjl"~ ~ ; Lt~cal Rc~ I tl~~r- dh,1 is<~:et rV ~ ' Q ~ ~ c1 ~r ~_ y - ,~ t1 ._ t_T ~ _ ~ ~ _ ~. •~ tEV tvzoos COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS / ~ PRwT IN ANENT CERTIFICATE OF DEATH ;K INK 3 (See instructions and examples on reverse) ~ ~ STATE FILE NUMBER C..)~ U 1. Name of Decedent (First middle, last, sunix) 2. Sex 3. Social Security Number 4. Date of Death (Month, tlay, year) Betty C. Smith female 174 - 20-~ 0841 January 22, 2009 5. Aga (Last Birthtlay) Untler 1 year Under 1 tlay 6. Date of Berth (Month, day, year) 7. &nhplace (City antl smte or for ego country) 6a. Place of Death (Check only one) Mo,ahs Days Hours Mirnaes Hospital: Other 82 Yrs. October 10, 1926 Harrisburg, PA ^Inpatient ^ER/Outpatient ^DOA ~]NursingHOme ^Residence ^otner- Specity: 66. County of Death &. Cly, Boro, Twp. of Death Btl. Facility Name (II not instiMion, give street and number) 9. Was Decedent of Hispanic Origin? g] No ^ Yes 10. Race. Amerkan Intlian, Black, White, etc. Qi yes, specify Cuban, (Specity) Cumberland S. Middleton Twp. Manor Care Mexican,PuenoRlcan,etc.) white 11. Decedent's Usual Occu Iron Kind of work d one d unn most of world life. Do ref state retired 12. Was Decedent ever in the 13. Decedent's Etlucation (Specity only highest grade compl eted) 14. Marital Slalus: Mardetl, Never Married. 15. Surviving Spo use (If wde, give maiden name) Hind of Wwk Kind of Business / Industry U.S. Armed Forces? Elementary /Secondary (0-12) College (i-4 or 5+) Widowed Divorced (Speayl Homemaker Domestic ^Yes 6clNo 12 Widowed 16. Decedent's Mailing Address (Street city /town, state, zip code) Decedent's Did Decedent Stale Pennsylvania Live ins 17c.^Ves Actual Residence 17a Decedent Lived in Twp 540 Brentwater Road , . . T°wnsh'p? „d ®NO o ced tL ed itni Camp Hill, PA 17011 . , e en w w n nb.countr Cumberland Act°aluma:m Camp Hill Clry / Boro 18. Father's Name (First, middle, IasL suXixj 19. Modter's Name (First mkkle, maiden surname) Raymond Crossett Charlotte Wynn 20a. Inlormant's Name (Type I Pdnq 20b. Inlormant's Mailing Address (Street city /town, state, zip code) Sharon S. Hillegas 540 Brentwater Road, Camp Hill, PA 17011 21a. Method of DisposNion ^ Cremation ^ Donation 21 b. Date of Disposition (Month, day, year) 21 c. Place of Daposibon (Name of cemetery, crematory or other place) 21 d. Location (City I town, state, zip code) ® Burial ^ Removal from State ;Was Cremation orDOnadonAUthorized - Januar 26 2009 Rolling Green Cemetery Lower Allen Twp PA 17011 ^ ^ Other - Specty: i by Medical Examiner I Coroner? ^ Yes No y , . , 22a. SgnaNre o ~P ri ervicp,L nsee (or person acting as such) 226. Lbanse Number 22c. Name and Atltlress of Facility . ~ / ~~,~~'~`~---- FD 012 848 L Parthemore FH & CS, Inc. , P.O. Box 431, New Cumberland, PA 17070 • Complete Items 23ac only when cenirying , death occurred at the lime, date and place stated. (Signature and title) 23a. To the best pl m ~ 23b. License Number 23c. Date Signed (Month, day, year) physk:ian k not avaiWble at time of tleath to l~ ~ _' (, j~/,'~ L ~-~7 / ~~ ` ! ~~ ~ ~ ~ ~ ~ G' ~ ~ ~ certify cause of death. ~~/~ {y .-F~ G / mC ~/L - . G<' Hems 24-26 must be competed by person 24. Time of Death 25. Date Pronounced Dead (Month, day, year) 26. Was Case Referred to Medical Examiner /Coroner or a Reason Ot6e hen Cremation r Donation wh° pronauxes death. Q~ ~ C1 ~ M. ///. ~ U~~C) ^ Vas ^ No CAUSE OF DEATH (See Instruotions an xamples) 1 Approximate interval: Pan 11: Enter other sipnifkanl rnnditiolu conidhutine to tleath, 28. Ditl Tobaao Use Contribute to Death? Item 27. Pan I: Enter the chain of events -diseases. inludes, or complications -that tlireclty caused the death NOT enter tennina events such as Cardiac arrest t Onset to Death but not resulting in the untlenying cause given in Pan I. ^ Yes ^ Probady respiratory anesl, or ventricular fibnilatbn withoN showmq the eliobgy. List oMy one cause on each line. ~ ^ No ^ Unknown IMMEDIATE CAUSE IFlral disease or ' 'j (~ ~~ 1 CoMRion resulting in death) ~ a. :, art /~ `" I ~ ~v ('~ n.ti ~ \x`~-•.t ~'rLz-G.~ ~ ^(~c.~' LC'''ylr 29, II Female. ^ Due to (or as a consequence oi)'. I Not pregnant within past year ^ Pregwnl at time of death Sequentialty list conditions, If any, 6. i leatling to l e cause nsletl on line a. Due to (or as a consequence op: 1 ^ Not pregnant out pregnant within 42 days Enter the UNDERLYING CAUSE 1 of tleath (tlisease or injury that initiated the ° i events resulting In tleath) LASL Due to (or as a consequence of): i Not a nanl, but ^ pr g pregnant 43 days to 1 year r d. before death Unknown it pregnant within the past ear y 30a. Was an Autopsy 306. Were Autopsy Findings 31. Manner of Death 32a. Date of Injury (Month, day, year) 320. Describe How Injury Occurred 32c. Place of Inlury. Home, Farm, Street, Factory, Pedom~ed? Available Prior to Cortpletbn of Cause of Deam? ^ Natural ^ Hanicitle Onice Building. etc. ;Specity/ ^ Acdtlent ^ Pending Investigation 32tl. Time of Injury 32e. Injury at Work? 321. II Trensponation Injury (Specity) 32g. Location of Injury IStreet city /sown, state) ^ Yes ^ No ^ Yes ^ No ^ Suicide ^ Could Not be Detenhlned ^ Yes ^ No ^ Driver I Operator assenger ^ Pedestrian M. ^Other-Specity: > 33a. Cenif r (check only ore) 336. Sgrew a of cennrer -~"'--~~- / I -r, • Cenitying physician (Physician cenitying cause of death wben another physician has pronouncetl tleath and cortpleletl Item 23) ~ ~ ~' r ~ ` , - V Tothe best of my knowledge, death occurred tlue to the cause(s) end manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ ` • Pronouncing and certifying physician (Physician both pronounang deaM and certifying 1° cause of death) ^ 33c. U ~ 33d. Date Sgned IMOnth, day, year) - - To the best of my knowledge, tleath occurred at the time, date, and place, and tlue to the cause(s) and manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ C)G (~ ~' ~ _) ~- L f ~ ~ ! (•,~: C-~ l • Medical Examiner /Coroner On the basis of examination and / or investigation, in y opinion, death occurred ai the time, date, and place, and due to the cause(s) and manner as stated_ ^ 34 Name and Atldress of Person Who Compleletl Cause of Death (Item 271 Type /Print 35. Registrar's Signature bar i /~ / I /Z / I / I or /TT 36. DateF"(Month, y, year) Darryl Guistwite, DO li l PA 17013 i C % ~j a,Cd tt Street, ar e, s 522 S. P Disposition Permit No. v/~ ~ I LAST WILL AND TESTAMENT N c~ '~ v OF ~=~r~7 ~.~ _;., - BETTY C. SMITH t`a ~ --~T `I _.iJ y, :~ ./ ~~; I, BETTY C. SMITH, of Hampden Township, CumberlalTC~,-, ~, _~~ ~-'~ County, Pennsylvania, make, publish and declare this as arid•".~:~for ,,~ my Last Will and Testament, hereby revoking all other Wile and _c- .fl Codicils heretofore made by me. FIRST: I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, including any property over which I hold power of appointment and together with any insurance policies thereon, unto my husband, JOHN C. SMITH, provided he survives me by sixty (60) days. SECOND: Should my husband, JOHN C. SMITH, predecease me or die on or before the sixty-first (61st) day following my death, I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, including any property over which I hold power of appointment and together with any insurance policies thereon, as follows: (A) Fifty-five (55~) percent thereof to my daughter, SHARON S. HILLEGAS, provided that should she predecease me, then to her son, MICHAEL S. HILLEGAS, JR. '~ (B) Forty-five (45~) percent thereof to my grandson, MICHAEL S. HILLEGAS, JR., provided that should he predecease me, then to my daughter, SHARON S. HILLEGAS. THIRD: In addition to all powers granted to them by law and by other provisions of this Will, I give the fiduciaries acting hereunder the following powers, applicable to all proper- ty, exercisable without court approval and effective until actual distribution of all property: (A) To sell at public or private sale, or to lease, for any period of time, any real or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms (including credit, with or without security) or conditions as are deemed proper. This includes the power to give ~_ _ ~__, . , legally sufficient instruments for transfer of the property and to receive the proceeds of any disposition of it. (B) To partition, subdivide, or improve real estate and to enter into agreements concerning the partition, subdivi- sion, improvement, zoning or management of real estate and to impose or extinguish restrictions on real estate. (C) To compromise any claim or controversy and to abandon any property which is of little or no value. (D) To invest in all forms of property, including stocks, common trust funds and mortgage investment funds, without restriction to investments authorized for Pennsylvania fiduci- aries, as are deemed proper, without regard to any principle of diversification, risk or productivity. (E) To exercise any option, right or privilege granted in insurance policies or in other investments. (F) To exercise any election or privilege given by the Federal and other tax laws, including, but not necessarily being limited to, personal income, gift and estate or inheritance tax laws. (G) To make distributions to my herein named benefici- aries in cash or in kind or partly in each. (H) To borrow money from themselves or others in order to pay debts, taxes, or estate or trust administration expenses, to protect or improve any property held under my will, and for investment purposes. (I) To select a mode of payment under any qualified retirement plan (pension plan, profit sharing plan, employee stock ownership plan, or any other type of qualified plan) to the extent the plan or the law permits them to do so, and to exercise any other rights which they may have under the plan, in whatever manner they consider advisable. FOIIRTH: I direct that all inheritance, estate, transfer, succession and death taxes, of any kind whatsoever, which may be payable by reason of my death, whether or not with 2 respect to property passing under this Will, shall be paid out of the principal of my residuary estate. FIFTH: All interests hereunder, whether principal or income, which are undistributed and in the possession of the fiduciaries acting hereunder, even though vested or distribut- able, shall not be subject to attachment, execution or sequestra- tion for any debt, contract, obligation or liability of any beneficiary, and furthermore, shall not be subject to pledge, assignment, conveyance or anticipation. SIXTH: I nominate and appoint my husband, JOHN C. SMITH, Executor of this, my Last Will and Testament. In the event of the death, resignation or inability to serve for any reason whatsoever of the said JOHN C. SMITH, I nominate and appoint SHARON S. HILLEGAS, Executrix of this, my Last Will and Testament. In the further event of the death, resignation or inability to serve for any reason whatsoever of the said JOHN C. SMITH and SHARON S. HILLEGAS, I nominate and appoint MICHAEL S. HILLEGAS, JR., Executor of this, my Last Will and Testament. I direct that my Executrix or Executor, as the case may be, and their successors, shall not be required to post security or a bond for the performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this "3tS~ day of ~~-c ' 2000. ~"~ --c ~ , ,~, ( SEAL) BETTY C. MITH 3 Signed, sealed, published and declared by the above- named Testatrix as and for her Last Will and Testament in our presence, who, at her request, in her presence and in the presence of each other, have hereunto subscribed our names as attesting witnesses. Address Address ~. ~_ c, 4 OATH OF SUBSCRIBING WITNESS(ES) REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA r? ~ _,_. ~ ~,~, _ ; ;, -~~, ~ f _3b~ ~ t ;'91'11 ( `: - _... Estate of Betty C. Smith ; _=~~; _.yi , D~eased _: v ~ -_. ~'....r -~ y ~ - James D. Bogar, Esquire , (each) a subscribing wi4~ss to (Print Name/s) the ~ Will ~ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were present and saw the above Testator /Testatrix sign the same and that she / he /they signed the same and that she / he /they signed as a witness at the request of the Testator /Testatrix in her /his presence and in the presence of each other. (Signature) (Street Address) (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this of day Deputy for Register of Wills (Street Address) Shiremanstown, PA 17011 (City, State, Zip) Executed out of Register's Office Sworn to or affirmed// anjjd__ subscribed before mIe^thhis (~~~1 day of ~'et-~"l~Ql'U ~~ . Notary Public f My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization. Form RW-03 rev. 10.13.06 CO~i?MON1"iES'?H OF PE^;NSY_'J4^1!A i WG1F'~RiF+L SEAS BETH B. LENCEL, NOTARY PUBLIC SNIREMANSTOWN BORO., CUMBERLAND COUNTY MY COMMISSION EXPIRES DEC. 12, 2011 OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA Estate of Michael S. Hillegas, Sr. and h b ~ dul ualified according to law, depose(s) and say(s) that Deceased she / he /they was /were well- (eac) emg y q Betty G Smith and am/are familiar acquainted with Betty C, Smith with the handwriting and signature of the decedent, and that the signature of to the foregoing instrument purporting to be the Last Will and Testament/Codicil of Betty C. Smith is in his/her own proper handwriting. ~~ ~: ~., r~ (Signature) 540 Brentwater Road (Street Address) Camp Hill, PA 17011 (City, State, Zip) Executed in Register's Off ce Sworn to or affirmed and subscribe before me this a of I~YIG ~G~'t ~ ~----- 4 Deputy for t~ g ster of Wills Betty C. Smith (Signature) (Street Address) (City, Stare, Zip) c7 ~ ~ ~.~ t ~ . -? , ~~;.-~ - ~_, . ,7 -- ~, ~- r C ~rn - _,_~ cry ~ _~ ~ - ~ `~~ t_ 1 ;~ ~~ ~ _ t ~-`F- ~-- ~. `i _ ll ~ ~ "t' ~ ~ Form RW-04 rev. 10.13.06