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HomeMy WebLinkAbout03-20-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland Estate of Fredith Nolan also known as Fredith E. Nolan Dennis J. Hoover Petitioner(s). who is/are 18 years of age or older. apply(ies) for: (COMPLETE 'A' or 'B' BELOW':) Deceased COUNTY, PENNSYLVANIA ~~~ File Number ~ ~ ~ ~~ ~ t~'7. ~ ~~ Social Security Number 186-28-51 12 ® A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the Executor last Will of the Decedent dated October 13. 1994 and codicil(s) dated N-A named in the (Store relei~anl circumstances, e.g.. renunciation. Beath nfe.recuun, 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: ~ c.i.~ © B. Grant of Letters of .Administration (/applicable enter: cCa.: d. h. n.c.l.a.: pendente lire: duraNe absentia: Petitioner(s) after a proper search has /have ascertained that Decedent left no Fill and was surs~ised by the follos~~~in~~ spoils Adnrinisma~ion, ct.a a-d.h.~t.ct.a_, enter date o~~N'il1 in Section .A a6oce and complete list o/heii:c.) -- I 'd7 fV ~) an~j'yeirs: (/I ~~ 'Jame Relationship Residcn e`- ~ I7 •• (COMPLETE IN ALL CASES:) Anach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at ]0 Water Street Ncwbur~~ Borough Cumberland County PA 17240 (List sn~eel address. ro~a~n/cin~, township, counh~, state. zip code) Decedent, then 75 years of age, died on March 1, 2009 at Chambersburg Hospital in Franklin County. PA 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 situated as follows: ~ 15.000.00 8 0.00 S 0.00 ~ 0.00 Form RI4'-03 rev. 10.13.06 Page I Of 2 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 undersi~~ned: Oath of Personal Representative COMMON\~EALTI3 OP P>/NNSI'LVANIA SS COUNTI' OF 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 oFPetitionet(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and h•uly administer the estate according to law. ~-) ~. J Sworn to or affirmed and subscribed before me the ~C' clay of '~~~ . ~ ~_ For the Register l ~ ~~J C~'~i C p ~_ - `- ....~ -r. .Signal! e r crs I+nl c7»' . cr nlivr , ~ ^_~ ~ ~~. ~ ~ __. rn ~ ~o sr;~n(fl,„ (- q~Tcrs onar Represc~nral;ve Ey ~: ~ ~],-,~ ~ , ~~,__ 51 G71n11lrL' OI ~'CI'SUnCI; I1 CI7/'CSC'I+l[l II IIC ~~ ~'( ~ N Pile Number: t~,~ U~"~ `-(C1~ ~{~~ Estate of Trcdith Nolan ,Deceased Social Security Number; 1SG-2fi-5112 Date of Death:Nlarch i. 2009 AND NOW, , in consideration of the Foregoing Petition, satisfactory proof having been presented before me, IT 1S DECKLED that Letters Tcstantenfa+~y are }tetchy granted to Dennis .l. Hoover in the above estate and that the instrument(s) dated OctoUer 13, 1994 described in the Petition be admitted to probate and tiled of record as the last \\Iill (and Codicil(s)) of Decedent. I~ LDS lS. 4~ ~~ ~ Co ~ regsar q/ hl ,ua' Letters .... 1. ....... C_.__.__, •. r , ~ ~`` _. Short Certifcate(s) ..~C.... $ ~~ Attorney Signature: ~ ~-.~ .---~•'~'~~ ~----- - - Renunciation(s) .......... $ Attorney Dame: FL Anthony Actams L~r l/ ... ~ is J ~ l~~ ... S lD Supreme Court I,D. No.: 25502 Address: 49 ~~lest O+•ange Street ... $ ... $ Suite 3 ... Shippensburo,PA 17257 ... $ ' • • `~ Telephone: (7l7) 532-3270 ... X TOTAL .............. $ 0.00 Fmv+R11'-(12 rev. 10.13.p( P1ge 2 oft OGA~ REGISTRAR'S ~E~TIFICATION OF CE,~TH WaRf~JING; It is illegal to d~lplicate this L.opY by photostat or phatoc~raph. £"c'(' 2i;~ 111 i'~ .C1 . 's ~. ;l `li (r{1 ''. li I~~ ~-~ ~ illy iti k Cat?I I ;1; th li- UI t ~sl•yRl e} ~ 1'r cll L ~~~~ r"r,y~ ~ IL Ili t, a , (:~ ~In )I m ll 1 (t:'tc Lt~ r1! 1) It't r ~~" ~~~~ ~ ~(UiV' ills lr Y ~? 1 .t~ ~ 111 Rl. I ti ,~ Ili tt Irl-i 21 ;~:~ ~ ~;~ tGII)iCt!L 3!fi 3!1A(1Lf.'C~ ;.~ l,lf' `~L;ili, t-.!l2i ,,:. `~ Z , ,rte - ~ ~..~ .~~~ RccLlrij> t~ f c~ s~ ;Te m. Litt 'iiin~~. __ __- --- ~~1 _ - - - --- - - - _ --- -------- 1 ~--,, ::~h.,. ;it~j `.llluh~~i~ __-~~ ~ L/t~~a 2~_i[r::: .~.Itr~ f~~i:rci n ~O ,~~ ~ ~ - ~ ~ ,?~~ ~ _. j~ ~ ~ _ (- _ :_; x~ ~~a'.~ ~ I~\ C~\ 0~r1~ -' ~ o H1T~i'ae/vaiNT INS COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~ ' PERMANENT CERTIFICATE OF DEATH I'V - .. BLACK INK (See instructions and examples on reverse) STATE FILE NUMBER N ~~ ,~ ~rl i 1 S J 0 1. Name q Decedent (First, mitltlle, last, sunix) 2. Sex 3. Social SecuMy Number 4. Date of Death (Month, tlay, year) Fredith E. Nolan Female 186 - 28 - 5112 March 1, 2009 5. Age (Last Birthday) UMer 1 year Untler 1 day 6. Dale of Binh (Month tlay, year) 7. Bklhplace (Coy antl slate or foreign auntry) Ba. Place of Deatn (Check Ditty orre) MrnNS Days Hours Mnules Hospital: ONer 75 rm. 2-18-34 Newburg, PA ®Inpaaem ^ER/atpalrem ^DOa ^Nursirg Home ^Resitlence ^Other Specify. Sb. County of Death &. CM• f3oro, Twp. of Death 13d. Fecnity Neme QI not institNion, give street end number) 9. Was Decedent of Hkspenic Origin? ®No ^Yes 10. Race: American Intlian, Black, Whlle, etc. ' (n yes, spedty Cuban, (Spea~ryq Franklin Chambersburg Chambersburg Hospital Mexican,PuenoRican,etc.) White 11. Decetlent's Usual Occ tqn Kind d work done tluri moW of workin Itle. Do Irot state retired 12. Was Decedent ever in the 13. Decedent's Education (Spedty only Mghest gretle completetl) 14. Marital Sletus: Married, Never Marled, 15. Surviving Spouse (11 wile, give maiden name) KiM of Wark Kind of Busktess / Intlugry U.S. Artnetl Forces? Elementary /Secondary (0-12) College (1-4 or St) Witlowetl, Drvorcetl (Specify) School Teacher rtes Road H.S. ^Yes ®NO 12 years 4 years never married . 16. Decedent's Mailirg Address (Street, city I town, state, zip cede) Decedent's PA Did Decedem Live in a 77c ^Yes Decedent Li ed m T ) R A S P.O. Box 97 . , v wp. qua esitlerNe 17e. late Township? 17d ~ ~ ~ t ~~h Newburg, PA 17240 nb.coumy Cumberland ~n Newburg city/gym u A ttual Lrc rxls ol 18. Father's Name (First, midtlle, last, sunix) 19. Mother's Name (First, mitltlle, rreitlen sumama) John A. Nolan Valerie C. Hensel 20a. Interment's Name (Type /Pant) ~ 20b. Inlomiant's Madiig Address (Street, qty /town, state, zip code) Valerie C. Nolan P.O. Box 97, Newburg, PA 17240 21 e. Method of D'aposition ^ Cremation ^ Donation 216. Date of Dxspestlion (Month, day, year) 21 c. Place of Disposition (Name q oemelery, cremalay or other place) 21d. Locatbn (City I town, state, rip cotle) ® Burial ^ Removalfrom5late . wscremalionorDOn.uonamlxxixetl ^ Other ~ Specify: by Medical Examiner /Coronet! ^Yes ^ No 3-5-09 S rin Hill Cemeter P g Y Shi ensbur PA 17257 PP 9 r 22a. S~pt~rey~u al Licensee r person aping as such) 226. License Number 22c. Name antl Address of Facility . ~ ' Vn.•• FD-012984-L Fogelsanger-Bricker Funeral Home Inc., Shippensburg, PA 17257 Complete Items 23as ony when cennying 23a. To the best of my knowledge, death oavred al the ame, date and place staletl. (Sgnalure antl 10k) 23b. Ucecee Numher 23c. Dale Signed (Month, tlay, year) physidan M nq available et time of death to ceniry rouse of death. Items 2426 must De compktetl by person 24. Time of Death O ' 25. Date Pronounced Dead (Month, tlay, year) 26. Was Case Referreo to Medical Examiner /Coroner for a Reason Other Ihen Cremation or Doretion? Y N who pmnamces death I f -. ~' ` M. 3 ~ ! ^ © 9 o ^ es ^ CAUSE OF DEATH (See Instructions antl examples) ,Approximate interval: Pan II: Enter other sirnitwm caMitons contdbul no to death, 28. Ditl Tobaaro Use Contribute to Dealn? item 27. Part L Enter the cha'n of events - tliseasas, injuries, or complications - that tliregy carsed iM death. W NOT enter temdnal events such as cardiac arteq. r Onset to Death but not resulting in the untledyirg cause given in Pan I. ^Yes ^ Probably respiratory arrest, or venlncular libdnation without showing the eliobgy.~ fist only one cause on each line. ` ~ ^ / ~ ~ ~No ^ Unkrwwn IMMEDIATE CAUSE Final Disease or '~,n~, , \ '~ r ,yam candtbn resNlirlg in ~athl a. v-, y~ V`^~~VG~~ ~"C~' -~ ~ ,( /y ~ ~, ~ W`V`TTT'"" ""~~~J~~-~~l ~v.~M.t,4~1 2g. If Fe le: ~/ma r Due to (or as censeque eol): \ \ Sequemaly list conditions, n any, n, d ~ ~ ` l / ~ LQ Not pregnant wBhin past year ^ Pregnara at time of tleath r leading to the cause listed on line a. D t ^ Not pregnant, but pregnant within 42 days o (or es a consequence op: ue Enter the UNDERLYING CAUSE of death (6sease or injury that initiated the c events resuniig m death) LAST. Due to (or as a conse uence olj: ^ Not pregcenl, but pregrem 43 days to t year q before death tl. ^ Unknown it DreglaM within the past year 30a. Was an Autopsy 30b. Were Autopsy Findings 31. Manner of Death 32a. Dale of Injury (Momh, day, year) 32b. Describe How Injury Occurretl 32c. Place of Injury: Hone, Ferm, Slreel, Fagory, Penormed? AvaiWble Prior 1o Complelbn of Cause q Death? Natural ^ Homicide Onice Building, ek. (SpecifYl ^ Acq tlent ^ Pending Investigation 32d. Time of Injury 32e. Injury at Wont? 321. II Transponakon Injury (Specily~ 32g. location M Injury (6lreei, dty /town, pale) ^Yes ~ No ^Yes ^ No ^ Suicdc ^ Cold Not be Delerrcne0 ^Yes ^ No ^ Driver /Operator ^ Passer;ger ^Pedeslrian M ^Olhet~ Specify: 33a. Cannier (check only one) 336. 6ignelure e e ndier • Cennying physician (Physican cenilying reuse of death when eirolher physican has pronounced death and canpleted Item 23) To the best of my knowMtlge, death occurtetl tlue to the cause(s) antl manner es ateted_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ / V' V , ,~ ~ ^ ~.,. • Pronouncing antl cenitying physician (Physician both pronouncing death antl cenilyklg to cause of tleath) To the best of my knowledge, tleath occurtetl el fhelime, date, antl pkce, end tlue fo the cause(s) end manner es atafed_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 33c. License N bar ~ ~ ~ ~ CY O / 1 L 33d. Dale Sgrred (MOnlh, day, year) ~ l C E i Q 0 bJ l ner oroner • Medical xam On the basis of exami n antl / Invealigation, pinion, alh acurretl M the time, date, end place, end tlue to Ina cause(s) antl manrwr as slated_ ^ 39. Name and Address of Person Who C1omnplel Causc of Dcalh Illem 27 Type (Print ~ ~ !~~ ( ear) D l Fil d (M nth da J ,V ~ ~ 35. Registrar's Sgnature bar I ~I ~ I ZI ~ N`I a e e o , y, y . EGi ~C~1~4n1i~ /dVL C 1'1B/s ~'~ 1 ~) ~ n Zp ~ . vV Disposaion Permit No. ©~ 1 l ~t I' LAST WILL AND TESTAIKENT I, FREDITH NOLAN, being of sound mind, memory and understanding, do make, publish and declare this my Last Will and Testament, hereby revoking all prior wills and codicils made at any time before by me. FIRST: I direct that all my funeral expenses and just debts be paid as soon as practical after my death. SECOND: I give and bequeath my 1857 one dollar gold piece and c~ ~..> ~--, my 1991 Five dollar gold piece, my 1976 U.S. Liberty B~~~ Silr ~~~ `,. Dollar, my 1990 American Eagle Silver Dollar and my 1$~~r~Ind~an .,;, ;:, ~ f;:~ ~~' Head Penny to John Nicholas Hoover. '--~'c-~ - ~~ ; ~. ;tom -; _, THIRD: I give and bequeath my cut glass and two Do~3~hitl,~ch ~, .. prints (chickadee and Titmice) to Dennis Hoover. i''v FOURTH: I give and bequeath my wine glass collection and cameos to Debra Hoover. FIFTH: I give and bequeath my Hummel Figures, Christmas Ornaments and Santa Claus Figures to Victoria Gabriel Hoover and Ashley Marie Hoover, to be divided equally in kind, according to value. I give and bequeath my 1986 U.S. Liberty coins set to Victoria Gabriel Hoover. SIXTH: I direct that any and all automobiles that I own be sold, either publicly or privately and the proceeds thereof be given to the New Hope United Methodist Church, Newburg, Pennsylvania. SEVENTH: I direct that any beneficiary may receive their share of the estate in kind. EIGHTH: The rest and residue of my estate, be it real, mixed or personal, I give, devise and bequeath as follows: a. I give and bequeath Twenty Five (25%) percent of the residual of my estate, to the Forbes Road School District of Fulton County. b. I give and bequeath Ten (10%) percent of the residual of my estate, to The American Cancer Society of Cumberland County. c. I give and bequeath Sixty Five (65%) percent of this residue of my estate to Valeria Nolan. If said Valeria Nolan should predecease me or if we should die in a common disaster, then in either of those said events, I give and bequeath the said amount of the residual estate to Dennis Hoover and JoAnn Hoover, equally, per stirpes. NINTH: I nominate, constitute and appoint Dennis Hoover, to be the Executor of this, my Last Will and Testament. IN WITNESS WHEREOF, I, FREDITH NOLAN, to this my Last Will and ~ ! .~ Testament, set my hand and seal, this ~~_ day of October, 1994. ~~ ~,' ~x-_./'~,(~~{c_ \~>' ~ ~ ~ ~~ _ (SEAT,) Fredith Nolan Sworn to and subscribed, declared and published by FREDITH NOLAN, as ~ ~ -~,., r ~ ,° ~,, her Last Will and Testament, and so t:~~,~ '~.. "~~ `~ , ``- - ~=-~'- __ done in the presence of we the ---~---~ _~~~ witnesses, who sign at her request, and in her presence, and in the ~C ;~ ,~> ; presence of each other. ,~-,~' ,t~~~~,;-~a-;~~ ~ .zf ~',,,~r,,;~~ ~ ~ ~'~.~,_ COMMONWEALTH OF PENNSYLVANIA: :SS COUNTY OF CUMBERLAND I, FREDITH NOLAN, 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 and Testament; and that I signed it willingly; and that I signed it as my free and voluntary act. for the purpose therein expressed. _. C..t-t ~~C, t_ ~~ j~ 4~ ~ ~C. Fredith Nolan Sworn to and acknowledged, before me, by FREDITH NOLAN, the Testatrix, this __ ~3°t'; day of October, 1994. ~. ~~~ Notary Public '~~ COMMONWEALTH OF PENNSYLVANIA: :SS COUNTY OF CUMBERLAND 6'at~`~'e~Fti~ ;;~~ ~,,L7Fa~+d?~ Mr~F~l~ S~iO~.:r '~ra~ry ~'u~lic w~i~^~e~s~~rc~, Cumber=~, ' ~ ~7ni'V, f'A t+'!; tnmrr;isSion EX~,•eS f`'w_~rc"...~~tr We, H. Anthony Adams and Sharon Coleman Adams, the witnesses whose names are signed to the foregoing instrument, being duly qualified according to law, do depose and say that we saw the Testatrix sign and execute the instrument as her Last Will and Testament; 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 and the Testatrix was at the time at least eighteen (18) or more years of age and of sound mind and under no constraint or undue influence. H . An-thony Adams ~` _~~. f ~~ Sharon Coleman Adams Sworn to and subscribed before me by, H. Anthony Adams and Sharon Coleman Adams, the witnesses, this ~ day of October, 1994. otary Public f3f5lPf:~i Nl~,Ri~ S~EOrJ~,. P~lo,ary ~'ublic :°~hi~~.e*;s~~rc~, Cum~er'~,rr~ County, 8A ~`,~ (~f;i'?;iTicciC3n Ex~;;*e., ~flb. 5, 1Q~5