HomeMy WebLinkAbout06-16-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of Doris Amy Hess
also known as Doris A. Hess
Deceased
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COl-1PLETE 'A' or 'B' BELOW:)
COUNTY, PENNSYLVANIA
File Number d, ~ C~ C 5~
Social Security Number 172-24-7851
~/ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the Executrices
last Will of the Decedent dated March 10, 2004 and codicil(s) dated N/A
named in the
(State relevant circumstances, 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: None
]B. Grant of Letters of Administration
(lfapplicable, enter: c.t.a.; d. b. n. c.t.a.; pendente lire; durante absentia; durante minoritate)
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 Will in Section A above and complete list of heirs.) cN-~
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C Name Relationshi Resid+~ ~- -
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(CO.MPLETE INALL CASES:) Attach additional sheets if necessary. '~~~` -~.-~ -- ;= q
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Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal rerTdence at ~_ `~
108 Second Street, Boiline Shrines. PA 17007
(List street address, town/city, township, county, state, zip code)
Decedent, then 80 years of age, died on May 26, 2009 at Carlisle Regional Medical Center, Carlisle, South
Middleton Township, Cumberland County, PA
Lecedent at death owned property with estimated values as follows:
([f domiciled in PA) All personal property $ 10,000.00
(If not domiciled in PA) Personal property in Pennsylvania $ 0.00
(If not domiciled in PA) Personal property in County $ 0.00
Value of real estate in Pennsylvania $ 125,000.00
situated as follows: 108-110 Second Street, Boiling Springs, South Middleton Township, Cumberland County, PA, 17007
Wherefore, Petitioner(s) respectfully request(s) the probate of the Iasi Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
Si nature T ed or tinted name and residence
- /C. ~ /~~~ LQivr'~ Denise K. Beam, 301 Front Street, Boiling Springs, PA 17007
~~ ~ _ Debra J. Brymesser, 146 Sable Drive, Carlisle, PA 17013
Forrn RW-02 rev. 70.13.06 Page 1 of 2
Oath of Personal Representative
COPvIMONWEALTH 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 of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
Sworn to or affirmed and subscribed
before me the ~ .~ day of
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For the Register
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Signature of Personal Representative
Signature of Personal Representative
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Estate of Doris Amy Hess , D~eased ~
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Social Secu/rity Number: 172-24-7/851 Date of Death:5/26/2009
AND NOW, / ~D~ C~~`J Z.~.~'tF ~l~ , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IS DECREED that Letters Testamentary
are hereby granted to Denise K. Beam and Debra J. Brymesser
in the above estate
and that the instrument(s) dated March 10, 2004
described in the Petition be admitted to probate and filed of record as the last Will
FEES ~ / ~t<'
/3 l" ~~
Letters
"f ~ -
$ ~~0~ Register of Wi[Is
~-
.....
.......
Short Certificate(s) .. ~.... $ ~ ~ Attorney Signature:
Renunciation(s) .......... $
- ~ ~/
$ ~ 5
Attorney Name: adle L. riffie, Es uire
Y 9
- ' ~ • • • $ ~O Supreme Court LD. No.: 34349
~ $ ~
$
Address: 200 North Hanover Street
_ ... $ Carlisle, PA 17013
_ ... $
_ ... $
- ~ ~ ~ $ Telephone: (717) 243-5551
... $
od 0.~_.
~~
of Personal Representative
Forrn RW-02 rev. 10.13.06 Page 2 Of 2
105.805 REV (OI/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
Certification Number
This is to certi(~y that the information here ~Yiven
correctly copied lrom an original Certificate of Dea
duly tiled with me as 1_ocal Registrar. The origin
certificate will he forwarded to the State Vit
Records Office for permanent filing.
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Local Registrar Date Issued
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H105-143 REV 11/20116 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
TYPE/PRINT IN
PERMANENT
BLACK INK CERTIFICATE OF DEATH ' 1 ~ ~ ~ ~~~
(See instructions and examples on reverse) srnrc G~~ ~ ti~ ~..o~e
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.. ,..,,2,. ~aaw,~ lie,,. eeaae. ea,, aamx/ - ~ - ... „~ a
2. Sax 3. Social SeWny Number 4. Dots of Deem
Doris A. Hess Female (Month, tlay, year)
172 - 24 - 7851 May 26, 2009
5. Aga (Lest Birmdey) UMer 1 year Untler 1 day 6. Dale of Birth (Mash, day, year) 7. BiMpIaW (City and stale a foreign Wuntry) Be. Place d Deam (Check Dray one)
kroroa Den Hows kierln
Hosgbl: Other:
£30 Yrs April 26, 1929 Mt. Holly Springs
P
,
Bb. Cams of Deam [3Jrtpaaenl ^ ER / ONpebent ^ DOA ^ Nursing Hane ^ Rasidertce ^Omer - Specay:
Y &. Ciry, Boro, Twp. d Deem 6tl. FadMy Name (If not irlslllulron, give street and mxnber)
'
9. Was Decedent of H
?
Carlisle Re 1 tspanx Origin ®NO ^Yas 10.Rare'American lndan, BWCk, While, etc.
g'onal Medical Center myea,ape6tycuban, Is
Cumberland S. Middleton Twp
ec
.
p
y,
- Mexican, Pueno Rkan, etc.) Whit e
71. Daced~YS Usual bon Kind of wok done lain most of Me. Do not state retired 12. Was Decedent ever n Iha 13. Decedent's Education ISpedy onty highest grade completed) id. Marital Status; Monied, Never Monied, 15. Survwi
n9 Spouse (I/wife, give maiden name)
Kind d Wok Kind of Bushes / industry U.S. Armed Forces?
Elemema / Seconds P12 Coll Widowed, Dhorcotl
ry
ry( ) agar-a or s.) tspad+M
Clerical Book Mfg
. ^vea C~Na
12
Widowed
• 16. Decedent's Meiling Adtlress (Street, city / bwn, stale, Zip Wile) Oetedenfs Ditl Oecetlem
1C18 Second St
Aa
lR
PA
ae
.
ealdenW na.smte
aroma „c.~]yea
0eaedemuveam S. Middleton
,
Bailing Springs, PA 17007 nb.coann Cumberland Townshwo na^No,pecedentlivedwnnin rwP.
AWrel Umns a City /Boo
i6. FameYS None (Firsi mitltlle, Iasi, su6ix) 19. Mocha's Name (Fast, midde, maitlen surname)
James Hartzell
Sue Morrison
209. Inlonnam's Name (Type / Prnt)
Denise K
Beam 20b. I famenYs Maahg Atltlress (BtreeL coy /form, State, zip cotle)
. 301 Front St., Boiling Springs, PA 17007
21 a. Hornet d Disposition ^ Cremation ^ Donator 21 b. Data of Dispositon (Norm, day, year)
^: Burial ^ Removal horn State 21 c. Place of Dspositon (Mama of WmMery, cremabrY a Diner
Phca) 21 d. Laxieon (City /town
sbte
zp Wile)
i Wee Cremetlon a Oonalion Aumorizad
^ Diner-~h: byMadinlExrrthxyc«aner? ^Yes^Na May 29, 2009
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,
Mt . Zl On Ceme ter
Y Churchtown, PA
•
zza sig<tamre a F sm.i~e Liceneea 1« persW aaang as aadq z2b. ticenee NaMer zza. Mama a,d Address a Facety o man- o t unera Dine , nc .
-
~ 138425
-
219 N. Hanover St., Carlisle, PA 17013
Complete kerns 23ee aNy wren c•rtiM^9 23a. tM best of my knowledge, deem W Wrrad at me time, dale and Place stated. (Sigruture end title)
Wryskian b~ nil aveaeble at time a tleaM ro 23b. License Number 23c. Dote Signetl (MWm, day, year)
cerMy ease of deem.
•
Gems 244li must be WnpMled by person
'"'°p°"~^'~~m za. Time of Deem
8:15 a M 25. Date Pronounced peed (MWm, day, year)
M
26 Zfi. Was Case Refaned ro Me4Wl Examiner / Corwrer fa a Reason Other than CremdtlW or Donation?
. ay
, 2009 ^rea
CAUSE OF DEATH (See InaVUCtions and examples) t Approximate inbnel: Pad II: EM& other " ~ 26. Did Tobacco Use CWbibNe ro Deem?
earn 27. Pen L Enter machain a eveMS - dweases, injures, a carylicatims -Met dreclty posed me deem. W NOT enter femoral evanb suW es aadiec erred, Onset ro Deem
re
t
t
apre
ay artes
but not resulang h ma undenyhg cause
, a vmlriaaar flbrtlatien wi0put sMwktg 1M aliokgy, list arty We cause W each Nne. ,, ~ 9nen in Pan I. ^ Yes ^ probably
MIMEOIATI: CAUSE IRnal drsease a J i ^ Na ~Q1nkWm
candeianresWhgm athl -~ a. a Gl~~y (,~~(~~~ /.Lv ~ ~.'~ .~~il i ~/ ~~7~
zs. n Female:
Duero (« as oq: _
Sequentiaay Ilst Wrtditiaa, it any, b. _ r )lot preptem wimp past year
~drg b the puce listed W kre a - .L ~ C^ ~ ~ e«, r
EnM the UNDERLYING CAUSE pus to (or as a consequence oQ; r ~~!"" Pregnant ei mine of deem
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^ Not p,agtam, but program within 42 Sys
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ev
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) Due to (or as a Wnsequence oQ. / / ' a tleem
d
^ Not pregnant. Wt pregnenl43 days tc 1 year
r
,
betas tleath
r ^ Unlebwn 9 pregnant wtlfan me past year
30e. Was at AMOpey 306. Wae Auropay Fintlirgs 31. Manner al Deem 32a. Data M Inprcy (Noah, day, Year) 32b. Dascrbe How kM ry OWtirretl 32
Pedamed? Avaaaae Pr« ro Cari
letion
p
c. %ecw of I
y~y'!_~I ^ Haninda Office Bum. sHtcan(e3pecilyJ SlreeL Famory,
m caws of Deem? Ma1°
^ Yes ~NO ^ Yes ^ No ^ AWitlenl ^ Pending Investigalbn 32tl. Tine of InNrY 32e. Injury al Work? 32f. tt Trena{wrtaliW Injury (SP•adY) 32g. Location of imury (Street, illy /torn, slate)
^ Suiride ^ Coultl Nol he Delertnined ^ Yes ^ No ^ Drver / Oparal« ^ passe tar ^Pedestran
M' Omer-Spep'fy:
33a. CeNfier (check Wty aye)
Grtltying physician (Physipan cerfityig reuse of deem when atalMr physician nos praoatced deem aM Wmplated Item 23) 33b. Sgnataa Tnle of Ce '
•
To the heat of my knowktlge, death xcurtad due to the cause(s) aM merurer as smlerL _ _ _ _ _ _ _ _ _ _ _ _
_ rt
-
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
• Pnonouncing entl n!nmying physcian (Physipen born Draaurxdlg deem and certlfyitg to cause of eeaml
To me best of my knowledge, deem Wcurretl at into Ume, tlale, aril Platt, aril dos to iM cause(s) aril manner es stated_ _ _ _ _ _ 33c. License Number 33d. Dote Sign (MWm de ,
Y Year)
_ _ _ _ _ _ _ _ _ _
• Medir.MExeminerycoronar -- ~'3 '.'7~ ; ~ _
~
On the base of examinatbn antl / or inveellgetbn, In my opinbn, deem occumetl ffi the Bme, date, std place, and duo to the teasels) antl manrrer is stated ^
T ~
d
34. Name and Adtlress of Person Who Completed Cause of Death (Ite m 27) T
o / Pnnt
Regisvar's re aril District Nuybary ~ 36~ Dale Fktl (Norm, daY, Year) yp
~~~~`y,t f 3~Y ~ ~~ . ~~y(l,~a,{L,~ ~~~
7
Disposition Permit No. ~ t•' )SlQ I ~~ / '
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DORIS AMY HESS `~ ~ `= ~'
I, DORIS AMY HESS, of 108 2"d Street, Boiling Springs, Cumberla C~ounty,r _,
Pennsylvania, being of sound and disposing mind, memory and understanding, do make,
publish and declare this to be my Last Will and Testament, hereby revoking and making
void all previous Wills and Codicils heretofore made by me.
FIRST
I order and direct my Executor/Executrix hereinafter named to pay all of my just
a
i
debts, funeral expenses and expenses involved or connected with the administration of
my estate as soon after my death as is reasonably possible. However, my Executor need
not accelerate and pay those unmatured obligations which, in his, her or its opinion, it
might be proper and more advantageous to retain or renew and pay as they become due
and payable. If I do not own a burial plot or a grave marker at the time of my death, I
authorize my Executor/Executrix, in his, her or its sole discretion, to purchase a burial
plot and to erect a suitable grave marker at my grave, and to expend sums from my estate
for this purpose.
GRIFFIE 8~ ASSOCIATES
Attorneys At Law
200 N. Hanover Street
Carlisle, PA 17013
38 N. Main Street
Chambersbur~, PA 17201
SECOND
I give, devise and bequeath my entire estate of whatever nature and wheresoever
situate, together with all insurance proceeds thereon, to my beloved spouse, Richard
Floyd Hess, providing that he survives me by sixty (60) days.
THIRD
Should my spouse, Richard Floyd Hess, predecease me or die on or before the
sixtieth (60) day following my death, then I give, devise and bequeath my entire estate
together with all insurance proceeds thereon of whatsoever nature and wheresoever
situate in equal shares to my children, Denise Kay Beam, Debra Jo Brymesser,
Richard Alan Hess and David Michael Hess, who survive me by sixty (60) days, per
stirpes. I direct my Executor/Executrix to divide among such beneficiary all personal
property of a sentimental or family nature (excluding cash, stocks, bonds and the like),
including but not limited to jewelry, household goods, antiques, furniture and
memorabilia, in accordance with a separate memorandum which I may place with my
Will or deposit with my attorney. In the absence of such disposition by memorandum, I
direct that the said tangible personal property be divided between m resid
y ual
~ beneficiaries with due regard for their personal preferences in as nearly equal shares as
ry practical, with the value of such dispositions being credited to the share of each
respective recipient. If the said beneficiaries do not agree to the division of the personal
~~ property provided for hereunder, the decision of my Executor/Executrix, includin the
g
^~ decision to sell the property at public or private sale and distribute the proceeds therefrom
`,~'
as provided hereinafter, shall be final and conclusive on all parties.
GRIFFIE & ASSOCL4 TES
Attorneys At Law
2l)0 N. Hanover Street 38 N. Main Street
Carlisle, PA 17013 Chambersburg, PA 17201
FOURTH
I grant my Executor/Executrix the following powers in addition to and not in
limitation of such powers as my Executor/Executrix shall hold by law:
(a) To retain all property received including the stock of any corporate fiduciary
acting hereunder, provided such property remains productive.
(b) To join in any corporation, partnership, recapitalization, merger,
reorganization or voting trust plan; to delegate authority with respect thereto;
to deposit investments under agreements and pay assessments; and generally
to exercise all rights of investors, including but not limited to, the voting of
shares.
(c) To manage, operate, repair, improve, mortgage or lease on any terms any real
estate held or owned by my estate.
(d) To operate any business that I may own at my death.
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3
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(e) To invest any funds of my estate in any stocks, bonds, notes or other securities
or property, real or personal, without regard to the principle of diversification
or any other statute or general rule of law in his, her or its absolute discretion,
it being my intention to give my Executor/Executrix the broadest investment
powers possible, providing such investments do not unnecessarily prevent the
prompt settlement of my estate.
(f) To sell or otherwise dispose of any property, real or personal, tangible or
intangible, at any time forming a part of my estate in any manner and on such
terms and conditions as my Executor/Executrix shall see fit in his, her or its
absolute discretion.
GRIFFIE c~ ASSOCIATES
Attorneys At Law
X00 N. Hanover Street 38 N. Main Street
C arlisle, PA 17013 Chambersburg, PA 17201
(g) To borrow money for the payment of taxes or for any other proper purposes in
the administration of my estate, and to mortgage or pledge estate assets as
security.
(h) To compromise claims without court approval including, but not limited to,
any controversies with the United States of America or the Commonwealth of
Pennsylvania concerning estate and inheritance taxes on any interests that may
pass under this my Last Will and Testament.
(i) To distribute in cash or in kind upon any division or distribution of my estate.
(j) To undertake any and all acts deemed necessary and proper by my
Executor/Executrix for the proper, advantageous and prompt management of
the settlement of my estate.
(k) In general, to exercise all powers in the management of my estate which any
individual could exercise in the management of similaz property owned in his
own right, upon such terms and conditions as to him, her or it may seem best
and to execute and deliver all instruments and to do all acts which he, she or it
deems necessary or proper to carry out the purposes of this, my Last Will and
Testament.
i
FIFTH
No interest of any beneficiary of my estate, either in income or in principal, shall
be subject to anticipation or pledge, assignment, sale or transfer in any manner, nor shall
any beneficiary have the power in any manner to chazge or encumber his interest either in
income or principal, nor shall the interest of any beneficiary be liable or subject in any
GRIFFIE & ASSOCL4TES
Attorneys At Law
200 N. Hanover Street
Carlisle, PA 17013
38 N. Main Street
Chambersburg, PA 17201
manner while in the possession of my Executor/Executrix for the liability of such
beneficiary.
SIXTH
I nominate, constitute and appoint my daughters, Denise Kay Beam and Debra
Jo Brymesser, as Co-Executrixes of this my Last Will and Testament. In the event
either of my daughters are deceased, unable or unwilling to serve or shall cease to serve
for any reason whatsoever, then I nominate, constitute and appoint my son, Richard
Alan Hess, as Co-Executor of this my Last Will and Testament, with my surviving or
remaining daughter. I direct that my Executor/Executrix shall not be required to give or
post bond for the faithful performance of his, her or its duties in this or any other
jurisdiction.
SEVENTH
I hereby declare it to be my expressed desire that my Executor/Executrix employ
the law firm of Griffie & Associates, of Carlisle, Pennsylvania, for legal advice and
assistance regarding this my last Will and Testament, they having considerable
knowledge of my affairs, views and wishes respecting any matters that may arise at the
probate of this instrument, the administration of my estate, and the execution of the
powers herein mentioned.
IN WITNESS WHEREOF, I have hereunto set my hand to this my Last Will and
Testament this f d ~ day of ~ ~ , 2004.
WITNESS:
~', ~ %UO„t,~'~
~~~ ~~~~
DORIS AMY ESS
GRIFFIE & ASSOCL4TES
Attorneys At Law
200 N. Hanover Street
Carlisle, PA 17013
38 N. Main Street
Chambersburg, PA 17201
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA:
. SS.
COUNTY OF CUMBERLAND
I, DORIS AMY HESS, the 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.
~~ ;~~~.
DORIS AMY H SS
Sworn or affirmed and acknowledged before me by DORIS AMY HESS the Testatrix
this ~ `(~ ~' day of ~`~'~.,~ ~~.,.. , 2004.
ROBIN
GRIFFIE 8c ASSOCL4TES
Attorneys At Law
200 N. Hanover Street
Carlisle, PA 17013
NOTARr_ ptIBUC
38 N. Main Street
Chambersburg, PA 17201
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA:
. SS.
COUNTY OF CUMBERLAND
WE, ~ rr 5a.~~ ~ and ~~c_~d /e:T (• ~a~- ~ ~ ~ ,the witnesses
whose names are attached to the foregoing document, being duly qualified according to
law, do depose and say that we were present and 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
subscribing witness in the hearing and sight of the Testatrix signed the Last Will and
Testament as witnesses and that to the best of our knowledge the Testatrix was at the time
18 or more years of age, of sound mind and under no constraint or undue influence.
i
-h. ~ ~~~ v
Sworn or affirmed and subscrib ore me by ~ ~ ~' ~~ rn~_ and
' ' (-~~. ~, this /U~ ~' day of ~ yt~~.,,6._._.. , 2004.
~ ~ ,~ ~z:.~----
Notary Public,
NOTARIAL SEAL
ROBIN 1. GOSHORN, NOTARY PUBLIC
CARLISLE BORO., CUMBERLAND COUNTY
MY COMMISSION EXPIRES APRiI 17 2007
GRIFFIE 8c ASSOCIATES
Attorneys At Law
200 N. Hanover Street 38 N. Main Street
Carlisle, PA 17013 Chambersburg, PA 17201