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HomeMy WebLinkAbout09-02-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of Mildred E Hoffman also known as COUNTY, PENNSYLVANIA File Number 21 - 09 ~,~Z~ ,Deceased Social Security Number 185-22-1952 Robert L. Kissinger Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or '8' BELOW ^x A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Executor named in the last Will of the Decedent dated 08/14/2006 and codicil(s) dated (State relevant circumstances, e. g., renunciation, death o/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 app Ica e, en er: c..a.; ..n.c..a.; pe en e i e; uran e a sen ia; u2n a moron 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 Administrahon, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) Name Relationship Residence r C~ ~ ` v ~ , ~ cn -- -~o ;,.~ r-- ~:~ trl t ~- -"` -• (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. _ - '- - t~ -: Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residenc$ at n~ 355 Sporting Hill Road, Mechanicsburg, PA 17050 ~ (List street address, town/city, township, county, state, zip code) Decedent, then 96 years of age, died on 07/26/2009 at Holy Spirit Hospital, East Pennsboro Township, Cumberland 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: -~p'jQG ~/S; Dr ,~, cJJ 1~S' C1 ~ r1 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: Signature Typed or printed name and residence Robert L. Kissinger `/' / PO Box 574 TL/ ~ ~ , ~'~'Y"" Elizabethville, PA 17023 Form rcev. iv-i~-zuoti Copyright (c) 2006 form software only The Lackner Group, Inc. Page 1 of 2 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. r"~.' Sworn to or affirmed ands bscribed before me this day of ~ ~~ •~ '~~ For the Register O ~ ~_ ~ . , ~ ignat re of Personal Representative obert L. Kiss er ,.:i ~:_ ~ g ~ ->I~ ..: N , _ ~ /\ . - --. Signature of Personal Representative ~'~ ~ _ - . ~ _Z7 ~ . v N Signature of Personal Representative File Number: 21 - 09 Q~jZ, (o Estate of Mildred E Hoffman Social Securi}ty--Number: 185-22-1952 AND NOW, \~ 0 I~XY~~ ~ having been presented before me, IT IS DECREED that Letters ~_ , in consideration of the foregoing Petition, satisfactory proof Testamentary are hereby granted to Robert L. KISSinger in the above estate and that the instrument(s) dated 08/14/2006 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES l/.J~- $ ~ ~ r Letters ......................................... Short Certificate(s) ..................... ... / ~ ... $ c~C C7' (~ Register orWlls ~ej) /7~ ~~ Renunciation(s) .......................... ... $ Attorney ature: ~-~~- $ ~ ~ . ~ Attorney Name: GregoryMKerwin J ~.~T'" / ~1 h $ ' (J ~ y~ 1 ' ~"~Vrna~l u~ $ ~ ~'~ Supreme Court LD. No.: 21222 ~ Kerwin 8 Kerwin $ Address: 4245 Route 209 $ Elizabethville, PA 17023 $ Telephone: 7171362-3215 $ $ TOTAL .................................. .. $ ~ -1 Q ' U ~ Form RW-OY Rev. f0-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2 Date of Death: 07/26/2009 ,Deceased in. cnc egV' r^.~,.-, LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate. $6.00 This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as I ocal Registrar. The original certificate will be forwarded to the State Vital Recur ~ ( fice for parr ~ nt filing. Certification Number Local egistrar Date Issued _ _. _.-._ -- ~s C~ ___ --- .. ~ w i a7 f/1 T _T_ C7 f*1 _ "7 t,i.~~fTl ~ -- ,ri_L7 IV ~r~`~ 7 ~ - - ..n --~ ~ a N J xwo-lu Itv IIR006 COMMONWEALTH OF PENN8YLVANIA • DEPARTMENT OF HEALTH .VITAL RECORDS YYPE ~ -RNr w CERTIFICATE OF DEATH (Sb InthucNom end sxamolss on nvns1 ,, ~i i !I - __ t.lbm•dOtoeOre (Fk¢nitl~.bLL xix! 29u 3Saai S•oslq Nrrr •Oasd Oeb P•c••~m4. Yrn MYdred E. Holtman Female t85~2•t952- Ju Z6, 2009 s. ny. nae B~e4q uaw l UMer i a nb d aim s. w mba ~ eo wr a aw, ites 4H +bv+ d+utee ~ O.Nr . 96 Yr~ January 3.1913 . PA D bod.• G~ei r oep•gnc D ooe D ~, D tbxr.c• D eaxi~ q. Gashed O•ieh q. DO'. Bo~4 T•µ dOed~ r.FadylLnbplad YSxubtigr•rron•MnurM 0. 49Ir G•adu•d Fiq~c QiYnT y. DYa t0. Nscr.AOh7,nM~n,gM.YMks.et Gt>"19ecto•.d . ~, t -'~`•.1• ~ ~i `~ White Il.acayneausr d,wa~a•• mrid gxosrosr 12 Wr •rw b ln• +7. n•o.art• Eaawin (SF•dY •^I¢ ~1 Tatlo ~'Y4Sab1 f~ b11M11 BIIIIK Wm•e, Mrwr Irrd,•. 15. 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I, MILDRED HOFFMAN, of Camp Hi11, ~_-~`u~nberl'~nd County, Pennsylvania, being of sound and disposing mind, memory and understanding, hereby declare this instrument to be my Last Wi11 and Testament, revoking any and all Wills .by me heretofore made. ITEM I. I direct my hereinafter-named Executor to pay all my just debts, funeral expenses and administration expenses, including inheritance taxes, as soon as may be convenient after my decease. ITEM II. I give all the rest, residue and z-emainder of my Estate, real, personal or mixed, of whatsoever nature and wheresoever situate, unto my brother, ROBERT L. KISSINGER, or his issue per stirpes. ITEM III. I hereby nominate, constitute and appoint my brother, ROBERT L. KISSINGER, Executor of this, my Last Will and Testament. ITEM IV. I direct that my Executor shall not be required to give bond for the faithful performance of his duties in this or any other jurisdiction. ~ ~ <--vc_ (SEAL) Page 1 of 2 Pages Mi dred Hoffman r ~~ ` _® ~'`~ ITEM V. My Executor, is hereby authorized and empowered to sell at public or private sale or sales all of the personal property of which I may die seized and to likewise sell all real estate of which I may die seized and to convey the same by fee simple deed or deeds to the same effect that I could personally do, if living. IN WITNESS WFIEREOF, I have hereunto set my hand and seal to this my Last Wi11 and Testament, consisting of two (2) typewritten pages, each bearing my signature, this day of A. D. 2006. -, SIGNED IN THE PRESENCE OF: ~ ~ -zL~c,~c._,,) (SEAL) Mildred Hoffm s Page 2 of 2 Pages COMMONyyEALTy pF PENNSYLVANIA Notarial Sal Dorrta E Gdrnwood, Notary PubNc ~~'~^ TwP.~ ~ County ~ ~ E~res Jtate 19, 2010 Member, Pennsylvania Association of Notaries AFFIDAVI T COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN Before me, the undersigned authority, on this day personally appeared TESTATRIX WITNESS: MILDRED }~ OSCO HO~~F~~yyFMAN,J WITNESS: ~a s~~ '~ y ~ ~'~ ~ known to me to be the Testatrix and the Wi tnesses, respectively, whose names are subscribed in their respective capacities, and, all of said persons being by me first duly sworn, said MILDRED HOFFMAN, Testatrix, declared to me and to the said Witnesses in my presence that said instrument is her Last Will and Testament, and that she willingly made and executed it as her free and voluntary act and deed for the purposes therein expressed; and that said Witnesses, each on her oath stated to me, in the presence and hearing of said Testatrix, that the said Testatrix had declared to them that said instrument is her Last Will and Testament, and that she executed the same as ,such, and wanted each of them to sign i t as a Wi mess; and upon their oaths each Wi tress stated further that they did sign the same as Wi tnesses in the presence of said Testatrix, and at her request and that said Testatrix was at that time over the age of 18 years and was of sound mind. ~~,~ I ~~ ~~l --L.~ (SEAL ) Mi I Bred .Yof~fm:/a'n ~~ C ~ !1J (SEAL) Wi mess f; ' ~ (SEAL) i mess Sworn to and subscribed before me by MILDRED HOFFMAN, and -tyb5 th y above -named Testatrix and Wi tnesses, this f ~ day of ~0 A.D. 006. COMMONWEALTH pF PENNSYWANIA ~ ` Nofa~ial Seal Notary Publ i c Derma E. Grimwood, Notary Public Lower ANen Twp., Cumberland County My Carnmissiort Expires June 19, 2010 Member, Pennsylvania Association of Notaries