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Home My WebLink About12-02-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA Estate of James E. Hoffman also known as Deceased j f s~_ File Number ~ 1 ~ ,~ ~-'~~' 7 ~ ~ 4 i . / Social Security Number 194-42-9028 Petitioner(s), who is/arc 18 years of age or older, apply(ies) for: (COMPLETE 'A' OR 'B' BELOW:) A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the EXeCUtrlX named in the last Will of the Decedent dated 4/20/2006 and codicil(s) dated (State relevant circiernstances, e. g., renuvrciation, death of executor, etc.) Except as lolP.ows, 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: 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 db.n.c.t.a., enter date of Wil! in Section .A above and complete list of heirs.) B. Grant of Letters of Administration (If applicable, enter: c. t. a.; d. b. n. c. t. a.; pendente llte; durante absentia: durance minoritate) Decedent, then 51 years of age, died on 11/19/2009 at 22 Walnut Lane Camp Hill Lower Allen Township PA 17011 Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property (ll' not domiciled in PA) Personal property in Pennsylvania (If not domiciled in PA) Personal property in County Value of real estate in Pennsylvania 22 Walnut Lane, Camp Hill, PA 17011 situated as follows: $ 25 000.00 $ 158 000 00 Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of betters in the appropriate form to the undersigned: Signature Typed or printed name and residence ~;:~~.~~~ ,~ Katharine D. Hoffman 22 Walnut Lane Camp Hill PA 17n11 Pa e 1 of 2 r.,r„~ Rtv_n~ „~,~ to t; n~ ~ -~ .. (COMPLETE; !N ALI. CASES:) Attach additional sheets if necessary. ~~ p Decedent was domiciled at death in CUmberland County, Pennsylvania, with his /her last principal residence at 22 Walnut Lane Camg Hill PA 17011 Lower Allen Township // ist street address, town-city, towvrship. coanty, state, =ip code) Oath of Personal Representative COMMONWEALTH 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 ~r affirmed and subscribed ,,,~; before me the ~+ day of ;~ r_ ~, ~. ~. ,,ta,~ i~ ~ ` For the Register ,~~ Signature ojPersonal Representative Signature of Personal Representative n c ~ ..~: ~. ~~ ~ ~ ~~ Signature of Personal Representative ~ _L~~- ~ ~;: tom; _'f- -..~ ~ _.~ T2w _~~ File Number:, ~-~~'~~~~" ~~~~ =>--z p -..i Estate of James E. Hoffman ,Deceased Social Security Number:194-42-9028 Date of Death: 11/19/2009 in consideration of the fore oin Petition, satisfacto roof AND N O W, I,~ ~~ k+ ~~,' f~ p yy ~,~2J -Lk:~a 1 g g ry P having been presented before 'e, IT IS DECREED that LettersTestamentarV _ are hereby granted to Katharine D Hoffman and that the instrument(s) dated described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES Letters ........................... ~ r ~ _, ~ .. $ ti~ ~ •l}U Short Certificate(s) •••••~.~•• 9 L` •• $ L Renunciation(s) ••••••~~~~~~~• •• $ '- ~!~`~ .. .. $ U ~`~~` ~~,~(~'C'ti'Y~C~C,f-~ . .. $ ~~~ .. .. $ .. .. $ .. .. $ .. .. $ .. .. $ . .. $ TOTAL ........................... .. $ ,l~it(:~ .;.=C? in the abo~~e estate Supreme Court I.D. No.: 40486 Address: 414 Bridge Street New Cumberland PA 17011 Telephone: 717-774-7435 r;,,rm rzw_rn ro., to t s n~~ Page 2 of 2 Attorney Name: Gerald J. Shekletski, Esquire ~~-Zc~'~-fills Lt~~A~ REGISTRAR" °ITI '~, -A itVAR~#li>#Ca: ## is i91eg~! #s~ c#up#i?°~~t~ ~~ c:,~~a~- '~'~< ~.~~3.~~#~# ~ r ~r,~:t,~. , ;~ ~_ r 5 J ~ ,t <. ~~; ~. NOV 2 0 2009 P 156~2~81 LG-m.-~%~ :~ ,~~ ~~ ~, ~, . rf r- _ ~ ~, _ -~,- = .. ~" ^~ -.~ REV n/zoos COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS 'PRINT w dANENT CERTIFICATE OF DEATH cK INK (See instructions and examples on reverse) STATE FILE Nl1MRFR 1. Name of Deceden; (Flrsl, mitlclle. lass, suttrxl 2-Sex 3. Social Security Number a Dale of Death Month. day, year) .James E. Hoffman male 194 - 42 ~ 9028 November 19, 2009 5. Age ;Lest Birhtlay) Under t year Under I day fi Date of Birth (Month, day, year) 7. Binhplece (Ciy and state er foreign country) Ba. Place of Deelh (Check only one) MmnLS OaVS Hour6 Minv~e HosP10'. Other: 51 Yrs. December 3, 1957 Harrisburg, PA ^mpanem ^ER/om arem, p ^ DOA ^ Nur9mg Home ®Res,dence ^Otner ~ spemry Bb. County of Death Be. Crty, Boro. Twp of Death Bd. Facility Neme (If not inslituton, give street and number) 9-Was Deeedenl of Hispanic Origin? ®No ^ Yes t0 gate American Ionian. Bldcr, Wn:te, etc. (II yes, specity Cuban, ~ Spec~W', Cumberland Lower Allen Twp. 22 Walnut Lane Mexican, PUeno Rican. etc.) white tt. Decedent's Usual Occu n Klnd of work d one tl urm most of workln Ilse. Do not stale retlretl 12. Wes Decedent ever in the 13- Decedent's Educallon (Specify only highest grade compl eted) 14. Marital B10Ias' Married, Never Mer~Ied. 15. Surviving Spo use IIr wife. give maiden name) Kind of Work Klnd of Business! Industry U.S. Armed Forces? Elementary I Secondary (0-12) College (1-4 or 5+) Widowed, Divorced (specity) . Financial Consultant Credit Union ^vaa ®No 12 Widowed t6. Decedent's Mailing Adtlrass (Street, city /town, stale. zip rode) Decedent's Did Decedent Stale Pennsylvania Livema t7 LOWeT Allen _ Acual Residence na {t]Y D ! 22 Walnllt Lane . c es. ecedent L vedm ? wp. t hi PA 17011 Cam Hill owns p rib cppmy Cumberland rid.^Ne, Decedanuived wanm , p Actual emits of City r Boro 18- Father's Neme (Brat, middle. last, suflizf E N 19. Mother's Name (Fret, middle, maiden surname) ~ r . Q Mac 20a. Informant's Neme (Type /Print) 20b. Informant's Mailing Address (Street. city /town, slate, zip code) Katharine D. Hoffman 22 Walnut Lane, Camp Hill, PA 17011 21 a. Method of Disposition i ^ Cremation ^ Donation I 21 b-Date of Disposition (Month. day, year) 21c Place of Disposition (Name of cemetery, crematory or other place) 2t d. Locauon (City l sown. stale, i:p weal ® Banal ^ Ramnaanromslate wascremaapnerDenatienApmpnzed ' ^ ^ November 23 2009 Mt. Olivet Cemetery Fairview Twp PA 17070 I by Medical Examiner /Coroner? Yes No ^ Other ~ Speci/y: ~ . 22a. Signature of Funera rvtce Lic see (pr per n acting as such) 22b- License Number 22c. Name and Address of Facility . ~ FS 012 849 L Parthemore FH & CS, Inc., P.O. Box 431, New Cumberland, PA 17070 Complete Items 23a-c only w r nityin 23a- To the bell o my knowledge, death occurred al a time, date and place staled. (Signature and title) 236. License Number 23c. Date Signed (Month, day, year) physician is not available at tim f each to ~ ~ / ~ ~ Y~ J ll /~ n ~, cenify cause of death. ~~~~~ / Zr / Gv 4 Items 24-26 must be completed by pe son d. Time of Death y 26. Date Pronounced Dead (M th, day, year) 26. Was Case Referred to teal Examiner' Coroner for a Reason Other t. an Cremation or Donationn who pronounces death. ~ 5 ~. pA, ~O..,n U~ ~ ~ ~ ~ ^ Yes CAUSE OF DEATH (See instructions and examples) t Approximate Interval: Pan II: Enter other significant conditions con(ri6utine to death, 26. Did Tohacco Use Comribute to Dea!M Item 27 Pan I. Enter the atn it gvgD(§ -diseases, Injuries, or compBCations -that directly caused the death- DO NOT enter terminal events such as cardiac arrest, Onset to Death hm not resulting in the untledying cause grven',n Pad I. ^ Yes ^ ?robably respiratory arrest, or ventricular Ilhrillafion without snowing the elia:ogy Lisl only one cause on each Ilne. ^ No ^ Umrnwn IMMEDIATE CAUSE 'Final disease or Y ~^ f ~ Li M ~ l / ~ I~(~ 1 ~` ~' ~ Y .1 ~ I ~1 ~'y( I h l d 29. II Female. on resulting n eat cond4 ) -~ a V ^ Oue to for as a consequence ol): Not pregnarv wnh~n mos. year Sequentially Ilsi condltlons, if ant, b ^ Pregnant al hme pl death leedlnaa to the cause Ilsted on line a. Due tp (or as a consequence of): Enter tl~e UNDERLYING CAUSE Not pre a t. nu'. pre ^ gn n gna:n wilnm a2 days (disease or injury that Initialed the c events resulting m death) LAST of death . pue to (or as a wnsequance of). ^ Nol pregnant. out pregnant a3 days to t year tl' before deatn ^ Unknown if pregnant wllhln the past yea• 30a. Was an Autopsy 30b. Were Autopsy Fmdings 31. Manner of Death 32a. Dale of Injury (Month, day, year) 326. Describe How Injury Occurred 32c. Place of Injury Home Fa m, Steel. Factory. Performed? Available Prior to Completion ^ OKCe Building, etc. (specity) of Cause of Death? Homicide ~ Natural ^ Vas ~ NO ^ Yes ^ No ^ Accident ^ Pending Investigallop 32tl. Time of Injury 32e-Injury a1 Work? 321. II Transponation Injury (Specl(y) 32g. Location of Injury (SIre91, city r town, statel Coutd Npi be Determined ^ Suicide ` ^ Yes ^ No ^ Driver / ODerator ^ Passenger ^Petlestnan - , M w ^Other Speciy- , 33a- Cenifler (check only one) /~ 33b S g azure and Till of G¢rtipe 1 f~ ' \ / 4 h~a^an nes pronounced de91h and completed Item 23) y g p y ysman ca tying p y f a t ci ~ ® ~ \ ,/ ~' v the cause anU knowled death occurred due lo ' Y 9e, O ner as stated_________________________ ^ To the be5t of m `/ _ • Pronouncing and certifying physician IPnysician both pronouncing death ant cenifymg to cause of tlealh) To the best of my knowledge, death occurred at the time, date, and place, and due to the cause(s) and manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ _ 33c. L e seINu e 33d 7 to Ig ed IM ~ to dav, year, , ~,, ~ ` ~ C~ ~ \ 4l ~e ~ %/ 1 4 • Medical Examiner I Coroner On the basis of examination and / or investigallon, in my opinion, tlealh occurred at the time, date, and place, and due to the cause(s) anU manner its stated_ ^ / / 1 34. Name and Address of Person Who Completed Cause of Death Ilten. 2". Type Pont ~~ ~~ r~ ~ / 35 Registrar's Signature and District Number ~ ~ ~ ~ 36. Date F tl (Month ay, year) ' ~ / \~p 1 "~ ~~a~1 ~~G`r~.1 I d. ~I:~ LirbnP ~,,1 ~ ~/V ~1~h ""~ ~~ ~~ 9 I ~ ~ ~ P ~. ~!// ~ ,~7 L%~y~ /l ~ ~ 1 r,,.~~.,r,,.~ Po.m,r r,h T) f~ ~_ Lam) ~ h l ii y _1 I •~ `' ~ ~ . 1 LAST WILL AND TESTAMENT a- =-~ _ ~~~ ~i. OF .J_z ~~ - - ;--~. ~ JAMES E . HOFFMAN = = c,3 %_' ~' I' _ . -, ,~„ - ~; - ; ~ i. _ ' `~ c:~ - .~ --+ "` I, JAMES E. HOFFMAN, of Camp Hill, Cumberland County; Penns~~a-~ nia, declare this to be my last will and revoke any wi__~~ previo~~sly ~,,~~~ by me . iTEM L I direct that my Executrix hereinafter named shah pay n as convenienti ~ it-a S' k:~e ,~ „ x~enses as soo ~ ~~ f neral e awl ~n, ~us~ aebts and u p - 1 dove after my decease from the residue of my estate. - t residue and e ueath all the res , 1TEM II. I devise and b q ~:emainder of my estate of every nature and wherever situate to ~~.~.~ ,r,r, "ATHARINE D. HOFFMAN, if she survives me. ;u._ter K dat , NE D. HOFFMAN fail THARI , dau titer KA m ITEM III. Should y g , ~r i nd~_ I sur~.-ive me, _ devise and bequeath all the rest, residue and rem~._ ~-, ~ ~ ~, ~. t ~~ :,f Ir-~ estate, of every nature and wherever situate, lr_ equal .~~_,~~~~ _~ she following named individuals: I ~ A. THERESA FLUDOVICH, or to her issue per stirpes. B. MARGARET BUTTS, or to her issue per stirpes. C. HARRY E. HOFFMAN, III , or to his issue per stirpes. ~. RICHARD J. HOFFMAN, o r to his issue per stirpes. E. LYNDSAY M. MOYER, or to her issue per stirpes. r LAURIE E. BORDLEMAY, or to her issue per stirpes. Page 1 of 4 G. PAUL L. HIMES, JR., or to his issue per stirpes. ITEM IV: I appoint my daughter, KATHARINE D. HCFFMAN, Ex~~~;t~r'__x of t°~~is my last will. Should my daughter, KATHARINE D. F10FFMAN, ~~.-~ to qualify or cease to act as Executrix, I appoint LYNDSAY M. M~:~YER, Fxe~utrix of this my last will. ITEM V: No fiduciary acting hereunder shall be required ~o post ~~,~r,~ nr F?nrPr ~e!~turi ty for the fai tl-;f~al performance Cf r1~ nr },~_,,_ ut~es in and jurisdiction. IN WITNESS WHEREOF, I, JAMES E. H9FFMAN, have hereunto se` :V_ ~`~and and sea'. this ~~day of 2006. "-~ f,. ~y , .~f ;f ~ s JAMES E. H~~FMAN Page 2 of 4 SIGNED, SEALED, PUBLISHED and DECLARED by JAMES E. HOFFMAN, r_1-_~: '~es~-ator above named, as and for his Last Will and Tes~ament, a_d ir~: r_he vresence cf us, who at his request, in his preser_ce and in -.~~ :;resence c y each other, have subscribed our names as witnesses. _ , %~ _..~ f ~ ' ~ ' '~ ~.` ,, ~ ~ ~ ~ l b ,~ ,--~' ~~ - an: , er 414 Bridge St. , Mew Cum , r~~itr.ess ~ ~ Address ~~_ ,~~,1,'i' ~ `~ J' ~~~ ~ ~~~r"~~'~~ 41.4 Bridge St. , New Cumber~~and, rwi. _ness Address -_'0_"~~"~:~;~NwEA~TH OF PENNSYLVANIA: . SS: ~~OUr~-iTY OF CUMBERLAND I, JAME:~ E. HOFFMAN, the Testator whose name is signed to ~-he _~t- ta~~`~-ed or foregoing instrument, having been duly qualified accc~di~~, ~o =_aw do he_~eby acknowledge that I signed and execur_ed this i.r_~_tr~~- ._ _ as my last wi11; that I signed it willingly and that I s ~ ~°~~~ ~ ~- as ray free a:~~d voluntary act for the purposes therein contained. JAMES E r.O.F ~ MAN Y w Swore ~ or affirmed to and Cac~knowledged bef~ar ~r~~e b_ ~.;AM-~~ F' ~ ` -iCF~MAN, the mestator, this w~ ay of ~~,- i~UM1VIUN'/`ttElt,tH Uh ~~NhiSYLVANIA NpTARIAL ~S Not +"Y Pub1'sc DANIEL i+A. HARTMAI~, New Cumberland Boro., Cumberland Co. My Co~r~mission Expires Jan. 2 ; , 2009 Page 3 of 4 ivoLary r~r~~~~ COMi~~1ONWEALTH OF PENNSYLVANIA ~„'~~`-:TY OF CUMBERLAND SS: ,~ __ a ~ _ r w /" ,~' ~'%: ~o ~,-~;,, and (~~f /~'~ /' __,~'1J/ ''j ,ft~ ~I!'°i'~ , r~7 e rye wiTnesse:-, whose names are signed to the attached cr forego,n~ instrument, t;eing duly qualified according to law, de~~ose and s ~~~ rte ~~ere present and saw Testator sign and execute the in: trumer-. _.~ r~_~=~~ Last wi1~~; that Testator signed willingly and that he exec~~.~~ed~t as his free and voluntary act for the purposes thereir~_ expressed; that eac~a of us in the hearing and sight of the Testator s-~gned the s,~11 as w_t-,_esses; teat to the best of our knowledge, the Tess-_ator was a_ tr~ar_ tim-~ eig'n~teen or more years of age, of sound mind and ~~:nder no ~-~=r- -_~aint or ,andue influence. .~'~ Witness i ~~ , /f /' ~/ , ~~ -~~~~t.,~. ~~~ _lfZr ~~~ ~ _~r ~~ ~Z' Witness Sworn to or affirmed to and acknowledged before me by D~ , w~tr~_esses, phis ~ day of ~;r+1MON'V~IEALI~N OF PENNSYLVr~N1H d - N:'~TARIAL SEAL~~ t?~NIPL ~;, HARTMRN, Notary Public New Cumberland Boro., Cumberland Co. My Cornmissron Expires Jan. 21, 2009 ~ Page 4 of 4 iv~~aL_~ s ~,;LL~