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HomeMy WebLinkAbout12-30-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF V ~ COUNTY, PENNSYLVANIA Estate of JQ~r~ +~_~(~j~p"2,n A~ ~ . ,-- also known as Deceased File Number ~ ~ ~ ~~ 1 ~ ~ ~~ U Social Security Number ~ .. ~ yt Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (CO~t-IPLETE 'A' or 'B' BELOW:) A. Probate and Grant of Letters Testa entary and aver that Petitioner(s) is /are the last Will of the Decedent dated ~ 1 ~' -~~ ~ and codicil(s) dated (State retevnnf circu,nstnnces, e.g., rent[ncintion, 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 fot• probate, was not the victim of a killing and was never adjudicated an incapacitated person: (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domicile at dea in ~ l~.1/~ ~a. f County, Pennsylvania wit his er last principal residence at a~ ~ o (List street address, town/city, township, count), state, zip code Decedent, then ~~ years of age, died on ` at ~ ~ - ~ t P Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ /~~. ~Q©. a~ (If not domiciled in PA) Personal property in Pennsylvania $ (lf not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ situated as follows: I C~~~~U ~ p1~C 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 Tvoed or printed name and residence ~ r I ~~z tr` ~~Y~n~~C ~~. named in the Fo,-,u RYV-03 rev. lo.r3.o6 Page 1 of 2 ^ B. Grant of Letters of Administration Ca e~ (If applicable, enter: c. t. n.; d. b. n. c. t. n.; pendente lire; durance nbsenti ,.=:; to minorit~ t.~. ` ' -`~;i Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the followtn~e (if afiy and il~rrs~ (I~' Adnrirtistration, c.t.a. ord.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) ~ ~_ -~-~ ~ C~; .: ~ _`_~ Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CV 'The Petitioner(s) above-named swear(s) or affirn~(s) that the statements in the foregoing Petition are tine and correct to the best of the knowledge and belief of Petitioners} 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 _S~~ ~ day of • ~~ For the Register Personal Representative Signature of Personal Representative Signature of Personal Representative fV F, .I :~ . ~ ~ _~ . ..:~, ~1.. _t r _`~ File Number: ~ ~rt ~ _ ~Z~~ r ~;i ~- ' _ . .:`~ l~ ' I ,,, f n ~ -.."'i •w :.. rte.) K,_^,j Estate of ~ -1 ~ I~1~.~ N~r~ /'~ ~.' IC. ~ , D~'ceased "" `"{ t U`t Social Security Number: ~~ -off ~ '~.3~ Date of Death: ~ d~~ AND NOW, ~ , in consi eration of the fo egoing Petition, satisfactory proof Navin been resented before m IT IS DECREED that Letters ~ ~ ~ ~~ r g P ~ {'~ are hereby granted to ~ ~~ Y1 K ~ ~~-~'YY1C1i~ and that the instrument(s) dated described in the Petition be admitted to pro 1 in the above estate and filed of record,as the last Will (and Codicil(s)) of Dec dent. FEES Letters ............... $ l~ ~ ' `~~' Short Certificate(s) ........ $_~~ ~=' Renwiciation(s) .......... $ ---~" ... $ ~,~ ~ ...$ .~~~ ... $ X3.50 ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ti3 5Z~ - Register of Wills Attorney Signature: Attoizley Name: Supreme Court I.D. No.: Address: Telephone: r-~,•,,, Rw-v? reg. lal3.o~ Page 2 of 2 /-~~~/ZC?~' LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this, copy by photostat or photograph. Fee for this certificate, $6.00 ~ r,,rr~~""""'~-- This is to certify that the information here given is t1l,,~~p~~H OF PFy~~ - ~` ~,~ o~ ~ ~ - l~_ ~;~ 9 • .,a- Z ,o = a• ~ - * * ~. O _ - ~ `~ F `~ correctly copied from an o~i,;inal Certificate of Death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. 5 3 6 _~q9 ~P~tt~~~ /~ ~ DEC Z 9 200 P 1 9 4 3 7 -..IMENT O~;~flfit ~''~`2- • Certification Number '' """""""'' r Local Registrar ~ Date Issued 3 REV 1112006 /PRINT IN RMANENi .1CK INK COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples on reverse) STATE FILE NLIMRER 1. Name of Decedent (First, middle, last, suffix) 2. Sex 3. Social Security Number 4. Date of Death (Month, day, year) John 0. Heckman Jr. Male ]62 -22 - 3564 December 23. 2009 5. Age (Last Birthday) Under 1 ar Under 1 da B. Date of Birth Month, de r 7. Birth C end state or for coon Ba. Place of Death Check on one _ 8 0 Yra. Months Days Ffourt Minutes 2 / I 1 / 19 2 9 Harrisburg , P A Hospital: ~] Inpslient ^ ER /Outpatient ^ DOA Other ^ Nursing Home ^ Residence ^ Other ~ Speciry: fib. County of Dean 8c. City, Boro, Twp. of Death 8d. Facility Name (II not instltudon, give street end number) 9. Was Decedent o1 Hispanic Orgin? ~] ~ ^Yes t0. Race: American Indian, Black, White, etc. Cumberland East Pennsboro Twp Holy Spirit Hospital MezBCanSpPuertoRican,etc.) (White 11. Decedents Usual lion Kind of work d one d u ' most of IAe. Oo not state retired 12. Was Decedent ever in the 13. Decedent's Educatlon (Spedty Doty highest grade comp leted) 14. Marital Status: Marred, Never Married, 15. Surviving Spo use Qf wife give maiden name) Kind of Work Kind of Business / Indust ry U.S. Armed Forces? Elementary I Secondary (0.12) College (14 or 5+) Widowed, Divoroed (Specify) , Chief Petty Officer U. S. Navy ~yeS ^ ~ ]2 Widower ~ 16. Decedent's Mailing Address (Street, city /town, state, zip code) Decedent's Did Decedent PA 20 N. 12th Street Actual Residence 17a. State Live in a 17c. ^Yes, Decedent LNed in Twp. ' Lemoy[1e PA 17043 17b. County Township? ray i ~•*~+=+^e Cumberland 17d. LJ No, Decedent Lived within `~"']'~ Actual Limits of City / Boro 18. Fethels Name (First, middle, last, suffix) 19. Mother's Name (First, middle, maiden surname) John 0. Heclanan Sr. Mary Pip 20a. Informant's Name (Type /Print) 20b. Informant's Mailing Address (Street, city /town, state, zip code) John R. Heclanan 5024 Kylock Rd. Mechanicsburg, PA 17055 21 a. Method of Disposition r ^ Cremation ^ Donation 21 b. Date of Dispositwn (Month, day, year) 21c. Place of Disposition (Name of cemetery, crematory or other place) 21 d. Location (City 1 town, state, zip code) • • r i'J Burial ^ Removal from State r Wes Cremator or Donation Authorized ^ Other- S r by Medical ExemltterlCoroner7 ^Yes^ No December 29 2009 s Enola Carets ~ Enola PA 17025 , 22e. Signature of Funeral Service Licensee (or person acting as such) 22b. License Number 22c. Name end Address of Fadliry FD 012774-L Richardson Funeral l-bme Inc. 29 S. Enola Dr. Enola, PA 17025 Complete Hems 23a-c only when certifying 23a. To the best o~ r~ knowledge, death occurred at the, 'me, date and place stated. (Signature and title) 23b. License Number 23c. Date Signed (Month, day, year) physidan is not available at time of death to cerd cause of deem ~ ~ I~ N S L7 t " ~ ~ <= ty . ~ ~, ~ r ;- y ~i'~3 . . :. ~ ' .:."t' i ' Items 24.26 must be completed by person 24. Time of Death 25. Date Pronounced Dead Month, de ( y, year) 26. Was Case Referred to Medical Examiner /Coroner for a Reason Other Ihan Cremation or Donation? ~ wta prortourtces death. ~ ` 4~ "~ ~ ~ M. 1 Z ' _ Z 7 _ ~ t7 O n ~ f ^Yes ~ No r Approximate inteNal: CAUSE OF DEATH (See Instructions end examples) Part II: Enter other >;jgnificant conditions contdhutine o death 26. D id Tobacco Use Comribute to Death? Item 27. Part I: Enter the chain of events -diseases, injures, or complications -that directry caused the death. DO NOT enter terminal events such as carliac arrest, ~ Onset to Death but not resulting in the underrying cause given in Part L lI rt vv L!y Yes ^ Probably a' ~ ; -~ ~ ~) ~~_ respiratory arrest, or ventricular Illxillation without showing the etiology. List Dory one cause on each line. t . ^ N ^ i t o Unknown ^, ~ ~ t ~ IMMEDIATE CAUSE Flnel disease or r~ ~ ~ 5 ~ r' J t ~T 2 :. .v ~ I ^t r ~ V'1~e. i ~ cdf ~ ~ S (~ /( condition resukin in ~ath) ~?t~ ( ": 5 j :'~ /~f ~ i~ 29. If Female: . g _~ a ` ~ , t . 7r • ^ N Due to^(or as lc'o~nsequence ,oq: ~,r / i f uentielly Ilst corMlfions, If any, b /f L u l,,C,. ! /t Y 1' / / ~ ~' /"`~ c~'~~ VCrI r k a I'rt ~K.+~ G ~i ~'Y1 - i ~ ~ k S to rite ca se lul d o Nn ~ n1 ~ ^ `W~,:~ : ?:i ~'~. ot pregnant within past year ^ Pregnant at time of death ^ e n u e a. pus to or as a cones / t Emer UNDERLYING CAUSE ( quence of): L / r f a / %~ ' e s ~ C ' ~ / /r / Y - < Not re rant, but re rant within 42 da s p g p g Y f d th r.~ t t r t T , (disease or injur)r that iMtialed the c events resulting m death) LAST. t ; ! r (~ ~ ~, ti " ~ (: f. o ea ^ ~ Due to (or as a consequence of): r i I UY( r 5(` ~ ~l ~/ ' f ~ ~ Not pregnant, but pregnant 43 days to 1 year before death C ~ d ,; k ~ /~ C S • . ^ r Unknown if pregnant within the past year 30a. Was an Autopsy 30b. Were Autopsy Findings 31. Manner of Death 32a. Date of Injury (Month, day, year) 32b. Describe How Injury Occurred 32c. Place of Injury: Home, Farm, Street. Factory, Pedormed? Available Prbr to Completion ~t~ff ~t Natural ^ Homicide Office Building, etc. (Spec/ry) d Cause of Death? I ^ Yes ® No r~ ^ Yes t[~ No ^ Accident ^ Pending Investigefion 32d. Time of Injury 32e. Injury at Work? 321. If Transportation Injury (SpeclryJ 32g. Location of injury (Street, city /town, state) ^ Suicide ^ Could Not be Determined ^Yes ^ No ^ Driver/Operator ^ Passenger ^ Pedestrian M. ^ Other -Specify: 33a. Certifier (Cltedc Doty one) • Certif i h i i Ph i i i t f d th h h h id h 33b. Sign end Thle of ertlfier ,. //~' ~ ~ ~ ` y ng p ys an ( ys an cer c c y ng cause o w en anot er p ea ys an as pronounced death and completed Item 23) tvf To the best o1 my knowledge, death occurred due to the cause(s) and manner as stated _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ry ~ • y ~~ Yt , • l ~ ~~ ~ f LGc;.i? // • Pronourteing and c•nlfrln9 physbten (Physician boM pronouncing death end certfying to cause of death) To tfM belt of m knowed death oauned at the time e date end lace and due to the cause(s) and manner a l t d ^ 33c. L' se Number c J ~/1 7 ' ~~ / % 33d,-Date Signed (Month, day, year) i / ` ` y g , , , p , s e a e _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ • Msdkal Exsminsr I Coroner . L J L / l~ ~ ,.' ,,.r ,~ ..,. ~ y !. ~ ' ; On the basis of exsminatbn and I or invatlgatfon, In my opinion, death oecurcsd at the time, date, end place, end due to the cause(s) and manner as atated_ ^ 34. Name and Address of Person Who Completetl Cause of Death ptem 27) Type r Pnnt ~ ~ Registrar's Si re and District r / / I ~ I / I ~ I ~ I I 36. Date Filed (Month, day, year) 1Ulichael Smith, A/1.ll. Moffitt He t & 1/ ' ' f ., ~ ~. ar ascular Grou ~ ~? r.~ ~ o ~ ~ ::-~ , . ~ l x r r I ~ ~_ ~ rn ~ :...:~ ; .~ , -'~ .. _..0.„I rr •• ~- ~'-;x \'_''}~~~ F~ ..., a i l _„1. ~ V J Disposition PennR No. th ~ ~ ~ ~ / ~~ LAST WILL AID TBSTAI~YT OF JOH~i O . HSCKIIAY , JB . ~ : C~ ° ~_, W' __ rn 1 ~,..w`1 I, JOHN 0. HECKMAN, JR., Social Security Number 162 {~564~ o the state of Pennsylvania, declare that this is my LAST W ~~ND~ - "'~"~~ TESTAMENT and I revoke al l other wills and eodiei is previ` 1 4' ;'-n Y e FIRST: I appoint my Wife, CfERALDINE A. HECKMAN, as my Personal Representative concerning this Will. If she is unable or sails to Serve, I then appoint my son, JOHN R. HECKMAN, of Mechanicsburg, Pennsylvania, to serve as my Personal Representative. a. I request that my Personal Representative be permitted to serve without bond or surety thereon and without the intervention of any court, except as required by law. I direct that my Personal Representative act in unsupervised administration so as to administer my estate with a minimum of court supervision. If it becomes necessary to have ancillary administration of my estate in any Jurisdiction where my Personal Representative is unable or does not desire to qualify as ancillary legal representative, I appoint as such ancillary legal representative such individual or corporation as my Personal Representative shall designate, in writing. b. I direct my Personal Representative to pay the expenses of my last illness, the expenses of a funeral appropriate to my station in life and custom of living (including a suitable monument or marker for my grave), and written charitable pledges which I have made. I grant my Personal Representative the power to extend or renew any debt for such time as my Personal Representative shall deem appropriate. c, All estate, inheritance, succession and other death taxes with respect to all property passing under this my Will shall be paid from and borne by the principal of my residuary estate, without regard to reimbursement, as ii such taxes were administration expenses. My Personal Representative may pay such taxes at any time deemed advisable, whether or not then due and payable. d. My Personal Representative is requested to settle my estate as soon after my death as may be practicable, and to pay or deliver every legacy or bequest to my beneiieiaries without waiting any time that may be believed to be customary in probate matters. / _~~I- PACE 1 2~ --- ~ L_~~~~~`~-~ _ OF FOUR PAGES t~AcS. ~ ~~_ (/ ~ ---~1 -~----- ------- e. I have served in the Armed Forces of the United States. Therefore, I direct my Personal Representative to consult with a Legal Assistance Attorney at the nearest military installation and with the Department of Veterans Affairs and the Social Security Administration to ascertain if there are any benefits to which my family members are entitled by virtue of my military service. f. I may leave a letter of intent with the executed copy of this Will for the purpose of giving guidance to my Personal Representative concerning the distribution or sale of certain items o! my property. I request, but do not require, that my Personal Representative honor my wishes therein expressed. SECOND: I give, devise and bequeath, absolutely and forever, all of my estate and property of which I may be Seized or possessed, or to which I may be entitled, at the time of my death, wherever situated or of whatever nature, be it real, personal, or mixed, to my Wiie, (~ERALDINE A. HECKMAN, as her sole and absolute property if she shall survive me. THIRD: In the event that my Wile, CIERALDINE A. HECKMAN shall not survive me, I give, devise and bequeath, absolutely and forever, all of my estate and property of which I may be seized or possessed, or to which I may be entitled, at the time of my death, wherever situated or of whatever nature, be it real, personal, or mixed, to JOANN POWANDA, JOHN R. HECKMAN, JAMIE L.RICKENBACH, JILL L. HANZEL, JANINE A. HEAVER, JODY S. HECKMAN, and to any ehiid or children that may be born to or adopted by me, in shares of substantially equal value to be divided as they may agree. a. If any of my children shall not survive me, then the share of that deceased child shall go to the descendants of that child, who are to take per stirpes and not per capita. If any of my children shall not survive me and shall not be survived by any descendants, then the share of that deceased child shall be distributed to my surviving children and the descendants of any of my other children who fail to survive me, in the manner set forth above. b. If they are unable to agree, the division among my children and the descendants o! any of my children who fail to survive me shall be made by my Personal Representative, in that person's sole and absolute discretion. I empower my Personal Representative to sell any or all of such property, if such property is not distributed in kind hereunder, and to distribute the proceeds among my said children in substantially equal shares. Any determination of my Personal Representative as to what should pass or be sold under this paragraph and to whom it should pass or be delivered or at what price it should be sold shall be conclusive. ~ PAaE 2 - ----~Ci~~'/_!'K~t ~~ OF FOUR PAdES p~. A_~$_ ,~ ~~_ FOURTH: Except as otherwise provided in this Will, I have intentionally failed to provide for any other relatives or other persons, whether claiming to be an heir of mine or not. Insofar as I have failed to provide in this Will for any of my issue now living or later born or adopted, such failure is intentional and not occasioned by accident or mistake. FIFTH: Any beneficiary who fails to survive until one hundred twenty (120? hours after my death shall be deemed to have predeceased me, and the gift to that beneficiary shall be disposed of accordingly. SIXTH: Definitions: a. The term 'children' as used in this Will includes adopted and afterborn persons. The term 'children' as used in this will shall also include step-children, the natural born or adopted children of a person's spouse. A relationship by or through legal adoption shall be treated the game as a relationship by or through blood for purpose of succession to property under this Will. b. The term "descendants" as used in this Will means the immediate and remote lawful, lineal descendants by blood or adoption of the person referred to who are in being at the time they must be ascertained in order to give effect to the reference to them. c. The term 'issue' as used in this Will means all persons who are descended from the person referred to either by legitimate birth to or legal adoption by that person, or any of that descendant's legitimately born or legally adopted descendants. d. The term "Personal Representative' as used in this Will means Executor, Executrix, Independent Executor, or any other title of like import which is used to describe such a fiduciary. e. The term 'per stirpes' as used in this Will means that whenever a distribution is to be made to the descendants of any person, the property to be distributed shall be divided into as many shares as there are (1) living children of the person, and (2) deceased children, who left descendants who are then living, of the person. Each living child (if any) shall take one share and the share of each deceased child shall be divid®d among his then living descendants in the same manner. /~A=~ PAdE 3 ~/~ ,J 1 ~r~ - ----~ ------=-- ~ OF FOUR PAGES Jc1aA_!S_ ~~LSL: SEVENTH: In addition to any powers granted by the laws of the state in which this Will is probated, I hereby authorize and empower the fiduciaries named in this Will, to the extent of the discretion herein granted, to sell, exchange, convey, transfer, assign, mortgage, pledge, lease or rent the whole or any part of my real or personal estate, to invest, reinvest, or retain investments of my estate, to perform all acts and to execute all documents which my fiduciaries may deem necessary or proper in regard to my property. If any of my fiduciaries elect to receive compensation for gerviees, such compensation will be that allowed by law. EIGHTH: If any part of this Will shall be invalid, illegal, or inoperative for any reason, it is my intention that the remaining parts, so far as possible and reasonable, shall be eiieetive and fully operative. My Personal Representative may seek and obtain court instructions for the purpose of carrying out as nearly as may be possible the intention of this Will as shown by the terms hereof, including any terms held invalid, illegal, or inoperative. IN WITNESS WHEREOF, I have at Carlisle Barracks, Pennsylvania, this ~__ day of ~o~o.~,~----- ~ lg q~ ~ --- set my hand and seal to this my LAST WILL AND TESTAMENT, consisting of FOUR typewritten pages, each page bearing my handwritten signature. ~911~ . 2]~~~i~ .~L~. --(SEAL) HN O. HECKMAN, JR. V The foregoing instrument was, at Carlisle Barracks, Pennsylvania, this ?1_ day of Nb~r~,y..~.~1 _, lg 91 signed, sealed, published and declared by JOHN 0. HECKMAN, JR., the testator, to be his LAST WILL TESTAMENT in the presenee of all of us at one time, and at the same time we, at his request and in his presence and in the presenee of other, have hereunto subscribed our names as attesting witnesses, we do so verily believe that the said testator is of sound and disposing mind and memory at the date hereof. OF _1V!-a-~~E~..,ti+texJ OF ~ _ ~_,~c ,.,.... pF __~sd,. e \~---------- ---- ----------------- - - - =--------------- ----------------------- --~_~ - PA(3H 4 -------- ~- OF FOUE PACiE3 ~_A_~._ ~'~~_ - ~-- (/ AND each and COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ACKNOWLEDGMENT I, JOHN O. HECKMAN, JR., testator, 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; that I signed it willin 1 free and voluntary act for the purposes thereindexpressedigned it as my _ ._ ------- -------(SEAL) OHN 0. HECKMAN, JR AFFIDAVIT We , ~AR¢AL~Q1~S1~_!5~1 C„~_FIe~__ , a?.A.L~!~-L_Q-- L~-~~~1~.~L~~-- ~ and -~~~--5 -~~~--`~Sa15______ , the witnesses , s i n our instrument, bean dul g names to this g y qualified according to law, do depose and say that we were present and saw the testator sign and execute the instrument as his Last Will; that the testator signed willingly and executed it as his free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the testator signed the will as a witness; and that to the best of our knowledge the testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influene . Hess ~--- --- ~~---------- Witness Witness Subscribed, sworn to and acknowledged before me by JOHN O. HECKMAN, JR., the testator, and subscribed and sworn to before me by ~iF1l~L1AR1a_.~te?_~R.t' c~ e, k ~, -- , ~Q1~..1.~~ p L ~ S7_I~f'/C l~L ~`l~-- , and ~~~`__~__~~~~~K=S the witnesses , this z - --~---- daY o f W~~~a ~ 19~~ ------------- - - r~ s ________ NOTARY PUBLIC My Commission Expires: -------- ~ , Nr~rY Pub~Cc My Catxnfssion Oct.18, ~ Member; PennsYa ~ssoaatlon of N+'t~