HomeMy WebLinkAbout02-04-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF cuNTBER7~AND COUNTY, PENNSYLVANIA
Estate of $ ZM~N~ A,. LFH~A'~, -TR . File Number _ ~ f ~ ~~ ~~ (~ f
also known as
Deceased
Petitioner(s), who is/are 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 _
last Will of the Decedent dated __Ju1~1. 2008 and codicil(s) dated None
named in the
See Renunciation of Betty G. i,ehtnan to serve as Executrix
(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
(If applicable, enter: c. t. a.; d.b.n.c.t,a.; pendente lice; 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 (iffy) and heirs: (If
Administration, c. t. a. or d. b. n. c. t. a., enter date of Will in SectionA above and complete list of heirs.) C'~ °
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Name Relationshi ~ ~ e ~ ~ ~; ,:~"'~ :.
Vim.../ ~ _ '~+~ryY
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(COMPLETE INALL CASES:) Attach additional sheets if necessary. ~ ,, ~ } , F,~
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Decedent was domiciled at death in Cu~nber~.artd ~ County, Pennsylvania with his /her last principal residenc~t
~3~ Skyline Drive. 1`~echanicsbur>~ (Si7,~er Spring Township) PA 17050
(List street address, townlcity, township, county, state, zip code)
Decedent, then R4 years of age, died on 2 20"0 at Holy Spirit 'Hospital, East Pennsboro
Township, Cu~nbexla,nd Coux>~ty, Pen,nsy yania.
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ 3 , 000.00
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $ None
situated as follows:
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:
P. Kenneth Lehman
Social Security Number 177-246501
or printed name and residence
sburg, PA 17202
Executor
Form RW-02 rev. 10.13.06 Page 1 ~f 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA ,
: SS
COUNTY OF __ r.rT~FR~~NP
The Petitioner(s) above-named swears} 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 representatives} of the Decedent, Petitioner(s) will well and truly
administer the estate according to law. r1
Sworn to or affirmed and subscribed
before me the ~`` day of
20 0
' ;
For the Register
Signature of Personal Representative ~ ~ Kenn,et~ 7..~e~ma~
Signature of Personal Representative rv
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Signature of Personal Representative
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File Number: ~ --i p ~=r.t
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Estate of Simon. ~. ~eh~na,~, .Tx. ,Deceased
Social Security Number: 177--246501 Date of Death:. _ ~artuaxy 28, 2010
AND NOW, 2010 , in consideration of the foregoing Petition, satisfactory proof
having been presented. before me, T S DECREE hat Letters T _~r rn rita~w
are hereby granted to P . Kennetk~ Legman
in the above estate
and that the instrument(s) dated .T„1 v 1 _ ~nCIR
described in the Petition be admitted to probate and filed of record as the last Will (and Codicillsll of T~ece~ent
FEES
Letters ............... $ ,6~
Short Certificate(s) ........ $ -1~av
Renunciation(s) .......... $ ~'c ~'
... $
... $
... $
... $
... $
... $
... $
TOTAL .............. $ ~ 2 , h U 9-A9-
Supreme Court I.D. No.: ~~06355
Address: 44 West ~Iain~~Stxeet
Telephone: ~ 7171 697-8528
Form RW-02 rev. 10.13.06 Page 2 of 2
Attorney Name: ~; ~1~a~,~ ~ _ ,q~P1 hakP~
RENUNCIATION
REGISTER OF WILLS
CU~BERLAN~
COUNTY, PENNSYLVANIA
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Estate of Simon A. Leh,ma~., Jr. ,Deceased
I, Betty G'. Lehman , in my capacity/relationship as
(Print Name)
wife and named Executrix in the will of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
my son and alternate Executor: P. Kenneth Lehman
1 ~ 1^J ~
(Date)
(Signature) e t t y G. Lehman
_~,.:~~ Skv1 ;r, Drive
(Street Address)
'Mechanicsburg, PA 17050
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this
of ,
day
Deputy for Register of Wills
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes tated within on this y~ day
of ~ K~.a 2 010
Notary Public
My Commission Expires:
(Signatu7e and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev. 10.13.06
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Sa~~ ~, Shawer5, l`icr~,ar,~ Public
~~~ I~-~;, c ~~~!~~~ laid County
~ Commi~slE~r", ~. w ` a~w. 22, 2011
Member, Per~n~y • ~_ '. ~`~^~ of Notaries
~ /l' /~ //
.. - ~ ~ _ ~v V~ll~
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 Local Registrar. The original
certificate will be forwarded to the State Vital
Records Office for permanent filing.
P 16030893 ~ -- r
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Certification Number Local Registrar Date Issued
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~eLuu"cT CERTIFICATE OF DEATH
(Sea fnctructlen>< wnd aramnl.a nn rave.--\
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1. Name of Decedaa (Etter, nridde, ksl, su"ix) 2. Sex 3. Social Seclafy Number 1. DaM d Dear (Mnim, day, Year)
Simon A. Lehman
Jr
Male
,
.
1 77 - 24 - 6501 Janua 28, 2010
S. Ape (Lpt llirtlMey) Under 1 tNrda t 8. oar. d itirir Mnitn da 7. are etw a Sa. Plea a Opm one
Marv ar Hoae Farxaw Omer:
134 Yrs. January 15,1826 Chambersburg,
krpeiwq D EP / Or
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Nurskp Flume
Residerres
Omer - Speay:
Sb. Canry d Death Sc. Ciy, 8oro, Twp. d Deem 8d. FadWy Name (" nit irrsiwrAtrr, gh+sbeN and rarrrber) 8. was Decadara d Ffaperrc OdpnT No ^ Yea 10. Rea: Arrrdcarr Yrdiarr, Blsdt, WtrY
et.
,
Cumberland East Pennsboro Hol S irit Hos flat ("'"`''p""'' °iD'"' (
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Akxian, l'treM Riau, eb.)
White
• 11. DecedenYS usual ion Khd a work done rtrost d l"e. Do na dale reared 12. was Decedard avar h ire 13. Deadara'i Eduaini (Spedly omy tiplrpt
ran oorr Med) 1/
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arried, Fkwr Married,
Widowed, Diverted (Sjarriy) 1s. Survivhp Spare (Y aria, give nridsn narrre)
g
g ^ Yea ,~ Married Betty Caroline Gabble
ts. oeteaeM's Mai'rrg Address (sweet, ciy / bwn, state, zip code)
233 Skyline Drive Decederrl's PA ~ oeadeN Silver Spring
ActuefRealderrce t7a.SWte tiveha t7
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Mechanicsburg, PA 17050 c.
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es,
ecedenlLivedin Twp.
t7b.couny Cumberland T°""'~'D~ nd.UNo,DetederaLivedwahh
Acwrd Lirrrir d ~ / Bao
18. Fadrer's Name IFusL midde, last, surtax)
Simon A
Lehman Sr 18. Momefs Nara (Fatal, middle, maiden wmarrr)
.
. Edith Mabel Wenger
20a. hbrmara's Name (Type / Prinq
Betty Caroline Lehman 2Ub. Wamam's Mailing Addrett (Strear, dry /ban, amts, zip code)
233 Skyline Drive Mechanicsburg, PA 17050
21a. Marhod a oispoaiG«, r ^ Crematbn ^ Oorratini
L~a,rw ^ li
rr
al
SUl 21b. Dula d aepaitbn (Mortar, day, Year) 21c. Plea a Diepafion (Nara a anriary, awrwbry «oma Waal 21d locaini (Cary/bwn, elate. zip ~)
a
ov
rom
e ~ ~~ DonetlonAumaWdD Ya^ ~
D February 1, 2010 Longsdorf Cemetery New Kingstown, Pa. 17072
22a. a Farrel persni acing as such) 22b. License Number 22~. NarM and Adtlrap a Fadlry
- ~ FD-012662-L Myers Funeral Home, Inc. 37 East Main Street Mechanicsburg, PA 17055
t ony when cerWYinB
phyakian r na availaUle ar err d deem b
ariiyauseddeam.
- 23a my lubwledpe, deem occ«rod at the ire, date and plea alaMd. (Sigrra4tn and iYe)
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G N df, ~ , l~Cs~~1 f 23b. Lianas Numbar
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dC/ 7.ic. De4
~'ad (MorrYr, day, tar)
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Mans 21-26 mrl be completed by person
xtro prnioraraa dead,. 21 T m 25. Data Pmrrounced Dead (Mawr, day, year)
I: ~$ P
~ Z8. Wee Cane Relarred Medical Examner /Cornier to a Reasni Omer fisrr Cremabn « Dniafon7
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o-+- ZS 2010 ^ Yp p F
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CAUSE OF DEATH (SN Instrtutlona and axampka) , Approzwnab hbrval:
Item 27. Pan I: Enter the chain devents -diseases, injuries, a comPlicatians - Ihat dweaty caused iM death, DO NOT eater terminal evens such ae tartlet arrest ~ Onset b Deam
res
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wrest
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but rrd r•suNip h the urrderlyirrp carry 8tip h parr I. 28. Did Tdreco llae Coreridae b OplhT
^ Yes ^ Probaby
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out showing the edobgy. Liar niy are reuse ni each lrr. ,
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IYMEQI/rTE CAUSE (F
dsease a i~'Ro ^ lMubwn
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Due b (« as a consequence d). i
lW mrrdlons, A an , r
y b r
b CauM bled ni firrB a.
Nd aa~ walwr prw yea
D Preprwa N rani. d deep
Due b (or as a cones r
Erna 1N10ERlY8Ki CAUSE 9uerrce dl' r pegnan, pregnara wNrr 12 Oays
^ ~ ~
(deeap a "' ry fret iriualed tlw
- trverw nauary in loam) LAST. t i
d ~
^
Due b (a as a consequerra d); ~ Na prpraa, ba pegwe 13 days b t yea
d. r
r baton death
D UNrrrovar a pregrrara wfrin the DW Yea
30a. Was an Auopsy
PerlamedT 3llb. Wae Autopsy Fhdurgs
Available Prior b Cortpletwn 31. Manner d Deem
~
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al D M
W 32a. Den d Iryury (Abrmh, day, yea) 32D. Dee«ibs Fbw Iryury Otcrared 32c. P4a d irWY Fbrne, Farm, Sbea, iaday.
~, ~y,p, ~ (~,~,/
d Cause of DeamT `
°mrc
e
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D Yas ~No ^ Yes ^ No ^ Accident ^ Perrmng hveslgalon ~ Tsa d hjury 32a. kwry at WorkT 321. M Trarrporlafon wMWY (SpenYyJ 32p. Locaicn d injrry (Seear, dry / bwn, a4n)
^ Suicide D Could Nol p Oelerrtrirred M ^ Yes ^ No ^ Driver/Operabr D Passarpar D Pedeswian
. Otlwr • Speay
33a. Certifier (aretlr ordy are)
33b. Sipnabre
T'
• CerUrylrrg physbWr (Physician ceriryng cause of deem when anodrer physician has pronounced deem acrd completed Item 23) ~
To Uw best d my ln•wNdB•, aeeth trauned dw b tM cause(s) end manrrar p stared _ _ _ _ _ _ _ _ _ _ _ _ _
- - - - - - - - - - - - - - - - - - - ~ r.~c • ~
• Pronourrc4rg arW eerF"pb8 physic4n IPhY b~ Prr9 deem arxl arWyirp b cause d deem) 33c. Litsrw Number 33d DaY SiprrW (Mnim, daY, Year)
To Ure bps a my lnowNdge, deem occurred ar nra tlrp, der, and pike, and due b tM
eauee(a,aWnwunrpelMed------------------ ^ n
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• Yedleal Examwwr/Caorrer -
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On Ure basb a aaminaUon and / or nvptpeUon, n my opinion, Ham occurred at tlr twrre, daM, and plke, and dw b Ure tawe(e) and ntanrr u aWed_ ^ 3+. Name and Addrpa d Parsni Who Carrpbud Caup d Dpm (fem 27) Typ. /Print
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Dispositbn PamW No. V ~^•'~ ~' ~~
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LAST WILL AND TESTAMENT ~.,,
c~
m
I, SIMON A. LEHMAN, JR., of the Township of Silver Spring, County~nbei~lnd, ~=~.
m t ~--
and Commonwealth of Pennsylvania, being of sound and disposing mind, merrte~ ~"' L.,,._
understanding, do make, publish and declare this as and for my Last Will and T~nent, l~eby~~,
rn
revoking and making void all former wills and codicils by me at anytime heretofore made.
FIRST. I order and direct that all my just debts and funeral expenses be paid by my
Executrix or Executor, as the case may be, hereinafter named, as soon as conveniently may be
done after my decease.
SECOND. I give, devise and bequeath all the rest, residue and remainder of my Estate,
real, personal and mixed, whatsoever and wheresoever situated, unto my wife, namely, BETTY
G. LEHMAN, absolutely and in fee simple, if she survives me by as many as sixty (60) days.
THIRD. If my wife, namely, BETTY G. LEHMAN, does not survive me by as many as
sixty (60) days, then and in that event, I order and direct that my Estate be distributed and
disposed of in the following manner:
A. I give and devise my residential real estate known and numbered as 233
Skyline Drive in the Township of Silver Spring, Cumberland County, Pennsylvania
(containing approximately 1.4 acres of land), unto my son and daughter-in-law, namely,
P. KENNETH LEHMAN and PHYLLIS JEAN LEHMAN, husband and wife, or the
survivor of them if either should predecease me, in fee simple.
B. I give, devise and bequeath all the rest, residue and remainder of my Estate,
real, personal and mixed, whatsoever and wheresoever situated, in equal shares unto my
three (3) grandchildren, namely, TANDI RENAE LAFRANC, CURTIS GIBBLE
LEHMAN and TRACI LYN SHELDON, share and share alike, absolutely and in fee
simple.
If any of my said grandchildren should predecease me and not leave issue to
unto those who survive me.
If any of my said grandchildren should predecease me and leave issue to survive
~'
me, I order and direct that the foregoing share of my residuary estate attributable to such
deceased beneficiary shall be distributed unto his or her issue perstirpes by representation
and not per capita, subject, however, to the protective trust provisions in paragraph C
below with respect to any beneficiary who has not attained the age of twenty-four (24)
years at the time for distribution of my estate.
C. I order and direct that the share of any beneficiary who has not attained the
age of twenty-four (24) years at the time for distribution of my estate shall be paid over
and delivered unto the surviving parent of such beneficiary as my testamentary trustee,
IN TRUST, NEVERTHELESS, to hold, manage, invest, accumulate income and reinvest
until the beneficiary attains the age of twenty-four (24) years, upon which event the trust
shall be terminated and the then remaining net balance thereof shall be paid over to
the beneficiary, absolutely. During the existence of any such trust, I authorize and
empower my said trustee in the sole exercise of his or her discretion to use, consume,
expend and apply from time to time such amounts of income and principal as he or she
shall deem to be necessary and reasonable for the beneficiary's education. The term
"education" shall be interpreted and construed to mean college or other post-highschool
training which is intended to increase the beneficiary's productivity as an adult or
enhance the quality of his or her life. In considering what is necessary and reasonable, my
said Trustee shall take into consideration the primary responsibility of the beneficiary's
surviving parent to provide such education. It is my will and intention that the foregoing
discretionary provision for education shall be supplementary to the parent's primary
responsibility.
LASTLY. I nominate, constitute and appoint my wife, namely, BETTY G. LEHMAN, to
qualify as such Executrix, or cease so to serve, then and in that event, I nominate, constitute and
appoint my son, namely, P. KENNETH LEHMAN, to be the Executor hereof. If both of the
above named persons should fail to qualify as such personal representative or cease so to serve,
then and in such ultimate event, I nominate, constitute and appoint my grandson, namely,
CURTIS GIBBLE LEHMAN, to be the Executor of this my Last Will and Testament.
I order and direct that none of the above named persons shall be required to post bond or
other security as a condition of qualification as my personal representative.
IN WITNESS WHEREOF, I, SIMON A. LEHMAN, JR., have hereunto set my hand and
seal to this my Last Will and Testament, which consists of three (3) typewritten pages to each of
which I have affixed my signature this First (1St) day of July, Two Thousand Eight (2008).
(SEAL)
SIMON A. LEH , J .
The preceding instrument, consisting of this and two (2) other typewritten page, each
identified by the signature of the Testator, was on the date thereof signed, sealed, published and
declared by SIMON A. LEHMAN, JR., the Testator therein named, as and for his Last Will and
Testament, in the presence of us, who, at his request, in his presence and in the presence of each
other, have subscribed our names as witnesses hereto.
COMMONWEALTH OF PENNSYLVANIA)
COUNTY OF CUMBERLAND
SS.
We, SIMON A. LEHMAN, JR., RICHARD C. SNELBAKER and JANE J. GOONEY,
the Testator and the witnesses, respectively, whose names are signed to the attached or foregoing
instrument, being first duly sworn, do hereby declare to the undersigned authority that the
Testator signed and executed the instrument as his Last Will and Testament and that he had
signed willingly, and that he executed it as his free and voluntary act for the purposes therein
expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the
Will as a witness and that to the best of his or her knowledge, the Testator was at that time
eighteen years of age or older, of sound mind and under no constraint or undue influence.
~/I_
Testator
i ess
tness
Subscribed, sworn to and acknowledged before me by SIMON A. LEHMAN, JR., the
Testator, and subscribed and sworn to before me by RICHARD C. SNELBAKER and JANE J.
GOONEY, the witnesses, this First (1St) day of July, 2008.
A