HomeMy WebLinkAbout03-12-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of Teneth C. Heffelfinger
also known as Teneth C. Cobaugh
. Deceased
COUNTY, PENNSYLVANIA
Social Security Number 191-54-4787 c=a
r d
Petitioner(s), who is/are 18 yeazs 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 May 23, 1994 and codicil(s) dated N/_?
File Number ~' ~~ ~+ ~~ ~ `
Executrix
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nam~il in the
(State relevant circumstances, e.g., renunciation, death of executor, etc.)
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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: N/A
B. Grant of Letters of Administration
(If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente life; durance absentia; durante minoritare)
Petitioner(s) after a proper seazch 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.)
(COMPLETE INALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at
315 Gea Avenue New Cumberland New Cumberland Borou h Cumberland Coun Penns Ivania 17070
(List street address, town/city, township, county, state, zip code)
February 27, 2010 at Holy Spirit Hospital, Cumbeland County, Pennsylvania
Decedent, then 85 years of age, died on
Decedent at death owned property with estimated values as follows: $ 5,000.00
(If domiciled in PA) All personal property
Personal property in Pennsylvania $
(If not domiciled in PA) $
(If not domiciled in PA) Personal property in County 90,000.00
Value of real estate in Pennsylvania
situated as follows: 315 Geary Avenue, New Cumberland Pennsylvania
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:
T d or tinted name and residence
Si nature
Martha Wheeler 913 Front Street New Cumberland PA 17070
C4
Page 1 of 2
Form RW-02 rev. 10.13.06
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.
Sworn to or affirmed and subscribed
b ore me the ~~-~d~ay~of
i' ~'~..-1--~-
Signature of Personal Representative
Signature of Personal Representative
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For th gister Signature of Personal Representative r..., ` }C
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File Number: /7~ ~ ~ I l/ ~ ~~ ~4L
Estate of Teneth C. Heffelfinger ,Deceased
Date of Death:Februarv 27 2010 _
Social Security Number: 191-54-4787
AND NOW, ~~ , ~ ~ , in consideration of the foregoing Petition, satisfactory proof
having been presented befor e, IT IS DECREED that Letters Testamentary
are hereby granted to Martha Wheeler
in the above estate
and that the instrument(s) dated May 23, 1994
described in the Petition be admitted to probate and filed of
FEES
Letters ............... $
Short Certificate(s) ........ $
Renunciation(s) .......
~ ~~
... $ ,^~
... $ ~ V
... $
... $
... $
... $
... $
... $
... $
... $
TOTAL .............. $ 17 ~0
as the last Will (and Codicil(s))
Regist r of Wills (~ ,~N~ J~~
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Attorney Signature: I ~--
Attorney Name: Keith O. Brenneman
Supreme Court I.D. No.: 47077
Address: 44 West Main Street
Mechanicsburg PA 17055
Telephone: 717-697-8528
Page 2 of 2
Form RW-02 rev. 10.13.06
LAST WILL AND TESTAMEN'~''7 ~.~ `
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TENETH CARENA HEFFEyFINGEx ~_~~ ~ ~~
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I, TENETH CARENA HEFFELFINGER, of 315 Geary Avenue, New Cumberland,
Cumberland County, Pennsylvania, being of sound and disposing mind, memory
and understanding, do make, publish and declare this as and for my Last Will
and Testament, hereby revoking and making void any and all former Wills,
Codicils, or writings in the nature thereof, by me at any time heretofore made.
FIRST: I hereby order and direct my Executor or Executrix,
hereinafter named, to pay all my just debts, funeral expenses, testamentary
expenses and all Inheritance, Estate, Transfer and Succession Taxes, as soon as
may be conveniently done after my death, out of my residuary estate.
SECOND: All the rest, residue and remainder of my estate, be it real,
personal or mixed, of whatsoever kind and wheresoever situate, I hereby give,
devise and bequeath to my husband, Franklin Martin Heffelfinger a/k/a Franklin
Cobaugh, provided he survive me for a period of thirty (30) days.
THIRD: In the event that my said husband shall predecease me or
not survive me by thirty (30) days, I hereby give, devise and bequeath his
share of my estate, be it real, personal or mixed, of whatsoever kind and
wheresoever situate, to my children, Martha Wheeler and Franklin Martin
Heffelfinger, Jr., in equal shares, per stirpes.
LASTLY: I nominate, constitute and appoint my daughter, Martha
Wheeler, to be the Executrix of this my Last Will and Testament. Should Martha
Wheeler be unable to act for any reason, then I appoint my son, Franklin Martin
Heffelfinger, Jr. to act as Executor in her place and stead. No executrix or
executor or shall be required to file bond in this or any other jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this Will
consisting of ~ pages this;~~ day of ~+
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Teneth Carena Heffelfinger, ea trix
SIGNED, SEALED, PUBLISHED and
DECLARED in the presence of:
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(WI'I'3+i~SS 1)
(WITNESS 2)
2
ACKNOWLEDGEMENT AND AFFIDAVIT
COMMONWEALTH ~F PENNSYLVANIA
~ :sa
COUNTY OF ~fi~ ~ '
Teneth Carena Heffelfinger, whose name is signed to the attached or
foregoing instrument, having been duly qualified according to law, does hereby
acknowledge that she signed and executed the instrument as her Last Will; that
she signed it willingly; and that she signed it as her free and voluntary act for
the purposes therein expressed.
We, the witnesses whose names are signed to the attached or foregoing
instrument, being duly sworn and qualified according to law, do depose and say
that we were present and saw Teneth Carena Hefieifinger sign and execute the
instrument as her Last Will; that Teneth Carena Heffelfinger signed willingly and
that she executed it as her free and voluntary act for the purposes therein
expressed; that each of us in the hearing and sight of the Testatrix signed the
Will as witnesses; and that to the best of our knowledge the Testatrix was at that
time 18 or more years of age, of sound mind and under no constraint or undue
influence.
Teneth Carena Heffeliinge , Te
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Witness
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Witness
_ - worn or affirm to and acknowledged and subscribed before me this
~ `~ day of / !i ~ , 199r,~
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otary Public
3 ~~ p~~ 1998
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LOCAL DEATH
OF
REGISTRAR'S CERTIFICATION
WARNIN ~t
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
REV 112006
PRIM IN
AANENT
CERTIFICATE OF DEA
(See instructions end examples on reverse) STATE FILE NUMBER
CK INK
,. Named Decedent(Faat,middm,met.salfa)
p Sea 3. social Securey Number
Female 191 - 54'x- 4787
4. beta d Death.(Month, day, year
Februar 27 2010
Teneth C. Heffelf roger _ ~.. .~..r RMhdaca fclN and ammafa dAn ~,m) t>e. Placedoeatn check are
6. Age (last ninraeyl _.. _ __
Mmew Data rbae ANr"~
85 yre March 4, 1924 Lykens, PA
6b. Counry of Death 8c. City, Born, Twp. d DeaM Tw Bd. Faddy Name (If not institution, Alva sues( end number)
Cumberland East Pennsboro Holy Spirit Hospital
11. Decedents ()suet tlon Kind d work done most d ~ Nle. Do not amts re' 12. Was Amred Faces? n the tEbmD °^ ery~ Ed((speD
d Work Nkd d Buak»as I Irduslry
Homemaker Own Home ^Yas ®ND
18. peredenCs Mailing Address (creel, dry I town, atom, zip soda)
315 Geary Avenue
New Cumberland PA 17070
16. Fatllels Name (Fhat, middle, mrt, sdOz
Harper Frank in Zarker
20a. ImarmenCs Name (Type I PnM)
Martha J. Wheeler
21 a. McNOd d Disposition I ^ Crertretlon ^ DonaG
~i ®Budal ^ Removal hen Sala ; Wae C~remetlFOrt~or~DaWb~Y
edkq as
I ^ ER I Oulpaeent ^ 170A ^ Nursing Home U Residence LJOther ~ Spedry:
9. Wes Decedent of Hmpenk On~n? ®No ^Yas 10. Race. ~ rkan Indian, Brock, White, etc
(N yes, specify Cuban,
Maskan, Puerto Rkan, etc.) '
net 14 Vf DrvoM~admetl~~r Monied, 15. surviving Spouse (e woe, give meitlen name)
+) W1dOWed
Did Decadent Twp
Decedent's p ~, LNe in a 17c. ^ Yes, Decedent Lived In
Actual Residence 17a. sere Township? 17d. ®No, pecetlent Wed wthin New Cumber 1 a nd
nb. couMV (`y 3 m h a r 1 a n fl Actual Urnas or coy / eau
19. Hunter's Nama (FlreL midde, maiden surname)
Hattie Chubb
20b. IntomfanCS Melling Address l~aa4 dtY I torn, stem, tip cods)
913 Front Street, New Cumberland, PA 17070
21d. Locelkn (city /town, smte, zip code)
21b. Date d Diepaiaon (Month, day, rear) 21c. Pence of Diaposieon (Name dcemetery, aematory w omer Pence)
^Yas^Ntl March 5, 2010 Woodlawn Memorial Gardens Harrisburg, PA 17109
226. Lkense Number 22c. Name and Address d Fadliry
_ FO 012342-L Stone & MurrayF.H., 408 3rd. St.rNew Cumberland PA 17070
~~ ~~~ ~. Lke Number 2&. Date sgned (Hoorn, day. Year) ''')
deaN occurred rt die tlme, tlata and place stated. (sigrlalure acct ells) ~j / ~ / / ~ ~ 3 r„ /_ ~C a ( `°~'~(
e hems z3et onry ~^ cerfih'lD9 23a. To edge, ,- /t w ~ ~ ep OC./l/ rD /-G !J L
^ skian is not available et time d deeN b 71/[M-+c~`~ -
~~, ~ d d~N 28. Was Cese Referted to Metlkal Ezeminer /Coroner la a Reason Other than Cremation a Donation?
24. Time d Death 26. Dam Pyona.cad Did (Haan, der, veer) . i1_ ^ ®~ Q ^ tea ~J No
Items 24-28 must lb caroletad W person
h '~',: ~ Q M. ~ Y u Ct~
.
woo fxaauraes deat
r Appmximam interval
CAUSE OF DEATH (Sea InelrueU°ne end examples)
Ormel ro berth
T enter tennhlal evenm such as cerfiec artasl,
;
Item 27. Pan I: Eller the dam devents -diseases. injunea, a complketlom -ttlat dredly m olx ~~ e~h ~
d showing the abolDAV. Drily
tit
al
reePlretaY sneer, a veMnwlar Irorilmllori w
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RAMEpATE CAUSE (tFinal disease or
colldeion resuaag h dedh~) _~ C-~~o ~ ~~ \~~,~.~x
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a.
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Due to (~ayas a~ctovnse9aerae of): l~ V `/` r
a" `OV ~ ~~ MSC- r
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$arJueMiaM fist conddbrls, g arry•
yadsq W the cause fiamd on Ilne a.
Emer Bre UNDERLYM6 CAUSE
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b.
D~ ~ a mnse7usnce d): i
~p~C\p tJ r
the
liseese a kqurY that
§venm reafimg m deeM) T~ c. [' ~ I
Due to (a a8 a mnsequexe d). (J ~~~ ~`\`~2 ~ r
`
E..~
L1"e ~i
d
.
31. Manner of Death 32e. Date d Injury (Month. day, year) 326. Descn'6e How' Injury Oauned
Fkt6r
n
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30e. Was en Autopsy 306. Were g
psy
Ped II: Emer otner ~ ~ ~ ~ ~ 26. Did Tobaxo Use Conuihute to Death?
bn rat resulting n the urderlyktg cause gNen in Pen I. ^ Yes ^ Probably
^ No ~1lnknown
29. If F /
Nd pregmnt wamn past year
Pregnant at lane of deem
^ Not pragrient Dal pregnant within d2 days
of deem
^ Na pegnam, but pregnant 43 days to /year
before tleelh
^ Unknown k pegnam wi1Mn me past Yaar
32c. Pence of Injury: Home, Farm, srert, Factory,
OIfIce Bwroing, ek. (SpeciyJ
Performed? Awdllebm Prior to Cortgleem ^ Natural ^ Nomads 329. Locedon of Injury Israel. cM I town.
d Cause d perth7 32e. Injury at Wodc? 32f. K Trensoonatlon Iryllry (Spetlly)
^ AcddeM ^ Perdkrg Imestigeeon 32tl. Tone d Injury ^ DrNer /Operator ^ Paaserger ^Pedesblen
^ tea 6c7 No ^ Y~ ^ N0 ^ snkda ^ caAd Nana Drtemaned M ^ Yes ^ No olnar seedy:
T 33b. signature and T d
33e. Certifier (dock ony acre) „a, read death and caryllddetl Item 23) ~ M
• CeARying physkmn(Physician cenNykg cause ddeath when aro9rer WrYalcma Prma' ----------------------
Ta the heat d my krrovAledOe, death osa!rted due to the ease(s) and manner as smhd_ _ _ _ _ _ _ _ _ _ _ ~, I roms~a Number 33d. Date s
• pronounclrq ant cardA'IDA PMsklan (PDYaklan taN Pranounang death end cenirying to cause d death) _~o ` ~~ ~.... y
To 1M beat d my IrrawMd9a, deslh steamed rt the ems, tlrta, and Plea, ant dw M the uuae(e) an0 manner es smmd_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
kAadlnl Eseminx I Coroner and due to Me cease(s) and manner >s stated- ^ 34. Name and Addre(WLPSrson ~ O°m use otO~eth (Item 27) Type I Print
On the beefs d examinetbn ell 1 or Inveatl9etbn, In my opinbn, death axurretl at the time, drts, and Piece, a~
38. Dam ( tlt. tleY. Year) ///S~~~ ~ ~ C
35. Registrar's re and Dldncl m r ~,/ I , ~.A ~ I °'Z I ~ I / I ,,,3 ~ ~~C/' / ~ -
Pte- l~l~