HomeMy WebLinkAbout04-16-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of TILLIE R. HODGE
also known as
Deceased
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW.)
COUNTY, PENNSYLVANIA
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File Number~f/ ~~~ ~ ~/,~~ ~ ~ _
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Social Security Number 16~ C~ ~
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A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the BRENDA LEACOCK
last Will of the Decedent dated 08/06/2004 and codicil(s) dated
(State relevant circumstances, e.g., renunciation, death of executor, etc.)
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a`- named in tie
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
(If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente liter durante absentia; durante minoritateJ
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 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
935 ROCKLEDGE DRIVE CARLISLE CARLISLE BOROUGH CUMBERLAND COUNTY PENNSYLVANIA 17013
(List street address, town city, township, county, state, zip code)
Decedent, then 96 years of age, died on 02/09/2010 at CARLISLE REGIONAL MEDICAL CENTER
316 ALEXANDER SPRING ROAD CARLISLE PA 17015
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property
$ 475,000.00
(If not domiciled in PA) Persona] property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania
$ 0.00
situated as
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:
or anted name and residence
BRENDA LEACOCK 419 BUTLER STREET, BROOKLYN, NY 11217
Form RW-0.? rev. 10.13.06
Page I of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA SS
COUNTY OF CUMBERLAND
or affirm(s) that the statements in the foregoing Petition are true and correc~ the est o •
n
The Petitioner(s) above-named swear(s) ill well ~ trul~a % ° '
the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petrtione~~• _
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administer the estate according to law. ~ ~ ~ ~ ': ' ,
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Sworn to or affirmed and subscribed -• ~-•- ~ -_ %~;
Signature of Personal Representative ;' ~ ~ N
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before me the ~ ~y day of
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Fort egister
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Signature of Personal Representative
Signature of Personal Representative
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File Number:
Estate of TILLIE R. HODGE
Deceased
Date of Death: 02/09/2010
Social Security Number: 161-20-0345 roof
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AND NOW, I ~'~1
having been presented~o~e mlle,~ c~S DE`C~~ C
are hereby granted to ~ ~~~._._
r
in consideration of the foregoing Petition, sags actory p
Letters TESTAMENTARY
in the above esrate
and that the instrument(s) dated 08/06/2004
described in the Petition be admitted to probate and filed of rei o~rd as the la; t Will (a~~ 1 d~ l~s^) of
FEES _
Letters ............... $~~
Short Certificate(s) ........ $
$ ~
Renunciation(s) . •
... $ I ~.~
... $ ~`~'
... $
... $
... $
... $
... $
L.
Register of Will l_- f'~{'" i./
JJ l./ ~ ~3Z. tl-t-
Attorney Signature:
Attorney Name: ANDREW J. BENDER
Supreme Court I.D. No.: 205763
Address: ALLIED ATTORNEYS OF CENTRAL PA, LLC
61 W. LOUTHER STREET
CARLISLE, PA 17013
Telephone: (717)
... $
.. 0
TOTAL .............. $
Page 2 of 2
Fonn RW-02 rev. 10.13.06
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LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
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This i~. *c, ~•erLf4 Ihat the inti~rniation here liven
+w~arrectl~ ~•~ypleki from an original Certificate of D<<
duly 1(led 'vvtl, i~~e ri~~ Local Registrar. The origir
cer~ifi~ate ti~ ,li he forwarded to the State Vil
Kecr:9rd> O(fi: c '~=1r hennanent fii?n~'-
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Local Re~istr~u~ ~, Date Issued
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H105-143 REV 112006
TYPE /PRIM IN COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH .VITAL RECORDS
PERMANEM
BUCK INK CERTIFICATE OF DEATH
(See instructions and examples on reverse)
1. Noma a Decedent (FrcsL nkddM, last, suffix) STATE FILE NUMBER
Tillie R. Hodge 2, sex 3. Social Security Number 4. oak of Deem (Mnnm, day, year)
s. AgejLaat&mxhY) untlerl r ~'' 161 - 20 - 0345 2/9/2010
Under 1 de 6. Dek of BiM Momh, da , 7. Birk ce C' arrtl skle a b count
Months Days Hwrs Mrnutaa 8a. Place of Deem Check aw
96 yrs. HospihL other:
1/14/1914 New Windsor, MD ^ Inpatient ~ ER /
tb. County of Deem &. City, Boro, Twp. of Deam fb. Fatiliry Name (If not instlrotion, Oueatient ^ ppA ^ Naming Home ^ Residence ^ Omer - 5
~ gN'e street and numbeq 9. Wes Decetlem W His PBC1M
,~ ~ Cumberland South Middleton °~°" °f~"? ~ "° ^ Yea 10. Baca: American Irraen, Black, Whde, etc.
' Pf yes. speairy taboo. IsreaM
• 11. Decedents Usual etion KkM of wok tlare tlun mom d Ise. Do not arete ~ 12. Was Decedent ever m me y 3. Decedents Educetlon t t" Me rcen, Puerto Rican, etc.) Black
Kind of Work Kind d Bnainesa/ Intlustry U.S. Ametl Forces? Icy °f ~ hi~am g1°~ °gnaat~) 14. Marital Status: Monied, Never Marred, 15. Survivag Spouse (H wife, give maitlen name)
Clerk PA t of Un to Elementary 1 Secondary (012) College (1d a s,) widawe, Dlwmed (/
^ Vea ~NP 12 Widowed
16. Decedent's Mailing Address (Sheet city /town, stale, zip cotle) Decetlenl's -
935 Rockledge Drive Actual Residence na. skte PA Did Decedem
UYa in a 17c. ^ Yes, Decedent LNed in
PA t76.counry Ctmiberland Township? t7d T,ro
~NP.DecedantLroedw;mm Carlisle
76. Femefs Name (First, midrbe, lest, suffix) Ackal Limtts of
79. Mothefs Name (First, middle, maitlen sumeme) Qty/B0f0
James A. Roberts
20a. Inlorment's Name (Type /Print) Ma A • son
Brenda Leacock tab. Informem'a Mailing Atldress (Shoal, ary /town, slate, zip cede)
z1a. Methotl of Disposnkn 419 Butler St. , Brookl , NY 11217
rr~~ ^ Cremation ^ Done(Iwn 216. Data of Disposition (Month, day, year) 21 c. Place of Disposabn (Name of cemetery, crematory a other
L`T Burial ^ Removal hen Sleh r Was CremaUOn a Dorellon Aumodxetl Place) 21 d. Loceti°n (City/fawn. stale, zip coda)
^ anar- ' MMedkM t:[xnlnerviceronerx ^ vea^ rro 2/18/2010 rland Valley Man. Grds.
_ ~ 22a. SigneNre of F 5 uenaae (or pe „y e,wn-~ rm ~a„aa No-mear Carlisle , PA
a ~ - ~ ~ 22c. Name entl AGMass M Facility
FD 012633 L 1i}win Brothers Funeral H
canpleklkma23a<nnlywha,cemry;ng 23a.TOme a yknmMeege, rredatmetlma,dareanepkcaakted.(signawreandttlle ~. Inc. , Carlisle, PA 17013
phyakian u rat avaikbk al lime of seem ro )
c~Y cause of deem. 236. Lkenea Number
' 23c. Date Si/g/netl (MOnm, day, year)
Items 24-26 mull be canpktetl M parson 24. Tana o1 Deem 25. Date Prmoun~ced Depeed IMOnm tlay, Year) " ~ ~ ~ ~ ~ ~ ~ O ~/
who pranouraxls deem. / t) ~ M O ~ C 26. Wes Case Rehnetl to Medical Examiner / Daroner hr a Reason Omar men Crematon a Donation?
^ Yea 1~tp
Item 27. Pan I: Enter the tlle'n a evens _ CAUSE OF DEATH (See InsWMiona and exampbs) t Appmximeh interval: Pad II: Enter other SImliYenl rorafil' mmrm
dceeses, injures, or wrrgtlkatims ~ that directly caused me deem. DO NOT enter rertninal events such as antiac artest ---~" !~~ 26. Ditl Tobacco Use Contribute to Death?
respiratory arrest, or ventdcukr fibrillation wihaut showing dre etiorogy. Lily atlj are cause on each Tine. Onset to Deem but not resulting in me untlerrying cause given ut Pan I.
^ Yes ^ Pmbady
IM~ME, D~UTE CAUSE (Friel disease w
resumng in ml _~ a. ~ 5 H ale,
~ V A I y
D ^ No ~ Unknown
29
If Fem
l
ue m (er as a cm98geerke oQ.
nbady list c°ntlilions, if any, b, t
b m ma uea listed on Ilne a. i
E .
a
e:
^ Nol
Pregnant wA71in past year
^
nkr UNDERLYING CAUSE Due to (a as a censequerlce oft:
(disease a injury mat initialed tl1e
evenh rewlth
in deem) LAST
c Pregnant at lime of deem
^ Not
Pre9rmnl
but
re
n
t
imi
r
~
g
.
Due to (or as a umsequerlce ofl: r
r
tl p
,
g
an
w
n 42 days
of deem
^ Nd pre
nant
ba
_ .
r
~ Perlonrred? 30b. Were Autopsy Rrltings 31. Menrrer of Deem r
AvegaWe Prkr ro Completion 32a. Doh of Injury (MOnm, tlay, year) 32h. Dascnbe How Injury Occumetl
t
f
~ N
l ^ g
,
pregnant 43 days m 1 year
before Beam
^ UNnwwm it pregnant within the peal year
32
Pl
a
ura
o
Cause a Deem?
Hanidde c.
ace of Injury: Home, Farm, Street, Famory,
om
^ Yes ~ No ^Ves ^ No ^ Agidem ^ Pending Investigation 32tl. Time of Irqury 32e. Injury al Wak? 32f II Transponalion Injury (Spesiy) a BmMirg, arc. (spaclry/
32g. Laetion of injury (Street, cnY /town, state)
^ Suicide ^ CeuM Not ba Detamnrred M ^Ves ^ No ^ Orhwr/operator ^ Passenger ^ Pedeshkn
O 33a. Certifier (cheat Doty one) Omer' ~M
Signetur d Title of Certifier
• To tl1e h~atpaf re kn (Physwyen ceN'lying rsuw d deem when anomer physician has prarourrcetl death and tanpkhtl Item 23) 336
my owkdge, aeeth ottumd tlMe to the ause(e) arM manner H shlea _ _ _ _ '~}
A 3
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.
Promunclrg eM ror6lyhg phyaklen (Phyaaen both pronouncing deem end ceniryirg to reuse of deem) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ 33c. license Number ~, ~•
To tlr heat b my knowktlge, tleath oceurretl al the tlme
sate
eM
k r~
,
,
p
ce, aM due to the causes) end manner u akted_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^
Meskel Examlrrx/Coroner /I
On the baste W e
l
tl
rrl~ O ~ V -` ~ ~ 33d. Date Signed IMOnm, day, year(
~ I t
xam
rre
on arM / or Inveallgatkq In my oplnlon, tleam oecurretl al the time, dme, aM place, entl due to the eauuya) entl manner es shred. ^
34
Name entl Address of P y ~~ t
.
erson Who Compkktl Cause d Deam (Item
35. Reg¢trafs ntl pis ~ N
spa ~t 311. Date Filed (Mmm, tlay, year) ~ O v ~' ~ ~2~ ~ m
~ L~i~e 1-! a~.c~ I~ I I I d, I f I n I
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" 27j T /Print
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Disposition Permit No. ~~~ ~ I ~~-
LAST WILL AND TESTAMENT
OF
TILLIE R. HODGE
I, TILLIE R. HODGE, of 935 Rockledge Drive, Carlisle, Cumberland County,
Pennsylvania, being of sound and disposing mind, memory, and understanding, so make, publish
and declare this to be my Last Will and Testament, hereby revoking and making void all
previous Wills and Codicils heretofore made by me.
~ ,
-- ~ ., -.
--
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F1rst r-n .~
I order and direct my personal representative hereinafter named to pay all of rh~ajust ~" ~ "
debts, funeral expenses, and expenses involved or connected with the administration of my ester `
as soon after my death as is reasonably possible. However, my personal representative need not
accelerate and pay those unmatured obligations which, in his, her, or its opinion, it might be
proper and more advantageous to retain or renew and pay as they become due and payable. If I
do not own a burial plot or a grave marker at the time of my death, I authorize my personal
representative, in his, her, or its sole discretion, to purchase a burial plot and to erect a suitable
grave marker at my grave, and to expenu sums fror~~ my estate for this fur~ose.
Second
I order and direct my personal representative to consult with the Trustee or
Trustees of the Tillie R. Hodge Living Trust in order to determine from among the property I
have possession of at the date of my death, which is owned by me, and which I only have the use
Page 1 of 7
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and enjoyment of for my lifetime. Only property owned by me shall pass via this, my Last Will
and Testament. Property that is held in the Trust shall pass via the terms of the Trust.
Third
I give, devise, and bequeath all the rest, residue and remainder of my said estate, real,
personal, and mixed, whatsoever and wheresoever situated, absolutely and in fee simple, in six
(6) equal shares, per capita, as follows:
A one-sixth (1/6) share shall be distributed to my sister, EDYTHE R. WATSON;
2. A one-sixth (1/6) share shall be distributed to my niece, BRENDA LEACOCK;
3. A one-sixth (1/6) share shall be distributed to my brother, JAMES S.
ROBERTS;
4. A one-sixth (1 /6) share shall be distributed to my niece, JILL ANN ROBERTS;
A one-sixth (1/6) share shall be distributed to my nephew, BRUCE NUNERY;
6. A one-sixth (1/6) share shall be distributed to my nephew, JAMES A.
ROBERTS.
Fourth
I grant my personal representative the following powers in addition to and not in
limitation of such powers as my personal representative shall hold by law:
a.) To retain all property received including the stock of any corporate fiduciary
acting hereunder, provided such property remains productive.
b.) To join in any corporation, partnership, recapitalization, merger, reorganization or
voting trust plan; to delegate authority with respect thereto; to deposit investments
Page 2 of 7 ~ r ~~ ~ .
under agreements and pay assessments; and generally to exercise all rights of
investors, including but not limited to the voting of shares.
c.) To manage, operate, repair, improve, mortgage or lease on any terms any real
estate held or owned by my estate.
d.) To operate any business that I may own at my death.
e.) To invest any funds of my estate in stocks, bonds, notes, or other securities or
property, real or personal, without regard to the principle of diversification or any
other statute or general rule of law in his, her, or its absolute discretion, it being
my intention to give my personal representative the broadest investment powers
possible, providing such investments do not unnecessarily prevent the prompt
settlement of my estate.
f) To sell or otherwise dispose of any property, real or personal, tangible or
intangible, at any time forming a part of my estate in any manner and on such
terms and conditions as my personal representative shall see fit in his, her, or its
absolute discretion.
g.) To borrow money for the payment of taxes or for any other proper purposes in the
administration of my estate, and to mortgage or pledge estate assets as security.
h.) To compromise claims without court approval including, but not limited to, any
controversies with the United States of America or the Commonwealth of
Pennsylvania concerning estate and inheritance taxes on any interests that may
pass under this my Last Will and Testament.
i.) To distribute in cash or in kind upon any division or distribution of my estate.
Page 3 of 7
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j.) To undertake any and all acts deemed necessary and proper by my personal
representative for the proper, advantageous, and prompt management of the
settlement of my estate.
k.) In general, to exercise all powers in the management of my estate which any
individual could exercise in the management of similar property owned in his or
her own right, upon such terms and conditions as to him, her, or it may seem best
and to execute and deliver ali instruments and to do all acts which he, she, or it
deems necessary or proper to carry out the purposes of this, my Last Will and
Testament.
Fifth
No interest of any beneficiary of my estate, either in income or in principal, shall be
subject to anticipation or pledge, assignment, sale, or transfer in any manner, nor shall any
beneficiary have the power in any manner to charge or encumber his interest either in income or
principal, nor shall the interest of any beneficiary be liable or subject in any manner while in the
possession of my personal representative for the liability of such beneficiary.
Sixth
I nominate, constitute, and appoint my niece, BRENDA LEACOCK as personal
representative of this, my Last Will and Testament. I direct that my personal representative shall
not be required to give or post bond for the faithful performance of his, her, or its duties in this or
any other jurisdiction.
~~ ~ ,
Page 4 of 7
Seventh
I hereby declare it to be my express desire that my personal representative employ the law
firm of Stephanie E. Chertok, Esquire, of Cumberland County, Pennsylvania, for the legal
advice and assistance regarding this, my Last Will and Testament, they having considerable
knowledge of my affairs, views, and wishes respecting any matters that may arise at the probate
of this instrument, the administration of my estate, and the execution of the powers herein
mentioned.
IN WITNESS WHEREOF, I have set my hand to this my Last Will and Testament this
~ ~' day of , w , 2004.
,,
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yam.
WITN SS
t ~
TILLIE R. HODGE
Page 5 of 7
LAST WILL AND TESTAMENT OF TILLIE R. HODGE
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS
I, TILLIE R. HODGE ,the Testatrix 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 and Testament, that I signed it willingly, and that I
signed it as my free and voluntary act for the purposes therein expressed.
~ n
T R. HOD E, estatrix
Sworn or affirmed and acknowledged before me by TILLIE R. HODGE, the Testatrix,
this 7 ~
day of -. , `~ , 2004.
i9
NOTARY PUBLIC
Notarial Seal
Andrew H. Shaw, Notary Pulblic
City of Hatrisbutg, Dauphin County
My Commission Expires Oct. 24, 2006
Page 6 of 7
LAST WILL AND TESTAMENT OF TILLIE R. HODGE
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS
WE, ~c~t/y,,,~~,~~ ,. ~~rJ ~C, _and_ ~n~~ ~• 1';~~~r'~
the witnesses whose names are attached to the foregoing document, being duly qualified
according to law, do depose and say that we were present and saw the testatrix sign and execute
the instrument as her Last Will and Testament; that she signed willingly and that she executed it
as her free and voluntary act for the purposes therein expressed; that each subscribing witness in
the hearing and sight of the testatrix signed the Last Will and Testament as witnesses; and that to
the best of our knowledge the testatrix was at the time 18 or more years of age, of sound mind,
and under no constraint or undue influence.
Sworn or affirmed and subscribed before me by _ /L« ,,,,~ ~,~~~ ~ , S`,~,
and r, ~ . T,~ :~-~ ~- this ~ day of , 2004.
~%
N TARY PUBLIC
Notarial Seal
Andrew H. Shaw, Notary Public
City of Harrisburg, Dauphin County
My Commission Expires Oct. 24, 2006
Page 7 of 7