HomeMy WebLinkAbout05-24-10Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Estate of Janet E. Hoffman No• ~ ~ _ ~ U " C~~~
also known as
,Deceased Social Security No. 217-22-6554
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 and aver that Petitioner(s) is the executrix_ named in the Last Will of the
Decedent, dated November 9, 2006 __ and codicil(s) dated
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 documents offered for probate;
was not the victim of a killing and was never adjudicated incompetent:
[i B. Grant of Letters of Administration
(d.b.n.c.t.a.: pendente liter durance absentia; durante minoritate)
Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any)
d heirs
an
Name Relationshi Residence
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rrnMPl FTF IN ALL. CASES~I Attach additional s heets if necessary. '-~'~-- ~_~ f
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or princi~ idence,ai 14 ~_,t~i `are
Circle New Cumberland PA 17070 ?' ~~
(list street, number and municipality)
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Decedent, then 91 years of age, died May 11, 2010, at The Hershey Medical Center Derry Township, Dauphin County, Pennsylvania
(Location)
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property ............................................... $ 4,000
(If not domiciled in PA) Personal property in Pennsylvania ..................................... $
(If not domiciled in PA) Personal property in County .......................................... $
Value of real estate in Pennsylvania ...................................................... $
Total ............................................................................~ 4,000
Real Estate 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:
Signature
or printed name and residence
Debora Priest (a/k/a) Deborah Priest
P.O. Box 109
Yeagertown, PA 17099
Form RW-1 Page 1 of 2 (Cumberland County) -Rev. 9/92
Oath of Personal Representative
Commonwealth of Pennsylvania
County of Cumberland
The Petitioner(s) above-named swear(s) and 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 and affirmed and subscribed ~ ~~ ~ '2~
,t Debora Priest
before me this o~ `i t h day of
M 010 ~`' °
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DECREE OF REGISTER ~:= ~-~> _i_~
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Estate of Janet E. Hoffman ,Deceased No. ~~~-.~ ~~ •:; --~f
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also known as
Social Security No: 217-22-6554 Date of Death: May 11, 2010
AND NOW, YY ~ , 2010, in consideration of the Petition on the reverse
side hereon, satisfactory r of having been presented before me,
IT IS DECREED that Letters ^ Testamentary ^ of Administration
d.b.n.c.t.; pendente life; durante absentia; durante minoritate
are hereby granted to ~s~~~ra..1,-- C^~?~{
in the above estate and that the instrument(s) dated
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
FEES
Letters .......................... .
Short Certificate(s)...3.......
Renunciation ................. .
Affidavit ( ) .................
Codicil ..........................
JCP Fee ........................
Inventory ...................... .
9~gar. -~,,,~-'.rarr~,~-~ ~.~~~
TOTAL ................
$~0• c~
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$ ~ _
$ ~- y~
$ ~•~
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Attorney: Stephanie Kleinfelter
. D. No: 80089
Keefer Wood Allen & Rahal, LLP
Address: 635 N. 12th Street, Suite 400
Lemoyne, PA 17043
Telephone: 717- 901-7786
DATE FILED:
Form RW-1 Page 2 of 2 (CUmbertand County) -Rev. 9/92
OCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for phis certificate. `~6.(i0
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Certification NumFle;
~''r'~~H OF p"~~
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1`his is to certify that the information here given is
col-rectly copied frot~~ an original Certificate of Death
duly filed with me as Local Registrar. The original
~,e(-tificate will ~~e f(~r~warded to the State Vital
Records Office for pe~~~niar)enC filing.
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.(~Ical Registrar Date Issued
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H,os.l44 REV n2oos Ct7MMONWEALT)i OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
TM~ („~,IE T" CORONER'S CERTIFICATE OF DEATH
......., ,..., rev e..••.....es....• ....a ~..•.....se• ......e..e.ee\ STATE FILE NUMBER
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- - t. Name d Dsceders (Frd, mWdls, hd, sdkx) 2. Sex 3. Social Seurty NunCer 4. Date d Death (Month, day, year)
Janet E. Hoffman Female 217 - 22 - 6554 May 11, 2010
5. Age (Cart BkdeOsy) under ,year Under ,day s. "vMe d Birth (Madh, day, 7. BintpWce C and state or Ba. Plea d Dwth (Cluw.i orty one)
rAniee wr Hous awvxas -bsPi1W: Other.
91 Yr:. .Aug. 12, 1918 Lrewistlxart, PA ®Inpatiem ^ ER; rlutpolent ^ DDA ^ Nwsinp liexne ^ Resiaence Oomer - SPedM
M. County d DsaM 8c. City, Boro, Twp. d oeatn Bd. Fecikly Name (K not iaYhitiori, sirs eked and rurMer) 9. Was Daeedert d Hispertic Origin? ~ No ^ `/es 10. Race: Anrxirm Fidian. Bede. While, ek.
- (M yes, ~p~>cily Cuban. (Specilj~
Dauphin Deny Hershey Medical Center IAtatican, Puerto Rican, dc)
11. Deadenl'e llsuel Krd d work d ons mast d Hs. lb not iN 12. Was Decadent scar in dw 13. OacedenYs EdtM;dion (Specify oNy Iwghad gwde oamp hrod) t t. Mafid Stow tdarrisd. Never Monied, t s. Surviving Spo use (M wM, give maiden name)
Kud d Wark Kind d Braiross I lriduety U.S. Armed Foroes? Elementary f Sewndary (0-121 CoNsgs (, -4 a 5+) widpued, Divorced (Specify)
Inspector Paint Manufacturi ^Y.a ®NO 8 Widowed
• 16 DeoedenYs MaiYrq Address (SYeaL aty / bwn, State. ip rods) DeadertYa Did Decadem
AaiW Residence 17a. Sde PP_1'1Tt.~1~7a-tl_l r'3 Liw in a 17c g] Yes, DeoeOent Lned'n _II{ zr>Pr Allen Twp.
901 Sheffield Avenue TiwrrWYp? 17d^
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C~nberland
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Niechariicsburg, PA 17055
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18. FaMier's Name (Pest, rNdda, Fa+C siAlx) 19. nbCid's Name (Fast, middle, maiden surname-
Herbert James Canner Anna Mertz
2oa. ktbnnad's Name (Type !Prod) lob. IntonemN's Wifrg Address (8roe1, dly /town dent, zip cods)
Deborah C. Priest 236 North Boiling Avenue, Yeagertown, PA 17099
21 a. MMgd d Diapaailan ^ Cremation ^ Dontpnn 2,b. Oab d Diapailion (Morr9i, day. year) 2tc. Pha d Dipatim (Name d asrtrtery. adroby a other plea) 2,d. Location (Ctry /town. stria, xq code)
• ot^Mr Bm `'~ from sm MedkalEzamNa ~nA""• ~d ^ Y.e O No
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Ma 15 2010 Rol l i Green Cemet
ng cry
C' Hill PA
z2a. SiprWwa ~j Lrc.rnee acting as sudr) 22b. I.icenaa Number 2ze. Ndne andAddieas d Faddy 8 Market Plaza Way
- ~.". FD-1 zz' 1 PA 170 5
23ac ores when 23a. To the hest d my knowNdge, rise h oopwred at Ihs tins, date and plws ataNd. (Siynakw and dtls) 23b. L kunss Number 23a Dale Sigrrd (MaNh. day, year)
' it rot evWable d time d b
eartty awe a dawn.
Mme 2M28 moat M completed by parson 24. TrrN d Death 25. Data Prariounced Dwd (Montlt, day. seer) 2(i. Naa Case Referred b Medical Examiner f Ccxoner fa a Reason Other than Cremation or Donation?
,• wln prariounces death. 03:55 P M. May 11, 2010 ~ Yea ^ No
CAUSE OF fJEATlt (Sae Insfruetlone and enmples) r ApprordnWs imervae Pert 11: ryn. other ' 29. Dif Tobacco Use Cartrioure b Death?
barn 27. Pert I: EMar the ~EYI~i -diseases, injuries. a mrttpica6oru - tlm[ esrasly eased dN dedA. DO NOT entd eermirid everts such as eanfix arrest, r Onset b Deadt Dal n•K redRinp n the undertying ease given n Pad L ^ Vas ^ Praw01Y
reapirabry mast. ar vadreelar fibriWlien witliat showing rile slblogy List oNy one awe on each tine. ~
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IMMEDIATE CAVSE (Fsvtl disease ar
ccoonnddtidoonn realtirq in wam) _~ 9 r
8. Subarachnoid Hemorrha e - 29. M Female:
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t wMhn
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Due b (Or as a Conaegtarca aft: r tx+s
yea
Pre9
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^ PregnMt d area d deem
tier Fall
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ire a.
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Ous to (or as . cornegwnca of-: - ^ Nd propwa. bu pregnant watdn f2 days
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Pater in 1111DERLYNIG CAU6E
~.a-wp or .. ~~b o i
d aesln
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- Der b (ar aS a mrteequertee Oft:
i - ^ Not pregnrs, but pregnant 13 days b 1 ywr
bNore death
• d ^ UNerrowrr if Pregnant whin the pW Year
30s. Was en ANopsy
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a? 300. Ware AtrbpeY Fuidaps
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d 31. MarvNr d Death 32a- Date d bjury (worth, day, year)
1 326. Describe How I^FxY Ocaxred
d
F
ll f 32c. Plead k~~rY~ Flume. Fenn. Strad, Factory.
OSa Buidap, ate. (Spec~y)
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arm. arb
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d Cause d Dead? ^ Ndlad ^ ~ May 7, 20
0 rom commo
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a Home
® ^ PenQrq kwasOgetron 32d. Tuns d Iry'Iry 32s. trjury d Work? 32t. M Thnsportation Ir~ury (swab) 32p. Lacdion d hNV (Bred, dV ! bwn, dab)
Yes ®No ^ Yea ^ No ^ sddd. ^CaiAdNafbeDe1"n"'"" A x 09:00 A
p ^rea ®"° ^D'""r/0p81y°r ^ ~'" 901 Sheffield Ave, Mechanicsburg, PA 17055
M. otl,.r-
33a. CwdIW (check ads one) 330. SigrNture and
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• Cartlfying phyekWt (Phyaioan aroying awe d death when another physician has praioexicad death W eem 23)
To drc had el rtry knowledge. death oocwred due b Uie avow(s) and mercer r WMd_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ """~
- Graham S. Hetrick, Cortuler
' ProriatatNrg and eertllYktg phYaklan (Ptrysidan boN prortoux:kq death rd arllying b~aws d dedh)
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^ 33c. dcerrs Number 33d. Ode Signed (Modh. daY. Yee
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p
ase, an
w b the easy:) area mareiar n s
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To aw base a my krwwNdge. dadlr oeeurrad d tM tNw, dw, en
Medkal Esamkw I Cararwr May 13, 2010
On Uw bah d esentnatlort and I a invadgation. h my oplydon, death axumd d the rime, dale, and pleas, end dw to the eausys) and manner as shhd_ ® ~. Name and Address d Person Who Canvlehd Cause d Deem (Ihm 27) Type t Prim
Hetrick
Graham S
35. R rat's 5igndun end Oiskict bar
~ ~• ~ '~ (MOnb• d•Y. YfBA .
1271 South 28th Street
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~ \ (~ f Dispailion Pemdl No• 0479686 `
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•
LAST WILL AND TESTAMENT
OF
JANET E. HOFFMAN
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I, JANET E. HOFFMAN, a resident of the County of CUMBERLAND, Commonwealth of
Pennsylvania, do make and declare this to be my Will, and I revoke all my prior Wills and Codicils.
FIRST: Declaration Concerning Family. I declare that I am widowed and that I have no
children now living, and that I have no other children living or deceased. The terms "child",
"children" and "issue" shall include adopted children. I further declare it is my intention to
dispose of all property I am entitled to dispose of by Will.
SECOND: Nomination and Appointment of Executor. I hereby nominate and appoint
DEBORA PRIEST to be my Executor hereunder, to serve without bond. In the event my nominee
fails to become or at any time ceases to be the duly appointed and acting Executor hereunder, I
nominate DAVID CHERRY as Executor, to serve without bond. The term "Executor " as used herein
shall apply regardless of gender.
THIRD: Last Illness and Funeral Expenses; Powers of Executor. I direct my Executor to
pay my last illness and funeral expenses. I direct my Executor to take all actions legally
permissible to have the probate of my will done as simply and as free of court supervision as
possible under the laws of the state having jurisdiction over this will, including filing a petition
in the appropriate court for the independent administration of my estate.
I hereby grant to my Executor all of the necessary powers to discharge my directions
under this Will and the power to do all other acts which in his judgment may be necessary or
appropriate for the proper distribution of my estate and the pour over of my estate to the Trust.
The foregoing powers, authority and discretion granted to my Executor are intended to be .in
addition to the powers, authority and discretion vested in him by operation of law by virtue of
his office, and may be exercised as often as is deemed necessary or advisable, without
application to or approval by any court in any jurisdiction. With respect to tax elections and
exemptions, I have provided for such powers for the Trustee of the Trust. In the event that any
tax law is interpreted to not allow the Trustee to exercise such powers, then the Executor is
directed to follow the Trustee's directions with respect to such elections and exemptions.
FOURTH: Debts, Taxes, and Administration Expenses. I have provided for the payment of
all my debts, expenses of administration of property wherever situated passing under this will
or otherwise and estate, inheritance, transfer and succession taxes, that become due by reason
of my death, under THE JANET E. HOFFMAN TRUST, (hereinafter "Trust") on the same date as
the execution of this Will. If the Trust assets should be insufficient for these purposes, after the
pour over, my Executor may elect to probate this Will and/or demand in a writing addressed to
the Trustee of the Trust an amount necessary to pay all or part of these items, plus claims,
pecuniary legacies, and family allowances by court order.
9-2
FIFTH: Disposition of Residue of Estate.
(1) All my personal and household effect were transferred to the Trust as a
result of the Assignment of Personal Property to Trust signed in connection with the Trust. If
there are any questions regarding the ownership or disposition of these assets or any other
assets not listed therein, it is my desire that all my assets pour into the Trust.
(2) Accordingly, I give, devise, and bequeath all the rest, residue, and
remainder of my property of every kind and description (including lapsed legacies and devises),
wherever situated and whether acquired before or after the execution of this Will, to the Trustee
under the Trust executed by me on the same date of the execution of this Will. I direct my
Executor to transfer over to the Trust all of my right, title and interest in all property that I own or
that I might have an interest in. The property is to be transferred to the Trust subject to all liens
and encumbrances, if any. The Trustee shall add the property bequeathed and devised by this
will to the corpus of the Trust and shall hold, administer and distribute said property in
accordance with the provisions of the Trust, including any amendments thereto made before my
death.
(3) If for any reason the said Trust shall not be in existence at the time of my
death or if for any reason a court of competent jurisdiction shall declare the foregoing
testamentary disposition to the Trustee under said Trust as it exists at the time of my death to
be invalid, then I give all of my estate including the residue and remainder thereof to that person
who would have been the Trustee under the Trust, as Trustee and to their substitutes and
successors under the Trust, described herein above, to be held, managed, invested, and
distributed by the Trustee upon the terms and conditions pertaining to the period beginning
with the date of my death as are constituted in the Trust as at present constituted giving effect
to amendments, if any, hereafter made and for that purpose I do hereby incorporate such Trust
by reference in full in this my Will.
SIXTH: Partial Invalidity. Should any part, clause, provision, or condition of this Will be
held to be void, invalid, or inoperative, then I direct that such invalidity shall not affect any other
provision hereof, which shall be effective as though such invalid provisions had not been made.
SEVENTH: Omitted Heirs: Will Contests. Except as otherwise specified in this Will, I have
intentionally and with full knowledge omitted to provide for my heirs at the time of my death. If any
beneficiary under this Will or heir at law of mine or person claiming through any of them shall
contest or otherwise challenge the validity of this Will or attack any of its provisions or the trust
described in Paragraph FOURTH herein, directly or indirectly, any share or interest in my estate
given to such person under this Will is hereby revoked, and such share or interest shall be
distributed in the same manner provided herein as if such person had predeceased me without
issue.
•
9-3
~ 'r
IN WITNESS WHEREOF, I, JANET E. FFMAN, sign, al, publish and declare this
instrument as my Last Will and Testament this day of d c/ ~ 7
ANET E. HOFFMA estator
The foregoing instrument consisting of four (4) typewritten pages was signed, sealed,
published and declared by JANET E. HOFFMAN, the above-named Testator, to be his Last Will and
Testament in our presence, all being present at the same time, and we, at his request and in his
presence and in the presence of each other, have subscribed our names as witnesses on the date
above written. ~
Witness
Signature
Print name~~~,~~t/ ~ ~11 r~s7/e-
Address Z° 3 Gvao ~~~--~ ~ (.~
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•
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Witness
Signature
Print name ~--, I~ ~ ~ ~ ~/!{ ~O
Address ~ / ~-
~ ~~~-acs ~~ ~ ~7~~
END OF WILL
9-4
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COMMONWEALTH OF PENNSYLVANIA, COUNTY OF CUMBERLAND, ss.
I, JANET E. HOFFMAN and ~ ~ ~«f nand ~A'~ ~ YH • ~c~~ ~I~'~- a Testator and the
~~~ C~ ~ .
witnesses respectively, whose names are signed, to the attached or foregoi g instrument, being
first duly sworn, do hereby declare to the undersigned authority that the Testator, Janet E.
Hoffman, signed and executed said instrument as his Last Will and Testament in the presence and
hearing of the witnesses, and that he had signed willingly, and that he executed it as his free and
voluntary act and deed for the purposes therein expressed, and that each of the witnesses at the
request of the Testator, in the presence and hearing of the Testator and each other, signed the will
as witness, and that to the best of his or her knowledge the Testator was at the time at least
eighteen years of age, of sound mind and under no constraint, duress, fraud or undue influence.
~-
estator
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Witnd~s ~~ ,~,
•
Subscribed, sworn to and acknowledged before me by the said JANET E. HOFFMAN, Testator, and
subscri d and sworn to before me by the above-named witnesses, this day of
G/V C`~ c„/ ~ .
~~
My commission expi
COMMONWEp-I-TH OF PENNSYLVAk~-
Notarial Seal
Jeffery W Leighton, Notary Public
Marple Twp., Delaware County
MIy Commission Expires December 24, 2006
COMMONVVEALTH OF PENNSYLVAi\'~!A_
Notarial Seal
Jeffery W. Leighton, Notary Public
Marple Twp., Delaware County
commission Expires December c4, 2006
9-5