HomeMy WebLinkAbout06-12-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cumber 1 a n d
COUNTY, PENNSYLVANIA
Estate of Kathrvne E • 0' Hara
also known as
,Deceased
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' OR 'B' BELOW.)
File Number - ~ ~ ' ~~~~- ~~? ~~
Social Security Number ~ ~ ~ ' 16 - ~ 2 / ~-
a A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the E X e C U t O r
last Will of the Decedent dated 2 / 4 / 2 0 0 2 named in the
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 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 minorit~
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the followin se if any
Administration, c. t. a. or d b.n.c. t. a., enter date of Will in Section A above and complete list of heirs.) ~ ~~ and heirs:(/f
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(COMPLETE INALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumber 1 a n d County, Pennsylvania, with his /her last principal residence at
4 E s Tr' d Road M h n' s PA 17050
(List street address, town/crty, township, county, state, =ip code) Ham den T 0 W n S x'11
Decedent, then ~ ~ years of age, died on 5 / 16 / 2 010
~ at loll ~_ So ~ ^~ ~ ~- F, -A - ~
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property
(If not domiciled in PA $
~ Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County
Value of real estate in Pennsylvania $
314 Eutaw Avenue, New Cumberland, PA 17070 $ 140,000.00
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
Typed or printed name and residence
Terry L• O'Hara 5249 East Trindle Road
Mcchani rch~ir~ry
Form RW-02 rev. 10.13.06
Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
SS
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
ore me the ~~~ day of
~ ~-~--L - - ~ L/~
Signature of Pe nal Representative
Signature of Personal Representative
`F
gister
S
File Number: _ ~
Signature of Personal Representative
in the above estate
Attorney Signature:
Supreme Court I.D. No.: 3 9 7 8 5
Address: 414 Bridae Street
New Cumberland
FA 17070
Telephone: 717-774-7435
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Estate of Kathrvne E • 0' Hara
rr~~ ,Deceased
Social Security Number:~V~"~ fi-` (~;~/ Cj
r~ -~ (~ Date of Death: 5 / 16 / 2 010
AND NOW, - .~I Sf (~'T Q~j ~ G C~
having been presented before me, IT IS DECREED that Letters T e s t a m e n t a r ion of the foregoing Petition, satisfactory proof
are hereby granted to T e r r L• O' H a r a
and that the instrument(s) dated 2/ 4/ 2 0 0 2
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
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FEES
Letters ...........................
Short Certificate(s) ..........
Ren ciation(s) ..............
TOTAL
Form RW-02 rev. 10.13.06
$ (~~~a_
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$ -_-____
$ ____---
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Page 2 of 2
Attorney Name: David H• Stone, Es uire
tL\ 11/I
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for- this ceriificatr, $6.Op
P 16178.17
Certification Number
This is to certily that the infornruii>(~ here gi~~en
correctly aTp~ed ~h~om an ori«ina; C~el~tili~~ate of Dee duly tiled with +ne as Local Registrar. "I"he uri~•in.
certificate ~i11 he forwarded to the State Vit Records Offiie ~<>r r~ermanent fiilne.
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Local Registrar Ih1tc' [sued
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3 REV 11!2005 ~ ""t
tMANENT ~ - 1,i
/ PRINT IN COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH .VITAL RECORDS
ACK INK CERTIFICATE OF DEATH N - _
1 tbniedoeamnl(Fkm midtlle ~) (See instructions and examples on reverse) (,q} ~;
Kathryne E. O Hara STATE FILE NUMBER
' 2. ~ 3. Sodel Seany Number
Fema 1 e 2 01 4. Dam d Deem (Monet, day, yam)
s. age (Lam elmaay) ualm 1 r thxler 1 de 5. Date d elm, Maml de - 1 6 ,~ 0 21 5 Ma 1 6 2 01 0
' Days Hasa Mbmss 7. Birth antl slate or f Ba. Plea d Deem Check on°
8 2 Yrs. OC t . 31 19 2 7 Hapdal. OMar
' ec. camtY a 13eem ~ Harri sbur PA ^ Inpetiern ^ ER / ~
&. CNy, Bore, Twp. d Deem Tw fb. Faalpy Nmne (d na Instlnmon, gNe sheet and ramher) Ou~ebent ^ DOA ^ Nurs Hare ^ Residence
Cumberland ast Pennsbopo Holy Spirit Hospital g WnDeadamdH ^0tli~ SI~Y.
bDanb Orkpn7 ~ No ^ Yes 10. Race: American Inden, Black, Whlta, ero.
(K yn, specify Cohan, (~.M
• 11. DecedenYS Usual Kind d wok Gone moat d Ida. Do rpt em4 Mnian, Puerto Rican, Bro.)
IGM a Work 12. Wn Deadem ever in the 13. DacedenYS Education (Seedy ally Feat gads ampbtad) 14. Meriml Stets: Monied, Never Monied, 15. Surv'rvi S Whit e
Secretary We ~d/IrMre(ny U.B.AmiedFOrcn7 Elamenm /
07,'e ^ vn ®~ ry lseca2 "dory (a1z) coneys (1~a or st) wbow~ed, Drror~ed Ispedh/ n0 Douse (II wde, give maiden name)
• 18. DeadenYa Menirp Address (Street cny'/town state rip code) w 1 d0 W ed
5249 East Trindle Road a PA
aaael Realdena na. stab °id DeO~°^t y7Lyy Hampden
Mechanicsbur LNB1"B 1TaL Yea Decedent Lived in
PA 1 7 0 5 0 1m. Coany - !'„m he r 7 - n A T01nieip' 17d. ^ No, Decedent Lived wdhin T"'p
19. FemeYS Noma (First. Mdtlle, last, sufld) Aauel Limns d
' ta. Momere Name (Fksl mk,da, mmden wmame) Cdy/l3om
20a. InkrtanYs Name (Type / Prfm) L i 11 i e Yo s t
Tarr L. O'Hara 20b1i'a'~~°aAd~aacso-e•LaIY/mrm,amre,~p~oe)
z1e. Mmhoddl3lapakron 5249 East Trindle Road
^ cremedo„ ^ Darietlan 21b. Date d Diapreitlon (MOrlm, day, year) 21c Place d
® Barrel ^ Ramwa1 tram Stale i wn Crmbtlon a Donatlon Autlanzad ~Panlon INeme d cen,eNn. orernerory a onar
^ omm - r er ream E,rrN,.ry ^ ves^ No May 2 0 , 2 O 1 0 S t . John ' S °~) 21a. laalpn (cly/town, emb. ~ro ode)
r2a. aFanermservka (aDmsonacwgnmrdp Cemetery Mechanicsburg, pA 1 70
22b. lkenea Nanber 22c. Name end Adtlrns d FacYKy
FO 012342-L Stone & MurrayF.H. 408 3rd.St,
it«na23a~a,ywne„a,m,~ ~'T° ~`"em°""n'dB1 eme,m•ana New Cumberland PA17070
is ret evmbbb m dme d ham m 'Qs~ ~ R ~ (sig,erore am tme>
cerlny ease a dnm. `., 23b. L>cenea N,.ro•,
_ r~-.~..o ~I RN a ~4~3(~ o ~ 23c. ~ro 3~ed (~5,. deY, Yee
Kate 24-25 mum he canpbted by parson 24. Time d Death 25. Date
_- who prapucee deem. ~, ,~ P Praqurlad Dead (Mats, day, yaa~ ~ 5 ~ b 2 o f u
x M. (~ O I )~ 28. Wn Case R nod ro Medm Examiner / Cororer to a Reason Omer men Cremation a Doretlon7
Whet 27. Pen L Emer me>~ir, d events - dbnsn, b orbs, aUSE OF DEATH (Sae Inatru°tlona and s:ampMa) ~~ QI v ^ Yes ~No
j ~gnre ~ B Ihet drectly ceMSad me death. Dp NOT order terminal evema surh es terdec arrest, i ~f01tlmeb nbrval: Pert II: Enter dher
reepkarory enem, or venWaear Abmbtim wnFloln slpwky ~onY, ~ arty orle auee ~ nth ~. Onset ro Deem bn nd reeul5rlg b me ands 25. Did Tabeca Use Caioihae ro OeeM7
IMMEpATE CA `~G~ ~ flying cause n Pert I. ^~ Praybly .
~~~) -~ e. ~~"2')'1/Y~~A~V / l~l'L~<~', h26ntt~x ~° ^ unle,awn
Duet a a i ~' 29. M Pamela:
S~WI cvrldtlore M b.
ro aae• oared a, s~w~ e. ^ Na Dregnenl witlan poet yam
W~ ~~ ~~ . ~ ~s
Ewer UNDERLYING CAUSE Duero r a w ~ ` ce on~ ~ ^ Pregrbm ri IYrw d deem
' Idbnse a kljury mri ktltlated me {~ /q,~/~~.,~
event reeunMg n deem) LAST. °~ Due o (a n a axeeylbrlce d) ---J~ i /i "' % ~ ^ N0' M•~L ba pregant wimm 42 days
a deem
• d. r ^ Not pre4nent. 6a pregnant d3 days to 1 year
y7 30a. Wn en Autopsy 30D. Were Aaopay Fkrdnps 3 d Deem i hebre death
9 Penomied7 Aveiebb Prbr ro Carpletim 37a. Oats d injury (Monet. mY• Y•ad 32b. Demxba Frew Injury I)CCareQ ^ Unhavm N Pregnant w4hm me pem yam
d Ceiee d Dnm9 NaNre1 ^ Fianidde 32c. Pbos d Inury: Hann. Farm. Sbaet, Factory,
^ Yee ~No ^ Yea 'Fro ^ Acddmit Oma Bdldxtg em. /Syaady)
^ Pendng Inveetlgetlal 32tl. Time d Injury 32e. Injury at Wok? 321. N Treapatedal Injury (Sbm,YyyJ
^ sulfide ^ coon Na he Dmermkad 32g. Laatlm d Injury Iskeel cnr /town, mare)
33e. Cemea (ohedc sly ae) M, ^ tee ^ Na ^~ /Opereror Panengar ^ Pedaeman
• TO n ~ dn°~tl, ~I. w a,e rome~A ~tlBn nn wanaxKed m•m end amp.ud loam 2a) re a cemnm
. en•ya) rM manner n riri.d_ _ _ -' _ _ -- _ -.
Prarouncirrg and artlylrlg PhyIdrr (Phyeiden bah pmnandng deem end ) - - -'''
To the Wri d my rorowledpe, tleriA occurred ri the tlm•, ma, and plea, •nd~Awl~b C°Ma°(a) °"d 11MN~ n ririad_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ lrnber 33tl. Date
• Medial EerdrwlCoroner _ _ ^ ~ Srorled (~ .day. year)
g11M bnledrirrn6Wron endlalmntlgetlaemmy Wmbr4 dnlh oceunedritlb Wre, tle4~eld _________ ~~~
pha, and daa ro the awe(q erW rrunw r riasa4 ^ 34. Name and Address d Peman Who
~ ReOatrefa and ~p ~C{au~ea of Dmm fl~ y7) TYDa / Pnnl
- ~aI /I ~I ~I ~i 35.~~~,,,ao v ~C'^M~'( Oat (rvVr/ ~///j~7V~~~1!lyr~ltiw~ ~'yur
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LAST WILL AND TESTAMENT r
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KATHRYNE E. O'HARA .'
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I, KATHRYNE E. O'HARA, of the Township of Hampden, Cumberland County,
Pennsylvania, being of sound mind, memory and understanding, do hereby make, publish and
declare this as and for my Last Will and Testament, hereby revoking and making void any and all
other Wills by me at any time heretofore made.
I.
I direct that my Executor, hereinafter named, shall pay all my just debts and funeral
expenses as soon as conveniently may be done after my decease.
II.
I have not made provisions for my son, Thomas Richard O'HARA of Box 107,
Landisburg, Pennsylvania because during life he received certain benefits from me and I elect not
to make any bequests to him by my Last will.
III.
All the rest, residue and remainder of my estate, whether real, personal, or mixed
and wheresoever situated, including my burial plot in Rolling Green Memorial Park in Lower
Allen Township, Cumberland County, Pennsylvania, I give, devise and bequeath unto my son,
TERRY L. O'HARA, of Hampden Township, Cumberland County, Pennsylvania, if he survives
me. If he does not survive me, then this gift to him shall be divested and I then give, devise and
bequeath my entire estate, whether real, personal or mixed and wheresoever situate as follows:
A. I give and bequeath One Thousand ($1,000.00) Dollars each to my
grandson, PATRICK RICHARD O'HARA, of Landisburg, Perry County,
Pennsylvania, my great granddaughter, O'DESSA ALICE MAY O'HARA,
of Winnemucca, Nevada, and to my great grandson, JESSIE JAMES
PORTER O'HARA, of Winnemucca, Nevada, to be paid to each
beneficiary after he or she attains the age of eighteen years. I hereby
appoint my granddaughter, KATHLEEN L. O'HARA, as guardian of the
estate property of my great granddaughter, O'DESSA ALICE MAY
O'HARA and of my great grandson, JESSIE JC~~ c5 ~~~;
J9~S• PORTER O'HARA
until each attains the age of eighteen years, after which he or she shall be
paid his or her, bequest plus any interest which may have accrued on it.
B. I give, devise and bequeath all the rest, residue and remainder of my estate,
whether real, personal or mixed and wheresoever situate to my
granddaughter, KATHLEEN L. O'HARA,of Landisburg, Perry County,
Pennsylvania.
IV.
I direct that my body be buried next to my husband, BRUCE L. O'HARA in a lot
that I own in St. Johns Cemetery, Trindle Road, Hampden Township, Cumberland County,
Pennsylvania.
Page 2 of 4
V.
I hereby nominate, constitute and appoint my son, TERRY L. O'HARA of
Hampden Township, Cumberland County, Pennsylvania, as Executor of this my Last Will and
Testament. If my said son should predecease me, not qualify or not accept the position of
Executor, then I hereby nominate, constitute and appoint my granddaughter, KA'I'HI,EEN L.
O'HARA, of Landisburg, Perry County, Pennsylvania, as Executrix.
VI.
I direct that my fiduciaries, herein named, shall not have to post bond for faithful
performance of their duties.
IN WITNESS WHEREOF, I, KATHRYNE E. O'
HARA, the Testatrix, have unto
this my Last Will and Testament, set my hand and seal this P/ ~~
day of Jc~ ,~y- L, ~~ ~
2002.
' ~ EAL)
SIGNED, SEALED, PUBLISHED and DECLARED by KATHRYNE E
O'HARA, the above named Testatrix, as and for her Last Will and Testament in the presence of
us who have hereunto subscribed our names as witnesses at her request, in the presence of the
said Testatrix and of each other.
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Page 3 of 4
ACKNOWLEDGMENT AN1~ AFFIDAVIT
STATE OF PENNSYLVANIA )
CUMBERLAND COUNTY ~ SS
We, KATHRYNE E. O'HARA, ~/7/ h P ~~ S S G ~1 S
and ,~ // P y ~ ~ C ~ ~, 5 ~ ~ ~ ,the Testatrix and the witnesses, respectively,
whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to
the undersigned authority that the Testatrix signed and executed the instrument as her Last Wil
1
and that she signed willingly, and that she executed it as her free and voluntary act for the
purposes therein expressed, and that each of the witnesses, in the presence and hearing of the
Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint
or undue influence.
.,
Tes atrix ..(SEAL)
~~
' ~' >%n~ (SEAL),
Witness
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Witness ~~ ~ (SEAL)
SUBSCRIBED, sworn to and acknowledged before me by KATHRYNE E.
O'HARA, the Testatrix, and subscribed and sworn to before me by ~ f ~i~ p ,~Jd S G'~ S
and ,fi~/~%!, /'.~J~ ~')hj~i P `~ ,witnesses, this G/ ~'~ da of
2002. ,
z
A
Notary Public
NOT.?RlAL SEAL
Page 4 of 4 W~l.L9~~17 q. ~'oU~~;::;, ~;;%:pry Public
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