HomeMy WebLinkAbout11-10-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF ~~~Q~~~~N~COUNTY, PENNSYLVANIA
Estate of _ \ 1` :~`1 t::-K~ 1.~+ ~~~'~\ File Number t~/' ,~f~~)
also known as
,Deceased Social Security Number ~~
Petitioner(s), who is/are 18 years of age or older, apply(ies} for:
(COMPLETE 'A' or 'B' BELOW.)
~ A. Probate and Grant of Lette s Testamentary and aver that Petitioner(s) is /are the ~'~ °' ~-'~`~t,~`~~~ ~ named in the
ast Will of the Decedent dated C.~ h and codicil(s) dated
!-,r~ ~ ~ ~...
(State relevant circ m Lances, e g renunciation, death of executor, etc.) e:....5 C.~.~""'~~`z-~'-~-->~=
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 r•_9
(If applicable, enter: c. t. a.; d. b. n. c. t. a.; pendenteli~e; duranteabsentia;~i anteminorita~ -~
C Q '~ `z._' ' ~ '`_
Petitioners after a ro er search has /have ascertained that Decedent left no Will and was survived b the followi~ use ~f and h~trrs:~ ,
() P p Y ~ (~ 7~
Administration, c. t. a. or d. b. n. c. t. a., enter date of Will in Section A above and complete list of heirs.) `~~ rte" ""~ c._._ . -- -
7
Name Relationshi 1~~ -
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(COMPLETE IN ALL CASES:) Attach additional sh~e`ets if ne(c~essary.
Decedent was domiciled at death in `U ~ ~'g.• ` "J~ County, Pennsylvania with his /her last principal residence at
(List street address, town city, township, county, stat ze p code) r~
Decedent, then C ~. years of age, died on ~ C~, G~ ~ 1 ~ at mot- ti ~--~`=' ~--~ ~-{'~ ~~~ ~~1 `~`~
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 $
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:
Sisnature Tvped or printed name and residence
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Form RW-02 rev. 10.13.06 Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENN5Y .VANIA
~l SS
COUNTY OF ~~~~~~
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
bef re me the ~~~ ~ day of
(`rAl~~J~~~ ~ ~~~
Fo the Register
Signature o~'Personal Representative
Signature of Personal Representative
Signature of Personal Representative
File Number: ' / ~ ~ •-~
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Estate of ~~ .~ ~~~ ~., •~~`'~~ ,Deceased
Social Security Number: ~~~ " "'" ~ `~ Date of Death: ~ ~ ~ Ca ~ ~ ~ C.;
AND NOW, I~.r' - ~ v ~~~ , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters ~~ ~:3
are hereby granted to - t1~.-- ' ~~~ ~~ ~ '
in the above estate
and that the instrument(s) dated ~.y~'~"~ ~~ . !~-L'~3
described in the Petition be admitted to probate and filed of record~a~t~e last Will (and ~dicil(s)) of Dece~nt~ ~ ~
FEES
Letters ............... $ `~.%~ ` ~
Short Certificate(s) ........ $
Renunciation(s) ..... $ ~~
e ~~ ... $ ~:5, ~,t~
... $
...$
...$
...$
... $
... $
TOTAL .............. $
Address: ~~~~ 1..~ ~ <--~~~1'. c~~ - ~'
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Telephone: ~~~'"F >~~`' ~
Form RW-02 rev. 10.!3.06 Page 2 of 2
Attorney Name: ~~.~. ^~ t~c=.~ ~ .~ ~..'~,-`'"~) ~',,~,'
Supreme Court I.D. No.: ~~~~'~ ~
C~AL. REGISTRAR'S ~~ERT~~IATI(~ t~F E~T~
I1~kF~rJING: !t is~ dllegal tc du~alicat~~ this r„a~~; ka~~ ~~~ctcs~at c~a ~~hc~tc~~ra~~~r
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8105-143 REV 1112006
TYPE /PRINT IN
PERMANENT
BLACK INK
COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH .VITAL RECORDS
CERTIFICATE OF DEATH
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1. Name of Decedent (Fin!, middle, las?, suffix) 2. Sex 3. Soaal Security Number V v 4. Dale of Death (Month, day, year)
DONALD L. HEBEL Male 199- 07 -4973 October 3, 2010
5. Age (Last Bidhday) Under t ear Under 1 da 6. Dete of FSirur (Month, tla , earl Birthplace (Cif antl state or )Diet n count ) 8a- Place of Death (Check onl one
9 2
• Moriiiu Onys Huss M~au~es ROSpital. Other
vrs. A pr i 1 1, 1 91 8 H a r r i s b u r PA
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Nursing Rome ^ Residence ^ other - .,pecify:
Bb. County of Death
~ bc- Cily, Boro, 1 wp. of Dearti &d Faalny Name (It not institwiun, give street and number) 9. Was Decedent of Hispanic Origin? ~] No ^ Yes 10. Race: American Intlian, Black, White, etc.
Cumberland
Carlisle
ManorCare (II yes, specify Cuban, (Specily)
Mexican,PuedoRican,etc( White
11. Decedent's Usual Occu aeon (Kind of worl~ Uone d uiinr most of workm lile Do not slate reliretl) 12. Was Decedent ever ~n the 13. Ueceden!'s Education (Specify only hiyhest grade comp leted) i4
Marital Stat
s
Ma~
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N
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Kind of Work
Sanitation
Kind of Business! Indust
ry
Manufacturin
U.S. Armed Forces
~-y~
Elementary / Sec1n~ry (0-121
Colleye (t-4 or 5,) .
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ever
arrie
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Widowed, Divorced (SpealyJ 15- Suroiwng Spouse (I( wile, give maiden name)
g L'}Yes ^Nu Widowed
16 Decedent's Mailing Address (Street, city / town, slate, dp atdel
1 8 S h e r k s- Church Road Decedent's P e n n a . Did Ueredenl
Actual Residence , ~a state ~ ire in a „
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Grantvi 11 e
PA 1 7 0 2 8 ~
es,
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Cumberland 'owruhip'
, 7b county , ~d C~No, Decedent L ~~ed within Ca A i s l e
, Actual t imils of Cily / Boro
18. Father's Name (First, middle, last, suffix) 19- Mother's Name (First noddle, Wooden surname)
W. Lester Hebel Martha (Brown)
20a. Informant's Name (Type ; Pnnt( 20b. Inlnrmant's Mailing Address (Street, coy /town, stale, !ip code)
Donna K. Walmer _ 18 Sheiks Church Road• Grantville PA 17028
11
21 a. Method of D~sposAiu'i r U Cremation ~_.-J Dona!~on
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'F~ B
ial
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S 21 b. Date of Duposiuun (Month, day, year) L1c. Place of Disposition (Name of cemetery, crematory or other place) ltd. Location (City /town, state, zip code)
w
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move
rom
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ta!e r Was Cremation or Donation Authorized ~
^ Other - S rti r by Medical Examiner f Coroner'? ~: Yzs^ No
1 0/ 8/ 2 01 0
Grantvi 11 e C e m e t e r y G r a n t V 1 11 e , PA
22a. sign of Funeral Service Licensee for pers~Jn er,!~nq as such) '~U. License Nwnber 22c. Name ,ind Address of Farllity B U S E F H
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T 01 2206E 9066 Jonestown Road- Grantvi 1_le, PA 1 7028
om
letc reins 23a-c only when cenily~ny
physician is nut avail ible at Dole ul d~~itti to ?~;i
~ ihr• ieti! ul my kit w~adge, Ueatli ucwned a! the Mine. dale and place sl.eud. (Supt.dwe and nilu'
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/ 23b License Number
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A 23c. Date Signed ( nh, day, Year)
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certify cause of death -/
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Items 24-26 roust be cum tle!e~l b' nun 1 lure ,~r L,_ stn ~ ~~ D rrc Pronounced De.iJ L' tlli d;rv. ~+rl
{ - i lip ~4 V'~ t Las C,ue Relcned lu P.ledical Examner ' ~.o«.ner for ;i Reason Other (hart Cremaoun or Donation"~
who pronounces dc.~lh ~ / . L ~ ~ M C~~ i Q~~ lam[/) ..y ~f/~ ~ ~j ~ _~ Yr~s ~ Ne,
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CAWS - OF DEATH (Sec instructions and e
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Rein ?7 Pain I Fnler I C Ch iir• ail t~~n'~ di•.: c nl'~ ~,,.~ ~r r p',i;rl rn~. -'I i,il dirt II
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t ^ Yes ^ Probably
reSpil I( ry ~t rre5i, ul ~c nlr~CUlar libr~~l.tlirrn witrr~i it Sh Twiny Ili[ eiii~lugy I
I ly rnrr~ ~ ruse un t~:t~h line
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IMMEDIATE CAUSE lFin;tl d,seese or , -- r
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Uue to ,or pis y ~oiur~yuen:~:• till r ^ Not re Want within ast ear
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Sayuentiall~ list conditions, it any, b i
laadinyy to t ie cause ii5ied on line a ^ Pregnnnt at lime of denUi
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Enter the UNDERLYING CAUSE Uue '~ t~,r ,u ,~ ~ui~.sequence uh ~
^ Not pregnant, but pregnant within 42 days
(disease or intury Ihai initiated the
r of death
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events resorting m deaths LAST. - r
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Due !~> i~r ,u ,~ c:~i sequence oti r -- Not pregnant, but pregnant 43 days to 1 year
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d i belore death
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- Unknown if preynanl within the pa=1 year
"fOn Was an autopsy '1frL 'JJert, 1 I psy f r i r '.;1 M,tnr~ur of (ir•.itl~ ;l'I,i lJ:ite o! li ilury IMunlh d,ty, yr~.nl ,t~'h Ilesenhe I low Iri)uiy i)ccwrr.'d ;32c
Place of Intury_ Hoine
Farm
Street
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C ^ Acc~dent ^ Ge.iU J In~-e,tir it on
~ 7 J~ ~ 3d of ul Inlury 3^, Inlurv ai Wurk~ C4?I II Tran,pc,itation In) ry rSpenl;:' .i?y. Locat.rn of rlur; ,,;tree ; ;town. :;!atei
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. r.,A I~ Ot'~er- Slrec:IV
33a. Certilier (check only ones 33h ; yn;,tw t n!~ rl Critiher C\
Certifying physician tPhysi an certify ny ci.,rr -t d - r!i when ,u e tl ,i I:hy,ic n h-spin i- n 1 de i!I, t idl (,ter! Iti.a .'.ll
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To the best of my knowledge, death occurred due to the cause(s) and manner as started ~f - ~ / ~ (/~ % '
• Pronouncing and certifying physician tPhys~c~ar~ b: .h p~~~n~ ~unc~ny dt~,ith and cenifyiny to t ~ ut de.nhl 3:1~ t ~cer~ ' ti 'i ter. JUd. Date Siyi'od (MUnih, day, yew I
To the best of my knowledge, death occurred at the time, date, and place, and due to the cause(s) and manner as stated_ _ _ _ _ _ _ _- _ _ _ _ _ _ _ _ _ ~ _.J r _
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On the basis of examination and / or investigation, ~n my opinion, death occurred at the time, tlate, and place, and due to the cause(s) and manner as stated_ ~_1 3» Narne and Address u' Per-,un Whc Completed Cause of Death (Item 2') Typc rG
35 Registrar's' Sign r and Distr Num~~~ '1 - -~ 1 ~ l
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RENUNCIATION t,.:,, ~ ~ j ~
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REGIS E'ER OF WILLS
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._._
CUMBERLAND COUNTY, PENNSYLVANIA c~
Estate of „~,, DONALD L. HEBEL __~_, Deceased
I•
DORIS E. GROSS
in my capacity/relationship as
--_
(Print r~'antel
DAI_JC.arHTER of the above Decedent, hereby renoiu~ce tl--e right to
administer tl~e Estate of the Decedent and respectfully request that Letters be issued to
DONNA K. WALMER and KENNETH L. HEBEL
_ cn.~ ~~_~.01 Q
(Dale)
Execccterl i-t Register's Office
Sworn to or affirmed and subscribed
before me this day
of ,
Deputy for Resister of Wills
.~
%Si;tta rre)
1870 LAMBS GAP RD.
(Street ,acldr'ess}
MECHANICSBURG, PA 17050
(Cite. State. Zip}
L~'xectrted ncrt of Register's Offrce
Before tl~e undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this ~,~_ day
,~,,,, _ _ /J COMMaN~lEALTH OF PENNSYLVANIA
ry Public ARIAL SEAL
My Cornrnissio KITTY M. GLASSER
~i~~pRING TOWNSHIP, CUMBERLAND COUNTY
tSignature and Seal of N Lary or~lre~i~ ~XPIR~S JULY 2~, 2012
administer oaths. Shoti~•
horny R11'-t7l rer. It7J3.1)6
1 ~ y /~~
LAST WILL AND TESTAMENT ~7
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DONALD L. HEBEL ~ ~ =: c~ ~ C _ ,:
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I, DONALD L. HEBEL, now domiciled in Cumberland County, Pennsylvania, declare
this to be my Last Will and Testament. I revoke all other wills and codicils that I may have
previously made.
Article I
My just debts and expenses of my last illness, funeral, and administration of my estate
shall be paid by my Executor from the principal of my residuary estate as soon as practicable
after my death.
Article II
All inheritance, estate, and succession taxes (including interest and penalties thereon, but
not including any generation skipping tax) payable by reason of my death shall be paid out of
and be charged generally against the principal of my residuary estate without reimbursement
from any person. This provision is not a waiver of any right which my Executor has to claim
reimbursement for any such taxes which become payable as the result of any property over
which I have the power of appointment.
Article III
I give, devise and bequeath my tangible personal property in accordance with any
memorandum which I have either handwritten or signed, located with my will or with my
valuable papers and found within 30 days of the probate of my will. Gifts may only be to
persons who survive me or to organizations which exist at my death, and if there is a conflict, the
memorandum having the latest date shall govern. To the extent no such memorandum is found,
or all of my tangible personal property is not disposed of pursuant thereto, my tangible personal
property shall be added to my residuary estate and pass under Article V hereof.
Article IV
I grant unto my son, KENNETH L. REBEL, the right of first refusal to purchase, at the
fair market value, the land that I own on the east side of Gravel Hill Road.
Article V
All the rest, residue and remainder of my estate, of whatsoever nature and wheresoever
situate, I give, devise and bequeath IN EQUAL SHARES to my children: DORIS E. GROSS,
DONNA K. WALMER, and KENNETH L. REBEL.
However, if a beneficiary does not survive me by thirty (30) days, but leaves descendants
who survive me by thirty (30) days, those descendants shall receive, per stirpes, the share the
beneficiary would have received had he or she survived me by thirty (30) days.
Article VI
I nominate, constitute and appoint my children, DORIS E. GROSS, DONNA K.
WALMER, and KENNETH L. REBEL, as Co-Executors of my Last Will and Testament. I
direct that my Co-Executors be permitted to serve without bond and in addition to those powers
2
granted by law, I grant them power to distribute in cash or in kind, in like or in unlike shares, and
to file any qualified disclaimer I could have filed if living. My Co-Executors shall receive
reasonable compensation for services rendered to my estate.
Article VII
In addition to the powers conferred by law, I authorize my Co-Executors, in his/her
absolute discretion:
(a) to retain in the form received and to sell either at public or private sale, any real
estate or personal property except that which I specifically bequeath herein,
(b) to manage real estate,
(c) to invest and reinvest in all forms of property without being confined to legal
investments, and without regard to the principal of diversification,
(d) to exercise any option or right arising from the ownership of investments,
(e) to compromise claims without court approval and without consent of any
beneficiary,
(f) to file any federal income tax return for any year for which I have not filed such
return prior to my death,
(g) to make distributions in cash or in kind, or in both, and to determine the value of
any such property,
(h) to employ any attorney, investment advisor, or other agent deemed necessary by
my Executor; and to pay from my estate reasonable compensation for all their services,
(i) to conduct alone or with others, any business in which I am engaged in, or have
an interest in at time of my death, and
3
(j) to receive reasonable compensation in accordance with their standard schedule of
fees in effect while their services are performed.
IN WITNESS WHEREOF, I, DONALD L. REBEL, hereby set my hand to this my Last
Will and Testament, on / , 2003, at Harrisburg, Pennsylvania.
DONALD L. REBEL
In our presence, the above-named DONALD L. REBEL signed this and declared this to
be his Last Will and Testament and now at his request, in his presence, and in the presence of
each other, we sign as witnesses.
,.T~~,~
Address
k~ <' C' ~~
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4
I, DONALD L. HEBEL, Testator, who signed the foregoing instrument, having been
duly qualified according to law, acknowledge that I signed and executed this instrument as my
Will, and that I signed it willingly as my free and voluntary act for the purposes therein
expressed.
Sworn to or affirmed and
Acknowledged before me by
DONALD L. HEBEL, the Testator
on ,~~~-- /l_ ~ 2003.
Notary Public
DONALD L. HEBEL
Notarial Seal
Marielle F. Hazen, Notary Public
City of Harrisburg, Dauphin County
Iviy Commission Expires Sept. 23, 2006
We, the undersigned witnesses who signed the foregoing instrument, being duly qualified
according to law, depose and say that we were present and saw the Testator sign and execute this
instrument as his Will; that he signed and executed it willingly as his free and voluntary act for
the purposes therein expressed; that each of us in his sight and hearing signed the Wi11 as
witnesses, and that to the best of our knowledge, that he was at that time eighteen (18) years or
more of age, of sound mind, and under no constraint or undue influence.
Sworn to or affirmed and
Subscribed to before e
by `~- ~
and ~ ~ -
witnesses, on /~«A ~~ , 2003.
No Public
Notarial Seal
Marielle F. Hazen, Notary Public
City of Harrisburg, Dauphin County
My Commission Expires Sept. 23, 2006
5