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01-05-11
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of lam- FL C-~l M , l~ /" j ~ ,L S ,Deceased ESTATE NO: 21- ~ ~ - ~~~ a/k/a: a/k/a: Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as applicable: [Ia'A. Probate and Grant of Letters Testamentary or ^ Administration c.t.a., or d.b.n.c.t.a. (complete Part C also) and aver that Petitioner(s) is/are entitled to the aforementioned Letters under the last Will of the above-named Decedent, dated J/~ /6 , j coq (o 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 instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated person, and was not a party to a pending divorce proceeding at the time of death wherein grounds for divorce had been established as defined in 23 Pa. C.S.A. § 3323(8): N (~ ^ B. Grant of Letters of Administration to appucaute, enter d.b.n., pendent lite, durante absentia, durante minoritate) C. 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 (1f Administration c.t.a. or d.b.n.c.t.a., enter date of Will in Section A and complete list of heirs); was not the victim of a killing; was never adjudicated an incapacitated person; and was not a party to a pending divorce proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(8), except as follows:- Name "°°' ~~~ K tionshi to IJ~d C ~ =:-. ~ ~ ~: _- n _~ ! USE ADDITIONAL SHEETS IF NECESSARY / ent ~:; ;-~-~ r-r-; ~' 3 ~- _.. r^._ _- s __ '~ J~ ~; M -- -4-r =' THIS SECTION MUST BE COMPLETED: -.a ~ '~ ;_ Decedent was domiciled at de th in Cumberland County, Pennsylvania, with his/her last famil or rind al~r' ' ~~ At r/_A~U~I/r /YG~~/~t/~ ~/~~//.~,8 ~N~"/oo~~LA2~~~T,Pt~ C Y P P ,~sldence-'-' A~G51.~®.! i7o/3~ ~onaa,~P1Qn~D` M~.aOc~ S.~~i (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) Decedent, then ~_ years of age, died J a , oZ ~, a D l U at CA+~L/SGT ~~ (Mon ,Day, eaz of death) (City and S e where death occurred) Estimated value of decedent's property at death: ,/If domiciled in PA All personal property $ d6 ~,~ d _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 Estimated Value $ . Q o (>~ QQ Location of Real Estate in Pennsylvania: (Provide full address if possible.) Signature(s) Name(sl & Mailing Address(ea- o ~ 7~.~d1J o2 L~/, c',~,eUs1~~,q /74/,S Interim Fnrm R W~1~ rrvicrri 17 ~F I n h., r..,.,r....~q..a ~,..........-..a:-_ ,....:__ t_. .~_ ., F.......,s a.,.,.,.. ~y wv ~.vun Page 1 of 2 OATH OF PERSONAL REPRESENTATIVE Commonwealth of Pennsylvania ~ SS County of Cumberland The Petitioner(s) herein named swear or affirm 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 f- ~' _ l/ fore me this 1 da of or DECREE OF PROBATE AND GRANT OF LETTERS Estate of ~~ `~ ~ . ~ Q Q-S ,Deceased File Number: 21-~- ©©~ g AND NOW, this ~~ day of ~JQl1 U0.f U , ~ ~ l ~ , in consideration of the Petition on the reverse side hereon, satisfactory proof having b presented before me, IT IS DECREED that Letters _/Testamentary of Administration are hereby granted to: (If applicable, enter c.ka., d.b.n., d.b.n.c.ka., etc.) in th~~ve ete and that instruments(s) dated ~1~j ~ ~ (n described in the petition be acid to~robate led of record as the last Will an Codicil(s) of Decedent. i; ~~ ~7C ~__' «~z G~C~ VU/t~.Q~ ,, .. ~`?C3t..;'a ~ ',- ~ l.l7 ~' Gr _.g. cr _ ` -' 1 ~ ,~ r ~ Glenda Farner Strasbaugh~,~Q ~' (1 (>a~ ~t,~-; -<< ~ ~~~~ s v=, ;-; Register of Wills C -~ "'"' `a ~- tLi ~e ~ ~~-. 0 _ ~ [~ FEES: o , Letters ....................$ . Will ...................... ~~.(..Y.f' Codicil(s). (~ )Short Certificates ~-~-. C~C~ ( )Renunciations....... Bond ............................ Other ............................. Automation FEE......... 5.00 JCS FEE ................... 23.50 TOTAL ................$ ~`~•~ Signature of Counsel Required to Enter Appearance Atty's Signature PRINTED Name: Supreme Court ID No.: Address: Phone: Fax: Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 2 of 2 105.805 REV U)1/07) LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 16856141 Certification Number This is to certify that. the infornlation here given i correctly copied from an original Certificate of Dea duly filed with me as Local Registrar. The origin? certificate will be forwarded to the State Vita Records Office for permanent filing. L ~~~-~w-a-r-n - ,~D~z~z" 0~'C 2 ~ 2011 Local Registrar Date Issued ~,~ C ~ ='' ~ ~ j ~ n ~ C7 C ~ ~ ~ *'_~ < 1C7 T i ~~ ~ ~~ ~ C. U 77 ~ W ~ ~ ;-s'- ~ ~n G7 c~:? b 1nas14s ter tuooa ivFe/pgWrde F ~r J ~J V a~ a] i§ COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VRAL RECORDS CERTIFICATE OF DEATH (Sse Instructions and examp~s on roverse) are,c c. c au unca 1. Atrr a Dander (Fa4 mbde, bK edAq z Sea s saw SaaeNy Ahn6r l D.b d D.eN lAla~R der. N•d Helen Mae M. Hei es emale 196 - 14 - 2534 December 28, 2010 5. Ape (W1 BYhYy) Under t lArar 1 8. Ora a am 7. and abee a Be. Fbr a Derr ar Aker. D•Ya Ifaa. MaY ~ May 23, 1919 Carlisle PA 91 ^ ^ ~ / ^ ~ ® ~ ^ ~n» ^ ~ a•ar Yr ea ca.h a D..m ec. aty, eoia irq. a DaeN ea Ftln Nrr P m AM6Arm, yr rrt end aerhr) e. wr D.nOer. a t6aprec OdObT ®Ab ^ r« to fi r e: An rl~ aMrA aerA, rnr.,.k. Cunberland Middlesex Twp Clai'Emor-t Nursing and Rehab. Cnt. ~~ ~ s ~ i ~ Whit , ) e n. D.ntrn u.r awaka or anra t4.. D. na rre 1z Wr Ds«dare arr b h 19 DeoedarP. EAraOm I3P•aY aYy ~ vd mro Aredl u. AWIYI 9teaax Mrrbd. 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WQ, LAST WILL AND TESTAMENT I, HELEN MAE HEIGES, of Dickinson Township, Cumberland County, Pennsylvania, being of sound and disposing mind and memory, do hereby make, publish and declare this to be my Last Will and Testament, hereby revoking any and all former Wills or Codicils by me made. 1. I direct that all my just debts, funeral expenses, testamentary expenses and all inheritance taxes (whether such taxes may be payable by my estate or by any recipient of any property) shall be paid from my residuary estate as soon as practicable after my decease and as part of the administration of my estate. My Executor shall have no duty or obligation to obtain reimbursement for any such tax so paid, even though on proceeds of insurance or other property not passing under this Will. 2. I give, devise and bequeath all of my estate, both real and personal property, unto my nephew, PHILLIP V. HOFFMAN, absolutely. 3. I nominate, constitute and appoint my said nephew, PHILLIP V. HOFFMAN, as Executor of my estate. 4. I direct that my Executor shall not be required to file a bond to secure the faithful performance of his duties in any jurisdiction. 5. I authorize and empower my personal representative, in his sole and absolute discretion, to purchase or otherwise acquire and retain any investments of which I die seized or any real or personal property of any nature; to sell, lease, pledge, mortgage, transfer, exchange, dispose of or grant options in regard to any or all property of any kind forming a part of my estate for such terms o v~ ~ahd suc}~p~ices as he may deem advisable; to borrow money for any purposes connected with the -' c~+ oc ~__ ~~ G~ ~~ ~ - t.~~ ;:__~ _._ Xcn ,- c-: ~` :~ o~ H.M.H. ct v Page 1 of 3 Pages protection and preservation of my estate; to mortgage or pledge any real or personal property forming a part of my estate or to join in or secure the partition of same; to compromise any claims or demands of my estate against others or of others against my estate; to make distribution in kind and to cause any share to be composed of cash, property or undivided fractional shares in property different in kind from any other share; to employ agents, attorneys and proxies and to delegate to them such power as my personal representative considers desirable and to pay reasonable compensation for such services as may be rendered by such agents, attorneys and proxies; and to execute and deliver such instruments as may be necessary to carry out any of these powers. IN WITNESS WHEREOF I have hereunto set my hand and seal this ~~ ~- day of 1996. 1~ c 7 ,cam (SEAL) Helen Mae Heiges SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testatrix, as and for her Last Will and Testament, in the presence of us, who at her request, have hereunto subscribed our ames as witnesses thereto, in the presence of the said Testatrix and of each other. r- ~, Page 2 of 3 Pages COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF CUMBERLAND ) SS. I, Helen Mae Heiges, 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; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. a..~_ ~~ Helen Mae Heiges ~ Sworn or affirmed to and acknowledged before me by Helen Mae Heiges, the Testatrix, this ~~i day of ~dLry~~e~-t,c~- , 1996. Notarial Seal U ~ Corrine L. Myers, Notary Public Carlisle Boro, Cumberland County NOtary Pub11C My Commission Expires May 27, 1999 COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF CUMBERLAND ) SS. the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Helen Mae Heiges, the Testatrix, sign and execute the instrument as her Last Will; that the Testatrix signed willingly and that the Testatrix 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. Address 1 I /-3 .~ A ess y/y Sworn or affirmed to and subscribed before me this ,~~ day of , 1996. Notarial Seal - Con'ine L. Myers, Notary Public Carlisle Boro, Cumberland County My Commission Expires May 27, 1999 Otary Pub11C Page 3 of 3 Pages