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HomeMy WebLinkAbout02-18-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of Ruth E a/k/a: a/k/a: a/k/a: Sheibley Deceased ESTATE NO: 21- f ~ - D T 2 ~ SS NO: 209-12-7081 Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as applicable: D 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 Testamentary under the last Will of the above-named Decedent, dated 9!3!2004 and codicil(s) dated Daniel R. Hoffman, son of Decedent and spouse of Petition, predeceased Decedent on June 19, 2005. Petitioner is named Executrix under the last Will. (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): ^ B. Grant of Letters of Administration (If applicable, enter d.b.n., pendent lite, durante absentia, durante minoritate) C. 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 (tf 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 iis.,,~ollows:_ c~ Name Address itionshi ~. aced _~. `~7 -t3 r~-t t- ~ryyi'~- ~~ ./ ~~-~ '^i J _.~ C.::7 ;.4. ~,.I ,_~..,..,_ f..~.; _~. ~, USE ADDTI'IONAL SHEETS IF NECESSARY ~ ~ t1J ~~ S`n THIS SECTION MUST BE COMPLETED: a'' n% ter' Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence At 801 North Hanover Street, Carlisle, Borough of Carlisle, Cumberland County Pennsylvania 17013 (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) Decedent, then 86 years of age, died 2/10/2011 at (Month, Day, Year of death) Estimated value of decedent's property at death: If domiciled in PA If not domiciled in PA _If not domiciled in PA _Value of Real Estate in Pennsylvania Carlisle, Pennsylvania (City and State where death occurred) All personal property Personal property in Pennsylvania Personal property in County Total Estimated Value Location of Real Estate in Pennsylvania: (Provide full address if possible.) $ 12,000.00 $ 0.00 $ 12,000.00 Signature(s) Yame(s) & Mailing Address(es) ~ Kathleen Hoffman 929 Bonny Lane, Mechanicsburg PA 17055 Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page I 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 affirined and subscribed ~ / ~ ~ , i 7 . , `y before m this /~ ~1 ~ day of p ..., -- ~~ ~+ G ~ ?a ` ~ i~7 ~ ' f'w' j r-1`r~ ~ = tZ ~ .:i~ - - _. • C~ ~~ ~_~ ~ _ For the Register ~~ ®~ = r ~ ~ ~ ~ ~.~ DECREE OF PROBATE AND GRANT OF LETTERS Estate of Ruth E. SheibleY ,Deceased File Number: 21- - AND NOW, this ~~"day of ~ ~A,~~, ,// Z p (/ , in consideration of the Petition on the everse side hereon satisfacto roo avin beds ry p g presented before me, IT IS DECREED that Letters Testamentary of Administration are hereby granted to: (If applicable, enter c.t.a., d.b.n., d.b.n.c.ta., etc.) Kathleen Hoffman the above estate and that instruments(s) dated 9/3/zooa described in the petition be admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. `l~(~(,w loll'/,[J ~~fil,Gtl'/C/ ~i~ ,~.C/~ffi C~enda Farner Strasbaugh, -~ ~~ Register of Wills ~~ FEES: Letters .................... $ Will ......................... Codicil(s) ................. ( )Short Certificates ( )Renunciations....... Bond .......................:.... Other ............................ ................................. ................................. Automation FEE......... 5.00 JCS FEE ................... 23.50 TOTAL ................$ 28.50 Signature of Counsel Required to Enter Appearance in Atty's Signature ~~~ PRINTED Name: Keith O. Brenneman Supreme Court ID No.: 47077 Address: 44 West Main Street Mechanicsburg PA 17055 Phone: 717-697-8528 Fax: Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 2 of 2 /- /l ~ ~> 2Z~~ LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph.. Fee for this certificate, $6.00 P 1729627_7 Certification Number This is to certil,~ that the information here ~,iven is correctly copied from an original Certificate of Death duly tiled with n1c as Local Registrar. The original certificate will he t~i)rwarded to the State Vital Records Oi~fice for permanent filing. Local Registrar Date issued r_,a C ~ ~~ -' r Z r'ri ~ - .. Cl~~ ~ _ ~V) rJ ~ C -~= - ~7 -v -~ w "= C"~ j ` rn Htr~ / ~~~~ COMMONWEALTH OF PENNSYLVANIA .DEPARTMENT OF HEALTH • VITAL RECORDS °f R M"" A j\,y ~~ C~ ~T"•77 Ir~ CERTIFICATE OF DEATH C,c eu L`',, (See instructions and examples on revwrwwl ~-Y 0 1. Name d Dephm (Rfw, n~Hdfs, rat sulix) 2 Sas a Soda) warily Nurdw ,-~M a Date a Wath IMOMh. dy', )rear) Ruth E. Sheible F le - 1 -- 7081 Irv 10 2011 , 5. Apo (last BiMhy) lkitlw 1 Under 1 h 6. Dab d Bitli Lbnm, h , 7. Bi and wwa a coo aa. Pbp d Dsedi CllerA ad one' Nonce Days Hours Mnula Hospirl: Other: 86 Yrs. D~E'.Cet[IIJer 18 1924 HdY71Sb PA ^ Irpatiant ^ ER I oalpeant ^ DOA ~( Nuwkg Home ^ Reskkwae ^ Omar . S dl ps y: • Bb. Cpnry d Deem Bc. CNY. Born. Twp. d o.em Bc Facilay Name (N rid IrofilAOn, gba soave end wrnhrl 9. Wes DecederN d HsPedc Origin? ®No ^ Vas 10. Race: American Indian. Black. Whh, ero. Ctnnberlarr3 Carlisle Church of t',od Home Ife.~n ~ ~„ ,b ) 1 i , , , ) e • tt. Depdan'6 Uwe ~ d work tlorb ~ most d ~ Wa. Do rid sbb reined 12. was Dappem ever n me f 3. Daadent's Ed atim (soadh «iN NyleY vade oompaladl u. MaiiW sreur~ Nartisd, Nerar harries. ts. survmy sPO~xe of •ib, gse maiden naim) Icm d wok lad d Buaresa/lnpusdy u S. Amed Fumes? Ebmentery / Sxadery (0.12) Cofege (1-4 or 5+) Wdowea, Disomea (speUyl Fian~naker Own Hone ^ yet ®rr 8 Widowed • 16. DecetlenYS MaiYg Aadre{s (Shaw, hY / rown, sbta. zp pde) DeceaenCs Did Decedent Penn$V1Vania A l R Cba esidence 17a. Srr Lire ins 17c.^Yas, Decedent Lrveab T 801 Plorth HanOVer Street ~ Carlisle PA 17013 t7b.COanty C(mlbeT'land T°"'~"D~ ,7" ®rb.DephnllAreaweM Carlisle AcNw umb a City/ldow 1B. FatlWs Narre (Fast rdade, law, alfa) 18. Madbra Nenb (Fkw, nalde, maden aumama) Samuel Hoffman 20a. YJOrmmCe Name (Type / PnN) 2W. INOrmanh MaiFrq Adarw (Sheet, tl y r awm. atW. zp ooda) Kathleen Hoffman q 2f a lAeVlod d Dispptiwi ^ Cwrrpnon ^ Donation 21 b. Dais d DispoaiUan (Harm, day. Ywrl 21c Place d D'uppition (Name d pmarry, warpbry or pave place) 21tl. Lacaam (C'ry/town, wwe, rip pde) ® Buhl ^ Rbno+a hen Stab i W{{ Cnmwlon a Dgbtbn Autlbdmtl ^ odr~ r hyflMkalEarrlibr/CponeYt ^ Yes^ Na FebZllary 14, 2011 Fk)Odlawn Memorial G a rdens Harrisburg, PA __ -- (or parson acbg u such) 72b. Upnss Nimbi 22c. Name arq nmrue d FegSly 8 Merritt Plaza Wa l - y FD - 014889 Mal zzi 1 aNy caMyMg b rid mible a aeon b 23a. ro me have d my krawV~dpe, loam oawwa w me Drtp, hb and pbca wawa IsMMa+a and tih) Zm. lJCenee Number 23c. Dab signed IMOnm, hy, rear) mnry pl.. d ham. ~" ~ ~ ~ ~ ~ S (,2 ~ 4(--I 5 10 12.E 11 Aanre 2a-aa rnm h aarnbra M person wtb Pronaaaee hon. 21. rarb a 1 i ~ 25. Wb Prabpcatl Owe , hy, yrr) 26. was tees Rae ~r Me6pl Fxemrx / Caarbr ror a Reaem Odor dpn Crrriwbn a Oorplm7 l A •M. 1 ~'11 CL1/ I~i ( ~ 1 ~ ^ Yee No CAUSE OF DEATH (Sea Nutrrrotbrr snd saamplsa) Ilerri 27. PN 1: Fear Ina f~B6fttd190a - deeeu. iypiee, or prr0iptiorb - CI91 aksdYr puetl ma ham. W NOT eriMr aymlFa eeanp each a cervix moat ~ ~wnsb~ ~ . Pal II: ~ o~ ~ 28. Ditl Tabacp~.CoariWb b Dewh? mpkbory arteet a wdriarr lisipa9on wanaA eMairq me etulapy. List pay ons pose on eaN iris. dbq n ma uhNYrog spa given'b Pad I. Yet Prosody YaEDMTE CAUSE /Fabl6eeaee ar ^ No ^ UNubwn ahrdim ~rlhq n ~1 -~ (, ~ yp .c : C O~ rL'~.~ p v ti ~i' k~! K ~ff 'eY l ' 29. N Ferrde: y y~ a a t.( ~ ^ Duero (ar m a mpaquanp oA: fat priddorr, i cry, D Na pwgrem wihin paw Year ^ Piegrpnl w dins d ham b pus iwetl a lib a ' ~ ^ UIIDERLYMIG CAUSE Due to (or u a ceneegipnp oq: Na ba Megprd wmn a2 pays (haws ar ijuy mw ieliabp db awns w.aarp w a.ae,) LAST. ~ d sea ^ LAb b t« as a prepuarae aq: Na prapnra, ba P as days b t yw a ~ hbw hem ^ uN~nhwn a pwgiNn wilgn me paw year spa w.e.n Aubpry PwMmed? am. wow AultNpy Fvaige Avalebls Pdor m Cartiplatron dt. a Deem 32a. Dow d Injury (tWMI, hy, Year) 39D. Deepibe How I u Omured q ry 3?t. ~ a I Strea. Faapy, a c.rpe a Daam? NeNa ^ Homicide ~^g /~,h'I ^ Ye{ E~No ^ Yea ^ No ^ AaidaN ^ Pewirg mwppador~ 32d Tina d Inury 32e. Iryury w Wak? 321. N Trappabtion IrN7 (SPew1Y) 32g. Location d iryury Israel. dry / brm, awe) ^ Sukitle ^ Could Nd W Daewmiba N ^ Yea ^ No ^ Drkrer/OPawlor ^ Peupgsr ^ Pedeetiian ~- ~+adY: 3L. Cartifw (Uiedc oriy wr) • c«BMnp pDyaadsn 1PMeiden c«my:g caws d ham wnen enodbr phyek;ian na{ piorbpa'etl hen and ° n `""~M ~ ~~ Slpptbe and rde d /~ I em ra ab b.w a a ) cry bbbbdpe, doom aaa(wd dblO Cla CaWa({)aM 111ba1R ataWp--------------------------------- • ~ r'" J ,9 , Prpbuxbg orb ppNylnp phywcW (Physi®n 6om prpburap asem aria prdyip ro puss d pain) sac license Nurnhar sap Dwe Sisbd (lumen. day. read ----------^ pe.m oaurlwwtn.+lma.hb,.nd ppc...na awmtlb puo(q.na nbwbrr wbd-------- T r r ~ n ~ 1 ~j~- ~/`~~?~ Z4 ^ 1 • i E i l .r/ pt_ r ~- ( 2Gl' On lM hub a eeamr.Non eM / or InwWgwbn, in my oprbn, dam oabrod a tlb Nm{, deb, and pap, erd sus to m. o{usls) and IMnrbr ea aabd_ ^ 3a. Name aN Amepe d Pena Yt1b Canobbd Cause d Deem (lrrn 2rj Type /Print x. ra syrabre aria Numper I ~ I ~I I ~ t as. Dar FAW (MOmh, day, year) ~a~:d L . tic~a....` m~ I~ i / i ,__~__r ~o~ '~ G(~ i % Ca „t; .~ l ~F'~, y /~-,: ~~-f ~.~1 f ~ 3~ `( • U Disposition Parmd NO. U70 /.7b7 _ __ _ ~/ , LAST WILL AND TESTAMENT OF u RUTH E. SHEIBLEY ~, n '=:-_. ~~ ~ ~ f`ryv S 3 ~ ~~~ ~y~ ~ t.,,-r ~. r ;_G;; - ~ ~°;? ~ -p t ~v ~_ ~ ~./ - 1 1 _ _y _~, ~, -• ,~` C~ ~~ ~ I, RUTH E. SHEIBLEY, of Camp Hill, Cumberland County, Pennsylvania, being of ', sound and disposing 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 wills by me ', at any time heretofore made. 1. I direct that all my debts and funeral expenses be paid as soon as practical after my death by my Executor or Executrix, whichever the case may be, hereinafter named. I direct that all taxes that may be assessed as a consequence of my death shall be paid from my residuary estate as part of the expenses of the administration of my estate. ~ 2. All the rest, residue and remainder of m estate real y ,personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath as follows: A. I give to my son, DANIEL R. HOFFMAN, twenty-nine percentum (29%) of my Estate; B. I give to my daughter-in-law, KATHLEEN HOFFMAN, thirteen percentum (13%) of my Estate; C. I give to my daughter, DEBRA ANN WHEELER, twenty-nine percentum (29%) of my Estate; and D. I give to my son, MILTON K. SHEIBLEY, twenty-nine percentum (29%) of my Estate. LAW OFFICES SNELBAKER, BRENNEMAN & SPARE In the event any of my children above named should predecease me, I direct chat the stare that such deceased child would have received hereunder shall be given to his or her issue surviving me per stirpes. In the event my daughter-in-law, KATHLEEN HOFFMAN, should predecease me, I .. direct that the share she would have received hereunder be givers to her husband, DANIEL R. HOFFMAN and if he should also predecease me, I direct that her share will be given to the issue of my son, DANIEL R. HOFFMAN, surviving me per stirpes. 3. I hereby nominate, constitute and appoint my son, DANIEL R. HOFFMAN, as Executor of this my Last Will and Testament. Should my said son, DANIEL R. HOFFMAN, predecease me or fail to qualify, then in such event, I nominate, constitute and appoint my daughter-in-law, KATHLEEN HOFFMAN, as Executrix of this my Last Will and Testament. Should both my said son, DANIEL R. HOFFMAN and my daughter-in-law, KATHLEEN HOFFMAN, predecease me or fail to qualify, then in such event, I nominate, constitute and appoint my daughter, DEBRA ANN WHEELER, as Executrix of this my Last Will and Testament. I hereby direct that no person serving as Executor or Executrix hereunder shall be required to post bond to secure the faithful performance of his or her duties in the Commonwealth of Pennsylvania or in any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament written on two (2) pages this 3r° day of September, 2004. ~? ; ~/ ~- ~ ~ (SEAL) r' uth E. Sheibley L~ LAW OFFICES SNELBAKER. BRENNEMAN & SPARE Signed, sealed, published and declared by RUTH E. SHE[BLEY, the Testatrix above named, as and for her Last Will and Testament, in our presence, who, in her presence, at her request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. ~~~~ (SEAL) (SEAL) -2- COMMONWEALTH OF PENNSYLVANIA) COUNTY OF CUMBERLAND SS. We, RUTH E. SHEIBLEY, KEITH O. BRENNEMAN, F,SQUIRE and JANE J. GOONEY, the Testatrix and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and Testament and that she had 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, signed the Will as witness and that to the best of his or her knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. t~:C3.~e Testatrix i,/ Witness LAW OFFICES SNELBAKER, BRENNEMAN & SPARE Witness Subscribed, sworn to and acknowledged before me by RUTH E. SHEIBLEY, Testatrix, and subscribed and sworn to before me by KEITH O. BRENNEMAN, ESQUIRE and JANE J. GOONEY, witnesses, this 3rd day of September, 2004. Notary Public COMMONWEAL~'H OF PENNSYLVANIA Notarial Seal _ Susan L. Matraa, Notary Public Mechanicsburg Boro, Cumberland Courtly My Commission Expires Nov. 24, 2007 Member, Pennsylvania Association Of Notaries