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Home My WebLink About04-15-11PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLA_ND_ Estate of Harold L. Heckendorn also known as COUNTY, PENNSYLVANIA File Number 21-11 ~-- G ~`~ ~~ ,Deceased Social Security Number 162-22-0519 Kevin H. Heckendorn and Kim A. Heckendorn Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE `A' or B' BELOW.) QX A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the CO-Executors named in the last Will of the Decedent, dated 12/30/1986 and codicil(s) dated Esther D. Heckendorn spouse of the decedent has executed a Renunciati n State relevant circumstances, e.g., renunciation, death of executor, etc. After the execution of the documents offered for probate: Decedent did not marry; was not divorced; 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 (g); did not have a child born or adopted; was not the victim of a killing; and was never adjudicated an incapacitated person, except as follows: B. Grant of Letters of Administration (lf applicable, enter: c.t.a.; d.b.n.c.t.a.; pedente lite, durante 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) and heirs (if Administration, c. t.a. or d.b.n.c.t.a., enter date of Will on Secfion A above and complete list of heirs); was not the victim of a kllling; 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 (g), except as follows: ~ Name Relationship Residence C7 ~--- .:i _..~ - ~.. -.. ~. __l -.,. ~~ r~ ......s., .. (COMPLETE IN ALL CASES.) Attach additional sheets if necessary. ~ ~ .•'~?~ - -- Decedent was domiciled at death in _ Cumberland County, Pennsylvania with his /her last principal,~res Bence at~,~~ ` C ., 75 West Bi S rip Avenue Newville Borou h PA 17241 ~ ' ~:• 3 (List street address, town/city, township, county, state, zip code) Decedent, then ~4 years of age, died on 04/08/2011 at Harrisburg, PA Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ (If not domiciled in PA 48 000.00 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: Signature Typed or printed name and residence Kevin H. Heckendorn 2011 Maple Drive r: r' C ,~ /' ~~~~ ~j ' \ ~ . ~ ,~ ~ North Augusta, SC 29860 ~-~ L-~, , r__~ VIII A~f .. rim A. Heckendorn 102 Broad Street Newville, PA 17241 • ~• ••• - --- -~~ ~~~. ~ ~-co-w iv lmtenm Corm, pending action by the Court) Copyright (c) 2006 form software only The Lackner Group, Inc. Page 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 ~-~ nQforE me this _ ~;~ day of For the Register File Number: 21-11 Estate of Harold L. Heckendorn _ ...,-. _l 1 _ _T ~:7 - :; [ea~ed "• u r .._ *-`~ ~) Social Security Number: 162-22-0519 > Date of Death: 04/08/2011 AND NOW, ~f-~-~11 ~ ~ ~ ~ -(~ in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Kevin H. Heckendorn and Kim A Heckendorn in the above estate and that the instrument(s) dated 12/30/1986 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent FEES Letters .......................................... $ t ~ . ~~ y Short Certificate(s)..~~ ................. $ ~ ~ . (~~ Renunciation(s) ............................ $ ~ . ~,1~ ` ' ~ ~'~ ~ ; ~ . C~ $ t~~e ~ ~~c~ ~ i~ti~~C~.t~~c~~ 1 $ -- ~~ ~ ~~ $ $ $ $ $ $ TOTAL ................................... $ ~ ~~~ ~~ Signature of Kim A. Heckendorn Signature of Personal Representative ,.._. ~~ l.a. ., Attorney Name: Richard L .Webber, Wr. Esquire Supreme Court I.D. No.: 49634 Weigle Ss Associates, P.C. Address: 126 East King Street Shippensburg, PA 17257 Telephone: 717-532-7388 Form RW-OZ Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2 ~iynarure or rersonai rcepresentanve Kevin H. Heckendorn Attorney Signature: ~~ /~ ~ 1 -~1~ 1I(I5 X115 121: ,r ~iri', _ t - - L~O~:AL REGISTRAR'S CER~'IF=I~:A,T~~N OF D~A~"I 11U~RNING: It is illegal to duplicate phis cirypy' b~~ photostat tir photograph. F~ec f<~r this r~rtii~i~a'~~1~. '~(~.OI) ,jrr ~ '. ;r~'~y ~jN Or Pr Ilr, ~ (/~ t rt)i f~a' ahi~ il~~~~rniati~n hire t~l~~en is , y ~,,r~~, -- / ~~~ , 11-)~~~~)~ti >4 f(It'i.l It.ir)~ I i :iri=~.ina] (.ertiilc,.tt(~ uI~I)eath ~ \~~~~~~ pJ~ ~,yC .. i. ~7~'~ lli'w ~ ii,'4~ .41(~! i7t .Q` ~ ()~.xl~ ~l',271~CIil1. ~~1C ()I1``111ii~ !;a~ ~ .zj ~r-t,~)~..+(t.° ~' jai ,,. ~(f~ ~,~:tt-~~ed Ct~ lh~ S(~Ilr~ Vital `' a-'ai '~~' h.,~ i~~~ ~?CC (1l~a~~; t f9+It:~ ^nj ;?s,°'~117~tiIC'1lI j~l~fll~''. 45050a ~~ Q~,~'~ ~--, ~ ~~ _. ____ ~~'~~~~~~ ,~ ~:CI-t~>-~ t ti ~ ___-- - ~ za~~ !/ Cil lt)!, LEI„ rI :,,,~ ,r .~ _ L 1,~{I~ t~.:~l i ,l) L~~Itt~ ~titillt'(j ~, ~~~ ~- .._,. ,... . , b ;~.~ O "I`~ H105-143 REV 11/2008 TYPE /PRINT IN COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS PERMANENT BLACK INK CERTIFICATE OF DEATH (See instructions and examples on reverse) 1. Name of Decedent (Frst midde, last, suffix) STATE FILE NUMBER Harold L . Heckendorn 2. sax 3. Social secudry Number 4. Date of Deam (Monet, day, year) male 162 _ 22 _0519 A ril 8, 2011 5. Age (Last.Birthday) Under 1 ar Under 1 da 6. Date of Binh Monet, da , r 7. Bi C' and state or fore crown 8a. Place of Deem Check on one 8 4 raor,n~ °°~ "°"rs ~""'ea Cumberland Hospital: Yrs. July 9, 1926 County PpL Other: 8b. County of Deem gc, C~ , B~, T patient ^ ER / Outpatient ^ DOA ^ Nureing Home ^ Residence ^ Other - Specfy: • dY wp. of Death 8d. FeciNty Name (If rat'xretlhaicn, give street and number) ~ 9. Wes Decedent of H' ;~ Dauphin Harrisburg P o 1 y C 1 i n i e (Ir Yea, c ~~ °A~"? ~ "° ^ Yea 10. Race: American Indian, Black, White, etc. Mexican, Puerto Rican, etc.) (~~ 11. Decedents Usual lion Kind of work done d most d ills. Do rat state re8 12. Was Decedent ever in tfre 13. Decedent's Education (Specify anty highest grede completed) 14. Marital Status: Marled, Never Married, 15. Survivin tl wife, •we maiden name) Kind of Work Kind of ness/I t U.S. Amred Forces? Elementary /Secondary (0-12) College (1-4 or 5+) Widowed' Divorced ISP~N) 9 Spouse ( 9 Carpenter cons~ruc`~~"on Yryvt~ married Esther Chestnut L~J Yes ^ No 12 16. Decedents Mailing Address (Street, city /town, state, zip code) Decedents Actual Residence t7a. State PA Did Decedent 7 5 W . Big Spring A V e Townshi ~ 17c. ^ Yes, Decedent Lived in T Newville, PA 17241 ry "~ 17b. Coun C u m b e r l a n d P' nd. ~l10, Decedent Lived wimin N e w v i l l e 18. Famers Name (First, middle, last, suffix) Acual Limits of City/Boro W i 11 i a m Guy Heckendorn 19. Mothers Name (Flrst, middle, maiden sumeme) Mar Lehman 20a. Informant's Name (Type /Print) y Esther H e c k e n d o r n 20b. Informants Maili Address (Street, city /town, state zip code) 75 W. E~#ig Spring ~,ve. Newville, PA 17241 21a. Method of Disposition ~ ; 21 b. Date of Dispositon (Month, day, year) 21 c. Place of Disposition (Name of cemetery, cremato or omer lace • ^ Crematlon ^ Daatpn ry P ) 21d. Location (City/town, sUte, zip code) ® Burial ^ Removal from State r Wee Crematlon a Donetlon Autlarized ~ • ^ omer - ' : ' by Medlesl Fsaminer/Corarer! ^ Yes^ No 4 / 13 2 0 1 1 W / Newville Cemetery Newville, PA 17241 a 22a. Signature of Funera-Service (or pesos acOng as such) 22b. License Number 22c. Name and Address of Fadliry - ~- ~ FD 13895 L Egger Funeral Home Inc Complete hems 23ac Doty when cerlityirg . To the best of m know) 15 B ]. S r 1 n ~ Ave . N e W V ' p y edge, death occurred at the tlme, date and place stated. (Signature and title) physician is rat available at time of deam to, 23b. License Number 23c. Date Signed (MOnlh, da can cause of deem. y, year) • Items 24-26 must be completed by person 24. Time of Death 25. pate Pronounced Dead (Month, day, Year) who pronamcea Beam. ~~1 26. Was Case Refe~ Medical Examiner /Coroner for a Reason Otf>ar than Cremation or DonafionT r7r ~ ~ l P M. /~P,2 +L ~ ~, / 1 ^ Yea !bI Ne CAUSE OF DEATH (See Instructions and examples) A rox hem 27. Part I: Enter me chain of even • -diseases, injuries, a cemplicadons . mat direrxy caused yte deem DO NOT enter terminal events such as cardiac arrest, ~ ~ Imate interval: Pan II: Enter other ' 28. Did Tobacco Use Contribute to Death? respiratory arrest, a ventricular fDrillation without sfawi the eta Onset to Deam but not resuki m the unde ^ Yes ^ Probably ng logy. List only one use on each line. r n9 ~ dying cause given in Pan I. IMMEDIATE CAUSE (Foal disease or , ' ^ No ^ Unkrawn carditlan resul8ng in m) r des J ' -~- e. r ~ 29. h Female: Due to (or as a cauequerxxi of): ' ^ Not Seoue~f>aNy hst cendfions, if any, ' Pre9~ wimin past year leading to the cause Nsted on line a. b' r ^ Pregnant at Hme of deem Enter me UNDERLYING CAUSE Due to (or as a consequence o : r ^ Not pregnant, but (d~ease a njury that inifiated me c ~ r pregnant wimin 42 days events resuMing n deem) LAST. ~ of deem • Due to (or as a consequence of): ' ' ^ Not pregnant but pregnant 43 days to 1 year r • C. ' before Beam ' ^ Unkraam N pregnant vdmin the past year 30a. Was an Autopsy 30b. Were Autopsy Flndngs 31. Manner of Deam 32a. Date of Injury (Month, day, year) 32b. Descrtbe How Injury Occued Penormed? Available Prior to Completion r~--,~ 32c. Place of Injury: Home, Farm, Street Factory, of Cause of Deem? IL`I NaNral ^ Homidde Office Building, etc. (SpedlyJ ^ Yes ~No ^ Yes ^ No ^ ALtitdeM ^ Perdkrg Investgetlon 32d. Time of Injury 32e. Injury at Work? 32f. If Trensportatlon Injury (Specify/ 32g. Location of injury (Street city /town, state) ~~ ~ ^ Suicide ^ Could Not be Determined M ^ Ves ^ No ^ Driver/Opereta ^ Passenger ^ Pedesidan Omer - Speciy.• 33e. Certifier (check only one) t • CertifyMy phyakbn (Physician ce ' 33b. Signature and of tier rtdying cause of deem when aramer physician hat pronounced deem and completed Item 23) To ms beat of my krawNdge, deem occurred due to the auae(a) and mamrer es ststsd _ _ _ _ _ _ / 1 - Pronouneing and certHying physklsn (Pnyaiden bom pronourrarg deem and certlrying a cause of deem) ^ Nu • To the best of my knowledge, deem occurred at the time, data, and plea, and drw to tM a ~~~333yyy 33d. Da ned ( m, day. Year) liladial Examiner/Coroner use(s) and manner as stated- _ _ _ _ _ _ - ~ ~ ~7 ,~„ On dx basis of examination and 1 a Investlgatlen, in my opinion, derdh occurred at the lima, date, end place, and due to the ce is use(s) and manner a8 aUted_ ^ 3q. Nam ~. ss of Person Who led Cause of peam (Item 27) T / dot ;Registrar lure and Distrk;t ytwrber~ .Date Filed (Monet, day, Year) ~~, ~ ~~ , ~~~I Id ~i 10I iC t Dispositon Pemnit No. ~ ~ LO l'am' -1 ~~ 2 Last Will and Testament Husband ,~ I, ` '' ~~ ~~~'~~''~± ~ ~ ~ ,~ ~'~~' ~ ~=~s-~-~c' presently residing at .~ ~ do hereby make, lish end decl e this to be my Last Will and Testament and do hereby revoke any and all other Wills and Codicils heretofore made by me. ,.. 7 First. 1 am married to _~~'~ ~~~ > ~ ~~ ! .~ -% ~~~ ~ ~'~'- Second. 1 order and direct that my just debts and funeral expenses, expenses for admir.~istration of my estate and any inheritance and succession taxes, state or federal, upon my estate shall be paid as soon after my death as may be practical. Third. I give all my estate to my wife. In the event that my said wife shall predecease me or fails to survive me for sixty (60) days, I give all my estate to my children, if any, who survive me in equal shares, per stirpes. If I am survived by neither my wife, nor children, then I give my estate to: ~,~~- _ ~, ~~ _. ,_^ ~ ~~ to be his/ hers/ theirs in equal shares or their survivor. Fourth. I nominate and appoint my wife as Executrix of this Will. In the event that m~~ wife shall predecease me or fails to survive me or fails to serve as such Executrix then in such event, I nominate and ~ -,tuft ~~ .~~ ~ ~-~f...c-C~sFt~~--L.tiC.~ ,~~ ~ ,Executor/ Executrix of this my Last Will and "testament. I further direct that no appointee hereunder shall be required to give any bond for the faithful performance oi~ his/ her duties. Fifth. I hereby authorize my Executor/ Executrix to exercise all the powers, rights, disc;reti.ons, duties and immunities conferred upon fiduciaries to the extent permitted by law with full power to sell, lease, mortgage, invest, reinvest, or otherwise dispose of the assets of my estate. I subscribe my name to this Will this ~ ~%~~ _ Day of ~ ~=~`- _ _ 19 J Lam' ~ / -- , ~-~' -c.-z~- t- .-.~ ~ , ~_;.csL ~• P Vi ,. ! r •~ c't~ %'~ ~~ ' ^ : ~~.,/ ~i'~ ~ . . .r a L 6~:- f~: -.s -~_ i .. ~_~ _j ~ _ ~ (Sign here) ._ = w ~ ._ `~ ts_. ~ C_ , ___.. C-i ' '- r.:'~' ~ =Lit! ~Y -.-_ U ~% 1 983 by AFBP. All rpghts reserved. Signed, sealed, published and declared to be his Last Will and Testame~~~ b~~ t~1e within na~Y~~.:u ~l~~atator ix~ th~~ pr~set:ce of us, who in his presence anal ?this request, anti in the pr°s~: n~.~: of each other, hav~° h~~reur~ta~ subscribed r names ~~ itness~ ~- , ~ ',. ~! / ,, ~ _ ~,/ ,~. .- ~ ~, -,, -- --`-~ i ? 1 _ __ -- ---- - - - :' I ~ ~„ ~~ ~ ~ ; ~.'it d' ~ (`,Mate) ~,. ~, r - - ~ f ~ ~- ;~ / { ~- ~ (City) (State) _- ~ o ._- ~~'itv ) (State State of ~~ Affidavit =~ '~ ~~~. ~, ~. or County of v~ rri ~~-~ -r ~ ~ -'~ °~ - )Town Personally appeared (1) ~ - - ~2) ~~ ~-'" ~ ~ ~ ~-- • ~~ ~' ~~ .~ :, ~ 4 ~ n and (?) ~ ~ ~ ~ ~-~ ~~~ ~~~ ~i. c.~~ -- who being duly sworned, depose and say that they attested the said Will and they subscribed the same at the request and in the presence of the said Testator and in the presence of each other, and the said Testator, signed said Will in their presence and acknowledged that he had signed said Will and declared the same to be his Last Will and Testament, and deponents further state that at the time of the execution of said W ill the said Testator appeared to be of lawful age and sound mind and memory and there was no evidence of undue influence. The deponents make this Affidavit at the request of the Testator. ~`~ ~; i` (1) - _ ,F ,~ , ~- ,. ~ ~,.- -~---~x•-• i -}'- ~v ^~ / .. 4 Y /~ ,' i _ ~ Subscribed and sworn to before me this City ~-~ P `'~-'~ , ~ ~ ~' day of~ ---- .~ ~ `~ - ~~' ~~ =- ~~~ ~~ -------------- - ?~ of a r~~ Public ( ) (Notary Seal) a:'. a ..- .... .. ... i 1 _.' i RENUNCIATION REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Harold L. Heckendorn ,Deceased ,._._ a~ ~~ -~ ~r;;~ E ~~~ _; ~ - . _ . rn -~ .,W ~.~ .:~ ~ 4J ~ ~_ - :. ..;, r i ~. ,. _'1 ~' Esther D. Heckendorn ~ .,_- ~ - in my capacir~tionship.as ~~~r-; nn ame ~) _ i.. %3 Executrix ~' of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Kevin H. Heckendorn and Kim A. Heckendorn, Co-Executors (Date) ` (Signature) Esther D. Heckendorn 75 West Big Spring Avenue (Street Address) Newville, PA 17241 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of . Deputy for Register of Wills Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renu ci tion for the purposes stated within on tkus~~t-~ay of--;'~ ° '~ r' ~ ~~ Notary Public My Commission Expires: (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission.) Form RW-OG Rev. >0-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. NOTARIAL SEAL RICHARD L. `JVEBBER JR., NOTARY PUBLIC SHIPPENSBURG BORO, CUMBERLAND COUNTY MY COMfJ41SSI0~J EXPIRES AUGUST 27, 2014