HomeMy WebLinkAbout04-15-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS
PETITION FOR PROBATE AND GRANT OF LETTERS
Estate of David R. Horn ,Deceased ESTATE NO: 21- T1 ` ~ y~~-
a/k/a: David Ruben Horn
a/k/a:
a/k/a: SS NO:
Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as
applicable:
~ A. Probate and Grant of Letters Testamentary or O 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 __July 12 , 2006 and codicil{s) dated n/a
(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(gj: n/a
^ 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 (IfAdministration c.t.a. or d.b.n.c.t.a., enter date of Will in Section A anal 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 Address Relationshi to Decede
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USE ADDITIONAL SI•IEETS 1F NECESSARY
THIS SECTION MUST BE COMPLETED:
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last famil
At 7000 Wertzville Road, Mechanicsburg, Silver Spring Township,
(Street address with Post Office and Zip Code, Municipality: Township, Borough, City)
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Decedent, then 84 years of age, died February 5, 2011at Camp Hill, Pennsylvania
(Month, Day, Year of death) (City and State where death occurred)
Estimated value of decedent's property at death:
If domiciled in PA All personal property $ 2 } (Inn _ nn
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 $ 102 ~OOO.OQ
Location of Real Estate in Pennsylvania: (Provide full address if possible.) 609 Robert Street , Mechanicsburg , PA
~ Signature(s) ~
Name(s) & iVlailing Address(es)
7000 Wertzville Road, Mechanicsburg, PA
17050
Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 1 of 2
OATH OF PERSONAL REPRESENTATIVE -
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Commonwealth of Pennsylvania ~:~ +~ , -~ -~
Coun of Cumberland S S ~~ r ~ ~ ~ ~ . ~' t
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The Petitioner(s) herein named swear or affirm that the statements in the foregoing Petite true d ~=~ ~.~~.,
correct to the best of the knowledge and belief of Petitioner(s) and that, as personal repre~ntive(s) theme
Decedent, Petitioner(s) will well and truly administer the estate according to law. ~`' ~ ' -r,
Sworn to or affirmed and subscribed
ore me his ~ ~ da of
For the Register
elly Stanley
DECREE OF PROBATE AND GRANT OF LETTERS
Estate of David R. Horn
Deceased File Number: 2 I - -
AND NOW, this day of April , 2011 , in consideration of the Petition on
the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters
X Testamentary of Administration are hereby granted to:
(If applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.)
Kelly F. Stanle
the above estate and that instruments(s) dated July 12, 2006 described in the petition be
admitted to probate and filed of record as the last Will and Codicil(s) of Decedent.
Glenda Farner St
Register of Wills
FEES:
a~-
Letters ....................$
Will ....................... ~ Q
Codicil(s) ...............
(~ Short Certificates f
( )Renunciations.......
Bond ............................
Other .............................
Signature of Counsel Required to Enter Appearance
in
Atty's Signature
~1
PRINTED Name: Keith 0. Brenneman
Supreme Court ID No... 47077
Address: 44 West Main Street
.................................
Automation FEE......... 5.00
JCS FEE .................. 23.50
a . J~v
TOTAL ................ $ `~'`.~-
Mechanicsburg, PA 17055
Phone: 717-697-8528
Fax: 717-697-7681
Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 2 of 2
WILL OF
DAVID R. HORN
I, David R. Horn of Cumberland County, Mechanicsburg,
Pennsylvania, declare this to be my last Will and hereby revoke all
prior Wills and Codicils.
I direct that all my just debts, funeral expenses,
gravemarker and administrative expenses shall be paid
from my residuary estate as soon as practicable after my
death.
t,
LAW OFFICES OF
STEPHEN J. HOGG
S. HANOVER STREET
SUITE 101
CARLISLE, PA 17013
2. I direct that all inheritance, estate, transfer, succession
and death taxes of any kind whatsoever which may be
payable by reason of my death shall be paid out of my
residuary estate.
3. I direct that my entire estate go to my wife, Janet C.
Horn.
4. Should Janet C. Horn predecease me, then I direct that
my entire estate be divided into equal shares between
my daughters, Kelly F. Stanley and Carol A. Horn.
5. I appoint Kelly F. Stanley, as Executrix of this my last
Will. If Kelly F. Stanley should predecease me or cease
to act in such capacity, I appoint Carol A. Horn as
alternate.
6. The Executrix of this Will shall have the power to
distribute my estate in kind or in cash, ar partly in either.
7. I direct that no Executrix acting under this Will shall be
required to enter bond in any jurisdiction.
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IN WITNESS WHE OF have hereunto set; my hand this
~-- day of , 2006.
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The preceding instrument consisting of this and one other page
was on the day and date hereof signed, published and declared by
David R. Horn as and for his last Will in the presence of us, who at his
request, in his presence and in the presence of each other have
subscribed our names as witnesses hereto.
WITNESS WITNESS
LAW OFFICES OF
STEPHEN J. HOGG
19 S. HANOVER STREET
SUITE 101
CARLISLE, PA 17013
ACKNOWLEDGMENT
State of Pennsylvania
County of Cumberland
ss
I, David R. Horn, the Testator, 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 as my free and
voluntary act for the purposes therein expressed.
{/~~+~t..cA- 12.4-~ w.~.~
David R. Horn
Sworn to or affirmed and acknowl
Horn the Testator, this ~ day of
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d?EP1EN J. MODO. NOTARY PU81,JC
CMtJ6t~ 9080. CUM9ERtMQ CQ;, I~
~IY~019~t10N3l6-ApA~1,~.~53 ;
State of Pennsylvania
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County of Cumberland
re me by David R.
Public/Atto
AFFIDAVIT
ss
We, .S~art~+n yo uh GS and~~~ ~,~ 1 r~ n~ 6 fie... ,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 the Testator sign and execute the
instrument as his last Will; that the Testator signed willingly and
executed it as his free and voluntary act for the purposes therein
expressed; that each subscribing witness in the hearing and sight of
the Testator signed the Will as a witness; and that to the best of our
knowledge the Testator was at that time 18 or more years of age, of
sound mind and under no constraint or undue influence.
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Sworn to or aff' ed d subscrib to before me by witnesses,
this _~ d ay of , 2006.
LAW OFFICES OF (~ !/ v
STEPHEN J. NOGG ,--~ ~••~~ Not Public/Atto
19 S. HANOVER STREET ~~~.NOOa NorARr~4
crNts~,t Sono. q~~ ~ ~~
SUITE 101 ~`"~~0'"~s~n~~,
CARLISLE, PA 17013