HomeMy WebLinkAbout05-24-11
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS
PETITION FOR PROBATE AND GRANT OF LETTERS
Estate of Helen M. Heberlig , peceased ESTATE NO: 21- ~ ~ D=
a/k/a: Helen Mae Heberlig
a/k/a: Helen Z. Heberlig
a/k/a: SS NO: 177-16-0446
Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as
applicable:
O 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 3/16/20.11 _ _ 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 exedution of the
instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated person, ajnd 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(g):
D B. Grant of Letters of Administration
(If applicable, enter d.b.n., pendent life, duraate 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 (If 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~vorce
proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(g), ept as fo11Q,~s:~ ~i
t
Name Address Re Dec t `"
~ ~-.~
~~~ f
~~~
ch ,'
r.~~ '•
{~1j7~~
.. ~ i
USE ADDITIONAL SHEETS IF NECESSARY ""'
C.~
THIS SECTION MUST BE COMPLETED:
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence
At 1044 South Pitt Street, Carlisle, PA 17013 : Borough of Carlisle,
(Street address with Post Office and Zip Code, Municipality: Township, Borough, City)
Decedent, then 88 years of age, died 5/13/2011 at Carlisle Regional Medical. Center
(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 $ 1q,000.00
If not domiciled in PA Personal property in Pennsylvania $
_If not domiciled in PA Personal property in County $
_Value of Real Estate in Pennsylvania $ 70„000.00
Total Estimated Value $ 80;000.00
Location of Real Estate in Pennsylvania: (Provide full address if possible.) 1044 South Pitt Street, Carlisle, PA 17'013
Signatures ~ Name(s) & Mailing Address(es)
Susan E. Feagley, 4407 Chestnut Street, Camp Hill, PA 17011
Interim Form RW-02 revised ] 2.26.10 by Cumberland County pending action by the Court 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 armed and subscribed
before r~ne Phis ~'~ ~- day of
,, .,
~ i, t
Folr the Register
C
~'~
""c c~? r
DECREE OF PROBATE AND GRANT OF LETTERS~v~~ ~ ~,-~ _~
~ ~1
~. ~~ =-~
t ~~
Estate of Helen M. Heberliq ,Deceased File Number: 21-~ ~"'i(~~~f ~~ ,r-~;;rs
~..__y
AND NOW, this ~_ day of ~ ~ , in consideration of the Petition on
the reverse side hereon, satisfactory proof hav been presented before me, IT IS DECREED that Letters
x Testamentary of Administration are hereby granted to:
(If applicable, enter c.ta., d.b.n., d.b.ac.ta, etc.)
Susan E. Feagley in
the above estate and that instruments(s) dated 3/16/2011 described in the petition be
admitted to probate and filed of record as the last Will and Codicil(s) of Decedent.
Glenda Farner Strasbaugh
Register of Wills `~'-~ ~~,~:~~~~~~'~ C~.~.~
FEES:
Letters ....................$ 210.00
Will ....................... 15.00
Codicil(s) .............. .
(2) Short Certificates 8.00
( )Renunciations.......
Bond ............................
Other .............................
.................................
Automation FEE......... 5.00
JCS FEE ................... 23.50
TOTAL ................$ 261.50
Signature of Counsel Required to Enter Appearance
Atty's Signature -~a"-'
PRINTED Name:) es M. Robi son, Esquire
Supreme Court ID No.: 84133
Address: 129 South Pitt Street
Carlisle, PA 17013
Phone: 717-245-9688
FaX: 717-245-2165
Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 2 oi'2
OCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 17451070__
Certification Number
This is to certify that the information here given is
correctly copied frr)rr- an original Certificate of Death
duly filed with )ne aa; Local Registrar. The original
certificate will he ~-r>rvvarded to the State Vital
Records Office for permanent filing.
----,
1 ~ Zof~
Local Registrar Date Issued
r.~
~ .~ ..
'
~
~ -~ ~`
~ i~3 ~~
f~ ~ ~
C.~ ~ ""=~
rn
flt
H105.143 REV 11/2006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
TYPE /PRINT IN
PERMANENT CERTIFICATE OF DEATH
BLACK INK
(See instructions and examples on reverse)
STATE FILE NUMBER
.~ ( ~
•
'J
(.U
w
`~
1. Name of Decedent (Feat, middle, last, aulNx)
Helen Mae Heberli 2. Sex 3. Social Security Number 4. Date id Death (Manor, day, year)
g emote 177 - 16 -0446 Mlay 13, 2011
5. Age (Last BirNWey) Under 1 Under 1 de 6. Date d BiAh Month, 7. and date a Be. Place d Death Check one
88 '"°^~ rya "°~° "gyp Sept. 24, 1922 1eas City, MO t loapltal: other:
Yrs. [patient ^ ER /Outpatient ^ DOA ^ Nursing Hohre ^ Residence ^ ONer • Spedly:
8b. County al Death lk:. City, Beo, Twp. d Death Oil. Facoty Noma (K rat instihrtion, glue sheet aril number) 9. Wee Decedent d Nieperfic Origin? ~ No Vas 10. Race: American Indian, Black, WNIe, etc.
Cumberland S. Middleton Twp. Carlisle Regional Medical Center (~ ~ (~~ Whit
,e~.) e
11. Decedents Maud lion Kind d work done d ud moat d tile. Do not slate re' 12 Was Decedem ever in de 13. Decedent's Educedon (Spedty anti higled grede canp leted) 14. Martial StaWS: Monied, Never Monied. 15. Survivirp Spo use (N wife, glue maiden name)
KirM d Work Kkd d &rakrese/Industry U.S. Amted Forces? Elememary / Secondary (0.12) CoNege (1-4 a 5+) Widowed, Divorced (Spedry)
Secretary ln' ^ Yas [~~ 12 Widowed
16. Decedents Milling Address (Sheet, sly /town, state. zip code)
1044 S . Pitt Street Decedents Did Decedent
Actual Residence 17a. State PA Live in a 17c. ^ Yes, Decedent Lived'm Twp.
PA 17013
Carlisle ,7b.Caunty Cumberland Township? 17d.~.]No,DecedentLivedvdthln Carlisle
, Aqud Limos of City / Boro
ts. Father's Name (First, midde, lest, suffix) Merle Zel ter
g 19. Motley's Name (Flret, middle, maiden surname)
Lillian Rhynha)rt
20a. Inlortnant's Name (type / Pont)
Jud
Louise Stine 20b. Inlom~t's Mdlkrg Address (Street, ary /Mum, state, zip code)
y 7 Eastwick Lane, Carlisle, PA 170113
21 a. Metlad of Diapodtion r ^ Crertegon ^ Donation 21b. Data of Diapositran (Modh, day, year) 21c. Place d Dispositbn (Name of cemetery, crertetory a otler place) 21 d Lacahon (Cly /town, state, zip cads)
~Brxlel ^ Removalfromslate ~
~a May 17, 2011 Cumberland Valle Memorial Carlisle, PA 17013
^
^ Yea^ No
M
z2a to of Funeral Service Lce ( person adkg as such) 22b. License Number 22c. Name and Address d Fadlity Hof fman-Roth Funeral Home & C amatory
~ ,t (,~ _ .- 013144E 219 North Hanover Street, Carlisle, PA 17013
Compbte ma 23ac Doty wfen certrlykrg 23a. To tle W my knovAedge, seem aaxxrad at the time, date aril place stated. (SignaNre and tNb) 23b. License Number 23c. Date Signed (Month, day, year)
phyeiaan is not availebb at time of death to
~rtity DeDae d death. / ~ "•
L '/fN lA~/c+ ~'//Un~ Y~'- Y~
i'I')C~ ~"~ ~~'l o '
CAS /3 ~7~i/
Nems 24.26 must be completed by parson 24. of Death
' 25. Date Pronounced Dead (MOndt, day, year)
^ 26. Wes Case Referred ~e Medical Examiner / (;Droner fa a Reason ONtar than Cremation or Donefion?
r
~
who pronounces death. ~ r S
~ ~. ~ t 1
OS/~
I ^ Yes L
No
1
r Appmzknare interval:
CAUSE OF DEATH (See Mstructlons send sxempk+») Part II: Enter dha 28. Did Tdracco ilea Camolate to Death?
Item 27. Part I: Enter the chain d evenle -diseases, kyuriea, a complications - Ihat dlreclty ceased the death. DO NOT enter lertdnd events such es cardiac arrest, ~ Onset to Death but rat resuNing in the underlying cause given ini Part I. ^ Yes ^ Probehty
reaplretory arrest, a ventrkxder fibrNlation wNhad slawirg the etblagy. List only one cause on each Ilne. r ^ ~ ~I .~
1J'~~zno~+n
IMMEDIATE CAUSE (Escort 6sease a ~ i
condition resuNing in ath) 29. N Female:
_~ a. , , ^ Nd
Nhi
o
Duero (a a oq: i pregner
w
n pest year
^ Pre
nant at time of death
Nst caMitlau, N arty, b. - ~ t Q_, ~
E~
~
e g
^
Due to
~ (a as a ar~ence d):
tmER
LYING CAUSE
Na pregnant, but pregnant within 42 days
(6sease a injury that krmated the ~ r
events resuNing rn death) LAST. r d death
Due to (a as a correequerxxr oft: r
r Nd pregnant, but pregnant 43 days to 1 year
be(ae deaN
d. ~ ^ Lkdvaxm ff pregreM wohin the pest year
30a. Was an Autopsy
Performed? 30b. Wero Autopsy FlaNrgs
A 31. Manner d Death
/ 32a. Date d Injury (Momh, day, year) 32b. Describe How Injury Oaumed 32c. Place d trry'ury: Home Farm, Street, Factory,
vaNeble Prior to Cartgbtion
of Cause d DeaM? ~
o ryewral ^ Harddde OlNce Buildng, etc. (SpedryJ
,-, ~
^ Vas 6d'No
^ Ye
~I
J ^ Accident ^ Perxlkg Investlgation 32d. Time of Injury 32e. Injury at Work? 321. If Transportation Irgury (Spec1/y) 32g. Location of injury ($treet, city /town, state)
s
o ^ Suicide ^ Could Nd be Determined M ^ Yes ^ No ^ Drtverl Opereta ^ Passenger ^ Pedestrian
Otler - Specify:
33e. Certllfer (check only one) 33b. Signature and r
• CarUlykq phydeWr (Physician artilying cause d death wfen aratler phydcien hoe pronotewed death end completed Item 23)
To tM lxsd W my knowledps, dedh aaurred sue to the cause(s) end mamsr as anted _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
• Pronounckg sod c•rUMrq phyek4n (Physician boM pronouncing death and certllying M cause d deatlr) 33c. Lcense N .Date Signed (Month, day, year)
To tM bad M my IurorrNdpa, death occurred d the time, dale. erW place, and due ro the auae(e) and manner ee etatad_ _ _ _ _ _ _ _ _ _ _ _ ^
• Medal Exrrtlter/Career - - - - - -
V - ` tiJ ~~ '-1 d ~
~J
On the Msfe of exsmindion and / a Invastlgetbn, In my opMlon, dadh occurred d the lions, dsla, and place, end due to the oase(s) and manner es statenL ^ 34
N
me a
nd
re~s d Person Who Campbted Ca o
A
dd
f
D
e
ath (Nam Z7) T
e / Pdnt
.
a
yp
..
me
~
^
~
35
Regetrers end oi
t Nambei~ 36
t
Fli
d
M
th
d ~
Q
.
,
~
~
" ~" ~ • ~'~~ - ~ r n
.
~
- ~~~~xv~ ~!(. ~~s I ;~ I [ I ~ I ~ I 0 I .
o
(
on
,
ay, year)
e
r I
///~~~
22 S a ~ IAN In ,1.- ~ v(,/lc. 9'
Disposition PertnN No. - it (D , ~ l) ~,
H„ a
~: ® /i,.
_ ,,,
~~
~..~.
~~
.._ r ~" ~
~" t_ fi:~3 ~ ~~~
HELEN M. HEBERLIG ~~'~ '~' ~~$~~~
H .~. +~ ~
~ :,~
~w~
I, Helen M. Heberlig, of Carlisle, Cumberland County, Pennsylvania, being of
sound and disposing mind, memory and understanding, do make, publish and declare
this to be my Last Will and Testament, hereby revoking and making void all previous
Wills and Codicils heretofore made by me.
FIRST
1 order and direct my personal representative hereinafter named to pay all of my
just debts, funeral expenses and expenses involved or connected with the
administration of my estate as soon after my death as is reasonably possible. However,
my personal representative need not accelerate and pay those unmatured obligations
which, in his or her opinion, it might be proper and more advantageous to retain or
renew and pay as they become due and payable. If I do not own a burial plot or a grave
marker at the time of my death, I authorize my personal representative, in his or her
sole discretion, to purchase a burial plot and to erect a suitable marker at my grave, and
to expend sums from my estate for this purpose.
SECOND
I give and devise my one-half (1/2) interest in 1044 South Pitt Street, Carlisle,
Cumberland County, Pennsylvania, to my beloved daughter, Donna H. Crist, of Hunt
Valley, Maryland, providing she survives me by sixty (60) days.
~~h~'
THIRD
t give, devise and bequeath the remainder of my estate, together with all
insurance proceeds thereon of whatsoever nature and wheresoever situate in equal
shares, share and share alike, per stirpes to my daughters, Judy L. Stine, of Carlisle,
Pennsylvania, and Donna H. Crist, of Hunt Valley, Maryland, who survive Ime by sixty
(60) days.
FOURTH
I direct that all devises and bequests to Donna H. Crist hereinabove mentioned
be held in trust by my Trustee, Benjamin Nummy, in accordance with the paragraphs
below.
FIFTH
During the terms of any trust created pursuant to this Will the Trustee is
authorized to expend and apply so much of the net income and principal of each such
Trust as the Trustee shall consider advisable for the health, maintenance, and support
of such beneficiary until all such amounts are paid out of the Trust. If said beneficiary
shall die before the termination of said Trust, the Trust shall terminate and the
remainder thereof shall be paid in accordance with the paragraph above. I direct that
no Trustee shall be required to give or post bond for the faithful performance of the
Trustee's duties in this or any other jurisdiction.
SIXTH
My executor and trustee are authorized and empowered to exercise from time to
time in his or her sole discretion and without prior authority from any Court, iri respect of
any property forming part of any trust hereby created or otherwise in its possession
hereunder all powers conferred by law upon trustees or executors and the Testatrix
intends that such powers be construed in the broadest possible manner.
~~'
SEVENTH
I nominate, constitute and appoint my granddaughter, Susan E. Feagley, of
Camp Hill, Cumberland County, Pennsylvania, Executrix of this my Last Will and
Testament. In the event Susan E. Feagley is deceased, unable or unwilling to serve or
shall cease to serve for any reason whatsoever, then I nominate, constitute and appoint
my daughter, Judy L. Stine, of Carlisle, Cumberland County, Pennsylvania, to serve
instead. I direct that my personal representative shall not be required to give or post
bond for the faithful performance of his or her duties in this or any other jurisdiction.
EIGHTH
I hereby declare it to be my expressed desire that my personal representative
employ Turo Robinson Attorneys at Law, of Cumberland County, Pennsylvania, for legal
advice and assistance regarding this my Last Will and Testament, they having
considerable knowledge of my affairs, views and wishes respecting any matters that
may arise at the probate of this instrument, the administration of my estate, and the
execution of the powers herein mentioned.
IN WITNESS WHEREOF, I have hereunto set my hand to this my Last Will and
Testament this /fir ~ day of ~}~ a-~--~ , 2011.
F'
Witn ~ Helen M. Heberlig
Witne
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
I, Helen M. Heberlig, the Testatrix whose name is signed to the attached or
foregoing instrument, having been duly qualified according to the law, do hereby
acknowledge that I signed and executed the instrument as my Last Will and Testament;
that I signed it willingly, and that I signed it as my free and voluntary act for the
purposes therein expressed.
-~ ; ,~ .
Helen M. Heberlig ~~
Sworn or affirmed and acknowledged before me by Helen M. Heberlig, the
Testatrix, this I (, day of ~~-~ ~1 , 2011.
t
No a Public
COMMONyyEq~TH OF PENNSYLVANfA
Notarial Seal
James M. Robinwn, Notary Pubic
Carlisle Ban, Cumberland County
My Co-nrr~isilon Ex nas June 8, 2013
F 1~tbn o/ Nafarfe~
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND :
We, R,~~, T~~.o and -.3~~~-s ~~~n~ ~ 2.E the witnesses
whose names are attached to the foregoing document, being duly qualified according to
the law, do depose and say that we were present and saw Testatrix sign and execute
the instrument as her Last Will and Testament; that she signed willingly and that she
executed it as her free and voluntary act for the purposes therein expressed; that each
subscribing witness in the hearing and sight of the Testatrix signed the Last Will and
Testament as witnesses and that to the best of our knowledge the Testatrix was at the
time 18 or more years of age, of sound mind and under no constraint or undue
influence.
Sworn or affirmed and subscribed before me by ~~~ ~~~.b
--~ ~v..~ ~~~m ~~ this 1(~~ day of ~~c ~ , 2011.
and
Nota Public
COMMONVVEA~TH OF PENNSYLVANIq
Notarial Seal
James M. Robir-son, Notary Public
Carti~le Boro, Curnberit~nd County
My C~'asibn Expires June 6, 2013 ~
Member, Penr~rhr~ Aasodettnn of Notaries
~~