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06-10-11
PETITION FOR PROBATE AND GRANT OF LETTERS Register of Wills of Cumberland County, Pennsylvania Estate of HENRY S. HUBER. JR. File No. ~ ~ " ~ ~ ' ( ' (.i! Deceased Social Security No. 172-01-1405 ANNAMAE B. SPRINGER a/k/a ANNE P. SPRINGER Petitioner, who is 18 years of age or older, applies for: (COMPLETE "A" OR "B" BELOW:) A. Probate and Grant of Letters Testamentary and aver that Petitioner is the Executrix named in the Last Will of the Decedent, dated May 20, 2011 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 instrument(s) offered for probate; was not the victim of a killing and 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: c.t.a.; d.b.n.c.t.a.; pendent elite; ;- :, ...~ Q ``" ~ri=~ ~ ~. ; ~; ._ n,~e~ ia; du me mipo.C -~C"7n Name Relationshi Residen ~ ~ # `-=-,, tv -p ~ ~Fs r...:, (c;~mrLt i t iN ALL c;HSts): Httacn aggiuonal sheets it necessary. Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with his last family or principal residence at The Woods at Cedar Run, 824 Lisburn Road, Ant. 311 Camp Hill Lower Allen Twp Cumberland County PA (List street, address, town/city, county, state, zip code) Decedent, then 95 years of age, died on May 28, 2011 at Manor Care. Camg Hill PA 17011 (Location) Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property .....................................................................$ 76.300.00 (If not domiciled in PA) Personal property in Pennsylvania .....................................$ (If not domiciled in PA) Personal property in County ....................................................$ Value of real estate in Pennsylvania ......................................................................................................................$ Total ......................................................................................................... $ 76.300.00 Real Estate situated as follows: Wherefore, Petitioner respectfully requests the probate of the last Will presented with this Petition and the grant of Letters in the appropriate form to the undersigned: Si nature T ed or rinted name and residence ~j~-yLV~~ }~1~ae- ~J_ v ~~ AnnaMae B. Springer a/k/a Anna P. Springer 523 Ninth Street New Cumberland. PA 17070 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF The Petitioner above-named swears or affirms that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner and that, as personal representative of the Decedent, Petitioner will well and truly administer the estate according to law. Sworn to and affirmed and subscribed Before me this ~~ ~~~ day of ~1 f' Estate of Social Security No 2011. ~~~~~ File No. n ~ :~,. ~ ~, ~ ~ ,- , n ~~ n ~ ~_, ; ~> - r -- ;~ ~ AnnaMae B. Sp finger a/k/a Ann P. Spring ,~y Cn ~ © '-=; - c~~ -~, ~_ -, ` _ r' ' ~ f J f i ~•~ f„ r,. HENRY S. HUGER. JR. 1-1405 Deceased. Date of Death: May 28, 2011 jj AND NOW, 1 L ~i~ (_` ~ LL's- , 2011, in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to AnnaMae B. Springer a/k/a Anna P. Springer in the above estate and that the instrument dated May 20, 2011 described in the Petition be admitted to probate and filed of record as the Last Will of the Decedent. FEES Letters ........................... $ •~ I C'. C~'C? Short Certificate(s) Renunciation ............. Affidavit ( ) .................. Extra Pages ( )....... Codicil ............................ JCP Fee ...................... I nventory...~u1:~....... Other...l:1,'..ti..~.~ ....... $ 1~~1~~ $ ~3•~~ $ "~•iZ> $ I~-l:t> TOTAL......... $ ~ ~`S • `~ egister of Wills ~~~ ~,~~,~ ~~ ~ ~}~~ ~!~ ~±'~ ~ IaC~)_ !- ~~ Attorney Signature: r~ Attorney: MARK C. DUFFIE I.D. No: 75906 Address: Johnson, Duffie, Stewart & Weidner, 301 Market Street, P.O. Box 109, Lemoyne, PA 17043- Telephone: 717-761-4540 Lt~C~~w REG1STFi~F~'S ~E~~l~G ~ ` gym.,, x~. WARNING: It is illegal to duplicate this ~:~?r:~yr try i~h~t~st~~s: ,~, ,.,r ~; P__17556478___ (~'e.~Ui cairn ~Liuil~~"r 43 REV 112006 E / PRINT IN RMANENT LACK INK ~~ ;`:~'~ - ~' ' \~ ~' - rtl ~ ,~.. + ,. _ ~ - ~^~> >iy,.f tiT ~ , L7 ,.., ~^ ~ ~~ c z r~ m r° <:_ n i ~ -- ~~_: :~ `` ~i COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~ ~ CERTIFICATE OF DEATH -s' fv `~ (See instructions and examples on reversel P.': i. Name of Decedent (FrsL m'7dl¢, last, sulfa) 2. Sex 3. Social SecunN Number v V a. Date of Death (Month, day, year) Henry S Huber Jr M l . , . a e 172-o1-1,a05 Ma 28, 2011 5. Age (Last BirtMay) Udder 1 year UrMer 1 tlay 6. Date of Birth (Month, da , ear) Z BlMplace (Ci" and stale or lorelgn country 8a. Place of DeaN (Check Doty one) M~Iht Days Hours kWaaea Hospital: Other: 95 Yrs. July 26, 1915 Idaville, Adams County, PA ^Npahant ^ER/Outpatient ^DOA Nursing Home ^Resmence ^Olher Sped". 6b. COUnry of DeaN &. CIry, Boro, Twp. of Deam 8d. FarAity Name (It not a50Nlion, gNe street antl number) 9. Was Decedent of Hispanic Odgin? ~ No ^Ves 10. Race American Indian, Bloch While 61c , , . Cam Hill olyea,sped"D~a°' (S~„~ Cumberland Cam Hill Manor Care P P , Mexican, Puerto Rken, etc.) White I t. Decedent's Usual Occu lion Kidd of want dare ~ most of world Ihe. W Ilol slate re6 12. Wes Decadent ever in hie 13. Decedents Education (Specify only highest grade completed) 14. Marital Status: Monied, Never Marded, I5. Surviving Spouse (If wife give maden name Kmtl M Work Kind of Business l IMuslry Assistant Marva er Bankin U.S. Armed Forro/~es? ^ Elementary /Secondary (O12) CWlege (1 d a 5+) weed, Divacetl (Spedlyf , ) Yea LINO 12 1 Widowed 16. Decedents Meifmg Address (Street, tlty /town, state, zip code) DeratlenCS Did Decedem 824 Lisburn Road Actual Residence na. sale PA ~e Decedem wed m Lower Allen Township nc. ~ yea a ? , Twp h Camp Hill, PA 17011 rib. Counry Cumberland ~' rid. ^ No, Decedent Ivied within Acual Umhs of Ciry I Boro 16. Falhefs Name (FlrsL midtlle, last, sulhx) 19. Mdher's Name (First, Mdde, maiden surname) Hen S. Huber, Sr. Etta Clara Gardner 20a. Imomtanfs Name (Type / Pnnll 20b. Inlamanta Mahing Adtlreas (SUeel, dry I town, state, zip coda) AnnaMae B. Springer 23 Ninth Street New Cumberland, PA 17070 21a. Mmfod pl Dispositan [r] Cremation ^ DonaOOn ^ Burial ^ RemovallromSlale i 21 h. Dale of D'ISposhbn (Month, day, year) ~21c. Place of Oispashion (Nartre of cemetery, crematory or other place) 21 d. Location (Chy /town, state, zip code) WasCremetlonarDOnationAuthaNzedr~I ^ Other-Specify: i bykledicalFxaminerlCaoner? L^1Yae^No Evans Cremato ry Schaefferstown, PA 17088 22a. SignaN d Licereeo tort person actlng as such) 22b. license Number 22c. Name and Atltlress of Fedkly FD 012 848 L Parthemore Funeral Home & Cremation Services, Inc. P.O. BOX a31, 1303 Bridge Street, New Cumberland, PA 17070 Complete Ile onl¢ when canityNg 23a. To Ne best of my knaMedge, death Occurred al Ne lime, dale and place staled. (SlgwMe aM tiae) 230. Lkense Number 23 D l S physician u not evad~ia at kme of deaN to c. a e gned (Month, day, year) cer6ty cause of deaN. hems 24-26 muss be callpleletl M' person vine pronounces deaN 24. Time of Death ;~~ P 25. Dale Pronounced DeaU (MOnN, day, year) 26. Was Case Retorted to Metlical Examiner !Coroner for a Reason Other Nan Gremefion or Donation? . j k4. May 28, 2011 ^yea ~Np CAUSE OP DEATH (See Inatructlona and examples) , Approximate interval: Item 27. Pan P. Enter the chin of avenB -diseases, injuries, or canplications - Ihel directly caused Ne death. DO NOT enter lertninal events such es cardiac arrest, r Onset to Death i t l fi Pen IL Enter other 9iendxanl amditims con mtvmn0lo ath, but not msuMng In Ne underrying cause given in Pan I 28. Did Tobacco Use Contnhule to Death? ^ Yes ^ Probabl resp ra ory anent, a ventricu ar bnketion without showmq Ne etiology. List ally one cause on each floe. t r IMMEDIATE CAUSE ((FNaI disease a ~ • / ~ . y ^ No ~] Unknown canRllon resuaing in deaN) -_~ a. i Gf "{/'~Af ~~ P (~~Y1Cn7 / GI,~ i 29. II Female. Due to (or as a consequence oR~. r ^ Nol pregnant wAMn pall year Sequentlely isl coalitions, h any, b ~ leading to Ne cause listed on line e. Due to or as a cons uenco ( e ^ Pregnant el hme of tleelh q Eder the UNDERLYING CAUSE M: ~ ^ Na pregnant. but pregnant wthin 42 days (tlisease a injury that Inifiatetl the c r evenh rasuldng m tleelh) LAST t ai tleelh Due la (or as a consequence oQ: I ^ Not pregnant, but pregnant 0.7 days Im t year d. i belae tleelh ^ Unknown h pregnant wlhm the past year 30e. Was an ANapsy 30b. Were Autopsy Rndags 31. Manner of Death 32a. Date d Injury (Month, day, year) 32b. Describe Haw Injury Occurred Pedomred? Aveiahle Pna m Completlan 32c. Place d In u Hane, Farm, SlreeL Fed 17 ay, of Cause d DeaN? ~ Natural ^ Homidtle Office BUlding, etc. (SpecMl ^ Yes ®No ^Ves ^ No ^ Acddent ^ Pendng Inves9ga0al 32d. Time of Inryry 32e. Injury al Work? 321. Il7rensporWOm Injury /Specify) 32g. Lonatbn of Injury (Street cd V I town, state) ^ Suidde ^ Could Not 0e Determined ^ Yes ^ No ^ Driver / Operator ^ Passenger ^ Pedeslrlan M ^Other - Speciy: 33e. Cati6a (Neck mty one) 336. Signature end Ta 1 Certifier • Certllying physician (Physidan certifying cause of deaN when errolher phyddan has prorpurced deaN end mrrplmad Item 23 , ' To the heat of my knowledge, deaN occurred due to the oase(s) and manner as sM[ed- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ • Prarrour l d h d h id Ph i i b ~ :.- - ro cer tg an ry ng p ye an ( ys c an oN pronoundng death and certgying to cause d deaN) To the heat of my knoakdge, tleelh occured al Ne lime, date, and plauro, and due Io Ne ceuee(s) end manner es slatetl ^ 33c. LJCense Number 33d. Date Sgrred (MOnN, daV. year) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ • Medkal Examirlerl Coroner H1 ~ ~ Z 3 4 ~'~ ~ ~ Ip - 6 / - ZO/~ On the oasis of examinahon end / or inveshgtlbn, in my opiNOn, deaN occurred et the hme, date, end place, end due Lo the ceuse(a) end manner as state0_ ^ ~ ~~ ~tl g q ya s qof Person Who~mplete use of Oeal~ (Itg ~ m 27 ~..rll ~ - 35. Registrars S ore aM Distd er.f~ ~v - ((/// I` I' I ''ZI ~ I' I 3fi. Dale Rled IMOnty~ tlay, year) G l~ ~ ~ i , / / • L.C~ via" ' ~~rC y g zv Y~?~'rx~ i /ad~ .Y/ ,~~ i 70 // Disposition Permit No. D610267 Last Will and Testament ~ ~ ~ ~ ~ - , `l. n ZC7 C~, y ~, «~~ - 3 ,r, , HENRY S. HUBER, JR. -, ,: ``~ ~ =-= - .. ~ I, HENRY S. HUBER, JR., of Lower Allen Township, Cumberland County, Pennsylvania, do make, publish and declare this to be my Last Will and Testament, hereby revoking and making void any and all former Wills made by me. ARTICLE I DEBTS I direct the payment of all my legal debts and the expenses of my last illness and funeral from my Estate as soon after my death as conveniently may be done. ARTICLE II TANGIBLE PERSONAL PROPERTY I give and bequeath my motor vehicle(s), household and personal effects and other tangible personalty of a like nature (not including cash or securities), together with any existing insurance thereon, unto my son, JAMES H. HUBER, provided he survives me. ARTICLE III REST, RESIDUE AND REMAINDER I devise and bequeath all the rest, residue and remainder of my estate, of whatever nature and wherever situate, unto my son, JAMES H. HUBER, provided he survives me. ALTERNATE IV ALTERNATE DISPOSITION OF REST, RESIDUE AND REMAINDER If my son, JAMES H. HUBER, predeceases me, I give, devise and bequeath all of the rest, residue and remainder of my estate, of whatever nature and wherever situate, as follows: A. Fifty (50%) percent thereof unto my granddaughter, STACY J. BLAKESLEE; B. Twenty-five (25%) percent thereof unto my grandson, JARED H. HUBER; and C. Twenty-five (25%) percent thereof unto my granddaughter, BROOKE A. HUBER. Should any of the foregoing residuary legatees predecease me, I give, devise and bequeath such deceased legatee's share unto his or her then-living issue, per stirpes. ARTICLE V DISTRIBUTION TO BENEFICIARIES UNDER THE AGE OF 25 /INCAPACITATED PERSONS Whenever my Personal Representative is directed to distribute property to or for the benefit of any beneficiary who is under (a) twenty-five years of age, or (b) a legal disability or otherwise suffers from an illness or mental or physical disability that would make distribution directly to such beneficiary inappropriate (as determined in my Personal Representative's sole discretion exercised in good faith), my Personal Representative may distribute such property to the person who has custody of such beneficiary, may apply such property for the benefit of such beneficiary, may distribute such property to a custodian for such beneficiary, whether then serving or selected and appointed by my Personal Representative (including my Personal Representative), under any applicable Uniform Transfers to Minors Act - or Uniform Gifts to Minors Act, or may distribute 2 such property directly to such beneficiary without liability on the part of my Personal Representative to see to the application of such property. This provision shall not in any way operate to suspend such beneficiary's absolute ownership of such property or to prevent the absolute vesting thereof in such beneficiary. ARTICLE VI POWERS OF PERSONAL REPRESENTATIVE My Personal Representative(s) shall have the following powers in addition to those vested in them by law and by other provisions of my Will applicable to all property, whether principal or income, including property held for minors, exercisable without court approval and effective until actual distribution of all property: A. To make distribution in cash or in kind , or partly in cash and partly in kind, and in such manner as they may determine. B. To retain any or all of the assets of my Estate, real or personal, without restriction to investments authorized for Pennsylvania fiduciaries, as they deem proper, without regard to any principle of diversification or risk. C. To invest in all forms of property without restriction to investments authorized for Pennsylvania fiduciaries, as they deem proper, without regard to any principle of diversification or risk. D. To sell at public or private sale, to exchange, or to lease for any period of time any real or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms or conditions as they deem proper. E. To allocate receipts and expenses to principal or income or partly to each as they from time to time think proper. 3 F. To compromise any claim or controversy. G. To make such elections, decisions, concessions and settlements in connection with all income, estate, inheritance, gift, generation skipping or other tax refunds and the payment of such taxes as my Personal Representative shall deem appropriate, without obligation to adjust the distributive share of any person thereby affected. ARTICLE VII PERSONAL REPRESENTATIVE I name, constitute and appoint my friend, ANNAMAE B. SPRINGER a/k/a ANNE P. SPRINGER, Executrix of this, my Last Will and Testament. If my friend fails to qualify or ceases to act, I name, constitute and appoint MID-PENN BANK, Harrisburg, Pennsylvania, Alternate Executor to complete the administration of my Estate. I direct that no fiduciary appointed herein shall be required to post bond for the faithful administration of the duties required in any jurisdiction. IN WITNESS WHEREOF, I hereunto set my hand and seal this ad~'"da of Y I~aw , 2011. ~`~`~~ (SEAL) HENR S: HUBER, JR. Signed, sealed, published and declared by the above-named Testator, as and for his Last Will and Testament, in the presence of us, who, at his request, in his presence and in the presence of each other have hereunto subscribed our names as witnesses. ~,~! 4 AFFIDAVIT AND ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND . ss: We, HENRY S. HUBER, JR., ~.~..~~.~ a ~ r A `5~ Z~ t~ and L; -y ~- ~'e-~'e~~X°~- ,the Testator 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 Testator signed and executed the instrument as his Last Will and that he had signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as witness and that to the best of his/her knowledge the Testator was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. .,~.~~ HENRY S. BER, JR. ~~ ' ess n ~ ui~ Witness ~ Subscribed, sworn to and acknowledged before me by HENRY S. HUBER, JR., Testator, and subscribed and sworn to before ~m~et~by and (~ (,~' ,witnesses, this ~=~~ uay~o `' , 2011. COMMONWEALTH O~ PEN LVANIA Notarial Seal ~, ~ ~`~~! Terree L. Knight, Notary Public Otar Public Lemoyne Boro, Cumberiand County ~' Commitebn Ex ices July 18, 2013 Memg4t, pE4nrii Ott ~! ~r`alniptlen of Netaries _/ :334658v2