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HomeMy WebLinkAbout07-06-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNS~C'LVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of CHARLES A. HENRY a/k/a: a/k/a: a/k/a: SS NO: 193-12-9~c10 (If applicable, enter d.b.n., pendent lite, durance absentia, durante minoritatc} 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 p Administration c.t.a., or d.b.n.c.t.a. (complE~te Part C atso) and aver that Petitioner(s) is/are entitled to the aforementioned Letters TESTAMENTARY __ under the last Will of the above-named Decedent, dated 6/23/2010 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 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): NONE O B. Grant of Letters of Administration ~~. Petitioner(s), after a proper search, has/have ascertained that Decedent left no Will and was survived by the following spouse (ifany)and heirs (If Administration %;.t.a. or d.b.n.c.t.a., enter date ofd/ill in Section ~A and complete list of heirs); was not the victim of a killing; was never adjudicated an incapacitated person; rind was not a party to ai p.~ending divorce proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(8), except as follows: ~ ~ •-- ~ __ ~ "~ ~'~ USE ADDITIONAL SHEETS IF NECESSARY _t ~_. _.. t ~ ~~ ._ _ - o.J- ,.~..... ~..~ ~;-'1 ~... THIS SECTION MUST BE COMPLETED: ~ ~ <_~ ~ ~ ~ `_,-~; :::-~~y Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or ~^cI al r .w enc ~-~: ~ t. ;- ._._. r~--i At 539 BRIDGEVIEW DRIVE LEMOYNE BOROUGH CUMBERLAND. COCJNTY PA 17043-1380 ~ p ~~ a"/~ (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) f'',, Decedent, then 84 years of age, died 6/25/2011 at HARRISBURG, PA 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 (Month, Day, Year of death) Deceased ESTATE NO: 21- - ~} ~j ~' (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.) NONE $ _____0,000.00 $ __ $ 0.00 $ ~-, 000.00 ,~ Signature(s) / Name(s) & Mailing Address(es) ~' l~ '~~t ,~~` ~ ~ .,_,~` _ _~: „ .~ _ SANDRA S. HENRY 539 BRIDGEVIEW DRIVE I LEMOYNE, PA 17043 Interim Form RW 02 revised 12.26.10 by Cumberland County pending action by the Court Name __ ___`-_ --____ _ Address ______.__ 12elati®nshiptu Deeeden~ 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 arf; true and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representat:ive(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. SwoYmn to or affirmed and subscribed ,, ~~- before me this ~,,~ da of .- c~~ -, r or the Keglster .~ ~~ == ~.~ ~~~~ r ~' DECREE OF PROBATE AND GRANT OF LETTERS ~ ~ ~ ~ ~--- ~' ^- t.. ~x~ Chi '~-~._' ~'~ Estate of _ __ CHARLES A. HENRY _____, Deceased File Number: 21-_~~~~ '~ '~': ;~' _~----- ~ ,~+.J _~ t"~`i ANI) NOW, this da- of ' ~ ~ ~ ~'' ~ `~ ~__ .Y _ _- -~ ___-, In consideration of they ~ et,~± or~~ ~? the reverse slde hereon, satlsfactorv proo havin been presented berore me, IT 1S Dl=/CR_E~1~ i:hat Letters x Testamentary ___ of Administration are hereby. granted to: (If applicable, enter e.t.a., d.b.n., d.b.n.e..a., etc.) ---- SANDRA S. HFNF'..Y _ _ __ _ _ in.~ the above estate and that instruments(s) dated 6/23/zolo _ _ __-____ described in th~~ petition he admitted to probate and f led of record as the last Will and Codicii(s) of_ Decedent. _ ~ -, 1 !~ _ , enda Farner Strasbaugh, .'~ r ~~.liz~,~ ~ ;`~G ~ C~c~~' Register of Wills FEES: Letters ....................$ ~ ~ Will ....................... i `'~ Codicil(s) ............ ... (lL,) Short Certificates ~-~O ( )Renunciations....... Bond ............................ Other ............................ .................................. ................................. Automation FEE......... _ 5.00 JCS FEE .................. 23.50 TOTAL ................$ ~) 1~• Signature of Counsel Required to Enter Appearance Atty's Signatur ~ c~ ~ PRINTED Name. JAMES D. FLOWER, JR. Supreme Court ID No.: 27742 Address: FLOWER LAW, LLC, 10 X11. HIGH ST. CARLISLE, PA 17013 Phone: 717 243-5513 FaX: 717 241-4021 Interim Forni RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 2 of 2 OCAL REGISTRAR'S CERTIFICATION OF aEA-'f•I- 1NARNING: It is illegal to duplicate this copyr hY photostat ur photogi"aphi, F~r?t' ~0;~ this Cf'1'ill7Cail:, `~(l.O+~ ~;~I' ~~~N~OFp~C ~.~ t~lll`~ ''~ 11;~ t'y-a;~i ,t! Irc` 1 tl~(1lnl,.Itit~ll3 ~ll'rC~ !~l~l'II is Ottttt~~~ ~~'~`°\ ,~lll'i~L~'ll~ ~:t11~f1t~~l , ~~1; i;ll t~1~P',?1ll~il (~Cl~ll~lt'~ilC (~~ I)t'11t~1 ~p~p~/ ~~•,~-=, 4R(l~ i~~IL~~f .r i(I) ~rlt° „~ d_(~~~~<11 Ke~:~ltit(-~,r. ~~ hey u~i~l~~in~tl „~~ ~`` ,_ ~j~.~ ~~, ~. l'Cilll~;(lc' 1° fi I~t ,tC\.~~li',~L'(~ (t'+ 111.' .`~l~ltc VEC~tl ~, o vi ,~ ~ . z+: I~CCI~r'llti ~ )f 11~t° +" I'_'1 11 L1i1c'll( ~I ~il>7~?. -- -----______ ~ t -~ ~~ M - - _--- - - ___ ------ - ---.~ - ----- ---fir ENx a ~ .. .... ert~ticati(1n Nlu~lher ~._____~ 1;(.'x(1 (:,°~~i,e~)~,. ~'} ~ I)latc' l~~ue~el -~ ~ ;-~ .,~ C_.. 1~ t--~ .. ~/ ~ ~ 1 .r. ' ~Y J ...~- r 1 u.... ..~, H105-t43 aEV 11/2006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS b ~,.'? TYPE PRINT IN ....,.. PE~R,c" K",EN,r~r CERTIFICATE OF DEATH rte. (See instructions and examples on reversal __.__ _.. _ .. -.___ 22 0 Z w 0 t. Hama d Decadent (Fvsl, mdde, last, sulks) 4 NEN~ CyARtES 2. Sea 3. Sopal S.curily Number - - -- - - 4 Owe d [ksadt (North, day. year) y , MA~£ 193 - 1.~ -93io ,7~a~s ~5, Zott S. Aga (Last Birdtday) lktder 1 ar UMx t da 6. Date d Birk Match, da , 7. & ~ am stop a la - 8a. Place d Dwh Check aro ,(,~ 8 ! raonete D.y, Hours wwm TP,.INE ,~ 19~? J p NARRI$~NQG f A . Hosprw: OtMr y~ i , ^ Irpauam ^ ER I OugnaerM ^ DOA ®Nursng hbrne ^ RasdMta ^ 0!w • Spacly Bb. Ctwnty d Oeadt d Dsah 8d. FarJky Name (n not insbakm, ryvs street and mnt6er) 9. Was Decedent d ItispaNC 1)rigkt? ®No ^ Y~ss 10. Rea: Artterran wt6rt. B1ad~ Whtls, et. ~ANPH/AI ~ {ARRlsByR6 HOMiC6gN rj CENTt R (" y~''°~'r CiiDat' ( M.sicart, Puerto Rican, etc.) {/Vkf/TT 11 Deoedenrs Usual kon Kind d wok d one rttost d Ms. DO rid stale roar 12. Was Decsdertl ever n tlM 13. Oeadertt's Etiucatgn (Speay only htgheu grade cartpklodl 14. Manta Status: Married, Never Mamad, t!i. Strvnng Spouse (n w1e, gne nteidwt rtrrte) n Kindel Work F E C / nf KnddBusirtess/lndrstry U.S. Armed Faces? Elttmentary / Secondary (0-121 Cdlege (1-4 or Sa) Widowed. ~~ l~Nl ~ SANCRA SnttTH R rR. Ont,ittssaArf,c l OntMONWC/tLTt{ of PR. ~ Yea ^ Nd /,Z J1~dRRiED w t 6. Deadenl's Matkrtq Address (Sweet, ary / bwrrt. stale. zip code) [kcedenra pid aecedertt P p S3 / Q.tQ i D G E V.i F H/ D R . Actual Residence 17a. slate t 7c ^ '4' T Y es, D.cedsnt Lived a, _~ Twp. l70~3 LE/~DyME PA r~ "' v D ~n LivWwahrn ~ 17D.CoWtly CNio~BERtAND t7d t ~ FJ-1cy~JE , . ~ d ~,~ - 16. FadtKs Name (First, coddle, last, sotto) 19. MMINfs Name (Fvu, rtaddle, maiden stutwtte) ~r4NlEL ED~1aaD HE~+R. MAtay S.rfERRER 20a Irtbrmara's Name (Type / Print) SRNDRA S. ~,/ENRy 20b. Inbmunl's MuYtg Adrlrgs (Sweet, cqy I town. sate. zrp Dods) -534 SR~D6~E'V%E~ DR., L-fn~oYNE: ~ Pte, lTd~{. 21 a. Mehod d [>isposroort r ^ CremaUOn ^ ~~ r T f3 i l ^ R f n 21b. Due d Dapasrtan (Month, day, year) 2t c. Place d Dispostbm (Name d carttet ery, aematay a o0ter Plan) 2 ^ d.:.a~aort (Cdy /town. state, zp code) tr a ~ emoval om State r Wp CrentMien or Daratlon AWtariaed r b w ^ ^ ^ 7 u L ~ ~o) i ~l /70LY cl~Osf cf~'f E,-~ ~ ~ r71 t ' Q~; sBrJ QC P y y ow Examiner/Caonr7 w Oho - Yea No 'V y , / y ( ?a I / , l . • 72a. d Furwral Servra Licensee a acMtg as such) r L u 22b. Liartss NrrntDer 22c. Name and Address d Fankry - • ~.~~ ~n D/,~ I ~ a. L NErL~ .~u,,-E/ri+~ 1J.~..E 3~a. 3S0 i 1~RY ST ~I ,tiR~buRG ~a. l 71i~ ContpMta aerns 23a< a4tert caralytrg physrtten s rtd ayarlattle u tme d dean to 23a. To tlw best d my krtowkYge, dash u dte lints, date and plan stated. (Signature and edsl 23b. Lianas Nuribp 23c. DaM ~~ 1~' ~' Yom) ceraly awe d deaat. _ . `I Warns 2426 mru ba oomplsted by psrsm wfro prorrotnas Oeah 24. rime a De h /~ 25. Date Dead IMOnh, day. year) 26. was Case Referred ro Medial Exarrwtw r Cacner to Ober than a Dortaaon7 p1 . ~ ~. /7" ^ Yes fC/ No CAUSE OF DEATH (See Inslructlone ettemples) t Approxunats vttarval Item 27. Part I: Enter tlw {gip g~gy6pU -diseases, nwrws. a wmpkrations -1hu dr•Ny roused the . DO NDT enter bmvrtu events such as cardiac arieaL r Onset to Deah r r t f Put II: Enter otlwr spy out rcpt resutbrtg n tlw trrtdarlyrtg rave given n Pan I. 28. Del Tobacco ~ CdrotDtAe ttl ppdt? ^ yq ^ eap abry cos , a ventricukr awalabon weltout slwwirtq the sAdogy. uu oNy arts ease an each Yb. r t IYYEOIATE CAUSE FrW Maaae a . r ^ Ne ~~ r catdlon ut ) -~ a. Y ;'1 ` ~/-~ O r~ ~ (/~ ~ ~!/,C 1 t^~1 0 .1A ~~(r _ 29. 1^ Nd wiM ear f>'e9nsM ~ Due to (a as a consequence ofl: r kat rrortd~~orte, C ary, b ~ b caws kaled at Iwte a. y ^ Prgwa Y YIIM d dash F1tMr UNOERLYMIO CAUSE Dw ro (a at a catsegtwrta dl' r r ~- ^ Nd prgtartL but preyrM aaean 42 days - (disease a'"i~'Y hu ktiaated tlw evens reaYarg n dean) LAST. c. i ~ / ~ ~ d dean ^ Duero (a as a caeequertte dl: r r • d. r -- ~ A , -~ ~ e ~ ins „ Nd prttptartL bu prgtere 43 dpe b 1 yer bebn aeeh r \ ^ urtkrbeet / preQwe w.kn en prx yew 30a. Was an Auopsy PeAattwd? 30b. Were Autopsy Frtdirtgs AvarlabN Prior ro Conpleton 31 Mamer d Dsah 32a. Dab d roMsY IMrxuh, day. year) 32D. Describe How Irryury Occuned 32c. Plea d ~Y tlortr. Farrti S1nteL FarJOry, / d Cause a Dean? ~Naar'I ^ "~~ Ofaa ~~ ~ l~/I ~( ^ Yes ~J NO ^ Yes ^ No ^ ~~ ^ Pergrg Invesogeoon ~. T~ d uyury 32e. Iryuy at Work? 32f n Transportaoon byury fSpecdyl 32g. Locatbn d k*ry (Sweet. coy / k~wn, staMJ ^ Surcrde ^ Ctsrto Not W Dermtirwd M ^ Yea ^ No ^ Drner/Operua ^ Passenger ^ PsrtMVten Otlter ~ Speay: 33a. Certifier Ictteck arey ate) ~ et d ~ ~~ ~. Signature and Title of _- +YSrctatt cwWYr9 cause d death eRien amtlter Y 9 f ty I WMsK~ has Dtonotwtced death and carplekd (tern 23) T d ~ ~`~ o M beat d mrblm+MdYe.deethoawnddwtotMcww(s-andawrweasWed--------------------------------- , • Prortowtcitq an0 pbyeklen (PAysictut Doh pratouncutg dean and cerbfyrtg b awe d dean) 33c. License NurM r e ;13d. aaM SytW (Math, daY. yerl To die beet al my k+ar'Ndge. deeUt oaurnd at Ute time, dtde, and plan. and due b tlr raaue(s) and ntarrter a sbMd _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ l ~ t /~ ~ /~ v ! ~ Ol j " ~ 1 J n 1 ~ L' • MedkY EsarttMter/Corortr Z i / t On Ute beau d aamineUon and / a investlpMiort , dean oer.trrted at tM time. deM, and plea, and dw to tfw rwee(e) and mwter as etate4 ^ 34. blame and Address d Person wfw Cartpretsd Cause d Dean (Item 271 Type /Pmt Reg~swala and ~ ~ ~ ~ ~ Dar. FiNd . m er) o + ~ r 14 o lo . I _ ~ P ,~, ~ •~ e~ Y ~ . ,e -, ..-~ ~ >' a 1 LAST WILL AND TESTAMENT OF CHARLES A. HENRY I, CHARLES A. HENRY, of Lemoyne, Cumberland County, P~er~nsylvania, 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 all other Wills and Codicils heretofore made by me. FIRST I direct the payment of my just debts and expenses of my last illness and funeral from my estate as soon after my death as conveniently may be done. Further, I authorize my personal representative to expend fun~ds~ from my estate for the inscription of my grave marker, which is already in place. ~~ ~~-~4 -~, ~~ ..,..~ rte..-; ;--~. ..~i...E €4.......J SECOND >Q~ ~? ~~~~~ ~ =' ~ -- ~_~ ~; I bequeath all of my household goods, furniture, furnishings and ~rsonal e#fects~~~ p~ ~ r~,, ~ in accordance with a written list made by me during my lifetime. In the absence of a list or designation on the list, then I bequeath such items to my beloved wife, SANDRA S. HENRY, if she survives me by thirty (30) days. If my wife, SANDRA, S. HENRY, shall not so survive me, then I direct my personal representative to distrib~ut:e such items of tangible personal property which I inherited from my said wife among her loved ones, as far as possible according to their individual preferences, including but; not limited to the following family and friends: Marianne Wohlfarth; Elaine Wilson; Kitty McClain; and Peggy Wohlfarth, if they survive me. Any such items not disposed of by the forgoing shall be sold and the proceeds added to the residue of my estate. THIRD If my beloved wife, SANDRA S. HENRY, survives me by thirty (30) days, then - (A) I give and bequeath the sum of twenty-five thousand ($25,000.00) Dollars to each of my brothers and sisters who survive me: JOSEPH W. I-IENRY; VIRGINIA HENRY ROLLINS; DOROTHY HENRY MORRIS and SHIRLEY HENRY WOLFE. Provided, that the foregoing bequest to JOSEPH W. HENRY shall be void, in the event that he is receiving Medical Assistance (Medicaid) benefits at the time of distribution of my estate. (B) I give, devise and bequeath all the rest, residue and remainder of my estate to my beloved wife, SANDRA S. HENRY. FOURTH In the event that my wife, SANDRA S. HENRY, fails to survivE: me by thirty (30) days, then I give, devise and bequeath all the rest, residue and remainder of my estate as follows: (A) I give, devise and bequeath the net proceeds of the salE: of my real estate known as 539 Bridgeview Drive, Lemoyne, Pennsylvania, which I inherited from my wife, after deduction of a proportionate share of the debts, funeral expenses and costs of the administration of my estate, in three equal shares, unto the EAST SHORE BRANCH of the HUMANE SOCIETY, the HELEN KRAUSE ANIMAL FOUNDATION and the ASPCA, for the care of abandoned animals. (B) All the rest residue and remainder of my estate I ~~ive, devise and bequeath, as follows: 2 (i) Eighty (80%) Percent to be divided equally, per capita and not per stirpes, among the following persons who survive me: JOSEPH W. HENRY; VIRGINIA HENRY ROLLINS; DOROTHY f-iE=NRY MORRIS, SHIRLEY HENRY WOLFE, MARILYN WOLFE MacKA'VAGE, ANTHONY WOLFE, Jr. AND LEONARD MORRIS, Jr. Provided, that the foregoing bequest to JOSEPH W. HENRY shall be void, in thE~ event that he is receiving Medical Assistance (Medicaid) benefits at the time of distribution of my estate. (ii) Twenty (20%) Percent to be divided equally amonng the following persons or their issue, per stirpes: HARRY ROLLINS, Jr., JUDITH ROLLINS SCHULLER, STEPHEN ROLLINS and DOUGLAS MORRIS. FIFTH If my wife survives me, I direct that no inheritance tax shall be apportioned to her share of my estate. If she fails to survive me, then I direct that any and all inheritance, estate, and transfer taxes imposed upon my estate passing under this; VVill or otherwise shall be paid as an administrative expense, without apportionment, out of the principal of my residuary estate passing under item FOURTH (C) hereof. SIXTH In addition to the powers conferred by law, I authorize any personal representative acting under this instrument, in her absolute discretion: A. To retain in the form received, or to sell either at public or private sale any real or personal property; 3 B. To exercise any options to subscribe for stocks, bonds, or other investments; C. To join in any plan of lease, mortgage, consolidation, exchange, reorganization or foreclosure of any corporation in which my ~es~tate or any trust may hold stocks, bonds or other securities; D. To sell, transfer, convey, mortgage, pledge, lease or exchange any .property, real or personal, which at any time may form part of my estate, for the payment of debts or taxes, or for any purpose of administration or distribution, for such prices and upon such terms as my personal representative, in her sole ,\ discretion, may deem wise, and to execute and deliver deeds o~F conveyance or transfer thereof; E. To make settlements and compromises on such terms as my personal representative in her sole discretion may deem wise withoul: the necessity of obtaining any court approval thereof; F. To make distribution hereunder either in cash or kind, as my personal representative in her discretion may deem wise. SEVENTH I do hereby nominate, constitute and appoint my wife, SANDRA S. HENRY, to act as Executrix of this my Last Will and Testament. Provided, howe~vE;r, that if she is unwilling or unable to act as Executrix, I direct the duties of Executrix to be performed by MARILYN W. MacKAVAGE. My personal representative shall be entitled to reasonable compensation for the value of her services to my estate. 4 EIGHTH I direct that no personal representative, guardian, trustee or other fiduciary appointed under this instrument shall be required to give bond for the faithful performance of his or her duties in any jurisdiction. IN WITNESS WHEREOF, I, CHARLES A. HENRY, have herE~unto set my hand and seal to this my Last Will and Testament, con:~isting of five (5) typewritten pages, the ~~ first four (4) of which bear my signature in the margin for identification, this ,-day of June. 2010. ~~ CHARLES A. HENR Signed, sealed, published and declared uy the abo~re-name~+! CHARLES A. HENRY, Testator, as and for his Last Will and Testament in the presence of us, who have hereunto subscribed our names at his request as witnesses thereto, in the presence of said Testator and of each other. ~C-~~~ ADDRESS ADDRESS /~ >o w ' `~ `~ ~`-- `~~ L~ W r R ~~ ~~ 5 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND We, CHARLES A. HENRY, Thomas E. Flower and ~ ~ ,the Testator and witnesses, respectively whose names are signed to the foregoing or attached 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 Testament and that he signed willingly and that executed 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 witnesses and that 1:o the best of their knowledge the Testator was at the time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. C~is~~-j- ll CHARLES A. HENRY ~nn.,--- fitness ~ _ ~__~ it ess Subscribed, sworn to and acknowledged before me by CHARLES A. HENRY, the Testator, and se.~bscribed to and s~~rcrn or affirmed tc before mE~ by Thomas E. Flower and ~~ ~, 5.~~-~' ,witnesses, this day of J'..~,,~> , 2010. COMMONWEALTH OF PENNSYLVANIA Notarial Seal Yvonne Sersclh, Notary Public Camp Hill Boro, Cumberland County My Commfaaton Eacplros Feb, 1, 2012 Member. PennsvivaMa As4odation of Notaries 6