HomeMy WebLinkAbout07-25-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS
PETITION FOR PROBATE AND GRANT OF LETTERS
Estate of Lee K
a/k/a:
a/k/a:
a/k/a:
Evelhoch
Deceased ESTATE NO: 21- ~ ~ -- ~..~~~,~
SS NO: 159-24-9138
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 G rant of Letters Testamentary or ^ Administration e.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 11/20/2007 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):_
^ 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 e.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 ofa 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 tollows:__
tiame Address Relationship to Decedent
n
~~ 11
l'~SE :1DDITIONAL SHEETS IF NECESSARI' ~. > ---. -.~ ~? - ~
THIS SECTION MUST 13E COMPLETED: .~~~ __
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family o~~~t¢trcipal residence _ `~~:
At 30 Parsonage Street,_ Newville Borough 17241 ~_ °`° , °~ ~"
(Street address ~~~ith Post Ottice and 7,ip Code. Municipalin~ Township, Borough, City) ~ `~~ '~*'1
~~ ~"~ Q
Decedent, then 89___ years of age, died 7/19/2011 at Carlisle, Pennsylvania '`~' --n
Estimated value of decedent's property at death:
If domiciled in PA
if not domiciled in I'A
11~not domiciled in PA
_Value of Real f~atate in Pem~sylvania
(Month, Uay. Year of death) (Cit`~ and State where death occurred)
All personal property $
Personal property in Pennsylvania $
Personal property in Count~~ $
Total Estimated Value $
50,000.00
110,000.00
160,000.00
Location of Real Estate in Pennsylvania: (Provide full address if possible.) 30 Parsonage Street, Newyille, Pennsylvania 17241
Siglrature(~) Name(s) & Mailing Address(es)
~ ~'~ ~ Nanc E. Giltrud 12703 Foll
y y Quarter Rd., Ellicott City, MD ~
1H !1 A')
' ~~_ Sue Ann tum, 372 Burnthouse Rd., Carlisle, PA 17015
aKct t
(' _
Betsy Lou Hetrick, 319 E. North St., Carlisle, PA 17013
.~~~~~~~~ ~.,~~~r~...-.,~~~~~.,.,.. i~.~~,.i~,vv ~~unvcuaiiu~vuniy Ncnuinr~,acu~niuv uiCLUUit Page I Ot ~
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 ~ffi~ed and subscribed 9~ ~~:~ ~ ~ ~~
befor me this day of ~ ~
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For the Registf~~ ~ ~ `-r- =•. ,v,
DECREE OF PROBATE AND GRANT OF LETTERS ~ ~~.:.~
~~ ~~
, ,
Estate of
AND NOW, this\
the reverse side hereon, sa
__Testamentary o f A
Deceased File Number: 21- ~;~ ~1 ~ ~ -~~ ,~
day of , in consideration of the Petition on
tory proof having been presented before me, IT IS DECREED that Letters
gyration are hereby granted to:
(If applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.)
the above estate and that instruments(s) ~
admitted to probate and filed of record as
described in the petition be
t Will and Codicil(s) of Decedent.
nda Farner Strasbaugh,
Regi r of Wills
FEES:
Letters ....................
Will.. ..................
Codicil(s) .................
( )Short Certificates
( )Renunciations......
Bond .............................
Other .............................
.................................
Automation FEE......... 5.00
JCS FEE ................... 23.50
TOTAL ................ $
Signature of ~.punsel Required to Enter Appearance
Atty's Signature
PRINTED Name
Supreme Court ID No.:
Address:
Phone:
Fax:
in
Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 2 of 2
OATH OF PERSONAL REPRESENTATIVE
~~_,
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Commonwealth of Pennsylvania ~ SS ~~ ~.-. ~'
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County of Cumberland =,-'~~ ~'~ ~ ~~; ~_
The Petitioner(s) herein named swear or affirm that the statements in the foregoing Petitis~gi~rue d ~ ~~ ~=~~-
__~_,,
correct to the best of the knowledge and belief of Petitioner(s) and that, as personal repre~>tive(s)-ef the == ~=;
Decedent, Petitioner(s) will well and truly administer the estate according to law. ~~'. -~ ~' ~~,~
-~
Sworn to or affirmed and subscribed
b ~ re ~-i this vS1- ~ ~~da of
---~ //
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fc~kl~e Register
DECREE OF PROBATE AND GRANT OF LETTERS
Estate of Lee K. Evelhoch
Deceased File Number: 21- -~ (J
-._~
AND NOW, this ~~ day of ~> ~ ~ , in consideration of the Petition on
the reverse side hereon, satisfactory proof havinb been presented before me, IT IS DECREED that betters
X Testamentary of Administration _ are hereby granted to:
(If applicable, enter c.t.a., V. b. n., d.b.n.c.t.a., etc.)
Nancy E. Giltrud, Sue Ann Stum and Betsy Lou Hetrick in
NRA ANC ~. ~
the above estate and that instruments(s) dated 11/zo/zoo7 described in the petition be
admitted to probate and filed of record as the last Wi(1 and Codicil(s) of Decedent.
FEES
Letters ....................$ -~~ t, GC.-~
Will ........................ I ~ •C)(~
Codici I(s) ................._
(~) Short Certiticates ~ ~~ ~ ~1~?
( ) Renunciations......._
Bond ............................ .
Other .............................
.................................. _
Automation FEE......... _ x.00
JCS FEE ................... 2 x.50
- .~ ~~ ,~
~C`~,
TOTAL ................ $ ~z•8--~0
Glenda Earner Strasbaugh, , h =~?Cr~(.~_' ~5~-(~ ~ ~~
Register of Wills
.! -
/ ~_
PRINTED 1'-Game: Susan .]. Hart an _ _
Supreme Court ID No.: 6518
Address: 1 Irvine Row
Carlisle, PA 17013
Phone: 717-249-7780
Fax: 717-249-7800
~Ignature of (;ounsel FZequi • to Enter Appea~ra
__r/
Atty's Signature ,~
Interim Form K\v-U2 revised 1226.10 h~ Cumherland Count~~ pending action h~~ the Court Page 2 012
OCAL REGISTRAR'S CERTIFICATION OF ~DEt~~'yl-I
W,AR~~ING: It is illegal to duplicate this copy by phol:ost~at or photac~ira~r~~~
>~re tt>r this certifie:ate. `~f~.()S)
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Ht(IS.ti3 REV tt/l0p6 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS -`~ C `~ -
TYPE / PRINT W . ~,
P~ u~ CERTIFICATE OF DEATH ~
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(See instructions and examples on reverse) -~ ~-- 4.,.... -
STATE F
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1 Name a Decedent (First, mdde, last. suttuQ ILE NUMBER ~
.::;-
Lee K. Evelhoch 2. Sek 3. Socyl Secunry NwrtDSr Death IMortm, eay.'yfleq
Male 159 - 24 - 9138 July 19, X11 `'~~ Q
s. Age (Last BirmdaY) under 1 urtdar 1 da 6 DaM a Bkm MaMh, da . 7 and syM a 1« 8a Place a Dean Check one
89 ems ~'~ ~5 ram West Pennsboro 'I~Tp Hospdal: Oth,r
vrs. Sept 9 , 19 21 PA ®InpaDBM ^ ER / outpatient ^ ooA ^ Nursng dome CI Residence ^ on+r spa
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anty d Dean Bc. Gry, t3oro, iwp a Oeam
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8d Faaliry Name Ill not mstiWtion, give street and number) 9 Was Decedent of HLspanit Origst? ~] No ^ Yes 10. Rea: American ktban
Blrk wlala
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J Cumberland South Middleton ,
,
(u yes, speciry Cuban, lit
Carlisle Regional Medical Center M
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t 1. Decedents Usual Oct KvW a work done du most of kN. Do rat state robed
Icirw a Work eucart,
uerto
ican,etc.l White
12. was Oacedent ever in the 13. Decedents Educatiar ISpeury «'N hayiest grade competed) 1 t. Marital status: Mamad, Never Man~eD. I5 S«vmng Spouse IN wAe
give madsn name)
Kkwd t3uwteas/Irtdtrwy
Insurance Agent Insurance ,
U.S. Armed Forces? Elementary /Secondary (0-12) Couege (1-t « s+) widowed, Div«ad (SPeaN)
®y
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No 12 1 Widowed
16. Decedents Madtrg Address (Street, dry! town, state, zip code) Decedents Oid Decedent
3 0 P a r s o n a e Street
g Aaual Resdertce 17a. slate __ PA Uve m a
17c. ^ Yes
Decedent Lned ~
N ewv i l l s, PA 17 2 41 ,
Twp
Cumber 1 and Townenp? 17d. ~[ No. Decedent Uved wMn
"~ ~nry
18. Fanwts Nartw (Post, nkdAa, last, wffis) Atttr~ Lirtwb a N e wv i l l s
city / eoro
Emerson H. Evelhoch 19 Mothers Name (First, mddb, nwden sumamel
Rosie Bear
20a. kdorntants Name (Type ; Pnnt)
Sue Stum 20D. ktlonrwtts MaAtrtg Address ISvset, csy /town, slant, ip code)
372 Burnthouse Road, Carlisle, PA 17015
~ 21 a. Method a Disposrbon r ®CremaUOn ^ Daytian
• ^ 8tryl ^ Removal from st
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~ 21 D. Date a Disposm«r IMonm, day, yeazl 21 c. Place a Duspositan (Name of cemetery, crematory «other place) 21d. Location lCiry /town, state, np code)
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was Cnrttallan a Danlloo Autllorined
^ om«- 'bytredcalE„m;,,er/coroner?
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res^No 7-21-2011 Cremation Society of PA Harrisburg
PA 17109
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uneral Ke ,« atxir-q az 1 220. License NumDw zzc Wme and Address a Faakty Auer Cremation Services o f Pennsylvania
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FD 138312 4100 Jonestown Road Harrisbur PA 17109
itarne 23at ortry 23a. To eta Dent a my Mnowkdge, decent ooaured at the dna, date and pace sued. lSrgrtahus and opal 230. Lserw rkunber Sgrwd IMorM, daY• Y•ar)
pAysinen rs oat available d deem b 23C. De4
oerely twos a daant
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~ 25. Dale P`raw/unced Dead (MOnN, day, Yearl 26. Was Case Referred b Medical Esmrrr 1 Coroner Lx a Reason OIMr tllln CremaOm or Daybn?
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CAUSE Of DEAT?1(Sra• Inatructlons and s><amp ) ~ Approxenau interval:
Item 27. Pad I: Enter me roan of events -diseases, vtpuws, or compkcations ~ mil direc7y caused the death. DO NOT weer Iennaal events such az prdac arrest
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Onset to b
m Pan l l Enur other 28. Did Tobaao Use C«i4lblM b psafh~
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respratory arrest. « ventricular hbrdlaDOn wMpA std dw . Ust
wrg ecology Dory one cause an oath Wte. but not resultirp n the underryrg cause n Part I.
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IWIEgATE CAUSE (Final disease a L e L~ r
condiUOn resulW,g m death)
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Enw UNDERLYING CAUSE Due to la consegwnce al: '
(disuse « n)try nut nrDaud the r~ r^^ r
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Prag'u"L brd pngrrrs wsM 12 daY+
swots rasWOrtg n decent) LAST. c ~ ^ ~ r`
a. /t'.Jr t~ ~lo.~{ ~ (~ ~ d dean
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Performed? 30b. Wars F
Autopsy vtdirgs
AvaYabre Pray Io Conpgtion 31. a Daam
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32a. Dab a Input' (Monet, day. year)
32b. Describe How Injury Occurred
32c. Plan d
kMeY Home. Farm, Swat Fagory,
d caws a Deam? twat
Honkckte onioe f3uldrrg, sec. (Spern)q
^ Vas No
^ Yes ^ fVO ^ AccgeM ^ P In
•r'd"'g vesigation 32d. Time of lrtjury 32e. I al Work?
Mu'Y 32f. It Transporutan I
~ry 1
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32g. Loratan a vyury {SUeet, p
Y I bwvt, shM)
^ Suaade ^ Could Nd be Dslerrrwred M ^ Drnerf ^ p r
assenge
^ Yes ^ No Oparal«
^ Pedestrian
73a. CaM1lier (check aruy
anal Omer ~ Spenry.
~dYing f*Y~~ l~'Y~an c•~Y'n9 cause a death when anomer physicyrr has ptonarrced death and completed Item 23)
To tM best d my b'o•'Mdg•, death occurred dw to the cawels) and manner ae stated _ _ _ _ _ _ _
-----------------------
• P 33b Signature era Tide of Certifier
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ronouncing artd uwdlyry W'Ybcun iF'hysaan lath Droncrsrcvtg deans and c•'aYrn9 b pose of Oeaml
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• 33c License Number
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33d Date SrtlflBd IlAOnm, day, yarl
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34 Name and Address a P
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~.~(.7 i - ----
Lee K. Evelhoch ;.-~ `~ '~' ~ -'
I, Lee K. Evelhoch, of 30 Parsonage Street, Borough of Newville, Cumkrlan~'~
County, Pennsylvania, being of lawful age, sound mind and memory, and under no
restraint, do publish this, my Last Will and Testament, revoking all others previously made
by me.
First: All expenses, fees, costs, and taxes related to this estate shall be paid from
the probate estate assets, and all gifts and bequests shall be paid from the net distributable
estate.
Second: I give, devise, and bequeath my entire estate, real, personal, or mixed,
of every kind and nature, and wherever situated, which I may own, or hereafter acquire, or
have a right to dispose of at my death, in equal shares, to my children, Nancy E. Giltrud,
Sue Ann Stum, and Betsy Lou Hetrick.
Third: I nominate and appoint my children, Nancy E. Giltrud, Sue Ann Stum, and
Betsy Lou Hetrick, to be the Co-Executrices of my Last Will, granting to them authority to
sell and convey any or al of my estate, real and personal, or mixed, upon such terms and
prices as they shall deem proper, without obtaining any prior order of the court therefor.
I also grant them full power and authority in the settlement of my estate, to compromise,
adjust, and settle any and all debts and liabilities due to or from my estate, for such sums
and upon such terms and conditions as they shall deem best. I direct that no bond or
surety shall be required of any executrix, administrator or fiduciary named herein.
IN WITNESS WHEREOF, I have hereunto subscribed my name, and acknowledge
and publish this instrument as my Last Will and Testament in the presence of the
undersigned witnesses, on November 20, 2007.
~-~-
Lee K. Evelhoc
~..
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Witness
Witness
2
Signed, sealed, published and declared by Lee K. Evelhoch, 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 hereto.
Susan F. Luhn residing at Newville Pennsvlvania
Robert B. Fry residing at __ Newville Pennsylvania
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
We, Lee K. Evelhoch, Susan F. Luhn, and Robert B. Fry, the Testator, and the witnesses
whochse names are subscribed to the attached Will, 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 he signed it willingly and that he executed it as his free and
voluntary act for the purposes therein expressed; that each of us in the hearing and signt
of Lee K. Evelhoch signed the Will as witnesses; and that to the best of our knowledge he
was at that time 18 or more years of age, of sound mind and under no constraint or undue
influence.
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Testator: ~~~
Witnesses:
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Sworn and subscribed to before me, this 20th day of November, 2007.
'A ~,
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