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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 ~ ~ r ~ -J _ ~ " -_' r JJ F ~- ll (/ 7 ' _ _ t~- - M~- ._, . ~.~ ._ . tom ~... %.) ( '-~~ 1 ~-" ~ 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 ~~_, c~ --~- Commonwealth of Pennsylvania ~ SS ~~ ~.-. ~' r- 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 ---~ // /~ - ~C..~/~-~ 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) P 1797_x-~_~~__. Certificatil~n Nun-~~r l~~r rill Ulra„ilia ~t~;, ~p,~,~ H OF~ p ft' ~, 1 Q c'?~ Z. v ~; __~F ~ , ,~\ ~99,Tjyc _ _ ~~~~,,, I'11~ {~, lt7 t..~;tf3~. ?1 ,~ ii~'l. iltl!~r(lllllll)Il hc'CC° ~Tl~c'.Il 15 ~ ~I~rc~tl~ c~~l~;~'L! .r ~ , ~ r. t,i~~ir~.-1 (trt?il~i~•.I(e ut I)~-th tl!Il~~' fil~-i ~~tlh I11,~ ,~ S 1 ~~iE I~e~7l~tr1-r. ~11-~ ~ttlr~i,r)~-1 ~ rti~~lL ~It,_ ~ti ~Pl ~~ ~ Ir;i~~lC t~~, the ~i~atl~ 4'ital l~.~l:(~t)l~~ ~ ~Ilst. i' 1, ~,• "t`} ~.<i?il'Bli llllfl~T. z _______ _'_ _ _ ~~~____ _ __ ~ ~~_~1_ __ L~Ir~li ~~"~,I~~r.l~as 1)~-t~ l~s-lt~±! ~.^ n .:;: ~ -J~~ ;~ _~... r *"1 -' ~ ... C r_ - - ~. - Ht(IS.ti3 REV tt/l0p6 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS -`~ C `~ - TYPE / PRINT W . ~, P~ u~ CERTIFICATE OF DEATH ~ .~ ~ -T~ ~ -~- _ _ ~, (See instructions and examples on reverse) -~ ~-- 4.,.... - STATE F - 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 : BD C . anty d Dean Bc. Gry, t3oro, iwp a Oeam ~ y 8d Faaliry Name Ill not mstiWtion, give street and number) 9 Was Decedent of HLspanit Origst? ~] No ^ Yes 10. Rea: American ktban Blrk wlala st "~ ! J Cumberland South Middleton , , (u yes, speciry Cuban, lit Carlisle Regional Medical Center M P R 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 ^ „ 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 t ~ 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) a e was Cnrttallan a Danlloo Autllorined ^ om«- 'bytredcalE„m;,,er/coroner? z2 a F res^No 7-21-2011 Cremation Society of PA Harrisburg PA 17109 . , a ~ uneral Ke ,« atxir-q az 1 220. License NumDw zzc Wme and Address a Faakty Auer Cremation Services o f Pennsylvania Inc C.c~ , . 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 `J c~ U -~ z 0 U ~fq Zap ~ bt, ~,ce 21. Tme a DeaID / . O O ~ 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? / , - , ~/ M• ~,/ ~/ t/ ^ Yes 'No L Sd 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 r Onset to b m Pan l l Enur other 28. Did Tobaao Use C«i4lblM b psafh~ , ea 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. 9'vn ^ p ^ Yw ^ IWIEgATE CAUSE (Final disease a L e L~ r condiUOn resulW,g m death) I •b ~ No UNCbwn -~- a. o Yl1 L! t s V` F7`' ~c~ Qti,~ 1 c.! i D W b (« az a ConseQlWrlCe On; ~ r Iw candiboru, d any D. ~r4e - ~~Xa r~ /~ 'r1 1 ' b caws listed on Ina a ~ I.)e M2 Y><~g p r ^ Pngryrrl at em. d dsYh Enw UNDERLYING CAUSE Due to la consegwnce al: ' (disuse « n)try nut nrDaud the r~ r^^ r ~ ^ ~ Prag'u"L brd pngrrrs wsM 12 daY+ swots rasWOrtg n decent) LAST. c ~ ^ ~ r` a. /t'.Jr t~ ~lo.~{ ~ (~ ~ d dean Dw to (« az a cartwquertce orl: ~ r ^ Pbt pregrwn, but pregrtrn r3 dtrye b t year 30 W A d. r ' ttslora death ^ lkaurotwr ~ pregtary wiM nr pest year a. ad an utopsy Performed? 30b. Wars F Autopsy vtdirgs AvaYabre Pray Io Conpgtion 31. a Daam ~~ ^ ~ 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 / 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 ~ ~, ^rek'~o, r ~'v ~ .MD al- • ,S.,Yt-rc~,v. (Bkr/~.3 - - - ronouncing artd uwdlyry W'Ybcun iF'hysaan lath Droncrsrcvtg deans and c•'aYrn9 b pose of Oeaml Ta ifM best a my knowledge. dwth daumd at the D ,and plan. old dw to Uw tau ^ eel!) era manrrr as elated- • 33c License Number ' 33d Date SrtlflBd IlAOnm, day, yarl - - - - - - - - - - - - _ _ _ _ _ wdlw Eaamirtsr/Corortsr ~ rile Oaers f i (Nl D ~37 ~ I ' ~ 7' I~ q ~ - 1 O esammat on and / Or investigad , M dplllldll, death OCCUfrad at nN tkMr data, and plats, and dire 10 Ilia CaUeele) arW nyrlne/ ai slatad_ ^ 34 Name and Address a P Wh C Reg~sear qty re and urc a a a a >6 Date FiW IMavh. bay year) arson o «npe(ed Cause d bea ~ ~ l /~ L EX AN ~t ~ m ittem 27) Type 1 F'nre S PG ~ 1, . . . C ~ ~ ~ I Disposrtan Perms No. lL l ~ S Ui, r'`.? c":^°7 ``"" ~.~(.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 ~.. f '.~~- I V 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. r .~ Testator: ~~~ Witnesses: ~ ~.- y~f ~ ~ J ,J ,,. / r' C%~ Sworn and subscribed to before me, this 20th day of November, 2007. 'A ~, 1 ._ .. _ a ;~ .. . ~ Notary Public ~h 001N~nr ~I-~weo~e~M~ar z~, zoos