HomeMy WebLinkAbout08-30-11PETITION FOR PROBATE AND G
RANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND C
Estate of L dia V. Hazlett OUNTY, PENNSYLVANIA
also known as File Number 21 - 11- Q 9,~
Lois H. Kielko f and Linda H. Hamilton ~ Deceased Social Security Number 210-26-9338
Petitioner(s), who is/are 18 years of age or older, apply(~ao inda L. Hamilton
(COMPLETE `A' or `8' BELOW.)
A. Probate and Grant of Letters Testamentary and aver that Petitioners is are
last Will of the Decedent dated _05/10/2011 and codicil(s) dated () / the CO-EXeCIIItOrS named in the
After the execution of the documents offered for probat V ~nDecedent did not mar ~ipwas notf divorce er~.l
wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. §ry3323
a killing; and was never adjudicated an incapacitated person, except as follows: ed, was not a party to a pending divorce proceeding
(g); did not have a child born or adopted; was not the victim of
^ B. Grant of Letters of Administration
Petitioner(s~, after a proper search, has/have ascertained that Decedent left no~Will and was survi ed b uthe followire
Administration, c.t.a. or d.b.n.c.t.a., enter date of Will on Section A above and complete list of heirs); was not the vi
adjudicated an incapacitated erson; and was not a party to a pending divorce proceeding wherein grounds for divorg spouse (if any) and heirs (if
provided in 23 Pa. C.S.A. § 323 ctim of a killing; was never
(g), except as follows: ce had been established as
Name
Residence ~ .=.~
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(COMPLETE IN ALL CASES:) Attach additional sheets if necessary. ,- ~
Decedent was domiciled at death in
Cumberland County, Pennsylvania with his /her last principal residence at
505 S. S rin Garden Street, Carlisle, PA 17013
!List street address, towNcity, township, county; state, zip code)
Decedent, then 95 years of age, died on
08/03/2011 at 505 S. S rin Garden Street, Carlisle, PA 17013
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property
(If not domiciled in PA) $
Personal property in Pennsylvania $
(If not domiciled in PA)
Personal property in County $
Value of real estate in Pennsylvania
situated as follows: 505 S. Spring Garden Street, Carlisle, PA
1,800.00
96,600.00
Total 98,400.00
the undersigned:
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the rant of L.e
9 tters in the appropriate form to
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Carlisle, PA 17015
Page 1 of 2
Oath of Personal Represe
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NWEALTH OF PENNSYLVANIA Live _
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COUNTY OF Cumberland } ss _
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The Petitioner(s) above-named swear(s) or affirm(s) that the statements in th
the knowledge and belief of Petitioner(s) and that
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nister the estate according to law. P entative(s) of the Decedent, Petitioner(s) will well a
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Sworn to or affirmed and subscribed ~
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'~ ~•~ nature of Pe sona/ R resentativ
bet me this ~ _ Lois H. Kielko f
_ day of P
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Sign ture of ersonal Representa
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rryy~~~~~~ Linda H. Hamilton
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Fpr the inter Signature of Personal Representative
File Number:
21-11
Estate of Lydia V. Hazlett
Deceased
Social Security Number: 210-26-9338
Date of Death: 08/03/2011
AND NOW, ~~~
having been presented before, me, IT IS DECREED that Letters , in consideration of the foregoing Petition satisfacto
Testamentary rY proof
are hereby granted to Lois H. Kielkoaf and Linda H Hamilton
and that the inetr~ ~.,,o.,a..~ ~_.
~~~~~"`~~~ ~a«~ v5/10/2011
described in the Petition be admitted to nmhatc ,.,,~ ~:~_~ _.
in the above estate
-~•~ ,.,~~ ~~ -ewra as the last Will (and Codicil(s)) of Decedent.
FEES
Letters ..................................
~ / ®, Oa
Short Certificate(s)........... Q~
Renunci ion( )
s ............................ ~
$
~
~~ $ ,~
$
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of '
$
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$
$
$
TOTAL .................................... $
m RW-~2 Rev. 10-13-2006
Attc
Atto
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Supreme Court I.D. No.: 90946
Law Office of Sean M. Shultz, P.C,
Address: 4 Irvine Row
Carlisle, PA 17013
Telephone: 717/701-8412
Copyright (c) 2006 form software only The Lackner Group, Inc.
Page 2 of 2
OCAL REGIS7'RnQ~c .~•~r,~....._ _ __ _ 2 ~ ~~~ ~ ~~`7~
ERTIFICATION C)F DEAT
WARNING: It is illegal to duplicate this copy by hotos I'I
p tat or photograph.
Fee for this certificate, $6.00
P 1772711
Certification Number
This is to certify that the information here given is
correctly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
certificate will be forwarded to the State Vital
Records ~~ffice for permanent filing.
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Local Registrar ---~ ~~'--' ~"'
Date Issued
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TYPE J PRiNr>1~0o6 COMMONWEALTH OF PENNSYLVANIA • ~~ ~
PERMANENT ~ .t ,
SLACK INK DEPARTMENT OF HEALTH • VITAL RECORDS "-'I ~~ ` -.
CERTIFICATE OF DEATH ~ ~ ~ ,~ l '~
1•r'r&'yorD•cedent(FireLm;dtlre Ieat auMoc) (See instructions and examples on reverse) ` ` ~~
L d1a V • Hazlett p, Sez STATE I=1LE NUMBER , ~
5. Age (Last ButlMeY) Under 1 3. Social Secudry Number ~; ,
under 1 de 8. Dare a t3km Monet Female 210 a. Dare or Deem (Hwtm, may, Ye•d
"b">s °' ~ - 26 -9338 Au st 3
~' and state a
- 95 rrS ~B N~ton ~ 8e. ~ or Deem checc ~, „~ 2011
' ~• c«•ur a Deant 10 12 1915 Count PA ~ member ' I:
(~~'(j 1 • tk. Cir, 9oro, Twp, a Death Other:
1 ( . Cumberland South Middleton tld. FadIUY Name (g na instNutlon, 9h'e ssaet and msrteer) ^ Inpatlen9 ^ ER / Ougtatfea ^ t~A ^ Nu '
~^'P 505 S . S r a Illapertk: odgln? ~ NwneResidence ^ odyr .spear:
• n. Deoedarws tlsuel a wok done Ping Garden S t . pr Tee, avear Cuban ~] No ^ Yea 10. Race: American Irtden,
ICnw a work "10°t a Igo. Do na area lz wee Decederd ever M Ny 13. Me,~a,t, Ptyrlo Ricert, ero.) ( , where, ero.
Cook ~,~,, u.s. Amtetl i
18. Decedent's Mai CaterlBu-S~~eSS F0~? Elem~jary ~aSP~' °~l' ~ grade canpretea) 14. Marll~ Stale: Merced, Never Herded, 15. S
~ Address (street. sly /town. state, ^ vas ~# No 12 ~ (1.4 w 5+) Wwowad, Divorced isp•aryj Ong Spouse pr wine, give maws, name)
505 S . Spring Garden St ) Aa~uel~R saidence na. state PA Wl~d
Carlisle, PA 17013 °idp~"'
1e. Fames Name 1?b. County Live In a t 7c. C$Yea, Decedent Lived in South Mid
(Fast mieae IaeL at~x) Oberland Township? dleton
Robert Bruce Heberlig na ^ No, Decedem treed wimin Tap
Actual Lunde or
1s. Homers Name (Rrot, mwdy, maven sumeme)
Inrwmant's Name (TYPE / Prirtq Cir / Soro
Lois H. Kielkopf Elsie Mae Miller
21a. 20b. Inf
e - Memod a Dispoaibwt r ormartYs Mailing Adtkeas (Street, dry /town, stare, zq coda)
®R,„;,I ^ ~ srere ~ ^ cremation ^ p~a,~ 2,b. Data a o 2 7 Greenfield Dr ' Carli,,
• ^ Deter - r was crernaNon a Donation A Ispositwn (Room, der, year) 21c. Place a 1~7e ~ r'le, PA
~ 22a. ~ sorvioe ~nsee "-~ Medkal~ kyrJCororyr~orizad Disposnbn (Name a cenyrery, creny 17015
Sipxtur• I ^ Yes^ No 8 8 201 1 rwr wodyrpace) 21d. Locedon (City/town, state, zip rode)
Pros
- ~`' ~ "'""ter 22c. Name andAddress a Faalky ~ Hill Cgnete NewVille PA
c«na•I. creme z3ea onr wttert c„ay;,g ~ To ~ a 012 63 3 L Ewing Brothers
vMa~rt +8 ~ > a< lime a deem ro "~ , de•m at the seta, dare and Funeral Ht~ne , Inc . , Carlisle PA
err Corse a deem. „/}~~~ are . (synemre and tole) ~ 17013
- w r,~• Lir~„ae Namber
,~ 2p~~ ~mcorngered M pe~a«~ 2<. rtme a Deem 2s. Date P 23c. Dare synod IMwan, da ,
Dead (Room, de , S Y read c~
M. r Y•ad ~ ` V
~ ~ /t'h ~ 26• Wee Case Relened to Medical Examiner /Coroner }or a Rea p(,
frern ZT. Part I: Enter Ny CAUSE OF DEATN (S~ InatrueUona and axe s) ~/ ^ y„ ~ r then
- cheeses, rcp~urdas, w ~ntPncaNons .met di No Crerrytlon or DonaNwt7
resprerory arrest w ventrirmlar Bbrtketion nacllY ceuaed the deem. DO NO ter terminal t APProxrnyre interval: Pan II: Eller ewer
IMMEDIATE CAUSE /Foal disease or a"rf10m showing rte ehobgy. List onr one cause on e~lt line. events such as cardiac arrest r Onset ro Deem
cadkon resulbrg to m) ~~ _ I ~ 1 _ r bul not resuPong In me undo 28. Dw
F'C {1 ~co use contr~ota ro Deem?
-~ a. t u i G ~ C.uYCttii~'.n'w:. ~~ Fr u ti , 6 1 ^- ~9 cause ghren kt Part I. ^ Yes ^ Prababr
Due to (w as a consequence oQ: ~ 1 ~ U~'Y' r ;~ U~1c S 1 ®No ^ Unknavn
~~ rx' d ~' b. r /~ T V v co i ~t ~ y I + ~G: f TCa Lr
t:rMx tiered on 6ry a. t '--~----- 29. II Female:
( UItDERLYNVG CAUSE Duero (w as a cansequertce of): r ~--•--~
e~a~, met iriNeted fhe
- ewes rastrr yAUr in deem) LAST. c. ~ ._~_ ~ Na Pregnant wimin past year
- Due to (w as a r ~ Pregnant at iNne of deem
tl. ~"~ °~' ; ~~- ^ Not pregrynt, but Pregnant wimtrt 42 days
of deem
30a Woe an r ~~~_
P•rlormed?Auk 30b. Were Y Eroding, 31. Harmer of Daeth r ^ Na Pregnant, but pregnant 43 days ro 1 year
Avagable Prior ro ~-~/ r ~-' before deem
DeamCw~~ L?Netural ^ ~~ 32e. Dale a Injury (Mwtm, de),, read 32b. DesaLe liow Mjurl, p~~ ---~-•-
rR of Cause a ~ ^ UnknoMm d pregnertl wimkt dy past year
_ ^ Yes L9 No ^ Yes [~ No ^ Accwsm 32c. Place a Injury: Flppe, Farm, Street, Factory,
^ Pendag Imeeligeeon 32d. Tone a Injury 32e. I Office Building, etc. (Spac//yj
^ SWdtle Nary at Work? 32f. h Trartsporredort Injury (SpecryYl
^ Could Nol be Determined 32g. Location or iMury (Street, ary /town, state
33s. Certlner (check Day one) H. ^ Yes ^ No ^ Dmrer/
Dpereror ^ Passenger ^ Pedestrian )
• ~~~ PIry•taan (fin cartllyktg cause a deem when another Dater SP•oh'
To Nre beat a my ~eidg• esaNt occu~d ~ to by ~~~ has Prortoutcetl deem and co
awe(s) and manner ae stared_ _ _ nWre~ Item 23) 33b. Synatwe end f Certifier
• 70 ~ ~ ~~ran (~Ysldan belt pro - - - - - - -'\ ~,,
• Yedleal Examkyr/gCororyr ' dewt occurred tl rite time, ne~and~plxmy~endCe Ong ~~8e a deem) - - - - - - - - - ~l JJ
On tlN a.re of w•(•1 sod manner a etetad_ _ _ ^ 33c. Liartse Number ti
ararokraNOn and / a Imeatlgatipt, in my opinion, death oeeurred a< the N - - - - - - - - - - - - - - - ~. Date Signed (Month, day, read
nt4 date, end C~~J CY~~ `7 t.~Z (.. ~/~ -~ ^a
R•9ytra t~ arw plea, and duo to tM arrart(a) and manner sa stated„ ^ 3q' N`an_y and Addreaa a Person Who r " ' ' u < ~ + % Cj ~ i
~~C Dete FNed •--~~' ~~ -~ r(+ Y N •Q V. ~C Grplared Cause a pesth (Item Z7) Type /Print
I ~ 11 I 1 I (~ ~ (Harm, ley, rear) ~{ 3c t ~c:..,,~,v-,~.@ ~ v it y IPc.V
DiePoamon Parma No y_ ~ r,,. ' / l n i .
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AST WILL A
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OF
LYDIA V. HAZLETT
I, LYDIA V. HAZLETT, of SOS South Sprin Garden
g Street, South Middleton
Township, Carlisle, Cumberland County, Pennsylvania bein
' ~ g of sound and disposing mind,
memory and understanding, do make, publish and declare this to be m L
y ast Will and Testament,
hereby revoking and making void all previous Wills and Codicil
s heretofore made by me.
1
I order and direct my personal representative hereinafter nam
ed to pay all of my just
debts, funeral expenses and expenses involved or connected wi
th the administration of my estate
as soon after my death as is reasonably possible. However, m ersonal
Y P representative need not
accelerate and pay those unmatured obligations which, in his he
r or its opinion, it might be
proper and more advantageous to retain or renew and pay as the become
Y duE; and payable. If I
do not own a burial plot or a grave marker at the time of m
y death, I authorize my personal
Page 1 of 8
LAST WILL AND TESTAMENT OF LYDIA V. HAZLE
TT
representative, in his, her or its sole discretion, to purchase a burl
al plot. and to erect a suitable
grave marker at my grave, and to expend sums from my estate fort
his purpose.
2
I give, devise and bequeath the rest, residue and remainde
r of my estate, together with all
insurance proceeds thereon of whatever nature and where
soever situate as follows:
a• I direct that members of my family shall have the first
option to buy my home
situate at 505 South Spring Garden Street, Carlisle Penns
ylvania;
b• The rest, residue and remainder of my estate shall
Sl be distributed in equal shares
~+ my children, LOIS H. KIE to
LKOPF, of 27 Greenfield Drive, Carlisle, Penns lvani
~ H. HAMILTON of Y a, and LINDA
37 Derbyshire Drive, Carlisle, Pennsylvania, rovided
~' P they survive me by
sixty (60) days.
~_
3
Should my children, LOIS H. KIELKOPF and LIN
DA H. HAMILTON predecease
me or die on or before the sixtieth (60th) day followin rn
g y death, then I give, devise and
bequeath the rest, residue and remainder of m estate
Y in equal shares to my grandchildren, per
stirpes.
Page2of8
LAST WILL AND TESTAMENT OF LYDIA V. HAZLETT
4
I grant my personal representative the following owers in
P ~.ddition to and not in
limitation of such powers as my personal representative shall h
old by law:
(a) To retain all property received including the stock
of any corporate fiduciary
acting hereunder, provided such property remains productive.
(b) To join in any corporation, partnership, reca italizatio
P n, merger, reorganization or
voting trust plan; to delegate authority with respect thereto• to d
eposit investments
under agreements and pay assessments; and generall to exe
Y rclse all nghts of
investors, including but not limited to, the voting of shares.
(c) To manage, operate, repair, improve, mort a e or
g g lease on any terms any real
estate held or owned by my estate.
(d) To operate any business that I may own at m death.
Y
(e) To invest any funds of my estate in any stocks bon
ds, notes or other securities or
property, real or personal, without regard to the principle of diversific
anon or any
other statute or general rule of law in his, her or its absolute
discretion, it being
my intention to give my personal representative the broadest
investment powers
possible, providing such investments do not unnecessaril ~
y I revent the prompt
settlement of my estate.
(~ To sell or otherwise dispose of any ro ert
P p y, real or personal, tangible or
intangible, at any time forming a part of my estate in an
y manner and on such
Page 3 of 8
LAST WILL AND TESTAMENT OF LYDIA V. HAZLE
TT
terms and conditions as my personal representative shall see '
fit in his, her, or its
absolute discretion.
(g) To borrow money for the payment of taxes or for
any other proper purposes in the
administration of my estate, and to mortgage or led a esta
P g to assets as security.
(h) To compromise claims without court a royal in
PP cludmg, but not limited to, any
controversies with the United States of America or the Co
mmonwealth of
Pennsylvania concerning estate and inheritance taxes o
n any interests that may
pass under this my Last Will and Testament.
(i) To distribute in cash or in kind upon an division
Y or distribution of my estate.
(j) To undertake any and all acts deemed neces
sary and proper by my personal
representative for the proper, advantageous and prom t :man
P agement of the
settlement of my estate.
(k) In general, to exercise all powers in the ma
nagement of my estate which any
individual could exercise in the management of simi
lar property owned in his own right, upon
such terms and conditions as to him, her or it ma se
y em best and to execute and deliver all
instruments and to do all acts which he, she or it de
ems necessary or proper to carry out the
purposes of this, my Last Will and Testament.
5
No interest of any beneficiary of my estate, either in '
income or in principal, shall be
subject to anticipation or pledge, assignment, sale or tr
ansfer in any manner, nor shall any
Page4of8
LAST WILL AND TESTAMENT OF LYDIA V. HAZLETT
beneficiary have the power in any manner to charge or encumber '
his intE;rest either in income or
principal, nor shall the interest of any beneficiary be liable or sub'
sect in any manner while in the
possession of my personal representative for the liability of such benefi '
ciary.
6
I nominate, constitute and appoint my children, LOIS H. KIEL
IS.OPF and LINDA H.
HAMILTON, as Co-Executrices of this my Last Will and Tes
tament. I direct that my personal
representative shall not be required to give or post bond for the faithful
performance of his, her
or its duties in this or any other jurisdiction.
7
I hereby declare it to be my express desire that m ersonal
Y P representative employ the
Law Office of Sean M. Shultz, P.C., of Cumberland Count
y, Pennsylvania, for legal advice and
assistance regarding this my Last Will and Testament, he havi
ng considerable knowledge of my
affairs, views and wishes respecting any matters that ma ari
y se at the probate of this instrument,
the administration of my estate, and the execution of the ow
p ers herein mentioned. Any mention
of the Law Office of Sean M. Shultz, P.C. in this m Last
Y Will and Testament, is my free and
voluntary act and through no influence by any person.
Page 5 of 8
LAST WILL AND TESTAMENT OF LYDIA V. HAZLETT
IN WITNESS WHEREOF, I have hereunto set my hand to this m
y Last Will and
Testament this 10th day of May, 2011.
WITNE
~~
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i
Lydia V Hazlett
;/ ~~'
Page 6 of 8
LAST WILL AND TESTAMENT OF LYDIA V. HAZLETT
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA :
SS.
COUNTY OF CUMBERLAND
I, Lydia V. Hazlett, the Testatrix whose name is signed to the; attached or foregoing
instrument, having been duly qualified according to 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.
C
Lydia azlett
Sworn or affirmed and acknowledged before me by Lydia V. Hazlett, the Testatrix this
10th day of May, 2011.
COMMONWEq~,~ pF PENNSYL ANA
Notartai Seal
Dolfy M. Hockenberry~ Notary Public
Carlisle Bona, CumbeHand Coun
MY Comrrnsslor~ Expires 5e tY
Member. Pennsvhrania 24~ 2014
~odadon of Notaries
Page7of8
LAST WILL AND TESTAMENT OF LYDIA V. HAZLETT
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND
WE, ~~ Jh. v lT ~-- and ~< / ~
the witnesses whose names are attached to the foregoing document, being duly qualified
according to law, do depose and say that we were present and saw Lydia V. Hazlett 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.
G
~ ~ /`~ this ` -+''
t~ M NW~gLfi}~ pF PENNSYLVANIA
Dolly M, ~Notar~ai Seal
wry, Notary Pubik
Cade Bono, Cumbeiiand Courtly
~ Commis~on ~~ Sept. 24, 2014
Member. Pennsvlvanta Assodatlon of Notaries
Sworn or affirmed and subscribed before me by -~~ /~ (. ~j 1 f and
....b.. v v i v