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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 ~ .=.~ ,- _ ~R~n -"Cr7 ~ =' -.y ~ ~._ _ i ~.,..f (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 n:._ v~Nyn9n[ tc~ 2010 form software only The Lackner Group, Inc. ~. _.~I <,, .~ __I r ~ , ~~ ..-•, _. ~. ~~;~ .,.,.. -_ ~.. ~......v.Y IJIIVE3 Carlisle, PA 17015 Carlisle, PA 17015 Page 1 of 2 Oath of Personal Represe COMMO t ' n a NWEALTH OF PENNSYLVANIA Live _ ~ i COUNTY OF Cumberland } ss _ ~. ~~"7 ~--~ ~_3 ~ "'~ - ~? The Petitioner(s) above-named swear(s) or affirm(s) that the statements in th the knowledge and belief of Petitioner(s) and that e foregoin Petiti ad i ~ i ,1 _j ~ r- ~ ~ r ~ ~ r ~ ~^ g m , as personal re res on are true and correct::,=~, ~ `tfi'e~st of ~~' nister the estate according to law. P entative(s) of the Decedent, Petitioner(s) will well a d ~ - - _ ~ n -, ~ ~~ . _ "~'7 . . ... Sworn to or affirmed and subscribed ~ ~ _ ~ ;. ,. '~, '~ ~•~ nature of Pe sona/ R resentativ bet me this ~ _ Lois H. Kielko f _ day of P .. ~~ ~ ~~ ~ ~- ~ ~ ~ ~/ , Sign ture of ersonal Representa - ~~ ~T~"' five rryy~~~~~~ Linda H. Hamilton ~~f(.~. 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 ............................ ~ $ ~ ~~ $ ,~ $ ~~ of ' $ ~~ ~~ $ $ $ TOTAL .................................... $ m RW-~2 Rev. 10-13-2006 Attc Atto - - - • •-• ....w~ ~c 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, $6.00 P 1772711 Certification Number This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records ~~ffice for permanent filing. ~--~k. ~~r-~ Local Registrar ---~ ~~'--' ~"' Date Issued _t ~ "~J _ r-r ~ _..~ ..t.! ~ rte.. ~ .:~ 1 .~ ~ t I • ~' ~ ' Cam? -, ~ ~ i .~ r' ., ~ ~~ -, H10S143 REV 11 ;~. ~ ~ "!..'+ ~~ TYPE J PRiNr>1~0o6 COMMONWEALTH OF PENNSYLVANIA • ~~ ~ PERMANENT ~ .t , SLACK INK DEPARTMENT OF HEALTH • VITAL RECORDS "-'I ~~ ` -. CERTIFICATE OF DEATH ~ ~ ~ ,~ l '~ 1•r'r&'yorD•cedent(FireLm;dtlre Ieat auMoc) (See instructions and examples on reverse) ` ` ~~ L d1a V • Hazlett p, Sez STATE I=1LE NUMBER , ~ 5. Age (Last ButlMeY) Under 1 3. Social Secudry Number ~; , under 1 de 8. Dare a t3km Monet Female 210 a. Dare or Deem (Hwtm, may, Ye•d "b">s °' ~ - 26 -9338 Au st 3 ~' and state a - 95 rrS ~B N~ton ~ 8e. ~ or Deem checc ~, „~ 2011 ' ~• c«•ur a Deant 10 12 1915 Count PA ~ member ' I: (~~'(j 1 • tk. Cir, 9oro, Twp, a Death Other: 1 ( . Cumberland South Middleton tld. FadIUY Name (g na instNutlon, 9h'e ssaet and msrteer) ^ Inpatlen9 ^ ER / Ougtatfea ^ t~A ^ Nu ' ~^'P 505 S . S r a Illapertk: odgln? ~ NwneResidence ^ odyr .spear: • n. Deoedarws tlsuel a wok done Ping Garden S t . pr Tee, avear Cuban ~] No ^ Yea 10. Race: American Irtden, ICnw a work "10°t a Igo. Do na area lz wee Decederd ever M Ny 13. Me,~a,t, Ptyrlo Ricert, ero.) ( , where, ero. Cook ~,~,, u.s. Amtetl i 18. Decedent's Mai CaterlBu-S~~eSS F0~? Elem~jary ~aSP~' °~l' ~ grade canpretea) 14. Marll~ Stale: Merced, Never Herded, 15. S ~ Address (street. sly /town. state, ^ vas ~# No 12 ~ (1.4 w 5+) Wwowad, Divorced isp•aryj Ong Spouse pr wine, give maws, name) 505 S . Spring Garden St ) Aa~uel~R saidence na. state PA Wl~d Carlisle, PA 17013 °idp~"' 1e. Fames Name 1?b. County Live In a t 7c. C$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 . ";~ 1 ~ \ J 4 .~ ~~: ..:/. -~, ~. AST WILL A ND TESTAMEN _. ~ . ~..,..1 4 ~l ~,.r' '•..~ _ ~ - ~ ,w, ~ ~ - ~~~:: T =~- ~ ~ -r ,~: ~ ~~.~ .~-. ~.~; 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 ~~ < <,~-- 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