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HomeMy WebLinkAbout09-16-11PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND _ COUNTY, PENNSYLV NIA Estate of Violet T. Hollenbauqh File Number 21-11 ~~ ~~ also known as Deceased Social Security Number 513-12-4220 Rebecca Lee Heberlig and Cloyd N Hollenbauqh Jr Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE A' or `8' BELOW) 0 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Executors named in the last Will of the Decedent, dated 05/02/2001 and codicil(s) dated State relevant cimumslances, e. g., renunciation, death oPexecutor, etc. After the execution of the documents offered for probate: Decedent did not marry; was not divorced; 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 (g); did not have a child born or adopted; was not the victim of a killing; and was never adjudicated an incapacitated person, except as follows: B. Grant of Letters of Administration (1/applicable, enfec c.t.a.; d. b.n.c.t.a.; pedente life; durance absentia; durante minoritate) 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 (if Administration, c. t. a. ord. b. n. c.t.a., enter date of Will on Section A above and complete list Of heirs); was not the victim of a 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 (g), except as follows: ~ Name ~ Relationship Residence _ _: "1-., ~~ _..: , _, _, _.._ =;- . - '-,- c~, ~ --a - :~ ~, j _ - ... .. i "" .... .___ ~-7~1 (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 - 1445 Center Road Newville Lower Mifflin Cumberland PA 17241 (List street address, town/city, township, county, state, zip code) Decedent, then ~_ years of age, died on 09/10/2011 at Carlisle Regional Medical Center Carlisle PA 17015 Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 18 000.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ _ Value of real estate in Pennsylvania $ _ 0.00 situated as follows: Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this; Petition and the grant of Letters in the appropriate form to the undersigned: Signature Typed or printed name and residence Rebecca Lee Heberlig 32 SME r ~ ~ ~ Shippensburg, PA 17257 --~~r Cloyd N. Hollenbaugh, Jr. 3059 Spring Rd. ~ % ~ ,, ~ ~` ? ~ r` Carlisle, PA 17013 Form RW O2 Rev. 12-26-2010 (interim form, pending action by the Court) Copyright (c) 2006 form software only The Lackner Group, Inc. Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } ss The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoingy 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 affirmed and subscribed before me this ~~~ ~`r day of Signature of v ~/~ ~ ~ Signature of Rebecca Lem, leberlig ~" / r . Hollenbaugh, Jr. Signature of Personal Representative File Number: 21-11 -- y~v Estate of Violet T. Hollenbaugh ,Deceased Social Sf~curity Number: ~ 513-12-4220 Date of Death : 09/10/2011 AND NOW, ~ ~ ^~ ~~ ~Q~~ i n con sideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Rebec ca Lee Heberlia and l oud N Hollenbaugh Jr - and that the instrument(s) dated 05/02/2001 rr the above gs#ate ~ - -~ -;; ~ -r , , ~ described in the Petition be admitted to probate and filed of reco rd as the last Will (and Codicil(s)) of Decedent. ' ~, -'? r--j , „_ - f , rn --- -: _r7 ~; ~. ., _.. ; : -- ,.,, _._. ~,~ .. FEES ~ ~ .*~,~ r ~ ~~ Letters .......................................... $ 60.00 ~' ~- ~ ` ~ _ Short Certificate(s).....(.:~.,~ $ 8.00 / is ro s /. , :~~ G` Renunciation(s) ............................ $ Attorney Signature:,/~ ~ Will $ 15.00 Att L~ -~' orney Name: James D. I~UgheS Esq. JPC $ 23.50 Automation fee $ 5 00 Supreme Court I.l~No.: . $ zmann Hughes, P.C. Address: 354 Alexander Sprinq Road Suite 1 $ $ Carlisle PA 17015 , $ Telephone: 'T17-249-6333 $ $ TOTAL ................................... $ 111.50 Form RW OZ Rev. f0-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2 {II`c 4!h 121A ~. ~. i. z,~-r~-~~i~.~ LOCAL REGISTRAR'S CERTIFICATIC)N OF DEATR WARNING: It is illegal to duplicate this copy by photostat or photograph. 'Ce f(~r this rcrtlflcate. S(,.!IO -- tN„ rr~ QFp ~_ I~hl. I, I~~ er I~i~. {7e t( I-~' Iirn-n-I~umn hclc .~n~cn a: /ttllr _ ~,,I - ~ ~~,P, fyy~_~ rurr~l_II~ c111~ ~cl (rr I, , n t,r ,~nrll (LiU!ICat~ 41! Ucath ~x'~/ ~ ~' ~,~ 41u1~ filrll ~~ i1~ nli I. I 'n II Kr~~~i~tt~tr. ~T~h~~ Iril,tnal ll ~~S~~y,~~ z,, C~1'Uijc;s!i~ ~ .II t.,:i ~it41 i11 ll?..' tii.ttk' ~l'sl<tl ~j ((++ ~~,,~~=~ ~l il~c4ljllti 1)11 ~ ~i.;n j.1 t~ilin~. 1 ~ r t~.. C? t` /~ ~ \ _Q~,p i"ce". ~? /( L', ~`,t_ ~~, . P (~~rtificatlon Numher ~~~TMfNTOE~~.r,'4~ ----- - __~- _-~~ 1~2~1} L<1ra1 RL°~I~u.ir (.>~Itr k~tiLle11 CJ : . _ ~ ..... _ ~7 -,- , -r-r _ ~17 1 .yPf # Z ~ I - 1:1.r-- - rn -. l ~ ~_ - ;~~ . .J _Il _ .. _) ~ . --1 ,' r a.• i.~ ~~ H10S143 REV 112006 rvPE / PRINT w COMMONWEALTH OF PENNSYLVANIA .DEPARTMENT OF HEALTH • VITAL RECORDS PERMANENT BIACK INN CERTIFICATE OF DEATH (See instructions and examples on reverse) 1. Name of Decetlenl (First mitlele Wsl sumx) STATE FILE NUMBER Violet Theresa H o 11 e n b a u h 2. ~' 3. serial seamy Number S. Age (last BiMtlay) under, err g female _513 -12 - 4220 Under 1 der fi. Date of BiM Monm, de , ear 7. B ace Ci and slate a farei cant Be. f lace of Daam Check a Manors oars Hars Mi,mea a. Dale m Deem (M°nm, day, yea`) September 10, 2011 88 vrs July 17 1923 Burlington KS "oapilal: Diner: Ab. Canry of Deem 8c. Ciry, Boro, T f Death ®Inpa8enl ^ ER / Outpatient ^ DOq ^ Nursing Home ^ Residence ^ Olhar ~ S epf ~ ° Bd FecilN N If f p y . y ame ( MI institution, give street end number) 9. Wes Decedent of Hkpank Origin? '^ No ^ yes 10. Race: American Inden, Black, White, etc. • (II es s e i Cumberla C b d y , p c ry u an, n etc) ISpec~71 So. Middletown Cak'lisle Re Med. Center Mexican, Puerto Rican 11 D , . eptlenYS Usual lion Kmtl of wom Bone du' moll of woddn IXe. Do not slate refit 12. Was Decetlenl ever in die 13. DecedanYS Etlucatien W h 1 (SPecdY any hghesl grede can Klntl leted f W k 14 p o ) or Kind of Business/Industry U.S. Amretl Forces? . Mental BtaW$: Mameq Never Merced, 16 Surviving Spouse (II wile, gwe maiden name) Elementary / SecoMary (0.12) Collage (1~4 a 5a) w'm°wea, Divorcee (Speciy) lab r r ^ veer Np 16. Decedent's Mailirg Address (SVceL dry I lows, stale, zip cotle) Decedent's W 1 d O W e d Acual Residence 17a. State _ p FI Ditl Decedent I~I 1445 Center Rd. _ uvema ,Te pl veer, Depdam Lived In Low r tka; ff~ Townsmpo p n Tw 1>b. Canry C 13 m h nd. ^ No, Decedern LNed wdhin _ 18. Falhefs Name (First, mitldle, last, Suffix) Actual Limits o1 City/Boro ' 19. Momer s Noma (Rrsl, middle maiden sumeme) Henr Edwin Demler 20a. InlomlenYS Name (Type /print) ~_ S {: Y r~ W (j P Y 2flb. Informant's Melting Address (Street, city /town, state, np cotle) Rebecca L. Heb r 32 S.M.E Shi ensbur PA 17257 21 a. Melhotl 01 Disposition ^ Cremation ^ D 21 b D l f Di i Y . a e o onat on spositkn (Month, der , sF ( ~i Bunal ^ Removal Irorn State ~ Was Cremation or DoneBOn Authorized Y year) 21c. Plata of Di sdbn Name of cemetery, crematory or Omer pyp) 21 d. LopBOn (Ciry/town, state, zip coda) ^ od r ,er byMedkalExammer/Coroner? ^Yee^Nn Sept 15, 2011 Center Luthern Cem 22 s ~ _ a. gnaNrgpFFu . rel sa Lisa (or person acting as sucnJ 22b. License Number N e wv i 11 e , P a 22 N ~/ c. ame and Atldress al Facility 15 Big Spring Ave ~ ~" FD 13895 E er Funer l H a oml= Compeb ibms 23ac only when 23a. To the ball of m know _ Inc . Y ledge, deem occurrtl at me dme, dale arq place slated. (Skgnamre and tale) physkian b Trot avaNebe et tans of p 23b. License Number carry cause a deem 23c. Date Signed (Month, day, year) `, z • Gems 2428 must be ampletatl by person 24. Time of Death 25. Date Pronounced Dead (Month. day, year) - • wno pralourlps deem. ~~~j H M. ~l'P~L/1bfT ~Q ~pa Item 27. Pant: Enter me tlwia m ev CAUSE OF DEATH (See Inshuetlons and examples) , Appmdmate 'mtervel: _~ - diseases, njurias, w carpNCefioru . mat diremly pusetl me deem. DO NOT enter terminal everns such as prlFac artest, Onset to Death resphalory arteai a venlrkular fibrillation without showing me etblogy. List only one pose a each line. IMMEDIATE CAUSE IFme'disease a I ~ ~ ; mridllon reafiirg in deem Q_ _(SLW . -~ e. CC ~-sue Due to (or as a co uence op. ~ 1 _ S ,\ uenaal,Y Net cad'NOm, it any. b Ill (' I° me use Iieled pn M1ne a. ~ Emer UNDERLWNG CAUSE Due to (or as a consequence op. (disease a njury mat inAiatetl me erents resulfirg in Beam) LAST. a oae ro for ere a r°nsepaeripa op: d. f 30a. Was an Autopsy 30h. Were Autopsy Fln6ngs 31. Manner of Deem 32a. Date of I i Penomwtl? Available Prier m Canplefion rryury IMomh, Day, year( 32b. Describe How Inryry Occurtetl W Cause of Deem? IJ NeNrel ^ Vbmictitle ^ vas ~ No ^ Ves ^ No ^ AaYdant ^ Pending lnvestigalion 32tl. Time of Injury 32e. mryry et Wom7 321. H Trereponation Inuy ^ swaide ^ cold Nat ba oarermirwd .. ^ vas Cl Nn ~ Dnvar/uperaror C 2fi. Was Case Refern-e~tl ro Medical Examiner 1 Coroner for a Reason Omer Than Cremation or Donation? ^ Yes h! I No Enter anar sialr m-~stl g I -m zfi. Did Tabapa use Conmbae m Deem? but na resul8rg in the umlanyirg reuse given in Pan I. ^ Yes ^ Probaay ^ No ^ Unkrpwn 29. If Female: ^ Not pregnant wi1Mn past year ^ Pregnant at time of death ^ Not pregnant, but pregnam wimin 42 days of loam ^ Nol pregnant, but pregnant 43 days to 1 year belae death ^ Unknown if pregnam wimin me pest year 32c. Place a Injury Fkxne, Farm, Sbael, Fecrory, Office BuikFng, etc. (Specrly) 32g. Loplun of injury (Street, ply ^ Petleshian 33a. carnrar (dieak Dory one) _ u oma r- speciry. ' CMitying phyakun (Physvan pmMn9 pose d deem when another MYex:len has prawunced deem aM cargleletl Item 23) To tM beet of my knowled e dpm 336. Sigpmr mfiar _ ^ g , occurred due to the ceu nls)and manrwraa areled_______________ • Prawunein d B __ ~------~ ^ , U g en ixM ying physlelan (Physipan both prananp death aM Cart of To the beat a my krrawkdge o i deem oecurretl h the li d t a e ) -------~ ~L Llcen 33d D , ma a e, end lace, eM d me pu s en • Madinl Examiner/Daoner p ~ 1 d manner as statetl_ _ On the bash f _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^' ~ ~ ~ ~ l ~ - ~ eter Signed (North, day, year) ~ / ~ L o examinatbn end / or Investiga4lon, In my opinion, tleath occurred sl the time, doh, and pMCe, and due la tM cauee(e) and manner as elated ^ ~ C ( 34 Name and Add f P 36. RegislreY lure aM Distrkt 3fi D . ress o erson Who Completed Cause of Deem (Ite m 2]) Type /Print 1 1~ I I 1 U I ~OJ~.C r~ V c a e 1 flletl (MOnm, daY, Year) . . ~ ~3. Disposaion Pemlit No. ~. ra> ro.~ r ~r..~~ LAST WILL AND TESTAMENT OF VIOLET T. HOLLENBAUGH I, VIOLET T. HOLLENBAUGH, of 1445 Center Road, Lower Mifflin Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my Last Will and Testament, hereby revoking and making void all previous Wills and Codicils heretofore made by me. j 1 I order and direct my personal representative hereinafter named to pay all of my just debts, funeral expenses and expenses involved or connected with the administration of my estate as soon after my death as is reasonably possible. However, my personal representative need not accelerate and pay those unmatured obligations which, in his, her or its opinion, it might be proper and more advantageous to retain or renew and pay as they become due and payable. If I do not own a burial plot or a grave marker at the time of my death, I authorize my personal representative, in his, her or its sole discretion, to purchase a burial plot and to erect a suitable grave marker at my grave, and to expend sums from my estate for this purpose. 2 I grant to my daughter, BARBARA A. SEVERANCE, the option to purchase all my real estate and improvements located at 1445 Center Road, Newville, Lower Mifflin Township, Cumberland County, Pennsylvania, at a price equal to its fair market value at my death. She shall have ninety (90) days from the date of my death to exercise this option and complete settlement. It is my desire that my real estate remain in my family. ti c~ yo '~~ti'J C7 -_~ rn _ =° f; .~ 1.~ --;.- ~,-~ n _,~ GQ"~ ;,, T , -~, 1 =' _- -- .: ::T;, _ ~~ r~. ~~ LAST WILL AND TESTAMENT OF VIOLET T. HOLLENBAUGH 3 I give, devise and bequeath the rest, residue and remainder of my estate, together with all. insurance proceeds thereon of whatever nature and wheresoever situate to my children, REBECCA LEE HEBERLIG, CLOYD N. HOLLENBAUGH, JR., BARBARA A. SEVERANCE, ROBERT GLENN HOLLENBAUGH, HARVEY EDWARD HOLLENBAUGH, WILLIAM HOWARD HOLLENBAUGH AND MARY ETHEL WITTLINGER, on a per stirpes distribution basis. 4 I grant my personal representative the following powers in addition to and not in limitation of such powers as my personal representative shall hold by la~~: (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, recapitalization, merger, reorganization or voting trust plan; to delegate authority with respect thereto; to deposit investments under agreements and pay assessments; and generally to exercise all rights of investors, including but not limited to, the voting of shares. (c) To manage, operate, repair, improve, mortgage or lease on any terms any real estate held or owned by my estate. (d) To operate any business that I may own at my death. (e) To invest any funds of my estate in any stocks, bonds, notes or other securities or property, real or personal, without regard to the principle of diversification 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 unnecessarilyprevent the prompt settlement of my estate. 2 LAST WILL AND TESTAMENT OF VIOLET T. HOLLENBAUGH (f) To sell or otherwise dispose of any property, real or personal, tangible or intangible, at any time forming a part of my estate in any manner and on such 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 oi• pledge estate assets as security. (h) To compromise claims without court approval including, but not limited to, any controversies with the United States of America or the Commonwealth of Pennsylvania concerning estate and inheritance taxes on any interests that may pass under this my Last Will and Testament. (i) To distribute in cash or in kind upon any division or distribution of my estate. (j) To undertake any and all acts deemed necessary and proper by my personal representative for the proper, advantageous and prompt management of the settlement of my estate. (k) In general, to exercise all powers in the management of my estate which any individual could exercise in the management oil similar property owned in his own right, upon such terms and conditions as to him, her or it may seem best and to execute and deliver all instruments and to do all acts which he, she or it deems 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 transfer in any manner, nor shall any beneficiary have the power in any manner to charge or encumber his interest either in income or principal, nor shall the interest of any beneficiary be liable or subject in any manner while in the possession of my personal representative for the liability of such beneficiary. 3 LAST WILL AND TESTAMENT OF VIOLET T. HOLLENBAUGH 6 I nominate, constitute and appoint REBECCA LEE HEBERLIG and CLOYD N. HOLLENBAUGH, JR., as Co-Executors of this my Last Will and Testament. 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. IN WITNESS WHEREOF, I have hereunto set my hand to this my Last Will and Testament this ~ ~ ~ day of /"~ ~ 7 , 2001. WITNESS: ~~~~~ ~, ~ ,ic. r Violet T. Hollenbaugh 4 LAST WILL AND TESTAMENT OF VIOLET T. HOLLENBAUGH ACKNOWLEDGMENT' COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF CUMBERLAND I, VIOLET T. HOLLENBAUGH, 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. >< a ollenbaugh Sworn or affirmed and acknowledged before me by VIOLET T. HOLLENBAUGH, the ,,c~ Testatrix, this .~ ~~ day of rnl _, 2001. ~~ ~ ~ ~~- Terry E. WalkeraiNotary Public 80uth Middleton Twp., Cumberland County My Commission Expires Mar. 31, 2003 Member, Pennsylvania association of Notaries LAST WILL AND TESTAMENT OF VIOLET T. HOLLENI3AUGH AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF CUMBERLAND WE, /Z: ~ G ~~- ,~ L . l.~/F S ~ ~,- ~~~' .and ~~ ~ . ~r'i C~ ,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 VIOLET T. HOLLENBAUGH 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 VIOLET T. HOLLENBAUGH signed the Last Will and Testament as witnesses and that to the best of our knowledge the testvar was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. ~l. ~~~- ,; Sworn or affirmed and subscribed before me by ~=, ~c~~ ~ - Cc1el,~~ae./ ~ and }'~ (,~ ~ ~ - ~~/' ~~ Cam, this ~ ~ day of _~ , 2001. ~ _____ F-\User Folder\Firtn Docs\Witls\2176-I~ahwill.wpd Notarlai 8881 Terry E. Walker, Notary Public ~ 8outhMiddletonTwp Cumbe-tandCoun My Commlaslon Expires Mar. 31, 2 3 ~ ®m r.Pennsviva~ia`xs~or~tionotn~otaries 6