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HomeMy WebLinkAbout09-28-11TE AND GRANT OF LETTERS PETITION FOR PROB BLAND couNTY, PErrNSyLVaNIA REGISTER OF WILLS OF CUMBE I File Number I(ARL H. HOELLERICH Social Security Number ~ 84-05-8166 Estate of KARL HOELLERICH ,Deceased also known as ~_ named in the who is/are 18 Years of age or older, apply(ies) for: Petitioner(s), BELOW:) Executrix (COMPLETE 'A' OR 'B' and aver that Petitioner(s) is / are t e a A, probate and Grant of Letters Testamentary and codicil(s) dated ---~ last Will of the Decedent dated 2/612003 renunciation, death of executor, etc.) tnent s offered /State relevant circumstances, e.g , divorce proceeding at the time ed and did not have a child born or adopt o aft ending tton of the instru was not divorc , was never ad'udicated incapacitated, and was not a party Except as follows, Decedent did not marry, ~ section 3323 (g): rovided in 23 PA C.S. for probate, was not the victim of a killing, of death wherein grounds for divorce had been established as p Decedent's wife Jane E. Hoellerich died 513012004. d.b.n.c.t.a.; pendente lire; durante absentia; durante minoritate)and heir ~` ^ (Ifapplicable, enter: c.t.a.; g Ouse (tf any} _ ~' ' '" B, Grant of Letters of Administration the following P C-,.c~ ch has I have ascertained that Deced a~pVe a ~ olmp e! ae a,•t o f he s~by ~ -,-y t~._~ Petitioner(s) after a proper sear yyill in Section A Res c. t. a. or d. b. n. c. t. a., enter date o Relationshi ~'~ G' Administration, --:.-~ ~~ =~-, .-A t . . `~. ,C_, v ri `~ with his /her last principal residence at Elrncr~ (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Pennsylvania, county, South Newton Tw Cumberland PA 17257 Decedent was domiciled at death in Shl ensbur 129 Walnut Bo oom~RO odnship county, state, zip code) at Elmcroft of Shi ensbur FA 17257 (List street address, 811512011 years of age, died on Shlpt)enSblJr Decedent, then 88 ---~ 10 000.00 I Walnut p~~«,,... __ ro erty with estimated values as fAll personal propert}' Decedent at death owned p P personal property in Pennsylvania (If domiciled in PA) in County (If not domiciled in PA) personal property (If not domiciled in PA) Tprj'AL Value of real estate in Pennsylvania S 10 , 000.00 ~- ro riate form to resented with this Petition and the grant of Letters in the app P situated as follows: Wherefore, Petitioner(s) respectfulty request(s) the probate of the last Will and Codicil(s) p Typed or printed name and residence the undersigned: s,gnamLe 25 Rehobeth Road PA 17257 Cinda Jane Salisbury ~ t;;, ~ ;_ Shi ensbur Page 1 of "~ Form RW-02 rev. 10.13.06 -~ . t~ "- C resentative Oath of Personal Rep ~~~ - ,-, - ,Y COMMONWEALTH OF PENNSYLVANIA •, SS _ `, ' ~ correcttp the best;tr€: oin Petition are true'an~ `;; ~, COUNTY OF CUMBERLAND tll well andtruly e-named swear(s) or affirm(s) that the statements in t of the Decedent, Petitioner(~• abov ersonalrepresentative(s) The Petitioner(s) and that, as p the knowledge and belief of Petitioner(s) ' administer the estate according to law• -- gworn to or affirmed~and~u~scribed _:'~~---- day of before me the For the Register i Signature of Linda Jane Personal Representative Signature of Signature of Personal Representative ~~- ~ - File Number: ,Deceased Estate of KARL H• HOELLERICH g~1512011 Date of Death: roof 184-0 -8166 oin Petition, satisfactory p ,201~~, in consideration of the foreg Social S urity Number: AND NOW, ED that Letters Testamenta in the above estate having been presented efore me, IT IS DECRE -r-~ ,.:..a~ lane Salisbu are hereby granted to ~" ""' "` -------- Februa 6 2003 of Decedent. dated ~ _ i ?.t~,~CL and that the instrument(s) ed to probate and filed of record a the last \N~ (and Codic described in the Petition be admltt ~~ ils l ~ Reeister of FEES ................. Letters ••••~•""" Short Certificate(s) ~••• "" ..... s .......... Re a cia~ion( u ~~ •.. TOTAL ~QC $ ~~ $ ~) . $ .- .. ~ .. $ ~~ ... ~ ~~ .... $ ~~ .... $ ' ...... $ Attorney Signature: c~`- Q ~Z~ ~ Attorney Name: Supreme Court I.D. No.: 58802 1719 North Front Street Address: Harrisbur 17102 PA 717_234-4178 Telephone: Page 2 of 2 Form RW-02 rev. 10.13.06 a- - - UBSC~BING wITNESS(ES~ OATH OF NON S REGISTER OF WILLS ~YLV ANIA CUMBERLAND COUNTY, PENN.. ,Deceased HO Estate of ICH and ___---- ART. SALISBURY s s tY~at d ccording to law, depose(s) and say ( ) was l '~ well- a,nd amp familiar (each) being duly quahfie a _~- • hKARL H. HOELLERICH alkla KARL HOELLERICH I(p,RL H. HOELLERI H~~Ea'RICH acquainted wit d that the signature of with the h~dwrrting and signature of the decedent, an in to be the Last Will and TeSt~erit/Codicil of to the foregoing instrument purport g own proper h~ldwriting• is in hisll~ KARL H. HOELLERICH alk/a ~, HOF~-,RICH ~- (Signature) (Signature) Art Salisbury __ (Street Address) 25 Rehobeth Road (Street Address) PA 17257 (c1ry State, Zip) Shi ensbur (City, State, ZiP) ~~ t'7 _T._ : ~ ~_.: TO ~ • _ ri _v C' - __, _~ _ Q 1Ce v ~T! r`' Executed in Register's f.~ ~} ~> < <> -~ d subscribed -- ---~ _, Sworn to or affirmed a -~"+ -T, ~~ day --' `- r ,_.3 1, ~.~ before this ~ -~ _ - ,"' ~,~, ~~-- , 201- . ~' ~_ of L. .= - ~~ . , ~,'~ '~ 7 r l-.~ ~~~ ~. e ty for Register of Wi]Is /he/tom Form RW-04 rev. 10.13.06 !~ :1-,? ~ ~ -: BING WITNESS(ES) z~ ~ ~_i , OATH pF SUBSC~~~ ~ ~;:> ~- , r__ -1 REGISTER OpUNTY, PENNSYLVANIA _-=~ . ,°~°~ C ~ ~~, o CUMBERLAND ~ ~ -* -~- <" ,Deceased KARL H. HOELLERICH a~Wa Kp,RL HOELLERICH • Hess to Estate of _ , (each a subscribing wrt to law, depose(s) and INDA J. ALISBURY (PrintName~s~ dul qualified according each) being y sign the same Codicil(s) presented herewith, ( Testator 1 Tc~~l>r» uest of the ~ will ^ resent and saw the above ~ , was / vx~ p ~ t~~X signed as a witness at the req say(s) that she I ~ she I ~ e and that and that ~~ / he I ~~3'X signed the sam resence of each other. ~~x in ~r I his presence and in the p the Testator I ~~ - ~. 1. , `~:~ .~-' ~^\~"~" ~ J, Salisbury r, ~ ignature) Cind 25 Rehobeth Road (Street Address) PA 17257 Shi i ensbur (City, State, Zip) Executed in Register's Off ce Sworn to or affirme~and subscribed day before m this 1 , of for~rster of wills (Signature) (Street Address) ~C Mate, Zip) Executed out of Register's Off ce Sworn to or affirmed and subscribed day before me this ~_ of Notary Public y Commission Expires: M or other official qualified to iration of Notary's Commission.) (Signature and Seal of Notary ;administer oaths. Show date of exp t_ please have present the original or copy of instrument(s) at time of notarization. NOTE: To be taken by Officer authorized to administer oaths. Form RW-03 rev. 10.13.06 ~ r- ~ I -~,r •~ ~- pTIION 0.- ®~~.~; ~ . ~ .•1.1., ~~~,.,~~. ,S ~CERTIF~C REGISTRAR ~ hotostat ~or ~~ cto~,ra .., ~-GC'p al t0 duplicate this copy Y p WpRNING'• It is~r ille!~ I'jt >nTt.(urln hcr~ t n ~,~. ctl 1) i11~ kcrt'~• ,, 111;11(~~I'tIt(t;ILI' ti, to 1I l _ ~ ur,l'~ j rh,' .., %~ ~ culcctl F~hit ' a 4~~',:u u, .. ' ~t.l ~~ 1 irll t ' 1~H OF PfN \ _ ''~'~, ,1~ ,tit t '~' Fl F' tl, .1ic 1~~, - Flt l~ 5h.ll(1 a 1 ti', 1 ~~' alt( Le~rtific.ttl.. 1 ~ `9- r ,1:. till+l~_. r ir. r tFYr thi• . ~ l 1 ~ r ~ ~ ~, 1, a ..- Z : (' ll l l l~ `o, a, ~. r / ~1 7~ t .., ~'t ZJ --- \ \~ A99rMEN~~i ,,,v - ,t 1' L: ~ i, r u n i ..~~ ~ ~ ~ ~ ~. 6 ~ rr ~ wo - __ --- eruU~aUtt1 ~;~ , - ;~' ~ ^~ ,. _ - _ ,`-ri `~.~ U VITAL RECORDS =-i DEPARTMENT OF HEALTH ~ ~ ,T` CERTIFICATE OF DEATH STATE FILE NUMBER COMMONWEALTH OF PENNSYLVANIA • ies on reverse) 4 Date o1 Deam (Month, day, Y0d5 201 1 (See instructions and exemp 3 Saaal SecddN Number _ 816 6 S e p t a orb e r 2. Sex 184 p5 H105-143 REV 112006 TYPE I P NENTN Male Deter PERMA ea_ flaw of Death Check one orte ~ pmar - gpandY. d . Arrw/IWn Intlian, Black. wh e e c. BLACK INK Isla or lorei coon Rospitel~. ^Residence last, suhixl 7. Bid ace Ch ands ~( Nursing Hone 10. Race t F s4 middle, ~ WA s 1. Name o1 Decetlln l s ar ~jP, rr a, f ~~ 8. • ^ Inpatient ^ ER I Dmpatiem ~ (~ ~ 6. Dale of Blnh Monet, da , lk e S ~ No Ye cA K a r l Hoe 11 e r i c h under 1 as W 1 g was pacedenl of waPanw Origi"? Whit e under 1 ar Boors Morales 2 9 , 1 9 2 p1 yes. spac`N Cuban' a maKien namel 5. Age (I est BMhdsYl Morons Ua~ 5 e P t e orb e r N! street and number) Mexican, Fuedo Riran, etc) S use 111 wild, 9'v i Name (h not inslhNdn, 9 15. Surviving P° Bd. Fac lhy ~ 14. Marital Status'. Named. Never Married, S 8 Yrs. of Deam o f S h i P P e n s b u r ode awnpetea) wdowea, Divorced fsPeG~') ~. cdy, Born. Trop E l m c r o f t lion (specify only nigneal ar D w j IN p . 13. Decedemts Etlrlca College (1'4 w 5+) Bb county m ceam e n s b u r 9 1z. wad Decadent ever ~ ma I Seaindary lD.1zl 4 W i d o w e d Shipp Elemrmlary South Newto INe, Do nb state retire U.S. Armed Facts? n City Igpro ~ ~ Cumber 1 a n d dui mast of work Did Decedent 17c ©Yes, Decetlent Lived In anon Kind of work done Kind o1 Business) Industry ©Yes ~ i'C° Live in a nt Lived vdthin /Vfl1. 11. Decedents Us'a10au 1 v a n i e ~~ Townsnip° 17d. ~ No, Decetla King a wok p r C l e a n i n Decedent's Penns Aetual amna of S e l f E m t o e d Actual Residerxz 17a. Slate Sueel, city Mown. stale, zip code) Cumberland -aden surnemel 17b. County 19. Mother s Name (Firtt, middle, m ~~ Ifi. Decedent's Mailing Address ( R o a d 25 Rehobeth PP 17257 Mai' Peetz PF 17257 Address (Sheet pty I IOYm, state, zro Obde) e n s b u r 9+ e n 5 b U T 21d Location (CiN Howe, state, zro c^de) Shipp zoo. marmara's MzJing Road S h i F rst, middle. last suhix) 2 5 R e h O b e t h cremaary or other Dotal pp 17065 1B. Father's Name (~ I Dispositon (Name of cemetery, S r In S Karl Hoellerich 2uPaaea Mt. Hull I P°^I) 21b. Date of Disposition (Momh, daR year) Cremator 20a. Informant's Name ITYDa r s b u r y H o 11 i n e r PP 172 5 a 1 ~ ^ Donation 17 201 1 hi ensbu Z C i n d a ®Cremation ~~ nmhaxed 5t . S C !~ of Disposition r ^ Yes No Sept ' Y2c Name and Address b FauOy 112 W , Kin 3c. Dale Signed lMontYlar 21 a. Method r Wes Cremetton or Don 1 nC • _ ,~~_ ,(, J`t I J + V Remmal Iran Slate r by Madreal Examirerl Corotwr? 1Cker P.H. 23b ^'CN Number Burial ~ 22b. Liwree Number PO elsna er-B~'Ni 5(~ JC (~j~~ Omer - S rat person acting es such) . p 148'> 1-L Ime1 I for a Reason Other man CremaGOn or Donmion7 Service LICB~r state^ 9natu and 22a. Sgnalure of F Gate and place .l knowledge Baal «etl allhe time, 26. Was Case Reien~ed-!o Medal Examurer I Coronar a ~ ~ nl vAten c¢nAyrn9 23a.To die nest of my ~] Yes i!~ 1°o y8. Did Tobacco Use Confrihule to Death? []Yes ^Probably s 23a-c u Y ,day, year) ~~ { ' nd l on co t hutin" ^ daalh. ComPlele yailable at lime Of death to r Quoted DeOa (Mon ~ ~ Pan Il Emer other 59g~~-ven Pad I. p yscan Is not a 25. Dale P on ~ y ine urdarlyi^9 Douse gi ~ NO ~ Unknown h Approximate Interval. Mil i,ol resuhinq in Gadfly cause of tleeth. 24. Trine o1 eat„ ~ Onset to Death ale'. 3 ~ M dac arrest, 29.11 Fem sl ear as car r ust be completed by Person examples) ~ Not Pregnant within Pa Y 'lams 2428 m OF DEATH (~! +^slrucllons eh DO NOT enter terminal events wch ---_ nt o ea lima 1 d Ih whc Ororrounces death. CAUSE iranll caused the dea each lino. ~ Pre9na al 1 1 P 9 h l 42 d Y omPlxratans -Boat tl Y one cause rm ~-~'~-- a nent vn1 i' a s _ dlseasea mlur~s, or c et ob9Y L5l only ~ it ~~- ^ Not Dragoon , Uu Item 27. Pan I-. Enter the h m of ven 1 tutor tmrrtlalion without shorn 9 me ~ ~ / -~ of deatn 143 tlaYs l0 1 respimlory enesl, or ven ri ~--~- a nanl, but prlgnan ,~ r, --__~- ^ Not Pr 9 OIATE CAUSE ((Fetal disease of ~ belore death ~rMidlbon resulting In deatnl -~' a ue fo (or as a conseguerwe ot). ~--~- ~ Unkrwwn d pmgnant within the Past Yea i D ~~~' if any, ^- conseguence ot). 32c. Place of Injury'. Home. Farm, Street Factor SequenllalN fist condn'on line a. Due 10 (or as a 'r ~~--- pryEe Building, eta (SI>ecdY) leading tc the rouse ksted on _~ r ( Enter the UNDER{hatNimta edshe c. rwe oi)'. t fee ediseasa or inlury Oeaml LAST. Due to lm as n conseWe 32b, Describe How Injury Occurred Sheet, city I town, s a vanes resulting m Month, day, Year) 3yy. Location of Ir~ury 32a. Dale of Injury ~] d. nation Inury (SVeLily) 1[ian ^ ^ Pa en r ~~ Pc ..7 Flntlings 31. Manner o1 Death 1 Work? 321 11 transPo ss 9e ._ des 30b. were ANOPeY Nomicide 32e. Inlurye ^Driverl0peralor d 30a. was an Autopsy ~Nalural 32d. Time 01 Injury ~ Yes ~ No Q Penormed? Available Prior 10 ComPlMron ~ pendin9lmesigation ~ Other - SpeciN: of Cause of OeatM ~ Accidem M_ 33b. Signal nd le of cenit r [] Yes ~~ No Could Nof Ce petermirled 33d. Dale Sigma (Month, day. Year) 1 rYi ..o ^Suicitle ~ , Yes L}1~r _-~ rube _ _ 33c. LICCrte ...I loan nos pratounced death and completetl hem 231 _ _ _ _ - - _ - - 01 Oeat ( 271 YDa riot _ ~ause h Item 33a. Ceniller )check on„ sklen (PhYkinien ceniiying cause o1 tleath when another PhYa ^ 1 Person Wh ComPleie.d death accurreddue to the cause(s)and manner ae stelld_________-' elaled______ ____- 1^!, I , T Ceortdyln9 P Y m and cad Yu51o reuse of death) J ~` U P .!7Q l '~ Z~ A a nd menrrer as [] 34 Naine antl Addre~ ~ K ~ )' Y 3 T the Dist o1 mY Knowledge, sician both PronarwineoE glace, and due to the cease() a es stele) +`` h sklanl~ and munrror TF.1y1~~ ', IY • Pronourwin9 etd cMllyin9PY lace, and dui to the ceuxlsl U r' ! ,y~f~ C_V~~Vt,Y~I/J To the 5lsl of mY knowledge, death occurred 01 the Ifnw, dal!' urretl al Ih! lime, dale, and P ~~ ,-~-~p.y id /lu-C- tin, °C^ 38, le i1e (Monet, day, year) Medical ExemirrerlCororwr Inveall9ellon Y P1n On the pesK of examinallon antl l Or n istricl Nu /y ~ ~ 'J~ p 35. Re9slrai ~-1 ~ , Disposition Perm4 No. ,,. , C-> =. ~-~ ©C7 { ii} LAST WILL AND TESTAMENT , ' ~4 -~ ,-:; --;~ -, OF ~-_ - s ~ =,-: _._ ---~ ,, -~ ~_ ~ KARL H. HOELLERICH ;~_ T` I, KARL H. HOELLERICH, of the Borough of Columbia, County of Lancaster and onwealth of Pennsylvania, hereby revoke all Wills and Codicils, as well as all other of a testamentary nature heretofore made by me, and do hereby make, publish declare this to be my Last Will and Testament. FIRST: I direct my hereinafter named Executrix pay all my expenses of last !illness and funeral as soon after my decease as maybe convenient, including all Death and I~Inheritance Taxes, State and/or Federal, and, also, including a suitable marker for my !' gigrave, if the same has not been purchased during my lifetime. ~i SECOND: I give, devise and bequeath my entire estate, both real and personal ~jproperty, to which I may be entitled or over which I may have any disposing power at the time of my death to my Wife, JANE E. HOELLERICH. THIRD: In the event my wife should predecease me, or in the event we are killed in a common catastrophe, I give, devise and bequeath my entire estate, both real and personal property, to my Daughter, LINDA JANE SAI-ISBURY. FOURTH: Should my Daughter, LINDA JANE SALISBURY, predecease me, I give, devise and bequeath my entire estate, both real and personal property, as follows: A. I give, devise and bequeath Twenty-Five (25%) percent to my Grandson, KARL NORMAN SALISBURY. B. I give, devise and bequeath Twenty-Five (25%) percent to my Granddaughter, SONYA SALISBURY. C. I give, devise and bequeath Twenty-Five (25%) percent to my Grandson, SEAN SALISBURY. D. I give, devise and bequeath'Twenty-Five (25°~) percent to my Son-in- '~, Law, ARTHUR SALISBURY. FIFTH: I nominate, constitute and appoint my Wife, JANE E. HOELLERICH, to be the sole Executrix of this my Last Will and Testament. In the event that my wife `shall predecease me or for some other reason is unable to serve in that capacity, then, I ~i II iI jl oint m Daughter, CINDA JANE SALISBURY, to be the alternate Executrix of this my Kapp Y ~~~`+ ast Will and Testament. Executrices under this my Last Will and Testament shall serve 'I_, '.,!without Bond. ai ' ~, ii have to this IN WITNESS WHEREOF, I, KARL H. HOELLERICH, the Testator', "ice , _... ~° my Last Will and Testament set my hand and seal this day of ~ ~J 3. ~ , - k`'' ~ f j....P'r- ' ~ KARL . HOELLERICH Si ned, Sealed, Published and Declared by the within named KARL H• g HOELLERICH, as and for his Last Will and Te-stament in the presence of us, who at his re uest, have hereunto subscribed our names as witnesses thereto, in the presence of the q --~ ~ ~ ~' said Testator and of each other. ,_,~ ~'' ~ . ~ (,> ~. , / ~,, ~ ~ ~ .