HomeMy WebLinkAbout12-21-11IN THE COURT OF COMMON PLEAS -CUMBERLAND COUNTY, PENNSYLVANIA
In Re: Estate of Mabel K. Hough, Clerk of Court -Orphans Court Division
Deceased, 11/25/11
Docket No. :`l,p ~ ~ ~ ,_1;.
Vol. Page
PETITION UNDER SECTION 3102 OF THE PROBATE, ESTATES AND FIDUCIARIES
CODE FOR SETTLEMENT OF A SMALL ESTATE
Now comes the Petitioner, Susan D. Dietrich, partial beneficiary and named executrix of
the above referenced estate, and files this Petition for settlement of a small estate under the
Provisions of Section 3102 of the Probate, Estates and Fiduciaries Code and in support thereof
avers that:
1.
Your Petitioner is Susan D. Dietrich, a sui juris adult residing at 779 South Allison Street,
Greencastle, Franklin County, Pennsylvania, and the surviving niece of the above Decedent.
2.
Mabel K. Hough, aunt of the Petitioner, died on November 25, 2011 at her residence,
1000 West South Street, Carlisle, Cumberland County, Pennsylvania, copy of death certificate is
attached hereto.
3.
Pursuant to terms of Ms. Hough's Last Will and Testament, copy of which is attached
hereto, the Petitioner was named as the sole executrix of the Estate. Additionally, the~e~edent's -~-.
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entire estate is to be divided as follows: 40% to Susan D. Dietrich; 40% to Judith K. Clark; and
20% to Jyl F. Myers.
4.
As of the date of Ms. Hough's death, she possessed the following assets: a checking
account with Orrstown Bank (account #142000453) with a date of death balance of $7,165.54.
5.
Your Petitioner avers that there are no creditors of the Decedent and no claims unpaid
known to the Petitioner.
WHEREFORE, the Petitioner requests that the Court sign the attached Order authorizing
a distribution of the foregoing assets to the above named beneficiaries.
Date: ~ ~~ Qf~-"
Respectfully submitted,
Clinton Barkdoll
Attorney for Petitioner
9 E. Main St.
Waynesboro, PA 17268
717-762-3374
Attorney ID#82251
I verify that the statements made above are true and correct. I understand that false
statements herein are made subject to the penalties of 18 Pa. C.S. §4904, relating to unsworn
falsifications to authorities.
Date: ~~ ~~
-,~ , 2011 ~~~~~ ~ r~ ~''~ ~%~ cl"~f' ~~ ~
Susan D. Dietrich
IO~.AUS 12 F,V IUI/077
IAId~RNIN~: It is ill~g~l t~ cl~lplicst~ this ~c~pY k)Y phOt®sfiat ~r p;ah~t~s~r~ph•
gee for this certific;.tte_ ,'~i(1 nn
This is to certify that the information here given is
correctly copied from an original Certificate of lleath
duly filed with me as Local Registrar. The original
certificate will be forwarded to the State Vital
Records Office for permanent filing.
I~ ~. l ~ 7 ~ ~n ~ ~j'
Certification Number L..~~~t-~- ~,e~~~~ N{~ ~? 6 2~~1
Local Registrar Date Issued
:~
H705-143PEV 11/200%
TYPE /PRINT IN ~ COMMONWEALTH OF PENNSYLVANIA . DEPARTMENT OF HEALTH .VITAL RECORDS
-PERMANENT
BLACK INK CERTIFICATE OF DEATH.
(See Instructions and examples on reverse)
L Name d Oecedenl (Pint, mMde, usl, sums) STATE FILE NUMBER
Mabel K . Hough z' sex 3. sadal Saaadry Nmnbm 4. Data d Deam (Manm, day, rear)
S. Age(LaslBMhtlay) umert ar female 1 84-1 2 -4763 November 25, 201 1
lhger 1 8. Date d Bkm Manm, da , er 7. B lace C em stale or mrd
Msnms Oqa Haw Mvxaee Ba. Pmce d Opm Check on one
_ 89 vra. 4 / 1 4 / 1 922 Mechanicsburg, pA "°'P"°l` Diner:
rn YVI
~ Bb. Camry of Deam &, C%y, Born, Tap. d Deem ^ InpaBenl ^ ER / Odpatlenl ^ DOA I•y Nursm
Bd FeaAty Hama (%nd imtlMlion, give street and number) 9 Home ^ ResiderKe ^ Otlrer ~ Spedty:
~ ' Cumberland 9. was Decedent d Hupenk Odgm7 ~ ~ ^ Yea 10. Race: Ameriran Inden, hack. White, em.
~ Carlisle Sarah Todd (tlre'''"°"ry'c""°n' (sDe«M
~ 11. Decedanl's Uauel tlan Krotldwark done du moetdwo' Me. pp riot stele ret 12. Wes Decadent everroma 13. Decedent's Edlxatmn Mencan'PUMO Pkan, ero.) White
(Spadty any higheM grads cOmpl91e1f) 14. MaMd SMms: Mardm, Never Maenad. 15.
Kim d Work Kaki d easiness/hduMry U.S. Amwd Fames? Smvidng Spouse (H w%e, give marten narre)
n Mail Clerk Insurance ~"'~""ry15ry(a12) ~~n-a.ars.) "'"rspanni
^ Yes ~] No 1 2 widow
i6. Depdenl's M i%rg Address (Street, c%ylmwn, state, zp code) Decedent's
1 000 W: South St, Aduel geeaerxe d7e. score pennsylyania Did Deament
Uve u a 17c. ^ Yes, Decedent Wed in
Carlisle, PA 1 701 3 %7b. cp,n ~1lmbfa 1 and T°D? rtn Twp.
ry d7d.vyNO,DepdantLivedw%tdn Carlisle
18. Fathers Name (First, mldde, msl, sumx) Achml Lim%s of City/ Boro
Robert Kale ig. Momers Name (F t, ml me)
Mabel g
20a. IMOrmaM's Name (Type I Pdnq
Judith Clark ZOb. InlamentS Mamalg lam, score, zip rode)
zie. Megrotl of Dispaadbn 551 Bren r. Lewisberr PA17339
~ ®CremaBan ^ DaneOan 21 b. Date of Disposdron (Manm, my, year) 21c. Place d D
°w ^ Budal ^ Removal ham Scala 1 Wes Crematon or Donation Aulhmlzsd ~ (Marne °' °f °~r Puce) 21d. Lapem (C%y/town, sure, zip pde)
^ Other ~ S ' M Medcd ExemlrrerlCararmR ~res^ No 1 1/ 2 6/ 2 0 1 1 HO 11 ]. n e r 1 7 0 6 5
22a Sipnalured Funem tkemea (or parson ad'mp as slam) 22b.Upme Nlm6er 22c Marne am AMrase dF g orY Mt,HollySprings, PA
_ - ~ aaddr
°t• 011589E Hollin erFH&C
Complde %ens 23ec only when prtltying 23a. Ta Ina Age wowiadga. tleath ocnamaat ma I:na dare am Mt . Ho 11 S r l n s P
physlden b not ava%abm al lime d death ro place slated. (Signahxe and tltle)
23c. Date Signed (Manm, day, reed
certMy puss d loam. ~ ' ~W , ^ (Zvi `a
w Items 2428 must tre completed by person 2d. Tina of Death 25. Date Pronounced Daetl (Monet, day, year)
who pronounces deem. tl m Mm%cel Examine / Corenm tar a Peasw Omar men Cremation m Dorneani
~l~ ~M. ~
CAUSE OF DEATH (See Inszrupione and exempma) t gpproximate interval: Pad II: Enter dher E IrihuA m da r 28. D'nf Ta6earo Use Contribute to Death?
Item 27. Pad 1: Enter the the n d events- diseases, m(ures, m canp%Calians - that dredty caused Ste loam, DO NOT enmr lemdnal evenre such as pMmc artesl,
respiretory artesl, or ventricular Ibddatlon withod showkg 8re allabgy. List Doty one cause on each %ne. Onset ro DeaU ma not resumtg ro me urttladymg pose glean ro Pad I. ^ Yes ^ Prdta6ly
IMMEDIATE CAUSE IFinel dsease or ~ ~ No ^ Unknown
cortdlion rasa%kp in deem) ~ S H'tl 6
-~ a' - ~/ ~ LA n ~d~s 29. II Female:
Duero (or as a consaquarxz oq. r ^ Not pregnant mthro pest year
Sequemie%y %st mndllrons, d erry, b. ~ ^ Pregnant al lkne d deem
() lea?ng to Ihs pose %5im on Mna a.
Enla 8n UNDERLYING CgUSE Duero (or ss a consequerce off; r ^ Nd Pregnant, bd pregnant whin 42 tleys
• (disease a ir¢uy met kdtreted Iha c ~ of deeM
events resumrp m death) UST. r
Duo b (a ae a comaquanp dl: r
d. ~ i ^ Nol pregpnt, bd pregnant 43 days ro 1 year
r belare deem
t ^ Unktrown %pregnenl wdhM IAe past year
30e. Wes an Autopsy 30b. Were AMapsy Fmdrgs 31. Mannar d Death 32A Dale d In)ury (Month,
/ Pedamed7 Available Prior m Canplelion - day, read 32b. Dascrdx How Irdury Occurted
d Cause d Deam7 I-iNahttal ^ Homldde 32c. Pup d Irl~sy; H°me, Farm, Sheet, Peccary,
Otke Budding. etc. ISpedry)
^ vas I~No ^ Yes ^ No ^ A<cMe^I ^ Pen&ng Imwstigadon 32d. Tone d iMury 32e. Irtµm/ et work? 321. II Trans 32g. LopHon d irryurY (Street. dY /town. sots)
patadon In)ury (spedryJ
^ Suicide ^ Could Nd Da Determined M ^ Yea ^ No ^ Driver/Operetor ^ Passenger ^ Pedeatdan
33e. Cemfie (check anty op) ^ Olhar- Spea'y:
• Cenitymg physician IPhyskmn pmtyitg cease d deem when another 336. Slgne am Tme d Cedm
physkmn ps pramwlcad seam am completed Item 23) ' n
To the 6eatdmy'knowledge, deaN aecuned due totM p~se(s)ant manneraetekd_______ ~ ~ Y_ r~~ ~•
• Pronouncing end <ertltying physkren (Physkian bdh pronoundng death am pNtying to pose o1 tleam) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ 33e. Liceme NumT6m 33tl. Date Signed (Manm day, year)
To the 6sst of my mwwmdge, dash accurted et the 8me,dMe,am piece, entl due to the uuse(s)and manner es alatetl__________ - ^ ifY~i.! O (~ .~ ~ ~
w Medta.IOSemirwrrcarane ------- ( pov tln.~je., ZS, ?0(1
w ~ On tAeb Is deasmmation and/or lnvestigatmn, In mY opinion, death oceurted Mthe time,date, and place,am dw to tlrc eausga)am manner ae smterL ^ 34. Name end Adtlreaad Parson WhoC dCauaedDeam (Item 27)Type/pdnt
3s. Regteo-ar ream d a~wnsaT 3s. Dam rlaa IMamh. mY. ypd G 60 ~"~ t ~ • (~ L e1SC•U r~ ~ n ~A
~ ~ . ~eac t- I ~ I i I:~ I i I h I (~ ( ~ 7 Ne~Sur, ~PI~dC. CtrL.We.e P~. I101~
Disposmon Perm%No:. o~~ •1 1_
LAST WILL AND TESTAMENT
BE IT REMEMBERED THAT
I, MABEL K. HOUGH, a resident of Cumberland County, Pennsylvania,
being of sound mind, memory and understanding, do make, publish and
declare this to be my LAST WILL AND TESTAMENT, hereby revoking any and
all Wills and Codicils previously made by me.
I
I direct that all my just debts and funeral expenses shall be paid from my
residuary estate as soon as practicable after my decease.
II
I direct that all taxes t~iat~ i
~..
be assessed in consequence of my death,
of whatever .nature and by w
my residuary estate as a part of the
fiction imposed, shall be paid from
of the administration of my estate.
III
I give, devise and bequeath all of my property, whether real or personal,
wherever situate, including any property over which I may have a power of
appointment to the following individuals, per stirpes:
Forty Percent (40%) to my niece, JUDITH K. CLARK.
Forty Percent (40%) to my niece, SUSAN D. DIETRICH.
Twenty Percent (20%) to my niece, JYL F. MYERS.
IV
I nominate, constitute and appoint my niece, SUSAN D. DIETRICH, as
Executrix of this LAST WILL, to serve without bond. If my niece, SUSAN D.
DIETRICH is unable or unwilling to act in that capacity, then I nominate,
constitute and appoint my niece, JUDITH K. CLARK, as Executrix of this LAST
WILL, to serve vaithout bond.
IN WITNESS WHEREOF, I, MABEL K. HOUGH, have set my hand to this
LAST WILL this ~ d day of G~~'~`~" , 2006.
9
MABEL K. HOUGH
Signed, sealed, published and declared by the above-named MABEL K.
HOUGH, as and for her Last Will and Testament,: in the presence of us, who, at
her request and in her presence, and in the presence of each other, have
hereunto subscribed our names as
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