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HomeMy WebLinkAbout02-29-12Reset PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for Letters as specified below, and in support thereof aver(s) the following and respectfully request(s) the grant of Letters in the appropriate form: Decedent's Information Name: HELEN H. BENEDUM a/k/a: a/k/a: File No• ~ ~ _>I~ - ,~~ ~ 7 (Assigned by Register) Social Security No: ~-- ~ ~ ~- 2- ~ ~"-~ ~ a/k/a: Date of Death: FEBRUARY 17 2012 Age at death: ~ ~ Decedent was domiciled at death in CUMBERLAND County, PF.NNSV .VANIA _ (stare) with his/her last principal residence at MESSIAH VILLAGE LIFEWAYS 100 MT. ALLEN DR. MECHANICBURG PA 17055 CLIMB Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 100 MT. ALLEN DR. MECHANICBURG PA 17055 C UMBERLAND PA Street address, Post Office and Zip Code City, Township or Borough County State Estimate of value of decedent's property at death: $ ~~ ~~~ Ifdomictled in Pennsylvanta ........................... . All personal property 5 If not domiciled in Pennsy[vania ....................... . Personal property in Pennsylvania $ If not domiciled in Pennsylvania ....................... . Personal property in County $ Value of real estate in Pennsy[vania ..................... ................................... TOTAL ESTIMATED VALUE... . $ . $ «~ t °y •' ° ..g,Aq...- Real estate in Pennsylvania situated at: NONE (Attach ~uiditional sheets, if necessary.) Street address, Post Office and Zip Code City, Township or Borough County A. Petition for Probate and Grant of Letters Testamentary Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated AUGUST 17, 2007 and Codicil(s) thereto dated NONE State relevant circumstances (e.g. renunciation, death of executor, etc.) Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, was not divorced, was not a party to a pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g), and did not have a child born or adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. '© NO EXCEPTIONS ~ EXCEPTIONS B. Petition for Grant of Letters of Administration (if applicable) c. t. a., d. b. n., d.b.n.c.t.a., pendente lite, durante absentia, durante minoritate If Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs. Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person. Q NO EXCEPTIONS ~ EXCEPTIONS Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the following additional sheets, if necessary): (if any) heirs'.~tac~ n ~ n ~ tv -- - Name Relationshi ~p Address <_r CJ~ ~ ._. r, ~ -r, - _~ --~c~ -~ ~: _ - N Form RW-02 rev. 10/ll/20ll Page 1 Of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF CUMBERLAND Official Use Only Petitioner(s) Printed Name Petitioner(s) Printed Address JUDITH S. BRODOVICZ 318 W. MEADOW DR. MECHANICSBURG PA 17055-5153 BARBARA B. ROWE 4 KELLY COURT, ENOLA, PA 17025-1815 HARRY L. BRICKER JR. 921 BRADFORD ROAD HARRISBURG PA 17112-1611 The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing 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, the Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed anted subscribed before -l~.' _ ,~~~ ~~-ztc-~,~ Date ;; - ;z, ~7 - I Z- me t day o •~ Ll ~ ~ ~ c . Date ~>- !Z`J' /~ .n I t,~ Date L ~ ~ K ~ i ~, By: Date For the Register BOND Required: ~ YES ~ NO FEES: Letters ...................... $ 7 "~-', ~ (~i )Short Certificate(s)...... . L ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other •~••~••~ Phone Automation Fee. Fax: JCS Fee . .................... ~~~; Email: TOTAL ..................... $ ~~7 '-$~@- HARRY L. BRICKER, JR. ATT(1RNFV AT i AW 9~ 1 RR AFFORD ROAD^'~ `~;' _---- _. _ . _. rz- _.... 717-233-2555 C7 ~~ ~~ ~r- m , 717_~zz_RSSS ~~~ N Z7 _ --- DECREE OF THE REGISTER ~ -, ` ~ ~ N ~'~ C~ q ~' /~ -T, Estate of HELEN H. BENEDUM File No: ~/1 ~ ' ~'~ (-'~~ ~[' t~ a/k/a: .. AND NOW, ~ ~ ~~ ~~` ~ ~ .~ ~ ~ '~ .(~ , `~`~~% ~-' , in consideration of the foregoing Petition, satisfactory proof having been esented before me, IS DECREED that Letters TESTAMENTARY are hereby granted to JUDITH S. BRODOVICZ BARBARA B. ROWE AND HARRY L. BRICKER JR. in the above estate and (if applicable) that the instrument(s) dated AUGUST 17 2007 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. egister of W ~ lls ~~ s L~ ~~ ~~~ ~_~ ~' t _ ~._ _ ~_ Form RW-02 rev. 10/1 //2011 Q ~ Page 2 Of 2 To the Register of Wi[[s: Please enter my appearance by my signature below: Attorney Signature: __. .. _. ._ Printed Name: HARRY L. BRICKER, JR., ESQ. \ Supreme Court ~'~, ID Number: 07049 '3 _~, ~ Firm Name: Address: l.OGA~ REGiSTRA~'S E°~1~IGAT~G~ G~ ~ ~" V4/ARNING. It is illegal tc ~lupl~cate `~~~~ c„~~Y ~y pt~c~tastat ter ;~ta~;m... "1 _ , it ~ 1. _,,, y~ ~ t t , I"• ~ I -~ ~'~ ~dt ~ i~ I ___ _-_ _- _____ ------_______ ,~ rla ` ' ~ , 15 '` - viii. '-:.: _ n_..... ~ t Type/Print In COMMONWGLTH OF PENNSYLVANIA • DEPARTMENT OF HEAITH • VITAL RECORDS Perm,rlent CERTIFICATE OF DEATH 3 i 1. Decedent's lgal Name IFlrrt, Mitltlle, Lart, Sufflv) 2. Sea 3. Satlal Secudry Number 4. Date of DeaM IMO/Day/Vr) (Spell Mo) Female 236 - 42 - 0454 ~ sw Sa. Age-Last Birthdry rln) Sb. UMer 1 Year Sc. Under 1 6. Date of Birth (MO/D ry/Yearl ($pNl Month) ] Birthplace ( p or FypJgn try( ` tY t Months Days Hours Mlnu[n ~tearne ys Vl~~ e, WV 90 May 18 1921 ]b.BiRhplace(000nry) a arson ~" ea. Ruldenca (State or F«Ngn Country) 8h. Resldenu (Street and Number -Include Apt No.) &. Did DecMent Lhrc In a Townshlp7 Penns l va nia yea, dx.tlent 1Wetl In ~r Allen 1 m ad t b c ) 222 Messiah Circle C m ecl arri 1 ee. Residence 12ip Cotle) ^ No, decedent (Ned within Ilmks of 9. Ever In US Nmed ForusP 30. Markel intus at Time of Death ^ Marrkd Witlowetl 11. $urvMry Spouse's Nama (It wife, gNe name pri« [o first marrkgel.'-'`- ^YU ENO ^Unknown ^Dlvprced ^Newr Mankd ^Unknown 12. f•thels Name IFlrrt, Mitltlle, fast, SufRxl 13. MMheYS Name Prior tp Fin[ MarHage (Flat, Middle, tat) William Katie Hammond Laura Annetta White " lea. In/orman['s Name 14b. Rela[bnshi to Decadent 14c. Informant's Mallln Addrau (street and Number, Gry, S[xe, 21p Cadel g Barbara B. Rowe Daughter 4 Kelly Court ~EOla, PA 17025 ~ ~ G Sa. Paceo Oeat - ° n ° n ~ "' ........... .......................................~ .............................................. PP9N M Oeuh Ocrorred In a Hospkal: k~~InWtknt : ... ..............................~.......... .... .. .. . .............................. ....................................ww .................. if Death Occvned Som here Other man a Hosplbl: C(~HOSWce Facility 4-Decedent's Mome S ^ Fmergenry Room/OUtpaHent ^ Deatl on ArrNal ~ Nursing Mome/Long-Term Csre Facility Other (sperlry) lib. Facllky Name IIf no[ Imtkutbn, {IVe slreN antl number; lic. City or Town, State, aM 21p Cade lid. County of Death LL m e tt M h d f Di i 16 kb ~ l •~~ - l 1. ' r $ a. et o o spos n ~ Bur a ^ Cremation ^ Removal from State ^ Donadon I6b. Date o1015posltlon lfic. Place o spasitlon (Name o cemetery, crematory, or other place) anerlspaky) 22 201 Indiantown Ga National Cemete Z 16tl. Loca[bn of Dlsposkbn ICky or Town, Stxe, and 21p) 1]a. Signature o/ F ral Servke a ua or Person In Charge of Interment 1]b. tkense Number Annville, PA 17003 1 /~ ` Fv - 014889 E ]]c Na MCOmplate Adtlreu Funxalfac111N ~ e ~ S Ma p zzi FUrtera Hone 8 Market P aza Wa Mec icsburg, PA 17055 sg 1{. Decedent's EtluraHOn - Olxk Me Oox Nat best describes Me 19. Decedent of Hispank Oryin - Chxk Me Z0. Decadent's Pau -Check ONE OR MORE rxu to Indkate what ~ hl{hest degree or level of school completed at Me tlme of death. box Mat hart desWbes whether the dxedenl the decedent ronsideretl himself or herseH to be. 8th {rode «less Is SpanishMispanic/LaHnp. Cneck the "NO" g} White ~ Korean No dldoma, 9th -12M {rode boa H decedent is rwt Spanish/Hlspani4Latino. ^ Black or Anion American ~ Vktnamese High school {rcduate or GED COmpkted ~NO, no[Spanish/Hispanlc/LaNno ~pmerican lMian or Aaska Natke ^OMer ASlan Some cdle{e credit, but no degree ^Ves, Mexican, Mevkan American, Chicano ~ biers Indian ~ Native Hawaiian [Z'ASSOCiate derree le.g. µ ASI ^ Yes, Puerto Rican ~ Chinese ~ Guamanian or Cham«ro Bxhel«'s degree (e.g. BA, AB, Bil ^ Yu, Cuban ~ Filipino ~ Samwn MasLr's degree le.{. MA, MS, MEng, MEd, MSW, MBA) ^Ves, other Spanish/Hispank/Latino ^ Japanese ^ Other Paclfc Islander ^ Ooctorcte Ie.g. PhD, EdDI or Protessbnal degree Iipecifyl ^ Other (Specify) e.. MD DOS DVM lLB 10 21. OecetleM's Single Race $eH-Oesignatlon -Check ONLY ONE [o Indicate what the tlxedent consbered himuH or heruH to be. 22a. Dxedent's Usual Occupation -Indicate type of work ® Waite ^ lapatles< ^ Samwn done during most of working Ilfe. 00 NOT USE RETIRED. Blxk orAfrlcan Amerkan ^ Korean ^ Other Pac?c Islantler Secretar y ^ American Indan or Alaska Na[He ^ Vktnamue ~ Don'[ Know/Not Sure , Asian Indian ^ Other Asian ^ Refused 22b. Kind of 8uslnus/Industry ^ cnmese ^ Nxwe Hawanan ^ aner tsp«Iry) Secretarial ^ Fnbbp ^ Gu,m,nbn «chamorro REM573e-23d MUST BE IXIMPLETEO 23a. Oat<Pronounced Dead IMO DaY/Yr) 23b. Signature of Person Pronounciry Death (Only when applkablel 23c. U<ense Number BY PERSON WNO PRONOUNCES OR ~ CERTIFlES DGTH a ~ _ _ _ _ 23d. Date Shnad IMO/Day/Yr) 24. Time of Dea ~ / _ Q /~ '> f ~ F / (. Y ~- 7 c Q 25. Was Medial Examine Contatted] ^ Yes No CAUSE OF DEATH i ppproKlmaee 26. Pert I. Enter Me chain of events-tliseaus, infurles, or complkatbns-That dlrec0y caused [he death. DO NOT enter terminal events such as cardix ones[ Interval: rnpiratory arrest, or ventricular RbHlk(bn wkho u t showing [he etblogy. 00 NOT ABBREVIATE. Enter onN one y y line. Add addklonal lines if rMCesiary Onutto Death // ~ s ~ IMMEDIATE GUSE --> a. /~R"V "~"~~ ryty~~~'r~Y-~'~~~~ /DL-[A a (Final tlluase or mlMitbn Due fo (or as a ronse9uence oFf: resulNq in death) / N~Lv ~ b. ~/o/La/[./ LklD~N GYIS-«eSe- xRNeneknycast <ondmon:, Dw b br a: a ronseR a pe pff: n anr, kadbg to arse apse listed on line a. EnM Me UNDERLYING GUBE Due m for as a conuRUence off: (disease or bury Mat InlHated the awns resukiq d. in deaM) (AST. Due to Ipr as a conseouence oFl: S f 26. hrt 11. Enter other Rgrdflu t wndkbns nMtwtine to tleath but rwt resyklny [he u de4ri B Dose gNen In Part I r 4/e~s/yaaClSLQy¢ -errC Sri~k2 C!J/~OYIGt/c I). was an autopsy pe nned] ^Yes No a ~n/f .~lw¢. !n•ficr[- a5ea'eM4E~ °LO~e~- . ~ ~i zB.werealkopsvnnaingsayanade ° ` y., ~ {„~ . Q..I ft/o~ 4/F ~-a~/yI(MC to umplete the cacao of death? ^ Yes ^ No v .1 m 19. H Fema 30. Did Tobxco Use ConMbute to Death] 31. Manner of DeaM E v~'flpt pre8nant wkhln past year ^ Yes ^ Probabh/ ~•Nafurcl ~ Homkbe S ^ Pregnant a[time of tleaM ^ No Unknown ^ Aroldent ~ Pending investigation Not pregnant, Mst pregnant wkhln 42 drys of deaM ~ Sulcbe ~ Could nM be tle[ermined Not pregnant, but pregnant 43 tlays [p 1 year before death 32. Dale of Inlury IMO/Day/Yrl (Spell Monts) Unknown If prgnant wthin Me part year 33. Time of Inlury 34. Place of Inlury le;. home; cons[ruttlon site; farm; school) 35. L«atlon of Inlury (Street and Number, Ciry, State, Zip Code) 36. Injury at Work 3). If Transp«txbn Inlury, 6pecfFy: 36. Describe How Inlury Occumad: ~ Yes ~ Driwr/Operator ~ Petlestrkn p No ^ Passenger ^ aner lsp«ifvl 39a. ertif r (Cneck only anal: ~Certilyln{ physklan - io the best of my knowledge, death occurred due to the cauuls) and manner stated ^ Pronouncing R Certiryln{ physkkn - To Me best of my knowledge, tleath «curretl at the time, tla[e, antl place, antl due tp Me cause(s) and manner statetl Medical - On the bull of exam' atbn, and/ar inwstiga[ian, In my opinion, tleath occurred al the time, tla[e, and plxe, antl due to the causelsl and manner stated 6 Tine pf certifier: ~ tkenu Number: SOG 4 ~~~ 9 . Zip C.~e d Persar5[ompkting use Lath tterp 26l 3 9c. DHe SI IM~DaY/Vr) ~ M . Pegistrah ONMtt Number Al. Re [ ar Signa a 4 ~ 2. Rgistnr File Dale Mo Day r) ~ ~-t1~~1~. a lea ~ 1~ 43. Nnendmenn rte] Ca rv w ,(i ~7 T N ~ ' '~F1 ~ _ i .. f -_a~T-1 IV ~~ Q 0729345 H105-143 Dlspositlon Permit Np. REV OT/2011 ~ ~ Q ~~ r ~, r~ -, _T ~~ ~ ~ LAST WILL AND TESTAMENT ~ =~ ~ ~ _- ,_, ~ ~} BENEDUM HELEN H ~' n, `, --} . cM~ ^~ i I, HELEN H. BENEDUM, an adult individual of the County of Cumberland, and Commonwealth of 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 any and all Wills or testamentary writings by me at any time heretofore made. FIRST: I direct that all my debts, funeral expenses and inheritance taxes be paid by my personal representative, hereinafter named, as soon after my death a as may be practicable. -~1 SECOND: I give and bequeath the sum of one thousand dollars ~.J~ ($1,000.00) to SAINT JAMES PRESBYTERIAN CHURCH, presently situate at 1425 Orr's ~~ Bridge Road, Mechanicsburg, Pennsylvania 17050. -' THIRD: I give and bequeath the sum of five hundred dollars ($500.00) to the KEARNEYSVILLE PRESBYTERIAN CHURCH, presently situate in Kearneysville, West Virginia 25430. --~+, FOURTH: I give and bequeath all of my jewelry and personal ornaments to my daughters, JUDITH S. BRODOVICZ, who presently resides at 318 W. Meadow Drive, Mechanicsburg, Pennsylvania 17055, and BARBARA B. ROWE, who presently resides at 4 Kelly Court, Enola, Pennsylvania 17025 in equal shares, per capita, which jewelry and personal ornaments shall be divided between them by my Co-Executors with due regard for their personal preferences in as nearly equal shares as practical. FIFTH: I give, devise, and bequeath all of the rest, residue, and remainder of my estate, be it real, personal, and mixed, of whatever nature and wheresoever the same may be situate, as follows: A. Five thousand dollars ($5,000.00) to each of my grandchildren who are living at my death, which gift is to be received as a token of my affection for them. B. The balance thereof in equal shares to my daughters, JUDITH S. BRODOVICZ and BARBARA B. ROWE. Should my daughter JUDITH S. BRODOVICZ predecease me or not be living at my death, I then direct that the assets herein referred to be distributed to my daughter, BARBARA B. ROWE. Should my daughter BARBARA B. ROWE predecease me or not be living at my death, I give, devise and bequeath her share to her children in equal shares per capita. SIXTH: I hereby nominate, constitute, and appoint JUDITH S. BRODOVICZ, BARBARA B. ROWE, and HARRY L. BRICKER, JR., of Harrisburg, Pennsylvania, to serve as Co-Executors of this, my Last Will and Testament. Should one or more of these individuals fail to qualify or cease to acs as Executor, I hereby, nominate, constitute and appoint the other or others as Co-Executors or sole Executor. I further direct that my personal representatives shall serve without bond. Said personal representatives shall have the power to discharge all the debts, liens and encumbrances upon my Estate, as well as any taxes thereon, to pay for the cost of the final disposition of my remains and final illness, if any, to receive any and all commissions and other ~"~ compensation for services rendered by me during my lifetime and to perform any and all a fiduciary duties authorized by statute. Further, I direct my personal representatives to '~ preserve my Estate and any instructions pertaining to the distribution of the same from any attachment or anticipation while in the hands of my personal representatives, it being my ~ express intent that all legacies shall be free from any attachment or anticipation while in r the hands of the accountant for my Estate. ~'. SEVENTH: I hereby direct that all taxes attributable to the passing of any -1 assets by means of this Will or otherwise, or that may be assessed in consequence of my ~ death, of whatever nature and by whatever jurisdiction imposed, shall be paid from the residuary of my estate as a part of the expense of the administration of my estate. IN WITNESS WHEREOF, I, HELEN H. BENEDUM, have signed, sealed, published and declared this to be my Last Will and Testament, consisting of this and three (3) additional pages in the margin of each of which I have also set my hand for greater ~~~~ 2007. security and better identification this ~ day of ,~~~' ~~.~ ~ ~--y ~ ~._~___ l ~ _. (SEAL) Helen H. Benedum 2 The preceding instrument, consisting of this and three (3) other typewritten pages, was on the day and date hereof signed, sealed, published and declared by HELEN H. BENEDUM, Testatrix herein named as and for her Last Will, in the presence of us, who at her request, and in her presence have hereunto subscribed our names as witnesses hereto. We further certify that at the time of the execution hereof, the said HELEN H. BENEDUM was of sound and disposing mind, memory and understanding. ~.. >~~---~` _ ._ COMMONWEALTH OF PENNSYLVANIA COUNTY OF rC~ ; 3 Ala c L _.c_L.,C`'__ _ { ~/ {{ 1 .~ ~~J~~ ;._,. .r1 ~.. J ~~-~i ~____ SS: I, HELEN H. BENEDUM, Testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed a h ~ ieSUtnedth{ lastmy frete and voluntalryaacdt forttheepurp stes (therein willingly; and t g expressed. Sworn or affirmed to and acknowledged before me by HELEN H. BENEDUM, the Testatrix, this r~4,.~ day of ~ ~ - , 2007. ,~ ~ ~ .~~ ~.r < A ~~~rc; ~ Notary Public My c mission expires: ,r ~ ; ~ : ~ ~. (Seal) COMMf)N1PdE~L'i'M t7F PEiVNSYLVAfVlA Notarial seal Agnes G. Nichici, P•Jotary Public City OF Harrisburg, Dauphin County My Commission Expires June 27, 2010 1Aember. Pennsylvania Association of Notaries 3 COMMONWEALTH OF PENNSYLVANIA ) SS: COUNTY OF '~ ~ c i ~ ~ ~~ t ~ ~;c~.,z-z ~~. ) _ r ~ 1 ~r :-__ L . alb, We < . ~~~ '~ ~~ `. ' and ~ YC.ZnC1 t the witnesses where na resigned to tl~attached or foregoing Instrument, being duly qualified according ~olaw, do depose and say that we were present and saw HELEN H. BENEDUM, Testatrix, sign and execute the instrument as her Last Will and Testament; that HELEN H. BENEDUM signed willingly, and that she executed it as her free and voluntary act for the purposes therein expressed; that we, in the hearing and sight of the Testatrix, signed the WIII as witnesses; and that to the best of our knowledge, the Testatrix was at that time 18 or more years of age, of sound mind, and under no constraint or undue influence. _.~~ ~_ ,. .~._...~ 4; ... ~ .. ~~~ ~' Sworn to and subscribed before me this ~ '1.r~c day of hoc ~ ~ - , 2007 %!, ..1 , ;, Nota Pu lice My coh-i;mission expires: ~- ~ ~~`~~ (SEAL) t;UiVIiVIC7NWE=At_"fH OF P~NNSYI_VANIA Notarial Sea! Agnes U. Nichici, Notary Public City Of Harrisburg, Dauphin County Nly Commission F~cpires June 27, 2010 l nAember, Pennsylvania Association of Notaries