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Home My WebLink About04-02-12IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of HAROLD C. FICKES, JR a/k/a: a/k/a: a/k/a: 3/17/2012 Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or ~B' AND °~C" as applicable: [7 A. Probate and Grant of Letters Testamentary or ^ Administration c.t.a., or d.b.n.c.t.a. (complete Part C also) and aver that Petitioner(s) is/are entitled to the aforementioned Letters TESTAMENTARY under the last Will of the above-named Decedent, dated 11/8/1990 and codicil(s) dated (State relevant circumstances, e.g. renunciation, death of executor, etc.) Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated person, and was not a party to a pending divorce proceeding at the time of death wherein grounds for divorce had been established as defined in 23 Pa. C.S.A. § 3323(8): (NONE) O B. Grant of Letters of Administration (If applicable, enter d.b.n., pendent life, durance absentia, durance minoritate) C. 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 (lf Administration c.t.a. or d.b.n.c.t.a., enter date of Will in Section A 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(8), except as follows:- 7~ -z:;r ~-~ r-~~_, . = :~ I1SE ADDITIONAL SHF,ETS IF NF.CESSARt' 4l ~ ~ -_ ~ ,~,~ THIS SECTION MUST BE COMPLETED: ~%[~_~ =i-a ,~' ~w -r: Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or~~cipal rience~-~ r At 7 WEST MAIN STREET BOROUGH OF NEWVILLE PA 17241 ;~ `,7 ~ (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) ~, 'fi't Decedent, then 79 years of age, died Estimated value of decedent s property at death: If domiciled in PA If not domiciled in PA _If not domiciled in PA -Value of Real Estate in Pennsylvania SS NO: HARRISBURG, PA (Month, Day, Year of death) (City and State where death occurred) All personal property $ 10,000.00 Personal property in Pennsylvania $ Personal property in County $ $ 120,000.00 Total Estimated Value $ 130,000.00 Location of Real Estate in Pennsylvania: (Provide full address if possible.) 7 W • MAIN & 51 BROAD ST, NEWVILLE BOROUGH ~ Signature(s) ~ Name(s) & Mailing Address(esl LESLIE FICKES, 59 DEWALT DR, MECHANICSBURG, PA 17050 LINDA HOCKMAN, 7 W. MAIN ST, APT 1, NEWVILLE, PA 17241 tntr.rim Fnrm Rw_m rn.,,~o.i M 9~ to 1.., r.,.«t.,._t..._a n_.._._. __._~, Deceased ESTATE NO: 21- I ~ - O.~c4 ~_ ~„anu ~ vunty ttcuuutg acuun oy [ne LOUT[ Page I oft OATH OF PERSONAL REPRESENTATIVE Commonwealth of Pennsylvania SS County of Cumberland ~a C7 T o ~~~ The Petitioner(s) herein named swear or affirm that the statements in the foregoing Petitio~~e a ~ correct to the best of the knowledge and belief of Petitioner(s) and that, as personal represt~i~(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. ~ ~ :~. ~' Sworn to or affirmed and subscribed ~ -' ~• ~ ~~ -z, --~ .. before me this day of ~- -~--1.,~? ~ ~ Q / ~~ I ~~ ti ( ~ ~I~'~~1SCl ~o For the Register DECREE OF PROBATE AND GRANT OF LETTERS Estate of HAROLD C FICKES, JR ,Deceased File Number: 21- ~ Ci ~ ~ - , j ~• _.aa ~.-~ ~ ,-, ^_ -1 c-: . ,' ~, ,, _: -r~; . - ~; ~.~i d --r, AND NOW, this -~ day of f}(~ ~ ~ ~ ~ 7<~ ~ =~ , in consideration of the Petition on the reverse side hereon, satisfactory proof h va ing b nee presented before me, IT IS DECREED that Letters x Testamentary of Administration are hereby granted to: (If applicable, enter c.t.a., d. b. n., d. b.n.c.t.a., etc.) LINDA HOCKMAN and LESLIE FICKES in the above estate and that instruments(s) dated a/s/199o described in the petition be admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. Glenda arner Strasbaugh, Register of Wills ~~ ~ ~~~~ ~ ~ l-(~ k~ ~ ~C' C~~~ ~:~~ FEES: Signature of Counsel Required to Enter Appearance >>~ Will ........................ I ~ - C'~~~ Codicil(s) ................. ('~) Short Certificates ~ lI ) ~ (1) Renunciations....... ~ .O (`~ Bond ............................ Other ............................ ................................. ................................. Automation FEE......... 5.00 JCS FEE ................... 23.50 TOTAL ................$ ~~ Lr~ ~ - ~ - Atty's Signature ~~-"~~ PRINTED Name: THOMAS E. FLOWER Supreme Court ID No.: 83993 Address: 10 W. HIGH ST CARLISLE, PA 17013 Phone: (717)243-5513 Fax: (717)241-4021 Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 2 of 2 _ _ u „ .VI)< oG„ ,<, LOCAL REGISTRAR'S CERTIFICATION OF DEATIH WARNINQ~.. ~~ ~]l~gal!~tp'~u~cate this copy by photostat or photograph. PI ~ r 1 , 11 I a+~ Fee for this certificate, $fi.OO P 18 21181.6_.____ ~~ Certification Number- Type/Print In Permanent 79 'this is to ccrtity ih,9_ the informaticu~ Ijerc giv(;jj is ~'~~~ ~ Qpi~ '2 a~ ~~~ _ co)rectly copied frllr.~) an original Certifjca~e of Death duly filed ~~~ith me ,)s Local Registrar. T'~e original ~~~~~ ~~ cc.rtifieate wit: he 1~orwarded to the StaCe Vigil n ~~?(~r^lanent filing. ORPh•fAN`S ~GURT ~~e~(~rd~ ortl~~e eOj Cil)Itr}?f=R;-APJ~ i;;'1 pj L~ixv~ ~ Harold C ~• ~ _.____-- M~_-2 0 2012 I,~ocal Registrar Date Issue°d COMMONWEALTH OF PENNSYLVANIA ~ DEPARTMENT OF HEALTH ~ VITAL RECORDS CERTIFICATE OF DEATH Stale File Number: 2. Sex 3. Social security Number 4. S f Death (MO/DaY/Yr) ( 11 M Fic7ces ale 204-26-8820 s~~~z ~~ a/~ _. Under 1 Oa 6. Date of Birth (MO/Day/Year) (Spell Month) 7a Birth lace (City and State Forei H°"rs n^I""t°' C`umi1berland g^councry) March 14, 1933 Count Pp, 7b. Birthplace (County) (Stre t and Number - Include A t No.) gc. Did Decedent Live in a Township? est Main Street OYes, decedent Byed in _ twp. ~: umt~e r 1 a n d Be. Residence (Zip Code) 1 7 2 4 ]- o, decedent ilved within limits of N 9. Ever in US Armed Forces? 10. Marital Status at Time of Death ~ Married ~ Widowed 11. Survivin 5 Pw r i ~ , city/boro. $] Ves ~ No ~ Unknown ~Pivorced ~ Never Mauled ~ Unknow B Pouse's Name (If wife, give name prior to first marriage) 12. Father's Name (Firs[, Mldtlle, Last, Suffix) 13. Mother's Name Prior to First Marriage (First, Middle, Last) Harold C. Ficltas Sr. Olive Brown 14a. Informant's Name 14b. Relationship [o Decedent 14c. Informant's Malting Adtlress (Street and Number, Clty, State, Zip Cotle) g Leslie Fic3ces Daughter 59 Dewalt Dr. G ................. 1 Mechanicsburg, PA 1 ............. ...................... ...... ........ a. P ace o Deat C e If Death Occurred in a Hos Ital: ~-- """"""---- = c On y one P InPatlent a........0 ... g ............. _ ....... ........... _ _ o - ; If Death Occurred Somewhere Other Than a HosplTal~ ~ Q Emergenry Room/OUtpatlent Q peatl on Arrival _' Nursin Home/Long-Term Care F ~ Hospice Facility ~ ~~-~~~~ •••'- [~ Decedent's Home ~~ 156. Faclliry Name (If not Institution, give street and number; acllity Other (Specify) Harrisburg H o s p i t a 1 1st. acy °r Tpwn, state, and zip cpde isd. County of Death - Harrisburg PA 17101 Dauphin m 16a. Method of Disposition 0 Burial Cremation 16b. Dare of Disposition 1 PI Co f. Dts ~ap~g Q S~r~e~ep~ ~Cr Q Removal from State ~ Donation ~O ~ 1 1 ripgae g (NI...C Cfl[t cl L LJ~L ~^aTOry, or other place) otner(spedfy) 3/ 2 0/ 2 0 1 2 2 16d. Location of Disposition (City or Town, States, tl Zip) 17a. Signature of Funeral Service Licensee or Person in Char ~ Mt _ Ho11y Springs PA 17065 gePflntermen, 17b.LlcenseNUmber FD 9963E E 17c. Name and Complete Address of Funeral Facility 3 er Funeral Home Snc 15 Big Spring Ave Newville PA 17241 ~ 1g. Decedent's Education -Check the box [hat best describes the 19. Decedent of Hispanic Origin - Gheck the 20. Decedent's Race -Check ONE OR MORE races to indlcate what l- highest degree or level of school completed at the time of death. box that best describes whether the decedent the decedent considered himself or herself to be. Q 8th grade or less is Spanish/Hispanic/Latino. Check the "NO" White $])(No diploma, 9th - 12th grade box If decedent is not Spanish/His anic/Latino. ~ Black or African American ~ Korean ~ High school graduate or GED completed No, not 5 p ~ Vietnamese Q Some college credit, but no tlegree Panlsh/Hispanic/Latino ~ American Indian or Alaska Native 0 Other Asian 0 Associate degre ~ Yes, Mexican, Mexican American, Chicano 0 Asian Indian ~ ryatlve Hawaiian e (e.g. AA,-AS) O Ves, Puerto Rican Q Bachelor's tlegree (e.g. BA, AB, BS) 0 Yes, Cuban (] ~ ; i 'ese ~ Guamanian or Cha morr0 ~ Master's degree (¢.g. MA, M5, MEng, MEd, MSW, MBA) 0 Yes, other Spanish/His ~ p "O Q Samoan Doctorate (e.g. PhD, EdD7 or Professional tlegree Panic/Latino ~ Japanese ~ Other Pacific Islander . MO DOS OVM LLB JD (Specify) ~ Other (Specify) 21. Decedent's Single Race Self-Designation -Check ONLY ONE to indlcate what the decedent considered himself or herself fo be. 22a. Decedent's Usual Occupation -Indicate )$] White ~ Japanese 0 Samoan type of work )~ Black or African Amerlcen ~ Korean O Other Pacific Islander done during most of working Ilfa. DO NOT USE RETIRED. q Q American Intllan pr Alaska Native ~ Vietnamese 0 Don't Know/Not Sur¢ ~'r uC}C Drive r .7S ~ Asian Indian ~ Other Asian 0 Refused ~ Chinese Q Native Hawaiian Q Other 5 226. Kind of Business/Industry Q Filipino O3~G~uam4anipan or chamorm (aecifvl TrUC7cing BY PER ON WHO PRONOUNCE OR ED 2 M a r C Rour[c~ Dead ~ay r 23b. Signature o Person Pronouncing Death (Only when applicable) 23c. License Num er CERTIFIES DEATH 1 L 23d. Date Signetl (MO/Day/Yr) 24. Time of Death - or Coroner Contacted? ~ Yes CAUSE OF DEATH ner 26. Part I. Enter the chain of event --d lseases, injuries, or complications--that directly caused the tleath. DO NOT enter terminal events such as cardiac arrest APProximafe respiratory arrest, or ventricular fibrillation without showing the etiology. 00 NOT ABBREVIATE. Enter onl ~ interval: y one a Ilne. Atld additional lines if necessary Onset to Death IMMEDIATE CAUSE ----- ~ ~ ~~~3~dY-~ C` ' ~~L n ~rJe-~~ se on (Final disease or condition a A,} D ( V _TTse`quence of): ~' resulting in death) • 1 ~ ~~-~ ue~ a~c~O =' b. v ~ Sequentially Ilst conditions, Due Go (or sequence of): if any, leading to the cause ~ is \ as a con listed on line a. Enter the ~(.~ 1 J\ UNDERLYING CAUSE (disease or Injury that D t quence of). ~ S 3 ~ In lfiatetl the events resulting d, in death) LAST. 26. Part 11. Enter other s~nif'c t dill Due To (or as a con sequence of): t Ib it t d .but not resulting in the under) In Y g cause given In Pa t I - 27. Was autopsy perfor ~7 .0.~ O Yes $$ ' 28 W e autopsy findings avallabl¢ g" . E ~ ~ ~- 29. If Female: 30. Did Tobacco Use Contribute to Death? Q Not pregnant within past year Q Pregna n[ at time of death ~ Yes Q Probably ~ Not pregnant, but pregnant within 42 days of death ~ NO 0 Unknown ~ Not pregnant, but pregnant 43 days to 1 year before death 32. Oate of In ~, ~ V nknown If pregnant within The past year jury (MO/Des /V r) (Spell Month) 31. Man er Of D ~urat ~ Accident ~ Suicide t o o c plate the cause of tleath7 ~ Yes Q No _ eath Homicide O Pendin Invest) Lion 0 Could not be determined \\~C O ~Sa_ 2 Yes `" I^jury Occurred: O Passers Operator Q pedestrian e o No ~ gar ~ Other (Specify) Certlfler (Check only one): ~ Certifying physician - To the best of my kn I dge, death occurred due tp the cause(s) and manner stated Q Pronouncing 8a Certifying physician - he f my k wledge, death occurred at the time, date, and lace, and due to the cause O Metllcal Examiner/Coroner- On the n and p (s) and manner stated gallon, in my opin`~i-o-n~~e~~[jh pE~i red at the time, tlate, antl place, and due to the i Signature of certifier: Title of certifer:/ i //{/J7 (/ e, Address a d Zip Coda of Person COT la License Numbe~ a^~ _ ~ p ng CaNse f DeXh (Item 2 /,~/L ` gne . Registrar's District Number .. ..__... _. _S'~//U ~ L. ,~~U~ 3~/jA/1 _ a Dlsposi[lon Permit No. ~t~3`J ~"'C~ H105-143 REV 07/2011 RENUl~'CI.~TIO Estate of REGISTER OF WILLS COUNTY, PENNSYLVANIA ~~ /q' ~t c r-.> ~~ .._', _ ~'7 , r , rn ~ _. vn t ~ ; ~. - - ~ s. ~ t C~ ~~. ; --~ : _ c,~ C ' L':' 71 Deceased I, ~orr~ ~ Y ( t 'Y ~ l , in my capacity/relationship as Prrnr Name) - ~D X PC' ii ~~ y-' of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to r %C (Date) Executed in Register's Office Sworn to or affirme and subscribed before met 's ~0~~ day of ~ , O 1 a Deputy for Register of Wills Form RW-06 rev. 10.13.06 ~~ f~L~ '~`' C[ r~~L. (Signature) /a ~ ~5~~ ~ 1s7~~~v~l (~~ (Street Address) ~C?GvU~//e ~ /7071/ (Crty, State. Zrp) Executed out of Register's Office Before the undersigned personally appeared the party exe tin this renunciation and certified that he the pu os s sta tg ~" day Notary Public ~r~_ My Commission Expires: ~~ , a~~h ~0I l 1 , (Signature and Seal of Notary or other official qualified to 7 administer oaths. Show date of expiration of Notary's Commission.) w a- ~,~, LAST WILL AND TESTAMENT I, Harold C. Fickes, Jr., of Newville Borough, Cumberland County, (Pennsylvania, declare this to be my Last Will and Testament and revoke any will or codicil previously made by me. ITEM I: I direct that all my just debts and funeral expenses, including my gravemarker and all expenses of my last illness, shall be paid from my residuary estate as soon as practicable after my decease as a part of the administration of my estate. ITEM II: I give, devise and bequeath all of my estate of every nature and wheresoever situate to my daughters, Linda Ann Helm, Lorrie Jayne Mixell and Leslie Jean Fickes, in equal shares, share and share alike. ITEM III: I appoint Linda Ann Helm, Lorrie Jayne Mixell and Leslie Jean Fickes Co-executors of this my Last Will and Testament. ITEM IV: I direct that my executors or their successors shall not be ~~ ~ ~'' ~r ~_: i ~ ~= Y~~ :. ~'•~, r r.s._i ~_ ~~~- required to give bond for the faithful performance of their duties in any jurisdiction. ~~ ~-~ r ,= c~ CJ.~. C =-; ,: w v IN WITNESS WHEREOF, I hereunto set my hand and seal to this my Last Will and Testament, written on ~ sheets of paper, dated this ~~~~ day of ~(3'/ '~~,~.~ ~ ~ 199 0 . ~': ~ ~_. ~ r~ .~r~. ~ ~ ~ ;> ,~~ ( SEAL ) ~~ Harold C. Fickes, Jr. -~~ The preceding instrument, consisting of this and one other typewritten 7p~ge, each identified by the signature of the testator, Harold C. Fickes, ~., was on the day and date thereof signed, published and declared by Harold C. Fickes, Jr., the testator herein named, as and for his Last Will, in the presence of us, who, at his request, in his presence, and in the presence of each other, have subscribed our names as witnesses hereto. <" % ~.' G~.... ~.C l~~ rz -~ residing at ~~~~ ~-/l/lX_ I ~~_. .l ~~ ~~. ~~'~~~~u~t-~. residing at Iy~~C~~f"~~-~~_ ~~~ J ~ +~ COMMONWEALTH OF PENNSYLVANIA: SS COUNTY OF CUMBERLAND We, Harold C. Fickes, Jr. ,~~~l~n !~ nC,r~Q_7Z~and ~~~--{(~ V (XJi RCI~~- , the testator and the witnesses, respectively, whose names ar signed to the attached or foregoing instrument, being first duly sworn, do hereby declare t.o the undersigned authority that the testator signed and executed the instrument as his Last Will and Testament and that he signed willingly (or willingly directed another person to sign for him), and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in-the presence and hearing of the testator, signed the will as witnesses and that to the best of our know"ledge, the testator was at that time eighteen years or older, of sound mind and under no constraint or undue influence. G Harold C. Fickes, Jr. 1 ~ j ` -~~~ C 1~~,~ -- _ Subscribed, sworn to and acknowledged, by Harold C. Fickes, Jr., the testator and sworn to before me by ~o~ (~( ~' er~cc-Z. - and _~((" ~_ ((~~~'tl~~(,' witnesses, this ~~ day f ~'~~ber 1990. '~ r, n // Notary Public NOTARIAL SEAL PAULA M. REED, Notary Public Ship~ersburg Trip., Cumberland Co., Pa. A1y commission Expires Dec, 13, 1993