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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 I ~~
Name: MARJORIE E. HOUCK File No:
a/k/a: (Assigned by Register)
a/k/a:
Date of Death: /=-e ~i_ 2r, ~ ~ 1 Z. Age at deaths 68
Decedent was domiciled at death in CUMBERLAND County, pENNSYLVANIA (stare) with his/her last
principal residence at 325 MARKET STREET, NEW CUMBERLAND, PA 17070 CUMBERLAND
Street address, Post Office and Zip Code City, Towuship or Borough Couuty
Decedent died at 325 MARKET STREET. NEW CUMBERLAND. PA 17070 CUMBERLAND PA
Street address, Poat Office and Zip Code City, Towaship or Borough Couuty State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania ............................ All personal property $ 1,000.00
If not domiciled in Pennsylvania ........................ Personal property in Pennsylvania $
If not domiciled in Pennsylvania ........................ Personal property in County $
Valae of real estate in Pennsylvania ...................... ................................. .. $
TOTAL ESTIMATED VALUE.. .. $ 1.000.00
Real estate in Pennsylvania situated at:
(Attach additional sheets, if necessary.)
Street address, Post Office and Zip Code City, Township or Borough Couuty
® 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 JULY I5, 2005 and Codicil(s)
thereto dated James E. Reid. Jr. and Michael P. Katzdorn renunciated serving as executors of Estate. Decedent is survived by her
Hnchand, C',ilhert R. Hnnck, the Petitioner herein- Decedent hart no .hildr .n
State relevant circumstances (eg. renunciation, death of rxecutor, rta)
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 bom 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., pendentes life, durante absentia, durante minoritate
If Administration, c.t.a. or db.n.c.>: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. ,.,,,
®NO EXCEPTIONS Q EXCEPTIONS
CJ ;,
Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the following spoli8 ~ C'3' and ]r~epys
additional sheets, if necessary): ~ 2~ ~ x-
t,..~ ' ~ i
~~
~7
,._~
Name Relationshi Address ~~C7
~ C "r-r
~j -
~ r-
.r- ~+~
,-~
Fonnxll'-o2 rev. to/11/201/ Page 1 oft
t he Yehtioner(s) above-named swear(s) ar 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 affirm subscribed before ~ ~ CL_
m d of ~ _~~. Date .~ y
Date
Y~
or the Re ter Date
Date
BOND Required: Q YES Q NO To the Register of Wills:
FEES: Please enter my appearance by my si¢nature belnw~
Letters ...................... $ V
( 3) Short Certificate(s)..... .
(a )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ................ .......
Commission........ , .. .
Other `
........
Automation Fee ...............
JCS Fee .....................
TOTAL ..................... $
O~~
Attorney Signature: (~\ //~~
~\ c 1 A . / 1
Print~ed'Name: Lisa Marie Coyne, Esquire
Supreme Court
ID Number: 53788
Firm Name: COYNE & COYNE, P.C.
Address; 3901 Mark . 4tr r
Cams Hi11,PA 17011_47
717-737-0464
717-737-5161
lic_a~rnyneanrlcr.yne rnm
DECREE OF THE REGISTER
Estate of MARJORIE E. HOUCK File No: ~~ '~ _ ~ t
a/k/a:
AND NOW,
satisfactory proof
11 ,~~
in consideration of the foregoing Petition,
been presented before me, IT IS DECREED that Letters TESTAMENTARY
are hereby granted to GILBERT R. HOUCK
in the above estate and (if applicable) that
the instrument(s) dated JULY 15, 2005
described in the Petition be admitted to probate and filed
Farm RW-02 rev. 10/11/2011
'record as the las Will (and
aster of Wi s
)) of
Oath of Personal Representative offioial use only
~FCOF~ F~> ~ ~-F~c~ o~
COMMONWEALTH OF PENNSYLVANIA } ~ !!. ~ '~ +rjs i C
} SS:
COUNTY OF CUMBERLAND }
? s.s
~r~ A: L ~
..' . ~ V
RENUNCIATION ~~~2 ~,~~ -5 ,~ 8~ 4~
REGISTER OF V~ILi,S CLERK OF
A OFiPHAti''S SOUR
_C.61 /YIBF12LR-IV T~ COUNTY, PENNSY~vJ9Qti /,~r;~ ';n . PA
Estate of
Deceased
I, !~lGff.4-t<'L. ,~. ~'~~ T"ZDt?~2ill , :in my capacity/relationship as
(Print Name)
~/.Q.1~1~-1 ~ of the above Decedent., hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
.~ IC. 6~ I~ /e • r~D GtG K
A
~` - (O - ~a1~ ~\
~~ateJ l"I$n~reJ
S'4a ~ i4«~?~~~ l/e r~ Ltf ~~
(street Address)
(Crly, aUrre, Zrp1
Executed i» Register's O, face
Sworn to or affirmed and subscribed
before me this day
of ,
Deputy for Register of Wills
Form RW-06 rev. 10.13.06
Executed o»t of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this ~ U day
m ~~~ ~a ~~
lYvtary Pu lic
My Commission Expires: ~ - I ~ - oZ ~l U
(Signaturo and Seal of Notary or other official qualified to 1
administer oaths. Show date of exp'u'ation ofl3otar¢s Commission.)
C MMONWEALTH OF PENNSYL_ VANIA
NOTARIAL SEAL
GINA UBALDI, Notary Public:
Camp Hill Boro, Cumberland County
My Commission Expires February 12, 2014
RENUNCIATIOl~fi~~1 Ar R -5• ~,~~ g: !~'j
CLERIC GF
REGISTER OF WILLS ORPHAP!'S COURT
[~ I^'1, 6~~ ~ COUNTY, PE;~O~~:~IiAn PA
Estate of I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~' ~~ ~ ~L,~. ,Deceased
I,
l~
in my capacity/relationship as
(Print Name) '
r ~ i ~ ~ ~ of the above Decedent;, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
3-1 ~- a-ot~.
(Date)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of ,
Deputy fpr Register of Wills
Form RW-06 rev. 10.13.06
G~'-
(Si re)
a~~~ ~ l~ ~,~ ~.T Jr
(Street Address)
~c~n: Sari ~1
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this :renunciation and certified
that he or she executed the renunciation for the
purposes statggd within on this l G ~ day
of /~ AV~k 2-0 / Z.
(~~
Notary tic
My Co fission Expires:
guature and Seat of Notary crc other official qualified to
administer oaths. Show date o1i exp'uation of 13otary`s fommission.)
~M
.I~A1~r. NO`IrPlible
__
LOC REG,ISRAR'S CERTIFICATION OF DEATH
WA ~`G~'.•}.1~1s'i~f~" t~duplicate this copy by photostat olr photograph.
Hsi;,`; ..r..`A' ,... `",~1~ !.
C.. ,, f.,_ .t,_ ~~r• _ m~ n
.~.. ~.,. LJ11J L.G1UJil.ZLLC, .pv.vv ,) This is to certify that the information here given is
~~~~~~ ~PR ~~ ~~ $' ~~ correctly copied from an original Certificate of Death
duly tiled with me as Local Registrar. The original
C~ER~ (}F certificate will be forwarded to the State Vita]
~R~H~IS C~t1Rj ~~ds Office tpr permanent filing.
p ~ Q ~ r ~ ~ ~ ~ Cl1M~E~?I A"~.iD C~ . PA i'~•/ FEB 13 2012
Certification Number
Type/Pr1nt In
Permanent >'F21-~r't r~
~ ~
~..
Local Registrar Date Issued
COMMONWEALTH OF PENNSYLVANIA . DEPARTMENT OF HEALTH ~ VITAL RECORDS
~~ yr VCM s A Sate File Number:
1. pecetlent's Legal Name (First, Middle, Last, Suffix)
2. Sax 3. Social Security Number 4. pate of Death (MO/Day/Yr) (Spell Mo)
Mar orie E
Houck emale 206 - 34 - 7916 Februar 20
Sa. Age-Last Birthday (Yrs) Sb. Under 1 Year Sc
2012
Under 1 D
,
.
a 6. Date of Birth (MO/Day/Year) (Spell Month) 7a. Birthplace (City and State Forelg Country)
Months Days Hours Minutes
Carlisle, PA
ga. Residence (Slate or Foreign cg~nt Au us t 27 1943 7b. Blrttlplace (county) Cumberland
ry) gb. Residence (Street
d N
an
umber -Include Apt No.) Sc. Did Decedent Llve in a Township?
Bd. Resldenc (COUhty) 325 Market Street QYes, decedent lived in _
twP
Cumberland He. Residence (Zip COde) 17070 ®Ng, decedent lived within limits of NeW Cumberland
9
E
I
.
ver
city/boro.
n US Armed Forces? 30. Marital Status at Time of Death ®Marrlatl 0 Widowed li. Surviving Spouse's Name (If wife
Q Vas ~ No Q Unknown ~ Di
give name
ri
t
fi
d
,
p
or
o
vorce
rst marriage)
Q Never Married Q Unknown
12. Father's Name (First, Midtlle, Last, Suffix) Gilbert R. Houck
13. Mother's Name Prior to First Mlarriage (First, Middle, Las[)
Lee. Shearer
Emil :McCoy
34a. Informant's Name
g 14b. Relationship to Decedent 14c. Informant's Mailing Address (Street and Number, City, State, Zip Cotle)
Gilbert R_ Houck Husband 325 Market S
tretat, New Cumberland PA 17070
........................................................ ...... .
1 a
e o eat
e
~
'"
'
' '
s
y .........:...
n one
....--•--...----...----......
~
If Death Occurred in a Hospital:
~
jjj
c,_.°..'.Y.~~"" """"'""""'"""""'••-•--
patient ~If Death Occurred 5 ~~~
_ omewhere Other Than a Hos i[al: ~~ ~~~~ '"""'""'""""""""
P ~ Hos Ice Faclli ~~~~~~' "'""'"""
~ Emergency Room/OUtpatlent Q D
d
d
'
p ty D
a ece
ea
ent
s Home
on Arrival Nursing Home/long-Term Care Facility Other 5
lSb
Faellity N
acif
)
If
(
i
~ .
y
ame (
P
not
nstitution, glue street and number) iSC. Clt
325 Market Street YorTOwn,State,antlZlpCOde SStl.000ntyofDeath
New Cumberland
PA 170
~, ,
16a. Method of plsposltlon ~ Bur
70 Cumberland
ial ~ Cremation 1
12
O
22 , 16c. Place of Disposi[lon (Name of cemet¢
Removal from State Donation y ry, crematory, or other place)
Februarpos
Other (Specify)
Evans Cre
t
2 2
ma
ory
16tl. Location of Disposltlon (City or Town, State, and Zip) 17a. Signa[u re o Fun Servlc Licensee or Person in Charge of Interment 17b. License Number
Scklae££erstown, PA 17088
FS 012 849 L
17c. Name and Complete Adtlress of Funeral Facility
~ Parthemore FH & CS inc. P.O_ Box 431 ew Cumberland PA 17070
lg. Decedent's Educ
ti
Ch
t- a
on -
eck the boz that best describes the 19. Decedent of Hispanic Origin -Check the 20. Decedent's Race -Check ONE OR MORE races to i
highest degree or level of school completed at the time of de
di
th
b
n
a
.
cate what
ox Shat best describes whether the decedent [he tlecetlent considered himself or herself to be
Bth grade or less I
.
s S ish/HIs
Q No diploma, 9th - 12th grade P°^ panic/Latino. Check the "NO" ® White
~ Korean
box If d
d
ece
ent Is not 5
HI h school panlsh/Hispanic/Latino. 0 Black or African American 0 Vletna mesa
g graduate or GED completed ® No
not S
anish/Hi
,
p
spanic/Latino ~ American Indian or Alaska Native )~ Other Astern
~ Some college redit, but no tlegree ~ Yes
Mexlca n
M
i
,
,
ex
can American, Chlca no ~ Asian Indian 0
Q Associate degree (e.g. AA, AS) ~ Yes
Puerto Rican Native Hawaiian
,
Q Bachelor's degree (e.g. BA, AB, BS) Q CFiinese ~ Guamanian or Chamorro
Q Yes
Cuban
,
~ Flllpino 0 Samoan
Q Master's degree (e.g. MA, MS, MEng, MEd, MSW, MBA) ~ Ves, other Spanish/HIs
Panic/Eatin
g ~ Japanese Q Other Pacific Islander
~ Doctorate (e.g. PhD, EdD) or Professional der
grey
(Specify) _ Q Other (SOeci
. MD DOS OVM LLB JD Ty)
21. Decedent's Single Race Self-Designation -Check ONLY ONE to Indicate what the decadent consid
d h
ere
imself or herself to be. 22a. Decedent's Usgal Occupation -Indicate
~ White Q Japanese ~ Samoan
tYPe of work
done Burin g
Q Black or African American Q Korean Q Other Pacific islander g most of workin life. p0 NOT USE RETIRED.
~ American Indian or Alaska Native 0 Vletnsmese ~ Don't Know/NOt Sure SeCrE? t8ry
~ Asian Indian
p Other ASlan Q Refused
Q Chi
nese 0 Native Hawaiian ~ Other (Specify) %=26. Kind of Business/Industry
Q FlR
plno Q Guamanian or Chamorro
ar t2: Cry9 t al M£ g .
ITEMS 23a - 23 MUST BE COMPLETED 23a. Date Pronounced D
~
ea Mo Day Vr) 23 Signature o Person Pronouncing Deat • (On y w
BY PERSON WHO PRONOUNCES OR n applicable 23c
e
Licen
N
b
.
se
um
er
CERTIFIES DEATH Februar 21, 2012
23d. Date Signed (MO/Day/Vr) 24. Time of Death
A rox . 6:00 P . M. 25. Was Medical Examiner or Coroner Gontactetl7 Yes ~ N
o
CAUSE OF DEATH
AP^Cervi
26. Pert 1. Enter the chain ofy._e t~__diseases, Injuries, or complications--that directly caused the death. DO NOT enter terminal
m
ate
s
iroto
t
h
a
l
p
even
s suc
as cardiac arrest
ry arrest, or ventricular fibrillation without showing the etiology. DO NOT ABBREVIATE. Enter only one cause on a line
Adtl
,
addltionai lines if necessary Onset to peach
IMMEDIATE CAUSE ---------------~ a, Gunshot to Chest
(Final disease or condition Due to (o
as
a con
sequence of):
reswting in deaM)
b.
Seq uentlally Ilst conditions, Due to (or as a consequence of):
if any, leading to the cause
Ilsted on line a. Enter the
V NDERLYING CAUSE
Due to o sequence of
(disease or Injury that ( r as a con )
Initiated the events resultin8 d.
~
_ In death) LAST. Due to o as a con
( r sequence of):
a~ 26. Pert 11. Enter other sl¢nificant ditl t Ib h but not resulting In the underlying cause
iven I
P
rt
,
~ g
n
a
I
27. Was an autopsy rtormed?
LO Yes No
28. Ware autopsy findings available
to complete the cause of death?
29. If Female: 30
0 Yes ~ No
Did T
b
E .
o
acco Use Contribute to Death?
~ Not pregnant within past year 3:1. Manner of Death
erg
~
Q Pregnant at flma of death Q Ves 0 Probably ~
Natural
0 Homicide
O No
~ Unknown
0 Not pregnant, but pregnant within 42 days of death
Q Accident Q Pending Investlga[lon
i- ~ Not pregnant, but pregnant 43 days to 1 year before death 32. Date of In ~ Suicide ~ Coultl not be determined
Jury (Mg/Day/V r) (Spell Month)
Q U
k
n
nown If
pregnant within the past year
201 2 33. Time of Injury
Februar 2O
,
34. Place of Injury (e.g. home; construction site; farm; school) - ADprOX . 6 : OO P M
35. Location gf Inj
S
ury (
treet and Number, City, State, Zip Cotle)
Home 325 Market Street, New Cumberland
36. Injury at Work 37
If Trans
PA 17070
ortation I
,
.
p
njury, Specify: 38. Describe How Injury Occurred:
O Yes Q Driver/Operator Q Pedestrian intentional Self inflicted Gu
No
h
ns
ot-Handgun
~ passenger 0 Other (Specify)
39a. Certlflar (Check only one):
~ Certifying physician - To the best of my kngwledge, death d due to the cause(s) and manner stated
Pronouncing 6 Certifying physician - Tp the bet f my k
1rd~
d
h
~
~
eat
occurred at the time, dale, and place, and due to the c se(s) and manner stated
Medical Examiner/Coroner - On the ba f
ap
~Ina[~j~rr" ~Investlga[lon
In my opln ton
death
,
,
/
~
occurred at the time, date, and place, and due to the cau
Signature of certlfler: ~j~fZ ~ se(s) and manner stated
Title of certlfler:Chie£ Deputy COTOnE!
3 ~ense Number:
9b. Name, Adtlress and Zlp Coda of Parson Completing Cause of Death (Item 26)
6375 Seashore Rd. , Suite/ 1
Matthew S. Stoner, Chief De ut Coroner 39~. pate signed (Mg/p.y/Yr>
P Y
4 Me hanicsbur PA 17050 Februar 21, 2012
0. Registrar's Otstrict Num er 41
R
i
4 .
eg
strar aturo~ 42. Registrar Flle Det Mo Day )
?i-2a~ ii a a o7di Z
3. Amendments
Dlsposltion permit No. ~.! D V'T~
H 105-143
REV 07/2011
c~
LAST WILL
OF
MARJORIE E. HOUCK
I, MARJORIE E. HOUCK of New Cumberland, Cumberland County, Pennsylvania,
being of sound and disposing mind and memory, do make, publish and declare this to be my Last
Will and Testament, hereby revoking all Wills and Codicils by me at any time made.
1. I direct that all inheritance and estate taxes becoming due by reason of my death,
whether such taxes maybe payable by my Estate or by any recipient of any property, shall be
paid by my Executors out of the property passing under this Will, which is not specifically
devised or bequeathed, as an expense and cost of administration of my Estate. My Executors
shall have no duty or obligation to obtain reimbursement for any such ta:x paid by my Executors
even though on proceeds of insurance or other property not passing under this Will.
2. I hereby give and bequeath all of the rest, residue and remainder of my property,
real, personal and mixed in equal shares to my husband, GILBERT R. H:OUCK, should he be
living on the 61St day following my death. Should my husband, GILBERT R. HOUCK not be
living on the 61St day following my death, all the rest, residue and remainder of my property shall
be divided as follows:
a. Twenty-five percent (25%) to the Humane Society of Harrisburg, 7770
Grayson Road, Harrisburg, PA 17112;
b. Twenty-five percent (25%) to the Salvation Army of Harrisburg,
Harrisburg, PA;
c. Twenty percent (20%) to the New Cumberland Fire Company, New
Cumberland, PA;
d. Fifteen percent (15%) to the American Lung Association of Pennsylvania,
3001 Old Gettysburg Road, Camp Hill, PA 17011; and
e. Fifteen percent (15%) to the Radio Club of America, Inc., New York, New
York.
3. In the settlement of my Estate, my Executors shall possess, among others, the
following powers to be exercised for the best interest of the beneficiaries and in my Executors'
sole discretion:
1
~d ~ ~u uv f ~'~,-i~~a~d(1~
I~11~1v j,~~t~~~ ~yr l G f~
~J y~~31~
~, "1 :g ~~~ S- ~d~ ~ l
{{ u
~ I {~iy~~~.~ i..iJ.:.~fJw....~
4. I nominate, constitute and appoint MICHAEL P. KATZDORN and JAMES E.
REID, JR. to be Co-Executors of my Estate. My Executors are specifically relieved from their
duty or obligation of filing any bond or security of any kind for the performance of their duties
hereunder.
IN WITNESS WHEREOF, I, the said Testatrix, hereby set my hand to this my Last Will,
typewritten on and consisting of these two (2) sheets of paper, at the bottom of each of the
preceding pages and page three (3) of which I also have placed my initials, on this ~_ day of
2005.
M O E. HO~LTC
3
On this ~_ day of , 2005, MARJORIE E. HOUCK declared to
us, the undersigned, that the foregoin instrument was her Last Will, and she requested us to act
as witnesses to the same and to her signature thereon. She thereupon signed said Will in my
presence, we being present at the same time. We now, at her request, in :her presence, and in the
presence of each of us, hereby subscribe our names as witnesses thereto. By so doing, each of us
declares that he or she believes this Testatrix to be of sound mind and mf;mory.
residing at a(~2Z (~c~(~~ r' ~~,~C`
residing at ~. (~~ ~ n~t~r~ PA
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND
I, MARJORIE E. HOUCK, Testatrix, whose name is subscribed to the attached foregoing
instrument, having been duly qualified according to law, do hereby acknowledge that I signed
and executed such instrument as my Last Will, and that I signed it willingly and as my free and
voluntary act for the purposes therein expressed.
Sworn or affirmed to and acknowledged before me, by MARJORIE E. HOUCK, the
Testatrix, this ~_ day of ~) ~ ( , 2005.
My Commission Expires:
COMMONWEALTH OF PENNSYLVANIA
Notulal 39e1
AfphOny J, FwoN, Ndary Public
lAtiwlr ANm'I'wp,, Cixrib~larb Canty
My Oomrni~Non Expint AuE.11,2009
MOfflbrF, NrIfIt3ylVMflit Ase0oiation of Notaries
4
si
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
Notary Public
My Commission Expires:
We, TAMF~ F ~F~~ /-^- ~ V ~ P1~y~ ~-~~~^ ,the witnesses
whose names are signed to the attached foregoing instrument, being duly qualified according to
law, do depose and say that we were present and saw MARJORIE E. HOUCK, the Testatrix,
sign and execute such instrument as her Last Will; that such Testatrix signed such instrument
willingly and executed it as her free and voluntary act for the purposes therein expressed; that
each of us in the hearing and sight of such Testatrix signed such Last Will as witnesses thereto;
and that to the best of my knowledge, such Testatrix was at that time 18 or more years of age, of
sound mind and under no constraints or undue influence.
Sworn or of armed to and subscribed before me by _,,~'~.~' '~ Q~ ~ ~ +~~
~~ ~ 1 tea; r ,,, ~,~{r,,,r,rr witnesses, this _~_ day of ~ 1 ~., p~ , 2005.
COMMONWEALTH OF PENNSYWANIA
Notarial Seal
179037 Mtl10r1y ~' Foed'>i, Notary PubNc
Lower ANen Twp., Cumberland County
My Corrxr~ssion Expires Aug.11,2009
Member, Pennsylvania Association of Notaries
SS.
WITNESSES:
~ __
5