HomeMy WebLinkAbout05-04-12PETITION FOR GR-1rT OF LETTERS
REGISTER OF WILLS OF Gnu ni~ tl'-~~~~/ ~ COJNT~", PE~,I;SYLV.~~,'I_~
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Decedent's Information
dame: ~r'~t~.'~.~ 5~ ~" n1C/"
a%k'a:
a.'k/a:
a/k'a:
Date of Death: -'~ Z~ ,,Z~i/,'~
Decedent was domiciled at death in ?~t
G " >l7~ r l ~_ County,
principal residence at ~S S ~, .1 ~cirt
Street address, Post ffice and Zip Code
Decedent died at ,~]~~;rv(Ji~ Clr~'~ j~'G%/ ~~~~~~
File ~o: _ UC~ ~ ~~ (;~~J~_
(assigned by Register)
Social Security No: ~7~J ' Lf,~ -<~(~,/.7
Age at death: _ ~~
(Scare) with
City, Tdwnship or Borough
Street address, Post Office and Zt Code r~!~
P City, Township or Borough County
Estimate of value of decedent's property at death:
Copunty
/ /~
State
Ifdomtctled ut Pennsylvania ............................ All personal property $_ 3~iG>C'. `~~~
I/'not domiciled in Pennsylvania ........................ Personal property in Pennsylvania $
If not domiciled in Pettnsylnania ........................ Personal property in County $
Value of real estate in Pennsylvania ...............
..........i ............................... $
l TOTAL ESTIMATED VALUE.... $~
Real estate in Pennsylvania situated at: ~ ~.,~hY~- ~CC~>~ lTG/~ ~~l'/~/f)/Irl~ ~~t`{.v
(Attach ndditionaf sheets, i/necessary.) Street address, P st Office and Zip Code City, Town/ship or Borough
ia>~
County
A. Petition for Probate and Grant of Letters Testamentar
Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated ~~~~ ~~, <~~ 'j~
thereto dated 7 and Codicil(s)
State relevant circumstances (e.g. renunciation, death ofexecutar, etc.) _.
C7 - .z~
Except as follows: after the execution ofthe instrument(s) offered for probate Decedent did not marry, was not divo~ as not a p to a p;ettc~itigj
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g), atrct ~crrgt have-a~hild born cik'
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. 1?'n t`
~NO EXCEPTIONS ~ EXCEPTIONS , ~ ~~ -~'
"tin
_ -~~
^ B. Petition for Grant of Letters of Administration (.f apphcable) ~, -y =--
--, .
c. t. u., d.b.n., d.b.n.c.t.u., pendentelite, durunteahaentiu. durunteminori'~t
If Administration, c.t.a. or d.b.n.c.t.a.,
in Section A above and
~.~
"TZ
Except as follows: Decedent was not a parry 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 ^ EXCEPTIONS
Form RW-02 rev. 10/t l.'10//
Page 1 of 2
Petitioner(s), after a proper search has/have ascertained that Decedent left no W ill and was survived by the following spouse (ifany) and heirs (attach
ucfditionulsheets, ifnecessury):
Oath of Personal Representative
COb1~(OV~,b'E:aLTH OF PE~~tiSY'LVA~iA
C.:'
st
The Petitioner(s) above-Warned swear(s) or affirm(s) the statements in the foregoing Petition are tn~e and correct to the best of the knowledge and belief
of Petitioner(s) and ti~at, us Personal Representatives} ofthe e dent, the et~ne;O will we and truly administer the estate according to law.
Sworn to ~~r afitrmed a~isubs .ribed b ore // ~1 Date Pvl~'~`(' `t, ,~Ui.~--
me this d v ~f s/
B ~ /~ ~' c, ~ Date ~/YI14!~ c~ ~r J~
Yy:~ .c 4~- ~~- Date .t%tii;' ~~ Z~-Y7~.
!~' r he Register `
Date
BOND kegi.~ired: ~'NES ~NO To the Register of Wi!!s:
FEES: Please enter m a
y ppearance by my signature below:
Letters ..................... .
( ~(} )Short Certificate(s)......
( )Renunciation(s)........ .
( )Codicil(s) . ........... .
( )Affidavit(s)........... .
Bond...........
Commission ................. .
ti.
// //~~ i ~..,
$ t~lOU ,
Other __ ,.,....
Automation Fee........
JCS Fee. ......
...... ..
.
, , .... t..
TOTAL .............. ....... $ ~ , ~
Attorney Signature:
Printed Name: r p~
J~~-I'f~t ( N. ~~ t-1=~.~
Supreme Court ~ ~ L,)
ID Number:
Firm Name: ? r _
~ ~ ( ~ t~k
Address: Ley,n~ ;~, ~ 1'J
Sal ~ (u
~ e vv2 ~,a >v ~ n a (~ :-~
Phone: ~ 1 ~ - 3 y ~ -- j I ~ (~
Fax:
Email: `t'y ~[: ~ ~/ t>~ .;, e
DECREE OF THE REGISTER
1
Estate of j', ~r .;~--{ ~ ti C %'~
~ -~- 1.,~~ ~ ~ File No: ~-'1 ~ - /~ _ C~~S°_
a/k/a: `"
AND NOW, ~~)/~ , in consideration of the foregoing Petition,
satisfactory proof havi~i been presented before me, IT I DECREEDthat Letters I F" _C»"rk-~ ,_ t ~ ''
are hereby granted to ~~ ~, {~Z ~ { ,~. ~,~/~,~~,,2t
~~~ t ~ ~ ~ i the above estate anc~(if applica le) that
~h~ utatt umen[(s) dated _ ~' , ~ l r / `7 i , I
described in the Petition be
to probate and filed of re'/cord as the last Will (a'nd~ 'Co'dicil(s)) of Decedent.
~~~'~~-~-=~ ~ ltf`d.l..l~Ji~ ..1,'-i= ~, :`t%~i.,1,Z.~(,t-. . -?
of Wills
Form RGRO? rev. LO/I1/~0~/
Page 2 of 2
HIOi Fq5 RFV i4'I I i - - - - - - - - -
~Fr,f,`',~ __ EI-AL REGISTRAR'S +CER~'11=1~ATl~~I~ G~ C~E.~~°T°~
f~-r` . ~''I+I~Ll~tNING: It is illegal to duplicatle this ~:t~ap~r ~nr p~1Utc~stat e'r X311 )t0,.;rat t4.
4`*
Fer for thTfi~ c'e>!t{fl~~ate ~fJ.~l~)} ~ ' i i
CLERK ~~r
ORP!-lAi~1'~ ;I;;;I~ r
Gu~~~J ~~~ ; ~ ~ ~A
P 1838~1_~,_~
Certification ~'in~~be( ~~
Type/Print in
Permanent
Black ink
1. Decedent's Legal Name (First. Middl
r71 I 6a. Age-Last Birthday (Vrs) Sb. Under 1 Vear
l 8 4 Months Days
Ba. Residence (State or Foreign Country) 8t
Penna_ ~
I;,,, f ,.
I ~)N 1i` ~_ i ~, ir; I ~ jc Ojm lti~jlj I L~ :~r,~n i~
,
II
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, (1 it I _jp, l (((I.l e )le cl! [~catFJ
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JET,, ~~ ~ ._.- !?at( );,uetl
COMMONWEALTH OF PENNSYLVANIA ~ DEPARTMENT OF HEALTH ~ VITAL RECORDS
CERTIFICATE OF DEATH
ffix)
2
S State File Number:
Sc
Und
r 1 D .
ex
emal 3. Social Security Number
'177-42-26'15 4. Date of Death (MO/Day/Yr) (Spell Mo)
April 28
20'12
.
e
a
Hours Minutes 6. Date of Birth (MO/Day/Vear) (Spell Month) ]a. Birthplace (CI and S ,
tate or Forei
gn Country)
Dec.'1'1,~927 Hor ue a, Paraguay
Residence (Street and N umber - Include A t No.
P )
8c
Did D
eced
t Li ]b. Birthplace (County)
S StaPhan Re7 _ . en ve in a Townsh(p?
Q Ves ~,NO Q Unknown ~ Diyo ced V~ _. ° atn U Married
Q N M I d DU
L2 F th N (FI t, Middle, Last, Suffix)
Emil Enderlein
.4a. Informant's Nam 14b Relatlonshi t D
Yes, decedent Iiyed In Fa ~}- P t"'C]T'p
two.
~ No, decedent Iiyed within limits of _ city/born
red 11. Surviving Spouse's Name flf wif_ e...e .. ~.",_ __.__ __ ..
or to Firs[ Marriage (First, Mrddle. Last)
Anna Reiss
=
G p o ecetlem i4c. Informant's Mailing Address (Street and Number, City, 6taT~, Zip code] 7
Ronald R_ Hu ter 883'1 Pineridg
on
e R San A
s
n nio,
..
lsa. a
a~e
....
.
p oe c ec on
at
It Deau occurred in
one
H
......... ..................._..............
o
.~
~ _
-
.
.......
.
y
__ ___
a
os tai:
PI [~ Inpatient ;If Death Occurred Somewhere Other Than a Hosplia l: ~~
~ Emergency Room/Outpatient 0 pead on Arrival r
t~ Hospice Facility
[~ D
d
'
d
_
ece
ent
s Home
Nursing Home/Long-Term Care Facility
16b. Faclifty Name (If not Institution, give street and number; Other (Specify)
15
_ Manor Care
CainPp~yit~tela:dzl~Adel70'I'1 1sd.cpntypfD to
~" 16a. Metnpd pf Dlsppsrcipn Burial Cumberland
~ C
oO remation 166. Date of Disposition 16c. Place of Disposition (Name of cemete
Q Removal from State ~ Donation
c
!€ ry,
tory, or other place)
Other (Specify) May 3 , 20'1 2 ndiantown Ga
N
ti
v p
a
onal Cemetery
16d. Location of Disposition (City or Town, State, and Zip) I
«; grEatu re of Funeral Service Ucensee or Person in Char
Annvi 11 e , PA l 7 O O 3
ge of Interment nb ucense N
b
~l'j
pm
er
-~~~~Zf Vg ~ f~ ? t' rric ~
D - ~ ~ 3 ~1 6 3
L
~
E
8 -~~-
-
'
1]c. Name and Complete Address of Funeral Facility s
Musselman FH&CS
Sn
32
,
c_,
4 Hummel Ave.,Lemoyne,PA 17043
1B. Decedent's Edu
ti
~ ca
on -Check the box Shat best describes the 19. Decedent of Hispanic Origin -Check th
highest degree o
l
l
f
r
eve
o
e ZO. Decedent' Race -Check ONE OR MORE ra
school completed a[ the time of death. box [hat best describes whether the deced
to
indicate what
~ 8th grade or le
t
en
the de nt co
ss s Spanish/Hispanic Latino. Check the "No" nsidered himself or herself to be_
Q No diploma
9th - 12th
,
grade box if decedent is not 5 hrte 0 Korean
Q Hool graduate or GED com
leted panish/Hispanic/Latino. ~ Black or Africa
A
p
n
merican 0 Vietnamese
college credit, but no de Q No, not Spanish/Hispanic/Latino ~ American Indian or Alaska Nati
gree
ve ~ Other Asian
~ Yes, Mexican, Mexican American, Chicano Q Asian Indian
Q Associate de
gree (e.g. AA, AS) Q Y
P
Q N
es,
uerto Rican
ative Hawaiian
Q Bachelor's degree (e.g. BA, AB, BS)
Q Chinese
0 yes, Cuban
~ Guamanian or Chamorro
~ Master's degree (e.g. MA, M5, MF_ng, MEd, MSW
MBA) O Filipino
Q Y
,
~ Samoan
es, other Spanish/Hispanic/Latino ~ Japanese
~ Doctorate
(e.g. PhD, Ed D) or Professional d
~
other Pacific Islander
egree (specify)
MD DDS
~
.
DVM LLB JD
Other (Specify) _
21. Deced Single Race Self-Designation -Check ONLY ONE to indicate what [he deced
t
en
considered himself or herself to be- 22a. Decedent's Usual Occu
Ste 0 Japanese ~ Samoan Patton -Indicate type of wor
Q Black or Af
i
D r
can American ~ Korean ~ Other Pacific Islander done during most of working life. DO NOT USE RETIRED.
DAmerlcanlndianorAl
k
N
'^ as
a
atiye QVletnam ODOn'tKnow/NOtSUre insurer
Q Asian Indian 0 Other A
i
'~ s
an 0 Refused
^ino ~ Native Hawaiian ~ OTher (Specify) 22b. Kintl of Business/Industry
O Filt~
p
Q Guamanian or Chamorro
e a t ttl 1 n S u r anC l?
ITEMS 23a - 23d MUST BE COMPLETI=.D ~a~ n~._ o"___..___ ~ _ .._ _ _ _.
d
~~
0
- ('~=f~"1'i'z IlmegfDeath ~ ~nlG~ 2~~
25. as Medical Eza miner or Coroner Contacted? Ves Q No
CAUSE OF DEATH
26. Part I. Enter the chain of events--diseases, inju rtes, or coin plicatlons--Shat directly caused the death. DO NOT enter terminal eV n<s su cardiac arrest APintervl slate
respiratory arrest, or ye niricular fib rlllatio Ithout sho ing the etiology. DO NCIT ABBREVIATE. Enter only o e
w w /was
_ cause of ai a l~ dd tional Iin ?I~necessary Onset io Death
IMMEDIATE CAUSE ______ ________> a. (~ `'~ ~ ~C _ _-~~ ~~ O(, S `.I`f`/1J- J
(Final disease or condition , pue to (or \N v _
resulting In death) as a co nseq uerice of):
b.
Sequentially list conditions, Due to (or sequence of):
if any, leading to the cause as a con ------_ -
listed on line a. Enter the _
U NDERLVING CAUSE
(disease o injury that Due [o (or as a consequence of): --------
nitlated the a nts resulting d.
In death) LAST.e _ -
Due to (or as a consequence of): ---
26. Part II. Enter other sienif'cant conditions co ntributin t d fh but npi resulting in the unde rlYing cause aiynn r.. Pte.. r
t~J
E
2?. Was an autopsy perform
Yes
28. Were autopsy findings available
to _plete the c us of death,?
~J ryot pregnant within past year
Q Pre
nant at ti "'" 'yes "" nbute to Death?
~ ~ babl 31. Manner of Death y c~ u ~
g
me of death
Not
p
e
gna nt
but pregnant withi
4 y
~ NO Q Unknown ~~latu ral Homicide
p
f
e
,
n
Z days of death
0
Not gnant, but pregnant 43 da
s to 1 ~ Accident ~ Pending Inyesti tion
y
Year before de
~ Unknown if pregnant within the past year ath 32. Date of In
Jury (MO/Day/Yr) (Spell Month) ~ Suicide Could not be determined
~
. Place of Injury (e.g. ho co nstructron site; farm; school) 33. Time pf Injury
35. Location of In'u
1 ry (Street and Number,
City, State, Zip Code)
. Injury at Work 37. If Tra nspor[ation Injury, Specify:
Yes
Q DriYer/Operator ~ Pedestrian 38. Describe Haw Injury Occurred:
Q No 0 Passenger 0 Other (Specify)
Certifier (Check o nly one):
3"te rtifying physlcla~ - To the be my knowledge, death o
~ Pronouncing 8. Ce If
in
h
l ccurred due to the c se(s) and m
au sonar stated
y
g p
c
an -,T best of my knowled death o
~ Medical Examiner/COro Be ccu rred at the time, date nd place
and d
amrnaUOn, a
slg^atr. re of p er_ xEr i e ,
ue to the c e(s) and m
nd/or investigation, In my opinion, deaf d at the time, date, and place, and due
B i d ed
rto the c e(s) d
n er /~l d
Title of ce rtifler: License Number: ~6 T --~~
I Person Completing Cause of Death (Item 26)
Eeric Binder, 890 Poplar Church Rd _ Camp Hi 11 3PAatMay (1 /Dav2p~ 2
<ber 41. Registrar nature f--
r~ ~ - ~ ~/ ~~</ 42. Registrar File Date (MO/Day/Yr)
- ~r
Disposition Permit No._~ / / O ~ ~~ H105-143
--- - - - - - - _.. __ _ REV O]/2011
1.~~ - S :~ S=_
LAST WILL AND TESTAMENT
OF
ERIKA S. HUGGLER
Dated: May 24, 2011
Prepared by:
Captain Jessica E. Guise
22 Ashburn Drive
Carlisle Barracks, Pennsylvania 17013
717 245 4940
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LAST WILL AND TESTAMENT
OF
ERIKA S. HUGGLER
I, Erika S. Huggler, a resident of the Commonwealth of Pennsylvania, make,
publish and declare this to be my Last Will and Testament, revoking all wills and codicils at any
time heretofore made by me. I am a widow of a person who had retired from the military
service of the United States.
FIRST: I direct that the expenses of my last illness and funeral, the expenses of
the administration of my estate, and all estate, inheritance and similar taxes payable with respect
to property included in my estate, whether or not passing under this will, and any interest or
penalties thereon, shall be paid out of my residuary estate, without apportionment and with no
right of reimbursement from any recipient of any such property.
SECOND: At the time of the making of this will I am unmarried. I have four
children Ronald R. Huggler, Richard A. Huggler, Robert E. Huggler and Judy M. Huggler
THIRD: I give the sum of Five Thousand Dollars ($5,000.00) to Michael Robert
Huggler, if he survives me.
FOURTH: I give the sum of Five Thousand Dollars ($5,000.00) to Matthew
David Huggler, if he survives me.
FIFTH: I give all the rest, residue and remainder of my property and estate, both
real and personal, of whatever kind and wherever located, that I own or to which I shall be in any
manner entitled at the time of my death (collectively referred to as my "residuary estate"), as
follows:
(a) To those of my children (Ronald R. Huggler, Richard A. Huggler and Robert
E. Huggler) who survive me and to the issue who survive me of those of my
children who shall not survive me, per stirpes.
(b) If no issue of mine survives me, I give my residuary estate to those who
would take from me as if I were then to die without a will, unmarried and the
absolute owner of my residuary estate, and a resident of the Commonwealth of
Pennsylvania.
SIXTH: If any property of my estate vests in absolute ownership in a minor or
incompetent, my F,xecutors, at any time and without court authorization, may: distribute the
whole or any part of such property to the beneficiary; or use the whole or any part for the health,
education, maintenance and support of the beneficiary; or distribute the whole or any part to a
guardian, committee or other legal representative of the beneficiary, or to a custodian for the
beneficiary under any gifts to minors or transfers to minors act, or to the person or persons with
whom the beneficiary resides. Evidence of any such distribution or the receipt therefor executed
by the person to whom the distribution is made shall be a full discharge of my Executors from
any liability with. respect thereto, even though my Executors may be such person. If such
beneficiary is a minor, my Executors may defer the distribution of the whole or any part of such
property until the beneficiary attains the age of eighteen (18) years, and may hold the same as a
separate fund for the beneficiary with all of the powers described in Article SEVENTH hereof.
If the beneficiary dies before attaining said age, any balance shall be paid and distributed to the
estate of the beneficiary.
SEVENTH: I appoint Ronald R. Huggler and Robert E. Huggler and Richard A.
Huggler as co-Executors of this will. If one of my Executors shall fail to qualify for any reason
as Executor or, having qualified shall die, resign or cease to act for any reason as Executor, the
other Executors may continue to act as my Executors without appointing a successor executor.
If two of my Executors shall fail to qualify for any reason as Executor or, having qualified shall
die, resign or cease to act for any reason as Executor, the other Executor may act alone as my
Executor. I direct that no Executor shall be required to file or furnish any bond, surety or other
security in any jurisdiction.
EIGHTH: I grant to my Executors all powers conferred on executors under the
Pennsylvania Probate, Estates and Fiduciaries Code, as amended, or any successor thereto, and
all powers conferred upon executors wherever my Executors may act. I also grant to my
Executors power to retain, sell at public or private sale, exchange, grant options on, invest and
reinvest, and otherwise deal with any kind of property, real or personal, for cash or on credit; to
borrow money and encumber or pledge any property to secure loans; to exercise all powers of an
absolute owner of property; to compromise and release claims with or without consideration; and
to employ attorneys, accountants and other persons for services or advice. The term
"Executors" wherever used herein shall mean the executors, executor, executrix or administrator
in office from time to time.
NINTH: Except as otherwise provided in this will, I have intentionally failed to
provide for any other relatives or other persons, whether claiming to be an heir of mine or not.
Insofar as I have failed to provide in the will for any of my issue now living or later born or
adopted, such failure is intentional and not occasioned by accident or mistake. If any person
names as a beneficiary under this will institutes a will contest, acts as a party to a will contest
initiated by someone else, or aides and abets anyone instituting a will contest, I direct that any
bequest, devise, or share of my residuary estate that would otherwise go to him shall lapse, as if
he had predeceased me.
TENTH: I direct that for purposes of this will a beneficiary shall be deemed to
predecease me unless such beneficiary survives me by more than thirty days.
ELEVENTH: I am the widow of a husband who served in the Armed Forces of
the United States. I therefore request that my Executor make appropriate inquiries t~ accPrra;n
2
~~-' ;~ ~ cz; _i 4 mac!-r,~ ~~
~ ~~9
whether there are any benefits to which I, my dependents or my heirs may be entitled by virtue
of any military affiliation. I specifically request that my Executor consult with a retired affairs
officer at the nearest military installation, the Department of Veterans Affairs, and the Social
Security Administration.
This document was prepared under the authority of 10 U.S.C. §1044 and
implementing military regulations and instructions, by CPT Jessica E. Guise, who is licensed to
practice law in Pennsylvania.
IN WITNESS WHEREOF, I, Erika S. Huggler, sign my name and publish and
declare this instrument as my last will and testament this 24th day of May, 2011.
Erika S. Hu g er
The foregoing instrument was signed, published and declared by Erika S.
Huggler, the above-named Testatrix, to be her last will and testament in our presence, all being
present at the same time, and we, at her request and in her presence and in the presence of each
other, have subscribed our names as witnesses on the date above written.
Dr /~~~~~
~`~(
having an address at
~~,~1- a~, Pf4
X70
having an address at
~~BN µSSt~ro ~~_
~7Z~9
3
ACKNOWLEDGMENT AND AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA, COUNTY OF ~ ti~ di , ss.
We, the Testatrix and the witnesses, whose names are signed to the attached or
foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that
the Testatrix, Erika S. Huggler, signed and executed said instrument as her last will and
testament in the presence and hearing of the witnesses, and that she stated that said instrument
was her last will and testament, and that she had signed willingly, and that she executed it as her
free and voluntary act and deed for the purposes therein expressed, and that each of the witnesses
at the request of the Testatrix, in the presence and hearing of the Testatrix and each other, signed
the will as witness, and that to the best of his or her knowledge the Testatrix was at the time at
least eighteen years of age or emancipated, of sound mind and under no constraint, duress, fraud
or undue influence.
(_/ / ~;
~?~v „` , ~ L~~
Erika S. Hugg
~-1 Testatrix
p t: L. yV a int.
Witness
Witness
Subscribed, sworn to and acknowledged before me by the said Erika S. Huggler,
Testatrix, and subscribed and sworn to before me by the above-named witnesses, this 24th day of
May, 2011.
i ~
~ ,.
Notary is
y commission expires on
~_
~OfVIMONWEALTH OF PENNSYLVP~NiA
Notarial Seal
Kami May Hertzler, Notary• Public I
Carlisle 8oro, Cumberland County
My Commission ExpireR April 1 ;~, 2013
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