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HomeMy WebLinkAbout05-07-12PETITIO'J FOR GR4NT OF LETTERS REGISTER OF WILLS OF 4+~M~F~-rP.~D COUNTY', PEiV?ISYLVA~iL4 Patitioneas• .:,r.ed baic~.v ~ ho is:nre 13 years of a~~~ or olde.. npplyiiesl £or Letrer as specified belo~.v, end in support the:, ~f aaer(;) the fo~:!owins ^nd respectfcl!~: request(;l the ~>ran, of Levers in .hc appropriate form: Decedent's IDformation +r _, J~ Name: PALL ~. f1At.vT,+~lOR.s/ JR. _ File ~o: _TOI F-~ a/]c'a: e'~..d+me ~,1 (.assigned by Register) a/k/a: ssante:~ ~,'GI,J Date of Death:.f-t/i,~ ZNV ~/Z Age at death: 90 Decedent was domiciled at death in C~r18 ~reLSwD County, P/f (Stare) with his/her last principal residence at /3S,Z SlrrOSo./ G~lL2y ,eo.f~ n~Ew ry^'IQ~QUi^'D ~A, /707o Cun~gr~l,tt~D , S[reet address, Past Ofnce and Zip Code City, Township or Borough County Decedent died at /eo SE.~TAQ.a clRecF wt~U.tMfQvRC.- VA Street address, Past Olnce and Zip Code City, Township or Borough County State Estimate of value of decedent's property at death: /f domiciled in Pennsy[vania ............................ All personal property $ ,'~ f7, (700 /f not domiciled in Pennsylvania ........................ Personal property in Pennsylvania $ a /f not domiciled in Penttsy/vania ........................ Personal property in County $ Value of real estate in Pennsylvania ........................................................ . $ ~ Go v TOTAL ESTIRtATED VALUE.... $ o00 !Gc K, Real estate in Pennsylvania situated at: x.3.52 S~~~SON FF_.~~ .SAD Na~isi <uw/8~¢l~fv9 C'~~s'rg/:2CiR,v~ (Attach additional sheets, if necessry.) Slreet address, Port Ofnce and 21p 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 /q"U ~ Z~ 1oa3 and Codicil(s) thereto dated State relevant circumstances (e.g. renuncirttion, depth ofezecutor, efc.l Except as follows: after the execution of the instrument(s) offered torprobate 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(8), and did not (rave a child born or adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person, ~'h0 EXCEPTIONS ^ EXCEPTIONS ^ B. Petition for Grant of Letters of Administration (If applicable) c.t.u., d.b.a., d.b.n.ctu., pendente (ire, durunte absentia, durunte minoritute 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 fcr divorce had been established as defined in 23 Pa. C.S. § 3323(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person. ^NO EXCEPTIONS [] EXCEPTIONS Petitioner(s), after a proper search has/have ascertained that Decedent left no W it l and was survived additional sheets, i/'necessary): ~ i Name Relationshi Addre~ i~ ~ ,?= ~ C7~ ~ ~~ ri ~ ~- GJ7 "~ d _ T Fn~~m RW-02 reg. roinnnrr Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS'. \ I ~- F r .~ ~l 11 . I i 'r'/l. -Ia).USC Only "'~,;'I [Oi2hi,"{`F 17 Pr112~ 55 - i nr P::idcnzn sl ''!r[ed ~s nt Pcci::crcr, s; Pru~c:z A.dcir "~V ~ . /lslc/L J', i-~.~luwr~o,~'"~ /O /.~o ©S rSUFo~ltlevSE .~?or~i7~~/G~ / i X307 The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are true and correct to the best ofthe knowledge and belief of Petitioner(s) and that, as Personal Representative(s) of the Decedent, the Petitioner(s) will ell and tmly administer the estate according to law. Sworn to or affirmed an subscribed b re ~~ • ' - Dare S ~ 7~/2 the th' da of Date gy. Date the Reg( r~ Date BOND Required:~YES QNO FEES: 2bo.QB Lette .................... $ ( ~) Short Certificate(s)...... ~a ( )Renunciation(s)......... ( )Codicil(s) ............. ( )Affidavit(s)............ Bond ........................ Commission ................. . O ter ...... ) .. Automation Fee .............. . 1CS Fee ..................... TOTAL ..................... $ To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature: Printed Name: Supreme Court ID Number: Firm Name: Address: Phone: Fax: Email: DECREE OF THE REGISTER Estate of / CG u L /C ~/q//) ~/76~/~, eL ~'. File No: L~ I ' I Z ~~~ a/k/a: AND NOW, / "/ a ~ ~ ! ~~ / Z , in consideration of the foregoing Petition, satisfactory proof having b en presented before me, IT IS,~ECREED tha4 Letters~i~S~.[~~~7 are hereby granted to QGfL ~ l//l~L~i /'/~ ' in the above estate and (if applicable) that the instnunent(s) dated _ described in the Petition be to probate and filed of record as the last of Farnr R4V-a1 rev. 10/((/gal( COMMONWEALTH OF VIRGINIA -CERTIFICATE OF DEATH DEPARTMENT OF HEALTH -DIVISION OF VITAL RECORDS -RICHMOND COW A FOR DIVISION OF REGISTRATION AREA NUMBER CERTIFICATE STATE FILE NUMBER NUMBER VITAL RECORDS lyy yy DDJ 170 DECEDENT 1. FULL NAME (Nap 2mWJle) (leg) 2 SEX mee amee OF OECEDENL . Paul R. Hawthorn ® ^ 3. DATE OF (me.) (tley) OFATH (yeep l AGE IF UNDER 1 YEAR IF UNDER 1 DAY 5. OA OF (maJ (tley) (yeeQ 0. AS DECEDENT es Iro May 2 2012 _ _ _ moniHS Wys "ours-T minder- l I I 90 BIRTH A 3 VER N U.S. Y ARMED FORLESi® , een Uguet 1 ,1921 ^ PLACE OF >. NAME OF HOSPITAL OR INSTITUTION OF DEATH 01 none, w dale Od pet e. COUNTY OF DEATH (H IMePor:tl«H cHy, leave MenYJ DE°T" rRm I"®"' Sentara Williamsburg Reg Med Ctr i O Eme Mork ^ B. CITY OA TOWN OF DEATH Insltle tlly ar le KT llmHSi 10. STREETAODRESS ORIiT. NO.OF PUCE OF DEATH yes w Williamsburg ^ ® 100 Sentaral Circle alslDexce of DECeDExT Pennsylvania - II New Cumberland r Dwrw of ~ 9 DECaDExT Paul R. Hawthorn Sr. g'S 1>. RACE OF DECEDENT 10.OFHI&PANIC ORIOINi Il yes, apetllyLUbn. Mexroen, e 5 PueM Riun, dc. s Caucasian ®no ^ yes 211.CRIZEN OF WHAT COUNTRY 21. BXiTHPLACE (slate or wuMry) 2Z. NEVER ~q - ~ ~ $ U.S.A. Pennsylvania i ~ € 3 20.&OCIAL SECURITY NU BER 20. USUAL OR IAST CLCUP m ' n ~~ 178-i6-5133 stock Foreman D e DAefE OF D4TN 2 PMT I. Eller me tllsewa, Injutlea, ar umpllcetlone tl uueetl U j ~ 8 UA only one uuae on eedl ne. r^ ~ ~ COYC TO IMMEDIATE CAUSE (Flnel tllseeeaw W -~ ~ PMYlIGIwN: wMHlon NwXlrO In tleM) DUE TO (OR A g v COr'C s s CtlmpMaeM SpueMkly llM UMHrona,Xeny, Iegin2 (B) 5S dpn metllnl iO FnmedNe uuw. Enter UNDERLYING OUE TO (ORA °n a aNOUtlen CAUSE (gwese «Inll:rytM lnillMetl - ~ (" 2 e "" eveds NwHin9 in tle«b) LAST _ r elum b dH (C) ~ copier la Mml dmd«uwon z o PMT 11. fiber nlnuM cpntlHlena canMbutlnE io tle«b bd nd n Cumberland. mbi 11. STREETADDREB&ORI2T. NO. OF RESIDENCE ZIP COq "^° 1352 Simpson 8'erry Aoad 117070 Sadie Irene Minnich iF. EDUCATION (&petlfy only nipbeat pretle wmplMed) ElemeMery/SeoaMery (p~12) 12 Ldlepe (t~or5~7 DIVORCED^ , I?Itllwmetl, leave NenN wIDDWEO Helen Kitzmiller Hawthorn Sed Government Thrombosis E erPnadxe.n« 8 tl«emlln«lonet uux ~ u Hypertension, Myocardial Infraction _ f 2gb.IF FEMALE, WAG THEgEAPREGNANLY 20c.IF EXTERNAL CAUSE, IT WAB q Q IN PAST3 MONTHSi pgINARYO vCONTg1eV11N0~ Of NOTE:Ii ~s sp 1114 ^ ^ Ta wueE Or DEATN i 'PeMllO' mud es lro unenown be lnOroDetlw ~ 2He. TIMEOFINJURV (moJ (tley) (»eD 201. INJURY OCCURRED aMte In peR 1 ntl u0i A AM. P.M. Mille mt MnOe ^ aworH Newk rplxnr dnnel 2Si Disease Paul 1. Hawthorn - Son eY: ^ O%W«I Aaswn n posxde. To the best of my knoMetlBe, tlaetH Omumtlet 9:13 M _(e.mJd[~}d on me tleM aM Dlene entl nom me muae(a)alaletl. ACTUAL ` n (DATE SIGNED: SIGNATURE N - - - ~K~( ~~/( / 1 ~„, ~ NAME OF gTTENDING PHYSILUW(Type wPhV) gDORESS OF ATTENDING F'HYSILIAN na- n n~.,;a r~~T. 1100 Sentara Circle 23188 REMOVAL~ETC. Rolling :Lower Allen Twp., PA ~o~isginia 23188 s N 11 II REGI6TRAR'S USE ~ h_i 7 R { CERTIFIED COPY OF TIEATH RECORD ~m _ ~ ~ . U ,, ~;"' - f - This is to verify tUat this a true and correct reproduction of the original recofd ffie~ with '~ I~vus - 1 Health Department, Newport News, Vnginia. it ~C . - T ' _ _ - MAY 11 ~. °` ~ ~ ~ _ . ` _ __~,__~ __ DEPUTY REGIST RAR DATE ISSUED ~ ~, ~' (SEAT.) ANY RIITRODUCTTON OF THIS DOCUMENT' IS P1tOHIBITED BY STATUTE, DO NOT AtxEPf UNLESS IT BEARS T'FIE IIvIPRFSSED SEAL OF T'fIE NEWPORT NEWS HEALTH DEPT. Cr.FAUr y AFFD~D. Segion: 32.1-272 CODE OF VIRGINIA, ~1S AMENDID. LAST WILL AND TESTAMENT OF PAUL R. HAWTHORN I, PAUL R. HAWTHORN, of New Cumberland, Cumberland County, Pennsylvania, do make, publish and declaze this to be my Last Will and Testament, hereby revoking all Wills and Codicils by me at any time made. ITEM I: I direct that all inheritance and estate taxes becoming due by reason of my death, whether such taxes may be payable by my estate or by any recipient of any property, shall be paid by the Executor out of the property passing. under ITEM IV of this Will, as an expense and cost of administration of my estate. The Executor shall have no duty or obligation to obtain reimbursement for any such tax so paid, even though on proceeds of insurance or other property not passing under this Will. ITEM II: I duect the Executor to pay my just debts and the expenses of my last illness and funeral expenses from the property passing under this Will as an expense and cost of administration of my estate. 'tdd ' 0~ aWly39Wfl~ r,- . ~ -- ~. r,; J ~ti~t' v`,?j ~0 ~~!:: ~~;OJ3~' ITEM III: I devise and bequeath the sum of Five Thousand Dollazs ($5,000.00) to my sister, JOAN RAY. ITEM IV: All the rest, residue and remainder of my estate shall be paid to my son, PAUL J. HAWTHORN. In the event my son predeceases me, I devise and bequeath my estate to my grandson, BRIAN PAUL HAWTHORN. However, iin the event my grandson is less than twenty-two (22) yeazs old at the time of my death, I d~re:ct that my estate be held in Trust for his benefit by his mother, PATRICIA HAWTHORN, as Trustee. The Trustee shall hold said proceeds until such time as my grandson attains the age of twenty-two (22). During that time, the net income and so much of the principal as Trustee, in her sole discretion deems necessary, shall be used for my grandson's health, maintenance, support and higher education (including college and graduate school) and burial for the benefit of said child. The principal of the Trust, together with any accumulated interest, shall be disbursed to my grandson on his twenty-second (22"d) birthday. At such time as my grandson shall reach the age of twenty-two (22), the trust will tenninate. If my grandson should die before receipt of the trust funds, said sums shall be paid. to my daughter-in-law, PATRICIA HAWTHORN. ITEM V: In the settlement of my estate, my Executor azid Trustee and their successors acting hereunder shall possess, among others, the following powers: 2 (a) To retain any investments I may have at my death, as long as the Executor may deem it advisable to my estate to do so; (b) To sell either at private or public sale and upon such terms and conditions as the Executor may deem advantageous to the estate, any or all real or personal property or interest therein owned by the estate; (c) To pay all costs, taxes, expenses and charges in connection with the administration of my estate; (d) To compromise controversies; and (e) To do all other acts in the Executor's judgment deemed necessary or desirable for the proper and advantageous management, investment and distribution of the estate. ITEM VI: Any person who shall have died at the same time as I shall have, or in a common disaster with me, or under circumstance that the order of deaths cannot be established by proof, or within thirty (30) days of my death, shall be deemed to have predeceased me. 3 ITEM VII: I appoint my son, PAUL 3. HAWTHORN, 'to be Executor of my Estate. In the event my son cannot act or refuses to act as Executor for any reason, I nominate, constitute and appoint my daughter-in-law, PATRICIA HAWTHORN, as alternate Executrix. I appoint my daughter-in-law as Trustee under this Will. No fiduciary acting hereunder shall be required or obligated to post bond or enter security in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, consisting of this and the preceding three (3) pages, at the end of each page of which I have also set my initials for greater security and better identification thi~ day of August, 2003. ('~. , ~ 2 G~~r~.nw (SEAL) PAUL R. HAWTHORN We, the undersigned, hereby certify that the foregoing Will was signed, sealed, published and declared by the above-named Testator as and for his Last Will and Testament, in the presence of each other, have hereunto set our hands and seals the day and year first above written, and we certify that at the time of the a;xecufion thereof, the said Testator was of sound mind and memory. `~ Residing at: 4216 Nantucket );hive ' Basil Sumple Mechanicsburs, PA 17050 ~s~ L Residing at: 549 Bridge Street, Apt. 2 Laura J gh - oy New Cumberland, PA 17070 4 ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA . SS. COUNTY OF CUMBERLAND I, PAUL R. HAWTHORN, Testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby aclmowledge that I signed and executed the instrument as my Last. Will and Testament; that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. 1',,~.P Q, l.~(~-:• _: Y~,,,.,,. (SEAL) PAUL R. HAWTHORN Sworn to and subscribed before me flu's _o~~ day of August, ~ ~-,~ ~' NOTARY P BLIC My Commission Expires: (SEAL) aew ~ ~ ~.ao 5 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA . SS. COUNTY OF CUMBERLAND We, Basil Sumple and Laura J. Hughes-Doyle, the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Testator, PAUL R. HAWTHORN, sign and execute the instrument as his Last Will and Testament; that Testator signed willingly and he executed said Will as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as Witnesses; and that to the best of our knowledge the Testator was at that time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. WI ESS ~,,, ~~~~ ITNE Sworn to and subscribed before me this ~ day of AuQust~03~---., NOTARY PUBLIC My Commission Expires: (SEAL) c~.and~c~ e,~.,a~` Cee~Yroo 6pYs Moir ~