HomeMy WebLinkAbout06-06-12PETITION 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 avers} the
following and respectfully requests the grant of Letters in the appropriate form:
Barry M. Henning
Name: Ralph A. Lehman File No: 21-12 ~- (`(~,j`-~
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: 05/13/2012 Age at Death: 98
Decedent was domiciled at death in Cumberland County, pA _ (Stare) with his/her last
principal residence at 6415 Glenwood Street, Mechanicsburg 17050 Mechanicsburg Cumberland
Street address, Post Office and Zip Code City, Township or Borough County
Decedent died at Cumberland Crossing Carlisle Cumberland PA
Street address, Post Office and Zip Code City, Township or Borough County State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania ...................... All personal property $
If not domiciled in Pennsylvania ................ Personal property in Pennsylvania $
!f not domiciled in Pennsylvania ................ Personal property in County $
Value of real estate in Pennsylvania ................................................................... $
TOTAL ESTIMATED VALUE $ ,Su 6,~
Real estate in Pennsylvania situated at ~-
(Attach additional sheets, if necessary. )
Street address, Post Office and Zip Code City, Township or Borough County
® A. Petition for Probate and +ranf of 1 PffpK` Tpctampr+t~~•
Petitioner(s) aver(s) that he/she/they is/are the Executor(s) named in the Last Will of the Decedent, dated 03/16/2012 and Codicil(s)
thereto dated
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, wags 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 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., pedente life, durante absentia. durance minoritate
If Administration, c.t.a or d.b.n.c. t.a., getter date of Wiil in Section A abov and Cmm~lpfp licf of hpiirc
Except as follows: Decedent was not a party to.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
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 (attach
additional sheets, if necessary):
Name Relationship Address
~~ c rn
r-r , I ~ :_~ C'.~
`
j
E
^ ;. ~
t
~~ z -,
~
.~Cj
N
1~ ~ `~~
CD
Form RW-O2 rev. 10-11-2011 Copyright (c) 2011 form software only The Lackner Group, Inc. Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA )
} SS:
COUNTY OF Cumberland } , __ ! , ,~, o ,n!v- ~~~
RE ll.:( „~ ~`;~~~ }
~.~
Petitioner(s) Printed Name Petitioner(s) Printed Address
Barry M. Henning 6415 Glenwood Street
Mechanicsburg, PA 17050 ,': `i+
QF~P~fFil°d'S ~~liUHj
t ne reclroner(sl aoove-names swear(s) or attirm(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 ecedent, Petitioners w' well and truly administer the estate according//to law.
Sworn to Qr affirmed and subscribed before ~ _ Uate I L - C_S) - ~ ~ ,
met ~,(~ da},yJOf ~,r~ ~ - _ Date
~ ~ _ Uate
for the Fegister Uate
BOND Required ~ ~ YES ~ NO To the Register of Wills:
FEES:
Letters .................... _................. t< F<~7~
... $ 1. • V
( ~ )Short Certificate(s)...... ... ~ y . ~;~;
( )Renunciation(s) ........... ...
( )Codicil(s) ..................... ...
( )Affidavit(s) ................... ...
Bond ......................................... ....
Commission .............................. ....
Other
1ii1, I1
!~`~• (~~
Automation Fee ......................... ...~j . (~%
JCS Fee ................................... ... - , "' <'~ j'-
Nlease enter my appearance by my signature below:
Attorney Sig
Lt-<-(
Printed Name: othy D. Shelley
Supreme Court
ID Number: 26483
Firm Name: Reilly, Wolfson, Shelley, Schrum and Lundberg LLP
Address: 1601 Cornwall Road
Lebanon, PA 17042
Phone: (717)273-3733
Fax:
E-mail:
DECREE OF THE REGISTER
Date of Death: 05/13/2012
Social Security No:
Estate of Ralph A. Lehman File No: 21••12 -(,~(,~;,~ ~
a/k/a:
AND NOW, ~ i~l•1 ~ ~ fi h ,~ L~ ~ ~ , in consideration of the foregoing Petition,
satisfactory proof having been presented before me, IT IS DECREED that Letters _ _Testamentarv
are hereby granted to Barry M. Henning
in the above estate and (if applicable) that the instrument(s) dated 03!16/2012 _
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
Register of Wills ~1
k
Copyright (c) 2011 form software only The Lackner Group, Inc. -~~ ~ L~~!"l~ t ~, ~x ', ~~. ~ page 2 of 2
~ ~ ~_ ,
~Y_i. j,;~ ,irk 4-
WARN( •'
+~- ~aJi ~ upgic~t~-; t# y ~: ~`~zY ~~;::i gad~cstc.~;°-~ rT ° r
~l'alt„)1C, t.'. F9~..L.e
FI°c it)f this certific~it~~ `;6 (if
~ 1~1~~~+~~~
Certihaitioi~ :~, )r,~L:.
yS
~~
Q:
~.
1
f
Tvpe/wmt
Permane
2012 JUN -6 PM 2~ OS ~~, ~,, ~~,.
ORP~-W;~1'S ~O1nj
~> ~?~ ~
CUf~BERJ_ANt7 CO. PA ' * `~ ~"~,. '
'rev;. ~ ~c~
in [OMMONWULTN OF PENNSYlVAM1A • DEPARTMENT OF HEALTH • VRAI RECORDS
qt CERTIFICATE AF I]FATLI
., I
I:: It ii ?i s t?h
I
)r,it~ 1C.'t
i i.l
dC. -~kPl~. _ ~'1.~~_~~~ ~_
i!e( ZL+,
1. Decedent's Legal Hame (First, Mltldle, last, Sumxl 2. Sex 3. Svckl Secudry Number^v ~,•a~'Date of DeaM IMO/OeY/Yrl lipell Moj
Ralph A. Lehtllan Male 188 - 10 - 9824 /3r z ~
Sa. Age-last RlrMday (Yrsl Sb. UMer Near X. UMer 1 6. Gate of Birth (MO/DaY/Year) (Spell Monehl )a. &rMplace jfhy cell Stott or F Country)
Months Days Hours Mirages
9g Dec 16, 1913
,b BlnhaatelcppmYl
8a. Residence lstate or Foreign Country) BB, Resleeriw (Street aMNumber- Indude AM No.l Bc. qd Decedent LHe b a TownMlp)
Penn lvania 6415 Glenwood Street ^yea
deceeeM lk,eem
ga.Rxmervejcamtyl Mechanicsbur PA 17050 ,
h""~
Lebanon ga. Residence (Zip COdei ~NO.dec<derrt Ryed wkMn RmNS O(MCChanlC8hl1L'g rlty/boro.
9. Ewer in US Armed Forces) 30. Mental StaWS at Time W Death ~ Married WM 31. SurvlNng Spouse's Name IHwife, give name prior to firs[ marsiagel
^ yes ~1Jp ^ Unknown ^ dvorced ^ Never Married ^ Unknown
12. Father's Name (First, Middle, Lart, Sldfial
Harr
L
h 13. Mother i Name Prior ro Flrrt MaMage (First, Middle, last)
y
e
man Ellen Echenroth
14a. Informant's Name 146 Relatbnship tp Decedent lk. In/pmaM's Malllry Address (Street and Number, CRy, State, 21D Code;
0
Barry M. Henning Nephew 6415 GlenQOOd Street Mechanicsburg, PA17050
~_
n Dearo oaur.<e m a Hgspital: "'~j'brwd<ne ;u OeaM ott.,r.ee somlMlwr<aner Tnw, H
a gspital: ey;;;apke FacRRr []~oead<nra HOn,<
~ Emergency Room/Outpnlent ~ Dead m Amiral Nursiry Home/Idy-Term Grc FacNlry Other IS
ecH
)
a ISb. E y Na (If Nvtbn, gNe meet arM number; ~
C
~
~
~
~ p
y
ISC. I Town, state, rM Zlp Catle ]sd foully of Death
>
er
an
G
cossmg Carlisle PA 17013 Cumberland
r I6a. Method M Diswsgbn p ewlal Crematbn lfib. Date of gsposltlon 16c. %xe of Dlipxhbn (Name of cemetery, crematory, w other plxe)
E ^ Removal from Rate ^ Donation
May 17
2012
Ebans Eagle Cremation Service
othe,(werl~l ,
Z 16d location of dsposhbn j[kYa Town, IIDI
Schaefferstown, PA 1"ib~ I)a. Signrtu uneral5e or Person Charge Mlnterment 1)b. Lkeme NUmM
E 1)c Name mtl Complete Address W Funeral FerlRry -'
Christman's Funeral Home Inc. 226 C rland Street Lebanon PA 17042
m 18. Decedent's Eduratbn -Check the bpx that best descNbes the 19. Decedent of Hiswnk Origin - tlleck the 20. Decedent's Race - CJwd ONE OR MORE races to indk to what
highest degree or keel of uhool <wnpkted at the time of tleaM. boa that best dexN6es whlNher the decedent ehe decedent considered hlmaeN ar hersNt ro be
.
g 8th grave a less is SpaMShMispanic/latlra. Cheri the'NO' @ Whge ~ Korean
No diploma, 9th - 12M grade boa M decedent h rwt Swnlsh/HiywnkJlatlno. ^ &ad m African Amerkan j] Vktrem<se
High srhod gradwte or GED rampletetl ~ No, rat spanlshMlspank/latlno ^ AmMcan IMian or Alaska Native ^ OMer ASlan
^ Some cMkge oedR, but ro degree ^ Yes, Mexkan, Meaican Amerkan, CMrarw ~ Asian Indian ^ Na[Me Hawaiian
Associate degree k.g. M, AS) ^ Yes, Puerto Rkan 0 Chlnex ~ Gwmanlan or IONmono
eacheb: z degree je.g. BA, AB, BSI ^ Yea, Cuban ~ Filipino ^ Samoan
Master's degree (e.g. Mq, Mg, MEng, MEd. MSW, MBA) ^ Yes, other Swnlsh/Hiswnk/latilw ~ Japanese ^ OIINr Pacific Waller
^ Donorete je.g. PhD, E00) w Professbnal degree jspecify) ^ gher ISwcgy)
e.. MD DDS DVM, LLB JD
11. Decetlenl's single Race SeBDesignatlan -Check ONLY ONE to indkate what the Decedent mnsMered hlmseR a herseg to 6e. 22a. Decedent's Uswl Oavwtlon -Indicate type W work
White ~ lawnese ~ Samwn done during most M working Ilk. OD NOT lliE RETIRED
^ Black qr Ahkan gmerican ~ Korean ~ Other PxMC Islander
F8000
Amerkan Indan or Mxka Native ^ V tnamese ^ Don't Know/Not Svre ry
^ASlan Indian ^pUier ASlan ^Refused 22b. Kind of guskress/lndurtry
^ Chinese ^ NatMe Hawaiian ^ Other (Specify)
F
t
ac
ory
p mlpmo ^GwmaMan aChamono
rtEM313a-]30 MUST BE COMPI[TEp 23a. DMe Pronounced Dead IMO Day r 236.' Person PronourKlrlg erthlOnly when appliabkl 23c. liceme Humber
BY PERSON WIlO PRONOUNCES OA
cER11FIES DUTN
G' / _ {_D~
~
z3e. Date signea IMp/Dav/rd 24. Time o/ De M JLFfIFO
2. as Medlcel EaamlwrorC rC ed? ~ Yes Ho
CAUSE OF DEATH A
rn
imat
,
e
Dp
zfi. Part 1. corer the sham devents-elseasea, InNrk:, or compuonons-that evenly wnsee the tleaM. DD nor em<r termiwl events anch a: oreiac arrest bterym.
expiratory arrest, or ventrkular hbnllation withoutsMwing t
he e
t
ldggy. DO NpT
gBBREVIA
T
E. Enter onlyore cause onallne. Add addRlanal lines if ~ccezzary Onset rO Death
~
~~
ff
(
.
[
IMMEDIATE CAUSE ~---~-----> a CRlJ~4Y'$~j~ "Q- W~[r-l ~ Iit~
-
(Final disease or corMRion
~ Due ro for as a consegwnce pD: ~ _-
resulting in aeatW
b._
Sequentially list corMNiona, Due to Iw as a ronsequence oN:
any, leading ro Me rouse
listed on line a. Enkr[he
UNDERlY1NG UUSE Duero (or as a consequence oN:
Wisease or injury that
_ aced Me events rcsuMing tl. _
in death) LAST. Due tq for as a consequence oN:
S 26. Part II. Enter other slgnifkan[ conditions wntkbutne tg death but not resuNing in Me urberlying cause given in Pan I 27. Was an autopsy pMormed?
F ^ Yes ^ No
2R. Werc autopsy fmdirigs available
to cwnpktt the cause o1 death?
°~'
?' ^ Yes ^ No
IIFemale:
29
o .
30. Did TObatto USe COntributt to Death? 31. Manner of Death
~ Not pregnant wkhin past year v ~ Yes ~ PmbaMY ^ Natural ~ Homklde
Pregnant a[tlme vi tleaM ^ No ^ unkmmvn ^ Acckent j] Pending inverts
gatbn
~ Not pregnant, bN pregnant wkhln 42 daft of death ~ suicide ~ CouM not be determinetl
Not pregnant, brD pregwnt 43 days to 1 year before death 32. Date M Injury (MOIDaylYr) Iswll Month)
^ Unkrwwn if pregnant wkhin the wst year e~ ~ I t{ , / L 33. Time of In(ury
34. Place of Injury le.g. home: constmRion site; krm; tthooll 3z. tntatlon of Injury (Street all Number, CRy, Slate, Zip Code)
36. Injury at Work 3). If Transportation InWry~ Specify'. 38. Describe Now Injury O¢unetl:
^ Ye ^ Driver/Operator ~ Pedestrian
^ No j] Passenger ^ Other lSpeclfy)
39a. Ce r(fheck only onel:
nirying physkian - io the best o/ my knowledge, tleaM occurred due m the rauselsl arM manner stated
Pronouncing g Certllyl physklan -TO the best of mY knowledge, tlexh occunM a[ Me lime date, antl place, one tlw to the cause(s) and manner statM
^ Medical Examiner/ -On the basis of examiwtbn, and/ar Inves[igatbn, in my opinion, death
rcd at Me hme, date, and dace, antl tlw to Me rauselU and manner stated
~
vgnamre nt cenreeF tine or cenme.: O ^cenae Number. 00(O 72*S - L
3 96. Name, Adtlress all ZI a of Person Completing Uuze o/Death Dtem 261 39c. Date Sigmd (MO/Day/yrj
C~
4 0 Registrar's h 41. RegistraYi SiglMture
~r6
~ ~
42. 0.egist ar Hle Date IMV Day/Yr)
`
~ ~
4 3. Amendments
7e,,~ 8'd. Sbwl~ ReQtl.: ~~er-laJ~d, ~-k.
cold-mil ry
H105-143
Dlzpositian Permit Nv.~~C ~j Q ~~___ REV D)/}011
LAST WILL AND TESTAMENT
hJ
tom:']
'~+
~ .T
~ r
s~,-._^ F-..,
CZ C ~ ..:-- -rt
O ~~
rv ~~ c=am
r=fi
--~
~ r
.
as
I, RALPH A. LEHMAN, of 6415 Glenwood Street, Mechanicsburg, County of
Cumberland, Commonwealth of Pennsylvania, Social Security Number 1.88-10-
9824, being of sound and disposing mind and memory, do hereby make, publish
and declare this as and for my Last Will and Testament, hereby revoking all other
Wills and Codicils heretofore made by me.
FIRST:
Last Will and Testament, I am a single man
SECOND:
At the time of the writing of this
I have no children.
I direct my funeral and last >ickness
expenses and my just debts to be paid as soon as possible after the probate of
this my Will. After the payment of my debts and said expenses, I give, devise and
bequeath my property and estate as hereinafter provided.
THIRD:
I give, devise and bequeath all of
my clothing to my nephew, BARRY M. HENNING, and to his wife, FAYE A.
HENNING, or the survivor of them, to dispose of in a manner consistent ~n/ith our
discussions together.
(~ ~ /~'li',"~"''~
FOURTH: All the rest, residue and rernainder
of my property and estate, real, personal or mixed, wheresoever situate and of
whatsoever the same may consist, I give, devise and bequeath as follows:
A. One-quarter (1/4) of my estate to my brother, LLOYD
M. LEHMAN. If my brother, LLOYD M. LEHMAN, predeceases me,
then I give, devise, and bequeath this one-quarter (1/4) share of`
my estate to my sister-in-law, DONNA J. EBERLY-LEHMAN, if she
survives me. If my sister-in-law, DONNA J. EBERLY-LEHMAN,
predeceases me, then I give, devise, and bequeath this one-quarter
(1/4) share of my estate to my step-son, MICHAEL P. KOHL, if he
survives me. If my step-son, MICHAEL P. KOHL, predeceases me,
then I give, devise, and bequeath this one-quarter (1/4) share of`
my estate to the child or children of my step-son, MICHAEL P.
KOHL, who survive me, in equal shares;
B. One-half (1/2) of my estate to my nephew, BARRY M.
HENNING. If my nephew, BARRY M. HENNING, predeceases me,
then I give, devise and bequeath this one-half (1/2) share of my
estate to his wife, FAYE A. HENNING, if she survives me. If my
nephew's wife, FAYE A. HENNING, predeceases me, then I give,
devise, and bequeath this one-half (1/2) share of my estate to the
child or children of BARRY M. HENNING and FAYE M. HENNING, who
survive me, in equal shares;
2 ~- ~' ~ t
C. One-fourth (1/4) of my estate to my stepson, MICHAEL
P. KOHL. In the event my stepson, MICHAEL P. KOHL, predeceases;
me, then I give, devise, and bequeath this one-fourth (1/4) share
of my estate to the child or children of my stepson, MICHAEL P.
KOHL, who survive me, in equal shares.
FIFTH
I hereby authorize and ernpower
my Executor to lease, mortgage, pledge, sell or convey any and all of my estate,
real, personal and mixed, using their discretion as to the manner, time and terms
thereof, and to convey the same by proper deeds or other instruments, and to
make distribution in cash or in kind or partly in cash and partly in kind, and in
such manner as may be determined by my Executor. No person dealing vvith my
said Executor shall be responsible for the application of any proceeds or purchase
monies. I further authorize my Executor to manage my estate and property and
to invest and reinvest the principal thereof at their discretion in such form of
investment as may commend itself to the best judgment of my said Executor.
SIXTH
I direct that all taxes that may be
assessed in consequence of my death, of whatever nature and by whatever
jurisdiction imposed, shall be paid from my residuary estate as a part of the
expense of the administration of my estate.
F~ ~
3
SEVENTH: I nominate, constitute and appoint
my nephew, BARRY M. HENNING, of 6415 Glenwood Street, Mechanicsburg,
Pennsylvania, to be the Executor of this my Last Will and Testament, provided
that in the event my nephew, BARRY M. HENNING, is unable or unwilling, for any
reason, to serve as Executor, then in such event, I nominate, constitute and
appoint my nephew's wife, FAYE A. HENNING, of 6415 Glenwood Street,
Mechanicsburg, Pennsylvania, to be the Executrix of this my Last Will and
Testament.
EIGHTH
No interest (whether in income or
principal, whether or not a remainder interest, and whether vested or contingent)
of any beneficiary hereunder shall be subject to anticipation, pledge, assignment,
sale or transfer in any manner, nor shall any beneficiary have power in any
manner to charge or encumber his or her said interest, nor shall the said interest
of any beneficiary be liable or subject in any manner while in the possession of my
fiduciaries for any liability of such beneficiary, whether such liability arises firom his
or her debts, contracts, torts, or other engagements of any type.
NINTH: I direct that no Executor shall be
required to give any bond, and that if, notwithstanding this direction, any bond is
required by any law, statute or rule of court, no surety shall be required tl-iereon.
~~
Y /
4
IN WITNESS WHEREOF, I have hereunto set my hand and seal this ,~~1
day of ~'~ ~ctk , A.D., 2012.
c / ~.~~~.
-.,,.
Ralph A. Lehman
SIGNED, SEALED, PUBLISHED and DECLARED by RALPH A. LE=HMAN,
Testator above named, as and for his Last Will and Testament, and we, at his
request, in his presence, and in the presence of each other, have subscribed our
names as attesting witnesses thereof.
c~~
l ~ ~ ~ ~~ rs~ ~~~~ ~v ~ ~d , ~'.v~
r
'~Y~ ~~ ~~~n._ Address );~7~~~lr~ L~,~~I ~r,~w /~~1~ i2c~ ~'~'1 .c~, F' f 7p5O
5
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA .
. SS.
COUNTY OF LEBANON
I, RALPH A. LEHMAN, Testator, whose name is signed to the attached or
foregoing instrument, having been duly qualified according to law, do hereby
acknowledge that I signed and executed the instrument as my Last UVill and
Testament; that I signed it willingly; and that I signed it as my free and voluntary
act for the purposes therein expressed.
~ ~ ~ ~~~~
~~~
Ralph A. Lehman
Sworn or affirmed to and
acknowledged before me by
RALPH A. LEHMAN, the Testator, this
.~i day of MaRC_~! ,
A.D., 2012.
NO ARY UBLIC
COMMONWEALTH OF PENNSYLVANLA
NOTARIAL SF
Mary C. Garrett, Notary Public
N Cornwall Twp, Lebanon County
My wmmission expires March 02, 2014
6
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF LEBANON ;
We, RALPH A. LEHMAN
SS.
and MELISSA A. HENNING
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 sign and execute the instrument as his Last Will and Testament;
that RALPH A. LEHMAN signed willingly and that RALPH A. LEHMAN executed it as
his free and voluntary act for the purposes therein expressed; that each of us in
the hearing and sight of the Testator signed said Last Will and Testament 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.
.L~ 1
~.~-~,y
Witn
Sworn and affirmed to and
acknowledge before me by
Tin~oTrFV D NE~F~ and
~.E_Ll S.~A A. ~Ftiiti ~/V~,
Witnesses, this /~n~ day of
/~tI~RGN , A.D.,2012.
NO A Y UBLIC
COMMONWEALTH OF PENNSYLVANIA
NOTA1tIAI, SEAL
Mary C. Garrett, Notary Public
N Cornwall Twp, Lebanon County
My commission expires March 02, 2014
7
Witness