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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