HomeMy WebLinkAbout07-11-12PETITION 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 aver(s) tr.;. following and respectfully request(s) the grant of Letters in the appropriate for~:~
Decedent's Information File No: ~"~ ~ ~~~ ~' ~ ~
Name: ar I yam I (Assigned by Register)
a/k/a; Earl W. Hill
~~a; Social Security No: 001-24__ 7623_
a/k/a. 5/30/2012 Age at death: 80
Date of Death:
Cumberland County, Pennsylvania (State) with his/her last
Decedent was domiciled at death in 17055 Lower Allen Cumberland
5272 S camore Court county
principal residence at city, Township or Borough
Street address, Post Office and Zip Code
Decedent died at 5272 S camore Court 17055 MechanPcsbu gh Lower Allen Cumberland P
County State
Street address, Post Office and Zip Code
$ 700,000.00
Estimate of value of decedent's property at death: All personal property -
.............
If domiciled in Pennsylvania ........ -
1fnot domiciled in Pennsylvania .................. • • • • ' ' ' ~ ~ personal property in Countylvania $
/jnot domiciled in Pennsylvania ............................. • • • ..... • • • • . • .... • • • .... • • $ 700 000.00
Value of real estate in Pennsylvania ............ • • • • • • ' ' • • • ~ • • TOTAL ESTIMATED VALUE.... $
County
Real estate in Pennsylvania situated at: City, Township or Borough
(Attach additional .eheeLc, ijnecessary.) Street address, Post Office and Zip Code
® A. Petrtton for Probate and Grant of Letters Testamentary 11 /19/2008 and Codicil(s)
Petitioner(s) aver(s) he/she/they is/are the Executor(s) named m the last Will of the Decedent, dated
thereto dated
- State relevant circumstances (e.g. renunciatiat, death ojexecutar, etc.)
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(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 r -
^ B. Petition for Grant of Letters of Administration (If applicable)
e.t.a., d. b. n., d. b. n. c. t. a., pendente life, durante
If Administration, c.t.u. or d.b.n.c.t.a., enter uatc ~~ ~~ ••• ••• --------
Except as follows: Decedent was nother the voictimeofa kiting nopever adjud catedtan n apac tat d person.e had been est
in 23 Pa. C.S. § 3323(8) and was net ~
--t
^ NO EXCEPTIONS ^ EXCEPTIONS -
a<r;t;nnerisL after a proper s'arch has/have ascertained that Decedent left no Will and was survived by the following spouse
durante p~oritate ']Q
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Page 1 of 2
!%nrnt RW-ll2 rev. 10,`! 1.2011
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA } SS:
COUNTY OF Cumberland }
Petitioner(s) Printed Name
D. Hi
Petitioner(s) Printed Address
5272 Sycamore Court
7
The Petitioner(s) above-named swear(s) or affirmve s of the Dectedent~t f oP e~ioner(s)twillawell and truly admin~st r the est teeaccordi gg o IaH,belief ~
of Petitioner(s) and that, as Personal Representa O r° Date
Sworn to or affirmed and sub cribed before Date --
+~~~ day of ".~I i i~ ~.i _ 1 ,(~'
met ` ,
By:
For the Register
Date
Date
BOND Required: ^ yE° NO
FEES: ~
~ ~~
$ ~.
Letters ....................... ~ '~~, y
( (~ )Short Certificates(s) .
( )Renunciation(s) ......... .
( )Codicil(s) ............. .
( )Affidavit(s) ............ .
Bond .........................
Commission .............
Othe, , r ~ • ...... 1 ~ ~''
. ..
Automation ee .......
JCS Fee ................ ...... _ - ~
TOTAL ......................$
To the Register of Wills:
earance b m ignature below:
Please enter my app Y ,?`'~
Attorney Signature:
avid H Stone ESgUlre
Printed Name:
Supreme Court 39785
ID Number:
Stone LaFaver & Shekletski
Firm Name: 414 Brid a Street
Address: Box E
O
P --
.
.
New Cumberland PA 17070 _
-
774-7435 ~
717 ~=' ~T'
Phone: ,___
,F
-
774-3869 '~ ~
17
Fax: -
7
dstone pC~stonelaw ~ ~'r'
Email:
C ~ =~ J
DECREE OF THE REGISTER ~ ~ ^?
File No:'~'
Estate of Earl William Hill
a/k/a: _
i i,U„ ~~ ~__~~ ~ ~ , in consideration of the foregoing Petition,
AND NOW, { J! '! ~ "~ ~ Testamentary
satisfactory proof having been presented be ore me, IT ISSUZ RneDDthHllletters
are hereby granted to ~• pp
in the above estate and tf a licable) that
the instrument(s) dated 11 /19/2008 of 1)ece~?ent.
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s))
Re ister of Wil 7 ~ {~~ ~r
g ~~ ~ %~~`~~~ ~ 2of2
-02 rev. !0'11.201/
Form RW
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LOCAL ~[~ S C~~T'1~ICA~'IO~ +~'~ ~~A.
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_ 18890001-- `Ar~~~~~~T
Certification Nu(rtber
COMMONWEALTH OF PEN NSVLVANIA ~ DEPARTMENT OF HEALTH ~ VITAL RECORDS
Type/Print In CERTIFICATE OF DEATH State File Number: s 11 M°)
Permanent 3. Social Security Number 4. Date of Death (MO/Day/Vr) ( pe
z. Sex 2O 12
Black ink 001-24-7623 Ma 30,
1. Decedent's Legal Name (First, Middle, Last, Suffix) Male ]a Birthplace (City and State or Foreign Country)
Earl W . Hill Sc. Under 1 Da 6. Date of Birth (Mo/Day/Year) (Spell Month) pA
Yrs) Sb. Under 1 Vear Bowmanstown
Sa. Age-Last Birthday ( Months Days Hours Minutes 1931 '1b. Birthplace (County) Carbon
October 23
80 Sc. Did Decedent Live in a TownslhJi~Wer Allen iwp.
Sa. Residence (State or Foreign Country) Sb. Residence (Street and Number- Include Apt N ~) [~Ves, decedent lived in
Penns lvania 5272 S camore Court `it's/b°r°-
8d. Residence (County) Code) 17 OS 5 ~ No, decedent lived within limits of am r to firs( marriage)
Se. Residence (Zip W{dowed 11. Surviving Spouse's Name (If wife, given a prio
Cumberland 10. Marital Status at Time of Death ®Married
9. Ever in US Armed Forces? Divorced Q Never Married ~ V nknown Suzanne Ka Dubb s
Ves ~ No Q Unknown C1 13. Mother's Name Prior to FIrsT Marriage (Firs4 Middle, Last)
12. Father's Name (First, Middle, Last, Suffix) Mildred B . Schwart z
Ray 14b. Relationship to Decedent 14c. Informant's Mailing Address (Street and N~ Ch3 fie sbur o'e
el Adam Hill pA 17055
.._ ,..f,.,,,,anrsName nti ~A 5272 S camore Court M
o
,.......
e
~"°°""- - - .'." D stn c~~:red -- --
............................ ...
•- a Oc Somew
...
....
:If
G
"' sPW+t
........................
In bent
............... ............. ital~ IJ
pa
rred In a Hosp -
_ ~ Nursing Home/LOn Term Care Facility
8
~ If Death Occu
Dead on Arrival
Room/Outpatient 0
nc
' City or Town, State, and Zip Code
15c
_ u
Q Emerge
y
Facility Name (If not institution, glue street and n tuber
56 .
Me cYlanic sb ur PA 1
.
1
5272 S eamore Collrt
tion 166. Date of Disposition 16c. Place of Disp~
_ .
Crema
Method of Disposition ~ Buriai $(
16a
tion
V
~ .
0 Removal from State ~ Dona ice Licensee or F
~ Other (Specify)
and Zip)
te e
12a. 51 tore of ral Serv
' ,
Ition (City or Town, Sta
16d. Location of Dispos ~
PA 17088
Scb.ea££erstown,
lit PA
y
Name and Complete Address of Funeral Faci
12c eW Um a land
0 .
O
i
c
d
t decedent
h
o
i
i
°~ Decedent's Education -Check She b
fdeath.
o
m e
18
ti
Y the
d e
ether t
w
ribes
boxDhat best desc
ck the "NO"
h
r .
a
l te
highest degree or level of school comp a e
is Spanish/Hispanic/Latino. C
nish/Hispanic/Latino.
S
Q 8th grade or less
de pa
box if decedent Is not
h/Hispanic/Latino
i
Q No diploma, 9th - 12th gra
GED completed s
~ No, not Span
Mexican American, Chicano
n
i
High school graduate or
ree
d ,
ca
0 Yes, Mex
eg
~, Some college credit, but no 0 yes, Puerto Rican
~ Associate degree (e.g. AA, A6)
r s degree (e.g- BA, AB, BS)
h
l Q Ves, Cuban
other Spanish/Hispanic/Latino
Yes
~
o
e
~ Bac
M5, MEng, MEd, M6W, MBA)
MA
(e
g
' ,
' ,
.
.
s degree
~ Master
Professional degree (Specify)
EdD
O Doctorate (e.g- PhD, ) or
idered himse or
ated ent cons
. MD DDS, OVM LLB JD
ONLY ONE to intlicate Oh
C
h
21. Decedent's Single Race Self-Designatlo O
apan
5e oa H
Sam
lander
fi
I
White Korea n
an American ~
i
f c
s
Q Other Paci
~ Don't Know/Not Sure
c
r
~ Black or A
Vietnamese
ican indian or Ataska Native 0 Q Refused
~ Amer
Other Asian
n Indian
i
ii ~ Other (Specify)
a
an
0 As
~ NaYlve Hawa
0 Chinese ~ Guamanian or Chamorro
Pr
Q Filipino d Dead (Mo/Day/V r) 23b. Signature of Person
Der
p~ pthpth
012 848
Decedent's Race -Check ONE Oft MORE races to ino~~a ~= ~••a-
20
.
the decedent considered himself or he Olf to be.
® White
~ Black or African American Korean
~ Vietnamese
i
n
A
~ American Indian or Alaska Native s
a
Q Other
O Native Hawaiian
~ Asian Indian O Guamanian or Gha mono
~ Chinese Q Samoan
Fill Pino ~ Other Pacific Islander
Japanese
lO Other (Specify)
t I d t tyP f I
Decedent s Usual Occ p
22a
-
self to be.
done during most of working life. DO NOT USE RETIRED.
ITEMS 23s - 23 MUST BE COMPLETED 23a. DDaate VronouricO - ? ~_ ~~ / ^
gy PERSON WHO PRONOUNCES OR / / 5 3 '/~ ft)G~r~. - ~rYnU//,-1-~"~!`
CERTIFIES DEATH _ -` 24. Time of Deai~J ~ _ _ ~ .,~ ,~,~~ n4 udical Examiner or Co
c
E
s
~_
O_
~l._, ~-fin/ s c 70.7
~7 - ~ ~- ~ CAUSE OF DEATH y s cardiac a rest.
IicaHOns--that directly caused the death. DO NOT enter terminaa ilnee ^Atdd addttional linesrif necessary
26. Pert 1. Enter the ~h In of events--diseases, InJ urles, or comp y one cause on
respiratory arrest, or ventricular fibrillation without showing t~ ~ IoegY''D G OT ABBREVIATE. Enter onl
_______________
~ a' J D.uJe to (or)es a consequence of):
IMMEDIATE CADS pa ~
(Final disease or condition 7 N~ V rY/ o N t A
resulting in death) b 7 5 a con of):
Due to (ore sequence
Sequentially list conditions,
If any, leatlin ato Lhe taus of):
listed on Ilse Enter thee pue to (or as a consequence
UNDERLYING CAVSE
(disease or Injury that sultin d. on a of):
Initiated the events re 8 Due to (or as a c seq ue nc
In death) LAST. 27. Was an auto
.--.-.__... ., e~rh but not resulting in the underlying cause given in Part I Q Yes
~ Not pregnant within past year
0 Pregnant at time, of death
~ Not pregnant, b t pregnant within 42 days of death
~ Not pregnant, but pregnant 43 days to 1 year before death
~ Unknown It pregnant within the past year
Approximate
Interval:
Onset to Death
2 t-c: Po[LS
W F_' LL_C
sy find'negs ova ore
the taus of death?
- ~31. Ma ~r o' L~~°" Homicide
yid Tobacco V se Contribute to Death? ~~fG ral 0
Probably pending investigation
D Y O ~ ~ Accident Q
~N Q Unknown O Suicide ~ Could not be determined
ry
V Driver/Operator (~ Pedestrian
~ No ~ Passenger ~ Other (Specify)
C iffier (Check only one): and manner stated anner stated au a ne
To the bast of my knowledge, death occurred death o cu rred at the time, date, and place, and due to the cause(s) and m and m r toted
~rtifying phVSician - h i i To the best of my knowledge, i death occurred at the time, date, and place, and due to the c se(s) /, n 4
Pronouncing R Ce rtifying p Ys c an - nd/or Investigation, in mY opin on, License Number: ,~ ~ T2-t
Medical Examiner/Coroner - On the~_~~~`f°i° ~L ' ~. Title of certifier: h~
Signature of certifier: ~l l~ ^ 39c. Date Signed (MO/Day/Yr)
e-I t-C 2eJ Ca !'h i t ~ ,~ of , S ' 3 e zm I z--
b Name Addres d Zip Code of Per~soniCOmplet~ Ca 3 k Seat~(Item[ 26) ~ ) 42 Registrar File Date (MO Day r)
I~I'Q W+ 5 ~'~ ~~ ' • U R 1 2 SIB ~~'"~ ~F-.r• ~ /{ /sZ d ~ Z
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Pormit No. _. `~ ~ ~ O ~ ~D
H105-143
REV O~/2011
\DOCS\6 P~~.W ILLS\Hi1L Earl ll-2008.wpd
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LAST WILL AND TESTAMENT ~~ y . ~,`~. r
,, _ 3 - , ~,
OF
Ep,FtL WILLIAM HILL ~ ~ tv ~ h~
~ t ~+
rn
Cumberland
I, EARL WILLIAM HILL, of the Borough of New Cumberland,
Pennsylvania, declare this to be my last will and revoke any
County,
will previously made by me.
ITEM I: I direct that my Executrix hereinafter named shall paY
enses as soon as conveniently may be
all my just debts and funeral exp
done after my decease from the residue of my estate.
ITEM II: I devise and bequeath all of my estate of every nature
s ouse, SUZANNE D. HILL, if she survives me.
and wherever situate to my p fai_1 to survive me,
SUZANNE D. HILL,
Should my spouse,
ITE_ M III:
ise and bequeath all of my estate, of every nature and wherever
I dev
situate as follows:
p,, One-half (1~) unto CHRISTOPHER BENKO.
2 unto MATTHEW R. BENKO.
B, One-half (1')
IV: I appoint my spouse, SUZANNE D. HILL, Executrix of this
ITE_ M -
wi11. Should my spouse, SUZANNE D. HILL, fail to qualify or
my last
act as Executrix, I appoint CAROLYN H. BENKO and DAVID H.
cease to
STONE, Co-Executors of this my last will.
V; No fiduciary acting hereunder shall be required to post
II T~-
ter security for the faithful performance of his or her duties
bond or en
in any jurisdiction.
Page 1 of 4
IN WITNESS WHEREOF, I, EARL WILLIAM HILL, have hereunto set my hand
~ ,~ ~~ ~.,~__~-, r~ ~ 2008 .
~_ day of
and seal this
a ~ ~~
\\\~ n
~y ~ 1
EARL WILLIAM HILL
SIGNED, SEALED, PUBLISHED and DECLARED by EARL WILLIAM HILL, the
~+-ament, and ~ n the
d Te.,
Testator above named, as and fcr his Last Will an
resence of us, who at his request, in his presence and in the presence
p
of each other, have subscribed our names as witnesses.
414 Brid e St. New Cumberland PA
Address
414 Brid e St. New Cumberland PA
Address
Page 2 of 4
,~}~?
Witness
COMMONWEALTH OF PENNSYLVANIA: SS:
COUNTY OF CUMBERLAND
I, EARL WILLIAM HILL, the 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 this instrument
as my last wi11; that I signed it willingly and that I signed it as my
free and voluntary act for the ti~urposes therein contained.
n ` .,
,~
EARL WILLIAM HILL
Sworn to or affirmed to and acknowledged before me by EARL WILLIAM
HILL, the Testator, this ,__ da
Notary Public
COMMONWEALTH OF PENNSYI-VANIA
NOTARIAL SEAL Public
CAROL L. TROXELL, Notary
My Commessaon E p~es Dece27n2009
Page 3 of 4
COMMONWEALTH OF PENNSYLVANIA SS:
COUNTY OF CUMBERLAND
the witnesses whose names are signed to the attached or foregoing
instrument, being duly qualified according to law, depose and say that
e were present and saw Testator sign and execute the instrument as his
w
last will; that Testator signed willingly and that he 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 the will as
witnesses; that to the best of our knowledge, the Testator was at that
time eighteen or more years of age, of sound mind and under no
constraint or undue influence.
,~,
r
Witness
r _, ,,. „ m, 2 b
Sworn to or affirmed to and acknowlc--age\\d, be (~(~~CC \` Y
\~ ,~ anct
of ~ ~ °-~ ~` 2008 .
day
witnesses, this
\ \~
COMMONWEALTH OF PENNSYLVANIA Notary Public
NOTARI public
CAROL L. TROXELt_, Notary
My C m(be~aonn Exp~es Dece27n2009
Page 4 of 4