HomeMy WebLinkAbout08-02-12PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBF~RI-AND
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) the following and respectfully request(s) the grant of Letters in the appropriate form:
Decedent's Information
Name: DOROTHY C. HYKES
a/k/a:
a/k/a:
a/k/a:
Date of Death•
File No: .J ~ - ~ ~ - (j 0 L~ I
(Assigned by Register)
Social Security No:
Age at death: 93
Decedent was domiciled at death in CUMBERI-AND County, PENNSYLVANIA (crate) with his/her last
principal residence at 801 North Hanover Street, Carlisle, PA 17013, North Middleton Township, Cumberland
Street address, Post Office and Zip Code City, Township or Borough County
Decedent died at 801 North Hanover Street, Cazlisle, PA 17013, North Middleton Township, G.rmberland, Pennsylvania
Street address, Post Office snd 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 Pennsy!vania ........................ Personal property in Pennsylvania $
If not domiciled in Pennsylvania ........................Personal property in County $
Value of real estate in Pennsylvania ......................................................... $
TOTAL ESTIMATED VALUE.... $
Real estate in Pennsylvania situated at: None
(Attach additional sheets, if necessary.) Street address, Post Office and Zip Code
City, Township or Borough
Q A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s) aver(s) he/she/they is/aze the Executor(s) named in the last Will of the Decedent, dated August 12, 1994
thereto dated N
County
and Codicil(s)
State relevant circumstances (eg. renunciation, death of executor, etc.)
Except as follows: after the execution of the instrument(s) offered for probate Decedent did not many, was not divorced, was not a party to apending
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.
Q NO EXCEPTIONS 0 EXCEPTIONS
^ B. Petition for Grant of Letters of Administration (If applicable)
c. t. a., d.b.n., d.b.n.c.t.a., pendente life, durante absentia, durante minoritate
R Administration, Gt.a. or t~b.n.c.l: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 for 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.
Q NO EXCEPTIONS Q 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 Relationshi Address
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FormRrV-02 rev. 10/IIi2011 Page 1 of 2
Vath of Personal Kepresentative
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF CUMBERLAND
~~~~~~a. ~~~..u~y
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Petitioner(s) Printed Name Petitioners not ddress
Linda Kay Jackson 9 Thonihill Court, Cazlisle, PA 17015
.,
Doris Jean Swartz ,"OU~r
180 Bulls Head Road, Newville, PA 17 ~ ~ ~~
The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition aze true and correct to the best of the knowledge and belief
of Petitioner(s) and that, as Personal Representative(s) of the Decede t, the Petitioner(s) will we and trul administer the estate according/to law.
Sworn too affirmed subscrib be ore G ~~v~-^ Date ~ "! / ~ ~~
me th1S- `~~ ~~da3r - ~~~. 'L-y Date ~''~--/"L.~-'
BV: I i~~ ~Y. _ _ Date
Register
BOND Required: Q YES ~ NO
FEES:
Letters ..................... .
(~ )Short Certificate(s)..... .
( ~ )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
Other ..••••••
~~. () d
Automation Fee ............... - U CJ
JCS Fee . .................... - `o
TOTAL ..................... $
Date
To the Register of Wills:
Please enter my appearance by my signature below:
Attorney Signature:
Printed Name: Robert G. Frey ~J
Supreme Court 46397
ID Number:
Firm Name: Frey & Tiley
Address: 5 South Hanover Street
Carlisle, PA 17013
Phone: 717-243-5838
Fax: 717-243-6441
Email: rfrey@freytiley.com
DECREE OF THE REGISTER
Estate of DOROTHY C. HYKES
a/k/a:
AND NOW, , ~~ in consideration of the foregoing Petition,
satisfactory proof having b n presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to Lmda ~Y Jackson and Doris Jean Swartz
in the above estate and (if applicable) that
the instrument(s) dated August 12, 1994
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
~~ r_;Q
Register of Wills -- , ~ ,
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Form RW-OZ rev. IO/I1/2011 Page 2 of 2
File No: ~~ o~ - y ~~
LOCAL~C~'~f~-~E'S CERTIFICATION OF DEATH
WARNINC~~t,~~; ~~~~~I `~~,~jplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 1862~~4~
V
Certification Number
~~~~ ~U~ ~~ ~~ 2' 4~ This is to certify that the information here given is
c(~rrectly cof)ied fron+ ,-u original Certificate of Death
~~~~~;. ~ _ duly filed with (ne s s Local Registrar. The original
t~~ ~-~ certificate will 1>e f(Ir~~arded to the State Vital
OF~HaN'S ~Ol:r,~
~M~~~[~ ~.. PA Records OfiiL~e fr)r j~lernwnent filing.
~~nr~.~~~~~,~~x' JI~L 3 0 2012
Local Rel~isFrar Uate Issued
COMMONWEALTH OF PENNSYLVANIA ~ DEPARTMENT OF HEALTH ~ VITAL RECORDS
C'FRTIFIf'ATF AC f1C ATY
Type/Print in
Permanent
~_
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4
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1. Decedent's Legal Name (First, Middl¢, Last, Suffix) 2. Sex 3. Social 5ecurlty Num ber~~ 4,•DSte of Death (MO/Day/Yri (Spell Mo)
Dorothy C _ Hylces emale 194-07-4194 _jUi~~/ ZgJ ~-U~2
Sa. Age-Last Birthday (Vrs) Sb. Under 1 Vear Sc. Under 1 Da 6. Date df Birth (MO/Day/Year) (Spell Month) 7a. Birthplace (City and State or Foreign Country)
Months Days Hours Minutes
93 January 15, 1919
]b. Birthplace (County) umbe r i a n d
Ba. Residen<e (State Foreign
'd`iUe (s`r€f a n ove rr i"`s'~ Apt NoJ 8c. Did Decedent LIVe in a TownshipP
~ va n f a""'"' ~'~~
P
~
e nn s y
Stl. Residence (County) A t 2 0 7 QYes, decedent lived In t,,yp.
C t~'/`'1 ~ C /~ ! Q n ~ Be. Residence (21p Code) o, decedent lived within Ilmits of Car 1 i 5 1 E city/boro.
9. Ever In US Armed Forces? SO. Marl[al Status at Time of Death Q Married idowed 11. Surviving Spouse's Name (IF wife, give name prior to firs[ marriage)
Q Ves ®No Q Unknown Q Divorced Q Never Married Q Unknow
12. F Name irs Midd La t, Suffix
~'cjwarc~ tJ_ ~:e~lmalll 13. Mother's Name Prior to First Marriage (First Mladie, Last)
Mabel O. 4fYLlsler
14a. Informant's Name 14b. Relatlonshi to Decedent 14c. I formant's Mailing Ad (St t Nu CI t Zip Cod
1~0 B
D
S
t
D
ht
11
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A 1724
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a. P ace o Deat ec on one
...................................... .......... pa ................................,...................................... ..............Y....... .. _
if Death Occurred In a Hos ital: ........................ ......................................v~, ...............................
p In tlent
If Death O
d S
h
h
`
_
° :
ccurre
omew
ere Ot
er Than a Hospital:
~ Hospice Facility LJ Decedent's Home
Q Emergenry Room/Outpatient Q Dead on Arrival _ Nursing Home/Long-Term Care Facility Other (Specify)
156. Faclll Name (If not Instituflon, give street and number; SSC. City or Town, State, and Zlp Code 15d. County of Death
"
y- 16a. Method of Dlsposltlon ~ Burial Q Cremation 16b. D to of Dlsposltlon 16G.. Placeof Dl
psitlgp fNam<bf cemeyLry
cre
ofha
r
r
~•i Ce
ma
.~
p Removal frp.n state p Dpnatlpn
7/ 3 1/ 2 0 1 2 ~
~
~~
~~
j
ll~. UIiI L7 2 1 a L1L1 V a 1 1 v 3' 1 Z
a
p a r d e n s
Other (Specify)
16d. Location of Disposition (City or Town, State, and Zip) STa. Slgnat~+of neral 5 rvice Lic nsee or Person In Charge of Interment
y
-^ 176. License Number
~ Carlisle, PA 17013 j FD 13895 L
E 17c. Name and Complete Address of Funeral Facility
3 E er Funeral Home =nc 15 Big Spring Ave wville, PA 17241
~ 18. Decedent's Etlucation -Check the box that best describes the 19. Decedent of Hlspanlc Orlgln -Check the 20. Decedent`s Race -Check ONE OR MORE races to indicate what
~ highest degree Or level of school completed at the time of death. box that best describes whether the decedent the decedent considered himself or herself to be.
Q Bth grade or less is Spanish/Hispanic/Latino. Check the "NO" ~ White Q Korean
Q No diploma, 9th - 12th grade box If decedent is not Spanish/Hispanic/Latino. Q Black or African American Q Vietnamese
High schpol graduate or GED completed ~ No, not Spanish/Hispanic/Latino Q American Indian or Alaska Native Q Other Asian
Q Some college credit, but no degree Q Yes, Mexican, Mexican American, Chicano Q Asian Indian Q Native Hawaiian
Q Azsoclat< degree (e.g. AA, AS) Q Yes, Puerto Rican Chin<se
Q Q Guamanian or Chamorro
'
Q Bachelor
s degree (e.g. BA, AB, BS) Ves, Cuban
Q Q FIIlpino Q Samoan
'
Q Mast¢r
s degree (e.g. MA, MS, MEng, MEd, MSW, MBA) Q Ves, other Spanish/Hlspani</Latino Q Japanese Q Other Pacific Islander
Q Doctorate (e.g. PhD, Ed D) or Professional degree (Specify) Q Other (Specify)
. MD DOS DVM LLB JD
21. Decedent's Single Race SeIF-Designation -Check ONLY ONE to indicate what the decedent considered himself or herself to be. 22a. Decedent's Usual Occupation -Indicate t
f
k
ype o
wor
~] White Q Japanese Q Samoan done during most of working life. DO NOT USE RETIRED.
Q Black or African Ameri
a
c
n Q Korean Q Other PaciRc Islander
Q American Indian or Alaska Native Q Vietnamese p Don't Know/Not Sure S e am s t r e s s
Q Asian Indian Q Other Asian Q Refused 226. Kind of Business/Industry
Q Chinese Q Native Hawaiian Q Other (Specify)
Q FIIlpino Q Guamanian or Chamorro D r e s~s Factor y
ITEMS 23a - 23d MVST BE COMPLETED 23a. Dat< Pronounced Dead (MO Day 23b. Signature o Person Pronouncing Death On y when applicab a 23c
License Number
.
BY PERSON WHO PRONOUNCES OR ~~~ ~!
CERTIFIES DEATH
~ ~ J
~ S.s.,3e?g~
23d. Data Signed (MO/Day/Yr) 24. Time f D<
a[1~
~s
J~L ~~ ?~~ ~~
i(./ 25. Was edical Examin Coroner Coniacted~ Q Yes Q No
CAUSE OF DEATH
Approximate
26. Part I. Enter the <haln of events--diseases, Injuries, or complications--that directly caused [he death. DO NOT enter terminal events such as ca rd lac arrest
Interval:
.
respiratory arrest, or ventricular fibri lla[lon
witho
ut showing the etiology.
D
O NOT ABBREVIA
T
E. Enter only one cause on a Iln<. Atld additional lines If necessary Onset to Death
1
J
I
e
I
~
IMMEDIATE CAUSE ---------------~ a. `E~.t'y 2 LM ~C 1_ A .. a1 ~ -s -4 c~.ia ~ = v ~~ i
(Final disease or condition Oue to (or as a consequence of):
resulting In death) /'
~_ (:
im
b
~
v
.
. Cl .r Q /
- _ •{ ( 4 ( -P
Sequ<ntlally Ilst conditions, Due to (or as a cons once of):
If any, leading to the cause
Ilsted on Ilne a. Enter the
V NDERLVING CAVSE Due to (or as a consequence f
o )
(disease or injury that
F
,? Inl[lat<d the events resulting d.
In death) LAST. Due to (o as a consequence of):
26. Part 11. Enter other sl¢niflca nt conditions contributin¢ to death but not resulting in the underlying cause given In Part I 27. Was en autopsy performed
~ ^ 11 D Yes Q No
L)
m r c-v~ ~ ..-~ T «1 28. Were autopsy findings available
to complete the cause of deaths
D yes Q No
29. If
ale: 30
Dld T
b
3 ~
.
o
acco Use Contribute to DeathT 31. Manner of Death
Not pregnant within past year Q yes Q Probably Natural
~ Q Homi
id
~' c
e
Pregnant at time of death
Q No g Unknown 0 Accident Q Pending Investi
ation
N
~ g
Q
ot pregnant, but pregnant with In 42 days of death
Q Not pregnant, but pregnant 43 days to 1 year before death 32. Dace of Injury (MO/Da Q Suicide Q Could not be determined
y/Yr)(Spell Month)
Q Unknown if pregnant within the past year 33. Time of Injury
34. Place of Injury (e.g, home; construction site; farm; school) 35. Locatign of Injury (Street and Number, City, State, 21p Code)
36. Injury at Work 37. If Transportation Injury, Specify: 3B. pescribe How Injury Occurred:
0 Yes Q pNVer/Operator Q Pedestrian
Q No Q Passenger Q Other (Specify)
39a ertifler (Check only one):
C rtifying physician - TO the best of my knowledge, death occurred due to the cause(s) and m r stated
ncing 8. Certifying physician - To the best of my knowledge, death occurred at the time, date, and place, and due to the cause(s) antl manner stated
Q Medical Examiner/Coroner basis of examine ,antl/or investigation, In my opinion, death oc
curred
t [he time, date, and place, and due to the
ca
us
e
(s) and manner s
tat
d
e
`
(~
Signature of celtifiar
~_ ~
-
l
:
(
~
H
Title of certlfler: ,-l I J License Nomber: Yl ~J O Z S2R pC
39b. Name, Address and Zip Code of Pers n Compl~ating au Death (Item 26) 39c. Date Sig d (M /pay/Yr)
5G
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Anal~«ti e~2CCrCi Ca.i(.
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40. Registrar's (strict Number 41. Registrar' Lure 42. Registrar File Dale Mo Day
43. Amendments L~ ~ ~
Disposition Permt[ No. O - l -1. ~ I ~ 1 H105-143
REV 07/2011
RENUNCIATION
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Dorothy C. Hykes ,Deceased
I, Edward Lee Stouffer , in my capacity/relationship as
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
~ ,
August 1, 2012
(Date)
Executed in Register's O, f,~ice
Sworn to or affirmed nd subscribed
befor e this /~ ~ day
of ~' ~ , 2.0 % ~
r r /
C
uty or Register o Wi is
( agnature)
6574 Swains Road
(Street A ress)
Marshall, VA 20115
(City, State, Zip)
Executed out of Register's O,~ce
Before the undersigned personally appeared
the party executing this renunciation and
of , 20
Notary Public
My Commission Expirees:
(Signature and Seal of Notary or other offical qualified to
administer oaths. Show date of expiration of Notary's
Commission.)
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LAST WILL AND TESTAMENT
OF
DOROTHY C. HYKES
I, DOROTHY C. HYKES, widow, of North Newton Township (mailing address: 440
Shippensburg Road, Newville, Pennsylvania 17241), Cumberland County, Pennsylvania, being
of sound and disposing mind, memory and understanding, do hereby make, publish and declare
this as and for my Last Will and Testament, hereby revoking and making void any and all Wills by
me at any time heretofore made.
1. I direct my hereinafter named Executors to pay all of my just debts and funeral
expenses as soon after my death as may be found convenient to do so. I direct that my funeral
services be conducted by the Egger Funeral Home in Newville, Pennsylvania, and that my body be
interred beside that of my husband, Robert L. Hykes, on our burial lot in Cumberland Valley
Memorial Gardens located along Governor Ritner Highway near the Borough of Carlisle,
Pennsylvania.
2. All of the rest, residue and remainder of my estate, real, personal and mixed, and
wheresoever the same may be situate, I give, devise and bequeath to my four (4) children, their
heirs and assigns, in the fractions indicated, provided each of them shall survive me by a period of
ninety (90) days, but should any of my said four children fail to so survive me then the share such
deceased child of mine would have received shall pass to such of his or her issue as shall survive
me by a period of ninety (90) days, their heirs and assigns, per stirpes, and if there be no such
issue the same'shall lapse and be added proportionately to the remaining shares, per stirpes:
a) Ten (10%) percent to my daughter, Darlene Elizabeth Lindsay;
b) Thirty (30%) percent to my son, Edward Lee Stouffer;
c) Thirty (30%) percent to my daughter, Linda Kay Jackson; and
d) Thirty (30%) percent to my daughter, Doris Jean Swartz.
3. I hereby nominate, constitute and appoint my three (3) children, Edward Lee Stouffer,
Linda Kay Jackson, and Doris Jean Swartz, as co-Executers of this my Last V~'ill and Testament
and I further direct that none of them shall be required to post any bond to secure the faithful
performance of his or her duties in the Commonwealth of Pennsylvania or in any other
jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will
and Testament, written on one (1) page, this 12th day of August, 1994.
(SEAL)
Dorothy C. yes `
Signed, sealed, published and declared by DOROTHY C. HYKES, the Testatrix above-
named, as and for her Last Will and Testament, in our presence, who, in her presence, at her
request, and in th:, rresence of each other, have hereunto subscribed our names as attesting
witnesses.
I t ~ ~ ~
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OATH OF SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Dorothy C. Hykes ,Deceased
Robert M. Frey , (each) a subsribing witness to
the [X] Will [] Codicil presented herewith, (each) being duly qualified according to law, depose(s) ;
say(s) that she / he /they was /were present and saw the above Testator / Tesatrix sign the same
and that she / he /they signed as a witness at the request of
the Testator /Testatrix in her /his presence and in the presence of each other.
1 ~ ~h ~~~~
( ignature)
5 South Hanover Street
( treet A ress)
Carlilsle, PA 17013
( aty, tate, cp)
Executed in Register's 0,,~4ce
( ignature)
5 South Hanover Street
( treet A ress)
Carlilsle, PA 17013
(City, State, Zip)
Executed out of Register's O,~ce
Sworn to or affirmed and subscribed
before me this da
of , 20
eputy or egister o t s
Sworn to or affirmed anyi subscribed
befor me this :Z. day
of v ~ , 20~`
~l
Notary Yubllc
My Commission Expirees:
(Signature and Seal of Notary or other offical qua 'ed to
administer oaths. Show date of expiration of 1Votary's
Commission.)
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization.
~TM aF ~~nv~wn
aoTnr:u~ sFx
*OBERT G. FREY, Nolry Pubtie
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OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Dorothy C. Hykes ,Deceased
Robert G. Frey and
(each) being duly qualified according to law, depose(s) and say(s) that she / he /they wa.s /were w~e
acquainted with Dorothy C. Hykes and am/are familiar
with the handwriting and signature of the decedent, and that the signature of Dorothy C. Hykes
to the foregoing instrument purporting to be the Last Will and Tesatment of
Dorothy C. Hykes is in his/her own proper handwriting.
~~ h
( agnature)
5 South Hanover Street
(Street Address)
Carlisle, PA 17013
( aty, late, ip)
Executed in Register's 0,,~`ice
Sworn to or affirmed and subscribed
before mt this ~ day
of ' , 2012.
eputy or grster o r s
( rgnature)
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