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HomeMy WebLinkAbout08-13-12Reset PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF CUMBELAND 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: Edna M. Hippensteel File No: _ (~ ~ - (~, " a/k/a. a/k/a: (Assigned by Register) a/k/a: Date of Death• Mav 8, 2012 Social Security No: 180-01-9655 Age at death: 98 Decedent was domiciled at death in Cumberland Coun ty~ Pennsvlvania (State) with his/her last principal residence at 121 Walnut Bottom Road Shi ensbur PA 17257 Shi ensbur Townshi Street address, Post Office and Zip Code Cumberland City, Township or Borough County Decedent died at 121 Walnut Bottom Road Shi ensbur PA 17257 Shi ensbur Townshi Cumberland Coun PA Street address, Post Office and Zip Code City, Township or Borough Coun Estimate of value of decedent's roe tY State p p rty at death: If domiciled in Pennsylvania ............................ All personal property If not domiciled in Pennsylvania ........................ Personal roe m Pennsylvania $ 3 700.00 If not domiciled in Pennsylvania ....................... .Personal propel p p rty in County $ value of real estate in Pennsylvania ............................... . ......................... $ n nn TOTAL ESTIMATED VALUE.... $ 3 700.00 Real estate in Pennsylvania situated at: (Attach additional sheets, if necessary.) Street address, Post Otfice and Zip Code City, Township or Borough County A. Petition for Probate and Grant of Letters Testamentar Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated November 4, 2002 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 many, 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(g), 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 ~ EXCEPTIONS Q B. Petition for Grant of Letters of Administration (If applicable) c. t. a., d.b.n., d.b.n.c.t.a., pendente lite, durante absentia, durante minoritate If Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and com lete 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(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person. NO EXCEPTIONS Q EXCEPTIONS Petitioner(s), after a proper search has/have ascertained that Decedent left no Wil l and was survived by the following spouse (if any) and heirs (attach additional sheets, ifnecessaty): Form RW-01 rev. !0/!!/20/1 Page 1 of 2 n.,~r...~ „---- - , For the Register ~~ ~ ~ ~ Date BOND Required: Q YES Q NO FEES: Letters ........ . ( 3) Short Certificate(s)..... . ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other $ Gtr' r L1~i ....... Automation Fee. -- .............. JCS Fee . .................... _ ~~ TOTAL ..................... $ To the Register of Wills: Please enter my appearance by my GCS '_ `y ;-- i Attorney Signature: C7t `~ "*J ©~:~ ~` ~ ~~ Printed Name: Thomas P. Gleason Supreme Court IiD Number: 82259 Firm Name: Thomas P. Gleason, Esquire Address: 49 West nranoP 4treet _Suite 3 v Shinpensbure, PA 17257 Phone: '~ 1 2- _ 32~~ Fax: -11 _ C~-73 Email: -"(cam ~ecc-Sbtin ~ F rnra ~,.w DECREE OF THE REGISTER Estate of Edna M. Hinnensteel ~~ _ ~^~r;~r ~ a/k/a: File No: { Ix ~-f AND NOW, ~1 satisfactory proof having been pre a ed befor , IT IS DECREED~tters Test deration of the foregoing Petition, are hereby granted to Nancv E. Kline amentarv the instrument(s) dated November 4 2002 in the above estate and (if applicable) that described in the Petition be admitted to probate and filed of~e~ord as the last Will (and Codicil()) of Decedent. n ,r, FormRW-02 rev. 10/1//20// Register of Wills ~~ :Z~~ Page 2 of 2 - -------•--.~, ...,.,.,,-,.n,„ou sweartsl or atnrm(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 the Decedent, the Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed subscribed be~ -~~~ B e~}}s ~ ~jtday o d Date ~f f,,~_ 5 ( nl' to /1/Yi:-. Date H 105.0? REF (9/I ! l LOCA ~~'S CFRTIFICATION OF t~i~AThl WARN , y~~_ts~ILega~J~q~iuplicate this copy by photostat or photcctraph. Fee for this certificate, $6.00 P 18536228 Certification Number Type/Print In Permanent Bieck Ink 1. Decedents Legal Nam! i Edna M_ Hippensteel Se. Age-Last Birthday (Vrs) Se. Residen 9BState or For. PA '~ 12 AUG 13 P1~ 1 ~ 4' OR~HAU ,j uvl1~T CUMBERLAND CO., PA Cumberland 9. Ever in US Armed Forces? )~ Yea ]~ No Q Unknown 12. Father s Name (First, Middle, John Pensinger, Sr. ~, _~ This ii, Yo cart) ~ th<Jt the inf !rI)1~(til)n tiara vi»erJ correctly ccl~i fr;,(rl an of i«in:il t'ert~ficacc of Deri duly filed :villl ~rle zt~~ 1_ocal R(°:ristrar The origin certificate ~~ i1~ he for~,Farded to rht State Vit Records Off'itie for ~•rn~ ant fitine LOea t ~-~.ItTr ti i)a'E' ltiUt'd COMMONWEALTH OF PENNSYLVANIA . DEPARTMENT OF HEALTH • VrrAL RECORDS CERTIFICATE OF DEATH ast, Suffix) State File Number: 2. Sex 3. Social SecuNty Number F@male 4. Dat! of Death (MO/pay/Yr) (Spell Mo) sc. under 1 Da 1BO-01-9655 6. Date of girth (MO/Day/Year) (Spell Month) 7a. Birth eau CI Msy 8, 20~ 2 Days Hours Minutes P ( ty and State or Foreign Country) December 4, 19'13 St. Thomas, PA Hb. Residence (Street and Number -Include Apt No. 7b. Birthplace (County) ) 8c. Ditl Decedent LWe In a Township? Franklin '12'1 Walnut Bottom Road }$[vea, decedent Iwed In Shi nsbu 8e. Residence (Zip Code) 1 7257 twp. ental Sbtus at Tlm of O Q No, decedent Ilvetl within Ilmi[s of Divorced lath Q Married Widowed 13. Survivln 5 city/boro. t~ Never Married n Unknown 8 Pouse's Namc (If wife, give name prier t„ F~~» ___ .. Nancy E. Kline 1' If DeaM Occurred in a Hospital: ••••• """ "'••••••••-•••-••••---• Q Emer ants Room/OU ~ Inpatient Tpatlent Dead on Arrival a~ iSb. Facility Name (If not Institution, glue rtrelt and number) ~` Shippensburg Health Cara Center ~, 16a. Method of DISPOEItIOn Burial Q Cremation Q Removal from State Q DonaHOn Other (Specify) 2 16d. LocTion of Dlsposltlon (City or Town, Strte, and Zlp) ~ St. Thomas, PA 17252 17c. Name and Complete Address of Funeral FaeRlty Fogelaanger-B ticker Funeral Home ~ 12 W King St. ~ 18. Decedent's Eduction -Check the box Mat best describes the ~- highest degree or level of school completed at Me Time of deaM. j$[ 8th grade or less Q NO diploma, 9th - 12Th grad! )~ High school graduate or GED wmpleted Q Some college eretlit, but no degree O Asaoelaie degree (e.g. AA, AS) Q Bachelor's degre C(e.g. BA, AB, BS) Q Merter's degree ( .g. MA, MS, MEng, MEd, MSW, MBA) ~ Doctorate (e_g_Ph D, EdD) or Professional degree ~ white - --- --.. '" " Q Black or Afrl4n AmeNCan )~ Americo Indian or Alaska Nstlve Q Asian Indian ~ Chinese Q FIIIPino :MS 23a - Reba B. Poe --_. -_ ...'•'"°rnage cFlrst, N to Decedent 14c. Informant's Melling gddress (Street and Num! hter 422 Kara Way Shippenaburg PA '17257 Occurred Somewhere Othe~Then a•Flospital~ ~ •••••"•• t k ( Pecip.)....... Vursln Nome/LOn -Term Cere Facility O[he 5 Nos Ice Fa or Tewn, State, and Zip Code ShiPPensburg, PA 17257 15 ~'•~ ~ ~< of DISPesltl°^ 16c. Plat! of Dlsposltlon (Name of cem t Cumbena nd May 12, 202 St. Thom as C e e ry• emete crlma[ory, or other place) 17a. 51 n ry c Licensee or Person In Cha rge of Imerm e nt 17b. License Number PO Box 336 Shippensb - FD-014831-L , urg, pA 17257 19. Decedent of Hispanic Origin _ Check the box Mat best describes whether the decedent I 20. Decedent's Rau -Check ONE OR MORE rac th a Spanish/HlspanlULatino. Check the "NO" box if deced e decedent constderetl ~ White es to Indicate what himself or hgnelf to be. ent Is not Spanish/Hlspani _ i ULS Inc' }~ No, not Spanish/Hls Q Black or African Ameri Q Korean pan Q Yes, Mexlun, Mexican American, Chicano can Q American Indian or Alsske NaHVe Q Vietnamese Q Oth Q Ves, Puerte Rican t~ Yes, Guban Q Asian Indian Q Chinese er Asian Q NaHVe Hawaiian Q Yes, other Spanlah/His PaniULetlno Q GIIIPino Q Guamanian or Chamorro t~ Sam (Specify) O la Panese oan Q Other P O oMer (specify) acif(c Islander p ~aPanese '.-p s.moa~eceeent tonal ~ Korean Q Other Paeiflc islander Q Vietnamese ~] Don't Know/Not Sure Q Other Asian Q Refused O NaHVe Hawaiian J] Ocher (Specify) __ t~ Guamanian or Chamorro during most of working Ilfe.,, DO NOT! Lype of wore USE RETIRED. Food Service BY PERSON WHO PRONOVNCES OR c~ <sa. Date Pronounce Dea CER Mo Day r) 23 b Si Etlueation . gnature o Person pronouncin TIFIES DEATH May 8 20'12 23d g Death (Only wh¢n . Dale Signed (MO/Day/Yr) 24. Time of Death applicable) 23c. Ucense Number ' 12:50 PM 25. Was Medlin Examiner or Coroner Cont d zs. P.n 1. Enter the Chan of .~~.. "-disease I CAUSE OF DEATH stte 7 ~ Yea ~ No s, resplrato nJunes, or cOmpllutlons-that directly caused the tle ry arrest, or ventricular rybrillatlon th ith a w . DO NOT en ter ter out showing the etiology. DO NOT ABBREVIATE E t minal events such as car APProxlmate tllac e IMMEDIATE CAUSE -___ _ Dysphagia e s . n er one Y one cause on a Ilne. Add add rrert, Interval: itional Ilnea N (Final disease or condition necessary Onsef to Death resulting In death) ~ Due to (or as a Consequence of): b. Cereberovascular accid Sequentlaily Iasi di ent con tions, If any, leading So the cause - listed on Ilne e. Enter the c Due to (or as a sequence of): con ' -iJNDERLYING CAVSE ~ (disease or Injury that ~ Inltl as a ton Due eo (or sequence pf): atetl the events tin rP`-) 8 d. ~ In death) (AST, ~ a~ ` 2g. Part 11: Enter other sianlflc tll r as a con Due to (o sequence of); ~ 1 Mb I but not resulting In the under) in Y g taus! given In Part 1 ' 27. Was en autopsy performed? Yes Np _ 29. If Female: 28. Were autopsy flnd(ng avallable Not pregnant within past year 30. Did Tobacco Vse Contrlbufe [ O o to Fompleie the cause f death? Q ~ Q Pregnant of time of death N i ° eath? t~ Yes O Probably 31. Manner of Yes No Death I'- o Q Pregnant, but pregnant within 42 da Ys of tleatr Q Not r >~ N° Q Unknown {~ Natural Q Homicide p egnant, but pre Q Unknown if Bnent 43 days To 1 year before death re 32 D Q Accident Q Pending Inverti ail p gnenk within the part year , ate of Injury (MO/Day/Yr) (Spell Month) O Suicide g on Q Could not be determined )~ Yes Q Driver/Operator Q Pedestrian 38. Dbscribe Now Injury Occurred: Q NO )~ Passenger Q Other 5 ( Pacify) 39a. Certifier (Check only one): -~~ Q PC ^IOVingin hYSlclsn - To She best of my knowledge, death occurretl tlue to the cuse(s 8 b CertNyln ephysiclan -Tao the beatTf my knowledoge, death o )and ma stated Q Medleel Examiner/COfO - On the b sis of a Inatien, a d ccurretl e<the Yime, date, and Platt, and due to the cause Signature of certifier: a~i+olyi..I/~iEr~_/ ~,~ ccur p n / Investigation, In my opinion, death o red at the time, date, antl (lace and due totthe cause(s) and m 39b. Name, Atldress and Zlp Code of PerSOn Co Title of certifier: M.B.B.$ ann r stated mpleting Cause of Death (Rem 26) License Number. MD063751 Le Ametui Khe11d, M.B. B.S. 1988 Scotland Avenue Chambersburg PA 17201 10 R gist Dist I N I 39 D t Sig d (M /p y/y ) 1 R /_ .~ sig t ~ /~ / / May 1 O. 2012 Dlsposltlon Permit Np. 0676666 H105-143 ~.._, LAST WILL AND TESTAMENT ~~ ,x ~~c ~ ~,`J 0 u r C..1 ~ -- `~~' C-,, . ~ ~" KNOW ALL MEN BY THESE PRESENTS, that I, EDNA M. HIPPEI~EL, of~ `~y Pennsylvania, being of sound and disposing mind, memory and understanding, ~' ~~ ~ do make, publish and declare this my Last Will and Testament, hereby revoking all prior wills and codicils by me at any time heretofore made. FIRST: I direct the payment of all my legal debts, funeral expenses including my grave marker and all expenses of my last illness, state, federal estate and inheritance taxes and administration costs shall be paid as soon as may be conveniently done following my decease leaving all specific bequests free of tax to the legatee. SECOND: I give and bequeath my drop leaf table and the dishes with the apple pattern to Patricia Anne Alt. THIRD: I give and bequeath the white dishes with the pink rose pattern and the white corner cupboard to Nancy Elaine Kline. FOURTH: I give and bequeath the dishes with the blue and white pattern to David B. Hippensteel. FIFTH: I give, devise and bequeath the rest of my estate, in four equal shares, one share to Patricia Anne Alt, or if she should predecease me to her children; one share to Nancy Elaine Kline, or if she should predecease me to her children; and one share to David B. Hippensteel, )r., or if he should predecease me, then to his wife, Darlene Hippensteel or if they both should predecease me then to their children; and one share to Rick L. Wagner equally. SIXTH: I nominate and appoint, David B. Hippensteel and or Darlene Hippensteel, as the Executors of this my Last Will and Testament. If they should fail to serve or be unable to serve, then in either of those said events, I nominate and appoint, Nancy Kline, as the Executrix of this my Last Will and Testament. IN WITNESS WHEREOF, I, EDNA M. HIPPENSTEEL, to this my Last Will and Testament set my hand and official seal, this ~~ da of Y ~OU . 2002. f Enda M. Hippensteel (SEAL) Sworn to and subscribed, declared and Published by Enda M. Hippensteel, as Her Last Will and Testament, and so Done in the presence of we the Witnesses, who sign at her request, And in her presence, and in the presence Of each other. i ~~-~ COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND :SS I, EDNA M. HIPPENSTEEL, whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed it willingly; and that I signed it as my free and voluntary act for the purpose therein expressed. ~~ ~ ~~t,~ Enda M. Hippensteel Sworn to and acknowledged, before me, By Enda M. Hippensteel, the Testatrix, This 4 ~ day ofd 2002. N u, 1 i Notarial Seal Notary Public ~ thong Adams, Notary Public Shippensburg Boro, Cumberland County My Commission Expires May 15, 2006 Member, Pennsylvania Association of Notaries COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND :SS WE, Darlene M. Bigler and Sharon Coleman Adams, the witnesses whose names are signed to the foregoing instrument, being duly qualified according to law, do depose and say that we saw the Testatrix sign and execute the instrument as her Last Will and Testament; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses, and that to the best of our knowledge and belief the Testatrix was at the time at least eighteen (18) or more years of age and of sound mind and under no constraint or undue influence. ,~-. ,,, ~ r ~~ .~-, '~ ~ r 74.r-E'_~r _i .~~~~~7z-~_~ Sworn to and subscribed before me by, Darlene M. Bigler and Sharon Coleman Adams, The witnesses, this ~~ day of oU ~ 2002. Notary Public Notarial Seal H, An4tany Adams. Notary Public Shlppenatw,rg 8c~ro. Cumberland County My Cammias~u ExPins Ma~~ ~ ,~~w ~Jlember, Penrnylvania AggQC+anrv+,x :~ Ii, qn~~ Notarial ~ Shtppensbur Y ~`ja~• N MY Commissiu47iEXPC~ beer IY a Count ~n~Yh'8nk't M$Y I S, 2~Y n0n0f~taries '~F~., t , r~~'l tly 51Y~` e iiFHi~' ~ ~ ,, `'.fit i ~ ~U~ 13 1' 1 ~ G ~ RENUNCIATION GE~~f't^l~~,a' ~u~,`~~ REGISTER OF WILLS CUMBF°L~+Na CO•~ PA CUMBERLAND COUNTY, PENNSYLVANIA Estate of Edna M. Hippensteel Deceased I, Darlene Hippensteel (PnntName) , in my capacity/relationship as Executor of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Nancy E. Kline (Date) GZ2.~~ (Srgnature) (Street Address) r (City, State Zi) a ' Executed in Register's Office Sworn to or affirmed and subscribed before me this da of Y Deputy for Register of Wills Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purpos s stated ithin on this ~~'` day of ~ `Z O t Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) Form RW-06 rev. 10.13.06 ~~~ CINUislf A i11KMIpGIi ~r ~~~ ~~. .~ My CommkNoa E>hNrt ~'~, ~{~ t. .. ~ i r~-?-(~ i Vf ~~tr , * r ,,r~i~ ~C RENUNCIATION REGISTER OF WILLS CUMBERLAND ~ri)~AUG i3 P !~ 47 ORPi-tn;~yi'~ , ,~~~~ j- CUMBFR(.ANt~ CQ., PA COUNTY, PENNSYLVANIA Estate of Edna M. Hippensteel Deceased I, .David B. Hippensteel , in my capacity/relationship as (Pant Name) Executor/Son of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Nancy E. Kline (Date) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Form RW-06 rev. 10.13.06 (Signature) t~~~ir~ (Street Address) (City, State, Zi Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposes stated ithin on this ~S~ day of .~~.~tiu.~ Zo t 2 !1i 01 n ~ Notary Pul~llic My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) NOTARIAL SEAL CHRISSY A 2UKAUCKAS NoUry PuWk DUTHAMPTON TWP, CUMBERLAND NOTMIAI SERI CNRISSY A S~MIAIICIUs A~MTON 11N~-.. p~,~ QOd ~~~~.~~