Loading...
HomeMy WebLinkAbout08-27-12~ rcesei PETITION 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) the following and respectfully request(s) the grant of Letters in the appropriate form: Decedent's Information Name: Gerald C. Hopkins a/k/a: a/k/a: a/k/a: Date of Death: 07/17/12 File No: ~ ~ - ~ ~; - L' 9 ~5 (Assigned by Register) Social Security No: Age at death• 74 Decedent was domiciled at death in Cumberland County, pennsylvania (stare) with his/her last principal residence at 87 Broadwell Lane, Mechanicsbure, PA 17055 -Cumberland County Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 87 Broadwell Lane, Mechanicsbure, PA 17055 -Cumberland County 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 Pennsylvanla ............................ All personal property If not domiciled in Pennsylvania ........................ Personal property in Pennsylvania If not domiciled in Pennsylvania ........................ Personal property in County Value of rea/ estate in Pennsylvania ........................................................ . TOTAL ESTIMATED VALUE... . Real estate in Pennsylvania situated at: (Attach additional sheets, iJ'necessary.) $ _ 0 00 Street address, Post Office and Zip Code City, Township or Borough County A. Petition for Probate and Grant of Letters Testamentary p Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated -(- ~ y ~ and Codicil(s) thereto dated Stste relevant circumstances (eg. renanclation, death of executor, etc.J Except as follows: after the execution ofthe 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(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. ~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., pendente life, 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 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(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, iJ'necessary): Name Relationshi Addres ~'~' e.,~ ' ~~ Its ~ • ~ ~7 G'1 r :~ ~ iy N .. ~ C"~ t,-; ; • r- .. ~..~ x N = - ~` r t t t OD F~rr» Rw-nz ,e,~. tn;tr;zotr Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF } } SS: } Official Use Only Petitioner(s) Printed Name Petitioner(s) Printed Address /L /~ 0 /~/~~.U S ~'7 ~32Ui4-~ tt1 L`c.~ L ~U. Mir;-,u 1es,~ u ,~G•, ~.~G `J v ' ~'~ The Petitioners) above-named swear(s) or affirm(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 and subscribed before ~ ~ -~ p Date a ~-o / ~ met 's~~~ p_~day of / `F , ~_ Date By' ~-~'dt+t Date For the Register Date BOND Required: ®YES ~ NO FEES: Letters ...................... $ 2~ • ~-~1..~ ( ~.~' )Short Certificate(s)...... 2 L~ . (~_ ( )Renunciation(s)......... ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other ~.~ 1 ~~ Automation Fee ...... ........ ~- JCS Fee . .................... ` .~~' ~ ~J TOTAL ..................... $ o ~FJ -$.~' To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature: ~_=y~ .~ ~ Printed Name: IV`ri(~L ~ - /-/1~b~-~~h! ~ Supreme Court ID Number: ~~~ ~~ Firm Name: ~•~V~~~( f' +¢/~,~'Tcf ~/~j~j'2.S`d~ Address: 2~ ~Z1~~ y~ ~~ ec~ ~ti ti n 2 ~ ~~~ ~a Phone: ~Z1 ~ ~ ~'~ ~~- ~. ~~ Fax: 1-~-+ .~?' `Z~ Email ICh I 1 c-al tngy~I _~ ~gnrer~l µ.~ ~ c o,rvl DECREE OF THE REGISTER Estate of Gerald C. Houkins File No: ~ ~ - (,~ - U ~ jrj a/k/a: AND NOW, t ~(} ~ ~ ~V Q ~ ~ 2 , ~(')12 , in cons eration of the fore oing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters are hereby granted to ~(t,(J~ }~- .~~Tji1,~ ~ in the above estate and (if applicable) that the instrument(s) dated ~ described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) f Decedent. ~, egister of~ills Form RW-O2 rev. 10/!l:'?0/] P ~ O~, H105.805 REV (9/I I) - - - _ - - -- -- - - LOCAL R~~1i CERTIFICATION OF DEATH WARNING: It~~~~g~u `fib , ~ ate this copy by photostat or photograph. Fee for this certificate, $6.00 '~~~'~ A~~ 27 RM 2~ 5y This is to certify that the information here given is correctly copied from an original Certificate of Death ;~~ ~';~._ duly filed with me as Local Registrar. The original ~~~~'~ certificate will be forwarded to the State Vital a~~R~ Records Office for permanent filing. P 18597523 Certification Number rye/Print In east ~ ~~ 'mot ~ 7/ 1~11~ Local Registrar Date Issued COMMONWEALTH OF PFNNSYLVMM • DEPMTMENT OF HEAITH • VITAL RECORDS f COTI[I/'AT[ ne ne ATu - - - - - -" "' Sbte FIN Number: 1. Dtpeden[N lepl Name (FksU Mldtlk, last, Sulnel 2. Sea 3. SoGal Sewrky Number a. Date M Oeuh INtp/Dev/Yrl ISpNI Mol Gerald C. Hopkins Male 366 - 36 - 4809 ,7uly 17 2012 Sa. Ale-left Birthday (Ynl Sb. Under I Year k. Under 1 D. 6. Date of Birth IMO/Day/Veu) (Spell MoMh1 ]a. rthpl IOtY.w,I fpreipl Country) -"-k~Fte or ~~ Nbnths Da s Noun Mi t ~, y nu es 74 L>E~nher 12, 1937 m. Nrtnp,ca lcwMYl x. Retldenu (State or Farclpn Country) !b. ResldeMe ISh.N and Number -Include apt No.l & . Did Decadent Lhw In a Towmhip7 ,y P~2E2s 87 Broadcyell Lane GSrn,decedentllWdm f1CR1er Allen t,,. ,, cpuntyl x. Realdenu QW Cotle) ONa, decedent IhNd wlMm Ihnih of cIN/bpro. 9. Ever In US Armed Fprte•i ID. MNmsl Status at Ome u Oeuh )® Mauled ~ Widowed 11. SurvMry Spouse) Name (11 wlh, Ehu name prbr to first maM+al Q[Yes ^NO ^llnkmwn ^Dhmrcee ^NeverManl d ^ k e Un nown nail Pointer 32. FatMYS Name (Etta, MMOIe, asst, Sum.) 13. MotMr's Name Prbr to fint Manlape (Fkst, Mldtlk, Lastl Cecil H. Hopkins .7utia .Riwek 1N. In/wmaM'a Name lab RNaNarnhl ro D d ' . p ece ent !',ail P, Hoolcins la<. In/armant s Mallky address (Street and Number, CNy, State, 21p Fidel € T life A7 >;roaFiwell Lane Mechanics PA 17055 s tr Denx DaurreamaHpa ............ plb C3 lnpatknt .".'.~ .............................. .................................. ................................. ;I/DeaM Occurred SOmewMn OLMrThana HOSpRN: ~-Mespke FxRNy ~-~peced t' N y ~ Raom/Out eknt Dead pas ArrN•I ISb F li en s ame Nun Ngne/EOn-Term CUe FaclNty OtMrlipec I s '~ LL . aci ty Nerve (N not IMtInNOn, FNe Sreet ant number; 87 Bx'oadwelL Li>tr~ ISC. Cky or Town, Sbte, and Zp Code i5d. Ceunty o/ DeaM ~ 1x. Method u DNpuRbn ~ "anal ~ Crematbn 16b. Date of Oh b 1 : Platt pf ds ( ry, cnmrtary, or o[Mr place) ^ Removal hem State ~ Donatbn ~" n puitbn Name of cemete Z oMerlsll«Nr1 ,7uly is 2012 WuEnAnit gifts R istr Ise. locatbn of DlslsaNtbn IDL or Town St n 0 zl Y , a , an pl Ile. x or person In CMne of Intemunt ]m. licerue Number Philadelphia, PA 19105 FT1 _ n19889 11 ~a1"pezz~°~r era ~"ryR ti w k t } M ~ ar aza e ay ec icsFwrq, PA 17(155 11. Decedent's Eduntbn ~ ChuY tM bex Nut pest xsoipes the ]9. Decedent of Nispank Onpn -[had the 20. Oecedmt's Race - Ge[Y ONE OR MORE races to IMkate whet r hyhnt dgree a hvN of school completed at tM tkne of death. bov Mat bast describes whether the decedent M decedent conNdered NmnN or herseN to be . Eth /ndeaku NSpandh/NlsWnk/laHlro. ChecktM •NO' ~ White ^ Karean No dlpbma, 9M ~ 13M Erade bps N decedent Is rot Spanish/MNpank/La[Ino. ^ Neck or Mrkan pmencan ^ Vietnamese h ^Nl/ uhaal lrMUan er GEO Completed ENO, net Spanlsh/NlsWnk/laUno ~pmerkan lndknarAlsska Native ^Other aNan S ^ ome calge creAt, but rq tlelne ^ Yey Msakan, Meelun Amerkan, Chicano ~ Mien IMkn ^ NatM Nawallan p ^ swckte OepN tel. AA, AS) ~ Yes, Puerto Rican ~ Chinen Guamanian or Chamuro QQ xeMbh deEree Iwl. EA. AB, BS) ^ Yes, Cuban Filipino ^ [1 IMSters Ogree Ie.1. MA MS, MEry, MEd, NSW, MBAI ^ Yes, abet Sp+niM/Hlspanl4latlm ~ laperlese ^ Other P lfk Uk tl x n er ~ Doctorcu (e.1. PhD, EdD) or ProhxbnN delree ISputtyl ^ Othu ISpuIMI e.. MD DOS DVM L1B 10 21. Decedent's Slryk Rau S.If-Ded"natbn -Deck OXLY ONF to IndlMte whit tM decedent uMldned hlmnN or herseN to M. 22a. Decedent's Uwal Oaupa[Ion - Indkate type of work Q(Whde ^ Japanese ^ Samwn done OuNry molt of wortlry Ilfe. DO NOT USE RETIRED. ^ Ned ar Afrkan Amerkan ^ Korxn ^ Other P Hfl Id d a c vs er PresiFlent AmeNUn IMMn a Alaska Natve ^ Vktnamese ^ Don't Erlow/Nal Surc ^ bkn Irbkn ~ OIMrASIan ^ Refuted 226. WM of luslnefs/Industry Q Fhmese ^ Nath N ll R awa an ^ OtMr Ispudyl ^ Nllpkq Q Guamanbn ar Chamana fbmputer Software ttEMS ilia- eAIIST Y OOMPIFTEO 23a. Oan PronpuMad peed Ma ry rl 23b. SlEnaturc Msan Prorburlclry Deaf Onh when ka I 23c. Ucenx Nu r " ""OMOUNC~p" July 17, 2012 cNtoF~TN 23d. Due Syrled IMaNavRrl 2a. Tkne of DeaM 12:12 PM 2s. wu MedWl ERammer a torpner Connctedl ^ res No CAUSE OF DEATH apprp.lmate 3E. Part L Enter tM dsaln uevents-dkeaus, Inbrka, or complicatbns--Mat directly nuaed Me xaM. DO NOT enter termlrol events such as urdlu arrest Interval: respiratory anent, m venhicukr flbrilktbn wlthwt dawlnl tM e no lgy. 00 NOT MERE MATE. Enter onF/ se on a Ilne. add addiliaul lines If nemury OMet to Death ~ / A l / IMMEDMTE UUSE --~-------~-> a. /Y//lrt ~ ,lit /1/~ /~.ISy ~ - i ~~I?C (FInN dluau or wneitbn pue to for as a mnsepuenu oYN ~L(„>L refultlry In tleuhl b. sepuennNN Ilst wnekbna, Due m tar as a conseRUenn pr): n.m. L.dlry n eM reuse Ils[etl an NM a. Enter IM UNDERLYING GUli Due to Ipr as a consepuanca oft: (disease or Inlury Nut F initialed Nu avenn rewttiry d. m eeathl IASr. Due ro for as a ctnwegpmu oq~. y ,] 26. Part II. Enter othu skniflrant uMi[bm contrlbutm t^ df th but not rcsuRlry In the unxrlylry coax ihren in Part I 21. Wu an wtapsy 7 ~ $ I '' f~ l / /1,^ ~'L hLPL" 2E. Were aulapsY Nndl rya awikble to compkh tM Dote of deaths Yes Na 29. II Female: 30 Db T . ObeccoU Contribute to DeaM1 31 Manner of Death ~ Not pelnant within past year ~ Yes P p u ' ~ ro a Y ~IUUrN ~ Nomicbe ^ PrryMnt it tlnwudeuh ~ No ~ Unklwwn ~ ~ aulxnt ~ Penelry lnvesryation ~ Not preEnant, but preErsant wtthln a1 den of death ~ Suicide p copb not x eeeermmee ^ Nu Drelnanl, but prgnent a3 den to I year before death 32. Due of Inlury IMO/Day/Yrl (SUII Menthl Unknown 11 prgnant wRMn tM part year 33. ilme of Inlury 3 a. Nett u Inlury Ie.E, home; constwcpon ske; farm; sdppR 35. Loutbn of Inlury (Street and Number, Clry, State, by Code) 3 6. Inlury at Work 3). II Transpartulpn Inlury. SpuIN. 39. Describe New Inlury Dccur.ed: Yes ^ DrNeyOUrctor ^ Pedestrbn ^ Na ^ hssenler ^ Other lSpedfrl 3 9a. CMIRer (Cheri only one): [ertlMry {shysklan - To tM best of mY knowkdle, deaM occurred due to tM cauMlsl sM manner anted ^ ProrouMlry \ CMHyiry physklan - To the best of my kneMedle, deaM ocwmtl at [M time, date, and place, and We to eM causalN and manner stat d e ^ Medical hsminer/COrener - On the MsN of eaaminulon, arW/a IlwestlPtlon. in my oplnbn, deaM oaurretl at Me Nme, date, and place, ant tlue to the rauselsl and manner stNN synaweor artlner: rme ornnMer: /`'~_`~~ ucense"umber: /iLl~~:~d~''S-'~ 3 9b. Name, Addna and Lp Coda [mplulry Cwse u DeaM Dam 161 39c DMe Sllmd IMO /Yr1 Joshua L. Ship) MO 3912 TrinElle ROaA ~ xill PA 17011 y a , ~ 7 0. Raeyha trkt Nu al. ~ l i ~ .1. RtllNnr F kb d']1 a 7 ~ IS P t.~ 3. AmerMmenis Disposttlpn Permit No. !) 7G ~ Y~ 7 H105-]a3 ---_. ... REV 0)/1011 LAST WILL AND TESTAMENT OF GERALD C. HOPKINS I, GERALD C. HOPKINS, of Conewago Township, Dauphin County, Pennsylvania, being of sound mind, memory and understanding, do make and publish this my Last Will and Testament, hereby revoking and making void all former Wills by me at any time heretofore made . ITEM I. I direct that all my just debts and funeral expenses be fully paid and satisfied as soon as conveniently may be after my decease. ITEM II. I give all of the rest, residue and remainder of my estate unto my wife, Gail P. Hopkins, provided that she is living on the thirtieth day after the date of my death. ITEM III. In the event my wife, Gail P. Hopkins, does not survive me or does not survive by said period of thirty (30) days, I give all the rest, residue and remainder of my estate unto my three (3) children, Gerald Eric Hopkins, Stephanie G. Hopkins and Catherine A. Hopkins, in equal shares, share and share alike, provided they survive my death. ITEM IV. It is hereby directed that my Executor, hereinafter named, shall pay all inheritance, state, ~~ ti ~~ ~' rxr-~ ,' rn~ ~. ~ ~ ' cs u ~' '.r N v ~ ~. O ~~ ;:._. O~ `~ ` ~ ~: -i: r ~~ti ~ ~ r. qcn <, wV .P s , succession and legacy taxes to which my estate or the transfer of any property hereunder may be subject and to charge such tax as part of the administration, payable out of my residuary estate. ITEM V. I nominate, constitute and appoint my wife, Gail P. Hopkins, to be and act as my sole Executrix of this my Last Will and Testament. In the event of renunciation, death, resignation or inability to act for any reason whatsoever of my wife, Gail P. Hopkins, I nominate, constitute and appoint my daughter, Stephanie G. Hopkins, as Executrix of this my Last Will and Testament. In the evPnr my ,ate„n~,+-eY ~~.._L__ ~ _ Hopkins, cannot act as Executrix for any reason, I appoint my daughter, Catherine A. Hopkins, to be and act as my sole Executrix of this my Last Will and Testament. My Executrix shall not be required to post bond or give any security. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~~ day of _ ~ 1994. e'- (SEAL) GERALD C. HOPK S The preceding instrument, consisting of this, and one other typewritten page, was on the date thereof signed, published and declared by GERALD C. HOPKINS, the Testator therein named, as and t ~ I for his Last Will, in the presence of us, who at his request, in his presence and in the presence of each other, have subscribed our names as witnesses hereto. ~~'~ e``"`°-~ Residing at Residing at #35397 n r.a ~ -' Cp W ~ ," t/~ ;~~ ~ ; .,'t OATH OF SUBSCRIBING WITNESS(ES) ~ - ~ f_ } ~,; , _ , REGISTER OF WILLS -: C7 C. ~~ ~ _, _ _~ ' t? ~-i = A~ i~ -~~~-=~-~~ COUNTY, PENNSYLVANIA D ~ v ~ ~ y, ~ _ ~n p ~ ~ -~ Estate of ~ , r ,Dec eased ~T (Print Naote/s) , (each) a subscribing witness to the ~ Will ^ Codicil(s) presented herewith, (each) being duly qualified according to law, deposes} and say(s) that she he they was were present and saw the above Testato /Testatrix sign the same and that she ~/ they signed 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. (Signature) (Street Address) (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills (S: e) ,_~ ~/,;~~r,-rte ci , (Street Address) ~6~u~,~,,,c.~.i3~. r'~ hosc (City, State, ZipJ Executed out of Register's Office Sworn to or affirmed and subscribed before me this ~ ~ day , L~ ~ ~ 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.) NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization. ~~ ~N ~ u ~ ~i ~ a ~ ~' ~~a~ ~~ a~ 4~ Forne RW-03 rev. !0. /3.06 ~ ~~a =: © tv ~ ~ ~ r ~ ~ ,, ~ u OATH OF SUBSCRIBING WITNESS(ES) ~ ~r ~ ~ -- _~= - _ .~_ c N ~-; ;~,z a r ~. ~ REGISTER OF WILLS Off: ~ '~~ =; ~ -~ -- COUNTY, PENNSYLVANIA n ~' ~ `~~ f._ tv ~`~ O ~ --n Estate of _~ ,Deceased ~~ (each) a subscribin witness t (Print Natne/s) ' g O the Will ^ Codicil(s) presen~te°°d~ herewith, (each) being duly qualified according to law, depose(s) and say(s) that she / he /they ~/ were present and saw the above Testato /Testatrix sign the same and that she he /they sign/ed the same and that sh he /they signed as a witness at the request of the Testator Testatrix in her his presence and in the presence of each other. (J'tgnatureJ (Street Address) (City, State, Zip) G~~ Signs e) (Street ddress) ~; ~ ~j~ (Cory, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Executed out of Register's Office Sworn to or affirmed and subscribed before me this ~~' day of ~£'o~ratnb~r a01 ~-. c__. Notary Pu lic My Commission Expires: D 3-s~~3 (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary'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 notarizati Forni RW-03 rev. 10. /3.06 j rjQTAR1Al SEAL UNOA SAWYER, NotsrY Pubpc Camp Hip Boro, Cumberland County ~ C~nmission Expires February 12, 2013