HomeMy WebLinkAbout09-13-12PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
Petitioner(s) named below, who is/are 18 years of age or older, a 1 tes for Letters as specified below, and in
support thereof aver(s) the following and respectfully request(s) the gran of L tters in the appropriate form:
Decedent's Information
Name: MARGARET M. NOEL
a/k/a: File No:~~ - ~~ - ~~~
a/k/a: (Assigned by Register)
a!k/a:
Date of Death: 09/08/2012 Social Security No:
Age at death: 81
Decedent was domiciled at death in CUMBERLAND
principal residence at 549 FIRST STREET CARLISLE 17013 County, PENNSyI VA~Ti x . (Statel with his/her last
Street address, Post Office and Zip Code CARLISLE CUMBE ~ A1vD
Decedent died at HARRISBURG HOSPITAL HARRISBURG city, Township or Borough _ ,County
Street address, Post Office and Zip Code HARRISBURG
Estimate of value of decedent's roe City, Township or Borough
P P rty at death:
Ifdomiciled in Pennsylvania ................ .
If not domiciled in Pennsylvania....... ~ • ~ ' ' ' ' ~ • • • All personal property
If not domiciled in Pennsylvania ........................ Pe sonal property in Countylvania
I~alue of real estate in Pennsylvania ............................... .
........
Real estate in Pennsylvania situated at: TOTAL ESTIMATED VALUE... .
(Attach additional sheets, if'necessary.)
+~
County State
$ 10 000.00
$ 10 000 00
Street address, Post Office and Zip Code
City, Township or Borough
County
A. Petition for Probate and Grant of Letters Testamenta
Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated AUGUST 30, 2001 and Codicil(s)
thereto dated
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 ma
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S µ'a3323divorced, was not a
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. P~l'to apending
§ (g), and did not have a child born or
Q NO EXCEPTIONS Q EXCEPTIONS
^ B. Petition for Grant of Letters of Administration (If applicable)
If Administration, c.t.a or db.n.c.i~a., enter date of Will in Section At a pendente lite, durante absentia, durante minoritate
Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grBoundsjfo diovorce had beenoeshblished
in 23 Pa. C.S. § 3323(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person.
as defined
Q NO EXCEPTIONS iD EXCEPTIONS
Petitioner(s), afters proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (ifanvl and heirs i a~..b
additional sheets, if necessary):
Form RW-01 rev. 10/!1/3011
Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA } SS:
COUNTY OF CUMBERLAND
IThe Petitioner(s) 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 De a en~t, th~CPe~titioner(s) will~ell and t ly administer the Date a/ ~ 1~~ /`~
d a d sub crib d before `~ ~'""'`" Date - 3 -
Sworn too affittne ~~~~
met daY of Date
By: Date
For the Register
BOND Required: Q YES Q NO
FEES:
45.00
Letters ...................... $ 8.00
( 2) Short Certificate(s)..... .
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
Other " " " ' ~ 15.00
WILL ••••~"'
To the Register of Wills:
Please enter my appearance by my signature below:
Attorney Signature:
Printed Name: DOUGLAS G. MILLER, ESQUIRE
Supreme Court 83776
ID Number:
IRWIN & McKNIGHT, P.C.
Firm Name:
Address: '^ ..t~e~' pn~~n'RFT 4TRFF.T
• Phone: (717) 249-2353
• • • • • " ' 717 249-6354
5.00 Fax:
Automation Fee ............... 23.50 Email:
JCS Fee .................... • 96.50
TOTAL ..................... $
DECREE OF THE REGISTER
File No: ~ ~ ~ `~ - ~ f ~~
Estate of MARGARET M. NOEL
a/k/a:
~ , in consideration of the foregoing Petition,
AND NOW, IT IS DECREED that Letters TESTAMENTARY
satisfactory proof having been presented before me,
are hereby granted to DARLENE C. McCABE AND KANDY M• HURLEY p hcable that
in the above estate and (if a p ~ )
the instrument(s) dated AUGUST 30 2001
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Dece nt. ~
A _ _ , ~_~...,. .,
• of Wills ~~ ~ ~ ~~ `'~'/
~.
~~~ `~~2J~' , page 2 of 2
FormRW-02 rev. 10/Il/?0~~
_, _ _ _
__
);lilt, R(\C G , ll ~~
1;~;~~TRAR'S CERTIFICATION OF DEATH
1~~W~IGf' ~t~lll~~~legal to duplicate this copy by photostat or photograph.
~`'~ SEP 13 P~ 3~ 2 I
Fee for this certificate, $61.Q~0,. 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. T)~e original
v_~_' .
certificate swill be forwarded to the State Vital
ORPH~iN'~ v~~~~ Records Office for pe1-lnanent filing.
CUMBFRl..~1t~ CO., PA
P 18628,62 ~~r~~ sip o 202
Certification Number
~r
` TYPe/Print In
I`!i/s Permanent
1
Local Registrar Date Issued
COMMONWEALTH OF PENNSYLVANIA ~ DEPARTMENT OF HEALTH _ VITAL RECORDS
1. Decedent's Legal Name (First, Middle, Last, Suffix) ~ ~ ..... va.a••s z sa State Flle Numbe
e
2. Sex 3. Social Security Number 4. of Death (Mo/Day ) (S II M
Mar aret M. Noel F '165 26 5227 ~0~~
6a. Age-Last Birthday (Yrs) Sb. Under 1 Vaar Sc. Under 1 Da 6. Date of Birth (MO/Day/Yesr) (Spell Month) 7a. Bi
hp
Ity nd State r F
i
C
s
~JrAe
gn
ountry)
Months Days Hours Minutes Y
rln
8 ~ March l 2 , 1 931 7b. Birthplace (county) pex-
8a. Residence (State or Foreign Country) 66
Resid
S
.
ence (
treet and Number -Include Apt No.) Hc. Did Decedent Live In a TownzhipT
PA
ga. Realdance (county) 549 First St _ OYe:, decedent eyed in twp
Cu~cjberland Be. Residence (21p Code) ~ ']Q ~ 3 ®No, Decedent lived within limits of ~-arllsle
city/born.
9. Ever In US Armed Forces? 10. Marital Status at Tlme of Death Q Mimed WI owed 31. Surviving Spouse's Name (If
if
i
Q Y
w
e, g
ve name prior to first marriage)
rs ]Q No Q Vnknown Q Divorced Q Never Married Q Unknow
_
12. Father's Nsme (First, Middle, Last, Suffix) 13
M
h
'
Richard W
Hu11 .
ot
er
s Name Prior to First Marriage (First, Middle, Last)
_
14a
Informant's N Jennie C_ Kiner
.
ame 14b. Relationship to Decedent
Darlene C. Mc Cabe Dau hter 14c. Informant's Melling Address (Street and Number, Gity State, Zip Code)
065 Kenn Va11 Rd. Lan
s r
,
g .................................................'.'.'.. ..............................
..
........
H Death Occurrod In a Hospital: Inpatient
E
... mc., on.y one
,.............a.:... ice.°....eat...
_ _
.... _ __
......................
,If Death Occurred 5 """"""""""""""'""""" "' •^
omewhere Other Than a He i[al: ~~~ ~~ """'-""""'
sp Hospice Facilit
~~
'
~~ ~~~~
€
u~~ mergency Room/OUtpatlent Dead on Arrival
13b. Facility Name (If npt i
tit
ti
i y
Drcedent
s Home
Nursln Home/Long-Term Garc Facility Other (Specify)
u ns
u
on, g
ve street and number;
H lSC. City or Town, State, and Zlp Code 15d
C
f D
arrisbur Ho ital .
ounty o
eath
Harrisbur PA D
16a. Method of Dicposlflon Burial Q Cremation
Q Removal f
S au hin
16b. Darr of Dlspositlon ' S6c. Place of Dlspositlon (Name of cemetery
cremato
th
l
rom
tate Q Donation
Other (Sp
cify ,
ry, or o
er p
ace)
9/'14/2012 Cl
b
l
o
o
^
16d. Locatl n of Dlsp sitio (Cit
or T
S nn
er
and Valle M~'norial Gardens
y
own,
tate, and Zlp)
Carlisle, PA 170'13 17s. 9lgnaturc of un al Service Licens rsp,l 1n Charge of Interment Slb. License Number
Cj1 FD 0'12633 L
S7c. Name and Complete Address of Funeral Facility
~ ~~ B s Fun r 1 =nc_ O S. Hanover St_ Carlisle PA '170'13
18
D
d
'
Ed
.
ece
ent
s
ucation -Check The box that best describes the 19. Decedent of Hlspa nit Origin -Check the 20. Decedent's Race -Ch
hi
k ONE
h
t d
ec
g
es
OR MORE tacos to indicate what
egree or level of school completed at [he Hme of death. box that best describes whether the decedent [he decadent consider
d hi
lf
B
h
e
mse
Q
t
or her If to be.
grade or less Is Spanish/His Ic Latino. Chick the "No" hire
Q N
~N
di
l
o
p
Q Korean
oma, 9th - 12th grade box If decade t Is net 5 Ish/His
Pan pa nic/Latino. Q Black or African American
h
h
l
~ Hi
d
g
sc
gra
oo
uate or GED completed
Q Vietnamese
J
No, not Spanish/Hispanic/Latino Q American I
di
l
n
an or A
aska Native Q Other ASlan
Q Some collage credit, but no degree Q Yes, Mexlean, Mexican American
Chicano Q A
l
I
d
,
z
an
n
ian Q Nature Hawallan
Q Associate degree (e.g. AP., AS) Q Yes, Puerto Rican
Q Bachelor's degree (e.g. BA, AB, BS) Q Yes, Cuban Q Chinese Q Guamanian or Chamorro
Q Samoan
Q Master's degree (e.g. MA, M5, MEng, MEd, MSW, MBA) Q Yes, other 5 Ish His a Ic Latino Q Filipino
Pan / P n /
J
Q
aPanece
Q Other Psclflc Islander
Q Doctorate (e.g. PhD, Ed D) or Professional degree
(Specify) Q Other (Specify)
. MD DDS DVM LLB 1D
21. Decedent's single Race Self-Designation -Check ONLY ONE to indicate what the tlacedent conslderetl himseN or herself to be. 22a. Decedent's Usual Occu
~LNhlte
ation -I
di
p
n
cate type of work
Q Japanece Q Samoan done during most of working life. DO NOT USE RETIRED.
Q Black or African American Q Korean Q Other Paclflc Islander
Q American Indian or Alaska Native Q Vietnamese Q Don't Know/Not Sure Paelcer
Q Asian Indian Q Other Asian Q Refused
Q Chinese Q Native Hawallan Other 5 22b. Kind of Business/Industry
O ( Pacify)
Q FIIIPIno
p Guamanian or Ghemorro
$ppk Of the Month Club
TEMS 29a - 2g MUST BE GOMPL ED 2 • Datr Pronounce Dea M
o y 2 . 5 gnaturc o Parson Pronouncing Deat On y w en app lea a 23c. Ucense Num e
BY PERSON WHO PRONOUNCES OR e/ r
CERTIFIES EATH r
23tl. Date Signed (Mo/Day/Yr) of Deat
f
25. Was Medical Examiner er Coroner Contacted? Q Yes rye
CAUSE OF DEATH
Approximate
26. Part I. Enter the chain of events--diseases, injuries, or complications--That directly caused [he death. DO NOT enter terminal events such as cardi
res
irat
{
p
ac arrest
ory arrest, or ventricular flbrillatlon without s
Interval:
howi
ng
t
he
eHOlogy. DO NOT ABBREVIATE. Enter only one cause on a line
Add addlH
l l
/
J
.
/~
Ona
ines If necessary 1 Onset to Death
/
n
IMMEDIATE CAUSE _______________> a
f
( / Fib(/ / ~ ~ f /{/
L
_/ ~•
.
/
/
~ t~
(Final disease or condition Due sequence Tom/ t
c
rewiring In death) o (or as a on of):
t I
i
b. Qe~/~
S~O ~1aP 1a~ ~~2C~ W~
Sequentially list conditions, Due to (or as a c equence of):
If any, leading to The cause n
listed on Ilne a. Enter the
~j VNDERLYING CAUSE Due io (or as a consequence of): ~
(disease or Injury Shat
IniTlated the events resulting d.
In death) LAST. Due to (or sequence of):
as a con
26. Part 11. Enter other sl¢nlflcant eendlHO ~ trlb tl t d th but not resulting in the underlying cause given In Part I 27
W
'
~ .
as an autopsy
performad7
O via
26. Were autopsy findings available
to Complete the cause of death?
29 Male.
30. Did Tobacco Use Contribute [o Death? Q Yes No
M
a
of pregnant within past year 31
nner of Death
' ~
~
~
Q Pregnant at time of death 0/No
1~"'atural Q Homicide
U
k
b
~ n
no
wn
Q
Q Not pregnant, but pregnant within 42 days of death Q Accident Q Pentling Investigation
~ Q Not pregnant, but pregnant 43 days to 1 year before death 32. Date of In u Q Sulclde ~ Could not be determined
1 ry (MO/Day/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. Location of Injury (Street and Numb
Ci
er,
ty, State, Zlp Code)
36. Injury aL Work 37. If TransportaLlon Injury, Specify: 36. Describe How Injury Occurred:
Q Yea ~ Orlver/Operator Q pedestrian
Q No Q Passenger 0 Other (Specl/y)
39a. Certifier (Check only one):
Q Certifying physician - To the best of my knowledge, death occurred due fo the cause(s) and manner stated
~onoun
i
8 C
if
c
ng
ert
ying phy clan - To the b of my knowledge, death occurred at the time, date, and place, and due [o the cause(s) and manner stat
Q Medical Examiner/Coroner
d
h
b
e
t
e
as Amin nd/or Investigation, in my opinion, death o
cc
tl at the time, date, and place
and due to th
,
e uuse(a a d mann r fated
~
7~
Signature of certifier: Title of certifier:- ~ /J~ License N
b
s~
90~ L
um
-
e,l~
39b. dress and 2I Cod of plating C sA of eat (Item 2 ) 39c. fe gne (MO/D y/Yr) i ~
//G
~~
~
u. ~oiVi ,~X//{
40. Registrars District Num r
'
41. Registrar
s 5 ture 42. gistrar Flle Date Mo ay
43.Amendments Lo Q,,~
Dlspositlon Permit No. V ~ q 1hJ.1J~rt H105-143
REV 07/2011
LAST WILL
I, MARGARET M. NOEL, of Middlesex Township, Cumberland County,
Pennsylvania, declare this to be my Last Will and revoke any wills previously made by
me.
I. I direct that any and all inheritance, estate and transfer taxes imposed upon
my estate passing under my will or otherwise, shall be paid out of the principal of my
residuary estate.
II. I devise and bequeath my estate of whatever nature or wherever situated in
equal shares to my children, Larry V. Hockenberry, Dale R. Hockenberry, Darlene C.
McCabe, Kandy M. Hurley and Kim E. Hockenberry.
III. I appoint Darlene C. McCabe and Kandy M. Hurley to be executors of this
my Last Will.
IV. I direct that my executors need not file bond in this or any other
jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last
Will this~Qay of August, 2001.
' (SEAL)
,..~
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,~
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The preceding instrument consisting of one (1) page(s) was on the date thereof
signed, published and declared by MARGARET M. NOEL, the testator herein, as and for
her Last Will, in the presence of us, who at her request, in her presence, and in the
presence of each other, have subscribed our names as witnesses hereto.
. •- ~
STATE OF PENNSYLVANIA ::
SS
COUNTY OF CUMBERLAND ::
We, MARGARET M. NOEL, Frances H. Del Duca and Carol A. Morrow, the
testator and witnesses, respectively, whose names are signed to the attached or foregoing
instrument, being first duly sworn, do hereby declare to the undersigned authority that the
testator signed and executed the instrument as her Last Will and that she had signed
willingly, and that she executed it as her free and voluntary act for the purposes therein
expressed, and that each of the witnesses, in the presence and hearing of the testator,
signed the will as witness and that to the best of her knowledge the testator was at that
time eighteen years of age or older, of sound mind and under no constraint or undue
influence.
~/
Testator fitness
C anh.oZ~./
Witness
.-
SUBSCRIBED, sworn to and acknowledged before me by MARGARET M.
NOEL, the testator, and subscribed and sworn to before me by Carol A. Morrow and
Frances H. Del Duca thi~~ay of 2001.
otary Pub '
sp ~~1^e~iq pir
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