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Home My WebLink About11-27-12 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 requests the grant of Letters in the appropriate form: Decedent's Information Name: Victoria W Henderson File No: 21 - 12 - 9 a/k/a: Victoria Wilson Henderson (Assigned by Register) a/k/a: a/k/a: Social Security No: 550-38-7378 Date of Death: 11/10/2012 Age at Death: 94 Decedent was domiciled at death in Cumberland County, PA (State) with his/her last principal residence at 540OG Oxford Drive Mechanicsburg 17055 Lower Allen Township Cumberland Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 540OG Oxford Drive, Mechanicsburg 17055 Lower Allen Township Cumberland PA 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 Pennsylvania .......................All personal property $ 74,500.00 If not domiciled in Pennsylvania .................Personal property in Pennsylvania $ If not domiciled in Pennsylvania .................Personal property in County $ Value of real estate in Pennsylvania........... $ 141,400.00 TOTAL ESTIMATED VALUIS 215,900.00 Real estate in Pennsylvania situated at 540OG Oxford Drive, Mechanicsburg, PA 17055 Lower Allen Township Cumberland (Attach additional sheets, if necessary.) Street address, Post Office and Zip Code City, Township or Borough County QX A. Petition for Probate and Grant of Letters Testamentary Petitioner(s) aver(s) that he/she/they is/are the Executor(s) named in the Last Will of the Decedent, dated 10/24/2007 and Codicil(s) thereto dated Michael Henderson, Kurt Henderson and Ross Henderson have all renounced the right to serve as executsa favor of ttiei'r sister, April Stambaugh Q (State relevant circumstances, e.g., renunciation, death of executor, etc.)7 `C r--~ C Exce t as follows: after the execution of the instrument(s) offered for probate, Decedent did not marry, was not divorced, was not a ppa Q'Irpending < divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. 3323(g), and did not have a chil [n or i-i adopted, and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. N ❑X NO EXCEPTIONS ❑ EXCEPTIONS r = ❑ B. Petition for Grant of Letters of Administration (If applicable) -s - c..a.; of.b.n.; d.b.n.c.t.a.; pe en a ite; y37t sen ia, dgynte rupwd t 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. --rz Except as follows: Decedent was not a party to 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, rX NO EXCEPTIONS F] 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 Relationship Address Ross Henderson Son 28 Park Drive Grantville, PA 17028 Kurt Henderson Son 540OG Oxford Drive Mechanicsburg, PA 17055 Michael Henderson Son 1950 Highway 109 North Lebanon, TN 37090 April Stambaugh Daughter 19 Hillside Drive Halifax, PA 17032 See continuation schedule attached Form RW-02 rev. 10-11-2011 Copyright (c) 2011 form software only The Lackner Group, Inc. Page 1 of 2 Oath of Personal Representative Official Use Only COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF Cumberland } Petitioner(s) Printed Name Petitioner(s) Printed Address April Stambaugh 19 Hillside Drive Halifax, PA 17032 C7 ID - T 171 k_0 true and correct to the best of the knowledge and The Petitioner(s) above-named swear(s) or affirm(s) the statement* In the foregoing P tion a F&, belief of Petitioner(s) and that, as Personal Representative( f th Dece~ etltl r(s) ill ell an my administer the estate accord' g V11 w. Sworn to or aff, l'rmed and ssubscribed before 4-4 •L Date s All me ~s day of CML :S12 Date -VC s b ~ti g cti~1 Date By L 1. v i For the Register Date BOND Required? Yes No To the Register of Wills: FEES Please enter my appearance by my signature below: Letters Attorney Signature: 1"'2_1 Short Certificate(s).......... O Renunciation(s) --r ( ) Codicil(s) Affidavit(s) Printed Name: Robert P Kline Bond Supreme Court Commission ID Number: 58798 Other Firm Name: Kline Law Office Address: 714 Bridge Street P.O. Box 461 New Cumberland, PA 17070 _ Phone: 717/770-2540 Automation Fee Fax: 717/770-2553 JCS Fee TOTAL E-mail: DECREE OF THE REGISTER Date of Death: 11/10/2012 Social Security No: 550-38-7378 Estate of Victoria W Henderson File No: 21 -12 a/k/a: Victoria Wilson Henderson AND NOW, 14) j7M 1]& - 4) in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to April Stambaugh in the above estate and (if applicable) that the instrument(s) dated 10/24/2007 described in the Petition be admitted to probate and filed of record s the last Will (and Codicil(s)) f Decedent. /I S tf b~ a 1, c Register of Wills r { ~I~ LQ I it~~ L Form RW-02 rev. 10-11-2011 Copyright (c) 2011 form software onl The Lackn~r roup, Inc. f Page 2 of 2 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARP~h~G~ ~L' tife gl8#®ttiuplicate this copy by photostat or photograph. 5 Fee for this certificate. 56.00 t" hi is to °rtik that the kiform ttion here given is ;r312 Nile 27 N 9: 1 ~ OFp~C~f~ coTl~etly Copied trl,~n1 an orr trial Certificate of Death duk filed ,With me as Local Registrar. The original *77 V~e ccrlifit ate will be forwarded to the State Vital I> Rcco rds Office for laervaanent filing. CUNARKR "o 0 LAND CO., PA P 188 6 19 IMENT O~s;II.i- - Certification Number Local Registrar Date Issued rlnt In COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH State File Number: 1. Decedent's Legal Name (First, Middle, Last, Sufixl 2. Sax 3. Sao KI Security Number 4. Date of Death (Mo/D"/Y,) (Spell Nm) Victoria Wilson Henderson female 550-38-7378 November 10, 2012 5a. Age-last Birthday (Yrs) Sb. Untler 1 Year IS, Untler 1 De 6. Date of Birth (MO/Day/Year) (Spell Month) 7,1O0a.firthplace.lCity and State or Foreign Country) 94 Months Days HoulF Minutes April 23, 1918 b, WW VV ]b. Birthplace lcounhl Hamshire 9, . Rytmce (Stale or Foreign Country) BE, Residen ce (Street and Number - Include Apt No.) 8c. Did Decedent Live in A Township] YH 5400 G oxford Drive 2ire.,d-cl 11Neam Lower Allen two. Bd. Resi_Een(e (COUpry LUIfID~Il 18,. flesldeltce (21p code) 17055 ❑NO,decedent Wed within rmns of citvNom. 9. Ever In US Armed Forces? 10. Marital Status at Time of Death Maxrled ® Wldowed 11. Surviving Spouse's Name (I/wife, glue name prior to fint mamlagei ❑ Yes ❑ No ❑ Unknown Dlyo,ced D N.Y., Married Unknown 12. Fathers Name (Flrt(, Iddle, Last, Sufrx) 13. Mothers Name Prior to First Marriage (First, Middle, Last) Grover Wi~son Minnie Combs 14. Informant's Name 14b. Relatlonshlp to Decedent 14c. Informant's Mailing Address (Street and Number, City, State, Zip Code) April V. Stambaugh daughter 19 Hilside Drive, Halifax, PA 17032 15a. P as q eat ec on one .....................................................................ther ......ospi.................. If Death Occurred lnaHOSpital: (~Inpatienl If f DR OeaM Occurred Somewhere Other Than e Hospital: Hospke Facility Decedent's Nome ❑ EmerBenq Room/Outpatient ❑ Dead on ArrNal C) Nursing Home/Long-Term Care Facility Other (Specify) 15b. Facility Name (if not Instltutlon, glue street and number; • 15c. City or Town, State, and Zip Code 15d. County of Death 5400 G Oxford Drive Mechanicsburg, PA 17055 Cumberland 16a. Method of Disposition M Banal Cremation 16b. Date of Disposition 36c. Place of Disposition (Name of cemetery, crematory, or other place) CM Remowl Dom St." []Donation Nov. 15, 201 Wilson Cenet aner(Specify) Up. locatbn of Disposition (City or Town, State, and Zip) 17a. Signature of Funeral Service U<ensee or Pers. urge of Interment 17b. Li, ,a Number Rio, WV 26755 ~J PD 011667L " Maybes FuneraF) Home`Y 8 Market Plaza Way, Mechanicsburg, PA 17055 18. Decedent's Education - Check the box Mat best describes the 19. Decedent of Hispanic Origin - Check the 20. Decedent's Race - Check ONE OR MORE races 1, indicate what highest degree or level o/ school completed at the time of death. box that best des.Hbes whether the decedenl the decedent sonsidered himself or herself to be. glhgratle carless Is Spanish/HlspanicJLatlno. Check In. 'No' j& White []Korean 0 No diploma, 9th. 12th grace boa if decedent is not Spa nliffispanlc/Latino. ❑ Black a, Afrlwn American Vietnamese High school graduate or GED completed No, not Spanish/Hispanlc/Latinq ❑ American India, o, Alaska Native OMe,ASlan Same college credit, but no degree Yes, Mexican, Mexican American, Chicano ❑ Asian Indian ❑ Native Hawaiian Assocwte degree (e.g. AA, AS) ❑ Yes, Puerto Rican ❑ Chinese ❑ Guamanian or Chamorro ® Bachelor's degree (e.g. BA, All, BS) ❑ Yes, Cuban ❑ Filipino ❑ Samoan Master's degree (e.g. MA, MS, MEng. MEd, MSW, MBA) ❑ Yes, other Spanish/l ispanic/Lafino ❑ Japanese D Other Pacific Island., ❑DoRorate(e.g. PhD, EdD) or Professional degree (Specify) Other (SpecifV) e.. MD, DDS, OVM, LLB ID Zl. Decedent's Single Pace Self-Designation -check ONLY ONE to indicate what the decedent considered himself or herself ro be. 22a. Decedent's Usual Occupation - Intll.le type of work IS White []Japanese Samoan done during most of working IHe. DO NOT USE RETIRED. Blad or AM- American Korean ❑ Other Pacific Islander teacher American Indian nr Alaska Native Vietnamese ❑ Don't Know/Not Sure Asian Indian ❑ Other Asian ❑ Refused 221. Kind of Business/Industry Chinese Native Hawahan Other ISpecify) public schools []Filipino ❑ Guamanian or Chamorro ITEMS 23a.23d MUST BE COMPLETED 23a. Date Pronounced Dead fi l 23b. Sig.-, of Person Pronouncing Death (Only when applicable) 23c. Ucense Number BY PERSON WHO PRONOUNCES OR CERTIFIES DEATH 23tl. Date Signed (MO/Day/Vr) 2A. Time of Oeath ) I 25. Was Medical Examiner or Coroner COn[acted7 ❑ Yes No CAUSE OF DEATH Approximate 26. Part1. Enterthechalnofevents--diseases, injuries,arc,,plic,ti,n,--th,tdirecdy caused thedeath. DO NOTenterterminalevent,such as cardiacarrest Interval: respiratory arrestor -firkular RET114ti ,without showing the etiology. DO NOT ABBREVIATE. Enter only one cause on A line. Add additional lines if necessary ! Onset to Death IMMEDIATE CAUSE A- line ~ YYI. L:,t (l disease or conallion Due to (Pr as A cons -nce an; n-Ifing in death) b. A Segaentlally fist conditions, -DUe to (or As A consequence ofl: If any, leading to the cause t' s listed on Ilne a. Enter the G"Y}wJ C d~ UNDERLYINGCAUSF Due to lqr consequence en: (disease or injury that initiated the events resulting d. in death) LAST. Due to (or as a consequence on: 26. Part II. Enter other slenifunt conditions contdbutmg to death but not resulting in the underlying cause giver m Part 1 27. Was as autopsy pe~o>~ed7 []Yes SN 28. Were autopsy findings available to complete the cause of death? Yes pTo 29. If Fem 30. Did Tobacco Use Contribute to Death? 31. Mjjppn r of Death Ivt pregnant within past year ❑ Yes Probably Natural ❑ Homklde Pregnant at time of death ❑ No [}Unknown Accident Pending Investigation Not pregnant, but pregann within 42 days of dealt Suicide Could not be determined Not pregnant, but pregnant t 43 days to I year before d A.U 32. Date of Injury (MO/Day/Yr) (Spell Month) Unknown If pregnant within the past year 33. Time of Inlury 34. Place of Injury (e.g. home; amutrudl- site; farm; school) 35. Location of Injury (Street and Number, City, State, Zip Code) 36. Injuryat Work J37. If Transportation Injury, Specify: 38. Describe How Injury Occurred. Yes DrHer/Operator Pedestrian No Passenger Other (Specify) 39a CeftIfer (Check only one): [r]'fertilying physiclan To the best of my knowledge, death occurred due to the.,,A(,) and manner stated Pronouncing 6 Certifying physic- - To the best of my knowledge, death occurred at the time, date, and place and due to the cause(s) and manner stated Medi.l Examiner/Coroner - On the basis of examination, and/or investigation, In my opinlon, death occurred at the time, date, and place, and due to the uuse(s) and manner stated Signalure of certlfie,:_t-y- Titleofcertifier: Ucense Number: ~Vh Iy 39b. Name(a`N°. ilp i 1~.~. G se of Death fitem 26) 7 6 1 / 39c. Dace Signed (MO/DaY/Y,) f i~~. i'ro /~~-~lv-< r>al c; G,L, v.t ~i- rz -,E- A0. Registrar's District Number 41. Re Signature 42. Reg ;(istrar FII<O T Mo Day r) ~Ftr z z A I- a 17, 43. Amendment, 0 n Permit N. REV V L"; O' l e7 eT Q 07]/201 /201 ---n 1 LAST WILL AND TESTAMENT OF - VICTORIA W. HENDERSON I, VICTORIA W. HENDERSON, of Lower Allen Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my Last Will and Testament, hereby revoking and making void all previous Wills and Codicils heretofore made by me. FIRST I order and direct my personal representative hereinafter named to pay all of my just debts, funeral expenses and expenses involved or connected with the administration of my estate as soon 1\ after my death as is reasonably possible. However, my personal representative need not accelerate and pay those unmatured obligations which, in his, her or its opinion, it might be proper and more advantageous to retain or renew and pay as they become due and payable. If I do not own a burial plot or a grave marker at the time of my death, I authorize my personal representative, in his, her, or its sole discretion, to purchase a burial plot and to erect a suitable marker at my grave, and to expend sums from my estate for this purpose. SECOND I give, devise, and bequeath my entire estate together with all insurance proceeds thereon of whatever nature and wheresoever situate in equal shares to my children, APRIL STAMBAUGH, Page 1 of 6 Pages MICHAEL HENDERSON, KURT HENDERSON and ROSS HENDERSON, or their surviving issue, providing that they survive me by sixty (60) days, per stirpes. THIRD If, at the time of my death, any beneficiary of this my Last Will and Testament is under the age of twenty-five (25) years or is, in the judgment of my personal representative, mentally disabled, I give, devise and bequeath said beneficiary's share to my Trustee, who shall be the surviving spouse, if any, of my deceased child from whom said beneficiary shall have descended, in Trust for said beneficiary, in accordance with the paragraphs below. In the event that there is not a surviving spouse, the surviving spouse is deceased, or the surviving spouse is otherwise unable to perform as Trustee, then I appoint my daughter, APRIL STAMBAUGH, to serve as alternate Trustee. In the event that my daughter, APRIL STAMBAUGH, is deceased or unable to serve as Trustee, then I appoint my son, ROSS HENDERSON, to serve as alternate Trustee. FOURTH During the terms of any trust created pursuant to this Will the Trustee is authorized to expend and apply so much of the net income and principal of each such trust as the Trustee shall v consider advisable for the health, maintenance, support, and education (including college education, undergraduate and graduate) of each such beneficiary until he or she attains twenty-five (25) years of age, or until all such amounts are paid out of the Trust. When the beneficiary attains the age of twenty-five (25) years or is in the judgment of my Trustee mentally sound whichever event occurs later, the Trust shall terminate and the remainder thereof shall be paid to said beneficiary. If said beneficiary shall die before the termination of said Trust, the Trust shall terminate and the remainder thereof shall be paid in accordance with the paragraphs above. I direct that no Trustee Page 2 of 6 Pages shall be required to give or post bond for the faithful performance of the Trustee's duties in this or any other jurisdiction. FIFTH My Executor and Trustee are authorized and empowered to exercise from time to time in his, her or its sole discretion and without prior authority from any Court, in respect of any property r forming part of any trust hereby created or otherwise in its possession hereunder all powers conferred by law upon trustees or executors and I intend that such powers be construed in the v broadest possible manner. SIXTH r I nominate, constitute and appoint my children, APRIL STAMBAUGH, MICHAEL J HENDERSON, KURT HENDERSON, and ROSS HENDERSON, or the survivors thereof, to serve as Co-Executors of this my Last Will and Testament. I direct that my personal representatives shall not be required to give or post bond for the faithful performance of his, her or its duties in this or any other jurisdiction. SEVENTH I hereby declare it to be my expressed desire that my personal representative employ Kline Law Office of New Cumberland, Pennsylvania, for legal advice and assistance regarding this my Last Will and Testament, said attorneys having considerable knowledge of my affairs, views and wishes respecting any matters that may arise at the probate of this instrument, the administration of my estate, and the execution of the powers herein mentioned. Page 3 of 6 Pages IN WITNESS WHEREOF, I have hereunto set my hand to this my Last Will and Testament this day of 2007. - 2-v Witness VICTORIA W. HENDERSON Wit ess Page 4 of 6 Pages ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA : SS COUNTY OF CUMBERLAND I, VICTORIA W. HENDERSON, the Testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to the law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. VICTORIA W. H NDERSON Sworn or affirmed and acknowledged before me by VICTORIA W. HENDERSON, the Testatrix, this --?5/ day of 2007. OTARY PUBLIC COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL SHARON R. FOSTER, Notary Public New Cumberland ftro., Cumberland Co. My Commission Expires April 15, 2011 Page 5 of 6 Pages AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA : SS COUNTY OF CUMBERLAND We, ~ i -i o & and ,614) c:- the witnesses whose names are attached to the foregoing document, being duly qualified according to the law, do depose and say that we were present and saw 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 subscribing witness in the hearing and sight of the testator signed the Last Will and Testament as witnesses and that to the best of our knowledge the Testatrix was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. 1 Sworn or affirmed and subscribed before me by ~,3 and Y/j -kG this Z ~~41 day of 2007. NOTARY PUBLIC COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL SHARON R. FOSTER, Notary Public New Cumberland Bom., Cumberland Co. My Commission Expires April 15, 2011 Page 6 of 6 Pages RENUNCIATION J C--) REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA Estate of VICTORIA W. HENDERSON , Deceased 1, KURT HENDERSON , in my capacity/relationship as (Print Name) son of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to APRIL STAMBAUGH November 19, 2012 (Date) (SiSnat Jf T ( )o (Street Address) (City, State, Zip) Executed in Register's Office Executed out of Register's Office Sworn to or affirmed and subscribed Before the undersigned personally appeared the before me this day party executing this renunciation and certified of that he or she executed the renunciaVn for the purpo~sps stated within on this day of /Va-Yh 6ez- Deputy for Register of Wills otary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration ofNotary's Commission.) COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL SHARON R. FEISTER, Notary Public Form RW-06 rev. 10. 13.06 New Cumberland Boro., Cumberland Co. My Commission Expires April 15, 2015 RENUNCIATION c -T7 REGISTER OF WILLS kj <r~ rr C7 CUMBERLAND COUNTY, PENNSYLVANIA Estate of VICTORIA W. HENDERSON , Deceased 1, MICHAEL HENDERSON in my capacity/relationship as (Print Name) son of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to APRIL STAMBAUGH November 19, 2012 (Date) 'are) S q o ess) &Em~~ Wt (City, State, Zip) Executed in Register's Office Executed out of Register's Office Sworn to or affirmed and subscribed Before the undersigned personally appeared the before me this day party executing this renunciation and certified of that he or she executed the renunc`iat~ for the purposes stated within on this /4' day of Deputy for Register of Wills otary Public My Commission Expires (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration ofNotary's Commission.) COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL SHARON R. FEISTER, Notary Public Form Rw-o6 rev. 10./3.06 New Cumberland Boro.,Cumbedand Co. My Commission Expires April 15, 2015 X-1 RENUNCIATION r - REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA - 0 Q C"D -n lv Estate of VICTORIA W. HENDERSON , Deceased I ROSS HENDERSON , in my capacity/relationship as (Print Name) son of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to APRIL STAMBAUGH November 19, 2012 (Date) (Signature) (Street Address) P'4 l ,7028 (City, State, Zip) Executed in Register's Office Executed out of Register's Office Sworn to or affirmed and subscribed Before the undersigned personally appeared the before me this day party executing this renunciation and certified of that he or she executed the renunciati~for the purposes stated within on this / 14 day of oalJ/,~- Deputy for Register of Wills Notary Public My Commission Expires: IV- 4:5- - 4 ~S (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL SHARON R. FEISTER, Notary Public New Cumberland Boro.,Cumberland Co. Form RW-06 rev. 10. 13.06 My Commission Expires April 15, 2015