HomeMy WebLinkAbout12-05-12 (2)PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF l~.(nl ~ / lG n~ COUNTY, PENNSYLVANIA
Petitioner(s) named below, who is/arc 18 years of age or older, apply(ies) for Letters as specified below. and in
support thereof aver(s) the followutg and respectfully request(s) the grant of Letters in the appropriate form:
Decedent's Information
Name: l~trtx~ra ~ /-la.~t
a/k/a:
a/k/a:
a/k/a:
Date of Death: l1- 16 - aol ~ //''
Decedent was domiciled at death in (UMhr~/Ante County,
principal residence at as $9 !'YIt 11 fin,( /I1PChG/
Street address, Past Office and Zip Code
File No: ~~_ ~~ ~~ ~°
(Assigned by Register)
Social Security No
Age at death: r/ ~
(Stare) with his/her last
lAnni/A 111n ~u.m blYlar~
City, Town.Alip or Borough
Decedent died at (N ~1Q Sr7y1 f C V~1 ~t>` l 19aht7n ~n vx f )1/O`ot •-•"• ,r ~ ~ "• ' '
Strew address, Post Office and Zip Code City, Tawnshrp or Borough County State
Estimate of value of decedent's property at death:
ljdomiciled in Pennsylvania .......................... .All personal property $ r ~ a /7U U
!f not domiciled in Pennsylvania ........................ Personal property in Pennsylvania $
ljnot domiciled in Pennsylvania ........................ Personal property in County $
Value ojreal estate in Pennsy/vania ........................... ........... ...... .... ... ... ... $ 1 r~. G
TOTAL ESTIMATED VALUE.... $ .Z 3 ~~
Counly
Real estate in Pennsylvania situated at:
(AUnch addirionaf sheeu, i(necessary.)
than
Street addresa, Poet Omce snd Zip Code Cfty, Township ar
County
[f A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s) aver(s) he/she/they islare the Executor(s) named m the last Wdl of the Decedent, dated /U ~~ q ~ /a and Codicil(s)
thereto dated
Slate relevant circmnstances (c.g. renunciation, Aeath aferecutor, etc.)
Except as follows: after dre execution of the instmment(s)offered for probate Decedent didnot marry, was not divorced, was notaparry 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.
[~VO EXCEPTIONS ^EXCEPTIONS
^ B. Petition for Grant of Letters of Administration (if applicable)
c.t.u., d.b.n., d.b.n.ct.a, pendente life, durunte absentia, durance minarimte
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 ground r divorce had+~een es~li~d as defined
in 23 Pa. C.S. § 3323(8) and was neither the victim of a killing nor ever adjudicated an incapacitater~. [7 O_ O
^NO EXCEPTIONS ^ EXCEPTIONS mTO c~-i U>
Petitioner(s), afrer a proper search has/have ascertained that Decedent left no W ill and was survived by t~fo~w`pg spos~if an~rd teirs (attach
adefitiorcul sheets, if necessary): a CI1~ O Cs
2 75 T -s1
Name
Relationshi
O ~ °'+= `
o ~ to ~m
m
a s
*r
to„naw-nz r~~ fnifuznff Page 1 oft
t
R~~+n It !1Cn nfr,.nr r1C
tLI2 DEC
Oath of Personal Representative
CON(MONWEALTH OF PENNSYLVANIA }
} ss:
COI,"VTY OF
CLERK G?=
,PNAidS' GGUt:T
BERLAtdD Ci7., PA
Pettioner(s) Printed dame
Crndt Nake P°:::ionerts! Printed.Address
k5 ~•aacl~ulll Cn /hPChanicshni pA- )Jogs
The 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) ofthe D//~e~cedent, the PetitiIon//er(s) will well and tmly administer the estate according to law.
Sworn to or firmed a d subs ribed before (A~.fa~yl Q /'~Cl.~~ Date /a'S -/ a-
f Date
met y Dale
By' Date
For e~ister
BOND Required: Q YES
FEES:
Letters ...................... $
(~ G )Short Certificate(s)..... .
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission.. ........ ...
Other ~_~~~~~~~~
Automation Fee ........ ..... ~
..... .
1CS Fee .............. .......
TOTAL .............. ....... $
To fhe Register of Wills:
VIPASP enter my aooearance by my signature below:
Attorney Signature:
Printed Name:
Supreme Court
ID Number:
Firm Name:
Address:
Phone:
Fax:
Email:
DECREE OF THE REGISTER
Estate of (~ S~~~A r ~___S~-~'"""` _ File Na: ~ ~ - ~ ~ - ~ a ~
a/1Ja:
AND NOW, ~ )~`~`r`^~ n ^ ~ ~SL~ , to con ides ton of the foregoing Petition,
satisfactory proof having been presented before me, IT IS EC ED tha ett ~ C ~O ~~ ~a ~- n ~~ ~'" ~
are hereby granted to G (Q~ ~
in the above estate and (if applicable) that
the instrument(s) dated _
described in the Petition be
to probate and filed of~`ot~d as the
of Wills
V - Page 2 of 2
Form RLV-02 rev. 10/(1/2n/l
ne xq. lO.'~ ~.
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
RECOROEO OFFICE OF
REGISTER OF [~:~I~~$ Thia is to certify that the information here given is
=ee for [his certificate. $6.0(I correctly copied from an original Certificate of Death
`(L•12 OEC 5 AEi 9 0~
CLERK OF
P 18 8 6 2 019~RPNANS' COURT
------CtitfiBERLAND CO., PA
Certification Nnmber
,,, „ <omuoxwtntrx or r[xnsvtvnxu~os.nn*MCxrar xsnLrx. wrantco,os
CERTIFICATE OF DEATH
Y
duly filed with me as Local Registrar. The ongmal
certificate will be ti,rwarded to the State Vital
Records Office for permanent filing.
r
Local Keglstrar Date Issued
zsw Ilsmminxvmb., •• .<'o.r.oronmrMamrnrl lsam MOl
oi
s
. oemaemyLe,a x.me wo,, Mleele. u,.. amp
194-2R-7699 Mouanbar 16, 2012
emale
Barbara E. Hake
bpwl<gr mesa oPAnocwnrvl
weerso. .o.mwnnx lMOro.vnwnlsree MOOmI v
v
s.
[
P~
ex
.
a. N•x,n #nne.r lvrq m.ow.ys
l
a
tl
e
l
76 m.xy,y
MJye11El8t 21r 1935
w
r
d,.M
le. u.n
g
.,
.I
[e. w.M.u, lvy,x,w xo.a,y~l~ImenmxoJ ®D
n,xaew lsuM V,mean w.wl
e
1
o e
'r
e
..
en
~1ymr A1
M
, e,me..r
m
2289 Mill Road -
w.
~...u<x~m ^xo, e[me.m ww.xnmbmlr.M nnrmm.
nw lxro<nap
^M,rrIM ®W wM 11. surNrn karf,N,.m 111.11,.[M n.me prbr mllrxm,rn,V1
n
~.e
e
la
m.n~
x
rmw Pome,l
O,..m u
O x
nm ^uoxno..
~u
^
.y
e
Hxo ^umlmxo
Mleele
unl
,
y,wulnt
ll. r.m.n x.me lvY,y, Mlaal..l.asmnq MLavarlla MillerNl
pet Barns ub
v. o.w.1N wm[oym..r.MwM[nee,e.,rsx.M.w x.mb,r.ohsmm, no<aeel
.
hter 5 Broadeell Laney Mechanic , PA 17055
d
"~
aug
Circ1Y Rake
_.........
...wii::, .. 'Ir'd::na o;r:e som,:,n..eo ro xe,o'xi" ^ow ':'iri...... tl w,or: worn:
C7
:in o
:a'
:
x o
x
y,
^tm. nnwMalnwn.er ^oe,eee eyn.n xllmrexN ilmorr.rm oye xlM amx lsw, ryl
m
m
~
,.
[#. anormxll, ,e..oe no rae, lse. m.ono
s.wrrx.me nr oono.umuol,, fxe,x.n menumbe[
sb
.
~~thtorm PA 17 2
rne.ora,puoim lx.m.Nmm.r.rv. oem.rorv.•roylxy oM1al
w
on.
Memmorm,wmmo pN.r. ^c nio. [b. ~ .wrni
m
I
l
J
11
,.
^wmo.,lrmm sum ^om,.nw
Mx\ralllcsbur9 Ceretery
Nwerbei021
an,r lspe,XNl i nmeiamo mm.m rnbm nu xuma,.
,m r Im. ¢N nwn nxx,lla zrol ee ,
FD 011667 L
P
PA 17055
Meohanlcsburg,
xn wean, m,un.,x,wlM
me
nmu o:[aP Mont r..,r ro i.ma.r..wl
w
< e,na.y.xe„m, e„Imxxwm. oyino
w
~i1eirt
[m.m~.
ea
11 1,xo NY
Mn~exlb.xm.a e.M eo. ub
~e
enei
a
lyl
o
w
..I~L.n,o <n x
xe
'
a
na
'~urlmo.m.rx,o p
a
u.Y
lxnmoo p
w.ne.,.eemxllm sw,l•nrHUwl
s
n
m
px
^
^
^
.
r
u
m
[
°yax.. x,..
mo.~ ma~~
iMw..
re 0xo 1.
Dy wo.
o
M
p
^x
mmp.
r.a~ae or et
me.wy. cm.,oo ^wxo maw
E" ^.
.m,
~
~
n
e, m.morr
ew vwl~me.[+. ^r, ~
^cn ^x
^sw.
e~o.x,
.~Mi..
,.
e
enr.. dew. nsl
^..mn
^M ^s
^aa+.xon enu[I,.[.[h.N. esl ^O u~Fe s
°x/mmo ^M n. ^orMV.or. nl,neer
m
hMx
r
w
w
^rn ranrm y.[.M0. M[, Mtn. MFa. MSW, MBnI ^r°'-
^qbx l[p,lNl.
^wno M,le.[. PnO, taOlwrvokffbn,lagree I[Oenryl_
Mn OD[ nVM LLB ID
r'vYQ,I
M+
lMa.uaem aon9aer,E Flmmll er MrulrmG l),. M[,0en
x
-PM ONLYOX[mmalur,
a
l
Y
[
'
ry
^ I^a
~
^
O
tl
Ceryv
en
sSWIe P,aS,I
0r Y5F PErMFD
n1
I
INe
gF~
alp:""` ^orn.°>•au. am^e a business owner/operator
wne
o.ayxroao.xo.
Q
m. •yaaY. xnae Do
Nmaarwwnmmxyrrv
.~w.. Oa.w.e xrxmmy zzb
~
.
m
., i,ee„
O wl
resldllrant
^ <nm, ^ x. he x,v.P.n ^ aner ISpaMI
^nllw^° Ow,mxx.^or a.moym
l~
rtFMS1w~IN MY[[[f [CMPIR[n ]3,.WUPrpqunW Ce,e Ma Y rl ll [an,wne Penn Proncuntln[N„M nY npptlu0le 1{LN~~K3C0
x•
vYlmr~w noxoNxca on NDrcmb[r \1e 'DLv\a 1C~.;1Ui~dD. Vl~,l%1C1.lL N
[. r~, a ~,m x
.e,
y.slMxa rmollwml ' n.w,. xneu.l [,.mM.roycoyooe.mor.,mer ^ rm
e
\\~ a~;
a
one
UUSE OF pEATH Pw°'
oa rwa,m`
..i..M.,•m,r..ra,.,.r.u a.m~elo+omm
I.murm, smssrs.[uu-el...m,.lowxy,meompanmo.-,ex,mvmmwrxeemm.
ze ex, ' i .ememnooe nll., ly.ea,xrv
umo^
r
re,praory,near.wnnt tWar flEW4rlm /IMyr r//Mn~rytM nwb{Y. WxOr/F,[BxFVllif. n IY ^, ~~~~/"~~
~
~~=
~
Lr
yYStIS~I
'I
IMME011rE UU[E -~--~~-~> a.
IFn umtllrlen Inru,een,exuenu ox
,ullln[ na,MM
ooanm x o.uolo.. „ollmoo.o., ml.
i
a
~
~
o
me,
.
.e~re
u.
'
-
ne~n.,, tmx
u>
,.
e~y.on -
owmlm,,,m.m,.
m.
...o,~.
r
l„r
wi..
_
- ~i. e.,~mms*, x,llume e. o,l.mm.,.,momwez,on
,nb.y nor y.wnmf M. euneelMN w.,, axe,l to nnl My wry m
orn
'
Wn
..mbx
} s. r.n ll. fm
Eno
O
ze. wel..mowrnlmxa, waxM,
i e"1MxeyN.wmnemml
g ^x
30.otlr m< n MnF.
u
m
ro 3L M,n n.r0.nF
x9.11
i
nw en ae
l
o w
O au
~r, :nn~ma..myex O
6M l
[mmnam.
e•y
olweMxmmw
c
wa
s foxn,uw wno,by.xmmnwYyaa'm
,~^.n,r beer. e..m
y,3e
b
pn un
^ ,.o m~rvruorogn,ll:•xmemnl
r rl o
o
^5ok1de ^
ry
,n
ulorn
[^,er.
O un .+.m u•nm,M xnn~mne n mx
Y m.o
nmxrv
o
inrurvle.[.nmm,. aon,ervn~en.xe, I,rm, rM1eell
I,,, W n.sum, ilo ceael
a,r~on el lnlurv lsuen ana xum%r,
)6 In erY 3,.11 r n xi ninlurv, suaih. ume NOw mWrv IXmxee.
^• ^Omx~Ow ^• r
^x ^•, a ^O er lswnrrl__
x
merlmrtl enhual-
uaauem oal4m mM
ss~nllo[mr
na[e.e r~r a n
e -mmem mr
w
+~.~
~
~
'
m
,w om. ,w al„ wmoyy[
a
ulm ~xqe. ..~
^ <,n
rennrx
ohm m.oo, n,
me~no r
a
~
•a
~a
r o
w
r
M
m
a,
rm.. e.M. x.
w.
m
m
~~~~^^
n[b
mw
x p,~
^MMIU1 FmmnehC mer
enM „~IY-'/Lf~LG
^ Nr
~
O^r
e^
i14d ,rt114
l
S el nnMe..
Y
w„san y~el nl
3#
]9b Xame',aar ,na PpmaeN• Corn p~ Y ,
~2
L
~a ~'
<'
rw
n
7u li i7 /6
/(
IiZa~ie
-
}~G
.,.puny ]k
.
x [zonet yPV. oae [
I1
19 12
OK
hl~
~l:
. I
.em
xxpmNx.Pxmxxa r<, ~ , , nt~a,rln,r
ED OFFICE OF
LAST WILL AND TESTA~c~ LS O r ,~`~, ~ BLS
OF
BARBARA HAKE ~,,;1 Gi.C 5 f1i 1 ~ QS
CLEr~K Or
I, Barbara Hake, of Mechanicsburg, Pennsylvania, revoke my fo~r~jjtUS'~~ I(CB3icils and
declare this to be my Last Will and Testament. Ct)µBERLANO CO•, PA
ARTICLE I
IDENTIFICATION OF FAMILY
I am not currently married to anyone.
The names of my children are Wendy A. Hake and Cindy J Hake. All references in this Will to
"my children" are references to the above-named children.
The failure of this Will to provide for any distribution to my child(ren), Barry R Hake, David A
Hake and Timothy S Hake, is intentional.
ARTICLE II
PAYMENT OF DEBTS AND EXPENSES
I direct that my just debts, funeral expenses and expenses of last illness be first paid from my
estate.
ARTICLE III
DISPOSITION OF PROPERTY
A. Specific Bequests. I direct that the following specific bequests be made from my estate
1. Jewelry, Clothing & personal effects shall be distributed to Wendy A Hake. If this
beneficiary does not survive me, this bequest shall be distributed to Cindy J Hake. If this
beneficiary does not survive me, this bequest shall be distributed with my residuary estate.
2. Volvo vehicle shall be distributed to Cindy J Hake. If this beneficiazy does not survive me,
this bequest shall be distributed with my residuary estate.
3. My remaining tangible personal property shall be distributed to Wendy A. Hake• estate.
beneficiary does not survive me, this bequest shall be distributed with my residuary
B. Residuazv Estate. I direct that my residuazy estate be distributed to Wendy A Hake,
Mechanicsburg, Pennsylvania. If such beneficiary does not survive me, my residuary estate shall
be distributed to the following beneficiaries in the percentages as shown:
shaze~shall be distributed proportionatey to the other distrib tree(s) lsoted unde hi se me, this
provision.
100 -Percent Total
ARTICLE IV
NOMINATION OF EXECUTOR
I nominate Cindy J Hake, of Mechanicsburg, Pennsylvania, as the Executor, without bond or
security.
ARTICLE V
EXECUTOR POWERS
My Executor, in addition to other powers and authority granted by law or necessary or
appropriate for proper administration, shall have the right and power to lease, sell, mortgage, or
otherwise encumber any real or personal property that may be included in my estate, without
order of court and without notice to anyone.
My Executor shall have the right to administer my estate using "informal", "unsupervised", or
"independent" probate or equivalent legislation designed to operate without unnecessary
intervention by the probate court.
ARTICLE VI
MISCELLANEOUS PROVISIONS
A. Pazaagranh Titles and Gender. The titles given to the pazagraphs of this Will aze inserted for
reference purposes only and are not to be considered as forming a part of this Will in interpreting
its provisions. All words used in this Will in any gender shall extend to and include all genders,
and any singulaz words shall include the plural expression, and vice v tonouns shall be takendtog
"child" and "children", when the context or facts so require, and any p
refer to the person or persons intended regardless of gender or number.
B. Liabilitv of Fiduciary. No fiduciary who is a natural person shall, in the absence of fraudulent
conduct or bad faith, be liable individually to any beneficiary of my estate, and my estate shall
indemnify such natural person from any and all claims or expenses in connection with or azising
out of that fiduciazy's good faith actions or nonactions of the fiduciazy, except for such actions or
nonactions which constitute fraudulent conduct or bad faith. No successor trustee shall be
obliged to inquire into or be in any way accountable for the previous administration of the trust
property.
C. Beneficiazy Disnutes. If any bequest requires that the bequest be distributed between or
among two or more beneficiaries, the specific items of property comprising the respective shares
shall be determined by such beneficiaries if they can agree, and if not, by my Executor.
IN WITNESS WHEREOF, I have subscribed my name below, this ~`~ ~ day of
l'cI .r v.l
Testator Signature: G~ ~ ~ _ `2n~,~
Barbaza Hake
.,
We, the undersigned, hereby certify that the above instrument, which consists of ~ pages,
including the page(s) which contain the witness signatures, was signed in our sight and presence
by Barbara Hake (the "Testator"), who declared this instrument to be his/her Last Will and
Testament and we, at the Testator's request and in the Testator's sight and presence, and in the
sight and presence of each other, do hereby subscribe our names as witnesses on the date shown
above.
Witness
Nan
City
Stat
Witness Sign
Name:
City:
State:
RECORDED O~F1CE OF
REGISTER OF'~=•.'ILLS
2L'12 OEC 5 AEl 9 05
C<_ERK ®F~TH OF StiBSCRIBI~G ~VI7~ESS(ES)
ORPHANS' COURT
CUMBERLAND CO.. PA REGISTER OF. WILLS
COUNTY, PENNSYLVANIA
Estate of ~ ~~ b(~' /~ ~ /-/~ ~
N~~~hP~ ~h~clef Jo~l~ l°e~s~~,
(Pant NanehJ
the ^ Will O Codicil(s) presented herewith, (each) being duly qualifie
say(s) that she / he I they was /were present and saw the above
and that she / he /they signed the same and that she / he /they
the Tlestator /Testatrix
~r~
in her I his
(Street AddnssJ
~ r I~
(C%IJ'• Stale, Zip)
Executed in Register's Ojjice
Swom to or affirmed and subscribed
before me this daY
of
~ ~ i~ ~l~l ~~A~ 1~1/2z
tCitr, Slate, Zip)
Exeeared out ojRegister's Ogee
Swom to or affirmed and subscribed
before me this a_ ~ _ ~Y
{1 ai h~1~ . ~ c J~-
, L0:"u}' Publ1C CpMpQNyJpALTN OF peNNSYLVANIA
Deputy for Register of ~~ ills Notarial seal
:~Iy Corn;rission Expires: Nowrv wn~K
(Signature and Sal oCNotary as other o:Tici ', qudif~9Mron D. Ertck, Wnraster CAUnty
edministe: omW. Shore due of ezpiruion o NowrLyUsfoaesel~~?"E7•~l~ Feb 11, 2015
My C01nm~ P TION OF NOTARIES
MEMBER, PENNSYLVAN]A ASSOCIA
NOTE: To be taken by Otr:cer mthorized m adminuter oaths. Pleau have present the original or copy of insvument(s) of time of notnrimtion.
.Deceased
_, (each). a subscribing witness to
3 according to law, depose(s) and
Testator !Testatrix sign the same
signed as a witness at the request of
presence and in the presence of eac < that.
~9W ~~
;na ) y
(Street Addrera)
Faint RW-03 rnv. !0.13.06