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HomeMy WebLinkAbout12-18-12PETITION FOR GRANT OF LETTERS OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANeA REGISTER 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) t following and respectfully requests the grant of Letters in the appropriate form: Allison M. Markovic 0,.,.e.~o.,+~~ information File No: 21 12 ~ ~~ J~_ Name: Janet M. Harpel (Assigned by Register) a/k/a: a/k/a: Social Security N a/k/a: Age at Death: 84 Date of Death: 1 211 01201 2 County, pA (State) with his/her last Decedent was domiciled at death in Cumberland Mechanicsburg Cumberland principal residence at 325 Wesley drive, A»t. 119, Mechanicsburg 17055 City, Township or Borou~n County Street address, Post Office and Zip Code Cumberland PA Lower Allen Twp Decedent died at 325 Wesley Drive, Apt. 119 State City, Township or Borough County Street address, Post Office and Zip Code Estimate of value of decedent's property at death: $ If domiciled in Pennsylvania.......•.......""...". All personal property If not domiciled in Pennsylvania..."............ Personal property in Pennsylvania $ If not domiciled in Pennsylvania........"."..... Personal property in County ~ 89,000.00 Value of real estate in Pennsylvania.•......•....."""•..•....."....•••••••••••••••••••••"•"""'•"•"•" TOTAL ESTIMATED VALUE $ 99,000.00 Lower Allen Twp Cumberland Real estate in Pennsylvania situated at 1857 Holly Drive, Camp Hill 17011 (Attach additional sheets, if necessary.) County City, Township or Borough Street address, Post Office and Zip Code ® A, pPt~tion for Probate ~ ^~ grant of Letters Testamentary 02/2612001 and Codicil(s) Petitioner(s) aver(s) that he/she/they is/are the Executor(s) named in the Last Will of the Decedent, dated thereto dated State relevant circumstances (e. g., renunciation, death of executor, etc.) follows: after the execution of the instrument(s) offered for probaae, Decedent did not marry, was not divorced, was not a party to a pending s defined in 23 Pa. C.S. § 3323(8), and did not have a child born or Except as divorce proceeding wherein the grounds for divorce had been establishe adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ® NO EXCEPTIONS ^ EXCEPTIONS (If applicable) ^ g, petition for Grant of Let Prs of Administrati~ c. t. a., d. b. n., d.b.n.c.t.a., pedente lite, durante absentia. durante minoritate nvp and complete list of heirs. If Administration, c.t.a or d.b.n.c.t.a., enter aate of `"fill 'n Section A anbg s follows: Decedent was not.a party to.pending divorc noroeverdad-udlcated ane ncapacitated personhad been established as defined Except a and was neither the victim of a killin J ~-,..~ in 23 Pa. C.S. § 3323 (g) g _ ^ NO EXCEPTIONS ^ EXCEPTIONS ~ "' r search has/have ascertained that Decedent left no Will and was survived by the ~o®9 spouse~tf an~n~ eirs (attach Petitioner(s), after a prope ~ ...~ r_~ ,~,.. ~.drlil7nnat meets. -f necessary): [7C~ .~.., ~ ~1:~ '~ Page 1 of 2 Form RW-O2 rev. 10-11-2011 Copyright (c) 2011 form software only The Lackner Group, Inc. Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } SS: COUNTY OF Cumberland } Official Use Only The Petitioner(s) above-names swear~s~ ~~ a~ ~~~ ~ ~ ~~~~ ~~ ~~ ~~~--• • -- - 1 ~ `~ ~ ~en anu a uiy au~ ~ ~~~ ~~~•~-• -• •_ _ _ belief of Petitioner(s) and that, as Personal Representative(s) of the Dec dent, Petitioner s w~ ~.t}t`4.C Date Sworn to or ~lilned an ubscribed before _ Date me this • ' day of _'t' ~~,~'~~" Date L ~ ~ ,Cji Date By: ~' .., c,.. o RcnicfPl' BOND Required? ^ YES FEES: Letters .................................. . ( 4 )Short Certificate(s).. ( )Renunciation(s)....... ( )Codicil(s) ................. ( )Affidavit(s) ............... Bond .................................... Commission ......................... To the Register of Wills: ^ NO Please enter my appearance by my signature below: $ 210.00 Attorney Si atur 16.00 - "" Pri ed Name: Edward P Seeber ..., Supreme Court 76084 ID Number: Other 5.00 Automation Fee ............................ 23.50 JCS Fee ....................................... 254.50 TOTAL ......................................... $ Firm Name: James Smith Dietterick 8~ Connelly, LLP Address: Suite C-400 555 Gettysburg Pike Mechanicsburg, PA 17055 Phone: 717-533-3280 Fax: E-mail: eps@jsdc.com DECREE OF THE REGISTER Date of Death: Social Security No File No: Estate of Janet M. Har el a/k/a: ~ , in consideration of the foregoing reuuvi ~, ~~ ~ ~t~r% h ~ r AND NOW, satisfactory proof having been presented before me, IT IS DECREED that Letters Testaments are hereby granted to Allison M. Markovic in the above estate and (if applicable) that the instrument(s) dated 02/26/2001 f Decedent. r` escribed in the Petition be admitted to probate and filed of record as the I W' (and Codicil(~s))~. ~-- y ,~' .~..i 12/10/2012 162-22-3679 21-12 "" / ~ Register of Wills ~ , yam' ~' ' P ge 2- Copyright (c) 2011 form software only The Lackner Group, Inc. /~ ~ ~~~ .~- ~r•- ley I~I~ ~;= - 6 . 3,,, t;:, ~~c; ~.8 ~~ ~ ~ ~ r - CL~I~/~ ~~ a ~~ R LJQ ~ ~ ", , ~',~ COMMONWEALTH OF PENNSYLVANIA ~ DEPARTMENT OF HEALTH ~ VITAL RECORDS Type/Print In CERTIFICATE OF DEATH State Flle Number: Permanent 3. Social Security Number 4. Date of Death (Mo/Day/Yr) (Spell Mo) 2. Sex p Black Ink Last, Suffix) r /~ - as -~6 ~ 1. Dace ant's Legal Name (First, Middle, t Q~~Q ~ ( 6. Date of Birth (Mo/Day/Year) (Spell Month) 7a. Birth lace (City and State or For Country) Sb. Under 1 Year Sc. Under 1 Da Sa. Age-Last Birthday (Yrs) Months Days Hours Minutes / 7b. Birthplace (County) Sb. Residence (Street and Number -Include A~NO.) ~jYe1s, decedent I ved na To nship7 8a. Residence a or Foreign Country) - ~ n ~ ` ~ ~L^L city/boro. J , Sd. Res ante (C un y) ~~ G iil~ Q No, decedent Ilved within limits of eve name prior to first marriage) -. 1/ 8e. Residence (Zip Code) Married Widowed 11. Surviving Spouse's Name (If wife, g~ 9. Ever {n U Armed Forces? 10. Marital Status at Time of Death Q Unknown Q Divorced ~ Never Married ~ First, Middle, Last) Q Ves No Q Unknown 13. Mother's, N`ayme Prior to First Marriage 12. Fat er's Name (Firs Middle, Last, Suffix) v T ~ 14b. Relationship to Decedent 14c. Informant's Mailing Address (5[reet and Number,~C+ity, State, Zip ~ ode 1 /33 wt _ ........... ... ................ ' p ;' • D 14a. informant's Name ._ \ ~ on one --. ..•-.• ---'-"---- ecedent s Home .... . ... . ... I+-.~ s \ iSa: Pace-o--Deat.-- „e~ ..Y. -- -- -• Facili y ..- -- Hospice - l~ 0 ~ •-•--"-'P "-'--'----•---- In atient ,If Death Occurred Somewhere Other Than a Hospital: Othe Specify) t ..................... . ~~++~VY Dead on Arrival _ Nursing Home/Long-Term Care Faci ty 15d. ounty of Death ~ -If Death Occurred in a Hos Ital: LJ P ./ c Q Emergency Room/Outpatient Q i5c. City or Town, State, and Zip Code 1 ~ ~~ ~• Y lSb aclli[y Nam/e1 (If not institution, give street and number; 1 crematory, or other place) Z ` ` Cremation 16b. Date of Disposition 16 PI ce of Disposition (Name of cemetery, LL Q B ial •~ ~ .Y T 16a. Method of Disp sition Q Donati n m Q Removal from State ~~ +a ~ C d Q Other (Specify) 17a. Sign a of Were rvic censee or P rson in Charge of Interment 17~ense Num er 16d. Location of Disposition (City or Town, Stale, a~ d Zip) ~ u a ~ ~ neral Facility ~ 2 - ~ , ~ ~ ~ ' ~ ~' ` ~ ~ i~ , D ` 20. Decedent's Race - heck ONE OR MORE races to indicate w at E 1 .Name and Co bete Addres o J °ob' 1 .Decedent's Education -Check the box that best describes the 1 .Decedent of Hispanic Origin -Check the Vietnamese While Q Korean ~ highest degree or level of school completed at the time of death. box that best describes whether the decedent the decedent considered himself or herse to e. is Spanish/Hispanic/Latino. Check the "No" Black or African American Q Other Asian Q Bth grade or less box if decedent is not Spanish/Hispanic/Latino. Q Arnerlcan Indian or Alaska Native O Native Hawaiian Q No diploma, 9th - 12th grade No, not Spanish/Hispanic/Latino Asian Indian Q Guamanian or Chamorro ~, High school graduate or GED completed Yes, Mexican, Mexican American, Chicano QQ Chinese Q Some college credit, but no degree 0 Yes, Puerto Rican Q Filipino Q Samoan Q ~ Yes, Cuban Q Other Pacific Islander Associate degree (e.g. AA, AS) Japanese ~ Bachelor's degree (e.g. BA, AB, BS) Yes, other Spanish/Hispanic/Latino Q Q Master's degree (e.g- MA, MS, MEng, MEd, MSW, MBA) 0 ~ Other (Specify) (Specify) a of work Q Doctorate (e.g- PhD, EdD) or Professional degree e. MD, DDS DVM LLB JD done during most of working life. DO NOT USE RETIRED. 21. Decedent's Single Race Self-DesignationQ- ,haepcak'ONeLV ONE to indicate what the decedent considered himself or herself io be. 22a. Decedent's Usual Occupation - n ca Q Samoan White Korean Q Other Pacific Islander Black or African American Q Vietnamese Q Don't Know/Not Sure 22b. Kind of Business/Industry (~ American Indian or Alaska Naive ~ Other Asian Q Refused +~~+ Q Asian Indian Q Other (Specify) c- = Q Native Hawaiian Q Chinese ~ Guamanian or Chamorro when applicable) 23c. License Number Q Filipino Yr) 23b. Signature of Person Pronouncing Death (Only ITEMS 23a - 23d MUST BE COMPLETED 23a. Date Pronounced Dead (MO Day 6 BY PERSON WHO PRONOUNCES OR ~,e5 [] No CERTIFIES DEATH 2q, Time of Death _ 23d. Date Signed (Mo/Day/Yrj ` ~ -~ /' 25. Was Medical Examiner or Coroner Contacte Approximate CAUSE OF DEATH Interval: Onset to peath in uries, or complications--that DO NOT ABBREVIATE a Enter only0 one tca useronna linee Add addationald lanes if necessary 26. part 1. Enter the hain of events--diseases, J respiratory arrest, or ventricular fibrillation wit~sho~ et~ gY- IMMEDIATE CAUSE ---------------~ a. Due to (or as a consequence of): ~ ~ ~, (Final disease or condition ? resulting in death) b ~ ~ ~ ~ O~~G.-~ /~~ ~~` l ue to (or as a consequence of): `Jc J `./` c ~--- Sequentially list conditions, If any, leading to the cause c' Due to (or as a consequence of): listed on line a. Enter the ~-- UNDERLYING CAUSE ac (disease or injury that d• Due to (or as a consequence of): - Initiated the events resulting 27, Was an autopsy rf ed7 W in death) LAST. r w Q Yes No u ~^~ ~ , \ _^ ` ~ ~.~ t ~ flndin vailable S 26. part 11. Enter other sl nifi nt on ition con ributin to dea h but not reSUI`t ~g in the underly~ause givenii of Pa rt I 28 Were autopsy B o ~~ ~~- ~ O ` t ~ ~--'!"~~(~r~C~ 1 to complete the cauLs~e O~ death? W Y Q Yes No 3 ner of Death ~ ir- `~~1 S `U r1 m 30. Did Tobacco Use Contribute to DeathT atural Q Homicide 0 Ves Q Probably Q Ac ident Q Pending Investigation 29. Fe le: nknown Could not be determined E of pregnant within past Vear Q No Q Suicide Q ~,./ Pre Want a[ time of death Mo/Day/Yr) (Spell Month) `.J S Q Not pregnant, but pregnant within 42 days of death 32- Date of Injury ( 33. Time of Injury ( m i-° ~ Not pregnant, but pregnant 43 days to 1 year before Beat Q Unknown If pregnant within the past year ~, Zi Code) 35. location of Injury (Street and Number, Cit State, P _ 34. Place of Injury (e.g. home; construction site; farm; school) ~~ 38. Describe How Injury Occurred: -~ 37. If Transportation Injury, Specify: 36. Injury at Work pedestrian l Yes Q Driver/Operator Q °/ Q No Q Passenger Q Other (Specify) 3g Q fier (Check only one): knowledge, death occurred due to the cause(s) and mad iesand place, and due to the cause(s) and manner stated t Certifying Physician. - To the best of my death occurred at the time, date, and place, and due [o the; se(_s) and m` nne_ r Sta~ ronouncing 8a Certifying P - To the best of my knowledge, Inlon, de occurred at the time, ( L~-X/'~) 1 G1J/~-~ Q License Number: Medical Examiner/COr er - On th basis of examin tion, and/or investigatioTitle of certifier: o/4~Y/`~ ~~Q Signed ( ~G7..~- Signature of certifier: V 1 ~ ~J 39b. Name ddress and Zip Code of rson Co leting Cause of D th (Item 26) q2, Registrar Flle'1 ate (Mo Day r) 41. R gistr s ignat /~ - ~p^ 40. Registrar's Distri amV a~ 0 43. Amendments -~ ..~ ~ ......-. ~ H105-143 .. h ~ ~~ ~~ ^7 REV 07/2011 Disposition Permit No. y O[J r~,~ c•. ~ ; iD ~ rn c~ C , rn n ~~:~ cx~ -~, rn ~ c, ~.-, ~.n •~.~ ~ ~' ~--- -~ ~ cx~ .; r~ ~ w~ F~. i`` ~' LAST WILL AND TESTAMENT ~~' ~ ~ ~ -~3 _ OF ~~' ~ ~ ; ~ 3 ~~~ ~ ANET M. HARPEL .~ . ; -- ~ ~ ~ _ , ~~ ~.~ r. =, - ~> ~~ L havin my legal residence at 1857 Holly Drive, Camp Hill, I, JANET M. HARPS g declare this to be my Last Will and Testament, revoking all Cumberland County, Pennsylvania, hereby other Wills and Codicils heretofore made by me. ARTICLE ONE I declare that I am married to DONALD E. HARPEL, SR. ARTICLE TW O I have three children born to me whose names and birth dates are as follows: NAME LYLE S. HEISS ALLISON M. MARKOVIC ROCHELLE L. DILLM:AN BIRTHDAYS January 10, 1955 August 2, 1956 Apri110, 1968 ARTICLE THREE m m estate of the expenses of my last illness and funeral as soon after I direct the payment fro y my death as conveniently may be done. ARTICLE FOUR nal ro erty that I own at my death, including any household I give all of the tangible perso p p books, ictures, jewelry, art objects, hobby equipment and furniture and furnishings, automobiles, p ther articles of personal and household use, equipment and collections, wearing apparel, and o ce thereon to my three children, LYLE S. HEISS, ALI-ISON M. ornament, and all lnsuran L. DILLMAN, IN EQUAL SHARES, PER STIRPES. Any such MARKOVIC and ROCHELLE not desire shall be sold and the proceeds distributed with the residue of my items that my cluldren do estate. ARTICLE FIVE t residue and remainder of my estate, of whatsoever nature and wheresoever I give the res , n LYLE S. HEISS, ALLISON M. MARI~OVIC and ROCHELLE L. situate, to my three ch~ldre , DII,LMAN, IN EQUAL SHARES, PER STIRPES. ARTICLE SIX f mine has not reached legal age under the law of the jurisdiction in If any such descendant o ' fled at the time of distribution under this Will, then distribution of his or which that descendant ~ domlc d to the custodian for that descendant under the Pennsylvania Uniform her share shall be made instea visions of that Act as they exist at the time of this my Last Will and Transfer to Minors Act, and all pro distribution. If necessary for legal transfer to that custodian, my Executor Testament shall apply to the shall convert the assets in that descendant's share to cash or securities. ARTICLE SEVEN Berman under this Will or any codicil hereto shallhave any right to No beneficiary or remasn ' or her interest in this Will in any manner, nor shall any interest of alienate, encumber or hypothecate his be sub'ect to claims of his or her creditors or liable to attachment, any beneficiary or rema~nderman J execution or other process of law. ARTICLE EIGHT DONALD E. HARPEL, SR., as Executor of my W~• If he is unable or I appoint my spouse, ' t m dau ter, ALLISON M.IVIARKOVIC, ~ ~ place and stead. I unwilling to serve, then I apponn y ~ ition to and not in ]imitation of the powers given by law or by other give to my Executor, rn add in owers with respect to settlement of my estate to be exercised provisions of this Well, the follow g p of m Executor, without further order or license of the Register of from time to time in the discretion y Wills or of any court: ' an ro ert ,pending distribution hereunder, to invest in or purchase any 1, To retain y p p y o le al investments for fiduciaries, to distribute property in kind, to property without restriction t g com romise claims, and to sell any property at public or private sale; P e from an person including any fiduciary acting hereunder, and to 2, To borrow mon y y mortgage or pledge any real or personal property; To en a e in litigation and compromise, arbitrate or abandon claims; 3. g g ' ns in cash, or in kind at current values, or partly in each, allocating 4, To make drstnbutro ' tees on a non-prorata basis, and for such purposes to make specific assets to particular' drstribu reasonable determinations of current values; decisions, concessions and settlements in connection with all 5 To make electrons, ax returns and the payment of such taxes, without obligation income, estate, inheritance, grft or other t ' ributive share of income or principal of any person affected thereby; to adjust the drst in eve kind of property and investment which persons of 6. To invest and rernvest ~' rudence, discretion and intelligence acquire for their own accounts; P ~, To manage, control, repair and improve all real property; and c at the expense of the estate insurance of the kinds, forms and g, To procure ~' the Executor to protect the Executor and the estate against any hazard; amounts deemed advisable by assessments, fees of the Executor and all other expenses incurred in 9, To pay all taxes, the collection, care, administration and protection of the estate; herein conferred, after the termination of the trust estate until 10. To exercise such powers, final distribution of the estate assets; to take all the proceedings, and to exercise all the rights, powers and 11. To do all the acts, • r of the ro erty would have, subject always to the discharge of their pnvileges which an absolute owne p P eration of certain powers in this Will shall not limit the general or fiduciary obligations; the enum e Executor; the Executor shall have all additional powers that may now or unphed powers of th - b law or that may be necessary to enable the Executor to administer hereafter be conferred on them y rovisions of this Will, subject to any ].imitations specified m this Will. the estate in accordance with the p ed of an fiduciary hereunder in any jurisdiction. No fiduciary No bond shall be regwr y ve an liabilit for any mistake or error of judgment made in good faith. hereunder shall ha y y 've reasonable compensation for services performed as determined by My Executor shall recei the court in which this Will is admitted to probate. ARTICLE NINE iven discretion by law to make various elections which affect the I realize that Executors are g estates and beneficiaries, as well as the relative shares of income and estate taxes payable by dministration expenses as deductions for either estate or income tax beneficiaries, such as taking a r the a ent of employee death benefits, electing to take a qualified purposes, selecting options to P ym marital deduction, selecting alternate valuation dates, postponing the terminable interest as part of the - 'come tax or gift tax returns and redeeming corporate stock. 'The payment of taxes, flhiig point in i 'es in an of these matters shall be binding upon, and not subject to decisions made by my fiduc ari y . I rel u on my fiduciaries to take into consideration the total question by, any attected persons y P le b reason of their decisions including those payable by my survivors, income and estate taxes payab y ' cretion but not required, to make adjustments between income and and they are authorized in their dis principal as a result thereof. ARTICLE TEN inheritance and other taxes >n the nature thereof, together with any I direct that all estate, becomin ayable because of my death with respect to the property interest and penalties thereon, g P ath tax oses, whether or not such property passes under this my constituting my gross estate for de p~P shall be aid from the principal of my residuary estate, and no person Last Well and Testament, P such ro erty, whether tinder this my Last Will and receiving or having a beneficial interest in any P P time be required to contribute to or refund any part thereof; Testament or otherwise, shall at any ' direction shall not apply to the taxes on any property included in my PROVIDED, however, that this f a ointment thereover which I possess but have not exercised or estate solely because of a power o pp ualified terminable interest or to any generation-skipping transfer taxes. on any q ARTICLE ELEVEN se and I die simultaneously, or that the order of our deaths is In the event that my spou uncertain, my spouse shall be deemed to have predeceased me. ~' ~~ day of February, IN WITNESS WHEREOF, I have at Hershey, Pennsylvania, this and seal to this my Last Will and Testament, consisting of seven (7) pages. 2001, set my hand ~~ ~~ rti~ J ET M. HARPEL LISHED and :DECLARED by JANET M. HARPEL, the hand SIGNED, SEALED, PUB for her Last Will and Testament, in the presence of us, who, at as witnesses. named Testatrix, as and rice and in the presence of each other, have hereunto subscribed our names in her prese , 1 ~ `a` ~ ~ ~*~ ~ ~ - f - Residence 4 G ~ ~' fi• Residence r ~~ ~`"~~~ ` ~-F~ ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA : SS: COUNTY OF DAUPHIN M, HARPEL, MAX J. SMITH, JR. and ALISA M. K:UNKEL, Testatrix and We, JANET ~vel whose names are signed to the attached and foregoing instrument, being first witnesses, respects y, b declare to the undersigned authority that the Testatrix signed and executed the duly sworn, do here y will and that she had signed willingly, and that she executed it as her free and instrument as her last resence and t act for the purpose therein expressed, and that each of the witnesses, in the p volun ary trix si ed the Will as witnesses and that to the best of her knowledge the hearing of the Testa gn hat time ei teen years of age or older, of sound mind and under no constraint or Testatrix was at t ~ undue influence. Tj,. 'Y~- TESTATRIX ~~ ~'~ ~ -, ~,(({ ~ , r ~ 1T1 \ 1/ ,1 ~ 1\ n ~ ~~~]~ t~ ~~r 1 .. iTNESS sworn to and acknowledged before me by JANET M. HARPEL, the Testatrix, Subscribed and d sworn to before me by 1~iIAX J. SMMTH, JR. and ALISA M. gUNKEL, witnesses, and subscribed an on this:', day of February, 2001 Notary Public A. v._...._n.. , ~~~~E~ NUYMELSt~: ~i~~P~~ +~TY~ ~ i~iY CflMYf~SI~ EXPl~F~ ~~~~ ~ ~~~~ ~ 5