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HomeMy WebLinkAbout01-10-13I ^ ~vV4• PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVp,NIA 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;1 the following and respectfully request(s) the grant of Letters in the appropriate form: Decedent's Information Name: MARIE T. HINKEL File No: ~ ~ ~ ~ ~ ~~ ~ ~~ i. _)' a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: 01/06/2013 Age at death: 0 .~t~ Decedent was domiciled at death in Cumberland County, pA (state) with his/her last principal residence at l6 Wiltshire East. Carlilsle. South Middleton Township Cumberland County _ ~itreet address, Post Office and Zip Code City, Township or Borough County Decedent died at 700 Walnut Bottom Road Carlisle, Cumberland Countv PA Street stddress, 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 $ _ 10,000.00 If not domiciled in Penns}~Ivania . .......................Personal property in Pennsylvania $ If not domiciled in Pennsylvania ........................Personal property in County $ Value of real estate in Pennsylvania ......................................................... $ TOTAL ESTIMATED VALUE.... $ 10.000.00 Real estate in Pennsylvania situated at: (Attach additional.rheets, i/ necessary.) Street address, Post Office and Zip Code City, Township or Borough A. Petition for Probate and Grant of Letters Testamentary Petitioner(s) aver(s) he,~she/they is/are the Executor(s) named in the last Will of the Decedent, dated ~ ` ~(1 ~ f thereto dated County and Codicil(s) State relevant circumstances (e.g. renunciation, death of executor, etc.) Except as follows: after the execution of the 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 victirn 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., per~dente lite, durante absentia, durante minaritate 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 beeu;established as defined in 23 Pa. C.S. § 3323(g) and was neither the victim of a killing nor ever adjudicated an incapacitated pers~ ~ ~ ~ '~ 0 NO EXCEPTIONS ~ EXCEPTIONS ~ ~ e__ rye ~ Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the fo1~77--~~ ~ouse i (an ~,~ _, ~ #1~ (~ y).arld~irs (attach additional sheets, if necessary): t-.. _" ~ ,-• ;-s"8 C~ i i, fi' r ~: Name Relationshi .. ~.. A~d"dre§s •-~' ~ !~ .. - _. --~ ~ o --.7 ~.i Form RW-01 rev. 10/11/2011 Page I Of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF } ,. Official Use Only ,,~ , .. ~~~` : ( , Lli^ cr..1! I i Petitioner(s) Printed Name Petitioner(s) Printed Address ~ ,. ~: L ~ C f 4: G U-, ~ S ~~ - ~lr ~ Ci /S-_ 'rt 1. ~ ~ ~ ~ /y ,} ...~ U 1. ~- ~ ( I 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) of the Dec dent, the Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed artd subscribed before ~ D ~~ ~Z~~ ~-E--~/-~'~ gate ~ ' /~~~ ~~ ~- me this~_~+,`_ day of ti r~r ~ ; ~, ~~~ U .~ t~ r"~ ~~ - Date I ~~ ~ ';. By: ~ '~ ;' j k' ~ ~~_ ~ 'j i, ~ j Date ~~ ForTlie Regi.~ter• Date BOND Required: ~ YES NO FEES: Letters ..................... . ( (~, )Short Certificate(s)..... . ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other .•.••••• fit' ~ ....... iill~ i/~~`~~'fi7.711. ~ .... $ _'~~'~ ;~,i~, i i _ 1` i J _l( e Automation Fee . .............. _._ JCS Fee . .................... ..__ TOTAL ..................... $ I ~ j \ , ~,C 0.00 To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature: Printed Name: William Douglas Supreme Court ID Number: 37926 Firm Name: DOUGLAS LAW OFFICE Address: 43 W SOUTH ST CARLISLE PA 17013 Phone: 717-243-1790 Fax: 717-243-8955 Email: slp~iglash<<,nPar+hlink net DECREE OF THE REGISTER Estate of MARIE 7'. HINKEL a/k/a: __ AND NOW,. ~~ ! 1 ~ ' ~~ ~ ~ ~ , ~,~.> , in consideration of the foregoing Petition, satisfactory proof having beet) presented before me, IT IS DECREED that Letters ~~_ are hereby granted to ( ~' ~ G, f l~l ~ ~` ~ iC~' ~: r ~ ~~ ~ ~ ~~ , ~ ~ .ti ~ ;~ ~ , ,~ ~ in the above estate anti (if applicable) that the instrument(s) dated ~~ i ~ I l` i ' ~~ ~ %~ ~-. -- described in the Petition be admitted to probate and filed of record as the last Will (azid Cedicil(s)) of Decedent. Re~> ter of Wills - ~; . , File No: _ ~'~ ~ ~~~ ~ ;~ FormRW-02 rev. 10/1!'2011 P2~E 2, Of 2 LCICAL REGISTRAR'S ~CERTIFI~ATION OFD aEATl-1 'WARNING: tt is, illegal to duplicate this c.•apy by photostat or photo±graa~l~. C O ~ I y=' ' ~ ~` ~ L Fey for this certificate. 5f,.;?(} r - - ,~}- V `~ ~~(~(~ . _ ><~ I (i, [, ~( ( )((~ ~ ~(~ re mtorn~at)on here g)~en )s ~;a'~~.A -- r,N,y~; ~rn[ct I~ L(+~ie(i 1)(r > ~;~~ c>ririn (1 Certit)cate. i)t lleath :'.~ ~~~~ ~ ~ ~: ~ J lr ,L ) r ,,'moo, ~ ~` ~,' , ~:[iv~ 1(i~,9 tv iEil l,(~ (•, l)c~(I Rc~i~trar The or) rina] r~ .. I ~~, _~ ~~ -'(IJ(E~aC~ ,~t1i) hi i~,_~t;li'(jeC~ Y[~ t(le ~>(.11C ~/1[~~ e o, i~v v ~ ~:~ ~~CCOI~C~1 ~)f!7i'L ~l ~ '~~'Fill,tiit'ill tl~lll~. - - ; ~, _ r o~~9 ,~~ r I ~` ~ C „I. MENT C1 \ --- _ _ - ~ ~ __ _----~._ ert)f)catton ~]umhcr as , ~ ~,,,~ ,,,,~ _~,,, -_ . Type/Print In COMMONWEAL P TH OF PENNSV LVANIA DEPARTMENT OF HEALTH VITAL RECORDS ermanent Black Ink CERTIFICATE OF DEATH 1. Decade nt's Legal Name (First, Middle, Le St, Suffix) 2. Sex 3. Social Security Num berac ry4. Date of Cleath (MO/DSy/V r) (Spell Mo) Marie T. Hirtlcel Female 162-34-7955 Januar 6 2013 Sa. Aga-Last Birthday (Ves) Sb. Under 1 Year Sc. Under 1 Ds 6. Dat! 01 Berth (Me/Day/Vear) (Spsli Month) 7a. Birthplace (City and Stale or Foreign Country) 71 Months Days Hours Minu<es C8Ylia le Pennsylvania May 7, 1941 ]b. Birthplace (County) Ctlmber land 8a. Residen a (Stet! or Foreign Country) 8b. Residence (Street and Number -Include Apt NO.) Sc. Old Decedent Live In a TOwnzhipT PennsylVBn is Q Yes decedent lived In tw ad. Residence (county) 16 Wiltshire East , p. Cumberland 8e. Residence (rp code) 17015 ®NO, decedent lived within emits of Carlisle cRy/boro. 9. Ever in US Armed Force s7 10. Marital Status. at Time of Death Q Married ® Widowed 11. Su rvlYing Spouse's Name (If wife, give name prior to first marriage) Q Ves ® No Q Unlcnpwn Q Divorced Q Never Married Q Unknown 12. Father's Name (FIrEi, Middle, La St, Suffix) 13. Mother's Name Prior fo First Marriage (Fl rsi, Middle, LasT) Davidson C. Rice Mar E. Eckenrode 14a. Informant's Name 14b. Relationship to Decedent 14c. Informant's Melling Address (Street and Number, Clty, State, Zip Code) o Violet Lebo Sister 113 S rin view Road Carlisle Penns lvania 17015 C _ _ _ _ _ _ _ _ 15a. P ace o Deat ec on Lr one _ _ _ _ _ _ _ _ _ 1! Death Occurred In a Hos,prcal: ^ Inpatle nt IH Death Occu recce Somewhere OTher Than a Hospital ^ Hospice Facility b Decedent's Home ° q Q Emergency Room/Outpatient Q Dead on Arrival 1 ® Nursing Home/long-Term Care Facility Q Other (Specify) u ..) iSb. Facility Name (If not Ins<Ituelo n, giv! serest and na mbar) 15c. City or Town, State, and 21p Code SStl. County o/ Dlaeh Foreat ParK )9ealth Care Center 16 M th d f Di i i Carlisle, Pennsylvania 17013 Cumberland a. e o o spos t on Q Burial ® Cremation Q Removal from State Q Donation p other (spedfv9 16b. Dat! of DisposiTion ~- 9-.'Le1, 16c. Place o7 Disposition (Name of cemetery, crematory, Or other place) Cremation Soc iet o£ Penns lvania y Y i S 16d. Location 01 Disposition (Ci<y Or Town, State, and Z.Ip) 1]a. Signature ral Service Licensyle or Person In Charge of Interment 1]b. License Number & Harrisburg, Pennsylvania 17109 FD-013376-L E 17c. Name and Com plate Address of Funeral FaclllTy c4. Auer Cremation Services of Penns lvania Inc. 4100 Jonestown Road Harrisbur Penns lvania 17109 ~ 18. Decade ni's Education -Check the box that best describes the 19. Decedent Of Hlspsnic Origin -Check the 20. Decedent's Race -Check ONE OR MORE races to indicate what r- highest degree or level of school completed at the time of death. box [hat best describes whether the decedent [he decedent considered himself or her:telf to be. Q 8th grade or less Is Spanish/Hispanic/Latino. [heck the "NO" ® While [~ Korean Q No diploma, 9th - 12th grade box if decedent Is not Spanish/Hlspa nlc/Latino. Q Black or African American Q Vietnamese ® Hlgh school graduate or GED completed ® No, not Spanish/Hispanic/Latino Q Amerlcin Indian or Alaska Native Q Other Asian Q Some college credit, but no degree Q Yes, Mexican, Mexican American, Chicano Q Asian Indian Q Native Hswaiian Q A550ciete degree (l.g. AA, AS) ~ Yes, Puerto Rican Q Chinese Q Gua manlan or Ghamorro Q Bachelor s degree (e.g. BA, AB, BS) Q Ves, Cuban ~ Filipino Q Samoan Q Master's degree (e-E:~ MA, MS, MEng, MEd, MSVJ, MBA) ~ Ves, other Spa nlSh/Hispanic/Latino Q Japes Haze Q OTher Pacific Islander Q Doctorate (e.g. PhD, EdD) or Professional degree (Specify) Q Other (Specify) . MD DDS, D\/M LLB JD 21. Decedent's Single Race Self-Deslgnatlon -Check ONLY ONE to indicate what the decedent considered himself or herself to be. 22a. Decedent's Usual Occupation -Indicate type of work ® White Q Japanese Q Sa moan done during most of workinll life. DO NOT USE RETIRED. ~ Black or African American Q Korean Q OTher Pacific Islander Q American Indian or Alaska Native Q Vie[na maze Q Do n'f Know/Not Sure Of £iCe S+IO r1Cer Q Asian Indian Q Other Asian Q Refused 226. Kind of Business/Industry Q Chinese Q Native Hawaiian Q Other (Specify) Q Filf pino Q Guamanian or Cha morro Ph Oile Comp any ITEMS 23a - 23d MUST BE; COMPLETED 23a. to Pronounced,Dead (MO Day r) 23b. Signature of Person Pronou ncing Death (Only when appilca bee 23c. License Number BY PERSON WHO PRONOUNCES OR / ~O •~ +~~ /~~ ~{s~(~ SL CERTIFIES DEATH ~P L--~ ,C d. Date Signed (Mo/Day/Yr) 24. a f9/e h Cx~~ ~~ / `~ 25. Was Medico Eza miner or Coroner Co ntacfed? Q Ves No CAUSE OF DEATH ~ Approximate 26. Part I. Enter the L~1ain of a ants--diseases, injuries, o mpiications--that directly caused the death. DO NOT enter terminal ev n[s such a ardiac a est, I Interval: r e res piretOry arrest, or ventricular fibrillaTlon without Showing the etiology. DO NOT ABBREVIATE. Enter only one cause on a lin e. Add additional Ilnes if n¢cessa ry. 1 Onset to Death {.~ / { yL-~ , t I / / / / ~J IMMEDIATE CAUSE ------/ ~ ~/l ~ !/Lr_~ iv ~ I _ S/ ~ - ~T ~_!~a 1 ~ ~ (Final disease or contlition T Due to (or as a consequence of): I resulting in death) I b. I Sequentially list co nditlons, Due to (or as a consequence Of): I if any, leading to the c 1 listed on Tine a. Enter the I UNDERLYING CAUSE Due to (or as a consequence of): I (tllsease or Injury that I Initlaced tna eyen[5 re5wting a. _ I In death) LAST. Due to (o as a consequ nc¢ ofj: ~ aaj 26. Part 11. Enter other trib ten but not resulting in the underlying cause given In Part I. 2]. Was an autopsy pe med7 ° Q Ves No ~ 28. Were autopsy findin s ailable to complete the cause of tleath? F+ Q Yes No i 29. If Fe 30. Did Tobacco Use COntrlbuta to Death? 31. Ma of Death o - Not pregnant within pa si year Q Yes Q Probe bey ifural Q Hemicide Q Pregnant et time of death No known Q n Q Accident Q Pending Investigati n ~' Q Not pregnant, bu+: pregnant within 42 days of death m Q Sui<Ide Q Could not be tleter fined r. Q Not pregnant, but pregnant 43 days to 1 year before dea<h 32. Date of Injury (MO/Day/Yr) (Spell Month) Q Unknown if pregne nt within the past year 33. Time of In)ury 34. Place of Injury (e. g. home, construction site; farm; school) 35. Location of Injury (Street and Number, City, County, State, Zip Cade) 36. Injury at Work 37. If Tra nspo rtatlon Injury, Specify: 38. Describe How Injury Occurred: ~ Yes Q Drives r/Operator Q Pedestrian Q No Q Passenger Q Other (Specify) 39a. Ce -physic la n, certified n e pracfltfoner, medical examiner/coroner (Cheek only one): car ertlfying only - TO the best y I o tlge, death occurred due to the cause(s) and manner stated. e Q Pronou n<Ing 6 Certifying - the f my 1 ledge, death Dacca reed at the time, date, and place, and due to the cause(s) and manner s<ated- Q Medical Examiner/Cero O asis o Inafion and/or investigation, in my Dpi neon, tleath occ d a[ t ime, date, and place, antl tlue to the causes and m stated. Si t f ifi ~ 7Z-t ~~ gna ure o cert er:_ -- Title of certifier:~ License Number: 39b. Name, AdtlrlSS d Zip ode f P rson C eating Cause of eath (Ite 26) , / 39c- Da Sigp d o/Day/Yr) .z ~ oG ~~ /V`~~ ~ c~ 7ZYr ~ 40. Reglstra is Disf rict Number 41. Reg res is Signature . 42. R Istrar F'Ile Date (MO Day r) ,~ ~z~t{ I~.~C~ t- o~--a 6 ~ ~ 43. Amendments '1 H 105-143 Disposition Permit No.- U~~ l~~~f __ REV 07/2012 .F . Last Will and Testament of Marie T. Hirilcel ~ ~~ r._ i .~ ~ © W '') C: ~ Q7 "~: J s ~ C7 f~l -.~ r) C ~`T .. C e .~ ~. ~ _a ~ I, Marie T. Hinkel, of the South Middleton Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, declare the following to be my last will and testament, hereby revokin€; any and all wills heretofore made by me. It@~1'1 I. I direct my executor hereinafter named to pay all my just debts, funeral expenses and any inheritance tax which may be due as the result of my death. Item II. I hereby give, devise and bequeath the rest, residue and remainder of my estate to my brother Clair D. Rice and my sister ViolE~t M. Lebo, in equal shares. If either should fail to survive me their share shall go to the surivor. Item III., I hereby nominate and appoint my brother, Clair D. Rice and/or my sister, Violet M. Lebo to serve as executor(trix}, and direct that said individual(s) be permitted to serve without bond. IN WITNESS WHEREOF, I hereunto set my hand and seal this 10th day of Apri1201.2. Marie T. Hinkel I 1 • ~ 1 ~ . ~ 1 COMMONWEALTH OF PENNSYLVANIA COUN~`Y OF CUMBERLAND I, Mari<~ ~. bIinkel, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my last will, that I signed i~t willingly, and that, I signed it as my free and voluntary act for the purposes therein expressed. Marie T. Hinkel Sworn to and subscribed before me this 10th day of April, 2012. Notary C H~a1hK A. aatbpK, Mo4~y PubMc rNsN sorouph MY COmmksion Exp~~ 11M~13 ~. signed, sealed, published and declared by the above named testator, a,s and for they last will and testament, who at their request, in their presence, in our presence, and in the presence of each other have hereunto subscribed our names ais attesting witnesses: ~. --- ~` - COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND _ and ~ ~ , ; _ ~ ---- We, ~~ I ~ t:he witnesses whose names a signed to the attache or foregoing instrument, being. duly qualified acco g to law, do depose and say that we were present and saw the testator sign nd execute the instrument as their last will, and that it was signed willingly and executed as their last will, and that it was done freely and voluntarily for the purposes therein contained, that each of us in the hearing and sight of the testator signed the will as witnesses;. and that to t;he best of our knowledge, the testator was, at that time, 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn to acid subscribed before me this ]LOth day of April, 2012. ~' ~-c=- Notary Nolnlal ~ Heather A. 8arbbur, Ilo1N~ Pg61ic Carlisle t3orouph, C~rA~M1MtMCouagl MY Commission Exphrs 11M~13