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HomeMy WebLinkAbout02-07-13PETITION 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: Jennifer A. Maraush Decedent's Information Name: E. Jeanne (Hogue) Recht File No: 21-13 -- ~ `~~ a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: 01/26/2013 Age at Death: 93 Decedent was domiciled at death in Cumberland County, pA (State) with his/her last principal residence at 117 Green Ridge Lane, Newville 17241 West Pennsboro Cumberland Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 117 Green Ridge Lane, Newville 17241 West Pennsboro Cumberland PA Street address, Post Office and Zip Code City, Township or Borough County State Estimate of value of decedent's property at death: ~ /f domiciled in Pennsylvania ...................... All personal property $ ~~~J~7) ~C~ If not domiciled m Pennsylvania ................ Personal property in Pennsylvania $ If not domiciled /n Pennsylvania ................ Personal property in County $ Value of real estate in Pennsylvania ................................................................... $ TOTAL ESTIMATED VALUE S Real estate in Pennsylvania situated at (Attach additional sheets, if necessary.) Street address, Post Office and Zip Code City, Township or Borough County ® 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 g ~ and Codicil(s) thereto dated State relevant circumstances (e.g., renunciation, death of executor, atc.) 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 victim 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., pedentelite, duranteabsentia. duranteminoritate If Administration, c.ta 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,pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323 (g) and was neither the vlctim of a killing nor ever adjudicated an incapacitated person. ^ NO EXCEPTIONS ^ EXCEPTIONS Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the following ~ use (if any) ~ heirp~a additional sheets, if necessary): O •-n ~ GD~p ~ !l~ Name Relationship Address ~''" to ~ p o c ~ c=~ "*~ ~ ---.- rv s Form RW-U2 rev. 10-11-2011 Copyright (c) 2011 form software only The Lackner Group, Inc. Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } COUNTY OF ~~ } SS: „ } To the Register of Wills: Petitioner(s) Printe Name Petitioner(s) Printed Address Jennifer A. Margush 5619 Waltersdorff Road Spring Grove, PA 17362 717.578 .3739 1 4w ~~ co .ti te x' rn r ' ~ ~7 ~`' ~ ~ G? ~ C7 ~ `t~g © ~ (~J ' r U ~ nc r cuuvuc~ia/ auvvc-nanicu swcat~s) or amrm~SJ Irle SLalemenlS In Ine Tore oing Netltion are true and correct to the best of the k ledge and ,..,,~ belief of Petitioner(s) and that, as Personal Representative(s) of the Deceden etitioner(s w'Il well and tru administer the estate ordi t lawf,,~'a Sworn to o_raffirmed an subscribed before Date o~ me this ~ day of ~ U / 3 Date BY~ Date r ist ~ V K COUNT/ Date °~"Y COMM~ION SIRES sonl,°,~e~YJl1~~4N L~9F~2016 FEES: `. „ ;, ~ Letters ..................................... $ ~ ~, , ..... ( 5 )Short Certificate(s).... ..... `' ( )Renunciation(s) ......... ..... ( )Codicil(s) ................... ..... ( )Affidavit(s) ................. ..... Bond ....................................... ...... Commission ............................ ...... Other ~-nhPf ~ -I CL11 '~ CVO; ~c~~ t;.f r1 l r . D~ } '.l.rti~rP,r ~ti~~ ~.i - 5 ~ ~ ~~ 1~ i ~~ `h ~ ~~~ Automation Fee ....................... ..... ~7 , ~,L~ JCS Fee .................................. ..... ;2:~.~C TOTAL .................................... ..... $ i ~ ~ ~ 5~~ DECREE OF THE REGISTER Date of Death: 01/26/2013 Social Security No: Estate of E. Jeanne (Hogue) Recht File No: 21-13-/~~ a/k/a: AND NOW, ~~ ~ >'~ i, ~t _L-~ r~J-- , in consideration of the foregoing Petition, satisfactory proof having b en presented before me,. IS DECREED that Letters Testamentary are hereby granted to Jennifer A. Margush in the above estate and (if applicable) that the instrument(s) dated _ described in the Petition be admitted to probate and filed of record as Will (and Codici~l S)) of Decedent. / ':. Register of Wills ~ ! (~ y' ~ ~ :..~ ~(, ~ l/!~ ; Copyright (c) 2011 form software only The ckner Grou nc. Official Use Only riease enter my appearance by my signature below: Attorne urJ~~r~;~ Printed Name: Richard R. Reilly Supreme Court ID Number: 61772 Firm Name: Address: 54 N. Duke Street York, PA 17401 Phone: 717-843-5355 Fax: 717-845-6761 E-mail: richardreilly@verizon.net 1. ae2of2 ~T rn~ c~ ,.~ ~- r'rt r :'U O ~- _~ ~.y~ `r ^,~ j ~-- Hliic k/1c Rr. ~. ,o~~ LOCAL REGISTRAR'S ,CERTIFICATION OF DEATH ~~~~s~IFefg~~Q~'tiplicate this copy by photostat or photograph. REGISTER OF WILLS Fee for this certificate, $6.00 7,h• , • . -~ 1~~3 FEB '~ ~~ ~~ tt~ (s (s to cert)fy that the mtormatxm here given is t correctly copied fr(~m an original Certificate of Death CLERK ~~ duly filed with me a~ Local Registrar. The original certificate will he Forwarded to the State Vital ORPHAN$~ CUURT Records Office for permanent filing. ( ~ ~_ , CUMBERLAND CO., PA --~ Certification Numbe( - ~ 2 201 'O Loca( Re ish-ar € llate Issued Type/Print in COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH .VITAL RECORDS Permanent Black Ink 1 D ' CERTIFICATE OF DEATH . ecedent s legal Name (First, Middle, Last, Sufflz) State File Number: E_ Jeanne H. Recht Sa A e_L 2. Sex 3. social Security Number 4. Date Of Death Mo/Da /Yr) (S ( Y Pell MO) emal 203-10 53 /t~ . g ast Birthday (Yes) 93 56. Under Months 1 year Days Sc. V nder 1 Da Hours Mi 6. Date of Birth (MO/Day/Vear) (Spell Month) - 82 January 2 6 , 2 p 1 3 7a. Birthpl (City and St t O( nus es petober 19 , 1919 a e or Foreign Country) ~f.~t/LS /qq) 8a. Residence (State or Fore ign Country ) 8b. R esidence (Street and N umber - Include A t N ) P o B D d fib. Birthplace (County) ed. Residence (county> 1 1 7 Green - R i dgEa Ln c. i Decedent Llye in a TownshipT ~. Ves, decedent lived In West p ~ Cumber 1 a n d lz '"7 twp . 9. Ever In US Armed Forces? 30. Mari ae. Residence (Zip Code) tal Stat T Q No, decedent lived within Ilmlts of us at city/boro Q Ves No ime of Death Q Married Q WI owed 11. 5u rvivin S pr Q Unknown ~ Divorced Q Never Married Q Unk g Pouse's Name (If wife, give name br to first m i . 12. Father's Name (First, Middle, last, Suffix) now arr age) n ames Burden Ho ue Sr 13. Mother's Name Prior to First Marriage (First, Middle, Last) g . 14a. Informant's Name 14b. Rela[lonshl to Decedent Kenneth Hogue Broth 1 r n tan Number, sty, Sta ) Zip r "' _ _ ___ - er g S E W O O d 1 ~ R d York c c ~ _ If Death Occurred in a Hospita Y: """'-- "-"""-'-"""•---•--••••• In Patient ace o Deat ec on y one e-...........a ...................................... . ;If Death Occur d S • 6 Eme ency Room/Outpatient Q Dead on Arnyal 156 Facilit N ~ F = re omewhere Other Than a Hospital; ............... ......... . Ho pace acllity ••~ • ~ Decedent's Home Nursing Home/Lon -T C • _. ~ . y ame (If not Instltutlon, give Street and number', Green Ridge Vill g erm are Facility Other 5 15c. City or Town, State, and Zlp Code ( p"cify) age 16a Method f Di Newville, PA 17241 15d.000ntyofDeath . o sposition Q Burial Cremation Q Removal from State 0 Donation 16 b. Date of Dlsposltian 16c. Place of Dis Cumber 1 a n d position (Name of cemetery, crematory, or other place) ocher(speclfy) 16d. Location of Ol 1/29/2013 ugan Funeral Home 8~ Crematory sposltion (City or Town, State, and Zip) 5 1 Asper D r_ S h i pp e n s p 17a. Signat~rE. of Fu ral 5 _ rvice u e nr Person In Charge of Interment v~ltcenie~y{nha ITC Name and C /, J ~ L llJ 11 it:SS ``~J-' y~ 4 5 m plate Address of Funeral Fa cllity E er Funeral ~i~ome Inc 15 Bi S i ~ 18. Decedent's Education -Check the boz chat best describes the highest degree or level of scho l r n Ave_ 19. Decedent of His ~ W l o completed at the time of death Q Bth grade or less . box that best descrlbes wo ther the decedem Q No diploma, 9th - 12th grade Is Spanish/Hispanic/Latino. Check the "NO" ® High school graduate or GED completed Q S box If decedent Is not S panlsh/Hispanic/Latino. No ~ not Spanish/Hl l ome colle ge credit, but no degree Q Associate degree ( g_ AA, AS) , , span c/Latino Q Yes, Mexican, Mexican Amerlea n, Chicano e Q Bachelor's degree ( .g. 6A, Ag, BS) ' Q Yes, Puerto Rican Q Yes Cuban Q Master s degree (e.g. MA, MS, MEng, MEd, MSW, MBA) , Q yes other S i h Q Doctorate (e.g. PhD, Ed D) or Professional degree , pan s /Hlspanlc/Latino . MD pD5 DVM, LLB, JD (SPecify) 21. Decedent's Single Race SeIf~~Design ation -Check ONLY ONE to in ® White dicate what the decedent considered himself Q Japanese Q Black or African American Q Korean or ~ Samoan Q American indlan or Alaska Native Q Vletna mese Q Asf I di Q Other Pacific Islander Q Don'T Know/Not S an n an 0 Other gsian Q Chinese ure [] Refused Q Native Hawaiian ~ Other (Specify) Q Filipino [~ Guamanian r Chamorro ITEMS 23a - 23d MUST BE COMPLETED BY PERSON WHO PRONOUNCES OR 23a. Date Pronounc d Dead (MO Day r 23 b. Signature of Person Pn CERTIFIES DEATH Any a 6 ao/3 23d. Date Signed (MO/Day/Yr) 24. Time of~De I h` P M - F E °~ Domestic y whenwhen a 26 P - ra.ar examiner or Coroner Contacted? Q Yes B' SE OF DEATH . art I. Enter the chain of events- respiratory arrest t -diseases, lnjurtes, or compllcadons-CA U Y caused the death DO , or ventricular . flbnllation without showing the etlolo NOT enter term lnal events such as cardiac arrest gy. DO NOT ABBREVIATE Enter l IMMEDIATE CAUSE . on y one cause on a Tine. Add additlanal IIneS If necessary ~ (\ (Final disease or condition <<. -- ~ T'^ resulting in death) D e to (or as a consequence of): - Sequentially list conditions, b. If any, leading to the cause Due to (or as a consequence of): Ilsted on Ilse a. Enter the UNDERLYING CAUSE (d lsease or Injury that Due to (or as a consequence of): initiated the events resulting in death) LAST. d, Due to (or as a consequence of): not resulting In the underlying cause given in Part 1 B--Not pregnant within pas.[ year Q Pregnant at time of death Q Not pregnant, but pregna of within 42 days of death Q Not pregnant, but pregnant 43 days to 1 year before death Q Unknown if pregnant within the past year 'lace of Injury (e. g. ho e, consT ruction site; farm; school) Q Yes p Probably Q N° ~nknown Approximate Interval: Onset to Death to complete the cause 31r. -My~~a~nner of Death p •~atU ral Q Homicide Q Accident Q Pending Investigation Q Sulc ide Q Could not be determined a. injury at Work 37. If Transportation Injury, Specify: 38. Describe How I Q Yes Q Driver] Operator Q Pedestrian nlury Occurred: Q No Q Passenger Q Other (Specify) 39a. Ca r (check only one): ertlfying physician - To the bast of my knowledge, death occurred due to the cause Q Pronouncing E4 certifying physician To [he best of my knowled (s) and Banner stated e de f , a Q Medical Examiner/Coroner - On th asis of a aminaHOn, and g Ea ccurred at the tim ,Bate, and place, and due to the cause(s) and manner stated /or irnesYl tion i , ur n my opinion, deathf\ red at the time, date, and place, and due to the cause(s) and mann Signature of certlfler: . O / er stated Title of certifier: , j 39b. Name, Address and~p Code of Com Jail License Number: Q d ~ O '~- t ~~ E. p ng Cause of Death (Item 26) t ~ j ~1~i V r S it C S ~• ~ A~ !, /T }-+^ / 39c. Date Slg~ed (Mo/Day/Vr) 40. Registrar's D strict Number f 1 /-) (/ '2 p ~j "' . ( ~ 3 41. Registrar's ~ p~,-~'Q ~ ~ 42. Re Istra rCF]Ila Date Mo Day r) - 43. Amendments 2 Disposition Permit No. ~~~~ ~~ \ H1O5-143 _ REV D7/2011 11e, PA 17241 ZO D de i soR Check ONF OR MORE ra es to Indicate what the decedent c nsidered himself or herself to be. (~ White Q Korean Q Black or African American Q Vletna mesa Q American Indian or Alaska Native Q Other Asian Q Asfan Indian Q Native Hawaiian Q Chinese ~ Guamanian or Chamorro FIII I O P no Q Samoan Q Japanese Q Other Paclflc Islander Q Other (Specify) self to be. 22a. Decedent's Usual Occupation - Indicate type of wort done during most of working Ilfe. DO NOT VSE RETIR'c D. Homemaker LAST WILL & TESTAMENT of E. Jeanne (Hogue) Recht I, E. Jeanne (Hogue) Recht, of Cumberland County, Pennsylvania, residing at 117 Green Ridge Lane, Newville, PA 17241, declare this to be my will, hereby revoking all prior wills and codicils made by me. PAYMENT of DEBTS, FUNERAL EXPENSES & DEATH TAXES FIRST: I direct the payment of my just debts and the expenses of my last illness and funeral as soon as may be convenient after my death. I further direct that all inheritance, estate and other death taxes, together with interest and penalties thereon, of whatever nature and by whatever jurisdiction imposed, shall be paid as an administrative expense of my estate. DISTRIBUTION of ESTATE PROPERTY SECOND: I give the rest, residue and remainder of my property (real, personal and mixed) to my niece, Jennifer A. Margush, provided she survives me for a period of thirty (30) days. In the event Jennifer fails to so survive me, her share shall go, in equal shares, to her issue. POWERS of EXECUTOR THIRD: In addition to and not in limitation of the powers conferred upon executor by law, I authorize the exercise of the following: (a) To hold, or to sell at public or private sale, without order of court, or to lease and exchange, any real or personal property composing my estate and to compromise claims; ~,_... .. ~ "l . Jeanne- (Hogue) Rech (b) To establish a trust and appoint a Trustee for the benefit of any beneficiary under 21 years of age. The Trustee in his/her sole discretion may allow early payments for the purpose of post-secondary education after considering all other available resources; and (c) That my executor shall not be required to furnish security in any jurisdiction. APPOINTMENT of EXECUTIX FOURTH: I appoint my niece, Jennifer A. Margush, executrix of my will. If Jennifer predeceases me or is unable or unwilling to qualify, act or serve as my executrix, or having qualified and/or served is unable or unwilling to continue to serve, I appoint my brother, Kenneth E. Hogue, Sr., executor of my will. _.~ s DATED: August ~_, 2011. .;-~ ~. ~~ 7~~ ~ --_--..-. E. Jea ne (~Iogue) Recht Signed by E. Jeanne (Hogue) Recht, the testatrix, as her will, in the presence of us, who, at her request, in her presence & in the presence of each other, have signed our names as witnesses. ~~? ~ ~*~. ~ ~ ~ T ~~~5~ _ ~~? Witness Address Witness Address 2 ACKNOWLEDGMENT A1vD AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF YORK E. Jeanne (Hogue) Recht, the testatrix in and the undersigned witnesses to the will, the attached or foregoing instrument, who have signed the instrument, having been qualified according to the law depose and say: (a) that I, the testatrix, do hereby acknowledge that I signed the instrument as my will, that I signed it willingly and as my free and voluntary act for the purposes therein expressed; and (b) that we, the witnesses, were present and saw the testatrix sign the instrument as her last will, that she signed it willingly and executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testatrix signed the will as a witness and that to the best of our knowledge the testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. ~- '~ ~.v~ '-~ E. Jeanne (Hogue) Rec RICHARD R. REILLY ATTORNEY AT LAW (717) 843-5355 Offices at the Corner of.• Duke & King Streets 56 SOUTH DUKE ST. YORK PA 17401-1402 Fax: (717) 845-6761 t~ Witness ~ ~~~ Witness Sworn or a, f~ j"irmed to, subscribed and acknowledged before me by the testatrix and the aforementioned witnesses this ~ day of August, 2011. i~ Notary Public COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL Pauline E. Gima, Notary Public City of York, York County M commission expires February 02, 2014 3