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HomeMy WebLinkAbout02-20-13PETITION 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: Cynthia A. Sell Decedent's Information Name: Hazel B. Hunn a/k/a: a/k/a: a/k/a: Date of Death: 01/22/2013 Decedent was domiciled at death in Cumberland County, File No: 21-13 -- /1 ~~. (Assigned by Register) Social Security No: Age at Death: 100 PA (State) with his/her last principal residence at 824 Lisburn Road, Apt. 229, Camp Hill 17011 Lower Allen Cumberland Street address, Post Office and Zip Code City, Township or Borough County Decedent died at Carolyn Croxton Slane Residence Harrisburg Dauphin 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 $ If not domiciled in Pennsylvania ................ Personal property in Pennsylvania $ If not domiciled in Pennsylvania ................ Personal property in County $ Value of real estate in Pennsylvania ................................................................... $ 350,000.00 TOTAL ESTIMATED VALUE $ 350,000.00 Real estate in Pennsylvania situated at (Attach additional sheets, if necessary.) City, Township or Borough ® 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 thereto dated 09/24/2010 Street address, Post Office and Zip Code County 07/28/1999 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(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. ® 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., pedente lite, durante absentia. durante minoritate 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 pending divorce proceedin 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 adgudicated an incapacitated persq~ ~.=:; ~ w ~' rn ^ NO EXCEPTIONS ^ EXCEPTIONS ~ ©' -Y-~ R;y~n Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the~lovvjn~spou~f an~ril~7Fteirs (attach additional sheets, if necessary): ~ ~ r N ~ ~~ ~ ~ ~ 0 ~ Name Relationship Address ~ ` ~ ~ ~f~~ ~ ~ ~ ~ -~ ~ ~ o I~-+ 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 COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF Cumberland } Official Use Only Petitioner(s) Printed Name Petitioner(s) Printed Address ~r Cynthia A. Sell 2299 Forest Hills Drive '~ Harrisburg, PA 17112 ~~i3 FE8 '~ fl ~~1 8 ? 1 C~.ERK ~~' CUMBERL~~~ C., ~'A 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) oft Deceden Petitlone (s) will well and truly administer the estate according t law. Sworn to or affirmed ands scribed before ~ ` ~ Date ~ o?O ~O 1 me th's day of 6 l /LO !~ Date By: Date or a Register Date BOND Required? ^ YES ^ NO FEES: Letters ........................................ . ( Short Certificate(s)......... ( )Renunciation(s) .............. ( )Codicil(s) ........................ ( )Affidavit(s) ...................... Bond ............................................ Commission .................................. O r ~~ G ~ ' ~ . o~ ,d ~ /~~~ ~3~ ,~": as C ~ ~(~ Automation Fee ............................ JCS Fee ....................................... TOTAL ......................................... $ '~ To the Register of Wills: Please enter my appearance ay my signature 4eiow: Attorney Signature: ~~ r 4~~~~" ~ "7 Printed Name: Michael L. Bangs Supreme Court 41263 ID Number: Firm Name: Bangs Law Office, LLC Address: 429 South 18th Street Camp Hill, PA 17011 Phone' 717/730-7310 Fax: 717/730-7374 E-mail: mikebangs@verizon.net DECREE OF THE REGISTER Date of Death: 01/22/2013 Social Security No: Estate of Hazel B. Hunn File No: 21-13 -- ~} 2!1 ~..., a/k/a: AND NOW, r ~~ ZD ~' , in consideration of the foregoing Petition, satisfactory proof having been pr sented before me, IT IS DECREED that Letters Testamentary are hereby granted to Cynthia A. Sell in the above estate and (if applicable) that the instrument(s) dated 07/28/1999 09/24/2010 described in the Petition be admitted to probate and filed of record as the~Ja~t ill (and Cod~il(s)) of Dece Register of Wills ~ Copynght {cj 2011 form software only The Lackner Group, Inc. j ~, ~~~~ Page 2 of 2 ~~ HIQ~.BUi REV 1`)~I11 .~1~-13~~~°~ f LOCAL REGISTRAR'S CERTIFICATION O~ ®EATH WARNING: It is illegal to duplicate this copy by photostat or phatograph. Fee for this certificate, $6.(30 P 19065768 RECCf~aEC CFFlCE OF {~-~~+~~~~~ ~F ~~~~~'"~-~~ t,,-,,,,;:;. phis zs t(~ ~crtii~~~ t}gat the inforrrlation here gi~~en is ; ~N OF,af =~ ~----~~.~+~~._ c~~rrr~ctly copied fi-om an original Certificate of Death %~°'~~ `f~° Duty filed with me as Local Re<*istrar. The ori~*inal c0I3 FEB 20 ''' ° ~~~~: ~~ g~ - ~ \~ «.r°iificate will be forwarded to the State Vital ~f 3-. ~a~ Reccn-d~. Ot~lice for permanent filing. ;- C LER K O F ~~ . ,Y ,~~1`,,,,, 0 R P ~~-'~~-~---- ~Q`~i'' ~~~ ~ ~ ' 15 013 NS ill,., HA GQUR -~-~t~E~~n~~ __-_ CU~fBERL.AtVD {r Q., p~ -,,,,,,,,,,,,,,I i_.)~~z1 Kegi~trar Dare lssu~.a COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH VITAL RECORDS Cer-titication Number Type/Print In )~ 4 G E W Black Ink CERTIFICATE OF DEATH State File Number: 1. Decedent's Legal Name (First, Middle, Last, Suffix) 2. Sex 3. Social Security Number 4. Date of Death (Mo/Day/Vr) (Spelt Mo) Hazel Bernice Hunn emale January 22, 2013 Sa. Age-Last Birthday (Vrs) Sb. Under 1 Vear Sc. Under 1 Oa 6. Date of Birth (Mo/Day/Yea r) (Spelt Month) 7a. Birthplace iSC_~ity and Sta a or Foroign~Country) Months Days Hours Minutes Milwau~ce e , W 1 100 January 1 S , 1913 7b. Birthplace (County) Milwaukee 8a. Residence (State or Foreign Country) 8b. Residence (Street and Number -Include Apt No.) Sc. Did Decedent Live in a Township? Penns lvania j32/~ Lisburn Rd _ ,Apt _ 229 )$~Yes, decedent lived in Lower A11en t,,,,p, Sd. Residence (County) Cumberland 8e. Residence (Zip Code) 17 1 1 QNo, decedent lived within limits of city/boro. 9. Ever in US Armed Forces? 10. Marital Status at Time of Death Q Married Widowed 11. Surviving Spouse's Name (If wife, give name prior to first marriage) Q yes ~ No Q Unknown Q Divorced Q Never Married Q Unknown 12. Father's Name (First, Middle, Last, Suffix) 13. Mother's Name Prior to First Marriage (First, Middle, Last) Fred Hemke Ida Klug 14a. Informant's Name 14b. Relationship to Decedent 14c. Informant's Mailing Address (Street and Number, City, State, Zip Code) g C nthia A. Sell Dau hter 2299 Forest Hi11s Drive, Harrisburg, PA 1711 ((-- .......................................................... ...P ................................... 15a. ace o eat _ ec on one _ •'Ya r .................................... ..............Y .................................. ........ ... .......... ... ... .. ....... ...... s If Death Occurred in a Hos ital: ~ "' "' """' "' ""' " " "' p In atlent :If Death Occurred Somewhere Other Than a Hospital: ~( Hospice Facility )~` ~ Decedent's Home ~ Emergenry Room/Outpatient Q Dead on Arrival Q Nursing Home/Long-Term Care Facility Other (Specify) 156. Facility Name (If not institution, give street and number, ~ 15 c. City or Town, State, and Zip Code 15d_ County of Death LL Carol n Croxton Slane Residence Harrisburg, PA 17110 Dauphin 16a. Method of Disposition Q Burial ~ Cremation 16b. Date of Disposition 16c. Place of Disposition (Name of cemetery, crematory, or other place) Q RemoO[her S Seci e Q Donation Januar 25 , Evans Crematory ( P fY) Z 16d. Location of Disposition (City or Town, State, and Zip) 17a. Signatur of Fu ra ervice LI ee or Person in Charge of Interment 176. License Number Schaefferstown, PA 17088 FD 013 340 L 17c. Name and Complete Address of Funeral Facility Parthemore FH & CS, =nc_, P.O. Box 431, New Cumberland, PA 17070 ~ 18. Decedent's Education -Check the box that best describes the 19. Decedent of Hispanic Origin -Check the 20. Decedent's Race -Check ONE OR MORE races to indicate what highest degree or level of school completed at the time of death. box that best describes whether the decedent the decadent considered himself or herself to be. Q 8th grade or less is Spanish/Hispanic/Latino. Check the "NO" ~ White Q Korean Q No diploma, 9th - 12th grade box if decedent is not Spanish/Hispanic/Latino. Q Black or African American Q Vietnamese ~ High school graduate or GED completed No, not Spanish/Hispanic/Latino Q American Indian or Alaska Native Q Other Asian Q Some college credit, but no degree Ves, Mexican, Mexican American, Chicano Q Asian Indian Q Native Hawaiian Q Associate degree (e.g. AA, AS) Q Yes, Puerto Rican Q Chinese ~ Guamanian or Chamorro Bachelor's degree (e.g. BA, AB, BS) Q Yes, Cuban Q Filipino Q Samoan Q Master's degree (e.g. MA, MS, MEng, MEd, MSW, MBA) Q Ves, other Spanish/Hispanic/Latino Q Japanese Q Other Pacific Islander Q Doctorate (e.g. PhD, Ed D) or Professional degree (Specify) Q Other (Specify) e. MD DDS DVM LLB JD 21. Decedent's Single Race Self-Designation -Check ONLY ONE to Indicate what the decedent considered himself or herself to be. 22a. Decedent's Usual Occupation -Indicate type of work rrg White Q Japanese Q Samoan done during most of working Hfe. DO NOT USE RETIRED. Q Black or African Amerlwn Q Korean Q Other Pacific Islander Q American Indian or Alaska Native Q Vietnamese Q Don't Know/Not Sure Elementary Sch001 Teacher Q Asian Indian Q Other Asian Q Refused 22b. Kind of Business/Industry Q Chinese Q Native Hawaiian Q Other (Specify) ~ Filipino Q Guamanian or Chamorro Education ITEMS 23a - 23d MUST BE MPLETED 23a. Date Pronounced Dead (Mo/Day r) 23b. Signature of Person Pronouncing Death (Only when applicable) 23c. License Number BY PERSON WHO PRONOUNCES OR CERTIFIES DEATH , 23d. Data Signed (MO/Day/Vr) 24. Time of Death - - - ~ 25. Was Medical Examiner or Coroner Contacted? Q Yes No CAUSE OF DEATH Approximate 26. Part 1. Enter the chain of events-diseases, Injuries, or complications--that directly caused the death. DO NOT enter terminal events such as cardiac arrest Interval: respiratory arrest, or ventricular flbriil~a'tio~n ~w(it~h'o~ut showi~n/g~th`e etiology. DO NOT ABBREVIATE. Enter only one cause on a line. Add additional Imes if necessary = Onset to Death IMMEDIATE CAUSE -----------a a. ~~ ~ •-~+, Q 1Q s S ~ ~ ~~ To jjL y PtYj-rZ 4 S '~ (Final disease or condition Due to (or as consequence of): ~/~ resuhing In death) b. >1~S ,(~ ~ «T s IO 1'y ~ `C ~/ M ~ ~ ~ • ~ ' Sequentially Ilst conditions, Due to (or as a consequence of): if any, leading to the cause (1~ S ~ `}~ ` ~ ,^ listed on Ilne a. Enter the c. J.J f V1 l~ UNDERLYINQ CAUSE Due to (or as a consequence of): ~ (disease or Injury that F Initiated the events resulting d. ~ in death) LAST. Dua to (or as a consequence of): 26. Part 11. Enter other sianif(cant conditions contributing to death but not resulting In the underlying cause given In Part I - 27. Was an autopsy performed? w Q Yes ~[ No ~ 28. Were autopsy findings available m to complete the taus of death? Q Yes ~ No 29. If Female: 30. Did Tobacco Use Contribute to Death? 31. Manner of Death Not pregnant within past year Q Yes Q Probably Natural Q Homicide Pregnant at time of death Q No [~ Unknown Accident Q Pending Investigation m Q Not pregnant, but pregnant within 42 days of death Q Suicide Q Could not be determined •°- Q Not pregnant, but pregnant 43 days to 1 year before death 32. Data of Injury (Mo/Day/Yr) (Spell Month) ~ Unknown if pregnant within the past year 33. Time of Injury 34. Place of Injury (e. g. home; construction site; farm; school) ~ 35. Location of Injury (Street and Number, City, State, Zip Code) 36. Injury at Work 37. If Transportation Injury, Specify: 38. Describe How Injury Occurred: Q Ves Q Dr(ve r/Operator Q Pedestrian Q No Q Passenger Q Other (Specify) 39a. Certifier (Check only one): Certifying physician - To the best of my knowledge, death occurred due to the cause(s) and manner stated Pronouncing 8a Certifying physician - To the best of my knowledge, death occurred at the time, date, and place, and due to the cause(s) and manner stated Q Medical Examiner/C ner - On th basis of examination, and/or investigation, in my opinion, deawth occurred at the time, date, and place, and due to the cause(s) andAmanner stated Signature of certifier. Title of certifier: M ^ License Number: M~ 4 Z 7 ~33 39b. Name, Address and ZI ode of erson C pletl Cause of Death (Item 26) A ~,~ jti7 ` ~ Q/ i _ _ ~~ 39c. D to Signed (Mo/Day/Yr) Try r ~oo~r~' ~r.~ w~, o ~ ~ ~ ~v 13 40. Registrar's District Number 41. Re tstra is Sig re 42. Re istrar Fi Date (MO Day r) i i~sdo 3~. 43. Amendments //~~~~C~ ~~ss ``aa H105-143 Disposition Permit No._V C~ ~ ~ .7 ~ V REV 07/2011 ~` s I, HAZEL B. HUNN, of Cumberland County, Pennsylvania, declare this to be my sole codicil to my last will dated July 28, 1999. ITEM I. I hereby revoke ITEM V of my will and in lieu thereof provide as follows: ITEM V. I appoint my daughter CYNTHIA ANNE SELL, of Harrisburg, Pennsylvania, as Executrix of this my last Will. Should my daughter, Cynthia Anne Sell, predecease me or otherwise fail to qualify or cease to serve as Executrix of this my last Will, I appoint my daughter CHARLENE SUE FOSTER of Ft. Lauderdale, Florida, Executrix of this my last Will. ITEM II. In all other respects, I hereby ratify, confirm and republish my last will dated July 28, 1999, together with this sole codicil as and for my last will. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~ `~~'~ day of ~~ ~ _ _, 2010. HAZEL B. HUNN ~ o `~`' ~:~ ~`T' - `~`? ~ ;;~ r* ~ c~ crn ::n r ; ~.,,,.~ ~ ~~ ~ ~ ~ ~ ~ ~ c.:. c~ = cx~ ~° rn ~-~ ~ .,~ sv -n 1 ••- Signed, published, and declared on the date hereof by the above-named testatrix as and for the sole codicil to her last Will dated July 28, 1999, in the presence of us, who at her request, in her presence, and in the presence of each other, have subscribed our names as witnesses hereto. ~~V~„~J~ ~'~ ~~ ~ ;~ 2 COMMONWEALTH OF PENNSYLVANIA ) ( SS.: COUNTY OF CUMBERLAND ) The undersigned, being the testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, does hereby acknowledge that I signed and executed the foregoing instrument as my sole codicil to my last will, that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. HAZEL B. H Suiorr. or affirmed to and acknowledged before me by the testatrix named above ~~.~~,;~~~~ ~~ i~~dt~~~`i_~,-~;~. a t~•.r~~day of ,~~Z , 2010. r~~a~l ~~~ ~!~ ~. ~t.~i, ~~~ Public ti ~ ~~ . ~ Lt~ r~•~ T~~~., Cis~r+,~er~and d:aur~ty My (~rt~..n E~res May 10, 2011 otary Publ' " ~ta~~n~ Ass4oiatt©~ of Notaries COMMON ` EALTH OF PENNSYLVANIA ) (SS.: COUNTY OF CUMBERLAND ) ;A WE. ~'~4,: .~~- ~ ~ ~°-~ ~~ and t ~.yv,~ ~,t~l,~~iv~'~L~J .the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the testatrix sign and execute the instrument as her sole codicil to her last will; that she signed it willingly and that she 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 codicil as witnesses; 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. A ~1.~/~.~ ,,, ~~ ~~ ~ Sworn or affirmed belt~r~ me this ~t ~, °' -~ Notary Publ' c ~ and ac o ledged day of , , 2010. nt ~~ ~- Public i~ ~ ~~a., Cumiacrtar~ bounty tcr~is~on E~ires May 10, 2011 P~ani~a Ass.ociataon of Notaries 3 ,~ ~~ f O'~icael Cam. C`J~unn I, HAZEL B. HUNN, of Lower Allen Township, Cumberland County, Pennsylvania, declare This io be m,' last v~.n Il and revoke any ~vi..l previoasiy made by me. ITEM I. I direct that all my just debts and funeral expenses, including my gravemarker -~ and all expenses of my last illness, and any and all taxes and assessments imposed by any governmental body as a result of my death, whether on property passing under this will or otherwise, shall be paid from my residuary estate as soon as practicable after my decease as a part of the expense of the administration of my estate. ~' ITEM II. I give and bequeath all of my household goods, automobiles, jewelry, and all other articles of household and personal use, equipment and ornament, together with all insurance thereon and relating thereto, to those of my issue, per stirpes, as survive my death by ~ ~, thirty (30) days. ~-' ITEM III. I give, devise, and bequeath all the rest, residue, and remainder of my '~ --~ ---~ possessions and estate of every nature and wherever situate to those of my issue, per stirpes, as survive my death by thirty (30) days. ITEM IV. All of the interests of the beneficiaries hereunder shall not be subject to, n ~ rn ~ 7n anticipation or to voluntary or involuntary alienation nor shall they be subject~ci ~y exe ~tio nn~r~ ~ "~ m attachment. ~ ~ r`" 'v r- ~ rn o '~' ~ ~ ~ ~~' °~ - ~ n ~ ~~~ ~ c7 ~ -~ ~~ n .~ ~ c~a i rn r 1 ~ ~ ~ U' -^ r' ITEM V. I appoint my daughter, CHARLENE SUE FOSTER, of Ft. Lauderdale, Florida, executrix of this my last will. Should my said daughter, CHARLENE SUE FOSTER, predecease me or otherwise fail to qualify or cease to serve as executrix of this my last will, I appoint my daughter, CYNTHIA ANN SELL, of Harrisburg, Pennsylvania, executrix of this my last will. ITEM VI. In addition to the other powers and authorities granted to my personal representatives by Pennsylvania law and by the other terms and provisions of this will, I hereby give to my personal representatives the following powers and authorities effective without court approval and until actual distribution of all property: to compromise any claim or controversy; to make distribution in cash or in kind, or partly in cash and partly in kind, and in such manner as !~ --~ my personal representatives may determine and at valuations finally to be fixed by them; to invest in all forms of property, including any stock or other securities in any corporate fiduciary or its successor without restriction to investments authorized for Pennsylvania fiduciaries, as my personal representatives deem proper, without regard to any principle of risk or diversification; ~ to retain any or all assets of my estate, real or personal, without regard to any principle of risk or ~ --__. cliversificatior.; #o sell at public ,~r pri.~~.te sal:;, to exchar~gW, or to lease for any period of time, ~ --a any real or personal property and to give options for sales, exchanges, or leases, for such prices and upon such terms or conditions as my personal representatives deem proper; and to allocate receipts and expenses to principal or income or partly to each as my personal representatives deem proper in their sole discretion. 2 ~~~ ~ Y s ~ ~ ~ 1 t. v. • . ITEM VII. I direct that my personal representatives and fiduciaries shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand this ~ ~ ~ da of Y ~~ , 1999. ~ ~~ ~ HAZEL B. 3 • *- The preceding instrument, consisting of this and THREE other typewritten pages, each identified by the signature of the testatrix was on the date thereof signed, published, and declared by HAZEL B. HLTNN, the testatrix therein named, as and for her last will, in the presence of us, who at her request, in her presence, and in the presence of each other, have subscribed our names as witnesses hereto. z 4 ~~ ,,~ .. COMMONWEALTH OF PENNSYLVANIA ) ( SS: COUNTY OF CUMBERLAND ) The undersigned, being the testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, does hereby acknowledge that I signed and executed the foregoing instrument as my last will, that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and acknowledged before by the t r named above this~(~ of ~fi 11 Q .~ ~ 1999. otary Publi ~ N4TAi~AL ~~, l~ovv~r AEO~co Tvr~., ~~~~~4~~~~~ C~esr~3y My Csrm~~~i~o~ ~ ~Ps3t~ aC, COMMONWEALTH OF PENNSYLVANIA ) ( SS: COUNTY OF CUMBERLAND ) WE,~ , c~,,~L,~, ~-,U~l~v C~3 and ,the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the testatrix sign and execute the instrument as her last will; that she signed it willingly and that she executed it as his 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 witnesses; 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 nn constraint ~r undue influence. Sworn or affirmed to and ack owled e~ore me this of ~, 1999. ota Public ARIAL SEAL ANDY S. CI~ES~, Ivry Par~ic LowK Aq~sn Twp., Cvora6~sri~arld C~uMy Mir Canmiwion fx~eiira -Mciy 10, X003 5