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Home My WebLink About02-21-13Reset PETITION 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 request(s) the grant of Letters in the appropriate form: Decedent's Information Name: HARRY W. ECKENRODE a/k/a: a/k/a: a/k/a: Date of Death: 01/05/2013 File No: ~ ~ _ ~ ~ ' 2 I (Assigned by Register) Social Security No: Age at death: 95 Decedent was domiciled at death in CUMBERLAND County, p~, (state) with his/her last principal residence at 8.01 N. HANOVER STREET CARLISLE PA 17013 CUMBERLAND Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 801 N. HANOVER STREET, CARLISLE, PA 17013 CARLISZ.E BQRCIUGH CUMBER?~A,DTD-RQ 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 $ 4,000.00 If not domiciled in Pennsylvania ........................Personal property in Pennsylvania $ If not domiciled in Pennsylvania ........................Personal property in County $ Value ojreal estate in Pennsylvania ......................................................... $ TOTAL ESTIMATED VALUE.... $ 4.000.00 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) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated SEPTEMBER 23, 1998 and Codicil(s) thereto dated State relevant circumstances (e.g. renunciation, death of executor, eta) 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., pendente 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 a pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person. Q NO EXCEPTIONS ~ EXCEPTIONS Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs (attach additional sheets, if necessary): ~ ~ ~ ~- c.~.,, :tT r.n Name Relationshi t:Lts '~ G? ~ ~ . ~ c~ c~~ ~ ~, c . ~ ~ ~ Form RW-02 rev. 10/11/2011 Page 1'' Of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } } SS: } Official Use Only r~~..: +L7- c~ en __. ....._ ~ ... Petitioner(s) Printed Name Petitioner(s) Printe dii'te9F~ ~ td~ ~ DONNA L. MOYER 817 GOBIN DRIVE CARLISLE PA 1701 ~ ~ M ~-' ~ ~ C7~~c ..~ U~+ ~~~a • ~---~ ~~~~ ,F:~ - --- c:~ ..,o ---t .~ r... i v .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 Decedent, the P i ' er(s) will well d truly administer the estate according to law. Sworn to r affirmed a subscribed b fore Date ~ /~ me thi ., day of ~ , ~13 Date $y: ~ Date e Register Date BOND Required: Q YES ~ NO FEES: Letter ...................... ( ~p) Short Certificate(s)...... $ Q •~ ~ ~Q~~b ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Ot er ....... / ....... ~~ •ca~ • • • • • • • • O' ~`, Automation Fee ............... • ~iO JCS Fee . .................... • 5 ~ TOTAL ..................... $ ~'6:~9• To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature: Printed Name: WILLIAM A. DUNCAN Supreme Court ID Number: 22080 Firm Name: DUNCAN & HARTMAN, PC Address: 1 IRVINE ROW CAR .TST.F.~A 17013 Phone: 717-249-7780 Fax: 717-249-7800 Email: hill ,dLncanhartmanlaw_c~m /~3,~'0 DECREE OF THE REGISTER Zf-I.~-ZIZ. Estate of HARRY W. ECKENRODE File No: a/k/a: AND NOW, ~ Q l~ Gl ~' , /~Q1,~, in consideration of the foregoing Petition, satisfactory proof having been presente before me, IT IS DECREED that Letters TESTAMENTARY are hereby granted to DONNA L. MOYER in the above estate and (if applicable) that the instrument(s) dated SEPTEMBER 23, 1998 described in the Petition be admitted to probate and filed of re~o~i as the last Will (and Codicil)) of Decedent. Register of Wills Form RW-02 rev. 10/11/2011 H105.805 REV (9/11) LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate #his-copy by photostat or photograph. REGORGED t3F~'tG f OF~ Fee for this certificate, $6.00 ~ FG ~ S ~~ ~{ Q ~' ~ L ~ ,r~""""""'-- . This is to certify that the information here given is - - ~ 11j1' ~„1 H O F p " Certification Number i TYPe/Print In Permanent I Black Ink N d -r-1 >_l+ 0 U \1 ~_ ~~i,1l~~,A Eye, ._ correctly copied from an ongmal Certificate of Death ~ C ~~` y` _ `f~ =_ duly filed with me as Local Registrar. The original ~: ~~~~ ~~`~ ~~ fi~ ~ ~, _ - -_ _ Z certificate will be forwarded to the State Vital .o - ~ ,,~ a, Records Office for permanent filing. ORP~fAt~S' COU o~~9 ~ P~?'~~~, ~ JA R ___ 9l ~,~.,,1 ~ ~ . 7 2 013 t-~~ ~ Ct~~tBERLAND GO., '---MENT,o~,,,iil Pty -- Local Registrar Date Issued COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH VITAL RECORDS CFRTIFIIP•ATIF AlC g7RATl1.~ 1. Decedent's Legal Name (First, Middle, last, Suffix) 2. Sex 3. Social Security Number 4. Date of Death (MO/Day/Yr) (Spell Mo) Harry W. Ecltenrode Male 179-10-2960 January, 5, 2013 Sa. Age-Last Birthday (Yrs) Sb. Under 1 Year Sc. Under 1 Da 6. Date of Birth (MO/Day/Vear) (Speil Month) 7~um la ee ty snd at r Fore) untry) il5 ~Y i ° ` ` t t ~ ant o _ ~ ~ ~, Months Days Hours Minutes 9 5 October 5 1 9 1 7 , 76. Birthplace (County) Cum er and 8a. Residence (Slat or Forelg Country) 86. Residence (Street and Number-Include Apt NoJ Sc. Did Decedent Live in a Township? P ~ f e nn s y v a n a Q Yes, decedent lived in iwp, 8 0 1 N• Hanover S t 8d. Residence (County) yid Cumber 1 and 8e. Residence (Zip Code) ~j No, decedent lived wRhin limits of Car 1 i s 1 e clty/boro. 9. Ever In US Armed Forces? 10. Marital Status at Time of Death 0 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, Mlddie, Last, Suffix) 13. Mother's Name Prior to First Marriage (First, Middle, Last) William D. Eckenrode Alice V_ Gouffer 14a. Informant's Name 14b. Relationship to Decedent 14c. Informant's Mailing Address (Street and Number, City, State, Zip Code) o Donna L. Moyer Daughter 817 Gobin Dr_ Carlisle, PA 17013 ~i s. P ace o Deat ec on Y one W oc .......................................................... ...P ................................... .............................. f ............ ......................... .............. .......,............................ .................................... If Death Occurred in a Hospital: in atlent - ,If Death Occurred Somewhere Other Than a Hospital: `t~~HOSplce Facility ~` Decedent's Home ° Q Emergency Room/Outpatient Q Dead on Arrival Nursing Home/long-Term Care Facility Other (Specify) . SSb. Facility Name (If not institution, give street and number; 15e. City or Town, State, and Zip Code SSd. County of Death Church of God Home Carlisle PA 17013 Cumberland m 16a. Method of Disposition ~ Burial Q Cremation 16b. Date of Disposition 16c. Place of Disposition (Name of cemetery, crematory, or other place) QRemovalfromState QDonation 1 J8J2013 Mt Ho11y Springs Cemetery Other (Specify) 16d. Location of Disposition (city or Town, State, and Zip) 17a. Signature of Funeral Service Licensee or Person in Charge of Interment 17b. License Number - Mt • Ho11y Springs , PA 1 706 O1~ B g ~ 17c- Name and Complete Address of Funeral Facility Baltimore A e_Mt• Ho11y Springs,PA17065 lin er E'H& Cremator 501 N ~ _ 18. Decedent's Education -Check the box that best describes the 19. Decedent of Hispanic Ortgln -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 decedent considered himself or herself to be. 8th grade or less is Spanish/Hispanic/Latino. Check the "No" ~ White Q Korean Q No diploma 9th - 12th rade b If d d i S i h i , g ox ece ent s not pan s /H spanic/Latino. Black or African American Q Vietnamese Q Hlgh school graduate or GED completed ~ No, not Spanish/Hispanic/Latino Q American Indian or Alaska Native 0 Other Asian Q Some college credit, but no degree ~ Yes, Mexican, Mexican American, Chicano Q Asian Indian Q Native Hawaiian Q Associate degree (e.g- AA, AS) Q Yes, Puerto Rican Q Chinese Q 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, M5, MEng, MEd, MSW, MBA) Q Yes, other Spanish/Hispanic/Latino Q Japanese Q Other Pacific Islander Q Doctorate e. PhD, EdD or Professional de ree ( B• ) B (Specify) Q Other (Specify) e. . MD DDS DVM, LLB JD 21. Decedent's Single Race Seif-Designation -Check ONLY ONE to Indicate what the decedent considered himself or herself to be. 22a. Decedent's Usual Occupation -Ind{tale type of work White Q Japanese Q Samoan done during most of working Ilfe. DO NOT USE RETIRED. Q Black or African American Q Korean Q Other Pacific Islander - ~ AmeNean Indian or Alaska Native Q Vietnamese Q Don't Know/Not Sure Laborer Q Asian Indian Q Other Asian Q Refused 22b. Kind of Business/Industry Q Chinese Q Native Hawaiian Q Other (Specify) Maufacturing Q Filipino Q GuamanianorGhamorro ITEMS 23a - 2 MUST BE COMPLETED 23a. ate Pronounced Dead Mo Day r) 23 b. Signature of Person Pronouncing Deat (On y when applica a 23c. License Num er BY PERSON WHO PRONOUNCES OR ~ ~ - O / ~ - CERTIFIES DFATH ~! p- ~/~ /~ ~ ~~~7 ~ 23d. Date Igned (MO/Day/Vr) 24. Tim of Deat h _ ' `•' lI tt Z.-U 1 ~~ co 1~ 25. Was Medicsl 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, 1 Interval: respiratory arrest, or ventricular flbriliatton without sh ing the etiology. D OT ABBREVI TE. Enyte~ my one cause on a Ilne. Add additional Tines if necessary = Onset to Death IMMEDIATE CAUSE --------> a. ,L S G L~ ~~~ Gf%~L2 af-~~- u rs - (Final disease or condition Due to (or as a consequence of): ` resulting in death) • ~ b. Sequentially list conditions, Due to (or as a consequence of): If any, leading to the cause ~ listed on line a. Enter the c. _ UNDERLYING CAUSE Due to (or as a consequence of): a.°C., (disease or injury that Initiated the events resulting d. ~ In death) LAST. Due to (or as a consequence of): z 26. Part 11. Enter other significant conditions contributing to death but not resulting in the underlying cause given in Part I 27. Was an autopsy pe rmed7 0 Q Yes No ~ a 28. Were autopsy findings available m to complete the cause of death? Yes No o 29. If Female: 30. Did Tobacco Use Contribute to Death? 31. Manner of Death . € 3 Q Not pregnant within past year Q Ves Q Probably Natural Q Homicide a c~ Q Pregnant at time of death Q Not pregnant, but pregnant within 42 days of death ~NO Q Unknown Q Accident Q Pending investigation Q Suicide Q Could not be determined Q Not pregnant, but pregnant 43 days to 1 year before deatY 32. Date of Injury (MO/Day/Yr) (Spell Month) Q 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 In)ury Occurred: Q Yes Q Driver/Operator Q Pedestrian ~ No Q Passenger Q Other (Specify) 39a. Certifier (Check only one): Certif in h sician - To the best of m knowled e death o r d d th t ) d d y g p y y g , ccu o e cause(s re ue an manner state Q 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/Corona - O the is of examination, and/or investigation, In my opinion, death occurred at the time, date, and place, and due to the cause(s) and manner stated Signature of certifier: Title of certifier: ~''~-D Lleense Number: rwl P d~S>~H -~ oZFs 39b. Name, Address and Zip Code of Person Completing Cause of Death (Item 26) 39c. Date Signed (MO/Day/Yr) t~ .c~.a+e. l ~avi. LtLls th.tp '~a3 N - t3.i~-t-tw»lo~. !-(-E- Not, I.v. Pct czo b 1 - "[ l ~•Q 1.3 40. Registrar s District Number 41. Registrar's SI re y 42, egistrar Fi a D ate Mo Day r ~ _ - ~7 43. Amendments (`~ ~~ R ~j~ H305-143 Disposition Permit No. 1 l~`'~ CJ REV 07/2011 ~~tts# iU ttrid ~e,~tttment of rte,; ~~ ~ - ~~ -v ~~~ ~ *, ~ ~.., c~ ~ ~~,~ ~~ ~~~ ~, Q~. r, ~,~ a ~ ~ ~ I, HARRY W. ECKENRODE, of South Middleton Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking any and all other wills and codicils heretofore made by me. FIRST. I direct that all my just debts and funeral expenses be paid from my estate as soon after my death as practically and conveniently may be done. SECOND. I direct that my remains be interred within my family's burial plot in accord with my expressed wishes. THIItD. I authorize my personal representative to expend funds from my estate, in such amounts as my personal representative shall consider necessary and desirable for the purchase, erection and inscription of a suitable marker for my grave. FOURTH. I give, devise and bequeath any and all tangible personal property owned by me at the time of my death unto my wife, DOROTHY F. ECKENRODE, provided she survives me by thirty (30) days. In the event she fails to survive me by thirty (30) days, I give, devise and bequeath all said tangible personal property unto my daughter, DONNA L. MOVER, per stirpes. FIFTH. I give, devise and bequeath any and all real estate owned by me at the time of my death, unto my wife, DOROTHY F. ECKENRODE, provided she survives me by thirty days. In the event she fails to survive me by thirty (30) days, I give, devise and bequeath all said real estate unto my daughter, DONNA L. MOVER, per stirpes. SIXTH. I give, devise and bequeath all the rest, residue and remainder of my estate unto my wife, DOROTHY F. ECKENRODE, provided she survives me by thirty (30) days. In the event she fails to survive me by thirty (30) days, I give, devise and bequeath all the rest, residue and remainder of my estate unto my daughter, DONNA L. MOVER, per stirpes. SEVENTH. I direct that any and all Inheritance, Estate and Transfer taxes imposed upon my estate passing under my will or otherwise, shall be paid out of the principal of my residuary estate. EIGHTH. I hereby nominate, constitute and appoint my wife, DOROTHY F. ECKENRODE as Executrix of this my Last Will and Testament. In the event of renunciation, death, resignation or inability to act for any reason whatsoever of DOROTHY F. ECKENRODE, I nominate, constitute and appoint my daughter, DONNA L. MOVER as Executrix of this my Last Will and Testament. I hereby relieve my Executrix from the necessity of posting security in connection with her duties, as such, in any jurisdiction in which she maybe called upon to act insofar as I am able by law to do so. In addition to the powers conferred by law, I authorize my Executrix, in her absolute discretion, to retain in the form received, and to sell either at public or private sale any real or personal property owned by me at the time of my death. NINTH. I have made, or may from time to time make, a written memorandum expressing my desire to give certain items of personal property to specific persons. I urge my Executrix and beneficiaries to respect these wishes. Such a memorandum, if made, shall be stored in conjunction with this Will. IN WITNESS WHEREOF, I have hereunto set my $and d seal to this, my Last Will and Testament consistin of two t ewritten a es this day of September, 1998. g Yp P g o~? j~ w- Lcl~~u-rv~ HARK .ECKENRODE Signed, sealed published and declared by the above named Testator HARRY W. ECKENRODE as and for his Last Will and Testament, in the presence of us, who, at his request, in his sight and presence and in the sight and presence of each other, have hereunto subscribed our names as witnesses. . ~c~ _~ ~o-~-- COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS. I, HARRY W. ECKENRODE, Testator 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 it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. W.ECKENRODE Sworn or affirmed to and acknowledged before me, by Harry W. Eckenrode this~?~~ ay of September, 1998. ';. ary Public COMMONWEALTH OF PENNSYL VAN COUNTY OF CUMBERLAND Notarial Seal Cynthia L. Darr, Notary P! ~blic South Middleton Twp., Cumberland County My Commission Expires Aug. 14, 2000 IA :SS. We IQr 1 Gfn CQG~~ ° and ~ ~ ~C the witnesses ,~/~ ~ ~v r 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 HARRY W. ECKENRODE sign and execute the instrument as his Last Will; that he signed willingly and that he executed as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the will as witnesses; and that to the best of our knowledge, the Testator was at that time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. ~_. Sworn or affirmed to and subscribed before me by (}lnn . ~ ~~,~(' ~ and ~~Ca~ witnesses, this day of September, 998. -( D~- PUb11C Notarial Seai Cynthia: L. Darr, Notary Public South hRiddl?ton Twp., Cumberland County My Commission Ex~;ires Aug. ~ a. 2000