HomeMy WebLinkAbout02-27-13i
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 ~j
Name: RAYMOND C. HOOVER File No: - ~2 -
a~C/a: (Assigned by Register
a/k/a:
a/k/a: Social Security No: 186-18-1847
Date of Deatb: JANUARY 31, 2013 Age at death: 88
Decedent was domiciled at death in CUMBERLAND County, pF.NNSYLVANIA (stare) with his/her last
principal residence at 8_01 N HANOVER STREET. CARLISLE 17013 NORTH MIDDLETON CUMBERLAND
Street address, Post Office and Zip Code City, Township or Borough County
Decedent died at CHURCH OF GOD HOME. CARLISLE 17013 NORTH MIDDLETON CUMBERLAND PA
Street address, Poat OtYfce and Zip Code City, Township or Borough County State
Estimate of value of decedent's property at death:
If donricrled in Pewnsylvania ............................ All personal proPe~Y $ 125.000.00
If not domiciled in Pennsylvania ........................ Personal Property in Pennsylvania $
Ijnot domiciled in Pennsylvania ........................ Personal property in County $
VaJtre of real estate in Pennsylvania ......................................................... $
TOTAL ESTIMATED VALUE.... $ 125.000.00
Real estate in Pennsylvania situated at:
(Attach additional sheets, if necessary.)
Street address, Post OiBce and Zip Code City, Township or Borough County
® A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s) aver(s) he/she/they islare the Executor(s) named in the last Will of the Decedent, dated MARCH 31, 2012 and Codicil(s)
thereto dated
State relevant circunutancea (eg. renunciation, death ojexecator, etc)
Except as follows: after the execution of the instmment(s) offered for probate Decedent did not many, 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 bom or
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
Q NO EXCEPTIONS f~ EXCEPTIONS
^ B. Petition for Grant of Letters of Administration (If applicable)
c.t.a., d.b.n., d.b.n.c.t.a., pendente lire,
If Administration, c.ta. or db.n.Gta., enter date of Will in Section A above and comnls~s I~ of 6e~ ~ ~
n ~ ~
Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce fill tablialyed as~f~
in 23 Pa. C.S. § 3323(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person. n Z ~ -.t ~ r'
Q NO EXCEPTIONS Q EXCEPTIONS '°- ~' ~ O
Petitioner(s), after a proper search haslhave ascertained that Decedent left no W ill and was survived by the followin~o~ (if hny) ~ heirS~at~h
additional sheets, ifnecessary): ~ i-' t m
m
Form ew-oz .ev. toiunott Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
}
y ss:
}
Official Use Only
RECQRQED 4FFlCE OF
Petitioner(s) Printed Name Petitioner(s) Printed
SANDRA C. KIPPS 516 CRANES GAP RD. CARLISLE PA 17013
CLERK OF
.,
The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are tme and correct to the best of the knowledge and belief
of Petitioner(s) and that, as Personal Representative(s) of thent, t~ etitioner(s) will wel d truly administer the estate accord' g to la .
Sworn to pr~ff tined apcl`$ubscribed bp,,forR-~ /~'7 z ~~t C/---~ ~~ ~~~ Date ~ ~
me
Date
Date
Date
BOND Required: Q YES Q NO
FEES:
Letters .................... .. $ 260.00
( 2) Short Certificate(s).... .. 10.00
( )Renunciation(s)....... . .
( )Codicil(s) ........... . .
( )Affidavit(s).......... . .
Bond ...................... ..
Commission ................ . .
Other ...... ..
WILL ...... .. 15.00
INVENTORY ...... .. 15.00
INH TAX RETURN ...... .. 15.00
......
Automation Fee ............. ..
.. 5.00
JCS Fee . .............:.... .. 23.50
TOTAL .................... .. $ 343.50
To the Register of Wills:
Please enter my appearance by my signature below:
Attorney Signature:
Printed Name: R R B. IRWIN, ESQUIRE
Supreme Court
ID Number: 6282
Firm Name: IRWIN & McICNIGHT, P.C.
Address: to WFRT vnluFRFT STRF.F.T
('ARi rCi F pA 1701't
(717)249-2353
(7171249-6354
Phone:
Fax:
Email:
DECREE OF THE REGISTER
File No• (X~ ~ ~3 ~~~
Estate of RAYMOND C HOOVER
a/k/a:
AND NOW, ~/ ,~~~, in consideration of the foregoing Petition,
satisfactory proof havtng been presente fore me, IT IS DECREED that Letters TESTAMENTARY
are he y granted to SANDRA C. KIPPS
in the above estate and (if applicable) that
the insttuxnent(s) dated MARCH 31 2012
described in the Petition be admitted to probate and filed of resjord as the last~Vill (and CAdi~cil(s)) o~' Deced ~
of Wills
Form RW-02 rev. ronrizou p.~ge 2 of 2
ul~<Rnc On,~• rn~~ it
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNi~~~~1~81~#P~~pl~te this copy by photostat or photograph.
RE6iS7ER OF ~1LLS
Fee for this certificate, $6.00
P 19211677
Certification Number
TYp+/Prlnt In
Permanent
1
G~
s
rl~
r
l3 ~~y
This is to certify that the information here given is
IOI3 FEB 27 ~~ correctly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
CLERK OF certificate will be forwarded to the State Vital
ORPHANS' C~ ~'~Records Office for permanent filing.
61~~MBERLAND C t-~x'a~~~~u~ex`~lex~e~'FE~ 1 _f1013
Local Registrar Date Issued
COMMONWEALTH OF PENNSYLVgN1A• DEPARTMENT OF HEALTH • VITAL RECORDS
LFRTI FICOTE OF OEOTH
• ,^ l. peeetl•nt a V{el Flame F rat, Midtlle, ust s4fflx) 2. Sex i- SoGal SecYrtty Number 4. DM M paeth IMp aY r Spell Mo)
Male 186-18-1847 Janua 31. 2013
•. Ne-LaR {IRhdaY (Yra) sb. Un •r 1 year Su Untl r 6. Deb Blrt MO N Nr) fspell Mpnth) Za. tiKhpl•w cHy entl SfaN a Forol{n Country)
~+t SB MoR<hs D.ys Hours MInY4s Aug 14 • 1924
~
n
rta
p
Tb. Be
eee
co
eyJ
and
{a. ReN enN /Sure pr Foroi{n GPYn<ry) {b. Realdanca (Street and Num r - Inclutle qpt NO.) k. Did W !nt Lhr• In • TownahlPF
pA 801 North Hanover Street dp Y.a, aewNn<Innedm Rvp.
Ed. RaaltlenN (county)
cRy/bor0.
lancq N. Raald•nce (21p Cpdp 17 13 ~Np, dsadent IHW within Ilml<s Of
9. Ewr In U Armed ForNai 10. M•r[bl S[•tus a[ Time P/ OeKM1 Marnetl owe 11. survNin{ SpouN s •me (H w , {Iw name prior to first marNa{eJ
Vas NO Unknown Diwrced Q N•var Marrlad O Vnknewn
12. FaMer'i Name (FIra4 Mid I•, Lett, SY ) 13. Mether'a Nema Pdor to Fits[ Marna{. (Flrf[, MIddM, LaK)
Paul Hoover Sarah Bear
16e. 1 an[ a Neme 140. R•I+<IOnihlp to D•o nt 14c. Info,m.n['i MNlln{ Ad r. StrwC end Number, CI[y, Sbb, 21p COd•J
na
Road,
Carlisle, PA 17013
Sandra rci B da titer 516 Cranes Ga
'
.... ......... n ...
If Dpth Occurred in • Mosplt+l: t~ InpeLNM (~ DLa<h Occurred sem•wharo OtFi.'Th~n • HosOkel: r~~HOapiw Facility ~ D•cea• ~ t s Home
Eme • Room/Out Yent Deetl pit ArrNal Nundn{ Hotna/ten Term Garo Fac11Ry Otb•r ( cl
. Fecll N (H no[ 1 atltYtipn, {M scree[ entl number) iSC GFev er7 ti<e, • e Elp she i3d. County Oath
~a~
P
~
urc~i oar Goc~ Home J.and
Cari
A .J. /013 Cumber
e,
~, 1{e. MK o PI DlspeaRlon Burial Gromatbn 16b. Oeta of Wapmttlon lac. P ace M Dlspesttlon Neme of cemetery. erom•tery, or oM•r place)
p R.mma.mm sate O Den+elon
N
s Fab 4, 2013 Westminster CealeCOry
0<
er
pa`
i{tl. LOCa<lPn eI Disposltlon (CI Town, star!. and Zlp)
7 s
iTa. of Funeral serN •e or perien nt 1Tb. Llcenie Number
138504
013
Carlisle, PA
17<. Name and Complete Adtlroas of Funeral FecI1Ry
Hoffman-Roth Funeral Home & Crenato 219 North Hanover8treet Car11a PA 17013
.~ U. dpdant•a FtluudOn - check t e box that eat dlscrible the 39. D•cetlenf a Nlap•nic On{In -check M• 20. dcatlen<'s Race - CA,•ck NE OR MORE roeea M Intliraro whet
ti hlpes[ tl•{roe or 1•wl of school wmple<atl a< Che time W d_ath. bon that beat tlescnbes whether the decedent Lha decadent consklarotl hlmaeH Or h•neH t0 W.
Q9 fM {rode er less Is spanlah/Nlsp•nlc/LatlnO. check the ^NO• QQ Whin ~ Koroen
0 No diploma, 9th - 13M {rotle box If tlecetlent Is not spanlsh/Hlspenl0/Latlno. ~ BI•ck or AMUn Amenun ~ VlatnemaN
~ HI{h fcheel {ratlu+M or OED complatetl ®No, not spanlsh/NNpenlc/Latlno O Amenun IMlan w Alaska Natty! 0 OMar 4alen
~ Soma co1N{. ctadR, bus ne de{ree O Yaa, Mexican, M•xicen American, Chicano ~ Asian Intllan ~ NeLM Hawallan
~ Naecleb detroe (•.{. M, AS) ~ V•s, Puerto Rican ~ Ghlnaaa ~ Owmenlan or Cbmerrp
~ Bachelor's d•Ree (a.{. RA, AB, BS) ~ Yea, Cuban D Flllplne ~ Samean
~ M•a[er•s N{roe (e.{. MA. Ms. MEn{, MEd, MSW, MBA) 0 Yes, peher sPanlah)Hispanic/Letlne ~ J+P•nesa 0 Other PeeIM lalantl•r
0 Doctorate (e.{. PM1D, Etl DJ or Professienel d!{ree (Spaclry) O Other (Spetlry)
!. . MO ODs OVM LLB J
21. Daptlant's Sln{1e Rec• A -Oesl{nadon -Check ONLY ONE to In {cats what Me tleeedant considero hlmeeH or herNH tp be. 22a. Decedent's Usual CM:cupaHOn - Indlc+te typo W work
® Whit. Q lepenese O Semo•n tlon• durln{ mort of wOrkln{ IIN. Da NOT USE RETIRED.
Q Black or A(ricsn Pm.ncan O Koren O Other vaclnc Ylend.r Funeral Associate
'
t Know/Not Sure
~ Amenun Indian or Alaska N•Uve ~ VlKnameae Q DPn
~ 4slan Indlen ~ Other Asian O Refused 23b. Kmtl of Bualrresa Industry
Q ChlneN O Netlw HawaOen O OLheY (Splc1N)
Funeral Home
~ FIIIPino D Owmanlan or ch•morro
O e. Ne nounc• Oaa Mo Oay r {ne[uro o eraOn Pronounc n{ at n w en ep0 c. YcenN um
{(fY PEIALEO DFN. mO PRONOUNCl3 OR cu' .f
~ ~j ~ ~ ~~
23d. at! SI{n (MP 9aY r 6. m• of Deal
- 2 I 33. W Medical Examl r Coroner CoMactedi ~ Yei No
CAUSE OF DEATH Approxlmet.
26. Part 1. Enter the cheln oI ewnN--tllNNea, Injurl•a, or compllcadons--Chet tllr•clly c used the deaM, DO NOT enter Hrminel ewnb such ea cardiac errort. In<eml:
respirotOry arrest, nr ventricular flbrlllatlon without shewln{ Me eNOloEy. DO NOT ABBREVIATE. Enter pnN one Ouse en a Iln•. Add addltlonel Iinef If n+cNNry Onaat to Deets
IMMEDIATE UVSE -----~ +. L'D/Vi ES T//C /ltJr'K-T Git%L vla-~ L/iE2KS
(Penal tllN+ae Or COntlRlgn DUe to (Or ai a COniegY•nC• Of/:
rofuttln{ In death) b ~~ ~ ~O~ /~ 4/F-~r
sagYentlllh Ilst condRlons, Due t0 (ar ss a cgnuquence pf):
If enV, leaden{ eo Ma Dose
tined pit Ilm a. EMat Ma
c
DW to (er as a consequence of): }
YNDERLYINO cAUS[
(diaeeN or Inlury chat {
Inltle[atl the aynK rssultme d.
In death) LAST. Due tp (Or as a ronsequance on:
20, Per! 11. Enter of • bYt no[ refultln{ In Ma YnWrlYln{ tfuse {Ivan fn part t 27. Was an autOpsY p•rTermed
E
'
'
~/
r
e
S L9FY
R-K/ NSeM
S /
~Q-a1Lr7,[.4 /BLS L~IA$E / PI}
G'lJ~C.ON/Fi~Y
,..la
e
w..
auto
rv Rndlr,
a a
~
f .
•
t
p
~ ~/ ~~ ~/ ~ ,~/ L L-/4 ~/ON [o mmPlet• Me Duty M WetRi
Yea Ne
Z9. Pamela: 30. Dld Tobacco Use Cenirlbub M DgthT 31. anner o Death
[~ Not pro{nant within Past year [] Vas ~ ProbablY Ne[urol ~ Momk:IM
~
Accltlent ~ Pendin{ InwadpYOn
[] Pro{item st time of daM ~ No R,r Unknown
~' 0 Not pr!{nent, but pre{nen<wl<hin 43 tlays of daa[F J] suleld• ~ GPUItl not M tletermin•d
Q Not Pre{nant, but pre{nenF 43 days t0 1 year before tlN<t 32. Date of Inlury (MO Dey r) (spell Men<h)
unknown If pro{nant within Me pert year 33. Time of lnJury
94. Place e/ Inlury fe.{. hems; conatrucHOn seta; farm: school) 33. LpcetlOn el lnJury Street entl Number, City, state, Zip Code)
36. Injury a[ WOr D7. If TrenapOKeHOn InJYry, Specify: 38. 0.acnb! How 111Jury Occurre ;
O Yaf Q Dnyar/Operator ~ Petlastrian
I p No p pos•nser O Dtnar (3pedry)
38a. Cer[I •r (Check only on!):
Grtilyln{ phYNClan - TO the best or my knowlWp, tleeth occurred due to the uuN(al a,W mMnar stated
PronounNnt k GerHfyln{ Phyalcian - TO tM bee[ of mY knowlad{•, tleetM1 eccurrotl •t Me time, date, end place, entl tlua tP <h• wusa(i) entl manner rta<•d
.minatlpn, entl/er Inwstiptlun, In my oplnlon, dea[I, oc urr•d et Me time, tle[e, and place, and tlw Le the ceus!(a) end manner statftl
0 Medlcel Ex+miner/CO - On the eels/y/fpex~s
~
r
c
~
,
~
Ucetw Mumb•r:~~~~. Y ~a7}
~ TKi• pf urtlfler: ~~
SI{n•<Yra pf cartlflar: ~w~P+
39 Addross entl 21p Cptl Person Gmpl•tin{ Ouse of Deed, (Item 2{) 39c. Oats slp+tl (MO y r)
r'U Intom~ ~p i3ss~~rz7yk4.e. .~,o ,aoK-iwsc-a'o,rsgtc~~ /.~! /7ao~ Bi-3i-aoi3
O. • s[ror s la<r R Ym ar 41. Re{latrar 1 tore ^ e{ s[rar • a[a ey r
3t1 ato 1~- c~mJti 3t o t~
43. 4mandmenta
Dlappaltlpn p•rmR Ne. d T1 ~ , O-I Hl()s-343
REV OT/IDIi
__
/3~~/~
"i ,..
r r
I G
[.y .~
n ,~ C? .
r
. Cf~ ~ i :C7 d
7 r' : ? --t~ '+1 ..n
LAST WILL AND TESTAMENZ'`
~ ~ ~ ~ m
, ,
.. ~-, ~ o
w ,,
I, RAYMOND C. HOOVER, of Middlesex Township, Cumberland County,
Pennsylvania, being of sound mind, disposing memory and full legal age, do hereby make,
publish and declaze this to be my Last Will and Testament, hereby revoking all Wills and
Codicils heretofore made by me.
1. I direct my Executrix or Substitute Co-Executors, as the case may be, to pay all of my
debts, funeral and administrative expenses as soon as convenient after my decease. Furthermore,
I direct that all state, inheritance, succession and other death taxes imposed or payable by reason
of my death and interest and penalties thereon with respect to all property composing of my gross
estate for death tax purposes, whether or not such property passes under this Will, shall be paid
by the Executrix or Substitute Co-Executors of my estate.
2. My Executrix or Substitute Co-Executors may, at her or their discretion, compromise
claims, borrow money, retain property for such length of time as she or they may deem proper;
lease and sell property for such prices, on such terms, at public or private sales, as she or they
may deem proper; and invest estate property and income without restriction to legal investments
unless otherwise provided hereunder.
3. I authorize and empower my Executrix or Substitute Co-Executors to sell any realty
and/or personalty owned by me at my death and not specifically devised or bequeathed herein, at
public or private sale or sales and to give good and sufficient deeds and/or bills of sale therefore,
in fee simple, as I could do if living. My Executrix or Substitute Co-Executors is/are authorized
and empowered to engage in any business in which I may be engaged at my death, for such
period of time after my death as seems expedient to said Executrix or Substitute Co-Executors.
4. I give, devise and bequeath all of my estate of whatever nature and wherever situate,
including my home, contents, etc., to my daughter, SANDRA C. KIPPS, and if she is not living
at the time of my death, to her children, JEFFREY A. KIPPS and JACQUELINE S.
MUSSELMAN, share and share alike.
5. I nominate and appoint SANDRA C. KIPPS to be the Executrix of this my Last Will
and Testament. In the event she has predeceased me, failed to qualify or is not able or does not
serve for whatever reason, I then appoint JEFFREY A. KIPPS and JACQUELINE S.
MUSSELMAN to be the Substitute Co-Executors of this my Last Will and Testament, whereby
the said Substitute Co-Executors shall have the same powers as are given to the original
Executrix hereunder.
6. No person(s) shall benefit hereunder unless such beneficiary shall survive me by sixty
(60) days.
7. No Executrix or Substitute Co-Executor acting hereunder shall be required to post
bond or enter security in this or any other jurisdiction.
8. No beneficiary may assign, anticipate or pledge his or her interest in any income or
principal held or distributable hereunder, and no beneficiary's creditors may levy, attach or
otherwise reach any such interest.
9. If any person entitled to share in any distribution under the terms of this my Last Will
and Testament becomes an adverse party in any proceeding to contest the probate of this Last
Will and Testament, such person shall forfeit his or her entire interest inherited hereunder and all
2
provisions in favor of such person shall be declared void and of no effect. The share of such
person so forfeited shall be distributed as part of the residue pursuant to Pazagraph 4 hereof, as
the case may be, except that if such person is entitled to share in the said residue, that interest
shall be distributed proportionately to the other residuary beneficiaries.
10. I hereby suggest that my personal representative(s) retain the services of Irwin &
McKnight, P.C. as attorneys in the settlement of my estate.
31~
IN WITNESS WHEREOF, I have hereunto set my hand and seal this 3~ of Mazch
2012.
~~ ~ ~ G~~~ - - (SEAL)
YMOND C. HOOVER
Signed, sealed, published and declazed by RAYMOND C. HOOVER, the above-named
Testator, as and for his Last Will and Testament, in our presence, who, at his request, in his
presence and in the presence of each other have hereunto set our names as subscribing witnesses.
3
ACKNOWLEDGMENT AND AFFIDAVIT
WE, RAYMOND C. HOOVER, KAREN S. NOEL and SHARON L. SCHWALM,
the Testator and witnesses respectively, whose names aze signed to the foregoing instrument,
being first duly sworn, do hereby declare to the undersigned authority that the Testator signed
and executed the instrument as his Last Will and that he had signed willingly, and that he
executed it as his free and voluntary act for the purpose herein expressed, and that each of the
witnesses, in the presence and hearing of the Testator, signed the Will as a witness and that to the
best of their knowledge the Testator was, at that time, eighteen yeazs of age or older, of sound
mind and under no constraint or undue influence.
~ ~ 9~
RAY OND C. OVER
S. NOEL
SHARON L. SCHWALM
COMMONWEALTH OF PENNSYLVANIA
SS:
COUNTY OF CUMBERLAND
Subscribed, sworn to and acknowledged before me by RAYMOND C. HOOVER, the
Testator herein, and subscribed and sworn to before me by KAREN S. NOEL and SHARON L.
SCHWALM, witnesses, this 31 S` day of Mazch 2012.
~ .C~-. .
ary Public
C TN OF PENNSYLVANIA
Nol~ritl Ssrrl
Ropef B. Irwin, Notary Public
CaYtla Born, Cumberland County
Nly COIINNpiOn ECM Od 3, 2012
Nbmber, Penmylvenie Aseodatlon o(Nohrip
4