HomeMy WebLinkAbout06-19-13 :R��et
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 Z l�� � �;, ao rn
Name: Richard F.Heisen File No: �� � � c_ m �
a/k/a: (Assign��ist c� �
a/k/a: � z rn � r i r�n
a/k/a: Social Security 1� '' �'
Date of Death: May 11,2013 Age at death: 68 c7 -r�
Decedent was domiciled at death in Cumberland County,pennsylvania o C (tate�ith�itis�er last
principal residence at 807 Stratford Drive Carlisle Borou h � —1 b rland
Street address,Post Oflice and Zip Code City,Township or Bor3lagh � � ounty
Decedent died at 940 Walnut Bottom Road South Middleton Townshin Cumberland PA
Street addreas,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 $ 5,000.00
If not doiniciled in Pennsylvania. ....................... Personal property in Pennsylvania $
If not donii�iled in Pennsylvania. ....................... Personal property in County $
Value of real estate in Pennsylvania......................................................... $ 19_5,000_00
TOTAL ESTIMATED VALUE. ... $ 200.000.00
Real estate in Pennsylvania situated at: 807 Stratford Drive Carlisle Borou�h Cumberland
(Attach additional sheets,if necessary.) Street address,Post Offfce and Zip Code City,Township or Borough County
� A. Petition for Probate and Grant of Letters Testamentarv
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated and Codicil(s)
thereto da.ted
State relevant circumstances(e.g.renunciation,death of executor,etG)
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 bom or
adopted;aad 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.za.,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 gounds for divorce had been established as defined
in 23 Pa.C.S.§3323(g)and was neither the victim 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 spouse(if any)and heirs(attach
additional sheets,if necessary):
Name Relationshi Address
Cynthia Ann Heisen Daughter 124 East 2 St,Apt 2K,New York NY 10010
Courtney Leigh Heisen Daughter 139 West 15th Street,Apt 3R,New York,NY 10411
Gregory Heffernan Heisen Son 124 Brookstone Drive,Princeton,NJ 08540
Douglas Heffernan Heisen Son 807 Stratford Drive,Carlisle,PA 17013
Fo�xw oz rev.10/11/2011 Page 1 of 2
Oath of Personal Representative � o�ei°i�U�,--°nly
� � � � �
COMMONWEALTH OF PENNSYLVANIA } � � � � �
} SS: tx7 = � � t,n :.�
COUNTY OF Cumberland � r 3� r"" M ""'� �'
� � t��
� �
Petitioner(s)Printed Name Petitioner(s)Printed?�r� -�
Dou las H.Heisen 807 Stratford Drive Carlisle PA 17013 � c � � �
"v --� �.'. �
W "�
A
The Petirioner(s)above-named swear(s)or affirm(s)the statements in the foreg ' Petiti n are true and correct to the best of the knowledge and belief
of Petitioner(s)and that,as Personal Representative(s)of the Dec t,the P it' n 11 and truly administer the estate according to law.
Sworn to firmed subsc ' ed before Date � -- �9 �- I 3
me this da of �.� Date
X
By: Date
t Register Date
BOND Required: Q YES � NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters. . . . . . . . . . . . . . . . . . . . . . $ 260.00 Attorney Signature•
( 6)Short Certificate(s).. . . . . 30.00
( 3)Renunciation(s).. . . . . . . . 15.00
, ( )Codicil(s). . . . . . . . . . . . .
( )Affidavit(s).. . . . . . . . . . .
Bond.. . . . . . . . . .. . . . . . . . . .. . . Printed Name: than C.Wolf,Esquire
Commission. . . . .. . .. . . . .. .. . . Supreme Court
Other . . . . . . . ID Number: 87380
Inventory fee . . . . . . . 15.00
Inheritance tax return . . . . . . . . 15.00 Firm Name: Wolf&Wolf,Attorneys at Law
. . . . . . . Address: 10 West High Street
P
. . . . . . . . C'arlisle,PA 1701�-2922
. . . . . . . Phone: 717-241-4436
Automation Fee. . . . . . . . . . . .. . . 5.00 Fax: 717-241-4437
JCS Fee. . . . . . . . . . . . . . . . . . . . . 23,50 Email: nathancwnlf�.emharamail_c�m _ _
TOTAL. . . . . . . . . . . . . . .. . .. .. $ 363.50
DECREE OF THE REGISTER
Estate of Richard F.Heisen File No: ��'/� 40��
alkla:
AND NOW, , � ,in consideration of the foregoing Petition,
' satisfactory proof ving been presented before me,IT IS DECREED that Letters of Administration
are hereby granted to Dou�las H.Heisen
in the above estate and(if applicable)that
the instrument(s)dated
described in the Petition be admitted to probate and filed of re rd s the last ill(and Codicil(s of Decedent.
�
Register of Wills
.
Form RW-01 rev.10/11/2011 ge 2
-�
�..:
�
RENUNCIATION � o `�' rn "
� � � � �
� z �, � � �
REGISTER OF WILLS c�— z s�rn � � �
Cumberland COUNTY,PENNSYLVANIA� u-' � �,., c-�
F � � ° � � �
��� ��- ��7 ���
: � .,.� �''
�"' t`o'1
"'U C� � a
� � �
Estate of �chard F.Heisen ,Deceased
I, Cynthia Ann Heisen , in my capacitylrelationship as
{Print Name)
dau�hter of the above Decedent,hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Douglas Heisen
June 2013
(Date) (Signature)
; � - 124 East�24th Street,Apt. 2K
(Street Address)
New York,NY 10010
(City,State,Zip)
� Ezecuted in Register's Office Executed out of Register's Office
Sworn to or affirmed andr�cribed Before the undersigned personally appeared the
before this :� day party executing this renunciation and certified
; of , ,� that he or she executed the renunciatio�r the
i purposes s ed within on this �3 day
� % � �i
+
�, �,�
,.;
:� �
' Deputy for Register of Wills ota ublic
; �My Commission Expires:
�
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
,
�:..���""'"�
,� O�LLAIM�Q '�,�
������a1�
Form RW-06 rev.10.13.06 ; ����� � ,
. f � . . �� . ..
���to!+ c�a: ; ��f�`.
�
�
�,.����'��`� ♦
�w.f�'s�!?��� y�y k .�,Y�{�t.,�,"b
-4 S... . :f^%3d�:. .���`': . � .
_ � ��'�`�'� `"`
�r�_: # f�,� �, �, a=:.k,s
� .�a+` �4 N ,,,��^ °
.t .��,r't.;�.3� .
, 'Ui��
RENUNCIATItJN
. REGISTER OF WILLS c � � av
Cumberland �p�TY, PENNSYLVAl�'�A-„a,° C rn �'
� �
z�� i � � _ � � � �
,���► � �', � i--` � �'
r �. � r�n r�
� � �:� �
� U.' � c, ,.,.�
° c� c, �n -n ��
c� cc� -;� � .._ ��z
� � ��
Estate of Richard F.Heisen - � � �'
� � t , �ceased
x'' � �t
I� Courtney Leigh Heisen , in my capacity/relationship as
daughter <print Name)
of the above Decedent,hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Douglas Heisen
June !�f 2013
(Date) (Signature)
139 West lSth Street,Apt.3R
(Street Address)
New York,NY 10011
� (Ciry,State,Zip}
Executed in Register's Office Executed out of Regis#er's Office
Sworn to or affirmed and subscribed Before the undersigned personally appeared the
before me this day party executing this renunciation and certified
of , that he or she executed the renunciatio for the
purposes sta.ted within on this day
of �'�- , ��3
Deputy for Register of Wills Notary Public
My Commission Expires: �n,•- 0 S �Zo��'—
_�.j.
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
PAUt.�A WHCtELOCKfi
Notary Pubfic-Stste of New York
° No.�1WH6Z79i28
Form RW-06 rev.10.13.06 G?uaiifled in QueenS Ci0U1?�
: My Commi�sion Expk�s Apr.08,2017
rv
c � mm
` � � � c� �
� _ � � � �
a� i—► � r�
� � � � � �
� �: �c c� �
RENUNCIATION � � �, � � "�'
�, � ��, � .� -�
�, � �..-� <-�
: .� .-� r� r�"!
REGISTER OF WILLS � � � � ,,,�,�
Cumberland COUNTY,PENNSYLVANIA �'`�
2���� ���7
Estate of Richard F. Heisen , Deceased
I, Gre�ory Heffernan Heisen , in my capacity/relationship as
(Print Name)
son of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Douglas Heisen
June 2013 _
(Date)
(Signature)
124 Brookstone Drive
(Street Address)
Princeton,NJ. 08540
(City,State,Zip)
Executed in Register's Office Executed out of Register's Office
Sworn to or affirmed and subscribed Before the undersigned personally appeared the
before me this day party executing this renunciation and certified
of , that he or she executed the renunci�tion �or the
purposes stated within on this ��`�'►�- dav
of �rV� , �.� t 3- '
�r`�It�Y� �J�°^ -, ;
Deputy for Register of�JVills Notary Public �
My Commission Expires: � �
(Signature and Seal of Notary or other official qualifiscf to
administer oath°�9���e������ - .)
1�
Notary Pubiic
State�of New Jersey
My Cammiasion Expires Aprii 6,20f8
Form RW-06 rev.10.13.06 1.�.#2�18�2