HomeMy WebLinkAbout03-22-05
Estate of JEANNE E. HERTZLER
also known as
PETITION FOR PROBATE and GRANT OF LETTERS
sJl- () 5 - c2lo-'
No.
To:
Register of Wills for the
County of CUMBERLAND
Commonwealth of Pennsylvania
in the
. Dc/eased.
Social Security No. i ~ 3'. '2 <r, 3' (7 (; .<
The petition of the undersigned respectfully represents that:
Your petitioner(s), who isJare 18 years of age or older and the execut or
in the last will of the above decedent, dated June 19. 1998
and codicil( s) dated NONE
named
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with
h er last family or principal residence at 335 Weslev Avenue. MechanlcsburG. _ Allen TwD.
Pennsvlvania l-4wt-"RU.,/ ./ ,-
,J'I'r ,111';'
(list street, number and municipality)
Decedent, then '1 b years of age, died 3/18/2005
at CLAREMONT NURSING HOME. Claremont Drive. Carlisle. Cumberland County. PA
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of the will offered for probate; was not the victim of a killing and was never adjudicated
incompetent:
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(lfnot domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
NONE
$ 55,000.00
$
$
$
0.00
0.00
0.00
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant ofletters TESTAMENTARY
thereon.X \~ t tYi (testamentary; administration c.ta.; administration d.h.D.c.t.a.)
2706 E. ROSEGARDEN BLVD.
. ~ MECHANICSBURG PA 17055
I TERRY'" ERTZL
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA } ss
COUNTY OF CUMBERLAND
1'->
The petitioner(s) above-named swear(s) or afflrm(s) that 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 represen-
tative(s) of the above decedent petitioner(s) will well and ~drnin!fter e estat according to law.
Sworn to or affir~ ~ subscribed { ~-
ber.~me this _ day of
c..b ~005 '1'F.RRY T, HF.R'1'7.T,F.R
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No. c2l- 0 Sc2lo(
Estate of JEANNE E. HERTZLER
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW ,\'f'o..J\L h .;l.;;). ,~OCD , in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
lT IS DECREED that the instrument(s) dated 6/19/1998
described therein be athnitted to probate and filed of record as the last will of JEANNE E. HERTZLER
and Letters TESTAMENTARY
are hereby granted to
TERRY L. HERTZLER
FEES
Probate, Letters, Etc.. . . . . . . . $ (35. UJ
Short CertificatesJ )....... $ <g. t>1:)
Re- -iiBti8n~...... $ \5.00
c.u..-'\~\\S..........~~ 5. (.'\\;1
~'C....~ :1l.,o.nn
TOTAL_ $ 113,uv
Filed.. .::'.-.::td.-. ~.Qs-:....
MURREL
24849
54 EAST MAIN STREET
MECHANICSBURG PA 17055
ADDRESS
717-697-4650
PHONE
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This is to certify that the information here given is con-cclly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent"filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate. $6.00
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COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
DATE (Jf DEATH (Monlh,OllJ:.: Year)
!larch 16, 2u05
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decedenl
Hb. Coonl" Cum b e r 1 and ::n~? Hd. 0 ~~~': ~~: of
MOTliER'S NAME (fil'$l, Middle, M.id,m S"",'IIII,l)
18. Mary R. Com
INfORMANT'S MAlLlNGADDRES5 (Street C~ylTown, SI.Ie, Zip Code)
20b. 6 B n l n M chanicsbur PA 7055
?~;, ~:y,~I:OSITION :rt.t;~;ro~':SPOSITlON. NIIffiII crCemetery. Crematory LOCATION - CitylTown. Slale. Zip COde
3'21-2005 ", Mt. Zion Cemetery ,,~arlisle PA 170~3
lICENr;;E,lIIU"W.'f 6 NAME AND ADDRESS OF FACILITY
nb, tu-u 26 2-l ~M ers Funeral Home Mechanicsburg PA 170 5
LlCENSENUMBER DATE SIGNED
(Monlh. Day. Yc~r)
2Jb. e..N; ,7 2J~_ M.cu~h Il.:; .~ 00:;
WAS CASE REFERREO TO A MEDICAL EXAMINER /CORONE~ /
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BLACK INK
E~ Hertzler
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BIRTHPlACE(C~yend P OF A
Slate ",fQgnCounlry) HOSP'TA.l
Allen, PA 'n..';."'O
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fACILITY NAME (If nOlln.bMion, ~a 'I""" .nd numtrer)
NAME Of OfCFDENT (F~.l. Middle, L.st)
1 Jeanne
AGE (La.t Birthdey)
76
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Middlesex
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DECEDENT'S USUAL OCCUPATION
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KINO OF BUSINESS I INDUSTRY
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OECEOENT'S MAILING ADDRESS (slleat. CilylTown, State. Zip Code)
~ 335 Wesley Drive
Mechanicsburg PA 17055
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FATHER'S NAME (fir$l. Mldd-le.tasl)
18, Lloyd Enck
INFORMANrs NAME (TYPe/P'int)
20& Connie Jo. Sm,th
METHOD Of DISPOSITION
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MANNER OF DEATH
DATE Of INJURY
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W",~E I<UTOi'SY fiNDINGS
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CERTifiER (Chec~ only Ol\e)
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'PRONOUNCING "NO CERTIfYING PHYSICIAN (Phy.jcian !>olio p,onouno;i!>g d(,aU, and ca<1lfy"'Il'u cause of dealll)
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SlATE fiLE NU"'eER
SOCIAL SfCURITY NUM8ER
,.168 24 -
3064
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RACE.Arneric;lnlndian,8Iacl<,wr;Ie,el
(Specify)
White
SURVIViNG SPOUSE
lw..'...g".m_o....1
MARtTAL STATUS -M"'~d,
Ne"""Mam..d,WldtMed,
rn_OI<<'li(sp&cilyj
1<4. Oi vorced
11~,l!Iy.....dec~~"edin
en
..,
",lylboro
TIME Of INJURY
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED
,YcoONOO
JOb M JOe.
AtMm..,r.rm,.t'''''t.rll~lory,oIf",,,
..........0
31b, I
lICENSENUMIIER ...-: DATE5IGNEO{MOlllh, Day, Ya~,)
31e. 0:; (..()~ l. 31d? .../ ,oS.
NAMlO. A!\IO AQOR.EsS OF PERSot-I WOO COMPLETED CI<USE Of OEA 1>1
(ftem27)T~()fPlirt_
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DATEFI ED {MOlllh, O'y, Yaar)
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LAST WILL AND TESTAMENT
BE IT REMEMBERED THAT
I, JEANNE E. HERTZLER, a resident of Cumberland County,
Pennsylvania, being of sound and disposing mind, memory and
understanding, do make, publish and declare this to be my LAST WILL
and TESTAMENT, hereby revoking any and all Wills and Codicils
previously made by me.
I
I declare that I am not married,
(:=:;
::)
and that I have tnl:(e,e (3)
children, TERRY L. HERTZLER, CONNIE J. SMITH,
~ r I I ' }
and JErF~EY It,.
HERTZLER.
II
"",)
I direct that all my just debts and funeral expenses shall be
paid from my residuary estate as soon as practicable after my
decease.
III
I direct that all taxes that may be assessed in consequence of
my death, of whatever nature and by whatever jurisdiction imposed,
shall be paid from my residuary estate as a part of the expense of
the administration of my estate.
IV
I give and bequeath items of personal property to individuals
whom I have designated on a list which I have prepared and attached
hereto.
V
All the rest, residue and remainder of my property, whether
real or personal, wherever situate, including any property over
which I may have a power of appointment, I give, devise, and
bequeath to my son, TERRY, my daughter, CONNIE, and my son,
JEFFREY, in equal shares, per stirpes.
VI
I nominate, constitute and appoint my son, TERRY, as Executor
of this LAST WILL, to serve without bond.
If TERRY is unable or
unwilling to act in that capacity, then I nominate, constitute and
appoint my daughter, CONNIE, as Executrix of this LAST WILL, to
serve without bond.
IN WITNESS WHEREOF, I, JEANNE
this LAST WILL this I~ day of
E. HERTZLER,
.-
::J U.JlJ fL
have set my hand to
, 1998.
.~.. '~~~s--
E E. HERTZLER
Signed, sealed, published and declared by the above-named
JEANNE E. HERTZLER, as and for her Last will and Testament, in the
presence of us, who, at her request and in her presence, and in the
presence of each other, have hereunto subscribed of names as
wit..ee.e. Wf!~
K~k~
2
ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA
ss.
COUNTY OF CUMBERLAND
I, JEANNE E. HERTZLER, Testatrix, 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 as my free and
voluntary act for the purposes therein expressed.
.~A~ ~'-Mk
E E. HER ZL
Sworn or affirmed to and.. acknowledged ~ore me by JEANNE E.
HERTZLER, Testatrix, this lql..l-L day of -:..Ju./lJ'C , 1998.
[j~ rYl. 4~
Notary Public
Notarial Seal
Diane M. Smith, Notary Public
Mtohanicsbur~ Bora, Cumberland County
MV Oommisslon Expires June 22, 2000
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
ss.
COUNTY OF CUMBERLAND
we,IY'prr"J t. tualhr5, Ui and K. IJ grt 7J\lJhl<<.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 Testatrix sign and execute the
instrument as her LAST WILL; that JEANNE E. HERTZLER signed
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 Will as witnesses; and at
to the best of our knowledge, the Testatrix was at the ti e 18
years of age or more, of sound mind and unde/lo con tr nt or
undue influence. ~
x&tJu~
Sworn or affirmed to and acknowledged before me
this (l-/-+'t- day of -::::!UJvU.. , 1998.
L\ta~~)) )
Notary Public
~,.
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,Bh L-LlL.
Notarial Seal
Diane M. Smith, Notary Public
Mechanicsburg Bora, Cumberland County
My Commission Expires June ~2, 2000