HomeMy WebLinkAbout03-30-05
Estate of BobbY E. Hurley
also known as
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
PETITION FOR GRANT OF LETTERS
No. ~I- OS- - oa...05
, Deceased
Social Security No. 426-82-9034
Constance C. Webb
Petitioner{s), who is/are 1B years of age or older, app\y(\es) for:
(COMPLETE "A" OR "B" BELOW:)
Gl
A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut rix
Decedent, dated 12/8/2004 and codicil(s) dated
named in the Last Will of the
State relevant circumstances, e.g., renunciation, death of executor, ate
Except as follows, Decedent did not marry, was not divorced and did not have a child born or adopted after execution of the documents offered
for probate; was not the victim of a killing and was never adjudicated incapacitated:
o
B. Grant of Letters of Administration
(c.t.a., d.b.n.c.t.a.: peooel\te lite, durante absentia', durante minori\a\e)
Petitioner(s) after a proper search has/have ascertained the Decedent left no Will and was survived by the following spouse
(if any) and heirs:
I Name Relationship Residence I
.
. .
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family,oc principal
residence at 1191 Letchworth Drive, Lower Allen Township, Camp Hill, PA 17011
(list street, number and municipality)
Decedent, then 64 years of age, died March 7, ,2005 ,at 1191 Letchworth Drive, Camp Hill, PA 17011
(Location)
Decedent at death owned property with estimated values as follows:
(if domiciled in PA) All personal property. ..................................... $
(if not domiciled in PAl Personal property in Pennsylvania .................... $
(If not domiciled in PAl Personal property in County .........-.................... $
Value of real estate in Pennsylvania ............ .........................."...."......................................,.. $
Total ..................................................................................................................... $
115,000.00
7,500.00
122,500.00
Real Estate situated as follows:
18.87 more or less unimproved acres in Potter County - vacant ground located on Rl. 44/144
Wherefore, Petitioner(s) respectfully request(s) the probate of the Last Will and Codicil(s) presented with this Petition and the grant of letters in
the appropriate form to the undersigned:
Typed or printed name and residence
Constance C. Webb
1191 Letchworth Drive Cam Hill PA 17011
RW-7
Oath of Personal Representative
Commonwealth of Pennsylvania
County of Cumberland
The Petitioner(s) above-named swear(s) and affirm(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 representative(s) of the Decedent,
Petitioner(s) will well and truly administer the esta~te. ccording to law. i
Sworn to and affirmed and subscribed ....---'- /Jt"./J' {' fg 6!./..J
~ onstance C. Webb
before me this 6(1' . day of
March 2005
, ~'~'~Al"'4"-
Estate of Bobbv E. Hurlev
DECREE OF REGISTER
Deceased
No.J..t -DS-.;).8S
Social Security No: 426-82-9034 Date of Death: 3/7/2005
AND NOW, March c9.CI. 2005 . in consideration of the Petition
on the reverse side hereon, satisfactory proof having been presented before me.
IT IS DECREED that Letters ~ Testamentary I:J of Administration
also known as
(c,t.a., d.b.n.c.t.; pendente lite; durante absentia; durante minoritate)
are hereby granted to Constance C. Webb
in the above estate and that the instrument(s), if any. dated December 8,2005
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
FEES
Letters ....................................
Short Certificate(s) ....~....
Renunciation ..........................
Affidavit ( ) .......................
Extra Pages ( )..............
-c.OOlCII \)..::>:..\\......................
JCP Fee .................................
$d1oD .00
$~.(jJ
$
$
$
$J5,61)
$ID,(\\')
~\Q~ \tCl~
Register 0 Wills
r '11l'i~
Attorney: Jill M. Wineka, Esquire
I.D. No: 58802
Address: 1719 North Front Street
HarrisburQ,
Telephone: (717) 234-4178
DATE FILED: J /2 q / oS-
Inventory & Tax Forms............. $
eti'lerCu.,::.\:~!:<~,.onk. $ 5_ eft)
PA 17102
TOTAL ............................$ ~ID.. 1ft)
RW-7A
11 :{\,.~rl'; RIV lil"i
This is to certify that the information here given is correctly copicd from an original ccrtificate of death duly filed with me as
Local Registrar. The original certificate will he forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No.
",'II"/~"'~"~""'~
","':. \>.\.W OF Prj,----,
"'~~:t"'-
i~ . _. UA'\
!~_!!ft. . ~\
~~I ,'. ~i
~c::rol " -)::
~ c.-' .lJi~' ::z:.. ~
\*~"":' '/*J
~a~. .. /~,
'\.~ . ~""l
, ;rp -<\...'t-~"
"--fr"'ENi ~\ ~ """
""""~"/#"IIIII,'lj
~c:!~~
Fee for this certificate. $6.00
P 11335?69
MAR 11 2005
Date
',143RllV.2/87
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
STATE FilE NUIolBEIl.
.,
COUNTY OF OEA TH
VB.
, 0
Mlnu!(l$
DATE OF BIRTH
(Month, Day, Yaar)
male
p
HOSPITAL
,npatianlD
1.Newville, PA la.
FACILITY NAME (If not In.litulion, give .lrBBl and numbe.-)
,.426
82
- 9034
DATE OF DEAl" (Month,Oay; Year)
llar.7,2005
~E Of DECEDENT (First, Mlddla, l8$l)
1.
AGE(LMI~y)
SEX
SOCIAL SECURITY NUMBER
BIRTHPLACE (elly and
Slate or Foreign Country)
ERIOuIpOUantD
MAR1TAl STATUS _ Marrlad,
Never Manied,WIdowad,
Oivorcad(Spetify)
14.married
b
:p'ns tance BOWman
64
~D
--rs ~) 0
RACE. Amer1cen Indlal'l, Black, While, el
(Speclfy)
10. whi te
SURVIVING SPOUSE
(1r...Io.gi..._..,....,.)
lb.
Cumberland
Lower
0"
Allen
Letchworth Dr.
DECEDENTS USUAL OCCUPA nON
(~""=:';::"~==I
KIND OF BUSINESS I INDUSTRY
AS DECEDENT EVER IN
U.S. ~D FORCES?
Ye,R!..NoD
...
1h.St.1e
DECEDENT'S EDUCATION
(Sj>ed"onlyllighMl complolO<l)
Elom.""'ryISIOCOndarr Callogoo
13. 1 iG-12) ~1"'or5')
"
DEC DENT' MAILING
1b
DRESS (StrHt. UyfTown, Slale, ZIp Code)
DECEDENT'S
ACTUAL
RESIDENCE
(Swlnstrudltlnl
on olherslde)
l1b. Counlv
P~nnc;:yl u;::ani '~ceGant
...".
Cumberland township? 11d.D ~~~~~Of
MOTHER'S NAME (FQt, Mldditl, MP;len Sumame)
1~ Elizabeth C. Sheaffer
l1C.~Ye.,deeedllnl~1I1
T ....'fJOl'"
:11.] 1 .01"'1
......
1191
dty-
nn D.
Hurle
Webb
3163 L
INFORMANTS MAILING ADDRESS (Slrwt, CltyfTown, St.Iu. Zip Code)
20b.
PLACE OF DISPOSITION- Name of Cemetery, Crematory LO TION - CltyfTawn, Stale, Zip Code
or OIl1er Piece
"goll ing Green Cemetery Qwer Allen Twp., PAl 7043
NAME AND ADDRESS OF FACILITY
sselmanFH&CS,324HummeIAve.Lemo ne,PA
LICENSE NUMBER DATE SIGNED
(Month,D'y,Year)
23b,1202;!A"S)fs-L ..., b-
DATE PRONOUNCED DEAD (t.400th, Day. Yesr)
M. 25. ZL.t.6-
20.
: Approxlmale
. inle1V81betwaen
: on$8l and daath
Ot/lerslgnificantcondillonsconlributingtodaath,bul
notre,ullinll in the underlylng CIIUSll llivun In PART I.
. Donot.nWltlomod.old~ing,.,",h....rdl ........p1rolory.....t Ihock or h..fl lollur..
i.JA
~u.r
ACONS-EOUENCEOF}
CUE TO (
Sequenilllllyli$tcorw;lition.
if any, laadlnll to lmmadlate
CllUse. Enter UNDERLYING
CAUSE (Disease or lnjury
thai Inllialad evenlll
rallUlIlnll on dealh) LAST
WAS AN AUTOPSY WERE AUTOPSY FINDINGS
PERFORMED? AVAILABLE PRIOR TO
COMPLETION OF CAUSE
OF DEATH?
L
OU€ TO(ORI\SACON5EQUENCE OF)
OUETO(ORI\SACONSEOUENCEOF)
Y"D
MANNER OF DEATH
Natyral IX' Homicide D
Accidenl 0 Pend1nglnvest1llalion 0
So""', D Couklnolbadetermlnlld D
DATE OF INJURY
(Monlh.D.~, Y..')
TIME OF INJURY
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED.
Ye.O NO~
YuD NoD
28a. 21b.
CERTIFIER (Cllaclr. only ona)
.~~~F~~IGJ~~~~JiJ:l.~c::rh~~niJ'd~S: tr:: rn':~ar:~:~:r~~3rJ~rn~~a~lh:I~~~~~~~.~~~~~.~~.~.~~~~.~.i~~.~?~J.
".
30..
PLACE OF INJURY
b<Jllding.elC_ISpec;l)o)
30..
30b.
"
,,,.
,...
LOCATION (Slroot. CityfTown. St.le)
30f.
FCERTlFIER
N'D
'MEDICAL EXAMIHERlCOROHER
On the baal. of Iltamtn.llon and/or Inva.llptlon, In my opinion, death o""urnod lrt thl tlma, d.le. and pla"a. and dua 10 Ih ",IU"'(.) and
mennwa..laled ...."...............
31..
REGISTRAR'S SIGN~ttEAHD NU~ ~
". ",vn.... -' '(' %
,
'"
Athome,falm.~lflKlt.faclory.offtce
.PRONOUNCING AND CERnFYIHG PHYSICIAN (Ptlysician both pronouncing death and (:ertifylng to c.au~e of death)
To the be.t of m'y knowlad"a, duth occulTed al tha tlma, d.u., and pl.~, end du. 10 thl cau...(.) and rnenn.r'l alatad.
~I/~I/(I
DATE FILED (Month, Da~, Year)
".
dao.{
LAST WILL AND TESTAMENT
OF
BOBBY E. HURLEY
I, BOBBY E. HURLEY, of Camp Hill, Cumberland County, Pennsylvania, do make, publish and
declare this to be my Last Wili and Testament, hereby revoking ali Wilis and Codicils heretofore made by
me.
ITEM I:
I direct that ali my just debts and funeral expenses, including my grave
marker and ail expenses of my last illness, shali 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:
AIi federal, state and other death taxes payabie because of my death
with respect to the property forming my gross estate for tax purposes, whether or not passing under this
Wili, including any interest or penalty imposed in connection with such tax, shali be considered as a part
of the expense of the administration of my estate, and shali be paid out of the principal of my estate
without apportionment or right of reimbursement.
ITEM III:
I give, devise and bequeath my Worid War II swords and my father's
World War I rifle to my nephew, BRIAN HURLEY of Carlisle, Pennsylvania.
ITEM IV:
I give, devise and bequeath ali of the rest, residue and remainder of my
estate of every nature and wheresoever situate to my wife, CONSTANCE C. WEBB, provided that she
shall survive me by thirty (30) days.
ITEM V:
Should my wife, CONSTANCE C. WEBB, predecease me or die on or
before the thirtieth day foliowing my death, then I give, devise and bequeath ali the rest, residue and
remainder of my estate of every nature and wheresoever situate to my brother, FRANKLIN HURLEY of
Carlisle, Pennsylvania
ITEM VI:
I appoint my wife, CONSTANCE C. WEBB, as Executrix ofthis my Last
Wili and Testament. Shouid my wife, CONSTANCE C. WEBB, predecease me or fail to qualify or cease
to act as Executrix, I appoint my brother, FRANKLIN HURLEY as Executor of this my Last Will and
Testament.
ITEM VI:
I direct that my Executrix or Executor shall not be required to give bond
for the faithful performance of their duties in any jurisdiction.
IN WITNESS
]) UI; mAl; fL
WHEREOF, I have hereunto set my hand and seal this
ow.
t day of
,2004.
~8~
BOBe E. HU LEY -
(SEAL)
The preceding instrument, consisting of this and one other typewritten page, was, on the date
thereof signed, published and declared by BOBBY E. HURLEY, the Testator therein named, as and for
his Last Will, in the presence of us, who, at his request, in his presence, and in the presence of each
other, have subscribed our names as witnesses hereto.
/L /(~~hy
~. Yh l~ru&
residing at
{!.
./fA I/,'/e
IrfAc(JyuuJ;wu, P 14
(/'
7:4
residing at
2
COMMONWEALTH OF PENNSYLVANIA
ss:
COUNTY OF DAUPHIN
f . WE, BO,BY E. HURLEY,
...... III M L-t; I n ct,,,,-
and
, the Testator and the witnesses, re pectively, whose
names are signed to the attached or 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 purposes therein
expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as
witnesses and that to the best of their knowledge, the Testator was at that time eighteen years of age or
older, of sound mind and under no constraint or undue influence.
~~GQJ.J?
BOBBY E. H RLEY
~ /s:0J" "7
Witness
~t m. ttLnJ:v
Subscribed, sworn to and acknowledged before me by BOBBY E. HURLEY, the
Testator, and subscribed and sworn to before me by ~IlIAV I( Hut?ulj
and ~1iLL k. W/iUEt,q , witnesses, this 1?Y1- day of f)ECFtYI!3EI2.
2004.
!~AjUtAA- 6 .~
! Notary Public (
(v,;lIslhurleyl will)
_,~,,_,',""~~",""N'",~_.~_ "~"_,.".,,..,.~~
NOTARIAL SEAL
BARLiAr\.c\ .l\. SHADEL, Notary Publl"
City of Harrisburg, Dauphin County
My C0l11t"nJsslol1 Expires March 19,2007
~.''''~~'' ',-',"~"-"."'-"~_____'~ ""..""_'~.,"_m.."_"_.._~