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HomeMy WebLinkAbout04-05-05 CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Cleo L. Hontz Date of Death: March 12. 2005 Estate No.: 21-05-0319 To the Register: I certify that notice of the beneficial interest required by Rule 5.6(a) of the Orphan's Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on Aori16. 2005. Name Address Jack R. Hontz Ruth H. Brubaker 15 Strayer Drive, Carlisle, PA 17013 247 Pam Avenue, Apt. 5, Ephrata, PA 17522 Date: 04/06/05 none. Notice has now been given to all persons entitled thereto under IRWIN & McKNIGHT Name Marcus A. McKnieht. III. Esauire Address 60 West Pomfret Street Carlisle. FA 17013 Telephone (717) 249-2353 m L",") Capacity: Personal Representative X Counsel for Personal Representative r'....~ I <> .1 PETITION FOR PROBATE & GRANT OF LETTERS Estate of CLEO L. HONTZ also known as , deceased. No. 21-05- ~ \ ~ To: Register of Wills for the County of Cumberland Commonwealth of Pennsylvania Social Security No. 188-22-8164 The Petition of the undersigned respectfully represents that: Your Petitioners, who are 18 years of age or older and the Co-Executors named in the Last Will of the above decedent dated February 29. 1996 , and codicils dated none . The Executor named none died . Renunciations for none attached hereto. Decedent was domiciled at death in Cumberland County, Pennsylvania, with his last family or principal residence at 442 Walnut Bottom Road. Carlisle. Pennsvlvania. Decedent, then ~ years of age, died Home. Carlisle. Pennsvlvania March 12 , 2005, at Thornwald 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: N/ A Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property (If not domiciled in PA) Personal property in PA (If not domiciled in PA) Personal-property in County Value of real estate in Pennsylvania, situated as follows: $9.000.00 $ $ $ WHEREFORE, Petitioners respectfully requests the probate of the Last Will and Codicil(s) presented herewith and the grant of letters testamentary thereon. Signature(s) and Residence(s) of Petitioner(s): x ~ f?, ?fo/- Jac R. Hontz / 15 Strayer Drive Carlisle, PA 17013 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND The Petitioner(s) above named swear(s) or affirm(s) that the statements in the toregoing pi~ion are true and correct to the best of the knowledge and belief of Petitioner(s) and that as personat;represEiD!ative ()f i the above decedent, petitioner(s) will well and truly administer the estate according to law. ' ' ::,:'"::) r]c-~ ack R. Hontz Sworn to or affirmed and subscribed before me this S ~'" day of April, 2005. ~~~ ~~, ~ v. Register ) ~ c..~. ,~, ~~~ ~~ 'X .-.'-.,.,.,.",....... 1 rq I ,":1 " II v C.11 c.) H 105,805 REV 1105 1..\-<;:)5.3\Q This is to certify that the information here given is correctly copied from an original certificate of death duly fi)ed with Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. me as WARNING: It is illegal to duplicate this copy by photostat or photograph. 11573645 No. ~ ~ 0~L/~ ?-I/n.~} Local R; istr Fee for this certificate, $6.00 p ~?l/-(L' /j"- Date ---- $-cY d-1 r",,,) .. 01 r..-.) Rev. 2187 COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH STATE FILE NUMBER NAME Of DECEDENT (Firs~ Middle. Lut) 1. Cleo L. Hontz AGE (LI" BirthdIY) N Months SOCIAL SECURITY NUMBER 1 188 22 8164 h In DATE OF DEATH (Month. DIy. Vllr) .. March 12, 2005 97 v". 5. COUNTY Of DEATH Clmtlerland lb. Ie. DECEDENT'S USUAL OCCUPATION KIND Of BUSINESS /INDUSTRV (".~~-=-~ . 1'" Teacher 11b. Public schools DECEDENT'S MAILING ADDRESS (StreIt. CIlyrrown. SlItl. ZIp Code) DECEDENrS 442 Walnut Bottom Rd., ~~D~~E 11. Carlisle, Pa, 17013 ~':'="" FATHER'S NAME (Am. _. LIIl) 11. Fred E. Hess INFORMANl'S NAME (TypelPrint) 20.. Jack Hontz METHOD Of DISPOSITION . llonIlIon D - IKI CNmItIon ~I fnIm Stale 0 . 21.. Othor (SpIc:Ify) 21b. -. SI TUR Of F RAL SERVICE LICENSEE OR PERSON ACTING M SUCH E"""",,"tIenlD DOAD -- D :=..,) D ~E. Amlricon IndIIn. Blick. _. . (SpodIy) White 10. M DECEDENT EVER IN U.S. ARMED FORCES? V..D NolXI 12. 17., Stille MARITAL STATUS. Monied. Never M.meet. Wtdowed. Divorced (SpIc:Ify) 1.. Widowed SURVMNG spouse (If wife. gMI mMderl l\llme) 17b. COuntv DId decedent Cumberland ::"~~p? 17dJCll ~:==of MOTHER'S NAME (Firs~ MIddle. Msiden Sumlme) 11. Hattie ReadIer INFORMANl'S MAILING ADDRESS (S1reIt. CIlyrrown. SlIte. Zip Code) 20b.1S Stra er Dr., Carlisle, Pa.'17013 ~J,;ro:Ie~SPOSITION. Neme of Cemetery. Cremetory LOCATION. CIlyrrown. Stete. Zip Code B r iggsv il 21..Mt. 21a:e, R.R.1/1, Nescopeck, Pa, Heller F.H. lWp, Carlisle cltylboro. I..... 2"'21 muot be oompIeted by perIOl"l who pronounces duth. IMMEDIATE CAUSE (FInel disease or condition I'IlIUIIIng In deIth)- I, ~ ~ ~t> DUE TO (OR AS It CONSEQUENCE OF): SequentIeIIy'" conditions I b, W Iny.1eIdIng to _to ~.EmwUNDERL~NG CAUSE (_ "'Injury .. thltlnltletld_ I'IlIUltIng on duth ) LAST d, WM AN AUTOPSV WERE AUTOPSY FINDINGS PERFORMED? AVAILABLE PRIOR TO COMPLETION Of CAUSE Of DEATH? DUE TO (OR AS A CONSEQUENCE ): DUE TO (OR AS A QUE OF): "MEDICAL EXAMINERlCORONER =~=~I.~.~.~~~~~~~~~~~~:.~.~.~.~~~:.~~~.~~~~.~.~.~.~~:.~.~~:.~.~.~~.~'.~~.~.~~~.~~.~~~~.~~.~~~.~~.. 0 31.. REGIS~NATURE AND NUMBER 33. (//~~ A. DATE OF INJURV (Month.Cay.y....) D D vuD NoD 301. 3Gb. M. 3Oc. COuld not be determined D PLACE Of INJURV . AI home.lenn. ItnIet. foctory._ bulldIng,IItc.(Spec:Ify) 2... 21b. 21. _. 301. CERTIFIER (C/Ied< only _) SIGNA 1U(ll AND Tp OI";!RTIFlER 'l~fol~~~':I':3:'~I=:r='.r.r.~~:~~.~~~.~~.~~~.~.~~.).................. GI 31b. t>-), 'Q~'- ~ , LICENSE NUMBER DATE SIGNED (Month. DIY. Veer) 'P:'o,:'=:,o:~=~.::u.PHY"=:l\"'=~...~.':.":'::~~.':(~~~~:~~rlllllted...................... D 31.. ~b 01'- ~"l' 31d. "'QQ. 1'1 ~()S NAME AND ADDRESS Of PERSON WHO COMPLETED CAUSE Of DEATH (I"~&T~;P~' p. ~ C"C"'bO)~ \I., ~ 32. 0 ~ ,..,.." ~ I\, j) C,.c I"QJ"" Pc- DATE FILED (Month. 01.:7 Veer) ~.A./ /$- - ~?Ja S- MANNER Of DEATH TIME OF INJURV INJURY AT WORK? DESCRIBE HOW INJURV OCCURRED. Nalunll lSil o D HomIcIdl NoD AccIdent SulcIde Pendlng Investigation Vu D No f)I.; VuD ~--I V 1911 191d LAST WILL AND TESTAMENT I, CLEO L. HONTZ, of South Middleton Township, Cumberland County, Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly revoking all Wills and Codicils heretofore made by me. ONE: I direct my Executor to pay all of my debts, funeral and administrative expenses as soon as may be done conveniently after my decease. TWO: I give, devise and bequeath all of my property of every nature and wherever situate as follows: a. To my son, JACK R. HONTZ......................................................... 75%; b. To my daughter, RUTH H. BRUBAKER........................................25% The above shares shall be on a per stirpes basis. If either of my aforementioned children has predeceased me, then their share must be distributed equally, to the issue of my child who has predeceased me. If either of my children has died without living issue, the said share must be distributed to my child who survives me or the issue of my other child if that child has also predeceased me. THREE: I nominate and appoint my son, JACK R. HONTZ, to be the Exee~t9r oft~~ l::"J'~ en C') my Last Will. FOUR: My Executor may, at his discretion, compromise claims, borrow money, retain property for such length of time as he may deem proper, lease and sell property for such prices, on such terms, at public or private sales, as he may deem proper; and invest estate property and income without restriction to legal investments. FIVE: I direct that my Executor shall not be required to post bond or enter security in this or any jurisdiction. ~ IN WITNESS WHEREOF, I have hereunto set my hand and seal thi~- day of February, 1996. ~4 <f ~ CLEO L. HONTZ (SEAL) Signed, sealed, published and declared by CLEO L. HONTZ, the above named Testatrix, 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 subscribed our names as witnesses hereto. 2 ACKNOWLEDGMENT AND AFFIDA VIT WE, CLEO L. HONTZ, TERESA M. HENRY and CHERYL L. CLELAND, the testatrix and witnesses respectively, whose names are signed to the foregoing instrument, being first du1y sworn, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her Last Will and that she had signed willingly, and that she executed it as her free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the testatrix, signed the Will as a witness and that to the best of their knowledge the testatrix was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. TERESA M. HEN ~ C RYL L. CLELAND COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND Subscribed, sworn to and acknowledged before me by CLEO L. HONTZ, the testatrix herein and subscribed and ~o before me by TERESA M. HENRY and CHERYL L. CLELAND, witnesses, thisc}1V day of February, 1996. 1)~~ ~{kYl otary ublic Notarial Seal Satzi A. fVlonisoo, Notary Public Carlisle Bora, Cumbel1and County My Commiss.loo Expires Dec. 15, 1996 Member, PQO~CI1iaAillioQalion of Notaries