HomeMy WebLinkAbout04-19-05
Estate of
CUMBERLAND_ .
Register of Wills of ...ounty, Pennsylvania
PETITION FOR GRANT OF LETTERS
No. d.1-OS - ,3{o~
RUTH P. HELMICK
also known as
, Deceased
Social Security No. 185-03-6419
Pet;,j""..lld, ....ho i-',re 19 ~..,. 01 age ot olde'. Ajlplyli..f lor
(COMPLETE" A" OR "B" BELOW:)
QI
A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut rix named in the Last Will of the
Decedent, dated December 4. 2002 and codicil!sl dated
Renunciation of Shirley A. Knislev. Executrix aDPointed under Will. (Renunciation
rl~rp.rl AnTi 1 1 q 70015)
St.I.'&I.v....tcircum.'8f\cn. e.Q.. renunoia,ion, de.\hnl.~.cutor. etc,
Except as follows. Decedent did not marry, was not divorced, and did not have 8 child born or adopted after execution of the documents offered
for probate; was not the victim of 8 killing and was never adjudicated incompetent:
Q
B. Grant of Letters of Administration
jC.l.... <i.b.I\.c.....: peIl<i<>fl\ft lilft; riulftl\'e ftb"""ll.: tJuu,,"c n~nori'.'el
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:
I
Name
Relationship
Residence
I
"
, ,
,
.
,..',
ASES:J Attach additional sheets it necessary
f<)
Decedent was domiciled at death in Cumberland
residence at Sarah Todd Home, Carlisle Borough. PA
County, Pennsylvania, with his/her last tMnily or principal
17013
Uiatatfeel.numbi!1 ""<imu,,icip.h'~)
Decedent, then ~ years of age, died
April 12
,20.22, at Sarah Todd Home, Carlisle,. PA
(lOC.lionl
Decedent at death owned property with estimated values as follows:
{If domiciled in PAl All personal property ...................
(If not domiciled in PAl Personal property in Pennsylvania. . . . . . . . . . .
:if not domiciled in PAl Personal property in County. . . . . . . . . . . . . . . .
Value of reel estate in Pennsylvania . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Real Estate situated as follows: N / A
$
"""",,$
"""",,$
$
"""'" $
9..:rdQ:l ,01.0
9~.aO
Wherefara, Petitioner(s) respectfully request(sl the probate of the last Will and Codicil(sl presented with this Petition and the grant of letters in the
appropriato form to the undersigned:
Typed or printed name and residence
Brenda 1. Kern
32 Bourbon Red Drive
717-796 0939
RW-7
Oath of Personal Representative
Commonwealth of Pennsylvania
County of CUMBERLAND
The Petitionerlsl above-named swearls) and affirm(s) that the statements in the foregoing Petition are true and
correct to the best of the knowledge and belief of Petitionerlsl and that, as personal representativels) of the Decedent,
Petitioner(s) will well and truly administer the estate,a..~rding t~ law. ~ .
Sworn to and affirmed and subscribed Y / ~ ~ ~
before me this I cr-lJ day of
U41~~.J- 20 (P
'-~~~~
Estate of
Ruth P. Helmick
DECREE OF REGISTER
Deceased
,Q(-()5-, ~&4-
No.
also known as
Social Security No: 185-03-6419 Date of Death: April 12, 2005
AND NOW,~..\ 1 I q , 20(}5 , in consideration of the Petition
on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that letters Jiil Testamentary 0 of Administration
are hereby granted to
(c_t_~:. <!,b.n,r..1.; pendente Ii.e; d"'&n'~ absentia; duran." ""noriM''']
in the above estate and that the instrument(s), if allY, dated .IJ. - 4-()-l
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
FEES
letters.......................... .
Short Certificate(sl..........
Renunciation. .................
Affidavit ( ).................
Extra Pages I}............
eeeieil.lJ.;:". \.\...............
JCP Fee........................
Inventory & Tax Forms...
Othe~-'m~.lOY\ f~
sBIO ,()O
s 'g, ()()
s
s
s
sJ56'J
s /O.GO
s
$ 5.11D
~,l1Q ,r&, ~:,~,:;,;?b-~~
I . ~
Attorney: Jean D. SEibert, Esquire
I.D. No: 41713
Address: 109 Locust Street
Harrisburg, PA 17101
Telephone: 717_?%_Q1111
DATE FilED: 4-lct-DS
TOTAL................ si24'l.6D
RW-7a
Register of Wills of
CUMBERLAND
County, Pennsylvania
Estate of
RUTH P. HELMICK
RENUNCIA TION
No. ~ 1-05- 31oJ-/
also known as
. Deceased
The undersigned,
daughter and Executrix
(Relationship) ICapacityl
at
the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
Letters Testamentary
be issued to Brenda L. Kern
Witness
my
hand this
day at April
20~.
--4-Q1
104 St.
tJ. k'1AA~tt
(Signaturel Shir y
Martin's Way, Apollo
A. Knisley
Beach, FL
33572
{Address I
(Signature)
(Address I
(Signature I
(Address)
Sworn to or affirmed and subscribed
Citore me this _1ct+L day at
lf2^J- . 20~.
~~~0,~::>IO:Jd4~
Nu,"., ~"bllc. . ~\ SJ.Ck:&
M 1 CSWI.. ..DJ.81. [xplres: ~ ~Ve-.p.{J:::t:"'1
',..,
lS<gnlltu.e ""0 aeal of No'"'~ m o.her OThci..
t\)
NOTE: Renunciations executed outside the Office of R~~1'ster of
\^Jills are required in some counties to be notarized.
4ualil,ed ,,,,,dmini.,.., "",11&. S..ow da,eo!
e.p"",joo "'Notary'. commis.ion.;
RW-13 IRvsd 9/92)
Hl05.112 REV_ 1/05
(FEE FOR THIS
CERTIFICATE $6.00)
WARNING: IT IS IllEGAL TO ALTER THIS COPY OR
TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF HEALTH VITAL RECORDS
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
CERT. NO.
T 5907423
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-):\.1" OF p~\\ I
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rff,~' l"1.,}Q9.
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April 13, 2005
Oate of Issue of This Certification
Name of Decedent
Ruth
P.
Helmick
FifO,1
Mi(j(JI~
I.?SI
Sex
Female
Social Security No.
185-03-6419
Date of Death
April 12,2005
Date of Birth
July 27,1916
Birthplace
Palmyra, Penna.
Place of Death
Sarah A. Todd Memorial Home Cumberland Co. Carlisle
Pennsylvania
Facility Nanl<'
Counly
Cill'. Bcmugh or Tow~s~!P
Homemake_~_ Armed Forces? (Yes or No)
32 Bourbon Red Drive, Mechanicsburg, Pa.17050
NO
Race
White
Marital Status
Widowed
Occupation
Decedent's
Mailing Address
NLJrnrmr
Street
Citl'mTov'l'
Slate
Informant Brenda Kern
Name and Address of
Funeral Establishment__
Funeral Director__
Donna R.G. Buse
Buse F.H., 2 E. Main St.,Hummelstown, Pa. 17036
Part I:
Immediate Cause
I nterval Between
Onset and Death
(a)
ASH D
Unknown
(t-
(c)
, -"1
(d)
Part II: Other Significant Conditions
Manner of Death
Natural XX
Accident 0
Suicide 0
Describe how injury occurred:
Homicide
[J
[]
o
t.,"',
Pending Investigation
Could not be Determined
C'v
1..D
Name and Title of Certifier
George P. Branscum, Jr.
Address
850 Walnut Bottom Road, Carlisle, Pa. 17013
(M.D., B.O., Ov161101, rdl.L)
This is to certify that the information here given is correctly copied from an original certificate
of death duly filed with me as Local Registrar. The onglnal certificate Will be forwarded to the
State Vital Records Office for permanent filing. CO () . \....../1 ^ ,..LJ.
_J1(;/-YMJJl)..Ll ~..--i~~_ __}8-3~
L_ldl nUjl.qr,u.J1 v".LlReUJrd, ll'SlnctNo
April 13, 2005
159 N. Railroad St., Palmyra, Pa. 17078
[)a\~ R",cej',edby Loc,,1 Rqiolre;,
Str"",1 ^,Jrjr~".;
(;,1" Rorol.qrl.Tow,dlip
11.L&Bl Will &ub QfcBl&mcul
OF
RUTH P. HELMICK
I, RUTH P. HELMICK, of the Borough ofHummelstown, Dauphin County,
(,.
Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby
declare this as and for my Last Will and Testament, hereby revoking all Wills and Codicils
previously made by me.
I. I direct the payment of my debts and expenses of my last illness and funeral from
my estate as soon after my death as conveniently may be done.
2. I give and bequeath my diamond engagement ring to my granddaughter,
BRENDA L. KERN.
3. I give all my remaining articles of personal or household use, including any
automobiles I own at the time of my death, to my daughter, SHIRLEY A. KNISLEY, and
my granddaughters, BRENDA L. KERN, BONITA A. JOHNSON, and DEBORAH K.
SUFRIN, as they can agree. Ifnone of my said daughter and granddaughters desires
certain of my articles of personal or household use, I direct that these items shall be
converted to cash and the proceeds therefrom added to the rest, residue and remainder of my
estate.
"<f" 4. I give the sum of One Hundred ($100.00) Dollars to the MOUNTAIN VIEW
(/'-
BIBLE CHURCH, Hummelstown, Pennsylvania.
~ 5. I direct that all the rest, residue and remainder of my estate, whether real or
personal, and wherever the same may be situate or located, shall be given to my said
daughter and granddaughters in the following percentage distribution:
(a) Thirty-five (35%) percent to my daughter, SHIRLEY A. KNISLEY;
(b) Forty-five (45%) percent to my granddaughter, BRENDA L. KERN;
~
~. ~
.~
~
--:r
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~
~
(c) Ten (10%) percent to my granddaughter, BONITA A. JOHNSON; and
(d) Ten (10%) percent to my granddaughter, DEBORAH K.SUFRlN.
If any of these beneficiaries should predecease me, I direct that their issue shall be in
receipt of their share, per stirpes.
6. I direct that any and all inheritance, estate and transfer taxes imposed upon my
estate, passing under my Will or otherwise, shall be paid as a part of the expense of
administration, payable out of my residuary estate.
7. In addition to powers given her by law, my Executrix acting hereunder shall have
the fullest power and authority in all matters and questions and to do all acts which I might
or could do ifliving, including, without limitation, complete power and authority to invest
(without restriction to investments permitted by law), sell (at public or private sale, for cash
or credit, with or without security), mortgage, lease and dispose of and distribute in kind, all
property, real and personal at such times and upon such terms and conditions that she may
deem advisable.
8. I nominate, constitute and appoint my daughter, SHIRLEY A. KNISLEY, as
Executrix of this, my Last Will and Testament. In the event of the renunciation, death,
resignation or inability to act for any reason whatsoever of my said daughter, I nominate,
constitute and appoint my granddaughter, BRENDA L. KERN, as Executrix of this, my
Last Will and Testament.
9. I hereby relieve my personal representative from the necessity of posting security
in connection with her duties as such in any jurisdiction in which she may be called upon to
act insofar as I am able by law to do so.
2
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last
Will and Testament, consisting of three typewritten pages, the first two of which bear my
signature in the margin for the purpose of identification, this ~ay of
l~
,2002.
f1l?A /p~iJ? tiL~~AL)
Ruth P. Helmick
Signed, sealed, published and declared by the above-named Testatrix, Ruth P. Helmick, as
and for her Last Will and Testament, in the sight and presence of us, who, at her request,
and in her sight and presence and in the sight and presence of each other, have hereunto
subscribed our names as witnesses.
t&WWk
IL-
/;7dzO' JJW
Name I .
N~
ss
~.JK
Address
3
Commonwealth of Pennsylvania
: SS
County of Dauphin
We,
Ruth P. Helmick
L'NcIA~ (f' lk.~
, the Testatrix and the witnesses, respectively,
, and
~.J D. ~~} lo'ejY I-
whose names are signed to the attached or foregoing instrument, being first duly sworn
and qualified according to law, do hereby declare to the undersigned authority that we
were present and saw the Testatrix sign and execute the instrument as her Last Will and
Testament and that she signed willingly (or willingly directed another to sign for her),
and that she executed it as her free and voluntary act for the purposes therein expressed,
and that each of the witnesses, in the presence and hearing ofthe Testatrix, signed the
Will as witnesses and that to the best of his or her knowledge the Testatrix was at that
time eighteen (18) years of age or older, of sound mind and under no constraint or undue
influence, and I, the said Testatrix, do hereby acknowledge that I signed and executed the
instrument as my Last Will and Testament, that I signed it willingly, and that I signed it
as my free and voluntary act for the purposes therein expressed.
~/?I{{i: C]j p1~cJc
Testatrix
;tdA!^d 6(~
Itness
~
Subscribed, sworn to and acknowledged
before me by Ruth P. Helmick
the Testatrix, and subscribed and sworn
to before me by .L/J\/~ l;.LS;P
and T~., D, s~r, witnesses,
this 1-t0 day of ~ 2002.
,/~X A(t'z"t~C
Not Public
NOTARI-\l SEAL
KA Y, l. m\iJLET r.jotJry Public
,.,' r'
, ,}), ':"hm County
~1..m:l11~, 2roJ