HomeMy WebLinkAbout06-22-15 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
Name: PAULINE M. SWARTZ File No: ��j ' 1 d Z
a/k/a: PAULINE M. HOVIS SWARTZ (Assigned by Register)
a/k/a:
a/k/a: Social Security No: 182227610
Date of Death: JUNE 16, 2015 Age at death: 86
Decedent was domiciled at death in CUMBERLAND County, PENNSYLVANIA (State) with his/her last
principal residence at 1 LONGSDORF WAY, CARLISLE, 17015 S. MIDDLETON TWP CUMBERLAND
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at 1 LONGSDORF WAY, CARLISLE 17015 S. MIDDLETON TWP CUMBERLAND PA
Street address,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 $ 10,000
If not domiciled in Pennsylvania. ...... ................. Personal property in Pennsylvania $
If not domiciled in Pennsylvania. ...... ................. Personal property in County $
Value of real estate in Pennsylvania......................................................... $ 175,000
TOTAL ESTIMATED VALUE. ... $ 185.000
Real estate in Pennsylvania situated at: 1399 SHUMAN DRIVE, CARLISLE 17015 MONROE TOWNSHIP CUMBERLAND
(Attach additional sheets,ifnecessary) Street address,Post Office and Zip Code City,Township or Borough County
❑✓ A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated FEBRUARY 6, 2015 and Codicil(s)
thereto dated
State relevant circumstances(e.g.renunciation,death of executor,etc)
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 born or
adopted;and 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 o.,pendente lite,durante absentia,durante minoritate
If Administration,ca.m or db.n.c.t.a.,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 grounds 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 v+ tT
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the followmi sppppguse(if anignd hems R'ach
additional sheets,if necessary):
r M
Name RelationshipAddress. � N
._
}� C.- � C
ry r� rn
r-
Form RW-02 rev. 10/11/2011 Page 1 of 2
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF CUMBERLAND }
Petitioner(s)Printed Name Petitioner(s)Printed Address
MICHAEL A. HOVIS 900 GOODYEAR ROAD, GARDNERS, PA 17324
MARTIN F. HOVIS 422 PINE ROAD, MT. HOLLY SPRINGS, PA 17065
The Petitioner(s)above-named swear(s)or affirm(s)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 Deced the P ition s)w' , nd truly administer the estate according to law.
Sworn to or affirmed and subscribed before Date X—C'�`-
me!this day of I Date
By: Date
For the Register Date
BOND Required:AYES g]NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters . . . . . .. . . . . . . . . . . . . . . . $ 260.00 Attorney Signature:
( 3 )Short Certificate(s).. . . . . 15.00
( )Renunciation(s).. . . . . . . .
( )Codicil(s). . . . .. . .. . . . .
( )Affidavit(s).. . . . . . . . . . .
Bond.. . . . . .. . . . . . . . . . . . . .. . . Printed Name: DOUGLAS G. MILLER
Commission. . . . .. . . . . . . . . .. . . Supreme Court
Other . . . . . . . . ID Number: 83776
WILL . . . . . . . . 15.00 >
INVENTORY . . . . . . 15.00 Firm Name: IRWIN &McKNIGHT, P.C. c� r-J-7 -3 m
INH TAX RETURN . . . . . . . . 15.00 Address: 60 WEST POMFRET STRFE_T�D mc�
. . . . . . . . CARLISLE PA 17013
ZI: s /
TCS r'r)
. . . . . Phone: (717)249-2353v,,' ''
Automation Fee. .. . . . . . . . . . . . . 5.00 Fax: (717)249-6354 c_, _0 t -r
JCS Fee. . . .. . . . . . . . . . . . . . . . . 35.50 Email: �-�—z" N; --3
TOTAL. . . . . . . . . . . . . . . . . . . . . $ 360.50 ry
Co
DECREE OF THE REGISTER
Estate of I File No• 1�`-1 -ya
a/k/a:
AND NOW, `)(Jv� a ,��in consideration of the foregoing Petition,
satisfactory proof having been presented before me,IT IS DECREED that Letters TESTAMENTARY
are hereby granted to MICHAEL A. HOVIS AND MARTIN F. HOVIS
in the above estate and(if applicable)that
the instrument(s)dated FEBRUARY 6, 2015
described in the Petition be admitted to probate and filed of record as the las Will(and Codicil(s))of Decedent.
Register of Wills Per /6oauu� �jJ
Form RW-02 rev.10/11/2011 C/�� Page Of 2
H105.805 REV(9/11)
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNI is 'lleGgal �dI�plicate this copy by photostat or photograph:
� tttt r t L OF
REGISTE :' ; - "'ILLS
S
Fee for this certificate, $6.00 -- This is to certify that the information here given is
?015 JUN 22 i M � 13n�p�jN OFpEy�'gr correctly copied from an original Certificate of Death
a°kms G duly filed with me as Local Registrar. The original
o� z3 certificate will be forwarded to the State Vital
L Records Office for permanent filing.
�3 a
kit
P 21077080 cUt48PR ,:
� 1R ,
:= .q E�� kkk t 1
9lMENT OEC
Certification Number "" """"'�r�� Local Registrar Date Issued
Type/Print In COMMONW EALTH OF PENNSYLVANIA•DEPARTMENT OF HEALTH•VITAL RECORDS
Permanent
Biackink CERTIFICATE OF DEATH State File Number:
1.Decedent's Legal Name(First,Middle,Last,Suffix) 2.Sex 3.Social Security Number 4.Date of Death(Mo/Day/Y,)(Spell Me)
Pauline M. Swartz F 182-22-7610 June 16,2015
5a.Age-Last Birthday(Yrs) 5b.Under 1 Year 5c.Under I D, 6.Date of Birth IMo/Oay/Vear)(Spell Month) ]a.Birthplace T.and State or F rftfi Country,
86 Months Day Hour, Mlnples Wember 9,1928 Carlisle PA
7b.elrthpr1 (County) Cumberland
Be.Residence(State Forelgn Country, 8b 1 (Scree dN b Include Apt N,,) Bc Did Decedent LNe In a To
Pennsylvania fe5tongs�or�Ydacl S$Qith Middleton .
W Yes,decedent Was In lwp.
ee.n�� �� q)and
' Be.Residents(Zip Code) 1 701 b ❑No,decedent lived within limits of dry/burp.
9.Ever In US Armed Farces? 30.Marital 5latus at Time
ol0eath ❑Married )'Widowed Il.Surviving Spouse's Name(If wife,give name prior to first marrlagel
❑Yes No ❑Unknown ❑Divorced ❑Never Married ❑Unknown
12,Father's Name(First,Middle,Last,Suffix) 13.Mother's Name Prior to First Vantage(First,Middle,Last)
Marlin P. Brenneman Miriam Sherman
14a.Informant's Name Ub.Relationship to Decedent 14c.lnlprmant's Mailing Address(Street and Number, h'.Sete,ZID Cod
/ Michael Hovis son 900 Goodyear Rd. Gar dners,PA17065
1 a,Placed Death ec Other
one)
I f Death Occurred In a Ho s pit a I: ❑I n tie nt-__--_-_�----�So-- --- - -����- -�� - -
' pa til Death Occurred mewhere Other Than Hospital: dHozplce Facility tl Decedent's Home - ..
❑Emergency Room/Outpatient ❑Dead on A,mwil s3 Nun ng Hpme/Long-Term Care Facility ❑Other(Speclly)
15b III Nom¢Ifn 1 tit umber, 15c.City or:,we,tate,a and Cod IS Cou fDe th
ClumC�erla�Ic �''d fYl'§°s° Car1.Ls�e,"PPA fi7o15 �um"teriand
16a.Methpdor DIHc,lon Burial ❑Cremation 16b.Date o'f lsposltlon 11.Place of Olspmlths,(Name of cemetery,crematory,or other place) -
❑HimpYanmmstate ❑Donation 6/20, 015 Mt.HollySprings Cem.
[3Other(Spedfy)
Z 16d Locatlonpf Disposlllon(Oryor Tow Stat, dZl I 17a.Slgnah,-of Funeral Service Licensee or Pemonin Chargeof Interment umb
17b.Ucense Ner
Mt.HollySprings,PA170 5 4 pl 011589E
4 _
E 17Ctfnrj442f4LFAdf f&f��" ff;1L'bry 501N. Ba:timore Ave. Mt. Holly Springs,PA1
so 18.Decedent's Education-Check the bodesc
Ibis,that best ribes the 19.Decedent,'�lispanic Origin-Check the 2D.Decedent's Race-Check ONE OR MORE races to Indicate what
i- hlghest degree or level of school completedat the time of death. box that best,-tribes whether the decedent the decedent considered himself or herself to be.
❑8th grade or less is Spanlsh/HHI'''Ic/Latino.Check the'No- 13 White ❑Korean
❑No dipic-,9th-12th grade box if decade,, not Spa nish/HiHosMI/Latino. ❑Black or African American ❑Vietnamese
gi High school graduate or GED completed 14No,not Sp. m/HispanlcAatino ❑American Indian or Alaska Native ❑Other Aslan
❑5ome tail,&,creed,but no degree ❑Yes,Mexlc.,: Mcdean American,Che- ❑Asian Indian ❑Native Hawalit-
❑Associate degree(e.g.AA,AS) [3 Yes,Puertc'can ❑Chinese ❑Guamanian or Chamorro
❑Bachelor's degree(e.g.BA,AR,BSI ❑Yes,Cuban ❑Filipino ❑Samoan
❑Master's degree(e.g.MA,MS,MEng,MEd,M5W,MBA) ❑Yes,other%,,nlsh/Hispanic/latino ❑Japanese ❑Other Pacific Islander
❑Doctorate(e.g.PhD,EdD)or Professlonal degree (Specify) ❑Other(Specify)
..MD DDS DVM LLB,10
ZI.Decedent's Single Race Sell-Designation-Check ONLY ONE to Indicate what the decedent considered himself or herself to be. 22a.Decedent's Usual Occupation Indicate type of workWhile ❑Japanese ❑Samoan done during most of working life.DO NOT USE RETIRED.
❑Black or African American [)Korean El ahe,Pacific Islander Clerk
❑American led),,or Alaska Native ❑Vietnamese ❑Don't Know/Not Sure
❑Aslan Indian ❑Other Aslan ❑Refused 221b.Kind of Business/Industry
❑Chinese ❑Native Hawaiian ❑Dore,S edify) & Banking
(3 Filipino ❑Guamanian or Chamber, Insurance g
- ITEMS Ela n MUST BE COMPLETED 33a.Date ro nc d 0<atl(Mo DdY/Y 1 23b.Signature of Person Pronpuncing Death(Onix when applicable) 23c.Ucense Number
BY PERSON WHO PRONOUNCES OR /.�/�u/G /� pI,t c-
236.UIESDEATH LY ✓ ,ter, /t/f_Z �•)7�1 /
23d.Date Sig!tl IMo/Day/Yrl 24.Time of OeGGath L�G�cCu
(y/ /$ �/J 25.Was Medkal Examiner or Coroner Cpnlacled7 ❑ Yes ,® No
CAUSE OF DEATH i Appronmbte
26.Part 1.Enter the chain of events--diseases...jurles,or c,,plic,t,,n,..th,t d ttlY caused the death.DO NGT enter terminal events such as cardiac arrest, I Interval,
lospl,story arrest,or ventricular fibrillation without showing the etiolg8y.DI,NOT ABBREVIATE.Enter only one cause on a line Add additional lines if necessary. I Onset to Death
IMMEDIATE CAUSE a. r�,� �J��FYVZ �-•r��I�� (Yl��'E 1
(Final disease or,.ndltl.n Due 1p 1,,as a come...nc,of): i
resulting in death)
Sequentially for contlitlons Due to(, as a consequence ol):
.. ifanY,leadingtolhecause .. .
listed on line a.Enter the I -
UNDERLYING CAUSE Due to lo,as a con,,qu,nc,of)
(dlseaseor Injury that
S Initiated the ev"Ll resulting d. ;
In death)VST. Due to(or as a consequence of):
sS 26.Part ll.Enter other skniflcant conditions contrlbutint to death but not resul,gin the underlying cause gNen In Part 1, 2].Was an autopsy pertormed?
- b Is
❑No
-- - f 11,Were autopsy findings available
m 1-plete the uuse of death?
❑Yes ❑No
29.11 Fe}^ale: 30.0 Tobacco Use Contribute to Death? 31. er of Death
E LY Not pregnant within past"at LliYes ❑jyrobably Q'Natural ❑Homklde
sg ❑Pregnant at time of death U No 24nenowe ❑Accldent ❑PendingleVeftigati-
❑Not pregnant,but pragnanl wlthln 42 days of death ❑suicide ❑Could not be determined
❑No
pregnant but pregnant 43 days to l year before death 32.Date of Injury(Mo/Day/Y,)(Spell Month)
❑Unknown if pregnant within the past year 33.Time of Injury
34.Place of e,jury(e.g,home;construction Its;farm;school) 35.Location of Injury(Street and Number,City,County,State,Zip Code)
36.Injury at Work 1�.
7.If Transportation Injury,Specify: 38.Describe How Injury Occurred:
❑Yes OrNer/Operator ❑Pedestrian
❑No ❑Passenger ❑Other(Specify)
39a. ertllier-physl,lan,certified nurse practitioner,medical examiner/corone,(Check only one):
�
[ertlfring only-To the best of"knowledge,death occurred due to the 4ause(sI and manner stated.
❑Pronpunding&Certifying-To the best of my knowledge,death occurred at the time,date,and place,and due to the causes)and manner stated.
❑MedicaIE xaminer/U neA-0 Ihh basis pl e m aµoryen�In estlgation,in my opinion,death occurred at the time,date,and Place,and due to theLicense
and manner stated.
Signature of certifier: l(�f/t V/ C/l/ Titl of cartlfler: License Number:/�Y�l1,It
39b.Name Atltlrey and Zip code of Person Completing Uuse of Death(Item 261 [ fUJ C-JL 39c.Date Ig�(ye}pay/Yr)
00.Registrar's))Dlst'Lrlct N-u2mber41. egl rr55 nature ����aa 4Z.Regiistrar Flle Date o/wylYrj -
43.A(nendmems
FOF
2
5.
43
Olsookition Permll No, _(�G•7.>�kN EV 07r 0
REV O7/2012
LAST WILL AND TESTAMENT
I,PAULINE M.HOVIS SWARTZ,of Carlisle,Cumberland County,Pennsylvania,being
of sound and disposing mind and memory,do hereby make,publish,and declare this to be my Last
Will and Testament, hereby revoking any and all former Wills or Codicils made by me.
1.
I direct that all my legally enforceable debts,funeral expenses,testamentary expenses,and all
inheritance taxes (whether such taxes may be payable by my estate or by any recipient of any
property)shall be paid from my residuary estate as soon as practicable after my decease and as part
of the administration of my estate,and that none of the aforesaid taxes shall be prorated among those
persons or entities named herein or otherwise beneficiaries hereunder. My personal representative
shall have no duty or obligation to obtain reimbursement for any such tax so paid eyen tho*ori c'�'-�
proceeds of insurance or other property'not passing under this Will. w c, C
rn
2.
I give, devise, and bequeath all of my estate, whether real, personal, oFiiif9edr propqrry,� -
whether tangible or intangible, and wherever situated as follows:
A. I give and bequeath the sum of One Thousand and no/100 Dollars($1,009=00) Q
to each of my grandchildren that survive me, absolute;
B. I give and bequeath the sum of One Thousand and no/100 Dollars($1,000.00)
to each of my great grandchildren that survive me, absolute;
C. I give and bequeath the sum of One Thousand and no/100 Dollars($1,000.00)
to each of the four(4) children of my stepson, MARK H. SWARTZ; and
D. I give, devise, and bequeath the rest,residue, and remainder of my estate in
equal shares unto my sons, MARLIN L. HOVIS, MICHAEL A. HOVIS, and MARTIN F.
HOVIS, per stirpes, which provides that the child or children of any deceased beneficiary
shall take the share their parent would have taken if living.
3.
I nominate,constitute,and appoint my sons,MICHAEL A.HOVIS and MARTIN F.HOVIS,
or the survivor of the both of them, as Co-Executors of my estate. In the event that both of them
have predeceased me, failed to qualify, or are not able or do not serve for whatever reason, I then
Page 1 of 4 Pages
nominate, constitute, and appoint my son, MARLIN L. HOVIS, as the Substitute Executor of my
estate,whereby the said substitute personal representative shall have the same powers as are given to
the original Co-Executors hereunder.
4.
I direct that my personal representative shall not be required to file a bond to secure the
faithful performance of his or her duties in any jurisdiction.
5.
I authorize and empower my personal representative, in his sole and absolute discretion,to
purchase or otherwise acquire and retain any investments or any property of any nature which I own
at my death;to sell,lease,pledge,mortgage,transfer,exchange,dispose of or grant options in regard
to any or all property of any kind forming a part of my estate for such terms and such prices as he
may deem advisable; to borrow money for any purposes connected with the protection and
preservation of my estate;to mortgage or pledge any real or personal property forming a part of my
estate or to join in or secure the partition of same; to compromise any claims or demands of my
estate against others or of others against my estate; to make distribution in kind and to cause any
share to be composed of cash,property or undivided fractional shares in property different in kind
from any other share;to employ agents,attorneys and proxies and to delegate to them such power as
my personal representative considers desirable and to pay reasonable compensation for such services
as may be rendered by such agents, attorneys and proxies; and to execute and deliver such
instruments as may be necessary to carry out any of these powers. In addition, I direct that my
personal representative shall have the power to conduct an inventory of any safe deposit box
necessary to the administration of my estate.
6.
If, under any of the provisions of this Will, any principal becomes vested in a minor, my
Executor or Executrix, as the case may be, including any administrator c.t.a., shall have the
discretion either to pay over such principal or any part thereof to any parent of such minor, any
guardian of the person or estate of such minor, or any person with whom such minor resides, or to
retain the same as trustee of a power in trust for the benefit of such minor during his or her minority.
Any of the principal thus retained, and any of the income therefrom, including the whole thereof,
may be paid to or applied for the benefit of such minor from time to time in the discretion of the
Page 2 of 4 Pages
trustee of such power. When such minor reaches majority,the funds so held shall be paid over to
such person, or, if he or she shall sooner die,to his or her legal representatives. In so holding any
principal or income for any minor,the trustee of such power shall have all the rights,powers,duties
and discretions conferred or imposed upon my fiduciaries acting under this Will. I further direct that
no bond shall be required from any person receiving a payment hereunder and receipt from such
person shall be a full discharge to the trustee of such power who shall not be bound to see to the
application or use of such payment. The trustee of such power shall be entitled to commissions at
the rates and in the manner payable to a testamentary trustee.
IN WITNESS WHEREOF I have hereunto set my hand and seal this day of
' 2015.
J (SEAL)
Pauline M. Hovis Swartz
SIGNED,SEALED,PUBLISHED AND DECLARED by the above-named Testatrix,as and
for her Last Will and Testament,in the presence of us,who at her request,have hereunto subscribed
our names as witnesses thereto, in the presence of the said Testatrix and of each other.
Page 3 of 4 Pages s.
P.M.H.S.
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND
I, PAULINE M. HOVIS SWARTZ, 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 willingly;and that I signed it as
my free and voluntary act for the purposes therein expressed.
pajkly--y k'
Pauline M. Hovis Swartz
Sworn or affirmed to and acknow dged before me by PAULINE M.HOVIS SWARTZ,the
Testatrix,this 6L"" day of c� 2015.
��TH�of KMSn-WM
Notar"PANIA
Kawew;..NodNot u is
Notary
Carlisle rtorno,C.
Mv C
OF
COMMONWEALTH
SS.
COUNTY OF CUMBERLAND
We, . &S e ftig ' and -1—rat� �- k)t
the witnesses whose aures are signed to the attached or foregoing instrument,being duly qualified
according to law,do depose and say that we were present and saw PAULINE M.HOVIS SWARTZ,
the Testatrix,sign and execute the instrument as her Last Will;that the Testatrix signed willingly and
that the Testatrix 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 that to the best
of our knowledge the Testatrix was at that time 18 or more years of age,of sound mind and under no
constraint or undue influence. 4"zL
Addr 60 West Pomfret Street
Carlisle, PA 17913
Address 60 West Pomfret Street
Carlisle, PA 17013
worn or affirmed to aild subscribed before me this day of
32015.
Not Public
.c;OMMO EALT H of �vsnv
NOterW Seal Page 4 of 4
Karma,S.Noel,Notary Publicg Pages
car .moo,Cuintfer"County
ov-s 2015 P.M.H.S.