HomeMy WebLinkAbout05-31-05
Estate of
also known as
Register of Wills of CUMBERLAND County, Pennsylvania
PETITION FOR GRANT OF LETTERS
No 02/-05 - ()L\~1
MARTHA A HEFFLEFINGER
, Deceased
Social Security No, 174-05-0628
MARTHA A. FRITZ
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or B' BELOW)
[KI A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the execut r ix
the Decedent, dated 07/28/2003 and codicil(s) dated None
named in the last Will of
State relevant circumstances, e.g., renunciation, death of executor, etc.
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 incompetent:
o B. Grant of Letters of Administration
(c.t.a.: d.b.n.c.t.a: pendente lite; durante absentia: durante minoritate)
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
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in CUMBERLAND
County, Pennsylvania with his/her last family
or principal residence at 355 W. NORTH STREET, CARLISLE BOROUGH, CARLISLE, PA 17013
(list street, number, and municipality)
Decedent, then ~years of age, died OS/24/2005 at CARLISLE, PA
(Location)
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 PA) Personal property in County
Value of real estate in Pennsylvania
50,500.00
$
$
$
~)
i'-)
;95,000.00
situated as follows:
355 W. NORTH STREET, CARLISLE
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and th~ gf'~nt of:;
letters in the a ro riate form to the undersi ned:
Si n
T ed or rinted name and residen~e'-i
MARTHA A. FRITZ
115 AIRPORT DRIVE, CARLISLE, PA 17013
(",)
co
Prepared by the Pennsylvania Bar Association
r........".in....t 1,..\ 1QQI'; f......... o<>nfh""... ....nl" rp<:::"o<>t......'" In,..
I=n..... RW_111QQ1\
Oath of Personal Representative
Commonwealth of Pennsylvania
County of CUMBERLAND
The Petitioner(s) above-named swear(s) or affirms) 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 Petltloner(s) will well and truly administer t~e es te ccordtng to law" g .fl.
Sworn 10 or affirmed and subscnbed X ~ a ~_ ~
. MAR HA A. FRITZ
before me th~ day of
~ ' ;/lXl'j
...~tUl~n ~()_i\f\."'-~'~\-....J
Y^ .~. For the Register
~
':,','1
No. ~ 1-05 - 04l?l
Estate of MARTHA A HEFFLEFINGER
Deceased
Social Security No' 174-05-0628
Date of Death, OS/24/2005
AND NOW. mC_LLo' 1:> ,
()
, ')-"" t;
G7I VU-, ,in consideration
C')
C"':'
of the Petition on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that letters []] Testamentary 0 Of Administration
(c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate)
are hereby granted to
MARTHA A. FRITZ
in the above estate and that the instrument(s) dated
07/28/2003
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
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Register of Wills
Attorney:
LISA M. GREASON, ESQUIRE
LD. No,
78269
GREASON LAW OFFICE
P.O. BOX 385
Address:
CARLISLE, PA 17013
Telephone' 717/241-3030
$ 5..ro
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PrepClred by the PennsylvClniCl Bar Association Copyriqht (c) 1996 form software only CPSystems. Inc.
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TOTAL.
$
Form RW-1 (1991)
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This is to certirv that the information here given is correctly' copied from an original certificate of death duly filed with me as
Loc<ll Rcgistrar~ 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,
Fcc for this certificate, S6.00
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" Local R gistrar I /'
MAY 26 2005
Date
CERTIFICATE OF DEATH
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
ST...TEFILEI'lUIdPER
MOTHER'S NAME (Firnl. Middle, Maiden Surname)
19. Elsie E" Carmerer
~~:~R~Af5s )t'ff~rfED'lfvk ~IY~t ilfst~:r;'d1>A 17013
PLACE OF DISPOSITION- Name of Cemelary. Cremalory LOCATION. CityiTown. Slale. Zip Code
orOlharPlace
Hl05.143 Rev. 2J87
'RINT
,
>HENT
KINK
93
,,,
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2,FE!T\ale
, '"
HOSP"-"'L
yhippensburg ,PA ~~.o, 0
FACILITY NAME (If notinslitution, give sl,aet end numoor)
NAME OF DECEDENT (First. Mkldle. Laol)
1. A. Hefflefin er
AGE (Lasl Blf1hdey)
SIR1l-lPLACE (C~y and
Sliile orFCM"e'lln Country)
..
COUNTY OF DEATH
,}\ ", ~-~ 1 d
~ 8b.vUL""";:',r an
8c. Car lisle Bora.
AS DECEDENT EVER IN
u.s. ARMED FORCES?
YesO Nom
u,
DECEDENT'S USUAL OCCUPATION KIND OF BUSINESS / INDUSTRY
(~~;':;!Ii!~':o".:i""~.~gj' Carlisle Elks
11.. Waitress 11b. Lod e
DECEDENT'S MAILING ADDRESS (Street, CityiTown, Slete, Zip Code)
17a.Sliile
PA
355 W. North St.
16. Carlisle, PA 17013
FATHER'S NAME (Fitsl. Middle, Lasl)
18 Frank C. Highlands
INFORMANTS NAME (Type/Prinl)
20a. Martha A. Fritz
METHOD Of DISPOSITION
. Donalion 0 Burial g] Crem~lion ~amoval from Slete 0
_ 21a. Olher(Spacity)
. SIGNAT OF NE SERVICE L1CENS
."
Complela ~1Im5 3.a-c on wh<>n CIIrtilying
physlciaoisnolay"ilable"t1imeofdaalhlo
cenilyClluseofdeelh
DECEDENT'S
ACTUAL
RESIDENCE
(SeeinstnJotlons
onotl1ers,de)
17b.CounlV
Cuml:erland
SOCIAL SECURITY NUMBER
3, 174 05 -
h in
OAlrE OF DEATH (Mtlnlh, Oay, Year)
4. May 24,c2005
0628
ERlo.4>a'ion,D
~o
.....id."..!:m fs':,:;Iy)O
RACE. Ame<kan Indian. Black. Whi18, el
(Spaclfy)
10White
SURVIVING SPOUSE
(h.ilo.g'"omo"""'",mo)
MARITALSTATUS.Mamed.
NeverMarried,Widowed.
DiltCM"ced(Spedfy)'
uPivorced
''"
decedanl
live in a
township?
17c.OYes.decedentli""dln
"'"
Carlisle
17d. m ~~hi~a~~t~~~~i~ or
dtylboro
2id.Car lisle, PA
17013
21[?shland Cemetery
NAME AND ADDRESS OF FACILITY
2:iWin Brothers Funeral Hane
LICENSE NUMBER
",jJI{,6rrJQVH-' L
Mtk
DUETO(OR"'SAC
E
Sequentially Iisl COf1d~ions
dany,le.dinlllolmmediale
cause. EnlerUNDERlYlNG
CAUSE (Diseese or injury
" thal Inilialed events
resultiog on deelh) lAST
WAS AN AUTOPSY WERE AUTOPSY FINDINGS
PERFORMED? AVAILABLE PRIOR TO
COMPLETION OF CAUSE
OF DEATH?
OUETO(OR"'S"'CO"SEaUE"~OFI
OUETOIO...'O"SI<CONSEQUENCEOF)
DATE OF INJURY
lr.loo''l,o."V..'1
YesD Nors!t'
Yes 0
~l8'
MANNER OF DEATH
Natural ISIo Hom>dde 0
Accident 0 Pandinglnvesllgalion 0
Suicide 0 Couldnolbedetermino<! 0
rv;/l.
30.. 30b. M. 3Dc,
PLACEOFINJURY.Athome,farm,.I.....I,factory.office
bulldlng,oIc.(Spooily)
30e,
",
2h. 28b,
CERTIFIER (Check onty ooe)
.l~~~tGJ~~~~~.\..~j,S~~rhcg~~'t';:.i;al~: g g,e:\r.~:~{:r~~~r,,;'~X~i~ia~.h:taf~~~~~.~~,~.~.~~~~. ~~~.~~.':'.~~~~.~ .i.l~.~.~~.l..,
'PRONOUNCING AND CERTIFYING PHYSICIAN (Physician both pronouncing deelh and certifying to cause of daalh)
To the be.t of my knowlllHllI.. duth occurrfld allhQ lime. dale. end pl."". and dUQ 10 the c.u...{.} and mann.r u atawd.
..................0
"MEDICAl. EXAMINER/CORONER
On tha bula of uamlnatl"" .nd!or innallgatlon, In my opinion. death occur...d Ill. thQ IIm_, data. and place, and due to the cauen(s} and
31.m.nner...tawd...................................................".......,.........................................................................,....,..,.............0
REGIS
!>tI/A/ICl
Inc" Carlisle
DATE SIGNED
(Monlh.Oay,Yaar)
23c.:;)"-2'1 oS-
WAS CASE REFERRED TO A MEDICAL EXAMINER ICORONER?
26. Yes 0 1'108
PA
'Apptol<imeta
:inlflrl/albelween
:onsalanddealh
PART II: Olheroignif,canlcondiUonsconlribul"'otodeath,but
nojresullinginlh-eunde~yingceu.egi'o"1lnlnPARTI.
C/1F
C h.....
~
TIME OF IN;URY
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED
N,~
(II,A
YesD NoD
1IJ!4
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LOCATlON (Slreel. CityiTown. Stele)
30f.
.. ...........lq :::~ATUR'N~JP"LEOFCERTIFIER /)
L1CENSEN BER
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JIMf ~iff" ad
01
MARTHA A. HEFFLEFINGER
r..",
~
I, MARTHA A. HEFFLEFINGER, of Carlisle, 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 and making void all
previous Wills and Codicils heretofore made by me,
FIRST
I order and direct my personal representative hereinafter named to pay all of my
just debts, funeral expenses and expenses involved or connected with the
administration of my estate as soon after my death as is reasonably possible. However,
my personal representative need not accelerate and pay those unmatured obligations
which, in his, her or its opinion, it might be proper and more advantageous to retain or
renew and pay as they become due and payable. If I do not own a burial plot or a grave
marker at the time of my death, I authorize my personal representative, in his, her or its
sole discretion, to purchase a burial plot and to erect a suitable marker at my grave, and
to expend sums from my estate for this purpose.
SECOND
All the rest, residue and remainder of my Estate, real, personal and mixes,
whatsoever and wheresoever situate, shall be divided into six (6) equal shares and
distributed as follows:
A. one share to Kenneth Shughart, per stirpes;
B. one share to Donald Shughart, he being deceased, this shall go to his
children, per stirpes;
.i'
1\.\.::'./
ill
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C. one share to James N. Shughart, he being deceased, this shall go to his
children, per stirpes;
D. one share to Martha A. Fritz, per stirpes;
E. one share to Thomas Highlands, per stirpes;
F. one share to Lisa M. Greason, per stirpes.
The failure to include my son, Alan L. Hefflefinger, herein is deliberate and by
design. He is not to share in any inheritance or distribution, direct, per stirpital,
by representation or otherwise whatsoever.
THIRD
My executor is authorized and empowered to exercise from time to time in his,
her or its sole discretion and without prior authority from any Court, in respect of any
property forming part of any trust hereby created or otherwise in its possession
hereunder all powers conferred by law upon trustees or executors and the testator
intends that such powers be construed in the broadest possible manner.
FOURTH
I nominate, constitute and appoint my daughter, Martha A. Fritz, of Carlisle,
Executrix of this my Last Will and Testament. In the event Martha A. Fritz is deceased,
unable or unwilling to serve or shall cease to serve for any reason whatsoever, then I
nominate, constitute and appoint my granddaughter, Lisa M. Greason, to serve instead.
In the event Lisa M. Greason is deceased, unable or unwilling to serve or shall cease to
serve for any reason whatsoever, then! nominate, constitute and appoint my grandson-
in-law, Barry S. Whistler, as personal representative of this my Last Will and Testament.
I direct that my personal representative shall not be required to give or post bond for the
faithful performance of his, her or its duties in this or any other jurisdiction.
.,., "f'r
. "" \.'~i I
'II '\
IN WITNESS WHEREOF, I have hereunto set my hand to this my Last Will and
d ,-tJ-, I'
Testament this <b day of ~,' L\'I ' 2003,
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Witness
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ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
: S5
COUNTY OF CUMBERLAND
I, MARTHA A. HEFFLEFINGER, the Testatrix whose name is signed to the
attached or foregoing instrument, having been duly qualified according to the law, 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 d ",{IJlri
.";ldAJr ::)'bl~,f'<'" V
'IMART~fA.~E 'hItIN~gk"'-r-'
Sworn or affirmed and acknowledged before me by Martha A. Hefflefinger, the
Testatrix, this .,),ft/day of ~.14-' 2003.
. ~ ('\
il~ ;>t d,. . ,';;/!I.?7t)4It" /
o ary Pubil
Notarial Seal
Liloda J. Jumper, Notary PubrlC
My~~~~CumberlandCounty
~"''''''"''' Expires July 23, 2006
Member, PemsMnia AssocIation Of NoIaJies
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
: 88
COUNTY OF CUMBERLAND
We, GQ(~ \NY\l~,+kv and LL'C'I~C\ [,\lJhi<l/Rfr the witnesses
whose names are attached to the foregoing document, being duly qualified according to
the law, do depose and say that we were present and saw Testatrix sign and execute
the instrument as her Last Will and Testament; that she signed willingly and that she
executed it as her free and voluntary act for the purposes therein expressed; that each
subscribing witness in the hearing and sight of the Testatrix signed the Last Will and
Testament as witnesses and that to the best of our knowledge the Testatrix was at the
time 18 or more years of age, of sound mind and under no constraint or undue
influence.
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Sworn or affirmed and subscribed before me by
Lvtu~ f\i\.i\'1\st\-e( this .;1ft,{ day of ...) (/ Iy
G~ L 7' c--vLzx
Cr' J1~h, "Sf 1".\-
and
,2003.
;tJcndA 9:9z~~/2&L-
Notary Public . ---
_Seal
UldaJ. Jumper, Notary PublIc
CIrIsIe 8010. Cumbel1and County
Commission Expires JuIv 23. 2006
. Penli~nia Association Of Nclarios