HomeMy WebLinkAbout07-27-05
PETITION FOR PROBATE and GRANT OF LETTERS
No. ~J - 0:) - otofo C,
To:
Estate of SAPA V. HAIR
also known as
Register of Wills for the
. Deceased. County of Cumberland in the
Social Security No. 196 - 5 4 - 8 7 4 7 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older \in the execulQr
in the last will of the above decedent, dated Ap r II 26,
and codicil(s) dated None
Renunciations are filed herewith for Nancy A. Walters and
F;red E. Hair.
named
,192L
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decendent was domiciled at death in Cumberland County, Pennsylvania, with
h~!:..--Iast family or principal residence at Church of God Home, 801 North
Hano~er Street. Carlj~e (North MiddleTon Town~hip)
(list street, number and muncipality)
Decendent, then 86 years of age, died Jul y 16, 200 5 ,~~ ,
at Church of God Home, North Middleton Township, Cumberland Cquty, PA.
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:
Decendent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
$ 165,000.00
$
$
$ None
WHEREFORE, petitioner(s) respectfully
presented herewith and the grant of letters
request(s) the probate of the last will and codicil(s)
testamentary
(testamentary; administration c.I.a.; administration d.b.n.c.l.a.)
theron.
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA I 58
COUNTY OF CU}:!BERLAND J
The petitioner(s) above-named swear(s) or 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 represen-
tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law.
Sworn to ~r affirmed. and subscribed { ~~~ /? ~I~ . ~
before me thiS ~ day of P Halr ,~
hLi. $~ 2~.. ~ 1
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No.
Estate of
SARA V. HAIR
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW Jul v 200 5 ~~, in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated l\pr i 1 26. 19 <) 9
described therein be admitted to probate and filed of record as the last will of
Sara V. Hair
and Letters
are hereby granted to
Tpstamentarv
Edward P. Hair
FEES
Probate, Letters, Etc. ......... $
Short Certificates( ).......... $
Renunciation ................ $
$
TOTAL _ $
(717) 697-8528
PHONE
Filed
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This is to certify that the informatiun here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
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Fee for this certificate. $6.00
JUL 1 8
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H105.143 Rev, Va7
Df'CEDENT'S USUAl.. OCCUPATION
(~""~no"'IIf~~ut,urt~)t
- ".Homemaker "Qwn Home
DECEDENT'S MAILING ADDRESS (Streel, Cityrrown. Slale, Zip Code)
Church of God Home
801 Ill. HanO)(er St
16, carl1sle, p 70r3
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
STATE FILE NUMSER
TYPE!PRINT
IN
PERMANENT
SLACK INK
. ,.86
v"
SEX
"Female
BIRTHPLACE (City i1nd F 0
Stale or Foreign Country) HOSPITAL
Carlisle, PA '""""'"'0
7 k
FACILITY NAME (If not instilution. glye street and numbolr)
DATE OF OEATH (Month, Day, Yeilr)
4,July 16, 2005
,. Sarah
AGE (Lasl Birthday}
AS DECEDENT EVER IN
U_S, ARMED FORCES?
YesD No[i
12.
MARITAL STATUS - Mamed,
Nevel" MilrTied. Widowed,
DIYorced(Specifyl
R''''doona.D ~~::'Iy)D
RACE - American Indian, Blal;k, WhIte, el .
(Specify)
10, White
SURVIVING SPOUSE
(lfwlftl. gh" "'aid""n''''a)
COUNTY OF DEATH
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CUnberland
17a. Stale
PI<
CUnberland
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dec8denl
liveina
lownshlp?
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17b. County
17d.D ~~l~e::~={)f
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Glatfelter
MOTHER'S NAME (First, Middle, ~aideo Surname)
19.
~~~9~NB~~~t:ilii~S ffd~t" CI~lSi~{: ~plA 17013
PLACE OF DISPOSITION- Nama of Cemetery, CrvmalOl}' LOCATION - CityfTown, State. ZIp Code
Or Other Phl<:e
Effie Sunday
p/J
~uel1t\all'i"s\COIldi\\om b
ifeny, leading 10 Immedlale
. cause, Enter UNDERLYING
CAUSE lDlliease Of mjury l 0
. lhallnllialedevt'fl15
nt$ultlng on dealh ) LAST d.
WAS J<N AUTOPSY WERE AUTOPSY FINDINGS
PERFORMED? AVAILABLE PRIOR TO
COMPLETION OF CAUSE
OF DEATH!
DUE TO (OR AS A ONSEOUENCE OF)
MANNER OF DEATH
Natural
181.
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DATE Uf- INJURY
(.....nll',D5y,Y....)
TIMe OF INJURY
DESCRIBE HOW INJURY OCCURRED
Aceidef'1l
Homicide
Pending Inve~dlge!ion
o
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o ~~CE Of- INJURY
bll~d"'l3,'IC. (spec~)
30".
30b.
YasD,NoD
M 30(;.
Yes 0 No IXf Yes 0
28a, 28b.
CERTIFIER (Check only one)
.~~~J:~~:'{J~~~I~~~~eWg~S~~:rhc~~i~~~s: t~ f~~e~~:~(:r~~3';.g~X~~~i1~s h:t~r~~~~~~~.~ .~,~~:~.~~ .~?,~~~~:~.~.i.l~~ ?~J..
NoD
Suicide
Could not be rlete\Tr\ined
,g,
"PRONQUNCING AND CERTIFYING PHYSICIAN (Physk,;iiln both pronouncing death and oorlifying to cause of death)
To the best of my kno...l....ge, death occurred lit thll time, date, and plaCCl. and due to Ihe caUsa'(I) and manner as ,.Ialed,
" "MEDICAL EXAMINER/CORONER
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REGISTRAR'S SIGNATURE AND NUMBER
<;'
Register of Wills of Cumberland County
RENUNCIATION
Estate of SARA V. HAIR
Also known as
No. d/ - OS- -()fofo~
, deceased
To the Register of Wills of Cumberland County, Pennsylvania
Theundersigned FRED E. HAIR Son ('o-PypC'"t0r
(Name) (Relationship) (Capacity)
of the above decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
Testamentary
Letters
be issued to EDWARD P. HAIR
Witness my/our hand(s) this ';:<W1~y of
July
,20~.
Affirmed and subscribed before me this
O>~ ~ day of <..-12;- (,1 ( ,
Z=~ 1i1diJJ
tA~cr:
Notary Public '
My Commission Expires:
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Fred E. Hair
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(~ignature )
693 Barnstable(AR~~et
Carlisle, PA 17013
(Signature)
(Address)
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Affirmed and subscribed before me this
_ day of
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Deputy
(Address)
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(Signature)
Register of Wills
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(Signature and seal of Notary or other official
qualified to administer oaths. Show date of
expiration of Notary's commission)
COIVIIv10i~WEAL Th Oi ''-'"
Nolarial Seal
Susan L Matrazi, Notary Public
Mechanicsburg Bora. Cumberland County
My Commission Expires Nov. 24, 2007
Member. Pennsylvania Association Of Notaries
Register of Wills of Cumberland County
RENUNCIATION
Estate of SARA V. HAIR
Also known as
No. d J - OS- - Ofo(P~
, deceased
To the Register of Wills of Cumberland County, Pennsylvania
The undersigned NANCY A. WALTERS D.,llgnt-pr Co-exer.lltor
(Name) (Relationship) (Capacity)
of the above decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
Letters 'T'<;:>st"mpnt-"....y
be issued toEDWARD P. HAIR
Witness my/our hand(s) this c;, (, f'tiay of
July
,20~.
~rmed and subscribed before me this
III day of -v; ,
~-
C\ 0-\1'- ~ k-LU al..Q.S<':'9.7,_~----
Nancy A. Wal-ter s (Signature)
2 Mill Road (Address)
Carlls1e, FA 17013
My Commission Expires:
(Signature)
Affirmed and subscribed before me this
_ day of
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Register of Wills
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(Address)
Deputy
(Signature and seal of Notary or other official
qualified to administer oaths. Show date of
expiration of Notary's commission)
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Notarial Seal
Susan L. Matrazi, Notary PUbli~
Med1anicsburg Boro, Cumbenand County
My Commission Expires Nov. 24, 2007
Member, Pennsvivania Association C"f ~k!8rjes
"LAW OFFICES
SNELBAKER.
8RENNEMAN
8: SPARE
LAST WILL AND TESTAMENT
I, SARA V. HAIR, of the Township of Middlesex, county of
Cumberland and Commonwealth of Pennsylvania, being of sound and
disposing mind, memory and understanding, do make, publish and
declare this as and for my Last will and Testament, hereby
revoking and making void all former wills and codicils by me at
any time heretofore made.
FIRST. I order and direct that all my just debts and
funeral expenses be paid by my Executors, hereinafter named, as
soon as conveniently may be done after my decease.
SECOND. I give, devise and bequeath all the rest, residue
and remainder of my Estate, real, personal and mixed, whatsoever
and wheresoever situated, in equal shares unto my three (3)
children, namely, EDWARD P. HAIR, FRED E. HAIR and NANCY A.
WALTERS, share and share alike, absolutely and in fee simple.
If any of my said children should predecease me, I order and
direct that the foregoing share of my residuary estate
attributable ~o a deceased beneficiary shall be distributed unto
such deceased beneficiary's issue per stirpes by representation
and not per capita.
LASTLY.
I nominate, constitute and appoint my three (3)
children, namely, EDWARD P. HAIR, FRED E. HAIR and NANCY A:-.~
., C-~)
-~ /_) 1:.;1_ _
WALTERS, to be the Executors of this My last Will artd:2;Test~entf:
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each and all to serve without bond or other security as a
condition of qualifications hereunder.
IN WITNESS WHEREOF, I, SARA V. HAIR, have hereunto set my
hand and seal to this, my Last will and Testament which
consists of two (2) typewritten pages to each of which I have
affixed my signature this ~~ ~day of April A.D., One Thousand
ine Hundred Ninety-nine (1999).
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Sara V. Hair
( SEAL)
The preceding instrument, consisting of this and one (1)
ther typewritten page, each identified by the signature of the
estatrix, was on the date thereof signed, sealed, published and
eclared by SARA V. HAIR, the Testatrix therein named, as and for
er Last will and Testament, in the presence of us, who, at her
equest, in her presence, and in the presence of each other, have
subscribed our names as Witness~. ~~o.
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LAW OFFICES
SNELBAKER.
BRENNEMAN
& SPARE
-2-
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY
OF
CUMBERLAND
We, SARA V. HAIR, RICHARD C. SNELBAKER and JANE J. COONEY,
the Testatrix and the witnesses, respectively, whose names are
signed to the attached or foregoing instrument, being first duly
sworn, do hereby declare to the under.signed authority that the
Testatrix signed and executed the instrument as her Last will and
Testament and that she had signed willingly, 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 of the Testatrix, signed the will as a
witness and that to the best of his or her knowledge the
Testatrix was at that time eighteen years of age or older, of
sound mind and under no constraint or undue influence.
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Witness
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subscribed, sworn to and acknowledged before me by SARA V. HAIR,
the Testatrix, and subscribed and sworn to before me by RICHARD
C. SNELBAKER and JANE J. COONEY witnesses, this
day of April,
1999.
LAW OFFICES
SNELBAKER.
BRENNEMAN
& SPARE
12-~ ~. Lu~
Notary ublic
NlllBMI sea,
CtlnItine M Wtlite. Notary Public
Meohamcsburg Boro Cumberfand Coontv
My Commission Expires Sept 17 2001
Member, Pennsylvania Assoclatlun oj Notafi,eIl
Register of Wills of Cumberland County
STATUS REPORT UNDER RULE 6.12
Name of Decedent:
ESTATE OF SARA V. HAIR
Date of Death:
JULY 16, 2005
Estate No.:
21-05-0666
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following
with respect to completion of the administration of the above-captioned estate:
1. State whether administration of the estate is complete:
. Yes irnx No 0
2. If the answer is No, state when the personal representative reasonably believes that
the administration will be complete:
3. If the answer to No.1 is Yes, state the following:
a. Did the personal representative file a final account with the Court?
Yes 0 No jg.x
b. The separate Orphans' Court No. (if any) for the personal representative's
account is:
c. Did the personal representative state an account informally to the parties in
interest? YesxJ&a No 0
c. Copies of receipts, releases, joinders and approval of formal or informal
accounts may be filed with the Clothe Orph : Court and may be
attached to this report.
Date: '7! tJ lot-,
Richard C. Snelbaker
Snelua~er & Brenneman, P.C.
Name
44 West Main Street
Mechanicsburg, PA 17055
Address
(717) 697-8528
Telephone No.
c...
Capacity: 0 Personal Representative
[Xl Counsel for personal representative