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HomeMy WebLinkAbout10-13-05 . Register of Wills of Cumberland County PETITION FOR PROBATE and GRANT OF LETTERS Estate of CORNELIA H. HERMAN also known as No. ~ 1- 05 - cAo'.t To: , Deceased Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania Social Security No. 204-20-7685 The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older, and the execut OR named in the last will of the above decedent, dated OCTOBER 25 . 20 00 and codicil(s) dated Decedent was domiciled at death in CUMBERLAND Pennsylvania, with h_Iast family or principal residence at 426 S. PITT STREET, CARLISLE, PA 17013 (list street, number and municipality) Decedent, then !!.- years of age, died SEPTEMBER 30 . 20 ~ at 12:44 P.M. Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted afte~ execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Co~ty, Decedent at death owned property with estimated values as follows: (If domiciled in Pa) All personal property (Ifnot 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: 426 S. PITT STREET. CARLISLE PA 17013 $ 220,000.001 $ $ $ 80,000.00 i WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) present~ herewith and the grant of letters TESTAMENTARY (testamentary; administration c.t.a.; administration d.b.rl.c.t.a.) thereon. Signature(s) ofP~tioner(s) ~ \ ~ '::~~=[~l<"--- " Residence( s) of Petitionerw) 329 W. RIDGE STREET, CARLISLE, PA 17013 " r.....) C:,.) ~ ..' ~. r' I" _I .~ r ) '>S ') :. ) '-t'.,' '--_/' .) ~,J '-; . ..) i.i''''' .) .::- ' , . Register of Wills of Cumberland County OATH OF PERSONAL REPRESENTATIVE } COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND The petitioner(s) above-named swear(s) or affinn(s) that the statements in the foregoing petition are true ~d correct to the best of the knowledge and belief ofpetitioner(s) and that as personal representative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. -~..~......~L_(~ Sworn to or affinned and subscribed Bewe me this 13 ~ day of ~t u..b.v-- , 20 05 { U'l dQ' ::s I>> Z .... A '" '-' \ ';~.ijX~JL\--h.J\ (\~~ . ~\OA\--o 'J..(~J \~^' CO JJr.~ .:;-<=. c}lJ'~ H R~e<!gister ~ t~ <,) No. &I-OS-- cqoc/ Estate of CORNELIA H. HERMAN ,Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW 0 ~ -tTIbJV.. 13 20 O~in consideration of the petition on the reverse side hereof, satisfacto~roofhaving been presented before me, IT IS DECREED that the instrument(s), dated ! OCTOBER 25, 2 , described therein be admitted to probate filed of record as the last will of CORNELIA H. HERMAN ; and Letters are hereby granted to TIMOTHY HERMAN r . '*~~ ~ FEES Probate, Letters, Etc. ............. Will ............................. .... Renunciation...................... . $ '-.;) ,-:::-.J//.) (DO $ L5. ()L"') $ $ 32..00 $ /0.00 $ 5.00 $ $ 3?cJ. 0 D Attorney (Sup. Ct. I.D. No.) 1 IRVINE ROW CARLISLE, PA 17013 Address Short Certificates ( ). . . . . .. . . . . . JCP. ..... ... ... '" ... ... ... ... ... .... Automation Fee................... Bond............................ ..... Total Filed I D' 12,- () c:; ~ 717-249-7780 Phone Thi, is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as LO)(ll Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent fiqng. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 p 1 1 Q r.:-"" "t" '" ~,;.J i No. 0,;,,". '1 ,y"~ ':,,) ...1" <;:,'j., H105.143 Rev. 2187 2i.:- c:\~o~~~~ OCT 3 Date 2005 (-.-') tJ , I. .,1 TYPE/PRINT IN PERMANENT BLACK INK CERTIFICATE OF DEATH COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS STATE FilE NUMBER NAME OF DECEDENT (First. Middle, Last) Cornelia H. Hennan SEX 2. F P E FD TH he HOSPITAL: lnpal+enl~ ,Pottsville, PA a.. FACILITY NAME (If not Inslilution, give street and number) ,. AGE (Last Birthday) BIRTHPLACE (City and State or Foreign Country) 77 Vrs. .. COUNTY OF DEATH cJ\ ab. Cumberland Cumberland .;..::- SOCIAL SECURITY NUMBER ,. 204 20- eOn tnJ 'on ~~fy)O rican Indian, Black, White, al MARITAL STATUS. Married, Never Married, WIdowed, Divorced (Specify) 14.Widcwed Old decedent live in a township? 17c. 0 Yes, decedent lived In 17d. 0 ~~h~~~~~i:i~ of cityfboro. 1Wp. Carlisle MOTHER'S NAME !':irst, Middle, MB~en Sumame) 19. Anna Mae 0 I Connor INFORMANrs MAILING ADDRESS (Street, CIlylTown, State, Zip Code) 20b. 329 W. Rid e St. Carlisle PA 17013 PLACE OF DISPOSITION. Name of Cemetery, Crematory LOCATION. CltylTown, StataL Zip Code or Other Place 2JndiantCMl Gap Nat. Canete ld. Annville; PA 2~~EF"D NOM18Z(533 L ~~g A~:b~~~i'LlRmeral Hare, PA LICENSE NUMBER ED . a , ~ c ~ L (Mont~!, ,Year)1 23b. -~ b <':"':,>'1 " 23e. ~! ::>0 I () i- WAS CASE REFERRED TO A MEDICAL EXAMINER IC ONER? 26. Yo, 0 ' ; No ~ ~ 21. PART I: Enter th.dl......, .nju..... or compllc:allon. Which c.u.ed the d..th. Do not 'nt.rth, mod. of dying, .uch.. cardl.c or re.piratory Irrllt, .hock or hllrtf.llur,. lI,t only on. CIU.. on ..ch tiM. /':lirt...:...'oJ+~ ^I".).,.~..." DUE TO (OR AS A CONSeQUENCE OF): 5;<.-'t..1..I'i;.> (':\~c:~ DUE TO (OR AS A CONSEQUENCE OF)' Sequentially list conditions b. if any, leading to immediate { cause. Enter UNDERLYING CAUSE (Disease or injury c. that initiated events reSUlting on death) LAST d. WAS AN AUTOPSY WERE AUTOPSY FINDINGS MANNER OF DEATH PERFORMED? AVAILABLE PRIOR TO COMPLETION OF CAUSE Natural OF DEATH? DUE TO (OR AS A CONSeQUENCE OF): DATE OF INJURY (Monlh, DIY. Year) eg- O o : Approximate . intervat between : onset and death PART II: ~~:SS~~t~~~~nt~~~~~;n~~~~~ti~~~~ 1:~~R~u~. (..C<:1...~.....rvt.; I".,.\~r-~.....,..:... \:,,~: _\r--oIo \~~'::;'.'z..,o.::.L \<.~....'- \=-~ ,~c TIME OF INJURY INJURY AT WORK? DESCRIBE HOW INJlJRY OCCURRED. I Pending Investigation o o v.,o NoD o :~CE OF INJURY. At home, :a~~, street. factory, O:~e 30e. t1uHdlng,t1tc.(Spec.lfy) 30e. Homicide Accident QJ ..J.. Yes 0 No Vo,o NOD Suicide Could not be detennined f- Z UJ o UJ () UJ o "- o UJ ::;; <( Z 288. 28b. CERTIFIER (Check only one) ~l~~~F~~tGor~~~I;~~~3sPl.s~c~:rh cgg~i~~gadU~: t~ g,e:~a~:~(:r~~3r,g~~~~a~s h:t~r:~~~~~~~.~ _~~~~~. ~~~ .~?~~~~~~.i.t~~ .:~.).................. 0 29. 'PRONOUNCING AND CERTIFYING PHYSICIAN (Physician both pronouncing death and certifying to cause of death) To tha be.t of my knowledge, daath occurred at the time, date, and place, and due to the causes(s) and manner as stated................. ~MEDICAl EXAMINER/CORONER ~~~~:rb::I:::e~~~~~~~_~I~.~~.~~~~!~~~~~~~.~~~~.~: In my opinion, death occurred at the time. date, and piece, and due to the causes(s) end D 31a. REGISTRAR'S SIGNATURE AND NUMB~ . _ C"' 33. au- ~. ~eu-~ ~\~Il 101 '2. DATE FILED (Monll1, Day, Y r) ,ta ,3. ~ '1 I :3.<.' J " c- LAST WILL & TESTAMENT OF CORNELIA H. HERMAN, of 426 S. Pitt Street, Carlisle, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking any and all other wills and codicils heretofore made by me. FIRST. I direct that all my just debts and funeral expenses be paid from my estate as soon after my death as practically and conveniently may be done. ..) ,-...) ~ ,-) t--;.) jJ :":1 SECOND. I direct that my remains be interred within my family's burial plot in aocord ;; with my expressed wishes. ') ,,~~l THIRD. I authorize my personal representative to expend funds from my estate~ 'in stich amounts as my personal representative shall consider necessary and desirable for the purcha$.~1 erection and inscription of a suitable marker for my grave. _ FOURTH. I give, devise and bequeath any and all tangible personal property owned by me at the time of my death unto my husband, STEPHEN HERMAN, JR., provided he survives me by thirty (30) days. In the event he fails to survive me by thirty (30) days, I give, devise and bequeath all said tangible personal property unto my children, Timothy Herman, Michael Herman and Anna Mae Herman, in equal shares, per stirpes. FIFTH. I give, devise and bequeath any and all real estate owned by me at the time of my death, unto my husband, STEPHEN HERMAN, JR., provided he survives me by thirty days. In the event he fails to survive me by thirty (30) days, I give, devise and bequeath all said real estate unto my children, Timothy Herman, Michael Herman and Anna Mae Herman, in equal shares, per stirpes. SIXTH. I give, devise and bequeath all the rest, residue and remainder of my estate unto my husband, STEPHEN HERMAN, JR., provided he survives me by thirty (30) days. In the event he fails to survive me by thirty (30) days, I give, devise and bequeath all the rest, residue and remainder of my estate unto my children, Timothy Herman, Michael Herman and Anna Mae Herman, in equal shares, per stirpes. SEVENTH. I direct that any and all Inheritance, Estate and Transfer taxes imposed upon my estate passing under my will or otherwise, shall be paid out of the principal of my residuary estate. EIGHTH. I hereby nominate, constitute and appoint my husband, STEPHEN HERMAN, JR., as Executor of this my Last Will and Testament. In the event of renunciation, death, resignation or inability to act for any reason whatsoever of STEPHEN HERMAN, JR.~ '.) , I ( I nominate, constitute and appoint Timothy Herman, as Executor of this my Last Will and Testament. I hereby relieve my Executor from the necessity of posting security in connection with his duties, as such, in any jurisdiction in which he may be called upon to act insofar as I am able by law to do so. In addition to the powers conferred by law, I authorize my Executot, in his absolute discretion, to retain in the form received, and to sell either at public or private : sale any real or personal property owned by me at the time of my death. NINTH. I have made, or may from time to time make, a written memorandum expressing my desire to give certain items of personal property to specific persons. I urge mY1 Executor and beneficiaries to respect these wishes. Such a memorandum, if made, shall be stored in conjunction with this Will. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last will and Testament, consisting of two typewritten pages this 2~~y of October, 2000. ,-- Signed, sealed, published and declared by the above named Testatrix Cornelia H. Herman as and for her Last Will and Testament, in the presence of us, who, at her request, in her sigh~ and presence and in the sight and presence of each other, have hereunto subscribed our name$ as witnesses. ~~CCVL ~~ ."..- . : COMMONWEALTH OF PENNSYL VANIA COUNTY OF CUMBERLAND SS. I, Cornelia H. Herman, 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. _ ~ _ 4~i "1~ CORNELIA H. HERMAN Sworn or affirmed to and acknowledged before me, b~ Cornelia H. Herman this.,;>S' day of October, 2000. COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND .------- NOT ARIAL SEAL . Cynthia L Darr. Notary Public I d T County of Cumber an South Middleton wp.,. A 14 2004 My Commission Expires ug. , SS. We, tJ2hl \ lQI'R ~ ~().n (Ck~ and SJe.p~ -W-.e,(y\.~Ni Se the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Cornelia H. Herman, sign and execute the instrument as her Last Will; that she signed willingly and that she executed as her free and voluntary act for the purposes therein expressed; that each of us in the hearing aqd sight of the Testatrix signed the will as witnesses; and that to the best of our knowledge, the Testatrix was at that time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. j kId L 11 \J\ / ~ ,. . ,L;1v~ c ~V '- - -- ~~ Sworn or affirmed to and subscribed bef?re....me by Mill ClM-1J UUM (Q;vl and Sk' ~ tkA-frV1.4'L V ~ , witnesses, "/ 1his@ayof ctober, i'ouo. - NOTARIAL SEAL Cynthia L. Darr, Notary Public South Middleton Twp., County of Cumberland My Commission Expires Aug. 14,2004