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)
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Residence( s) of Petitionerw)
329 W. RIDGE STREET, CARLISLE, PA 17013 "
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Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
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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
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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
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FEES
Probate, Letters, Etc. .............
Will ............................. ....
Renunciation...................... .
$ '-.;)
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$ 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
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No.
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H105.143 Rev. 2187
2i.:- c:\~o~~~~
OCT 3
Date
2005
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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
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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~.
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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
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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. ..)
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SECOND. I direct that my remains be interred within my family's burial plot in aocord ;;
with my expressed wishes.
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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
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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