HomeMy WebLinkAbout10-24-05
,
.- .
Register of \/Vilis of cumberland county, pennsylVania
PETITION FOR GRANT OF LETTERS
No. W DD 5 ,- tt1.YC)
Estate of ~. Arlene Hershey
also known as
=
, oeceas~
--=
Social Security No.
104-14-5453
Wilson C. Everhart Jr.
petitioner(s), wno is/are 18 years of age or older, app\(ies) for:
(COMPLETE 'A' or 'B' BELOW)
@ A. p,oba'" aod G<o'" of LeIt'" 1 ",tam,nta'" and "''' thaI p,,,'on"(') ",a" tOo
Ih' D""d'''', dated --9510212000 and 00<1'01' dalo<! 06/0512003
JX(I--<--t-:fO(
named in the last Will of
""",pI" fotloW', D'-'" did nol many, w.. not dNo""d, aod did nol h",' a ",'id bom 0' adopted afle' ",,,,,,,,,n of Ih' docum,n"
off',"" fo< proba"'; Wi" nol Ih' v,ctim of a "tI'n, and w.. n''''' adi,di",ted 'n_po",nl
State relevant circumstances, e.g., renunciation, death of executor, etc.
o B. Grant of Letters of Administration
(c.t.a; d.b.n.c.t.a; pedente lite; durante absentia; durante minoritat6)
p,,,'on,"') atle' a p_' "ateh ha~h'''' ..",..ino<! thai D''"'''''' loft no Wilt and w.. "IV'''''' by th, folloW'n, ,po'" (.'any) and'!'"
'1
Residence
"I
j
Relationship
Name
)
, ,.
:',-.)
C,,""1
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
",,,,,,,nl w.. dom'ci"" .i doalh 'n _cumberland _ Co""ty, p,nn'y'v,," .,;ih "/hO' f.mity
0' p'ncipal ","'n",.I 517 Gale Road, Camp Hill, PA ' ~I I"" M f H"N .fit;P
(list street, num er, and municipality)
Decedent. then ~ years of age, died ~0/14/2005
at Manor Care Nursing Home, Camp Hill, PA
(Location)
2,100,000.00
oecedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property
(If nol domicilo<! 'n PAl p"",nal p,opo'" 'n p,"n""'ao"
(If nol dom"lIo<! in PAl p,,,<,,.1 p,oP'''' in Co,ntv
Value of real estate in pennsylvania
$
$
$
$
~
situated as follows:
Wh",fo", p'ill'on"(') ,,,,peotl"'1y """""(,) lhO p,oba'" of ih' I..t Wilt "d Codicii(') p""n"'d .,;ih Iho p,I.on and th, ,<0'"
of letters In the appropnate form to the undersigned:
r Signature Typed or printed name and residence
~l ( /1 ~L~cf Wilson C. Everhart Jr. 2316 Yale Avenue
\ I iN. (" / "- Camp Hill, PA 17011
Form RI/\
prepared by the pennsy\vania Bar Association
COpyright (c) 2004 form softWare only The Lackner Group. Inc.
r--
Oath of Personal Representative
Commonwealth of Pennsylvania
County of Cumberland
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 representative(s) of
the Deoedeot, Pet';o~d') w;II _II ood truly ,dm;";~e' the e,"te "W to ,... C. C t 'f1,
Sworn to or affirmed and subscribed ~ - t.--....
Wilson C. Everhart Jr.
before me this 11
day of
I
.
LJ ,OC TCL3~ . ' A005
\:lJ.ul(,((l+fC\JllMtALL\d~ /
F~Register
\.ftt VI) 1 " · '
(
No. ,
-""'""'-
Estate of
A. Arlene Hershey
, Deceased
also known as
Social Security No: 104-14-5453
Date of Death:
10/14/2005
AND NOW,
(jC~lfIV ..~ ~
, J.bD 5
, in consideration
of the Petition on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters I!l Testamentary 0 of Administration
(c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate)
are hereby granted to Wilson C. Everhart Jr.,
in the above estate and that the instrument(s) dated
5/2/2000
6/5/2003
described in the Petition be admitted to probate and filled of record as the last Will of Decedent.
FEES
Letters.......................................... $
I ~ lO .60
a 0 Db
,-.Jjk~fi,k~ ff0z1lti. ~/AJ
cAJPL- /J;). JJ~ J/.., WJ i1~e...glster of Wills .LJ..,., /)
,'- ~1 IF" J'r~~1A,L / ~'ft" ,
AtlomCjC Ronald M, Katzman, Esq ~.f)fJ A'~
I.D. No: 07198
Goldberg Katzman, PC
Address: 320 Market Street
5
Short Certificate(s)...................... $
Renunciation............................... $
Affidavits ( )...........................$
Extra Pages ( )......................$
CodiciL...................................... $
JCP Fee.....:'t...fry.tn.............$
I 'J. Q D
15.oD
Harrisburg, PA 17108
Telephone2717/234-4161
Inventory...................................... $
rmk@goldbergkatzman.com
E-Mail:
W"l\
Other......... ..................~................ $
I S'.OD
TOTAL..... .1.1.7. ~:....... $
Prepared by the Pennsylvania Bar Association Copyright (c) 2004 form software only The Lackner Group, Inc.
Form RW-1(1991)
t'
"
LAST WILL AND TESTAMENT
OF
A. ARLENE HERSHEY
........
""J
I, A. ARLENE HERSHEY, of 517 Gale Road, Camp Hill, Cumberland County,
Pennsylvania, do hereby make, publish and declare this to be my Last Will and hereby revoke
all prior Wills and Codicils made by me.
ITEM I.
I direct that all my just debts and funeral expenses be paid out of my
residuary estate as soon as practicable after my death.
ITEM II. I give to DONALD L. HERSHEY, of P. O. Box 212, Berwyn,
Pennsylvania 19312, the sum of TWENTY FIVE THOUSAND DOLLARS ($25,000,00),
if he survives my death by thirty (30) days.
ITEM III. I give to MRS. JANE BACHMAN, of2017 Bellevue Road, Harrisburg,
Pennsylvania 17104, the sum ofTEN THOUSAND DOLLARS ($10,000.00), if she survives
my death by thirty (30) days.
ITEM IV. I give and bequeath certain items of tangible personal property that are
solely owned by me at the time of my death and that are identified in any separate writing
directing distribution thereof after my death which is dated and is signed by me at the end
thereof, to those persons designated in such separate writing who survive my death by thirty
(30) days. If any item of tangible personal property is identified in more than one separate
writing, I direct that, unless stated to the contrary, the separate writing bearing the last date
shall govern the disposition of such item.
ITEM V. All tangible personal property not distributed or assigned in this Will or
in a writing referred to in Item IV. hereof shall be sold at public auction, with proceeds to be
added to the gross estate. However, members of my family shall be given an opportunity,
prior to said public auction, to purchase items at their appraised value, with such proceeds to
be added to my residuary estate.
ITEM VI. I direct that the expense of packing, shipping, insuring and delivering any
tangible personal property to a beneficiary entitled thereto shall be paid by my Executor as an
administrative expense of my estate.
ITEM VII. I give, devise and bequeath that amount which corresponds to the
applicable exemption equivalent of the unified credit as provided from time to time in the
Federal Estate Tax provisions of the Internal Revenue Code (said amount being $675,000 as
2
. '
of this date) to such of the following nieces and nephews of mine, who survive my death by
thirty (30) days, in equal shares:
A. My nephew, IAN HERSHEY, 70 New Pal1z Road, Highland, New York 12528;
B. My niece, CAROLINE HERSHEY, 41 Hummel Road, New Pal1z, New York
12561;
C. My niece, AMANDA ARLENE HERSHEY, 4794 Heritage Way, Flagstaff,
Arizona 86004;
D. My nephew, JASON JOHN HERSHEY, son of my brother, Dr. John
Hershey, of Spokane, Washington.
The share of any of the foregoing who fails to survive my death by thirty (30)
days shall be paid among the other legatees named hereinabove in equal shares.
ITEM VIII. I give, devise and bequeath all the rest, residue and remainder of my
estate, of whatever nature and wherever situate, as well as all assets over which I have power
of appointment, the following shares, to the following organizations:
A. Fifty percent (50%) to the EASTMAN SCHOOL OF MUSIC, Rochester, New
York, to be held as part of its endowment, with the income applied in the
3
discretion of the governing body of said school to provide scholarship aid for
needy vocal students;
B. Twenty-Five percent (25%) to the MARKET SQUARE PRESBYfERIAN
CHURCH, Harrisburg, Pennsylvania, to be used specifically for its Music Fund,
as determined in the discretion of the governing body of said church;
C. Twelve and one half percent (121f2%) to the HARRISBURG SYMPHONY
ASSOCIATION, Harrisburg, Pennsylvania, to be used to underwrite or
contribute to the cost of an annual concert or concerts featuring a prominent
and accomplished vocal performer or performers, as well as other programs
related to vocal music, as determined in the discretion of the governing body of
said organization;
D. Twelve and one half percent (121h%) to the HOMELAND CENTER,
Harrisburg, Pennsylvania, to be used to fund, or contribute to, the cost of
constructing a swimming pool for use of the residents thereof, provided,
however, that in the event construction of said swimming pool has not been
completed within two (2) years of my death, this gift shall lapse and this share
shall be paid to the other organizations entitled hereunder in equal shares.
With respect to each of the four (4) gifts recited hereinabove, I direct that the
share of any organization which is not exempt from federal income tax pursuant to Section
4
SOl(c)(3) of the Internal Revenue Code, or its successor, shall lapse, and shall be distributed
among the other organizations that are so exempt from tax in equal shares.
ITEM IX.
I hereby appoint WILSON C. EVERHART, JR., of Camp Hill,
Pennsylvania, as Executor (the "Executor"), of this my Last Will and Testament. In the event
of his refusal or inability to so serve, I then nominate and appoint JANE MURRAY, of
Enola, Pennsylvania, to serve in the capacity of executor, with all power and authority as
vested in my Executor originally appointed.
ITEM X. I direct that my Executor shall not be required to give bond or post any
other security for the faithful performance of their duties in any jurisdiction.
ITEM XI. I give to any Executor named in this Will or any Codicil hereto in
addition to those powers given by law to fiduciaries in the Commonwealth of Pennsylvania,
as effective and as in effect on the date of my death, during the administration and until the
completion of the distribution of my estate, to be exercised in the sole discretion of my
Executor:
A. To retain any real or personal property which may be any time form part of
my estate, as long as they may deem advisable.
5
B. To invest in any real or personal property without restriction to legal
investments.
C. Generally to exercise all the rights of security holders of any corporation.
D. To sell at public or private sale, for cash or credit, with or without security.
E. To compromise claims.
F. To make distribution in kind.
ITEM XII. I direct that all estate, inheritance, succession and other death taxes,
and interest and penalties thereon imposed or payable by reason of my death with respect
to all property comprising my gross estate for death tax purposes, whether or not such
property passes under this Will, shall be paid from my residuary estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last
. I ~ ~) C::::s 1"9~-
Will and Testament, consisting of~~) typewritten pages, this 2nd day of May, 2000.
/1 ,. ../ .... ./
~. C:~~\.~..,.A7_I/'--
A. ARLENE HERSHEY /
6
We, the undersigned, hereby certify that the foregoing Will was signed, sealed,
published and declared by the above-named Testatrix, A. ARLENE HERSHEY, as and for
her Last Will and Testament, in the presence of us, who at her request and in her presence
and in the presence of each other, have hereunto set our hands and seals the day and year
above written, and we certify that at the time of the execution thereof, the said Testatrix
was of sound and disposing mind and memory.
LJ ,,,/-'(..
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residing at
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residing at
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COMMONWEALTII OF PENNSYLVANIA
SSe
COUNTY OF DAUPHIN
We, the Testatrix, A. ARLENE HERSHEY, and fjt)f>6/f JOlJLs , and
!J,lJA t,.,'t7;f)l. kA12MA)./ , the witnesses, respectively, whose names are
signed to the foregoing instrument, being first duly sworn, do hereby declare to the
undersigned authority that the Testatrix signed and executed the instrument as her Last Will
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 witness and that to the best of his/her knowledge the
Testatrix was at that time eighteen years of age or older, of sound mind and under no
constraint or undue influence.
u..c:~,z'/' ~'r./
A. ARL~NE HERSHEY ~.,.....'
, )('- C~C-,LL\<O \\.JI__
Witness . \
,elJi I'r~ W-~""
Witness
Subscribed, sworn to and acknowledged before me by the Testatrix, A. ARLENE
HERSHEY, and subscribed and sworn to before me by -oi.lOvJ L.L.r;;, I-.e ""-='
and ~'''''d:t.cl l'r'-. ~t-2:jY\' <'Y\ , witnesses, this 2nd day of May, 2000.
~~,} IY'\ . ~
(SEAL)
43223.2
Notarial Seal
Nancy M. Snavely, Notary Public
Harrisburg, Dauphin County
My Commission Expires Oct. 1, 2002
Member, Pennsylvania AssOCiation of NotarieS
8
COMMONWEALTH OF PENN8YL VANIA
88.:
COUNTY OF
We, the Testatrix, and ~VII.S"rJ C - ['VGtfl-t4-f2.iJ.\?-and'jC: LA.(C l:. /V!i.", j\"({i-i , the
witnesses, respectively, whose names are signed to the foregoing instrument, bet6g first duly
sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the
foregoing instrument as a First Codicil to her Last Will and Testament, that she had signed
willingly, that she executed it as her free and voluntary act for the purposes therein expressed,
that each of the witnesses, in the presence and hearing of the Testatrix, signed the First Codicil as
witness, and that to the best of his /her knowledge the Testatrix was at that time eighteen years of
age or older, of sound mind, and under no constraint or undue influence.
ifJ1:(!t~4-
Witness
Qt.tw:. (~-{--')t~L V\Cic .>
itness ,r/ .
<-"/
/'
Subscribed, sworn to and acknowledged before me by the Testatrix, A. ARLENE HERSHEY,
and subscribed and sworn to before me by Wds() I) t2Eve.rl16...rf and
~l ~ E. Mu....rrtLf ' witnesses, thisSrh day of June, 2003.
22KZO l!
~~. ~ j'<,"---,-vQp;. tu0
Notary Public
Notarial Seal
(SEAL) M. Darlene Richter, Notary Public
lower Allen Twp.. CI.ITlbeI1and County
~ Camission Expires Oct. 31,2006
Member, Pemsylvania Association Of Notaries
" . . 6< 1.-.;;2 tt5"-/)Cjy() .
Thl~ i~ to certifv that the information here given is correctly copIed from an ongmal,erttfk'ate oJ ()eath dllyIiled with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Ofjice tor Iknnannt ding.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
fee for thi~ certificate. $6.00
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Loc;t1 Registrar
No.
OCT 1 5 2005
Date
I-....~
'J
3 Rev. 2187
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
1'...)
C;
'-j
CERTIFICATE OF DEATH
STATE FILE NUMBER
SEX SOCIAL SECURITY NUMBER
2. female 3. Ity-/- - Icf - 5153
BIRTHPLACE (City and PLA E OF DEATH Che k nl in I ti n
Slate or Foreign Country) HOSPITAl:
7. Harrisburg, PA Inpal,ent 0 ER/Oulp~lienl 0 DOA 0
Ba.
FACILITY NAME (If not institution, give street and number)
Cumberland
Be.
Camp Hill
KIND OF BUSINESS I INDUSTRY
Bd.
Manor Care
DATE OF DEATH (Month, Day. Year)
4. October 14 2005
Residence 0 ~t~:~fy) 0
RACE - American Indian, Black, While, at .
(Specify)
517 Gale Road
Camp Hill, PA 17011
AS DECEDENT EVER IN
U.S. ARMED FORCES?
Yes 0 No IX]
12.
17a. State
10.
white
DECEDENrs USUAL OCCUPATION
(~~':~i~~~~~O d~~eu~~~~~~jt
~lic Relations Director 11b. Watch Mfg.
DECEOENrs MAILING ADDRESS (Street, CitylTown. State, Zip Code) DECEOENrS
ACTUAL
RESIDENCE
(See instflJctions
on other side)
MARITAL STATUS. Manied,
Never Married, Widowed,
Divorced (Specify)
14. Never Married
i7e. ~ Yes, decedent lived in Hampden
SURVIVING SPOUSE
(If wife, give maiden name)
17b. County
Cumberland
Did
decedent
live In a
township?
twp.
17d. D ~~h~e;~t~~7~i~i~ of
citylboro.
2005
MOTHER'S NAME (First, Middle. Maiden Surname)
19. Carrie Mann Hershe
INFORMANrs MAILING ADDRESS (Slreet. CitylTown, Slale. Zip Code)
20b. P.O. Box 212 Ber n PA 19312
PLACE OF DISPOSrTION- Name at Cemetery. Crematory LOCATION - CityfTawn, State, Zip Code
or Other Place
21e, Evans Crematory 17088
NAMEANDADDRESSOFFACILlTY art emore FH & CS, Inc.
22e.P.O. Box 431, New
LICENSE NUMBER
IMMEDIATE CAUSE (Final
disease or condition
resulting in death)---""
",-/u./'",-
. Approximate
: interval between
: onset and death
4f/~~
Sequentially list conditions ! b.
if any, leading 10 immediate
cause. Enter UNDERLYING
CAUSE (Disease or injury c.
that initiated events
resulting on death) LAST d
WAS AN AUTOPSY WERE AUTOPSY FINDINGS
PERFORMED? AV BLE PRIOR TO
MPLETION OF CAUSE
OF DEATH?
. (".~"'-
Yes 0 No
Yes 0
No
atural Homicide 0
Accident 0 Pending Investigation 0
Suicide 0 Could not be determined 0
DATE OF INJURY
(Month, Day, Year)
TIME OF INJURY
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED.
.MEDICAL EXAMINER/CORONER
~:~~:rb::I:::e~X~I.n~~I.~~ .a~.~~~ .'~~~stl~.~lIo.~: .I.~. ~~ .~~I.~I~~: .d.~~~ .~~~.ur~~d. ~t. ~~~. tl.~.:. ~a~~:. ~~~ .p~~e~.. ~~.d. ~.~~. t~ .~h~ :a.~s.~s.(.~~ .~~d.. 0
3ia.
REGISTRAR'S SIG RE AND NU
7tV14AA/';?l--4~
-~
(,
~/I~ J'l..1
Yes 0 No 0
30e.
28a. 28b.
CERTIFIER (Check only ooe)
.~~~~F~:IGOr~~~I~~~hl.S~~:~h ~~e~i~%JadU:: t':1 ~:~a~:~(:r~~~rJ~X~i;~a~s h:t~f:~~~~~~~.~. ~.~~.t~. ~~~ .~?~~~~~.~. i~~~ .~~)..................
29.
30a. 30b. M.
PLACE OF INJURY - At home, tann, street. factory, office
buildlng,atc. (Specify)
308.
'PfO~~~~~s~I~,Gm~Nk~;~:~:':~e~~Ho~~~~~:~ ~~~:i~l::,ne~d~tr~~~U~~~~,;:~~h d~ned t~e::~iut~.~i~)~~~ d~:~~.r as stated,..................... 0
33.
34.
t)6S