HomeMy WebLinkAbout11-08-05
Register of Wills of Cumberland County
Estate of Robert Wayne Herlt, .. Sr,
also known as
PETITION FOR PROBATE and GRANT OF LETTERS
a 1-0.5- 6 9f7
p;l....
No.
To:
, Deceased.
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
Social Security No. 174-36-0237
The petition ofthe undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, and the execut~ named in the last will of the
above decedent, dated the 30th of June 1997
and codicil(s) dated
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in Cumberland
Pennsylvania, with hj,last family or principal residence at
633 Brady Run Road, Newville
County,
(list street, number and municipality)
Decedent, then ~ years of age, died October 25 , 20~ at 5:25 a.m.
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:
Decedent 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:
$ 10.000
$
$
$ 0
WHEREFORE, petitioner(s) respectfully request(s) the probate ofthe last will and codicil(s) presented
herewith and the grant of letters testamentary
(testamentary; administration c.ta.; administration d.b.n.c.t.a.)
thereon.
.' ;ature(s) ofPetition~~
~7o. . G / ty"/ J2A- .
Residence(s) ofPetitioner(s)
633 Brady Run Road. Newville, PA 17241
L ,]
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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 affirm(s) that the statements in the foregoing petition are true and
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.
Sworn to or affirmed and subscribed
8 f. h' 8{cL/
e ore me t IS
(l W.-t' rnbfA
day of
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No. ~ 1'0 5-0Q%7
(fll,
Estate of Robert Wayne Herlt. ... Sr'.
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW this 8th of November 20~, 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
the 30th of June. 1997 , described therein be admitted to probate filed of record as the last will of
Robert Wayne Herlt.... ~r. ~ ; and Letters are hereby granted to
Nancy Catherine Herlt
FEES
Probate, Letters, Etc. .............
Will .................................
Renunciation...... .. .. . . . ..... .. . . .
Short Certificates (5) ............
J CP . . .. . .. . .. .. .. . .. .. .. .. . .. .. . .. . ..
Automation Fee...................
Bond.................................
.....c
Total~
Filed November 8 2005
$ ifCSO{;
$ IS"OJ)
$
$ ') D .[)~
$ j 0 'I)
$ 5" bD
$
$ crs
~.(p,-/ () b
Attorney (Sup. Ct. I.D. No.)
107(07
Address
~fh V?ll/ey
,
f?c"J tn~J ~I P1/7262
[
(7/7)3~q... 7t;s-7
Phone
rX' /'6G'TJ'o/?'7
Thi \ is 10 certify that the information here given is correctly copied from an original certificate 0' deatl dutY filed with
Local Registrar. The original certificate will be forwarded to the State Vital Records Office 1'01 p'Tmancnt filing.
me as
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No.
L~ (:\. ~eu-&.~~
Local Registrar .
Fee for this certificate. $6,00
D
I
12044551
OCT 2 6 2005
Date
,..,'....
H105.143 Rev, 2187
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
STATE FILE NUMBER
TYPElPRINT
'N
PERMANENT
BLACK INK
di^
"
AGE (last Birthday)
.,
COUNTY OF DEATH
60v".
8b,
MARITAL STATUS - Married,
Never Married, Widowed,
Divorced (Specify)
M
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Z
LlJ
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LlJ
()
LlJ
"
U.
o
w
::ii
4:
z
16.
FATHER'S NAME (First. Middle, Last)
m Lawrence E. Herlt
INFORMANTS NAME (TypelPrint)
20.. Nanc B. Herlt
METHOD OF DISPOSITION
BunelB Cremation Gemoval from Slate 0
Other (Specify)
FFUN LS Ie
17b. County ~l]mh
Dk!
decedent
live in 8
township?
He. 0 Yes, decedenllived in TTrr~ r M iff 1 i t:l
17d. 0 ~~~~~~~~~l~:~ of
Iwp.
citylboro ,
o
AVQ.
26.
: Approximate
. interval between
: onset and death
Other significant conditions contributing to death. but
not resulting In the undertying cause given In PART I.
f-\
oS I '(;vu,
~
Sequentially list conditions {b' f)
if any. leading to immediate
. ~ cause. Enter UNDERLYING
CAUSE (Disease or injury c.
. . that initiated events
resulting on deeltl ) LAST d.
WAS AN AUTOPSY WERE AUTOPSY FINDINGS
PERFORMED? AVAILABLE PRIOR TO
COMPLETION OF CAUSE
OF DEATH?
DUE TO (OR AS A CONSEQUENCE OF):
-+-
~
::+:
Accident
MANNER OF ~~TH
Natural ~
o
o
DATE OF INJURY
(Month. Day, Vllllllr)
TIME OF INJURY
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED.
Yo, 0 No'1;6
Homicide
Pending Investigation
o
o -O~O
30a. 30b. M. 30c.
o PLACE OF INJURY - At home, farm, street, factory, office
buildlng,alc. (SPlllclfy)
30..
30d.
LOCATION (Street, CityfTown. State)
30t,
E OF FlEE
-l~~~~~tGor::.~~;~~.wg~S~~~ ~~i~iJ~uuS: t~ 3,e:~a~:~(:r~~dr..g~X~i~~a~s h:t~re~~~~:~ .~~~~. ~~~ .~.~~~~~.~. i.t~ .~~).................. 0 31 b. 2)' 17
-PRONOUNCING AND CERTIFYING PHYSICIAN (Physician both pronouncing death and cBrtifying to c:ause of death) ~ LICENSE NUMBER DATE SIGNED (M~nJ' D"!'y. Year)
To the best of my knowledge, death occurred althe time, date, and place, and due to the cauaea(s) and manner aa stated...................... Lf( 31c. fY)'1l818"d- G 31d. /Q':;).S-/'OS
NAME AND ADDRESS OF PERSON WHO COMPLETED CAUSE OF DEATH
-MEDICAL EXAMINER/CORONER (Item 27) Type or Print .
~~~~:rb:::::.~~~~I.~~I~~.~~.~or Inve.tlgatlon, In my opinion, death occurred at the time, date, and place, and due to the cause.(.~~.~~~.. D fYlcnl'c..a.. c: - S l'lW .
31a n .
REGISTRAR'S SIGNATURE AND NUMBE~ _ I.... . DATE FILED (Month, Day, Year)
33. 2~~. ~ P'-I \ Id-J t 101 34.
vosO
NOD
Suicide
Courd not be determIned
29,
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ell . 05-{)tj f'7
1fittst JillJill ttn(r '@p$tttmpnt
OF
ROBERT WAYNE HERLT
BE IT KNOWN that I, ROBERT WAYNE HERLT, a resident of Putnam
County, Florida, do make, declare and ordain, and by these presents
have made, declared:\nd ordained this to be my Last will and
Testament, hereby revoking any and all testamentary dispositions
heretofore at any time made by me.
DIVISION I
FIRST: I direct the payment of my funeral expenses and of all
singular my other just debts and obligations.
SECOND: I give and devise such of my tangible personal
property as may be designated and in the manner so designated in a
separate writing in existence at the time of my death which writing
shall have been signed by me and shall have described the items
devised and the devisees with reasonable certainty, in accord with
the provisions of Chapter 732.515, Florida Statutes.
THIRD: All the rest, residue, and remainder of my estate, of
whatsoever nature and wheresoever situated, including the proceeds
of any policy or policies of insurance on my life and payable to my
estate or to my personal representative, I give and devise to my
wife, NANCY CATHERINE HERLT.
FOURTH: I nominate, constitute, and appoint my wife, NANCY
CATHERINE HERLT, of Post Office Box 467, Georgetown, Florida 32139,
as personal representative of this my Last will and Testament.
However, in the event she should be unwilling or unable for any
reason to so serve, then and in that event, I nominate, constitute,
and appoint, BETTY-ANN LEE HERLT, of R. D. 1, Box 252, Blairs
Mills, Pennsylvania 17213 to serve in my wife's stead.
The personal representative named above, as well as the
alternate personal representative named above, shall serve, if at
all, free from obligation or requirement of giving surety bond, and
shall be vested with the broad powers of management, sale, and
disposition of my estate as provided in Chapter 733.612,
733.613(2), Florida Statutes (1995).
DIVISION II
In the event my wife, NANCY CATHERINE HERLT, should predecease
me, or if we each die under circumstances such that the
simultaneous death law, section 732.601, Florida Statutes (1995)
would be applicable, all of my property (real, personal, and mixed)
of which I die seized and possessed or to which I may be entitled
at the time of my death, and other than that described in Division
I. paraqraph "secondll L I give and devise to each of my five
children, MELISSA JO RENAULT, DONNA LEE BIEVENOUR, ROBERT WAYNE
HERLT, JR., TRACY LEE SMITH, AND BETTY-ANN LEE HERLT, share and
share alike, equally. In the event one or more of my five children
should die prior to my death or in the event one or more of said
children survives me but dies prior to distribution of my estate,
then the share of my estate to which said child would have been
entitled had said child survived m~, shall be distributed to my
surviving children share and share alike. In the event all of my
children have died prior to my death or prior to the distribution
of my estate, then I direct that ~y estat~ be distributed in accord
1
with the laws of descent and distribution of the state of Florida.
DIVISION III
I hereby declare that in disposing of my estate, I have
considered all of my relatives who are now living and that with the
exception of the gifts made herein, I intentionally omit making any
bequest to them.
IN WITNESS WHEREOF, I have hereunto set my hand and seal at
Palatka, Florida on this \~~)fJ-. day of (S c..AJ1e, ,1997 in the
presence of the subscribing witnesses whom I requested to become
attesting witnesses hereto.
R ~I ~~ /J/1-11-
ROBERT WAYNE HERLT
The foregoing instrument was on the date thereof by ROBERT
WAYNE HERLT subscribed, published and declared to be his will in
__..-wfit:: p.. esence of us and each of us who, at his request and his
,/' preser ce, and in the presence of each other have signed the same as
( wi:~e (~~ri}~2
~ri')"llt/. 7(\ J AU---. of Palatka. Florida
~ ~.PUAf'l~
~~E OF FLORIDA
COUNTY OF PUTNAM 0' J Ir\
We, ROBE~T WAY~lj: HERLT oncJo{ E. nJlm~S and
VOt'11 L. f/~~lJ.A.. , the Testator and the witnesses
respectively, whose names are signed to the attached or foregoing
instrument, were sworn and declared to the undersigned officer that
the Testator signed the instrument as his last Will, that he
signed, and that each of the witnesses, in the presence of the
Testator and in the presence of each other signed the Will as a
wi tness ."7-'1 I I. J / J ~
It if fJ.-t '\!-tv p-J?"-" &.u-{ (I
Tes~or < /
~~ L,(~
Wl.t:ness
~~~, rf,. PUAcill
of
Palatka. Florida
SUBSCRIBED A~SWORN to before me by the Testator and the
witnesses on this ~k-day of ~~~e ,1997.
IZLfft- fY). t~vt
Notary Public
My commission Expires: J D 3r q e:
NNIIIIIIIIINIlIlIIlINlllllllllldIlIlIlIlINN/~>
(5 "'....~y PlI. Ruth M. West :~".
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