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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 ,] \..1 '1_. 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 ,20 ()S { i~'/~ GaL~ (/J a;:;' ::> to ~ ~ ~ ;VA U .1' . . V;,j~'1t}~'41_1Jg$:pi) '1''' ~I- f':lAt"'" 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 "" Z LlJ " 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, &0 os- ~ .,) "~ ~J ~ ~ ~ \~- 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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