HomeMy WebLinkAbout12-14-05
Register of Wills of Cumberland County
. PETITION FOR PROBATE and GRANT OF LET~E~~S . /
Estate of [L...I\-nff!..YIJ L !l-ERR-- No. g\ - C)s -I D lr\
also known as To:
Register of Wills for the
County of Cumberland in t@ (:)
Commonwealth of Pennsylv~riliI
. --r 1
I+C")
, ~:~ 07
, Deceased.
Social Security No. / tJ5 - Z~.. ~/'t 5-
The petition of the undersigned respectfully represents that:
(.,.)
Your petitioner(s), who isL~8 years 9fage or older, and the execut.Q.& named in thela,Si"W:m of the,.
above decedent, dated Ccre />t."'J;?.. .3 J:J... ,~ /98 9j':=~ ,I :::
and codicil(s) dated" ~~ c:i
en
w
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in C ,J j-( f,? L':::" R-t... 1/+ N I'>
Pennsylvania, with h_Iast family or principal residence at 1/
2 C,,^ L:::' f3 (3 IoZ.. I") S i~. .'51+1 P P FA)> 13 /,' f!-L-- I ;q...
,. (list street, number and municipality)
Decedent, then 9~ years of age, died Nt:Jt/EN/;t;~ 2/, , 200=.>~ at CI.U'trfl)i2/l.5117I/i<.b f/z:Js PI Tlte
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after
execution of t will offered for probate; was not the victim of a killing and was never adjudicated incompetent:
Ntr
County,
/725-7
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: N' I It
e
36-; 00 CJ
,
$
$
$
$
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented
herewith and the grant of letters
(testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
thereon.
Signature(s) ofPetitioner(s)
~G~ ~-4.;L-
,;L
Residence( s) of Petitioner( s)
7 }t~ !yOHN> litu. /2/1/,. 5INILIA-',r <J~);lIA: 6-
A- I 'i~C)'8 . I'
Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
}
COUNTY OF CUMBERLAND
COMMONWEAL TH OF PENNSYL VANIA
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
decodent potition,,(,j will woll ",d truly ,dmini.<t" tho "t,te :~ordin to law ,?/J...) _ _. ./
Sworn to or affirmed anq subscribed {~~ ~
2~ d: '
Be~ me this l v day of
" (' ] Y-C\~~A ,20 05 " _~
SS:
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No. ,-xll)~:' /D 75
Estate of tic t hiflj rV I, J+ (y, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW Tdt t If tIh be V I l( . 20 lS, 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
I D I b I, 9~ . ' described therein be admitted to probate filed of record as the last will of
k R 1/-1 V<../,u l. rk if ; and Letters are hereby granted to -J C>'1/0 C. re r.--
I
FEES
Probate, Letters, Etc. ............. $
Will ................................. $
Renunciation... . . . . . . . . . . . . . . . . . . . . $
Short Certificates tn ............ $
JCP.................................. $
Automation Fee................... $
Bond. .. . . .. . .. . . . . . . .. . . . ... . . . . . .... $
Total $
Filed DeCf/m~~05'
..~/&,,- ~IUA .J?n1J'6~:; '--.
/~1 L~lV~)0. /Y2c.1//.J
, Register of Wills V
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Attorney (Sup. Ct. I.D. No.)
Address
/ ,11. D ()
Phone
IO:\X(}:' kL\
This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate. $6.00
~r;z6/ 7~
Date
w
H105.1-43 Rev. 2/87
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE bF DEATH
SOCIAL SECURITY NUMBER
27. PART I: Ehterthe diu...., Injuriu Dr CDrnplic.atkU\I whil;:h caused the d,eth. Do not enl,r the RlDde Df dying, .Ileh eI ~rdlec Dr r..piratDI)'Jorr..l, .hod or h..rt 'eilur,.
L1'tonly()fte~"DneJochlln',
E
~I
t~
i
12046035
Cd
STATE FilE NUMBER
3.
165
26
No.
TYPE/PRINT
IN
PERMANENT
BLACK tNK
SEX
:Female
BIRTHPlJI.CE (City end A A
_ SlJlle orJoreig,n ~!2'l, HOSPITAL.
u.J1f:er.l.alld. \,..uw ity Inp~(J1 f]
rShi PA ...
FACILITY NAME (If no.! !n.slituliOll, Qive slreet and number)
ee in lruci
MARITAL STATUS - Married,
Never Married, ~dowed,
Divorced {Speedy}
". Widowed
He. 0 Yes, decedent ~...ed in
~~:~ily) 0
RACE - American Indian. Black, Vvhite, et
(Spec'y)
White
SURVIVING SPOUSE
(lfwite.glv'mflidtnn.me)
5, 96 Yrs
COUNTY OF DEATH
~
'b.
.'.Chambersb
AS DECEDENT EVER IN
U,S. ARMED FORCES?
Y..O NOG)
12. 13.
17'.Sta.. Pennsylvania
!wp
17d.1X] ~~hi~e~t:~i(~"':~ of
Shippensburq
cilylboro
dworks
DECEDENT'S
ACTUAL
RESIDENCE
(See instructions
on other Side)
17b. County
Cumberland
206 E. Burd Street
". Shi ensbur FA 17257
FATHER'S NAME (First, Middle, last)
18. John Clayton Long
INFORMANT'S NAME (TypelPrint)
20.. Jane Eisenhour
METHOD OF DISPOSITION
Burial KJ Cremalion ~emovaJ from Stale 0
Other (Specify)
NE'RAL SER
MOTHER'S NAME (F"irst, Middle, Malden Surnsme)
1.. Dessie Vera Baer
INFORMANT'S MAILING ADDRESS (Slreet, CilyfTown, Stale, lip Code)
20.. Zion Road Carlisle FA 17013
PLACE OF DISPQSmON. Name of Cemelery, Crllmalary lOCATION. Cilyfrown. 51ale, Zip Code
or Other Place
., Sequenti811y /isl conditions
if any, leading 10 immediate
.. cause. Enter UNDERl VING
CAUSE (Disease or injury
.. Ihat initialed evenls
resulting on dealt! ) LAST
WAS AN AUTOPSY WERE AUTOPSY FINDINGS
PERFORMED? AVAILABLE PRIOR TO
COMPLETION OF CAUSE
OF DEATH?
DUE TO (OR AS A CONSEQUENCE OF):
MANNER OF DEATH
Natural e3 HOOIl'dde 0
Accident 0 Pending Investigation 0
Suicide 0 Could not be determined 0
DATE OF INJURY
{MOhlh,D.ty,Y..r}
Did
decedent
Jive in a
township?
~
~
~
~
;...
~
I-
Z
W
o
w
(j
w
o
u.
o
w
:>
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z
I~/I ~(Isr
'TIME OF INJURY
INJURY AT lAoORK? DESCRIBE HOW INJURY OCCURRED.
Yos 0 No 0
2..
30.. 3Db.
PLACE OF INJURY .At home, farm. street, laclory, office
bu"ding.elc. (Specify)
30e,
30d.
lOCA liON (Slreet, CilyfTown, State)
Yeo 0 No eg
Yes 0
NOD
28a. 28b.
CERTIFIER (Check only one)
'~~~Jt:~~tGor~~\'~~~~~tr~~:rh cg~~Li~J':tu~: t~ ~:~harr~~:~~3~~~~i~a~s h~~r:~,~~~~~ ~~ .~~~~~~.~.j.I~~ ?~~..
'PRONOUNCING AND CERTIFYING PHYSICIAN (Physician both pronouncing death end certifying 10 cause of dealhl
To the best of my knowledge, death occurred at th" time, d.te, and place, .nd due to the eauses(s) and manner as litated...
'MEDICAL EXAMINER/CORONER
On the basis of eumlnaUon and/or Investigation, In my opinion, death occurred al the time, date, and place, and due to the causealsland
manner IS sl.ted....
31a.
REGISTRAR'S SIGNATURE AND NUMBER
33.
DATE FILED (Month, Day, Y
2. g U)(!)S
3..
J- 1- 0 S-- I D
Register of Wills of Cumberland County
RENUNCIATION
Estate of '~G7 h (1 It LCi.1Cj I-/-ev I{
, J J
Also known as \:. I ny (i ~: V'r
NO.~) I- 0 5--/0 7 (
, deceased
To the Register of Wills of Cumberland County, Pennsylvania
;"....,).
The undersigned Jq tI e.. H. G 'Je~h(1J.t- J)aU~~lTe\r
(Name) (Relationship) (Capacity) __
ofthe above decedent, hereby renounce(s) the right to administer the estate and respectfully request(s)i4at
Letters
be issued to ~O ~ e, 1+ e \(If
CD
Witness my/our hand(s) this __ day of
,20_
Affirmed and subscribed before me this
day of
(Signature)
(Address)
Notary Public
My Commission Expires:
(Signature)
Or
(Address)
A)fi~d and su~c~i~ed befor~ me this
~ aay of (..)-8CfYADt" ,
J. VI) r;
~.,
// II' 11 ,
"1~' I CJ4/h~
. , (Signature)
( ;{j) fi-1'JciJ {i;7rJ,( 5:inJht'-1tf L
R~ler of Wills
I' Uvr /!.L -f11tnu,
Deputy (J
'/09 JuhL!2cf. e~ [6. /7()13
(Address) (
(Signature and seal ofNolary or other officiai
qualified to administer oaths. Show date of
expiration of Notary's commission)
LAST WILL AND TESTAMENT
I, KATHRYN L. HERR, of the Borough of Shippensburg, Cumberland County,
Pennsylvania, declare this to be my Last Will and Testament and revoke any
will or codicil previously made by me.
ITEM I: I direct that all my just debts and funeral expenses, including
my gravemarker and all expenses of my last illness, shall be R~d from~
:=;0
residuary estate as soon as practicable after my decease as a ~~~20f trre
administration of my estate.' L,;~!2 L0
r~.'..; '"]
ITEM II: I bequeath those articles of my household furnit$eilmd
::'J
...-...;
furnishings and those articles of my personal effects and personal propfn'ty
(-+~
as set forth in a separate memorandum, which I shall place with my will or
deposit with my attorney, to the persons therein designated.
ITEM III: I give and bequeath all of my tangible personal property (not
including cash or securities and not including any tangible personal property
~.~...
~
utilized by me in any business, including farming, and not including any
items bequeathed above) including, without limitation, personal effects,
household furniture and furnishings, automobiles, and the like, together with
any policies of insurance in effect at the time of my death applicable
premiums thereon, to such of my children as
them as nearly as possible in equal shares in
such manner as they may agree upon or, failing agreement for any reason
whatsoever, then in such manner as my executor shall determine, giving due
regard for their personal preferences.
ITEM IV: I devise and bequeath the residue of my estate of every nature
and wherever situate in equal shares to such of my children, JOHN C. HERR and
'.' . ",'
~./. {} S,. \ ~l )
JANE L. EISENHOUR, as shall survive me by thirty (30) days.
ITEM V: Should any of my children, JOHN C. HERR or JANE L. EISENHOUR,
predecease me or die on or before the thirtieth day following my death but
leaving issue who so survive me, such issue shall receive, per stirpes, the
share that such predeceased child would have received had he or she so
survived me.
ITEM VI: I appoint his or her respective parent or guardian, guardian
of any property which passes outright either under this will or otherwise to
a minor and with respect to which I am authorized to appoint a guardian and
have not otherwise specifically done so, provided that this appointment of a
guardian shall not supersede the right of any fiduciary in its discretion to
distribute a share where possible to the minor or to another for the minor's
benefit. Such guardian shall have the power to use principal as well as
~
~
income from time to time for the minor's support and education (including
~
~
secondary, college education, both graduate and undergraduate, professional
and other education) without regard to his or her parent's ability to provide
for such support and education, or to make payment for these purposes,
without further responsibility to the minor or to the minor's parent or to
any person taking care of the minor.
ITEM VII: I direct that all taxes that may be assessed in consequence
of my death, of whatever nature and by whatever jurisdiction imposed, shall
be paid from my residuary estate as part of the expenses of the
administration of my estate.
ITEM VIII: I appoint my son, JOHN C. HERR, and my daughter, JANE L.
EISENHOUR, executors of this my last will. Should both of my said executors
fail to qualify or cease to act as executors, I appoint my brother-in-law,
2
,
I
I
LLOYD B. HERR, executor of this my last will.
and Testament, written on four (4) sheets of paper, dated this
IN WITNESS WHEREOF, I hereunto set my hand and seal to this my Last Will
? t-rI
~ day of
(J~l-(^,
, 1989.
~~..,,;r ~"-!u (SEAL)
Kath yn L. Herr
The preceding instrument, consisting of this and three (3) other
'typewritten pages, each identified by the signature of the testatrix, was on
the day and date thereof signed, published and declared by the testatrix
therein named, as and for her Last Will, in the presence of us, who at her
request, in her presence, and in the presence of each other have subscribed
O#U:~2w~e~. :e~eto.
_~~ ~< residing at ~~y:!;:'. ?~.
./
~/tt.. 7Jl.J~ residing atSJ;!'I'uOLJ? fJA
3
COMMONWEALTH OF PENNSYLVANIA
ss.
COUNTY OF CUMBERLAND
I, KATHRYN L. HERR, the testatrix whose name is signed to the attached
or foregoing instrument, having been duly qualified according to law, do
IherebY acknowledge that I signed and executed the instrument as my Last Will;
and that I signed it willingly and as my free and voluntary act for the
purposes therein expressed.
If' c~Ji)u{"7j r. ~t/ (SEAL)
Kathryn L: Herr
Sworn to or affirmed and acknowledged
before me by KATHRYN L ti!.HERR,
the testatrix, this ~ day of
Oc-\:c,'oe, , 1989.
---~~
" " Jll:!?tS.l
,', ,'.' '. .....
'J '., I. ~_ r, t ~'....
HR-LSA J. BU!("r1CcD,:R, Notary Publlo
Shippnsburg 30ro,. Cumberland Co., Pa.
My Commission hpires Sept. 9, 1991
COMMONWEALTH OF PENNSYLVANIA
ss.
COUNTY OF CUMBERLAND
We, .J4 f\N\.l L'totU Q.. <bf:\.\J IS and V ~L DR \'(). ~E.ASE.. , 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 the testatrix sign and execute the instrument as her Last Will; that
the testatrix signed willingly and executed it as her free and voluntary act
for the purposes therein expressed; that each subscribing witness in the
hearing and sight of the testatrix signed the Will as a witness; and that to
the best of our knowledge the testatrix was at that time eighteen (18) or
I more years of age and of sound mind and under no constraint or un ue
I influence. A.. /'
Sworn to or affirmed and subscribed to
before me by t.\~ I L lCJt-.\ Q .t>~ \J \ ~ and
\J "--L bf\ "", S~'t\~'t.- , witnesses,
this ~~ day of Dc-\:o~ , 1989.
\ \-,.
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