HomeMy WebLinkAbout02-17-06
Social Security No. 183-12-2104
PETITION FOR PROBATE & GRANT OF LETTERS
No. 21-06- I S')
To: Register of Wills for the
County of Cumberland
Commonwealth of Pennsylvania
Estate of EMMA P. SHUGHART
also known as
, deceased.
The Petition of the undersigned respectfully represents that:
Your Petitioner, who is 18 years of age or older and the Executor named in the Last Will of the above
decedent dated June 1. 2001 , and codicils dated . The Executor named _
died . Renunciations for Steohen Charles Adams incorrectlv soelled Steohan
Charles Adams in the Last Will and Testament is attached hereto.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with her last family or principal
residence at 1921 Reservoir Drive. Carlisle. North Middleton Townshio
Decedent, then ~ years of age, died November 2 , 2005, at
Health Services. South Middleton Townshio. Carlisle
Manor Care
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
i ncom petent:
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 PA
(If not domiciled in PA) Personal property in County
Value of real estate in Pennsylvania, situated as follows:
$15.000.00
$
$
$
WHEREFORE, Petitioners respectfully requests the probate of the Last Will and Codicil(s) presented
herewith and the grant of letters testamentary thereon.
Signature(s) and Residence(s) of Petitioner(s):
)'-6?Id~lJVkJvR .
Raloh William Hocker Jr.
1274 Alma Lane
Mechanicsburg. PA 17055
258-0664
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 of Petitioner(s) and that as personal representative of
the above decedent, petitioner(s) will well and truly administer the estate according to law.
;x~J3~A t
Sworn to or affirmed and subscribed
before me this I 7 1"'L day of
Februarv , 2006.
~~di;;~'t SJr~L
r tMk, /4(~:J
Raloh William Hocker Jr.
No. 21-06- 1)/
Estate of EMMA P. SHUGHART, deceased.
DECREE OF PROBATE & GRANT OF LETTERS
AND NOW, February I") .f1- , 2006, in consideration of the Petition on the reverse side
hereof, satisfactory proof having beeh presented before me, IT IS DECREED that the instrument(s) dated
June 1. 2001 described therein be admitted to probate and filed of record as the Last Will of
Emma P. Shuqhart ; and Letters Testamentarv are hereby granted to Ralph William
Hocker Jr. . 0 A ,J /1 / --t~. C-~/'J h .. 1
~ ~i<- c:f7/\'.r 1LlA-/<:2 VI v- J '--
~ ~ l11~r
Register of Wills
FEES
Probate, Letters, Etc. . . . . . . . $ 60.00
Short Certificates(-2- ) . . . . $8.00
Renunciation(s) ........ . . . $ 5.00
JCP . . . . . . . . . . . . . . . . . . . . $ 10.00
Automation Fee. . . . . . . . . . . $ 5.00
Other Will . . . . $15.00
TOTAL: .... $ 103.00
Filed . . ,;;1 ( .If D5. . . . . . . . . . . . . . . .
~~UG~~
Patricia R. Brown. Esq. (27474)
ATTORNEY (Sup. Ct. 1.0. No.)
354 Alexander Spring Road, Suite 1
Carlisle. PA 17013
ADDRESS
717-249-6333
PHONE
,8 D :,~~
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H!n~,~()~ RF\ 1,'1),';
This is to certify that the information here given is correctly copied from an original ce~~i fic~te of death du~!. 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
p
12044646
No.
H105.143 Rev. 2187
'51.:.- (:\. ~tu.~~
Local Registrar
NOV
4 2005
Date
J/-Obr(f))
,_.,
I .
.j
c::-:!
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
STATE FILE NUMBER
TYPEJPRINT
IN
PERMANENT
BLACK INK
NAME OF DECEDENT (First, Middle, Last)
1. Emma P. Shughart
AGE (Last Birthday)
SEX
gemale
SOCIAL SECURITY NUMBER
3. 183 12
DATE OF DEATH (Month, Day. Year)
2104
4. N
2 2
. 5. 85 v",
COUNTY OF DEATH
BIRTHPLACE (City and PlACE OF DEATH heck onl
State or Foreign Country) HOSPITAL'
uncannon I PA ~;aliltnl 0 ERJOutpatlenl D
FACILITY NAME (If not institution, give street and number)
DOA 0
Did
decedent
C~rland :~~~~P? 17d,D ~~hlc:,e=~~~~I~~Of
MOTHER'S NAME (First Middle, Maiden Sumame)
19. Minnie B. Orris
INFORMANTS MAILING ADDRESS (Street, CltyfTown, State. Zip Code)
20b. 1274 Alma Lane M .
PLACE OF DISPOSITION- Name of Cemetery, Crematory
or Other Place
2~estminster Memorial Garde
NAME AND AODRESS OF FACILITY
~\.
Bb. Cumberland
DECEDENrs USUAL OCCUPATION
(~:~~~J:~~~=ri~dt
17a. State
PA
17b. Countv
8
~
:2
:0
<(
TIME OF DEATH
24. OQ35
27, PART I: Enht the dl....... InJu..... or compllc.tion. whl~h ~.u..d the d..th. Do not enter tl'\e mode of dyIng, ."u;h .. ~.rdl.~ Ot ruptr.tory err..l, .hock or heart fallur..
U.' only one c.u.. an ..ch line.
" "-'..<::...1, ~~
DUE TO (OR A CO EQUENCE OF)
E
Soquentialty list conditions
. if any, leading to immediate
. cause. Enter UNOERL YfNG
CAUSE (Disease or injury
. that initiated e....ents
resulting on death) LAST
WAS AN AUTOPSY WERE AUTOPSY FINDINGS
PERFORMED? AVAILABLE PRIOR TO
COMPLETION OF CAUSE
F DEATH?
DUE TO (OR AS A CONSEQUENCE OF):
DUE TO (OR AS A CONSEOUENCE OF)'
MANNER OF DEA
DATE OF INJURY
(Month. OilY. Yellr)
Natural
Homicide
o
o
D :~CE OF INJURY
bulldlng,etc, (SJl6Clfy)
30e.
i"stru lion not
MARITAL STATUS - Married,
N......r Married, Widowed.
Divorced (Specify)
14.
17e. KJ Yes, decedent lived in
North Middleton
lwp.
citylboro.
26.
: Approximate
f interval between
: onset and death
TIME OF INJURY
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED.
f-
Z
W
o
W
U
w
o
u..
o
w
~
..:
z
28a. 28b.
CERTIFIER (Chack only one)
.f~~J:F~~tGor~\'~~e~~~:rh ~gr;~iJ8dUJ: t~ ~e:~a~:~(:)~~3rJ~~~~a~ h:li~~~~~~.~ .~.~~~~. ~~~ .~?~~~~~?~.i.t~ .~~.)..................
31b.
L1CEN, N DATE Sll'i'(~Mon~, ~r)
31c. (j 31d. II '- (. C)1S.
NAME AND ADDRESS OF PERSON WHO COMPLETED CAUSE OF DEATH
.MEDICAL EXAMINER/CORONER (1lem 27) Type or Print
On the basis of examination and/orlnvestlgatlon,In my opinion, death occurred at the time, date, and place. and dueto the cauae.(a) and Darry Guiswite I DO I 522 S.. Pitt St,
31.:"on"e,.. .laled............................................................................................................................................................0 32. Carlisle I PA 17013
REGISTRAR'S SIGNATURE AND NUMBER ~ . DATE FILED (Month. Da Year)
~ t\. ~tu.~~\-t.I.! u ~1116).1 \ IDI 34.
o
o
Pending Investigation
Could not be determined
Accident
'< \
Yes D No
Suicide
VesO
NoO
29.
.PRONOUNCING AND CERTIFYING PHYSICIAN (Physician both pronouncing death and certifying to cause of death)
To the be.t of my knowi-.jge, death occ;urred at the time, date, and place, and due to the eauaea(s) and manner as l5tated.....
{'o _
LAST WILL AND TESTAMENT
OF
EMMA P. SHUGHART
I, EMMA P. SHUGHART, a resident of Carlisle, West Pennsboro Township,
Cumberland County, Pennsylvania, being of sound mind and disposing intent, do hereby
make, publish and declare this to be my Last Will and Testament, hereby revoking all
Wills and Codicils at anytime heretofore made by me.
FIRST
I order and direct my Executors, hereinafter named, to pay all of my debts, funeral
expenses and expenses involved or connected with the administration of my estate as
soon after my death as is reasonably possible. However, my Executors need not
accelerate and pay those unmatured obligations which, in their opinion, might be proper
and more advantageous to retain or renew and pay as they become due and payable.
SECOND
I own a prepaid funeral at Hoffman Roth Funeral Home and following my funeral,
wish to be buried in my plot in Westminster Cemetery.
THIRD
I give, devise and bequeath all the remainder of my property, of every kind and
description (including lapsed legacies and devises) wherever situate and whether
acquired before or after the execution of this Will, to my sons, RALPH WILLIAM
HOCKER, JR., and STEPHAN CHARLES ADAMS, equally, and to their issue, then living,
per stirpes.
~ ,)
Page 1 of 3
.2 (... 6 ~ -, \ 1
FOURTH
I hereby nominate, constitute and appoint as Co-Executors of this my Last Will
and Testament, my sons, RALPH WILLIAM HOCKER, JR., and STEPHAN CHARLES
ADAMS.
FIFTH
I direct that no executor, trustee or any fiduciary under this instrument shall be
required to give bond for the faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my seal this
J-sr
day of
~
(/
, 2001.
;> i', ,\ /)
(;' 1:.0 Ahu.~ A~~
EM~-;'UGiART-=U-'-=-~---
SIGNED, SEALED, PUBLISHED and DECLARED by the above Testatrix as and for
her Last Will, in the presence of us, who thereupon at her request, in her presence and
in the presence of each other, have hereunto subscribed our names as witnesses.
l1aM 1'U-f ~hwnDv,-AtI l^C3/~
Witness Address
~~,
\., -R-I~~ ~ ~/Yt--~~/
Witness
C~A.L-~1
Address
Page 2 of 3
U~e~4~
"-P~ Vi? ~
Witness
t::: /ff~ r.
Testatrix
/~
Subscribed, swom to and acknowledged before me by EMMA P. SHUGHART, the
Testatrix, and subscribed and swom to before me by VICKIE J. GROUP and PATRICIA
R. BROWN, witnesses, this / :"i-- day of ~=. 0 .,A..1!
NOTARIAL SEAL ~~
DENISE PINAMONTI. Notary Public ot lie
Carlisle Bor~., cu~r1and County
CommiSSIOn Irps Dec. 6. 2004
Page 3 of 3
STATE OF PENNSYLVANIA
SS.
COUNlY OF CUMBERLAND
We, EMMA P. SHUGHARf, VICKIE J. GROUP and PATRICIA R. BROWN, the
Testatrix and 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 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 witnesses and that to the best of each witness' knowledge and belief
the Testatrix was at that time eighteen years of age or older, of sound mind and under
no undue constraint or influence.
;!!;.,?-~~
r,~
Testatrix
u~~~
V2I~ vp ~
Witness
Subscribed, sworn to and acknowledged before me by EMMA P. SHUGHARf, the
Testatrix, and subscribed and sworn to before me by VICKIE J. GROUP and PATRICIA
R. BROWN, witnesses, this / Ct- day of ",-/J LJAy , 200 1. (~')
~/V6Q i~/t(~
o u lie
NOTARIAL SEAL .
DENISE PINAMONTI. Notary Public
Carlisle Boro., cu~rland County
Commission E Ir~ Dec. 6. 2004
Page 3 of 3
RENUNCIATION
Estate of
Emma P. Shughart
, deceased.
To the Register of Wills of Cumberland County, Pennsylvania.
The undersigned
son
of the above decedent hereby renounce(s)
the right to administer the estate and respectfully ask(s) that Letters
Testamentary
be issued to
Ralph William Hocker Jr.
WITNESS
my
hand(s) this ~ ~~. day of ~'~j0~'6 ,2006.
5TEPZIV i.1, ADA.ttS
~ ([1ut-~
816 Golden Eagle Drive
Conway. SC 29527
ADDRESS
SIGNATURE
Or
ADDRESS
Affirmed and subscribed before me this
_ day of , 2006.
SIGNATURE
Register of Wills
ADDRESS
Deputy
I.. 0 :"G !.: ~. \ ,;.._0 t..
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