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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 :,~~ -- L; , " ~'" ~.~. -.; .,.. '" .:.. 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.. J 1-- b ~ -/5"7