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HomeMy WebLinkAbout02-27-06 PETITION FOR PROBATE and GRANT OF LETTERS Estateof HELENHARATINE No. (11-0(0- ()I<lf) also known as HELEN E. HARATINE To: , Deceased. Register of Wills for the County of CUMBERLAND in the Commonwealth of Pennsylvania Social Security No. 507-16-3904 The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older and the execut ORS in the last will of the above decedent, dated APRIL 14. 2003 and codicil(s) dated named (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with h er last family or principal residence at MANOR CARE - 1700 MARKET STREET. BOROUGH OF CAMP HilL. CUMBERLAND COUNTY. PENNSYLVANIA 17011 (list street, number and municipality) Decedent, then 85 years of age, died 2/9/2006 , at MANOR CARE HEAL TH-1700 MARKET STREET. BOROUGH OF CAMP HILL, CUMBERLAND. 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: NONE 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: 1905 DICKINSON AVENUE, CAMP HILL, PA 17011 $ $ $ $ 100,000.00 0.00 0.00 125.000.00 on '" u <= '" .", .;:;;- '" on 0::';::' '" .", <= <= 0 ~:~ ~t) ",0... ~"- 3 0 oj <= OJ} Vi 2655 HAWTHORNE COVE, NE ATLANTA GA 30345 10 CROMWELL COURT MECHANICSBURG PA , ,,,-~-.-,.\ ....? r OATH OF PERSONAL REPRESENTATIVE COMMONWEAL TH OF PENNSYL VANIA } ss COUNTY OF CUMBERLAND The petitioner(sj above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best onhe knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Sworn to 0' afti,med and ,ub,,,ibed ~ t/!~ b~or me tillS '12 . day of L. V:l riQ' ;::, !2. !:i '" 2 No. ~I-Olv- OIZO Estate of HELEN HARATINE , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW r l?13i~ uKR'fL 1 I OLP , in consideration ofthe petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated 4/14/2003 described therein be admitted to probate and filed of record as the last will of HELEN HARA TINE a/k/a HELEN E. HARATINE and Letters TESTAMENTARY are hereby granted to TIMOTHY J. HARATINE ELIZABETH L. STELZER FEES Probate, Letters, Etc.. . . . . . . . $.3.10..-00 Short Certificates (fl )...... $ ~ R8RMRsiati@R . WI ~ ~ -t?2f5 Fil'de') )/l.O(fTAL ~$ ~ 414 BRIDGE STREET NEW CUMBERLAND PA 17070 ADDRESS 717-774-7435 PHONE HlO5.S05 REV 1/05 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 No. {2n,,;'?_~ j-7/)d--:. ",.../~?__ Local Registrar p 12225873 FEB 1 4 2006 Date Aev.OllQ6 'RINTtN lANENT :KINK 1 Name of Decedent (First. middle. !asl) t-/ e I e- VI 5 Age (LaSl birthday) COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH 85 v" 12,1920 3. Social Security Number 507 16 7. Date ot Birth Month, da , ear 8. Birth lace C' and state or lore Cumberland Camp Hill Care Health Center Other o ERlOut tienl 0 DOA Nursin Home 0 Residence 0 Other - S 9. rSN~ec~eny:~ ('~::s~~~~6uban, 10. (~~American Indian, Black, WMe. etc. Mexican,PuertoAican,etc.) White 11. Decedenl's Usual Occ atian Kind of work done durin rrost of wor1<:m life; do not state reI ired SChO~iiofT~acher East p~~~s~~~~ry T Decedent's Mailing Address (Streel, citytlown, state, zip code) 1905 Dickinson Avenue Camp Hill, Pa 17011 12. Was Decedent eYer in the US Armed Forces? o Yes ~ No Decedenl's Actual Residence 17a. Slate 13. Decedent's Educalion S ecl ElemenlarylSecondary (0-12) on hi hest rade co lale<! 5+college(14or5-+) Did Decedent liveina Township? 14. Marital Stalus: Married, Never married. Wpowed, Divorced.,(Specif}1 DIVOrCe<1 15. Surviving Spouse (lfwile, give maiden name) 17b. County Pa Cumberland Hc. 0 Yes, Decedent lived in 17d. eX No, Decedent lived wilhln ktualUmitsof Twp. Camp Hill CitylBoro 18. Father's Name (Firs!. rriddle. last) 19. Mother's Name (Firs!. middle, maiden surname) Edgar Burkhart 2Oa. Informant's Name rrypelprinl) Eva Wilson 2Ob. Informant's Maiting Mdress (Street, cilytlown, slale, zip code) Elizabeth Stelzer 10 Cromwell Court Mechanicsburg,Pa 17050 21 c. Place of OisposRion (Name of cemetery, crematory or olher place) 21d. location (Citytlown. stale, zip code) Hollinger Crematory Mt Holly Springs,Pa 220. Name and Address 01 Facility 1903 Market Street Myers~Harner Funeral Home Inc Cam Hill Pa 17011 231:1. license NuntJer 23c. Dale Signed (Month, day, yearl AM CAUSE OF DEATH ('See instructions and examples) ~em 27. Part I: Enler the ~ - diseases, injuries, or corT'4lticalions -that direclly caU$8d the death. DO NOT enter terminal events such as cardiac arrest, respiratory arrest. or venlri:ular tibrillation wilhout showing Ihe etiology. 00 NOT abbreviate. Enter only one causa on a line, IMMEDIATE CAUSE (RNlldisease" CC't""J;",\ .:t:V1 ~o.\I""c.\-\ 01-1 condibon resuKlng tn death) -? a. '" Sequenlially lis! cond~~ns, ~ any, b. D; $ e C. So::::. ii leading 10 the cause rlSled on line a - Enter Ihe UNDERL YlNG CAUSE . (disease or injury lhal innialed the events resulting in death) LAST ~/ 25. Dale Pronounced Dead (Month, day, year) 26. Was Case Referred to a Medical Examiner/Coroner? ~o No 24 TirNlofDeath fiCproximateinterval: onsellodeath Part II: Enter other sianificanl cond"ions conlributina to death, but nol fesu~ing in lhe underlying cause given in Part 1 28 Did Tobacco Use Contribute to Death? o Yes 0 Probably o No 0 Unknown De,.,.. ( n l-; c... He ~r""c.\ Azohf?'\;c-\, 29. tfFemale' o Not pregnant within past year o Pregnant at time of death o Nol pregnant. but pregnant w~hin 42 days of death o Not pregnant. but pregnanl 43 days to 1 year before death o Unknown if pregnant within the past year 32c. Place 01 Injury: Home, Farm, Street, Factory, Office Building, etc. {Specifyj Due to (or as a consequence o~: . o Yes "NO d. JOb. Were Autopsy Findings Available Prior 10 Conl;llelion of Cause of Death? DYes 0 No 31. MannerofOealh XNatural 0 Homicide o Accidenl 0 Pending lnvesligalion o Suicide 0 Could Not Be Determined 32a. Dale of Injury (Monlh, day, year) 32b. Describe how Injury OccUtTed' 3Oa. Was an Autopsy Performed? 32d. Time of Injury 32e.lnjuryatWork? DYes 0 No :JL,A,./V r1 ( 321 32g. location (Streel, citytlown, stale) M 33a. Certiftef (check only one) Certifying physician (Physician certifying cause of death";"hen another physician has prOllounced death and completed lIem 23) To the best of my knowledge, death occurred due 10 the cause(s) and manner as stated." .....",0 Pronouncing and certifying physklan (Physician both pronouncing death and certifying to cause of death) To lhe besl of my knowledge, death occurred at the time, date, and place, and due to the cause(s) and manner as slated.,....... ..."""m..."............. ...0 Medical examiner/coroner On the basis of examlnallon andlor Investigation, In my opinion, death occurred at the time, date, and place, and due to the cause(s) and manner as stated .........0 36. Date Filed (Month, day, year) 1-71/lo?l/I......' ol//y /t1~ 33d. Date Signed (Monlh, day, year) os OO<to,?'fL 9-Cj-Ql...:. 34. Name and Address of Person Who Cot'l'llleted Cause 01 Dealh (!lem 27) Type/Print /l?;c ha.t' i SC\ rYl5j ~. q.<L, 3S44 IV Pro&,.....H r]v(. Il\ .....;:;; b-.w- /\ 11 II () (See instructions and examples on reverse) ep\wills\HARATINEhelen2 LAST WILL AND TESTAMENT OF HELEN E. HARATINE I, HELEN E. HARATINE, of Camp Hill, Cumberland County, Pennsylva- nia, declare this to be my last will and revoke any will previously made by me. ITEM I: I devise and bequeath all of my estate of every nature and wherever situate, as set forth below: A. Five (5%) percent to the CLEVE J. FREDRICKSEN LIBRARY of Camp Hill, Pennsylvania. B. Five (5%) percent to the TRINITY EVANGELICAL LUTHERAN CHURCH of Camp Hill, Pennsylvania. C. Eighteen (18%) percent to my daughter, CHRISTINE M. LEE, if she survives me, and if not, to her issue, per stirpes. D. Eighteen (18%) percent to be divided equally among the three children of my late son, RICHARD HARATINE, JR.; they are RICHARD ROBERT HARATINE III, SAMUEL SCOTT HERR, and LYZA BETH MacKENZIE. E. Eighteen (18%) percent to my daughter, ELIZABETH L. STELZER, if she survives me, and if not, to her issue, per stirpes. F. Eighteen (18%) percent to son, TIMOTHY JAMES HARATINE, if he survives me, and if not, to his issue, per stirpes. Page 1 of 5 G. Eighteen (18%) percent to the Co-Trustees hereinafter named, IN TRUST, for my daughter, BONNIE LEE HARATINE, to hold, manage, invest and reinvest the share so received, and the accumula- tion of income thereon. The Co-Trustees shall distribute so much of , i I , I ii Ii I i ,I ii II Ii II il the income and the principal of the trust as the Co-Trustees shall in their sole and absolute discretion deem advisable for the support of my daughter, BONNIE LEE HARATINE, after taking into account all other available resources and sources of income including entitlement to government benefits such as Supplemental Security Income, Mental Health/Mental Retardation Services, Children and Youth Services, Vocational Rehabilitation Services, Attendant Care, or any other type of government benefit or services. It is my intent that this trust shall supplement and not supplant any otherwise available government benefits. Upon the death of my daughter, BONNIE LEE HARATINE, the then remaining principal and accumulated income shall be distributed to her issue, per stirpes, and in default thereof, shall be distrib- uted to my issue then living, per stirpes. ITEM II: I appoint my daughter, ELIZABETH L. STELZER, and her husband, KURT STELZER, Co-Trustees of the trust created for my daugh- ter, BONNIE LEE HARATINE. Should both of them fail to qualify or cease to act as such, a successor Trustee or Co-Trustees shall be selected by a majority of my then surviving children. Page 2 of 5 ITEM III: I appoint my son, TIMOTHY JAMES HARATINE, and my daughter, ELIZABETH L. STELZER, Co-Executors of this my last will. ITEM IV: No fiduciary acting hereunder shall be required to post bond or enter security for the faithful performance of his or her duties in any jurisdiction. IN WITNESS WHEREOF, I, HELEN E. HARATINE, have hereunto set my day of i;:- 4/'1 ~ (' , 2003. hand and seal this /' ;,- . .././ .? c (...c.'t.. ~...."./ ct>) cc /(" ~ HELEN E. HARATINE SIGNED, SEALED, PUBLISHED and DECLARED by HELEN E. HARATINE, the Testatrix above named, as and for her Last Will and Testament, and In the presence of us, who at her request, In her presence and in the presence of each other, have subscribed our names as witnesses. //2k~) /. f / i ...../ r \. I ~.J:., ~ ( Witness w~ ,.........\ L~l;:;) /1 /', (ili. 1/ ,.... ! '.' "......... I. '..... L ' ' /1 I t~ i . I, {t'1.0 \_-LLUI~ ...-i~-U._ , Address . /. ki K.)Qw CU-VUbA tClV1J R Address J Page 3 of 5 COMMONWEALTH OF PENNSYLVANIA: SS: COUNTY OF CUMBERLAND I, HELEN E. HARATINE, the Testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law do hereby acknowledge that I signed and executed this instru- ment as my last will; that I signed it willingly and that I signed it as my free and voluntary act for the purposes therein contained. , .c; n c~ "" /' . #""'!/'... ........ C-';"'/J'( Z" HELEN E. HARATINE Sworn to or affirmed to and acknowledged before me by HELEN E. j /"'7''fA, day of IJ '" I) ,-<./w .:/t~.._-'\ (f , 2003. HARATINE, the Testatrix, this NOTARIAL SEAL KAYE R. LUCKEY. Notary Public New Cumberland Born. Cumberland Co. My Corn~~9n~~,~m:s~~ 27, ~_ i)j' -R 7d"J- / / Notar Publ -'- '--J ;\jOTARIAL SEAL n. LUCKEY. Notary Publi: ",?;:!and Born,' CU"mberI, ,anc,',~"c,:,O., "':':'~?~,.~ ~'lJ. ":~~_ Page 4 of 5 COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND /J ii/-~' i We , ~_v'\ 0 ~,~ '.' -~')~~S~ and t<a~~I.eQUl ~f> im the witnesses whose names are signed to the attached or foregoing II II !i !i II II ,I I, Ii 'i II II il II Ii instrument, being duly qualified according to law, depose and say that we were present and saw Testatrix sign and execute the instrument as her last will; that Testatrix signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the will as witnesses; that to the best of our knowledge, the Testatrix was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence. /:c ' (:- t\.J (~'~"{f' ~~ :~Q Sworn to or affirmed to and acknowledged before me by {i/;ar/es II S'lc"':it~, and )()'-i-A! eel? I<(el ~n witnesses, this j~ day of , , 2003. {If'! i . c_ <-<--v ! ~~d_-R- ~u~:t . i} Notary Publi - . Page 5 of 5 i NOTARIAL SEAL !\AYE R. LUCKEY, Notary Public New Cumberland Bora. Cumberland Co. My Commission Expires March 27. 2005 "---.__._.._~~