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HomeMy WebLinkAbout03-06-06 PETITION FOR PROBATE and GRANT OF LETTERS No. J-OD~'- 0 I q(o To: Estate of He 1 pn R also known as 'Ri~pn'h~llPX' Register of Wills for the . Deceased. County of Cumberland in the Social Security No. 180-26-5904 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut ()r~ in the last will of the above decedent, dated November 10, 2005 and codicil(s) dated None named ,19_ (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumberland County, Pennsylvania, with h pr last family or principal residence at 4.1 Wp ~ r Kpll pr ~:a' rppr, Boron g'h of Mechanicsburg (list street, number and muncipality) Decendent, then 71 years of age, died February 28, 2006 xW at Borouqh of Mechanicsburq, Cumberland County, Pennsylvania 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 Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ 100, 000.. 00 (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ 9 0 , 000 .. 00 situated as follows: 41 wP~t: Kpl-1,p)'" Strppt, Mpchanjcshnrg, PA WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters t e stamen tary (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. A11rO):"ri, rOH0011 191 Pjnetow~ ~n~n T,P() 1 ~, PA 1 7 t) 40 .- '" '0' u c o ~3 0_ 0::;0 C -00 c';: ~.= .-0 ~o.. 0'- 50 ~ c bJ) en ~~~&~ OATH OF-PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ~ ss COUNTY OF CTJMRR'RLAND J 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 represen- tative(s) of the above decedent petitioner(s) will well and truly administer e estate according to law. ~ Qq' :::s I::l - s:: ~ ~ '-fli^ '-1I')1L~ N 2.000 ,. 01 CJG o. Estate of HELEN B. EISENHAUER , Deceased DECREE OF PROBATE AND GRANT OF LETTERS . l-h AND NOW March l.tJ 20 0 6>>~_, 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 November 10, 2005 described therein be admitted to probate and filed of record as the last will of Helen B. Eisenhauer and Letters 'T'P ~ t- rimpn T ri ry are hereby granted to Cindy Lou E.. Poorman and Lynn R. Eisenhauer ~~ '-1CvVu~ ~4;(A~. Re~ister of Wills'I).')r-rYl~~'f;/ Sne1b e eman, P. C. U FEES P b t L E $ 200.00 ro a e, etters, tc.......... 2/-1.00 Short Certificates( 10) . . . . . . . . .. $ - Wil' 1'5.00 ReRl::lIlCiatiGR ................ $ :rcPa.J1ci ({ufo $ 16,00 TOTAL _ $ 3/4. 00 Filed m.~..!.pl. ~t? ~ ~ . . . . . . . . . . . . . By (717) 697-828 PHONE H IOS.XO~ REV I/OS 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. No. ~....~. ~~&..~ Local Registrar Fee for this certificate, $6.00 p 12270112 MAR Date 4 2006 , ' ~} H10S.143 Rev. 2/87 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH STATE FILE NUMBER YPElPRINT IN ERMANENT lLACK INK 5. . COUNTY OF DEATH Cumberland . lb. DECEDENTS USUAL OCCUPATION (~~~IIf~'l, ~a':~)'1 11a. Secretary 11f.ublic Schools DECEDENTS MAILING ADDRESS (Street. CilyfTown. State, Zip Code) RN_gJ ~~) 0 RACE - American Indian. Black, White. e (Specify) White 10. NAME OF DECEDENT (Firs~ Middle, Last) HELEN B. EISENHAUER SEX Female DATE OF DEATH (Month, Day, Year) ~ February 28,'2006 MARITAL STATUS - Married, Never Married, Widowed, Divorced (Specify) 14. Widowed SURVIVING SPOUSE (If wife, gl"" malclen ""me) 17b. CounlV Did decedent Cumberland ~~~~~p? 17d.g ~~i~=~~~I=of MOTHER'S NAME (First. Middle. Maiden Surname) 19. Ruth Shughart ::~~~7s ~1:IN~r~~~~ (SSt\CilVf~W;os;:',ziP 8(1e)800 13 PLACE OF DISPOSITION- Name of Cemetery, Crematory LOCATION - CilylTown. State, Zip Code or Other Place 21c. Mt. Zion Cemetery NAME AND ADDRESS OF FACILITY 22c.Ronan Funeral Hare 255 York Rd. Carlisle, Pa 17013 LICENSE NUMBER DATE SIGNED (Month, Day, Year) Hc. 0 Yes, decedent lived In lwp. I- Z w o w <.> w o LL o W ~ c( Z Mechanicsburg cllylboro. ~~Boiling Springs, PA 17007 LICE~L 22b, To the basI of my knowledge, death occurred at the time, date and place slated. (Signature and Tille) 23a. TIME OF DEATH DATE PRONOUNCED DEAD (Month, Da)', Year) 24. S: 'IS AM. 25. Fe..1o 2 'Z GOO (p 23b. 23c. WAS CASE REFERRED TO A MEDICAL EXAMINER /CORONER? 26. Yes 0 No 0 . Approximate PART II: Other significant conditions contributing to death, but : interval between not resulting in the underlying cause given in PART I. : onset and death : 3wJC.J :+ ..t.> 27. PART I: E....r the dls...... InJuri.. or compUcatlone which cau..d the d.ath. Do not enter the mod. of dying, .uch a. cardiac or re.plratory arra.~ ahoek or h..rt failure. LI.t only one C8U" on ..ch line. a.:5rt?14-LL ~L tc.pPA.J ~ DUE TO (OR AS CONSEQUENCE OF): ./ '" ~ b. '1 I~GNOC 'JIt.tJ}'11A (=:J~Ld.L~ [DUE TO lOR AS A CONSEQUENCE OF): C. DUE TO (OR AS A CONSeQUENCE OF): resulting on death) LAST d. WERE AUTOPSY FINDINGS MANNER OF DEATH AVAILABLE PRIOR TO COMPLETION OF CAUSE Natural OF DEATH? Yes 0 No [!] Yes 0 NoD Suicide g- O o DATE OF INJURY (Month, Dey, Veer) TIME OF INJURY INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED. Homicide o D JOa. 30b. M. o PLACE OF INJURY - At home. farm, street, factory. office building, alc. (specify) 30e. 31 . LI ENSI),NY,~ER ..- _ DATE SIGNED (Month, Day. Year) 31./11 UV 5/3/':;, t 31d. L' z~- WO~ NAME AND ADDRESS OF PERSON WHO CO!r'P.LETED CAUSE OF DEATH D (Item 27) Type or Print jZ.vL-rt-ru /) jL fH ~ I)l:--o-'\.,. ~ ':+ ,t: €.;'~ r P t}-7z.1<::. D-tZ-1 Ve::-- 32. tr~ 6i-f 4 1~11t DATE FILED (Month, Day, Year) 34. '~o.rr' Accident Pending Investigation Could not be determined 28a. 28b. CERTIFIER (Check only one) .f~~~~tGor::'~~;o~3:l.s~~:~c:~~~~~: t':: ::~a::~(:)~~~~x~~a;s ~~re~~~~ .~~~~~.~~~ .~~~~~~.~ .i~~.~~.). ............ ..... 0 29. "PRONOUNCING AND CERTIFYING PHYSICIAN (Physician both pronouncing death and certifying to cause of death) To the best of my knowledge. d8llth occurred at the time. date, and place, and due to the causes(s) and manner all stated...................... "MEDICAL EXAMINER/CORONER ~:~~:rb::I:.::.~~~~~~~~I~~ .~~.~~~~ .I~~.~~~~~~~~~: .I~ .~~ .~~i.~~~~: .~.~~.~ .~~~~~~~~. ~.~ ~~~. ~.~~.'. ~.~~~.'.~.~ .~~~.~~'. ~~~ .~~~. ~~ .~~~ ~~~~.~~.(.~~ .~~~.. 0 31.. ~I I la/\ Ie) I LAST WILL AND TESTAMENT I, HELEN B. EISENHAUER, of the Borough of Mechanicsburg, County of Cumberland, and Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void all former wills and codicils by me at anytime heretofore made. FIRST. I order and direct that all my just debts and funeral expenses be paid by my Executors, hereinafter named, as soon as conveniently may be done after my decease. SECOND. I give and bequeath all of my jewelry, wedding portrait and personal effects unto my daughter, namely, CINDY LOU E. POORMAN, absolutely. THIRD. I give, devise and bequeath all the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situated, unto my two (2) children, namely, CINDY LOU E. POORMAN and LYNN R. EISENHAUER, share and share alike, absolutely and in fee simple. If either of my children should predecease me and leave issue to survive me, I order and direct that the foregoing share of my residuary estate attributable to such deceased child shall be distributed to such child's issue per stirpes by representation and not per capita. If either of said children should predecease me without leaving issue to survive me, I order and direct that the foregoing share of my residuary estate attributable to such deceased child shall lapse and the subject matter distributed unto my surviving child. LASTL Y. I nominate, constitute and appoint my two (2) children, namely, CINDY LOU E. POORMAN and LYNN R. EISENHAUER, to be the Executors of this, my Last Will and Testament, to serve without bond or other security as a condition of qualification hereunder. If either of my said children should fail to qualify or cease to serve hereunder, I order and direct that the one so qualifying or remaining shall serve as my sole personal representative. , . ., seal to this my Last Will and Testament, which consists of two (2) typewritten pages to each of which I have affixed my signature this /d"". day of November, A.D., Two Thousand Five. ~ Z1. ~~ f?;'~ Helen B. Eisenhauer (SEAL) The preceding instrument, consisting of this and one (1) other typewritten page, each identified by the signature of the Testatrix, was on the date thereof signed, sealed, published and declared by Helen B. Eisenhauer, the Testatrix therein named, as and for her Last Will and Testament, 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 her~ ~~/J -!r 8 ,~ COMMONWEALTH OF PENNSYL VANIA) SS. COUNTY OF CUMBERLAND ) We, HELEN B. EISENHAUER, RICHARD C. SNELBAKER and JANE 1. COONEY, the Testatrix and the witnesses, respectively, whose names are signed to the attached or 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 Testament and that she had 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 a witness and that to the best of his or her knowledge, the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. -M-.A~~ ~ ~ Testatrix ~ 1 ness ~ ~&~ w e~s Subscribed, sworn to and ackno\vledged before me by HELEN B. EISENHAUER, the Testatrix, and subscribed and sworn to before me by RICHARD C. SNELBAKER and JANE J.