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Home My WebLink About03-23-06 PETITION FOR PROBATE and GRANT OF LETTERS Estate of also known as Richard M. Henry 21-06 - 02.5'-/- To: ocwl Secunty No. 182-22-9579 Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older and the executors named in the last will of the above decedent, dated September 15, 2004 and codicil(s) dated N/A (state relevenat circumstances, e.g. renUnCiatlOn, death ot executor, etc.) ist street, num Decedent was domiciled at death in Cumberland the Decedent's last family or principal residence at (South Middleton Townshi ) Decedent, then 77 years of age, died at 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: No Exceptions 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: 110 Brighton (a.k.a. 110 Brighten) Drive March 13, 2006 50,000.00 $ $ $ $ 100,000.00 WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters Testamenta testamentary; a mimstratlOn c.t.a.; a thereon. IW~ ~ 6l:~:i of Petitioner(s) Richard J. Henr __ Residence(s) of Petitioner(s) 500 Steelstown Road, Newville, PA 17241 OATH OF PERSONAL REPRSENTATIVE CUMMUNWEA1'LH U~' PENNSYLVANIA COlJNl'Y OF ClJMHEKLANU The petitioner(s) above-named swear(s) or attirm(s) that the statement in the foregoing peition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tativ.e(S) of the abov.e decedent petitioner(s) will well and truly administer the eJaccor.ding to law. Sworn to or atlirmed,~n~ubscribed - ~ . r!Io d beto me thiS :.- .3' day of IC ar . e ,,".' ~ j ,..... . . ) eglster No. ;Loo&;" 0254- .Estate of Richard M. Henry Deceased D.ECREE O}4~ PR08Xl~E AND GRANrl~ O}4~ L.Erl'rl~.ERS AND NOW trJarC/1 :LL/-f,h , 200~ 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 September 15, 2004 , described therein be admitted to probated tiled of record as the last will of Klchard M. Henry ; and Letters are hereby granted to Klchard J. Henry FEES Probate, Letters, Etc. $ Will $ Renunciation $ Short Certificates (if ) $ JCP $ Automation Fee $ Hond $ 'l'otal $ Filed fV1tl/Ch 23rc( ,20 Olp - :2ItJo. DO j:).oo 4- i 1.I. 00 , 0.00 5.60 3010.00 (717) 243-5M3M PHONE REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF SUBSCRIBING WITNESS Estate of Richard M. Henry No. 21-06- 02.5 I.{- Also known as , Deceased Robert G. Frey and Sharon J . DeVos (each) a subscribing witness to the will/codicil presented herewith, (each) being duly qualified accordi to law, depose(s) and say(s) that they were present and saw Richard M. Henry the testator, sign the same and that they signed as a witness at the request of testator in his presence aT (in the presence of each other) (in the presence of the other subscribing witness(es)). ~3j, Robert G. Frey 5 South Hanover Street, Carlisle, PA ~~t:~dti/50 5 South Hanover Street, Carlisle, PA 17013 I' I', it) certify that the information here given is correctly copied from an original cer~ificate of death dulr filed with me as , I( . tI K:t!islrar. 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. f' ,tlllll/"",,,,,,,,,, \\\lllt~\.\\\ OF PEi"'-~_ ~/#~. ..~.~.... ~JA\. l~~.. ~.. ~ ~~ ~ I ~ ~ co. .. "P~ "~,.'" _. ~~ ~ 8':tr Ii:~ '- * t .', '........" .... _~ I * ~ \. ~ .~ '~o,.. ..' ~ ~l' ~~ ~\\ --:.;..,#~!IMfN1 \\\ ~~Il""\ .,., '''',,.,, "" /"'/11111'" I t ~/?;~ Local Registrar Fce for this certificate, 56.00 P 12409245 l"'AK ~ 1 2006 Date ITEM # SHOUlD READ AS POttOWS: :; ~~ ,r: ..~ thn-I?~ Rev 01106 'RINTIN ~N,~~ II 30-196 1 Name 01 Decedenl (First. middle, last) COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (CORONER) STATE FilE NUMBER Richard M Henry 3. Social Security Number 4. Date of Dealh (Month, day, year) Yrs 182 - 22 77 7. Dale of Birth Monlh, da . Dec. 17, 5. Age (Last birthday) Cumberland South Middleton 110 Brighton Drive Residence 0 Other. S ci,: 10. Race: American Indian, Black, While, elc. (Specil'yj Bb~ County of Death . 11. Decedenl's Usual Occ ahcm Kind 01 work done dunn mosl 0' workin life; do not slale retired Kinq of Work ~ ot Business/Industry Dock Worker Roadway I 16. Decedenl's Mailing Address (Slreet, cityllown, slate, zip code) 110 Brighten Drive Carlisle, PA 17013 12. Was Decedent ever in the US Armed Forces? o Yes ~ No Decedent's Actual Residence 17a. State 13. Decedent's Education ecl on h' hest rade co leted Elemela2'secondary (0-12) College (1-4 or 5+) White 14 Marital Status: Married. Never married. 15. Surviving Spouse (If WIfe, give maiden name), ~11o~~ {Specil'yj PA ~~e ~~edent 17cJa:J Yes, Decedent Lived in South Middle ton Township? TWIT. 17b. Counly Cumberland 17d. 0 No, Decedent Lived within Actual Limits of CityiBoro 18. Father's Name (First, middle. last) 19. Mother's Name (First, middle, maiden surname) Dorothy M. Turns Joseph M. Henry 2Oa. Informant's Name (Typelprint) 2Ob. Informanl's Mailing Address (Street, cityllown, state, zip code) Richard J. Henry 21a. Method of Disposijion o Burial CXCremalion o Other. Specify: 228. Signature 0 uneral Service Licensee (or person 500 Steelstown Road, Newville, PA 17241 21c. Place of Disposijion (Name 01 cemetery, cremalory or other place) 21d. Localion (Cityllown, stale, zip code) 22c. Name and Address 01 Facility Inc. , erv1ces, CofTlllet Items 23a -c only whii certifying physician is not available at time 01 death to certify cause 01 death Items 24-26 must be cOlT1lleted by person who pronounces death. 23b. License Number 23c. Dale Signed (Month, day, year) 24. Time 01 Death 1:00 Aprx. P. M. 25. Date Pronounced Dead (Month, day, year) March 16, 2006 ~s Case Referred to a Medical Examiner/Coroner? f!tJt Yes 0 No CAUSE OF DEATH (See Inslrucllons and examples) l1em 27. Part I: Enler the ~ - diseases, injuries, or cOlT1llicalions -Ihal direc\1y caused the death. DO NOT enler terminal events such as cardiac arrest. respiratory arrest, or ventricular librillalion without showing the etiology. DO NOT abbreviate. Enter only one cause on a line. :~~~~~~~J:~~~dise~ a. Occlusive Coronary Artery Disease Due 10 (or as a consequence o~: Approximafe interval: onset to death Part II: Enler other sianificant condijions conlributina to death, bul nol resulting in Ihe underlying cause given in Part I. 28. Did Tobacco Use Conlrbule 10 Dealh? o Yas 0 Probably o No 0 Unknown COPD 29, If Female: o Not pregnant within past year o Pregnanl at time of death o Not pregnanl, but pregnant within 42 days 01 dealh o Not pregnant, but pregnanl43 days to 1 year berore dealh o Unknown ~ pregnant within the past year 32c. Place of Injury: Home, Farm. Street. Factory, Office Building, etc. (Specify) Sequenlially list condijions. ~ any, leading ta the cause listed on Line a. Enter Ihe UNDERLYING CAUSE (disease or injury that inkiated the events resuhing in death) LAST. b. Due to (or as a consequence o~: Due 10 (or as a consequence oQ: DYes )< No d. JOb. Were Autopsy Findings Available Prior 10 Coll"4llelion 01 Cause of Dealh? o Yes 0 No 31. Manner 01 Death )( Natural 0 Homicide o Accident 0 Pending Investigation o Suicide 0 Could Not Be Determined 32a. Date of Injury (Monlh, day, year) 32b. Describe how Injury Occurred: 308. Was an Autopsy Performed? 32d. Time ollnjury 32e. InjUry al Work? DYes 0 No 33a. Certifier (check only one) Certifying physician (Physician certitying cause of death when anolher physician has pronounced death and colT1lleted Item 23) To the besl 01 my knowledge, death occurred due to lhe cause(sl and manner as staled ................................................................................................................................0 . Pronouncing and certifying physician (Physician bolh prdllbuncing dealh and certifying to cause of deafh) To lhe besl of my knowledge, death occurred allhe lime, dale, and place, and due to lhe cause(sl and manner as slaled............................................................._........O . Medical examiner/coroner On lhe basis af examlnallon andlor Invesligallon, In my opinion, death occurred allhe lime, dale, and place, and due 10 the cause(s) and manner as stated ......_)( 35 Registrar's ure and Distric r % ~ .... A. . 36. Dal Fited ( Ih, day, year) U'~ \J.I/I~/1/1 321. If Transportalion Injury (Specify) o DriverlOperator 0 Passenger o Pedeslrian 0 Oth - Specify: 33b. Sill 32g. Location (Streel, cityllown, slate) M. Coroner 33d. Dale Signed (Month, day, yead March 17, 2006 34 irrc~~r o!,:e:son~~~r~d ~usc~~g~~~7) TypeiPrint 6375 Basehore Road, Suite III Mechanicsburg, PA 17050 io...l LAST WILL AND TESTAMENT OF RICHARD M. HENRY I, RICHARD M. HENRY widower, of 108 Lawrence Lane, Carlisle, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament hereby revoking and making void any and all Wills by me at any time heretofore made. 1. I direct my hereinafter named Executor or Executrices to pay all of my just debts and funeral expenses as soon after my death as may be found convenient to do so. I further direct that all inheritance, transfer, succession, estate and death taxes, including interest and penalties thereon, which may be payable on account of my death shall be payable from the residue of my estate regardless of whether the assets upon which such taxes are based are included in my probate estate. 2. I declare that I am an unremarried widower and that I have one (1) child, RICHARD J. HENRY. 3. All of the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath to my son, RICHARD J. HENRY. Should my son predecease me, then in such event all of the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath in equal shares, one share to my sonls wife, MAR Y P AT HENRY, provided she was married to my son at the time of his death and unremarried at the time of my death, and one share to each child of my son, the share any deceased child of my son would have received shall pass to his or her issue, per stirpes, and if there be no such issue, said share shall lapse and be added to the remaining share or shares. Should my sonls wife, Mary Pat Henry, and all of my sonls children and their issue predecease me, then in such event I give, devise and bequeath all of the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, to the children of MARY PAT HENRY, they being KATIE TOBIN and TERRI TOBIN. 6. I hereby nominate, constitute and appoint my son RICHARD J. HENRY, as Executor of this my Last Will and Testament, but should he predecease me or fail to qualify as such, then in such event I nominate, constitute and appoint my daughter-in- law, MARY PAT HENRY as Executrix and I further direct that neither of shall be required to post any bond to secure the faithful performance of his or her duties in the Commonwealth of Pennsylvania or in any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament written on one (1) page, this IS-~ day of :;e ::)\~v,,\.\<,(r, 2004. l R(JYENR~ 7br (SEAL) Signed, sealed, published, and declared by RICHARD M. HENRY the Testator above named, as and for his Last Will and Testament, in our presence, who, in his presence, at his request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. ~'~ _J~tWr7~f~ Page J of J