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HomeMy WebLinkAbout03-22-06 PETITION FOR PROBATE and GRANT OF LETIERS &tate of DAWN S HIPPMAN No. ').. " - ~ <.0 - ~ ~ S '"';)..... also known as To: Register of Wills for the , Deceased County of CUMBERLAND in the Social Security No. 188-24-4777 Commonwealth ofPermsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older and the execut or named in the last will of the above decedent, dated Auaust 5.1994 and codicil( s) dated (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 14 Randi Roae:!. East Pennsboro Townshio (list street, number and municipality) Decedent, then 76 years ofage, died 3/1412006 at Health South. Mechanicsbura Except as follows, decedent did not marry, was not divorced and did not have a cbild born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decedent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ (Ifnot domiciled in pa.) Personal property in Pennsylvania $ ~ j 00.0 .00 (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ situated as follows: WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters testamentary thereon. (~y; IlImiaisCnIlion c.la; adminis1ntion db.n.c.la) I~ ~ ~.~~ ~~ ~S. eppman ~rQ~ !i :1 I~ CI:l 14 Randi Road EnoIa PA 17025 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } ss COUNTY OF CUMBERLAND C) '--0 :::;:~ The petitioner(s) abOv~ swear(s) or affirm(s) that the statements in the foregoing petitionaf~e ,_ true and eorrectt9 t1tcbeSt of the knowledge and belief of petitioner(s) and that as personal represen;(~:s ~;:; =S:O:~~S.)willWi{"1!~~.~~; before me this "'l.)., ~ day of S '"'tR.~\\ ~~ ~ G.~"\ ~ ~~~~~ll~ , = <= Cf" N N -0 -.,;.,. ~ '>? U) No. ~" - '\:j ~ - ~ J... '5 ~ Estate of DAWN S HIPPMAN , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW ~l\ ~~..-"~.\\ 1. "J... ~~~~ , 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 8/5/1994 described therein be admitted to probate and filed of record as the last will of DAWN S. HIPPMAN and Letters Testamentarv are hereby granted to ROBERT S. HIPPMAN FEES ~~~ ~~~" ~~ ~'\ RegisterofWillS.~~: \", \.;J " ~ ~_ h?~ /' -" -...... \ d-. \) '--- ~~R' /~~e-/c4'~~ "- David H. Radcliff, Esq. 25483 ATTORNEY (Sup. Ct. LD. No.) \~'S. Probate, Letters, Etc.. . . . . . . . $ Short Certificates ( " } . . . . . . $ l..\ . \S aelMlR~:~~~ft ~ ~ \\... . . . . . . . $ ':i ~ "\! "" ~~.:. ~"-'~s. $ ,\$ _ TOTAL _ $ ~""~ .~"1 Filed. . . . . . ~ .- :~ '+ -:-~~.c. . . . . . . . . . 20 Elford Road, Ste 200 Lemovne PA 17043 ADDRESS 717 236-9318 PHONE . -~\ '.;~,) J.. \ - ~.~ -'~ .~)... ':-~ '':i.. 1111.\ 1\ to certify thalthe information here given is correctly copied from an original certificate of dcuh duly filtd with me as L'lcal Registrar. The origlllai certificate will be forwarded to the State Vital Records Office for permanent "j ling. W.ARNING: It is illegal to duplicate this copy by photostat or photograph. Fee lor this certificate. $6.00 II"t~(W'otpl;;--__ ....,.,:,.~'-Itf;'-""- ~ ~' v, ~ l~1 ~\ (/t~_!.. ~. . \'P~ ~c::t :~-, \~~ ~ c..,..) _ ,....-ii- /~~ \~.- *~'" . -~."-""::a"> *~ ~ &' '.~ ~ ~ \. ~";... .$$\\l .".:fh~_ ~\.'r\I\ "'----',iMENl \)\" ""' "......,,,,'////OHIIIJJJ,'fl ~/?~ . Local Reg~ P 12409057 dAR 1 6 Z006 '-J o. Date Rev,OlJt)6 'RINT IN lANENT ;KINK 1 Name 01 Decedenl (First. rrW1dle. last) bGlwn S. 5 Age (Laslbirlhday) COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH STATE FILE NUMBeR 3. Social Securfty Number 4. Dale of Death (Month, ay, year} 168 24 - March ]4, 2006 7 Dale 01 Birth 'Month, da , Jlffie 27, ]929 8. Birth lace C" and stale or lor . Hechanicsbur g Other o ERIOul alient 0 DOA Nursin Home 9. Was Decedenl 01 Hispanic Origin? ~ No 0 Yes (If yes, specify Cuban, Mexican, Puerto Aican,elc.} o Residence 0 Other. S 10. Race: American Indian, Black, WMe, ate (Specifyj 13. uecedenl's Eclucalion S ect ElemenlarylSecoooary(O.12j 12 h' hast radeoo leted College (1.4 or 5+) 2 14. Mar~al Stalus: Married, Never rrerfied, Widowed, Divorced (Specify) Married \;hi te 15. Surviving Spouse (If wite. give rreiden name) 14 Randi Road Enola, PA 17025 17a, Slate PA Did Decedent live in a 17c~ Yes, Decedenllived in TowllSh~? Robert S. Hi East Pennsboro TWI'. 17b. County Wnberland 17d, 0 No, Decedent lived within klualUmitsof CitylBoro 18. Father's Name (Firs\, rr1dd1e.lasl) 19. Mother's Name (First. middte, maiden sumamej Ibrer 9Nartz 208, Informan!'s Name (Typelprint) N::Jra BrCMn 20b Informant's Mailing Mdrass (Streel. cityllown, slale, zip code) Robert S. Hippnan 14 Randi Road Enola, PA 17025 o Removal from Slale o Donahon 21 b. Dale ot Disposilion (Monlh, day, year) 21 c. Place of Dispodion (Name at cemelery, crematory or other place) 21d. location (Cityr'lown, slale, zip code) Union Cem2tery 22c. Name ana Address 01 Facility funcarmon, PA 17020 al,andPIaCOmnatureandlil'J 24 25. Dale Pronounced Dead (Month, day, year) M marC h I Lf :<.oo(p CAUSE OF DEATH (See Instructions and ex-amples) lIem 27. Part t Enter the ~ - diseases, injuries, Of eOrYl'lications -lhal directly caused the dealh. DO NOT enter lermina' events such as cardiac arrest, respiratory arrest, or venlrcular fibrillation without showing the etiology. 00 NOT abbreviale. Enter only one cause on a line, Richardson F.R. Inc. 29 S. Enola Dr. Enola, PA 17025 IMMEDIATE CAUSE (Fina! disease or condrtion resu"ingin death) ~ a ( G'''?-i'Jh~ Due 10 lor as a consequenceoQ: ~'-rt- -p- .:, \ V rL. , Approximale inlerval' Part II: Enter other sionificanl conditions contrtuUno to death, 28. Did Tobacco Use Conlrilute to Death? onsello death but nol resu~ing in Ihe underlying cause given in Part I. 0 Yes 0 Probably o No ~nknown Sequentially lisl condttions, if any, it leading to the cause ~sled on Une a. Enter the UNDERLYING CAUSE . (disease or in;ury that in~ialed Ihe events resulting in dealh) LAST ~4J:J- Co,' )) o Yes fD-1l~ d. 3Ob. Were AuIOPSY Findings Available Prior 10 COfTllletion ot Cause 01 Death? DYes 0 No 31 Mantjer of Death [!1....Nalural 0 Homicide o Accident 0 Pending Investigation o Suicide 0 Coukl Not Be Determined 32a. Dale 01 Injury (Month, day, year) /'t,.....; ~, l'vrf .(Jl,...f.l'1J ~!..~II)...... 29 tlFemale: p:'!'tot pregnant within past year o Pregnant al time of death o Notpregnanl.oulpregflanlwijhin42days ofdealh o Not pregnant, but pregnant 43 days 10 1 year beloredealh o Unknown If pregnant wtthin the pasl year 32c. Place of Injury: Home, Farm, Slreet Faclory, Office Buikling, elc. (SpeeiOtl Due 10 (or as a consequence oQ Due to (or as a consequence oQ 3Oa. Was an Autopsy Pertormed? 32d. Time of Iniury 338, Certifier (check only one) Certifying physician (Physician certifying cause ot dealh,when another physician has pronounced dealh and corfllleted hem 23) To l"e best of my knowledge, death occurred due 10 the cause(s) ancl manner as staled .....h.......__ ..h.......................... Pronouncing ancl certifying physician (Physician both pronouncing death and certifying to cause of death) To lhe best of my knowledge, death occurred a1 the time, dale, and place, and due to the cause(s) ancl manner as stated,......... Medical examiner/coroner On the basis of examination andJor investigation, In my opinion, death occurred al the time, date, ancl place, and due 10 lhe cause(s) ancl manner as stated Ae rar's Signature and Oislrici mber M. 321. It TrallSportation Iniury (Specityj o Driver/Operalor 0 Passenger o Pedeslrian 0 Other - Specify: 33b. Signature and Title or Certifier 7f1v~ /)... . 32g. Location (Street, c~yJ1own, slale) 33c. Ucense Nurrber 33d. Dale Signed (Month, day, yearj ,......_<1/.., JJ--:t.'~'~ .....................ItI/~ ........0 '11)~'1J())3-L ........0 34. Name and Address 01 Person Who Compleled Cause of Dea1h (1lem 27) TypelPrint ~"-'r fA. Y ....,.,...) r"r~ Jl '"\ .~ I~ "''" l '1 v-. v r '^ .'\ '1 . , I~ /1 ..-?I / I /I (See instructions and examples on reverse) '). \ - ~ \;, - ~: J- 5 ~ LAST WILL AND TESTAMENT OF DAWN S. HIPPMAN I, DAWN S. HIPPMAN, of Enola, East Pennsboro Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this to be my Last Will and Testament, hereby revoking any and all Wills and Codicils previously made by me at any time heretofore. FIRST: I hereby direct that my personal representative, hereinafter named, to pay all of my just debts, funeral and testamentary expenses, including Pennsylvania Inheritance Taxes, as soon after my demise as may be practicable. SECOND: All the rest, residue and remainder of my estate, I hereby give, devise and bequeath to my beloved husband, ROBERT S. HIPPMAN, should he survive me by thirty (30) days. THIRD: In the event that my husband, ROBERT S. HIPPMAN predeceases me, dies on or before the thirtieth (30th) day following my death, or should we die simultaneously in a common disaster, I hereby give, devise and bequeath all the rest, residue and remainder of my estate to my two sons, ROBERT EDWARD HIPPMAN and BRIAN PATRICK HIPPMAN, equally and per stirpes, 7 FOURTH: Should either or both of my sons, ROBERT E. or BRIAN P. HIPPMAN, predecease me and my spouse, I hereby declare that their one-half (1/2 ) share pass to their children with all assets to be converted to cash and placed in trust accounts . FIFTH: I hereby direct the Trustee named herein: A. Not to be able to expend any money held in trust until said child(ren) is/are twenty-five (25) years of age, except as provided in Paragraph FIFTH B. below. B. Be authorized to expend money from each child's trust fund between the ages of eighteen (18) and twenty-five (25), as may be appropriate for: 1. Health and Dental Insurance premiums and/or bills. 2. Post-high school educational training, including but not limited to application fees, books, tuition, computer and lab fees, room and board, transportation and living expenses. SIXTH: Upon attaining the age of twenty-five (25), each trust shall be dissolved and the balance of the funds, if any, shall be distributed outright to said child(ren). (f) trJ ~ t-< SEVENTH: I hereby nominate Fulton Bank and Trust Company as "Trustee" of said accounts for my grandchildren, should either or both of my children predecease me and my spouse, thereby necessitating implementation of Paragraph FOURTH and FIFTH above. EIGHTH: I hereby nominate, constitute and appoint my beloved husband, ROBERT S. HIPPMAN, as Executor of this my, Last Will and Testament. In the event that my husband, ROBERT, should predecease me, fail to qualify, cease to act, or for some reason is incapable of performing such task, I then nominate, constitute and appoint my two sons, ROBERT E. HIPPMAN and BRIAN P. HIPPMAN, as alternate Executors of this my Last Will and Testament. NINTH: None of the above named persons shall be required to post bond or surety in this or any other jurisdiction for faithful compliance of the office of Executor. IN WITNESS WHEREOF, I hereby set my hand and seal and declare this to be my, LAST WILL AND TESTAMENT, consisting of this and two (2) other typewritten pages, identified by my signature, dated on this. the .1' day of ~ .19tl J2~eI# . 'DAWN S. HIPPMAN ~ (Testatrix) The preceding instrument, consisting of this and three (3) other typewritten pages, identified by the signature of the Testatrix, DAWN S. HIPPMAN, as and for her Last Will; who at her request, in her presence and in the presence of each other have subscribed our names as WITNESSES hereto. ~/ . , <\... ~s.. ~~Siding At If! ~(~1H-~ Residing At L<- p<<- ( COMMONWEALTH OF PENNSYLVANIA) ) COUNTY OF CUMBERLAND ) WE, fl~) t \~',"'J, Qc~ S \\v~ ,AND / e.J )(~ , the Testatnx, and the wItnesses, respectively, whose names are signed to the attached and foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix, DAWN S. HIPPMAN, signed and executed the instrument as her Last Will, and that she signed and executed it willingly, and that she executed it as her free and voluntary act for the purposes therein expressed, that each of the Witnesses, in the presence and hearing of the Testatrix, DAWN S. HIPPMAN, signed the Will as witnesses, and that to the best of our knowledge and sight, was at the time eighteen (18) or more years of age, of sound and disposing mind, memory and under &.~nfluence. \ AWN S. HIPPMAN ~ ~~ S~_____ ' WITNESS ll!t "- ~ ^-< .~ - WITNESS Subscribed, sworn to and acknowledged before me by DAWN S. HIPPMAN, the Testatrix, who personally appeared before me, the undersigned officer,and scribed to \:l.nd swor(l to by the Wr(N~SES, ~ 11- ~t0 and eJ/eJ ~ , on thiCA the ::S-~ay of ~ ' 19~. .~ B(L RY PUBLIC My Commission Expires: f N.tarial Seal ~ Donald B. Owen, Notary "ublic 'C01,st Penns~or~ Twp., ~umberland County 'v Commlssl.n EXpires Nov. 2", 1!t!li ~""I", ~~,....... ~.I"NIIlinIi