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)
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14 Randi Road
EnoIa
PA 17025
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA } ss
COUNTY OF CUMBERLAND
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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
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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
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RegisterofWillS.~~: \", \.;J " ~
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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
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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
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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
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........0
'11)~'1J())3-L
........0
34. Name and Address 01 Person Who Compleled Cause of Dea1h (1lem 27) TypelPrint
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(See instructions and examples on reverse)
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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)
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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.
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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
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