HomeMy WebLinkAbout04-19-06
Register of Wills of Cumberland County
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PETITION FOR PROBATE and GRANT OF LETTERS
Estateof.:?r-~ilE H.~Re:t(p~ No. ~~, -~\,,- ~ -~\J.. ~
also known as To:
1
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
, Deceased.
Social Security No. /7 q -7." IT - 't 182-...
The petition of the undersigned respectfully represents that:
er, and the executQL.. named in the last will of the
, 20 f) ~
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(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in a (JVI &/? ~ h
Pennsylvania, with h~Hast family or ~cipal residence at LJ" JJ
~ ~iJ?i (j 6:-d}\f01l!:-5~.uQG. rr'A JtO~~O
(list stree , number and municipality) {
Decedent, then 1b. years of age, died ~()A ~;~ 2~ at I! II f..f?lse:v~ Hb:7P. --rl1 L .
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:
County,
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:
$ "~O
$
$
$
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WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented
herewith and the grant of letters
(testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
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Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEAL TH OF PENNSYL VANIA
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SS:
COUNTY OF CUMBERLAND
The petitioner(s) above-named swear(s) or affrrm(s) that the statements in the foregoing petition are true and
correct to the best of the knowledge and belief ofpetitioner(s) and that as personal representative(s) of the above
decedent petitioner( s) wil.l well and truly administer the estate acCOrding~aw. ~
Sworn to or affrrmed and,subscribed {'1- _. ! "".I1111ili:: R.d~
Before me this ,\", -t~. day of G ~ -
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Regist~
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Estate of ~,<<:.~~~~\~ ~~~ ~\).s~ , Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW ~ ~ ~\ \.... ''''. 20~~, in consideration of the petition on the reverse side
hereof, satisfactory proof having beeh presented before me, IT IS DECREED that the instrument(s), dated
~~t. - "~l"""l. ~~ S , described therein be admitted to probate filed of record as the last will of
<:5\~~\.,",,~ ~'-" \~~ ; and Letters are hereby granted to ~<C~~~~ V\ ~ ~"'"(\~ ~~\4 ~~
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Register of Wills ~
FEES
Probate, Letters, Etc. ............. $
Will ,................................ $
Renunciation... . . . . . . . . . . . . . . . . . . . . $
Short Certificates (~) ............ $
JCP.................................. $
Automation Fee.. .,. ... ... ........ $
Bond..... ..... .................. ..... $
Total $
Filed ~ - \ ~ 20 ~~<::)
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Attorney (Sup. Ct. I.D. No.)
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This is to certify that the infonnation here given is correctly copied from an original certihcatc (,1' death dql}. filed with me as
Local Reg~strar. The original certificate will be forwarded to the State Vital Records Office for I".ermanent fIlIng.
WARNING: It is illegal to duplicate this copy by photostat or photoSlraph.
No.
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Local Registrar
Fce for this certificate. $6,00
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11\~~~~~f~TOI~'CJ\i COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
P:t:tKN~T CERTIFICATE OF DEATH STATE FILE NUM6lA
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". All.. .7s Ilas! b.'r\I'O.".Y.) -~~~l,,~~el'll.~. e~avS]H()~ ~.l~.alll...~les 1I=. Dale.0 ~~iMon.lh. day. y~ =-I~.8 .-- UlIl~lace (Cfy and slale ~ ...el!1lcoonlfy)==p!o~e 01 D....d. (Ched. only ~-.TOUle.-:-'--. -.-----. . ~,.4 .-----..-. '.
__. __~.H._ ~'rL__.i__.~__. ._.___ ____l.~ _~ .~J.2JQ....___1Ph11adelph1a. PA Xlllent II UiIOu 1IenI.Q~1Q.~ltomo 0 Residence 0 Olher~___.~..
tlIJ Cuollly ul Jeall1 &: CIly .13010, lwp 01 Death [facllfy Name (n nol ru.lAuton. gove sllee! and nunber) 9 Was Oecedenl 01 HlspanI: OrigIn?' 10 Race Ame",:..n 1odIan. iliad. WhAe. elc
10 No 0 Yl!$(KY8$.specilyCWan. . (~
Me.u:an. PueOO RIcan. Ill< )
__.____.._Dayph!!!_______ -_Har!:iSburq--E __ Ha!:~i sbu!:9___HoEQi-~______~____.___._______._ White --..--..-
!l...J!~ S Usual ~'1'~~~~ wOIk done ~ IIDSt 01 ~~[ ~Ie do nol slate rehled) 12 Was Oecederd ever", the uS 13 Decedem's EdiJcallOfl on h $I ade ,'. U MarColJ SlaIuS Mamed. NeVel mam8d. \5 SuMlflQ.Spouse. ....\".WIle.. gove malll.. ...n..,
Kind 01 WOIk ~ KlIlil of BUSlness.lndllstry Armed FOlCes? Elemenlary/Secondaty (0 \2) CoIeQe (1--4 0( 5.) Wiliowed. 0Mln:ed (~
___ _ Hanemaker __ _Own.Bare ______ Q Y~_>>~____ _____ ________ ____._5_. ied____ _George_bL Rehfuss_
16 Decoo...t s "'ailulQ Add'ess (Strs"1 crtylo..11 sLlla lip Cod") Decedenl s pl' 011 0ecadenC S . 1 S'
71 Nortllview Drive AclualAmlellce 17a Sidle ~f!n.~y ~ van.!.'! Uvuu tlc ~ VCS.DecedenltNOOIl 1 ver . pr1f!9 1.."
TowllSIl4>?
Mechanicsburg, PA 17050 171J (kunly ~rlanQ tld 0 ~=~ed"""-' C~ybvw
18Fau;;,-sNa'';;;'iF,,!:t nlOdd!; klSI,-- ------ - - .. -- -- ------- -- -. ---- -- --- t9'..kiih'd-:SName (f.sl:R~. maIL1en slIlIIall'ej --.------- -
~___________~.t~phen . Hale _______.
20a Infollllilnts Naif.. (Ty""p,,nl)
Alice Ritter
lOblnalfmanrs uaiionQ Mliesr. (Slreel, c1y1\own. slale. ql codeT~-------'
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,___________Geor~~~...ReI:!!:usS___._n_ ___________________ __}1 Northview Drive Mechanicsburg,~_ 17050 _______
o 12. 'a toIelhodOtDlSpo. ,.nlOn . ~Ib Dale of DISpOS. ..1II(M.lnUl.day,yearj 21c PIac.eO/OisposWlI(Name01C~.. .aemalolyO(oIhefplacej ~~21d LocaIlon(ClyJ\uwn slale l4lcode)
~ _ ~ 6o'1d1 0 C'e"....tkJn 0 Rdnllvall10111 Stale [] Donahon h . b P A
(/) " _._E Oll\e'_~_____.__._.___...._____._..___._.._~____.._.___ f'=r;ebr~--~1. 2006 __QMniQsb!!t:.9 Cemetery-_ _ Mec antCS urg, .._______
~ ~ 22a SI~lIat"reO~' llCensee(ll! ~SjnadlllgaSSUCh;) 22b licenseNUlltIet 22c HameandAddrllSSoIfacMy 8 !1arket Plaza Way
<( - (L /" - FD - 014889 Mal zzi Fun8r.a.l Home ~1eChanicsburJ PA 17055
I COOl'lelenel - 3ac on ce g J Ihe best 0 my k,;(,Wiedge dealh OCCUlro.t aliii6biT., dale and place ,IaIBd cS9iaWre and Ilie) -- - ~323b tJCeRSe Noom. 23c Dale Sq1ed (UoollI daY~- ---
physo;liln IS I a.allJ~ llime ijeallllu
.. cerhly caus. 01 o"alh .
; :.~~o~~~:,;~''''''''' ..'W" "'?J7i () -1 ~ ~]7i ".="'" T.....AJ,'J;-b> u___'_,,~ :;",~;:-:..-=,..._.....,d_ -~ .
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Ilem 21 I'all t lnl.llne !ilii!!!l.2.l~~" \llSS.'.... U1JUll"'. 01 COn~llWlkJllS IIlal dueclly caus(,\lllle 0",,111 DO NUT "nler l.m.,..J e.ellls sudl as C,"\li..c alle:>1. : oo~ello doolh bul nollesublg.' \be undeIlyw'll cal6l! lI"'llflll ParI I 0 Yes 0 ProbalJly
,.,,.lIalury all." 01 'cnllk;ulaIIiIJlltlallon will'0ul sllo..olg the .'lOlogy. 00 NOT abtJ,evlilte filler or,1y one cause OIl a line: 0 No 0 Un&nown
(....{d~OC'\~'~~.--.c~__ . gr(-e~r-
D'\t.IIU()~I~I~~,:()n''''equtll1ceon' _I\... ...J. ^ \
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: ~~:::~~he" o~~::~~:~'~l~~~~h~ C Due 10 (01 as~e';,~,\ ~~ \ ~ . ~~ ~ . .
"'ents reson,nY"lo.all"lAST oue\o(ora'\c~n's~en~eo~\ \. _ \..-- . n C" :
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e. ror Nu e> u 32d T.ne 01 InlUry 32e InlUry aI WO/k' 111 M lranspOltallon IoJlfY (Spoct)1 32g locallon (SlIee!. Cly-1own. sIa\e1
(] :'uo;.oe (] could Nul"" U",em'Oned 0 Yes 0 No [] Ol1ller/Opefalol 0 Passooger
lot 0 PedesIna" QllOl( SptJa/y
J3ace.trlier(cneckOOIy0n.,i------------- ----- -----------. ------ - ------- 3Jb Sqlaiu!eani
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I..MEOIA TE CAUSE (hllal ui;"aS" Of
CUlldll",n 1",uR'c'ijln death) . "'7 a
29 U Female
o No! p1"il'\;lI~ "'''11 pas! yeal
o Preunov~ aI ...... Of death
o No! P'~nI buI P'''I1'''nl wallo, 42 lloy'
01 deadl
D NoI preg"a'" tout P<6\lf1d'~ 43 ddys 10 I y"'"
Ileue deaII1
() Unlulown ~ pI ell'lilnt wtlllI,lI... pa>l y"ar
:i2r.. Place 0I1oJlfY Home. fann. S1reet facloly. Oa...
Elubljj. eIc (~
Certll) IllY physician (ph/SoCldn LeM,Ing tallse 01 dddU, ..h"" allvlhel ph,'l.:lOn has pronuufoeed dwlh and conJiI...ed ndlll23)
To ltle but 01 "IY kno..ledge. dealh occurred due 10 ItIe cause(s) and manner as staled...
Pronouncing and certityillil physic...n IF'bY"'Iil" bull' plonoullculg dV.Ul and certlty..g 10 cause 01 deathl
To lhe besl 01 my knowledge. d.ath occurred at \he lime, dale, and plate, and due 10 the cause(sl and manner as staled. ....m'
Medical eummer/coroner
On the b.uis o.eumination and/or ;"...ligallon. in my opinion, ae.alh occuaed at \tie IU'IE, .:l"le, and pLoce, alld due \0 \he cause(sl and manner:u staled ".....
'35 A~S~~';lu'e~~Oo [;~r.cIN~~Z'----:---.a ~. -.-----=---~}~L~:2~-L-~~:?;-T9le F~ (5' da~. yaa~~
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LAST WILL AND TESTAMENT
~ \ -- ~~ -'J3'--\3
BE IT REMEMBERED THAT
I, STEPHANIE H. REHFUSS, a resident of Cumberland County,
Pennsylvania, being of sound mind, memory and understanding, do make,
publish and declare this to be my LAST WILL AND TESTAMENT, hereby
revoking any and all Wills and Codicils previously made by me.
I
I declare that I am married to GEORGE M. REHFUSS, and that I have two
daughters, BONNIE L. QUINN and KATHLEEN L. SEMPELES, M.D.
II
I direct that all my just debts and funeral expenses shall be paid from my
residuary estate as soon as practicable after my decease.
III
I direct that all taxes that may be assessed in consequence of my death,
of whatever nature and by whatever jurisdiction imposed, shall be paid from
my residuary estate as a part of the expense of the administration of my estate.
IV
I gIve, devise and bequeath all my property, whether real or personal,
wherever situate, including any property over which I may have a power of
appointment to my husband, GEORGE M. REHFUSS, provided that he survives
me by thirty (30) days.
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I give, devise and bequeath five (5%) percent of my annuity t~~ of ~y
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grandchildren, per stirpes.
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Tal-up !Jinrl hpr111PQt}, t},p fnllnur1'Y"1CY.
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VII
All the rest, residue and remainder of my property, whether real or
personal, wherever situate, including any property over which I may have a
power of appointment, I give, devise and bequeath to my daughters, BONNIE L.
QUINN and KATHLEEN L. SEMPELES, M.D., in equal shares, per stirpes.
VIII
I nominate, constitute and appoint my husband, GEORGE M. REHFUSS,
as Executrix of this LAST WILL, to serve without bond. If my husband is unable
or unwilling to act in that capacity, then I nominate, constitute and appoint my
daughters, BONNIE L. QUINN and KATHLEEN L. SEMPELES, M.D., as Co-
Executrixes of this LAST WILL, to serve without bond. If either is unable to act in
that capacity, then the other may act alone.
IN WITNESS WHEREOF, I, STEPHANIE H. REHFUSS, have set my hand to
this LAST WILL this /5tt day of ~itz"J11-vL- , 2005.
~~
Signed, sealed, published and declared by the above-named STEPHANIE
H. REHFUSS, as and for her Last Will and Testament, in the presence of us, who,
at her request and in her presence, and in the presence of each other, have
hereunto subscribed our names as witnesses. /}
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ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA
ss.
COUNTY OF CUMBERLAND
I, STEPHANIE H. REHFUSS, 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 the instrument as my LAST
WILL; that I signed it as my free and voluntary act for the purposes therein
expressed.
S~
Sworn ?r af~rmed to and acknowle~ed ?e.lfoor~ee m ne by STEPHANIE H. REHFUSS,
TestatrIX, thIS lS~...... day of ~"- , 2005.
~d~
Notary Public .
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
ss.
COUNTY OF CUMBERLAND
We, j{l/Z-;Zt-f. 1.L(hhtCdJ<;;;{, and I)/{"v< j}1..5n/IJA ,
the witnesses whose names are signed to the attached or foregoing instrument,
being duly qualified according to law, do depose and say that we were present
and saw Testatrix sign and execute the instrument as her LAST WILL, that
STEPHANIE H. REHFUSS 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; and that t9 the
best of our knowledge, the Testatrix was at the time 8 years of ag~re, of
sound mind and under no constraint or undue influe Cf~/{i
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