HomeMy WebLinkAbout07-07-06
COMMONWEALTH OF PENNSYLVANIA
COUNTY OFCUMBERLAND
PETITION FOR GRANT OF LETTERS
Estate of FLORENCE H. WEBER
No.
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also known as
, Deceased
Social Security No. 184265142
Petitioner(s), who is/are 18 years of age or older, apply)ies) for:
(COMPLETE "A" OR "B" BELOW:)
GJ
A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut
Decedent, dated 11/5/90 and codicil(s) dated
named in the Last Will of the
State relevant circumstances, e.g., renunciation, death of executor, etc
Except as follows, Decedent did not marry, was not divorced and did not have a child born or adopted after execution of the documents offered
for probate; was not the victim of a killing and was never adjudicated incapacitated:
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B. Grant of Letters of Administration
(c.I.a., d.b.n.c.l.a.: pendente lite, durante absentia; durante minoritate)
Petitioner(s) after a proper search has/have ascertained the Decedent left no Will and was survived by the following spouse
(if any) and heirs:
I
Name
Relationship
Residence
I
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Mechanicsburg Boro., Cumberland County, Pennsylvania, with his/her last family or principal
residence at 1006 Robert Street, Mechanicsburg, PA 17055
(list street, number and municipality)
Decedent, then 102 years of age, died April 29 ,2006 ,at 1006 Robert Street, Mechanicsburg, PA 17055
(Location)
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 ........................................................................................ $
Total ..................................................................................................................... $
4,000.00
0.00
0.00
0.00
4,000.00
Real Estate situated as follows:
Wherefore, Petitioner(s) respectfully request(s) the probate of the Last Will and Codicil(s) presented with this Petition and the grant of letters in
the appropriate form to the undersigned:
I
Signature
Typed or printed name and residence
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L<:'~t>1.'." /"rl. F (</>~-< j;f:3./;:j
Mary Anne Hostetter
RR1, Box 60A
Thompsontown, PA 17094
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Oath of Personal Representative
Commonwealth of Pennsylvania
County of CUMBERLAND
The Petitioner(s) above-named swear(s) and 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 representative(s) of the
Decedent, Petitioner(s) will well and truly administer the estate according to law.
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before me this
Sworn to and affirmed and subscribed
1~1)
day of
JULY, 2006
Mary Anne Hostetter
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DECREE OF REGISTER
Estate of FLORENCE H. WEBER
also known as
Deceased
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No.
Social Security No: 184265142 Date of Death: 4/29/06
AND NOW, July 2006 , in consideration of the Petition on the
reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters ~ Testamentary 0 of Administration
are hereby granted to Mary Anne Hostetter, Executrix
((c.I.a., d.b.n.c.t.; pendente lite; durante absentia; durante minoriate)
in the above estate and that the instrument(s), if any, dated November 5, 1990
described in the Petition be admitted to probate and filed of record as the Last Will of Decedent.
FEES
Letters................................. ...
Short Certificates(s) .~~~...(P
Renunciation .qn~...Ut........
Extra Pages (
) ...............
V' d
I.T.R.......................................
JCP Fee .....LI:..,..;. .............
Inventory ................................
Other .......... ............. ........ .......
$
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. /11/, / 1(~I.;..j,1/./I\'.. 1.1.} ,.,fJ, ,7(,,1. JLX1.l<//L/
c '~:/t,;xo < .. ~.. "
Register of Wills jll:,,' }~{i; eL'!':'
$
$
$
$
$
$
$
$
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Signature
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Attorney: CLYDE R. BOMGARDNER
I.D. No: 06395
Address: 10 SOUTH MAIN STREET
MIFFLlNTOWN
Telephone: 717-436-2119
DATE FILED: July
PA 17059
(( C{ C C.
TOTAL .............................$ _ _ __
2006
c;l.l aCC<~ ({\. '/
llT I ' '"d thc' nlOnlldtlol1 here gi\l'!1 IS L'o/Tcctly coplcd from an original certificate or death dLl}y filed with me d~
:2!."" 'lrl~::n~d Ccrtdicah: will he forwarded to lhe Stale Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
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NAME OF DECEDENT (Fir:>l. Middl~, last)
1 Florence H.
AGE (l as! BIf1tlday)
~Ieber
SEX
,.e mal e
COMMONWEALTH OF PENNSYLVANIA' OEPARTMENT OF HEALTH' VITAL RECOROS
CERTIFICATE OF DEATH
SOCIAL SECURITY NUMBER
3 184 - 26
t-i1O~ 143 R!=v 2,8/
TYPE/PRINT
IN
PERMANENT
BLACK INK
PA
Cumberland
STATE ~ILE NUMBt=:R
102 y"
BIRTHPLACE (Cily and PLACE Of DEATH Check 00\ on
State or Foretyn Country) HOSPITAL
F ran k 1 i n Co. I"p'""''' 0 EklO",po<,"" 0
1 aa
FACILITY NAME (If not institution, gjv~ street and number)
~~~:~,t,j 0
5
CO UN fV OF DEATH
"oCumberl and
Robert
OECEDEN f'S USUAl OCCUPATION
AS DECEDENT EVER IN
US ARMED FORCES?
y",O Num
12,
(~~v: ,~;;'~~);'h.(l~"d~~~e u~~{~~?"~~ISI
17b. CuUlltV
k"".""0
MARITAL STATUS Married,
Never Married, Widowed,
OivofCeO (Specify)
14 Wi dowed
RACE. Alllericiln !nch"n. Black, WMe, t<l
(Sp~Clty)
'0 W hit e
SURVIVING SPOUSE
(ll...,te, II"" rr.do<l'Hl nam,,!
Did
decedent
[we in 0
tuwnship?
17l;. 0 Yes, d.,cedenlli"'etJ in
Iwp
Mechanicsburg
17d. [XI ~~tl~e~~I~~I~I:~~I~~ of
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FAHiER'S NAME (Fif~t, Middle, Lasl)
,. He n r
INFORMANTS NA.\,E (Type/Plinl)
'0. Mar y ann e H 0 s t e t t e r
METHOD OF DISPOSITION
Burlell [Xl Ciell1<llioll GClllUVdl tlulll Stale 0
Other (Sp..:city)
Ie
MOTHER'S NAME (First, Middle, Maiden SUn'1ame)
,. Lou i s e My e r s
lNFORMANTSjv1All,..[NG ADOf)l:~SlStr~, CilyfTown, Slate, Zip Code)
W~ RRl ~oX bUA Ihompsontown
PLACE OF DISPOSITION- Name of Cemetery, Crematory LQCA liON.
Of Other Place
PA 17094
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DUE 10 (OR AS A CONSEquENCE OF)
\ :
DIJE 1'01,OR AS A CONSEQUeNCE OF)
DUE: 10 (OR A5A CONSEQUENCE OF)
MANNER OF DEATH
DATE OF INJURY
(Monlh D.... Yea!)
WERE AUTOPSY FINDINGS
AVAil ABLE PRIOH TO
COMPtEllON. OF CAUS!::
OF OEATlf!
Ndlura\
Homicide
o
o
o ~~:CE OF INJURY
t,,,,lctin\,j, "t~ (SpbClfy'[
30.
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A.;ciJcJlI
PWldulg Investigation
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NOD
Could Ilulloe detulllllfWd
Suicide
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2&a 28b.
CERTIFIER (Checi<, only une)
'1~~~~F:~~tGoi~~11~~~~.f~~,:>d~~~hC~~~~\~r~J~:;: t~ r';'Id~~'G~:~(:r~~~I~~~~l;~d~~I~t~r~~~.I~l.J~~~'~.~ .~~~~~1. .~~~ .~~~~:~~~~~.~ .I.l:,~~ ?~.~ .. .
'PRONOUNCING AND Ct:RTJf),ING PHYSICIAN WIIY~lu,.IIl bvltl plonuunung dl.lalh and ctHllfYlng to CdU:;t: uf dedtt.)
To the beat of my knlJwledge, death occutr'ld at the time, date, and place, and due to the cauu&(s) and manner al) Ijlat.d,..
CityfTown, State, Zip Code
Mechanicsbur
PA 17055
bu
,.
. Approximate
: interetl between
.ons and death
n ,(! -
Olher Significant conditions contribuhllg \0 death, bul
not re~ulting in ttle underlying Celuse given in PART I
TIME OF INJURY
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED
Ye, 0 Nu Q~
JOb.
M
30,
30d
LOCATION (SlJeet, CityflOINfl, Stole)
Al home, farm, ::;lreet, faLtory, office
30f
SIGNATURE AND TITLE OF CERTIFIER
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. REGISrR'S SIGNATURE AND NUMBER
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"MEDICAL EXAMINERjCORONER
~1:~'~:rb::I:~::Q~)(dllljllidj.n and/or hl'JlI~Uy..llon, In my opinion, death o(;curred allh. tlmll, datil, and pldc., and dUll to thll CaU5Q5(!;) and 0
310
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fuast lIill aun Qlestam.ent
OF
FLORENCE H. WEBER
BE IT REMEMBERED, that I, FLORENCE H. WEBER, of 1006 Robert
Street, Mechanicsburg, Cumberland County, Pennsylvania, being of
sound mind, memory and understanding, do make, publish and declare
this as and for my Last Will and Testament, hereby revoking and making
null and void any and all Wills and Testaments and writings in the
nature thereof by me at any time heretofore made.
ITEM 1:
I direct that all my just debts and funeral expenses
be paid as soon after my demise as may be convenient.
ITEM 2: All the rest, residue and remainder of my estate, of
whatsoever nature and wheresoever situate, whether it be real, personal
or mixed, including property over which I have a power of appointment,
I give, devise and bequeath unto HENRY B. HOSTETTER, JR. and MARY
ANNE HOSTETTER, his wife, or the survivor of them.
ITEM 3: I direct my hereinafter named Executor to pay all inheri-
tance, estate, succession and legacy taxes of whatsoever nature and
kind, to which my Estate or the transfer of any property passing
hereunder or otherwise passing by reason of my demise, may be subject
and to charge such taxes against my residuary estate, it being my
intention that none of the aforesaid taxes, either federal or state,
on any property required to be included in my gross estate, under
the provisions of any state or federal law now in force or hereafter
enacted, shall be prorated among the persons interested 1n my Estate
to whom such property is or may be transferred or to whom any ben~fit
accrues.
ITEM 4:
I appoint HENRY B. HOSTETTER, JR. and MARY ANNE HOSTETTER
WITNESS:
(SEAL)
l .,
FLORENCE H. WEBER
\_~W ~
as Co-Executors of this my Last Will and Testament.
ITEM 5:
I direct that my Executor, guardian or their successors
shall not be required to give bond for the faithful performance of
their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
- t \
day of
(... ;
~ "
, 1990.
1'HTNESS:
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FLORENCE H. WEBER
(SEAL)
'Y~~6
COMMONWEALTH OF PENNSYLVANIA :
: SS
COUNTY OF YORK
:
We, FLORENCE H. WEBER, JAN M. WILEY, ESQUIRE and PATRICIA A.
OGG, 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 Testa-
trix signed and executed the instrument as her Last Will and Testament
and that she had willingly (or willingly directed another to sign
for her), 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 this Last Will and
Testament as witness and that to the best of their knowledge the Testa-
trix was at the time eighteen (18) years of age or older, of sound
mind and under no constraint or undue influence.
FLORENCE H. WEBER
,\,
, WITNESS )
7t6JJ_l~i4'ES~
Sworn to and subscribed
before me this
.
"i,.l \
day
of
1990.
. '. \. ~- \. '.\
NOTARY PUBLIC
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MY COMMISSION EXPIRES:
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~ NcL'\r.:~,i S'3al .
S Oaw' G!.'.(rJi,,,ltc", Nc}ary Public
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
RENUNCIATION
Estate of FLORENCE H. WEBER
No.
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also known as
, Deceased
The undersigned, Henry B. Hostetter, Jr.
Nephew,
(Relationship)
Executor
(Capacity)
of
the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
Letters Testamentary be issued to Mary Anne Hostetter
Witness
hand this day of July 2006
/; 4> /" M~
y. ~.>.( (: ,'ld" .' ,. JL (Signature)
Henry B. Hostetter, Jr.
R. R.1, Box 60-A Thompsontown
(Address)
PA 17094
(Signature)
(Address)
(Signature)
(Address)
Sworn to or affirmed and subscribed
? /~ day of
before me this
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Notary Public
My Commission Expires:
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(Signature and seal of Notary or other
official qualified to administer oaths. Show
date of expiration of Notary's commission.)
NOTE: Renunciations executed outside the Office of Register of WiNs are
required in some counties to be notarized. . ,
,:.)
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