HomeMy WebLinkAbout11-29-06
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYL VANIA
Estate of Phyllis E. Hoffman
File Number .-J./ ~ 0 &- 10 L/ /
also known as
, Deceased
Social Security Number 186-26-9152
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
Ii] A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the Executrix
last Will of the Decedent dated November 7, 2002 and codicil(s) dated N/A
named in 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 instrument(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
o B. Grant of Letters of Administration
(If applicable, enter. c.t.a., db.nc.t.a, pendente lite; durante absentia; durante minoritate)
Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (If
Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
Name
Relationship
Residence
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
Decedent was domiciled at death in Cumberland
512 Jovce Road. Camp Hill, PAl 70 II
(List street address, town/city, township, county, state, zip code)
County, Pennsylvania with his / her last principal residence at
Decedent, then 72
years of age, died on September 30, 2006
at Camp Hill, Cumberland County, PA
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(If not domiciled in P A) Personal property in Pennsylvania
(If not domiciled in P A) Personal property in County
Value of real estate in Pennsylvania
2,293.87
$
$
$
$
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 Le~;; inihe appropriate form to
the undersigned: .c_"
:...."".
T ed or rinted name and residence
Bethley Nauman, 4720 Breezy Vista Lane, York, PA 17406
'1
c;-:
c:....
FormRW-02 rev. 10.13.06
Page 1 of2
..
#
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and correct to the best of
the knowledge and beliefofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
before me the
Sworn to or affirmed and subscribed
I~ g;fA.
~~.~ '-7;?d~--~~~~
. ature of Pers I Representative
day of
Signature of Personal Representative
"
. j{L0n,V
Signature of Personal Representative
File Number:
), I - CJ (p - I OLj /
Estate of Phyllis E. Hoffman
, Deceased
Social Secm1ty Number: 186-26-9152 Date of Death: 09/30/06
AND NOW ,\...f) (rUfrn btt ('2 q/ 4 oX)/:; !)O D (c" in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to Bethlev Nauman
in the above estate
and that the instrument(s) dated
described in the Petition be admitted to probate and filed ofrecor
FEES
Letters ~ {'O
.............. . $ L . ~~J-L-~Y~
Short Certificate(s) . . . . . . . . $ 4. 00 Attorney Signature:
Renunciation( s) ......... . $ .-..,.)
W\\\ $ 100 Attorney Name: Norman M. Yoffe, Esq. ( ')
~.
" lcf $ \0.00 Supreme Court I.D. No.: 7135
fill tf)Il,\ Ct -\}n )1 $ 5PD
$ Address: 214 Senate Ave., Suite 404
$ Camp Hill, PA 17011 -,,')
$
$ .-
",.J:
$ 717-975-1838 o~,
Telephone:
$
TOTAL $ io y, o 0fr.M
............. .
Form RW-02 rev. 10.13.06
Page 2 of2
Thi ~ is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. 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.
.,\"",(~(1"'otpl,i----,,_
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\.~~ /-$5....
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''''''''''''''''U.lUIIIJI11111
TI~'~~. ~~~~
Local Registrar
Fee for this certificate, $6.00
P 12727610
OCT
2 2006
Date
'~ )
H105.143 Rev. 01,Q6
TYPE/PRINT IN
PERMANENT
BLACK INK
1 Name of Decedent (First, middle, last)
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
C:'\
STATE FILE NUMBER
72
1, 1934
3. Social Security Nuntllll'
-4 Dale of Dealh (Monlh,day, year)
Phyllis E. Hoffman
186 _ 26
Sept. 30, 2006
Vrs.
7. DaleolBil'th hAonlh,da ,
5 Age (last birthdayj
8tJ. County 01 Dea1t\
o ERIOut alieni
9.
o Residence 0 Other-
10. Race: American Indiall, Black, INhhe, etc.
(-
White
14 Marrtal Status: Married, Never married, 15. Surviving Spouse (If wife, give maiden name)
Widowed, Divorced (SpeciM
Cumberland
Camp Hill
Care Health Services
11. Decadent's Usual Occ lion Kind of work done durin most of workin tile; do nol slate fetifed
Kimj 01 Worlr: Kind of BusineSSllnduslry
Homemaker Own Home
16. Decedenfs Mailing Address (Slreet. cityllown, slate, zip code)
13. Decedent'sEducalion 5 eci
Elementary tSecondal)' (0.12)
12
hi sl adeca leted
Colege(HOfS+)
17b. Counly
PA
CUmberland
Did Decedenl
Liveina 17c. rx Yes,DecedentLivedin
TownSh,,?
H;lTl1pil",n
Two.
512 Joyce Rd.
Camp Hill, Pa 17011
17d 0 No, Decedent lived within
AclualLimilsof
ClylBofO
18. Falher'sName{First,middle,lasl)
19, Molher's Name (Firsl, middle, maiden surname)
J. Clay Douglas
208. Informant's Name (Typelprinl)
Leigh P. Hoffman
Laura J. Runkle
2Ob. Informanl's Mailing hldress (Slreet, cityllown, state, zip code)
512 Joyce Rd.
Camp Hill, Pa 17011
21c. Place or Disposijion (Name of cemetery, crematory or other place)
o
w
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~
28. Did Tobacco Use ContOOule 10 Death?
DYes 0 Probably
6J.o'1(o 0 Unknown
IMUEDIA TE CAUSE (Fhal disease Of
condlionrasu"ngindealh) ~ a.
Sequentially lis! condiions, if any,
leading 10 lhe cause listed on Linea
.. Enler the UNOERL YlNG CAUSE
. (diseaseorinjurylhaliniialedthe
events resulting in death) LAST.
'-l.
~
':(
308, Was an AulOPSy 3lXl. Were Autopsy FindirlQS
Performed? Available Prior to Co~lelion
01 Cause of Dealh?
o Yes ~ 0 Yes 0 No
31 Manner of Death
~ 0 Homicide
o Accidenl 0 P&~ing Investigation
o Suicide 0 Could Not Be Delermined
32a. Dale or Injury (Month, day, year)
32b. Describe how Injury Occurred'
29. lfFemale:
o Not pregnant wlhin past year
o Pregnanlallimeofdealh
o Notpreonant,bUl pregnanl within 42 days
of death
o Nol pregnant but pregnant 43 clays 10 1 year
befofedeath
o Unknown ifpregnanl within lhe past year
32c. Place allnjury: Home, Farm, Street, Facloty, OfIice
Buikiing. e1c.(Specifyl
,s~top~aN0ut~:~
D~D ~ ~-j conse;Aitt,R.c
Due 10 (or as a consequence o~:
TO
32d. Time 01 Injury
33d.DateSign (Month,clay, year)
10)<;) Malo
~R~~~tOIE8fV~n.KJ&T~ealh(llem27)TYPEWPril1t
'3lt-":ilo 'I~NOVC (VJf'rO
- '1-+ \ L pfI ).:roll
M.
321, If Transpor1ation Injury (Sp6cifyj
o OriverlOparalor 0 Passenger
o Pedestrian 0 Other-Specify:
33b. Signature and TIlle of Certifier
<N"wlO~\AA I~. fV10
32g. LocaliOn(Slreet,cilyAown,stale)
I-
Z
w
o
w
'-'
w
C>
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z
338. CertKter (check only one)
Certifying pltyslcbm (Physician certifying cause 01 dealn when aool.her physician illS ptOnOUocad dealh and completed lIem 23)
To the best ot my knowkKIgt!, death occurred due to the c:iluse{s) and manner:ils sbted.._
Pronouncing and certifying physician (Physician both prOllOuncirlg death and certifying 10 cause 01 dea\l1)
To the bett of my knowledge, dNthoccuffed at the time, date, and place,:ilnd due to lhecause(s) and manner as slllted..._
Medical eXilmlnerlcol'Ol1er
On the basis 01 enmlnllloon and/or Investigation, in my oplnlon, death occurred al the time, date, lInd place, and due to the cause(s) and manner as stated
35. A lr s~nalurea~~~~~~
Id.
I~ I I 10 I
(See instructions and examples on reverse)
LAST WILL AND TESTAMENT OF PHYLLIS E. HOFFMAN
I, Phyllis E. Hoffman, presently residing at 512 Joyce Road, Camp
Hill, Cumberland County, Pennsylvania, being of sound mind and memory, do make,
publish and declare this my Last will and Testament, hereby revoking any and
all wills by me heretofore made.
FIRST:
I direct that my funeral be conducted in a manner
corresponding with my estate and situation in life, and that all my just debts
and funeral expenses be paid and satisfied by my Executrix hereinafter named,
as soon as conveniently may be after my decease.
SECOND:
It is my wish that my children be given sufficient time to
remove items that may belong to them, or articles they personally desire before
residue is inventoried for sale.
This privilege is to be extended to my
grandchildren if their mother is deceased. Any such article chosen by an issue
as aforesaid (not being an article already belonging to such issue), shall not
diminish such issue's share of my residuary estate as hereinafter devised.
THIRD:
I give, devise and bequeath all of the rest, residue and
remainder of my estate, both real, personal and mixed, of whatsoever kind and
wheresoever situate, to my husband, Leigh P. Hoffman; providing however, that
he survives me for at least 30 days.
In case my husband shall fail to survive
me for a period of 30 days, then the gift to my husband shall be and become
null and void and, in lieu thereof, I provided as follows:
All the rest, residue and remainder of my estate, real and personal
property, of whatever nature and wheresoever situate, I give, devise and
bequeath unto my 3 children, share and share alike.
In case a child shall fail
to survive me for a period of 30 days, then the issue (survi viri<?-::, me for; a
period of 30 days) of such deceased child shall take, per stirpes, the~hare of
the deceased child.
In default of such issue, the share of such deceased ohi1d
shall lapse.
PAGE 1 OF 2 PAGES
(f>, E ' N I
P.E.H.
(:j
C\
FOURTH:
I hereby nominate, constitute and appoint my daughter,
Bethley Nauman of York, pennslyvania, to be the Executrix of this my Last will
and Testament.
If the said Bethley Nauman is unable or unwilling to serve as
such, I then appoint my daughter, Jo Dowell of Boiling Springs, Pennsylvania to
serve in such capacity.
If the said Jo Dowell is unable or unwilling to serve
as such, I then appoint my daughter, Sandra Yalich of Kingsville, Maryland to
serve in such capacity.
I direct that my personal representative be excused
from entering and/or filing any bond to assure the proper performance of her
duties.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~
day of November, 2002.
TESTATRIX
(!?~CZ ,~V/
PHYLL E. HOFFMAN
(SEAL)
~. ADDRESS d./CfoJeFtab ')/t<f'...u.uk ~] {'CUUuIP/1 ;1l (70//
"' ,
ADDRESS c:?1t(.[QI'Ul.:b);:/~t'~{.J-<cJd5 eM,? If/! P/J /76/)
COMMONWEALTH OF PENNSYLVANIA:
!Hi
COUNTY OF Cumberland
Phyllis E. Hoffman, the Testatrix, and the above witnesses, whose
names are signed to the foregoing instrument, being first duly sworn, each
hereby declares to the undersigned authority that the Testatrix signed and
executed the instrument as her Last will and Testament in the presence of the
witnesses and that she had signed willingly, 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 the will as
witness and that to the best of their knowledge the Testatrix was at the time
eighteen years of age or older, of sound mind and under no constraint or undue
influence.
the
Subscribed, 1~n to and acknowledged before me by
witnesses, this - day of NOVember,~ "'r4
f .
NOTARY PUBLIC
My Commission Expires:
the Testator and
Notarial Seal
Norman M. Yoffe. Notary Public
Camp Hill Boro. Cumberland County
My Commission Expires Aug. 26. 2006
PAGE 2 OF 2 PAGES
@,f,f,/ ,
P.E.H.
hoffman, leigh\will.ph