HomeMy WebLinkAbout12-08-06
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF
COUNTY, PENNSYLVANIA
Estate of
also known as
...l.r 6'\ e.. () . R eh (\
.:r (' e.V1 e... () u<..l< 0
File Number
ell - ()~ 1667
J ~5 - /8 -lf9lofo
, Deceased
Social Security Number
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
[)(J A. Probate and Grant of~tters Testamentary and aver that Petitioner(s~ are the. E. Xt'C ute> (
last Will of the Decedent dated .jG\n V(l( j 1'1. ,xOOtJand codicil(s) dated All J4
named in the
(State relevant circumstances. e.g.. renunciation, death of executor. etc,) r--J
c:;:) _~
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after executi<8&e instru~t(s) o~r~
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ....5 ;;g ~ ..,~,~: '=-i~
;:.c 0 c-> ." C)
.~ ~ 93 cb 'jJ E9
'(D'X :"'jC:;J
(If applicable. enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; duranlt:!!Ji@!iitate) :r;:..' i', =+i
'j (""'~ 'n :Jt "i.: ,:.=:s
Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following~ (if any):ai:i:a heirsp.(/T1
Administration. c.t.a. Or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) ]2 -l ;; (/:. 'C~;
""
o B. Grant of Letters of Administration
Name
Relationship
Residence
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
Decedent was domiciled at de th in
~ t.f LI.sbv (" ()
(List street address. town/city. township, county. state, zip code)
Decedent, then ~ 4- years of age, died on III ab / ()(p at
HO~fi(e.- ~es'lde"L€.. of Ce"h'etl feflY15l./)\k1'1IG...
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(If not domiciled in PAl Personal property in Pennsylvania
(If not domiciled in PAl Personal property in County
Value of real estate in Pennsylvania
$
$
$
$
~
rJ
situated as follows:
NJA
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:
Signature
Ty ed or rinted name and residence
n n R. 6t 1/<. ,'rJ.j
{);e. IJed14 HI<sb /Jr'i flA-
t:! 17tfr5'
Form RW,02 rev. /0./3.06
Page 1 of2
6~.,(6~7
Oath of Personal Representative
COMMONWEALTH OF PENNSYL VANIA
COUNTY OF tu.(\I\ ~erl tln J..
SS
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 belief ofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
Signature of Personal Representative
~~.~
Signature of Personal Representative
()
<'::0
-<::0
..~~~~
(j) :::>'
r-4
=
=
CT'
o
......,
("")
I
0)
~-u
t;Ji;':~~~S
,'~") ~~
en ,ri
..1 '.::::J
[:"1 r-1*1
=1:) c:J
(-) C)
, -;-1
-.r1
'..:.0 ( )
..... fTI
Signature of Personal Representative
File Number:
'-": ~ (~~
>J '=r;
~
:P"
....ilO.
Estate of 'J:\f'er'\€.. B. tZeh f)
Social Security Number: 18"5- I ~ -4'1 /,p&
Date of Death:
, Deceased
Novembe r VD I ~ DO (.,
C)
0"\
AND NOW,
having been presented before me, IT IS DECREED that Letters
are hereby granted to
, in consideration of the foregoing Petition, satisfactory proof
in the above estate
and that the instrument(s) dated
described in the Petition be admitted to probate and filed of record a~~e last fill (and rdicil(S)) ofDece
, 'I' ~ J ff /)j
FEES l..{...A...l\V"'"
Letters ............... $
Short Certificate(s) . . .::r. . . $
Renunciation(s) .......... $
W.q ... $
\Ce
o ~... $
~. ... $
$
$
$
$
$
$
TOTAL .............. $
c7J.OD
cf1(), oj
\ 5. CD
lOcO
S.U
Attorney Signature:
Attorney Name:
Supreme Court J.D. No.:
Address:
Telephone:
'fOcU
Form RW.02 rev. 10.13.06
Page 2 of2
H 105.X05 REV 1/05
This 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.
Fee for this certificate. $6.00
No.
chn..1?~
Local Registrar
p
12841532
NOV 242006
Date
(")
S;o
",.:0
~=f(")
.~~~
.,
'(")0
,C)-on
..'~~
_.- ~J --I
1->
,.....,
<::::>
=
c::ro
CJ
rT1
('"")
I
ex>
:z:-
:x
'0
fn
C)
CJ
:-:0
-- C'J
r-T; ,-'n
..L! C::J
C)
"1
-~-r.,
('"')
r-n
,~-)
'~f'1
o
CTI
IREV.02J2ClI'li
IPRINT IN
IMANENT
~CK INK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
1. Name of Decedent (First middle, last, suffix) 12 S" 13 Sod" Secoo~ Numbel I'D'" of Dea~ lMoo~. day. Y'''I
Irene B . Rehn Female - 185 - 18 - 4966 November 20, 2006
5. Age (lasl Birthday} Under 1 Year 1 Under 1 da 6. Dale of Birth IMonth, day, W!ar 17. Birthplace CiIv and slate or toreian counll"Jl 8a. Place 01 Death (C/leck onlv one
I Months I 0". I H~ I-~ I I Ford 1~laf ID~ Hospice Residence
. 84 v~ January 8, 1922 City, PA O,npalienl o ER' Ou!palienl o DOA 0 Nur'ing Home o Residence [101her - Sped~
Bb. County of Dealh Be Cily, Bol"O. Twp. 01 Dealh 3d Faci~1y Name (If not institution, give slreet and rnfTlOer} 9. Was Decedenl or Hispanic Origin? I1J No OVes /'0. Race: American I"""'. Black. White...
. Dauphin Susquehanna 'lWp. (tlyes, specifyCubao, (Spec;M
Carolyn Croxton Slane Residence Me.iean, Puerto Rican. elc,) \\bite
11, Decedent's Usual Occupation (Kind of war1c done durina mosl ofworltinQ ~le, Do not slate retired 12 Was Decedent ever in the 13. Decedent's Education (Specify OfIly highest grade completed) 114. Marilal Slalus Manied. Neyer Manied./15. Su,.,;y;og Spouse IIf wife. g;" maiden 0""'1
Kind of Work I Kind of Business I Industry U.S Armed Forces? I E~m,"li2SecoodaryIO-'21 I CoJlege (1-4 01' 5+) I w_. D,,""" ISpecify)
Executive Secretary Harrisburg Asphalt OVes KJNe Widwed
. 16, Decedent's Mailing Address ISIf'ee!. city I town, slale.llp cocle} Ot!cedenfs PA Did Decedent 17c. fg Yes, Decedent Lived in Lower Allen 'lWp.
Actual Residence 17aState Uveina Twp
2151 Cc)nterbury Dr. QmDer land Township? 17d 0 No. Decedent Lived within
. M:!chanicsbur2:. PA 17055 17b.Counly City/Born
Actual limits of
16. Father's Name (First. middle, last. suffix) "-,'to 19. Mother's Name (First, middle, maiden surname)
Vendel fucko Anna Karnis
208. Informanl's Name (Type I Prinl~ 2Ob. Informant's Maling Address (Street. cily I town, state. zip code)
Arm R. Calkins 215] Canterbury Dr. M:!chanicsburg, PA 17055
21a. Method oroisposilion DCremalion o Donahoo 21b. Dale of ~itian (Month, day, year) 21c, Place oT Disposilion (Name of cemetery, crematory 0( olher place} 1210 Localioo lC;~ /lown. s1a~."p codel
. [lBunal 0 Remoy" from Sial. , WI' Cremation or Donation Authoriztd Indiantwrt l!>ap .Natiorial
OOlher-Speary' : by Medic.1 Elamin..., Coroner? 0 Yes 0 No l'bvemer 29, 2006 ~tery Annville, PA 17003
~ 22a. Signature of Funer~ Service Licensee (or person acting as such) l22b Li:ense Number /220. NamemAdd..ssofFacil;~ ,
. ~ ..-02><..-~:_...?-;A. VZ..??2---> FD 012774-L Richardson F\meral Ibre Inc. 29'S. Enola Dr. Enola, PA 17025
Comple~ "ems 23a< ooIy wher1 cer1i1ying 23a. To !he pY knowledge, death ocx:urred allhe ~me. dale and place slated. (Signature and tille) 23b. License Number 23c. Dale Signed (Month. day. year)
ptIysicianis nolavadableallime of dealh10 ,
c:ertify cause ofdealh
. hems 24.26 must be COITIpIeled by person 24 Time 01 Death 125 Date Pronounced Dead (Month, day, year) 26. Was Case Referred 10 Medical E"aminer fCoronElf for a Reason Other than Cremation or Donation?
. wno pronounces death 7:24 P M l'bvenber 20, 2006 o Yes ~
CAUSE OF DEATH (See Instructions and ...mp~l : Approximate interval' Part II: Enter other sianilicanl oondiOOns conlribulino 10 death. 28 Did Tobacco Use Contribute 10 Death?
Item 27 PART I Enter the cjJJm~l~ts_ - diseases, Injuries, Of complications - thai direcdy caused the dealh DO NOT enter terminal events such as cardiac arrest. : Onset to Death bul nol resullJ1g in the undertying cause given in Part I Jave, o Probably
respiralOry arrest, or ventricular fibrillation withoul showing !he etiology. UsI only ctlecause on each line ONo o Unknown
=~~I~!~J~~S: J:~ d~~ . \ \.J"&f...n(~ '3 C'10ol1.. ~C-Il'~"-oJ- 1\('6:\ 1)'1"........ 29 If Female
Due 10 (Of as sequence or) $NOlpregnanlwilhmpas1vear
Sequentially Iisl conditions, if any. b I.---L IHr~'~i &.{JM.'~ DPregnanlallimeofdealh
~~:s: ~~~~ ~At~E Due 10 (or as a cooMQuence or) ,~ \ o NoI pregnanl, but pregnant wilhln 42 days
(disease or i~jury thai initialed the , , '\)"'--0 N.SS'O'-r\ oldealh
. events resulting In death) LAST. Due to (or as a consequence or) o NotPregoant.bulpregnant43daystolyeiJI
. d oIdealh
o Unknown if pregnant wilhin the past year
3Oa. Was an Autopsy 3Ob. Were Autopsy Findings 31. MsnnerofOealh 32. Dale of 01t"'Y (Moo'h day. "".., I 32b. Desoribe How lo~" Oca.md: 32c. Place of InJUry: Home, Fann, Street Faclory,
Performed? Available Prior 10 Completion j:i"Nalurat O-<kJe DfficeBuildil'lQ, etc. (Specify)
of Cause 01 Dealh?
Dves er:. Dve, DNo DA<:ddeol o Pending Investigation 32d. Time of Injury r2"loju"~W""'? 13~. IlTI""_lio!llo~"IS_) , 1329. Lcx:.1io!l of 10fury ISI,"1. ,;~ ,_. s1a~1
OSu_ o Coo" NoI be Delermnerf o Yes 0 No O"",,,;oP'l81or OPas""'9" o Pedestrian
M o OIhel - Spec,ry
338 C.rtlfi.r (check only one) 33b Signature and Tine of Certifier
COtt'fyl11lJ phy.lc~o I""""''" ceml~og ,"use of dealh wtoo ilnOlh.. ph"""o has proooul":ed dea~ ,"d """'''''ed Item 231 _ B ~ ~ J\. ~ M,.()
To Ih. be.t of my knowtedge, death occurred ciullo lhe caUII(') and IMnnlr a. .tJtest_ _ _.. _ _ _ _ _.. _.. _.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ .. _ _ __
Pronouncing and c:ertlfylng phy.lciln (Pt1ysician bolh PToooul"lCirt9 death and certifying 10 cau~ of death) 33c. ltcenseNumber 133d Dar~"'dlilh.dar."""1 _
To the bett of my knowtedge, deltt! occ:urred at thl time, dat., and plac:l, and due to thl cau8I('I.nd manner I' .tat!d.. _.. ...... _ _ _ _ _.. _ _ _ _ _ _ ..D \'l'\~633 "lS's-t:
~::~~m:~~~?~= Ind I or In'tHtlgatlon, In my opinion, death occurmt at thl tlml, dltl, and ptac:1, and dua to Ihl c:.tUH(S) and mann... a. .tatflt _ ..0 \\ 2'-\260<.,
34. Name and Address 01 Pel"SOll Who Completed Cause of Dealtt (Item 27) Type tPrint
35 Registr"" Slgoatu~s1r1cl Number _ ,r,-' I .;Z I / I AI / / 136 ~;hay_ye", ~\\t.1\ G, <--:,,'f\I~t'l() K..u--l~ 'i=c'flI,lj i"\"&-~c.:,,",,-- --i-
~ '2-n... M %~1-44 '?'~'" I I II ',5ltJOc, 3~,,'.J',vl.S\-- Sw.hZCI;- L2_'1I"'1""-, VA lle8
(j (See instruction' and examples on reversb,
STATE FILE NUMBER
LAST WILL AND TESTAMENT
C> lJ -10(;;"
OF
"""
=
IRENE B. REHN 0 ~
-= Q c::J
:f,~3o ~
tl~ SB ~
I, Irene B. Rehn, of Wormleysburg, Cumberland County, Pennsylv~iia, :;po
'. () .'-l'j :E:
being of sound and disposing mind and memory, do make, publish and decl~lnis to be-
my Last Will and Testament, hereby revoking all Wills and Codicils by me at any time ~
previously made.
::0
rn
o
CJ
:::n
~
\...._.~
r;!
c::J
(.) '--'
--'"'-1 --n
.-n
~C::. c-=)
.. iTI
C)
Provision for Taxes
ITEM I: I direct that all inheritance and estate taxes becoming due by
reason of my death, whether such taxes may be payable by my Estate or by any recipient
of any property, shall be paid by my Executor out of the property passing under this Will,
that is not specifically devised or bequeathed, as an expense and cost of administration
of my Estate. My Executor shall have no duty or obligation to obtain reimbursement for
any such tax paid by my Executor even though on proceeds of insurance or other
property not passing under this Will.
Specific Bequests
ITEM II: I give and bequeath all my household furniture and furnishings,
automobiles, books, pictures, jewelry, china, linen, silverware, wearing apparel and all
other like articles of household or personal use and adornment to my children, Nancy R.
Deutsch of Mechanicsburg, Pennsylvania, Christine A. Rehn of Harrisburg, Pennsylvania,
and Ann R. Calkins of Mechanicsburg, Pennsylvania, per stirpes, to be distributed among
Page 1 of 7
them in as equal shares as practicable, as they may agree. If they are unable to agree,
my Executor shall make such decision as to distribution.
ITEM III: I give, devise and bequeath all of the rest, residue and remainder
of my property, real, personal and mixed, to my children, per stirpes, in equal shares.
ITEM IV: If at the time of my death I am not survived by any living issue, or
by any of the beneficiaries named herein, or if all of the above-named beneficiaries
should die before the complete distribution of assets from my estate, I direct my Executor
to distribute all of my property, real, personal and mixed, not disposed of by the
preceding portions of this Will to those persons who would receive my estate had I then
died intestate, a resident of the Commonwealth of Pennsylvania.
Appointment of Fiduciaries
ITEM V: If at any time any minor child or legally incompetent person shall be
entitled to receive any assets hereunder, I hereby nominate, constitute and appoint my
Executor to act as Guardian of the assets payable to such person. Said Guardian may
receive and administer all assets authorized by law and shall have full authority to use
such assets, both principal and income, in any manner said Guardian shall deem
advisable for the best interest of such person, including college, university, post-graduate
or other education, without securing court order. Said Guardian shall have all the rights
and privileges as to the Guardianship and the assets thereof as are herein granted to my
Executor as to my Estate and the assets therein.
ITEM VI: I nominate, constitute and appoint Ann R. Calkins to be my
Executor. In the event of the death, resignation, refusal or inability of Ann R. Calkins to
serve as my Executor, I nominate, constitute and appoint Christine A. Rehn, to serve as
Page 2 of 7
Executor in her place. My Executor and Guardian are specifically relieved from the duty
or obligation of filing any bond or bonds.
Powers of Fiduciaries
ITEM VII: In the settlement of my Estate, my Executor shall possess,
among others, the following powers to be executed for the best interest of the
beneficiaries:
(a) To sell either at public or private sale and upon such terms and
conditions as my Executor may deem advantageous to my Estate,
any or all real or personal estate or interest therein, whether owned
by me severally or in conjunction with other persons or acquired after
my death by my Executor, and to consummate said sale or sales by
sufficient deeds or other instruments to the purchaser or purchasers,
conveying a fee simple title, free and clear of all trust and without
obligation or liability of the purchaser or purchasers to see to the
application of the purchase money or to make inquiry into the validity
of said sale or sales; also, to make, execute, acknowledge and
deliver any and all deeds, assignments, options or other writings that
may be necessary or desirable in carrying out any of the powers
conferred upon my Executor in this Item VII(a) or elsewhere in my
Will.
(b ) To pay all costs, taxes, expenses and charges in connection with the
administration of my Estate. My Executor shall pay expenses of my
last illness and funeral expenses.
(c) To distribute my Estate in kind or in money. If any assets are
distributed in kind, they shall be distributed at their respective
value(s) on the date(s) of their distribution.
(d) To retain any investments I may have at my death so long as my
Executor may deem it advisable to my Estate so to do.
(e ) To vary investments, when deemed desirable by my Executor and to
invest in such bonds, stocks, notes, money markets, real estate
mortgages or other securities or in such other property, real or
personal, as my Executor shall deem wise, without being restricted
to so-called "legal investments."
Page 3 of 7
(f) To mortgage real estate and to make leases of real estate.
(g) To borrow money from any party to pay indebtedness of mine or of
my Estate, expenses of administration or inheritance, legacy, estate
and other taxes.
(h) To vote any shares of stock that form a part of the Estate and to
otherwise exercise all the powers incident to the ownership of such
stock.
(i) In the discretion of my Executor, to unite with other owners of similar
property in carrying out any plans for the reorganization of any
corporation or company whose securities form a part of the Estate.
(j) To distribute my personal property directly to the Guardian of the
person of any minor beneficiaries hereunder.
(k) To elect such settlement options as deemed most appropriate by my
Executor with respect to any pension, profit sharing or other
retirement plan in which I am a participant.
(I) To do all other acts in the judgment of my Executor necessary or
desirable for the proper and advantageous management, investment
and distribution of my Estate.
Miscellaneous Provisions
ITEM VIII: I hereby exercise all powers of appointment that I may have at the
time of my death in favor of my residuary estate, and all property subject to all such
powers shall be included in my Estate.
ITEM IX: Any person who shall have died at the same time as me, or in a
common disaster with me, or who shall fail to survive me by ninety (90) days, shall be
deemed to have predeceased me.
Page 4 of 7
IN WITNESS WHEREOF, I have set my hand and seal to this my Last Will
and Testament, consisting of this page, the next two pages, and the preceding four pages
this 'cf-'-day of January, 2004.
~(\J~'1~~
Irene B. Rehn
SIGNED, SEALED, PUBLISHED AND DECLARED by the above named
Testator, Irene B. Rehn, as and for her Will, in the presence of us, who, at her request, in
her presence and in the presence of each other, have hereunto subscribed our names as
witn ses in attestation thereof.
Address 610 ~ ~'ve..
~ /llted(~J.~ fir (~
~~~ E/ ~~ Address ~=~ of/!:
< tL ~ ~70)/
fLt<&r; . ~AddreSS - 7f-/O 71- r /3/Vl .
.jJJu 12!ff)/(sb.l'j ~ 1m-
Page 5 of 7
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF DAUPHIN
SS.
/, Irene B. Rehn, the Testator 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; and that I signed
it willingly and as my free and voluntary act for the purposes therein expressed.
Sworn to or affirmed and acknowledged before me by Irene B. Rehn, the
Testator, this ,~ day of January, 2004.
J~3,,~
~ren _8. Rehn, Testator .
"_~~~. ~~.A
ry Public
My Commission Expires:
NOTARIAlSr::AL
USA M. SITES, NOTARY PUBLIC
CITY OF HARRISBURG, Dr.! ,),\!"! COUNTY
f.8( COMMISSION EXPIRES .', ?8, 2005
Page 6 of 7
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF DAUPHIN
SS.
-11,- We, ~v~ J ~~ , .::ra: Il i e e r:. ~(h ":::l .
and 1t<:tJ4/ 7ft '/Jr:...f;vt , the witnesses whose names are signed to the
attactied or foregoing instrument, being duly qualified according to law, do depose and
say that we were present and saw the Testator sign and execute the instrument as her
Last Will; that the Testator signed willingly and executed it as her free and voluntary act
for the purposes therein expressed; that each subscribing witness, in the hearing and
sight of the Testator, signed the Will as a witness; and that to the best of our knowledge,
the Testator was at that time 18 or more years of age, of sound mind and under no
constraint or undue influence.
NOTARiAl SEAL
USA M. SITES, NOTARY PUBLIC
CITY OF HARRISBURG, DAUPHIN COUNTY
MY COMMISSION EXPIRES APRIL 28, 2005
.:r; s~om to or affirmedflinfJ Su7t'~fore me by 1A.;J K.~
an \~.(l F~ OW ~ ,and ....J<;dtJ. itnesses, this lq1--"-day of
January, 2004. · ~ . ...""
, '. ;:~
Witness
~ y()~
,
~~~a
itness
Il~
itness
II ~d'-)
<Y'\ .
NO-' -ALSEAL
L1SAM. SIT, .\JO~ARY PUBLIC
CITY OF HARRI~_,;.".,j uA,UPHIN COUNTY I
r MY COMMISSH _,__~\,_ _.: '\PRIL 28.2005
F :\dbw\ Wills\Rehn\Rehn-Will.doc
Page 7 of 7