HomeMy WebLinkAbout12-19-06
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF ClAr~}~d
Estate of _R-O'tert J.
COUNTY, PENNSYLVANIA
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190;- 3Y, 93?3
File Number
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also known as
, Deceased
Social Security Number
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
~. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the
last Will of the Decedent dated t..f - ()" '-}- 0(0 and codicil(s) dated
CJ ~
c XeCl1/.fJX'
named in the
(State relevant circumstances, e.g, renunciation, death of executor, etc.)
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Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the instrum~) offer~d
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: .~? 0 ~ ..... '. .
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(lfapplicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante niinar(t;dT,,)
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Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spouse (iQ.irtyl) andrr~rs: (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)' \:5 r;?
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Decedent was dOp;liciled a~ath in ty, Pennsylv nia ith hiS-! Jiler last principa~liesidence at
~O I I " . . t' ,V,l}- 1707//
(List street address, townleity: township, county, state, zip code) . I 0/-
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Decedent, then years of age, died on 6l.J(J(JF at
i-fo/y :5fir/! }dDpib,i
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 PAl Personal property in County
Value of real estate in Pennsylvania
50 I Ter/'pl:.t
f)r/r-e , NeJ--J C~~'b&M
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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:
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Form RW-O] rev. /0./3.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF tJ._VY1J;"JU' (..i'1- ~
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and con-eet to the best of
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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.
Sworn to or affirmed and subscribed
before me the
day of
Signature of Personal Representative
Signature of Personal Representative
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Social Security Number: '\ C\~ 3\.\. 9") b
AND NOW, \:J\t~ern~ {' \q , ~tDl.o
having been presented beA>re ~1e, IT I~ DEC\~EDJhat Letters
are hereby granted to ::20... \\'4 \j (J Q.~r-o..
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Estate of
, Deceasei\
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, in consideratiqn of the foregoing Petition, satisfactory proof
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Date of Death:
C)
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FEES
in the above estate
and that the instrument(s) dated
described in the Petition be admitted to probate and filed of record
Letters ............... $
Short Certifieate(s) . . . . . . . . $
Renul1ciaiion(s) .' . . . . . . . . . $
,-'C?t:~.~ ... $
~, \ \ $
$
$
$
$
$
$
$
TOTAL ............. . $
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Attorney Signature:
IS.oO
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Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
70 -o()
Form RW.02 rev /0.13.06
Page 2 of2
This is to certify that the information here given is correctly copied from an original certificate of death dujy filed \\ltl1 11k'
Local Regi strar. The origl nal certi ficate wi II he forwarded to the State V ital Records Office for pell11an,'nt ,d i ng.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
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FCl' for 11m ccrtIlicatc. S6.()()
L()Cd: RC~'I'lr:,'
P 12625518
JUL 12 2006
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RINTIN
NENT
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1, Name of Decedent (First, middle. last suffix)
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
r
STATE FILE NUMBER
.
Robert
5. Age (LasIBirthday)
/
6. Dale of Birth Moolt1, da , ear
63 Yes
8b CounlyofDealh
Cumberland
Pennsboro
~ Inpatient 0 ER I Outpatient 0 DOA 0 NUfSIn(] Home
9_ Was Decedent a! Hispanic Origin? ~ No DYes
(II yes, specify Cuban,
Mexican, Puerto Rican, etc.)
o Residence 0 Other" Specify
10 Race'Ame:icanlndian,Black,While.etc
(Speedy)
white
11. Oecedenl's Usual OccupahOl'1 (Kind 01 work done durin most at wolilin life, Do no! stale retired
Kind of Work: Kind of Business I Industry
truck driver Holsum Baker
13. Decedent's Educahon (Specify only highest grade completed)
Elementary/Secondary (0"12) College (1-4 or 5+)
12
14 Marital Status: Married, Ne'Jer Married,
Widowed, Di'Jofced (Specify)
divorced
17070
17b, County
Pa.
Cumberland
Did Decedent
U'Jeina
Township?
Hc. 0 Yes, Decedent Lived in
17d 0 No, Decedent Liyed with!n
AclualLlmllsof
Twp
501 Terrace Drive
New Cumberland Pa.
Decedent's
ActualResidence 17a Slate
City/Bore
18. Father's Name (First, middle. last, suffix)
Clarence E. Hower
19, Mother's Name (First, middle, maiden surname)
Gertrude M. Ryan
20b Informant's Mailing Address (Street, city I town, slate, zip ccxle)
20a, !nfOf1Tlant's Name (Type I Print)
Sally M. Heckard
214 Brian Dr.
Enola
Pa.
21b. Date of Disposition (Month, day, year) 21c. Place 01 Disposilion (Name of cemetery, crematory or other place)
~
er Funeral Home Inc.
23b. license Number
St.
Pa. 17102
Complete Items 23a-c only when certifying
physician is not available at time 01 death to
certify cause of death
Items 24.26 mus1 be completed by person
I who pronounces death
23c, Date Signed (Month, day, year)
24 Time 01 Death
26 Was Case Referred to Medical Examiner f Coroner tor a Reason Other than Crema!ioo or Donatior'l?
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CAUSE OF DEATH (See instructions and exampl l
Item 27 PART I: Enter the C,ha,I(toL.e.l&m:i.- diseases, injuries, or complications. that direclly caused the death DO NOT enter terminal e'Jenls such as cardiac arrest.
respiratory arrest, or 'fflntricular fibrillation without showing the etiology, List only one cause on each line
~:;l~t:~e~u~t~~~ d:~n~) disea.::.;. ~" v j t^- v .' ~ -'- ~, /") " (~. 0'\ L ,f f (J ..\
Due'\J (or as a consequence of) I I'
ih<? ~ l' .... f \' l ,1.-);':
Due to (or as a consequence of)
: ApproximaleinteNal
: OnsettoDealh
Part II Enter other sianificanl conditions contributina to deC!.th.
but not resulting ir'l the underlying cause gi'Jer'l in Part I
28 Ofd Tobacco Use COr'ltribule to Death?
o Yes iii Probably
o No 0 Ur'lknown
29 If Female
o Not pregnartt withinpasl year
o Pregnantaltimeoldeath
o Not pregnant. but pregnant withm 42 days
oldeath
o Not pregnant, bul pregnant 43 days to 1 year
of death
o Unknown if pregnant within the past year
32c, Place otlnjury: Home, Farm, Slreet, Factory
Office Building. elc. (Specify)
j"wif-.'J
Seq~n1iafly list C?Odilions~ if any.
~~~,~o ~dE~~~~n ~~U;E
(disease or injury lhat initiated the
eYenls resulllng In death) LAST.
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Due to {Of as a consequence of)
DYes 1JNo
o Yes 0 No
31. MannerofDealh
TI Natural 0 Homicide
o Accident 0 Pending Investigation
o Suicfcte 0 Could Not be Delermined
32d, Timeo(lnlwy
30a, WasanAu!opsy
Perlormed?
30b, Were Autopsy Findings
A'Jailable Prior to Complehon
01 Cause of Death?
M
321. If Transportation Injury (Specify)
o Dri'Jer I Operator 0 Passenger 0 Pedestnan
o Other - Specify
33b Signature and TitleofCertirler
32g. Location of InjUry (Street, city I town, state)
33a, Certifier (check only one)
~~~~~I~s~r~~~nn~:I~~~:~ :a~i~~c~~:~ ~~~e~~~h~~U~n~~)e~~~Y~i~~~e~:ss~~;~:~ ~e~t: ~~ c~~p~~_It~~ ~)_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _lJ
Pronouncing and certifying physician (Physician both prOflouncing death and cer1ifyir'lg to cause of death)
To the best of my knowledge, death occurred at the time, date, and place, and due to the cause(a) and manner as stat!d_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
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~~:Ib';~.m~~:~~;f~~~~~ and I or investigation, in my opinion, death occurred at the time, date, and place, and dUll to thll cause(s) and manner aa Btat!l1. _..D 34, Name and Address of Person Who Completed Cause of Death (Item 27) Type I Print
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33d Date Signed (Month. day, vear)
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LAW OFFICES OF
STEPHEN J. HOGG
19 S. HANOVER STREET
SUITE IO]
CARLISLE, PA 17013
WILL OF
ROBERT J. HOWER
I, Robert J. Hower of Cumberland County, New Cumberland,
Pennsylvania, declare this to be my last Will and hereby revoke all
prior Wills and Codicils.
1 . I direct that all my just debts, funeral expenses,
gravemarker and administrative expenses shall be paid
from my residuary estate as soon as practicable after my
death. .
2. I direct that all inheritance, estate, transfer, succession
and death taxes of any kind whatsoever which may be
payable by reason of my death shall be paid out of my
residuary estate.
3. I direct that my entire estate go to Sally M. Heckard.
A. If Sally M. Heckard should predecease me, then I
direct that my entire estate go to Elizabeth
Sterner.
4. I appoint Sally M. Heckard, as Executrix of this my last
Will. If Sally M. Heckard should predecease me or cease
to act in such capacity, I appoint (altexec) as alternate.
5. The Executrix of this Will shall have the power to
distribute my estate in kind or in cash, or partly in either.
6. I direct that no Executrix acting under this Will shall be
required to enter bond in any jurisdiction.
IN WITNESS WHER
/-f day of
reunto set my hand this
,2006.
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LAW OFFICES OF
STEPHEN J. HOGG
19 S. HANOVER STREET
SUITE 101
CARLISLE, PA 17013
The preceding instrument consisting of this and one other page
was on the day and date hereof signed, published and declared by
Robert J. Hower as and for his last Will in the presence of us, 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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WITN - WITNESS ..
LAW OFFICES OF
STEPHEN J. HOGG
19 S. HANOVER STREET
SUITE 101
CARLISLE, PA 17013
ACKNOWLEDGMENT
State of Pennsylvania
ss
County of Cumberland
I, Robert J. Hower, 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; that I signed it willingly and as my free and
voluntary act for the purposes therein expressed.
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Robert J. ffi>w
NOf-.1EAl
ITIJIHOI.J. HOOCl. NOfMV I'UlIlJ(; I
~lIClAO.~co..PA
"'--"<l"'Itl.lIlII'IIIlIII8II'I!IIIM~..
Sworn to or affirmed fd acknowl
Hower the Testator, this ~ day of
2006.
AFFIDAVIT
State of Pennsylvania
ss
County of Cumberland
we~ U <C r lr 1J, W h S ~ 0 iln9 ~ber+ CT ~5erd the
witnesses whose n mes are signed to the attached 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 his last Will; that the Testator signed willingly and
executed it as his 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 constrai~r )l"due inflUL
~~J ,;fOMMAU-~/L1~ ~~
Sworn to or a
this -4- day of
o before me by witnesses,
,2006.
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