HomeMy WebLinkAbout12-27-06
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF C U IJ!~Bl.LA-/II:J)
COUNTY, PENNSYLVANIA
Estate of HA/lIlY E.
:ZIM/H~IIIAJ)
File Number
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also known as
, Deceased
Social Security Number /SK- 32- 5/'0
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE ~A' or 'B' BELOW:)
~ A. Probate and Grant of Letters Testamentary and aver that Petitioner~ is /_ the ~)<Et!.tL ,leI X
last Will of the Decedent dated 19ut;. 3D" 1'1'75' and codicil(s) dated
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 instmment(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ,A)/If.
o B. Grant of Letters of Administration
(If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate)
Petitioner(s) ailer 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 C It "'1AE1lL1f~J> County, Pennsylvania with his / .aeMast principal residence at
1:l. SlIlilllrlfl()() 1)~. (!A-1fU.ISLE' I ~A 1701S"
(List street address. town/city, tow~ship, county, state, zfp code)
Decedent, then
"s yearsofage.diedon 1~/3./f)' at DESl teA. SIt.~€1l .$~/Nt: 7~ C!L.LM//. &.,011-
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(lfnot domiciled in PA) Personal property in Pennsylvania
(If not domiciled in P A) Personal property in County
Value of real estate in Pennsylvania
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Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant ofL~tters in the appropriate f6r;ri to~-:
the undersigned:
Typed or rinted name and residence
12. SHE fl e.J (J" /) l>I?
CA-Ilt.JSLIF IJA 17D1r
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Forll! RW.02 rev. 10./3.06
Page 1 of2
Oath of Personal Representative
COMMONWEAL TH OF PENNSYLVANIA
COUNTY OF CUM f3EllLA-JJD
SS
The PetitionerMabove-named swear(s) or affinn(s) that the statements in the foregoing Petition are true and conect to the best of
the knowledge and belief ofPetitioner(i!f and that, as personal representativ~ of the Decedent, Petitione. will well and truly
administer the estate according to law.
Sworn to or affirn1ed and subscribed
before me the ~~ day of
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.' A Forthe~'-
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File Number:
Estate of
fI A k!.Je Y &;: .
Date of Death:
/ ? F- .3 2 - S- / Ie 0
Social Security Number:
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Signature of Personal Representative
Signature of Personal Representative
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, in consideration of the foregoing Petition, satisfactory proof
-n:::srAAlC:V~Y
AND NOW, _\..)U(I(-'AY\b..r .;}t , J.OO~
having been presented before me, IT IS DECREED that Letters
are hereby granted to /JA7.sy..:r. Z/AlAltEZA1A/IJ
in the above estate
AUGUST ~ /99S"
FEES
Letters ........,...... $
Short Certificate(s) . . . . . . .. $
Renunciation(s) .......... $
wi/I ...$
.Jc. P . .. $
Au-J-o ... $
.. . $
.. . $
.. . $
.. . $
. .. $
. .. $
TOTAL .............. $
36 . em
8-00
1'5. 60
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to ~-60
Forlll RW.02 rev. 10.13.06
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Attorney Signature: '-"C
Attorney Name: &~ E: .5:N/t!i2DS 7ii.
Supreme Court LD. No.: 3J'S"'/3
Address: 4> CLtJILSE7l e/:>.
/J1E6HA-AI/ 6s~" ,fit;.
f//f 17b$5"
Telephone: 7/7 - 7'&' - t) Z ~ f
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This is to certify that the mformatJol1 here given IS _'(>ITc:('d) CO}'ll'd hill] an original certificate of death duly filed with me as
Local Registrar. The original certIficate will he forwarded \( tht.: \t~>lC ViLlI Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fec ror this ccrti!ic:l!c. 50.00
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H105.144REV.02J2OOO
TYPE I PRINT IN
":.~~~~T 1/30-399
1. Name 01 Dec:edenl (First, middle, last suffix)
Harry
5. AiJe(lasI6i1hdayl
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Local Registrar
DEe 11 2006
Date
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH (CORONER)
STATE FILE NUMBER
4. Oateol Death (Month, day, year)
December 2, 2006
8a Place 01 Death Ched< onl one
Hospilal:
01,,- OERIOUtpatiem ODO~ ON"""9Home
9, Was Decedent 01 Hispanic {)rigin? iii No Dyes
(II yes, specify COOan.
Mexican. Puel1oRican, elc.l
O\he<.Spodfy'
Race: American IndiCW'i. Black, White, ele.
(Specify) White
E
Zimmerman
6, Date 01 Birth Month, d
7,Bi'th aceCi andstaleOl'lo
65
Sep. 9, 1941
Marysville,
V~.
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Bb, County of Death
Cumberland
Deer Road
811. Facility Name (II not institution, give slreel end number)
masl of wor/li Itfe. Do not slate relif'ed
K'll'ld 01 Busiless I lnduslry
Covemaker steel co,
. 16. Oecedenrs Mailing Address (Street, city I lawn, slate, lip code)
12. Was Decsdenl &\Ief in !he
U.S. Armed Forces?
Ov" [jIN'
Decedent's
Actual Resideoce 17&. Slate
11 Oeceder1t's Education (Specify ooIy highest!1ade completed)
Elementary I SecoIldary (0-12) College (1-401'5+)
9
PA
19. Mothel's Name (First, middle, maiden surname)
Hilda Dorman
72 Sherwood Dr.
Carlisle, PA 17015
17b,Coonty
Cumberland
18. Father's Name (First. middle-, last, suffix)
Harry F. Zimmerman
2Ob. Informanfs Mailing Address (Street, dty I town, stale, zip code)
72 Sherwood Dr., Carlisle, PA 17015
21d. Location(Cityltown.state,zjpcode)
ew Kingstown, PA
21c. Place of DiSposition {Name 01 cemetery, crematory or other place)
ongsdorf Cemetery
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188 -
32-
1-4. MaritalSlatus:Married,NeverMarried,
w_. ""'"'''' (Spedfy)
Married
Patsy Jones
Silver Springs
Twp
Did Decedent
Uveln a
Township?
17c. fg Yes, Decedenl Lived in
17d. 0 ~iu=~M3d withl1
City/Boro
220. N""'and"""""''''''''fy Hoffman Roth Funeral Horne & Crematory, rnc
219 N. Hanover St., Carlisle, PA 17013
23b. License Number 23c. Dale Signed (Monltl, day, year)
25. Date Pronounced Dead (MonIt1, day, year)
December 2, 2006
CAUSE OF OEA TH (S4te instructions ~nd Bxamphfa)
Item'll. PART I: Enter the c!!~-d1seases, injuries, OfCOO'lplicalions -lhaI.diredI'I' caused lhedealh. 00 NOT entl!f terminal events sud1 as cardiac arrest,
respiratory<llTeSl.otvenlricutarlibrinalionwiltloolshowingltlee!iology.Uslonlyonecauseooeachll1e
24. TimeolDealh
: Appro:cimateinterval: Parlll: Enter other sianifici'lnt condilions conlribubna Iodealh
: Onset to Death but not re$U11iog in the underlying cause given in Part l.
2'6. Was Case Referred to Medical Examiner I Coroner for a Reason Other than Cremation or tlonaOO17
~v" 0 No
::O~A~~~~~d~~
1Jue~~croa?a~~l;en~ocardial Infarc.tion
Occlusive Coronary Artery Disease
Due 10 (Dr as II cOfIsequenceof)
=~~~ed~ti~~;.Y'
Enter'l: UNDERLYING CAUSE
IdiseaseCf~tnalinilialedlhe
events resul~ng 111 death l LAST.
Due 10 lor as a consequence of)
3Oa. WasanAutopsy
_?
31)1. Were Aulopsy findings
Av<i!ablePriofIoComp!eIioo
af Cause of Dealh?
31. MannerofOealh
)lNatural 0 Homicide
o Accidenl DPendinglnvesligation
o "'<ide 0 Coo. Nol '" De"""'''''''
32d. Time of InjUIY
Ov,,~
Ov" ONO
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33a. Certlr..r {check only one)
~:~~:t:~~~~~=~=:= ~~~~~h~U:{~~~:"~~I=~ ~~ ~ :~~_l~ ~l_ _ _ _ _ _.. _ _ _ _ _ _ _ _ _ _ _lJ ~
~::U:~~~r.~ ~~::~iar1O:::: :lht=::,n:n~~:.:rti:9: =::uo:~~ manner llltattd. _ _ _ _ _.. _ _. _ _. _ _ _ _ _.D
Medical Examinet" I Coronet"
On ,"- blsls of eumination and I or Investigation, in my opinion, death occurred at the time, date, and place, and due to the caUse(l) and malnn... a. stattd__
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35. Reg
~
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28. [)ijdTobaccoUseContrillutetoDealh?
o V" OPmhably
o No 0 Unknown
29. II Female
o NOlpregoantwllhin pasl year
o Pregnant af time 01 dealh
o Notpregnant,bul pregnant within 42 days
oIdealh
DNotpregn~l,bulpregnant43daYSIo1ye21
of death
o Unknown if pregnant wilhin !he past ye81
32c F'tace 01 Injury: Home, Farm. Slreet. Facloty,
OffIOOBuiklill!;l. etc. (Specify)
Coroner
33d. Date Signed (Mooth. day, year)
December 4,
" 'mCb1'm."'PE'~81n'~~t~'t8'ilJ'J:.'''''P''''
6375 Basehore Roadi S~ite #1
Mechanicsburg, PA 70jU
2006
LAST WILL AND TESTAMENT OF HARRY E. ZIMMERMAN
I, HARRY E. ZIMMERMAN, of the Silver Spring Township, Cumberland County,
Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish
and declare this my Last Will and Testament, hereby revoking and making void any and all prior
Wills by me at any time heretofore made.
1.
I direct the payment of all my just debts and funeral expenses as soon after my decease as
the same can conveniently be done.
2.
All the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and
wheresoever situate, I give, devise and bequeath to my beloved wife, PATSY 1. ZIMMERMAN,
to her own use and benefit absolutely.
3.
In the event, however, that my said wife should predecease me, or should die at about ~e
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same time as I die, such as in a disaster common to both of us, I give, devise and beqll~ath m~d
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estate in equal shares, per sti1:pes, unto my children, TAMMY SUE REISINGER andTONY fu
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ZIMMERMAN.
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I nominate, constitute and appoint my wife, PATSY J. ZIMMERMAN, to be the Execufilrx
of this my Last Will and Testament. In the event that she should predecease me or for any reason
be unwilling or unable to act as such Executrix, I nominate, constitute and appoint my daughter,
TAMMY SUE REISINGER and my son, TONY E. ZIMMERMAN, to be Co-Executors in her
place and stead. I further direct that they shall not be required to file bond or other security in the
Office of the Register of Wills for the purpose of administering my Estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~ day of
a~lf",~J
, A.D. 1995.
~~
(SEAL)
Signed, sealed, published and declared by the above-named HARRY E. ZIMMERMAN as
and for his Last Will and Testament, in the presence of us, who at his request and in his presence,
and in the presence of each other, have hereunto subscribed our names as witnesses.
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OATH OF SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
CtllHl36t!l.IJAW COUNTY, PENNSYLVANIA
Estate of J.I H~ F.
z/ lit d/8/ZIH/I AJ
, Deceased
(!II~E5 E: S'//SI)S 7!1
, ~ a subscribing witness to
(Print Namels)
the1,S Will 0 Codici~) presented herewith,~ being duly qualified according to law, depose(s) and
say(s) that ...sfte./ he / ~ was /~ present and saw the above Testator f Te~t:il.trix sign the same
and that -Bhe--I he /-#tey- signed the same and that ~ / he /4hey signed as a witness at the request of
the Testator t-TG~tatR,x in ...ftef.I his presence and in the presence of each other.
~~~~
(Signature) t!./lARLES E: S!lliiZl)S 7!!.
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(Signature)
(Street Address)
(Street Address)
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Executed in Register's Office
Sworn to or affirmed and subscribed
Executed out of Register's Office
Sworn to or affirmed and subscribed
before me this
of ~\L..t. ~ \.u.-,
~'-' day
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before me this
day
of
j1~h ~'cI!)I)h~~
Deputy for Register ofWill~ ~
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization.
FornI RW-03 rev. /0./3.06
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OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
C. u m ~ Gl!-U/-I1I.P COUNTY, PENNSYLVANIA
Estate of
HA~~Y &=.
2.1 hlIJ'/BlH1HN
, Deceased
;JArs y .7. Z/ AlII/Bl /JI""~
and
{eaefit-being duly qualified according to law, depose(s) and say(s) that she..l he,l they was /~ well-
acquainted with HA/l~Y ~ 21IJf.llltllm,ll.AI and am.tafe. familiar
with the handwriting and signature of the decedent, and that the signature of HA-~ E: 2./AlAI~AIf}
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of ,.yA-~Y e:
ZI/JJIII&eIJlHtfJ
is in his/~own proper handwriting.
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/ :/4';77 /n.L,c~~4"~-C
, ~A. Z./IIUIIOlHtAA)
7.2 ,:),NE/tJIII)t'.Jd ]),(.
(Street Address)
(Signature)
(Street Address)
t!AlJust.t; 1111- /70 J S-
(City. State. Zip)
(City. State, Zip)
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Executed in Register's Office
Sworn to or affirmed and subscribed
before me this 27+1----' day
of~C~~ ,d~.
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Deputy for Register of Wills ~ ~ ~-o:J, _.'
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Form R W-04 rev.. 10. /3.06