HomeMy WebLinkAbout01-02-07
PETITION FOR PROBATE and GRANT OF LETTERS "
Estate of Theda J. Horner No. d \ (:) '1 6TjJo-.
a/so known as To:
Register of Wills for the
, Deceased. County of Cumberland in the
Social Security No. 165-24-7237 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older and the execut or named
in the last will of the above decedent, dated Seotember 27. 1961
and codicil(s) dated
(state relevant circumstances, e.g. renWlciation, death of executor, etc.)
Decedent was domiciled at death in Cumberland County, Pennsylvania, with
h er last family or principal residence at 137 Salem Chl,lrch Road. MechanicsburQ. PA 17050
(list street, number and mWlicipality)
Decedent, then 78 years of age, died 12/27/2006
at M.S. Hershev Medical Center
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of the will offered for probate; was not the victim of a killing and was never adjudicated
incompetent:
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property $ 1 00.000.00
(lfnot domiciled in Pa.) Personal property in Pennsylvania $
(If not domiciled in Pa.) Personal property in County $
Value of real estate in Pennsylvania $ 50.000.00
situated as follows:
Snyder County Pennsylvania
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant ofletters testamentary
1ii'thereon.~ Jd~ )f~/ (__....m""""OO'.La;_db~':a)
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g Delno R. Horner, Jr. ' ~~
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~ ~ 137 Salem Church Road ': D
~ j Mechanicsburg, PA 17050 :> ~R
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA } ss
COUNTY OF Cumberland
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Estate of Theda J. Horner
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW
the reverse side hereof, satis ctory proofha .
IT IS DECREED that the instrument(s) dated
described therein be admitted to probate and filed of record as the last will of
and Letters ~'~e~~
are hereby granted to . C::> , ..- ("'\e \' ~'("'-
$ ~C).~
Probate, Letters, Etc.. . . . . . . .
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Short Certificates ( ~...... $
~..~.\\.l.\.... $ \'S-
~~f:~-\.$ IS-
TOTAL _ $3.~c>J
Filed. . . . . . . . . . . . . . . . . . . . . . . .
FEES
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IIOS.ROS REV 1105
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.
No.
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Local Registrar ( . "
Fee for this certificate. $6.00
p
13215607
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rl105 143 Hh' 02f20C06
TYPE I PR,NT IN
PERMANENT
BlAer.: INK
,. Name of Oaced8m (FlfSl, mddle. lasl, sufflxl
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
STATE FILS" NUMBER
4 Daleo( 0eaIh (Moot., day, yeiW)
24- December 27, 2006
Sa. PlaceolDeatll Checkonl one
Has"'"
,p.'''. OERI"'-'" ODOA ON"""<I'_
9. WiJ6DecedentofHispanicOrigin? [XI No Dyes
(II... __~ Goban.
Mexican,PlJenoRican,elc)
0......."'" O"""",SpodIy'
10. Race Arne!icarI kv;IiiWl, Black, White, ele
(Speu~J
W,h'i te
Theda
5 Age(l_asIBirthday)
Horner
78
V~
PA
Cumberland
'4 MaitaI Status: MarOOd, Nellfl( Marrled,
WIdowed, Olvo<ood (Speolfy)
Married
Did Decedent
LiWtiJa
Townsh~1
Horner Jr.
80 CoufltyotDeatl
iii 16 Decedents M~ Addt'llss (S
137 Salem Chucch Road
Mechanicsburg PA 17050
12. Was Decadent ever in tle
U S Armed Forces?
OV" i]No
Decedenfs
Actual Residence 17 a, State
17b eo..nty
13 Decedenrs Education (SpecIfv only hlghasl grade completed}
E","""lay ISooorod., (0-12) College (14 or 5')
12
I70W Y",lJt<odooIU"". Halllpd&n
I7d 0 ~~.,\'wdwilh.
Twp
Clty/Boro
18 fame(s Name (First middle, last, suffIX)
19. Molhef's Nane (First, middle, maiden SlImame)
Albert DeShon
20a lnfoonanrs~(Type'Prinl1
Delno
R,
Jr.
137 Salem Church Road
21b, Date orOisposi1ion (Month, day, raarJ 21c, Place of l:>>spasitioo {Name oIcemelefy, aemaby Of oIlerpllK:e)
Cr a
<>
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Conolit
22c, NlKne and Address Of FadlIy
FUNERAL HOME 37 E MAIN ST MECHANICSBURG PA 17055
24. TirneciDealh 25. QatePronounced Dea:I (Month, day, year)
I '. ~ I> '" M ~-t-< e_'" __ . '2. ':), 'l-." C.
CAUSE OF DEA nt (SM Inatruc:dona and .xampIM)
118m'll. PART I: EnlBrlhe~,dise~,l1junw,orcornplicafKlns-ttlatduectlyCikfS8dlhedsatl.OOHOTanl9rIltI11linal&\Illfll:ssud1asca-diacillTast,
resptratory arrest, or veni1cular fibrillation without showing the etidogy. list only one cause DO eaclIline
COOIplele l\E}lns 2 on...men cerblyil1~
ptlysid~ IS 001 aviilabll at ~me 01 dtlall to
aQty cau5ft oldealh
l1Bmi 24,26 must be C".OOlplel8d by persoo
wtKI~d8adl
23b l.k:ense Number
231::. Date SIgled (Month, day, vear)
Approxiinate~f'IIal
Onstltto08aItl
26. Was Case Refened ID MeOcaI Examiner , Coroner fer II RellSOfl DtIer than CremabOn or akln?
o V" .JijI,No .
Par1II:EnlerothersiQoifgolcoodillooscrntriWi~D.iSeitb. 28. OidToblnoUseContribuI8IcOea/tl?
butnotl'8Sultillgllthltund&rt1ingcauS8giYef1lnP~1 0 Yus 0 Prt.>bably
ONo' U,,"oow,
29. I Female,
~ Nol pregncmwithlfl past year
[}_ant~bmeof_
o :::ant. ,",PrngIl...t_..2dayo
o ::~~"""-butp<<ognanl43daYO~1"'"
OUr'lkrownifpregnantwilhinlhepastyear
321:. PlilOI of Injury: Home, Fwm. Street. FOxy,
OftlooBultling,otc(SpeaIIyJ
=~~~~~:ldtie~
s, ~~t):t~~C$oft
b. P.....d~+-.'~ c:..-uw-
Ou" ID (01''' a CI:lIlMqoonce 0'):
$1. naaDyislcorrc1tlJJns, If OWly,
lDCiusel.isMdooinea
Enter UNDERlYING CAUSE
ldiseas6a-injurvlhilinillal8d1he
81'6flts tBSllltmgJll death) LAST.
DIHI to (Of aa a conaeq1Ulfl!:8 01)"
o Yo> If"o
DYe> ON.
31. MlmerofOealh.
,...""~ 0110_
0""""'" 0 p",,,,,,,tn""',,,,,,,,
o S/Jlclde 0 Could Not be Determined
32d. Trne of Iriuf'Y
32g Loca!ion at (njlA"y (Shet, Qty flOWn, state)
30a Was an Autop8y
Performed?
30b WereAutoP6yF"Jldings
AvalablePrior toCcnpetion
ofCau5e of Deam?
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333. C,rtlfllIl'(d",eckol\lyCN)
~~:~~~~~;:~~~~~~~~~~~u:~~::~;~~~~~~~:~~::~~~_________________JJ
ProllOunclllg and certifying phYlk::lln (Physician bolll prOOOlJOOllQ dtl<llh and Ctlllityiag to 1;411Slt 01 death)
To the best of my knowledQt, dMlhocclolmdal1hetime, dIIe,andpMcl,artd due to tM cauae(lj and manl* ,..tIItt<t. _...... _ _... _... __... _ _ __ _...
"'diClI Exaan.r I Coronet
On tM bail of IIll1minabon and I or InveatlQ.lion,ln my opinion, dNth OCCIJrl1ld at the tima, dale, and pl'CI, and due to thl C'UM(I) and mannet .. 1II'1t_
36. Dale Filed (Iibllh, day, year)
IAI (1-21 ( 1,),1 D"c. ,,{1'/)c:Jc:j(,
3Jd Da!BSlgnodIMoolll da,_>
(See instructions and exampl,!s on reverse)
LAW OFFICES
SHUMAKER. PLACEY.
SMELTZ Be WATERS
HARRISBURG, PEIiIiSYLYAHIA
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LAST WILL AND TESTAMENT
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THEDA J. HORNER
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I, THEDA J. HORNER of Shippensburg, Cumberland County,
Pennsylvania, declare this to be my last will and revoke any
will previously made by me.
ITEM I. I devise and bequeath all of my estate of
every nature and wherever situate to my husband, DELNO R.
HORNER,JR., providing he shall survive me by thirty days.
ITEM II. Should my husband, DELNO R. HORNER, JR. pre-
decease me or die on or before the thirty-first day following
my death, I devise and bequeath all of my estate of every natur
and wherever situate as follows:
A. One-half thereof to my husband's sister, ADELINE
TARANTO or her heirs, per stirpes.
5. The remaining one-half thereof to my sister,
SYLVIA HOLLINGSHEAD or her heirs, per stirpes.
ITEM III. All taxes that may be assessed in consequence
of my death, of whatever nature and by whatever jurisdiction
imposed, shall be considered a part of the expense of the ad-
ministration of my estate, and my executor or executrix, as
the case may be, shall have the absolute power in his or her
discretion to pay the same at once whether or not the law under
which they are imposed permits the postponement of payment of
all or part of them to a later time.
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ITEM IV. I appoint my husband, DELNO R. HORNER, JR.,
executor of this my last will. Should my husband, DELNO R.
HORNER, JR. fail to qualify or cease to act as executor, I
appoint my sister, SYLVIA HOLLINGSHEAD executrix of this my
last will.
IN WITNESS WHEREOF, I havehereunto set my hand this
;? 7~ay of september, 1961.
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The preceding instrument, consisting of this and one other
typewritten page, identified by the signature of the testatrix,
was on the day and date thereof signed, published and declared
by Theda J. Horner, the testatrix therein named, as and for her
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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SHUMAKER. PLACEY.
SMELTZ Be WATERS
HARRISBURG, PENNSYLYANIA
Estate of Theda J. Horner, deceased
Register of Wills, Cumberland County, Pennsylvania
OATH OF NON-SUBSCRIBING WITNESS
John M. Eakin ..
a subscriber hereto,
being duly qualified according to law, depose(s) and say(s) that he was
familiar with the signature of Theda J. Horner
, testat ~ of (one of the
subscribing witnesses to) the will presented herewith and that he
believes the signature on the
Sworn to or affirmed and sub.
will is in the handwriting of Theda J. Horner to the best of his knowledge and belief.
~ }'\1. ed-
(Name)
John M. Ea i
Market Square Building, Mechanicsburg
(Address)
scribed before me this ~
day of
PA 17055
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(Address)
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Estate of Theda J. Horner
Register of Wills Cumberland County, Pennsylvania
OATH OF NON-SUBSCRIBING WITNESS
}Z?)lJ 1 kI'
b/
t='~T Q6 W
I a subscriber hereto,
being duly qualified according to law, depose(s) and say(s) that he was
familiar with the signature of Theda J. Horner
, testat ~ of (one of the
subscribing witnesses to) the will presented herewith and that he
believes the signature on the
will is in the handwriting of Theda J. Horner to the best of h.i:.._. ... ____~ knowledge and belief.
Sworn to or affirmed and sub- ~ ~
') day of - -- (Name) if
scribed before me this Q(, ____
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(Name)
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