HomeMy WebLinkAbout02-09-07
Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Estate of Donna Jean Kephart
also known as Donna J. Hoover-Kephart
N ~ \ D l Old-.O:-')
o. __
Donna Jean Kephart
Deceased
Social Security No. 262-90-3421
Fred A. Kephart, Sr., and Kimberly Ann Caudill
Petitioner(s), who is/are 18 years of age or older, apply{ies) for:
(COMPLETE "A" OR "B" BELOW:)
Gl
A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut ors
Decedent, dated 6/13/2003 and codicil( s) dated
named in the Last Will of 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 documents offered
for probate; was not the victim of a killing and was never adjudicated incapacitated:
o
B. Grant of Letters of Administration
(c.I.a., d.b.n.c.l.a.: pendente lite, durante absentia; durante minoritate)
Petitioner(s) after a proper search has/have ascertained the Decedent I~ft no Will and was survived by the following spouse
(if any) and heirs:
Name
Relationship
..;..
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal
residence at 108 Juniper Drive, MechanicsburQ, Pennsylvania 17055
(list street, number and municipality)
Decedent, then 58 years of age, died December 29 . 2006 ,at Our Lady of Bellefonte Hospital, Ashland, Kentucky
(Location)
Decedent at death owned property with estimated values as follows:
(if domiciled in PA) All personal property......................................... $
(if not domiciled in PA) Personal property in Pennsylvania .................... $
(If not domiciled in PA) Personal property in County.............................. $
Value of real estate in Pennsylvania ........................................................................................ $ / O(1I~' ~
Re,' E,late "'"'led "fo'_Tot'~Qf;~;;.;;;;jj~::IJk~;;;.b;;yJ1#;~- ~: PPp. eM!
/()~.&~Il, YO
,
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:
Typed or printed name and residence
/,,).
RW-7
Oath of Personal Representative
Commonwealth of Pennsylvania
County of CUMBERLAND
The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the foregoing Petition are true
and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent,
Petitioner(s) will well and truly administer the estate accordin law.
Sworn to and affirmed and subscribed
before me this t) day of
peni ~'C)j'U du\Jl
t
Estate of Donna Jean Keohart
DECREE OF REGISTER
neceased
No.
~ \ D I b\rC).. 01
also known as Donna J. Hoover-Keohart
Date of Death: 12/29/2006
1- .
Social Security No: 262-90-3421
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AND NOW, t~ ebh.W-A'u~ dexJl
on the reverse side hereon, satisfactory proof having een presented before me,
( .) ,::-=::,
, in consideration Of~Petitiorl~
IT IS DECREED that Letters IXITestamentary Dof Administration
(c.t.a., d.b.n.c.t.; pendente lite; durante absentia;.d1H;lnte m1l'il:l'ritate)
::-.~
are hereby granted to Fred A. Kephart, Sr., and Kimberly Ann Caudill
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C)
C-,~
-'
in the above estate and that the instrument(s), if any, dated
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
FEES
Letters ....................................
$
$
$
$
$
$
Inventory & Tax Forms............. $
$
Short Certificate( s) ...............
Renunciation.......... ........... .....
~
) ...\i.?.~.\.\.........
Extra Pages (
)..............
Codicil .............. ............. ......
JCP Fee .....<..!~\-:-:~~::........
Other ......................................
$
dU))'cf)
1
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Register of Will:;
'O~
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Attomey
IS-.VO
Attorney: R. Mark Thomas, Esquire
I.D. No: 41301
Address: 101 South Market Street
Mechanicsburg
PA 17055
'2>'6'0. DO
TOTAL .............................$ .
RW-7A
Telephone: 717-796-2100
DATE FILED: 2/9/2007
Etgistrar nf ]Iital ~tatistits
Q!trtifit:b Q!npy
d \ 01 o\~C)
o THE FACE OF THIS DOCUMENT HAS A COLORED BACKGROUND - NOT A WHITE BACKGROUND >,..:"
1557739
FORMVS NO.l-A
(Rev. 5102)
COMM~EAlTH OF KENTUCKY
CABlNETFGa HEALTH SERVICES
REGISTRAR OF VITAL STATISTICS
116
ZOllb 38412
FILE NO.
MUST
BE
TYPED
1. OECEDENrS NAME (F....st; Midk1Ie, Last)
CERTIFICATE OF DEATH
4. lAL E \JRITY
262 190 13421
8~ EIN
u.s. ARMeOI'ORCES?
58
HOSPITAL
0""' RNo OInpjlllMt
90. FA 'TV NAME '" noIlnsliMiOn. giVe 8Irgel riumtJef)
Our Lad of Bellefonte HOfr ital AShland
10. MARITAl STATUS 11. SURVMNGSPOUSE 12.. DECEDENT'S USUAL OCCUPATION
Married. Never Manied (If wife, give maidfJn name) (Give kind of work done during most of
Widowod. DiV<>r<:lld (SpI"'l1 ~ 1J!8.. DO NoI """ fOI<ed)
Married Fred Ke.pbart Ho~~ker
ISo. RESIDENCE - State ISb. COUNtv.I~.CITY. N, DR lOCATION
Pennsylvania ~berland, MeCbShicsbutg
ISI. INSIDE CITY 131. ZIP CODE 14. WASOECEDENT OF HISPANIC ORIGIN?
LIMITS? (Spedy No or Ves - If yes, specify cu_
MexiCan. Pueno RicBO. etc.)
Domestic
13d. STREET AND NUMBER
108 Juniper Drive
lS.RACE-American_. 16.DECEDENT'SE TION
iliad<, White. etc. (Specify) (SpIcily only highest gradl """"'"ied)
BemlSeeonda<y (0-12) College (14 or 5+)
17055
Wh~ite
11
17. FATHeR'S NAME (Fht, Middle. (as/)
Donald Wri 'ht
lar.. "Code)
Fred Kephart
201. METl-IOO OF DIS $ITION
o Burial I>> C.....tiOn
20<;. lOCATION (CiIy. 70"". or Slall)
(Mt/$'.USE aLACI< INK)
USE 8)
(Morl/h. o.g~
1_I:"c~?fE 1
~.:'t
c:::;,
=
-...
..."
f'1,
0:1
I
\.0
Leola, PA f)
Ifonle:~ :D
.~; -rJ
12:21 Pl1
Coroner 127 Hitchcock Dr. South Shore, KY. 41175
26. DATE PRONOUNCED DEAD (Month, Day. Vew) 27. WAS CASE REFERRE~CAl E)(AMINERICO
DeceJllQer 29, 200(> VI' 0 No
Approximale interwl between S:-
onset and death, en
:bo
::r.:
cs
..
28, PART I. Enter the clse8sea:. Injuries, or comptJQIl~ ~at\',C~cil,;,d,~~' [)a,nOf*,ter the mode of dying. suCh. C8t1tiac or
respiratory errest, shock Of heart feil~. Usl ~)i'one j;:iiUae on,aeh line.
IMMEDIATE CAUSE (FIflal
diseas$' or cOf1dilion
resulting kI death)
AdUte....~ ~a.rctipn
I
Mi.ns .
Sequentially list conditions, if
any. leading to immediate
cause. Enter UNOERl YIHG
CAUSE (O_or Injury thaI
initisfed events- resulting in
dealh) LAST
..
ion
29, R D
~ Natural 0 Pending
_dent InveStigation
0 Suldde 0
0 _de
1.
I, Gary L. Kupchinsky, State Registrar of Vital Statistics, hereby certify this to be a true and correct copy of the certificate of birth, death, marriage or divorce of the
person therein named, and that the original certificate is registered under the file number shown. In testimony ''fPtH have; hereunto scribed my name and
caus~~eal of the Office of Vital Statistics to be affixed at Frankfort, Kentucky this v C; day of
20UF. ~ 't!
Gary L. Kupchinsky, State Re
,A \ D\ O\&.C"~
LAST WILL AND TEST AMENT
BE IT REMEMBERED THAT
I, DONNA 1. HOOVER KEPHART, a resident of Cumberland County, Pennsylvania, being
of sound and disposing mind, memory and understanding, do make, publish and declare this to be
my LAST WILL and TEST AMENT, hereby revoking any and all Wills and Codicils previously
made by me.
I declare that I am married to FRED A. KEPHART, SR. Reference is hereby made to the
Prenuptial Agreement dated April 26, 1999. I also declare that I have two daughters, ROBYN LEA
SMITH and KIMBERLY ANN CAUDILL. Reference is made to my daughter ROBYN LEA
SMITH to show that it is my intent to leave her out of this Will.
II
I direct that all my just debts and funeral expenses shall be paid from my residuary estate as
soon as practicable after my decease.
III
I direct that all taxes that may be assessed in consequence of my death, of whatever nature
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and by whatever jurisdiction imposed, shall be paid from my residuary estateas~~ part O:fi the
(-_~ tX)
expense of the administration of my estate.
I
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~
IV
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1 hereby make the following specific bequests:
.;:-
(J'I
A. To my sister, BOBBIE L. SCHWINABART, I give the sum of twenty thousand
($20,000.00) dollars; and
B. To my step-daughter, BRENDA S. STINSON, I give the sum of twenty thousand
($20,000.00) dollars.
Should BOBBIE L. SCHWINABART or BRENDA S. STINSON predecease or fail to
survive me by thirty (30) days then their share shall lapse and be added to my residuary ,estate.
V
I hereby direct my Executor to divide the remainder of my estate into two (2) equal shares to
be distributed as follows:
A. One (I) share to my daughter, KIMBERLY A. CAUDILL, per stirpes; and
B. One (1) share to be divided equally between my grandchildren, DANA M.
GILSDORF and BRANDON M. GILSDORF, pursuant to the terms of the hereinafter included
Trust.
VI
TRUST
If I have any grandchildren who inherit property under the terms of this Will who are under
the age of twenty-three (23) years, I appoint my son-in-law, GLENN CAUDILL as Trustee of the
property that I have given to my grandchildren.
A. The assets that are transferred to the Trust shall be divided into shares commensurate
with the size of the estate to which each grandchild is entitled until such grandchild attains the age
of twenty-three (23) years.
B. The Trust estate shall be administered until each grandchild reaches the age of twenty-
three (23) years. Until that time, the Trustee shall apply all net income and principal of the Trust
estate as follows:
1) So long as my grandchild is under the age of twenty-three (23)
years of age, the net income of the Trust shall be paid to, or
applied for the benefit of my grandchild at such times and in such
amounts as the Trustee shall in his discretion deem necessary for
his support, welfare, maintenance and education. Education shall
be defined broadly to include not only that available in college,
but also trade school and other similar training. In the event that
the income shall be insufficient to provide my child with adequate
maintenance, support, welfare or education, the Trustee may
invade the principal of this Trust for this purpose.
2) The Trustee in exercising his discretionary authority with respect
to the payment of income or principal of the Trust Estate to my
beneficiary, shall take into consideration any income or other
resources available to my child from sources outside of this Trust
that may be known to the Trustee. The determination of the
Trustee with respect to the necessity of making payments out of
income or principal to my beneficiary shall be conclusive on all
persons howsoever interested in the Trust.
3) The Trustee shall accumulate and add to principal any net income
of the Trust not paid out in accordance with the discretion
hereinabove conferred on the Trustee.
4) In the event my grandchild predeceases me or dies prior to the
termination of this Trust, the interest of my grandchild in the Trust
shall cease, except that, if he is survived by any children, then the
Trustee shall pay net income of the Trust to or apply the same for
the benefits of such children of my deceased grandchild, in such
amount or amounts as the Trustee in his sole discretion may
determine for support, welfare and maintenance.
2
C. When my grandchild reaches the age of twenty-three (23) years, a calculation of the
property remaining in the Trust shall be made and the total thereof shall be distributed to him or her.
D. My grandchild, as beneticiary of this Trust, shall not have any right to alienate,
encumber, or hypothecate his interest in the principal or income of the Trust in any manner, nor
shall any interest be subject to claims of his creditors or liable to attachment, execution or other
process oflaw.
E. In order to carry out the purposes of this Trust established by this Will, the Trustee, in
addition to all other powers granted by this Will, or by law, shall have the following powers over the
Trust estate, subject to any limitation specitied elsewhere in this Will:
I) To retain any property received by the Trust estate for as
long as the Trustee considers it advisable.
2) To spend funds for the maintenance and repaIr of real
property.
3) To sell at public or private sale, exchange or lease for a
period of time, any real or personal property and give
options for sale of the lease.
4) To execute and deliver any deeds, leases, assignments or
other instruments as may be necessary to carry out the
provisions of this Trust.
5) To borrow money and to mortgage or pledge any real or
personal property.
6) The Trustee shall maintain accurate records and accounts
and shall render statements to my beneficiary hereunder
showing receipts and disbursements of principal and
income no less frequently than annually. The Trustee shall
serve without bond and shall receive fair and reasonable
compensation for administration of this Trust, not to exceed
five (5%) percent of annual income.
7) To distribute property in kind.
8) To do all other acts that are in his judgment necessary or
desirable for the proper management, investment and
distribution of the Trust estate.
VII
nominate, constitute and appoint my husband, FRED A. KEPHART, SR. and my
daughter, KIMBERLY A. CAUDILL as Co-Executors of this LAST WILL, to serve without bond.
If either is unable to serve in this capacity, then the other may act alone, to serve without bond.
3
IN WITNESS WHEREOF, I, , DONNA 1. HOOVER KEPHART, have set my hand to this
LAST WILL this /3f/J day of JtM'IC ,2003.
l1~fJ-~~aL
DONNA 1. HOOVER KEPHART
Signed, sealed, published and declared by the above~named DONNA 1. HOOVER
KEPHART, as and for her Last Will and Testament, in the presence of us, who, at her request and
in her presence, and in the presence of each other, have hereunto subscribed our names as witnesses.
~
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JII!!tf; IJJ/!!!i+
4
ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA
ss.
COUNTY OF CUMBERLAND
I, DONNA 1. HOOVER KEPHART, Testatrix, 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 as my free and voluntary act
for the purposes therein expressed.
~~Ar;~~
Sworn or affirmed to and acknowledged before me by DONNA 1. HOOVER KEPHART, Testatrix,
this A3 day:!fJ ~ ' 2003.
~~
AFFIDA VIT
.---- Notarial Seal .
Arlne Carmody. Notary ~Ub~I~OUnty
Mechanicaburg Bore. cumber ~ 11 2006
My Commission Expires Expires ar. .
COMMONWEALTH OF PENNSYLVANIA
ss.
COUNTY OF CUMBERLAND
We,\?tv\~LT\\ows and jQV\-~LOr-\gk.+- ,
the witnesses whose names are signed to the attached or foregoing instrument being duly qualified
according to law, do depose and say that we were present and saw Testatrix sign and execute the
instrument as her LAST WILL; that DONNA 1. HOOVER KEPHART signed willingly and that
she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the
hearing and sight of the Testatrix signed the Will as witnesses; and that to the best of our
knowledge; the Testatrix was at the time 18 years of age or more, of sound mind and under no
constraint or undue influence.
~L
1JtJ/fI1 IJ/!t(!l.
S,:om or affirmed t~ an~knowledged before me
tlllS /~ day of y~ ,2003.
f1L>UV1[
"
5
. ,
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Notarial Seal
Anne Carmody, Notary Public
Mechanlcsburg Boro, Cumberland County
My Commission Expires Expires Mar. 11. 2006
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