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Home My WebLink About03-06-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Estate of Dorothy M. Kauffman also known as CUMBERLAND COUNTY, PENNSYLVANIA File Number 21 - 07 -:2 D6 , Deceased Social Security Number 181-32-5279 Manufacturers & Traders Trust Co. Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) 00 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the last Will of the Decedent dated 05/05/1998 and codicil(s) dated Executor named in the Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the instrument(s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: (State relevant circumstances, e.g., renunciation, death of executor, etc.) o B. Grant of Letters of Administration app lCB e, en . C. .8., . ,n.e. .8.; p en e f e; uran e a sen la; uran e mmorl a e Petiti~':ler(s) after a proper search has / have ascertained tha~ Decedent left no Will and ~s suryived by the following spouse(!i~any) and heiffi:c; (If AdminIstration, c.t.a. or d.b.n.c.t.a., enter date of Witl In Section A above and complete lIst of helrs.)--- _:::; Name Relationship Residence (~-i. 11 t.o (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his / her last principal residence at Messiah Village, 100 Mt. Allen Drive, Upper Allen Township, Mechanicsburg, PA 17055 (List street address, tOWn/city, township, county, state, zip code) en <...) Decedent, then 97 years of age, died on 02/12/2007 at Messiah Village, Mechanicsburg, PA 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 situated as follows: P.9~ Get. 335,000.00 $ $ $ $ r Signature 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: 'A. .d l-<.L I?l tU( ~ 7 Typed or printed name and residence Manufacturers & Traders Trust Co. P.O. Box 2961 Harrisburg, PA 17105 I Form RW-02 Rev. 10-13-2006 Copyright (cl 2006 form software only The Lackner Group, Inc. Page 1 of2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } SS COUNTY OF Cumberland } 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 of Petitioner(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 Manufacturers & Traders Trust Co. before me this Lt f-t.... '-fl1{]h{' fl ,~-)(j) 7 QMMfim- O~~ day of Signature of Personal Representative r.....-_' ~ ~ ........, Signature of Personal Representative :~ -on . }~ (:-) ""'......... ;70 I (71 21 - 07 .- OlOS :t:~3 File Number: --i o N \..0 Estate of Dorothy M. Kauffman , Deceased Social Security Number: 181-32-5279 Date of Death: 02/12/2007 AND NOW, \\\MCh ~ ,aCbl , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Manufacturers & Traders Trust Co. in the above estate and that the instrument(s) dated 05/05/1998 described in the Petition be admitted to probate and filled of record as the last Will (and Codicil(s)) of Decedent. FEES Letters........................................... . Short certificate(S).........JO.......... $ ~ O. UD $ --10.00 11 L n d (l ,Jaltfli/U &//-51-111 J j d_ J j)1A IJ' "Iv; 1')Jj~ eglsterof~ ' ~. /J ' Attom" S;gm"",e J;1Udf. ~~ ./ I Attorney Name: Gerald J. Brinser Renunciation( s).............................. $ -Will .JCf PrwID(Yi~hDn Supreme Court 1.0. No.: 09655 Brinser, Wagner & Zimmerman Address: 6 E. Main Street P.O. Box 323 Palmyra, PA 17078 Telephone: 717/838-6348 Form RW-02 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2 H105.805 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 Oliginal 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. ~06505 No. ~/J;~ Fee for this certificate, $6.00 Local Registrar FEB 1 3 2007 Date ......:. c:::;,; G::-~;) --J I v' " .i J 1-07 - 0:205 ~.o REV 1\12006 PRINT IN AANeNT CKINK 1. Name 01_1 (ArsI. middle. lest. .ulIhcl Doroth M. Kauffman 6. Age (lJIst Blr1hday1 Under 1 ...... COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and axamples on reverse) en 0) 13. Docodonri E_ (Specify: Dnly t/gheIt i18dO completed) ElomentaryiSeoondary(O-12) College (1-40.5-<) 4 STATE FILE NUMBER 4. Date 01 Death (Month, day. year) February 12, 2007 97 YIS, 81>. County 01 Death Cumber land Upper Allen Twp. 11._.lJsuaJ Klndol."""lo", _01 ".00""_ Schoorif.~acher Ecfif~m~ 6. Dete 01 Blr1h . day. 7.81""",," and_.. Feb. 27, 1909 Steelton, PA 8<1. FacIIy Nome (If not ""Man. give _ and I1tlIIIboI1 ?)~ U~ 01ller. . 16. Decodenr.MaJlngAddressl_.clIyI1own. stolfi, "'-I 100 Mt. Allen Drlve Mechanicsburg, PA 17055 1l\..f.ther'. tjame (A"', _,josl, "'!lI) ~enJamln Ii. ::;hope 12. Was Decedent ever In the U.S. Armed F.....? oY.. ~ Decodenr. Actual Residence 17a &ale oOther. Specify: 10. Race, Amllican Indion, _. WhIte. etc. (~ White 17b. Coooty PA Cumberland l:~ 170.e9Y...OocedtnIUvld" Upper Allen TownOlip? 17d. 0 No, Decodonl UvId wflh<n AcluaJUml1sol 7wp. 19~itt~~'~1I)~aker City/80m 2Ob.lnformant's MaiIng_ISIreet, ai1y11own.slate. "'_I 118 Sunset View Drive, New Cumberland, PA 17070 21e. PIece 01 DIopoomon (Nome 01 cemetery, croma1ary.. _ place) 21d. Loce1lon ICIty ilown. stel.. "'-I Rolling Green Memorial Park Camp Hill, PA 17011 22c Name and Addr8o. a1 FacIllIy Stone & Murray FH 408 3rd St New Cumberland, PA 17070 23b. L..n.. Number 23<. De1. Signed (Month. day. yea~ Itemo 24-26 """ be compIeIed by person who pronounces death. 25. Dote P""","""," Oead (\AanIh. dey. ~ Ol./.'SD F.L.iJ i;J}:;l 007 CAUSE OF DEATH fIlM In_ and axamploo) II&m 27. Part I; Enter !he ~ - diseases. injurtes, or complications -that dredtf C8UI8d the death. DO NOT enter termi\al events such as C8I'dac: arrest, rosp..1ory.........-_wIIhou1.ilowInglhoe1lology.UsIon1yoneceuseoooach..... ~~us:=I-::. ^ J"""1,-,~~ LL..LIIJA I e. 0ue1o(0....~~- .. - fJ i5~-~~ b. .~ Due 10 (or as B ~uence 01): 331. c..- (c:hadc oo~ one) . CetIlfylng ~ (PhysiOan llOItifyng aeuee ol dI8~ whan anof1er physician has ~ dl8th and oompleted ,... 23) To tho baaI 01 my 1lMwtadga._ _duo 10 tho aauaa(.)....m........ ____ __ _ _ _ _ _ __ _ __ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ D . =:=.~~::-;::"~~~Io.:~=_"______m___________ D . =~: and I or InYHtigIdon, In my opinion, death occurred II the time, date, and piece, and due 10 the C8UM(S) and manner II atated- 0 I Approldmate InteN8I: I Onset to Death I , I : "3 , : .~ I - I I I I I I 2tl. Was Case Referred 10 MedIcal ExamM I Coroner lor a Reason Other than Cremation or Donation? oy" No Part n: Enter other . , 28. Old Tobacco Use Contribute 10 Death? bulna1l9S1i1ngin~._dyOlgcausegivoninPIl1I. 0 Y.. oPrnbabIy J:l!I No 0 Unknown 29.11 FemoIe, iii Not pmgtlInl with" pest yea. o Pmpnt ., lime ol dl8th o NoIpragnenLbutpregnantwflh<n42days ol_ D NoI pmgtlInL but """,en1 43 days 10 1 year beIOfll_ o Unknown If pregnenl_ the pe~ yea. 32c. Place 01 Injury: Herne, Farm. Street. Factory, Office Buidlng, etc. (Specify) __1eI_.If.ny, I8Ach 10 the cause IIII8cI on hi a. EnIet!he UNIlEIlLYING CAUSE =:e..:n:.~~the Due 10 (Of as a ronsequence ot): 300. Wu III ALOopsy PorIormed? d. 301>. Wem Aulopoy FrIlIngs AvallllblePriorlo~ of Cause of Death? oY.. 1No ov.. oNo 31. Manner of Death ~NllIu"l D- O Aa:ldont 0 Pondng 1nYeetiga1lon o 80_ 0 CoUd Not be Delennined 32d.l1rneoflnjuIY 32g. Location of Injury (Street, city Ilown, stale) M. ~. Reg;elmr'S~N (117)766-1795 Dispos~ion Permit No. -:-""_J WILL () -- ("") -~~J '_J ~ C::J- C":,") --I -'.J:-,t OF ;,C,:J I \-1. J DOROTHY M. KAUFFMAN \,0 en (j.) I, DOROTHY M. KAUFFMAN, currently of Upper Allen Township, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament, hereby revoking any and all prior Wills and Codicils made by me. I. I direct that all my just debts and funeral expenses be paid from the assets of my estate as soon as practicable after my demise. II. I direct that all estate and inheritance taxes that may be assessed in consequence of my death, shall be paid out of the principal of my general estate to the same effect as if said taxes were expenses of administration and all property includable in my taxable estate whether or not passing under this Will shall be free and clear thereof. III. I intend to keep with this my Will a separate memorandum concerning disposition of certain items of tangible personal property. I bequeath the items on said list to the persons designated. IV. During my lifetime, I have received an inheritance from my sister, Onata Brown, and it is my desire that the bulk of this inheritance stay with my side of the family. Accordingly, I make the following specific bequests: A. Thirty-five Thousand Dollars ($35,000) unto my sister-in-law, Florence G. Shope. If she predeceases me, this bequest shall lapse and pass as paI1 of my residuaIY estate below. B. Thirty-five Thousand Dollars ($35,000) unto my niece, Adelle Sheaffer. If she predeceases me, this bequest shall lapse and pass as part of my residuary estate below. V. Because of the wishes of my beloved husband, Earl Kauffman, I wish to distribute unto his family a sum that approximates the amount we received from the sale of our house. Accordingly, I make the following specific bequests: ~ -1- /J__ c~:fJn- J>:;,-/~.cw A. Thirty-five Thousand Dollars ($35,000) (total) unto Leslie E. and N ora Kauffman, or the survivor of them. B. Thirty-five Thousand Dollars ($35,000) (total) unto Jeff and Julie Douden, or the survivor of them. VI. I bequeath the sum of Five Thousand Dollars ($5,000) unto Stephanie Waraksa. If she predeceases me, this bequest shall lapse and pass as part of my residuary estate below. VII. I bequeath the sum of Five Thousand Dollars ($5,000) unto Christy Rohrbaugh. If she predeceases me, tIus bequest shall lapse and pass as paI1 of my residualY estate below. VIII. All the rest, residue and remainder of my estate, of whatever nature and wherever situate, including property over wruch I hold a power of appointment, I devise and bequeath as follows: A. Thi1ty percent (30%) unto Salem Lutheran Church, Oberlin, Pennsylvania, in memOlY of myself and my late husband, Earl, and my late parents, Benjamin H. and Minnie M. Shope, to be used as it sees best. B. Thilty percent (30%) unto the CalvalY Lutheran Church, Mechanicsburg, PennsylvaI1.ia, in memory of myself and my late husband, Earl, to be used as it sees best. C. Forty percent (40%) unto Messiah Village, Mechanicsburg, PennsylvaI1.ia, in memory of my late husband, Earl, myself, and my late sister, Onata Brown; one-half (1/2) of this bequest shall be used in its Endowment Fund and the remaining portion shall to be used as the Village sees best. IX. I appoint Dauphin Deposit Bank and Tmst (or its successors), Hanisburg, Pennsylvania, Executor of this my Will. IN WITNESS WHEREOF, I, DOROTHY M. KAUFFMAN, herewith set my hand to this my Last Will, typewritten on three (3) sheets of paper including the attestation clause and signatures of witnesses, this 5'fl.-,. day of rt --f v , 1998. oO-..~/~ 111, ~,L4.-~AL) DOROTH . KAUF MAN ~M ~ -2- Signed by DOROTHY M. KAUFFMAN, by her declared to be her Will in our presence, who have hereunto subscribed our names as witnesses in her presence and at her request, this sf'1 day of .,.,q 4)1 , 1998. ,,g~L ~~ .Jl-<IZ.- /J? auJ '/ residing at ~~rr: residing at ~0md.r7'i7a'~ ~ ,. -3- COMMONWEALTH OF PENNSYLVANIA COUNTY OF L.~f>ANo N WE, DOROTHY M. KAUFFMAN, GERALD 1. BRINSER and ~uE mPrU€A.~ , the testatrix and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly affirmed, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her Last Will and that she signed willingly (or willingly directed another to sign for her), and that she executed it as her free and voluntmy act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the testatrix, signed the Will as witnesses and that to the best of our knowledge the testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. ~'J-pt? J~ DOROTHY M. FFMAN. . .4~.[ ~~~4~ WITNESS ' ~UL- /Y} ~-"~ WITNESS / Subscribed, sworn or affirmed and acknowledged before me by DOROTHY M. KAUFFMAN, the testatrix, GERALD J. BRINSER and 3ue- IY1RUell.'j witnesses, this Sl-i-l day of <<1~, 1998. (SEAL) ~ cY~ ~ary Public Notarial Seal Wendy L. Hunking. Notary Public Palmyra !3oro, Lebanon County My CommIssion Expires Sept. 10,2001 -4-