HomeMy WebLinkAbout03-21-07
PETITION FOR PROBATE AND ~T OF LETTERS
REGISTER OF W~LLS OF C4/77~r~/ COUNTY, PENNSYLVANIA
Estate of ~e;;A//t'u0
also known as ~/'Vrr?-t--i)
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File Number
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6l O'alO
, Deceased
?~ - 3' 9- B7gi/"
Social Security Number ~'t~ -- / -
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 pnd aver that Petitioner(s) is I are the
last Will of the Decedent dated <:ruI-;' L) ~ and codicil(s) dated /V/4-
LE.k L:J.-.c ~rL-
named in the
(State relevant circumstances. e.g., renunciation, death of executor, etc.)
Ex.cept 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: ~
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) after a proper search has I 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 o/Will in Section A above and complete list o/heirs.) [~) :':::,c;
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at e~LLI-r ZtJ-' ;f?~/c7iA.J1f)-1 /hC!-?)) e4 L C-rif'L,
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(If not domiciled in PA) Personal property in Pennsylvania
(If not domiciled in PA) Personal property in County
Value ofreal estate in Pennsylvania
$ /.,. 5' '7 <7 , 00
$
$
$
situated as follows: .
Wherefore. Petilioner(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:
T ed or rinted name and residence
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Form RW-02 rev. 10,13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTYOF ~n?~y4-p/d
SS
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 arid 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 de ) day of
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, - or the Register
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Signature of Personal Representative
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Signature of Personal Representative
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Estate of JK-..-CY~c---i/ 'r l /"- / N L~ ) . , Deceased
Social Security Number: ~ :3 &:. ~ ~ r:; r'1 Date of Death: du. '-7 t 8- }' ;2k'~ b
AND NOW, \'f\Qrc.X\ a \ . d{)6-L in consideration of the foregoing Petition, satisfactory proof
having been presented before m~, IT JS ?ECREED that Letters _ / EO' T~ /"77& ;Iv' T/7 /Z-- Y
are hereby granted to lV.7 J ~/7-rr.:J #"L K/ AI- ~~
, (-'-".
File Number:
en
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and that the instrument(s) dated V-L.J L-Y ~ l.;z;..e-oZ;
d,,,,ribed in th, Politinn b, admitted to prob.te and filed nf ~J1J .. th, ~ VfJ (and Codi,il(
FEES -~~ '
L,ne<SHO $ ~~: Z"';,,?~~
Short Certificate(s) . . . . . . . . $ _ _ Attorney Signature: [<- ~ ~
Renunciation(s) .......... $ /~ ~F:k, n? (:r;? f. 7J~/l//&Ln
\1' . Attorney Name: ? 'L-/Z ~
lL:h . .. $
~ C{J . .. $
~~ ... $
.. . $
. .. $
.. . $
.., $
.. . $
... $
TOTAL .............. $
in the above estate
'S'-cP
10 .00
SroD
Telephone:
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Supreme Court LD. No.:
Address:
to;;;) .00
Form RW-02 rev, 10./3.06
Page 2 of2
H105.805 REV 1/05
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.
Fee for this certificate, $6.00
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Local Registrar
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33a. c.rtWiw (check only one) 33b. SignaIure n Tile
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On the_. of ~ lAd I or InveItipdon. In my opINon, dath 0CCUl'f'ecI. 1M tImI, elite, 8nCl pIKe, and due to the CMIM(.) and....._.. MaIft... jJ 34. Name and Adlh8s of Person Who CornJ*It8d Cause d 0eIltl (hem 27) Type I Print
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JUL 2 0 2006
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H105.1~ REV. 02f20C'6
TYPE 1 PRINT IN
PERMANENT
BlACK INK
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COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
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Maintenance Dai
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1830 Pine Road
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I, RONALD A. KINER, SR., of Penn Township, Cumberland County, Pennsylvania,
declare this to be my last will and revoke any will previously made by me.
I. I devise and bequeath all of my estate of every nature and wherever situate to my
wife, PATSY M. KINER, providing she survives me by thirty days. .
II. Should my wife, Patsy M. Kiner predecease or die on or before the thirtieth day
following my death, I devise and bequeath all of my estate of every nature and
where situate in equal shares to such of my adult children: BETSY SUE COY;
RONALD A. KINER, JR. and KARLA KINER, husband and wife, by the
entirety; WILLIAM HARRY KINER; MARTHA B. EYLER; ANN KINER;
But should any of them predecease me or die on or before the thirtieth day
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and GARY A. KINER as survive me by thirty days.
following my death, I devise and bequeath their share to their respective issue per
stirpes living on the thirty-first day following my death; and should any of the
equal shares to my other named beneficiaries or to his or her issue per stirpes
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foregoing named beneficiaries leave no such issue living on the thirty-first day
following my death, I devise and bequeath the share of such beneficiary (ies) in
living on the thirty-first day following my death.
III. All federal, state and other death taxes payable because of my death, with respect
to the property forming my gross estate for tax purposes, whether or not passing
under this will, including any interest or penalty imposed in connection with such
tax, shall be considered a part of the expense of the administration of my estate
and shall be paid out of the principal of my estate without apportionment or right
of reimbursement.
IV. I appoint my son, WILLIAM H. KINER executor of this my last will. Should
my son, William H. Kiner, fail to qualify or cease to act as executor, I appoint my
daughter, MARTHA B. EYLER, executrix of this my last will.
V. I direct that my executor or his successor executrix shall not be required to give
bond for the faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this 1st day of July,
2004.
n .tJ
K 6YlJ./ h .kA/v'-I- Y-
RONALD A. KINER, SR.
(SEAL)
The preceding instrument, consisting of this and one other typewritten page identified by
the signature of the testator, RONALD A. KINER, SR. , was on the day and date thereof signed,
published and declared by RONALD A. KINER, SR., the testator therein named, as and for his
last will, in the presence of us, who, at his request, in his presence, and in the presence of each
other have subscribed our names as witnesses hereto.
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OATH OF NON-SUBSCRIBING WITNESS(ES)
J /RE<;JISTER OF WILLS
U-~~/~", COUNTY PENNSYLVANIA
,
Estate of
~~.?V'7-LD
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(9.lZ _
, Deceased
h~) /~/T~ /-:1 /~dV~ and
~eing duly qualified according to law, depose(s) and say(s) that she~/ they @were well-
acquainted with rk ;/-~ J-;?j-~/L.. / ~J r~7;:4r-' anere familiar.
with the handwriting and signature of the decedent, and that the signature of R<.?~,y'TLb /j, /.c-"",Iy~ ~~,
to the foregoing instrument purporting to be the Last Will and Testament/Getltetl of ~~(.J) g. 1::::4.v~SR:
is in ~er own proper handwriting.
(Signature)
jJ~ /rZJ-Jj
(Street Address)
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
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of
day
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Farm R W-04 rev. / O. I3. 06
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OATH OF SUBSCRIBING WITNESS(ES)
JffiGI,STER OF WILLS
C~/:nL~;( COUNTY,PENNSYLVANIA
Estate of
~~U?
/;/ ~;N6rL) ~~)
, Deceased
~~ /~';r,- ~ 2/~?'Z~J
, (each) a subscribing witness to
(Print Namels)
the ~Will 0 Codicil(s) presented herewith, (;i.aehJbeing duly qualified according to law, depose(s) ~d
sayCs) that Sh~ they 8 were present and saw the above Gesta~ Testatrix sign the same
and that she ~they signed the same and that she @ they signed as a witness at the request of
the Es~ Testatrix in her~) presence and in the presence of each other.
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(Signature)
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(Street Address)
(City. Slale. Zip)
(City, State, Zip)
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Executed in Register's Office
Sworn to or affirmed and subscribed
before me this d ( - day
of fY1ct r oh , ;/007
~~
Deputy for Regl r ofWllls
Executed out of Register's Office
Sworn t9 or affirmed and subscribed
before me this
day
of
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.
Form RW-03 rev. 10.13.06