HomeMy WebLinkAbout05-02-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
File Number 21- () '1 6 Lt d 3
Estate of June D. Koch
also known as
, Deceased
Social Security Number
195-07-4895
Russell A. Koch
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(s) is/are the Executor
last Will of the Decedent, dated 04118/1990 and codicil(s) dated
See attached.
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 instrument(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
(If applIcable, enter: c.I.a.; d.b.n.c.l.a.; pedente /lte; durante absentia; durante mmon/ate)
Petitioner(s) after'a proper search haslhave ascertained that Decedent left no Will and was surVived by the following spouse (if any) and heirs: (If
Administratton, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
Dlt
B. Grant of Letters of Administration
I Name Relationship Residence 1
,
,
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(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
4048 Seneca Avenue, Camp Hill, Cumberland, PA 17011
(List street address, town/city, township, county, state, zip code)
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Decedent, then ~ years of age, died on 04/15/2007
at Strabon Township, Adams County, Pennsylvania
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:
6,000.00
$
$
$
$
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:
Russell A. Koch
Typed or printed name and residence
25 Courtland Road
Camp HlII, PA 17011
. . - Si~nature
Form -0 Rev. 10-13-2006
Copyright (c) 2006 fonn software only The Lackner Group, Inc.
Page 1 of2
Kenneth V. Koch, named Executor, died November 24, 2006.
Lane, named Alternate Executrix, signed a Renunciation.
H. Koch and Edward L. Koch, the Decedent's sons, signed
Renunciations.
Lois A.
Stephen
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
Oath of Personal Representative
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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) o}the Decedent, Petitioner(s) will well and truly
administer the estate according to law. /---,
/ '/-
Sworn to or affirmed and subscribed
before me this
day of
Signature of Personal Representative
Signature of Personal Representative
File Number:
21- bl 0 L\d-?)
Social Security Number:
Estate of June D. Koch
195-07-4895
, Deceased
Date of Death: 04/15/2007
AND NOW, ' .n)! , in consideration of the foregoing Petition, satisfactory proof
leatan.lnlary 'O~ \l\l~~~-u.<.-
are hereby granted to Russell A. Koch
,~')
in ~ above estate
and that the instrument(s) dated 04/18/1990
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).......i............. $
RenunciatiOn(S)...........~........... $
tJ) 1\
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TOTAL.................................... $
Form RW-02 Rev. 10-13-2006
$
$
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$
$
$
$
$
$
$
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Attorney Signature:
Attorney Name:
Supreme Court 1.0. No.: 19475
Bogar & Hipp Law Offices
Address: One West Main Street
Shiremanstown, PA 17011
Telephone:
717-737-8761
Copyright (c) 2006 fonn software only The Lackner Group, Inc.
Page 2 of 2
1105.805 REV 1!O5
This is to certify that the information here given is correctly copied fro~ 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 fihng.
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
13523873
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CL;tALjl/~:'~~OJ
Date:..
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Hl05-H3 REV 1112006
T'tPE I PRlNT IN
PERMANENT
BLACK INK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
STATE FilE NUMBER
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4048 Seneca Avenue
Camp Hill, PA 17011
She
12. Was Decedent 8Y8f in !he
U.S. Armed FOIces?
Dv.. i('INo
~~ 17a.Slate Pennsylvania
17bCounly cumberland
4, Date d Death lMonlh. day. year)
A ril 15 2007
1, Name of Oec.edel'1IFIr5l:, midde. 1asI, sullilt)
June D. Koch
5 A9' (WI_yl
Adams
6. DaI8 of Sinh (t.tooIh, day, year)
(c.lyand_or
89 VIS.
ill Counly .. De...
February 22, 191 Pine Grove
Bd FdIy Name (U""_, give..... and_
DOlho<. _,
10. Race: AmtricIn indian, ~ WhII, Me
ISIl<<4>>
White
15 SuNiW>g Spouse I""', give"""" name)
l'.Oecedenl'sllsull
Knl"_
Hanemaker
_ 16. Oecedent's MailIng Address (SlIM" city / town, stale, zip code)
17e. ~ Yes, Decedent l.ivecI il
17d.D No, _lMld....,
AcIualli11lls..
Lower Allen
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c.lyl-
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19. MoIher's Name (FnI, miliIe, maiden sumame)
StellaSchnoke
2<M>._S__...\5Ireet,dIyl_,....,zip-)
4048 Seneca Avenue
2007 st. John's Cemet
22c,Nameand-..."FsciIIy 8 Market plaza Way
lpezzi Funeral Hane Mechanicsburg, PA 17055
Zit liceni8 Number
-z.oq-,b ?-
PA
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~kstCQOdiOOos,ilany,
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Due 10 (or as a consequence of)
b. ec.o,..... .A'iZI'r'
Doe 10 (or as a consequence 01):
~'OI'h'l"O~
~, o.'Sc:.&...6.liLaSLS
I ApproximaI&in&ervaI:
I QosetIoDeath
I
I
I
I
I
I
: 10+
I
I
I
I
I
I
I
Part u: EnI&t oIhef sMnic:anI mndiIions contItluIioo Io.dlilb, 28. Did Tobacco Use Contribute to 0eaah1
bulnotresullinginlheundertyingcause!j'len in Part I. 0 Yes OProbabIy
DNa DlJrl<nown
29.11 Female:
o NutpreUfKIIllritMlpaMYbal'
o Pregnant at wne 01 death
o NcA pregnant bul pre~ wilhin 42 days
.......
o Not pregnant but pr~ 43 days 10 1 yeal"
_.-
o Unknown if pregnant wRhin the past IfNI
32&. P\aCe d 1nfurY: Home, Fatm, Skeet, FacIOry,
'-Wding, IllC I_I
~=~.t::.')dose:.:.
Due to (or as a consequence of):
d,
DYes rs(No
o Ve, fJfNa
31. MaMerotOeail
~atUlal 0 HumICIde
o Accident 0 Pending Investigalioo
o Suicide 0 Cwld Not be Delermined
32d. TlITl8 01 Ifliury
n. Was an Autopsy
Pertooned?
3i:ll Were Autopsy FifKW19s
Available POOr 10 Completion
olCause 01 Dea1h?
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33a. Certifier (check only 00&)
Certify"" phy" lPhylliclaO cef'Iity1llg cause ol lSealll -Mlen iitIOIher physician has pronounced dealll and completed nem 23)
Totbl bell of my ~,dulhocc:urreddultoUwCluse(S)1Il'ld manner asllaled.. - -- - - - - - - - - - - - - - - - - -- - - - - - - - - - --
Pronounclnt and cMifyiAg phya6c6an (Physician bolh pronouncing death and certifying 10 cause of death)
To I>>e bHt of my knowledQl, death occurred It'" Ume, dale, and place, and due to the cause(s) and manner.. ltated_ - - - .. - - - - - - - - - - - - -
IIeckaI EuminelI CofontI
On the bAil of elamination and I or InveaUgation, in my opinion, dealh occurred I' lhe lime, dale, Ind pace, and due 10 the ClU$8(I) and manMllS staleeL 0
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fit
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Otspofiition Parmi! No.
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11iast Ilill aub Wtslcttntnt
OF
JUNE D. KOCH
I, JUNE D. KOCH, of Lower Allen Township, Cumberland
County, Pennsylvania, make, publish and declare this as and for my
Last will and Testament, hereby revoking all other wills and
Codicils heretofore made by me.
FIRST: I devise and bequeath all the rest, residue and
remainder of my estate of whatever nature and wherever situate,
including any property over which I hold power of appointment and
together with any insurance policies thereon, unto my husband,
KENNETH V. KOCH, provided he survives me by sixty (GO) days.
SECOND: Should my husband, Kenneth V. Koch, predecease
me or die on or before the sixty-first (GIst) day following my
death, I devise and bequeath all the rest, residue and remainder
of my estate of whatever nature and wherever situate, including
any property over which I hold power of appointment and together
with any insurance policies thereon, in equal shares, to my
children, STEPHEN H. KOCH, RUSSELL A. KOCH, EDWARD L. KOCH, and
LOIS A. LANE, provided that should any of my children predecease
me, I give and bequeath such child's share unto hi~'pr her issue
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per stirpes by representation, and if there be a failure of same,
then I give and bequeath such deceased child's share-to~myo'sur-
viving children as provided herein.
THIRD: In addition to all powers granted to them,by law
and by other provisions of this Will, I give the fiduciaries
acting hereunder the following powers, applicable to all property,
exercisable without court approval and effective until actual
distribution of all property:
(A) To sell at public or private sale, or to lease, for
any period of time, any real or personal property and to give
options for sales, exchanges or leases, for such prices and upon
such terms (including credit, with or without security) or condi-
tions as are deemed proper. This includes the power to give
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legally sufficient instruments for transfer of the property and to
receive the proceeds of any disposition of it.
(B) To partition, subdivide, or improve real estate and
to enter into agreements concerning the partition, subdivision,
improvement, zoning or management of real estate and to impose or
extinguish restrictions on real estate.
(C)
To compromise any claim or controversy and to
I
abandon any property which is of little or no value.
(D) To invest in all forms of property, including
stocks, common trust funds and mortgage investment funds, without
restriction to investments authorized for Pennsylvania fiduci-
aries, as are deemed proper, without regard to any principle of
diversification, risk or productivity.
(E) To exercise any option, right or privilege granted
in insurance policies or in other investments.
(F) To exercise any election or privilege given by the
Federal and other tax laws, including, but not necessarily being
limited to, personal income, gift and estate or inheritance tax
laws.
(G) To make distributions to my herein named benefici-
aries in cash or in kind or partly in each.
(H) To borrow money from themselves or others in order
to pay debts, taxes, or estate or trust administration expenses,
to protect or improve any property held under my will, and for
investment purposes.
(I) To select a mode of paYment under any qualified
retirement plan (pension plan, profit sharing plan, employee stock
ownership plan, or any other type of qualified plan) to the extent
the plan or the law permits them to do so, and to exercise any
other rights which they may have under the plan, in whatever
manner they consider advisable.
FOURTH: I direct that all inheritance, estate,
transfer, succession and death taxes, of any kind whatsoever,
2
which may be payable by reason of my death, whether or not with
respect to property passing under this Will, shall be paid out of
the principal of my residuary estate.
FIFTH: All interests hereunder, whether principal or
income, which are undistributed and in the possession of the
fiduciaries acting hereunder, even though vested or distributable,
shall not be subject to attachment, execution or sequestration for
any debt, contract, obligation or liability of any beneficiary,
and furthermore, shall not be subject to pledge, assignment,
conveyance or anticipation.
SIXTH: I nominate and appoint my husband, KENNETH V.
KOCH, Executor of this, my Last will and Testament. In the event
of the death, resignation or inability to serve for any reason
whatsoever of the said Kenneth V. Koch, I nominate and appoint
LOIS A. LANE, Executrix of this, my Last will and Testament. I
direct that my Executor or Executrix, as the case may be, and
their successors, shall not be required to post security or a bond
for the performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
to this, my Last will and Testament, this /5:) day of
1990.
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June D'. j Koch
(SEAL)
Signed, sealed, published and declared by the above-
named Testatrix as and for her Last will and Testament in our
presence, who, at her request, in her presence and in the presence
of each other, have hereunto subscribed our names as attesting
witnesses.
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Address
Address
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OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
CUMBERLAND COUNTY PENNSYLVANIA
,
Estate of June D. Koch
, Deceased
Russell A. Koch and
t~<<) being dilly qualified according to law, depose(s) and say(s) that ~k~/ he OOlM was / H~ well-
acquainted with June D. Koch and ~~ familiar
with the handwriting and signature of the decedent, and that the signature of June D. Koch
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of
June D. Koch is irutii~er own proper handwriting.
~--/
(Signature)
(, gn reiWSSELL A.
25 Courtland Road
(Street Address)
(Street Address)
Camp Hill, PA 17011
(City, State, Zip)
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
~'"'..)
~ day
. J.()D 1
(--'-.. --,
before me this
Form RW-04 rev. 10.13.06
~ \ 0 I ()1..\:6:)
OATH OF SUBSCRIBING WITNESS(ES)
-)
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
['''--)
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Estate of June D. Koch
, Deceased
James D. Bogar
, (each) a subscribing witness to
(Print Name/s)
the 521WillC! Codicil(s) presented herewith, ~~ being duly qualified according to law, depose(s) and
say(s) that xsb2 / he / ~ was /}WiXfK present and saw the above xKes1ator / Testatrix sign the same
and that she I.xhebtlJey signed the same and that ex he xb}C signed as a witness at the request of
the X'BStaim' / Testatrix In her kbiKx presence and in the presence of each other.
(Signature)
1 West Main Street
(Stree t Address)
(Street Address)
Shiremanstown, P A 17011
(City, State, Zip)
(City, State, Zip)
before me this
day
Executed out of Register's Office
Sworn to or affirmed and subscribed
before me this I 5J- day
of 010 Lj , {}.,oo 7
Executed in Register's Office
Sworn to or affirmed and subscribed
of
Deputy for Register of Wills
~'()n~ ot: LclJ2 lA Otrw1
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
COMMONWEAllll Of PENNSYlVANIA
NOTARIAL-SEAt '
BONNIE t. WILUAMS. NOTARY PUBUC
SHIREMANSTOWN BORO.;CUMBERLAND co.
MY COMMISSION EXPIRES APRIL 18 2009
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RENUNCIATION
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REGISTER OF WILLS
CUMBERLAND COUNTY PENNSYLVANIA
,
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Estate of June D. Koch
;-'''.)
, lieceased
I Lois A. Lane
,
(Print Name)
named Executrix/daughter
, in my capacity/relationship as
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Russell A. Koch
4L19-\o\
illage Grove Drive
(Street Address)
(Date)
Fort Wayne, IN 46804
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes st.ated within on this / q +-1-- day
of Clp;1UJ , dO()1
-:BC/()n lP rr W &0 ~nvQ
Notary Public
My Commission Expires:
Deputy for Register of Wills
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev. 10.13.06
MMOIfWEAlTH OF PEft"SYtVM
NOTARIAL SEAL
_"IE l. W1WAMS, NOTARYJlUtUC' ".
lllREMAltSTOWN BORO.,CUMBERlNID.
MY COMMISSlOft EXPIRES APRIl. 1 2001
EA \ Ot ()~cl3
C)
RENUNCIATION
t-.....'
REGISTER OF WILLS
CUMBERLAND COUNTY PENNSYLVANIA
,
;",,)
Estate of
June D. Koch
, Deceased
I, Stephen H. Koch
(Print Name)
, in my capacity/relationship as
of the above Decedent, hereby renounce the right to
son
administer the Estate of the Decedent and respectfully request that Letters be issued to
Russell A. Koch
4-1...4 -0 7
1tpL ~
(Signature)
(Date)
4048 Seneca Avenue
(Street Address)
Camp Hill, PA 17011
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this [YH-J.- day
of (){)1LP , 61007
-:Bonne] ,J L~ll()\/MD
Notary Public
My Commission Expires:
Deputy for Register of Wills
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev. 10.13.06
COMMOl'IWEAlTM OF PEftNSYlYAlflA .
NOTARIAL SEAl .
BONNIE l. W1WMlS, NOTARY PlIIUC
IHIREMANSTOWN BORO.. CUMBERlMD co.
MY COMMISSION EXPIRES APRll18 2001
d- \ () t ()~d-~
RENUNCIATION
REGISTER OF WILLS
CUMBERLAND COUNTY PENNSYLVANIA
,
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Estate of June D. Koch
, Deceased
I Edward L. Koch
,
(Print Name)
. in my capacity/relationship as
of the above Decedent, hereby renounce the right to
son
administer the Estate of the Decedent and respectfully request that Letters be issued to
Russell A. Koch
i/J.7/0 7
4J ~ ~l..
(Date)
(Signature)
2541 Spring Road
(Street Address)
Carlisle, FA 17013
(City, State, Zip)
Executed in Register's Office
Sworn to or affIrmed and subscribed
before me this day
of
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certifIed
that he or she executed the renunciation for the
purposes stated within on this tl7+2- day
of OpnLP . .9.00;
~onn lR 0( l<Jf21J.a/fVlO
Notary Public
My Commission Expires:
Deputy for Register of Wills
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commissioq.)
Form RW-06 rev. 10.13.06
MlllMAlTlf OF PEM
NOTARIAl SEAL
BONNIE l. WllLlAMSj NOTAI\' PUBUC
IHIREMAHSTOWN BORO., CUMBERlAND co.
MY COMMISSION EXPIRES APRIL 18 2llOt