HomeMy WebLinkAbout05-11-07
Register of Wills of Cumberland County. Pennsylvania
Estate of Robert Luther Keller
also known as Robert L. Keller
PETITION FOR GRANT OF LETTERS
JI \01-0~;b'
No.
. Deceased
Social Security No. 205-1 s.. 7362
petllloner(s). who iIIare 18 yeara of age or older. appIy(les) for :
(COMPLETE "A" OR "B" BELOW:)
}'. n . .:. ....,}6, A.', ~rt>bate and Grant ofLetters and aver that Petitioner(s) is/are the execut rix
W(Decederlt:d~ted~4122120d3 and codicil(s) dated
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named In the Last Will of the
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., .' ,,''''~.<.:i!,''':, ,,">'.if.'i;:;~c...~.;\ .... . '. .... Slate relevant cln:umatances. e.g., renunciation. death of executor, elc
Except as f6l1ows~'o~ienr1Jii(iiOt marTy, 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:
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B. Grant of Letters of Administration
(c.la., d.b.n.c.la.: pendente lite. durante lIbaantla; durante mlnorltate)
Petltloner(s) after a proper search haslhave ascertained the Decedent left no Will. and was survived by the following spouse
Qf any) and heirs:
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Relationship
Residence
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
.: Decedent Was domiciled at death in Saint Petersburg City, Pinellas
residence at 7101 9th Street North. Saint'Petersburg, FL 33702
(llat street, number and municipality)
,2005 . at Abbey Rehab and NursinQ Center
(location)
Florida -' ~u
County,~. with hislher Ij$tfftmilY or principal '-
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Decedent, then 7.9
years of age, died March 6
Decedent at death owned property with estimated values as follows:
(If domiciled In PAl All personal property ......................................... $
(If not domiciled In PAl Personal property In Pennsylvania .................... $
(If not domiciled In PAl Personal property in County .............................. $
Value of real estate In Pennsylvania ........................................................................................ $
Total ................................................................ ....................,............ .............,....... $
Real Estate situated as follows: 513 W. Lisburn Road, Mechanicsburg, PA 17055
172.000.00
172,000.00
Wherefore, Pelitioner(s) respectfully request(s) the probate of the Last Will and Codlcil(s) presented with this Petition and the grant of letters in
the appropriate form to the undersigned: . . ". .
TY\:ledorprinteCI name' and resldctnce
Cherie A. Keller 1090.8N. 20th S1. Tam a FL 33612-6135
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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 according to law.
Sworn to and affirmed and subscribed
before me this :2.. 0 M day of
t:) fIl-J L 0200 '7
DECREE OF REGISTER
Deceased
Estate of Robert Luther Keller
also known as Robert L Keller
AND NOW,
on the reverse side hereon, satisfactory
Date of Death: 3/6/2005
, JJ 1fJ7 ,in consideration of the Petition
resented before~,
are hereby granted to Cherie A. Keller
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IT IS DECREED that Letters !XI Testamentary Q of Administration
in the above estate and that the instrument(s), if any, dated April 22, 2003
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
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FEES
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Short Certificate(s) ...............
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...-~-plt .11 . - -
Letters................................... .
$ f)()lJD
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Other CO.mm{~........
$
Renunciation .......................... $
Affidavit ( ( ) ....................... $ ~. OD
).............. $
$
$ (0,(1)
$ 5lID
$ ----Ilf211:2-
TOTAL .............................$ 58~
Extra Pages (
Codicil .................................
Attorney: Susan H. Confair
1.0. No: 70241
Address: 2331 Market Street
Camp Hill
Telephone: (717) 763-1383
DATE FILED:
PA 17011
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Register of Wills of Cumberland County
State of Pennsylvania
SS:
County of Cumberland
Cumberland County, Pennsylvania, do hereby commission you, Pat Frank, Probate
Registrar, Register of Wills for Hillsboro County, to administer the Oath of Personal
Representative in the Estate of Robert Luther Keller, late ofHillsboro County, Florida.
IN TESTIMONY WHEREOF, I have here unto set my hand and affixed my seal
the 10th day of April 2007.
Glenda Farner Strasbaugh
Register of Wills
Cumberland County
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AFFIDAVIT BY FOREIGN FIDUCIARY
Estate of Robert Luther Keller
No.
also known as
Robert L. Keller
, Deceased
Social Security No. 205-15-7362
being duly sworn depose and say as follows:
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We are
Executor
Administrator
Trustee
Guardian
in the above Estate.
Decedent died March 6
Date
2005 a resident of St. Petersburg
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City
Pinellas
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State
County
That deponent(s) desire(s) to exercise within the Commonwealth of Pennsylvania the authority
vested in deponent(s) by virtue of an Act of Assembly of the Commonwealth of Pennsylvania. known as the
Probate, Estates and Fid",ciaries Code of 1972. P. L. 164, Sec. 4101 (1) AND (2), and has complied with all the
provisions of same.
That after diligent search and inquiry, deponent(s) state(s} that so far as deponent(s) has/have
been able to discover, the above Decedent is not indebted to any person in the Commonwealth of Pennsylvania;
and that deponent(s} will not exercise any power which deponent(s) would not be permitted to exercise in the
jurisdiction of deponent's(s') appointment.
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(51 sture)
to q 0 ~ N, ~ ~~ (A~) J ll1Jv\..'>4 I r L 33 ~l ~ -(P(45
(Signature)
(Address)
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(Signature and seal of Notary or other ofIIcIal
qualified to adminlstar oaths. Show date of
explratlon of Hotery's commlaalon.)
NOTE: Do not file this affidavit until after one month from Decedenfs death.
An exemplified copy of probate proceedings must accompany this form.
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STATE OF FLORIDA
COUNTYOFH~LSBOROUGH
I, Gena Friscia, A Deputy Clerk to Pat Frank, Clerk ofthe Circuit Court of Hills borough County, State of Florida, having by
law the custody of the seal and all the records, books, documents, and papers of or appertaining to the Circuit Court, do hereby
certify that the above and foregoing is a true and correct copy of Petition For Administration, filed May 19, 2006; Notice of
Filing, filed May 19, 2006; cover sheet for death certificate of decedent (sealed), filed May 19, 2006; Affidavit of Domicile, filed
May 31, 2006; Affidavit of No Florida Estate Tax Due, filed May 31, 2006; Statement of Claim (Bayfront ), filed June 21, 2006;
Statement of Claim (Ishwari), filed June 21, 2006; With- clrawal of Claim (Bayfront), filed June 22, 2006; Withdrawal of Claim
(Bayfront), filed June 26, 2006;. Last Will and Testament of Robert L Keller, recorded in 0 R Book 16683, Pages 355-364, filed
June 30, 2006; Order Admitting Will to Probate and Appointing Personal Representative, filed June 30, 2006; Oath of Personal
Representative, Designation of Resident Agent, and Acceptance, filed June 30, 2006; Letters of Administration, recorded in 0 R
Book 16683, Pages 365-366, filed June 29, 2006; Notice of Administration, filed July 7,2006; Statement Regarding Creditors,
filed July 24,2006; Proof of Publication of Notice of Administration, filed August 7, 2006; letter to Kindred Pharmacy Services,
filed September 5,2006; Statement of Claim (Kindred), filed September 5, 2006; Proof of Service ofInventory, filed September
II, 2006; cover sheet for Inventory (sealed), filed September II, 2006; Petition to Determine Homestead Status of Real Property,
filed December 8, 2006; Satisfaction and Release of Claim (Ishwari), filed December 18, 2006; Satisfaction and Release of Claim
(Kindred), filed Jan 16,2007; Petition For Discharge, filed Jan 19,2007; Report of Distribution, filed Jan 19,2007; Receipt of
Beneficiary and Consent to Discharge, filed Jan 19,2007; Order Determining Homestead Status of Real Property, recorded in 0
R Book 17391, Pages 1365-1366, filed January 26, 2007; and Order of Discharge, recorded in 0 R Book 17391, Page 1367; in
re estate of Robert Luther Keller, Deceased; Case 2006-CP-001306, Division A, as the Same Appears from the Records and. Files
of this Court.
IN WITNESS WHEREOF, I have hereunto set my hand and seal of said Circuit Court, this the q
March, 2007,
PAT FRANK
Clerk of the Circuit Court
Hillsborough County, Florida
By: ~~~
Gena Friscia
Deputy Clerk
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
day of
I, Susan Sexton, one of the Judges ofthe Circuit Court of the Thirteenth Judicial Circuit of the State of Florida, in and for
Hillsborough County, do hereby certify that Pat Frank is the Clerk of the Circuit Court of said County, State of Florida, and the
signature attached to the above certificate and attestation, purporting to be of, Gena Friscia, a Deputy Clerk of the Circuit Court
of Hillsborough County, Florida, and as such full faith and credit are due all her acts, and that said attestation is in due form of
law and by the proper officer.
IN WITNESS WHEREOF, I bave hereunto set my band tIris the 9 day of ~h, 2007,'
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Judge of the Circuit Court of the Thirteenth
Judicial Circuit of the State of Florida in
and for Hillsborough County
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STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
I, Gena Friscia, a Deputy Clerk to Pat Frank, Clerk of the Circuit Court of Hillsborough County, Florida, having by law the
custody of the seal and all the records, books, documents, and papers of or appertaining to the said Circuit Court, do hereby
certify that Susan Sexton whose signature is affixed to the foregoing certificate is one of the Judges of the Circuit Court of the
Thirteenth Judicial Circuit of the State of Florida and duly qualified and commissioned, and that said signature is genuine.
IN WITNESS WHEREOF,! have hereunto set my hand and the seal of said Court this the q' day of
March, 2007.
PAT FRANK
Clerk of the Circuit Court
Hillsborough County, Florida
BY:~~
Gena Friscia
Clerk of Circuit Court
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IN THE CIRCUIT COURT FOR HILLSBOROUGH COUNTY, FLORIDA
PROBATE DIVISION
IN RE: ESTATE OF
FILE NO.: O{ -I JOb
ROBERT LUTHER KELLER,
Deceased.
I
PETITION FOR ADMINISTRATION
(testate Florida resident - single petitioner)
Petitioner, CHERIE A. KELLER, alleges:
1. Petitioner has an interest in the above estate as the nominated personal
representative. Petitioner's address is 10908 N. 20th Street, Tampa, Florida 33612, and the name
and office address ofpetitioner'sattomey are setforth at the end of this petition. ;:~ __', ~ J"f)
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2. Decedent, ROBERT LUTHER KELLER, whose last known addressSifas 1@08
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N. 20th Street, Tampa, Florida 33612, and whose age was 79 and whose social s~~Hiy nMhbe(.:
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is 205-16-7362, died on March 6, 2005, at Abbey Rehab and Nursing Center, St. P~i~i.sb~, JOf.-
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Florida, and on the date of death decedent was domiciled in Hillsborough County,~-Eronda:J
3. So far as is known, the names of the beneficiaries of this estate and of the
.
decedent's surviving spouse, if any, their addresses and relationship to decedent, and the dates of
birth of any who are minors, are:
NAME
ADDRESS
RELATIONSHIP I AGE
Cherie A. Keller
10908 N. 20th Street, Tampa, FL 33612
Daughter
4. Venue of this proceeding is in this county because decedent died a resident of
Hillsborough County, Florida.
5. CHERIE A. KELLER, whose address is 10908 N. 20th Street, Tampa, FL 33612,'
and who is qualified under the laws of the State offlorida to serve as personal representative of
the deceoent's estate is entitled to preference in appointment as'personal representative because
~VERIFIEdl
y:
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of the nomination thereto in decedent's Last Will and Testament.
6. The nature and approximate value of the assets in thi~ estate are:
DESCRIPTION
AMOUNT
10908 N. 20th Street, Tampa, FL
Property in Cumberland County, Pennsylvania
Accounts with various financial institutes
Approx. $113,023.00
Currently unknown
Currently unknown
7. T~is estate will not be required to file a federal estate tax return.
8. The original of the decedent's last will, dated April 22, 2003, is in the possession
of the court or accompanies this petition.
9. Petitioner is unaware of any unrevoked will or codicil of decedent other than as
set forth in para~aph 8.
Petitioner requests that the decedent's will be admitted to probate and that CHERIE A.
KELLER be appointed personal representative ofthe estate of the decedent.
Under penalties of peIjury, I declare that I have read the foregoing, and the facts alleged
are true, to the best ofrny knowledge and belief.
Signed on -!-iJday of
.
. ;JJ'"(
, 2006.
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CHERIE A. KELLER, Petitioner
DAVID . EARDEN, ESQUlRE
Florida Bar No.: 999369
OLSON & BEARDEN, P.A.
200 N. Pierce St. - 4th Floor
Tampa, FL 33602
(813) 222-0888
Attorney for Petitioner
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IN THE CIRCUIT COURT IN AND FOR HILLSBOROUGH COUNTY, FLORIDA
PROBATE DIVISION
IN RE: ESTATE OF
File Number: 6~ - /.J 0",
ROBERT LUTHER KELLER
Deceased.
/
NOTICE OF FILING
COMES NOW, the Personal Representative, CHERIE A. KELLER, and files the State of
Florida Office of Vital Statistics, Certified Copy, Certificate of Death of, ROBERT LUTHER
KELLER, deceased March 6,2005.
CERTIFICATE OF SERVICE
I HEREBY CERTIFY that a true and correct copy of the foregoing Notice of Filing has
. been furnished by U.S. Mail to: Clerk of Circuit Court, Probate Division, P.O. Box 1110,
Tampa, Florida 35601 on this I'" day of May, 2006.
ih:t ~
DavId C. Bearden, Esquire
Florida Bar No.: 999369
OLSON & BEARDEN, P.A.
200 N. Pierce Street, 4th Floor
Tampa, FL 33602
(813) 222-0888
Counsel for Personal Representative
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IfATH CERTIF'I~
CONTENTS o~ THIS
ENVELOPE MAY NOT
BE VIEWED EXCEPT
BY ORDER OF THE
COURT.,
DATE OPENED:
OPENED BY:
DATE OPENED:
OPlj:NED BY:
DATE OPENED:
OPENED BY:
DATE OPENED:
OPENED ,BY:
DATE OPENED:
OPENED BY:
CASE NO. Ob - IJ(J 6
IN RE: fob ~1 f ;h .;1'1, (" I( ,,// e,--
DEATH CERTIFICATE ENCLOSED FOR:
X ABOVE DECEDENT (PROBATE)
ABOVE INCAPACITATED (GUARDIANSHIP)
OTHER
P:;%EZ~DENTON UNE
DATE OF DEATH:
DATE FILED: S- II 910/
DATE SEALED: S' ~:;).C\p
EXEMPT FROM PUBLIC ACCESS PURSUANT
TO F.S.382.008(6)
TO BE OPENED UPON COURT ORDER ONLY
DEATH
, '-CER~IFICATE
PAT FRANK
CLERK. OF CIRCUIT COURT
HILL OROUGH COT.J'Nn: FWRIDA
[VERIFIED!
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BY:
AS DEPUTY CLERK
TO BE OPENED
UPON COURT
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ORDER ONLY
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IN THE CIRCUIT COURT IN AND FOR HILLSBOROUGH COUNTY, FLORIDA
PROBATE DIVISION
IN RE: ESTATE OF
File Number: 06-CP-001306
ROBERT LUTHER KELLER,
Deceased.
/
AFFIDAVIT OF DOMICILE
BEFORE ME, the undersigned authority, personally appeared CHERIE A. KELLER,
who being by me duly sworn, and who is personally known to me or who produced as
identification and who did execute an oath, deposes and says:
1. That the decedent ROBERT LUTHER KELLER, died on March 6,2005 at
Abbey and Rehabilitation Nursing Center, $1. Petersburg, Florida
2. At the time of death, the decedent owned property and maintained as his primary
residence at the property located at 10908 N. 20th Street, Tampa, Hillsborough
,
County, Florida. See attached Exhibit A.
3. At the time of death, the decedent was domiciled in Tampa, Hillsborough
County, Florida.
FURTHER AFFIANT SA YETH NOT.
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CHERIE A. KELLER
Swo~ ~~~d subscribed before me
this~ aay of May, 2006.
~
My commission Expires:
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~"';Y.;~ MARCIA M. KORBAR
[VERIFIED] \..* MY~~'f:=7
- ""Of f'.dP 8Gnded TIlIu Iudget IlGIIry SIMcII
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ROB TURNER
HILLSBOROUGH COUNTY PROPERTY APPRAISER
Search Results
www.hcpafl.org
[ PRINT THIS PAGE] [ CLOSE THIS PAGE]
KELLER CHERIE A
KELLER ROBERT L
10908 N 20TH ST
TAMPA. FL 33612-6135
PIN:
Folio: .
Prior PIN:
Prior Folio:
Tax District:
\ DOR Code:
\~.;,at.BO..Ok I Page:
~eighbOrhOOd:
Subdivision:
TFH TAMPA
0100 SINGLE FAMILY R
0037 I 0063
2140081 W 30th St N Bouganvillea E 15th area
00043F BRIARWOOD UNIT NO 1
A.18.28-19-43F-000016-00010.0
141628-0000
VALUE SUMMARY
GIS MAP
......-..... ............. -.--.----..-.--.----.-.--..--....-.-.-...-.-.-..1
i Building Value $102,296. 'I
Extra Feature Value $405
Land Value (Market) $40j400 I
Land Value (Agriculture) $0 I
Just(Market) Value $143,101 !
_V.... (MO) $113,02' jl
Exempt Value $25.000
Taxable Value $88,023
LEGAL LINES
r.-..-..-....-...--...--.-..-.---.....--....---7---.......-.---....-......--..------.......-....--...-...-.........-..-...-.-...-.......-.....---......-......-......-... .-..........-
i L N Legal Description
: 2
~-^---.-..
BRIARWOOD UNIT NO 1
LOT 10 AND S 4 FT OF LOT 11 BLOCK 16
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TRIM INFORMATION (2005)
.,.~__"".~..~.'""A_"__.,.^"....,,_.....~_.______"'...'h_."........_,...._-.._.'''_.._.__''''.....__._,,___-._.....~___.,..'''_...^..,~.~,_--.
Taxing Authority
General Revenue
Base
Taxable
Value
$74,460
$74,460
$74,460
Additional Last Year Proposed Rollback
Exemptions Taxable Property Property Property
Granted Value Taxes Taxes Taxes
$0 $74,460 $451.07 $515.69 $476.33 :
I
$0 $74,460 $345.30 $384.81 $364.88 I
$0 $74.460 $168.72 $205.51 $178.29 I
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By State Law
By Local Board
'EXHIBIT
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, Totals
-
Tampa $74,460 $0 $74,46,0 "
County library $74,460 $0 $74,460
SWFWMD $74,460 $0 $74,460
Hills River Basin $74,460 $0 $74,460
Port Authority $74,460 $0 $74,460
Children's Board $74,460 $0 $74,460
Transit Authority $74,460 $0 $74,460
Environmental Lands $74,460 $0 $74,460
School I & SF $74,460 $0 $74,460
","---e
$411.05
$40.38
$26.53
$17.92
$16.34
$31.43
$31.43
$6.07
~11.56
$1,557.80
$486.89
$51.55
$31.42
$21.22
$19.36
$37.23
$37.23
$6.25
$0.67
$1,797.83
$437.77
$42.63 :
$27.53 I
518.96 !
$17.27 :
$33.22 ,
$33.22 :
$6.25 :
$0.671
$1,637.02 :
Just Value
Assessed Value
" $87,861
$99,460
Exemptions
$25,000
$25,000
Taxable Value
$62,861
$74,460
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Last Year
Current Year
$97,540
$118,390
~ COPYRIGHT 2004 Hillsborough County ProPerty Appraiser
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DEPARTMENT
OF REVENUE
Affidavit of No Florida Estate Tax Due
(for decedents dying on or after January 1, 2000)
DR-312
N.01/00
IN RE: ~state of
,"-. c~
File No: 06-CP-001306
ROBERT LUTHER KELLER,
Deceased.
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STATE OF FT.f'llHnl1
COUNTY OF HTLT.SBOROUGH
I, the undersigned, c.h prl f: d ~ tie If e:.r .' ,do hereby state:
(pn name personal representative)
1. I am the Personal Representative as defined in s. 198.01 or s. 731.201, Florida Statutes (F.S.), as the case may be,
of the Estate of ROBERT LUTHER KELLER
(pnnt name Of decedent)
2. The decedent referenced above, whOSE! Social Security Number is .205 -1 6 - 7 3 62 , died
on J13rcJfjl&a~J and was domiciled, as defined in s. 198.015, F.S., at the time of death in the state
of FLORIDA
On date of death, the decedent was (check one): IJt a U.S. citizen 0 D.Q1 a U.S. citizen
3. A federal estate tax return (federal Form 706 or 706-NA) is not required to be filed for the Estate.
4. The Estate does not owe Aorida estate tax pursuant to Chapter 198, F.S.
5. I acknowledge personal liability for distributl(,m in whole or in part of any of the Estate by having obtained release of
such property from the lien oUhe Aorida estate tax.
Under penalties of perjury, I declare that I have read this Affidavit and that the facts stated are true.
Executed rn~ day of _ P1 0.. ., .20 C. I"
Signature: C1 ~J ~~ (]'. 7f!~
Print Name: tiler! e., A. Xp If p r ,
- --Maffing-Address: /0 C)1J<f IV 620#7 Sf,
\, 7arnoa, FLor/dq Telephone: J/3 - 9S-fo ~;2td[;
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STATE OF F \e:.\".' ~ "'-
COUNTY OF J ~.~ ,\ ~ b(]'v~v ,~
Sworn to (or affirmed) and subscribed before me by
on this 1 0-4 day of """ c.. _.
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,20010 .
Signature of Notary:
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~~ EXPIRES: A,d 15,2000
"~GFf\ll"" 8CIndId 11Inr _ "'liIMlII
(Pont, Type, or stamp Name of.Notary)
~
Personally known L----
Or Produced Identification
Type of Identification Produced
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In The Circuit Court For Hillsborough County Florida
PRODA TE DIVISION
UCN Number: 292006CP001306DECETA
Ref Number: 0601306
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IN RE: ESTATE OF
KELLER, ROBERT LUTHER
Deceased
STATEMENT OF CLAIM
The undersigned hereby presents for filing against the above named estate, this statement of claim and alleges:
1. The basis for the claim is: Services Rendered From: BAYFRONT MEDICAL CENTER MC OP, Acct No: 487216101.
2. The social security or tax identification number of the claimant is 59"()832248 , and the name and address of the
claimant is: MAF Collection Services, 134 South Tampa Street, Tampa, FL 33602
3. The amount of the claim is; $39.47
which amount is now due and owing or ifnot due, will become due on
4. The claim (is) (is not) contingent or unliquidated. If contingent or unliquidated, the nature of the uncertainty is:
5. The claim (is) (is not) secured. Ifsecured, the security consists of:
Under penalties of perjury, I declare that I have read the foregoing and the facts alleged are true, to the best of my knowledge and
belief.
Executed this:lJL day of
June, 2006
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Ms. Lucy Lopez
800-226-6188 En 4
Attorney for Claimant
Copy mailed to attorney for the Personal
Representative on
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Florida Bar No.
CLERK OF THE CIRCUIT COURT
by 1-.-J~tL' ~~.
MUST BE FILED IN DUPLICATE
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IN RE: ESTATE OF
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In The Circuit Court For Hillsborough County Florida
PROBATE DIVISION
UCN Number: 292006CP001306DECET A
Ref Number: 0601306
STATEMENT OF CLAIM
The undersigned hereby presents for filing against the above named estate, this statement of claim and alleges:
1. The basis for the claim is: Services Rendered From: PRASAD ISHWARI MD, Acct No: 457608001
2. The social security or tax identification number of the claimant is 59-0832248 , and the name and address of the
claimant is: MAF Collection Services, 134 South Tampa Street, Tampa, FL 33602
3. The amount of the claim is: $118.88
which amount is now due and owing or ifnot due, will become due on
4. The claim (is) (is not) contingent or unliquidated. If contingent or unliquidated, the nature of the unCertainty is:
5. The claim (is) (is not) secured. Ifsecured, the security consists of:
Under penalties of perjury, I declare that I have read the foregoing and the facts alleged are true, to the best of my knowledge and
belief.
Executed this: l!. day of
June, 2006
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Claimant
Ms. Lucy Lopez
800-226-6188 Ext 4
Attorney for Claimant
Copy mailed to attorney for the Personal
Representative on
Florida Bar No.
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CLERK OF THE CIRCUIT COURT
by f--<~..I~) ~_"._ ..
MUST BE FILED IN DUPLICATE
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IN THE CIRCUIT COURT FOR HILLSBOROUGH COUNTY,
FLORIDA
IN RE: ESTATE OF
PROBATE DIVISION
KELLER, ROBERT LUTHER
WITHDRAWAL OF CLAIM
Deceased
The undersigned hereby presents the withdrawal of claim against the above estate.
MAP Collection Services
PO Box 2842
Tampa, FL 33601-2842
1-800-226-6188 Ext 4
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Claimant
LUCY LOPEZ
MAP Collection Services
MID 4872161-01
BA YFRONT MEDICAL CENTER MC OP
AMOUNT: $39.47
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IN THE CIRCUIT COURTFOR HILLSBOROUGH COUNTY,
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KELLER, ROBERT LUTHER
WITHDRAWAL OF CLAIM
Deceased
The undersigned hereby presents the withdrawal of claim against the above estate.
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MAF Collection Services
PO Box 2842
Tampa, FL 33601-2842
1-800-226-6188 Ext 4
Claimant
LUGY LOPEZ
MAF Collection Services
MID 4872161-01
BA YFRONT MEDICAL CENTER Me OP
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ub-llo 6
LAST WILL AND TESTAMENT OF ROBERT L. KELLER
Table of Contents
Use of Defined Terms
PART ONE: APPOINTMENTS AND IDENTIFICATIONS
1.01 Children.
1.02 Executor.
1.03 Successor Executor.
PART TWO: DISPOSITIONS
2.01 General.
2.02 Personal and Household Effects.
(1) Gift to Children.
(2) No Survivor.
2.03 Residue.
(1) Disposition.
(2) Major Disaster.
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PART THREE: ADMINISTRATION OF ESTATE
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3.01 Payment of Debts and Taxes.
3.02 Powers of Executor.
(1) General.
(2) Time and Method of Distribution.
(3) Selection of Assets for Distribution.
(4) Conflicts of Interest.
(5) Elections and Options.
(6) Encumbered Distribution.
(7) Methods of Payment to Certain Beneficiaries.
(8) Executor's Discretion Controlling.
3.03 Transactions With Related Parties.
3.04 Administration of Out-of-State Properties.
3.05 Accounting to Successor Executor.
3.06 Compensation and Bond.
3.07 Liability of Executor.
INSTR # 2006327402
o BI{ 16683 PG 0355
Pgs 0355 - 364; (lOpgs)
RECORDED 07/07/2006 03:03:38 PM
PAT FRANK CLERK tF COURT
HILLSBOROUGH COONTY
DEPUTY CLERK S Willials
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PART FOUR: DEFINITIONS
4.01 Survive.
4.02 Issue, Descendants, and Children.
4.03 Personal and Household Effects.
4.04 Residue.
4.05 Per Stirpes.
4.06 Code.
PART FIVE: MISCELLANEOUS
5.01 Use of Words.
5.02 Invalid Provisions.
5.03 Headings; Table of Contents.
Attestation
Signatures of Witnesses .
Self-Proving Clause
WILL OF ROBERT L. KELLER
I, Robert L. Keller of Cumberland County, Pennsylvania, declare this to be my
Will. I revoke any previous Wills and Codicils.
USE OF DEFINED TERMS
I have used several terms in this Will that are defined in Part Four. I have
reviewed in detail the definitions set forth in Part Four, and I direct that those definitions
shall apply throughout this Will unless the context in which a defined term is used clearly
implies another meaning.
PART ONE
APPOINTMENTS AND IDENTIFICATIONS
1.01 Children. At the time of signing this Will I have the following child: Cherie
A. Keller. Further definition of my children, issue, and descendants appears in Part Four
of this Will.
1.02 Executor. I appoint Cherie A. Keller of Hills borough County, Florida as my
Executor.
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1.03 Successor Executor. Ifmy original Executor ceases or fails to serve, I
appoint Gloria Keller of Cumberland County, Pennsylvania, as my Executor. Any
Executor original or successor, named herein may be referred to herein as my Executor.
PART TWO
DISPOSITIONS
2.01 General. I intend to dispose of all of my property.
2.02 Personal and Household Effects.
(1) Gift to Children.
(a) My Executor shall distribute my Personal and Household Effects among my
children who survive me, in shares of substantially equal value as determined by my
children; but
(b) If my children fail to make this determination within six (6) months after my
death or if they are incapable of making a division among themselves because of age or
for other reasons, then my Executor shall determine the share of each child.
Notwithstanding the foregoing sentence, my Executor in its sole and absolute discretion
may include my Personal and Household Effects directly in my Residue or sell any such
property and include the proceeds in my Residue.
Any division and distribution made by my Executor shall be binding upon all
persons, including my children.
(2} No Survivor. If none of my children survives me, my Personal and Household
Effects shall be added to my Residue.
2.03 Residue.
(1) Disposition. I give my Residue to my descendants who survive me, per
stirpes.
(2) Major Disaster. If all of my descendants fail to survive me, my Executor shall
distribute my Residue to those persons who would inherit from me in accordance with the
laws of intestate succession then in effect in the Commonwealth of Pennsylvania.
3
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PART THREE
ADMINISTRATION OF ESTATE
3.01 Payment of Debts and Taxes. Except as otherwise provided in this Will, I
direct that all my legally enforceable debts, funeral expenses, expenses of the
administration of my estate, and federal estate and.state inheritance taxes, including
interest and penalties thereon, becoming payable because of my death (except any
generation-skipping transfer tax imposed by Section 2601 of the Code or any recapture
tax imposed by Section 2032A of the Code) be paid out of my Residue. Any debts from
borrowing the cash surrender value of any life insurance policy shall be paid from the
proceeds of the respective policy, and my Residue shall not be burdened with such
indebtedness.
3.02 Powers of Executor.
(1) General. In addition to the powers given to my Executor by law, I grant to my
Executor the following powers with respect to my estate:
(a) To retain any property of my estate;
(b) To convey, sell, ftansfer, exchange, partition, mortgage, pledge, lease, assign,
or otherwise dispose of, hypothecate, or deal with any and all properties in my estate;
(c) To borrow or lend money for such purposes and on such terms and conditions
as my Executor deems appropriate;
(d) To invest and reinvest any assets, funds, properties, or income of my estate in
such properties or investments as my Executor deems appropriate;
(e) To extend or renew any indebtedness upon such terms and for such time or
times as my Executor deems appropriate;
(f) To settle claims in favor of or against my estate; and
(g) To continue the operation of any proprietorship, partnership, corporation, or
other business owned by my estate, including the power to carry out and enforce the
provisions of any agreement for the disposition of my interest in any such business
enterprise, even though my Executor may be fmancially interested in such business or
agreement.
My Executor may exercise these powers for any purpose and upon such terms,
conditions, and limitations (whether or not to exist longer than the adrilinistration of my
estate) which in the judgment of my Executor shall be in the best interest of my estate
and the beneficiaries thereof.
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(2) Time and Method of Distribution. Final distribution of my estate shall be
made when my Executor determines the time to be appropriate. Prior thereto, partial
distributions may be made whenever my Executor shall deem it advisable. Distributions
may be made in cash or in kind, or partly in each, and for this purpose, the determination
of my Executor as to the value of any property distributed in kind shall be conclusive.
(3) Selection of Assets for Distribution. My Executor shall in its sole and
absolute discretion select assets or property to be distributed in satisfaction of any devise
or bequest in my Will without respect to the income tax basis of such assets or property.
My Executor specifically is excused from any duty of impartiality with respect to the
income tax basis of such property.
(4) Conflicts of Interest. I realize that in the course of the administration of my
estate conflicts of interest may develop betWeen beneficiaries of my estate. For example,
conflicts may develop because of a choice of alternatives involved in valuing assets for
various purposes. In the resolution of any conflict of interest, I request (but do not so
direct) that my Executor first make a reasonable effort to determine the overall effect of
the conflict in the administration of my estate and in the distributions to be made and then
make reasonable efforts to resolve the conflict by the mutual agreement of the respective
beneficiaries or recipients. In the event that a mutual agreement cannot be reached after
reasonable efforts, my Executor shall resolve the conflict in its sole and absolute
discretion.
(5) Elections and Options. I confer upon my Executor the sole and absolute
discretion to exercise any election or option given to my Executor under the revenue laws
of the United States or any state in which this Will may be probated or in which property
of which I own an interest at the time of my death may be located. My Executor may
exercise such discretion without regard to the relative interests of the beneficiaries of my
estate, without compensating adjustments among the beneficiaries of my estate, and
notwithstanding the possibility that such decisions may increase the amount of my
taxable estate. Without limiting the generality of the foregoing sentence, my Executor is
authorized, in its sole discretion, to claim any expense of administration of my estate as
an estate tax deduction or as an income tax deduction; to elect to extend the payment of
any tax over such period as may seem appropriate to my Executor and available under
law; to elect to value any asset of my estate under any alternative Evaluation formula
which may be permitted under the Code; to select the alternative valuation dates for the
valuation of my estate; to disclaim or renounce, in whole or in part, any gift, inheritance,
life insurance, or employee benefit payable to my estate; and to file any tax returns for
any year or years for which I have not filed such return or returns prior to my death and
to pay any taxes (together with any interest and penalties thereon) as my Executor shall
deem proper.
(6) Encumbered Distribution. My Executor is authorized to distribute to any
beneficiary of my estate any asset of my estate subject to any and all indebtedness
incurred by me or by my Executor which indebtedness, in the sole and absolute discretion
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or opinion of my Executor, need not be paid first, or to distribute any such property or
asset subject to any or all mortgages, deeds of trust, or the liens, encumbrances, or
obligations created by me or by my Executor.
(7) Methods of Payment to Certain Beneficiaries. If any beneficiary to whom my
Executor is authorized by this instrument to make distributions is under a legal disability
or is, in the opinion of my Executor, incapable of properly managing his or her affairs,
my Executor may make such distributions in anyone or more of the following ways:
(a) To such beneficiary directly;
(b) To the guardian, committee, conservator, or other similar official of such
beneficiary;
(c) To a relative of such beneficiary to be expended by such relative for the
benefit of such beneficiary, including payment to such relative;
(d) To a custodian selected by my Executor under an applicable Uniform
Transfers to Minors Act; or
( e) By my Executor expending the same directly for the benefit of such
beneficiary.
Any person (other than the beneficiary) who receives a distribution for the benefit of the
beneficiary pursuant to the preceding sentence is authorized to give a valid receipt and
discharge for the distribution. The distribution to such beneficiary or other person to
whom payment is made or entrusted shall be a complete discharge to my Ex~cutor, and
my Executor shall be without obligation to see to the further application of such
distribution.
(8) Executor's Discretion Controlling. Any decision made under this Section or
any other provision of this Will by my Executor with respect to any matter shall bind
each beneficiary of my estate, and any other person howsoever interested in my estate; .
and my Executor shall not be required to make any compensating adjustments between
income or principal or among any beneficiaries, trustees, or any other person as a result
of my Executor's action or inaction.
3.03 Transactions With Related Parties. The powers of my Executor to enter into
any transaction shall in no way be limited by the fact that the same or another party to
such transaction is an Executor of my estate or of any other estate; a beneficiary of my
estate or of any other estate; the estate of such beneficiary (whether living or deceased); a
trust (created herein or elsewhere); or an executor or trustee of any such estate or trust.
3.04 Administration of Out-of-State Properties. If the appointment of an ancillary
personal representative of my estate is necessary or desirable in any jurisdiction in which
no Executor of mine is able and willing to act, my Executor may appoint, by.written
6
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instrument, any individual or corporation as my ancillary personal representative in that
jurisdiction. My ancillary personal representative may be an officer or employee of my
Executor, shall serve free of court supervision insofar as legally possible, and shall have
all the powers and discretion with respect to my estate in that jurisdiction that my
Executor is given in this Will. My Executor may reasonably compensate my ancillary
personal representative for its services, may reimburse it for its expenses, and may
absolve it from any requirement that it furnish bond or other security.
3.05 Accounting to Successor Executor. Any successor Executor is
authorized (but not directed) to accept the assets delivered by or for a predecessor
Executor on the basis of the accounting therefor without requiring an audit or other
independent accounting of the acts of such predecessor Executor. Any successor
Executor shall not be liable for, or liable for failure to rectify, any act or omission of any
predecessor Executor.
3.06 Compensation and Bond. No Executor shall furnish bond. Any Executor
herein named or otherwise appointed shall be entitled to reasonable fees commensurate
with its duties and responsibilities, taking into account the value and nature of my estate
and the time and work involved, without regard to any statutory provision as to fees, and
if it is a corporation, then not less than its then current minimum fee for such services. If
any licensed attorney or certified public accountant shall serve as Executor, such person
shall be compensated for services rendered on the basis of such person's customary
charges for legal or accounting services.
3.07 Liability of Executor. The Executor shall be liable only for its own
negligence or willful misconduct.
PART FOUR
DEFINITIONS
4.01 Survive. For purposes of this Will, one person shall be regarded as having
survived another only if the former survived the latter by sixty (60) days or more.
4.02 Issue, Descendants, and Children. Wherever used in this Will, the word
"issue" or the word "descendants" shall mean legitimate descendants of whatever degree,
including descendants both by blood and by adoption. Any reference in this Will to my
"children" shall include not only my natural and adopted children living or deceased at
the date this Will is signed, but also any child or children thereafter born to me or adopted
by me. For purposes of this Will, a person shall be regarded as having been adopted by
another only if the adoption is by court proceedings, the finality of which is not being
contested by the adopting person. A child en ventre sa mere shall be regarded for
purposes of this Will as though such child were then living, but only if such child
survives birth.
VER/FiEE;1
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4.03 Personal and Household Effects. All references in this Will to my "Personal
and Household Effects" shall mean my jewelry, clothing, books, china, crystal and
silverware, furniture and furnishings, objects of art, boats, automobiles, club
memberships, and all other personal property of a nature, use, and classification similar to
the foregoing, and includes all rights that I may have under any insurance policies
relating thereto. Expressly excluded from this definition is any tangible personal
property regularly used in connection with any business in which I own any interest.
4.04 Residue. All references in this Will to my "Residue" shall mean all the
remainder of my property, of whatsoever kind (whether real, personal, or mixed, and
whether tangible or intangible) and wheresoever situated (and including all lapsed
bequests and devises which fail for any reason), not specifically disposed of herein.
Should I possess one or more powers of appointment, however, I call attention to the fact
that I do not desire to exercise any such power; neither such power nor any property
subject to any such power shall be regarded as part of my Residue.
4.05 Per Stirpes. All references in this Will to "per stirpes" shall mean a
distribution in accordance with this Section. Whenever a distribution is to be made to the
descendants of any person, the property to be distributed shall be divided into as many
shares as there are (1). living children of the person, and (2) deceased children of the
person who left descendants who are then living. Each living child (if any) shall take one
share and the share of each deceased child shall be divided among his then living
descendants in the same manner.
4.06 Code. All references in. this Will to the "Code" shall mean the Internal
Revenue Code of 1986, as amended, and shall be deemed to refer to corresponding
provisions of any subsequent federal tax law.
PART FIVE
MISCELLANEOUS
5.01 Use of Words. As used in this Will, whenever the context so indicates, the
gender of all words shall include the masculine, feminine, and neuter, and the number of
all words shall include the singular and plural.
5.02 Invalid Provisions. If any part of this Will shall be invalid, illegal, or
inoperative for any reason, it is my intention that the remaining parts, so far as possible
and reasonable, shall be effective and fully operative. My Executor may seek and obtain
court instructions for the purpose of carrying out as nearly as may be possible the .
intention of this Will as shown by the terms hereof, including any terms held invalid,
illegal, or inoperative.
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5.03 Headings; Table of Contents. The Table of Contents and the headings used
throughout this Will have been inserted for administrative convenience only, and do not
constitute matter to be construed in interpreting this Will.
In Witness Whereof, I have set my han~BI!1 seal to this my last Will and
Testament, this ,),,..,(1 dayof /tfn . ,2003.
) ,~~~ (SEAL)
Robert L. Keller
Signed, sealed, published and declared by Robert L. Keller, the above-named
testator, as and for his last Will and Testament, in the presence of us, who, at his request,
in his presence at the same time, have hereunto subscribed our names as witnesses.
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ature 0 witness) Address
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(signature of witness )
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND:
:SS.
We, ~,bb} L .f{enCK', Jim /f1.'1-f'r , ~f"lIt P"thJL and
~ ~ JkUOt'l , the Testator and the witnesses, respectively, whose names are signed
to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned
authority that the Testator signed and executed the instrument as his last Will and that he
had signed willingly, and that he executed it as his free and voluntary act for the
purposes therein expressed, and that each of the witnesses, in the presence and hearing of
the Testator, signed the Will as witness and that to the best of each such witness's
knowledge the testator was at that time eighteen years of age or older, of sound mind and
under no constraint or undue influence
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TesWor~~~
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Witness~' ,J.~.
Subscribed, sworn to and acknowledged befo!e me by Robert L. Keller, the . ,.
T~tor. and subscribed and sworn befor:ame by ~ . t. "'t r.c. ....... .
rlH, tksJ'1'\ , witnesses, this 'L2~ day of . ,2003.
My Commission Expires:
Narmal Seal
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IN THE CIRCUIT COURT IN AND FOR mLLSBOROUGH COUNTY, FLORIDA
PROBATE DIVISION
IN RE: ESTATE OF
ROBERT LUTHER KELLER,
Deceased.
File Number: 06.CP.00130~
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ORDER ADMITTING WILL TO PROBATE
AND APPOINTING PERSONAL REPRESENTATIVE
( self.proved)
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The instrument presented to this court as the last will of ROBERT LUTHERr<ELLER,
deceased, having been executed in conformity with law, and made self-proved by the
acknowledgment of the decedent and the affidavits of the witnesses, each made before an officer
authorized to administer oaths and evidenced by the officer's certificate attached to or following
the will in the form required by law, and no objection having been made to its probate, and the
court finding that the decedent died on March 6, 2005 and that CHERIE A. KELLER is .qualified
under the laws of the State of Florida to serve as personal representative, it is
ADJUDGED that the will dated April 22, 2003 and attested by Robert L. Keller, Jim
Moyer, and Lome Patrick as subscribing and attesting witnesses, is admitted to probate according
to law as the last will of the decedent, and it is further
ADJUDGED that CHERIE A. KELLER is appointed personal representative of the estate
of the decedent, and that upon taking the prescribed oath, filing designation of resident agent and ,
acceptance, and entering into bond in the sum of $ ~
, letters of administration shall be
issued.
ORDERED on !)'? ~.
, 2006.
~~
CIRCUIT COURT JUDGE
Copies provided to:
David C. Bearden, Esq.
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IN THE CIRCUIT C-. IN AND FOR mLLSBOROUG~TY'FLORIDA
PROBATlt DIVISION
IN RE: ESTATE OF
File Number: C>~ -c.. p - 0 c, , 3 0 ~
ROBERT LUTHER KELLER,
Deceased.
I
OATH OF PERSONAL' REPRESENTATIVE [3p ~
DESIGNATION OF RESIDENT AGENT. AND ACCEPTANCE .~fci ~
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I, CHERIE A. KELLER, state under oath that: ~::C:; ~
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1. I have been appointed personal representative of the estate of ROBERT LtftHER
. KELLER, deceased.
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
2. I will faithfully administer the estate of the decedent according to law.
3. My place of residence is 10908 N. 20th Street, Tampa, Florida 33612 and" my post
office address is 10908 N. 20th Street, Tampa, Florida 33612.
4. I hereby designate DAVID C. BEARDEN, ESQUIRE, who is a member of the
Florida Bar, a resident of Hillsborough County, Florida, and whose place of residence is 200 N.
Pierce Street, 4th Floor, Tampa, FL 33602, and whose post office address is 200 Pierce Street, 4th
Floor, Tampa, FL 33602 as my agent for the service of process or notice in any action against
me, either in my representative capacity, or personally, if the personal action accrued in the
administration of the estate.
~ (). !{df~
CHERIE A. KELLER .
Sworn t subscri et efore me on 1"'1 o...~ ;).. .)...... , 2006, by
Affiant, wh is personally known t me or produced as
identification. ~ _' _ ~
Notar~c Stat~ofFlori a
My commission Expires:
Affix Notarial Seal
ACCEPTANCE
I CERTIFY that I am a permanent resident of Hillsborough County, Florida, residing at
the place indicated above. I hereby accept the foregoing designation as Resident Agent.
Signed on /Yl *'> /1'" , 200
DAVID
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INSTR :/I 2006327403
o II. 16683 PG 0365
Pgs 0365 - 366= (2pgs)
RECORDED 07/07/2006 03:03:38 PM
PAT. FRANK CLERK OF COURT
HILLSBOROUGH COONTY
DEPUTY CLERK S Willials
0(, -18D~
DO. NOT REMOVE THIS
PAGE FROM 'DOCUMENT
This Represents the Validation Required
Pursuant to Florida Statute 28.222 and
695.26.(l)(e) and/or Rule 2.055 (c) of the
Rules of Judicial Administration for the
recordation of the following document in '
the Official Records of ,Hillsborough
County, Florida
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.'.'" ~HE CIRCUIT CO.IN AND FOR IDLLSBOROliGlflt-uNiY:i'LORIDA
1/ PROBATE DIVISION
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CIRCUIT PROBATE DIVISION
IN RE: EST ATE OF
File Number: Ob-IJ~
ROBERT LUTHER KELLER,
Deceased.
I
LETTERS OF ADMINISTRATION
TO ALL WHOM IT MAY CONCERN:
WHEREAS, ROBERT LUTHER KELLER, a resident of Hills borough County, Florida
died on March 6,2005, owning assets in the State of Florida and,
WHEREAS, CHERIE A. KELLER has been appointed personal representative of the
estate of the decedent and has performed all acts prerequisite to issuance of Letters of
Administration in the estate.
NOW THEREFORE, I the undersigned Circuit Judge declare CHERIE A. KELLER to be
duly qualified " under the laws of the State of Florida to act as personal representative of the estate
of the deceased with full power to administer the estate according to law; to ask, demand, sue, or
recover and receive the property of the decedent; to pay all debts of the decedent as far as the
assets of the estate will permit and the law directs; and to make distribution ofthe estate
according to law.
WITNESS my hand and the seal of this court this J!f?t- day of r
2006.
d-z
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CIRCUIT JUDGE
Copies to:
David C. Bearden, Esq.
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IN THE CIRCUIT COURT IN AND FOR HILLSBOROUGH COUNTY, FLORIDA
PROBATE DIVISION
INRE: ESTATE OF
File Number: ()~ -c..P - 0 (, t 3Gb
ROBERT LUTHER KELLER
Deceased.
I
NOTICE OF ADMINISTRATION
The administration of the estate of ROBERT LUTHER KELLER, deceased, File Number
O\n - LP-w \ ~(; lo , is pending in The Circuit Court for Hillsborough County,
Florida, Probate Division, the address of which is 800 E. Twiggs Street, Tampa, Florida 33602.
The names and addresses of the personal representative and the personal representative's
attorney are set forth below.
ALL INTERESTED PERSONS ARE NOTIFIED THAT:
All persons on whom this notice is served who have objections that challenge the validity
of the will, the qualifications of the personal representative, venue, or jurisdiction of the Court
are required to file their objections with this Court WITHIN THE LATER OF THREE
MONTHS AFTER THE DATE OF THE FIRST PUBLICATION OF THIS NOTICE OR
THIRTY DAYS AFTER THE DATE OF SERVICE OF A COPY OF THIS NOTICE ON
THEM.
All creditors of the decedent and other persons having claims or demands against
decedent's estate on whom a copy of this notice is served within three months after the date of
the first publication of this notice must file their claims with the Court WITHIN THE LATER
OF THREE MONTHS AFTER THE DATE OF THE FIRST PUBLICATION OF THIS
NOTICE OR THIRTY DAYS AFTER THE DATE OF SERVICE OF A COpy OF THIS
NOTICE ON THEM.
All other creditors of the decedent and persons having claims or demands against the
decedent's estate must file their claims with this Court WITHIN THREE MONTHS AFTER
THE DATE OF THE FIRST PUBLICATION OF THIS NOTICE.
ALL CLAIMS, DEMANDS AND OBJECTIONS NOT SO FILED WILL BE
FOREVER BARRED.
. ---'"
The date of the first publication of this Notice has begun on ~) u \ "{-:J , .").ro ~ .
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Cherie A. Keller, Peti ioner . .
10908 N. 20th Street 31"t'2Q):kl. Sl1'l":
Tampa, Florida 33~r7..\ 'A1H3 H~f1\\~1~~313 L I
1'61103 l\f\JI~ >J ,
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AV C. EARDEN, ESQ.
Florida Bar No.: 999369
OLSON & BEARDEN, P.A.
200 N. Pierce St. - 4th Floor
Tampa, Florida 33602
(813) 222-0888
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--*--------
-
IN THE CIRCUIT COURT IN AND FOR HILLSBOROUGH COUNTY, FLORIDA
PROBATE DIVISION
IN RE: ESTATE OF
File Number: 0 ~- cf- 130 lD
ROBERT LUTHER KELLER,
Deceased.
/
STATEMENT REGARDING CREDITORS
(individual)
The undersigned, CHERIE A. KELLER, as the personal representative of the estate of
ROBERT LUTHER KELLER, deceased, alleges:
1. A Notice of Administration in the estate of the decedent has been published as
required by law, with the first publication occurring on-:5 ..;\"1' ,2006.
2. Diligent search has been made to ascertain the names and location or mailing
addresses of all creditors of the decedent and of all other persons having claims or demands
against the estate.
3. The names and, ifknown, the addresses of all creditors and other persons
ascertained to have claims or demands against the estate and who have not filed a timely claim or
who have not had their claim included in a Personal Representative's Proof of Claim filed in this
proceeding; are:
Attached as Schedule A Creditor Service List
4. A copy of the Notice of Administration was served on each of the persons named
on the attached schedule (if any) within three months after the first publication of the Notice of
..-,...
Administration, except as otherwise indicated on that schedule.
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Under penalties of peIjury, I declare that Ihave read the foregoing, and the facts alleged
are true, to the best of my knowled
Signed on
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, 2006.
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Chene A. Keller as
Personal Representative, Estate of
Robert Luther Keller
David . earden, Esq,
Fla. Bar No.: 999369
OLSON & SEARDEN, P.A.
200 N. Pierce St. - 4th Floor
Tampa, FL 33602
(813) 222-0888
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SCHEDULE A CREDITOR SERVICE LIST
Name/Address
Date of Service
Agency for Health Care Administration
Ft. Knox Bldg. 3, 2728 Ft. Knox Blvd.
Tallahassee, Florida 32308-5403
07/21/2006
The Abbey Rehabilitation & Nursing Home
7101 North 9th Street
St. Petersburg, Florida 33702
07/21/2006
Dr. Hover '
8100 4th Street N.
St. Petersburg, Florida 33702
07/21/2006
Kindred Pharmacy
9402 International Court
St. Petersburg, FL 33702
07/21/2006
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\tiINf.ss llEVlEW
Published weekly
Tampa. Hillsborougb County. Florida
couNTY OF HllLSBOROUGH
S.S. 06-cp-001306
STATEOFFLORlDA
Matt Walsh
Before the undersigned authority personally appeared
who on _ says that 110 Is PubIi$bOt at: tho Gulf Coast Busi- RevieW. a weeklY
.....[lIII>C' publisbod at Tampa in HlllsboJ<>Ugh CountY. Florida; that tho .....,bed copy of
advertisement.
Notice of Administration
being a
Estate of Robert Luther Keller
in the matter of
Circuit
Court. was published in said newspaper in the
July 7.14.2006
in the
issues of
Affiant further says that the said Gulf Coast Business Review is a newspaper
publlabod at T~ HiDsb<>In'Jgh CountY. Florida. and that said _s[llll>C' bas betetOfore
"..., _6......IY publ\SbOd and bas .- ~ as second-class ........ at tho Post Offiee
in Tampa In said HlUsl>CJtOUgh CountY. Florida. for a period of one Y"" next p<<eediog tho
fint pub_em at: tl10 _bod copy at: .,dverti,.ment; and affiont further says that be bas
ocitbor paid nor """",sed OIlY pmon. Iimt or corpomtiem any d\ScOuot. _te. commission
or rerand for thop;upose of ~ this advertisement for publicatioo io said _spaper.
"hutft;1h.WJ
Matt Walsh
Sworn to and subscribed before me this
14tbdayof July A.D. 2006.
by Matt Walsh. who is personally known to me.
rn~ ~S_ofFlorida
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Clerk of the Circuit Court
HiIIsborOugh County. Florida
P.O. Box 1110
Tampa, FL 33601
Telephone (813) 276-8100
August 31, 2006
Kindred Pharmacy Services
9402 International Court,
St Petersburg, FL 33716
PROBATE DIVISION
RE: Estate of Robert Luther Keller. deceased
Case No: 06-CP-001306
Dear Lynda P:
We are returning your claim in the amount of $3227.15 for the following reason:
[] We cannot accept your claim for flling as we cannot verify a probate case on flIe for the decedent.
[] In order for us to conduct a record search to determine if an estate exists for the above-named person,
yW'ust include the statutory fee of $1.50 per name, per year to be searched. pursuant to F :5. 28.24.
[] ~rder closing the proceeding on a [Formal Administration, Summary Administration) was signed on
'~., . No claims can be accepted.
[XX ] Other: Please submit the orlalnal and one COpy for our use. (>Ne send a date stamped copy to the
attomey of record}. If you wish a COpy retumed to you with the flling date, please send a third CODY. and a
SASE. Any supporting documents (invoices) must be attached to each coov. submitted. Please make
sure the priainal sac has an original signature of an individual.
(j. You can check our website for probate case before you submit your claims in future. Go to www.hillsclerk.com
and do an online records search. Go to court DfOQress dockets menu and then name search and court tvoe
'grobate.'
Cordially,
enclosure
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CLERK OF THE CIRCUIT COURT
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IN THE CIRCUIT COURT FOR HILLSBOROUGH COUNTY, FLORIDA
. PROBATE DMSION
INRE: ESTATE OF
~~"LU~.~QlL~.K'::
FILE NO. \) 'U>- \ ~ \) \.D
DMSION
Deceased.
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" - The m. .dersigned hereby presents for fllirig against the above estate tIiis statement
of claim and alleges:
1. ThebasisfortheClaimis~ S:>1DlrQS
. The name and ~ oftIJT claimant ~~ i't'Al.I)!?lr-t~ ~ 1;i~
, \ ~JA1{:..ff~',(~i1~l~.1L. ~. :'~~--1'::' .",.J ;7Q.,R ~<'~.JL::'~ ;. H_' t2:.'1.:;i7(:
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3. The amount of the claim is $ 3~'1. \ 5 , which amount is now due, or, ifnot
due, will become due on ~~ -:CUt.-. ; c
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4. The claim (is)8 contingent or unliquidated. If contingent or unliquidated, the ~ ~r
nature of the uncertainty is ;g;3: "
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Under penalties of perjury, I declare that I have read the foregoing, and the facts a~ ar{;
1Iue, to the best of my knowledge and belief: C" W
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Attorney for Claimant
Florida Bar No.
Copy mailed to attorney for the
Personal Representative on
:Jt'p. 7 ,~
CLERK. OF TIm CIRCUIT COURT
Telephone:
By: ~ ~kH
MUST BE ~ED IN DUPLICATE
PROB093( 1 0123/02)
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IN THE CIRCUIT COURT IN AND FOR HILLSBOROUGH COUNTY, FLORIDA
PROBATE DIVISION
INRE: ESTATE OF:
File Number: 06-CP-001306
ROBERT LUTHER KELLER
Deceased.
I
PROOF OF SERVICE OF INVENTORY
I HEREBY CERTIFY that a copy of the INVENTORY of the above estate was furnished
to the Department of Revenue, Tallahassee, Florida, and to the following interested persons! if
any:
by certified U.S. Mail on this 8-/1. day of September, 2006.
t,-
David C. Bearden, Esq.
Fla. BarNo.: 999369
OLSON & BEARDEN, P.A.
200 N. Pierce St. - 4th Floor
Tampa, Florida 33602
(813) 222-0888
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DATE SEALED:
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~VENTORY OF
';E8S0NAL
\EPRESENT ATIVE
AMENDED INVENTORY FILED-
EXEMPT FROM PUBLIC ACCESS PURSUANT
TO F.S. 733.604(1)
TO BE OPENED UPON COURT ORDER ONLY
RICHARD AKE
CLERK OF CIRCUIT COURT
HlLLSBOROUGH COUNTY FLORIDA
TO BE ENED
UPON COURT
ORDER ONLY
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--41---..-----. ..
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IN THE CIRCUIT COURT IN AND FOR HILLS~OROUGH COUNTY, FLORIDA
PROBATE DIVISION
INRE: ESTATE OF
File Number: 06-CP-001306
ROBERT LUTHER KELLER
Deceased.
I
PETITION TO DETERMINE HOMESTEAD STATUS OF REAL PROPERTY
(testate)
Petitioner, DAVID C. BEARDEN, alleges:
1. The decedent, ROBERT LUTHER KELLER, died testate on March 6, 2005,
domiciled in Hillsborough County, Florida, and was survived by:
a. One or more adult lineal descendants.
2.
At the time of~the decedent's death the decedent owned and resided on:tb.e
3.
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At the time it was acquired by decedent the Property was located insid~F a
following described real property (the "Property"):
Briarwood Unit No 1
Lot 10 and S 4Ft of Lot 11 Block 16
parcel identification number A-18-28-19-43F-000016-00010.0
municipality, and met all requirements for homestead under the Constitution of
the State of Florida.
4. Decedent's last will [and codicils, if any] which was admitted to probate and
record by Order of this Court entered June 29,2006, devised the Property as
follows:
I appoint Cherie A. Keller of Hillsborough County, Florida as my Executor. 3.02
Powers of Executor. (a) To retain any property of my estate. (b) To convey, sell,
transfer, exchange, partition, mortgage, pledge, lease, assign, or otherwise dispose
of, hypothecate, or deal with any an all properties in my estate.
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5. Petitioner believes the Property was validly devised because:
ROBERT LUTHER KELLER was mentally and emotionally competent to make
the will as attested to by JIM MOYER, LORNE PATRICK and PATTY
HESSON.
6. The property constitutes the homestead of the decedent within the meaning of
Section 4 of Article X of the Constitution of the State of Florida, and the
petitioner believes that upon decedent's death, title to the Property descended to
and the constitutional exemption from claims of decedent's creditors inured to:
CHERIE A. KELLER.
7. The names of the decedent's surviving spouse, if any, and the names of the
decedent's surviving lineal descendants and heirs at law having an interest in the
decedent's estate, if any, and their respective relationships to decedent and dates
of birth are:
Name Relationship Date of Birth
Cherie A. Keller Daughter N/ A
8. The Notice of Administration for this estate was first published on July 7,2006,
and copies of the Notice were served upon: Cherie A. Keller.
9. Claims which remain unsatisfied have been filed in this estate by:
See Schedule A Creditor Service List
10. The only persons, other than the petitioner, having an interest in this proceeding
and their respective address is:
Cherie A. Keller, 10908 N. 20th Street, Tampa, FL 33612
[YERIFIED]
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Petitioner requests that an order be entered determining that the Property constitutes the
exempt homestead of the decedent, title to which, upon the decedent's death, descended and the
constitutional exemption from claims inured as set forth in paragraph 6; directing the personal
representative to surrender possession of the Property; and directing that the personal
representative shall have no further responsibility with respect to the Property.
Under penalties of peIjury, I declare that I have read the foregoing, and the facts alleged
are true, to the best of my knowledge and belief.
Signed on
J ~ I, In t
,2006.
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navi . earden, Esquire
Florida Bar No: 999369
OLSON & BEARDEN, P.A.
200 N. Pierce St. - 4th FL
Tampa, FL 33602
(813) 222-0888
CERTIFICATE OR SERVICE
I CERTIFY that a copy of this petition has been furnished to: ~:rie A. Keller, 10908 N.
20th Street, Tampa, Florida 33612 by U.S. Mail, on /z,,--!J., l .'. ,2006.
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David C. Bearden, Esquire
[VERIFIED 1
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IN THE CIRCUIT COURT IN AND FOR HILLSBOROUGH COUNTY, FLORIDA.
PROBATE DIVISION
IN RE: ESTATE OF:
ROBERT LUTHER KELLER
Deceased.
File Number: 06-CP-001306
I
SATISFACTION AND RELEASE OF CLAIM
The undersigned, Prasad Ishwari. M.D., whose tax identification number is
-5j-D'3S(ciOc)
, has received fully payment of the claim which was filed in
this proceeding by the undersigned against the above estate on or about June 18, 2006, or has
otherwise settled or compromised said claim, and this Satisfaction and Release of Claim is
executed to acknowledge discharge of the claim and to release the estate and the personal
representative of the estate from all further liability with respect thereto.
Signed on i1e- /3 r::;I. . 2006.
[YE'RiAEQ]
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IN THE CIRCUIT COURT IN AND FOR mLLSBOROUGH COUNTY,o FLORIDA.
PROBATE DIVISION
INRE: ESTATE OF:
ROBERT LUTHER KELLER
Deceased.
File Number: 06-CP-001306
I
SATISFACTION AND RELEASE OF CLAIM
The undersigned, Kindred Pharmacy Services, whose tax identification number is
, has received fully payment of the claim which was filed in
this proceeding by the undersigned against the above estate on or about September 7, 2006, or
has otherwise settled or compromised said claim, and this Satisfaction and Release of Claim is
executed to acknowledge discharge of the claim and to release the estate and the personal
representative of the estate from all further liability with respect thereto.
SignedonfPN~J1i" qf1L.
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for Kindred Pharmacy Servi es
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PROBATE DMSION
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File Number: 06-Cp-0013~r\. c:if:;. .,.'. .).
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ROBEttT LUTHER KELLER
Deceased.
PETITION FOR DISCHARGE
(sjDgle personal representative)
Petitioner~ Cherie A. Keller, as personal representative of the above estate, alleges:
1. The decedent, Robert Luther Keller, a resident of Tampa, Hillsborough County,
Florida, died on March 6, 2005, and Letters of Administration were issued to petitioner on June
29, 2006.
2. Petitioner files herewith either a Pinal Accounting containing a complete report of
all cash and property transactions and of all receipts and disbursements since the commencement
of administration of this estate,or since the date oftbe last accounting filed herein, ifany. or
waivers signed by all interested perso~ other than the petitioner,' waiving the filing of a Final
Accounting.
3. Petitioner b3$ fully administered this estate by making payment, settlement. or
otber disposition of all claims and debts that were presented~ and by paying or making provision
for the payment of all taxes and expenses of administration.
4. . Petitioner has filed all required estate tax returns with the Internal Revenue
Service and with the Department of Revenue of the State ofFJorida, and has obtained and filed
with this court evidence oftbe satisfaction of this estate.s obligations for both federal and Florida
estate taxes, if any.
5. The amount of compensation paid or to be paid to the personal representative,
attorneys, accountants, appraisers, or other agents employed by the personal representative, and
the manner of determining that compensation, is set forth in Exhibit uA" attached hereto.
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6. Petitioner b.asmade or proposes to make the distribution of the assets of this estate
as reflected in the plan of distribution set forth in the schedule attached hereto as Exhibit "B."
7. The only persons other than the petitioner, having an interest in this proceeding
and their ,respective addresses are:
Nonc known.
8. Any objections to the Petition for Discharge, the Pinal Accounting, the
compensation paid or proposed to be paid, or the proposed distribution of assets. must be filed
and served'within 30 days from the date ofservioe of the last of the Petition for Discharge or
Final Accounting. Within 90 days after filing of the objection, a notice ofhcaring thereon must
be served or the objection is abandoned.
9. Objections, if any, shall be in writing and shall state with particularity the item or
items to which the objection is directed and the grounds on which the objection is based.
Petitioner requests that, after satisfactory proofhas been presented that dis1ribution has
been made in accordance with the schedule of distribution and that claims of creditors have been
paid or otherwise disposed of. an order be entered discharging petitioner as personal
representative of this estate and releasing the surety on any bond which petitioner may have
posted in this proceeding form any further liability on it.
Under penalties of petjury, I declare that I have road the foregoing, and the facts alleged
are true~ to the best of my knOWledge and belief.
SignedOn~~acJ /1
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DA ViI> C. BEARDEN, ESQUIRE
Florida Bar No.: 999369
200 N. Pierce St. - 4th Floor
Tampa, FL 33602
(813) 222-0888
.2007. ~ it .l<DJ.b.J
CHERIE A KELLER
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IN THE CIRCUIT COURT IN AND FOR BILLSBOROUGH COUNTY, FLORIDA
PROBATE DIVISION
IN RE: ESTATE OF:
ROBERT LUTHER KELLER
Deceased.
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Attorney's Fees
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Probate Costs
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File Number: 06-CP-001306
8,019.S1
379.49
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IN THE CIRCUIT COURT IN AND FOR HILLSBOROUGH COUNTY, FLORIDA
PROBATE DIVISION
IN RE: ESTATE OF:
ROBERT LUTHER KELLER
Deceased.
File Number: 06-CP..o01306
I
~PORTOFDm~unoN
(single penon.. representative)
Petitioner, CHERIE A. KELLER, alleges:
1. Petitioner, as the personal representative of the above estate, files herewith all
remaining receipts necessary to show that the estate has been distributed in accordance with the
proposed plan of distribution set forth in the Petition for Discharge.
2. The claims of all creditors have been paid or otherwise disposed of.
Petitioner requests that an order be entered discharging petitioner as personal
representative of this estate, and releasing the surety on petitioner's bond, if any. from further
liability thereon.
Under penalties of perjury, I declare that I have read the foregoing, and the facts alleged
are true, to the best of my knowledge and belier.
Signed on @ ~ 1"'1"
.2007.
~~
om C. B~ EoquiM
Florida Bar No.: 999369
OLSON & BEARDEN, P.A.
200 N. Pierce St - 4th Ploor
Tampa, FL 33602
(813) 222-0888
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CHERIE A. KELLER
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IN THE CIRCUIT COURT IN AND FOR BlLLSBOROUGR COUNTY, FLORIDA
PROBATE DMSION
IN RE: ESTATE OF:
File Number: 06-CP-001306
ROBERT LUTHER KELLER
Deceased.
I
RECEIPT OF BENEFICIARY
AND CONSENT TO DISCHARGE
The undersipcd. CHERIE A. KELL~ whose address is 10908 N. 20th Street, Tampa,
Florida 33612. hereby acknowledges having received from the personal representative of the
above estate the following:
The remainder of the Estate, after all costs and expenses of the Estate have been satisfied.
The undersigned further acknowledges receipt of complete distribution of the share of the
eState to which the undersigned was entitled, releases the porsonal representative from all further
liability in connection with this estate. and consents to the entry of an order discharging the
personal representative without notice, hearing, or waiting periOd and without further accounting.
Signed on~MLt~
. 2007.
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CHERIE A. KELLER
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IN THE CIRCUIT COURT IN AND FOR IDLLSBOROUGH COUNTY, FLORIDA
PROBATE DIVISION
INRE: ESTATE OF
File Number: 06-CP-001306
ROBERT LUTHER KELLER
Deceased_
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ORDER DETERMINING HOMESTEAD STATUS OF REAL PROPERTY
(Testate- Valldlv devised. heirs. no spouse or minor lineal descendants - exemDt from claims)
On the petition ofDA VID C. BEARDEN for an Order Determining Homestead Status of
Real Property, all interested persons have been served proper notice of this petition and hearing
or have waived notice thereof; the court finds as follows:
a. The decedent died testate and was domiciled in Hillsborough County, Florida;
b. The decedent was not survived by a spouse or minor lineal descendants;
c., Decedent's homestead is validly devised;
d. Decedent's homestead was devised to heirs who are related through a maternal or
paternal grandparent of the decedent;
At the time of death, the decedent owned and resided on the real property described in the
petition; it is
ADJUDGED that the following-described property (the "property"):
Briarwood Unit No 1
Lot 10 and S 4FT of Lot 11 Block 16
Parcel identification number A-18-28-19-43F-000016-0001.0 constituted the homestead '
of the decedent within the meaning of Section 4 of Article X of the Constitution of the
State of Florida.
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~r:TRUMENT": 2007046907, 0 BK 17391
1365-1366 01/30/2007 at 09-42-03 AM
DEPUTY CLERK: TJORDAN pat Fr~n '
of the Circuit Court Hill bo k, Clerk
s rough County
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ADJUDGED FURTHER that the title to the above-described homestead real property is
devised and the constitutional exemption from the claims of decedent's creditors inured to:
CHERIE A KELLER.
ADJUDGED FURTHER that the personal representative is authorized and directed to
surrender to the persons named above, all or any part of the above-described property which may
be in the possession or control of the personal representative, and that the personal representative
shall have no further responsibility with respect to it.
ORDERED on
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Circuit Judge
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cc: DavidC. Bearden, Esquire
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IN THE CIRCUIT COURT IN AND FOR HILLSBOROUGH COUNTY, FLORIDA
PROBATE DMSION
IN RE: ESTATE OF:
File Number: 06-CP-001306
ROBERT LUTHER KELLER
Deceased.
/
ORDER OF DISCHARGE
(single personal representative)
On the Petition for Discharge of Cherie A. Keller, as personal representative of the estate
of Robert Luther Keller, deceased, the court finding that the estate has been fully administered
and properly distributed, that claims of creditors have been paid or otherwise disposed of, that
the tax imposed by Chapter 198 of the Florida Statutes, if any, has been paid, and that the
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_ personal representative should be discharged, it therefore is
ADJUDGED that the personal representative is discharged, and the surety on the
- personal representative's bond, if any, is released from further liability.
ORDERED on ~. ~.., .2007.
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Circuit Judge
Conformed Copies To:
David C. Bearden, Esq.
INSTRUMENT#: 2007
PG 1367-1367 01~908, 0 BK 17391
DEPUTY CLERK: TJORD~ at 09:42:03 AM,
of the Circuit Court H"" boN Pat Frank, Clerk
. I S rough County
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REAGER & ADLER, PC
ATTORNEYS AND COUNSELORS AT LAW
t\.P~\t1>~
-Yl"O~c.. ~ ~I~ d-lto ~ (00
blC.+ 43(oD
2331 MARKET STREET
CAMP HILL. PENNSYLVANIA 17011-4642
717-763-1383
TELEFAX 717-730-7366
WEBSITE: ReagerAdlerPC.com
THEODORE A. ADLER +
DAVID W. REAGER
LINUS E. FENICLE
THOMAS O. WILLIAMS
SUSAN J. SMITH
PETER R. WILSON
SUSAN H. CONFAIR
TIFFANY M. CARTWRIGHT
JOHN H. PIETRZAK
RICHARD J. JOYCE
+ Certified Civil Trial Specialist
Writer's E-Mail Address:Jgross@ReagerAdIerPC.com
April 3, 2007
Cumberland County Courthouse
Attention: Register of Wills
1 Courthouse Square
Carlisle, PA 17013
RE: Estate of Robert Luther Keller
Dear Sir or Madam:
We are requesting ancillary letters in regards to the above referenced individual who
was a Florida resident at the time of his death but owned property in Pennsylvania.
Attached please find the Petition for Grant of Letters, Death Certificate, Estate
Information Sheet, Affidavit by Foreign Fiduciary and exemplified record from Hillsborough
County, Florida.
Please send a Commission to take Oath to the Clerk of the Circuit Court, Attention:
Probate, PO Box 1110, Tampa, FL 33601-1110 so that the executrix, Cherie A. Keller does
not have to travel to Pennsylvania to probate. Please direct Hillsborough County Probate
office to contact Ms. Keller, her phone number is 813-956-2725. I have enclosed a return
envelope so once the Commission to take Oath is executed, it will be returned to your office.
Please contact me at the above number once tl'le request is sent to Florida. Please
contact me with any questions. Thank you.
ssistant
Enclosures