HomeMy WebLinkAbout06-01-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WillS OF
Estate of Gladys F. KELLER
also known as
CUMBERLAND
COUNTY, PENNSYLVANIA
File Number ~/,O/f 53~-3
, Deceased
Social Security Number
156.12.1472
Jo Ann Haller
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 Testamentaryand aver that Petitioner(s) is/are the Executrix
last Will of the Decedent, dated OS/27/2005 and codicil(s) dated
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:
o B. Grant of Letters of Administration
(It appl/C8DJe, enrer: c.r.a.; a.o.n.c.r.a.; peaenre lICe; auranre aosenna; auranre mmonrare)
Petitioner(s) after a proper search haslhave ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs(1f
Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
Name
Relationship
Residence
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his I her last principal re~errCe at
104 Spruce Street, Carlisle, PA 17013
(List street address, town/city, township, county, state, zip code)
':9
G,)
"- "'I
at Carlisle Regional Medical Center, Carlisle, PA
Decedent, then 88 years of age, died on OS/24/2007
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 $
situated as follows:
/ (J () JJ C 0
.
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:
Jo Ann Haller
Typed or printed name and residence
11 Acorn Hill Road
Woodbridge, CT 06525
Signature
Form
Rev. 10-13-2006
Copyright (c) 2006 form software only The Lackner Group, Inc.
Page 1 of 2
()7-533
Oath of Personal Representative
} ss
}
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and correct to the best of
the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
Sworn to or affirmed 7ubscribed
before me this ) day of
Signature of Pe
Signature of Personal Representative
C-)
'-:-:::Q
;:.-:.:
Signature of Personal Representative
~.;~... ~~
-,._ _ ~._.r ~
~.,"-,
File Number:
r1/ ~ofJ(XJ~, Ji3~
.._, ---I
I...D
C,)
N
Estate of Gladys F. KELLER
, Deceased
Social Security Number:
156-12-1472
Date of Death: OS/24/2007
AND NOW,
having been presented be~
,aZ07
, in consideration of the foregoing Petition, satisfactory proof
Testamentary
are hereby granted to Jo Ann Haller
in the above estate
and that the instrument(s) dated OS/27/2005
described in the Petition be admitted to probate and filled of record as the last Will (and Codicil(s)) of Decedent.
FEES
Letters............ ...... .......... .......... .... $
~o~C{)
~Oi)
Short Certificate(s~....................... $
Renunciation(s)................ .... ......... $
~
Attorney Signature:
/500
IQeD
;;501:>
Attorney Name:
$
$
Ivo V Otto III
$
$
$
$
$
$
TOTAL................................. $ dI7 F: cP
Supreme Court 1.0. No.: 27763
Martson Law Offices
Address: 10 East High Street
$
Carlisle, P A 17013
Telephone:
717-243-3341
Form RW-02 Rev. 10-13-2006
Copyright (c) 2006 form software only The Lackner Group, Inc.
Page 2 of 2
i05.805 REV 1/05
This is to certify that the information here given is correctly copied fro~ an original ce~ificate of death dul~. filed with me as
Local Registrar. The original certificate will be forwarded to the State VItal Records OffIce for permanent fllmg'6 '1-533
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No.
~_I'l~
Local Registrar
Fee for this certificate, $6.00
p
13355541
MAY 2 9 2007
Date
c_
~~-,:
-""'-
_.
-...",~..
\.,0
REV 1112llO6
, PRINT IN
.wENT
.CK 1M(
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
GJ
f"..)
STATE FILE NUMBER
88
- lib. Clully of 0ed1
2007
OOlher . SpecIfy:
10. RIce: American Indian, Black. While, et:.
(~
White
. 11. o-tenl's UIuII
Kild 01 WllIl<
Bookkee er Business
. 18. 0ecedInI'I MeIilg Adct-. (SlrIIl. city I '-'. ..... ~ code)
104 Spruce Street
Carlisle. PA 17013
Dec>>denl's
AcIual RelIidence 178. SIIII. 'D.f.
17b. County Cuaberland
17e. 0 Yes.ll8cedeN Uved in
17~~~oIUvedwlll1i1 Carlisle
Twp.
CIty IIlonl
19. MoIher's Name (FIIIt, middle, n1IidIn 1UIT1III1I)
Ruth Deardorf
2<11. InIonnII1t's MeIilg AdcNs (5net, city I town, Sla., ~ code)
11 Acorn Hill Road Woodbrid e
21e. Place 01 0isp0IIlI0n (Heme 01 ClII118tIIy, aen'eIOIy or olher place)
Ihe best of my Ilnowledge, deelh ocamd atlhe lime, dell and piece slated. (Signalufl end title)
23c. Dell SIgned (Month, day, yeer)
IIIms 24-28 must be ~ by pIf1llI1
wIlo ~ deeIh.
M.
CAUSE ~ DEATH (S8lIlnstruc:llons sncI _umples)
110m V. Part I: EnlIr tlelllliUl.mDl- dIseIses, injuIIes, or CClIftIIIcalIOn -1laI directly C8II8Id tie dedi. 00 NOT enter tem1In8IlMlIlII SUCh II cenIac alt9lt,
IIIl*alory aml8I, or ~ IbIatilI1 wItlout showing Ihe 1lIoIogy. list only one _ on eech line.
24. rlllll 01 0eatIl
l~iS--
d.
28. Was CII8 Refenlld to MedIcaJ EllII11iner I Coroner for a Reason Other than CI8III8IIon 01 Donation?
o V.. rn'
ApproxImalelnl8lval: Part II: Enter oller IlirIlIbnllDllllinnll MmbJIind III deeIh 28. Did Tobacco Use ConlrtJute tD Dea1h?
0ne8t III Death but not I98UIIIng In Ihe underlytng CIUII s;v.n in Pert I. 0 Yes 0 PI'Obebtf
o No 0 Unknown
29. II Female:
o Not ~ wtIhin plISI year
o Pr8pll a111me of daaIh
o Not pregnant, but pregnanI wtlhin 42 days
ofdellh
o Not pregnanI, bul Pf8!1l8IlI 43 dayllo 1 )'.."
before llIlalh
o Unknown if pregnant wiIhIn Ihe pest year
32c. Place 0I1nju1'f. Home, Fenn, SlreeI, Factory,
Oftice Bulldlng, ele. (SpecIIyJ
=e~=~ a. t\~;i~^"e~~
Due lO (01 as a consequence 01):
=181 cancIIiDns. N tnt,
III ClUllIIstId 0lI11ne a.
EnlIr lIIIlERt.YlNG CAUSE
. =-~":.tt.~lhe
b.
Due ID (or as a consequence 01):
c.
Due to (01 as a consequence 01):
OV. ~
:KIl. Were ~ FnIngs 31. ,.., 01 DeeIh
~:~~~ ~ DHMliddI
o Yes ~ 0 Accldent 0 Pending I~
o Sulclde 0 Could Not be DelIrmIned
32d. TII!IIl 01 Injury
32g. lDcaIIon of I~ry (SlreeI, city I town, stale)
3lla.Wasan~
PelIomIIIII?
M.
331. CeItIIIer (died< only one)
. CIrlIIyIng pIIpIcI.n (PI1yIicIIn certiIytng _ 01 deeIl when anolher pI1yIIcIan has pIlll1ClIIlC8d llIlaIh and cornpIllted Item 23)
To'" bIOtolrnrllnowlldgl,.... OCCUINCI duelothe....e.)and_..1IalelL _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ __ _ _ 0
. PranouncIng and cerlIfrIng pIIpIcI.n (Physiclen boIh plOIllllIldng deeIl and cerIiIylng III CIUII oIllIlaIh)
To ... blOt 01 rnr IInowlIdgI, ...... 0CCUINCI1l the llme, dIle, and pIIce, end due 10 the ....e.l IIld ___ IIIlIlId... _ _ _ _ _ _ _ _ _ _ _ _ - - - - -
. IIIdIeII EuIMw I C-
On ... bMlI 01 ~ end I or In'IIIIlgeIIon, In my opinion, ...... OCCUINCIII the llme, dIle, end piece, end due to the C8UM(.) end _ .. IIalelL 0
35. RegisIrIr's SiglaIUI8 and Oislrict Number
~
I ~I II e1 / I / I
0isp00Iti0n Penn" No.
F:\FILES\DATAFILE\Estate Planning\11213.1.will.2005
LAST WILL AND TESTAMENT
()'7- SB3
I, GLADYS F. KELLER, of Carlisle Borough, Cumberland County, Pennsylvania, being
of sound and disposing mind arid memory, do hereby make, publish and declare this to be my Last
Will and Testament, hereby revoking any and all former Wills or Codicils made by me.
1.
I direct that all my legally enforceable debts, funeral expenses, testamentary expenses and
all death taxes (whether such taxes may be payable by my estate or by any recipient of any property)
shall be paid from my residuary estate as soon as practicable after my decease and as part of the
administration of my estate. My Executrix shall have no duty or obligation to obtain reimbursement
for any such tax so paid, even though on proceeds of insurance or other property not passing under
this Will.
2.
I devise and bequeath the sum of Five Thousand Dollars ($5,000.00) unto my niece,
BONITA ANN ROWE.
3.
I give, devise and bequeath all of the rest, remainder and residue of my estate, both real and
personal property, unto my daughter, IO ANN HALLER, and my son, JUDD M. KELLER, in equal
shares, absolutely, provided that should either of my said children predecease or fail to sl\TYive me
~::2 ;':::;
by thirty (30) days, then his or her share shall be distributed to his or her issue~ ~r stirp~ andjn'~_:
',J ..... r-
default of any such then-living issue, such share shall be distributed to my survivinlt'$.ild ~ed in. 1
- ;-~.:~; ~~~~~
this Item 3.
,4.
~:-:-.l
,.0
I nominate, constitute and appoint my daughter, IO ANN HALLER,ias Execu~x of my ,
estate. In the event she is unwilling or unable to so act, then I appoint my son, JUDD M. KELLER,
as Executor of my estate.
5.
I direct that my Executrix, or her successor, shall not be required to file a bond to secure the
faithful performance of their duties in any jurisdiction.
JJ ~ 1<
[Initials]
Page 1 of 3 Pages
. "
6.
I authorize and empower my Executrix, or her successor, in their sole and absolute discretion,
to purchase or otherwise acquire and retain any investments of which I die seized or any real or
personal property of any nature; to sell, lease, pledge, mortgage, transfer, exchange, dispose of or
grant options in regard to any or all property of any kind forming a part of my estate for such terms
and such prices as they may deem advisable; to borrow money for any purposes connected with the
protection and preservation ofmy estate; to mortgage or pledge any real or personal property forming
a part of my estate or to join in or secure the partition of same; to compromise any claims or
demands of my estate against others or of others against my estate; to make distribution in kind and
to cause any share to be composed of cash, property or undivided fractional shares in property
different in kind from any other share; to employ agents, attorneys and proxies and to delegate to
them such power as my Executrix, or her successor, consider desirable and to pay reasonable
compensation for such services as may be rendered by such agents, attorneys and proxies; and to
execute and deliver such instruments as may be necessary to carry out any of these powers. In
addition, I direct that my Executrix, or her successor, shall have the power to conduct an inventory
of any safe deposit box necessary to the administration of my estate.
IN WITNESS WHEREOF I have hereunto set my hand and seal this ;) 14-h day of
t---{ CU1 ' 2IXb.
h~~ ~ )(Auv
Gladys F. Ke er
(SEAL)
SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testatrix, as and
for her Last Will and Testament, in the presence of us, \vho at her request, have hereunto subscribed
our names as witnesses thereto, in the presence of the said Testatrix and of each other.
AflaA:J o.j)~(]){ J
1~ f- ~~
Page 2 of 3 Pages
, .(' .
COMMONWEALTH OF PENNSYLVANIA )
: SS.
COUNTY OF CUMBERLAND )
We, Gladys F. Keller, Hillary A. Dean, and ~rL{c- t( ~pi>t'"' , the
Testatrix 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 Testatrix signed and
executed the instrument as her last Will and that the Testatrix has signed willingly, and that the
Testatrix executed it as her free and voluntary act for the purposes therein expressed, and that each
of the witnesses, in the presence and hearing of the Testatrix, signed the Will as a witness and that
to the best of his /her knowledge the Testatrix was at that time eighteen years of age or older, of
sound mind and under no constraint or undue influence.
Gl~~~eS~tri!w&
~!h1J Q - ])Rfi it )
~1 ~#-
Subscribed, sworn to and acknowledged before me by Gladys F. Keller, the Testatrix, and
subscribed and sworn to before me by Hillary A. Dean and Aar~l~ y- C~YhfTof"-
the witnesses, thisJ-y~ay of /117 ' ~.
. ftd- A~
Notary Public
NOTARIAL SEAL
VtCTORIA l. OTTO NOTARY PUBLIC
CARLISLE BORO:. CUMBERLAND COUNTY
MY COMMISSIOn EXPIRES DEC. 2 2006
Page 3 of 3 Pages