HomeMy WebLinkAbout06-25-07
Estate of
also known as
J FfP-e FY
7€~P.
PETITION FOR PROBATE AND GRANT OF ifi~AA:~E (~
REGISTER OF WILLS OF CI1MI3F~LA-;Vf) COUNTY, PENNSYLV~~~-''''~
2001 JUN 25 AM 9: 28
FileNumber at/-O'l- tRo7 .
CLERK OF
Social Security NU~~ ~ - ~ 12-1
. ..ANfJ co., PA
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
~A. Probate and Grant of Letter,s Tesimentary and aver that Petitioner(s) is I are the
last Will of the Decedent dated ~ I t:r1 and codicil(s) dated
{"XEC tr -rOR
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 instrurnent(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
o B. Grant of Letters of Administration
'(If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate)
Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (If
Administration, c. t.a. or d. b.n.c. t.a., enter date of Will in Section A above and complete list of heirs.)
Name
Relationship
Residence
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
L/r tV IJ Coun!Y, Pennsylvania wi~his / her last
~lE M ~ ~~~
(Ust street address, towfl/city. township, county, state, zip code) 17 g
Decedent, then 5"2 years nfage, died on 6/'7 Lo/ at 81 WIl:6NEI? tIlt f ~ CARL () L F.
A1/4/JlfS€;X ()W/fI 'f/J / (lA. . 1/1()/~
situated as follows:
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property $
(I f not domiciled in P A) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $ 100, () 00
B1 I1M6-Alf'1 4tetllE, cl/{!L/,>U; II1ltJl1LEJ'Fx WW~#f~~/t /7"/3
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:
'2-~1 O(!) 0
,
Form RW-02 rev. /0./3.06
Page 1 of2
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF fu.bv~
Oath of Personal Representative
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ss
2001 JUN 25 AM 9: 28
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and co~~orst of
the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) w~JRT'
administer the estate according to law. . ~ . CUMBERlI>NO CO.. PA
.
Signature of Personal Representative
Signature of Personal Representative
Estate of
Social Secu .
AND NOW,
having been presented
are hereby granted to
and that the instrument( s) dated
described in the Petition be admitted to probate and
FEES
Letters ............... $
Short Certificate(s) . . . . . . .. $
RenunctjrJ?) .......::: ~
J{'f ... $
I1u- ft; ... $
... $
.. . $
... $
...$
. .. $
... $
TOTAL ..... . . . . . . . . . $
M.d:J
'10 t.D
/500
/()~
6c9'
~o.~
F orlll R W-02 rev. 10.13.06
in the above estate
Attorney Signature:
Attorney Name:
Supreme Court J.D. No.:
Address:
Telephone:
7f1-
13ft, S-, I"
Page 2 of2
~st <Will and QJestament
of
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JEFFREY WILLIAM PEIPER
I, JEFFREY WILLIAM PEIPER of Carlisle, Cumberland County,
Pennsylvania, being of sound and disposing mind, memory and understanding, hereby
make, publish and declare this my Last Will and Testament, hereby revoking and making
void any and all prior Wills and other testamentary writings at any time heretofore made
by me.
Item I: I direct my Executor hereinafter named, to pay all of my just debts,
funeral and testamentary expenses as soon as conveniently can be done after my demise. I
further direct that I be cremated as soon as possible after my demise.
Item II: I direct my Executor to immediately liquidate and sell the residue of my
estate whatsoever kind, real, personal or mixed and wheresoever situate. Thereafter, I
give, devise and bequeath this liquidated residuary estate in toto and per stirpes without
restraint to my beloved son JOEL CHRISTOPHER PEIPER presently residing in
Carlisle, Cumberland County, Pennsylvania My son and heir may elect not to sell my
residence and continue to reside there.
If my son JOEL CHRISTOPHER PEIPER should pre-decease me, I give, devise,
and bequeath in equal shares per capita my fully liquidated estate to my brothers
BRADLEY L. PEIPER of West Chester, Pennsylvania and GREGORY D. PEIPER of
Virginia
Item ill: I nominate, constitute and appoint my brother BRADLEY L. PEIPER of
West Chester" Pennsylvania, as Executor of this my Last Will and Testament with full
power and authority to do any and all things necessary to complete the administration of
my estate and further direct that they serve without bond. Should the above named
Executor for any reason be unable or unwilling to serve as Executor of this my Last Will
and Testament, then I appoint my mother, SIllRLEY A. PEIPER presently residing in
Carlisle, Pennsylvania as Alternative Executrix and she too shall serve vested with the
aforementioned power and authority and without bond.
Page 1 of4
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IN WITNESS WHEREOF, I have on this / 5 f. day of
2007 set my hand and seal to this, my Last Will and Testament, consisting 0
typewritten pages.
<J..I/ ~ 0' (SEAL)
~~ William-pei~-
Page 2 of4
SIGNED, SEALED, PUBLISHED and DECLARED by the above-named
Testator as and for his Last Will and Testament in the presence ofus who at his request,
in her presence and in presence of each other, all being present at the same time, have
hereunto set our hands and seals as witnesses.
WITNESSES:
!!~~ (SEAL)
~7Ei!w!~d
Page 3 of4
COMMONWEALTH OF PENNSYLVANIA
COUNTY ope c.uw-. ~O.( J ev..d
: ss
I, JEFFREY WILLIAM PEIPER, Testator whose name is signed to the
attached or foregoing instrument, having been duly qualified according to law, do hereby
acknowledge that I have signed and executed the instrument as my Last Will and
Testament; that I signed it willingly; and that I signed it as my free and voluntary act for
the purposes therein expressed. ~. _~
M ~SEAL)
REY WILLIAM PEIPER
, 2007
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Rora M. Vogt, Notary Public
North Middleton Twp., Cumberland County
My Commission Expires May 21, 2009
Member, Pennsylvania Aaaoclation of Notaries
No Public
My Commission Expires. a
7i1 ttA-t .2 ,.. ZtJ 0 7
COMMONWEALTH OF PENNSYLVANIA
/ :SS
COUNTY OF C (~A'Y\ hQ~ I ~/l.J
We, Cdu/1If Jl7ttJe-!d;ff&l/(R and.4'~~E#~~;t(
the witnesses whose names are signed to the attached or fore ing instrument, being duly
qualified according to law, do depose and say that we were present and saw JEFFREY
WILLIAM PEIPER, Testator, sign and execute the instrument as his Last Will and
Testament; that he signed willingly and that he executed it as his free and voluntary act
for the purposes therein expressed; that each of us in the hearing and sight of the Testator
signed the Will as witnesses; and, to the best of our knowledge and belief, the Testator
was at that time eighteen (18) or more years of age, of sound mind and under no
constraint or undue influence.
~e~~~
(SEAL)
't:r:#~~EAL)
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Rora M. Vogt, Notary Public
North Middleton Twp.. Cumberland County
My Commission Expires May 21, 2009
Member. Pennsylvania Association of Notaries
No Public
My Commission Expires:
m"'y ~ I. 'Zt10 '1
Page 4 of4
105.805 REV 1/05
This is to certify that the information here given is correctly copied from an original certificate of death duly. filed with me as
Local Registrar. The original certiflCate will be forwarded to the State Vital Records Office for permanent fihng.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
~~. ~b,)..~~
Local Registrar
p
13446274
Date
MAY 2 2 2007
No.
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H105-143 REV 111'lOO6
TYPE 1 PRINT IN
PERMANENT
Ill.ACKINK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH · VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on revers.)
STATE FILE NUMBER
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2 7 2 1 4. lletll 01 Death (MonCh, diy, Y"'I~
May 18, 2007
1. .... 01 ~ (FirII, midIII, 1IIt.1UIlbl)
S..(l.asIBi1ItldIIy)
52
VII.
Ilb. County 0/ lleIIth
'Cumberland
. 11.~UouII
KilcI 01 wort<
Laborer
. 18.~~::-Ds;r ~-. _,~code)
Car lisle, P A
84 Wagner Drive
12. WllI DecedoInIeverln Iht 13. Decedonl's El1Ic:alion (SpecIIy only hiI,t1III grade CIlft1lIIlId)
U.S. AtmlId Fon:n? E~ 1 Secondory (()'12) CoIlIgI (1-4 Of 5+)
ov.. ~ 12
=~ 17a.SIate PA
Cumberland
RIIsIdonce oOlhtr . SpecIIy:
10. ~: American 1ncIon,IlIack, White, etc.
(Spdyl Whi te
18. F....s .... (ArsI, mIddI8, Iul, SUlIx)
19. MoIhtr't Name (ArsI, m/cde, maIdon -I Shir ley Martin
He. Ii] v.., Dec8IlenIUVId In Mi iI ill P!'lPY
17d. 0 No, ~ lMld wIU1in
N:JJJIIl LinIltIoI
CIty Il!clO
17b. ColrUy
David L. Peiper
~
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2al. In1ormanl's ~ AalrISI (Slr8et, clIy 1-' slIt8, z!J code)
723 W. North St., Carlisle, PA 17013
H~n~~~RbtholF:ie~~1t';=) &
Crematory Carlisle, PA 17013
22c.....IIldAalrlSlolFICIly Hoffman-Roth Funeral Hom.e & Crematory
219 N. Hanover St. Carlisle P 1/U13
23a. To Iht booI 01 fll'llolaolIIclgI, dIIlh........s II \Ilo lint, dill era pIIce &1alIld.ISV>a\In 1Ild.) 23b. LIeInI8 Nl.mber
208. InIormonI'l toIomo (Type 1 Print) Joe 1
Twp.
21d. LllCItIon (CIIy 11lMn, _, ~ code)
23c. lletll SIgned (Month. diy, ylI8~
25. DII8 Pla10lrICId ll8Id (ManIh, diy, ~
11 : 14a M. Ma 18 2007
CAUSE OF DEATH I'" ln8lrucllona and exampIea)
IIem Xl. ParI J: EnIor \Ilo ~ -~, qurios, or ~ -1hII chCIy caused III dIIlh. 00 NOT'" tennIn8l_ such as c:anIIIc anesl,
llISIliraIOfy IIII8lIl, or VllI1IricUIr IIlfIIllon wIlhoul shOWIng Iht alicIogy. Usl arif one _ on each line.
AWoxImalt iW4l:
0nsII1Il Death
PIII1K:EnIIi'ol!IaI___lodallh
6Ul no! ~ ~ \Ilo undoolylng _ gNen ~ ParI\.
211. WllI c.... RefemId III MadIcaI Ex8minor I Coronal lor a Rdson 0Ih0r Ihtn Cnlmallon Of 00naIi0n~
o V.. Iil No
.... 24-211.... be compIoIId by peIIllIl
lIho~dIIlh.
2.. limo 01 00Id1
::U:~ =) -::. a t'6. ~ \Il <\,.\-0 \\ (
Duo III (Of .. a consoquanca 01):
S'N\(J({ aU ~y;z( \'~ ([N. ~~
SIIIuIrIlIlIIti lit CCIdICnS, . any,
~1O"'_latIlIonlnea.
EnIor" IIIIlERLYIIO CAUSE
=::-..:.I;ln -:...nrrm-
b.
Duo III (Of .. a consoquanca 01):
Duo to (or .. a consoquanca 01):
d.
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301. Was .. k.1I1{tIIf
Palformad'I
D. W9nl1dl1(1ly FInIInus
AWIIIabIa Prior III CcmpIoIIon
01 CauIa 01 Daa\t1~
31. Manner '" llaalh
~o-
o Aa:idsnl 0 Pan<InQ ilwastigaIion
o SuIdde 0 Coold Not be 0DmiIMId
~. Did Tobecco UN ConIItbuIa III 1laaIh?
, Q5.. V.. 0 PnlbsllIy
o No 0 lJnIa-.
29. K FemaIa:
o Not pregnant wIU1in pili,..
o PI8lJ1IIl\ IIIina 01 dIIlh
o Not JlI8llNII1l,IMlI JlI8PlI wfthIn 4.2 days
of daaIh
o Notllflllllllll, IMlI pregnanl43 days 10 1 year
baIOII doaIh
o U'*'-' K pregnant wtillht pall ,..
32c.==~SlIttI,~,
II.
32g. Location 0I1rju1y (SlraaI, cily flown, slIt8)
321. If T~ IIVIISpecfy)
o IlItv8r 1 Operalcr 0 Paasanger DPadasIrIan
Oflar . Specfy:
33a. CertilIor (choc:k <<tIr one) 331>. Sip.tule ard 11Ia 01 CarIIllsr
. ~"':~-=:"~~-:=~~':~_~_~~~~2_________________ ~ ~
. ""-'<Ing ond -urying ~ (PhyAan boIh pronDlI1CIng _1Ild C8I1IfyIng to _ 0/ daa!h) 33<:. Llcense_
To 1IIa _ 01 my u-tadgt, _1ICCUl'lICI1l1ht _, _, ond ~ ond dua \0 \Ilo causa(11 ond "'"""" II s1atad.. - - - - - - - - - - - - - - - --
. :::'~.= ond 1 01 ~ In my 0\lIIIl0n, _.........s at 1IIa limo, _, ond placa, ond I\ua 10 1IIa causa(a) ond _ II s1atad.. 0
0'1.. oNo
32d. Tina of J~ry
o'les~
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35.
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1ri.1( I~II 10 I
o \ ,q~ \(01
lli.pooitlon Permit No.