HomeMy WebLinkAbout08-06-07
PETITION FOR PROBATE and GRANT OF LETTERS
Estate of MARIE B. DIFFENDERFER No. 21 - 07 Oll(P
also known as To:
Register of Wills for the
, Deceased. County of CUMBERLAND in the
Social Security No. 188053475 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner( s), who is/are 18 years of age or older and the execut or named
in the last will of the above decedent, dated MARCH 26. 1997
and codicil(s) dated
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with
h er last family or principal residence at 1 WEST PENN STREET. APARTMENT 519. CARLISLE.
CUMBERLAND COUNTY. PENNSYLVANIA 17013.
(list street, number and municipality)
Decedent, then 86 years of age, died 8/12/2007
at SARAH TODD MEMORIAL HOME. WEST SOUTH STREET. CARLlSLE.PA.
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of the will offered for probate; was not the victim of a killing and was never adjudicated
incompetent:
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
$
$
$
$
2.000.00
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant ofletters testamentary
thereon. (testamentary; administration c.I.a.; administration d.b.n.c.t.a.)
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~ MARK S. KAUFFMAN
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CARLISLE PA 17013
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEAL TH OF PENNSYL VANIA } ss
COUNTY OF CUMBERLAND
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Sworn to or affIrmed and subscribed
before me this 16TH day of
~UST 2007..
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Reg ster
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 ofpetitioner(s) and that as personal represen-
tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law.
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No. 21 - 07 lllo
Estate of MARIE B. DIFFENDERFER , Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW AUGUST 1 f.a .2007 , in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated 3/26/1997
described therein be admitted to probate and filed of record as the last will of MARIE B. DIFFENDERFER
and Letters TESTAMENTARY
are hereby granted to
MARK S. KAUFFMAN
FEES /).
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Probate, Letters, Etc.. . . . . . . . $ .
Short Certificates (4 )...... $ I (() .00
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Filed. . Y .' \.D.\ Ol. . . . . . . . . . . . . . .
64 SOUTH PITT STREET
CARLISLE PA 17013
ADDRESS
717 -243-6090
PHONE
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LOCAL REGISTRAR'S CERTIFICATION OF DEATH
VVAHNING' It is illegal tij duplicate this copy bV photostat or photograph,
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H10S-143 REV 1112006
TYPE I PAINT IN
PERMANENT
BLACK INK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
"
1, Name of Decedent (First, middle, last, suttix)
STATE FILE NUMBER
Marie B. Diffenderfer
4. Dafe of Death (Monll1,day, year)
3475 Aug. 12, 2007
a. Social Secvrily Number
188 - 05
S,Age (Lasl Birthday)
8d. Facilily Name (II not ins\ilution, givastreal and number)
Sarah Todd Memorial Horne
6. Date 01 Birth {Month, day, year}
86
Jan. 18, 1921
Harrisburg,
Other"
UNursing Home 0 Residence OOther. Specify:
9. Was Decedent 01 Hispanic Origin? IKJ No 0 Yes 10. Race: American Indian, Black, While, ale
(II yes, specify Cuban, (Specify) Whi te
Mexican, Puerto Aican, ele.)
Yffi
I .
Bb. County of Dealh
Cumberland
11, Decadenrs Usual Occu tion Kind of worll done durin most 01 workin life. Do flOl stale relirad
Kind of Work Kind of BlISiness I Industry
Waitress Restaurant
Top.
12. Was Decedent ever in the
U.S. Armed Forces?
DYes IXINo
Decedent's
AclualResidence 17a. SCale
13. Decedent's Education (Specify only highest grade completed)
Elementary / secOl1dall-12) College (1-4 or 5+)
14. MarilelSlalus: Married, Never Married,
Widowed, Divorced I Specifyj
divorced
. 16. Decedent's Mailing Address (Slree~ city flown, stale, zip Code)
One west Penn
Carlisle, PA 17013
PA
Cumberland
Did Decedenl
Uveina
Township?
17c. 0 Yes, Decedent Lived in
17d. 4l ~~~~~~ed within
City/Boro
17b.County
Carlisle
18. Falher's Name (Firsl. middla, lasl. sUffix)
John C. Boyer
Mark S. Kauffman
'41'"t\I':M~~n'i~b"t~/~~S..I:Z~~lisle, PA 17013
20a. In'armant's Name (Type I Print)
19.Mothef'SName(Rrst,middle,maidensumame) K. Grace Rinesmith
Oi
21a. Method of DisJXlSition
o Burial 0 Removal/rom Slale
o Other. Specify
22a.SignatureofF
21d. Locatioo (Cilyftown, state, zip code)
Carlisle, PA 17013
. ~
[jj Cremation 0 Donation
, Was CremaUon or Donation Authorized
! by Medical Examiner' Coroner?
(or person achng as such)
Complete Items 23a-c only wt1en certifying
pIlyslcian is not available at time o/death 10
certify cause o/death
lIems 24.26 must be romp/eled by person
wOO Pfonounces death
24_ Time of Death
,)00)
/3' 0
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CAUSE OF DEATH (See Instructions and examples)
Item 27. Part I: Enter the ~ - diseases, injuries, or complicallOl1s - thaI directly caused the death. 00 NOT enter terminal mnts such as cardiac arrest,
respiraloryarrest,orVenlriCularfibrillallonwithoutshowingtheeliology.listonlyonecause on each line
Approximaleinterval:
Onset 10 Death
Part II: Enter other sionificant conditions contributino to death, 26. Did Tobacco Use Cantribule 10 Dealh?
but not resulting in the Underfyingcause given in Part I 0 Yes o Probably
o No B,Unknown
29. If Female:
o Notpregnantwilhinpaslyear
o Pregnant at lime of death
o Not pregnant, but pregnant within 42 days
o/dealh
o Nctpregnant, but pregnant 43 days to 1 year
before death
o Unknown ilpregnant within the past year
32c. Place of Injury: Home, Farm, Streel, Factory,
Office Building, elc. (SpeCify)
:'MJ~A;;5U~I~~~~ ~~~\ disea..:;.
~~ \t!)
Ut'>h."
~~en~'~e~~~~:'~~ ~j~~ a
Ente~e UNDERLYING CAUSE
(disease or injury thai initiated the
eyenlSleSulltnglndealll) LAST.
Due to (or as a consequence 01):
Due to (or as a COfIsequence of):
Due 10 (or as a consequence of)
JOa. Was an Autopsy
,.,.,~ormed?
JOb. Were Autopsy Findings
Available Prior to Compleliotl
01 Cause of Dealh?
31. Manner of Death
C&walural 0 Homicide
o Accident DPendinglnvestigalion
o Suicide 0 Could Not be Determined
32d. Tlme of Injury
0'" at"'
DYes DNo
M.
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D
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33a.Certilier(checkontyone)
Certifying physielan (Physician certifying cause of death when another physician has pronounced death and completed Item 23)
To Ihe best of my knowledge, death OCcurred due 10 Ihe cause(s} and manl'l6f' as stilled.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Pronouncing and certifying physiclan (Physician both pronoundng death and certifying to cause 01 death)
To the besl 01 my knOWledge, death occurred al the time, date, and place. and due to the cause(s) and manner as slatect_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
~~IcaI'fxa~~:~~;~n::~or-.m~~CUrred8i1h~det&r-anttpf~d"tlW'ttftheca~manneraSSlaled_ 0
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34. Q:G:d~f perso~o. comp~Car~l~te<-:~TtbPrinf J A rro
~;S~ \...t.,(ChI''''q' 'C-.:::.~ 11.,() ,-"rL(~\(.~"t
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33d, Date Signed {Monlh, day,year)
(.:) ::.t 13~ 2.cl::ll
30. Regl
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1.9.lllal [101
DispositiOll Permit No
,
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LAST WILL AND TESTAMENT
I, MARIE B. DIFFENDERFER, of 1 West Penn Street, Apartment 519, Carlisle,
Cumberland County, Pennsylvania 17013, do hereby make, publish and declare this to be my last
will and testament, hereby revoking all wills heretofore made by me.
1. I direct my personal representative to pay all of my debts, funeral and
administrative expenses as soon as convenient after my decease.
2. I authorize and empower my personal representative to sell any realty and/or
personalty owned by me at my death and not specifically devised or bequeathed herein, at public
or private sale or sales and to give good and sufficient deeds and/or bills of sale therefor, in fee
simple, as I could do if living. My representative is authorized and empowered to engage in any
business in which I may be engaged at my death, for such period of time after my death as seems
expedient to said representative.
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3. I give, devise and bequeath all of my estate of whatever nature an(l wherever
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situate to my grandchildren, share and share alike, the child or children of any beneficiary laking
the share their parent would have taken if living.
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4. I nominate and appoint Mark S. Kauffman to be the personal representative of my
estate, to serve without bond. If he cannot or does not serve, then I appoint Jeffrey D. Kauffman
to be the substitute personal representative, also without bond.
5. I suggest that my personal representative retain the services of Harold S. Irwin, III,
Carlisle, Pennsylvania in the settlement of my estate.
,
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IN WITNESS WHEREOF, I have hereunto set my hand and seal this :X'? J., day of
March, 1997.
1_ I 1
~kl/}~J ~1 b~7-"A,~;?k~ (SEAL)
ARIE B. DIFFEN ER (j
Signed, sealed, published and declared by the above-named person as and for a last will
and testament, in our presence, who at said person's request, in said person's presence and in the
presence of each other have hereunto set our names as subscribing witnesses.
d~fC~L
. .
"
ACKNOWLEDGMENT AND AFFIDA VIT
WE, MARIE B. DIFFENDERFER, JOY S. ZERANCE and GAY L. IRWIN, the
testatrix and 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 she had signed willingly, and that she executed it
as his free and voluntary act for the purpose herein expressed, and that each of the witnesses, in
the presence and hearing of the testator, signed the will as a witness and that to the best of their
knowledge the testatrix was, at that time, eighteen years of age or older, of sound mind and under
no constraint or undue influence.
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~GAYt. IN
COMMONWEALTH OF PENNSYLVANIA
:ss:
COUNTY OF CUMBERLAND
Subscribed, sworn to and acknowledged before me by MARIE B. DIFFENDERFER,
the testatrix herein, and subscribed and sworn to before me by JOY S. ZERANCE and GAY L.
IRWIN, witnesses, this U-JI'" day of March, 1997.
7