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HomeMy WebLinkAbout08-30-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYL VANIA ~ \ D l Q&)~ Estate of Richard H. Keane also known as File Number . Deceased Social Security Number 174-20-3391 Petitioner(s), who islare 18 years of age or older, apply(ies) for: (COMPLETE ~, or 'B' BELOW:) I2J A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the Executor last Will of the Decedent dated June 24, 2005 and codicil(s) dated named in the (State relevant cir'cum8tances, e.g., renunciation, death of executor, etc.) Except as follows, Decedent did not many, was not divorced, and did not have a cbild bom 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 (ffapplicable, enter: c.La.; db.n.c.t.a.; pendente lite; durante absentia; durante minOl'itate) Petitioner(s) after a proper search bas / have ascertained that Decedent left no Will and was survived by the following s~ (if any) and~: (If Administration, c.t.a. or tlb.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) c:; 0 ~ " ":J ::> - - I Name Relationshio Residence", --f' (J GJ cf . -;;~ iTI W " r ; (,) ;>.... I, I ';,,;',.i -0 , -r ~~ :-- (COMPLETE IN ALL CASES:) Attach additional sheets if necessmy. Decedent was domiciled at death in Cumberland County, Pennsylvania with his / her last principal residence at 108 November Drive. ADt. 3. Camo Hill. Cumberland County. P A 17011 (List street address, town/city, township, county, state, Zip code) .:;;=- o Decedent. then 79 years of age, died on Au~ 26. 2007 Road.. Camo Hill. PA 17011 at Beverly Healthcare, Golden LivinR Center, 46 Erfoni Decedent at death owned property with estimated values as follows: (If domiciled in P A) All personal property (!foot domiciled in PAl Personal property in Pennsylvania (!foot domiciled in PAl Personal property in County Value of real estate in Pennsylvania 500,000.00 $ $ $ $ 0.00 situated as follows: 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 fonn to the undersigned: T or rinted name and residence Barbara A. Sieck, 3817 Pamay Drive, Mecbanicsburg, PA 17050-7675 Form RW-02 rev. 10./3.06 Page 1 of2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA : SS COUNTY OF CUMBERLAND The Petitioner(s) above-named swear(s) or affinn(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 ::orili=:::. ~)Ja~~J/ t2 L~e) Sig1lDtllTe of Perso1lOl Representative before me the 3D cr~~~ day of SigMlUre of Perso1lOl Representative LJ Go -n "-0,......, -,,- J ~f~ ~Ej '." ;j ) ;::( t-J (::'~-.J _.PI -..I J:l!I" c:: G' (~, o . , - --;~J : '~l_~\ I ~~; - .J (, "- Sig1lDtllTe of Perso1lOl Representative f' (-)(1 -D ._~'. i~~~ -"r", =:x.: a \. 0'- DOOR" ::'~ - .. File Number: .:;:- o Estate of Richard H. Keane . Deceased Social Security Number: lIlt ~ ao 339t .~ Date of Death: AUR\ISt 26. 2007 AND NOW, (\~\ having been presented before me, IT IS DECREED that Letters are hereby granted to Barbara A. Sieck . in consideration of the foregoing Petition, satisfactory proof Testamentary in the above estate and that the instrument(s) dated June 24. 2005 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil{s)) of FEES Letters .. .Q)Q,QQO. . . $ Short Certificate(s) . . S. . . . $ Renunciation(s) .......... $ \...)\\\ ...$ tE~ ...$ 1--0 ...$ ... $ ... $ ... $ ... $ ... $ ... $ HI A 0 U -+.ee- TOTAL.............. $ U10 . tnD 60 ~ Attorney Signature: \~ \0 ~ Attorney Name: Charles L. Sieck Supreme Court to. No.: 22114 Address: Suite 203 1700 South Dixie Highway Boca Raton, Florida 33432 Telephone: (561) 395-5595 /i'nrm RW..fI2 rev. 10.13.06 Page 2 of2 H105.805 REV (01107) LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. 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 certificate will be forwarded to the State Vital Records Office for permanent filing. Fee for this certificate, $6.00 ~o:I(J~~: K/.>YP7 . Local Re strar ~ Date Issued P 13883773 Certification Number f'-) c::""') = --.. ~ c: G"') w o C) f=.g ""6 TO ~5.~ no ';2-n :n -" -0 ::r: .r- o COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples on reverse) H105-1-'3 REV 1112006 tyPE I PRINT IN PEIlMANENT BlACK INK &\ t)lO~<i STATE FILE NUMBER 1. Name 01 Decedent (First, middIe,last, sulfill) Richard H. Keane Y Sex Ma Ie 13 Soda) s.rr4".:"'" 2CL 14._0I000111(MoIllh.day.lOatl 3391 August 26. 2007 5.1qe IUst-yj I Undo< 1 .... Under 1 day 6. 0aIe 01_1_. day. ...., 7. B4I1hpIac.lCiIy end"",,""""""""" lea. Place 01 Dealh (Ched< CJdj one, 79v" I-I 0... I -I-I May 22,1928 I Harrisburg, PA I~ I'*"" . o Ir4>OtienI 0 ER I o..petienI 0 IlOA Ii!l tNrsing.- 0-... [JOIlor.SpociIy. Ilb. CounIy 01 Oealh 18<.c~.ee~;tP;~nsboro lIcl.FadlilyNameIUnol_.IjNe_end......., 9~yos.O:::~0rigin? ~No OVes r'Raco:--.__.eIc. . Cumberland Golden Living Center Me-. _ Rican. eIe.) I~ White 11. Decedenl's Usual Cloctm1ion Kndof.wor\l aone"'.m mosl ofWOl'UvlIife. 00 not state reWed 12. Was DecedenI 8'itlf in the 13. _'. Education (Sj>edly CJdj hipS! g<ade ~I i'4.~~;r6-I'~~7~-:.~=;~ ~lKtInan I ~i!M!trlc u.s. Armed Fon::es? r EIemOnIaIy I ~ (00121 I ColIoge 11-4 .. 5+1 ill Yes ONo . 16.00cfd~=-~~-......,.,-j --, PA lJid_ Ac:tuaI Residence 17a. Slate UYeina 17e.O Ves,Dec:odenILivedin T.,.. Camp Hili. PA 17011 Cumberland Toel1SIllp? 17d.Ii(I~~r- Camp Hili Boro -~ . llb. Coonty 18. F_.Name (F.... _.IaII. suftixl Edward Keane 19. MoIhe<.._(FirSI._..-..........1 Mildred Hilton 2Oe.1nIonneId'. _IType I Pml Barbara Sleek 2aJ._.._-(~f(n>>~1Ybr. Mechanlcsburg, PA 17050 21a._0I~ I 0 Creme1ion 0 0clMb 21b. Dele 01 D;sfloOIion I....... day. ....1 21~Pleceo/OiIf>oIibonI.....0I_..........lI<_plecel T'd.locaUc>>:'rrl8~;;:-PA 17109 . 121 - 0 _e1_Sle1e ....~.._- <6)3) 10' Holy Cross Cemetery o 0lIler. Spci/y. br_e.-/- OVesONo . F...... _ -----.UcenIee Ill< - 122b~3845-L \22<:. Name end_oI F_ ~ Y'Y~ --- Gllbe rtL. Dalley Funeral Home &SO South 28th St. Harrisburg, PA 17103 c...,...... 231-< CJdj - criying 23a. To lhebeSl 0/ my knowledge. _ occuned at"'" _. dale end plece "led. 15igneture end IiUeI 2311. License _ 23c. Dele Slgned lMorOh. day. yoor) phyIiciIn is noI MIIbII at'" 01 dMIh 10 .... ceueo 01_. . .... 24-26..... be """'*""" by_ 24. Tme 01 Death 3:311 AIo\.. 125. 0aIe P............ Dead (MonlI1. ')!ilii~t 26, 2007 26. Was Case Aetened 10 Medical Examiner I Coroner lor a Reason Other Ihan Cremation or Donation? . ....~_. DYes !ill No ~uSE OF DEATH (s.. In_ ond ......pIes) I ApproximBle ilteMlt PartU:EnlerOfher~mfIlition5cxnriKllinalDdBdl. 28. Did Tobacco Use ConitluIe to Death? ....27. P..t &lIe<lhe~-_ qurieI... CCll1'fIlice1Io-...._ceueecl ""'_. 00 NOT .....-......""".....-....... I Onsello Dealh bulnol res.Oting in.....mfying ceuse given in PlIlll o v.. 01'lolEly rwspir'IIory 1RllSt, Of ventricutar ibriIation without showing the etiology. Lilli onty one cause on eec:h line. . ONo ~ , I ==~~I~ jJ Ut'O Den.... , 29.n_ .. c~ , o NotInlJllllll-peslyeer , Due to (or as a consequenc:e of): . o """"_01_ ~1iI1_.W"'l. b. I I o Not InIJIlIIII. buI pregnent_ 42 ~ ='I: cause UIed on line a. Due to (Of as a consequence of): I EnIor INlERLYlNGCAUSE I 0/_ =-~n':.n1t'r'5T~ . e. I o Not_bul_43~..,.... . Due 10 (or as a consequence of): , , -- . d. , O_WInlJllllllwilhinlhepesl.... 3Oa. Was an AuIopSy :JOb. Wete AutopIy F_ 31. MaMefolOeath 32.. Dele o/Iojuy (Monlh. day. yoor) 132b. _ How Injuly Ocamed 32c.Pleceol....:IbM.F....._Fac1Oly. - A__IoCompletioo ~- 0- OlliceIluiding,IIc.(SpeciIy) 0/ c... 0/ Dealh? OV.. .wHo o V.. ONo D- O Ptnding Investigelion 32<1. Tmeotlrpy 1320......._1 ~UT,anspol1elk>nlnjuy{SpeciIy) n\329.LocetionO/Irju/YI_...,_.....I o Suicide OCoUd"'be~ M. Ov., OHo 0llri.er10per.... OPessenger 0- Qlher.SpeciIy: 331. Ceo1M 1_ CJdj onel D. Signature and Tide 01 Cet1iIier ~ tL--.~ . =::.~..:::'==:.":"lhe~""':'i..:=,':~~_':'~~~----------------- 0 ~ . ;:=,.::==-=:=~.::.~=toto:""~~:._..eII1ed.._________________~ 33c. ~.Number 13M Dale S9-.ed 1_. day. ...., o oS o",>f" ~- '- "'-1..,-0') . =- =- u: Ind' or InvfttigIIkIn, In my opin6on. dNth occurred.alhl time, date; and place. and due to the CllUH(I) and......., nll8led.. 0 34. Name and Address 01 Person W'ho Completed Cau$e at Death (Kern 27) Type I Print :fle9SIrII"5q1eture...J{nl' ./. (} fl/IJ"" ,. ' I36VF~79:day. ....1 Dr. Greg Ehgartner 1.21 ,).j J....IJ... I~ I - - 07 890 Poplsr Church Rd. Suite 1108 Camp Hili PA 17011 , I 'f).. ~ ~ :;/, ffi fil !!l ~ ! 011'3. OlSpoSlllOO Permlt No LAST WILL AND TESTAMENT OF RICHARD H. KEANE r-",,-:J o :i'~; ~~; 0 -.J -;~ ~ I-TO G") ~~~,t~ ~ _. ~~:~q -0 , jl._~ I I -r,_' I, RICHARD H. KEANE, a resident of Dauphin Cou~y, - _~ --l .. Pennsylvania, being of sound and disposing mind and memory, d~ o make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils by me at any time previously made. ITEM I: All inheritance, estate and similar taxes becoming due by reason of my death ("Death Taxes"), whether such Death Taxes shall be payable by my estate or by any recipient of any property, shall be paid by my Executor first out of the property passing under ITEM IV of this Will as an expense and cost of administration of my estate. My Executor shall have no duty or obligation to obtain reimbursement for any Death Taxes paid by my Executor, even though paid with respect to proceeds of insurance or other property not passing under this Will. ITEM II: I hereby exercise all powers of appointment which I may have at the time of my death in favor of my Executor, and all property subject to all such powers of appointment shall be included in my estate and be governed by the provisions of this Will. ITEM III: I give and bequeath all of my household furniture and furnishings, automobiles, books, pictures, jewelry, china, crystal, appliances, silverware, wearing apparel and all other like articles of household or personal use or adornment to my living children in as nearly equal shares as they shall select under the supervision of my Executor. Any conflicting choices shall be resolved by drawinq lots. Any such articles not so selected or which cannot be fairly divided or distributed in kind in the opinion of my Executor shall be sold or otherwise disposed of and the proceeds thereof shall pass as a part of my residuary estate. ITEM IV: I give, devise and bequeath all of the rest, residue and remainder of my property, real, personal and mixed, wherever situate, not disposed of in the preceding portions of this Will, to my living issue, per stirpes. ITEM V: No interest in income or principal of my estate shall be subject to attachment, levy or seizure by any creditor, spouse, assignee or trustee or receiver in bankruptcy of any beneficiary of my estate prior to the beneficiary's actual receipt thereof. My Executor shall pay over the net income and the principal to the beneficiaries herein designated, as their interests may appear, without regard to any attempted anticipation (except as may be specifically provided herein), pledging or assignment by any beneficiary of my estate and without regard to any claim thereto or attempted levy, attachment, seizure or other process against said beneficiary. ITEM VI: Any person who shall have died at the same time as I or under such circumstances that it is difficult or impossible to determine who shall have died first shall be deemed to have predeceased me. ITEM VII: In the settlement of my estate, my Executor shall possess, in addition to those powers conferred by law, the following powers to be exercised, without authority from any court, for the best interests of the beneficiaries: (a) To retain any investments I may have at my death so long as my Executor may deem it advisable to my estate or trust so to do. Page 2 of 5 pages (b) To vary investments, when deemed desirable by my Executor, and to invest in such bonds, stocks, notes, real estate mortgages or other securities or in such other real or personal property as my Executor shall deem wise, without being restricted to so called "legal investments." (c) In order to effect a division of the principal of my estate or for any other purpose, including any final distribution of my estate, my Executor is authorized to make said divisions or distributions of the personalty and realty partly or wholly in kind. If such division or distribution is made in kind, said assets shall be divided or distributed at their respective values on the date or dates of their division or distribution. In making any division or distribution in kind, my Executor shall divide or distribute said assets in a manner which will fairly allocate any unrealized appreciation or depreciation among the beneficiaries. (d) To sell either at public or private sale and upon such terms and conditions as my Executor may deem advantageous to my estate, any or all real or personal property or interest therein owned by my estate severally or in conjunction with other persons, and to consummate said sale or sales by sufficient deeds or other instruments to the purchaser or purchasers, conveying a fee simple title, free and clear of all trust and without obligation or liability of the purchaser or purchasers to see to the application of the purchase money or to make inquiry into the validity of said sale or sales; also, to make, execute, acknowledge and deliver any and all deeds, assignments, options or other writings which may be necessary or desirable in carrying out any of the powers conferred upon my Executor in this paragraph or elsewhere in this Will. (e) To mortgage or pledge real or personal property owned by my estate and to make leases of real or personal property for any term. (f) To borrow money from any party, including my Executor, to pay indebtedness of mine or of my estate, expenses of administration, Death Taxes, other taxes or for any other purpose. (g) To pay all costs, Death Taxes, other taxes, legally enforceable debts, expenses and charges in connection with the administration of my estate, the expenses of my last illness and my funeral expenses. Page 3 of 5 pages (h) To vote any shares of stock which form a part of my estate and to otherwise exercise all the powers incident to the ownership of such stock and to hold and actively manage and operate any unincorporated business, including any sole proprietorship, joint venture and partnership, with all the rights and powers of any owner thereof. (i) In the discretion of my Executor, to unite with other owners of similar property in carrying out any plans for the reorganization of any corporation or company whose securities form a part of my estate. (j) To assign to and hold in my estate an undivided portion of any asset. (k) To hold investments in the name of a nominee. (1) To abandon, compromise, settle, arbitrate, payor otherwise deal with claims in favor of or against my estate. (m) To select, employ and compensate any person, firm or corporation engaged in rendering investment counsel advice to advise my Executor in making investments, managing securities or making decisions concerning the purchase, retention, sale or other disposition of any part of my estate; and to select, employ and compensate any attorney, accountant, broker or other specialist or firm thereof to render services to my Executor with respect to my estate. ITEM VIII: In the settlement of my estate My Executor shall not be personally liable for any loss to my estate or to any beneficiary of my estate resulting from any decision or election made by my Executor in good faith; nor, as a result of any such decision or election, shall any compensating adjustments be made. ITEM IX: I hereby nominate my daughter, BARBARA A. SIECK, to be the Executor of my estate. If for any reason she should fail or cease to act, I nominate my son, RICHARD P. KEANE, to be my Executor. If for any reason he should fail or cease to act, I nominate my son, STEVEN M. KEANE, Page 4 of 5 pages to be my Executor. All references in this Will to my ~Executor" shall also refer to any Executrix and to any successor Executor. ITEM X: Any Executor shall qual~fy and serve without the duty or obligation of filing any bond or other security. Any Executor shall not be surcharged or otherwise held liable under any prudent investor statute or otherwise except for gross negligence or intentional wrongdoing. ITEM XI: In the event that for any reason on the date of any distribution of income or principal from my estate there is not a beneficiary thereof, then such distribution shall be made to such persons, and in such proportions, as would be entitled to my estate had I then died intestate, a resident of the Commonwealth of Pennsylvania. IN WITNESS WHEREOF, I have hereunto set my hand and seal and do hereby declare this instrument to be my Last Will and Testament, this~ ~ day of J iJ ;V---E ' 2005. ~~~~ Richard H. Keane (SEAL) We, the undersigned, do hereby certify that the foregoing instrument was signed, sealed, published and declared by RICHARD H. KEANE, the Testator, to be his Last Will and Testament, in our presence. Residing at:~~ ~tL \'13J7 Residing at: ;5f/C-c-. 4- I r:L-. . Page 5 of 5 pages COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND We, the Testator and the Witnesses, respectively, whose names are signed to the foregoing instrument, having been sworn, do hereby declare to the undersigned officer that the Testator, in the presence of the Witnesses, signed said instrument as his Last Will and Testament, that he signed voluntarily, that each of the Witnesses, in the presence of the Testator and of each other, signed said Will as a Witness and that to the best of the knowledge of each Witness, the Testator was at the time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. ,. -~ ':)~~ \~ Richard H. Keane ~'e():\~~ ~--~ wi ness ~ Subscribed and sworn to before Testator, and by ~V\(kl'\\~ HahnOYl the Witnesses, on this ~ day of me by RICHARD H. KEANE, the 0....: and CfJA-.RLl $ c., SICc.J:- 1Vh1/ , 2005. {if!!co.J ~ rn. ~()~ N ry PU{J~~/- N e: ~e5SI'lA L. (1 i bSU11 (type, stamp or print) My Commission Expires: ~~ I~/~ QOMMONWEALTH OF PeNNSv V. NaIIrlIIs. JeseIcI L GIllon, NoIIIy PublIc ~8oIo,~ld~ My Com".... &rl/III MIr. 14, 20ClI Melnbet. PtnlllylvMia AHociatlon of NotarleI (SEAL) Continued on next page. As to RICHARD H. KEANE: Personally known or produced If produced identification, type '1 AD, \t(Y~ 1fLLme..- As to ~~ ~VlOY\ Personally known ~ or produced If produced identification, type identification ~ (check one) of identification produced: identification (check one) of identification produced: ..... As to C #IIR(cS L c Sieck Personally known ___ or produced identification ;I (check one) If produced i~entification, type of identification produced: (' L- 1X I 003 lA CQV\Se.--