HomeMy WebLinkAbout09-11-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYL VANIA
Estate of EDNA MAY KLUTAS
also known as
File Number
rl.. \ () -"\ c>~&D
, Deceased
Social Security Number
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
IZJ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the CO-EXECUTORS
last Will of the Decedent dated MAY 5,2005 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
(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
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Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his / her last principal teS~ ... ce at
210 BIG SPRING AVENUE NEWVILLE WEST PENNSBORO TOWNSHIP CUMBERLAND COUNTY PENNS IA
(List street address, town/city. township. county. state. zip code) j::.
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Decedent, then 89 years of age, died on SEPTEMBER 9, 2007
NEWVILLE, PENNSYLVANIA
r
o
at GREEN RIDGE VILLAGE, 210 BIG SPRING A VENUE,
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 P A) Personal property in County
Value of real estate in Pennsylvania
200,000.00
$
$
$
$
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 W1dersigned:
T ed or rinted name and residence
ROBERT STANLEY KLUTAS, 500 STONY CREEK ROAD, DAUPHIN, PA 17018
BRENDA JEAN GEIMAN, 9932 CIRCLE DRIVE, ST. THOMAS, PA 17252
Form RW-02 rev. 10./3.06
Page 10f2
Oath of Personal Representative
COMMONWEALTH OF PENNSYL V AJ~IA
: SS
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.
before me the
day of
{1,&R~~J!~~~
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(ji)atllre of Personal Represe ative
Sworn to or affrrmed and subscribed
Signature of Personal Representative
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Date of Death: SEPTEMBER 9,2007
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File Number:
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Estate of EDNA MAY KLUT AS
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Social Securi
AND NOW, ( 7 , oeRfl , in consideration of the foregoing Petition, satisfactory proof
having been presented befo me, IT IS DECREED that Letters TESTAMENTARY
are hereby granted to ROBERT STANLEY KLUTAS AND BRENDA JEAN GEIMAN
in the above estate
and that the instrument(s) dated MAY 5, 2005
described in the Petition be admitted to probate and filed of record
FEES
Letters ............... $
Short Certificate(s) . . . . . . .. $
Renunciation(s) .......... $
JCP ...$
AUTOMATION FEE . . . $
~L ... $
. .. $
... $
.., $
... $
...$
... $
TOTAL .............. $
260.00
8.00
Attorney Signature:
10.00
5.00
15.00
Attorney Name:
Supreme Court LD. No.: 49811
Address:
60 WEST POMFRET STREET
CARLISLE, PA 17013
Telephone:
(717) 249-2353
298.00
FormRW-02 rev. 10./3.06
Page 2 of2
H105.805 REV (0]/(17]
a\ 6l0~O
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Certification Number
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
P 13745648
~. ~~~~"~"JSE~ 1 1/2007
Local Registrar '~Date Issued
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11.DecedenI'IU8UIII lifworkcb'lt moitlif IIe.Donolll8lt
~U~~f~~~cal Fed~~~a[n
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210 Eig Spring Rd
Newville, PA 17241
lH_......iF...._,...._, Fred L Klutas
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions snd examples on reverse)
STATE FILE NUMBER
H105-143 REV 1tJ2006
TYPE I PRINT IN
_ENT
BlACK INK
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Edna
Klutas
.._01131""_,
8/29/1918
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8b. Cc:x.riy of De8Ih
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12. Was Decedent ever in the
U.S. Anned Forces?
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AclulrRelldence 17a.SIate
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PA
Cumberland
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Klutas
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500 Stony Creek Rd. Dauphin
21. PIoceolllloppll!kln (Nomeol....-y. _"_pl8i:8)
Humanlty Glfts Registry
PA 17018
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neral Home Inc 15 Big Spring Ave Newville PA
17241
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