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Home My WebLink About10-16-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Estate of Robert E. Artz also known as CUMBERLAND COUNTY, PENNSYLVANIA File Number 21-07 - a <13J , Deceased Social Security Number 198-18-7594 Kim W. Artz Mr. Petitioner{s), who is/are 18 years of age or older, apply{ies) for: (COMPLETE 'A' or 'B' BELOW:) 00 A. Probate and Grant of Letters Testamentary and aver that Petitioner{s) is/are the Executor last Will of the Decedent, dated OS/21/2002 and codicil(s) dated 06/21/2007 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 8. Grant of Letters of Administration (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pedente I/te; durante absent/a; durante mmantate) 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. Decedent was domiciled at death in Cumberland County, Pennsylvania with his / her last principal residenee at 418 Wren Court, Mechanicsburg, Hampton Township, Cumberland, PA 17050 (List street address, town/city, township, county, state, zip code) C" C) Decedent, then 82 years of age, died on 09/29/2007 at HealthSouth, Mechanicsburg, Mechanicsburg, Pa Decedent at death owned property with estimated values as follows: (If domiciled in PA) 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 110,000.00 $ $ $ $ ,b-tr ~ L 0.00 //01000,00 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 form to the undersigned: Kim W. Artz Mr. Typed or printed name and residence 2326 Herb Road Temple, PA 19560 610-929-4230 Form Rev. 10-13-2006 Copyright (c) 2006 fonn software only The Lackner Group, Inc. Page 1 of2 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 adm'o""', the ""'" ""'''''09 to ,.... X ,t/<~~I/-- . Sworn to or affirmed and subscribed /~tL4( Sigrmture of Personal Representative Kim W. Artz Mr. before me this 12 day of Signature of Personal Representative October Signature of Personal Representative File Number: 21-07- DC\3( , Estate of Robert E. Artz , Deceased Social Security Number: 198-18-7594 Date of Death: 09/29/2007 AND NOW, , ~ ' in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Kim W. Artz Mr. in the above estate and that the instrument(s} dated OS/21/2002 06/21/2007 described in the Petition be admitted to probate and filled of record as the last Will (and COdicil(s)} of Decedent. Supreme Court I.D. No.: FEES Letters................\\D.,.~...... $ Short Certificate(S)........{~..... $ Renunciation(s)............................. $ J.tJ:)cO \ l.o 00 Attorney Signature: w,\\ $ \~DO C~'u\ $ \~OO ~C? $ \000 ~\o $ Sc;90 Attorney Name: Address: $ $ $ $ $ Millersburg, PA 17061 Telephone: 717 -692-2345 TOTAL.......... .......................... $ ~d \ 00 Form RW-02 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2 HIOS.80S REV (011071 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 "'.1 R.ec.ords Office for permanent filing. W~ ~ ~ OCT !22jOl Local Registrar Date Issued Fee for this certificate, $6.00 P 13961141 o r'.....) :~::::-'l c::::=: _-..l ,....... ......_, (''') -l c.r\ ~ \ \)'1 tP\ol """"'J H105.143 REV 1112006 TYPE I PAINT IN PElWANENT BlAC1<1NI( COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples on reverse) L" 1. Name 01 Docedenl 1Fi...._,Ias1._) Robert E. Artz 5. Age (tast IMhdIy) 7.1lk1~( and....or STATE FILE N~~R Vo;. 6.0BleofBi1h , day, Y"") - 759q one) 4. Del. 01 Death IMonth, t!mor) September 29, 2007 Dlher. 82 February H, 1925 Spring Glen, PA ed. FedIIy N... (II "" _, gMo _ and f1IJ1lborj Cumberland Mechanicsbur 11.0ec:ed8nt'1UsueI ofworkdooe most of Ie.Donolstale KO'd 01 Work KiodolBusilesIolk1duslly Funeral Director Funeral . 16.Dec:edor<'.MaIIno_t_l,clly/_,ota1.,,.,code) q18 Wren Court Mechanicsbur , PA 17050 18. Fattier's Name (FIrst. mkkIe. list, sulllx) Paul M. Artz 208. Informenl', Name (Type I Prilt) Kim W. Artz HealthSouth OOltle,.SI>ecify, 10. Race: Americ8n Indian, BIBck, While, etc, (SpecIfy) White 4, 8b,.County 01 0eI1t1 12. Was Decedent ever in the u.s. Anned Forces? OVes KINo Decedenl's Actual AesIdence 17a. $lale 13.Dec:edor<'.Edt.<aIlon(Sl>ecifyonlyhig>esl~CllfI1lleted) _ryISecondaryle-12) College (1-4 Of 5+) 12 6 PA Cumberland ~~ 17c.~ Ve',_lNedm Hampden Townslllp? 17d. 0 No, DecedentlNed wfthm AdueI ~ 01 Twp. 17b. County CRy I Boo> . ~ 19. Molher's Name (FIrst, middle, melden IRXl'IIme) Faye (Carl) Artz 2Ob._r, MeiInO_{SO"",clly/_,-.",codeJ 2326 Herb Road, Temple, 21c Place of Dlopoolllon (Neme of cemelery, aemaIory or ""'"' plece) PA 19560 ~ 5, 2007 Forest Hills Memorial Park 22c. Nome and -... 01 F.cIIIly Auman Funeral Homes, 21d.loce1lonIClly/_,....,,.,codel Reiffton, PA 19606 co !1l '" ~ 1960 CAUSE OF DEATH (See Instructions .nd ullmpln) Item 27. Pert I; Enlerthe l!lIIlJllmlU-deeeoes, 1rjuIies, or~ -thai dIredIy caueed the....... DO NOT ...,,_1_ _ eo cardac erI8I1, respratory IlT8Sl, or venIrictlIer IIbriIItIon wMwl showing I1e etiology. Lilt only one C8lI5't 00 each Int. :S11~N~9~=)~ (Ad>...""'" l) f......~ Due to lor lS)LeonsequerlC8 of): ' I _, , b. L..~rJ~ M..~'1 'I>(S fA S "- Due1o(or8S8ClJr!~of): -, \\ c. C J-\.{l-()", ,l.. f'-~,...\ ,r'\,...,"\tIt.<;,...... Due to lor.... a conoequence 01)' ft I d 1'+(. r I't\'" t...E Ill..l lAtL L.<VL C <t'" 0 M..q 301. Was an Autopsy 3ml. Wen! Autopsy RrKIngs 31. Manner of Oealh _ A_Priortoeornpetlon 01 eau.a of DeaIh? ApproxImate interval: PBr1I1: Enter oIher IIlioniIIcanI mndIinnI mnbIluti'1tr.lo duIh 28. Dd Tob8lx:o Use ConIrlMe ID Death? DnseItoDealh buI""reodli1gmlhe~cauaegMmmParll. 0 Ves OPnlbebly Olio 0- Ov.. DNa ~Nal1Jral D- O- OPendIng~ 0- OCoo4d...beDel_ 29. "Female: o ...pl1lQ!lIr1...hm...._ o ~.Ilimeoldealh o Nof_,buI_"wlIhm42deys ol_ D No! pregnlInl, bU. pnq18nI43 days 10 1 year beIoredealh o U"""",I__lhepeslye," 32c:::~'=: :.-eai so...t, FOClory, _1ol_,I.ny, -.iIna 10 ile ceuse hied on line a. Erler the UNDERLYIIG CAUSE =-~':.t~the -f.. OVes [XNo 32d. lime 01 Injury 32g. Lacellan 01 Injury (so...t, clly ,_, ota1.) M. L: "t. ~ ~ :s ~ 33a.C8!tlIIerld1ecl<onlyllll8) . certlIylng_ (Physician ca_..... of dealh _ analhe,_hospronounced_and~_ 23) Tolhebes1efrnykooWlodge,""" _ ....tolheOllO/SO(.)end 1lIlIMer......ed..___________ _ ___ _____ _ __ _ __ _ _ _ ___ 0 . =:~=-;~~8nddel~nd=tolo:==mannerllSsl8ted..----------------- 0 . =b:":::~=' IIId / or inYestiption,ln my optrrion, dnth oc:eurred It the time, d8b!, Bf1d place, MId due to the cause(s) .nd R*MM!'l' n mted_ 0 ;1'O~ 35.Aegtslr8t'sSignetur~ ~ 101 ~IOI rf) I ~ I,N' C "^ t RIVL q,+, \Q~ \ 1).}oJ IWvl S;- (t"^-IJ DIsposition Pennlt No. 0067689 .s I1Iast .ill an~ illc6tcrIDcnt I, ROBERT E. ARTZ, of Mechanicsburg, Cumberland County, pennsyl vania, being of sound and disposing mind, memory and understanding, hereby declare this instrument to be my Last Will and Testament, revoking any and all Wills by me heretofore made. ITEM I. I direct my hereinafter-named Executor or Executrix, to pay all my just debts, funeral expenses and administration expenses, incl uding inheri tance taxes, as soon as may be convenient after my decease. ITEM II. I g~ ve :-_J A. My diamond ring with three stones (1 Karat) tcrmY~~;30n, KIM W. ARTZ; and, -:', B. My set of two anni versary bands (1 Kara t) to 11!Y son-, KIM W. ARTZ; and, I c., co C. My green water pi tcher and five glasses to my son, KIM W. ARTZ; and, D. My pink water pi tcher and glasses to my son, KIM W. ARTZ; and, E. My wife, Helen's, diamond watch to my granddaughter, VANESSA ENGLE; and, F. My wife, Helen's, diamond engagement r~ng (1 Karat) to my granddaughter, VANESSA ENGLE; and, G. Mrs. Fielder's cut glass pi tcher to my granddaughter, VANESSA ENGLE; and, H. My set of Naritoka China to my granddaughter, VANESSA ENGLE; and, I. My Kimball Organ to my grandson, TRAVIS C. ARTZ; and, J. My automobile to my grandson, TRAVIS C. ARTZ; and, K. My mother of pearl jewelry box to my granddaughter, JAMEY ARTZ; and, L. My anniversary clock to my granddaughter, JM1EY ARTZ; and, M. My opal r~ng to my granddaughter, JAMEY ARTZ; and, N. My Baldwin Brass candl e sti cks to my grandda ugh ter, JAMEY ARTZ. Page 1 of 2 Pages ~~f r:: a~f- R ert E. Artz (SEAL) ITEM III. All the rest, residue and remainder of my Estate, real, personal or mixed, of wha tsoever na ture and wheresoever situate, I give as follows: A. 50% unto my son, KIM W. ARTZ, or his ~ssue per stirpes; and, B. 30% unto my granddaughter, VANESSA ENGLE, or her ~ssue per stirpes; and, c. 15% unto my grandson, TRAVIS ARTZ, or his ~ssue per stirpes; and, D. 5% unto my granddaughter, JAMEY ARTZ, or her ~ssue per stirpes. ITEM IV. I hereby nominate, constitute and appoint my son, KIM W. ARTZ, as Executor of this, my Last Will and Testament. In the event he ~s unable to act in this capacity, then my granddaughter, VANESSA ENGLE, shall serve in his stead. ITEM V. I direct that my Executor or Executrix shall not be required to give bond for the faithful performance of their duties in this or any other jurisdiction. ITEM VI. My Executor or Executrix, ~s hereby authorized and empowered to sell at public or private sale or sales all of the personal property 01' which I may die seized and to likewise sell all real estate of which I may die seized and to convey the same by fee simple deed or deeds to the same effect that I could personally do, if living. IN WITNESS WHEREOF, I hereunto set my hand and seal to this my Last Will and Testament, con~ting of two (2) bearing my signature thi~ day Of~~ ' typewritten page, A.D., 2002. OF: ~~~C! a/>~ Rob-ert E. Artz (SEAL) AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN Before me, the undersigned authority, on this day personally appeared TESTATOR: ROBERT E. ARTZ WITNESS: WITNESS: JEFFREY B. ENGLE ANGELA A. KOHLER known to me to be the Testator and the witnesses, respectively, whose names are subscribed in their respective capacities, and, all of said persons being by me first duly sworn, said ROBERT E. ARTZ, Testator, declared to me and to the said witnesses in my presence that said instrument is his Last will and Testament, and that he willingly made and executed it as his free and voluntary act and deed for the purposes therein expressed; and that said Witnesses, each on his oath stated to me, in the presence and hearing of said Testator, that the said Testator had declared to them that said instrument is his Last will and Testament, and that he executed the same as such, and wanted each of them to sign it as a Witness; and upon their oaths each witness stated further that they did sign the same as witnesses in the presence of said Testator, and at his request and that said Testator was at that time over the age of 18 years and was of sound mind. ( SEAL) (SEAL) ( SEAL) Sworn to and subscribed before me by ROBERT E. ARTZ, JEFFREY B. ENGLE and ANGELA A. KOHLER , the above-named Testator and Witnesses, this :;fJ'day of /lIl144 ' A. D. 2002. (}t~~l itacU:;fi4C Notarial Seal Constance E. Stoneroad, Notary Public MillersburQ Boro, Dauphin County My CommissIon Expires May 10, 2004 CODICIL TO LAST WILL I, ROBERT E. ARTZ, of Mechanicsburg, Cumberland County, Pennsylvania, do hereby make, publish and declare this to be a Codicil to my Last will and Testament, dated the 21st day of May, 2002. I do hereby modify and amend my said Last will and Testament ~n the following manner: FIRST: I hereby amend ITEM II. J., of my Last will and Testament as follows: ITEM II. J. -,J C~) My automobile to my son, KIM W. ARTZi .'-" ~ SECOND: Otherwise and except as herein-J2Jj'ovid~a, -J "___.~~') I hereby confirm, ratify and republish said Last Wil+- and my co Testament, dated May 21, 2002. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this Codicil to my Last will and Testament dated May 21, 2002, consisting of one (1) typewritten page, bearing my signature, this d 1st- day OUU~, 2007,. WITNESSES: ~1t~,lL#~ .D~ /nfi?f-~ Page 1 of 1 Page . tot t?te~ tf. to. f- Ro ert E. Artz - (SEAL) AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN Before me, the undersigned authority, on this day personally appeared TESTATOR: WITNESS: ROBERT E. ARTZ t tJ /JS /t:z-n tX... c- S h/lcnJ a d [){)r/ S LO-l:-/' WITNESS: known to me to be the Testator and the Witnesses, respectively, whose names are subscribed in their respective capacities, and, all of said persons being by me first duly sworn, said ROBERT E. ARTZ, Testator, declared to me and to the said Witnesses in my presence that said instrument is his Last Will and Testament, and that he willingly made and executed it as his free and voluntary act and deed for the purposes therein expressed; and that said Witnesses, each on his oath stated to me, in the presence and hearing of said Testator, that the said Testator had declared to them that said instrument is his Last Will and Testament, and that he executed the same as such, and wanted each of them to sign it as a Witness; and upon their oaths each Witness stated further that they did sign the same as Witnesses in the presence of said Testator, and at his request and that said Testator was at that time over the age of 18 years and was of sound mind. ~ted~~ ~ Robert E. Ar ~f! Jr;,~ Witn~ss (SEAL) (SEAL) ,~7n~ Wi tness . (SEAL) Sworn to and subscribed before me by a'l1olaf7~(' 6 SltJl7Ctoarl and J:x;r/5 Lo R. i Testator and Witnesses, this d/sr day ROBERT E. ARTZ, , the above-named , A.D. 2007. .ljL Notary L. 11:S;~~~