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Home My WebLink About10-24-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF C. U h ~ ~ ~ l n ,..J p COUNTY, PENNSYLVANIA Estate of CDPtINN€ K. I~ C:lL G f< File Number ~\ 6~ (jC\\M also known as , Deceased Social Security Number '7...0~-(J9 - 93 5g Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) Ii( A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the L:)( tt<. (..A l' Po I )Co last Will of the Decedent dated pEL f./'I8<f/1 2. ?J6o,3and codicil(s) dated (! CT () 8 c.= R, " "2.. 00 '1 . . 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: IV 0 AJ (} c) ~-:; ~,--,., C) --J .;.J I.~::": o B. Grant of Letters of Administration ~, ') (~ (Jfapplicable, enter: c.t.a.; db.n.c.t.a.; pendente lite; durante absentia; durantenli/:l(lritatef.) . .j:-' Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spotisi (if any) and heirs: (Ij Administration, c.I.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete /ist of heirs.) ; I 1 =:::: Name Relationship R :mI.-j II ence f:~ .... (COMPLETE IN ALL CASES:) AUach additional sheets ifnecessary. Decedent was domiciled at death in (, L/ h ~ G ~ <.. 1'1 N 9 ( AAI~ LtJf)Jc.F A t.,Etv ,"wI' (Ust street address. town/city, township, county, state, zip code) County, Pennsylvania with 1*/ her last principal residence at :; 2"Z.. )- '-. U h6f5J?t...14 JoJ(J (,0 l.l. IJ r)T I1c:C HAI'I, <.r81.( ~~ fJ ~ I 70 f r- ~:s Decedent, then ~ Ot n ~ ~ . 'I '2.. years of age, died on Oc 7'6~": If" ZO :~ 0 c 7 at n';<I-Ipt^"<:.I'~IA.(a... 01')4 l?tP,f'.r- Get]' )''2...'2..f vJ I '-J'o '" ~ A IJ r: ,i Decedent at death owned property with estimated values as follows: (lfdomiciled in PA) All personal property (lfnot domiciled in PA) Personal property in Pennsylvania (If not domiciled in PA) Personal property in County Val ue of real estate in Pennsy Ivania I ~ 000 - $ $ $ $ C).oo situated as follows: filA 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 fom1 to the undersigned: t.! 0/1/ .4 T ed or rinted name and residence ~,01..1) SO r()/IIcS- n. B I( {flt-rl, C .1'1 ~ L f S' t.. c..:- P J4 1-10(( .r IE- ~ 0 ~ I) >. /ra,r Form RW.02 rev. /0./3.06 Page 1 of2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF c.. uhf> (." tQ. L n N P 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 ofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affinned and subscribed -a,& :1' ~~ Signature of Personal Representative (; ::C) -':U T) 0:....:) ....1 '::':::J l ') ---j r<) ".-.~, .J- before me the r:J J-f day of - -i !"' 6'r>/'IA f? P.. R ~ 1-1 n --,:1 Signature of Personal Representative ;. 1 r.,....1 Signature of Personal Representative File Number: .)\ 01 09lo~ Estate of e: 0 ~ 1 N N l....~ /<::, l< €'-LC--~ , Deceased Social Security Number: Date of Death: tJ c.,.. 0 6 (..." 'Z. fJ #J 7 AND NOW, ~iobA.. 31-\ , JabJ.-, in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters l' IE f''-' a H 6' N i A fl./, are hereby granted to t3' /) /V A f? , P.J ~ Ii H h . iF if ~ <: I..( ,. I'? 1 ~ ' . FEES Letters '.... ,I~,.ocq. . $ Short Certificate(s) . . )\. . . . $ Renunciation(s) .......... $ l0\\\ .. . $ C\:'\/'\\L',\ . . . $ ~(~ ... $ ~-\o ... $ .. . $ ...$ . .. $ .. . $ . .. $ TOT AL .. . . . . . . . . . . .. $ loO l-\1.\ in the above estate J. 2....007 and that the instrument( s) dated I'J I.f (. <E hlj I? ~ 2, 1 , 'L 0 (/ J A JJ P described in the Petition be admitted to probate and filed of record as the last Will Attorney Signature: A. V3~~ S"' I 13 C 1\ N L~ )' f1 I T 11 \% \s:: \b S Attorney Name: Supreme CourtLD. No.: 0'7 '2.... r 4 Address: I () 7 jJ I "'2. 4 ~ r- '1'. c: A-h ~ I~l l.. '- r A- I 7 C> 11_ '], " <. , Telephone: '7/7_ 7"37, G'7gC/ H~tO~ Form RW-02 rev 10.13.06 Page 2 of2 HI05.X05 REV ((I1107} LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 13860139 Certification Number This is to certify that the information here given i correctly copied from an original Certificate of Deat! duly filed with me as Local Registrar. The origina certificate will be forwarded to the State Vita Records Offi~ permanent filing. ~ /Jl:1~~ OCl Z 3 fOCI Local Registrar Date Issued Q o :0 -::2 --.J C. c) -I N ~~- -ry N ..r:- REV 1112006 I PRINT IN AANENT ,CK INK COMMONWEALTH OF PENNSYLVANIA' OEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and eKBmples on reverse) STATE FilE NUMBER J..\ D'l b~lo~ 1. Name of Oeceden\ tArsi. midde, I8st, lL1fflll) Corinne K. Keller 5. Afl8 (last Birthday) Under 1 6. D.1e 01 Birth 1_lh, day, yea>} 7. Birthplace (Ci\y Ill>l_ or 92 Y... Bo. County 01 Oe.lh October 14, 1915 Wiconisco, PA 8d. F8Cllty Name (tf not instiMion. give streeI and l'IUmb6r) Cumberland Twp. Bethany Village mott 01 lit, 00 not &1a\e re' Kind 01 Business I lndullry Medical Professi 12. Was Oec9denl ever m the U.S. Armed Forces? DYes aDNO Decedenl's Actual Residence 178. State 13. Deeedenfs EducaUon (Specify onlV highest grade completed) Elemenla'"{ I Secondarj ('J.12) College (1-4 or 5+1 12 3 205 - 09 - 9398 4. 081& of Daalh (Month. day, vear) October 20, 2007 Sa. PIece 01 lloaltl (Checl< on~ one) Hoopital, O\hec. IlO Inpolienl 0 EA IOutpatient oOOA 0 Nursing Homo 0 Residence DOllIe. - Specify, 9. Was Decedent of Hispanic Origin? [JJ No 0 Ves 10. Race: American indian. Black, While, etc. (II yes, spoc;ly Cuban, (Speci/)j MeltiClIol"i, Puer'to Rican, elc.) Whi te 14. Marital Stalus: Married. NeV9r Mamed, W_, Divorced (Specityi Widowed Old Decedent LiYeina Township? T.nwer All en 17C.lXI Yes, Oec&:ient lIved ~ 17d. 0 No, Oecodsnl u..d willIi<1 Actuallimllaol 17055 l1b. County Pennsylvania CumberlAnd 19. Mother's Name (First, midI:Ie, maiden surname} Amelia Palmer TWI>. City I 80m 2Ob. InIoonant's Mailing Adclress (Slreel. city I town, state, zip code) 1533 Catherine Street, Harrisburg, PA 17104 211:. ?(ace of Disposition IName 01 cemetery, cremalory or other pIact) 2M. LocaliOn (City I town. state, l.ip code) :J2f. If T renspo""lion Injury (SpecI~) oDrNtrlOperetor oP_ oP- Other - SpeclIy' 33a Certifier I""" only one) ':' S'?llu~.... TIlle o~ Certi~ _ -^- ._ ;::~r~~,n==:'ueo:~=u:=~:n:.~rh::=~..~~_~~~~e:n:a~__.._____....____.._.. 0 "" "V'4WNJ ~ ~:=~~=~:~=::hti::"::.s""::,,.:n:'olO'::~~~-:~m'nner..stat<d.._________________ 0 33c~N4 ? q T 33 "O~: Or ~~a1 ~:~m~":~;:.o::. and I or Investigation, In my optnlon, death occum!d 8t the time, date, and place, and due to me cause(sl and manner IS staied.. 0 3... Name and ~e~ot ~ 'Who ~mpleled Cause i~.~ ~ttesn f1J TY{ll9'! rinl .b R. t'rJ'tfoC.fN \ 0 , V I . JLJ:-l.1l+"'N A-N 3 45 b, (1\I\rI en e RNt>..:d , Co. 11v\l . O~PIOl1OUI"<Od Dead IMoolh, day, yeer) 'bLc:... :to'b.-_<. ~c I d"OO '7 CAUSE OF DEATH (See In.tructlons ond examples) ltem V. Pari /; Enter lht ~ - diM&8ea. injtJrtets, or ~lion! -ht directly caused ttIe dtslh. 00 NOT tnter terminal events such as cardiac arrest, ~ anest, or ventricular fIbrlIlalion without showifMJ the etiology. Us! ooly one cause Ol'l eactlllne. I ApproxirrrMeinterval; 1 On$ello Death , , I I I I I I , , , I I I I I =.~=~:~\~ a ~) 'f"rC.. Due 10 (or a& a ~"!3.~ oij: b. (.J/J. \\ ~ c. ~~on: DjIt. to (or aa a consequel"\C9 ol)'. bJ -rc... fWUt.<:S:1 ~ Jt.l\.L ~bJ{)rls. _islconclilioros,Worry, \eadnQ to \he CIUN i8ttd on MM.. Enlo< tro UNDERLYING CAUSE ==-..:..~~~'ff." 300. Was en_ Ptrtormed'! 3Ob. Were Autopsy Findings Avajlabte Prior 10 Completion of Cause 01 Death? 31. MamH of On'" ~ oH_ 0- 0 Pen~ng InvostIgaJ~n o Suic\de 0 Could Not be Oelerrnlned M. oYIS ~ Dyes oNo 320. TIme 01 Injury I:Regislrar'S 1,,;<'1 /I~I/I"'" Disposition PennJt No. 0070502 of PA Harrisburg, PA 17109 Home and Cremation Services, Inc. 26. Was Case Re<<lrrecj \Q Medical Examiner I Coroner tor 8 Reason Other tt'Ian Cramation or Donation? DYes -J&No Part U: Enler other ~ conditions r:on\1ihutloo to dMlh, 28. Did TobaeCO Use Contribute 10 Deam? but notl>SUl1'<l/ in lhounderlylng ""USf glven in Pm I. 0 Yes 0 Probably oNo 0- ~tJ;)No.1\ fr\.. Pltl~ f\ . 2W,maJe o Notpregnanlwi1Nnpostyeer o Pregnant alUme 01 death o Not PfOgnent, but pregnant wi1lln 42 deys oIclelllh o Not_nt, but pregnant 43 days 10 1 veer belrn dealtl o Unl<nownllpregnenlwRhmlllepostye.. 32c. Place of ~ry: Home. Farm, Street Facto(y, OIf~, 8<JikIng, ele. (Spoc;Iy) 3.2g. Location allnjury (Street, ~ I town, sttI&) no II -4 . . LAST WILL AND TEST AMENT C) '--0 . :_:J . ) . ("J OF I, j -n CORINNE K. KELLER .r::- I, CORINNE K. KELLER, of Bethany Village, Mechanicsburg, Cumberland County, Pennsylvania, being of sound mind and disposing memory, though I realize the uncertainty of this life, I have full confidence and trust in my Lord and Savior, Jesus Christ, in His death on the cross for my sins and in His shed blood as an atonement for my soul; and I know by faith that because of His sacrifice on the cross for me I have etemallife, do hereby make this Will, hereby revoking all my former Wills and Codicils: Article One: Tangible Personal Property: ~ 1.1 I bequeath all my tangible personal property to my daughter, Nancy Corinne Kuhn, of Harrisburg, P A. ~ 1.2 I direct that the expenses of storing, packing, shipping, insuring and delivering any such property to the beneficiary entitled thereto shall be paid by the Executor as an administrative expense of my estate. Article Two: Residue: ~2.1 I devise and bequeath all the residue of my estate of whatever nature and wherever situated to my daughter, Nancy Corinne Kuhn, if she survives me. With respect to this bequest, I direct my Executor to purchase an annuity, or annuities, for my daughter from one or more responsible and sound companies which sell annuities so that my daughter will receive an income, payable at least quarter annually. The contingent beneficiaries on such annuities shall be the four charities named in ~2.2 hereinafter. The primary objective of the annuity should be to provide a sufficient income to help support my daughter during her lifetime with any remainder going to the charities. ~2.2 If! am not survived by my daughter, I devise and bequeath all the rest of my estate, of whatever nature and wherever situated, in equal shares as charitable bequests to the 1 .' c:--, l~ -) --I f'-') -) r; I -..-', -:J "-) ",) .' . . charities named in Sections 2.2.1, 2.2.2, 2.2.3 and 2.2.4 in which I have had a deep and abiding interest during my lifetime. If any of these charities should not be in existence at the time of my death that bequest shall lapse, and the gift shall be allocated prorata among those named charities which are then in existence. ~2.2.1 ~2.2.2 ~2.2.3 ~2.2.4 Mechanicsburg, P A. The United Methodist Children's Home, Mechanicsburg, PA; Derry Street United Methodist Church, Harrisburg, PA; Covenant House, New York, NY; and The Care Assurance Endowment Fund, Bethany Village, Article Three: Provision for Debts and Expenses: ~3.1 I direct that any of my legally enforceable debts, any expenses of my last illness, funeral and burial, and any of the administrative expenses of my estate shall be paid from the principal of that portion of my estate disposed of by Article Two of this Will. Article Four: Appointment of Fiduciaries: ~4.1 I appoint my friend, Edna R. Brehm, of Carlisle, P A as Executrix of this Will. If Edna R. Brehm is unable or unwilling to serve or continue to serve, for any reason whatsoever, I appoint my daughter, Nancy Corinne Kuhn, as first, contingent Executrix. All references herein to the "Executor" shall mean my originally appointed Executrix or my successor Executrix, as the case may be. I specifically request my Executor to work through the Camp Hill, P A office of John A. Benkovich, Jr., my long time American Express financial advisor or his successor. Article Five: Powers of Fiduciaries: ~5.1 No fiduciary under this Will shall be required to give bond or other security for the faithful performance of the fiduciary's duties. ~5.2 Any such fiduciary shall have the following powers, in addition to those given by law: ~5.2.1 To invest in, accept and retain any real or personal property, including stock of a corporate fiduciary or its holding company, without restriction to legal investments; 2 .' '" 95.2.2 To sell, exchange, partition or lease for any period oftime any real or personal property and to give options therefor for cash or credit, with or without security; 95.2.3 To borrow money from any person including any fiduciary acting hereunder, and to mortgage or pledge any real or personal property; 95.2.4 To hold shares of stock or other securities in nominee registration form, including that of a clearing corporation or depository, or in book entry form or unregistered or in such other form as will pass by delivery; 95.2.5 To engage in litigation and compromise, arbitrate or abandon claims; 95.2.6 To make distributions in cash, or in kind at current values, or partly in each, allocating specific assets to particular distributes on a non-pro rata basis, and for such purposes to make reasonable determinations of current values; 95.2.7 To make elections, decisions, concessions and settlements in connection with all income, estate, inheritance, gift or other tax returns and the payment of such taxes, without obligation to adjust the distributive share of income or principal of any person affected thereby; 95.2.8 To disclaim any interest I may have in any estate if the Executor deems such disclaimer to be in the best interests of my estate and the beneficiaries thereof; Article Six: Provision for Taxes: 96.1 All estate taxes, inheritance taxes, transfer taxes and other taxes of a similar nature payable by reason of my death to any government or subdivision thereof upon or with respect to any property subject to any such tax ("Death Taxes"), and any penalties thereon, shall be paid by the Executor out of the principal of that portion of my estate disposed of by Article Two of this Will. Article Seven: Miscellaneous Provisions: 97.1 As used in this Will, the term "Internal Revenue Code" shall mean the Internal Revenue Code of 1986, as amended from time to time, or the corresponding provision of subsequent law. 97.2 If any beneficiary hereunder should die within thirty (30) days after me or within thirty (30) days after any other person the survival of whom determines his rights hereunder, then 3 -' ~ , . . ~ such beneficiary shall be deemed to have predeceased me or such other person for all purposes , hereunder. IN WITNESS WHEREOF, I, CORINNE K. KELLER, have hereunto set my hand and seal to this, my last Will, typewritten on five (5) sheets of paper, including the self-proving attestation clause and signatures of witnesses, this 2'1 '1') day of December, 2003. ~6r CORINNE K. KELLER (SEAL) Signed, sealed, published and declared by the above named CORINNE K. KELLER as and for her last Will, in the presence of us and each of us, who, at her request and in her presence and in the presence of each other, have hereunto subscribed our names as witnesses thereto the day and year last above written. v~ ;( ~~ Residing at 3.2~ Wo S &1' (J1 . LJ, - mCbJ eft (7tJss- rV)u /cL (},y~ Residing at Sa$' w,uAy iJ~, / ~kf /~ /7tf~3- ./0 is ~ /4.-.S/) Residing at J 07 ,.;. 2" "J .> r. ... C pr"ll !/t, '- J ~tfi /70/1 COMMONWEALTH OF PENNSYLVANIA: : SS. COUNTY OF CUMBERLAND We, CORINNE K. KELLER, the testatrix, and 41cu.~~~ 1(c:v,(Jer- L.-:.,.,A, 27/l"'- , and S'. 8 ~ A N ~ .J' /1 I 'T )-J , the witnesses, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that 4 . . .. ,'. .. . '. the testatrix signed and executed the instrument as her last Will; that the testatrix signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the testatrix signed the Will as a witness and that to the best of his or her knowledge the testatrix was at that time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence. ti:~~ CORINNE K. LLER -1YJflA.ftUCk f!-. ~_.I!/L ~ess ~~q~~ /Jefi/ ~~ Witness Subscribed, sworn to and acknowledged before me by CORINNE K. KELLER, the testatrix, and subscribed and sworn to before me by /1'l t:..l.A /Y' ~'" /Ic;.., I' (j- L,..htl'~ 07 k.-- and {'. fJ 6 ~ IV t: .f;" I 7" H , the witnesses, this 2- '1 0 day of December, 2003. ~ /t--~~ ~Nbl' otary Pu Ie My Commission expires: NOTARiAl SEAL JOHN R.E. BOWEN. NOTARY PUBUC LOWER ALAN TWP., COUNTY OF CUMBERLAND MY COMMISSION EXPIRES MARCH 25. 2006 SEAL 5 .. a\ DI DC\lD'3> r......) o '.c:o - ~J.J -'J <..:.::~~ --.J ( -{ 1'0 FIRST CODICIL TO WILL OF CORINNE K. KELLER -c ~"0 --~J ~I-:"- I, CORINNE K. KELLER, of Bethany Village, Mechanicsburg, Cumberland County, Pennsylvania, declare this to be the First Codicil to my Will executed on December 29,2003. 1. I hereby amend my Will to make the following specific bequests of some of my personal assets: A. My antique gold plated broach set with various colored stones and pearls, which had belonged to my Great Grandmother Weist goes to my very special friend, Catherine Yellin, of Palm Harbor, FL. B. My antique Rocking Chair with the needlepoint back and seat goes to my niece, Judy Woodling, of The Villages, FL. C. My needlepoint clock and the four (4) counter cross stitch pictures go to my niece, Judy Woodling, of The Villages, FL. These items were made by and given to my by Judy's mother, who was my sister. 2. In all other respects, my Will shall remain unchanged. IN WITNESS whereof, I, CORINNE K. KELLER, herewith set my hand to this, a Codicil to my last Will, typewritten on two (2) sheets of paper including the self-proving attestation clause and signatures of witnesses, this:5,-/ day of ah kr-- , 2007. ~~~ CORINNE K. L ER (SEAL) Witnessed: ~)U ~ .4 v~[~ ~~~ ~/cJ' \J~ ~ residing at 5dr;> 5 w.) SOY) UAV'J... rv'le.t l.-.o........,'c ':::.'olA'Q I } ""\ residing at aaa~ !J)~lth.. ,i)JJ;dr (; ~ residing at 5225 w\\~,\(.. \AlA" MtcM"",t<;\',::) 'fA . . COMMONWEAL TH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND CORINNE K. KELLER, (the testatrix), t"C#1A';' ~,...,~ ~r , ! .JJ...ttlG Z :i:/~r and R~;;'" /k;!v'C) (the witnesses), whose n es are sIgned to the foregomg mstrument, bemg first duly sworn, each hereby declares to the undersigned authority that the testatrix signed and executed the instrument as a codicil to her last will in the presence of the witnesses and that she had signed willingly, and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the testatrix, signed the codicil as witness and that to the best of his or her knowledge the testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. WITNESS: TESTATRIX: ~~,Jj~ ~fuJip~ CORINNE K. KEL ER - WITNESS: WITNESS: /\ ~Lc:0 ~ ?u/z ~;j. \~ Subscribed, sworn to and acknowledged before me by CORINNE K. KELLER, the Testatrix, and subscribed and sworn to before me by &/1171/::> ~ ,....,..-'~, 1-,,;,- 1. J // I"~ Z~/t"'~- and K4m ~/~~ witnesses, this 3r1l day of 6t-;r;, j~__ ,2007. , the ~~~-~ r ';;ary Public My Commission Expires: (SEAL) NONfAt SIAl JOHN R E BOWEN t40bv PubIlc LOWER AllEN lWP. c~ COUNrY flIv C~r""J Expkw Mar 25, 20JO