HomeMy WebLinkAbout12-27-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF C. \''-fY\ ~eaJ t\nJ COUNTY, PENNSYL V ANI.\
Estate of Ber'L-tl1 A
also known as
lolA., J e
\< eta pea..
File Number ~ \
()\ \\\Jfo
d(O I - I ~ - 01 '1-</
, Deceased
Social Security Number
Petitionerls), who isiGre 18 years of age or older, apply(ies) for:
(CO/IIPLETE '.-/' or '8' BELOW:)
~ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the
last Will of the Decedent dated Il.{ 1) ,t('~ :::2 CO 0 and codicil(s) dated
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~ named in the
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Except as follows, Decedent did not malTY, was not divorced, and did not have a child born or adopted after execution oftl:re:ii1strument(s) off~red'~)
for probate, was not the victim of a killing and was never adjudicated an incapacitated person::J (+; ~ ." '. :r::
(State relevant circulllstances, e.g.. renunciation, death of executor. etc.)
o B. Grant of Letters of Administration
f>?
o
(If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minotitate) .-
Petitioner(s) after a proper search has I have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (If
Administratioll, 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
o
I -1-- 'J 4 I
Decedent, then $ ~ years of age, died on :n..1)ec... 200:} at
GR.~ md~
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) 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
, -; S" 1000
$
$
$
$
situated as follows:
Wherefore, Petitioner(s) respectfully request(sl the probate of the last Will and Codicills) presented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
Ty ed or rinted name and residence
"] \A.-\ \ .re..
valli
Form RW-02 rev. 10./3,06
Page 1 of2
Oath of Personal Representative
COMMON'vVEAU H i)F PENNSYLVANIA
SS
COUNTY OF
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The Petltii;\ici"!;1 :lb"\'~"!L:nt,:j ,''.CI1\';) or ,<(:rl11(s) that the statements in the foregoing Petition are tl1Je and con-ect to the best of
lb;: k"C),', kd"e awl belief of Petitiol1ct(:;) :lJ10 [bl, as personal representative(s) of the Decedent, Petitioner(s) will well and truly
admll1ister the estate according to law.
Q'l
day of
-0
3:
. ,\
TI
(-)
i~l
Sworn to or affirmed and subscribed
before me the
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C)
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File Number:
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~ ,--\--ka... l, 'nCL.\ pe. (""
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Estate of
, Deceased
Social Security Number: aO \
Date of Death:
,~ \~:~..~ \0/
AND NOW, ~QeIY\~ cll ,~l, in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters '\~ ~~ \0..:"--1--
are berebygranted to ~I.J....\\ e. loU-\b~ ""v.-Jr.,~, ~'("\~ ~e.. ~o....r~( ~
'=:>0-(, nO-ex- Kc-.('~"" S,,- ,% in the above estate
and tbat the instrument(s) dated ~('€-('(\b.1l \ Lf dDb 1..(
described in the Petition be admitted to probate and filed of reCOL
FEES
Letters ,.. \35 ,00.0. . $
. '5
Short Certlficate(s) . . . . . . . . $
Renunciation(s) .......... $
w\\\ $
,)\? $
~-\u $
$
$
$
$
.. . $
$
TOT A L .. _ .. .. . . .. .. . $
aloO
~O
Attomey Signature:
\s
\D
S;
Attomey Name:
Supreme Court LD. No.:
Address:
Telephone:
~\OOO
FO/'lll RWO] rev 10./3.06
Page 2 of2
H105.805 REV (01/07)
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 14007340
Certification Number
This i~ 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.
/L {/uL /1t/2/II07
Lo~;listraro ~----..-- g Dat~;~Jssued
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H105-143 REV 11J2006
TYPE 1 PRINT IN
PERMANENT
BlACK INK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
o
\ f:) \ \\1..0 ~
19. Mother's Name (FII1t, middle, maiden surname)
I3ertha Griffith . - -
2Ob. Informant', MaiIng Addms (SOeel, ciIy ,_, "Ie, ,;p code)
94 Road Pa. 17257
21c. Place of DisposItion (Name 01 cemetery. crematOfy or other place)
1. Name oIlJecedenl IF"", _, "", suffix)
Bertha Louise
5.p.g.(l.8stBir1hday)
82
VIS.
~ \
1\
8b, County 01 Death
CUIi:Jerland
mostolwo life.Donols1ateretired
KI1d of Business I Industry
Own Heme
. 16. Decedenl's Mailing Address (Street, city I town, state, zip code)
210 Big SIring Ave Newville Pa. 17241
Decedent's
AduaI Residence 178. State
17b. County
Pa.
CUIi:Jerland
18. Father's Name (finsl., middle, last, suffix)
Ibward V. Shahan
~
'"
~
21a. Method of Disposition
. iii Burtal D Removal _ Slate
D Dlher-Speclfy:
228. po
'ems 24-28 """ be COfl"llIeled by person
. ...~_.
===5Ji'=)~
I Approximate Interval:
I Onsello Dealtt
I
I
I
I
,
,
I
I
I
I
I
I
I
I
I
I
~~~is~='~~a.
Enlltf 1.: UNDERLYING CAUSE
(tiseaseor~rythalinitialedthe
events resulting 11 death) LAST.
b:
Doe to (or as a consequence 01):
Due 10 (or as a consequence of):
308. Was an Autopsy
Perlormed7
d.
:lOb. We<<. AuIopsy Rndings
AvaiablePrioflo~
of Cause 01 Death?
31. olDealh
_,. D Homic..
D - D Pen<lng_igalioo
DSUlcide DCouIdNolbeDetemined
M.
D Yes No
DVes DNo
32d. TIlTlE! of Injury
33a. Cel1ilier (check only one)
Certifying phyalclln (Physician certifying cause 01 death when another physician has pronounced dealh and completed Item 23)
To the best of my knowtedge, dnth occurred due to the cause(s) end manner I' sllted-.............................................................._
=:s~~ =~~~Jc=::::ti~~~~=o~':~~~~ manner II statecL .. __...... ____ ______.. 0
~::=~n:~c: /' red at the time, date, and place, and due to the cause(s) and manner 8S stated_ 0
35. Registrar's Signature and
..
I~I/ 1;l1/1~1
Oisposihon Permir No. 0076132
DOIher - Specify:
10. Race: An\eran Indian, Black, While, ele.
(SpecIfyl
Wdte
17e. fg Yes, Decedenllived in West 'PPnn<:l'nrn Tw.p.
17d.D No,Decedenllivedwlthin
Actual Umits 01
TWO.
c;ty/Boro
21d.localion (Cily/town,s1ate,lipc:ode)
~ Pa. 17257
28. Did Tobacco Use ContnbuIe to Death?
DVes I'rttlebIy
D Unknown
29. K Female:
o NoI pregnanl within pest year
D PtegnanlBllimeofdeBlh
D NoIpregnan1,butpregnanlwlthin42deys
ol_
D NoIpr8J1l8n!,buIpr_nl43deyslo'year
before death
D UoIorown~pregnanlwItI1inthepaslyea'
32c. PIa;ce oIlr1Ufy: Home, Fann, Street, FaclOlY,
0II<e Buiding, etc. (Specify)
32g. Location of Injury (sareet, city/lown, sta1e)
00-
34. Name and Address 01 Person Who Completed Cause of Dealh (Item 27) Type f Pool
~~ Dr. Darryl Guistwite
-s-b -"'tS "'-~ st,A<.J.L-r Carlisle, PA 17013
F:\FILES\DATAFILE\Estate Planning\12J 18.l.will
LAST WILL AND TEST AMENT
I, BERTHA L. KARPER, of Newville, Cumberland County, Pennsylvania, being of sound
and disposing mind and memory, do hereby make, publish and declare this to be my Last Will and
Testament, hereby revoking any and all former Wills or Codicils made by me.
1.
I direct that all my legally enforceable debts, funeral expenses, testamentary expenses and
all death taxes (whether such taxes may be payable by my estate or by any recipient of any property)
shall be paid from my residuary estate as soon as practicable after my decease and as part of the
administration of my estate. My Executrices shall have no duty or obligation to obtain
reimbursement for any such tax so paid, even though on proceeds of insurance or other property not
passing under this Will.
:--.)
o g
I give, devise and bequeath all of my estate, both real and personal prdtf~, unt~y
., , r-rt
children, JULIE LOUISE KUHN, SHIRLEY F AYE KARPER, DARINDA KARPER1~~ITGd
,,- -.l
RICHARD EZRA KARPER, in equal shares, absolutely., -0
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3.
2.
:~. )
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I nominate, constitute and appoint my daughters, JULIE LOUISE KUHN, SHIRLEY F ?E
KARPER and DARINDA KARPER-SMITH as co-Executrices of my estate. In the event any of my
said daughters shall be unwilling or unab Ie to sf,) act, then my remaining said daughter( s) my act as
N
co-Executrices or sole Executrix of my estate.
4.
I direct that my Executrices shall not be required to file a bond to secure the faithful
performance of their duties in any jurisdiction.
5.
I authorize and empower my Executrices, in their sole and absolute discretion, to purchase
or otherwise acquire and retain any investments of which I die seized or any real or personal property
of any nature; to sell, lease, pledge, mortgage, transfer, exchange, dispose of or grant options in
regard to any or all property of any kind forming a part of my estate for such terms and such prices
~ C If:::
[Initials]
Page 1 of 3 Pages
as they may deem advisable; to borrow money for any purposes connected with the protection and
preservation of my estate; to mortgage or pledge any real or personal property forming a part of my
estate or to join in or secure the partition of same; to compromise any claims or demands of my
estate against others or of others against my estate; to make distribution in kind and to cause any
share to be composed of cash, property or undivided fractional shares in property different in kind
from any other share; to employ agents, attorneys and proxies and to delegate to them such power
as my Executrices consider desirable and to pay reasonable compensation for such services as may
be rendered by such agents, attorneys and proxies; and to execute and deliver such instruments as
may be necessary to carry out any of these powers. In addition, I direct that my Executrices shall
have the power to conduct an inventory of any safe deposit box necessary to the administration of
my estate.
IN WITNESS WHEREOF I have hereunto set my hand and seal this //;1 /j~ day of
(./I(",,/../~,;'/__ '. '.I:r;?'
_r~_J . --f' ~.
~~:.~ ~)
Bertha L. Karper
SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testatrix, as and
for her Last Will and Testament, in the presence of us, who at her request, have hereunto subscribed
our names as witnesses thereto, in the presence ofthe said Testatrix and of each other.
~~~ !&J4 . //:Jft
Page 2 of 3 Pages
COMMONWEALTH OF PENNSYLVANIA )
: SS.
COUNTY OF CUMBERLAND )
We,BerthaL.Karper,IvoV.OttoIII,and {h 7{'1':~/:L /. (( If.:-
, the Testatrix
and the witnesses, respectively, whose names are signed to the foregoing instrument, being first duly
sworn, do hereby declare to the undersigned authority that the Testator signed and executed the
instrument as her last Will and that the Testatrix has signed willingly, and that the Testatrix 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 Will as a witness and that to the best of his /her
knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no
constraint or undue influence.
~,,; t:: 7~h ~~
Bertha L. Karper, T ~tatrix -v
~ 0>>\
- )'----
Witness (' _ . ,
a -/ / ~'II-
.i~.I(( {< "",/ (( -L"~
Witness
Subscribed, sworn to and acknowledged before me by Bertha L. Karper, the Testatrix, and
subscribed and sworn to before me by Ivo V. Otto III and V \ C 1 (i I i"~ L , c tt C , the
witnesses, this I~ tiv day of 1) C C (r'\ h (r , )i" t. .
~Vi,;.iVIUI'\iWtALI H or ,'ll\l,-<'>I LV"",
Notanal Seal
Mary M. Price, Notary Public
Carlisle Boro, Cumberland County
My Commission Expires Aug 18, 2007
L/1Ivn~ V1(, (]tf:-~
NO~UbliC
~,r ~,-'-,'-'<;( Penn.::.viV;1'li;, J\ssoclatlon of !\lc~"?""'0;,
Page 3 of 3 Pages