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Home My WebLink About01-02-08 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Curnberlt(t14- COUNTY, PENNSYL V ANI.". Estate of (! n THA,e/lJE :::r. KI~'111 ~L.- File Number c/ll- 08 - oou 3 also known as , Deceased /~J7I(J~cial Security Number I (/i -:<" - -<~93 Petitioner(s'l, who is/are 18 years of age or older, apply(ies) for: (COMPLETE '../' or fB' BELOW:) ~ A. Probate and Grant of Lettt;rs Tjtamentary and aver that Petitioner(s) is / are the. till(.;/. J'" i::~1L- last Will of the Decedent dated I/.,t~ /J -5 and codicil(s) dated J I !{ t'1 d 5" named in the (State relevant circumstances, e.g.. renunciation. death of executor, etc.) Except as follows, Decedent did not many, 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: r--.> o B. Grant of Letters of Administration C) g :;:J (If appilcable. enter: eta. d.b.n.c.t.a.. pendente llle; durante absentia, dt/ra~e 'iif/gontate) ~ > .; ::_~~ l"'rJ , :r.:- '~;._:' '::~-:-~' Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spOl.i.S)f(i"f1ny) a'rt&heirs:(lf C:\ Administration. c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) . '. '. (.1 ~ .... . :~'J Name Relationshi .~ " ;-.-.., ",;..-:> . (List street address, townlcity, township, cot/illy, state, zip code) County, P_ennsylvania with his / her last principal residence at eeHIt IV I C 51.3 t.I,(, 6- i\- J '7C S?J Decedent, then '71, years of age, died on fl.) J?j 07 at!1::1AsHl1u!<b- V~ . 5rc~~ - rn'Dhl'tnj{!S/ju~,,o~ 1'70 StJ q t I J.'~I) f!th. ~OO"t70 $ $ $ $ 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 oheal estate in Pennsylvania situated as follows: Wheretore, 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: T ed or rinted name and residence Form RW-02 rev. 10.1306 Page 1 of2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA ss COUNTY OF (1kmblrl4l'1J{, 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. '<~ ~~ Signature of Personal Representative Sworn to or affirmed ~ subscribed )ffQr.e me the c:2 day of J , Estate of File Number: t!fdHItf<';;~ :;: }(,",nIYlEL I tJ ~ - ~,,- :J.. iI~' Date of Death: , Deceased 11./11/07 AND NOW, ,;200"7 , in consideration of the foregoing Petition, satisfactory proof DECREED that Letters Je<ST"A ""U;;Nr~V<__~ ~ . ....s'iv-ne."y-- Letters c!)f) .00 -g-,OU inthe-above estate ... k~\.. ' = .~i... " . c...- "' .'~ I and that the instrument(s) dated 1- ~ <(" - OS described in the Petition be admitted to probate and filed of record as the last WiN (and Codicil(s)) 0 FEES {..f . L $ $ $ $ I=>- 0'U $ 10 . OD $ F; ,(..fO $ $ $ $ $ $ $~"c0 Attomey Signature: ~, ~ ::;: , I Short Certificate(s) . . . . . . . . Renunciation(s) .......... I ^-.) , j I -J('P ~-+~+j CY\ '. } Attomey Name: ~2 :::s. w U1 0" ";.' . Supreme Court LD. No.: Address: Telephone: TOTAL Forlll RW.1J2 rev. 10.13.06 Page 2 of2 Hln.'i,XO:" ru,:v 1f)1/()71 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 14124648 Certification Number Hl05144 REV 1112006 ....;' TYPE I PAINT IN PERMANENT 8lACKINK #31-162 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. v.f'!1r R K~ iN J.iJ k1 'J Local RegIstrar Date Issued ,....., .= c:;::, = (- ;p.. :::.!: I N -0 :Jr : i ,"" r~~ w .. :'~_, ") 1""-~) <..n 0'\ COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS CORONER'S CERTIFICATE OF DEATH (See Instructions snd examples on rever..) 3. SodaI SocUItly....... Kimmel 168 _ 26 _ 2693 r" 1. Name al OecedenllFirsl, middII, Iat, dill Catharine .....(....._) 76 J e. 0... 01 Birth (MontI, da, ear) ...._Of Feb. 2. 1931 .. CounIy " Death Cumberland &d. FaciiyNamo(''''''_, givo_............) 49 Ashburg Drive 1'.DecedenI'sUsual life. 00 not state r*ed 12. Was Deceden1 ever in the U.S.....med Forces? Or.. /ia,Na _. ActualAesidence 17a.Sale lIb, County PA Cumberland etl~al - ,. m'shbt';D(~eS:m8#t2-1 Mechanlcsburg, PA 17050 18 FMher', Name (FII1t, milde, last, iiMixl Re5iOonaI 0'**. SpociIy, 1.._'____,"". ISo<<ifol White llid_ Uvtin. T_' 17e. 6a. Yes, Oecedett LNed in 17d. 0" No, 0ecedenI: lived wbi -..-" T.. COyI- Paul L. Utz 19. MaIher', Name IFni, middle, maiden Nnam8) Catharine Shupe 2lI> _r. MaJIng.......(SO.... <!Y ,_, _, zp-I 145 North 15th Street Camp Hili, PA 17011 208 InIonnanrs Name (Type I Print) Susan Stoner 21C. PIac. ol~ lName of cemetery, crematotyOlolhlfplacel Mt. Zion Cemetery 21d. location (CiIr I aown,...., zip CCldII Carlls(e, Pa. 17013 C> ~ ~ 22c._..........."Fdly Myers Funeral Home, Inc. 37 Eaat Main Street Mechanlcsburg, PA 17055 II8ms 24'26/lQ1 be compIeIed by person Mlo proooooces death, t. 25 0." Pronooncecl Doad _, day, yeor) December 18, 2007 CAUSE Of' DEATH <Boo .....ruclIan. end ...mplHl hem 27. Part I: Enlerthe ~-dlseases, irpiBs. Of ~ions-flaltii8dlycaused"'d8aIh. 00 NOT enler terminal events SLdl as ca<<iac anast, respWaIoly arrest, 01 ventriWar ftJrialion without showing 1'18 etiOOg,. list onIoi 001 cause on each ft. ~~~~I~ ~",-.."". = LWDEca::;~c:u=: a. =-~":~J!" Hypertensive Cardiovascular Disease Due to (or as a consequence of): b. Due 10 (or as a consequence of): Due to tor as a consequence oj): 3Oa. Wu an AWlp&y P_' d. Dl.WereAi.copsvFindings Available Prior 10 CompIeIion ol Cause 01 Death? 31. Mamet ~ Death ~"'''J 0- 0-' OPendong'........."" 05.- OCauld.....O'.._ M. Ores J14..-Na Or.. DNa 32d TIIfII~1njuIy ~ 'i!l l!; I 33a CMMr (check only onel =:~=:Wca;::"~~~7~=r~~_~~_~~~~:n~_________________ 0 ~ ~==:. -= ~J::" ~=:" .::.::o...":.~ ':":..'tlo,:~,::,:, _.. __ _ ___ _ __ _ _ _ __ __ ___ 0 ...... Euminer I CoI~ On IhI bull 01 ~ and I or Jnvestigstion, In my opWon, dI.U. occurred at..... time,...... and pIKe, and due to 1M causs(a) WId InIAMt IIItIAed.. 23b, Lhnu tunbel' 230. 0010 S9*' 1_. day. .-l 26. Was Case Aeterted 10 MecicaI EwOOir I Coronet kw. Reason 0Ihw '*' CrwnUon 01 DronMion? )(Y.. DNa ApproUnaIe int8tvaI: Part II: Enter oller ~ alnIiIiaI-. ~ ItJ dMlh. 28. Old ToMcx:o Use ColWtblM 10 0IIIa? On$et100ealh bulnolre&ulWlginl1ear.dll'lylngClWl(lgMeninPertl 0 v.. OPraDabt;' DNa 0- 29. "f__: o NoI"'......_pestyoor O_M...."_ o NoI_....__....... ,,- 0......--,......--.........,_ --- O-."'......_...pest_ :J:2c. PIla "'11M: tkll'M, Farm. SheI, F-*'ty, "'_*._1 Coroner ... llo1o S9Md (....... day. "'" December 19. 2007 34 ~~h'::1"'r:" ~~~~~b~:l: T"",PmI 6375 Basehore Roadl Suite #1 Mechanicsbur PA 7050 LAST WILL AND TESTAMENT BE IT REMEMBERED THAT I, CATHARINE J. KIMMEL, a resident of Cumberland County, Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this to be my LAST WILL AND TESTAMENT, hereby revoking any and all Wills and Codicils previously made by me. I I declare that I am not married, and that I have five (5) children, STEPHEN E. KIMMEL, SUSAN K. STONER, NANCY JO FRESNO, LUCY BETH BARGER, and JULIE MAY GRABKO. II I direct that all my just debts and funeral expenses shall be paid from my residuary estate as soon as practicable after my decease. III I direct that all taxes that may be assessed in consequence of my de~_tp, (.,~'- ~~ of whatever nature and by whatever jurisdiction imposed, shall he~ 'iiflid f~ '. (-) -" . ~' f..'~~ I my residuary estate as a part of the expense of the administration of rny~state. \...) - ...."- " ~-;-') ::::) ~ ,)' IV ; ( " ! w (Ji CJ'o All of my property, whether real or personal, wherever situate, including J ,~ -~;~) ...._" any property over which I may have a power of appointment, I give, devise and bequeath to my daughters, SUSAN. K. STONER and JULIE MAY GRABKO, in equal shares, per capita. V I nominate, constitute and appoint my daughter, SUSAN K. STONER, as Executrix of this LAST WILL, to serve without bond. If my daughter, SUSAN K. STONER, is unable or unwilling to act in that capacity, then I nominate, constitute and appoint my daughter, JULIE MAY GRABKO, as Executrix of this LAST WILL, to serve without bond. IN WITNESS WHEREOF, I, CATHARINE J. KIMMEL, have set my hand to this LAST WILL this 28th day of January, 2005. . / Jl/ld L Signed, sealed, published and declared by the above-named CATHARINE J. KIMMEL, as and for her Last Will and Testament, in the presence of us, who, at her request and in her presence, and in the presence of each other, have hereunto subscribed our names as witnes~s/ ' /' ' . // /I~L(I4r~( /J~l'}' ,: A. ,~. .'l{JrJi f' ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND I, CATHARINE J. KIMMEL, Testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my LAST WILL; that I signed it as my free and voluntary act for the purposes therein expressed. ~. v _......,j ~ - tJ / t!l1ltiUl" I' ,,' '7~ CATHARINE~Kf MEL Sworn or affirmed to and acknowledged before me by CATHARINE J. KIMMEL, Testatrix, this 28th day of January, 2005. ~d~ Notary Public NOTARIAL SEAL DEBORAH L RYAN, NOTARY PUBLIC CITY OF MECHANICSBURG, CUMBERLAND COUNTY MY COMMISSION EXPIRES JUNE 11, 2006 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND We, It/II, ((c.\.( ;2, (.J A t ~I2J C;..Jt and L /fx'<.- 2- f4u-J:u{) , the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Testatrix sign and execute the instrument as her LAST WILL, that CATHARINE J. KIMMEL signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and th~t to the est of our knowledge, the Testatrix was at the time 18 years 0 age or :ttiore, 0 ound mind and under no constraint or undue influence. . /,-j;. /i'< I [{f I';it<h; ~,;p{~ / Sworn or affirmed to and acknowledged before me this 28th day of January, 2005. &/ftDbL d+L Notary Public NOTARIAL SEAL DEBORAH L RYAN, NOTARY PUBLIC < CITY OF MECHANICSBURG, CUMBERLAND COUNTY MY COMMISSION EXPIRES JUNE 11, 2006