HomeMy WebLinkAbout02-19-08
PETITION FOR PROBATE AN:q GRANT OF LETTERS
REGISTER OF \VTLLS OF ~ bty\ctrtd COUNTY, PENNSYLVAt\L\
Esl:.1:CiJtj{:;:J\::/1~!}_ l(f;lTii (3/t/c;v'NC E R.
also kno\V11 :.1., j(oN /t L /) i< f3 f1;2 Iv' / IV(; c R
File Number
.A\
o"is 0 III
, Deceased
Social Security Number J. (, '/- 3 c. 7), S' J...
Petltioller(s). \,11(\ isi,w~ 18 ye:.1iS of age or older, apply(ies) for:
(COJIPLETF '~' or 'W HEL01V:)
[jI.x., I'robate 'lllll \ ;rant of Letters Testamentary and aver that Petitioner(s) is I are the
last Will ur' tii'~ Dc,cdent dated I D -/0 - () 3 and codicil(s) dated
named in the
(Slate relevallt circulIlstallces, e.g, rellullciatioll, 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 pronate, was not the victim of a killing and was never adjudicated an incapacitated person:
o B, Grant of Letters of Administ,'ution
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(Ifapplicable, elller: c.t.a.; d.b.nc.t.a.; pelldente lite; durallte abselltia; dllrwtt,l!)llilloritate) E;
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PetJtioner(s) after a proper search has I have ascertained that Decedent left no Will and was survived by the following spdt1~if any) anclJ1eirs: (If
Adllllllistratioll, c.t.a. or db.Il.c.t.a., enter date of Will in Section A above and complete list of heirs) , :.. 8;:;
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I Name Relationship Residence;} ,=1::2 \..D I
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(CO;}IPLETE IN ALL CASES:) Attach additional sheets if necessary.
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Decedent was domiciled at death in L UM ~3 En. L h i../ ()
COUR T EN0L..A EllS! p,ENJ.!S!J0ICQ
(List street address, towl/lcity, towl/ship, cOlll/ly, state, zip code)
County, Pennsylvania with his I her last principal residence at
G Ut<1/} ",- r2 U1- IV J) 1> It I 70 J-5'
J. kELLY
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Decedent, then h 7
years of age, died on Cj -/7 - 0 7 at He L 'I ::; P lit' I r /1 c:, P I rilL
Decedent at death owned property with estimated valucs as follows:
(If domiciled in P A) All personal property
(If not domiciled in P A) Personal property in Pennsylvania
(Ifnot domiciled in PAl PCI'sona] property in County
Value of real estate in Pennsylvania
S {i DO 0, (. ,
$
$
$
situated as follows:
Wherefore, Pel;t;oner(s) respectfully request(s) the probate of the last Wltl and Codicil(s) presented with this Petition and the grant ot' Letters in the appropriale form te
the undersigned:
Signature
Ty Jed or printed name and residence
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J..kELL
Couk,
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Furm RW,O] rev /0.13.06
Page lof2
Oath of Personal Representative
COM\100!\V EALl i i (IF I'E0lNSYL VANIA
COUNTY OF_~d__
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The t'd;:.!t:I,c.., ,! :\r."\'~"!L!::I,.:d ,'\e:II(\; c1C ,,'Tllm(s) that the: statements in the foregoing Petition are true and conect to the best uf
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JI!U i.leh: t' 0 f t'etltiunClU) Jnu rbt, as personal representative(s) of the Decedent, Petitioner(s) will well al,d
admil1lster the estate according to !Gw.
bd'ore me the
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~Llre rWl/al Repl"2SenlallVe
Sworn to or affirmed and subscribed
day of
Signuwre o/I'o..:rsol1({f Rt:presentative
Sigfli./ture of Per,\:ollaf Representative
File Number: ~ \ 0 <zs () l'l \
Estate of hono....ld I<e/+h J3a-f71''::J.R r
Social Security Number ;;04 30 tdg c:;l Dare of Death
, Deceased
Q/'7/07
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AND NOW, :fe,?t'U..CJ-.IL.( I q , :JCb f?! ,~nsideration of 91e foregoing Petition, satisfactOlY proof
havlllg been presented berore me, IT IS DECREED that Letters /Cc.5-fO-lYlef1 tCkJL (
are hereby granted to .a malLf Eifel] f:A-o\..-/l1.j e r ....-J
OC-/obe, ! 0 d OO'-~
in the above estate
and that the ll1strument(s) dated
described 1ll the Petition be admitted to probate and filed of record as the last Will a
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LetteIS . . .(P.19Q9 . .
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Short Certl ficate(s)
Renunciation(s)
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Attorney Name:
Attomey Signature:
Supreme Court LD. No.:
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Page2of2
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
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This is to n~rtil\ 11::1\ the illtnfDl:T ]i- -': ,.11
correcll) copied r'O!]1 an tlriginal (',nlik"L: \ :k;llh
dulv hied \\ith Ill' as Ll1cal Rl'g,,'I:ll' Ti,c' "II!:II;t!
certificate wJ!! he ftlr\\ankd t \ tik')!ille \
Records Officl' fll pnl1lancnt filii]):
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~EV 11/2006
PAINT IN
ANENT
:K INK
#31-098
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CORONER'S CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
o If bIt
1. Name of Decedent {Rrs!, middle, last. suffix)
Ronald
5. Age (Last Birthday)
K
Barninger
6. Date of Birth (Month, day, year)
67
12. Was Decedent ever in the
U.S. Armed Forces?
ll'es 0 No
Decedent's
Actual Residence 17a. State
PA
7. Birthplace (C
Yrs.
eptember 18,1939 Harrisburg, PA
Bb. County of Deafh
Bel. Facility Name {If not institution, give street and number)
Cumberland
Holy Spirit Hospital
13. Decedents Education (Specify only highest grade completed)
Elementary f Secondary (0-12) College (1-4 or 5+)
12 +3
11, Decedent's Usual Occu tion Kind of work done durin most of workl life. 00 not state retired
Kind of Woo Kind of Business I Industry
Conductor Amtrak Railroad
16. Decedent's Mailing Address (Street, city { town, state, Zip code}
2 Kelly Court
Enola, PA ]7025
1B. Father's Name (First, midd1e, last, suffix)
Daniel Barninger
i7b. County
Cumberland
3. Social Security Number
204 - 30
o Residence DOther - Specify'
rn No 0 Yes 10. Race: American Indian, Black, White, etc
(Spec;lyj
White
14. Marilal Status: Married, Never Married,
Widowed, Divorced (Speci!).1
Did Decedent
Live ina
Township?
E. Olberg
East Pennsboro
TwO
17c.t] Yes, Decedent Lived in
17d.O No, Decedent Lived within
Actual Limits of
City/Boro
20a. Informant's Name (Type I Print)
Mary E. Barninger
21a. Method of Disposition
19. Mother's Name (First, middle, maiden surname)
Glad s Smeal
2Ob. Intormant's Mailing Address (Street, city I town, state, zip: code)
Approximate interval: Part II: Enter otnar sinnificant conditions contributinn to death, 28. Did Tobacco Use Contribute to Death?
Onset to Death but not resulting in lhe underlying cause given in Part I 0 Yes 0 Probably
o No 0 Unknown
29. If Female:
o Not pregnant within past year
o Pregnant at time of death
o Not pregnant, but pregnant within 42 days
of death
o Nol pregnant, but pregnant 43 days 10 1 year
belore death
o Unknown If pregnant within the past year
32c. Place 01 InJury: Home, Farm. Street. Factory
Office BUIlding, etc (Specify)
321. Jf Transporlation Injury (Specffy)
o Driver {Operator 0 Passenger DPedestrian
M. OOther. Specify:
338. Certifier (check only one) 330. Signature and TItle 01
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~=:~II~~ =~:,hJ:~a~:u7~~i: ~I=~n;:a~~an~:~ot~~:~:~~ manner as state<L _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0 33c.license Number 33d. Date Signed (Month, day. year)
MedIcal examine. I Carone. of S e p t emb e r 19, 2007
On the basJs of examination and I or Investigation, in my opinion, death occurred at the time, date, and place, and due to the CIIUae(S) and manner as stated.. ~ 34. Name and Address of Person Who Completed Cause 01 Death Qtem 27} Type I Print
Todd C. Eckenrode, Chief Deputy Coroner
35.Aeg;stra'sS~Y"o/"aodDistri<1 .~ /1 ..:::t. / 1/ I 36.Dat.R (Month, ,yea.) 6375 Basehore Road, Suite 111
~ ~ I.~I _ 0 _. . 9 I Mechanicsbur PA 17050
2 Ke 11
Ilems 24-26 must be completed by person
who pronounces death
24. Time of Dealt1
11: 05 P. M Se tember 17, 2007
CAUSE OF DEATH (See Instructions and examples)
Ilem 27. Part I: Enter the ~ - diseases, iniuries, or complications -that directly caused lhe death. DO NOT enter terminal events such as cardiac arrest,
respiratory arrest, or ventricular fibrillation without showing the etiology. Ust only one cause on each lille
=~~~~&:~~; ~~~~~\ d5e:;
Hepatic Encephalopathy
Due to (or as a consequence on:
Sequentially list coodihons, if any.
~~o J~eD~R~~~~~~~ a.
(cllsease or il)jury that initiated the
events resulting m death) LAST.
Due to (or as a COf'lsequence on:
c.
Due to (or as a consequence on:
3Oa. Was an Autopsy
Performed?
3Qb. Were Autopsy Findings
Available Prior to Completion
o/Causeo! Death?
31. Mannero! Death
~ Nalural 0 HomiCide
o Accident 0 Pending Investigation
o Suicide 0 Could Not be Determined
I
DYed \l!f No
Dyes ONo
32d. Time 01 tnjury
Disposition Permit No.
of) 70 J d-.~
21d. location (City { town, state, zip code)
East Hanover lWp. PA 17003
Inc. 29 S. Enola Dr. Enola, PA 17025
23b. Ucense Number
23c. Date Signed (Month, day, year)
26. wa}Fase Referred to Medical Examiner { Coroner for a Reason Other than Cremation or Donation?
~Yes DNa
32g. Localioo of Injury (Street, city / town. state)
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I, RONALD K. BARNINGER 01'2 Kelly Court, Enola, Cumberland County.
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Pennsylvania, declare this to be my last will and revoke any will previously made by me.
ITEM I. I direct that all my just debts and funeral expenses, including my gravemarker
and all expenses of my last illness, and any and aU taxes and assessments imposed by any
governmental body as a result of my death, whether on property passing under this will or
otherwise, shall be paid from my residuary estate as soon as practicable after my decease as a
part of the expense of the administration of my estate.
ITEM II. I give and bequeath all of my household goods, automobiles, jewelry, and all
other articles of household and personal use, equipment and ornament, together with all
insurance thereon and relating thereto, to my wife, MARY E. BARNINGER, provided she
. \, C survives my death by thirty (30) days. Should my said wife predecease me or be deceased on the
\ ~ \,thirty-first day after my death, I hereby make the [ollowing specific bequest:
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A. The sum of Six Thousand and 00/100 ($6,000.00) Dollars to my
daughter SONDRA KIM, provided she survives my death by thirty (30) days.
ITEM III. I give, devise, and bequeath all the rest, residue, and remainder of my
possessions and estate of every nature and wherever situate to my wife, MARY E.
BARNINGER, provided she survives my death by thirty (30) days. Should my said wife
predecease me or be deceased on the thirty-first day after my death, I give, devise, and bequeath
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all the rest, residue, and remainder of my possessions and estate of every nature and wherever
situate in equal shares to my children, or the survivor of them, with the exception of my daughter
Kimberly A. Barninger who is estranged from me. I am knowingly not leaving anything in my
estate to my daughter Kimberly A. Barninger.
ITEM IV. All of the interests of the beneficiaries hereunder shall not be subject to
anticipation or to voluntary or involuntary alienation nor shall they be subject to any execution or
attachment.
ITEM V. I appoint my wife MARY E. BARNINGER executrix of this my last will.
Should my said wife predecease me or otherwise fail to qualify or cease to serve as executrix of
this my last will, I appoint my son TREVOR J. BARNINGER executor of this my last will.
ITEM VI. In addition to the other powers and authorities granted to my personal
representatives by Pennsylvania law and by the other terms and provisions of this will. I hereby
give to my personal representatives the following powers and authorities effective without court
approval and until actual distribution of all property: to compromise any claim or controversy;
\,rr to make distribution in cash or in kind, or partly in cash and partly in kind, and in such manner as
, \ '" ..~ my personal representatives may detennine and at valuations finally to be fix cd hy them; to
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invest in all forms of property, including any stock or other securities in any corporate tIduciary
or its successor without restriction to investments authorized for Pennsylvania fiduciaries. as my
personal representatives deem proper, without regard to any principle of risk or di versitIcation;
to retain any or all assets of my estate. real or personal, without regard to any principle ofrisk or
diversification; to sell at public or private sale. to exchange, or to lease for any period of time.
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any real or personal property and to give options for sales, exchanges, or leases, for such prices
and upon such terms or conditions as my personal representatives deem proper; and to allocate
receipts and expenses to principal or income or partly to each as my personal representatives
deem proper in their sole discretion.
ITEM VII. 1 direct that my personal representatives and fiduciaries shall not be required
to give bond for the faithful performance of their duties in any jurisdiction.
IV
IN WITNESS WHEREOF, I have hereunto set my hand this
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RONALD K. BARNIkoEB_/
_ day of
.,
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The preceding instrument, consisting of this and THREE other typewritten pages, each
identiiied by the signature of the testator was on the date thereof signed, published. and declared
by RONALD K. BARNINGER. the testator therein named, as and for his last will. in the
presence of us, who at his request, in his presence, and in the presence of each other. have
subscribed our names as witnesses hereto.
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
)
( SS:
)
The undersigned, being the testator whose name is signed to the attached or foregoing instrument,
having been duly qualified according to law, does hereby acknowledge that I signed and executed the
foregoing instrument as my last will, that I signed it willingly; and that I signed it as my free and
voluntary act for the purposes therein expres~~ ... /,.?'
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RONALD K. BARNI~Ir--:?)
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C'crKm~THOFPENNSYLVANIA )
( SS:
COUNTY OF CUMBERLAND )
WE, M ,J..., J L ~ and Mwrt E. l3~r" '":it''' , the w;tu"ses whose
names are signed to the attached 01 oregoing instrum nt, bel11g duly qualIfied accordl11g to law, do
depose and say that we were present and saw the testator sign and execute the instrument as his last will;
that he signed it willingly and that he executed it as his free and voluntary act for the purposes therein
expressed; that each of us in the hearing and sight ofthe testator signed the will as witnesses; and that to
the best of our knowledge, the testator was at that time 18 or more years of age, of sound III ind, and under
no constra;nt or undue ;ntlucnee. ~~
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