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Home My WebLink About03-17-08 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF OJHREPT AND COUNTY, PENNSYLVANIA , Deceased File Number d. \ OVer g..cl a ;' ~;~ 'u.i .~:":= ~ -I. ~.-:J . :~ lil ~: r ~f) ~S~ -J also known as WALTER L. DIPPLE III N/A Estate of Anita L. Karl Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE ~'or 'B' BELOW:) o A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the last Will of the Decedent dated and codicil(s) dated ?J C:)named in the t~. (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: K] B. Grant of Letters of Administration N/A (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minort/ate) 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 Relationshi slster (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumber land County, Pennsylvania with his / her last principal residence at 2197 Yale Avenue, Camp Hill, fA l/Ull (List street address, town/city, township, county, state, zip code) Decedent, then 63 years of age, died on 7 }t..arch 20'08 , atHoly Spirit Hospt:ta.1, C~ Hill, PA Decedent at death owned property with estimated values as follows: (If domiciled in P A) All personal property (If not domiciled in P A) Personal property in Pennsylvania (If not domiciled in PA) Personal property in County Value of real estate in Pennsylvania $ 3,0'00,0'0' $ $ $ ,0'" situated as follows: NI A Wherefore, Petitioner(s) respectfully request(s) the probate ofthe 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 Anita L. Karl, 2197 Yale Avenue, Camp H.j:ll, PA 17011 FormRW-02 rev. 101306 Page 1 of2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS 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 ofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. bdore me the '1 I day of '1 1 ~ / C ~/, // , o //)// ~/ -" Signature of Personal Representatiye / ANITA L J;' . ~ // - Sworn to or affirmed and subscribed 17 KARL Signature of Personal Representative Signature of Personal Representative () ";0 . ~::r.J : ~,~ ~~? ::- C:' ,,' r":, :;-<--: c::o _.~ :::....... ",:0 -..J File Number: ~ \ O~ C(}\'6~ jfj --I , Deceased :;::;.. =~.: Estate of WALTER 1. DIPPLE IIi' en C~) Social Security Number: Date of Death: 7 1'.arcfi 20aS AND NOW, ffbYClt /7 ' ?OOR , in consideration of the foregoing Petition, satisfactory proof having been presented befort; me, IT IS DECREED that Letters of Administratt'on are hereby granted to Arll ta L. Karl in the above estate and that the instrument( s) dated N I A described in the Petition be admitted to probate and filed ofreco d as the last Will FEES Letters .... 3..0P.P. . . $ , 5" Short Certificate( s) . . . . . . . . $ Renunciation(s) ...~..... $ .JCP to ... $ ~ . ...$ ...$ .. . $ .. . $ .. . $ . .. $ .. . $ .. . $ TOT AL .. . . . . . . . . . . . . $ L 30 dO Ii) 10 S- Attorney Signature: Attorney Name: William E ~Miller. J1r l' Esquire Supreme Court J.D. No.: . 07no Address: 1822 Hark€lt Str€l€lt Camp Hi'll, PA 17011 Telephone: (7171 737,,9211 7:::;vc:l ~ Form RW-02 rev, 10,13.06 Page 2 of2 H105.112 REV 1/05 (FEE FOR THIS CERTIFICATE $6.00) WARNING: IT IS ILLEGAL TO ALTER THIS COPY OR TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF HEALTH VITAL RECORDS ~ \ O~ Cyarfl LOCAL REGISTRAR'S CERTIFICATION OF DEATH CERT. NO. T 61 7 6238 3-10-08 Date of Issue of This Certification Name of Decedent WALTER L. DIPPLE, III Rrst Middle Last Sex MALE Social Security No. 199-34-8147 Date of Death 3-07-08 Date of Birth 11-14-44 Birthplace KENTUCKY Place of Death HOLY SPIRIT HOSPITAL CUMBERLAND E. PENNSBORO TWP. Pennsylvania Facility Name County City, Borough or Township Race WHITE Occupation STATISTICIAN Armed Forces? (Yes or No) Decedent's DIVORCED Mailing Address 2197 YALE AVENUE CAMP HILL NO Marital Status PA Number Street City or Town State Informant Name and Address of Funeral Establishment A. L. KARL Funeral Director BRENDAN J. McGLONE COBLE-REBER FUNERAL HOME, LTD. MIDDLETOWN, PA (a) CARDIAC DYSFUNCTION (b) PULMONARYEBOLISM I I I I I I I I I I ") I ;'"' 'I .=c;;G) >~::J::!J "\11 ; ",i '11: (-) ,J'?:1-r- . .:~rn ~Cl~2 .:ii~~f~ .- _D' . --I Describe how injury occurred: Interval Between Onset and Death Part I: Immediate Cause (c) (d) Part II: Other Significant Conditions t'.,.) <c:::.:, .;_.) co::> ~~: ~::J -.J :t:.:~ :r:: ro Manner of Death Natural 2b Accident 0 Suicide 0 (,.) Homicide Pending Investigation Could not be Determined o o o Name and Title of Certifier S. PARK, M.D. (MD., D.O., Coroner, M.E.) Address 423 N. 21ST STREET CAMP HILL 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. 36-338 Disrrict NC) 3-10-08 25 IRIS CIRCLE ELIZABETHTOWN Street Address City. Borough. Townshi~ Date f:leceived by Local Registrar REGISTER OF WillS OF CUMBERLAND COUNTY, PENNSYLVANIA IN RE: ESTATE OF NO. ~,,(:,'7) ~I~C,-;~ WALTER L. DIPPLE III, DECEASED RENUNCIA TION THE UNDERSIGNED, l YNN AlGIER, of Cape Coral, Florida, sister of WALTER L. DIPPLE III, who, along with my brother, DAVID V. DIPPLE, of Middletown, Pennsylvania, are the only living relatives and heirs of the above named decedent, hereby renounces the right to act as an administrator of the estate and respectfully requests that Letters of Administration for the decedent's estate be issued to ANITA L. KARL. IN THIS my hand and seal this / J day of March, 2008. ~a,wJ L N ALGIER 1012 S.W. 51st Terrace Cape Coral, FL 33914 , , " . I -...J COMMONWEALTH OF PENNSYLVANIA SS. c') COUNTY OF CUMBERLAND " , , , ON THIS, the /I day of March, 2008, before me, the undersigned officer, personally appeared l YNN AlGIER, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunder set my hand and official seal. '~7Z ~ ~ Notary Public COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL ROBERTA E. BIESECKER, Notary Public Camp Hill 8oro. Cumberland County My Commission Expires July 23, 2009 REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA IN RE: ESTATE OF NO. :1.\ O~ o8.C~':} WALTER L. DIPPLE III, DECEASED RENUNCIA TION THE UNDERSIGNED, DAVID V. DIPPLE, of Middletown, Pennsylvania, brother of WALTER L. DIPPLE III, who, along with my sister, LYNN ALGIER, of Cape Coral, Florida, are the only living relatives and heirs of the above named decedent, hereby renounces the right to act as an administrator of the estate and respectfully requests that Letters of Administration for the decedent's estate be issued to ANITA L. KARL IN THIS my hand and seal this If day of March, 2008. ~~~ 9 Caravan Court Middletown, PA 17057 t..;.J "".-_. >J -.J COMMONWEALTH OF PENNSYLVANIA co SS. COUNTY OF CUMBERLAND ON THIS, the II day of March, 2008, before me, the undersigned officer, personally appeared DAVID V. DIPPLE, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunder set my hand and official seal. ~t:~ Notary Public COMMONWEALTH OF PENNSYLVANiA NOTARIAL SEAL ROBERTA E. BIESECKER, Notary Public Camp Hill Boro. Cumberland County ~ Commission Expires July 23, 2009