HomeMy WebLinkAbout04-16-08
Register of "'2lls rer t1lf d
'1 fJeceased. County of urn er an in the
Social Security Nu.. 1 84 - U ~ - U j Commonwealth of Pennsylvania
The pel ition of the undersigned respectfully represents that:
I>ETITION }"OR PROBATE and GRANT OF LETTERS
j/-Og~DY35
I.:'-slt/le of Kathryn E. Peiffer
also known as __
No.
To:
Your petitioner(sJ, who is~~ 18 years of age or older an the execut rix
ill the last will of the above decedent. dated November_ 8
}{U(~}t~~~~~mlx
named
,19~
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Cumberland
~_ County. Pennsylvania, with
36 West Fac~ory street
De(cndent was domiciled at death in
h er__~~ last family or principal residence at
Mechanlcsburg
(list street, number and muncipality)
Dccendent, then _ 93 _ years of age, died March 26, 2008 . Jf~
at Holy Spirit Hospital, East pennsboro TOwnship
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of the will offered for grobate; was not the victim of a killing and was never adjudicated
incompetent: no exc~ptl. ns
Dcccndent at death owned property with estimated values as follows:
(If domiciled in \>a.) All personal property
(I f not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows: n/a
$ 75,000.00
$
$
$
WHEREFORE, petitioner~ respectfully request(s) the probate of the last will XRtK~
presented herewith and the grant of letters t~~tarnentary
(testamcntary; administration c.I.a.; administration d.b.n.c.l.a.)
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Vicky . Valcis
5506 Union Deposit Road
Hrlrri~hllrg, PA 17111
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OATH OJ" PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA jl ss
COUNTY OJ" CUMBERLAND
Thc petitionerbG) above-named swear(s) or affirm(s) that the statements in the foregoing petition are
t rue and correct to the best of the knowledge and belief of petitioner(~ and that as personal represen-
tative(s$: of the above decedent pelitione~) will well and truly administer the estate according to law.
S\.VOr/lto, or affirr;e~. and Sl.lbSCribed { \1, ~;j <-t~ ~
bcfor~ mc tltis I ___ day of ~
8.~~h_~2008~ ~ ~
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No. (11- Of- Ollas
Estate of
Kathryn E. Peiffer
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
ANI) NOW April 2008 xxxx 0 Od' f h 0 .
I 'J_, III consl eratlOn 0 t e petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(:ij: dated November 8, 1999
described therein be admitted to probate and filed of record as the last will of Ki'l thryn F. ,
Eeiller
and Letters Testamentary
Vicky L. Valcis
are hereby granted to
FEES ~
Probate, Letters, Etc. .....0. o. $ I D5 tv
Short CertificatesH) . . . . . . . . .. $ J ((;.
Renunc~d~ihih~: lk yf6
TOTAL _ $ .
Filed ............ 0" 0........... 0.......
meron
58998
1325 N6'1l'hRNFf8'81t Cst~'~e't
Harrisburg, PA 17102
ADDRESS
(717) 236-3755
PHONE
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H IO"i)';05 REV i!Jli(l:}
~/-Cf - (J/35
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 certify that the information here given is
conectly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
certificate will he forwarded to the State Vital
Rccords Office for permanent filing.
Fee for this certificate. '56.00
Certification Number
.Jbw.Aj~
Local Registrar
-3 I;tf/ 109
Date Issued
P 14358902
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
H105.H3 REV 1112006
TYPE I PAIN1IN
PERMAMfNT
BlACK INK
1. Name 01 Oecedenl (firs!. middle, last suffiX)
5. Aoe(lilslBir1hdaY:1
93
0""",._,
10. Race: Amsrican Indian. Black, While, etc
I-White
8tI County 01 Oealh
Cumberland
11 Decedenl's UsUdl (lce boo Kind of wOO; done
Kif111olWorit
Beautician
moslof lite. 00 not stale retired
C~rna.;;oY~Siy
,.. t.\arltaI $tatus: Married. Never Married,
W_.OWOlCOdI_
Widowed
17b. County
PA
Cumberland
l>d_
l..Neil.a
Township?
17c.D Yes,DeceOenl:livedifl
17d.,,&No, Decedent lived wiltWl
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Twp
. 16 Decedent's Mallirl!l Al;jrass ($treet. city I town, stale, zip code)
36 W. Factory Street
Mechanicsburg, PA 17055
_'s
AcIua1Residence 1781. Stale
Mechanlcsburg
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2Oa. Infonnanrs Nama (Type I Print)
Vicki Valcis
Lydia Anna Warren
2lll. InIormant's Mailing Address (Street, dty 11own, s&aW, zip code)
5506 Union Deposit Road Harrisburg, PA 17111
19. Mother's Name (First, micde, maiden SUfI'IWn6)
18. father's Name (First, middle. last, suflix)
Harry E. McCauslin
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Z1c. PIaca ~ IlIsposjIion lName ",_. a...-y.. _ piaCOl
Indlantown Gap National Cemetery
2\o.lQCa\ion tctY Ilown,!MM, 4> codt)
Annville, Pennsylvania 17003
22c. Name ana Address 01 Facility .
Myers Funeral Home, Inc. 37 East Main Street Mechanicsburg. PA 17055
23b. license Numbel
23c. Dale Signed (MooIh, (lay. yearl
lIems 24-26 musl be Cl:.mpleted bV person
. who plOflounces dealh ,_
26. Was Case Re1erred lo MsdicaI Examinef J Coroner lot a Reason OIh8r thal1 Cremation or DooaIion?
OV" No
0'" Jii1No
o Veo 0 No
31. Manner of Dealh
~lural OHolllicide
o Accident 0 Peoa.r.g kwesligaUCn 32a. Ttrne 01 \rli-Ur1
o Suicide 0 Could Not be Determined
Appro_irnate interval Part It Enter oU'lw silrificaB conditions conIributirvJ to deatl, 28. 0icI Tobacco Use Conll'ibull to 0eaIh?
Oosello Dealh but not resliOOg i'llhe fJf"ldertyng cause gN8Il in Partl 0 Yes 0 Probatlly
DNo Ol.\WlOwn
29, U Female'
o Notp<ogo<nIw"""paslye"
o Plegnantaltme01 lieath
o Not pregnant bu1 pregnant wilhlll 42 da~s
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D Nolpr~,bIA~-43d1ysI01yellf
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J2c. PIact of tnturY: Home, Farm, Slceet, F~,
0Iic0 _, '" tSpoci/rI
CAUSE OF DEATH (See in.trucUon, and xamples)
Item 27. Part I. fnler Ihe ~~ - diseases, Il'ljuries, or compIicauons - !hat direclly caused !he death. 00 NOT enler lerminal e~enls such as cardiac arrest,
'",''' f<llory arrest, Of venlriculat Malioo Wilhoull'lfI9 Ihe etiology. Usl orVy ~ cause on each line.
lMME..ATE CAUSE (1',,,,, ..,..." '^ ~ \
oonciIlOO resulOOg It death) ..... a 1 , \!.-,
Doe 10 (or as a consequence of)
~~~a~:'~~a
Ent:1.e UHDERlYlHG CAUSE
=~~~ryK)U:~~1re
Due 10 (or as a consequence 01):
Due to (or as a consequence 01):
d,
JOa. WaS an AliOpSy
Perkmood?
3Ob. Were AiAopS~ FlOdings
A..aiIobI8POOl\o~\iorI
01 Cause 01 Oealh?
M
33a Certili'r (check ooly 008)
Certitying phylic* (PhysICian certitying cause 01 d8alh INtItln aoothe( pt\ysicla.~ t\as ~~ dl:l-a\h and COOlpIe-\ed \\em 2'3)
Tathe bnt 01 my knowMdge, death Ol;Currtd due 10 lhe CIUit(s) tf\d manner a, &tiled..... _ _ _... - _ _ -......... - -- - - -.. - -...... - -...'" - -......-
i~0==5':':t~~ ~::~lh~:ir~~:O ~~:n:n~:c~ .:rz.~olo~a::~~~.~ maoner ..stated..... _ _... _... _............ _ _ _'" _... 0
:~ ~:::== IIOd IlK inl/estlgatlon, il\ my opinion, ljeatt>, oceuned.1 \he ume, da\e, and~, and due 10 the causet') and manner.. s\IteCL 0
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LAST WILL AND TESTAMENT
OF
KATHRYN E. PEIFFER
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I, KATHRYN E. PEIFFER, of the Borough of Mechanics burg, County,"1e~ -0
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Cumberland and State of Pennsylvania, being of sound and disposing mind, mel@ry and ..
U1
understanding, do make, publish and declare this my Last Will and Testament, hereby
revoking and making void any and all former Wills by me at any time heretofore made.
1.
I direct the payment of all my just debts and funeral expenses as soon after my
decease as the same can be conveniently done.
2.
I give and bequeath the sum of One Thousand ($1,000.00) Dollars apiece, to
each of my following named grandchildren, to wit, KIMBERLY HARPSTER, JOHN
STOUFFER, TONY SPENCER, NOEL SPENCER and WILLIAM SAUVE, and direct
that the inheritance tax on these bequest be paid out of my residuary estate.
3.
I give, devise and bequeath all the rest, residue and remainder of my estate, real,
personal and mixed, whatsoever and wheresoever the same may be situate, to my three (3)
daughters, to wit, SANDRA K. STOUFFER, VICKY L. V ALCIS and DOROTHY A.
SIMMERS, share and share alike.
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( a ) In the event that my daughter, SANDRA K. STOUFFER,
should predecease me, then in such event, I give and bequeath her share in
my estate to her husband, ROBERT L. STOUFFER.
LASTLY, I nominate, constitute and appoint my daughter, VICKY L. V ALCIS,
Executrix of this my Last Will and Testament, and in the event that my said daughter should
predecease me, or should she be unable or unwilling to serve in such capacity for any
re:ason, then in such event, I nominate, constitute and appoint my son-in-law, ROBERT L.
STOUFFER, Executor of this my Last Will and Testament, in her place and stead, and in
all instances, I direct that my said personal representatives be excused from posting bond or
other security for the faithful performance of their duties, in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this yt/.-dayof
November, A. D. 1999.
~ c l?~~ (SEAL)
Ka n E. Peiffer
Signed, sealed, published and declared by the above-named, KATHRYN E.
PEIFFER, as and for her Last Will and Testament, in the presence of us, who, at her
request and in her presence, and in the pre ce of each other, have hereunto subscribed our
names as witnesses. n
"
- "- -
COMMONWEAL TH OF PENNSYL VANIA )
: SS
COUNTY OF CUMBERLAND )
I, KATHRYN E. PEIFFER, the 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 same instrument as my Last Will and Testament; that I signed
it willingly, and that I signed it as my free and voluntary act and deed, for the purposes
therein expressed. ~~ m ~ ~ (SEAL)
at~ E. Pei er
Sworn an~scribed to before
me this Y' day of November, 1999.
/!1~cc'~
Not Public
Notarial Seal
Marilyn E. Williams, Notary Public
Mectlanicsburg Bore. Cumberland County
My Commission Expires Nov. 6. 2001
Mtmtllt. Penn$ylvanil Association of Notaries
COMMONWEAL TH OF PENNSYL VANIA )
: SS
COUNTY OF CUMBERLAND)
We, the undersigned, J. ROBERT STAUFFER and SUSAN A. McCOY, the
witnesses whose names are signed to the attached or foregoing instrument, being duly
qualified according to law, depose and say that we were present and saw the testatrix,
KATHRYN E. PEIFFER, sign and execute the instrument as her Last Will and
Testament; that the said testatrix 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 that, to the best of our kno dge, the testatrix was, at the time, eighteen (18)
or more years of age, of sound mind, a u er 0 onstra' t, des or undue influence.
Sworn and~cribed to before
me this r I day of November, 1999.
~~ CC t~~
Notary Public
Notarial seal p~
'lyn E. Williams. ~:fund Col,loty
Marl . Boro Cu....,.. 2001
MechaniCst)Urg. n E~1)if8S Nov. 6.
. My commlsSIO "'In" 0\ No~ries
I nil ~sClC- "'.
Memtler. Pe{\IISY \fa
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