HomeMy WebLinkAbout06-10-08PETITION FOR PROBATE AND GRANT OF LETTERS
i
REGISTER OF WILLS OF (. ~:..m~~'~ c;q~~ COUNTY, PENNSYLVANIA
_.._._
Estate of r /cf G'/Y/ f~~ ~~tv~ /c~K" File Number 1~.~ I
also known as ~ ~ h~
_ ,Deceased Social Security Number ~ 7 7 ' ~ ~ ' ~55~ `7
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COtiIPLETE 'A' or 'B' BELOW.)
^ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the ~ ~ ~~ C i R.1 i_ ~~ ~~l~ained in the
last 4I/ill of the Decedent dated ~~ - ~~~ 0 ~ and codicil(s) dated
(State relevant circumstances, e.g., renunciation, death of executor, etc.) y ~
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution ogitl~i~rsftumee) offend, A 7
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: °' ~ ~' ' _ r ''-Z
} ~ -art 7~
^ lE. Grant of Letters of Administration ~ ~~
(If applicable, enter.• e.t.a.,' d.b.n.c.t.a., pendentelite; durante absentia, durnuTe r~ritate) G'a ` . Wit'-:
_,~ ..,
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) ar~ieirs: (If
Administration, c. t. a. ord.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
(COM.PLETE IN ALL CASES:) Attac/: adrtitional s/reefs if necessary.
domiciled at death in
(List street
county, state, zip code)
with his (, last principal residence at
.d ~ i '7.~ I l- i ci ~
v r i
~j < `l
Decedent, then /--~ years of age, died on ~ ~ . v '`~' at ~ ~ .,~~ /~
Decedent at death owned property with estimated values as follows: ~--7
(If domiciled in PA) All personal property $ v C% ~ ~
(If not domiciled in PA) Personas property in Pennsylvania $ e~G~
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $
situated as follows:
Wherefore, Petitioner(s) respectfully request(s) the probate of the lase Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
Fornr RW-0? r•e~~. to.t3.o6 Page I of 2
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Oath of Personal Representative
COP/IMONWEALTH OF PENNSYLVANIA ~~Q~ ~~~ ~ ~ 1~M ~~' 3~
SS
COUNTY OF ~~(~'(~1~'t-/G(:~ r~-~~~~~ ~F T
'Che Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Pe ~,ta'ue ~ra`tl~c~ec~t~~o the best of
~'~
the b:nowledge 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.
Sworn to or affirmed and subscribed
befo ~ me the ~~ ~~ day of
or the Register ~ ~`- Signature of Personal Representative
Signature of Personal Representative
File Number: dC ~ ~~ - o `rO~~
Estate of ~~~ ~~ phA ,Deceased
--T. g
Social Security Number: 1 l ~ "d b ~ S S 1 Date of Death: `1
A.ND NOW, 0 , ~~ , in consideration of the regoing Petition, satisfactory proof
having been present before rite, IT IS DF~CREED that Letters
are hereby granted to
in the above estate
and that the instrument(s) dated
described in the Petition be admitted to p{obate and filed of record as the last Will and Codicil(s) o Decede t. A
FEES ~//
~ Register of ills ~ /~ " J
Letterer ............... $ ~ . 1 !\ lv,,~+llY/.'
Short Certificate(s) ........ $ . ~' Attorney Signature: ~ gyp"-J~}~/
Renunciation(s) .......... $
" ~ . $ ~s.
... $
... $
of Persona!
Attorney Name:
Supreme Court I.D. No.:
Address:
... $
• • • $ Telephone:
... $
TC)TAL .............. $ °
Form R'6V-0' rev. IQ 13.0( Page 2 of 2
105.805 REV (01/071
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 1~663~77
Certification Number
o~-~~/
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.
~'.~ ~ (~ a
Local gistrar Date Issued
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Htos-1aaREV nnoofi COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~> W ~ -_
TYPE / PRINT IN
PERMANENT CERTIFICATE OF DEATH
-Q1 r
BLACK INK (See instructions and examples on reverse)
STATE FILE NUMBER
7. Name of Decedent (First, midtlle, lass, sullixl 2. Sex 3. Social Security Number 4. to f Death (Month, tla ,year)
Thomas P. Kerr M 177 - 28 - 3559
5. Age (Last Birthday) Under 1 veer Untler 1 day 6. Dale of Binh (Month, tlay, year) 7. Birthplace (City antl slate or foreign country) 8a. Place of Death (Check ony one)
spita: Other:
M1Wnins Days Hwrs M,nutes H°
~
Yrs. ,~J Inpatient ^ ER /Outpatient ^ DOA ^ Nursing Home ^ Residence ^Other -
Spedty:
Bb. County of Death 6c. City, Boro, Twp. of Death Bd. acility Name (If not institution, give street and number) 9. Was Decedent of Hispanic Origin? ~ No ^Ves 10. Race: American Indian, Black, White, etc.
(If yes, specify Cuban, (Specrykj
Dau h:in
Harrisbur
Harrisbur Hos stet Mexkan, Puerto Rican, etc.)
White
11. Decedent's Usual Occu atan (Kintl of work tl one tl urin most of world tile. Do not state retiretl( 12. Was Decedent ever in the t3. Decedent's Etlucation (SDecily only highest grade comp letetl) 14. Marital Status: Marred, Never Married, 15. Surviving Spo use (I(wile, give maitlen name)
Kintl of Work
Klnd of Business /Industry U. S. Armed Forces?
~
Elementary / Sec°ndary (0-12)
College (1.4 or 5.) Widowetl, Divorced (Specil}g
Accountant Bookkee in ^Yee
"° 4 Married Caroline R. Jewett
16. Decedent's Mailing AUtlress (Street, city I town, state, zip code) Decedent's DId Decedent
Slate P e nna . Live N a 17c
Decedent Lured in Hampden T
^ Yes
Act
al Residence 17a
3803 Carriage House Dr. .
u
.
,
wn
r°wnsD;
D?
17011
Hill
Pa
Cam 17d. ^ No, Decedent Lived within
nD. copnty Cumberland
,
.
p Ac1val Limnam city/Bpr°
78. FaNer's Name (First, middle, last, suAix) 19. Mother's Name (First. mddle, maiden surname)
Thomas A. Kerr Anna Morse
20a. Informant's Name (type! Print) 206. Informant's Mailing Address (Street, city I town, state, zip code)
Caroline R. Kerr Carrie a House Rd. am Hill Pa. 11
21 a. Methotl of Disposition ^ Cremation ^ Donation 21 b. Date of Disposition (Month, day, year) 21c. Place of Disposition (Name of cemetery, crematory or other place) 21 d. L°CdIIIXI (City I town, state, zip cotlel
^{Be~ ^ RemovallromState !Was Cremation or DonationAUthorized ^Np
^ Other- S ci ~ by Medical Examiner/CoronerP ^ Yes 6/7/08 St. John's Cemetery Mechanicsburg, Pa. 17055
22a. S' azure of Funeral Service Lkensee (or person acting as such) 22b. Lcense Number 22c. Name antl Atldress of Facility
- 0-10098-L Matinchek &Dau hter F. Home, middletown, Pa. 17057
Cmnplele Items 23ac only when ceniying 23a. To the best of my knowledge, deem occurred at the time, date and place stated. (Signature and title) 23b. License Number 23c. Date Signed (Month, day, year)
physician is not available al time of tleaN to
cenity cause of tleath.
Items 24-26 must be complete0 Dy person 24. Time of Deat~ i „
~/ 25. e Pronouncetl Deatl (MOnn~day, ye ~~~ 26. Was Casa Referred to Medical Examiner / C°roner for a Reason Other than Cremation or Dowhon?
who pronances tleath. ~
~~
M. ~ ^ Yes ^ No
CAUSE OE DEATH (See instructs sand examples) ~ Approximate interval: Part II: Enter other sionificam conditions mntnbuling to death, 26. Did Tobacco Use Contribute to Death?
Item 27. Pan C Emer the chain of events -diseases, injuries, or cnmptications - roar tlirectty caused t death. W NOT enter terminal events such as cardac arrest, Onset to Death but not resulting in Ire underlying cause given in Part I. ^ Yes ^ Probably
showing a etiobgy. List only one n each line,
respiratory arrest, or vemniculan Ilbrillatiol~sajtht
I
II
1
^ No ^ Unknown
~
~
~
YY
IMMEDIATE CAUSE IFinal disease or
29. If Female:
condition resulting In death) -~
a ^
Due to (o segue ce o : -
r Not pregnant within past year
^ Pregnant et time d death
Sequentiafiy list cpnditbn;, if any. b.
leading to the cause listed on line a. Due to or as a cron uence of
Enter the UNDERLYING CAUSE ( ~ )~ r ^ Not pregnant bW pregnant within 42 days
(disease a injury that initiated the c
ST of death
events resulting m tleath) LA
.
Due to (or as a consequence oQ. Nol hertz. but
^ preq pregnant 43 tlays to 1 year
tl. ~ before tleath
^ Unknown if pregnant within the past year
30a. Was an Autopsy 3W. Were Autopsy Findings 31. Atanner of Death 32a. Date of Injury (Month, day, year) 325. Describe How Injury Occurred 32c. Place of Injury: Home, Fartn. Street Factory,
Pedometl? Available Prior to Canpletion
of Cause of Death?
^ Natural ^ Homicide OAice Building, etc. (Specifyf
^ Accident ^ Pending Investigalien 32d. Time of Injury 32e. Injury al Work? 321. If transportation Injury (Specify) 32g. Location of Injury (Street city /town, state)
Yes No
^ Ves `r.Q No
r"•
^ Suicide ^ Could Not be Detennine0
^ Yes ^ No
^ Oriverl Operator ^ Passenger ^Pedestrian
M ^Other ~ Specify:
33a. Certifier (cmech only one)
ronounced OeaN and completed Item 23)
sician has
rtif
in
se of death when another
h
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c 336. Signature antl Titi of ni r
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g
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ys
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To the best of my knowledge, death occurred tloe to the cause(s) and manner as 5tated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ -
J
V v v ~
• Pronouncing and cenitying physician (Physician both pronouncing death and cenitying to cause of dealhl ~
To the best of my knawletlge, tleath occurretl at the time, sate, and place, and tlae to the cause(s) and manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 33c. Lic rise t~ bar 33tl. Dat@S'g ~ ,pay,. yeN{-~
lFJ, (/
dical Examiner t Coroner
• M
e
Dn the basis of examination and / or investigation, in my opinion, death occurred at the time, dale, and place, and due to the cause(s) and manner as stated_ ^ ,
and ddr~-s of Person Who Completed C
a
us
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ri
34 Nam~y
l 'Death (Item 27 Type i P
ntt
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35. Registrar's Si -are and Dist cl N ~
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t 36. Date ~iled (Alonth, day, ye )
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LAST WILL AND TESTAMENT
OF
THOMAS PAUL KERB
I, THOMAS PAUL KERB, of Hampden Township,
Cumberland County, Pennsylvania, being of sound and
disposing mind, hereby make, publish and declare this my
Last Will and Testament, hereby revoking and making void all
prior Wills and other testamentary writings at any time
heretofore made by me.
1. I direct that the expenses of my burial and all my
just debts be paid as soon as possible after my death.
2. I give and bequeath all the remainder of my
~~~
property, real, personal, and mixed to my wife, Caroline J.
Kerr, providing she survives me by thirty (30) days.
3. In the event my wife, Caroline J. Kerr, does not
survive me by thirty (30) days, then I give, devise and
bequeath the remainder of my property, real, personal, and
mixed to be divided among my three daughters, DEBORAH K.
HOLT, CATHERINE K. CYPHER, and MARTHA K. SMITH, as shall
survive me for thirty (30) days. If a child of mine does
not survive me, such deceased child's share shall be
distributed in equal shares to her respective children.
Page l: Will of Thomas P. Kerr
4. All loans due from my children to Caroline and
me must be paid off prior to the distribution of anything in
this will.
5. It is my desire that none of the stocks and bonds
be sold. Each stock is to be divided equally among my three
daughters and any fractional shares are to be sold. The
bonds will be divided with each daughter receiving one/third
of the bonds. My personal representative may make the
decision as to the sale of my homes. All cash will be
divided equally among my three daughters.
6. I nominate, constitute and appoint
~1L
CAROLINE J. KERR, Executrix of this my Last Will and
Testament and further direct that she shall serve without
bond. In the event that she is unable or unwilling to serve
as Executrix, I nominate, constitute and appoint DEBORAH K.
HOLT, as Alternate Executrix of this my Last Will and
Testament and further direct that she shall serve
without bond. Said Executrix shall have the power to
discharge all the debts, liens and encumbrances upon my
estate, as well as any taxes thereon, to pay for the cost of
the final disposition of my remains and final illness, if
any, to receive any and all commissions and other
compensation for services rendered by me during my lifetime
and to perform any and all fiduciary duties authorized by
Page 2: Will of Thomas P. Kerr
statute. Further, I direct my personal representative to
preserve my estate and any instructions pertaining to the
distribution of the same from any attachment or anticipation
while in the hands of my said personal representative, it
being my express intent that all legacies shall be free from
any attachment or anticipation while in the hands of the
personal representative for my estate.
T~~--
IN WITNESS WHEREOF, I have, to this my Last will and
Testament, typewritten on five (5) pages of paper, set my
hand and seal at the end thereof this ZS~' day of Sep ~
2006.
r-----
`y--~~"~-""~--' ~ - ~ ~-.~~.~ ( SEAL )
THOMAS PAUL KERR
Page 3: Will of Thomas P. Kerr
COMMONWEALTH OF PENNSYLVANIA
:SS
COUNTY OF CUMBERLAND
I, THOMAS PAUL KERR, Testator 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 this instrument as my Last Will and
Testament; that I signed it willingly; and that I signed it
as my free and voluntary act for the purposes therein
expressed.
~ P~....1, 1~.~..
THOMAS PAUL KERR
`Cl~-.,
Sworn and subscribed to before me by THOMAS PAUL KERR,
the Testator, this ~~ day of ~~~~'J 6 .
N ary Public
My Commission Expires : 7/~G'1O~~Q
COMMONWEALTH OF PENNSYLVANIA
Noharial Seal
M~chege G. Quaca, Notary Pubic
Camp Hdl Bono, Ctxnbedand County
My Commission Expires July 30, 2010
Member, Pennsylvania Association of Notaries
Page 4: Will of Thomas P. Kerr
COMMONWEALTH OF PENNSYLVANIA:
:SS
~l~
COUNTY OF CUMBERLAND:
We,
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 THOMAS PAUL
KERR, Testator sign and execute this instrument as his Last
Will and Testament; that THOMAS PAUL KERR signed 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 of the Testator signed the Will as
witnesses, and that to the best of our knowledge the
Testator was at the time 18 or more years of age, of sound
m;nr~ and unc-;Pr no constraint or undue influence.
<~~~~~ G~
~~ o o C?~~~1~'~~ ~~ ~l
c~1~~~~~a~r
Sworn to and subs ribed before me
i s d a ~~,~~°~ 2 0 0 6.
otary Pu lc /~/~f~
My Commission Expires
(SEAL)
Page 5: Will of Thomas P. Kerr
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Mx~eBe C. tluaca, Notary Pubfic
Came hNN Bono, Currtberiand Courtly
My Camrrttssbrt Expires .luly 30,2010
Member, Pennsylvania Association of Notaries