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HomeMy WebLinkAbout07-15-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of PATRICIA A. KIRBY File Number a r ~ ~ U~~1 also known as ,Deceased Social Security Number 164-28-0110 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' OR 'B' BELOW.) A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the Co-Executors named in the last Wiil of the Decedent dated 5/29/2003 and codicil(s) dated none (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: B. Grant of Letters of Administration (lfapplicable, enter: e.t.a.; d. b. n. c.t.a.; pendente lire; durante absentia; durante minoritate) Petitioners} 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.) ~ r ~ ~~ ~ [ r (COMPLEi TE INALL CASES:) Attach additional sheets if necessary. ~ _..-t ~. N Decedent was domiciled at death in Cumberland County, Pennsylvania, with his /her last principal esidence at O (List street address, town/eity, township, county, state, zip code) Decedent, then 76 years of age, died on 6/11/2008 at ~ 08 South Chestnut Street MPChanicsburgBorough Mechanicsburg PA 17055 Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 900.000.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ 161.420.00 108 South Chestnut Street, Mechanicsburg, PA 17055 312 East Locust Street, Mechanicsburg, PA 17055 situated as follows: Wherefore., 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: ~._ C Signature Typed or printed name and residence Julie A. Witt ~, ~-- ,. M 1 s A _ Leonard P. Kirby B x c Page 1 of 2 Form RYt'-02 rev. /0.13.06 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS 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 lrnowledge 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 oar affirmed and subscribed i-a ,;:: , Signature of Pe nal Representative Jull .Witt before me the ~ ~ day of f-• ' _ e~~ ~~/G Q ~"' ^- _._...._y, „,ems G -~ `, Signature a sonal Repres ta~i~ e na P. Kirby ;_~ `:r 5-~~--r, EJ~ ' ' :'") For the Register Signature of Personal Representative, ~ ~ ~ " ''' ~i ?~-i © . File Number: ~ ~ ~~ d1~~ Estate of PATRICIA A. KIRBY ,Deceased Social Security Number:164-28-0110 Date of Death: 6/11/2008 AND NOW, !~ O`\ ~ , 2008 , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IS DECREED that Letters Testamentary are hereby granted to Julia A. Witt and Leonard P. Kirbv in the above estate and that the instrument(s) dated May 29. 2003 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES Letters ...~.~(D~'S'.aO••,., $ ~]!O Short Certificate(s) •..••~••• $ oZ~ Renuncia.tion(s) .•••••.•••..•••. $ ~1~n~. .... $ ~o TOTAL .................... .... $ .... $ .... $ .... $ .... $ .... $ of Wills Attorney Signature: Attorney Name: Supreme Court I.D. No.: ?4849 Address: 54 East Main Street Mechanicsburg. PA 17055 Telephone: 717-697-4650 Form RW=02 rev. 10.13.06 Page 2 of 2 n;.~o~ uF~ rovm, LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. 1-ee for this certificate. x,6.00 Certification Number This is to certify shat 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. JUN 3 Z 8 Local Registrar Date Issued C7 r•y ~ ~© :~ ~ ~-- _.~ ~~ r"_' _I f ,.:~ m ~c~~ --^- ~ ,r r , _ ~ ~.a ~ - - ~, ~~ ~, ~ ~ . s L, ttev I,.~„d6 YPE 1 PRINT IN PERMANENT BLACK INK G:i~ki~IONWEALTH OF PENNSYi.,VAPJIA • DEPARTMENT OF HEALTH • VfTAL RECORC.IS CERTIFICATE OF DEATH ~) 1 `Ap/, /~ ( ~ (See instructions and examples on reverse) STATE FILE NUMBER O( t Y) (_J~ ~F'~ t. Name of Decetlenl (First mitltlle. last, suffix) 2. Sex 3. Social Security Number 4. Dale of Death (Month, tlay, year! Patricia A. Kirby Female 164 - 28 -0110 June 11, 2008 5. Aqe ILasl 0rdhtlay) UMer 1 year Under I day 6. Date of Binh (Month, day, year) 7. Birthplace (City and slate or foreign Gantry) ea. Place of Death (Check only one) Monms Days rm,a Mmwas Hospital: Other: 76 Vra April 13 , 1932 Harrisburg, PA ^ Inpatient ^ ER I Outpatient ^ DOA ^ Nursing Home ®Remtlence ^Omer Speciy Bb. Coumy of Death Bc. City, Boro, Twp. of Death 6d. Faolay Name (H Trot instiluuon, give street aM number) 9. Was Decedent of Hispanic Origin? ®No ^ '!es 10 Race. Amencan Indian. Black, Whae, etc pl yes, specity Cuban, ISpecityf - Cumberland Mechanicsburg 108 South Chestnut Street Mexican,PaenoRican,em) White Decedent's Usiul Occu lion Kind of work tlorre tlurin most of wo ' IBe. Da not stale retired 11 12. Was Decetlenl ever In the 13. Decedent's Education (Specify only highest grade completed) 14. Marital Slalus: Marne4 Never Merne4 I6. Surviving Spouse (II wile, ywe martlen name) . Nlnd of WorN Kind of Business I Intlustry US. Armed Forces? Elementary /Secondary (0-12) College (t ~4 or 5+) Widowed, Divorced (Specify, Secretary Senator ^vea ®NO 12 idowed 16. Decetlenfs Maiing Atldmss (Street city /town, slate, zip cotle) Oecetlenfs Dld Decedem Pennsylvania LWe ina 17c ^Yes Decetlenl LNetl In n A t l R id sl t 108 South Chestnut Street . ua es ence a. a e c Twp Township? Mechanicsburg, PA 17055 nb county Cumberland 17d.J~ No. Decetlem Lived within AcWaI L'imitam Mechanisbur~ Gay.finm 16. FaMer's Name (First, mi10le, lash suffix) 19. Mother's Name (First middle, maiden surname) Jose h Rlin Grace Shickley 20a. Inlormanl's Name (Type / Pnnl) 20b. Inlormanl's Mailing Address (Street, city /town, slate, zip code) Julie A. R. Witt 100 South Chestnut Street, Mechanicsburg, PA 17055 21 a. Method of Disposition i ®Cremalion ^ Donation 21 h. Dale of Disposihon (Month, day, year) 21 c. Place of Disposition (Name of cemetery, crematory or other place) ltd Location (City r town, stale, tip code) ^ Burial ^ Removal Iran Stale i;, Was Cremation or Donation Authorized ~ ^ No ^ Other-Specify: i byMetlkalExaminerlCoroner7 Yes June 13, 2008 Cremation Society Of PA Harrisbur , PA 17109 22a. Slgna re user ervice ensee (or person acting as such) 22b. License Number 22c. Name and Address of FacilityAtler Memorial flOme and Cremation ervC es , nC . L 6 Harrisburg PA 17109 Road t 0 - - r' - FD 01337 , , own Jones 410 Complete. a 23a-c Doty when ceNMn 23a. To Ure best of my krrowledga. death acurt t the time, dale aM PI salad (Signalme an0 title) 23b License Number 23c. Date Signed IMUmII, tlay, year) physk~ is na available al hrtie of deal to ~~ x~ ~ certify Cause of Oeam. ~l ,7 ~ ~ - Items 2426 muss be completed by person 2 Prawuncetl Dead (Month, day, year) 24. Time of Death 26. Was Case Reterted to edkal Examiner I Coroner for a Reason Other than Cremation or Donation? - who pranouncrs tlealh. Q~, ~ 35 r"rv'.. ^Yes CAUSE OF DEATH (See InatrueUon nd examples) r Approximate interval: Pan II: Enter aher significant conditions conlriWlmg to tlealh, 2B. Ditl Tobacco Use Calldbme to Death? hem 27. Pad I: Enter the yhain of events -diseases, injudes, or compkralions -that tiredly caused Nte Ih. DO NOT enter terminal events such ag cardiac arrest, r Onset to Death bin not resuking m me untleaying cause given In Pan I. ^Yes ^ Probably respiratory arrest, or ventricular fibrDlalbn wimdd showing the etiology, lJSI only one ease on each line. r ^ NO ^ DnNnown IMMEDIATE CAUSE Final disease or r 1 ~ . /~ /' ! //,1 t condhwn revelling in death) _~ a, ~.~ ;~ ~ (L ~ (~ !rf!/t ~LY /~4y~~~°'~ i ~~{'~LIYI r/f 29. II Female. ^ Due to (or as a consequence ol): r Not Dregnanl wahm pass year ^ Pregnam at lime of death Sequemulty list cerrditions, if any, o, ~ le to the cause ksletl nn kne a. Enter lie UNDERLYING CAUSE Due to for as a consequence olj. ^ Not pregnam. but pregnant wnhin J2 days (disease or injury that inibaretl me c r t WUn n de th) LAST of tleatn even s res g i a ' Due to (or as a consequence op, i ^ Nol pregnant, out pregnant 43 days ro 1 year d, Galore tlealh ^ Unknown it pregnant vnthin Ina past year 30a. Was an Autopsy 300. Were Autopsy Findings 31 Manner of Death 32a. Date of Injury (Month, tlay, year) 326. Descdba How Injury Occurred 32c. Place of Injury. Horne Farm Slreel. Factory, Performed? Avaaade Prior to Completion ~ Natural ^ Homicide Office DuiMing, etc (SpecrtyJ of Cause of Death? ^ Yes ~~ ^Ves ^ Accident ^ Pendng Inveshgalion 32d. Tine of Injury 32e. Injury al Work? 321. II Tansponatbn Injury (Speciy) N I O ^ P P ^ O 32g. Location of Injury (Sliext, my r town. slate) TS ^ Su'icitle ^ Coultl Not oe Determined ^Ves ^ No r er perator assenger edesman M ^Other ~ Specity 33a. Ceniller (check Doty one) 336. Signature antl The o • Cedilying physlnlan (Physcian ceditying cause of death when another physKaan has pronouncetl death and completed Item 23) ~ - ~....-- 1.~L /~- ,~ 7'~ L ~ .•^ ~ 4' To the best of my knowledge, death otcuned tlue to the cause(s) and manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ . 7 • Pronouncing and cenilying physician (Physician bosh pronouncing death antl cenitying to reuse of death) dt d ^ d 33c. License Numbe ~ 33tl. Dale Signed IMonm, day, year) d manner as a e _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ To the best of my knowledge, death occurred at the time, date, and place, and tlue to the cause(s) an • Medial Eaaminer I Coroner ~ G~ , /~.Zv L 1, ~ y ) ~J /,; V ~ /~L lY ~` ^ nr 0 Me baaia of a li or Invest) Opinion, death occurc6d al the time, date, and place, and tlue to the cause(s) and manner as sUted_ ^ ~ 34 Narqe and Atltlress of Person Who Co leled Cause of Oeatn !Item 271 Type ; Pnnt ? ~ ~ y / ' antl tried Number 36 36 al iletl (M day Year! f. ~~~~'~~ ~ ~ ~ ~ ~ ~~~ ~ ~ ~ . l ~ ~ r~ ~ 1 ~ ~ ! ~ ~ , /, ~ J ~ , ~ / r ~- L !~ 1 ~ ' ~~j ~r~• 7 ' r ` ~ X ~ ~ ~ - Ga ;J cS ~/ /:',1?V~.. i I G ~ /V. ( rG~i~1T l ~f ? i '/ /~ ! Disposition Permit No ozzsziy LAST ?dZLL ATTD TESTAMENT ~ ~ ~~ -_o -.. c~ f c7 rC- -~ f, ~ cn _ - °L_~ ~'~"`c:~ PATRTCI~'1 A. KIRBY '~'-`' ~ -:' :~_ -.. ~; I, PATRICIA A. hIRI3Y, of the Borough of P~iechanicsburg° County of Cumberland and State of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this my Last 1~1i11 and Testament, hereby revoking and making void any and all prior l°lills by me at any time heretofore made. 1. T direct th® payment of all my just debts and funeral expenses as soon after my decease as the same can be conveniently done. 2. I give, devise and bequeath all the rest, residue and remainder of my estate, read., personal and mixed, whatsoever and wheresoever the same ma3~ be situate, to my husband, PAUL E. KIR}3Y, absolutely and un<:onditionally. 3• In the event that my husband, PAUL E. KIRBY, should predecease me, or should he die within thirty (30) days from -~.• the date of my death, then in such event, I direct the settlement and distribution of my estate to be made in the following manner, to wit: (a) I give, devise axed bequeath my house and lot of Ground situate in the Borough of r-2echanicsburg, County of Cumberland and State of Pennsylvania, presently known and rn.~mbered as 100 South Chcstrut Street, rechanicsburg, Pennsylvania, to my daughter, JULIE A. L~TITT and to her husband, PATRICIL ti~TITT, share and share alil~e. (b) I give, devise and bequeath my house and lot of Ground situate in the Borough of Mechanicsburg, County of Cumberland and State of Pennsylvania, presently known and numbered as 10B South Chestnut Street, I~'lechanicsburg, Pennsylvania, to my son, .LEONARD P. KIRBY, absolutely and unconditionally. (c ) I give, devise and bequeath my house and lot of Ground, together with the garage buildings located thereon, and being; :iz1 the borough of i•~Iecha:nicsburg, Coua7ty of Cumberland and State of Pennsylvania, presently known and numbered as 312 East Locust Street, P~Zechanicsburg, Pennsylvania, to my son, LEONAIID P. ILIR}3Y, absolutely and unconditionally. (d) I give and bequeath a sum of money equivalent to the value placed on premises 312 East Locust Street, r~echanicsburg, Pennsylvania for inheritance tax purposes, to my daughter, -2- JULIE A. WITT and to h.er husband, PATRICK t^TITT, share and share alike. (e) I give, devise arzd bequeath all the rest, residue and rezrza3..nder of my estate, of trhatever nature and wherever the same may be situate, to rrzy two (2) children, to wit, JULIE A. I~JTTT and LEORIARD P. KIRT3Y, share and share alike, per stirpes, LASTLY, I nominate, constitute and appoint my husband, PAUI~ E. ti~IRl3Y, Executor of tkz:i.s my Last ti^lill and Testament and in the event that my said husband should predecease me, or should he be unable or unwilling to serve in such capacity for any reason, then in such event, I nominate, constitute and appoint my two (2) children, the aforementioned, JULIE A. WITT and LEOTdARD P. KIRSY, Co-Executors of this my Last Will and Testament, in his 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 ~urisd:iction. IT1 t^IITTIESS t~JxiEREUF, I 'nave hereunto set my hand and seal this L~~~~day of T~Tay, A. D., 2003. !~ J ~' L 1~ ~~~/J ( SEAL ) Patricia A. Kirby _3_ COMMONWEALTH OF PENNSYLVANIA ) S5. COUNTY OF CUMBERLANll ) I, PATT;ICI11 A, KIRt=3Y 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 instrument as my Last Will and Testament; that 1 signed it willingly; and that I signed it as my free and volun- tary act and deed, for the purposes therein contained. Sworn and affirmed to and acknowledged before me by PATRICTA A. TCIRBY _, the testatrix this _ day of r'Ia.y A li. , 2003. -~ Patricia A Kir y r" f Public .~,...--. ~---t NOTARIAL SEAL COMMONWEALTH OF PENNSYLVANIA ) MAURA A. JENKINS, Notary Public Mechanicsburg Boro, Cumberland County COUNTY OF CUMBERLAND ~ SS ~ My Commission Expires November 10, 2003 We, the undersigned, J. ROBERT STAUFFER and IiEIDI P-1. NELSOPd 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 PATRICTA A. KIRF3Y sign and exe- cute the instrument as /her Last Will and Testament; that the said testatrix PATRICTA A, KIRBY executed it as 3ik~t/her free and voluntary act for. t}~e purposes therein expressed; t}rat each of us, in the hearing and sight of the testatY+.ig , signed the Will as witnesses; and that to the best of our knowledge, the testatrix was, at the time, eighteen (18) or more years of age, of sound mind, and under no constraint, duress or undue influence. Sworn an3 subs abed to before,% f"~ ~, ~S :nQ t:his ~~ day of ~~ 1~7ay 2003 , ,~,,,, NOTARIAL SEAL MAURA A JENKINS, Notary Public Mecfia~i4, ~ ~ ~ ,~;^ ,;.~ County ~ My Commies+on +rex ~weta~il~r 1~, 2~tIt93 Notary public _~~..