Loading...
HomeMy WebLinkAbout07-18-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of LEON J. KEENE File Number ~' ' ~ ~ ' ~ '-' `(/ also known as ,Deceased Social Security Number 205-09-8324 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 EXECUTOR named in the last Will of the Decedent dated MARCH 26, 2007 and codicil(s) dated (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: Q B. Grant of Letters of Administration (If applicable, enter: c. t. a.; d.b.n.c.t.a.; pendentelite; duranteabsentia; duranteminoritate) 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. ord. b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) r.,,, Name Relationshi ~2S ce -'r ~ ' ,~? ,' ~ - _. ::~ C ) (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. '--~ ~ ~ - - , -,-, v `t Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his !her last princip~ residence a~ CHURCH OF GOD HOME, 801 N. HANOVER STREET, CARLISLE. CUMBERLAND COUNTY PENNSYLVANIA 17013 (List street address, town/city, township, county, state, zip code) Decedent, then 93 years of age, died on JULY 11, 2008 at CHURCH OF GOD HOME, CARLISLE, CUMBERLAND COUNTY, PENNSYLVANIA Decedent at deatFi owned property with estimated values as follows: (If domiciled in PA) All personal property $ 100,000.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ 240,000.00 situated as follows: 4411 FAR GREEN ROAD, SUSQUEHANNA TOWNSHIP, DAUPHIN COUNTY, PENNSYLVANIA 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: name and residence JOHN T. EVANS, JR., 681 CRANES GAP ROAD, CARLISLE, PA 17013 Form RW-02 rev. 10.13.06 Page 1 of 2 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 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 affirmedQa~n~-d-~subscribed before me the ~ 0 - day of ~~ ~rL~~ For the Register File Number: Signature of Personal Representative ~1' Oa' ~~ Estate of LEON J. KEENE Social Security Number: 205-09-8324 i'~ J ~ ~ ~-.i ~,J~ C" _ ~~ ~ _^ ~ i ~ ~ : Deceased C!1 O Date of Death: JULY 11, 2008 AND NOW, , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters TESTAMENTARY are hereby granted to JOHN T. EVANS, JR. and that the instrument(s) dated MARCH 26, 2007 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES Letters ............. .. $ 360.00 Short Certificate(s) .... .... $ 8.00 Renunciation(s) ...... .... $ JCP $ 10.00 AUTOMATION FEE $ 5.00 WILL $ 15.00 ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .......... .... $ 398.00 in the above estate Supreme Court I.D. No.: 6282 Address: 60 WEST POMFRET STREET CARLISLE, PA 17013 Telephone: (717) 249-2353 Form RW-02 rev. 10.13.06 Page 2 Of 2 N n ~ r~ Signature of Personal Representative _--- ~7 ~ ~.-~ -__~~ Attorney Signature: ~-T/ ` ~ . C~ A% Attorney Name: ROGER B.'.~R ,ESQUIRE ln~ hn> KP. A" ~oUti ' LOCAL REGISTRAR'S CERTIFICATIClN OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 14~491i0 Certification Number __ ~ ` ~ .. ~ a. C~ ~ F- ~ _ ~~ _: _ - •x CJ ~ , ~ ~ C~ . L~ ~. - rr ('" l t ~ ~'~ ~ O ~ :' - ' ' lY " G ~,.~ C°+g '1Chis 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. 'Local Registrar H105-tai REV 112W6 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS TYPE /PRIM IN PERM""E"rr CERTIFICATE OF DEATH BLACK INx (See Instructions and examples on reversal ~~' Date Issued 71 . a~1 Sr_ , .c-~ n 1 Name of Danamnt (First, mmtlle, last salrlx( z. Sex s. socia secuny Number a. Date a Deem (Monet, day, year) Leon J. Keene Male 205 - 09 - 8324 July 11, 2008 5. Age (Last BiMday) Under 1 year Under 1 day 6. Date of Binh (Month, say, year) 7. &rmplace (City and slate or foreign country) fie. Place of Death (Check onry one) AbrWS oars rtsun kwnrea Hospital: Omer. 93 September 10, 191 Williamstown PA yet ^Inpetiem ^ER/Out tient ^DOA Nursin Home ^Residence Pa g ^Omer-Speciry: eb. County o1 Deam ea City, Roro, Tryy of Death IM, FaciNy Name QI not irtsdlulbn, give street all number) 9. Was Decedent a Hispanic Origin? ®No ^Ves 10. Race: American Indian, Black, While, ale. Cumberland N. Middleton pi yes, speciry caber, (SpadM Church of God Home M i P l ex can, uanoR can,etc) White 11. Decwknfs Usual eon Kkd a wwk tlare dun most d work) INe. Do not slate retired 12. Was Decedent ever in the 13. Decedent's Etlucallon (Speciy only highest gretle Canpialetl) 14. Mantel Sialus: Married, Never Mameq 15. Surviving Spouse Qf wife, gNe maiden name) Kill of WaM Kind o/ &uirWSS / Indust 7 A hit t U.B, Armetl Forces? ry• ry ( ) age (1 4 or 5+) Witlawed, DNOrced (Specify) Elemenla I Seconds 0-12 Coll rc ec Government ®vea ^Np 12 Widowed - ls. Decetlenl's Myling Adtlrass (Street city /lawn, state, zip mtle) Decedenra Did Decedent PA 801 N . Hanover St . Aaual Residence 17a. Slate Live in a 17 N. Middleton Yea, Decedent Lived In Twp Carlisle PA 17013 a ~ Tawnship7 ,7b cnanry Cumberland rid Ne,DanadenwYedwdmn Aaual Limits of City / Boro ifi. Father's Name (First middle, hsl, sNfixl ig. Mother's Name (First, middle, maitlan sumemel Lehr T. Straub Eva Keene 20a. InlonnanYS Name (Type I PMQ 20b. infonranYS McNMg Address (Strcel, city! town, 86ate, zq codej John Evans 681 Cranes Ga Rd., Carlisle PA 17013 2ta. Mathotl d DlsposAnn ^ Cremaf ^ Dorral'lon 210. Date al DisprsiAOn (Month, day, yeeN 21 c. Place of Dlepositbn (Name a wmdery, crematory ar ollwr place) 210. Location (City !town, stele, zip code) []~ Burial ^ Re State Wes Crematbn or Donailon Authorized ^No ^ Olfler - Speory: by Medial Ezeminer / Coronm7 ^Ves July ZS 2008 Rolling Green Cemetery Camp Hill, PA 22a. 5 ~ a Funeral )j see (or person actklg as srx:n) - ~ 220. License Number 22c. Name antl Adtlress of FaalAy H ffman-Ro h Funer l ome & Crematory s i T i 21 N H Co tale II t arkN a ~difyirlg h sician i5 na avsseble a{ i d d m t 2 me best amy k th occurred at the dme, dale and place slated. (Sigrwlure and IAIe) 23b. License Number 23c. Data Signetl (Monet, day, yeah p y o ee aenMoaaaaaaeam. ~~~~} ~~~,G~'~~,j e - ~ Items 2a$6 must 0a canpleletl by person 24. Time of Deam 25. Dale P mnounced De a d (Mmlh, day, year) 26. Was Cese Referre o M dl edical Evaminer I Coroner for a Reasm Other than Cremation or Ibnalion? -y ~ k ~ wyq pronourxas deem. ~~~ M. 0 1 -~ ~ a} - 2~ ^ Yes Na CAUSE OF DEATH (See instructions antl examples) r Approximate inlenal: ttem 27. Pad I: Enter me a events -tliseases, aqunes, d complications - Ihet tlxealy caused me death. DO NOT enter terminal events such as cardiac arrest F'an II: Enter other slondxsnf onrt'o . m'0 n q to d th, 2fi. Did Tobaaro Use CminOUte to Death? , Onset to Death respiratory artesi, or ventricular fibnllalion whhoul snowing iha etidogy. List onN one cause on each 6rre. but rrol resukirg in the underlying cause given in Pan I. ^ Yes ^ Probably ^ N [U k IM1AEDtATE CAUSE /Fmel daease a o n nown coMbion rewaing m deem) -~ ~y-tl ~ ,~ a 2g, II Female: Due to (or as a consequence op: ~ ^ Nd pregnant wihin past year Seq~anliaAy list Wr101'wrs, d anY b ^ Pfegrenf of lime of death . leatlirg to me cause listed on Noe a, Due to or as a Iona F) Eller 1 UNDERLYING CAUSE ( equanCe o : ^ Nol pregrenC ON pregnant wimm a2 days (6seaae or mlury mat inNeled me aven6 resuaing m deem( LAST. D Of deem ue to (or as a conaenuence op: ~ ~ pregnant d3 days to i year ^ d. 1 r 0efom death ^ Unkrgwn a pregnant within the past year 30a. Was an Aulepsy Penonned? 3Ce. Were Autopy FinrSrgs Availade Prar to Complelian 31. Manner a Deam ,_,/ 32a. Dale of Injury (MOmh, tlay, yeaQ 32b. Describe Now Injury Oocurte0 32c. Place of Injury: Home, Farm, $Ireai, Factory, al Cause d Deam? LJ Natural ^ Homklde peke Suildin sic g~ ~ ~SP~fyJ ^ vas ~o ^ Yes [] No ^ Accxlent ^ Pending Investigation 32d. Time al Inlury 32e. Injury al WorN? 32f. I( Transponaiion Inryry 'SpecilyJ 32g. Location a Injury (Street city l bwn, stale) ^ Suicide ^ Coultl Not Oe Delerminetl ^ Yas ^ No ^ Driver I Operator ^ Passenger ^ PedasMan M ^Other- Spectly~ 33a. Canifiae (check onN one) 33b. Bignalura and Ale Hill@r ~ • Cedltylrg physician (Phydcran canitying cause o, death when another pnysician has pronounced dealn and canpkled Iiam 23) T ill b t f k l d ~ ] /~ J o ea o my now edge, eem occurted tlue to the cause(s) antl manner as ataled_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ • Pr n i i M nl h P ~ t„~ onou ng ar c ce ty ng p ysichn ( Mrsiaan bolo pronouncing deem arq cerdymg m cause a death) To the beat d my kmwaedge, death oceumed et Ina tuns, date, and place, end due tome cause(s) antl manner as atated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ 33c. Lcense umber 33tl. Dale Slgrred (Month, day, year) • MeaiaelExaminarrc«an« M17025~'~~ C L~7-It-2(K~`S On the basis of exami lion and I or investigation, In my opinion, death occunetl at the time, date, and place, end tlue to the reuse(s) and manner es slaled_ ^ 34 Name antl Address of Person Wyw Completed Cause of fMaln (Ite m 27) Type I Print 35. Reg nature and Disina W to FAad (Month, day, year) ~ c'v: c, L _ 1,tJa w f j G .r M -D, ~ Ic~ ~ ~ ~ ~ ~ ~ ~ O ~ ~ 3s7~. ~k_ ~•.a ~ CG~wII~-S J732 Disposition Permit No. C) ~ t:~!y>r.~L~ LAST WILL AND TESTAMENT ~_, <~ ~~ T,~ I, LEON J. KEENE, of the Borough of Carlisle, Cumberland Counter ~nnvan~a, :. ~_:, being of sound mind, disposing memory and full legal age, do hereby make, ~izl~~Is~ and°$eclar~ /A~ ~~ ~~ this to be my Last Will and Testament, hereby revoking all Wills and Codicil retofo made by me. _ ~ E 1. I direct my Executor or Executrix, as the case maybe, to pay all of my debts, funeral and administrative expenses as soon as convenient after my decease. Furthermore, I direct that all state, inheritance, succession and other death taxes imposed or payable by reason of my death and interest and penalties thereon with respect to all property composing of my gross estate for death tax purposes, whether or not such property passes under this Will, shall be paid by the Executor or Executrix of my estate. 2. My Executor or Executrix may, at his or her discretion, compromise claims, borrow money, retain property for such length of time as he or she may deem proper; lease and sell property for such prices, on such terms, at public or private sales, as he or she may deem proper; and invest estate property and income without restriction to legal investments unless otherwise provided hereunder. 3. I authorize and empower my Executor or Executrix to sell any realty and/or personalty owned by me at my death and not specifically devised or bequeathed herein, at public or private sale or sales and to give good and sufficient deeds and/or bills of sale therefore, in fee simple, as I could do if living. My Executor or Executrix is authorized and empowered to engage in any business in which I may be engaged at my death, for such period of time after my death as seems expedient to said Executor or Executrix. 4. I give, devise and bequeath all of my estate of whatever nature and wherever situate to my wife, DORATHY N. KEENE, provided that she survives me by thirty (30) days. 5. Should the gift in Paragraph No. 4 not take effect, then I give, devise and bequeath all of my estate of whatever nature and wherever situate as follows: a. Forty Percent (40%) to JOHN T. EVANS, JR., of Carlisle, Pennsylvania; b. Twenty Percent (20%) to my sister-in-law, BETTY PAGANO; c. Twenty Percent (20%) to KAREN RUSSELL of Carlisle, Pennsylvania; and d. Twenty Percent (20%) to DARRYL EVANS of Bowmansdale, Pennsylvania. It is understood and directed that if any of the above four (4) individuals do not survive me, or are not living at the time of distribution, their share reverts back to the Estate and will then be shared by the other named surviving individuals. 6. I nominate and appoint my JOHN T. EVANS, JR. to be the Executor of this my Last Will and Testament. In the event he has predeceased me, failed to qualify or is not able or does not serve for whatever reason, I then appoint KAREN RUSSELL to be the Substitute Executrix of this my Last Will and Testament, whereby the said Substitute Executrix shall have the same powers as are given to the original Executor hereunder. 2 7. No person(s) shall benefit hereunder unless such beneficiary shall survive me by thirty (30) days. 8. No Executor or Executrix acting hereunder shall be required to post bond or enter security in this or any other jurisdiction. 9. No beneficiary may assign, anticipate or pledge his or her interest in any income or principal held or distributable hereunder, and no beneficiary's creditors may levy, attach or otherwise reach any such interest. 10. I hereby suggest that my personal representative retain the services of Irwin & McKnight as attorneys in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 26a` day of March, 2007. (SEAL) Signed, sealed, published and declared by LEON J. I{EENE, the above-named Testator, as and for his Last Will and Testament, in our presence, who at his request, in his presence and in the presence of each other have hereunto set our names as subscribing w' n sses. ~) ~~ ~: ~' 'l ? ,. 3 ACKNOWLEDGMENT AND AFFIDAVIT WE, LEON J. KEENE, KAREN S. NOEL and SHARON L. SCHWALM, the Testator and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his Last Will and that he had signed willingly, and that he executed it as his free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as a witness and that to the best of their knowledge the Testator was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. +~ , SHARON L. SCHWALM COMMONWEALTH OF PENNSYLVANIA . SS: COUNTY OF CUMBERLAND Subscribed, sworn to and acknowledged before me by LEON J. KEENE, the Testator herein, and subscribed and sworn to before me by KAREN S. NOEL and SHARON L. SCHWALM, witnesses, this 26th day of March, 2007. ?/~1, ~J G ~T ary Public f. COMMONWEALTH OF PENNSYLVANIA ~- Notarial Seal Roger B. Irvvin, Notary Public Carlisle Boro, Cumt~eriand County My Commission F_xpires Oct. 3, 2008 Member, per?nsvl~aar~+~ i;rat~riatican Of Notaries