HomeMy WebLinkAbout07-22-08PETITION FOR PRrO' BATE AND GRANT OF LETTERS
REGISTER OF WILLS OF ~1.i.M~f'I'~~C~-'L11~~ COUNTY, PENNSYLVANIA
Estate of 1V~Ymf~•~ ~Qu-I i )a5~° File Number ot~ ~O ~ t~~
also known as ~ ~~ ~ ~ /- n ~
,Deceased Social Security Number lJ l•/
T f ~~
Petitioner(s), who is/a a 18 years of age or older, apply(ies) for:
(COMPLETE A' or 'B' BELOW:)
0
A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the ~~~ ~-Ll-~~~'I ~(. named in the
last Will of the Decedent dated c~ '" ~ - ~f ~C and codicil(s) dated
(State re[evnnt circmnstnnces, e.g., renunciation, death ajexecutor, etc.)
Except a:> 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
(ffapplicable, enter: c. t.a.,' d.b.n.c.t.a.: pendente lice; durante absentia; durante uainoritate)
(COMPLETE IN ALL CASES:) Attach additional s/wets if necessary. ~T) ...~ _ _
(,aMbQr an c~, j
Decedent was domiciled at death in ~ County, Pennsylvania with his /her last principal restde`~3e at
as -'~1.?SSlc.l~ ~.I~"G .Q. I f"l1DcL~Gtr\1CS A Q~ (70J5 ~,1--1 ~ i
(List street address, town/city, township, county, state, zip code) CJi '
Decedent, then ~ ~ years of age, died on J ~~~ ~~ 2UOSy'at ~: ;I(;~~ ~t~1q(~ , ~a M~s51~ ~-~'~~ , ~Rn~~s~~~f'~
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property
(If not domiciled in PA) Personal property in Pennsylvania
(If not domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
$ '10~ pon
situated as follows: CGSIr~ ~S't OC:3~ si ~1U~t u~t%~-~ ~UY~~.t s
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:
Sisrnature Typed or printed name and residence ~
~, iS 1'e+,s~er~t•~c,c,1~r B i~;. ~t+zc;~.r_v_i~..,,,.~ fir. NaI -~~rc~ p
Form RGV-0? rev. 10.13.06 PabO 1 Of 2
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
Adntittistratiott, c. t. a. ord.b.tz.c.t.a., enter date of Will in Section A above and complete list of heirs.)
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
// ~/~f SS
COUNTY OF ~(,( .~Y?~~ / /G~
The Petitioner(s) above-named swear(s) or affirni(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 affirmed and subscribed
of Persona! Representative
before me tare o7~ da~y~of
~~ u,~ ~2~
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1 g.l~
r For the Register
Signature of Personal Representative
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Signature of Persons! Representative ~'' ~.
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FileN}}umber: Q ~ ~I G~ ~~~~
Estate of ~vU/~~-r'~ rG2-~-R-1 ~~ ~" ,Deceased
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Social Security Number: a 6 ~ ~~ 6 ~~ Z`' Date of Death: ~ j ~.J ` 7 2~~
AND NOW, ~ , c?~t~, in consi/d~eration of th foregoing Petition, satisfactory proof
having been presented before me, IT IS D CREED that Letters 7c~S tfJ2.~~~ 1,u1
are hereby granted to
r
in the above estate
and that the instrument(s) dated i ~ I
described in the Petition be admitted to probate and filed of recordta~ the last Will (and~Codicil(s)) of D~c~,dent.
FEES ~ C/+~C ~,-/
dv~
7th
Letters $ l~
/
..
....
Short Certificate(s) .. ~ 0 .
... $ ~~ Attorney Signature:
Renunciation s) ....... ... $ Attorney Name:
_~ ... $ / ~ Supreme Court LD. No.:
... $ S
$ Address:
... $
... $
... $
- - • • $ Telephone:
... $
TOTAL ........... ... $ G~?6,S'
'14~-
Register of N
r-~~,,n Rw-na rev. ~o.r3.or 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 14792216
Certification Number
nms-u3 REV u/zdgs
TYPE: PRINT IN
PERMANENT
BIACN INN
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L
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This is to certify that the information here given is
correctly c<~~pied 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.
F. ~ G ~
ocal Registrar ate Issued
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse) ~ ` ~ ~~ d~ ~~
STATE FILE NUMBER
1. Name d Depd«d (Fast, rtkdda, cast, sutlia) 2. Sea 3. Social Seahey Numb« I. DaN d DeaN IMordl, daY Y~r)
Norman P. Kass Male 200 - 16 - 0652 Jul 19 2008
5. Age (Last RirhMay) Undu I ear IAtder 1 day 6. Date d BiM (MOnN, day. Yoar) 7. Batlplace ICeY and stale « ) Xa. Place d DeaN (Cbxk ore)
aweu Davs Na+s kwvees IbsptM: ONmr:
82 Yrs. March 17, 1926 Scranton, PA ^InpaderY ^ER/a4patiem ^DOA g]Nursng Horne ^Resipnce ^Wrer. SD•dY:
ea. County d Death C
ity
, Boo, Twp. d DeaN
&. ed. FxiYly Hams (tl nd aWi6fiao
rl,
e
sheet a
M
rlwMer) 9. Was DecederN d Misparac Olipin7 No ^ Yes 10. Flap: MMricarl Y16an, Nhdi, Wryb, etc.
(.1u-Iberland rY~~~,.~
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Allen
Upper . ^!' • \
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7 ~ l e S s ` C-I-V \. V 1 ' l Itl yea. ~aN Cueen.
Mndpn.PreMRiDan,eb.) IS~YI
White
11. Oapred's Usual Oct Kkb d wok d one des' most d Se. Do not stab nla 12. Was Depdera erer h the 13. Deeed«ds Edralion (Seedy highest grade Conpl eled) 11. Model Sblus: Horded, Neves Mamed, f 5. Survnnag Spo use IN wtle, gWa meitl«I nanq)
Kntl d Work Nkd d Raciness / Ydustry U.S. AmnO faces? Elementary / Seprtdery (P12) Catlega (1i w 5.) YWdowed, on'apa 1SPeaM
Cler Minist {~7Yes ^lb 3 Widowed
- 16. Decedents MaWng Adaess (Sheet. cNY / lawn, stab, zip Dods) DepdenYs Did DepdeM
AcdualReaiderea 17aSab Pennsylvania ~e
DepDentUredin Upper Allen T
„~.®Yea
wD
222 Messiah Circle ~?
,
.
na
^ No
Decoded ur.d wdtir
Mechadiicsb PA 17055 .
.
nb. rowdy (y ymharl aril
Adadladtiw CNy/Rwe
18. Fatlwls Name (Post, mode, last, suXul 19. Motlwfs Name (Fast, nedde, maiden startarrr)
Gene C. Kass Helen TAiff
20a. hJ«rtants Name ITyDe / Pmll 20b. NtarrleM's Matlatp Ad6asa (Shed, dY / him, pw, zq awl
Deborah K. Fenstermacher 8 N. Clearview Drive Pa a, PA 17078
21a. Metlod d DisposiYOn ®Cremamn ^ Oerntion 21b. Dale d DisppiNm (Modlr, my, Yaar) 2yc. Place d Dsppabn (Name d prMary, aemal«y a rtlw place) 21d. loptian ICM / bwn, Mob, zq pdsl
^ Burial ^ Ftemoval hen Slate Wu CramaUOn a Donation Autlwri:ed py Yes ^ No
^ pp,a,.Spec,y: nywdkrE,.rwaslc««rrT tall Jul
y 22, 2008
Hollinger Crematory
Mt. Holt S yin P
~ 22a. 5ignaoae d Fwt«al sa«i,r licensee la person 22b. lioeriea NuMer 22c. Nrre end Aadea d Fapkry 8 Market Plaza Way
- - ~ FD-011667 Mal zzi Funeral Hone Mechanicsb PA 17055
gems 23a<aYy 23a. To Yes best d my krewbtlge, tleaN atoned al db tip, dale and Dlace sWbd. (SfXreWre and line) 23b. Licaree NunN« 23c. Dale Sprd (Ma W. daY. riar)
plrysipan 6 M avaibble fire d deaN b
ceMy cause d deaN.
Noire 2426 must be cmpleled by parson 24. Tana d DeaN 25. Dab Prabutced Dead (MaiN, daY, YeaQ 26. Was Caa Refired b Medal Eaamner / Cwamr br a fbasan Ollrr Nlen Cremation a DaoYOn7
~ wlo paounces deaN. ~ M. 0 ~ ~ I ~ - ~ O O ~ ^ Yes ~ No
CAUSE OF DEATN (Sae FneUUCYione Y10 eaampbs) r APDroxmab aderval: Pan X: ElYer ONer ' 29. Pd Tdasao the CaaibM b DeaN7
Xan ?7. Pan I: Enter Ina 1d1a109(17YEd. - dsnases, apaba, «carpkatiww - Nat daectly caused tlia paN. W NOT ed« brrrYrW events such as wrdlac arrest, r Orod b DeaN W rot resupaq n Ne «iderlyap cause even n Pan I. ^ Vet ^ Probably
respralay arrest. a vednculer fibrilaaon wiNw slowing Xa eliobgy list only one cause on earn Yoe. 1 i ~NO ^ lhYUrown
WYEDIATE CAUSE 11Fnal disease w // ~~r i
coildlion resdWq n aeaN) -,~ a. ~ ~-~T. J[ ( C. ,a- t~L~C L t.'Lv ~ C~. c..- a ~ ,
c.~ V / ~
29. N FamW:
^
Due b (« o e pnsequer~ca dj: ~
SegueraiaYY fsl prrdaal5, i ay, 0. ~ s
?OC~~~ v ~,~c S GQ{-d-<4 '~ Nd Drama P~ YBBf
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Z~ Preprra a lime d maN
leadvrp b tlk puce Ysbd on Yre a. t
Ed« Pa 1NIDESIYWO CAUSE Due b (a es a cansequenca oQ:
~
' / ~~ ~~
~
' ~ ~ Nd q«gnerM, bd pref,w4 wiNn 42 days
d dsaN
Idsease a spay Nd nitiabd Ne c /
r.,J
ev«as nsdYnp n daaN) LAST. p1e b (a as a ansegpnp d): i
t ^ Nd progNre, bd preywtl 43 day: b 1 ye«
bsiwe deeds
d. a ^ lXeunwvt i prayuvX wean dp past year
30a. Was an Aumpsy 3gb. Wen Adopsy FalOnge 31. Marew d DaaN 32a. Date d bMY (Haab, day, Year) 32b. Describe Mow WaY Occurred 32c. Rana d Y9u0': Hong. Famr, 9red. Faday,
Die BitidMl
ek. (Spectilyl
PeMrmeo? Available Poor b Conipbkon
d Cause d DeaN7 ,-, / d ^ ~
yNaurt
L ,
~
^ Accident ^ Penarg Nvestigation 32d. Tins d hMaY 32e. YMuY d Wwk7 321. X Transpabtion Irq«y (SPaay) 32g. lacMbn d Injuly (Sheet, aY / bwn. ebbs
^ Yes ~NO ^ Yes ^ No ^ Suicide ^ Cadd Not be Debrmirred M ^ Yes ^ No ^ Onra / OperaW ^ Passenger ^Pedeshian
otrer'sv~7
33a. certtlwr (dre<k aay «wl 33b. sigrekae and tme d br
• CMNyaq plryekian lPhYSron pnayalq pose d paN wirer andher physician has Drorwiaoed OeaN and comDk4ed II«n 23)
dsaN acumdrhxb Ne cwselslsM lnYlYMr ae eMted.________________________________
To tlr MStdmy YnowMdq . i c ,~. ~ ` C~ v
,
• Praowoing and pridYN9 pbyskian (PhysiCUn boN praaumng deaN and cerlXyag b cause d deaN) ~ ~
Te tlis bsM d my kYwwbdgs, deaN accurted tl tlse Wr, dale, arr0 pbca, and dos b iM pesetas artd mamar as ebted_ _ _ _ _ _ _ _ _ _ _ _ _ _ ~.. _ ~
u
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d E 33c. License
~WI~~Y ~ 33d. Dab Signd ( .day, year)
~~Q ~
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• Medic
On Ur baaN of aaalMnMion asM I w bvwdgalbn, N my opaaon, Death acurred at iha time, oats, and plats, and ow to Ua prnNq and nuanx as sbled_ ^
~. Name ari0 Address d Peram Woo Coupe d DeaN (~ 27) Type / Prins
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Fa
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NORMAN P. KASE . -~"_~ -"'4'
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BE IT REMEMBERED that I, NORMAN P. KASE, of Upper Allen Township, Count~~-r;
of Cumberland, Commonwealth of Pennsylvania, being of sound mind and understanding,
do make, publish and declare this as and for my Last Will and Testament,
hereby revoking and making null and void any and all Wills and Testaments
and writings in the nature thereof by me at any time heretofore made.
ITEM 1: I direct that all my just debts and funeral expenses be paid
as soon after my demise as may be convenient.
ITEM 2: All the rest, residue and remainder of my estate, of whatsoever
nature and wheresoever situate, whether it be real, personal or mixed, including
property over which I have a power of appointment, I give, devise, and bequeath
unto my beloved wife, EVELYN K. KASE, absolutely provided she survives me.
ITEM 3: Should my wife, EVELYN K. KASE, predecease me, fail to survive
me, or should we die simultaneously, I then give, devise and bequeath my
entire residuary estate as follows, to wit:
A. Fifty percent (50%) to my daughter, Pamela Jean Kase of Mechanicsburg,
Pennsylvania.
B. Fifty percent (50%) to my daughter, Deborah Anne Fenstermacher
of ~iershey, Pennsylvania.
ITEM 4: I nominate, constitute and appoint my said wife, EVELYN K.
KASE, as Executrix of this my Last Will and Testament. If my said wife should
predecease me or otherwise be unable or unwilling to serve, then I nominate,
constitute and appoint my daughter, Deborah Anne Fenstermacher as Alternate
Executrix of this my Last Will and Testament.
ITEM 5: I direct that my above-named Executors pay all inheritance,
estate, succession and legacy taxes of whatsoever nature and kind, to which
my Estate or the transfer of any property passing hereunder or. otherwise
pasing by reason of my demise, may be subject, and to charge such taxes
against my residuary estate, it being my intention that none of the aforesaid
taxes, either federal or state, or any property required to be included
in my gross estate, under the provisions of any state or federal law now
in force or hereafter enacted, shall be prorated among the persons interested
in my Estate to whom such property is or may be transferred or to whom
any benefit accrues.
ITEM 6: I direct that my Executrix shall not be required to give
bond for the faithful performance of her duties in any jurisdiction.
ITEM 7: I may have items of personal property that I would like
to bequeath to specific individuals. In that event I shall attach a memorandum
to this my Last Will and Testament, addressed to my Executrix, detailing
any such specific bequests. I request my Executrix to make any such distributions
prior to distribution of my estate per Item 2 of this my Last Will and
Testament.
IN W~IjTNESS WHEREOF,
day of 1%~G~~*~'•
WITNESS:
I have hereunto set my hand and seal this ~,~L
1986.
J~ /~/~
~ (SEAL)
NORMAN P. KASE
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
We, NORMAN P. KASE, , and ~~•~~~~~
the Testator and the witnesses respectively whose names are signed to the
attached or 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 Testament and that he had signed willingly (or willingly
directed another to sign for him), and that he executed it, as his free and
voluntary act for the purpose therein expressed, and that each of the witnesses,
in the presence and hearing of the Testator signed this Last Will and Testament
as witness and that to the best of their knowledge, the Testator was at the
time, eighteen (18) years of age or older, of sound mind and under no constraint
or undue influence.
NORMAN P. KASE
WITNE
1
WITNESS
Sworn to and subscribed to before me
this~day of ,
1986.
~- ~~..
NOTARY PUBLIC
My Commission Exppir ;
;;t;;iC1NE A. fREGSaLA, f'UTfi~%~~t;5!lr,
UPPi~R AtLfN T04CNSHlP,tiUtt~fnlJ`.s;OCT1JNT1`
i~Y CS1Pd~~laSiON [XP4R~5 `.:E~~. ?A, i$'~
Member. Penrsytva~ia Association of NuTaries