HomeMy WebLinkAbout08-08-08PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of Winifred J. Kegris
also known as
Deceased
COUNTY, PENNSYLVANIA
File Number ~' _ lJ (J ~ C~J
Social Security Number 195-16-7831
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 Person
last Will of the Decedent dated March 17, 2005 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: NONE
B. Grant of Letters of Administration
(If applicable, enter: c.t.a.; d. b.n.c.t.a.; pendente liter durante absentia; durante minoritate)
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following sp~aulse (if any) areirs: (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.) C c7 Cb -
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Name Relationshi Residenc~.L ~~ C~7
Brace J. Kegris son Carlisle, PA '_ `- `" t
Deborah J. Reinhold daughter Philadelphia, PA ~ ` -
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(COMPLETEINALLCASES:) Attach additional sheets if necessary. ,~ N -
Cumberland ~
Decedent was domiciled at death in County, Pennsylvania with his /her last principal residence at
2 Locust Road Lower Allen Township, Cumberland County, PA 17011
(List street address, town city, township, county, state, zip code)
Decedent, then 85 years of age, died on August 3, 2008 at Holy Spirit Gospital, Camp Hill, PA 17011
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ 5,000.00
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $ 110,000.00
situated as follows: 2 Locust Road, Camp Hill, PA 17011
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:
Si natur T ed or rinted name and residence
Bruce J. Reinhold, 112 North Middlesex Road, Carlisle, PA 17013
named in the
Form RW-02 rev. 10.13.06 Page 1 of 2
Oath ofPersonal 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 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. , ~
Swom to or affumed and subscribed
Signature Personal ~~ tative
before me the -\ ~l day of
1~4~-~~ ..~ ~ _ Signature ofPersonal Representative
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FOr the egister Signature ofPersonal Representative ~ =~ t~
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File Number:
Estate of Winifred J. Kegris ,Deceased (V
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Social Secur~ipt,,y Number: 195-16-7831 ~ ~}%)Q Date of Death:Au~ust 3, 2008
AND NOW, T r l =;~~, in consideration of the foregoing Petition, satisfactory proof
having been presented before m T IS DECREED that Letters Testamentary
are hereby granted to Bruce J. Reinhold
in the above estate
and that the instrument(s) dated March 17, 2005
described in the Petition be admitted to probate and fil ed of record as the last Will (and Codicil(s)) of Decedent.
FEES ~ ~~ ~
Register of Wills •
Letters ............... $
Sh
C
ifi
$ ~
~
ort
ert
cate(s) ........ Attorney Signature:
,
Renunciation(s) .......... $
$ ~ ~ William L. Grubb
Attorney Name:
• • • $ ~ - Supreme Court LD. No.: 72661
... $
Address: 3803 Gettysburg Road
... $ Camp Hill, PA 17011
... $
... $
'~~ $ Telephone: 717 763-5580
... $
TOTAL .............. $ 6:~0
Form RW-01 rev. 10.13.06 Page 2 of 2
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LOCAL REGISTRAR'S CERTIFICATION OF DE~~Tt~
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee i~or this certificate, $6.00
P 14792325
Certitication Number
This is to certify that thr~ iOformation here given is
correctly cupied i~rcx;n an original CertiY(cate of Death
duly filed witi~( rr)e a, Lt~ral Registrar. The original
certificate will he forwarded to the State Vital
Records Office Ian ncrnr.(n~~nt tiling.
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.<~cal Registrar Dale Issued
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Tl'PE'PRINT IN
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BLACK INK
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIF{CATE OF DEATH
(See instructions and examples on reverse) STATE FILE NUMDEfl
1 Name a Decedem Ifuv. midde, last. suXix) 2. Sex 3. Social $ecway Nwroer 4. Dale of Deam (MOreh, day, year)
Winifred J. Ke cis Female 195 - 16 - 7831 August 3, 2008
5. Age (Lass Budxlay) Under t year Under 1 day 6. Date of Binh (MonIR day, year) 7. Birthplace (fey and stale a Iw - cantryl 8a. Place a Oeam (fhede Dory one)
Wc9n9 nays rb,as awwms Hosp Odwc
85 yrs June 16, 1923 Shanakin, PA bpallenl ^ER/oapaoent ^DOA ^NwaingHome ^Reslaenne CI«ner.specdy.
- 66. Courxy a Death &. Clry, Boro, Twy. of Deam ed. Facdey Name (If riot ulstnutbn give sBeel and raanber) 9. Waz Decedent of Hispanic Orgn? ~ No ^ Yes 70. Race: Amerran Indan, Blade. Wnita, eb.
(It yes, spedry Cavan, l3peciM
Cumberland East Pennsboro Holy Spirit Hospital Mexiean.PuerbRcaRed) White
Il. DecedWll's Usual Occ two IKind of work d wle Burin moll a worla tile. Do ml state retiretl 12. Was Decedent ever h bre /3. Decedent's Education (Speedy Doty highest grade corrlpl etedl te. Marital Swus~. Mazried, Neve, Martkd, t5. Surnvng Spc use (H wke, gWa maiden name)
Kits a Wok Kmtl d Baseless / Intluslry U.$ Armed Forces?
Ebrtlenlary / Secwldary (0-12)
Cdlege (1-! a 6e) Wdowed. Divorced lSPac,M
Homemaker Own HoFne ^yea Nd 12 Widowed
16 Decedents Maanq Adtl~ess 15reat cqy 1 to-wn, stale. zp code) Decedem's Did Decedent
bower Allen T
Penns
lvania
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2 Locust Road y
wp
rea,DecedeaL
yed
n
AcwalReaideace ,Tp sMte
~» crap? ne
Camp Hl l l , PA 1701 1 t?b. coanty CUmberland , yd. ^ N9 Decedea uyea wnNn
Aciaal LimiW a aq l ewo
Ifi Famei s Name (Fuu. nutldle, last. sullu) 19. Momw's Name (First, midde, nwden surname)
Reginald D. Bixler Sarah C. Hertz
20a lydormanrs Name Rype I PwNI 2m. mlormanrs Naming Address (Street my r town, state, zip coml
Bruce Reinhold 112 N. Middlesex Rd. Carlisle, PA 17013
zta. Metros a aspos~eon ~ cremation ^ DorwNm ztb. Date a Disposaion IMOnm, dar~ yearl 21c. Race of Disposition (Name of mmelery, crumalory a otlkr place) ztd Location (coy I sown, stale, iq code)
^ Bww ^ Removal born slate was tremadon w IbneUws Aanwl:ea
^pd,a,.s~-,N.~ eyMedlcelE.ranineryCoron.n $l yea^Nn
8/7/08
Evans Cremation Service
Leola PA 17590
zza $galar F al pan o;pa ~ as 22D LicenseNuMet zzc Name amAaaaaaafacikty Neill Funeral Hone, Inc
- - ~ FD 013239 L 3401 Market St. Cam Hill PAa 17011
compere Kerns ~c Day w cendyag z3a To 6w oast a my krowkage, seam occwretl al me erne, dale and vie slated. Isgnatwe and true) 2x. License NwMer 23c. Date sgned IMwun, day, year)
pnysran a avaiwae al Woe a seam b
cents a deem
- M 2J-26 must De campetetl by parson 29. lime of Deatn
~ 25, Dale Pronounced Dead IMonm, day, year) 26. Was Case Referred b Medical Examner / Cwwwr Iw a Reason Omer man Cremation or Owakat?
wroprorww~cesdeam M
~ S/ , O 0 ~ ^Yes ^No
CAUSE OF DEATH (See inatructlone and oxe s Approunab interval. Part u: Eaw ndlW ]2O9a1B. 28. DM Tobacco Use Cmlribub b Deam?
uem 21 Pan I. Emsa the gpal¢ylty_ ry,~ -asepses uyures, a compratwns - Inert OirecUy caused Ine Beam. DO NOT en pal events such as cartliac arrest I Onset to Deam bn na resuprlg in me underlying cause gWen in Pan L ^ Yas ^ Probably
resplalory arrest, w venbKaar liW11WINm w,moul sromry Vle eaaogy List only one Caus9 on each tine. s
1 I ^ ~ r-} , u,s.~,n
6.Yr,
WMEDIATE CAUSE 'Foal dsease a a ~ !~ ~ ^ / 1 ~ r
mr6lbn resWWg b Oeaml -~ r (J a~ ;
29. ILI~Fema/le:
ilM
t
l
la
Due to (or as a consequence I): I
I n pas
year
w
o Dre9ran
Ly
^ Preganl al txne d Beam
Sequenuatiy tat cadtlwls. A any. p.
leayq b rte cause ksted on Wte a Due to for as a consaquerrce op: r
Emel d,e UNDERLYWC CAUSE 1 ^ NuI plegrald. Dal pregnant wdfan !2 days
a Uusm
ISw.aa or a Ihal xnluad Ina I
1
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BvenW NsWIYg Y~ doNlnl lA$r
DrW 14 (IN p9a Na199~r191N.91A) 1
I -- I IA~1 ~n I IaA n,~ 11 !J du . ai I
• ~ I ~~~~~~ 1 W,w y yrar
belwe death
d. ^ UuVupwn i pre9nam wNan dw past year
70x. Was an Autopsy 30b. Were Auklpsy Fndngs 31. Mann of Deam 32x. Dale a Injury (MOnm, day, yearl 32b. Describe How Irµxy Occwred 9reel, Faaory.
32c.
Perkametl? Available Prig to Conpletion
a Cause WDeam? /
1'"d ^ HOn'N'~ Odice ~~, ere, ((~yl
^ y
[~ No ^Yes ~
'N/o ^ Acndem ^ Pzndug Invesbgalion 92tl. Tine a Injury 32e. Mryury at Worle7 321. If Trpnsponalion injury (Specrly) 32g. laation d Irywy (Street, city /lawn, slate)
es . ^ Sumde ^ Cau1d Nol be Determned ^ yes ^ No ^ Drrver I Operator [] Passenger ^Pedeslnan
M Diner Speciry
33a CerWaN llaed, Day ono) Signature and TNIe of C J _ /~
• Cenitybq Ishyskian (Pnyswran ceniryng cause a deem when a~~omen physx:ian has prarcxnced seam and compleletl Item 23)
GOih OttWred duo to ihecauule}and manner es aWNL_____________~_____
__________
TO Ure beat of my tnowkdya -
•
,
___
• Prorwuncing wd cenaykq phyakian IPhyskian Dom prorrounnng deem and certifying to cause a Beam)
To dle beat of my tizwwledge, seam occwred al the time, date, Antl place, and due W the cause(el ant marewr as clated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^
• Medkal Examiner/Coroner 33c. LKense Number
` ~v,s 1n `) v ~
~l lr, ,J VA/UJ 33d. Dale ed ( tla year)
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O
On me Wais a examination and I or investigation, in my opinion, death occurred at the lime, dab, end Pbce, end due to the cause(s) and manner as slated_ ^ Completed Cause a Deam plem 271 type Print
34. Name ar~tl Adtllass a Parson Wro
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35 Rega s Srgname and D~stiKl Nunvxr 36. Dale Feed IMonm, tlay, Year) /
~ " ` ~ ~k' x~ r
` x U ~ Disposmon Penns No. E / ~ 7 , O ~ ~ 0
Last Will and Testament
of
Winifred J. Kegris
I, WINIFRED J. KEGRIS, of 2 Locust Road, Camp Hill, Lower Allen Township,
Cumberland County, Pennsylvania, being of sound and disposing mind, memory and
understanding, do make, publish and declare this to be my Last Will and Testament,
hereby revoking and making void all previous Wills and Codicils heretofore made by me.
FIRST
I order and direct my personal representative hereinafter named to pay all of my
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just debts, expenses of my last illness, funeral expenses, including my grave marker and'
perpetual care, and expenses involved or connected with the administration of my estate,
as soon after my death as is reasonably possible. However, my personal representative
need not accelerate and pay those unmatured obligations which, in his, her or its opinion,
~', it might be proper and more advantageous to retain or renew and pay as they become due
~ and payable,
SECOND
I direct that my Executor hereinafter named shall dispose of my body by way of
cremation and not by way of burial.
THIRD
I give, devise and bequeath nothing to my daughter, DEBORAH J. REINHOLD,
and I mention her in this Last Will and Testament only to demonstrate my true intent.
FOURTH
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I give, devise, and bequeath the rest, residue and remainder of my E~ of ev
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nature and wherever situate, at my date of death, together with all insuran~~>ocee
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thereon to my son, BRUCE J. REINHOLD, of Carlisle, Cumberland County,
Pennsylvania, per stirpes and not per capita.
FIFTH
I order and direct that any estate, inheritance or similar tax due as a result of my
death with respect to any property passing as a result of my death, shall be paid from the
residue of my Estate before its division into shares and prior to distribution as an expense
of administration and that no part of the taxes should be prorated or apportioned among
the persons or beneficiaries receiving the taxable property. I1: is my express intention that
all inheritance taxes imposed as a result of my death be paid i=rom the residue of my estate
whether or not the property passes under my Last Will and Testament. My personal
representatives shall have full power and authority to pay, compromise or settle any such
~~
taxes at anytime whether with respect to present or future interests.
SIXTH
I hereby authorize and empower my Executor hereinafter named to sell all of the
real property and any or all of the personal property not specifically bequeathed herein,
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which I may own or to which I am entitled at the time of my death, in the sole discretion
of my Executor at private or public sale, with or without an Order of Court, at such time
~~
`~., or times and upon such terms as the said Executor shall deem proper for the best interests
~ ~ of my estate or of my beneficiaries, thereby converting the same to cash. I further
authorize and empower my said Executor to execute, acknowledge and deliver all proper
'` writings and deeds of conveyance and transfer thereof.
SEVENTH
I nominate, constitute and appoint my son, BRUCE J. REINHOLD, of Carlisle,
Pennsylvania, as executor of this my Last Will and Testament. I direct that my personal
representative shall not be required to give or post bond for the faithful performance of
2
his, her or its duties in this or any other jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand to this my Last Will and,
Testament which consists of three (3) pages to each of which I have affixed my signature,
this ~ 7~ day of ~ , 2005.
~~ 1
~~
Winifred J. Kegris
Signed, sealed published and declared by the above WINIFRED J. KEGRIS as
and for her Last Will and Testament, in the presence of us and each of us, who, at his
request and in her presence and in the presence of each other, have hereunto subscribed
~ our names as witnesses thereto the day and year last above written.
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3
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
Sworn or affirmed and acknowledged before me by WINIFRED J. KEGRIS, the'
testator, this 1 ~~ day of , 200`. ~
~~~--
Notary
4
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
WE, ,and ,the
witnesses whose names are attached to the foregoing instrument, being duly qualified
according to law, do depose and say that we were present and saw testator sign and
execute the instrument as his Last Will and Testament; that he signed willingly and that
he executed it as his free and voluntary act for the purposes therein expressed; that each
subscribing witness in the hearing and sight of the testator signed the Last Will and
Testament as witnesses; and that to the best of our knowledge the testator was at the time
18 or more years of age, of sound mind and under no constraint or undue influence.
(seal)
(seal)
Sworn or affirmed and subscribed before me by ,and
witnesses, this day of _ , 2005.
Notary
5
OATH OF SUBSCRIBING WITNESSES}
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Winifred J. Kegris ,Deceased
William L. Grubb
(eaeh') a subscribing witness to
(Print Namels)
the ~ Will Q Codicil(s) presented herewith, (hack) being duly qualified according to law, depose(s) and
say(s) that she they was /.were present and saw the above Testator estatri sign the same
and that she ~ they signed the same and that she they signed as a witness at the request of
the .Testator estatrix in er his presence and in the presence of each other.
~:.
(Signature)
3803 Gettysburg Road
(Street Address)
Camp Hill, PA 17011
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this ~~ day
of
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(Signature)
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(StreetAddress) F,~ '"`° '
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(City, State, Zip)
Executed out of Register's Office
Sworn to or affirmed and subscribed
before me this ~~ day
of ,~G,~~~ ~~
Deputy for Register of Wills ~lotary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
NOTE: To be taken by Officer authorized to administer oaths. ?lease have present the original or copy of instrument(s) at time of notarization.
Form RW-03 rev. 10.13.06 ,
OATH OF NON-SUBSCRIBING WITNESS(ES)
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REGISTER OF WILLS ' ~'
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CUMBERLAND COUNTY, PENNSYLVANIA " -,
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Estate of Winifred J. Ke~ris 1-="s ,-deceased
n,
Bruce J. Reinhold and Lynn A. Reinhold
(each) being duly qualified according to law, depose(s) and say(s) that sl~e~'.he~/they }~-were well-
acquainted with Winifred J. Ke~ris and mare familiar
with the handwriting and signature of the decedent, and that the signature of Winifred J. Ke~ris
to the foregoing instrument purporting to be the Last Will and TestamentlCe~i~ of
Winifred J. Ke~ris is in his/her own proper handwriting.
(Srgnat r
112 North Middlesex Road
(Street Address)
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i n tune)
112 North Middlesex Road
(StreetAddress)
Carlisle, PA 17013
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
befo ,me this ~~~-11 dr~ay
of ~ , ~~t_~_.
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Deputy for Register a !lis
Carlisle, PA 17013
(City, State, Zip)
Form RW-04 rev. 10.13.06