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Home My WebLink About11-12-08PETITION FOR PROBATE AND GRANT CIF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of Beatrice M. Kelley also known as Beatrice Mary Kelley Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) COUNTY, PENNSYLVANIA File Number _ ~, ~ ~ 0 A ~ I, Deceased Social Security Number 185-24-7636 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the Person named in the last Will of the Decedent dated July 12, 2007 and codicil(s) dated (State relevant circumstances, e.g., renunciation, death of executor, etc.,l Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted aftc;r 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 (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 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.) Decedent, then 76 years of age, died on=~f ° (, ~r ,L 9~ ~ oc~~ at 28 Country Club F'lace West, Camp Hill, PA 17011 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 situated as follows: 28 Country Club Place West, Camp Hill, PA 17011 7,500.00 $ 112,230.00 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: Karen M. Balaban, 223 State Street, Harrisburg, PA 17] O1 Form RW-02 rev. 10.13.06 Page 1 of 2 (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. - <--; ~ ~. ::' c= Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principa~ ~idence atr~~ -'_ 28 Country Club Place West. East Pennsboro Township PA 17011 ` '-' (Lut street address, town/city, township, county, state, zip code) 00 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLANT) , The Petitioner(s) above-named swear(s) or affi rm(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 / ~ ~~-~ rl' - /~ ~~ Signature of Personal Representative before me the I day of l ~ \t ~ V N !' ~ ~' l ~ ~ Si t f P l R i 1 - . , gna ure o ersona epresentat ve ~ _ 1 V ~ c~ r~+ ~ : ~ 3 c o ~r_ FO the Register Signature of Personal Representative ~~-~ ~ .~s : ~ ': -~ - ~ ~ tV _~ cf ~ t- - - File Number: ~~ ~ ~0 ~ I'~ _ ~ '~' Y Estate of Beatrice M. Kelley ,Deceased ~ Social Security Number: 185-24-7636 Date of Death: AND NOW, 14~- ~ ~ IOV rn b r ~C~g , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Karen M. Balaban in the above estate and that the instrument(s) dated July 12, 2007 described in the Petition be admitted to probate and filed of record as the last Will (and Codicills)) of Decedent. r. _ o, _ FEES Letters ............... $ , Short Certificate(s) ........ $ ~ (D Renunciation(s) .......... $ ~ i l~ ... $ l'S . U~ ' ... $ ~. ~ ~-4~t.v'h ... $ - ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ f~ ~9:9e~ Register of Wills `~ ~ ~' Attorney Signature: ~J~-~ ~ ~~ ~.-^~----- Attorney Name: Karen M. 13alaban Supreme Court I.D. No.: 28160 Address: P.O. Box 821 Harrisburg, PA 17108-0821 Telephone: 717.232.3708 Form RW-02 rev. 10.13.06 Page 2 of 2 OCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat air photograph. Fee for this certificate, $6.00 I P 14309371 Certification Number This is to certify thaC the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certifi; ate will be forwarded to the State Vital Reamas Office for perma¢~ent filing. ~~ir~~. ~ ~ ~- Local Re Istrar ~~~` ~~~- g Date Issued n CJ ~.~3 ) ;- C'7 1 ~J r--• .c; ~~ -~=~~~: _-)~'L1 _ r~ 1 7 -'1 ~7 ~~~ Ev nrzo3s 'RIM IN 1NENT K INK 1131-383 1. Name of Decedent (RrsL middle, last suffix) Beatrice 5. Age (Last Blrmday) Under 7 7 6 """~ Yra. 86. County of Deaih Cumberland COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CORONER'S CERTIFICATE OF DEATH (See Instructions and examples on reverse) STATE FILE NUMBER M Ke lie 2 Sex 3 Social Security Number 4. Dateffiaeffi@,~M Y Female 7636 October 29 undo , d Y 6 D t f Rrth xw~ 185 24 ~ , ra co CJ '~ N tD _-c-: ; -i t ~!, _. i.~ L '~ ~ `..J -L'y _~• I-j r7 -~ _,-.., _._,..,., ,.. ,„e,y„,.,w~„p aa. rrece of ueatn Check oral one Dan rows wmm.a Y 1 March 24, 1932 "ospnab omer Pitts ton, Pa ^Inpatianl 8c. City, Bor Twp f Death ~ ^ ER /Outpatient ^ [IOA ^ Nursing Home Resitlenca ^Other - Spedry: 8d. FacNlly Neme gt rim inslautbn, give street aM number) 9. Was Decetlenl of Hispanic Dngin? No ^Yes 10. Roca: American Indian, Black, White, etc. East Pennsboro 28 Country Club Place West of yea,apecilycuba", (sPaaM Maxi°an, Paarto Rican, etc) White 11. Decedent's Usual Oa tpn Kmd of work done dun most of world life. Do not state retired 12. Was Decedent ever in the 13. Decedent's Education (Speciy Dory hghest grade completed) 14. Marital Status: Named. Never Married, 15. Sumvirg Spouse (II wile, give maiden name) Kintl d Work Kind of Busing / IndusNr U.S. Armed Forces? Elements ! Secontl Widowed, Divo xed (Speci Clerk State o~ Pa rV 9rY,(012) College (t-4 or 5.) M ^Yes C3"° 1L Single s28 Yountry~Club Placep West Decetlenra Aaual Residence t7a. Slate p~ Did Decedent TA_, Lrve ins t7c.q~ Ves, Decedent Lived in East Pennsboro Camp Hill, Pa 17011 ,7b. Coanry Cumberland '°~"ah'~? pd ^ N D TwD 18. Father's Name (First, mkldle, IasL suffix) ` Joseph F. Kelley 20a. Informant's Name (Type / PnnQ Gerald Kelly 21 a. Memod of DLSposhpn ~z, {~J Burial ^ R l f ^ Cremation ^ Donation 216. Date of DiailosApn (Month, day, year) emova rom Stale ^ !Was Cremation or Donatbn Authorized Other -Specify by Medical Examiner I Coroner? ^Yes ^ ND November 15 2008 22a. aria I Service L or az ~ as such) 22b License Number , 22c. Name antl Ad - 011654-L Myers- Conplete Ile s 23ac Doty when certifying physkdan is trot available at fime of tlealh to 23a, To the best of my knowledge, death <x:cured at the time, date and place stated. (Signature antl title) certiry rouse of tleath. o, e[edenl Lned vnlhln Acnial Limits of Cay / Boro 19. Maher s Name (Flrsl, middle, maiden sumeme) Helen Flynn 20h. Interment's Mailing Address (Street, dry /town, state, zi e 840 Mandy Lane Camp I~i~~l;, Pa 17011 21c. Place o/ Usposttlon (Name of cemetery, crematory or other place) 21 d. Location (City /town, state, zip code) Holy Cross Cemetery harrisburg,Pa . of Faahry irner Funeral Home Inc 1901 Market Street Camp Hi11,Pa 1701 23b. License Number 23c. Dale Sgned (Month, day, year) Items 2x26 must be canpleled M person 2d. Time u®6'JC7X 25. Date Pronouncetl Daad (Month, day, year) - woo pronounces death. 10 • 30 A • • M October 29 2008 26. Was Case Referred ki Medlpl Examiner /Coroner far a Reason Other Than Cremation or Donalionl C , (Yea ^No AUSE OF DEATH (Sea instructions end examples) Item 27. PaA I: Enter the chain of events - dueases, injuries. or comlxicetkxu -That directly caused the tlealh DO NOT ent t i t Approximate interval: Pan II. Enter other s, g~' jggplr~fitbns contra nine t th tl . er erm nal events suc respirelory Brest or ventricular 5bnllation wahoN showing the efiobgy. Usl only one cause on each fine. h as camiac artesL ~ Onset Ie Death , , o e but not resuaing in the un[IeAying cause given in Part L 28. Did Tobacco Use ConlAbule to Dealhl ^Yes ^ Probably IMMEDWTE CAUSE IRnal disease or candAron resuAn In death ~ ~ ^ No ^ Unknown g ) -~ a. Blunt Force Head Trauma Due to (or as a consequence off: ~ 2s uFemale: Sequentially Gsl condtpm, N any, b t ^ Nml Pregnant within pass year leading9 to the cause listed on line a Enter 8le UNDENLYING CAUSE Due to (or as a consequence oQ: t ^ Pregnant at time of tleath (disease a injury that inBiated the events resuAing to death) LAST. c. ~ t ^ Not pregnant, but pregnant within 42 days Due Im (or as a consequence off: t of death d. ^ Nol pregnant, but pregnant 43 days to 7 year 317x. Was an Autopsy Pertomled7 30b. Were Autopsy Findings Avaimae Prior to Completion 31. Manner of Deem ~j 32a. pats of In u Month, da I ry ( y, year) r 32b. Describe Haw Injury Occuretl before death ^ Unknown A pregnant within the past year of Cause of Dealh7 ^ Natural $I Hemicide UNKNOWN S t rue k by known assailant 32c. Place of Injury. Horne, Farm, Street, Factory, oAlne BwMmg, em. (speary) Yes ^ No Ibl Yes ^ No Axident Pandi Invesd eon ^ ^ rig ge' 32a TNne of In N7 32 I ~ -- Home e. nryry et Work? 32f. If TretupoAebon Injury (spea'NI ^ suicide ^ coum Not ba oetemaned UNKNOWN M ^Ves ~NO Driver / ^ Operela ^ Passenger ^Pedestnan 33a. Certifier (check aNy one) ^Other - Specify • CertityMg physkkn (P 336. Signature antl Tito of Ce hysiaan certifying cause d death wMn errottx±r physician has pronounced death end completed Item 23) To the best or my knowbdq death occurred dab t lace West, Hill, PA oche cauae(e)and manner as emted_______ _ ^ - e1U - ~ Coroner • Pronouneing sM cerlllying phyaklan (Physician both pronoundng death and certirying to cause of death) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ - j// t---• To Nrt brM of my knowledge, death occurred at the time, data, erM place, and due to the arrae(s) and manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ ~~ L rise Number 330. Data Signed (Month, day, year) • Nedlal Examiner /Coroner Dn tl1e heals of ezaminedon and I or invesllgMion, In my opinion, death xcurred at the time, date, and place, end dw to the tause(sl and manner as stated- ~ NO V 2.mb 2 r 6 , 2 00 34. Name and Address of Parson Whp Compiat Caine of Death (Nam 27) Type l Pnnl 35. Registrar's -nature and Di -1 D Michael L. Norms:, Coroner - ~~i3~Q.d-1~"" -- I r~l ~I ~I ~ I ~ I ~~~~j~~th~~~~J= Mechanicsburg,RPAt317050te 111 Disposition Permit No. ~~f~~~' WILL OF BEATRICE M. KELLEY I, Beatrice M. Kelley, 28 Country Club Place West, East PE:nnsboro Township, Camp Hill, Cumberland County, Pennsylvania, make this Will, hereby revoking all my former wills and codicils. 1. All legal debts, funeral expenses, costs of administr~~tion of my Estate, estate taxes, inheritance taxes, transfer taxes and other taxes of ~~ similar nature payable by reason of my death to any government or subdivision thereof upon or with respect to any property subject to any such tax, and any penalties thereon, ;-hall be paid by the Executrix out of my residuary estate, and all interest with respect 'to any such taxes partly, out of the income and partly out of the principal of my Estai:e, in the absolute discretion of the Executrix; provided, however, that the Executrix ;>hall not pay any such taxes, penalties or interest attributable to any property included in my Estate solely because of a power of appointment thereover which I possess, and such property shall bear its proportionate share of such taxes, penalties or interest. 2. I give, devise and bequeath all of my Estate, real, pE:rsonal or mixed, tangible or intangible, of whatever kind and wheresoever situated, together with any property to which I have any power of disposition or appointment ~~nd whether acquired during or after my lifetime, to the local public library system which services the area where my residence is located at the time of my death. 3. I appoint Karen M. Balaban, 110 Cumberland Street, Harrisburg, PA 17102, as Executrix of my Estate. If Karen is unable or unwilling to act or continue as Executrix, for any reason whatever and whether before or after my death, I appoint PNC Bank as successor Executor. ~ :~ ~o m _. , r ._ . _ -a o ., -;~~' '~ - -~~ - ;? .~- -- )t' ~_ -.- ~ ~~ -~ "' CT1 4 No fiduciary under this Will shall be required to give bond or other security for the faithful performance of the fiduciary's duties. IN WITNESS whereof, I have set my hand this ~~ day of Jule, 2007. TESTATRIX: ~ ~, ~Gz~~ Beatrice M. Kelley Signed, sealed, published and declared by the above-Harried Beatrice M. Kelley, the TESTATRIX as and for her Will, in the presence of us and each of us, who, at her request and in her presence and in the presence of each other, have subscribed our names as witnesses to this Will on the day and year last written above. WITNESS: ~'•_~__ tee' ,~-a-,~ 2 WITNESS: COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN I, Beatrice M. Kelley, the TESTATRIX, whose name is signed to the attached or foregoing instrument, having been duly qualified accordin~~ to law, do hereby acknowledge that I signed and executed the instrument as my 1Nill, and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. r TESTATRIX: ~'r• Sworn to or affirmed and acknowledged before me by Beatrice M. Kelley, the TESTATRIX, this l a day of July, 2007. SEAL) iVY ~ v VL !fH F i~'::tilV~~~, Notary Public ~ ~±a~~~ri~lsHai Joyce A. sa;ncalas,NotaryPubllc City of ~c~r,!>~:~r~:>, €~ad;phln County Ally GflT,iiubi~3dJi3 ~7ii?ire€ Ctiit S, 2008 Member, Pertnsylvarda Association of Notariee; 'fie, ~~.~ l ~ ~~ a.-~ and ~,~.~~ •`2 ~.c~~,~e.~ ,the witnesses whose names are signed to a attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the TESTATRIX sign and execute the instrument as her Will; that the TESTATRIX, signed willingly and executed it as her free and voluntary act for the purposes therein Expressed; that each subscribing witness in the hearing and sight of the TESTATRIX sic~ned the Will as a witness; and that to the best of our knowledge the TESTATRIX w~ls at the time 18 or more years of age, of sound mind and under no constraint or undue influence. WITNESS: Sworn to or affirmed and WITNESS: /~~.~...- ~r i ~~...r-~- before me by Do.r.~.~ / /`t,~yaa,f and /~~•~-n- ~`f ~••f.~6~ ,the WITNESSES, this ~~?~day of July, 2007. (SEAL) Notary Public ~,~ Notarial Seal Joyce A.'rarnboias, Notary Public City of liarrisbur0, Dauphin County My Comrnlssion Expires Oct 5, 2008 lember, Pen->eYhrar~a Aseor:iatlon of Notaries 3