HomeMy WebLinkAbout11-19-08PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of WILTRUD F. KINGETER ~j J ~l
File Number (~L./ ~ ~~~ ~ l
also known as
,Deceased Social Security Number 214-50-1307
JOHN J. KINGETER
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW.) ~ ~
0
~ ~_ +
A. Probate and Grant of Letters Testamentar and aver that Petitioners is /are the `' O ~=
y () '• ~ '" med it _£he
last Will of the Decedent dated and codicil(s) dated ~ - -~:,
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~- ... fir-;
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(State relevant circumstances, e.g., renunciation, death of executor, etc.) ' ~' ~-% ~`~ '-'
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Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution o~ e i;itstrument~offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: "'
®/ B. Grant of Letters of Administration
Qjapplicable, 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.)
JOHN J. KINGETER HUSBAND 1423 ENGLISH DR., MECHANICSBURG, PA 17055
KELLY A. BRATZ DAUGHTER 17696 RT. 44 N., LOCK HAVEN, PA 17745
(COMPLETE 1N ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his /her last principal residence at
1423 ENGLISH DR. MECHANICSBURG UPPER ALLEN CUMBERLAND COUNTY PENNSYLVANIA 17055
(List street address, town/city, township, county, state, zip code)
Decedent, then 81 years of age, died on OCTOBER 5, 2008 at HARRISBURG HOSPITAL
Decedent at death owned property with estimated values as follows:
([f domiciled in PA) All personal property $ 7,000.00
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $
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:
Si nature T ed or rinted name and residence
JOHN J. KINGETER, 1423 ENGLISH DR., MECHANICSBURG, PA 17055
Form RW-02 rev. 10.!3.06 Page 1 of 2
1' i~~'/
~y
Oath of Personal Representative ` I -~ ~ ~` -
c._" ~ '~'
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND ~ SS ~~~U ~~~ t n ~~ ~O'
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are~tri~eka~~jF~~~ct to the best of
the knowled e and belief of Petitioners and that, as ersonal re resentative s of the Decedent, Pe ~ will', vw~N~~~ trul
R O P P O ~~~, eF~(S~ ~~ ~ -~ ~ y
administer the estate according to law. ~ ~ - -~
Sworn to or affirmedaand subscribed
before me the ~ / ~ day of
-~~ j1 ~ ~+. ~(~~~
Y ~'~" _ ' '
For fire Register
of
Signature of Personal Representative
Signature of Personal Representative
File Number: ~/ / ' ~~~~ - /~ 7 /
Estate of WILTRUD F. KINGETER
Deceased
Social Security Number: 214-50-1307/ C Date of Death:OCTOBER 5, 1008
AND NOW, / ~~6 , in consideration of the foregoing Petition, satisfactory proof
having been presented b ore me, IT IS DECREED that Letters OF ADMINISTRATION
are hereby granted to JOHN J. KINGETER
and that the instrument(s) dated
described in the Petition be admitted to probate and filed of
FEES
Letters ............... $ ~ ~~
Short Certificate(s) ........ $ t ~~
~~C.
Renunci don(s) .......... $
~ ... $ 5~
... $
... $
... $
... $
... $
... $
... $
TOTAL .............. S .~f'~
in the above estate
as the last V~ill (and CodicilXs~) of
Attorney Signature:
Attorney Name: (,~XISA MARIE COYNFI
Supreme Court LD. No.: 53788
Address: 3901 MARKET STREET
CAMP HILL, PA 17011-4227
Telephone: 717-737-0464
Farm Rw-oz re,~. 10.3.06 Page 2 of 2
IOS.ROS REV (111 /0"7 r
LOCAL REGISTRAR'S CERTIFICATION OF ®EATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 1479297 _
Certification Number
COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse)
STATE FILE NUMBER
2. Sea 3. Said Saudty Nurlbar 4. ( m, day. Year)
in star Female 219 - 50 -1307
Umar 1 day B. Dale of &M (MOnm, day, year) 7. BiAhPMCe ( and sWe afore coum
rs Itwas IMUIes 1 Ba. Place d Deam (Check orw)
Februa 5 1927 ~-~/ ~`
Mainaschdff German {tp lnpalwnl ^ER/OWpauanl ^DpA ^Nursing Home ^Residerice ^plner. S(~rty
&. Crry, B«o. Twp. W Deam Bd. FacYry Name (lf nd'nstgWion, Pre sveel and rxnlnaQ
g w BDecedem ol~ltisparac aerrl? No ^ Yes to Race Arnen-.ys wan. Blau,. write, ek.
Harrisbur " (spacd,7
Harrisbur Hos ital Mmdcan, Puaslo Riran. ek)
e most a Ire. Do not Blase talked I2. Waz Decedem aver N tlw 13. Drsrasrdemt Edlscation ISpecily say nighesl grade hi to
Kim a Busbess r YWUSIry u. s. Armed Fa.c/es? Elerrentary / Secrasdary (0-12) Calepe (t-o~l~ dl 14. w n~w,rq ~. ~ (~r kwrriea, 15. Snnmrp spouse IB wna. gve mender name?
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MI06.143 REV 11'2006
TYPE /PRINT IN
PERMANENT
BIACK INK
1. Name d Dacedem (Fast, middle. Iasi.
Wiltrud F
6. Age IIaN BiAmay) Un
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PD tu~lTmesbence na. Bala Pennsvlvania °t,itla"
1923 English Drive TarnsNpY no.Q'YOa,Daoaaamaradb~pC7ir Allen T
MechaniCSbur PA 17055 to connq Cumberland ua ^ No.DxeaantNredwroan wp
IB. Fatlar's Name (Final. nridtll6, last. Bald) Aaud Emla a Coy /Born
Geor Roth sS. MClhelB Name (First, nadde, maiden wnwnwl
20a. IrdonMtnYS Name RYpe / Pnnl) Marie
John J. Kin star zm.wDm,wrc
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^ Duren sDe~iy: was Crerrsellon o<DorWiwrAWnwized
tirlWdkYEaamYw/Caaar7 ^Yea^NoOctober 10 2008 Gate C
22a. Sipnabre d Funerd Smvke licensee la persm aaing az suer) 22D. License N«Mer
-~ 72c. Name am Addess d Facdny
This i~ to certify that the infurnraior he ~e >Yi~~en is
correcdv copied from an original Certifica~e of Death
duly filed witl3 me a~ Local Registrar. The orlgSnal
certificate will be Ibr~rarded to the SGtte Vital
Recurd~s Offi.e tiYr permanent filing.
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Local Registrar Date Issiled
Aadreu ISlreet cdY / bwn alas, zip Dods) -
ish Drive Mechanicsbur PA 17055
IName d cemetery, «emat«y a rsdwr place) ltd. Location (City / bwn, slate, zip coda)
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To uw Ixsl a my knowledge, doom oc«,rrm a ma Ime
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O 26. Waz Case Relened b Medcal Eaamnes / Cor«wr mr a Reason Other man Crmnalion «D«saWnT
CAUSE OF DEATH
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b the dose tided do lyw a.
Enter 9a UNDE
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30a Was an Autopsy
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eAormed? AvaYatYe Pn« to Conplelion _ .
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np'ry (M° nm. tlaY. Yom) 32D_ Descnoe How Injury Occune0
of Cause of Deam? Nalww ^ Momeaae 32c. Place d Hyury: Lkxne Fam Shea, Faa«y,
~~ ~W. ak. (Specify)
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^ Yes W '~ ^ Yes ~Na ^ M:cianl ^ Pandn Inves
9 dyati«s 32d. Time a mfury 32a. Irgury aI W«k7 321. N Transponalrm b
4u7 !`Pedihl
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• Cenifylnq phyacian (Pnys~cen uemfyng cewse of dam when anolner pnysiuan nos pr«wurxxd deem and cvinpkled Item 23)
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• Pronouncing am ceAiymglMYacian(Phyvcian bath prwrourgrg deem and cendyrrg la cause of dealhl ------------------------~
To me Desl d my knowedge, deem occurred al Iha limo, dale, am place and dw to IM <au
• Neacal Eaamuwr /Coroner ~ x(,l am manner as cMted_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^
on dre ti„i, of eaammahon am r on m
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rn;, PIS
RENUNCIATION
RFGTSTFR OF W1T.T_S
71;7~i~1sl
CUMBERLAND COiTNTY, PENNSYLVANT/a
a2 ~~ U~ ~ ~~`~~~
Instate of WILTRUD F. KINGETER
Dcccased
I, KELLY A. BRAT7. , in my capacitylrelationship as
(Print Narne)
DAUGI~iTER of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
JOHN J. KINGETER
~~~1 11 ~1J1~
(l)ate) (Srgnarore) c
1"1 ~i to ~1~1 i2~~
(Street Atldressf
(City, Statc, Zip)
E_ecuted iai Register's O, ff3ce Executed out of Register's Office
Sworn to or affirmed and subscribed ~ Before the undersigned personally appeared the
before me this _. day party executing this renunciatio~t a~ad certified
of (~dVQ_l'YthP.!' OQ ~ . that he or she executed the renunciation for the
purposes stated within on this ~rh day
of OJ ~ ~
i~_
Dcputy for Register of Wills Notary . blic
My Commission Expires: ~7/~/ZU~Z.
(Signature anQ Sca] of Notary or other official qualifwed to
administer oaths- Show date of ezpiraliun of Notary's Commission,}
/fEAt1A Of PENN Y
NOTARIAI~'SEAL
ForrrrRW-Oh rev. 10.13.06 y y/~~~~~
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