HomeMy WebLinkAbout03-26-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland
Estate of Sheila A. Kline
COUNTY, PENNSYLVANIA
File Number ~~ d 1 ~ ~~ 1
also known as
,Deceased Social Security Number 161-48-9287
Petitioner(s), who is/are 18 years of age or older, apply(ies) for: r„ ~
(COMPLETE 'A' or 'B' BELOW:) n r°~
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^ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the ~' -~ tamed-itt the
last Will of the Decedent dated and codicil(s) dated _ } ~.~ ~, _.: ~ ,
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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 tnstrumen~ offer"ed ~"
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: GJ
^/ B. Grant of Letters of Administration
(If applicable, enter: c.t.a.; d. b.n.c.t.a.; pendente life; durance 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.)
Name Rela
Anne M. Kline Mother
Kathleen A. Kline Sister
Kevin Kline Brother
Michael R. Kline Brother
(COMPLETE INALL CASES:) Attach additional sheets if necessary.
Residence ~
64 Sabal Palm Drive, Largo, FL 33770
26 Summer Lane, Mechanicsburg, PA 17050
Dublin Inn #5, 101 S. Main St., Dublin, PA 18917
1382 North Bend Rd., Jarrettsville, MD
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at
106 S. West St.. Apt. 3. Carlisle, PA 17013
(List street address, town/city, township, county, state, zip code)
Decedent, then 46 yeazs of age, died on January 23, 2009 at 1st Block of West Church Avenue, Carlisle, PA
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 $
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
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Form RW-02 rev. /0.13.06
Page 1 of 2
Oath of Personal 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.
Sworn to or affirmed and subscribed
bef/oyre~,me the ~ day of
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Signature of Personal Representative
Signature of Personal Representative
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For the Register Signature of Persona! Representative i Li S 4 :'
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File Number: ~ ~ ' (J~/ ~ Llr~ ~/ ~ ~ a
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Estate of Sheila A. Kline ,Deceased ca
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Social Security Number: 161-48-9287 Date of Death: January 23, 2009
AND NOW, t~ f0 ~ l3I` Q,r~~ _ , e, in consideration of the foregoing Petition, satisfactory proof
having been presented before me, I S DECREED that Letters Administration
are hereby granted to Kathleen A. Kline
and that the instrument(s) dated
in the above estate
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES
30.00 Register of Wills p~,~ n i~
Letters ............... $ 1"'` TJ~ ~`.
Short Certificate(s) ........ $ 12.00 Attorney Signature: ~/'~~/` ~~-.•-~,.a~
Renunciation(s) .......... $ 15.00
JCP a 10.00
Automation Fee
.. , $ 5.00
... $
$
...
$
...
$
...
$
...
$
...
... $
TOTAL .............. $ 72.00
Attorney Name: Patricia R. Brown
Supreme Court I.D. No.: 27474
Address: 354 Alexander Spring Road, Suite #1
Carlisle, PA 17015
Telephone: 717-249-6333
Form RW-02 rev. /0.13.06 Page 2 of 2
_ __ _ _
LOCAL REGISTRAR'S CERTIFICATION OF DEA"~H
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 15093881
Certification Number
0
N708.14/ REV 11f2008
nPE / PROir in
PEWAANFM
~~~ 1t31-438
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This 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 Vitat
55 Records Office for pe)manent filing.
L ~~t'aa.c~r+~'~t~w~c' JA1~ 2 8~ 2009
Local Registrar Date Issued
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS :
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CORONER'S CERTIFICATE OF DEATH -v -=~ Iv '~
(See Instructions and ezsmples on reverse) srnr>=FILE NUILe~ER ~ , ~ -
1. Name d Garden IRir. name, be4 r1eQ 2 Sax 3. 9air Seaxxy Nuaber 4. Deb a Deem (Mmlh. app '
Sheila A Kline Female - January Z3; 2009
5. Ap (lar BYxxlry) hider 1 Undr 1 6. Dab a Bnm (fAaMh. 7. end elm a I Be Pno d Drm Check ore)
45 ~" ~" He.. ~` March 16, 1963 philli bu ~r M
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Cumberland
Carlisle
1st Slock of West Church Avenue (xy«.epary Curren,
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Richard Kline Anne McCloskey
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Kathy Kline 26 Sumner Lane, Mechanicsb PA 17050
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RENUNCIATION c
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REGISTER OF WILLS ' ---: --~
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~(lrn ~erlG n fa COUNTY, PENNSYLVANIA ~ ~~, ;
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Estate of 5 l-~ ~, i L iq ~ ~ ~'~ L l N~ .Deceased
I, ~ h ~ / ~ • ~ ~ «~ , in my capacity./reia.ionship as
(Print Name)
D "7I~ti ~ of the above Decedent, hereby renounce ;he right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
1/30/09
(Date~-
Executed if: Register's Office
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(Signature)
(Street Address)
~lL. ~ o ~ ~~~ d 2 c 4~ 3~ 0
(City, Srate, ZipJ
'Executed out of Red ister's G?~;tice
Sworn to or affirmed and subscribed
before me this day
of ,
Deputy for Register of Wills
FormRW-06 r: v. 10.13.06
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the reriunciatior for the
purposes stated within on this ~ x~ day
of ~i4 itJ v ~-R. Y , ~r2.0~L®~y
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Cor~rmission.)
„~~""" MELMgE lEE SHATTUCK
,~ MY COMMISSION b 00660871
~' EXPIRES: APB 9, 2011
•• ` eor~ded rnn, rioosy ww~ tx~a~rers
^'~FTK~Sh'~° r
RENUNCIATION
~ l - D9 -~z 9/
Estate of Sheila A. Kline ,deceased.
To the Register of Wills of Cumberland County, Pennsylvania.
The undersigned brother of the above decedent hereby renounce(s) the right
to administer the estate and respectfully ask(s) that Letters of Administration be issued to
Kathleen A. Kline
WITNESS hand(s) this a 5~'` day of ~ebr ua~ 2009.
~ ~ ~
SIGNATURE
Affirmed and subscribed before me this
ZS}~ day of `- , 2009. 1382 North Bend Road
ADDRESS
- Jarrettsville, MD 21084
Notary Public
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RENUNCIATION
~l~0~7'~Z91
Estate of Sheila A. Kline ,deceased.
To the Register of Wills of Cumberland County, Pennsylvania.
The undersigned brother of the above decedent hereby renounce(s) the right to
administer the estate and respectfully ask(s) that Le+ters of Adminis±ration ___ be issued to
Kathleen A. Kline
WITNESS hand(s) this _~ day of x"1'1 Ccn.~'1 , 2009.
h
SIGNATUR r
Affirmed and subscribed before me this
~_ day of r-fY) , 2009. Dublin Inn, Apt. #5, 101 S. Main St.
ADDRESS
Dublin, PA 18917
Notar ublic
~Q~ALTH OF pEr{NSYlV1W W
Mpel Lee FreMnan-, Notary Public
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