HomeMy WebLinkAbout04-07-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of Retha M. Keim
also known as
COUNTY, PENNSYLVANIA
File Number _ ~ ~ l~%~"~ ~ ~~ LfJ
Deceased Social Security Number 179-12-3492
Betty I. Keim
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 Executrix named in the
last Will of the Decedent dated October 26, 1940 and codicil(s) dated March 26, 2009, renunciations executed by Donna K. Seeger and
Connie L. GreeQOr f/k/a Connie L. Nace
(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
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 life; durance absentia;
_.__ rJ
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following'sponae
Administration, c. t. a. ord.b.n.c.t.a., enter date of Will in Section A above and complete list ofheirs.) _; CJ
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offered
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Betty J. Keim Daughter 122 Virginia Beach Avenue, Carlisle, PA'?TO15
Donna K. Seeger Daughter 120 Virginia Beach Avenue, Carlisle, PA 1 015
Cormie L. Greegor, f/k/a Connie L. Nace Daughter 1606 Trindle Road, Carlisle, PA 17015
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at
122 Virginia Beach Avenue, Carlisle, Silver Spring Township,. Cumberland Countv, PA 17015
(List street address, town city, township, county, state, zip code)
Decedent, then 85 years of age, died on November 20, 2008 at 122 Virginia Beach Avenue, Carlisle, PA 17015
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ 55,170.00
(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: trailer, bank accounts, clothing, costume jewelry
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicils} presented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
C Si nature T or rinted name and residence
Betty J. Keim, 122 Virginia Beach Avenue, Carlisle, PA 17015
Fornt RW-O2 rev. 10.13.06 PagO I Of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COLJIVTY OF CUMBERLAND
SS
T11e 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
before me the ~_~~ ~~d}}ay~~of
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For the Register
Signature of Personal Representative ~
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File Number: ~ I C) ~ C ~ ll%
Estate of Retha M. Keim ,Deceased
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Social Se~cuyr{ity Number: 179-12-3n492 Date of Death: November 20, 2008
AND NOW, / ~ ~~~t-:-! ~ ~ rl~~~ ~ ,~, in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to Betty J. Keim
in the above estate
and 1;hat the instrument(s) dated October 26, 1990
described in the Petition be admitted to probate and filed of rec~~go~~rd as the last Will (and Codicil(s) of Decedent.
FEES ~~~G~~Cc. ~~<a~~LQ.~
Letters ............... $
135.00
Short Certificate(s) ........ $ 20.00
Remanciation(s) .. ........ $ 10.00
Automation Fee .. , $ 5.00
JCP Fee $ 10.00
Will ... $ 15.00
... $
... $
... $
... $
... $
_ ... $
TOTAL ...... ........ $ 195.00
Register of Wills
Attorney Signature: C.-w'" ~~~
Attorney Name: Elizabeth J. Saylor, Esquire
Supreme Court I.D. No.: 200139
Address:
5006 E. Trindle Road, Suite l OG
Mechanicsburg, PA 17055
Telephone: (717)591-1755
Fornn Rw-oz rev. 10.13.06 Page 2 of 2
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
V1/ARNING: It is illegal to duplicate this copy by photostat or photograph,
Fee for this certificate. 5{~.(?!1
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COMMONWEALTH OF PENNSYLVANIA• DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH ~ , ~ ~ l a
(See instructions and examples on reverse) STATE FILE NUMBER J~1 i^/,
I. Name d Decedent IFka, nudde. lad, suNu) Sex 3. SociHl $a[ka4y NurtOer 1. Dale d D6a Maah, day. ear)
Retha M. Keim ~emale 179 _ 12 _3492 ~ovember 20, 2008
5. Age (List Birthday) lyafer I year Under t my 6. Date d Binh IMaah, my, yam) 7. BkXplare (Coy and state a b - counky) Ba Plare d Oeam (Check one)
xk,~a ~" Haa, Nkaaea January 21, 1923 Mechanicsburg, Pa. "°'p"a' 01"°`
85
^ Inpatient ^ Efl! Out{alient ^ DOA ^ Nursug tkane siderke ^Omer ~ Spedry-.
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BD. Cauay of Death &. CM. Boro, Twp. d Dean Bd. FacWIY Name IN rid nsMulbn, pve shed aM narmeN 9. Was DeceddM d Ftisparlic Origin? No ^ Yes 10 Race: Arrteikan NrOen, Blade, WIMe. dc.
Cumberland Silver Spring 122 Virginia Beach Ave. 1"w°,aP«NycpWn, 1 White
Mexican, Puerto Rican, dc.)
il. Oecedem's Usual bn Krcd d rook d ote most d Ye. On rot sWe retired 12. Was Oeceded ever n tle 13. Decedent's Edxation Ispeah aay higlast grab corrlpl eted) 14. Morita 9atus' Married, Never Maned 15. Savivag Spo use IN roes, gve maiden rwra)
Knd d Work Ind d B / ktdys
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Is Derecled's Mating Admess (skeet cXY! kwn, sMte. ip code)
122 Virginia Beach Ave. Decedent's P a. Did Decedda
AduaReagawe ,7a sate ~;~? nd~Yea,DecedeNLaedb Twp.
Pa. 17015
Carlisle ,?D coknly Cumberland rid.^ Nn,DeremnluaedwN,a,
, Aaaal lynx d city! Boro
18. Famw"s Name (First mklde, Yd, sutlu)
Clarence F. Yohn 19. Motlar's Name IFxd. nk0.te, matlen sumanw)
Daisy M. Zeigler
20a. Nd«mads Name (Type / Pnnl)
Betty J. Keim 29D. WanadS Maaaq Adaesa l }o"n,TWO, )
~irginia`~`each Ave. Carlisle, Pa. 17015
21a. Meddd d Disposition ^CfemaDpr ^ Daation 21D. Data d Dapusaim 1MaM, my, rear) 21c. Plare d Disposition (Marro d axneYry, crenubry a elver pare) 21tl. Locaticn (Gay r lavn, state. zp mdel
f9'aBkaa ^ flemwaDOmsaY wa.crdrration«Don.NOnApN,«Imd 2008
November 28 Woodlawn, Orlando, FI
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dY: M YedlcY ExamYrr I Cor«rr7 ^ Yes ^ No ,
~ 22a. Sign d F rv person az 12b. Licase Naha
FD-012662-L 22c. Ylntra and Address d FadYy
Myers Funeral Home, inc. 37 East Main Street Mechanicsburg, PA 17055
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e d c mly wean certibi 23a. To st a my , mom attuned al tla Ma, dale and place staled. (Sipanre and Wa) 23D. lirerlsa Nurtm« 23c. Dee Sgred lMadh, mr. Year)
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n+et, mY. rear) 26. Was Case Relerted ro Medical Examkar! CaarWr kr a Reasm Omer Man Cranakal a Donelion?
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CAUSE OP DEATH (Sae Instrue4ona and seamplsa) , ApproximaY adava: Pan N: Elver otltd - ~ - 2B. Did Td+dxo,lYe CaarXxae b Deem?
Item 27. Pan I: Enter me den d everus - d,sea58s, ayums, a compicatrom -that dreary roused the deem. W NOT solar lermnal events such as cardiac anent Onset W Dean
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30a. Wae.an Aulopay 39D. Wde Adopsy Fndrgs 31. MarxWr d Dean 32a. Dale d Injury (Month. mY. Yearl 32b. Deacrde lbw Irqury Occurretl 32c. Place d+rWA' Flmw. Farm. greet Factory.
Once &Nbig, ek. (Spealy)
Penomad? AvaaaMe Prior la Compeuan
of Louse of Deam7 ^ fkxnkide
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^ ^ ^ AcaOent ^ PeMng Inveslgal'wn 32d. Tma d Ngrcy 3'Te. kyury al Work? 321. X TrarlspalaDm nN°Y (Syacry) 32g. Incaaon d kyay (sired. city / bwn, date)
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7'o ur Dealdmy kmwladgs, halo acarMMlna time.hte, and pieta. arM due lowcaasNsl orw manrer ss slates___^______________^ 37c. ikdrse NwriWr
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Un Nw Wale d aundnYiaS and 1 « krvatlgallon, b nq' opinion, death «currad a, tae dme, dde, arM plea, and due,o tla cau0ela) and meruar u eMled_ ^
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Disuosilion Permit NU ~~~~ u~
LAST WILL AND TESTAMENT OF RETHA M. REIM
I, RETHA M. KEIM, of the Township of Silver Spring, County of
Cumberland and State of Pennsylvania, being of sound and disposing mind,
memory and understanding, do make, publish and declare this my Last Wil~.y
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and Testament. ~~~
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I direct the payment of all my just debts and funera~~ expenses `'
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as soon after my decease as the same can be conveniently done.
2.
I give, devise and bequeath all the rest, residue and remainder
of my estate, real, personal and mixed, of whatsoever nature and whereso-
ever the same may be situate, to my three daughters, to wit, BETTY J.
KEIM, DONNA R. SEEGER, and CONNIE L. NACE, share and share alike, per
stirpes.
3.
LASTLY, I nominate, constitute and appoint my three daughters,
the aforesaid BETTY J. KEIM, DONNA R. SEEGER, and CONNIE L. NACE, Co-
Executrices of this, my Last Will and Testament.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
-1-
26th day of October, A. D. 1990.
a.~--~-t , ~~~t~ww (SEAL)
Retha M, Keim
Signed, sealed, published and declared by the above-named
RETHA M. REIM, as and for her Last Will and Testament, in the presence
of us, who, at her request and in her presence, and in the presence of
each other, have hereunto subscribed our names as witnesses.
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COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND )
I, RETHA M, KEIM - , the testatrix
whose name is signed to the attached or foregoing instrument, having
been duly qualified according to law, do hereby acknowledge that I
signed and executed the instrument as my Last Will and Testament;
that I signed it willingly; and that I signed it as my free and volun-
tary act and deed, for the purposes therein contained.
Sworn and affirmed to
RETHA M. KEIM
day of October ~ A•
and acknowledged
the testatrix
D• 1990.
before me by
this 26th
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COMMONWEALTH OF PENNSYLVANIA )
COUNTY OF CUMBERLAND )
~~ NOTARi.a!_ SEAL _ ___ __._____
MARY S. ;tCBIPdSON. NOTARY fUPLIf,
MECHANICSBJRG QCRC, CCM~tERIAND CO.
~9y Cenunissi~n Expires Sept. 21, 1"41
SS.
We, the undersigned, J. ROBERT STAIIFFER
and MARILYN KAY EARIN the witnesses whose names are
signed to the attached or foregoing instrument, being duly qualified
according to law, depose and say .that we were present and saw the
testatrix , RETHA M. KEIM , sign and exe-
cute the instrument as ~~E~Iher Last Will and Testament; that the
said testatrix RETHA M. KEIM executed it as
~~~/her free and voluntary act for the purposes therein expressed;
that each of us, in the hearing and sight of the testatrix signed
the Will as witnesses; and that to the best of our knowledge, the
testatrix was, at the time, eighteen (18) or more years of age,
of sound mind, and under no constraint, duress or undue influence.
Sworn and subscribed to before
me this 26th day of
October , 1990.
NOTARIAL SEAL.
MARY S. RC3IklSON, NOTARY D`uBLIC
;HANICSBURr.BUiti,, CUMBERLAND CO,
Commission Expires Sept. 21, 1991
a ~ o ~ C~ 3'au
RENUNCIATION
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Retha M. Keim
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Deceased
I, Donna K. Seeger , in my capacity/relationship as
(Print Name)
daughter of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Betty J. Keim
-., ~
(Date) (Signature)
120 Virginia Beach Avenue
(Street Address)
Carlisle, PA 17015
E~recuted in Register's Office
Sworn to or affirmed and subscribed
before me this day
of ,
Deputy for Register of Wills
(city, State, zip)
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
pure ses stated within on this 2Cv day
Notary Pu lic ~
My Comm><ssion Expires: c~C ~' t Z, 20 !1
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Farm RW-06 rev. 10.13.06
~,1 ~~ cl G `~ ~ lr
RENUNCIATION
REGISTER OF WILLS
CUMBERLAND
Estate of Retha M. Keim
COUNTY, PENNSYLVANIA
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Deceased
I, Connie L. Greegor, f/k/a Connie L. Nace , in my capacity/relationship as
(Print Name)
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Betty J. Keim
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(Date) (Signature)
1606 Trindle Road
Executed in Register's Office
Sworn to or affirmed and subscribed
bt;fore me this day
oi.' ,
Deputy for Register of Wills
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Form RW-Oti rev. 10.13.06
(Street Address)
Carlisle, PA 17015
(City, State, Zip)
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this ~ day
of G!(ZC3a'~ t~ ~~
int. (~ ~~ ~ r. ._
Notary Public 1 ~
My Commission Expires: O C F 12 , ~- ~ i !
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)