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Home My WebLink About05-28-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of JEAN K. KLINE also known as N/A Deceased Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) COUNTY, PENNSYLVANIA File Number a ~ 6G1 ~~~ Social Security Number 202-20-2179 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is 1 are the Executors last Will of the Decedent dated September 18, 2006 and codicil(s) dated None at above address (State relevant circumstances, e.g., renunciation, death ojexecutor, 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: No exceptions B. Grant of Letters of Administration (Ijapplicable, enter: c. t. a.; d. b. n. c.t.a.; pendente lire: durance absentia; durance minoritateJ 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. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) (List street address, town/ctty, township, county. stare, zip code) Decedent, then 82 years of age, died on May 11, 2009 -p Y named in the /,.~... Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 100,000.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ 150,000.00 situated as follows: 1842 Spring Road, Carlisle, PA 17013 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 ature T ed or rinted name and residence Sandra K. Loy, 1501 Pisgah State Road, Shermans Dale, PA 17090 ~ p~,~~~(I ~~ Frank Kline, 40 Horseshoe Lane, Newton Square, PA 19073 Form RW-02 rev. 10.13.06 Page I of 2 (COMPLETE INALL CASES:) Attach additiottat sheets if necessary. = ~~ Cumberland ~ ^ «l ~~~ ~'" Decedent was domiciled at death in County, Pennsylvania with his /her last principgh~S~ance at °.r 1842 S~rine Road. Carlisle, PA 17013 (North Middleton Townshiy) ~.=' m -- Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND , 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 before me the ~_ day of ~~~ r the Register ~-, Cn ~ Srgnature of Personal Representative `-.~ TJ ~" - -raj ~ te- -< . ~ r J'ignature of Persona! Representative r " v ~ . ~. `~ ~ l.1 ~, Srgnature of Personal Representative °_3 File Number: d~ ` G~ ~ ~l C~ Estate of JEAN K. KL1NE Deceased Social Security Number: 202-20-2179 Date of Death: May t 1, 2009 AND NOW, ~ 1 , ~_, in consideration of the foregoing Petition, satisfactory proof having been presented before me, IS DECRE that Letters Testamentary are hereby granted to Sandra K. Loy and Frank Kline in the above estate and that the instrument(s) dated September 18, 2006 described in the Petition be admitted to probate and filed of repord as the I~~t Will (and Codicil(s)) of Decedent. _ ~ FEES ~~ ` , Letters .. ~ cUV $ ~ ~ ~ Regi e of !s 1 ~f Short Certificate(s) ...4.... $ 3 Z- Attorney Signature: ~!"'" Renunciation(s) .......... $ ' J ,~ Attorney Name: Robert R. Black, Esquire , $ ~ ~~(. ... $ 1n Supreme Court LD. No.: 6267 Address: 36 S. Hanover Street ... $ , . , $ Carlis]e, PA 17013 ... $ ... $ ••• $ Telephone: (717)243-3727 ... $ TOTAL .............. $ ~~12: O.A~- Form RW-02 rev. 10./.3.06 Page 2 of 2 105.805 REV IOI/0"') LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. This is to certify that the information here given correctly copied fi•om an original Certificate of Dea duly filed with me as Local RegisU•ar. The origic certificate will be forwarded to the State Vi~ Records Office for permanent filing. ~#~Fa~.r~lrkt~X' MA~ 1 4/200 Local Registrv~ Date Issued n:• n n G ~ .ra -- ~ ~ _~ _ ..,~ ~ m Ira :.ii ~ p _' ~~ ~ -I D .. - (~3 C,,`, H105.144 flEV 11/2048 TYPE / PRMIT IN PERlMNENy BLACK INK COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CORONER'S CERTIFICATE OF DEATH ~ \ J} (;, /~? i. (See Instructions and examples on reverse) RTATF FII F NIIMRFR lVJ v L V'1~ 7. Nerve a Decedent (Fxa, mfdda, last, aura) 2. Sex 3. Social Secuay Numb« 4. Data of Deem (Madh, mY year) 2009 2179 May 11 Female 202 20 Kli , - - ne Jean K 5. Age (Lear Birmmyl lhtler t year Unmr 1 day e. Date a Bkhl Ism. mY• Year) 7. Birmplece ICiN ant slate a bra ) 8a. Place of Deam (Check a,y aye) Hospkal: Other: Maven a» ~a ~„ ,~• g 2 Ynt Oct . 19 , 1926 Middlesex '1 Wp • ^ Inpatient ^ ER I Ouryatient ^ DOA ^ Nursing Homo ^ Resimrlca pher ~ s~xaN _ CamN a oeam Bc. CiN, T Drew Bh 8d. Facdiry Name (8 nd insalution, give street and number) ~ S. Woe Decedent of MaParYC Oryin7 ~] No ^ yes 10. Race: Am«iren kldien, Black. White. ac. . North Middleton Cumberland Spring Road @ W. Hillcrest Drive IMe~nR~icen,ek.) I~+MWhite 11. Oecederde Usual Ktrk a w«k dar tl ' rmet d kh. Do not Wte ree _ 12. Was D.oema ever in the 13. DecetlenYs Edlxxaon l~N onN Nghasl gam axnpeletl) 14. Widaxwd ~ Maw (~~r Married, 15. Surviving Sbouse (N wife, grve meitlen name) . lCM a WoA KM a Buekare / Intluelry U.S. Amled Forces? Elementary / Secoafary 10-12) collage (1-4 «5«) Homemaker Own Home ^Yea ENO 12 Widowed 18. DecemM's MaNk~ Aaarea (Street, c8Y / 1wm, stare, rip codes DecemnCa PA ~olecemnt l)acedalt LNeeM N. Middleton Twp. 17c.~vre lR n s t id 1842 Spring Road , ence a. a e Amse re l-Ned vnlNn Clmlberland T°"""'hp? 17d. ^ Decedele Carlisle, PA 17013 a ~ / ,7b. ceaaY 18. Femer'8 Name (Peal, rtkddk, last, suffix) tS. Moma's Nerve (Flrst mitltlb, maitlen sumeme) Lanus W. Sunday Mary S. Wagner I s Noma (Type /Print) S~anra Loy 20b. IMannanYS Maeing Address (Strad, city / bwn, stale, zip axle) 1501 Pisgah State Rd., Shermansdale, PA 17090 21 a. Method d Disposition ~ ^ Crematlon ^ Daotim w - 21 b. Date d Diapositlm (Noah, day, year) May 15, 2009 21 c. Place a DiaQaeitim (Name a cemetery, aematory «a81ar pkre) Westminster Cemetery 2ttl. Location jpN /town, data, ~ rntle) Carlisle, PA -17013 rhetl [!~ 13wlel ^ Removal Aatl ^ ~. ,. / CoroneR ^ Yes ^ No zza a F salvk» aakg re exh) zw. License N«roer 22c. Noma end Adress a FadliN Hof fman-Roth Funeral Home & Crematory; Inc . 138504 - ~ lame onty 23a To the hest a my luavmdge, mom am«red rt me tiros, mte end place atehd (SipreNre end tlm) ~ 23b. License Numh« 23c. Date Signed (Mmth, day. Year) phyeldrl k na eveeebh deem m wNN L`was a drem. • IMme 24-26 ~ ~ ~~ ~, ~~ 24. Tkne a Drem prX . 25. Date Pronounced Dead (Month, day, Year) 28. Wes Case Reterrad to McOicel Examiner / Coroner f« a Reason Odle! then Crematron a Donation? ~ ~ who ponaarsa mom. 3:00 P . M. May 11, 2009 I y~ ^ CAUSE OF DEATH (Sae irrotructlons and examples) I Approximak interval: t l h N Pan II: Enter am« iven Mt Part 1 m Bra xWell il cause O t d Po 26. D'q Tobacco Use CanamNe to Drew? ^ Vre ^ ProbabN ac arres s suc as re , r pea to Deem Item 27. Pan I: Eraer Bra tlreMr d av«de - dlserere, iqums, a mmpliceNaa -mrt dindN caused Ble math. DO NOT ent« terminal avre . I y g g u n rew rg rrepiremr/ ertesl, a venldaaar 16rYlatlon wXMM slrear5 the etlobgy. Usf mN and cam on recfi IMe. i 1 ^ No ^ UNrrown IkUAEpA7E CAU@E tFinal dsease a Crushing Chest Injuries axraltim resWerrg nrleath) a 29. It FMWe: ^ Na rer e nant wiaxn ast . i Duero (a as a wmequence oq: r Motor Vehicle Crash r darry b Sewenm,y falpar6lona pr g p y ^ Pregnant atameadrem , . , kedng b lM muse Wire m Wra a. ~ ^ Na pregren4 bN Me9mt wAhm a2 daYs Duo m (« as a mrae0uence o0: 61br ma UNiryDuEyRLYR7G CAleUdSE r ~ t ( ~ a ma81 reM~LA5f d ev«m re~dwg in ' ^ Na preyanL an lxe9em 43 mra ro t year Ow m (« u a axrrearerxe aC ~ e before mom ^ unlelewn n pregaa wimkr me past ye« . - 30a. WM an Aulapey d medt P 30b. Were Autopsy FkArpe AvelkhkPmrtoCmpletion 31. Memer a Deem 32e. Dale d Irpey (Mmm, my, Year) 2009 11 32b. Dexrme Now Inury Ocarred destrian struc'~~byp~:ck-up truck P 32c. Plaro d Irjuly: ifane, F«m, Sheet, Faaory, °~°~'i'm'g•81~/sP°°/''/Street e a m? a c a o ^ ^Nani~ , May e ease re }p{ olt ^ PaMirrg ImrellgaUOn 32tl. Tine a Injury prX . 32e. Injury et Wakl 321. I/ Trenspomtian Injury (Speary) ~,.,( 32g. Location a Injury (Shea, dry /town. seta) ^ Vre No ~` ^ Yes ^ No J ^ saiaMa ^ code Na m oaermk,ed 3:00 P ^ Yes ~ ^ °roef l °p°rel« ^ Paaeenger W Pemstrian r i Road , Carlisle , PA . M, omen ~ Spealy: 33a Canfia ( axY ~) 33b. SigreNre antl T COI' One r • Cwtrykrg phYeklen IPhy~ ce~N+n9 nuro d deem when anetlrer physiden Ilea pmmxxetl math ant canplaed Item 23) dntlr occurred due to me carae(sl as memxaatNed_________________________________ ^ Aed a l a srov p , my To the h.rt • Prarouncirrq and cadBYrtg plryekten IPhyeiden bdh prmwnang mom and certigtlq to cause at mein) ^ 33c. lldme Number 33d. Dale Signed (Noah. mY. Year) _ _ _ _ _ _ _ To the hart a mY Mlowkdpe, deem occurred rt the tore, arts, ant place, rld due to the wee(s) end maNrx as oaten. _ _ _ _ _ _ _ _ _ _ May 12 , 2009 (' q( • McMpel Examkrw / Caarr `Ii On the bseie a exardnamn srM I a lrnreetlgetlon, In my opiaork drn accumd rt the Ulna, mb, ant plea, area due to ma cam(s) and Irrenner u slrte4 31. Name d Dadtp~8em p~ Tvoe ~ Pda yp,mlap dePegmYVlp Coaubted Causes l.0 iOllel' O rl 'l ' ~ Reglsbale and h6er ~~t~au~~ I~ I ! I .~. I f I ~ I 38: Date Flled( ,my, year) ` e d Suite 4I1 R oa 6375 Basehor Mechanicsburg, PA 7050 ~ Dispoaton Permit No. ~ ~ ~l Iv3 ~?! V ~/ LAST WILL AND TESTAMENT OF JEAN K. ICI.INE r~ ~'' c_A ~ -- - ~ -~~. ,r c7 -, ~ I, JEAN K. KLINE, of North Middleton Township, Cumberland County, Pen~gy}ia, ., _, declare this to be my Last Will, hereby revoking all prior wills and codicils. - ~ ~ ~ `~ =y - .n __:: v -' {~, _ FUNERAL EXPENSES ~ ; FIRST: I direct the payment of my funeral expenses, including my gravemazker, as soon as may be convenient after my death. PAYMENT OF DEATH TAXES SECOND: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of administration of my estate. BEQUESTS THIRD: I give the sum of Twenty-Five Thousand Dollars ($25,000.00) to my grandson, ANDREW P. LOY, provided he shall survive me. DISTRIBUTION OF RESIDUE FOURTH: I give the rest of my estate in equal shares to my two children, SANDRA K. LOY and FRANK KLINE, or their issue, per stirpes, who shall survive me for a period of thirty (30) days. NIINORS AND INCAPACITATED BENEFICIARIES FIFTH: If any income or principal shall be payable to any person who shall be a minor or who shall be incapacitated for any reason, my executor as trustee shall hold such income and principal during minority or incapacity and shall be entitled to apply such income and principal to the health, maintenance, support and education of such person during minority or incapacity without the appointment of any guardian or committee or any authority of court. My executor as initials trustee shall be entitled to make direct application hereunder or to make application by payment of income and principal to the parent or other person in charge of such minor or incapacitated person, or to his or her guardian or to a custodian under the Uniform Transfers to Minors Act. Any remaining income and principal to which such person shall be entitled shall be distributed to such person upon the termination of minority or incapacity. My executor as trustee shall have the same powers as my executor. POWERS OF EXECUTOR SIXTH: I confer upon my executor the right to sell or otherwise convert any real or personal property at public or private sale, at such time or times, in such manner, and for such price or prices, and on such terms and conditions as my executor shall determine, and to execute and deliver good and sufficient conveyances, assignments and transfers of the property, without liability of any purchaser for the application of any consideration; to borrow money and to secure its payment by mortgage of real or personal property, pledge of investments, or otherwise, without liability on the part of the lenders to see to the application thereof; to retain any investments at discretion; to invest and reinvest at discretion, without restriction to so-called "legal investments"; to make distribution in cash or in kind; to allocate and distribute different kinds or disproportionate shares of property or undivided interests in property among beneficiaries, in cash or in kind, or partly in each; and to do all other acts and things necessary or appropriate in the management, administration and distribution of my estate. APPOINTMENT OF GUARDIAN OF ESTATES OF MINORS SEVENTH: I appoint my executor as guardian of the estates of minors with power to hold all property payable by law to a guardian appointed by my will and to use it for the minor's health, maintenance, support and education, either directly or by payment to any person selected by my executor to disburse it whose receipt shall be a complete acquittance. Guardian may, in discharge of all the guardian's duties, pay any minor's share deemed 'unpractical of administration to the parent or other person in charge of the minor or to his or her guardian or to a custodian for the minor under the Uniform Transfers to Minors Act. My executor as guardian shall have the same powers as my executor. APPOINTMENT OF EXECUTORS EIGHTH: I appoint my two children, SANDRA K. LOY and FRANK KLINE, or the survivor thereof, executors of my will. initials WAIVER OF BOND NINTH; I direct that no fiduciary hereunde sh~lbe remgw'reda to fiirmsh bond in any jurisdiction, and if any bond is necessary, no surety INTERCHANGEAB~~ OF LANGUAGE 'T'ENTH' Words used in the singular may be read to include the plural or the plural may • ar. Similarl the masculine form may be read to include the feminine and be read as the singul Y~ neuter; the feminine may be read to include the masculine and neuter; and the neuter may be rea to include the masculine and feminine. HEADINGS ELEVENTH' The headings used on the various paragraphs of this will are included for convenience only and shall have no legal significance. I have signed this will this f ~~ day of~~~iW~(~~2 , 2006. an K. Kline Witness ti Witness ACKNOWLEDGMENT and AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ~ SS. COUNTY OF CUMBERLAND ~ We, JEAN K. KL,iNE, the Testatrix in and the undersigned h wing been qual~ified~e attached or foregoing instrument, who have signed the rostrum t, according to law do depose and say: do hereby acknowledge that I signed the instnunent as (a) that I, the Testatrix, free and voluntary act for the purposes my will, that I signed it willingly and as my therein expressed; and (b) that we, the witnesses, were present and saw the Testatrix sign and execute the instrument as her will, that she signed it willingly and executed it as her freand s t act for the urposes therein expressed; that each of us in the hearing P~ voluntary P of the Testatrix signed the will as a witness and oat toethoe besound m d and ~ er no Testatrix was at that tune eighteen or more years ag constraint or undue influence. J an K. Klin Witness Witness ~~~4/ C.. Notary Public COMMONWEALTH OF PENNSYLVANIA Notarial Seal Robert R. Black, Notary Public Carlisle Boro, Cumberland County My Commission Expires Sept. 28, 2009