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HomeMy WebLinkAbout10-01-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA File Number r~j ~ `-~ ~ ~~~ Estate of KENNETH R. WHITSON also known as KENNETH R. WHITSON ,Deceased Social Security Number 213-32-4785 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 and codicil(s) dated (State relevant circumstances, e. g., renunciation, death of executor, etc.f 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: B. Grant of Letters of Administration (If applicable, enter.' c. t. a.; d.b.n.c.t.a.; pendente liter durante absentia; durante 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:(lf Administration, c. t. a. or d. b. n. c. t. a., enter date of Will in Section A above and complete list of heirs.) o t_7 0 Name Relationshi Rest ~~ n L -•1 --r C7 -1 r _J 3 -;r, t-- Ci.' J: -- _ _ .. - ~ _ .~ . ~... ~ (~ t°t _~ (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 74 SMITH R GARDNERS PA 17324 CUMBERLAND COUNTY (List street address, town/city, township, county, state, zip code) Decedent, then 73 years of age. died on 922/2009 at LEBANON VA HOSPITAL LEBANON PA 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 $ ~' ~~ ~~~ ~ ~~~ 74 SMITH ROAD, GARDNERS, PA 76 SMITH ROAD, GARDNERS, PA 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 tha nnAPrcionarj• Signature Typed or printed name and residence c' 4,i1~~ • !~~Q !i e KATHLEEN M. STEVICK 76 SMITH ROAD GARDNERS PA 17324 Form RW-02 rev. 10.13.06 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~an5d subscribed befoy~me the / t day of Register of Personal Representative Signature of Personal Representative ~~ c~ n c~ C, `'° Signature of Personal Representative ~~~ ~ "~ -' v ~~ ~ ~, '-' c» File Number: ~•1 ~ ~, ` ~~~ ' ~ ~ v --- Estate of KENNETH R. WHITSON ,Deceased W ~~~ ,7 ~ .. ,_ _, Social Se rity Number: 213-32-4785 Date of Death: 9~22~2009 AND NOW, ~ C~1~ ~ `''~~~ , i~nsideration f the foregoing Petition, satisfactory proof having been presented befo e e, l IS DECREED that Letters -"f~~ are hereby granted to ~C z° / , < ;'` ' in the above estate and that the instrument(s) dated ~ ~~~~ ~~ .,~~Y j~ described in the Petition be admitted to probate and filed of record as the last Will (and odicil(s)) of~ edent. FEES 1 ~j~ ~ ~== ~~. ,.~1.~-C-~~ $ C> - Re ist r of Will r ~ ~L Letters ............................. -! Short Certificate(s) ............ $ ~_ Attorney Signature: Renunciation(s) $ ~1~... $ /,~ ~ Attorney Name: MARK A. MATEYA ' ~-~'' $ "~ r ~ l~ ~ ~...~ :::: $ }~,-'~~ - Supreme Court 1.D. No.: 78931 .... $ Address: P.O. BOX 127 ~~~~ $ BOILING SPRINGS .... $ ~~~~ $ PA 17007 .... $ $ ,,_ J~ Telephone: 717-241-6500 TOTAL ............................. $ S:G Form RW-02 rev. 10.13.06 PagO 2 Of 2 r- (_ LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is. illegal to duplicate this copy by photostat or photograph. fee tix this certificate. $6.00 P 15730092 Certification Number H10S713 REV 11/2006 TYPE /PRINT IN PERMANENT BIACK INK xr N v D rz 0 "['his is to certify that tl)e inl~ormat+on hcre «i~~en is correctly ~~opicd tram an rniginal Certificate oi~ Death duly filet[ ~~ ith me as ~.. kcal Rc~~isu-ar. The cr-i~,)nal certificate ~~~ill he forwarded to the State V"ital Rerord~ ORice tin Ocruaancnt f~ilin,r. Local Idehistrar Date Issued COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples on reversal ~ ro ° * ~ n _ =ti. ~O ` o - - ` ` , i t~ Z n - c~ ~, ---~ ~ r . C7 r - .~ ~, i. k _.. ~'~ ~ i J ~ ~' ~ ' 1 --t ;Y .. W t t. Name of Deadenl (Rrsl, middle, last, suRu) 2. Sex 3. Saual Secuiny Number V 4, Dale of Deam (Manor, day, year) • Male 213 -32 - 4785 Se tember 22, 2009 5. Age (Last Birll~y) llMer 1 year Under I day 6. Dale al BiM (Month, day, year) 7. ad hplaa (Gry aM smle ar for ' country) Ba. Place of Death (Cfleck only one) kro~wu Oars Hwxs ~~ Fagan, "~~ alter 7 3 Ym. Jan , 2 6 19 3 6 nA ^ Irtpauem ^ ER / OutpadeM ^ Doa ^ Nursing Home ^ Resideltce aher - Specigios ' Ce tb. County of Deam ec. City, Twp. o Oeafh Bd. Facility Noma (If not ketilmion, ghre street and number) 9. Was Decedent of Hispenk: Origin? ~]. No ^ Yes 10. Race: gmericen Irl6an, Black, wnhe, etc. Lebanon So nonTw VA Medical C t I"~a '~"+'0i'ban . . p en er ' ~ ISpec°'~lhite Mexban, Puerto Rican, etc.) 71. Oecedenrs Usual Ott lion KiM of work done most M Me. Do nil slate retired 12. Wes Decedent ever in the 13. Decedent's Education (Spedry only Nghesl 9ratle cortplaletl) 14. Marital Slelus: IAartied, Never Martied, 15. Surviving Spouse III wife, give maiden name) Kira of Work Kind of Business / IMUmry U.S. Armed Fomas7 Emmenla / Seco da 0-12 Colle Widowed, Divorced ry n N ( 1 9e (td or S.) ISPesify) Laborer Tele hone AT&T Yea ^No 12 rse 16. Decedent's Maikng Address ($Ireal. city /lawn, stale, zlp code) Decedent's Ditl Decedent 7 4 Smith Road Actual Resiana na. stale _ Pa . T $] vas Decedent Lweo re a nc . , Twy. ownsn ,7b coanty Cumberland ~' ,7d.^ No. Decedent Lived wklkn Gardners, Pa. 17324 Actual Limits or cm/Bpo 7B. Famai s Name IFirsl, middle, last sullix) ' 19. Homer s Name (First, middle, maiden wmame) Charles ' 20a. Inkmnam's Name (Type /Print) 20b. InlomlanYs Mailing Address ISlreei city /town, stale, zip atleJ • 17324 zta. Medpd d aepadia, ~ ~7 cremafian ^ oIXlalian zm. Dale at Diepaition (Monet. day, rear) 21a. Place a pia ry, cremamry IX peter pleat z,a. Location (city r lows, smle, zip cIXro) ^ eudal ' poWlbn (Name a amnia ^ Rem l I St l i we mm e e Was Gemeaon or Donalbn Amhorhetl IDm.r-Sperry: IaalEx.mmerrcaranara I~IYae^Na Se t. 24 200 Hollin er FH/Cremator Inc MtwHolly Spgs.Pa.17065 ~ nee d Fweral Service ( Parson u such 22b. llansa Number 22c. Name and Address of Fadlity 5 01 N . Ba 1 t i mo r e Ave . ?D-011932-L Hollin er FH Cremator Inc. 11 S rin s Pa 17065 . aeno 23ec anrY whence M^9 23e. To ills my k wxAedge, deem oaurred at me lirtre, dare end place stated. ISigrlalure aM IAIe) 23b. License Number n p not aveaebb el Ilene d deem l0 23c. Date Signed (Month, tley, year) wilily ease of death. kerns 2426 must be ampele0 by person vdwpr~nceaOealh 24. Time of DeaM 26. Dale Prawunced Dena IMOnm, day, year) 2fi. Was Case Relertetl to Medical Examiner! Coroner for a Reason aher than Cremation or Donation? 7:45 A. w. September 22, 2009 ^Yae ^Na CAUSE OF DEATH (See Inatructlona end examples) r Appmdmale interval: Item 27. Pan C Emer me dwn of events -diseases, irytxies, ar compkcetlons - mm dlreclry eased the deem. DO NDT enter lartninal even4 such as cemiec artesl r Pad II: Emer other eryn'f m ceM'tions cpAribcu~ t deem, 28. Did Tobaca Use CanmDWe to Death? , Onset m Deam respiratory artasl, IX venlricUlar fibilWlion wkhdA showlnp the etiabgy. List arty one aura on each line. dd not resukirg In me urgatlying ease gNen In Pad I. ^ Yes ^ Probably r fMAtEDL1TE CAUSE I~rlal disease a titb Nti m d NO ^ lMMown wlli n res ng eem) _~ a. CONGESTIVE H E A R, T FAILURE 2s. n e: Due la (or es a consegcence of): ^ Nat pregrenl wim61 pest year SeWentlalM lest andtlons,dany, b. ('.ARi1T(1hTV(1PATHY ; m auee Nstetl an Ime a. ^ PregrsM al tlrts Wdaem Enkr UNDERLyttlG CAUSE Due to (IX as a consequerla oq: r ^ Nil pregrent bet pregnant wimF 42 Sys I~~~IX kMU7 tllal rvtlaletl the M9 m death) LAST a , of deem Due to (or as a ansequerxz, of). ^ Nm pregnant, but pregnant l3 days b 1 year tl. ~ helola deem ^ Unknown II pregnant wkhin me past year 30a. Wee an Auhpsy 30b. Were Aumpsy fiMlgs 31. Manner of Deem 32a. Dale of Injury (Monet, tley, year) 32b. Descrpe How Irqury Oaurted Pedormed7 Avaaabk Prior b Conglelron 32c. Place of Injury; Hans, Fam1, Slreei Feclgy, of Cause of Deem? ~ Natural ^ Homcids. ONice Building, aft. ($pebryf ^ Yes g] No ^ Vas ®No ^ AccitlBnl ^ PenNng Invesllgatlon 32d. Tore al Inryry 32e. Injury al Work? 321. II Transportation Injury (Spar'+g') 32g. Location of Inury (Street, ply ! town, state) ^ suicide ^ Cab Nol be Datarmiltetl ^ Yes ^ Na ^ Deter /Operator ^ Passenger ^Prxlesldan M anar - Spedly 33a. certifier (check aM' one) 33b. Signature aM role of Ce ' • Certllying physkkn (Physiden artifying ease of deem when anodrer pnyaipan has pronounced deem and completed Item 23) To the beat of my knowbdga, deem occurred due ro the ause(a) and mender ore sseled_ _ _ _ _ _ _ ^ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ • Prorlouncllg aM celUlyhg phyefMen (Physician boor ronolawin tlea!h d d'A i t f ~ P en ce y rg o ease o death) 9 To the hest of my knordetlge, heM occunetl el the Ume, date, aM Place, end due to Me cauee{s) and msnnar as smterL _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 33c. License Number 33d. Dale Sign anm, r) • t4edkalExamkrrrCoronar On d e b l f i t MT 191394 September 22 2009 i o a o exam ne bn arltl / or mVestigalbn, m my oplnbn, death oceurted M the time, dose, and place, aM due ro the cause(s) eM manner as sleted ^ , _ ~ ~~ ~ Address of Person Wno Cornpleted Cause of Deem (Ite m 27) Type / Pdnl Regrstra' ature and Dislnct~Wmbyr ~ 36. Dare filed IMwM, day, year) M atthe w K Measel, MD ~I (I a. I ~ 10 I ~` VA MedicalCenter Lebanon PA 1 7042 Disposbion Pertnk No. ~~~-~~•-f-~x LAST WILL AND TESTAMENT ~~~~ ~~`~' OF KENNETH R. WHITSON I, Kenneth R. Whitson, of 74 Smith Road, Gardners, Cumberland County, Pennsylvania, make this my will. I revoke any other wills or codicils to wills made by me. ARTICLE I. DISTRIBUTION OF MY ESTATE A. I give such items of my tangible personal property as are designated below. I give my coin collection to my grandson, Tyler Stevick, presently of 76 Smith Road, Gardners, Pennsylvania. 2. I give all of jewelry which I own at the time of my death to my daughter Kathleen Stevick, presently residing at 76 Smith Road, Gardners, Pennsylvania. 3. I give my real estate which I own at the time of my death both in Pennsylvania and Florida to my daughter Kathleen Stevick, per stirpes. B. I give the residue of my estate to my daughter Kathleen Stevick, per stirpes, provided she survives me by sixty (60) days. C. Whenever property is to be distributed to the descendants of a person (the "ancestor"), such property shall be divided into equal shares, one share for each then living descendant in the first generation below the ancestor in which at least one descendant is living, and one share for each deceased descendant in such generation who has a descendant then living. Each share created for a living descendant shall be distributed to such descendant. Each share created for a deceased descendant shall be divided and distributed according to the directions in the two preceding sentences until no property remains undistributed. D. Any beneficiary or the legal representative of any deceased beneficiary shall have the right, within the time prescribed by law, to disclaim any benefit or power under my will and the interest so disclaimed shall be distributed as if such beneficiary had predeceased fie. ~O~ ~ ~f _J ~. ' ~ _G' ~ C.. 'i '~:~ ~; -'i C 7 C_~.7 ~' C _ L] J ~ Q ti ~ , ~, .j: Page 1 of 4 K.R.W. ~,~~ ARTICLE II. PAYMENT OF EXPENSES AND OTHER CHARGES I desire to be cremated. I direct my Executrix to pay for my burial expenses (including the cost of a monument or marker) and the cost of cremation. The estate, inheritance and similar taxes assessable on my death (including taxes on assets not passing under this will) shall also be paid as a cost of administering my estate and my Executrix shall not request any beneficiary to pay any part of such tax. ARTICLE III. MISCELLANEOUS PROVISIONS Matters of Interpretation. For simplicity, I have expressed pronouns and other terms in one number and gender, but where appropriate to the context these terms shall be deemed to include the other number and genders. The bold headings are for convenience and shall not affect interpretation. ARTICLE IV. APPOINTMENT OF FIDUCIARIES AND POWERS A. I name Kathleen Stevick to be my Executrix. It is my desire for the Executrix to be remunerated according to local custom. Should she fail or cease to act, I name Thomas Stevick to be my Executor. In the event that Thomas Stevick is unable or unwilling to serve, I name Mateya Law Firm to serve as Executor of my estate. I request that no security be required of any Executrix. References in my will to my "Executrix" are to the one acting at the time, except where otherwise specifically provided. B. Any individual who serves as Executrix or Trustee shall be entitled to receive reasonable compensation for his or her services and, whether or not such individual receives compensation, shall be entitled to be reimbursed for expenses incurred for such services. C. I grant my Executrix and my Trustee the powers set forth in 20 Pa.C.S. §~ 3311-3332 and 20 Pa.C.S. §~ 7771-7780 respectively. In addition, my Trustee may merge any trust under this will with any trust having the same trustee and substantially the same dispositive provisions. If at any time after my death the size of any trust under this will is so small that, in the opinion of my Trustee, the trust is uneconomical to administer, my Trustee may terminate the trust and distribute the assets to the person or persons authorized to receive the trust income in such shares as my Trustee may deem appropriate. No Trustee who is also an income beneficiary of the trust at issue shall exercise any discretion granted in the preceding sentence. My Executrix and my Trustee may distribute tangible personal property passing to a minor to any adult person with whom the minor resides, and that person's receipt shall be a sufficient voucher in the accounts of my Executrix and my Trustee. D. It is my fervent desire that Mateya Law Firm handle the administration of my estate, they being familiar with my affairs. Page 2 of 4 K.R.W. ~~41 ARTICLF, VI. DEFINITIONS The following definitions shall be applicable to all of the provisions of my Will except where otherwise specifically stated: l . The use of the masculine shall include the feminine or neuter and the use of the singular shall include the plural, and vice versa. 2. The term "estate," where appropriate, shall include any trust hereunder. The term "minor" shall mean an individual who has not attained the age of twenty-one years. Executed this C~ day of u (.~-%.l~ _, 2009. ~/~ ~~ ~ (SEAL) Kenneth R. Whitson Signed, sealed, published, and declared for and as his last will and testament by the testator in our presence, we all being present at the same time; and we, in his presence and at his request and in the presence of each other, have subscribed our names as witnesses whereof, all on the date last above written. 2- Page 3 of 4 K.R.W. ~.~~-J COMMONWEALTH OF PENNSYLVANIA CUMBERLAND COt1NTY : to wit: Before me, the undersigned authority, on this date personally appeared Kenneth R. Whitson, and (~ti1c~-{~- ~ • Vtitu-~ U _, and ~ER~Ki~ ~ ~ J u.~'+tr~/~; , known to me to be the testator and witnesses, respective y, whose names are signed to the foregoing instrument and, all of these persons being by me first duly sworn, Kenneth R. Whitson, the testator, declared to me and to the witnesses in my presence that said instrument is his last will and testament and that he had willingly signed and executed it in the presence of said witnesses as his free and voluntary act for the purposes therein expressed, that said witnesses stated before me that the foregoing will was executed and acknowledged by the testator as his last will and testament in the presence of said witnesses who in his presence and at his request and in the presence of each other did subscribe their names thereto as attesting witnesses on the day of the date of said will and that the testator, at the time of the execution of said will, was over the age of eighteen years and of sound and disposing mind and memory. Sworn and acknowledged before me by KENNETH R. WHITSON, the testator, ~,'t~~ ~ ~ ~%~-r~~l ~ ,witness, and ,t Rr flit ~ ~ :Tu,•U ~ r:f/s ,witness, this ~ day of ~ , 2009. KENNETH R. WHITSON ~~~t~ , ~. Witness ~, ~~--- Witness Notary Public My commission expires: Page 4 of 4 t;OMMONWEALTH OF PENNSYLVANIA Notarial Seal Frances A. Aumiller, Notary Public South Middleton Twp., Cumberland County My Commi Sion Expires March 16, 2010 Memhe~ °n~ns"'v3nia Association of Notaries K.R.W. ~~~~