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HomeMy WebLinkAbout06-10-10~'~TI~IO1~ ~®~R ]PR.®8.~,7C]E ~,1~]~J ~-RA.I~'I' Ql~ ~~T'T~~R~ REGISTER OF WILLS OF C I.c ltil ~ ~'~L/IFNJ Estate of ~ONIOtI'd ~ . k~tm er also known as Deceased COUNTY, PENNSYLVANIA File Number oZ~ "'/ 0-- ~Q ~ (~ Social Security Number ~D6 ~ ~6 - 3 3 ~ 9 Petitioner(s), wl~o is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or '1~' BELO!•T%) ® A. Probate and Grant of Letters Testamentary and aver that Petitionerl~ is /•are the L~,~.~;,tr'~x last Will of the Decedent dated 1'h.et~.l 31, J g~S ~~OMttt~t.Mll ~. kIt^1t~tr1lat~ li o..-...~~ n.i~~__j..~:~. ~~J.,~~~ w~J Lam. ..~ named in the (State l'eleVant Cll'CinllSlanCCS, e.g., rentrnciafion, death of executor, elC.) Except as follows, Decedent did not mat•t•y, was not divorced, and did not have a child born or adopted after execution of the instrument(s) offered for pt•obate, 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 tninnritate) Petitionet(s) aftet• a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) and~irs : (If ~ldntinistration, c. t. a. ord.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) ~ C'7 ,~ c~ Name Relationshi Resider ~ '~-- , ~~` ~ ~".+> ~. ^ ~~''~~yy , t Y~ 1 ` +t ~ ~n.. k. k...~ (COMPLETE IN ALL CASES:) Attach additio~:al sheets if necessary. ~~ ~. ~ xj ~ ~ yy .gyn.. ~..~. r `- ` ~~ Decedent was domiciled at death ' Ct,~,trt~btx-~gwriJ .County, Pennsylvania with hisl~a~last principal residence at ~ ' ~' t t ., .. 3f"ZS1~,5~+f="~3 ~ ~ t I i e 6 S~ Iv 5 ~~ v (List street address, sown/cih~, town: ip, counh~, stnte, zip cod Decedent, then ~~ years of age, died on~lllhC 3~ ~~~ at ~~ SWt1SC} ~hi1/~~ 1~C~ a~ CSb ~~ p/4 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 $ 1 O, 000 •~ $ ~S, oG~ • o0 situated as follows: =JI Sv~,~1se•~' Dr„ m~,an,iCSb~t,~-t, SI'11~e- ~1'n y~ ~~~g,~,~ '~ p~ ~f¢. Wl~eref'ore, Petitioner(s) respectfully request(s) the probate of the last bVill and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to the undersigned: ~ Signanire~~ Typed or printed name and residence X v ) LY Dl ~ i4. 2~EZI~N~ -- ~11Q7~!~ ~~ SunSGt Dr: m~h~,« s 6 ur4 s ~' " ~ 7175 Form XrV-U3 re,~. !0.13.06 Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF C 4.1'YI I3E~°l.J4•N1~ ; The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and con•ect to the best of tl~e 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 affirnied and subscribed 0 -t h before me the day of V ~ ~l / '~/~r. For the Register x ~ C~ G~ Signnture of P • oral Representative Signnture of Personal Representative Signature of Persona! Representative File Number: °~'~^ ~ ~ ~ ~ ~ V Estate of ~n4,Id B. ~rterrer ~3 x T' . 5 r _.° ..»~ ~ rrt ~ Ali ~ ,,,,,_ © ~~ :~ -~ ' ti-:Q-r'y ~ ;i...~ - .... C3 :~- .... ~ '~^~ Deceased Social Security Number: O~o - /~i- .33 ~ ~/ Date of Death: ~Tu.n ~ , tot D AND NOW, , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters eS'I'a171Gf~~"IlI' y are hereby granted to ~..ir ~ ~ a /4. • L~~a,~ ~ _~, in the above estate and that the instrument(s) dated /~'l, described in the Petition be admitted to FEES ate and filed of record as the last Will (and Codicil(s)) of D edent. Letters ............. Short Certificate(s) ........ $ $ . ~ - ttorney Signature: -- Register ojWills ~~~ ~~~%c~' ~ ~ ~ - ~ Renunciation(s) .......... 1~ ~ I~ .. • $ $ f b . ~ Attoi-ne Name: y ~ ~~,~ i~ Q/r~CS ~, ~~ ~ ~ • • • $ ~~ ' ~U Supreme Court I.D. No.: 385 Address: ~ CIOL( $G'' ire[. $ ~ m,~~, cs ~u rig, ... $ ... $ ... $ Telephone: 717. 766- Ozt~ ... $ TOTAL .............. $ ~ ~ , Form RW-U3 rev. 10.13.OG Page 2 of 2 OCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograpih. Fee for this certificate, $6.00 P 1658655 Certification Number This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me ~.IS Local Registrar. The original certificate will br: forwarded to the St~~)te Vital Records Office for permanent filing. L~~~2- .." ~ _ JUWO ~ ~b10 Local Registrar ~ Date Issued __ .. _ _. _ _. .. _. .. f'7 ~ _~ _~ ~... ~ ~ ~ c~ ~ z .. ~ T ~ { ;; t r.. ... ~, -'T'! , • 43 REV i 12008 'E I PRINT IN COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS f."~ t`" ' ~ © ~ '~ " ~- i"i`~ -RMA~Nr uagc INIc CERTIFICATE OF DEATH (See instructi d ~ .,,.,,,, ~~'~ ons an examples on reverse) G 1. Name a Dsadant (Fhat, mMde, last, eulPoc) STATE FILE NUMBER 2 S J . ex 3. Sadel S•audN Nurt~u Donald B. Kramer Male 206 16 33 4. Date a Death (March, 49 day, year) - 5. Ape (LeN 131rtlrday) Urxlu 1 _ _ under, B. Date a Bklh 7• and wa a Oe. p~ a Deem grck ~ June 3 , 2 0 1 0 - $ 5 Motets y,~. Drys Platte tsraAee Hospital: Nov 14, 1924 Shamokin, Pa Other: - Bb. CasMy d Deets ^ kpstlent ^ ER I Oulpatku ^ DOA sc. qty, sore, Twp. a Deufr Be. FeCNIy Name ("not InetlbAlon pine street end raxrrber) ^ Nuraing Home ~ Residen ce ^ Otlrr ,. Cumberland , p a B. Wee Decedent a Hiepertlc OripkrT ~] No ^ Yes Silver Spring 31 Sunset Dr. , Mechanicsburg ("''~''D°~''Cib"'~ 10. Rye: Amsrlrxn IrxBen, Bledc, Whit, etc. ( Mexban, i'rrrto Rlan+ etc') White 11. DeadurCS )Jett) d wodc dare moat d Ba. Do tier wte 12. Wae Decedent ever m me 13. Daadanys Eduxtlm (Spactly ony hiplra preds oortrPkad) 14. S Never Married. 15. s IOrrd a Work Kkrd a 9uakreu/krdtrhy U.S. Amrd Faces? Ekxrbrrary / ' (0.1 (SP~'1 un'~g ~~• (" wih, give melden name) Prison Guard PA Corrections ®Ysa ^ No ~' k ('~` ate) Widower 18. Deoedent'e McBkrp Address (Street, cNy /town, wa, zip code) Decedent's AduaiRealdence ne.stw_ Pennsylvania ~~°ea°dB1t „~. ~ilve_r S~r_ i ng T,,,P. 31 Sunset Drive Cumberland Township4 (~Yes'oeademLivedm_ 1 7 t n. coarny t ~d. ^ Na, Deadem Uved w8hln Aaual t a city / Bono 18. Fatlrr's Name (Fkst, ndddle, leaf, suffix) 18. Momer'a Nuns (Fkal, middle, maiden aurtwme) Joseph B. Kramer Anna Fours 20e. IrrlarrrenMa Name (Type ! Prkrt) 20b. hrbmrrN'a MsrNnp Address SYset, dtY /town, etw, ztp cods) Lydia A. Ireland 27 Sunset ~r., Mechanicsburg, Pa 17050 21a. Metlxxl a Diepoaf8on ~ ^ Cremetlon ^ Donatlon 21 b. Date a D4patllon (Month, dry, feu) 21a Plaa a Diapoatlbn (Nome a artrary, rxamatory a other e ~ Bartel ^ Removal tree State r Wa Cnrrubn a Dorrstlon Ardhorlsd P~•) 21d. Lxstbn (city/town, elate, zip code) O Omer r bytladlsslEaarnhrw/Cora„v? ^ y„^ ~ June 7, 2010 Rolling Green Memorial Par Camp Hill, Pa ~ 22a ~q~ urrrel Service (a person sctlrq ae aidr) 22b. Lkxmes Nurrrbsr 22c. Name and Addreet a Fedlly - `~~n, C 11 Dp~An,,., .,r,., , ,,,,., _ _ _ Sullivan Funeral Home CarrpE6e Rune 23a-c arty when awtlyinp 23e. To u,e seal a , death aati,rrad at , dace end ISeos stated. ( axe and title) plryaiciarr ie not aveaWe tl time a deem b artlly cease d deem. am 21.28 mud be oanPlebd by Person 24. Time a Deem 25. Dead (Momh, deri Y••r) who praxearar deem. '1 ~ ~ / n M• D CAUSE OF OEATN (Ses 1 and examples) r Approx~,a Marvt Item 27. Pert I: Erdu fJr - dfaeaese, krJuries, a camp&xtlars -met directly cured ma deem. DO NOT enter amrkrl evenm such es cardsa srteat, r Oneet to Deem reepkebry arrest, a ventrkxrlu INxsetlon wtllrord alrowhg tlr etldopy. List only one errs on each Bne. r r 1E CAUSE (Flee) dleseee or r roaalkM in rJ~m) } ~~ ~, ~ l'~~/1('~~-c rt/N'~~- a. Due b (a ea a carrsgrrrae oQ: ~ Bel oaxribna, "any, b r Fsar bUNDE~YM10 CAUSE a Due b (a ee a oorrequerra oQ: i (dfseeee a Y*xv Mbt kddeted me r eveMe reaulBryln death) LAST. c. r Due b (or as a arrrregtrrra oft; d. r 30e. Wee M Aubpsy 30b. Wen Autopsy Fkrdrrpe 31. a Deem r Performed? AvaBeble Pda b 32a. Date a krJuury (Month, day, year) 32b. Deeaibe How Injury tkarred , t-~(-/ a corr. a oesm~ ,~ ^ -+ank~de ^ Yee W r+O ^ Yea ^ No ^ A ^ Pendkrp Inw,eBpeBon 3zd. Tine a inpxy VV ^ Sufdde ^ CouW Not be Dstemrkwd 23b. tJaerrae Number 23c. Date Signed (Momh, day, year) ~ a3s86 L, 3 ~~ p 26. Was Case Referred to Medfcel Exemirrer / Corarr tar eason Omer man Cremetlar a Donation? ^ Yes ru, Ii: Enter otlrr but nd reaultlrrg M the rurderlylnp terse given in Pert I. 28. Did Tobuxo Use ContrBxde to Deam7 ^ Yea ^ Probedy . ^ No ^ Unkrwwn 29. tl Femeb: ^ Na pregnant within peat yea ^ PregrreM at tlme a deem ^ Not pregneM, but pregnant within 42 days a deem ^ Not pregnant, but pregnant 43 days to 1 year before deem ^ Unknown tl pregnant within the past year 32c. Place a Injury: Home, Fenn, Street, Factory, Olfia BuBding, eta (SP•rYlYl 32e. Injrry u Wortfl 32f. "TrerrepoAetlon hrJwy (SP•ah'1 32p. Locatlon a hrJury (Street, cBy /town, state) ^ Yes ^ No ^ DrHer/Opsrsbr ^ PaeeuKpr ^ Pedeetrlen M. Otlrr - Spsary.~ 330. CertlBu (dradc only an) • C«tltyMw PbY•~sn (Phyeldsn csrtlfytrq awes a deem when arrotlrer plryekden hee pronaxrad deem and aomplead beer 23) ~OnMS• end Tia a Certlflu roteslxaamrgrowNdps,dastlro«unweosrotnspuse(s).ndarmw.swad--------------------------------- - - Vvm~~z.-~f ' P'on~ap ~ a«mriw PbY~srr ( both pronaxrdrrp dsslh end certllyrrp b errs a deem) 33c. License Nuroar ~omee«camraraesap.,da.moawnaa.tnr•mn.,d.to,andPaoe,mdau.wu»w,a(.)andawaN-a..aad----------------- 33d.Daa ,~.y,y,~r- • tttJadlal Earrwtar/cororrer - ^ ~ ,( O I a r7 ~ ~~ ~ ~V On UM bow a asnrlrrtlorr and / a Nrsatlpatlon, N my ophdon, daub oawrrad u the tlrrr, dw, ens pea, and des to the arraa(s) and marxrar a wart ^ 31. Name end a Person Nitro ,M C Conrpleled cau~te~a Deem (Item 27) T / P 96. Re¢eber'a si tun end Dlatrk3 r 38. FBad ( day, freul - ~ / ~•(•L J r' /Id ~t~t sd~ ~ ,/ DIaPoNtlorr Pemtlt No. o ~ `~ ~ N ~` C /''`~ .,~~ ~ cs _~ _ r x _......J ~ .„ . _;~ ~ A ~ t. OATI~[ OF NON-SUBSCRIBING WITNESS(ES) e_~ ~ ~ ~ ~' C~ .~_ ~ 7 ~.-: ~ r ::3 t r~ „. 4~ '^~ REGISTER OF WILLS ~-~~ ~ ==-~ ~~~ C G[./a'1~t3~7~.'~10 COUNTY, PENNSYLVANIA v-°~ .~. ;w.~ ~ c~ ~~ ~ I - t C1-- (. Q-~ Estate of ~V ~~ ~- ,~1/If~1J1~ ,, Deceased C~vsr~-~ y~z~c-L and being duly qualified according to law, depose(s) and say(s) that she / he /they was f-~ere~ well- acquainted with 17o/Vj¢~.,l~ ~, /~,~/Jl~ and a~ familiar with the handwriting and signature of the decedent, and that the signature of d~yN/~[.~ ~. ~~ll1~i to the foregoing instrument.purporting to be the Last Will and Testament/!} of ~~1/~f~ ,E3. ~•'~,/~/I~L--~' is in hisl~e~ own proper handwriting. ,- ~ ~ ,, /J f (Signature) (:~y5~- G 1~iQZEL ~o ,Cio X ~D~{ (Street Address) L~4rnv~vT, ~°/~ /68sI (City, State, Zip) Execicted in Register's Office Sworn to or aff rmed and subscribed before me this ~ U ~'` day of c G , ~d~ U a~ Deputy for Register of Wills (Signature) (Street Address) (C~ty, State, Zip) Form RW-04 rev. 10.!3.06 ~ t~ ~ ! r ( ..~ A .. .\.? ~ h ~ {'I~ °~ ~. 1~ ~„ ry. j J ~, ..'~...t ~ f 1 ~ ~ tr, ~ .. ~ ~ © "~, Y"""'t .. OAT~EI OF SUBSCR~BIl`~G ~~VITNIJSS(IJS)`~~;~~? ~~~~ `~~ - ~ _ ~ --1 .. ,. _... REGISTER OF Vi~ILLS ~' ""' ~ ~ ~ w C ic, m Q ~2L,~F,~ COUNTY, PENNSYLVANIA fit- I0-LeC3U Estate of ~~°N ~ D '6 • I< (l.~ /Yt ~ Deceased ~• ~6G*'t ~'`{~~ ,-1} a subscribing witness to (Pri~~t Name/s) the 18 Vi~ill ~ presented herewith, ~e being duly qualified according to lain, depose(s) and say(s) that ire-/ he L~~ was mere present and saw the above Testator .` T~_+~+,.;~. sign the same and that ske-/ he ,~keq~ signed the same and that she /-~e~- signed as a witness a.t the request of the Testator~~ in .~e~~/ his (Signature) (Street Address) presence and in the presence of each other. X ~_ i ~atw•eJ ~. ~~.~ _ hit a,~ k~.#~ ~~.re (Street Address) (City, Statc, Zip) Execacted in Register's Office Sworn to or affirmed and subscribed before me this of day Deputy for Register of Vdills h~le~an ~csbu,rq , P~ Voss (City, State, Zip) Execacted oast of Register's Office Sworn to or affirmed~,a/nd subscribed before me this ~~I K d.ay of .7~k ~ e at~~ D . ~s~~~~ ~ Notary Public My Corrunission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) NOTE: To be taken b~~ Officer auti~orized to administer oaths. Please leave present file original or copy of instrument(s) at time of notarization. Form /t 6!'-03 rev. l U. l 3.0G LAST WILL AND TESTAMENT OF DONALD B. KRAMER I, .DONALD B. KRAMER, of the Township of Silver Spring, County of Cumberland and State of Pennsylvania, being cif sound and disposing mind, memory and understanding, do make, publish and declare this my Last Will and Testament. 1. I direct the payment of all my just debts and funeral expenses as soon after my decease as the same can be conveniet~.l:y ~~ done . ~. t~ ° t -~~7 ~ ~ ~ ,~J ~ ~ I~' ~ '~"` ~? 2. _~~~~ t~.i ~ ~:~:) ~ ~ . ~~ I give, devise and bequeath all the rest, residue.~d remainder of m estate real ~`"'~ y personal and mixed, whatsoever and wheresoever the same may be situate, to my wife, BLONDENA J. KRAMER, her heirs and assigns, absolutely and unconditionally. 3. In the event that my wife , BLONDENA J . KRL~MER, should predecease me, or should she die at about the same time as I do, such as in an accident common to both of us, then in such event, I give, devise and bequeath my entire estate, real, personal and mixed, whatsoever and wheresoever the same may be situated, to my ~,, r,,,t 1;..i" ~ s ~.~;) ~~~ ~ ~~ry~: '~ r, ~' ~~~"1,: "`~ ~ ~i `~~~ ~~. -1- .- four children, to wit, LYDIA A. IRELAND, BRUCE A. KRAMER, KEVIN M. KR.A.MER and CRYSTAL S. KRAMER, share and share alike, per stirpes. LASTLY, I nominate, constitute and appoint my wifE~, BLONDENA J. KRAMER, Executrix of this my Last Will and Testament, and in the. event that my said wife should predecease mE~, or should she be unable to serve in such capacity for any reason, then in such event, I nominate, constitute and appoint my daughter, the aforesaid LYDIA A. IRELAND, Executrix of this my Last Will and Testament, in her place and stead. IN WITNESS WHEREOF, I have hereunto set my hand anal seal this ~ day of A. D., 1485. ~, (.SEAL) Donal B, ramer Signed, sealed, published and declared by the above. named, DONALD B. KR.AMER, as and for his Last Will and .Testament, in the presence of us, who have subscribed our names hereto as witnesses, at the request of said testator, in his presence and in the presence of each other. . _...~ `' ~ r ~~~-t-~` -2-