HomeMy WebLinkAbout07-30-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of GOLD I E A . KARNS
also known as GOLD I E ARLENE KARNS
,Deceased
COUNTY, PENNSYLVANIA
File Number ,~ ~ - ~L - L l 1:~J
Social Security Number
193-24-1339
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 CO-EX@CUtOTS named in the
last Will of the Decedent dated 02~27~19H6 and codicil(s) dated July 6 , Ricky D . Karns has
renounced his right to administer the estate in favo~.,~of us.
(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 instrument(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: n0 exceptions
B. Grant of Letters of Administration
(If applicable, enter: c. t. a.; d. b. n. c. t. a.; pendente life; durante 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.) "`"'
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(COMPLETE IN ALL CASES:) Attach additional sheets if necessary. =' '_ ~ ____ ;- _ :;
Cumberland 3 ~ uth~'~ ~=.>
Dec dent was domiciled at death in County, Pennsylvania with his /her last principal r~i'dence at
Road, Mechanicsbur i ver ~~
g ( prang ownship, Cumberland Countvl. PA cry
(List street address, town/city, township, county, state, zip code)
De~edAent, then
81 years of age, died on July 15 , 2010
~~~~
at Holy Spirit Hospital, Camp Hill,
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
$ 15,000.00
$ 143,000.00
situated as follows: 3 South Road , Silver Spring Township Cu~mberl and ('oLn v
KODETL H. xarns
23 Regency Woods N,
Form RW-Ol rev. 10.13.06 Page 1 of 2
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:
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.
Su,~orn to or affirmed and subscribed
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before me the l:' day of
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For the Regis Signature of Personal Representative ~=~ ~ t._....
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File Number: ~ ~ - l lV ' ~ ~ -1 ~ , ;=~' " ..~~ _..
Arlene K~a~~s `:~`' ~ '-~~'
Estate of Goldie A. Karns, also known as Goldie / ,Decea~d c.~~r ''''"~~
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Social Security Number:
193-24-1339
Date of Death: July 15 , 2010
2010
AND NOW, _~;yl~.( ~~ ~'~ , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to Robert A. Karns and Ronald L . Karns
in the above estate
and that the instrument(s) dated 0 2 / 2 7 / 19 8 6 and July 6 ,
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedenr. `
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FEES ~~ j ~ ~,~.~ Y~C G' } ~=~ r,!/ ~ L~ L ~ ~P,~ ~ ~ ' 1
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Register of Wills ~ ' ` ~ ~~ ~ d ~/
Letters ............... $ C~~ ~- ~~ -'( /
Short Certificate(s) ........ $ ZU. C)(.~
Renunciation(s) .......... $ ,rte • t,~l,i
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TOTAL .............. ~ ~--~c `"' 9:A9
Attorney Signature:
Attorney Name: Marlin R. McCal.eb
Supreme Court I.D. No.: 06353
Address: 219 East Main Street
Mechanicsburg, PA 17055
Telephone: (717) 691;x7770
Form RW-02 rev. 10.13.06 Page 2 of 2
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Signature of Personal Representative Ronald L. Karns
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H705-143 REV 1112006
TYPE 1 PRINT IN
PERMANENT
BLACK INK
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
/see instructions and examples on reverse) CTn TC CII C All I\IQCO
1. Name M Decedent (First, middle, last, suffiz) 2. Sez 3. Sodal Security Number 4. Date of Death (MmN, day, year)
Go{die A. Karns Female 193- 24- 1339 July 15, 2010
5. Age (Last Birthday) Under 1 ar Under t da 6. Date of Birth Month, da , ar 7. Bi (Ci and state or torsi count >!a. Place of DeaN Check ant one
Montlx pays Hours Minutes Hospital: Other:
g1 June 4, 1929 Srandtsville, PA
Yrs. ~tient ^ ER / Outpatient ^ DOA ^ Nursing Home ^ Residence ^ ONer - Specdy.
County of Death
>N &. City, Bono, Twp. of Death 8d. Facihry Name (If rwt nstiNtion, give street and number) 9. Was Decedent of Hispanic Origin? ~ ^ yes 10. Race' American Indian, Black. White, etc.
.
' Cumberland East Pennsboro Hol S irit Hos ital (Ir yes, specify caban. (speciyt
y p P Mexican. Puerto Rican, etc.) White
11. Decedents Usual Occ lion Kind of work d one dud mast of varkin life. Do not state retired 12. Was Decedent ever in dte 13. Decedents Education (Specity only tdgttest grade oompleted) 14. Merilal Status: Married, Never Married, 15. Surviving Spouse (lf wife, give maiden name)
Divorced lsvepNl
Wd~'~
KiM bl Wark Kind of Business/Industry U. S. Armed Forces? Elementary /Secondary (o-12) College (1-0 or 5+) •
Widowed
Homemaker Own Home ^ yes ~~ 12
16. Decedents Mating Address (Street, city /town, state, zip code) Decedents DdDecedent Silver S tin
PA Uve in a t7c
Decedent Lived In P g Twp.
QYes
3 South Road ,
.,
Actual Residence 17a. Slate
Township? 17d. ~ No, Decedent lived within
Cumberland
~
Mechanicsburg, PA 17050 17D.Counry
Boro
ActualLlmdsof Ciry
18. FadteYS Name (First, middle, last, w(fpc) 19. Mother's Name (First, middle, maiden surname)
Hazel Peffer
Charles Beaver Hosier
20a. InlormanYs Name (Type / PrinQ
Robert Karns 20b. IMOrmanYS MaAirg Address (Street, cry I town, state, zip code)
23 Regency Woods North Carlisle, PA 17015
21 a. Method M Disposdlon I ^ Cremation ^ Donation 2tb. Date of Dispositon (Month, day. year) 21c. Place of Disposition (Name of cemetery, crematory or other place) 27 d. Location (City /town, state, zip code)
Budal ^ Removal from State ~ waa cremalwn a Danetion Auttt«Ized
' 2010
July 20 Trindle Spring Mechanicsburg, Pa. 17055
^
borer ' by Medteal Examiner/Coroner? ^ Yes^ No ,
~ 22a Funeral Se ~ ~ a ailing as such) 22b. license Wum4er 22c. Name and Address of Facility
FD-012662-L Myers Funeral Home, Inc. 37 East Main Street Mechanicsburg, PA 17055
~
to items 23ac onty when certifying o the hest of my ,death oxurred at the 6me, date and place stated. (SignaNre and tills) 23b. License Number 23c. Date Signed (Month, day, year)
physician is net available at tirrw of death to
certify cause of death.
Time of Death
24 26. lYate Pronounced Dead (Monty, day, year) ~p/~eal Examiner /Coroner fa a Reason Other Nan Cremation or Donation?
r
ed to
26. Was Case Refer
hems 24-26 must be completed by person
wtw pronounces deaN. .
~ (, ~ M. ~ L, ~ ~ (~ ~ (,} ~
~
/
^ Yes L'J No
CAUSE OF DFJITH (See Instructions and examp ) I Approximate Interval:
i
I Part ll: Enter other swan' ~~ c>+~+Hitions can dhua+~+ o dea_N
iven in Part I
rl
cru
i
i
t
lti
N
d 28. Did Tobacco Use CoMdbWe to DeaN?
^ Y
bl
^ P
b
ac arrest,
Onset to DeaN
Item 27. Part I: Erder the triain of events -diseases, injuries, a cortpNCations -Nat drectly caused the deaN. DO NOT enter terminal events wch as card .
y
not rew
e un
ng
se g
ng
n
e
bu y
ro
a
es
respiratory arrest, or ventricular fibdllation without showirg the eCdogy. List ony one cause on each kne. ~
Unkrawn
No
~ I
IMMEDIATE CAUSE ((final disease or r ~ c C ~,1 }- ` '
condition resuNng in deaN)
~e- Qx 1 ~ L Ti~~ 1 Q.1 \~•~ + I
I
~
pt~t
-
29. corals'
flfL~~.
pregnant within past year
_~ a.
.,
.
Due to (or as a uerxxr ot)~. I
I
Pregnant at time d deaN
uentialN Est ~
A anY
, r
ant within 42 da
t
s
b
t
^ N
• b.
•
b cause Nsted on line a. pus to (or as a consequence M): r
Enter UNDERLYING CAUSE
(disease or injury that initiated Ne
' ot pregnan
,
egn
y
u
p
W deaN
^ Not rtanl out r ant 43 da tot ear
P ~ Ys Y
fe
c.
~Wtin9 )
everxs m deaN LAST. pce to (or as a consequence oQ: ~ P
9
before deaN
Unknown it pregnant wihin the past year
~ d.
30a. Was an Autopsy 30b. Were Autopsy Findings 31. Manner of DeaN 32a. Date of Injury (Monty, day, year) 32b. Descnbe How Injury Occurred 32c. Place of Injury Home, Fenn, Street, Factory,
etc. jSpecily)
Oltz:e Building
Pedomred? Available Prbr to Completion
f D
N? ~N~,,
~-i4''atu~ ^ Homidde ,
I
-yy ea
of Cause o / ^ Accident ^ Pending Investigation ~~ Tore of Njury 32e. lrqury at Work? 32f. It Transponafwn Injury (Spedty) 32g. Location of injury (Street city /town, state)
t
~
^ Yes I]I No
T ^ Yes ^ No
^
^ ^ Yes ^ No ^ Driver/Operator ^ Passenger ^ Pedestrian
Could Nol be Datertrwned
Suidde M. ^ Other - Speci/y:
33a Certifier (ct>ade only one) 33b. Signature and Title of Certifier /^1
GRifying physician (Physician certifying cause M deaN when another physician has proraunced deaN and completed Item 23)
t
t
d
- ~ -!r« iN!
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _' - - -
a
e
- - - - - -
To the bawl d my knowNdgs, death occuned due to the ease(s) and manner ss s
33c. License Number
33d. Date Signed (Month,
day
, year)
• Pronouneing end rxertitying physician (Physician both proraundng deaN and cedilyirg to cause d deaN)
To the best of my krasrbdge, death occurred at the time, date, and place, and due to the euae(s) and manrw as stated_ _ _ _ _ _ _ _ _ -' - - - - _ _ _ ^ M ~ v'!~ ~ I ~ ~ . ~ ~
,
. ' tCJ -- j L
• Medkal Examiner/Coroner
lht the basis of examkrdlon and / or investlgetion, In my opinbn, death occurred at the dma, date, and place, aril due to the easels) and manner as Ithted_ ^
34. Name and Addre~of` Person WM Com~ple~te{d Cause M DeaN (Item 27) Type /Print
~~VN' `i~
36. R tore a ~s ~ N r (~ I Z I ~ ~ 1 I ~ I 36. Date Filed (Month, day. year) r :/4{ `~ ~+ , ~ ; ~ t
Disposition Permit No. ~ ~ ~ / ~ "'"
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WILL
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I, Goldie A. Karns, of 3 South Road, Mechanicsburg, Cumberland
County, Pennsylvania, declare this to be my last Ir!ill and hereby
revoke all prior wills and codicils.
1. I direct that all my just. debts, funeral expenses, grave-
= marker and administration expenses shall be paid from my residuary
estate as soon as practicable after my death.
2. I direct that all inheritance, estate, transfer, succession
and death taxes of any kind whatsoever which may be payable by
reason of my death shall be paid out of my residuary estate.
3. I direct my estate to be divided as follows:
A. My son Rick D. Karns, may live in my home at 3 South Road,
Mechanicsburg, Cumberland County, Pennsylvania for the rest
of his life if he so desires.
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B. I leave the rest of my estate of whatever nature and
wherever situate in equal shares to Ronald L. Karns,
Robert A. Karns, Rick D. Karns, David W. Karns,
,lohn D. Karns and Joyce M. Stine.
4. Should any of the above persons predecease me, that de-
ceased person's share shall pass to his or her children eoually.
5. I appoint Robert A. Karns and Ronald L. Karns to act as
Co-Executors. If either should predecease me or cease to act in
such capacity, the other be the sole Executor.
6. I appoint Robert A. Karns and Sally Karns, his wife, or the
survivor of either as guardian of the person and of any property
passing under this Will or otherwise upon my death to my minor
child, John D. Karns. The guardians shall have the power to use s~
much of principal as well as income as the guardians consider
advisable for the minor's health, education and support.
7. The Executors of this Wi11 anc~ the guardians appointed
above shall have the power to distribute my estate in cash or in
kind, or partly in either.
8. I direct that no Executor or Guardian acting under this
Wili shall he required to enter bond in any jurisdiction.
LAW OFFICES OF
STEPHEN J. HOGG
P.O. BOX 1090
CARLISLE, PA 17013
IN WITNESS Ir1HERE0F,
1986.
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I have hereunto set my hand this:Z~~~day of
G~"
Goldie A. Karns
~.
The preceding instrument consisting of this and one other page
was on the day and date hereof signed, published and declared by
Goldie A. Karns as and for her last Will in the presence of us, who
at her request, in her presence and in the presence of each other
have subscribed our names as witnesses hereto.
,/
LAW OFFICES OF
STEPHEN J. HOGG
P.O. BOX 1090
CARLISLE, PA 17013
ACKNOWLEDGMENT
Commonwealth of Pennsylvania.
County of Cumberland
ss
I, Goldie A, Karns, the testatrix whose name is signed to the
attached or foregoing instrument, having been duly qualified accord-
ing tc~ law, do hereby acknowledge that I signed and executed the
instrument as my last Will; and that I signed it willinr~ly and as my
free and voluntary act for the purposes therein expressed.
+ ~~
Got i e A. Karns
LAW OFFIGES OF
STEPHEN J. HOGG
P.O. BOX f 090
CARLISLE, PA 170 ~ 3
Sworn to or affirmed and acknowledge.~I
Goldie A. Karns, the testatrix, this ?7 a
AFFIDAVIT
Commonwealth of Pennsylvania
County of Cumberland
SS
before me by
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W e , ~~f ~ /~'/C i~f ~ S' ~~'R/~~" a n d ~"~f1 ~~, ~-~ ~'~c~P~~s~
the witnesses whose names are signed to the attached or foregoing
instrument, being duly qualified according to law, do depose and say
that we were present and saw the testatrix sign and execute the
instrument as her Last Will; that the testatrix signed willingly a.nd
executed it as her free and voluntary act for the purposes therein
expressed; that each subscribing witness in the hearing and sight of
the testatrix signed the Wi1i as a witness; and that to the best of
our knowledge the testatrix was at that time 18 or more years of
age, of sound mind and under no constraint or undue influence.
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Sworn to or affirmed and subscri ed to before me by
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witnesses , thi s ~ ~ day of F~~`t~:.~ ].986.
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OATH OF SUBSCRIBING WITNESS(ES)
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- - REGISTER OF WILLS
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`LL` ~ `~' ~ CUMBERLAND COUNTY, PENNSYLVANIA
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Estate off- ~ G o l~ i e A. Karns ,Deceased
Judy Myers , (ewcia) a subscribing witness to
(Print Name/s)
the ~ Will Codicil(s) presented herewith, (~a~i) being duly qualified according to law, depose(s) and
say(s) that she /~t~~y was / ri~~€~'e present and saw the above ~'~e$> /Testatrix sign the same
and that she /~yx signed the same and that she / ~~E~to~x signed as a witness at the request of
the c~ /Testatrix in her / presence and in the presence of each other, on Ju 1 y 6 , 2 010
(Signature)
(Street Address)
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this
day
of ,
Deputy for Register of Wills
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(Sign re) dy M e S
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5 Texaco Road_
(Street Address)
Mechanicsburg, PA 17050
(City, State, Zip)
Executed out of Register's Office
Sworn to or affirmed and subscribed
before me this ~ ~ day
Notary Public
My Commission 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 by Officer authorized to administer oaths. Please have present the original or c finstrument(s) at time of notarization.
~~NaC~l~i'~~ALT~i (~~ P>;NNSY~VANiA
Notarial Seal
Form RW-03 rev. 10.13.06 ~~a~i'~ ~. ~cCa3eb, Notary Public
MMeci~arlicsbtarg Bono, Cumberland County
_ ~~'„~~on'~'iission Bx~ires DeC. ~4, X010
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OATH OF NON-SUBSCRIBING WITNESS(ES)
CUMBERLAND
REGISTER OF WILLS
COUNTY, PENNSYLVANIA
Estate of GOLD I E A . KARNS
Robert A. Karns
and
Deceased
(ewc~ being duly qualified according to law, depose(s) and say(s) that
acquainted with Goldie A. Karns
with the handwriting and signature of the decedent, and that the signature of
and am/~~c familiar
Goldie A. Karns
to the foregoing instrument purporting to be the ~c~a~lxa~~dx~n~en~/Codicil of Goldie A. Karns
is in i~isather own proper handwriting.
(Signature)
(Street Address)
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this <~~C? day
of _ c ___ ~ ~~U ~..
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~puty for Register of Wills
s~i~ / he / ~ was / ~~~ well-
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(sag ature) Ro ert arns
23 Regency Woods N
(Street Address)
Carlisle, PA 17015
(City, State, Zip)
Form RW-04 rev. 10.13.06
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RENUNCIATION ~`_~ ~=-;
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REGISTER OF WILLS -~ ~,-,
CUMBERLAND COUNTY, PENNSYLVANIA -~:.' ~~'
ESTATE OF GOLDIE A. KARNS
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Estate of GOLD I E A . KARNS ,Deceased
I, Ricky D. Karns _ , in my capacity/relationship as
(Print Name)
C o -Executor of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Robert A. Karns and Ronald L. Karns
~'
~ 2 010 t~C:; ~ - ~L.~.; ~!~
(~) (s~~ re) 1 c y arns
92 Mark David Ct.
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of ,
Deputy for Register of Wills
Form RW-06 rev. 10.13.06
(Street Address)
Casselberry, FL 32707
(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 -~1.~'~ day
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
~~:ti~~,~~iV'~dE~I~LTt-o G~ P~:~v~~~Yi.V~~??A
.~1. Nclarial iE~a!-
l~larlin R.1JSc~~a~o~t, Notary Pt~k~loc
~V[oct~arr~ss~~rg ~o~~o, ~~~rt~h~riand bounty
fVly Cornrra~u ion ~=~;:~ir~~ ;~>uc..9 `t, ~C~~ 0
pi'I .'rr"~~,: , fr~..~ !ti ~ '~I:1 rs ,~ '~' fir, f r' _ ~ 4- .,
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