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PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of KATHRYN L. VANDALL
also known as KATHRYN LOUISE VANDALL
Deceased
COUNTY, PENNSYLVANIA
Social Security Number 138-26-9762
File Number ~ 1 -' 1 ~ ~ ~- ~~ '~ /J
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
last Will of the Decedent dated FEB 26, 2010 and codicil(s) dated
(State relevant circumstances, e.g., renunciation, death of executor, etc.) ~! '~
,~ ~ c~ _ .
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of t~ trument(~fferet~; ~ '~
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: -R~ ~ ~ ~ <_
^ B. Grant of Letters of Administration ' ~~ ~::_ -~ % ~ ,
(If applicable, enter: c. t. a.; d. b. n. c. t. a.; pendente lite,~ durarue absentia; durante;~i#~'ort't~ite)
~' ~ = - :-
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spc~se~(if any) aieirs: (I, C`
Administration, c. t. a. or d.6.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) CrJ
Cb ~"~'
Name Relationshi Residence
LAURIE A. HARTLAUB DAUGHTER 235 KUHN RD., LITTLESTOWN, PA 17340
(COMPLETE IN ALL C,9SES:) Attach additional sheets if necessary.
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his /her last principal residence at
1136 LAUREL AVENUE, CAMP HILL, PA 17011
(List street address, town/city, township, county, state, zip code)
Decedent, then 80 years of age, died on MAY 18, 2010 at
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
situated as follows:
named in the
r'
S?,3
$_
$_
Form RbV-02 rev. lOJ3.06 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
SS
COUNTY OF CUMBERLAND
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true anal correct to the best of
the knowledge and belief of Petitioner(s) and that, as personal representatives} of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
Sworn to or affirmed and subscribed
be re me the ~ day of
Social Security Number: 138-26-9762
Q~V Signature of Personal Representative ~ t.,,~
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~~~ L or the Register Signature of Persona! Representative ~ „~ ~ ~ ~ .
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File Number: ~ ~ ' (~ r ~-~ ~ :~ -`~
,Deceased ~ } ;
Estate of KATHRYN L. VANDALL ~~ ~ { ~~
AND NOW, , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters
are hereby granted to
and that the instrument(s) dated
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES
Letters .........
...... $ ~e }ster of Wills ~ ~
~~ ~ - ~~
i ~~`~
~
'"
Short Certificate(s) ........ $ Attorney Signature: ~
'
'~'y
Renunciation(s) .. ........ $
Attorney Name:
DAVID W. KNAUER
... $
... $ Supreme Court I.D. No.: 21582
$
Address: 411 A E. MAIN STREET
$
. $ MECHANICSBURG
... $
PA 17055
... $
• • • $ Telephone: 7177957790
... $
TOTAL ...... ........ $ 0.00
Form RW-02 rev. 10.13.06
in the above estate
Date of Death: MAY 18, 2010
Page 2 of 2
OCAL REGISTRAR'S CERTIFICATION OF DEA'T'I~
WARNING: It is illegal to duplicate this copy by photostat or photograph..
1 ;~ee 1~~r thi~~ t~ertit~icate. ~~f~.i:)O
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L~~)ral KRe~~istr~<ir _ Date Issued
COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverseel
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1. Name of Decedent (Flrst, nxddle, lest, suffix)
Kathryn L. Vandall 2. Sex
Female 3. Social Security Number , • ` ' I" "v'•'
138 _26 9762 4. Date of Death (Month, day, year)
18
2010
5. Age (Lest Birthday) Under 1 ar Under 1 da 8. Date of Birth Month de , 7. BfM end state or fore coon .
8a. Place of Death Check on one
80 Y~ Months Days ilexes Minutes
December 31, 192
Harrisburg, PA Hospital:
^ inpetlent ^ ER I Outpatlent ^ DOA Other:
^ Nursing Home 1~Residence ^ Other
~~
6b. Count' of Death 8c. City, Boro, Twp. of Death 6d. Fall Name If not astltrrtlon,
nY ( gNe street and number) 9. Was Decedent of HI
~~ Odgin? ~ No ^ Yee. 10. Race: American Indian, Black, White, etc.
Cumberland Lower Allen Twp. 1136 Laurel Avenue (~~ P~c ~n',e,~) (sPer~iy,
White
i t. Decedents Usual lion Kind of work d one most of wa fife. Do rat state retl 12. Was Oecedertt ever in the 13. Decedents Educetan (Spedly only highest pads cantp leted) 14
Medial Status: He
d
d
N
M
i
d 1
S
v
Kind of Work
RN Shift Su
erviso
Kind of Buslrressl Industry
Nursin
U.S. Amted Faces?
ElementarySecondary (0.12)
College (1.4 or 5+) .
r
e
,
ever
art
e
,
(9 5.
urvi
stg Spouse (If wHe, give maiden name)
p g ^ Yea ®ra 1 (t Widowed
16. Decedent's Mailing Address (Street, city /town, aisle, zip coda) Decederrs Pennsylvania Did Decedent Lower Allen
1136 Laurel Avenue Actual Reskierae 17a. State Live in a 17c. ®Yes, Decedent Lived in
Twp.
Cam Hi 11 PA 17 011 Township?
17b. County Cumberland 17d. ^ No, Decedent Lived wihin
Actual Limits of city/ Boro
18. Famers Name (Flrst, middle, last, suffix)
Ral
h M
McClain 19. Homers Name (Flrs4 middle, maiden surname)
p
. Mildred R. Cooper
20a. Informants Name (Type I Print) 20b. Irdomtartrs Mailing Address (Street, city /town, state, zip code)
Laurie A. Hartlaub 235 Kuhn Road, Littlestown, PA 17340
21a. Method of Disposition r ®Cremetlon ^ Donation
^ Bcd~ ^ Removal from St
t
i 21b. Date of Disposition (Month, day, year) 21c. Place of Disposition (Name d cemetery, crematory a other place) 21 d. Laation (City/ town, state, zip code)
a
e
Waa Cremetlat or Doneuon Authorized
^ peter - t by Mledlcal Examiner/Coroner? Yes^ No ~ 2 2 , 2 010
y Evans Cremator
y S c ha. e f f e r s t own , PA 17 0 8 8
22a Signature Service Licensee (a person actlrtg as such) 7J.b. License Number 22c. Name and Address of Facility
- FS Qf2~~f~~~- Parthemore FH&CS, Inc., PO Box 431, New Cumberland, PA 17070-0431
Canplete items 23a certfying
physician is not avai time of death to 23 . To the txgst of my knowledge, deem occurred et the tlme, date and place stated. (Signature end title)
~
~ 236. License Number
23c. Date Signed (Month, day, year)
rxirtily cause of deem. /1'v 1
~ ~ ~~a 5 ~ ~ i 1 L. 1~CL
~8Ya~~o
Items 24.26 must ~ completed by person
who pronounces deem. 24. Time of Deam Q~y S
(,~ ,M. 25. Date Pronounced Deed (Monet, day, year)
~ R i8 / a ~ ~ ~ 26. Was Case Referred to Medical Examiner / Cororxtr for a Reason Omer than Cremetan or Donation?
^ Yes ^ No
CAUSE OF DEATH (Sea Inetructlona and exampba) r Approximate interval:
Item 27. Part I: Eller the chain of events -diseases, injuries, a complaatrorts -mat drectly caused the deem. DO NOT enter terminal events such es cardiac arrest. r Onset to Deam Part II: Enter other siontficant canditrons contri6utac to deem
but not resulting In me underlying cause given in Part I. 26. Did Tobacco Use Contribute to Deam?
^ Y
^ P
b
b
rat arrest, a ventrkxtler fibrillafion without showi the eta r
reset pry n9 logy. List only one cause on each line. r
IMMEDIATE CAUSE (Fktal disease or r es
ro
a
ty
^ No ^ Unknown
txxuiitlon resuting fn deem)
j
29
It Female:
,(~,~~ r
_~ a ,~ .
^
Due to (or as a co of): i
SequentlalN list cond'rtiars, if any, 6 i
leading to the cause listed on Nne a. Not pregnant whhin past year
^ Pregnant et timme of deem
Enter the UNDERLYING CAUSE Due to (or es a consequerxre of): i ^ Not pregnan4 but pregnant wihin 42 days
(disease a inju that initiated the t
everts resultng n deem) LAST. c' t
of deem
^
Due to (or es a consequence of): t Not
pregnant, twt pregnant 43 days to 1 year
r
d r before death
^ Unknown N pregnant within the past year
30a. Was en Autopsy
Pertonned? 30b. Were Autopsy Flrtdings
Available Pdor to Completion 31. Manner of Deam
Iq 32e. Date of Injury (Monet, day, year) 32b. Describe How Iryury Occurred 32c. Place of Injury: Hone, Fartn, Street, Factory,
of Cause of Deam?
tclNaturel ^ Homicide ~ ~ Office Building, etc. (Speary)
^ Yea ~ No ^ Yes ®No ^ Accident ^ Pending Investlgetlon ~~ Time of Injury 32e. Injury at Work? 32f. If Trensportetbn Injury (Speclly) 32g. Location of injury (Street, city /town, state i
^ Suicide ^ Coukl Not be Determined M ^ Yes ^ No ^ Driver/Operetor ^ Passenger ^ Pedestrian
Other - Spedyy:
~' ~rtlfler (dx~k ~ aa) 33b. Signature of Certifier
• Csrtllylnp physklsn (Ptrysidert certftykg cause of death when another phyektiart has pronatztced deem and oorrtpleted hem 23)
To the heal of my knowedge, dsHlt oxurred due to the cause(s) end manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ - V (~ ~ ~ rG J 1 G / N E
• Pratourrcing and certMying phyaalen (Ptryslden both pronouncing deem end certlfyirg to cause of deem) 33c. License mbar 33d. Dots Signed (Monet, day, Year)
To the best of my knowledge, death occurred M the time, dsle, and plats, end due to the awe(s) and manner a• stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^
'
• Medial Examlrtsr/Coroner ~ ~ 2 3 ~ - ~ ~ ~y
1 (J ! o
On the fnsls M exeminetan end / or investigstfon, In my opinion, death occurred at the time, date, and pleas, and due to the auae(e) end manner es stated., ^ 34, Name and Address of Person W/h~o Completed Cause of Deam (Item 27) Type / t
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2
35. Registrars Dist
- I ~ I `I ~ I / I ~ I
36. Date Fl (Monet, Y, Year) /•
N.~
Q' r ~ ~~.~'N /
~dtJ U N/ /. .J7jR / V E r G/-r 7 2.
DisposRion Permit No. ~~ L ~d5
LAST WILL AND TESTAMENT
of
Kathryn Louise Vandall
.:7
I, Kathryn Louise Vandall resident and domiciled in, Cumberland county, Pennsylvania state,
do hereby revoke all Wills, Codicils and other testamentary dispositions heretofore made by me and
~.~
do make, publish and declare this to be my Last Will and Testament in the rr~~ner an~form a~--,
follows: ~ s --x_, ~~-~
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ARTICLE I , * ~ ' t
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It is my intention by this Will to dispose of all my property, real, personal and mixed, including
any and all property of whatever nature acquired after the execution of this Will, whE~resoever situate.
ARTICLE II
I direct that all of my just debts, including unpaid charitable pledges whether or not the same
are enforceable obligations of my estate, my funeral expenses and the cost of administration of my
estate be paid out of the assets of my estate as soon as practicable after my death.
ARTICLE III
I direct that all estate and inheritance taxes and other taxes in the general nature thereof,
together with any interest or penalty thereon, but not including any taxes imposed on generation-
skipping transfers under the Federal tax laws, which shall become payable upon or by reason of my
death with respect to any property passing by or under the terms of this Will or any Codicil to it
hereafter executed by me, or with respect to the proceeds of any policy or policies of insurance on my
life, or with respect to any other property (including property over which I have a taxable power of
appointment) included in my gross estate for the purpose of such taxes, shall be paid by my
Executrix/or out of the principal of my residuary estate, and I direct that no part of any of such taxes
be charged against or collected from the person receiving or in possession of the property or receiving
the benefit thereof, it being my intention that all such persons, legatees, devisees, surviving tenant by
the entirety, appointees and beneficiaries receive full benefits without any dimunition on account of
such taxes.
ARTICLE IV
SPECIFIC BEQUESTS
I will, bequeath and devise my full Estate to Laurie Hartlaub and, all property which I may
own at the time of my death, which includes real, personal, tangible and intangible, of every nature
and wheresoever situate, including all property which I may acquire or become entitled to after the
execution of this Will and including all lapsed legacies and devises except where specifically excluded
by this instrument. Such property shall include any real property I may own or have an interest in,
wherever situated, at the time of my death. My personal property shall include all furnishings, stocks,
checking accounts, savings accounts, my business, and other items personal and of any value
whatsoever, and not specifically devised above, in fee simple absolute.
ARTICLE V
I hereby nominate, constitute and appoint Laurie Hartlaub, to serve as my lawful executrix
without bond of this my Last Will and Testament. In the event that Lauriellartlaub, should
predecease me or cannot serve as executrix of my estate, I nominate, constitute and ;appoint John, Jr.
Hartlaubto serve without bond as my first alternate executor of this my Last Will and Testament.
ARTICLE VI
I hereby grant to my executrix, with respect to any and all property, whether real or personal,
of which I am the owner at the time of my death, or which shall at any time constitute part of my
estate, all the rights and power given and granted to fiduciaries under the terms and provisions of
Pennsylvania statute, as hereafter may be amended, and those granted by Pennsylvania common law.
In addition to the powers heretofore granted my executrix, I do further expressly grant to my
executrix the continuing absolute and sole discretionary power to sell, without Court order and
without the consent, joinder or approval of any devisee, legatee, trust beneficiary or Judicial
Authority, any or all personal and real property, tangible and intangible, of which I am the owner at
the time of my death or which is not connected to any aforementioned portion of this 'Will.
I further direct that no bond or other security shall be required of my executrix for the faithful
performance of her duties as my executrix.
My executrix shall be entitled to commissions at the rate payable to an executrix under the law
of Pennsylvania applicable at the time such services are rendered.
ARTICLE VII
PERSONAL STATEMENT
You are my dreams, my hope, my legacy and my immortality. I love you with all my heart and soul. I
will always be with you for, you are part of me.
Love,
Kathryn Louise Vandall
IN TESTIMONY WHEREOF, I, the said Testatrix/or, have hereunto set my hand and seal, this
the _~_day of '' ~ t , 20,~fZ
(Testatrix/or )
This Will, consisting of this and
Louise Vandall
1136 Laurel Ave.
Camp Hill, Pennsylvania, 17011
County of: Cumberland
( ) preceding typewritten pages, was
signed in our presence by Kathryn Louise Vandall aad we being at least 18 years of age, at his/her
request and in his/her presence and in the presence of each other, sign our names as witnesses, this
day of ,20 at Camp Hill, Pennsylvania ,Cumberland County.
WITNESS ADDRESS
'gn N
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NOTARY SECTION
STATE OF ~~'~~`
~~~* COUNTY
Before me, the undersigned authority, on this day personally appeared Kathryn Louise
Vandall the Testatrix/or ~ l ~
il.~ -~ i 9yn ~~ ~ t) ~ ~ and
~me. S~ ~~ the witnesses, respectively, whose names are signed to the
attached or foregoing instrument. These persons being by me first duly sworn, the Testatrix/or
declared to me and to the witnesses in my presence that the instrument is his/her Last Will and
Testament; that he/she had willingly signed it in the presence of said witnesses as his/her free and
voluntary act for the purposes therein expressed.
The witnesses stated before me that the foregoing Will was executed and acknowledged by the
Testatrix/or as his/her Last Will in their presence and in his/her presence and at his/her request, they
subscribed their names thereto as attesting witnesses and that the Testatrix/or, ait the time of the
execution of the Will, was over the age of eighteen (18) and of sound and disposing mind and memory.
,,
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Testatrix/ r
Witness
~~
Witness
~ i~//_
Witness
THE STATE OF ~-~~.'~~
COUNTY OF ~~`~~~~''
Subscribed, sworn to and acknowledged before me by Kathryn Louise Vandall, the Testatrix/or and
subscribed and sworn to before me by ~~~I ~'~ ~~ ~ - ~~ ~~
`~(f t (+~t-E J~ J`~r',~-h'i ~~1/ and ~j~ ~ S /~, C ~~ ~~ , witnesses, this
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(SEAL) ,-r ;
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(SIGNED) ~:%`~~ - -~
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(PRINT)
___.______._.__~,~T~;~oA~._ ~~!_
Notary Public ~,;;;f~-~~'~_.L~ ~. CAR~,~lt~l, ~~t~1C~,= '.=~~a~;i~
State of ~.~.'.jTn7'y~lt~. ~r~r~, ~;.A~Y!ta~r9~nc~ ~;~.:,i~;r~Ty
County
My Commission Expires:
Self Proved Form
Commonwealth of Pennsylvania
Acknowledgment Commonwealth of Pennsylvania
County of Cumberland
I, Kathryn Louise Vandall, the testator/ix 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 that I signed it willingly and as my free and voluntary act for the purposes
therein expressed. S~rorn to or affirmed and acknowledged before me by Kathryn Louise Vandall the
testator/ix, this s~ day of re~~ 20 / U .
1X)
Vandall)
(Signature of officer or attorney)
(Seal and official capacity of officer or
state of admission of attorney)
c~~~Ao~~~Fb~~i..~~r.; ,~~ ~'~~Ww~~~r~a~r~svi~
i E;=r~~~~~n~:~ Fi;:er~. Cum~~rlanC ~~a~.;nty,
~,a,y Comrnis~inn %xpir~~?~. ,aun~ ~~, 2J~
Affidavit Commonwealth of Pennsylvania
County of ~~~'
We (or I), `~ ~~ ~ - Gv b and ~Arn~~' ~~ _, the witness(es)
whose name(s) are (is) signed to the attached or foregoing instrument, being duly qualified according to law,
do depose and say that we were (I was) present and saw the testator/ix sign and execute the instrument as his
Last Will; that the testator/ix signed willingly and executed it as his/her free and voluntary act for the
purposes therein expressed; that each subscribing witness in the hearing and sight of the testator/ix signed the
will as a witness; and that to the best of our (my) knowledge the testator/ix was at that tirr.~e 18 or more years
of age, of sound mind and under no constraint or undue influence. Sw to or affirrr~ed and subscribed
before me ~b~~y' ' ~vl 'G-*~ :~. L and -.~ o~ r-~ ~. S ~,~~ _ ,witness(es),
this _s~"~ day o~ ~ ,evr~ ,~20~~.
imess
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(Signature of officer or attorney) _ . ~~,,,~ ~ ~~.:~;, ~,u,r;b~r' ~nf: ^~,+.~r~fiy
u t,. !, ~ - i F, n,-5%
_' . _. ----. ___. .._____.._______ .. _.._ _ ----_ ..~..___.1
(Seal and official capacity of officer or state of admission of attorney)