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HomeMy WebLinkAbout08-27-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of Mary F. Karl also known as Deceased COUNTY, PENNSYLVANIA r. ~y File Number ~%~ f '" ~ - ~.} c~~t`.,~ Social Security Number 172-03-0849 Edward J. Karl 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 Executor last Will of the Decedent dated July 7, 2007 and codicil(s) dated (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: B. Grant of Letters of Administration (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente rite; durante absentia; durante minoritate) ._r_, •,t .; ~r~ (COMPLETE W ALL CASES:) At>*ach additional sheers if necessary. _ ~ ~~ ~ -~= - -~ _.__ _ , Decedent was domiciled at death in Cumberland County, Pennsylvania with his I her last principal residue ~at _ ~ -. r-~ 12 Soutfiwatch Lane, Mechanicsburg, Hampden Twp., Cumberland Co_. PA. 17055 ~' : - (List street address, town/city, township, county, state, zip code) Decedent, then 91 years of age, died on August 13, 2010 ~ Sarah A.Todd Memorial Home, 1000 West l3outh St., Carlisle, PA 17013 Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal Property ~ ~ (~ ©~(,, t~ {If not domiciles in PA) Perscmal property in Pennsylvania S (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania ~ 0.00 situated as follows: Wherefore, Petitioner(s) respectfully request(s) the probate of the last Wili and Codicil s ( )presented with this Petition and die grarrt of Letters in the appropriate form to the undersigned: Si ature T or tinted name and residence Edward J. Karl, 321 Woodruff Way, Harrisburg, PA 1 7 1 1 2-9034 Form RW-O2 rev. 10.13.06 Page 1 of 2 named in the Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if any j 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.) .., , --, c 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 i t: '' ~ `' j Signature of Personal Repres ative before me the ~( -~ I day of ~ ~~~ r ' ~ ~ ~ ..~ ` ~~. Signature ajPersonal Representative _~~ ~ _ ., - , ~,~ ; ~ ' :~i:? x ' G ~ 1 .~ ~ `~~ " !~ For the Reglst r Signature of Personal Representative ' ==~j -- _ ~, C.1"~ - C_-_ ~ .~..: File Number:____ __~~ 4 ` ~ ~ - ~~.~ , Estate of Mary F. Karl ,Deceased Social Security Number: 172-03-0849 Date of Death: August 13, 2010 AND NOW, ~~ ~!~ 1J ~" ~ in consideration of the foregoing Petition, satisfactory proof having been presented be or~me, IT IS DECREED that Letters 4'l~t . V1 ~U, -- - . ~ aze hereby granted to I~-C C in the above estate and that the instrument(s) dated ~ ' ~ - ,~ V ~ ~ described in the Petition be admitted to probate and filed of record as the last Will (and CodiciI(s)) of Decedent. FEES ~ ,1." , J C' ~, ,_ Letters ............... $ -3 l ~ ~a~. Register of Wills "r ~?-~. r~~. I'~ ~.~..~~ -E- f~ Short Certificate(s) ........ $ (.> ~~ Attorney Signature: Renunciation(s) .......... $ ~' $~,.~ Attorney Name: - ~ ~ -~ • • • $ ~ ~ ~ ~-} Supreme Court LD. No.: _ ~~1 U~~f.. {~ ~.`Y1 ... $ t~ «~ $ Address: ... $ ... $ ... $ ' ' ' $ Telephone: ... $ TOTAL .............. ~"`~ ~~,!~~e:0a" Form RW-02 rev. 10.13.06 Page 2 of 2 ~~;AL~ REtaISTRAR'S C;ERTIF~A~'IIV U~ DE-'~-~ ~'~i~a6~lUING: It ins illegal to duplicai:~~ this ~c~i~~ h~)+ ~~hn't~ast~t ar photoc~ra~:~s~. _ -P -- --1 ~ .8 x_0.5 ~ _~ IN 105-t+3 REV 1t~2006 TYPE PRINT 1N PERMANENT BUCK rNK .~„7,•• ,; 1 ~li~ °, ~_` t:l l~l~, r ,kl_ tt4.' tC1fUi-tlltiilltriY 17l_'1-E' r,Tl~t'n3 lti r rrr~~~~a~ ~~~ ~'~~° ~ _ ~ t ~ ~`~', ~! ,~r e , 1 ~ ~la t_'l t',il~it-'<!rc 1,~ ~)l'iltfl ~'©~"~ ~ °/y t_~ {~V 1«~ 'r',i~.~r t'~tl s ~ } ,,l I~i~~rl~1C'~_ti'. ~ its (?ll~.°131~1~ ,`~~ ;,- x~~>< ,- tiir .I~. +.1; `~~L~ a„,~~il't{ t+~ ~~tr ~i~)t~ ~,'it~.lE ~, , ~` ~~ ::y ~~,. ~,~°t'1_'tlii~^ 1 f I"+.i' ?-l(, i)lii)ll'?ii ~l~illt~ * i - Lf~i~;' ~' - ~ 1~ ~ ,, - ~~ ,, - __ -__ ~__~_~ h~ ~ . ...- ~-~; _, ~- -T-I ~ , : ~. _ -;~, 1 ~ .., - ~:: COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~)^( ~'' ~'-~ CERTIFICATE OF DEATH "`~°~ (See instructions and examples on reverse) CTaTF FII F NIIS1RFLx t Nam. d IFvst. rtvOde, last. wttul ' 2. Sax 3. $owl Sewnly NlnWer 2 -03-o8'y9 4. Dab d Oaath (Mrxuh, dry, year) -~3-l0 r , r 5 Age (Last Brrtnaayi llrrdar 1 ar Urrde+ 1 da 8. Orb d &M Month, da . 7. Cr and stab a tar can J 3a. Pbce d Deatlr Ctrad ore Maw,Urx Days ~wu<x zw,w Nospdar oMer Yrs. /! ~ ~ ! ` !a a D OW ~~~ ^ I~paWnt ^ ER r Ouq~al+eM ^ DOA Nwsx>g Fiane ^ Rasdena ^ ONrr - SprrJlY: - 30 County d Deam 8c G ro. wp of Death Bd Fauery Name Ut na ~nsuWtgn. give sweet and nurtrberl 9 Was Decedent d Hlspanrc Orrgn? ()~i. No ^ Yes f 0 Race: Arrwrxl ptdyn. Blrtlc, WIW. Mt:. ~7 . Lr ~ ~,4.h r) ' 'yJ ttt yes. spent' Owhen. I ' `~,~~ o ,[~11'I ' r - M.ax;an, Puerb Rrcan etc.) 4e./ r t Decedeni s Usual Occ torn Kurd of work d one darn moss d wor Ma. Do not sbb raored t .Was Dec@tlem ever .n tree 13. Decedent's Edrwtton tSV•crN aW ~'•~ grant carpleted) 14. Manta Sutus: Mamed. Never Harrod, 15. Survlvng Spouse (tt rode, 7'e. maiden tirt»I Kind d work Kndd BusvasarlrWuslry U.S. Amad Fates? Elementary / SecaWary7j0 t2) CaYege It-< a 5.) ~~~ ~ t ~ 16 DecedenCS M~rg Adds ~~, Acreel, clry t sw zp ) /~ S'~ 7 '/ ~~Lr. ~ ~ r ~~ 1 f Decedent's Actual Residence t 7a. State Did Decedent ,_, T~ a t 7c. Yes. Drcedenl Lrved n ~ T'rD. stap7 .. Deceaeru lrvad wrdwl 17d. ^ t -- t 7D County ~~ CIyY 8au ~,~twdl., t 8 attars last wl0z) t 9 s Nerra first, coddle, nradarl wmame) • ~ G~ c n n a c r c 20a Inbmtants Name IType r t) 20b. Idanatx's MeiYrq (S , tey r p code) by ~Tn Z ,- ~ ru lc~ r~s 21a M c N od d Disposltrar r ^ Cranyt1011 ^ Donaral 21b. Dab d DlsposNan (Monet. day. war) 21c Plan d DapaAOrl (tWme d cemetery. crematory a alw pba) 210. Location (Cdyi qvn, . aD aoda) rr y~ t Brnal ^ Removal from Stab ~ ~ Crartatlon «DotaOon AutlloriaW • ~'~ ~ O h ~ ^ ^ Yes^ No ' Maakal E:rmw,aJCororrR > 1 V{ fG~ "`~ W ?Za Spratur Furor ServKe l~censea I r acOng such) 22D Lrcarrsa Number 22c Nana and Address d Facelry ~ ~ ~ ~~ ~ aZtZ12- at L Sac only wren c.My prrysraan rs ~ at rrra d dean to 23a. Tom. I>ost mr . daaln tca,n.d al the tree, aab and place shred. (SrgrwNre and tab) (~ - 1 7.q. ltertsa Number 2:lc. Dab Sped (MOnlh. . Ywl ` (~ ~ u ~ Aeadt ~~- _ y,,,~ ~ ~ V ~, ~.Y ~ `--' , ~J Iv ~ ~ ~ ~ t ~.(., l ` ` • v ~ ,tams 24.26 must be conrpaled oY Person ' T~rne edr~DeaM Q [~ V ~ ~ , - ~ 25. a PrararrcW Dead IManth. day. y.ar) ~ CraraCOn «Donaeat'1 Eaamv+er r Goraar for a Reason tfun Case Relwred q Medical as 26 . W ~ ^ , who prorraurc®s deadr. `- ~ ` ~ ` M. . `~ ~'v ` Q No Yea CAUSE OF DEATH (Sw IrwtnxetlOrsr ar~d eatsmpNs) r Approxmau ntervaY Pan tl EnW other 28. Di0 Tolacco llse CarrtriDlrb b Dtwh7 rem 27 Pan r Enbr tM abn d events - dseases. nryras. a corrplrcatrorrs drat orecdy cauaad Oa deeds. DO NOT enbr brrtwral events such as rrrdwc arrest r Onset to Deadr respiratory arrest. ~r venUrcr.ta! hbrJlatxxr wrNOUt sfrowvrq da ecology. lrst Dray Ora cause on each Ina. i but not rasuWrrq ~n da und•nYn9 cauw green n Pan I ^ Yea ^ PrdOabey ^ NO Q llrVrgrerl d lY~~ TE CAUSE l ~w a ~ r r ` sit I ~ 29. 11 Farrah: ~ a Nl u ~9 -~~ e ~ " ~+ V i ~ `t "' ~ ^ Na prt ar rwlt went 1>.r . Due to la as a consaquerrce d): _ t p y ^ Ptegrarll at ame a dash xet Otrlttieal5. 4 any. b r ^ ~a0wq Erger daoUNDERLYWG CAUSE a Due to for as a ra7nce aft. i Nd pregrara, Du prgartt wM 42 drys of Ibalh disease a aMwy Cra1 vraated tta c. r rt 43 dr q t w ^ Nd bA events resrl0rrg n deadrl UIST. Due to ;a as a carseQlance d): ~ , y pragw ys pregrwtt tabu dsafl • d ~ ^ Urllltroarl d pregara riltan M Dr y~ 30a. Was an Auopsy 300. Were Autopsy Fndngs 31 Maurer d Dead) 32a. Dab d Iryury (MOntn, day. year) 32b Dascrtbe Now nyuy Occwred 32c. OPlin ~~ ~~jSaraL Factory. PerfomrW? Avadaole Prra to Compreuon d Cauca d Death? [--t .actual ^ Ybnecde OtJJ ^ ^ ^ ^ AccdMrt ^ Perldrlg Inwstrgatan Y2d. Tura d Irylry 32e. Iryury al Wak7 32f II Transpona0on Iryury (Syrecdy) 32g. loca0on d inryry (Slraet ay I town, srabl Yes ~NO Yes NO ^ SuKrde ^ GouW Not W Delernrvled M ^ Yes ^ No ^ Omen Operala ^ Paswrgar ^ PeWsuran . Ooar ~~,. 33a. Caroler ItMCx grey creel ]3D SrgrNgra and Trtle of Cerut~ ~ / P Cartilyup pAyarcian l~Ysrwr camtyng rouse d deals when arroarer physrcran has prorwrurcad dgrr and tornvl.ted Item 231 atlr l nd mercer a. ftaeaa T k wl a d d a r e a r b y t ^ . Q (.~,~„~, ~.,,, ,,,,~ - _ _ - - _ - la rl0 e ga, e occYRa we 0 le taYa ( ) a O I O my es - - - - - - - - - - - - - - - - - - - 3Jc Lcense Number 33d. Dar Sgnad (Harem. day. roar) To tla DeNr of my anowbdye, deaM occwrs0 at tM tlmea~OW~a~iW~aplaa and dw q tla cause(aand mrrwar w ela ~--- • fladitafEzamirlarJCoroner --------------- ~ n~"U o i b 2`~ l ~ Amy t7. ~t0 1111 tM Daaia ay asamnatlon and I «Inwatigat' . in opinion. IbaMl oaumd at tla Wra, dab, area place. and rkra to tM causa(+i and rtlarear as aLpa.. ^ e and Address of Person who Completed cause d Dean tltam 27) Type / PrW m >4 ta / ~ ~'1r J '~ ~~ ~ rZ h3 G ~ 6 ~ ~ ~ 35 R.gsuar s tar 36 Dab Feed IMmlh, day. Y•arl - !o- D ~ • ~ • -11 NttJ~• ~e`~ve C-Z.r~~er PL tlt,t Oispav0on Panne No. ~ ~ ~ ~~ ^•.a C~ -~ T:~~ ~'~ C~ . r, -... ~ :, -~: `_' - . _ ., -~-:- c ~. ~ ~; LAST WILL AND TESTAMENT OF MARY F. KARL Dated: July 7, 2007 MILITARY TESTAMENTARY PREAMBLE: This is a MILITARY TESTAMENTARY INSTRUMENT prepared pursuant to Title 10 United States Code, Section 1044d, and executed by a person authorized to receive legal assistance from the military services. Federal law exempts this document from any requirement of form, formality, or recording that is prescribed for testamentary instruments under the laws of a state, the District of Columbia, or a territory, commonwealth or possession of the United States. Federal law specifies that this document shall be given the same legal effect as a testamentary instrument prepared and executed in accordance with the laws of the jurisdiction in which it is presented for probate. It shall remain valid unless and until the Testatrix revokes it. LAST WILL AND TESTAMENT OF MARY F. KARL I, MARY F. KARL, a resident of the Commonwealth of Pennsylvania, make, publish and declare this to be my Last Will and Testament, revoking all wills and codicils at any time heretofore made by me. FIRST: I direct that the expenses of my last illness and funeral, the expenses of the administration of my estate, and all estate, inheritance and similar taxes payable with respect to property included in my estate, whether or not passing under this will, and any interest or penalties thereon, shall be paid out of my residuary estate, without apportionment and with no right of reimbursement from any recipient of any such property. SECOND: I give all tangible personal property owned by me at the time of my death, including without limitation personal effects, clothing, jewelry, furniture, furnishings, household goods, automobiles and other vehicles, together with all insurance policies relating thereto, to those of my children (EDWARD J. KARL, LINDA M. JOHNSON and DONNA L. SHOEMAKER) who survive me, in substantially equal shares, to be divided among them as they shall agree, or if they cannot agree, as my Executor shall determine. THIRD: I give all the rest, residue and remainder of my property and estate, both real and personal, of whatever kind and wherever located, that I own or to which I shall be in any manner entitled at the time of my death (collectively referred to as my "residuary estate"), as follows: (a) To those of my children who survive me and to the issue who survive me of those of my children who shall not survive me, ner stirpes. (b) If no issue of mine survives me, I give my residuary estate to those who would take from me as if I were then to die without a will, unmarried and the ~~ ~' ~~~ ~n~ ~~~ absolute owner of my residuary estate, and a resident of the Commonwealth of Pennsylvania. FOURTH: If any property of my estate vests in absolute ownership in a minor or incompetent, my Executor, at any time and without court authorization, may: distribute the whole or any part of such property to the beneficiary; or use the whole or any part for the health, education, maintenance and support of the beneficiary; or distribute the whole or any part to a guardian, committee or other legal representative of the beneficiary, or to a custodian for the beneficiary under any gifts to minors or transfers to minors act, or to the person or persons with whom the beneficiary resides. Evidence of any such distribution or the receipt therefor executed by the person to whom the distribution is made shall be a full discharge of my Executor from any liability with respect thereto, even though my Executor may be such person. If such beneficiary is a minor, my Executor may defer the distribution of the whole or any part of such property until the beneficiary attains the age of eighteen (18) years, and may hold the same as a separate fund for the beneficiary with all of the powers described in Article SIXTH hereof. If the beneficiary dies before attaining said age, any balance shall be paid and distributed to the estate of the beneficiary. FIFTH: I appoint my son EDWARD J. KARL to be my Executor. If my son EDWARD J. KARL shall fail to qualify for any reason as my Executor, or having qualified shall die, resign or cease to act for any reason as my Executor, I appoint my daughter LINDA M. JOHNSON as my Executor. If my daughter LINDA M. JOHNSON shall fail to qualify for any reason as my Executor, or having qualified shall die, resign or cease to act for any reason as my Executor, I appoint my daughter, DONNA L. SHOEMAKER as my Executor. I direct that no Executor shall be required to file or furnish any bond, surety or other security in any jurisdiction. SIXTH: I grant to my Executor all powers conferred on executors under the Pennsylvania Probate, Estates and Fiduciaries Code, as amended, or any successor thereto, and all powers conferred upon executors wherever my Executor may act. I also grant to my Executor power to retain, sell at public or private sale, exchange, grant options on, invest and reinvest, and otherwise deal with any kind of property, real or personal, for cash or on credit; to borrow money and encumber or pledge any property to secure loans; to exercise all powers of an absolute owner of property; to compromise and release claims with or without consideration; and to employ attorneys, accountants and other persons for services or advice. The term "Executor" wherever used herein shall mean the executors, executor, executrix or administrator in office from time to time. SEVENTH: I direct that for purposes of this will a beneficiary shall be deemed to predecease me unless such beneficiary survives me by more than thirty days. 2 ~ ~ ~ ~~ ~ ~r~' ~', IN WITNESS WHEREOF, I, MARY F. KARL, sign my name and publish and declare this instrument as my last will and testament this 7th day of July, 2007. MA Y F {ARL The foregoing instrument was signed, published and declared by MARY F. KARL, the above-named Testatrix, to be her last will and testament in our presence, all being present at the same time, and we, at her request and in her presence and in the presence of each other, have subscribed our names as witnesses on the date above written. _ , having an address at ~`ffi~Sf-/E~~ ~~ ~~~ -~ a "y f ~' ~~ ~ having an address at 1 ~-~, sb,, ~~ 3 MILITARY TESTAMENTARY INSTRUMENT SELF-PROVING AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA, COUNTY OF CUMBERLAND, ss. We, the Testatrix and the witnesses, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that in the presence of the military legal counsel and the witnesses the Testatrix, MARY F. KARL, signed and executed the instrument as her military testamentary instrument, that she had signed willingly, and that she executed it as her free and voluntary act and deed for the purposes therein expressed. It is further declared that each of the witnesses, at the request of the Testatrix, in the presence and hearing of the Testatrix, the military legal assistance counsel and each other, signed the military testamentary instrument as witness, and that to the best of his or her knowledge the Testatrix was at the time at least eighteen years of age or emancipated, of sound mind, and under no constraint, duress, fraud or undue influence. MARY F. KARL Testatrix ~,, print:~C?Z~~` ~ G' Witness /L6 ~J print: J~,,,~-~ ~ ~' Sc. Witness Subscribed, sworn to and acknowledged before me by the said MARY F. KARL, Testatrix, and subscribed and sworn to before me by the above-named witnesses, this 7th day of July, 2007. I, the undersigned officer, do hereby certify that I am, on the date of this certificate, a person with the power described in Title 10 U.S.C. 1044a of the grade, branch of service, and organization stated below in the active service of the United States Armed Forces, and that by statute no seal is required on this certificate, under authority ranted to me by Title 10 U.S.C. 1044a. / ~ Name of Officer and Position: Kerry ElMalon~ Judge Advc Grade and Branch of Service: Major, U. S. Army Reserves ~ Command or Organization: 153d Legal Support Organizatx6n