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HomeMy WebLinkAbout10-29-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of Dean E. Klinger Sr. a/k/a Dean E. Klinger also known as Dean E. Klinger Deceased COUNTY, PENNSYLVANIA File Number ~' - lv ~ ~~U Social Security Number 171-28-4455 Petitioner(s), who is/aze 18 yeazs 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 named in the last Will of the Decedent dated and codicil(s) dated (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: B. Grant of Letters of Administration (/f 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. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) Decedent, then 75 yeazs of age, died on September 14, 2010 at Harrisburg Hospital, Harrisburg, Dauphin County, PA Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 13,000.00 (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: N/A FormRW-02 rev. lo.ls.oc Page 1 of 2 (COMPLETE INALL CASES:) Attach additional sheets ijnecessary. ~~ ~ ~ ,_ Cumberland "-" ` ~_ Decedent was domiciled at death in County, Pennsylvania with his /her last principal tg~idettce at ~y 561 Old Orchard Lane, Camp Hill, Cumberland County, Pennsvlvania 17011 C.~ ' (List street address, town city, township, county, state, zip code) ~% 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. Sworn to or affirmed and subscribed before me the ~-day of For egister ~ __ Signature of Personal Representative ~ ~; 1 -r- r -> ---k sI,' Signature of Personal Representative :~ ,- `' v ~:: . . . , ,. -~, ~ .. File Number: c.~_ Estate of Dean E. Klinger Sr. a/k/a Dean E. Klinger ,Deceased Social Sec(u~rity Nu~mCber/:''1~,7,1,~-28-4455 Date of Death: September 14, 2010 AND NOW, ~"1 ~~ "7 VL_ I U~ 1`_, ~~, in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters of Administration are hereby granted to Terry L. Klinger in the above estate and that the instrument(s) dated N/A described in the Petition be admitted to probate and filed of as the last Will (and Codicil(s)) of Decedent. FEES ~-/ ' % ~ Letters ............... // ~~ ((~~ $ l.(~ l1 ..._ Register of Wills Short Certificate(s) ........ $ _ Attorney Signature: Renunciation(s) .......... $ ,nc~ Attorney Name: Mark E. Halbruner ~'~ IY~(~tl ~~. ... $ `~- ~ Supreme Court LD. No.: 66737 $ Address: Gates, Halbruner, Hatch & Guise, P.C. ... $ ... $ 1013 Mumma Road, Suite 100 ... $ $ Lemoyne PA 17043 ••• $ Telephone: (717)731-9600 TOTAL .............. $ 14 ~. -e:>,o- Form RW-02 rev. 10.13.06 Page 2 Of Z Attachment to Petition for Probate and Grant of Letters Dean E. Klinger Sr., deceased Section B. Surviving spouse: None Surviving heirs: Name Relationship Residence Diane L. Klase Daughter 324 S. Diamond, Shamokin PA 17872-6321 Tammy L. Hake Daughter 230-R Spring Lane, Enola PA 17025 Dean E. Klinger Jr. Son 203 State St., Apt 1-A, Harrisburg PA 17101 Terry L. Klinger Son 561 Old Orchard Lane, Camp Hill PA 17011 I05.805 REV (0007) LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 16804358 Certification Number This is to certify that the information here given correctly copied from an original Certificate of Deg duly filed with me as Local Registrar. The origii certificate will be forwarded to the State Vi ;Records Office for permanent filing. LG~n. ~~ ~ SEP~ 1 6 110 ___- Local Registrar -~ ~ ~ Date Issued G ~ ~~ _ , ~_ -r s_ -~ ~-; _., , T~ rr ; - ~' ~ ~ ---I -~- ~ ~, ~_~ -- r ~ ~ _, -`n ~. -~~' ~,,~ ~ '' C Gam: 3/ ~ ~ oe COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ,° CERTIFlCATE OF DEATH ,~,,, (See instructbne and examples on ravens) ___~ > c 7. Nemea DeaNnt (atl, mrde, eetl, euBhQ z sr a Sedtl seeudy Number ~. yy, - - Dean E. Klinger Sr. Male 171 - 28 ~-4455 ..~ j a Ip (Wt s-ddeYl Under t lMder 1 6. Der d shdr 7. and star a ea Pler d oeelh tladr De7e Han l4ew FlapNel: OdNr =- 75 Yn Feb 24, 1935 Klingerstown ^ ^ ^ ~ '~ - Pa ~l . , ~„„ ~ npetlerd ea Dordy a Deets x. pY~ Born, T•q. d pee8i Bd Foy Nerr IM not hr8lden, 8h+r•r eM amber) B. wr DealewA d l6DrYe didn7 ~] No ,~ YM -_ 10. Rea: Marlon hiAYi, sleet ab. Dauphin Harrisburg Harrisburg Hospital redmr4t~rrbtilarl,elc.) "~C Ti WhYt ''' 1,. DeaeereY UeW dwakdor mold ^a Doan sere 12 Wr Deoedre ewr b M 13. Oeeederfe Eduadm (SP•UA' ayY ~~ P•e• anOhUd) 11. AIerW Suer: tlrled~ NMr ~ 9h• mNdii-~e~e}.~: snare qM d wak gndd Bulrrrlhidrhp . ", U.s. Nmed Fag167 ry y , (G, WNowe0. Dhard (9peely) - r~•u• nl a s.t U ~~'-' v ^ Yr No k Widower • • - ~ 1d. 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Klinger Sr. ,Deceased I, Tammy Hake , in my capacity/relationship as (Print Name) daughter of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to my brother, Terry L. Klinger la )~~~~~ (Date) 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 (Signature) ~t .l__J ~ C \ ~~, ~~ ~P (Street Address) ~~ nA. ~~10~~5 (City, Stare, 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 renunciatio for the purposes stated vvyyithin on this _ ~? day of ~1C'~-'rtb~Y LD l Notary Public '- My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration ofNotary's Commission.) COMNiClivve~.~i.~#i ~r i'ElVNSYI.YANIN NC3TARlAL SEAT. JCiti~: ~°:~.~°TFt, !Votary Public City of ts~:rrisburg, >aauphin County My Commission- ExpirQS May 15, 2012 ~, ... ~~ _' ... L_ ~~ ~_._ RENUNCIATION ~~' ~~ 1~ -- =' ,~ _ REGISTER OF WILLS , ~: '- _ _ CUMBERLAND COUNTY, PENNSYLVANIA-.-' ;:- ~a ~ . -_ ,, Estate of Dean E. Klinger Sr. ,Deceased I, Diane Klase (Print Name) in my capacity/relationship as daughter of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to my brother, Terry L. Klinger (Dare) 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. /3.06 ~~~ (Signature) (Street Address) (city, stare, 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 2C1~'~^ day of ~ r U ~ ~~~ ~C~. ~ ~ ~~~ ~ Notary Public ~--- My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary`s Cormnission.) COMMOiV1iY~:~i.i H tit i'ENNSYLVANIA NOTARIAL SEAL JONi SItAiTH, Notary Public City of Harrisburg, Dauphin County My Comrnissi~n Expires May 15, 2012 w~.. C7 ` . G _.. RENUNCIATION z ,~ _ -. ,- - _ F,-, - - i-, REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA ~ ~ ~' ~- -r, ~ .. c,a ~~.. Estate of Dean E. Klinger Sr. ,Deceased I, Dean E. Klinger Jr. , in my capacity/relationship as (Print Name) son of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to my brother, Terry L. Klinger (Date) ignature) ~[,- (Street Address) (city, slat ip) 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 Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciatio for the purposes stated within on this ~ day of , 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;] COMhAp~ibiiE.l~L~i~H Gr PENNSYLVANIA NOTARIAL SEAL Jpp~~ SMITH, Notary Public City of 1{arrisburg, Dauphin County ~ My Commission Expires May 15, 2012