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HomeMy WebLinkAbout12-02-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of HELEN B . KIRBY File Number __ Gam-( ' ~ V ` ~ l LVl also known as Deceased Social Security Number 206-10-- 115 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) rv C? ° Cn c -r, A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the last Will of the Decedent dated August 31,1992and codicil(s) dated for (State relevant circumstances, e.g., renunciation, death of executor, etc.) - ' ~-rt O ~ ~ ~_ : ;- -~ ~ " '-n Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution the instrur~t(s) dff2i•~ for probate, was not the victim of a killing and was never adjudicated an incapacitated person: 1Jon ~ B. Grant of Letters of Administration (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente liter 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.) (COMPLETE INALL CASES:) Attach additional sheets ijnecessary. Decedent was domiciled at death in ~~ land County, Pennsylvania with h' /her last principal residence at Manor Care Nursing Home, 940 ~ nu ofi<flm goad, Carlisle, ~~ (SoutYt Middleton,~wnsizipT (Ltst street address, towrdctty, township, county, state, ztp code) Decedent, then 90 years of age, died onNovember 6, 2010 at Manor Care Nursin Home Decedent at death owned properly with estimated values as follows: (If domiciled in PA) All personal property (If not domiciled in PA) Personal property in Pennsylvania (If d ' 'I d ' PA) $ 13,000.00 not omtct e m Personal property in County $ Value of real estate in Pennsylvania $_.Nnna situated as follows: None Form RW-02 rev. 10.13.06 Page 1 ~f 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. Sworn to or affirmed ann/d~ subscribed before me the "" ` day of ecember 2010 For the a ister SignatureofP rsonalRepresentative Carl ~. Signature of Personal Representative Signature of Personal Representative File Number: ~ ~ ~ I V I ~ U~ ~ ~~" ~ N =71r~ CJ ' ' (~' , , ~ t ~ ,'~~ :~ ...t Estate of HF.1.F.N R _ KTRBY ,Deceased Social Security Number: 206-10-9115 Date of Death: November 6, 201.0 AND NOW, _ December ~~ ~ 2010 , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters TPGtamentary are hereby granted to Carl D. Kirby in the above estate and that the instrument(s) dated AuQUSt 31, 1992 described in the Petition be admitted to probate and filed of recgrd as the last Will (and Codicil(s)) of Decedent. FEES Letters ............... $ Short Certificate(s) ........ $ Renunciation(s) .......... $ titi~~ L 1 ... $ I ,~ - ~S ...$d?3.5~ ... $ ... $ ... $ ... $ ... $ ... $ X71 TOTAL .............. $ ~o~ ~ ti-tl~ Attorney Signature: Supreme Court I.D. No.: ~~06355 Address: 44 West l~faixt Sheet Mechanicsburg, PA 17055 Telephone: 717)_ 697-8528. Form RW-02 rev. 10.73.06 Page 2 of 2 Attorney Name: I~ichar~ C sne1 baker IOS SOS REb't01/07i ~' !/O ~ 7/~`~ ~ ~` LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph., Fee for this certificate. $6.00 ,,,~~~~"""""---.- This is to certify that the information here given i tt,~~p~SH OF pE~~ correctly copied from an original Certificate of De?r ~,o`g sl=; duly filed with me as Local Registrar. The ongln.: ~~ _ _ - z certificate will be forwarded to the State Vtf= ° -_ ~~' Records Office f permanent filing. :v y~3' a * ~ *, 0~~99 ~P~`1 • P 17024745 r ~ ~t Itl''t ---.MENT OF„ ~ 7 Certification Number """""""' ~~ Local Registrar Date Issued: ;_: r•s o ~ o ~ `' 7 __ __ .. _ _ _ _ _. _ _ ~ ~ n c.-' _. . c ry`7 _ __. - __ - G© ~ Y rtu qEV nnaoa COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT Of HEALTH • VRAL RECORDS - ,,,,~ r- `.~ ~~ +vE,vnrwrw CERTIFICATE OF DEATH ~ ~ euca«r (Ses InsuwwcUons and sxampMs on rswFSe) STATE FILE rAA•BER '+•+~ 2. Su 7. Scar Sswar Nu,rtfr a. Dw d OWt loan, dsr• paA ,. n+aa d OaCldaa tFar mOr., tYl faLU Helen $. Korb female 206 - 10 - 9115 November 6 201 s. Ay+tt.r B•swarl 1Jtaa , under, asr d. OW a !an lUann. 7. 1 - am sisM a auayl a. Plsu a Dsadt larc- atq uaa. ttw. Haas tawar ~ rn. an. 8 1920 Steelton PA ^~w~w ^ER/a'p^"" ^ooA N"'s'"oM°'" ^~"'+s ^Owtr•epewr wd fttcer Nssa A na nWaer4 Prw rsr and narosrl 9. YNs Dsudna d IwsOsnie Oi9^7 No ra 10. 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KIRB~ i"j ` - I, H~I~1 B. KIRK',. of Arlington County in the State of Virgi ~ c- being of sauncl mind and atemarg, da .hake,, publish atxi declare> this be ~ Lash.. Will and Testame~tt, thereby rev©king all xi31s and cod ` heretofore made by ate.. .. ~~ ARTICLE I: I declare that all ~' ~nst debts" and funeral expe~t:;aes ~ be paid by a~ ~aceeutor. ARTICLE II: I ~L].1, give, bequeath and devise all. o~ sty eateta, real, pera~rrnal or mixed, -arid ~thereve~°" the same be situated at the timwe of ~ death to aan CREEL D KIRHYt~' if' he .:..survives me. If tte .does Wert. survive>•are,~ give,. will, bequeath .and devise mp estate tt> arlr , - grar:d~shildren, namely, David `Q. Kirby, Angela Kessler and Candace A, Kirby, share and share alike. ARTICLE III: I direct that all taxes, htr designated, that shall be payable bq reason of ` my death, shall .. peti.d, .out, of ,end be ' atserged against residt:ary estate w#ahaut ~'~tre+e~eht ff-z~Et any person, x r ,~, ,~ rr „•. y. ARTICLE Q: I hereby $pprrtnt and nos{mate, aQ- eoir-„ CARL;. KIRE31'; the Executor of this my Last Will: and Testamerit,~ reith fall povrer~d autHarity ttr da arty ante all th~.ngs neaeesa~-y .1'a~ tyre ~ t~oet~alete ac~nia='. ,~~ tration of m3• estate, directing that no :bond "6'ha:.~e ~u3.r~ of the person so serving. ,. ~-~ ~: IN HtITIdESS WRE~QF, I have hereurzta set my hand ..and seal to thi:+ . my T.as.t -Will and Testataent, this~~ day mf _~~?~, ~` . ~ ~ - ~. ti~ ~ Si ed sealed gn : ,published and declared by the above named Testatrix and far her Last Will, and fiestament, in the presence of us Mh©, ~ her. presence aaad at her request, have hereunto set our names as' subscribing witnesses. ` ~, ~ - ~ Gonwer Off' -~-_ _ ....~ y...._ Sut~~ribed 8t~d swam lD bona lay e~i.i1.RR~ir~''.~...... n~ta~r fie - ~~~ ~, OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA ~ /d ' ~~~ Estate of HELEN B . KIRBY ,Deceased Carl D. Kirby and Joyce E. Kirby (each) being duly qualified according to law, depose(s) and sa s that y() ~~ne /they xar~s /were well- acquainted with Helen B. Kirb with the handwriting and signature of the decedent, and that the signature of andxam/are familiar to the foregoing instrument purporting to be the Last Will and Testament/Codicil of n B Kirbv Nei n R x; r~3r is in/her own proper handwriting. (Signatu ~~ Carl D. Kir y 704 East Marbl Street (Street Address) Mechanicsburg, PA 17055 (City, State, Zip) Executed in Register's Office Sworn to or affirmed apd subscribed before me this '~-~( day of December 2010 Deputy for Register o ills (St r Joyce E. Kirby 704 East Marble treet (Street Address) Mechanicsburg, PA 17055 (City, State, Zip) N 0 ~~ ~ ;= c > - .~ ~U ~ t , C_,. ~ " ~ ` - =i r ~ ~., ~ Form RW-04 rev. 10.13.06