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HomeMy WebLinkAbout02-11-11PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of John E . Keener also known as Deceased Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) i ~ ~~" File Number ~.~ I - ` l " L~ ~ ~ Social Security Number 172-24-989'7 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the Co-Executors last Will of the Decedent dated January 18, 2011 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 (If applicable, enter: c. t. a.; d.b.n.c.t.a.; pendente liter durante absentia; durante minoritateJ Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spousf~ (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.) C7 ^ .? (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. .~- a~ -°- - +., Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principa _, . .~ ~e at r~~ :-~' ~f ---~ ~ ~-=+~~- 29 Skyline Drive. Mc.chanicsbur~. Silver Shrine Township. Cumberland County. PA 17050 ~~. =~ rn ~;;,~, (List street address, townicily, township, caunty, state, zip code) .- `°~~ ~•; ""' _ .--+ '`.`~ Decedent, then 80~_ years of age, died on January 28, 2011 at --, ;~ ' ' ~-`'E 29 Skylir_e Drive, Mechanicsburg, Silver Spring Township, Cumberland County, PA 17050 ~ .~,~ =., ' j _ Decedent at death uwned property with estimated values as follows: (If domiciled in PA) All personal property $_ 500,000.00 (If hat 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: 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 t:he appropriate form to the undersigr~i: Si ature T ed or rinted name and residence Paul A. Keener, III, 225 Ridge Road, Millerstown, PA 17062 ~ ~ , Andrew C. Sheely, 701 Jenna Court, Mechanicsburg, PA 17055 ~~ Form RW-02 rev. 10.13.06 Page 1 Of 2 ~~ f, r~ named in the 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) q+f~he Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and surscribed Signatur~f Personal before me the i !~ day of //////''' ~, _ _, , r-_; -.::~+ }-~ + ~ ~ ( y~ k' nature of Personal Re resentative ' Si ? ~ , = ~ , g p . _, ~ ..; ~ + ~ F or the Register Signature of Personal Representative ~ ~ r=%? ;;~ F ~v --` i ~ ~7i ..a ~,~ ~ ~ 1 - .. 7, . File Number: .~ ~ ~- ~ ~ - C~ ~ ~ l j r~, ~~ Estate of John E . Keener ,Deceased Social Security Number: 172-249897 Date of DeathJanuary 28, 2011 AND NOW, ~ ,l \ ~.., ~ , ~ ~ l , in consideration of the foregoing Petition, satisfactory proof having been presented before me, I'I'- S DECREED that Letters Testamentary are hereby anted to Paul A. Keener, III and Andrew C. Sheely ~,` ~~ ~~ ~~ ~~ ~- 1~PC~l~~°1 ; J r`, in the above estate and that the instrument(s) dated January 18, 2011 _~ described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. .. -- ~ , FEES ~~ ~ ~ 1 ~~~~~1 ~l ~ C?~~ t.~~ 4~ :, ~~ ~~C~le)1~i .-t. (. ~ ~'~ , ! Letters ............... $ L ~ ~~' C' A Short Certificate(s) ........ $ ~ ~-- ~ C~` C' Renunciation(s) .......... $ (~~ ~ t~ ... $ ~ `~~ ~ $ ... $ ... ... $ ... $ ... $ ... $ TOTAL .............. $ ~~ ~ ~-~ '~7 C~ o ttorney Signature: Regist of Wills '~ i~ C~ ~:~'C, `+~~i'`_?r.'h'\ ~~(~ ~'. .., _. f ~'~• ~"`~ Attorney Name: Andrew C. Sheely, Esquire "" Supreme Court I.D. No.: 62469 Address: 127 South Market Street P.O. Box 95 Mechanicsburg, PA 17055 Telephone: 717-697-7050 Form RW-02 rev. 10.13.06 Page 2 of 2 .~~~i~"1i~l~ it ~~~ iliec~a! tt~ d~lplic~~~~$ 1l~is c9~,pyr ~'~r" pt~cata~iwat ter ~:+i~atar~l~.~;~~~t. 4 _'t ~ :1' ' fi' - ~ , _. __P......17.0.4...7..2.2 4 (. i; ~~~. i~; ~~~:,,,. r" * +,! ~.-~ °i, ', is t:.i~tlt!)l:illtll~l #1 't~ ~'Id"~11 1~, ,; r,i ~~,A ~~ Of ~' /v~t~ ~y~` ~',tr ~~+"~= ~ ~ 1.°~ tl ~, 4:a , ~j ~ ~ 4 .11 ~ ~ ~~~:In~(i d;'L r (~1r~aa<~. ~ 1~. ~,.11~ l)(~~)th ,~`. "~°"' °. ,,, `~~ ' ~ ~ t° I'1 i`st.ti~ 11 .it~ ~ !'~. ~I ~ ~i~'~.~ISII<tl~. ~ ~ alt' l11 (,lll~l~ ~-.t ~~' '~ . 1131, J!t ~" !~, \ ('i-~,';'Ci (dt i~l~~l.' .~(~.9%L' ti'11~t~ +~ ~~~~~~~~~~~ ~ ' ~~~ ~. ~ ~~ ,aN ~ za~~ `( '~ ,117' , _ ~ ~_~~~~ ~a~ --- _ . _ _ - -- - -- -- . , iw.:~ ~~ C ~ ... ..~ ~~ ~' .,-.r.:.,ti {~ ~ ~, ...t.. ,~ t,. } "'a ~"" 1 ^ ~ i l~ _ r7 ~ .,/ `~... r ~ ..r.w.. • • ~ '.,... j t 7 ..+-- ~~ ~ ~M ~y ~ 143 REV 11)2008 PE /PRINT IN 'ERMANENT BLACK INK COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH .VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) STATF FILE NLIMRFR 1. Name of Decedent (Flrst, mk1Ee, last, suffix) 2. Sex 3. Social Security Number 4. Date of Death (Month, day, year) John E. Keener ale 1 - - 5. Age (Last Birthday) • Under 1 r Urxler 1 da 6. Date of Birth Month de , r 7. BI G end state or 10 coon 8a. Place of Death Check on one youths Days Hoes ktinutes Hospital: Other: 8 0 y~. Sept . 9 ,1 9 3 0 S h i p p e n s b u r g , PA (gin, ^ ER /Outpatient ^ DOA ^ Nursing Home ^ Residence ^ Other - specfly: 8h. County of Death 8c. Cly, Boro, Twp, of Deets 8d. Facility Name (tt not Instllutlon, glue street end number) 9. Was Decedent of Hispanic Origin? o [~ ye,; 10. Race: American Indian, Black, White, etc. Cumberland East Pennsboro Holy Spirit Hospital M x~k~n, P~eno a~ ,etc.) w~iite 11. DerederA's Usual Bon Ipnd of work d one d uri moat of wo Nfe. Do Trot state retl 12. Wee Decedent ever h the 13. Decedent's Edtx;atbn (Sperily only highest grade comp leted) 14. Medial Status: Martied, Never Married, 15. Surviving Spo use (If wife, give maiden name) IGnd of Work Ipnd of Buair>esa! Industry ti t U.S. Anted F ? Elementary !Secondary (0.12) 12 College (1.4 or 5+) WidrAVed, Divorced (Specliy) d i Patricia Homer masonar contra for cons ruc n ea^r~ marr e • , 8. Decedent's MaiAng Address (Street, pity /town, state, zip tide) o~ea~,t'e p e n n s 1 v a n i a Did Decedent I ~ S Y 2 9 5 k line D r . Y Live y~ ~ 1 I1(~ Twp. n a 17c. es, Decedent Lived in S 7 ~~ Residenrre 17e. State Township? Cumber land 17d. ^ No Decedent Lived within • 1m ~,~, , Actual Limits of City! 8oro 1 B. Father's Name (Flret, middle, last, suffix) p a u 1 Keener 19. Motlrol's Neme (Flret, middle, maiden sumeme) Anna Horst 20a. Informants Name (type / Pdnt) Patricia Keener 20b. IMomrant's MaiU Address (Street, city /town, slate, zip code) 29 Sky~.ine Dr. ,Mechanicsburg,PA 17050 21 a. Method_ of~ieposiiiaon r ^ Cremation ^ Donatlon 21 b. Date of Dispt>aftlon (Month, day, year) 21 c. Piece of Disposttkm (Neme of cemetery, crematory or other place) 21 d. Location (City /town, state, zip coda) • i ^ liemovallromstate ~ waCrem.tfatoroonattenAuthorlmd Feb. 1 , 201 1 Rolling Green Cemetery Camp Hill, PA 1 701 1 ^ Off; by Mladal ExaminerlCororrel? ^ Yes^ No ~ 22a o/Funeral Servke Lice (or person actlng as such) • ('~ 22b. License NImWr D-013163-L 22c. Name and Address of Fadlity usselman FH&CS,324 Hummel Ave. ,Lemoyne, PA 17043 Complete items 23a-c Doty when certifying 23a. To the best of my knowledge, death occurred at die tlme, date and place stated. (Signature and title) z3b. License Number 23c. Date Signed (Month, day, year) physician is not avaihble at time of death to certlly reuse of death. Items 24.26 mull De completed by person 24. Time of Death ~ 25. Date Pronounced Dead (Mtxdh, day, year) 26. Was Case Relered to I Examiner /Coroner for a Reason Other than Cremation or Donason? • who pronamces death. ~ ~ , ~ M• ` J ~~ '~a-~ ~ c~ a tJ ~ 1 ^ Yas o CAUSE OF DEATH (See instructlona and sxampbs) , Approximate interval: Pert II: Enter other slrnifiicant tronditltx>s contdbtrting to death 28. Did Tobacco Use Contribute to Death? Ilan 27. Pad I: Enter the chain of events - dlaeases, injuries, or compNcatlans - tlrat Erectly caused the death. DO NOT enter terminal events such as cardiac arrest, ~ Onset to Death h il i f ti ith h i t ti l Li t i l bdll t but not resulting in the undedying cause given in Part I. ~ Yes ^ Pro bty i on w s ow he e o Doty one cause on eac r». r resp ratory arrest, or ventr cu ar a ou ng ogy. s r ^ No nknown IMMEDIATEuCmA~USE (Flrr disease or fin/ y .{h ,~~~~~ r conElion ree in ih _~ e. 1 n ~l ~ ~,S J/~'~R/'~'w"" rtiQ'~ ~ ~ 9. If Female: ^ N t hhi Due to (or as a consequerrce ot): r ' ~P~ o pregnant w n past year ^ Pregnant at time of death ~tla~y list rxxMitlons, N any, t ' b ng to tlra cause ksled on Ana a' lhte to or es a uence r E t B UNDERLYING CAUSE ( ~~ oL) r tJ Not pregnant, but pregnant within 42 days n er te (tlbeeae a Mjury that inAhted the r LAST c' lt d h of death ^ N . i • events resu ng m eat ) Due to (or as a consegrranrxr oft: , ot pregnant, but pregnant 43 days l0 1 year before death • d. r Unknown tt pregnant within the past ear r y 30a. Was en Autopsy 30b. Were Autopsy FkWings 31. Manner o1 Death 32a. Date W Injury (Month, day, year) 32b. DescdW How Injury Otx:ured 32c. Place of Injury: Home, Farm, Street Factory, Petfomted? AvaAeble Prkx to ComlNefion M Cause of Death? ^ Natural ^ Homlcifle Office Buikiing, etc. (SVeah) ^ Y ^ N ^ Y ^ N ^ Accident ^ Pending Investlgetlon 32d. Time of Injury 32e. Injury at Work? 32f. If Transportation Injury (SpetYly) 32g. Locator of Injury (Street, city /town, state) es o es o ^ Suicide ^ Coukl Not be Determined ^ Yes ^ No ^ Drh'er/Operetor ^ Passenger ^ Pedestrian M. ^ Other - Speciry: 33a, CertlBer (check Dory one) 33b. Si~eture and Idle of Certifier ~/ • Carttfying phyefNan (Phyekien carafykg cause of death when arather physician has prrxxxmced death and completed Item 23) rNMh otxurrod due to the cause(s) and manner a stated To the Wet of my knowladya , _ _ _ _ _ _ _ • Pronounelrp and certllying physlchn (PfryslGan both pronounckg death and certllying to cause of death) ^ 33c. Lcense Number d. Date Signed (Month, day, year) TO the bat of my larowladga, death txcurred M tW time, date, end place, and due W fha auae(a) rut manner ea atoted- _ - _ _ _ _ _ _ _ • Medicd Exsmirrr/ Cororbr - - - - - - - - W1 1 t I ~ ,.~ 2,g- Na, and plea, and due to tW auae(s) end manner u shtaL ^ tJn the bah tN aYaminatlon end / or investigation, In my opinion, death occurred at the Hms, d ath (ttem 27) T y pe /Print 34. C~ Wtr~Cgmpleted Cause of De ° ~ ~ ; ~ Reghtrats , rM / d 3s Date led (Month, day, y~) ~r ^ ( ~ L- r " ~ ~~ ~ l v ~ I ~ ; ~ c ~. Z ~ < ~ i / ~ ~ /~a v ~ g j Q /Y y ,~, T l f } ' t ~~ N~ Z I 1 ~ 1 G o~~a3~~ Disposition Permit No. r J~, LAST WILL AND TESTAMENT ~, o ~~ ~ ~-; OF : ~ ; -~~ ~--~-~ ~ ~> > r ~:~ I ~ ~ ~) t, ~ ,. " i t - ,.c''r~~ ..... '.G..1 V ..A ~ JOHN E. KEENER '~~ i '"~ ' { ~ ~..a ~ ..~.. _ ~ rin ~'ownshi ~ ) (Silver S of Mechanicsbur I~~EENER I JOHN E ~-`' a g, g , p . , , ~. Cumberland County, Pennsylvania, make, publish and declare this as and for my Last Will and Testament, hereby revoking all other Wills and Codicils heretofore made by me. Fl_: I direct that all inheritance, estate, transfer, succession. and death taxes, as well as my just debts and funeral expenses, of any kind whatsoever, which may be payable by reason of my death, shall be paid out: of the principal of my estate as the same can conveniently be done. SECOND: I give, devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, including any property over which I hold power of appointment and together with any insurance policies thereon, as follows: (a) Fifty percent (50%) thereof unto my wife, PATRICIA S. KEENER, provided that should PATRICIA S. KEENER predecease me, I give and bequeath her share equally unto my granddaughter, ERICA SILER, of Mechanicsburg, Pennsylvania, and my grandson, RODNEY J. WES'I'HAFER, of Mechanicsburg, Pennsylvania, share and share alike; and (b) Fifty percent (50%) thereof unto my daughter, SHARI L. WES'I`HAFER, of Mechanicsburg, Pennsylvania, provided that should SHARI L. WES'I'HAFER predecease me, I give and bequeath her share equally unto her issue; share and share alike. "~ THIRD: In addition to all powers granted to them by law and by other ~; provisions of this Will, I give the fiduciaries acting hereunder the following powers, applicable to all property, exercisable without court approval and effective until actual distribution of all property: (A} To sell at public or private sale, or to lease, for any period of time, any real or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms (including credit, with or without security) or conditions as are deemed proper. This includes the power to give legally sufficient instruments for transfer of the property and to receive the proceeds of any disposition. (B) To partition, subdivide, or improve real estate and to enter into agreements concerning the partition, subdivision, improvement, zoning or management of real estate and to impose or extinguish restrictions on real estate. (C) To compromise any claim or controversy and to abandon any property which is of little or no value. (D) To invest in all forms of property, including stocks, common trust funds and mortgage investment funds, without restriction to investments authorized for Pennsylvania fiduciaries, as are deemed proper, without regard to any principle of diversification, risk or productivity. (E) To exercise any option, right or privilege granted in insurance policies or in other investments. (F) To exercise any election or privilege given by the Federal and other tax laws, including, but not necessarily being limited to, personal income, gift and estate or inheritance tax laws. (G) To make distributions to my herein named beneficiaries in cash or in kind or partly in each. (H) To borrow money from themselves or others in order to pay debts, taxes, or estate or trust administration expenses, to protect or improve any property ,~ ~ held under my will, and for investment purposes. ~- 2 (I) To select a mode of payment under any qualified retirement plan (pension plan, profit sharing plan, employee stock ownership plan, or any other type of qualified plan) to the extent provided for by the plan or the law. FOURTH: I nominate and appoint my nephew, PAUL A. KEENER, III, of Mechanicsburg, Pennsylvania, and my friend, ANDREW C. SHEEL~, of Mechanicsburg, Pennsylvania, Co-Executors of this, my Last Will and Testament. I direct that my Co-Executors or their successor shall not be required to post security or a bond for the performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this ~ ~ day of January, 2011. ,~ ~ ~~ .1 ~~t-°-' SEAL ( ) JO E. KEENER Signed, sealed, published and declared by the above-named Testator as and for his Last Will and Testament in our presence, who, at his request, in his presence and in the presence of each other, have hereunto subscribed our names as attesting witnesses. Address ~ ~ ~~- j'- ,r~ c Name r''. ' ., Address ,+ ~~~~/``k::~t`~ iz~~% l~"~ / 7C~~ ,, 4 1. , 1 ~ a~~~ s' Narr~ OATH OF SUBSCRIBING WITNESS(ES) a ~ ~ -.~: ~ ~ REGISTER OF WILLS ~ ,,-~~.. ~ t~- ~-~ ~~~ CUMBERLAND COUNTY PENNSYLVANIA ~, ~ --- , F 7 ~ ""`~ ...i~ ~ - i"f C_.._ ~ Estate of John E. Keener Deceased Andrew C. Sheely and Becky M. Knisely , (each) a subscribing witness to (Print Name/s) the ®Will ®Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that sl~~-die /they was-/ were present and saw the above Testator / T~~~- sign the same and that slime /they signed the same and that sue-/they signed as a witness at the request of the Testator / ~X in ker~f his presence and in the presence of each other. ~ ~ ~ ~ ~~ , (Signature) (Signa r 701 Jenna_Court (Street Address) Mechanicsburg, PA 17055 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this of , day Deputy for Register of Wills 927 Knepper Drive (Street Address) Mechanicsburg, PA 17055 (City, State, Zip) Executed out o. f'Register's Office Sworn to or affirmed and subscribed before me this /~~ ~~ day ~~~~~~~ ~~~~~.t Notary Public ~" My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's C:ommission.) COMMONWEAL-'fH OF PENNSYLVANIA NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrum nt(s) at time of naioita~LNi~eal Med'11rti0abuf+~ 80~ ~y Form RW-03 rev. 10.13.06 My Ck~ll'M'11LMNp11 ~ $~, '17.1011 Pennsylvsn{a Assawiw~on ~-f NatarLee