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Home My WebLink About07-06-11PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of K. Dean Richard Arensdorf File Number 21 ~-- ~\ 1 •- '7 L-C (~% also known as K. Dean R. Arensdorf Deceased Social Security Number 505-34-7852 Ashley I. Arensdorf Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE `A' or `8' BELOW.) ^X A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Executor named in the last Will of the Decedent dated 10/08/2009 and codicil(s) dated (State relevant circumstances, e.g., renunciation, death of executor, etc.) After the execution of the documents offered for probate: Decedent did not mar ~ was not divorced; was not a party to a pE~nding divorce proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. 3323 (g); did not have a child born or adopted; was not the victim of a killing; and was never adjudicated an incapacitated person, except as follows: N/A B. Grant of Letters of Administration app ica e, en er: c..a.; .n.c..a.; pe en e i e; uran e a sen ia; uran eminor a e 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 on Section A above and complete list of heirs); was not the victim of a killing; was never adjudicated an Incapacitated person; and was not a party to a pending divorce proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323 (g), except as follows: Name Relationship Residence r= :S? ~? rr, - i~::: ,r' C/"~ ~ --~-. y-~ ~_ Emu ~~~-,..r~i (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. -o --+ ..' =-^- r~`+ ~MPw 1.,~ Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at ,;.. 1705 Kathryn Street, New Cumberland Borough, Cumberland County, PA 17070 _ (List street address, town/city, township, county, state, zip code) Decedent, then 73 years of age, died on 06/07/2011 at Holy Spirit Hospital, East Pennsboro Townshiip, Cumberland Co., PA Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ _ 5,000.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ 340,700.00 situated as follows: 1705 Kathryn Street, New Cumberland Borough, Cumberland County, PA 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: Signature Typed or printed name and resideince Ashley I. Arensdorf 1705 Kathryn :street -~ New Cumberland, PA 17070-1168 Form -~ Rev. 12-26-2010 (interim form, pending action by the Court) Copyright (c) 2010 form software only The Lackner Group, Inc. Page 1 of 2 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 before me this day of I ~~ >~ ~ ///~ J/ 111 For the Register -~-~ Signature of Personal Representative shley I. Arensdorf Signature of Personal Representative Representative 4,. r'- ~ m a ~ ~' .~_ w~,~ ff~ File Number: 21 - 1 ~ - ~] L~ ~~ ~M~c~ ~~ ~Z.7 ---~ Estate of K. Dean Richard Arensdorf , Decea~d -,~„~ ~~ ~- ~) M_ ~ ~..~ ~j Social Security Number: 505-34-7852 Date of Death: 06/07/2011 AND NOW, i ~' ~ . , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary _ are hereby granted to Ashley I. Arensdorf in the above estate and that the instrument(s) dated 10/08/2009 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES Letters ............................................$ ~~`-'~ l;' Short Certificate(s) ........................ $ ~~ Renunciation(s) ............................. $ (~~(~ $ ~~ ~ $ `~`" ~~ $ $ $ $ $ $ A Supreme Court I.D. No.: 58798 Kline Law Office Aaaress: 714 Bridge Street P.O. Box 461 _ New Cumberland, PA 17070 Telephone: 717/770-2540 TOTAL .................................... $ Form RW-OZ Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2 Attorney Name: Robert P Kline C3AL REGISTRAR'S CERTIF`I 1~IIV I~ .F ~~ ~1t"ARNING; It is illegal t0 duplicate this C~a~~y i~~)- ~~hotc.j~,~at ~~r (;i(~~~~~s r~ly~i' ~`r'l' 'IOi' lEll~'~ Cl.'I"ll~ll'~lll'. `~~(1.1.4(t P _17.55.6.676 __. Cel-zit•icati~~l~ Nu~~n?h~~, 43 REV 11/2006 E /PRINT IN =RMANENT !LACK INK r j r~ t f'-~~,. r' ~' c1P ~ ly ;: ~ ),. ..;~k li-1)1~:(1>,1i1 ~t+.'i-~' :'!'4i'l1 l.ti t , r'r ~„~ 1 ~ `r - -' ~° - ~° ,~ ~ ~ , + ' „r. ~ I,l? 1. + a ti r OIC,'tll'!li ~~~-YIh t ~ ~w ~, _ ~ ~ ~ ~, .. I`~t`~'i Il ~t(" s i1 C i71t~:J9i:177~ '1~ ~: _.. ~ ~ ~ ~ ~ )-,i i-,B .)~~. 1^ e (ai~,~ L`V+'.tl ~~911~1 : ' ti~ , ;,- ~Q~ ~~` ~' ~ ~ ~r/S~r~,~.,/zi:... / ~^ ~ N 1 2011 r~f ~,. ~~ , ~ , ~ .,- ~. , - .~ ,r M- I c~ W--- ~, .t...~,.1 Wit,./ ^ ~ .~ ` ~ ~..-.. ~+ r ~-_J ..~7 "' r G7 r ; ~ ....:~ ~ ~ ~..) C7 O _.y f - _ - ') C~ -T-~ ~_r 2~ `~'~ a COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS '~ CERTIFICATE OF DEATH (See Instructions and examples on reverse) CT.TL CII ~ ... u.o~n 1 Name of Decedent (First, middle, last, suffix) 2. Sex 3 Social Secudry Number 4. Date o'' Death (Month, day, year) K. Dean R. Arensdorf Male 505 - 34,- 7852 June: 7, 2011 5. Age (Last Birthday) Under 1 ear Under 1 da 6. Date of Birth Month de , ear 7. Birth lace C' and state or fo rei coun 6a. Place of Death Check on one lbnths Days Hours MlrnAes Hospital: Other 73 rrs March 23 , 1938 North Platte NE ^ ® ^ . , Inpatlent ER / Outpatient DOA ^ Nursing Home ^ Residence ^ Olher -Specify: 6b. County of DeaM 6c. City, Boro, Twp. of Death 8d. Fecllity Name (If not institution, give sheet and number) 9. Wes Decedent of Hispanic Origin? ®No ^Yes 10. Race American Indian, Bladc, Whlte, etc. Cumberland E. Pennsboro map. Holy Spirit Hospital (If yes, specify Cuban, (Specify) Mexican, Puerto Rican, etc.) White 11. Deceden's Usual tion Kind of work d one du ' moat of wo frfe. Do rat state retired 12. Wes Decedent ever in the 13. DecedertYa Educetlon (Specify only highest grade comp leted) 14. Marital Status: Monied Never Married 15 Surviving Spo use (It wife give maiden name) Kind of Work Kind of Busirress /Industry U.S. Arned Forces? Elements / Seconds 0.12 ry ( ) Coll (1~ mr ~) , , Widowed, Divorced (Beatify) , Architect State Government C~Yes ^ No 12 6 Widowed 16. Decedents Mailing Address (Street, city /town, state, zip code) _ Decedent's Did Decedent Penns lvania 1705 Kathryn Street Actual Residence 17a. State y Live in a 17c. ^Yes, Decedent Lived in ___ Twp. New Cumberland PA 17070 Township? 17b.Counry Cumberland 17d.®No,DecedentLivedwithin New Cumberland ~ Actual Limits of ~ City I Boro 18. Father's Name (First, middle, last, suffix) r„~..., C , 19. Mothers Name (First, middle, maiden surname) Yr Susie Unruh 20a. InfornanYS Name (Type /Print) 20b. Informant's Mailing Address (Street, city /town, slate, zip code) Ashley I. Arensdorf 1705 Kathryn Street, New CumberlaLnd, PA 17070 21 a. Method of DisposBion r ®Cremation ^ Donation 21b. Date of Disposdion (Month, day, year) 21c. Place o1 Disposltion (Name of cemetery, crematory or other place) 21d. Location (City I town, state, zip code) r ^ Budai ^ Removal from State r WasCremetionorponatlonAuthodzed ^ olne - s r by Medleal Exeminer I Coroner? Yes ^ No June 10 2011 ~ Evans Cremator y S c_ hal e f f e r s t own , PA 17 0 8 8 22a. Signet f Service nsee (or person acting as such) 22b. License Number 22c. Name end Address of Facil'lty - ESQ 2 L• Parthemore FH & CS, Inc., P.O. Box 431, New Cumberland, PA 17070 Complete item 3a only ce 'ng . To the best of my knowledge, death occurred at the 6me, date and place stated. (Signature and title) 23b. License Number 23c. Date Signed (Month, day, year) physician is rata le at time of death to ~ certify cause of death. Items 24.26 must be completed by person 24. Time of Death 25. Date Pronounced Dead (Month, day, year) 26. Was Case Refered to Medical Examiner / Coroner for a Reason Other than Cremation or Donation? who pronounces death. -2 ~ G ~p p M. J~ n Z ~ ( ^Yes 14r~~1,~,0 CAUSE OF DEATH (See Instructbns and examples) i Approximate interval: Part II: Enter other sioniticent conditions contdbutinr to dew, 26. Did Tobacco Use Contribute to Death? Item 27. Part I: Enter the chain of events -diseases, injuries, or complications -that directly caused the death. DO NOT enter terminal events such as cercliac arrest, ~ Onset to Death but not resulting in the underlying cause given in Part i. ^Yes ^ Probabl respiratory arcest, or ventricular tibdllation without showing the etiology. List only one cause on each Ilne. , ~ r y ^ No ^ Unknown IMMEDIATE CAUSE (Final disease or condition resulting in death) ~ ~ 29. It Female: -~ a r ^ N Due to (or as a co equence of): r Sequentially list conditions, it arty, r leading to the cause listed on line a b' I ot pregnant within past year ^ Pregnant at time of death ^ . Enter the UNDERLYING CAUSE Due to (or as a consequence of): ~ - Not pregnant, but pregnant within 42 days (disease a InjurX Chet inltiated the c I events resulting in death) LAST. I of death ^ Due to (or as a consequence oq: I I __ Not pregnant, but pregnant 43 days to t year d' i - before tleath ^ Unknown if pregnant within the past year 30a. Wes an Autopsy 30b. Were Autopsy Findings 31 Manner of Death 32a. Date of Injury (Month, day, year) 32b. Describe How Injury Occurred ~ 32c. Place of Injury: Home, Farm Street Factory Performed? Available Prior to Completion ^ Natural ^ Homidde , , , Office Building, etc. (SpecilyJ of Cause of Death? ^ Ves ~NO ^Ves ^ No ^ Accident ^ Pending Investigation 32d. Time of Injury 32e. Irryury at Work? 32f. If Transportation Injury (SpecityJ 32g. Location of injury (St-eel, city /Mate) ^ Suicide ^ Could Not be Determined ^Yes ^ No ^ Driver/Operator ^ Passenger ^ Pedestrian M ^ Other -Specify: 33a. CertHier (check only one) 33b. Signature d Ttle of Certiti • Certifying physician (Physician certirying cause of death when another physican has pronounced death and completed Item 23) - / To the beat of my knowledge, death oceurred due to the cause(s) and manner as stated _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ f • Pronouncing and certifying physician (Physican both pronouncing death end certifying to cause of death) To the best of my knowledge, death oxurred at the time, date, and place, and due to the cause(s) and manner es stated _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ 33c. License Numb / ~p ,/ _ 33d Date S Mo ~, ear • Medcal ExaminerlCoroner ~ / ~ On the basis o1 exeminatlonand / or Investigation, in my opinion, death occurred ffi the time, date, and place, and due to the cause(s) end manner es atated_ ^ 34. Nam ddress of Pe pq}^ Who ompl ed au 271 T / Prin e and~ '~~ Registrars Signature and District Number 36 Date RI (M d / r ~i ° ~ ~ OJ~ ~ ~ j ! ~ /`~ . , ay, year) J - ~ . t f r 0 Disposltion Pernit No. l 1l~ I O ~,~ ~ o LAST WILL AND TESTAMENT ~ ry , .~, , T OF ~o ~, ~... ~-~ ~,,t-; ~, _, ... _?~~>r- rn ~ ~::~ ~ ; - ;_. - ~, _ K. DEAN RICHARD ARENSDORF c~ ., ~ ~? ~~ .~ :~ - ~ ~ , . ~, _ . ~~7 -, ~ I, K. DEAN RICHARD ARENSDORF, of New Cumberland Borough, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my Last Will and Testament, hereby revoking and making void all previous Wills and Codicils heretofore made by me. FIRST V I order and direct my personal representative hereinafter named to pay all of my just debts, funeral expenses and expenses involved or connected with the administration of my estate as soon after my death as is reasonably possible. However, my personal representative need noi: accelerate and pay those unmatured obligations which, in his, her or its opinion, it might be proper acid more advantageous to retain or renew and pay as they become due and payable. If I do not oven a burial plot or a grave marker at the time of my death, I authorize my personal representative, iri his, her, or its sole discretion, to purchase a burial plot and to erect a suitable marker at my grave,, and to expend sums from my estate for this purpose. Page 1 of 6 Pages SECOND I give, devise, and bequeath the sum of $5,000.00 each to my sister-in-law, DARBY MUGGIO, my friend, ERICA DELANCEY, and my friend, LISA RADER, providing that they survive me by sixty (60) days. THIRD I give, devise, and bequeath the rest and remainder of my entire estate together with all insurance proceeds thereon of whatever nature and wheresoever situate in equal shares, to my children, ELLIOT CARTER ARENSDORF, WHITNEY YORK ARENSDORF, and ASHLEY IVES ARENSDORF, providing that they survive me by sixty (60) days. FOURTH If, at the time of my death, any beneficiary of this my Last Will and Testament is under the ~`~ age of twenty-five (25) years or is, in the judgment of my personal representative, meni:al:ly disabled, I give, devise and bequeath said beneficiary's share to my Trustee, who shall lie the spouse of my deceased son through whom such beneficiary inherits, in Trust for said beneficiary, in accordance with the paragraphs below. FIFTH During the terms of any trust created pursuant to this Will the Trustee is authori~~ecl to expend and apply so much of the net income and principal of each such trust as the Trustee shall consider advisable for the health, maintenance, support, and education (including college education, undergraduate and graduate) of each such beneficiary until he or she attains twenty-five (25) years of age, or until all such amounts are paid out of the Trust. When the beneficiary attains the age of twenty-five (25) years or is in the judgment of my Trustee mentally sound whiichever event occurs later, the Trust shall terminate and the remainder thereof shall be paid to said Page 2 of 6 Pages beneficiary. If said beneficiary shall die before the termination of said Trust, the Trust shall terminate and the remainder thereof shall be paid in accordance with the paragraphs a.bc-ve. I direct that no Trustee shall be required to give or post bond for the faithful performance •of the Trustee's duties in this or any other jurisdiction. SIXTH My Executor and Trustee are authorized and empowered to exercise from time to time in his, her or its sole discretion and without prior authority from any Court, in respect of a.n ~ ro ert 5p p Y forming part of any trust hereby created or otherwise in its possession hereunder, all owers p conferred by law upon trustees or executors and I intend that such powers be construed in the broadest possible manner. SEVENTH ~' I nominate, constitute and appoint my son, ASHLEY IVES ARENSDORF, Executor of this my Last Will and Testament. In the event ASHLEY IVES ARENSDORF is deceased unable or unwilling to serve or shall cease to serve for any reason whatsoever, then I nominate ~~ constitute and appoint my son, ELLIOT CARTER ARENSDORF to serve instead. In the event ELLIOT CARTER ARENSDORF is deceased, unable or unwilling to serve or shall cease to serve for any reason whatsoever, then I nominate, constitute and appoint my son, WHITNEY PORK ARENSDORF, as personal representative of this my Last Will and Testament. :[ d.i rect that my personal representative shall not be required to give or post bond for the faithful performance of his, her or its duties in this or any other jurisdiction. I further direct that na Y personal representative shall be entitled to a fee in the amount of $5,000.00 for the faithful performance of his, her or its duties. Page 3 of 6 Pages EIGHTH I hereby declare it to be my expressed desire that my personal representative employ Kline Law Office of New Cumberland, Pennsylvania, for legal advice and assistance regarding this my Last Will and Testament, said attorneys having considerable knowledge of my affairs, views and wishes respecting any matters that may arise at the probate of this instrument, the administration of my estate, and the execution of the powers herein mentioned. IN WITNESS WHEREOF, I have hereunto set my hand to this my Last Will a.nd -7~1- Testament this ~ day of -~i~r , 2009. ti {t J'`~J~-,,~, p Witness K. DEAN RICH / J"`r RD ARENSDORF~;!--°'• -, ~f Witness Page 4 of 6 Pages ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA : SS COUNTY OF CUMBERLAND I, K. DEAN RICHARD ARENSDORF, the Testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to the law, do ]he:reby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therf;in expressed. ~~/ ~ s K. llEAN RICHARD ARENSDORF Sworn or affirmed and acknowledged before me by K. DEAN RICHARD ARENSDORF, the Testator, this ~~~'-~ day of ~~ , ~„~ ~, , 2009. ,-~ i i r _ r s" ~~ ~C.. _ OTARY PUBLIC COMMONWEALTH (~ PENNSYLIJANIA NOTARIAL SEAL SHARON R. FEISTER, Notary Public New Cumberland Boro., Cumberland (,o. My Commission Expires April 15, 2011 Page 5 of 6 Pages AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND . We, L~ ~ ~ and ~~ ;~ ~-~ , ~ - ~~ ~' ~= -, the witnesses whose names are attached to the foregoing document, being duly qualified according to the law, do depose and say that we were present and saw Testator sign and execute the instrument as his Last Will and Testament; that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the testator signed the Last Will and Testament as witnesses and that to the best of our knowledge the Testator was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. ti ~, ;/ l ~ __.-~-% /f ~~~ Sworn or affirmed and subscribed before me by s,~.~~7 `7~ ~ ~,~ ~ ,and ~~ ' ~ ~` ~~ ~.'~ this ~ . day of ~7e ,~~-~~ , 200'9. /~ r:,-Cc. ~G ~` -rte ~ ' ~" L .iG.a~ OTARY PUBLIC COMMONWEALTH tJf PENNSYLVANIA NOTARIAL SEAL SHARON R. FEISTER, Notary Public New Cumberland Boro., Cumberland Co. Miy Commission Expires April 15, 2011 Page 6 of 6 Pages