HomeMy WebLinkAbout09-13-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS
PETITION FOR PROBATE AND GRANT OF LETTERS
Estate of JOHN G. KELL ,Deceased ESTATE NO: 21- ~ I ~w C~ ~-~..
a/k/a:
a/k/a:
a/k/a:
SS NO: 167-40-01
Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as
applicable:
^ A. Probate and Grant of Letters Testamentary or ^ Administration c.t.a., or d.b.n.c.t.a. (complete Part C also)
and aver that Petitioner(s) is/are entitled to the aforementioned Letters under
the last Will of the above-named 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
instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated person, and was not a
party to a pending divorce proceeding at the time of death wherein grounds for divorce had been established as defined in
23 Pa. C.S.A. § 3323(g):
~ B. Grant of Letters of Administration RENUNCIATIONS FOR JOANNE N KELL & JULIE R SWEAT ARE ATTACHED
(If applicable, enter d.b.n., pendent lite, durante absentia, durante minoritate)
C. 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 (lf Administration c.t.a. or d.b.n.c.t.a., enter date of Will. in Section A 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:
N/A
Name
Address
JOYCE K. SIMPSON 2915 MT. MORRIS RD., WAYNESBURG, PA 15370 STER --= I
JOANNE N. KELL 2915 MT. MORRIS RD., WAYNESBURG, PA 15370 ~R
JULIE R. SWEAT 61 HEADS FERRY RD., CORNELIA GA 30531 ~}~~
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USE AUUI'1'IONAL SHEE"I'S IF NF.CF..SSAR1' - ~,; =~~
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THIS SECTION MUST BE COMPLETED: °~
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last famil~'or principal resid~r(c5~;
At 315 MCALLISTER CHURCH ROAD, CARLISLE, WEST PENNSBORO TOWNSHIP, CUMBERLAND COUNT`S PA 17015
(Street address with Post Office and Zip Code, Municipality: Township, Borough, City)
Decedent, then 63 years of age, died 8/24/2011 at CARLISLE, PENNSYLVANIA
(Month, Day, Yeaz of death) (City and State where death occurred)
Estimated value of decedent's property at death:
If domiciled in PA All personal property $ 500.00
If not domiciled in PA Personal property in Pennsylvania $
If not domiciled in PA Personal property in County $
_Value of Real Estate in Pennsylvania $ 95,000.00
Total Estimated Value $ 95,500.00
Location of Real Estate in Pennsylvania: (Provide full address if possible.) 315 MCALLISTER CHURCH ROAD, CARLISLE, PA 170E
~~gnatu
ivame(s) ~ MaWng Address(es)
~ ~/i ~,11a ~/~ ~~/ ,ai ~1, Ater( / JOYCE K SIMPSON, 2915 MT MORRIS RD, WAYNESBURG PA ~~
)nterim Form RW-02 revised 12.26.10 by Cumberland County pending
Court
Page 1 of 2
Relationshi to Decedent
OATH OF PERSONAL REPRESENTATIVE
Commonwealth of Pennsylvania ~ SS
County of Cumberland
The Petitioner(s) herein named swear or affirm that the statements in the foregoing Petition are true and
correct to the best of the knowledge and belief n P erl the estate acdcording toelaw.al representative(s) of the
Decedent, Petitioner(s) will well and truly adm
Sworn to or affirmed and subscribed
/ ~~'
befa me this ~ r day of
~ ; - ~ ~ mall
e ,
`; F r -e Register
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Signature of Counsel Required to Enter Appearance
~ , ._
Estate of JOHN G. KELL ,Deceased File Number: 21-___~~____-
':~~1 1 ~ ' ' ~' in consideration of the Petition on
AND NOW, this ~ ~,--; day of ~ '_~ . ~ ,C •~.-L ,
the reverse side hereon, satisfactory proof havi g been presen ed before me, IT IS DECREED that Letters
x of Administration are hereby granted to:
Testamentary -
(If applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.)
JOYCE K. SIMPSON to
described in the petition be
the above estate and that instruments(s) dated
admitted to probate and filed of record as the last Will and Codicil(s) of Decedent.
.,
.
Glenda Farner Strasba h„ )~ i ~ ~~~'~~ i,~ i°r ~ ~ ~~`-'~-~~ -
Register of Wills ~ ~ '
FEES:
Letters ....................$ zlo.oo
Will ........................
Codicil(s) .................
(i) Short Certificates 4.00
(2) Renunciations....... 10.00
Bond ............................
Other ............................
...............................
Automation FEE.........
5.00
JCS FEE ................... 23.50
TOTAL ................$ 252.50
Atty's Signature
PRINTED Name: MATTHEW A. McKNIGHT
Supreme Court ID No.: 93010
Address: 60 WEST POMFRET STREET
CARLISLE, PA 17013
Phone: (717) 249-2353
Fax: (717)249-6354
Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court
DECREE OF PROBATE AND GRANT OF LETTERS
Page 2 of 2
OCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certit~ir(te. $6.OU
P 17~2~977
Certifica=:ion w'ulnber
This is to cc,-ttf~ .!;at th~~ infurnr==sun n~ (-e s~i~er i
correctly cc~}'icd ':fm) a(~ tyrit~in~!I l';'IttliC.lie l>i I)eatl
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certifica L ~i;i tuh~'<arLfed State 1`ir;
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H106.144 REV 11/2006
TVPE /PRINT IN
PERMANENT
BLACK INN
1133-090
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CORONER'S CERTIFICATE OF DEATH
(See instructions and examples on reverse) ~r,r«„ ~ ,,,,,,o«
1. Name a Datwdenl (First, middle, lest, sufix) 2. Sex 3. Sacdel Security Number 4. Oete a Deem (Month, day, year)
John G Kell Male 167 - 40 - 0183 Au ust 24 2011
5. Age (last Birthday) UMer t ear UM& 1 day 6. Dale of Binh (Month, say, year) 7. Birmplace (C' all state or foreign ceunhy) 8a. %ece of Death (Check Doty Dire!
Monmfi Day, Harr reuruwe Hosphel: Omer:
63 Yrs. Aril 16 1948 Carlisle, PA ^mpadenl ^ER /Outpatient ^DOA ^Nursing HOma ^Residence Omer-Spaciry:
6D. County of Deam Bc. City, M Twp, f Death M. Faciliy Name (If not inslitabn, give sheet and number) 9. Was Decedent of Hispank OAgin7 ®No ^Ves 10. Race: American Indan, Black, White, ero.
(If yes, spedly Cuban, (Spa yyl
Cumberland West Pennsboro 315 McAllister Church Road Mexican,PuerloRican,etc.) White
11. Decedents Usual lion Kkd of work done tlu most a woMn life. W rot srote redr 12. Was Decedem ever in the 13. Decedent's Educetion (Syecity Doty highest grade campbtetl) 14. Memel Srotus: Marred, Navar Marred, 16. SuMving Spouse (tt wife, give meieert name)
Kind of Work Kill a Business / Irduslry U.S. Armetl F
oma
s7 Elementary /Secondary (0.12) College (1-4 or 5r) WidowaQ Divorced (Speei/y)
Safet Planner Carlisle Tire & Wheel ~
I
^vea yNC 4 Never Married -
16. DecetlenYS MaiMg Address (Street city /town, amro, ip codel Decedent's Did Decedent
PA
315 Mcl~llister Church Road Actual Residence na. sMte
use ro a ,7c ~vea, t3aceeem trued m West Pennsboro Twp
Carlisle, PA 17015 T soy? rid. ^ No, Decedent LNetl waNn
17b.coonry Cumberland
Aaimlumksa Gry/~
18. Famer's Name !First, middM, lest, suffix) 19. Mo1Mr's Name (Fmi, midda, maiden vemarcej
George L. Kell Mildred A. Gallagher
20a. InicrmenYS Name (Type /Print) 206. InfonnenYs Meiling Atldress (Streai city / rows, sMte, zip code)
Jo ce K. S' son 2915 Mt. Morris Rd., Wa esbur PA 15370
21a. Mahad a DisposAbn ~ ^ Cremetlan ^ Donation 216. Date of Dispcehicn (Monet, day, year) 2tc. Place a asposition (Name a cemetery, aemalory a omar place) 21d. Laatbn (City /Town, state, zip cods)
3~ Burial ^ Removal ham Sate !Was Cremetbn or Donetbn Authorized
^ omar-spa.;h: byMediulExaminer/corawr? ^Yea^Ne
-
August 30, 2011
CLUnberland Valley Manorial Garde s Carlisle, PA
22a. Signature d F I
ice Licensee (a uch) 226. license Number 22c. Name all Atltlreaz of Fadlily
FD 012633 L Fleeing Brothers Funeral Hcane, Inc., Carlisle, PA 17013
e tams 23a< Doty when cemtyA^9 23a. Tome best of my m scarred at me tinre, daro and place slated. ISyrarore and ale) 236. thanes Number 23c. Daro Signed (MOmh
day
year)
p'rysiden is cwt evailaae al lime of deem b ,
,
remry 6a sa or deem.
hems 24.26 must M completed by parson 24. Time of Deam 25. Dale Pronounced Deatl (MOmh, day, year) 28. Was Case Referretl m Medkal Examirrer / Corarer for a Reason Other man Crematxm a Donefion?
"''°'"°f011C~d~m A rx. 5:00 P. M. Au ust 25, 2011 ea ^Np
CAUSE OF DEATH (See InsirucNOna and examples) r Appmximale interval;
Item 27. Pan r Eller the chain a evems -diseases, inryrbs, a a^Wkcalbrs - mat drecth ceusetl me Beam. DO NOT Baer terminal events such az cardiac arrest, Onset to Deam Pan II: Enter Deter jg0lficant cerrdtL s torlinbudgq to deem,
ba not resale n d1e untleA
rig r prig cause given in Pert L 28. DM ToMcee Use ConmDae to Deem?
^ Yes ^ Prohedy
respralory onset ar ventricular fAd6etbn wimout showing the edology. List ary one cause on each fine,
UAMEDIATE CAUSE (Final tlisease or
^ ~ ^ Unkrrown
condilbn revelling in deem)
a Hyp OXla 29. If Female:
-~
Due to (or as a consequence op: ^ rva pregnam witNn past year
sequenliaNV list caxlAions, d any, b. Traumatic Chest In i ur i e s
Madlrg ro dw tiered on line a. ^ Pregnant al ame of tleam
Due to
Ent m UNDERLYING CAUSE (or as a consequence oQ:
^ Na Oregnant. Out pregnant wAhin 42 data
(disease or in ury mat'nhiatetl the
c
e,anrorawro/,9mdaam)usr. Farm Tractor Accident ofdeam
Due to (or as a consequence op: ~
m, but pregnam 43 days to i year
^
d. ~b~ ~
^ Unkriowm a pregrent wmlin ma pest year
30a. Waz en Autopsy
Penormed7 30b. Were Autopsy FiMmg6
AveNabM Pnpr to Canpedon 31. Manner d Deem 32a Date of Injury IMaAn, day, Year) 32b. DescdM How In' OtturtM
Nry Ran ova r b farm Wa On
Y B
32c. Place a Injury: Hans, Fann, Street, Factory,
Om
B
Ald
'
S
a cocoa a Deem? ^ Nawrel ^ Homicide Au 2 4 2 011 while c o lie c t in ha ce
l
ng, etc. (
pen
ty)
Farm
~A
^ Yes I AI No
' ^Ves ^ No ISL7 Accidem ^ PaKkng Invesligaka
Y
'
~ 32tl. Tme a Injury Ap rX . 32e. Ir{ury al Wok? 321. If Trenspatalbn Inury (Spea'hl ffig. Location a Injury (Street dry /tam, slate)
l ^ S
U
ia
tle ^ CaM Na be Detarmirred
M ^Ves 1~ No ^ ~r / Operela ^ Passenger ^Pedeshlan
.
5:00 P. 7~ tuner-svaah: cAll ter Church Rd. Carlisle PA
33e. CeAifier (check anh one) ~~ ~~ cease a deem wtren ammar physician has prara,wetl deem and complaletl ham 231
1
Mn ( 33b. Signahue and Tdk a C~ ~
•
~
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^
7o the
6ast a my
knowledge, death acurred due to the oase(s) and mannm as sated_ _ _ _ _ _ _ _ J,
~
C o r one r
• Pronouneing all certXying phyabMn (PhysicMn both prorwunckp death end cenAyAng W cause a deem) 33c. Liceme Number 33d
Dale Sgrled (Monet
Yeerl
daY
To the Mat of mY kmmvMdge, deeM occurred m the time, dme, erM DMCe, all due to tM ease(s) all manrrer az eMted_ _ _ _ _ _ _ _ _ _ _ _ ^
_ _ _ _ _ _ .
,
.
' MediulExeminer/c°roner rrr~~~~oooryryryry
On ill MeM a examination end I w InvMi~tbn
In m
a
lnbn
death oearretl at ill tim
d
t
M
l Au ust 26, 2011
,
y
p
,
e,
a
e, ar
p
ace, end tlue to tl1e cause(s) and manner as aMte4. Ipl
'\ M Name s a arson LompMed Ca a Oeat4 (Ite
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~ m 271 Tyye I Pdnt
36.Registrar' lure antl Dig~+
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36. Date Flied (Meet, day, Year) .
enroc
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6375 Basehore Rd., Suite 111
,
~e 4-!
rc- ~ Mechanicsbur Pa. 17050
Dispo6i9on Pannh No. ~ `) (p.,~ I~'
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RENUNCIATION
,~~~,
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REGISTER OF WILLS ;;~_=
CUMBERLAND COUNTY, PENNSYLVANIA
D
"--." 1 i ~` . \..
Estate of JOHN G. KELL
SISTER
I, JOANNE N. KELL
(Print Name)
.~,~
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~~
Deceased
in my capacity/relationship as
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
JOYCE K. SIMPSON
(Date]
} 1~ y i
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this -~'~"i"' day
Deputy for Register of Wills
Form RW-06 rev. 10.13.06
,~
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~-
(,~gnature)
t`~ -
le~ ,'
(StreetAd~dre{ss)~ ~ ~~
(City,-State, 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 ~ day
r ~--~
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.)
NOTARIAL SEAL
KAREN E SITLER
Notary Publk
wAftoNn«~ mP, MoNTOUR couNnr
Mkt Cont~Msaion Expkat Mu 1, 2015
RENUNCIATION
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of JOHN G. KELL
I, JULIE R. SWEAT
(Print Name)
SISTER
Deceased
in my capacity/relationship as
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
JOYCE K. SIMPSON
~ti ~ ~~~
(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
`,~ 6 t
(Street Address)
c
(City, State, 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
purpo` s stated within on this ~'- / _S ~ day
of ,t -lt.~C t,~,~ (~ ~'~-~ /~
T-
1i ,
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.)
COMMONW-
Notarial Seal
Karen S, Noel, Notary Public.
Carlisle Barn, Cumberla~G County
My Commission Expires pet. S, 2011
MEMBER, PENNSYLVANL4 ASSOCIATYON OF NOTARIES
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