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HomeMy WebLinkAbout10-15-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COi1NTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS / // / .o-- Estate of ~r~~h~ T~IEh ~~./'l ,Deceased ESTATE NO: 21- ~ ~'~ L~11 a/k/a: / '/ a/k/a: ss No• ~~~ /a-3!a 9~ a/k/a: 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 ^ Administrations., or d.b.n.c.t.a. (complete Part C also) and aver that Petitioner(s) is/are entitled to the aforementioned Letters e5 ~ under the last Will of the above-named Decedent, dated,~(,DV a/~ ` /J2 t O / _ and codicil(s) date __ ~__ _ (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 (If applicable, enter d.b.n., pendent life, durance 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 (If 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:- Name naaress •^••~••~••• •° ------- ^a - :7 ~_ _ -~~ rn ._ _ ,`._ .. IiSE ADDITIONAL SHEETS IE NECESSARY ~ ~~' ~ ~ ' THIS SECTION MUST BE COMPLETED: Decedent was domiciled at death in CumbE At 3S5' S S~orti rl4 >yj'// , _-? ~ ~ --t ~T _ :"-: with his/her last famil~'or principal-residerlb'~= ~~ (Street address w' ost Office and Zip Code, unicipalify: Township, B~ gh, Cii~ Decedent, then _~ years of age, died /O - `~~' o~ o// at ~ ~ ! /~~ (Month, Day, Yeaz of death) (Ci and State where death occurred) Estimated value of decedent's property at death: ~f domiciled in PA All personal property $ •~ ~ ~ ~ b If not domiciled in PA Personal property in Pennsylvania $ If not domiciled in PA Personal property in County $ Value of Real Estate in Pennsylvania $ Total Estimated Value $ 3 30 ~ ~ O O Location of Real Estate in Pennsylvania: (Provide full address if possible.) dJON ~ c•..~~~..rPr~~ Name(s) & Mailing Address(es) .,.b........ -~.,~ Susan ~~t-cow i7oo I~~//e Green ©a ~~t~rs ~!~ /7~3/ q PAPP. 1 of 2 Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court 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 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 < f f- ~ efore me this ~ •~ ',`~ ~~ ( of (_ .~. ~ , ~~ _ ~ -_ ~, - '- ~- _ ,~ ~-- For the Register -~ ~ _ ~; .~ _.- ~ DECREE OF PROBATE AND GRANT OF LETTERS L.~ ~ ,l '~r ; `7 Deceased File Number: 21- l c -~ Estate of / ~r C f %7 ~' l~ C; ~~ ~ -~~/'T h 'l AND NOW, this /' ~~~ day of ~ l C~L ~'~~`'~ ~ ~%~~~ , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, :[T IS DECREED that Letters Testamentary of Administration are hereby granted to: ~ ' r-- / (Ilapplicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.) ->' L~ j alt') ~ C/ 1 P.~ in ~` i described in the petition be the above estate and that instruments(s) dated / ~ _ admitted to probate and filed of record as the last Wil and d~cil(s) of Decedent. FEES: Letters ....................$ -~ ~i ~ ~ ~ t~ Will ............... ........ ~/j" D . Codicil(s) ................. ( ~' ~) Short Certificates '`~~`~ ( )Renunciations....... Bond ............................. Other ............................. ................................. Automation FEE......... 5.00 JCS FEE ................... 23.50 TOTAL ................$ ~ ~ ~ ~ ~' , `' ~ Glenda Farner Strasbaugh, r'% f~~ l( ~ ~ ,~~;~ .,,~~ ~~ Register of Wills ,7" Signature of Counsel Required to Enter Appearance Atty's Signature _ PRINTED Name: Supreme Court ID No.: Address: Phone: _ Fax: Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 2 of 2 OATH OF NON-SUBSCRIBING WITNI~SS(ES) REGISTER OF WILLS ~,u -^ ahd COt1NTY, PENNSYLVANIA Estate of f7~!'/e°~le Deceased ,~ 1^!^ ~ !'i~1 LLO~ and Ju5 ~h ~ . ~~ LLO~, (each) being duly qualified according to la~v, depose(s) and say(s) that she / he /they was /were well- acquainted with and am/are familiar with the handwriting and signature of the decedent, and that the signature of ~/'i d ~'1 /~• ~1 Dy~°- ~ to the foregoing instrument purporting to be the Last Will and Testament/Codicil of /~y+lEa~ ©(i f-f is in his/her own proper handwriting. ~, ~j . ~=~ (Si~i,uture) (Street Address) T ~~e r~5 ~~ ~ ~~~/~' (City, State, Zip) Execicted in Register's Office Sworn to or affirmed and subscribed before me this ~ ~~ ~ t day ~~ ~ l Deputy for Register Wi Is ~% (Signnture) (Street Address) (City, Stale, Zip) ,~~ tam _. )t _~J \i T ~~ F.. Form RW-04 rev. !0.!3.06 LOCAL REGISTRAR'S CERTIFICATION OF DF_A~'FI WARNING: It is illegal to duplicate this copy by photostat oi• photograph. Fee fr.lr (hl. cL°rtil~icate. 5(i.Ul' ( y ,, ~~I'[IIlIC:1t](~Il Nurnnrr M10S1a3 REV 11/Lade TYPE / P11flT W P~ERM~IfEN*7 Y s Aps cwl neanep Yrs. ae. DauaY d Dsam QIf~larland - - lu,d a wok IGd a &dnsar udaavy I6. pecedertys Meliy Address (~~ cdY l loan, rob, zV code) I].01'I H]11 Read ~xn~g~ pA 17060 16. Fatlrls Noma (FrsL mNde, lea4 sd&1 Char]ES SallariP 20e. mfpmurs Noma (Tyro / PrM) Susan L Fallen 21a Metlwd d Obyorfon ~ ^ Crmefm ^ Denatlon SS Build ^ ....._.__. e..~.w. Autla xro. blomad. Matlirp Aam.ee (str.e6 aty r mien, ores, dp ~•) PA 17319 1700 Va ~'~ fbad E~'~ zla. toadon (cltyrbm, eau, dP cod.) 21b. DaledDHporum (Abdh. My, Y•sr) 21a Rocsd Dhpmfbn (NaA°dcemmen~pematayaamul>uo•1 1.(}..1p-2011 St. Paul's TrexlertoPn PA 7.8087 Yes^ No 22b. Llcarra Numosr 22u Name and Addnn d FaalAy ~tJS r PA 78049 FD014764 Sd~arltz Funerla Home, P.C. , 250 Main Street, 23a Des slRree (MonR der•.p+n Urotre Nurrbar 1l~ - ~ xpmed ally Ym.,Mband dac•auud..(slpraweend tltbl e.m l.d y.~d w my lno l d e Zta TomeM z3b. /~ RN ~~e l43 ~/~~ /~/+//)}/L~Y7s' ,call ~-""" ~. t,f,a,,a,a,rryerp pyabdutrta waYbls al tbnaddeamb / ~ n ~ / L + // TJ///~llY'/~ U ~' , b kud al Faudrr / Coroner for t Raamn Omer fury Cromeeon u Oonadon e d 2& Wu Cos Rren ~, ryes d deadl ye Dr. P Dead (Modlr, 26 ~ s . ^ N ~' 2B yr °° `°"'°"y'"°ra°" z~. rm. d De.m ~ a~Ir . ~r y„ Ip o CorarbVr• b De.m7 U h°^~ - ^ m d l l . - o ~ M. a oc vd: PN ids II: Fidr ofw ae 2a DM Tabecrn ee . vAb ptononme CAUSE OF DEATH (Soo InatrueUono and azampleo) cotrplicadom - tlW dndy tared the deem. DO NOT sour IunYnr svenu rzh es audit ems. r r APPwxNUU 0~ b Deem uA nd reullkq h tlM uMenyhp ease gNRr h Pen I. ^ PreGhly ^ Yee .Nor ^ lMlarven ' barn 27. Pan I: FAu fr dodo d evenu- duesses~ YrJwln~ ar Ur oro wens on~s• ' rnpMay amet, a vanbalar BxWdm vdlyd drozirq tlr etlobgy. ady / . ~ l~, A ~Fw da.w or ~O~ / " G ,S>~-vY~J b dsaer) a -~ Duo b (a m a a^s•9a^rrM dj: r Ir azsMlar, f eM, b. b arse Wed m it a Due b (or ea a mnse7aerz• dJ: Edo UNDERLYNO CAUSE r - (dWassarHr"Ymretistedtlr c. ~ . avails md6tp n M.ml LAST• Dry N (ar a a mrequer¢e d(: r d r 32a. Dab d Inhay (lAOnm, day. Yes) ~. Descrba Hoo InMrry Oxuned 30a Was n AtaaWY 300., Wan Aubpay Fndnpa 31. Deem Pedamed7 Araiahu Prla b Campletiar Natant ^ Fbmidde 32g. locatlan d bjury d Cure a Deem? 3zd. rme of 0tuy Sze. Mary r worK! 321. n 7rwporhdon berry IsPedM ^ AcdMn ^ Pendbrg Irwesd¢ndon ^ ~ ^ DderfOronbr ^ Peuugu ^ PeMNUn ^ Yes No ^ Yee ^ No ^ Suklde ^ CouM Nd b Detemhsd ML ^ Yes ~. ~h' _ ~ 33a. Cere6u (aracady one) by deem and cronpleted tiro 23)---------------- • tenMylrq PMa~ IFb'Ys~n cerdA+'P ~• a Mafr rdtm rafxr dNab'y^ a~ewb x1d Debt sere To tly bardrrry~latorMdpo, doom oocunad dos to tlr uup(a)and mamas staled--'_------- 33c. ~7/ • pnnontchtp and csdfYbs-PM•kl•^lPhyeiMnhom Pmtaatdr9 deem err aMf,Mpbaur.dMam) ------^ C/I /~ Q{/~ Ta tM board my 6wwMa-q daeM oecurtM ray tlms,date. and pupa, anddwntlr oauw(s)atW msurr sasMed____-------- f7 Msdlosl EaurtuulCaaner `~' On tlr baslsdssamktrbn anal or lnvestlpatbn~In mY oplnbn, Meth oaunad at tlrtlmA d~n.aM place,eM d~sntlte uuWs)aM mstzrro sMStL ^ 3~+nd Addraas~~ ti'Ar°~•~edOG~u~tJa d~De/s(luar Typal `b' 36. DMe PINdIWNh MY. YSeA T ~~ //' ~ 3s. Repsbafa slpn.e.e end Dubla ~\ - 1 3 1 9 13 16 I ~/ I I O - of - I 1 Disporyyn PemJt No. ._. Thl~ 1, tl~ ~erlif~ th a !h~ m ~ nn l (~ n ~j~ gi~~en it r~~,~~H OF Q ' ,,''p _ FN~ ~ ~ cl~llcctl~ Lu~ir~i~(ll~m :~~) >ll I al ( I11'~r (~ c1~ Death ~ ( .~pt~~V/ ~~~_~ l(lIlV II(l Cl Vv1C11 111 ~l`• I.i ~ li {~:c~ 1- 1~ C~Il~~lll£1 ,II.L. I ~ v~~ z r~(ti~i:alr ~~~~i!I he 1~nvald~ll to !h~ ~tatc Vital o ~ y, a a, Re~ln~l, (?f~fir; fl,r hcrlrruu•ut filir. ~. ~ va P ,~ ~ - T OF ME ~ - N ~~ ~ ~~_<='~" L_l>~al Rc~~i~tl:u Gate t>sued l7 ~ r: a-r -,:-, , ~~ ' ~ ~ ~7 <_t - _-~ I tl _.... F~=~ Cry _ ~ , `. l J C_. __ .-il --_. _.. ~.- '. ~ `'~ ~ ~.J COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL. RECORDS ` CERTIFICATE OF DEATH (See Instruotlons and examples on reverse) STATE FILE NUMBER z sex 3. soar ~ N ~ _ 3~ 4. Dau a T •4 207.1 Fk']ErYe H. Koch ~~ N, UMu 1 M 6. DW d Blrnl Morh, 7. and sub ar mrar fa Pua d Deem Check one Dlher. H Ir: D n H°"' "'""'°' PA ,,,penes ^ ER I Ouq~sEanl ^ Doe ^ w.eha ~wne ^ R..w.~w• ^ Dues • sp.oet Mardi 6, 191.9 lo. Rea: Amerkan aeon. luack wnde, ob 9. Wae DsuMd d Hopenk Orgh7 ®No ^ Yes ee ov, ~^• Try. a Deem ea Fedply Name (n nd brtlbearr, des street end m.rrbed In yea, w•aN ca~• l~N ~lte East PerTSboio Twp • Holy Spirit Hospital Mbdpn. Puub Rban, .k.) 14 Medial sour: Menied, Never Warned, ts. surrivbg Spowe OI w1N, pn meban rwne) 12. Wes pewdeM ever h fa 13. pepMM'a Edumtlon (SpadM u l ady MpMa grade ~ YAdoaed, Dhszced (SrodY) U.s. Armed Faas7 ElenrMary I ~ N (a12) d CadaAe ( r.,:,.1,.._..,.1 W~~ss~+ N ~.A ^ Yu ®No DxeMds petr-sylVanla Uva h 17c. ®Yes, DxeMd LNed h Tw¢ Acbd Resuerze 17a Sole T~^b7 LNed wfihM Cfy/Boo 17d. ^ 170. corwy ~ ~~1 fX1Cl - a Acbr~ es. ~'1~pePwn wNn per You ^ prqura r tlma d deem ^ Na Pr•Ay'A as vrov+d ~n u days d M.m ^ Nd prgrw.0d Dr•Aned 63 days b 1 yea odor. deem ' ^ lbrlobzst f pa Wrs'rM^ ma Per Ysu ~ Oldce 9utldaC, eb. (SpeaYyl~ Facts. e~ o~// -1-~ l~._7 .7-7 - , _ - i"-~ .,.,,_ - ~;7 ~J_ LAST WILL AND TESTAMEN'T'`-~,.-~ -~ ._ ,, -- :,~ T•> .. r; OF ARLENE H. KOCH I, ARLENE H. KOCH, of Breinigsville, ]?ennsylvania, being of sound mind do hereby make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils at any time heretofore made by me. ITEM I: I direct my Executrix hereinafter named, to pay all my just debts, funeral expenses and expenses of administering my estate as soon after zriy death as may be practicable, and to pay from my estate, as expenses of administration, all estate, transfer, inheritance, succession or other death taxes which may be payable under any law of the United States, or of any state thereof, or of any other governl~~e~~tal entity, apon ~r in respecr_ of all property passing under this Will, and all other property includable for any reason as a part of my gross taxable estate for the purpose of the computation of any such taxes. So that there may be no question as to the time for the payment of any such death taxes, my Executrix shall have the absolute power in her discretion to pay the same at once whether or not the law under wriich she is imposed permits the postponement of all or part of the same to a later time. ITEM II: I give and bequeath the following: The sum of One Hundred Twenty-five Thousand ($125,000.00) Dollars to my daughter, SUSAN L. CARRILLO; The sum of Forty Thousand ($40,000.00) Dollars to my granddaughter, APRIL C. BOOTH; and The sum of Ten Thousand ($10,000.00) Dollars to St. Paul's United Church of Christ, Trexlertown, Pa. ITEM III: I give, devise and bequeath the rest, residue and remainder of my estate, both real and personal, of whatsoever kind and wheresoever situate, of which I die seized or possessed, or which I am entitled to dispose of at the time of my death, to my daughter, SUSAN L. CARRILLO. ITEM IV: I expressly author=i_ze my hereinafter named EXeCLlt?'~x 1.n her ar`iSClllt~" U~:~cr~t~...',, '~G piirC:h a>ev1. :_i~itE:iW15 acquire and to retain, whether originally a pai:t of my gross taxable estate or subsequently acquired, any acid all stocks, bonds, notes or other securities, or any variety of real or personal property, including stocks, or interest in investment trusts and common trust funds, as she may deem advisable, whether Page 2 or not such investments be and of the character permissible for investments by fiduciaries, or be unsecured, un~>roductive, underproductive, overproductive or of a wasting nature; to sell, lease, pledge, mortgage, transfer, exchange, convert or otherwise dispose of, or grant options with respect to an~~ and all property at any time forming a part of my estate, in such manner, at such time or times, for such purposes, for such prices and upon such terms, credits and conditions as they may deem advisable; to borrow money for any purposes connected. with the protection, preservation or improvement of my estate whenever in her j~idgment advisable, and as security to mortgage or pledge any real or personal property forming a part of my estate against others or of others against my estate; to make distribution in kind and to cause any share to be composed of cash, property or undivided fractional shares in property different in kind. from any other share as may be necessary to carry out any of these powers. ITEM V• I appoi,:t my da~,,l,~. , _, ., Jr~.: L. CARS iLLv, as Executrix of this my Last Will and Testament. ITEM VI: I direct that my Executrix shall not be required to give bond and that if notwithstanding this direction any bond is required by any law, statute or rule of Court, no sureties be required thereon. r /...~ ~ Page 3 IN WITNESS WHEREOF, I, ARLENE H. KOCH, have to this my Last Will and Testament, which consists of four (4) sheets, to each of which I have affixed my signature, subscribed my name and set my seal this ~~;'~day of~~ in the year of Our Lord, Two Thous and One (2 0 O 1) /// ______ ARLENE H. KOCH Subscribed and sealed by the Testatrix in the presence of us and of each of us, and at the same time published and declared and acknowledged by her to be her Last. Will and Testament, in her presence and in the presence of each other, we havehereunto subscribed our names as witnesses this!7~~~day of /~ ~j,~r , 2 0 O 1 . ,,~ , Page 4