HomeMy WebLinkAbout11-29-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS
PETITION FOR PROBATE AND GRANT OF LETTERS
Estate of ~.,,i ,o ~~~~~>o ~ ,Deceased ESTATE NO: 21- ' ~ - ~ ~~~
a/k/a: ~
a/k/a: ~~~
a/k/a: SS NO• ~ 7 C? ` l ~! '
Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND °°C" as
ap cable:
A. Probate and Grant of Letters Testamentary or ^Administration c.t.a., or d.b.n.c.t.a. (complete Part Calso)
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 many, 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(8):
^ B. Grant of Letters of Administration
(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 (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(8), except as follows:-
Name
Address
Relationship to Decedent
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USE ADDITIONAL SHEETS IF NECESSARY
THIS SECTION MUST BE COMPLETED:
Decedent was domicil•e;~ at death in Cumbe,~'land
At C I ct,I~tM v,1 f- N u.~Ci r c GiM.c~ l'a~,/,I.
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vania, with ~iis/ht<r last famil~r pr ~ncipal e
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(Street address with I~t Office and Zip Code, Municipality: Township, Borough, City) ~ ~
Decedent, then ~[_ years of age, died ~ at C~S~t°_ _
(Mon ,Day, Year of death) (City and State here death occurred)
Estimated value of decedent's property at death:
_If domiciled in PA All personal property $ 1- OGtJ
_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 $ t D13~
Location of Real Estate in Pennsylvania: (Provide full address if possible.) ~f~„
Signature(s)
Name(s) & Mailing Address(es)
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF
Official Use Only
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Petitioner(s) Printed Name Petitioner(s) Printed Address =? ~~ ,
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The Petitioner(s) above-named swear(s) or affirm(s) 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 D den the Peti~tio~+ner(s) 'll well and truly administer the estate according t law.
Sworn to or affirmed and subscribed before /~/ Date // v~Dl~
me this ~_ day of f\~('~1 ~ , ~~ Date
By: ~~ ;~ r G~ ~~/ ~ (,~,1 SC6~) Date
For the Register Date
BOND Required: Q YES ~ NO
FEES:
Letters ..................... .
(3 )Short Certificate(s)..... .
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
Other ........
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Automation Fee .............. .
JCS Fee . ....................
TOTAL ..................... $
To the Register of Wills:
Please enter my appearance by my signature below:
Attorney Signature:
Printed Name:
Supreme Court
ID Number:
Firm Name:
Address:
Phone:
Fax:
Email:
DECREE OF THE REGISTER
Estate of ~,.Q ~ . ~~,Q ~1 r~I" File No: ~ ~ - t ~- 1 ;~(~
a/k/a:
AND NOW, ~ iCi;t D , fV'~ ~ (' o`~G'1 ~ l ( , in consideration of the foregoing Petition,
satisfactory proof having been presented before me, IT IS DECREED that Letters
are hereby granted to ~} ~ [ ~ ~ 11./~ Y,Q. /~ T~-P -''
_ in the above estate and (if applicable) that
the instrument(s) dated _
described in the Petition
Form RW-O2 rev. 10/11/2011
to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
i
egister of Wil s
Page 2 of 2
- -, - -.
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
__ P 17557839__.
Certification Number
This is to ccrtifv that the information hen, given is
correctly copied from an Original Certificat(~ of Death
duly filed with me a~ Local Registrar. The original
certificate will he i~trwarded to the Slate Vital
Records Office tier permanent filing.
d`' _ JUL Z 0~201~
~~~ al egistrur Date I~;sued
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REV tlnoo6 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
PRINT IN
IANENT CERTIFICATE OF DEATH
..N INK (See instructions and examples on reverse)
STATE FILE NLIMRER
1, Name d Deradenl (Flret, middle, leer, suAlx) 2. Sex 3. Sodel SxuMy Number
4. Data of Death (Mmm, day, year)
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Fa a J. Kem er Female 179 - 16 -5448 July 19, 2011
8. Age (Leer &Mdey) lidr i yar Undr 1 de B. D.re d BIM (MOnm, de . d 7. BiMplece and arere or ~ 6°. Pred d Dseth Check on one)
88 """"" °"° "°"' "~"" April 30, 1923 Danville, PA "°°"~ °i"°`
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lrs. ^ Inpatient ^ ER! OulpnreM ^ DOA ^ Nursing Hone ^ Residence ^qdr - Spedry:
Bh. Counry al Deem Bc. Ciry, Boro, Twp. d Death 84. FxHty Name (If not kpdNlbn, gN° sheet end number) 9. Wea Decedent d Nwpanic Orgin7 ~ No ^ Yea 10. Race: Amerkan ~Inden, Black, Whne, etc.
Cumberland Middlesex Twp. Claremont Nursing & Rehab
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11. Decadence Ueuel IWn Kkid d wom dons Dun moat d worU Se. not stare re' 12. Wes Deeded ever re the 13. Detetlenre Edualbn (Spedly Dory Mghest gr°de completed) 14. Medrel SeWS: Monied, Never Merced, 15. Surviving Span (II wile, give maiden name)
K' d Work Kird d Buainas /Industry
Homemaker Own Home U.S. Armed Forces? Elemenreryf ry (0-12) Cdege (1 d «8.) Widowed, DNOrce013PadM
^Ya ~~ IIL Widowed
16. Deddent'a Menhp Address (3treel, city I town, slate, zip rode) Detedenca DW DeadeM
AchW RaMence 17a. Srere PA Lwe kt e , 70
M i dd 1 e S e X
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1000 Claremont Road .
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Carlisle PA 17013 17d.^NO, Decedd Lived wahin
,,,. ~r Cumberland
AdaalLimnad cM,~,a
18. Fetdr's Name (Frei, Mddb, reel, such) 19. Motlrfa Name (FlreL n4dde, maiden aumeme)
Lewis Lee Pearl Bookmiller
20a. IMMrencs Name (Type /PAM)
Julie Kemper 20b. Inlormence MMlrp Atldeu (Street cnY /town, stale, zp ddl
46 Argali Road Mechanicsbur PA 17055
21e. Medwl d Dicpoetlbn ®Crematan ^ Doatlon
Banal rj RemovelrromSrere ~ 21h. Dale d Dbpdnlm (Modh, day, reed 21c. Place d DlepdXlon (Name d oenMery, crematory a otdr W~1 21tl. Loatbn ((31y /town, stab, dP soda)
watawlrum«13oM1onAUttarreed
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^ July 20, 2011 BFH Crematory Grantville, PA 17028
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:aemltter l Yes
No
22e. re d Funeral Se (« Pe I 22b. License Number 22c. Name all Addea d FedMy
FO 012342-L Stone & MurrayF.H.,408 3rd.St.,New Cumberland, PA 17070
Ikerru 23ec arty whorl certllyirp 23e. 70tH besl d tleeM ocwrra at the tlnn, dale and place scared. (SlgneNra end tltle) 236. License Number
23c. Date Signed (MwM, day, year)
n re ltd avaYable at tkrie d tlaelh W
"~ aa«e d ~°°~^ Q `~+-¢-c.,~ f~ n15'o a 6 35 L ! 9 , 20 ~ I
Nerd 24.28 rtud 6e mrrpbted by person 24. Three of DeeN 26. Deb Pronasldd Dead (Monts, day, year) 28. was Cau R°lerred iq.MSdcal Ezeminar! Coroner r« a Reas n Otn°r man cremanon or Donanon?
wlp Pranauncea dude. 043 S u.M. ~ ^ Vas IrQ/na
CAUSE OF DEATH (Sts IrMru a and exampas) ~ Apprwtlmare Inteml:
hem 27. Pan I: Enter the aladn d evenk - deaea, in)uds, «dmpliutiane - Ihel dreWy caused tlw Judi. DO NOT sorer terminal suede such a ardac arrest. t Ousel to Death Pen h: Eller odrer
bd not reeuNng m die unddying reuse ghwn M Part I. 29. Ditl Tobecd Use CoMAbute to Deem?
^ Vea ^ Prdady
respiratory anal, «veMACUIU Abreletlon vrithout dwwkq me etblopy. LM ody one sues on each Hre.
IMMEDIATE CAUSE IF'
dlluse or ~ i
^ No ^ Unknown
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dndNOn radMig re deem _' a
( t 29. n Pamela:
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Due to ( a mneeguence op'. ~
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o ^ Pregnant at time d death
Dus t
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Enlx me UNDENLYNO CAUSE (r 9usnae d): i
^ Not pregnant, but pregnant wihin 42 tlsy5
ra«m ~° c. r
r of death
Due to (or ae a
ronaequend ~~ t ^ Not pregnam, bd Pregnant 43 days 101 year
d. ~ dfore daaM
^ Unknown N pregnant wihin the past year
30a. Wu en Autopsy
Perlom~ed7 30b. Were Adopsy FMdrgs
Avaee6re Prior W CampretMn 31. Mannar d 32a. Dare d relWr IMAM, day, read 32h. DesaWe How IMury Ocamed 32c. Place d In u H
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d Cause d Dath? Wral ^ Homicide OIACe Butl
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^ Yes ^ Yes ~ ^ Acadent ^ Penang Imrestlpauon 320. Time d IMury 32e. h(ury M WoM1 321. n TredpMatlon In(uN (SP•dA'1 32g. Location d Inhxy (Street, dy /loin, arere)
^ Suicbe ^ Could Nd d Delendned ^ Yu ^ No ^ Dover! Operet« ^ Pewrlger ^ Pedchren
M Otrar - Spedy:
~° Ceder ( Doty o^a) 33b. SigdWre a da
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' adnyirta plryekAen (Phyeidan droMng dues o1 deem when another phyekian has Droitourawd dam ell canpletetl Item 23)
To UN but d my Rrnw'NtIP, dull occurred due 101M area(s) all menrlM u eMred_ _ """"""' _ """"' _'
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' Prono«leinp all artllylnq pNyekren (Physiden both promaking dots and cednysq re aw d death)
To fNe but d my knoniedpe, deeM o«urred et the time. den, all pled. end du W the eeuWa) and mmner u shred. _ _ _ _ _ _ _ _ _ _ _ ^
_ _ _ _ _ _ 33c. N r ~ 33d. Date Signed (March, day, year)
• Medial EsrMdr I Coroner
On 1M bola d exeminelion atl I «Mvatipedon
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38. RegrelreYS lure all-Die ' N - , 38. pare (Momh, ,year( ~
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T
LAST WILL AND TESTAMENT
OF
FAYE J. KEMPER
I, FAYE J. KEMPER, of Camp Hill, Commonwealth of Pennsylvania, do hereby
make, publish and declare this to be my Last Will and Testament, revoking any and all
previous Wills and Codicils, and hereby will and dispose of all the property which I own at my
death in the following manner:
I.
I nominate, constitute and appoint my son, TERRY MARLIN KEMPER, as
the Executor of this my Last Will and Testament, and Trustee of any trust created hereunder.
Should he be unwilling or unable to serve for any reason, then I nominate, constitute and
appoint my daughter-in-law, JULIE MARIE KEMPER, as successor Executrix and Trustee
of this my Last Will and Testament.
II.
I direct that all my just debts and funeral expenses be paid out of my estate as soon as
practicable after my death. =: r~ ---
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III.
I give, devise and bequeath all my household goods and personal effects to my son,
TERRY MARLIN KEMPER.
IV.
All the rest, residue and remainder of my estate, of whatever nature and wherever
situate, I give, devise and bequeath to my son, TERRY MARLIN KEMPER.
V.
Should my son, TERRY MARLIN KEMPER, predecease me, or should he survive
me by a period of less than thirty (30) days, my entire estate shall go to my daughter-in-law,
JULIE MARIE KEMPER. Should both of them die simultaneously with me, or in a
common disaster, then I give, devise and bequeath my entire estate of whatsoever nature and
wherever situate to be divided equally between my granddaughters, JESSICA LEE KEMPER
and KELLY MARIE KEMPER.
Any beneficiary age twenty-five (25) years or older shall receive distribution outright.
In the event any beneficiary has not reached age twenty-five (25), her share shall be held by
my Trustee, in a separate Trust, for the following uses and purposes:
a. Trustee may accumulate the income from that share or so much thereof from
time to time as she considers advisable; and Trustee may expend and apply so much of the net
income, including accumulated income, and so much of the principal of that share as Trustee
2
_T _ _ __ - __ _ _ _ _ __
income, including accumulated income, and so much of the principal of that share as Trustee
may consider necessary for the health, welfare, maintenance and education of such beneficiary,
including undergraduate, graduate and trade schooling.
b. In the event such beneficiary dies before reaching age twenty-five (25), the
undistributed balance of the beneficiary's share shall be distributed per stirpes to her living
issue or, in default of such issue, per stirpes to the remaining beneficiaries of this Will;
provided, however, that , if any portion of the Trust would otherwise be distributed to a person
under twenty-five (25) years old, that part shall be administered and distributed according to
the terms of this Trust as if that person was a named beneficiary.
c. If, at the time of my death or any time prior to the final distribution of any Trust
hereunder, all the beneficiaries and their issue are deceased and no other disposition of the
property is directed by this Will, then and in that event, the rest, residue and remainder shall
be distributed to PATRICIA A. PAOLETTI, who resides at 1709 Peyton Randolph Court,
New Cumberland, Pennsylvania.
VI.
All gifts of any kind herein made shall be delivered directly to the beneficiaries free
from their control, debts, contracts and engagements, and such gifts shall not be subject to the
assignment or anticipation or pledge by them, or to execution, attachment, or any other
process for the enforcement of judgments or claims of any sort against them.
3
VII.
All inheritance, estate, succession or transfer taxes, whether State, Federal or
otherwise, or any other tax in the nature thereof, which may be payable by reason of my
death, shall not be apportioned but shall be paid, together with any interest or penalties, out of
the principal of my residuary estate as if such taxes were administration expenses. I further
authorize my Executor to prepay taxes on future and remainder interests if deemed advisable.
VIII.
My Executor, his successor, or any other fiduciazy named, constituted or appointed in
this my Will or during the administration of my estate, shall be excused from posting bond in
all jurisdictions regazdless of any law or rule of court to the contrary.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~ day of
rf l , 2000, to this My Last Will and Testament.
r
(SEAL)
FA E J. MPE
Signed, sealed, published and declared by the above-named FAYE J. KEMPER, as and
for said person's Will in the presence of us and each of us, who, at said person's request, in
4
said person's presence and in the presence of each other, have hereunto subscribed our names
as witnesses thereto the day and year last above written.
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Address
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Address
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
~~~
We, FAYE J. KEMPER, end ~7'H- ~ . ~~Q.(~ ,the
Maker of this Will and the witnesses, respe vely, whose names are signed to the foregoing
instrument, being duly qualified according to law, do depose and say that we were present and
saw the Maker sign and execute the instrument as her Last Will and Testament; that she signed
willingly and that she executed it as her free and voluntary act for the purposes therein
expressed; that each of us in the hearing and sight of the Maker signed the Will as
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witnesses; and that to the best of our knowledge the Maker was at that time eighteen (18) or
more years of age, of sound mind, and under no constraint or undue influence.
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FAYE E
SUBSCRIBED, sworn to and acknowledged before me by FAYE J. KEMPER, theme
Maknner, and subscribed and sworn to before me by ~. ~~la~~.I`I'iIJC~ ,and _~~irl fr
1i1 • C~~- ,witnesses, this ~ day of , 2000.
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(Seal)
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Co-n~a~ Ex~oirQS Jus?e 2 ~
Member, ;'~t~;,.r ---._._.. __