HomeMy WebLinkAbout12-20-11PETI ON FOR GRANT OF LETTERS
REGISTER OF WILLS OF COUNTY, PENNSYLVANIA
Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for Letters as specified below, and in
support thereof aver(s) the following and respectfully request(s) the grant of Letters in the appropriate form:
Decedent's Information
Name: R o 6e r-~- Ts w-es K ctnn.t]
a/k/a:
a/k/a:
a/k/a:
Date of Death:
Decedent was domiciled at death in _6trvt >~ _r /,q
principal residence at $/ L E. GoeYar S
Street address, Port Office and Zip Code
File No: t~l ~~~ l~~ J`'~`~
(Assigned by Register) o
Social Security No: St' 6 '[ 6 20 57
Age at death: 75 ~~s .
, Pc n n svlva.tt.~n (Stare) with his/her last
City, Townrhtp
County
Decedent died at $ I to E . C eto V e r 5 ~'. /~te~.wwt - btiwrs Cta,,w~e.r-l.,wc~ tiQE
Street address, Post Office and Zip Code City, Township or Bor h County State
Estimate of value of decedent's property at death:
/jdomiciled in Pennsylvania ............................ All personal property $ ~ QQ Q, ~'
if not domiciled in Pennsy/vania ........................ Personal property in Pennsylvania $
/f not domiciled in Pennsylvania ........................ Personal property in County $
Value of real estate in Pennsylvania ......................................................... $
TOTAL ESTIMATED VALUE.... $
Real estate in Pennsylvania situated at:
(Attach additional sheets, ijnecessary.)
Street address, Post Office and Zip Code City, Township or Eoroug6 County
A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated /~ -+ q ~ ZQ/~ and Codicil(s)
theroto dated
relevant circumstances (ag. nnunciatron, death ojexecutor, efc.)
Except as follows: after the execution ofthe instrument(s) offered for probate Decedent did not marry, was not diva
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(8),
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
^ NO EXCEPTIONS ^ EXCEPTIONS
^ B. Petition for Grant of Letters of Administration (If applicable)
c.t.a., d.b.n., d.b.n.c.t.a., pendente life,
e., .;,
C"!
not a petlyto a pendjn~
of have ~ytild bdP~tfior"
f'~l ,_ _
m N _
~ - ..
O ~_-~, ,
If Administration, c.t.a. or tLb.n.c.t:a., enter date of Will in Section A above and complet~dilitaof~~ ~- r-+,
cn
Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had been established as defined
in 23 Pa. C.S. § 3323(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person.
^NO EXCEPTIONS ^ EXCEPTIONS
Petitioner(s), after a proper search haslltave ascertained that Decedent left no Will and was survived by the following spouse (ifany) and heirs (attach
additional sheets, i/'necessary):
Address
Form RW-02 rev. 10/1 t/101! Page 1 of 2 `
~~ ~~a~~•-~ ~ ~ -,.x H~rl. lJ~
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
}
} SS:
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~~! u~v 20 ~i~ I I ~ 3 I
Petitioner(s) Printed Name Petitioner(s) Prin • t Is'~, ; `~ P
~
Mtd~~ l~,t i- 2 5 £L~. A 1. 2Z
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 Decedent, the Petitioner(s) wi/ll well and truly administer the estate according to law.
Sworn to or affirme nd subscribed before _y19,~,1„a.a_,, ^ ~LQIN~,n Date /2 ^ 20 ^ 2x11
me thi '~"`' y ~p I) ~-Date
BY Date
r the Re ' to Date
BONDRequired:~YES d0
FEES:
Letters ...................... S
( 5) Short Certificate(s)..... .
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
Other ~(i (( ........ 15. CJ~
........
Automation Fee ............... _~• O~
JCS Fee . .................... ~, +~
TOTAL ..................... $ R
To the Register ojWills:
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 ~O~t ~(~J'ytQ~S F~1~
a/k/a:
File No: ~~ - °~~/~ ~ ~.3`.~~
AND NOW, I)[ ~I»~ r~ , ~ ~ ~ , in considerat on of the foregoing Petition,
satisfactory proof having been presented before me, IT IS DECREED at Letters 1 ~
are hereby granted to ,~~ I ~~Q .
in the above estate and (if applicable) that
the instrument(s) dated/ p I 1
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent
of
Fo,„, Rl~-nz rev. !0/l1/20/! •' v Page 2 of 2
H105_g05 REV (0110'7)
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 18037704
Certification Number
Tltis is to certify that the information here given is
correctly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
certificate will be forwazded to the State Vital
Records Office for permanent filing.
Local Registrar Date Issued
Nldsla REV ll/E1a1 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VRAL RECORDS
TYPEIMWTN
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Dra,~ra,PaaeRr. Oen935~ s
LAST WILL AND TESTAMENT
BE IT REMEMBERED THAT
I, ROBERT J. KEMP, a resident of Cumberland County, Pennsylvania,
being of sound mind, memory and understanding, do make, publish and
declare this to be my LAST WILL AND TESTAMENT, hereby revoking any and
all Wills and Codicils previously made by me.
I
I declare that I am not married and that I have two sons, KEVIN C. KEMP
and MICHAEL D. KEMP.
II
I direct that all my just debts and funeral expenses shall be paid from my
residuary estate as soon as practicable after my decease.
III
I direct that all taxes that may be assessed in consequence of my death,
of whatever nature and by whatever jurisdiction imposed, shall be paid from
my residuary estate as a part of the expense of the administration of my estate.
IV
I have intentionally provided that my son, KEVIN C. KEMP should receive
no funds or benefits from my estate.
V
I give, devise and bequeath all my property, whether real or personal,
wherever situate, including any property over which I may have a power of
appointment, to my son, MICHAEL D. KEMP, per stirpes. P.. ,
t?o
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VI
I nominate, constitute and appoint my son, MICHAEL D. KEMP, as
Executor of this LAST WILL, to serve without bond.
IN WITNESS WHEREOF, I, ROBERT J. KEMP, have set my hand to this
LAST WILL this 9th day of November, 2011.
. - ~""" ' ~
~.~`
ROBERT J. KEMP
Signed, sealed, published and declared by the above-named ROBERT J.
KEMP, as and for his Last Will and Testament, in the presence of us, w o, at his
request and in his presence, and in the presence of each other, h e hereunto
subscribed our names as witnesses.
~G~~
ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
ss.
I, ROBERT J. KEMP, Testator, whose name is signed to the attached or
foregoing instrument, having been duly qualified according to law, do hereby
acknowledge that I signed. and executed the instrument as my LAST WILL; that I
signed it as my free and voluntary act for the purposes therein expressed.
ROBERT J. KEMP
Sworn or affirmed to and acknowledged be ore me by ROBERT J. KEMP,
Testator, this C/'~, day of ~(J® U~Q! , 2011.
rn _ h~~
tary Public
NOTARIAL SEAL
DIANE M SMITH
Notary Pubilc
MECHANICSBUR6 BORO, CUMBERLAND CNTY
AFFIDAVIT My Commission Expires Jun 22, 2012
TH OF PENNSYLVANIA
J
Swo affirmed to and ac owledged before me
this ~ day of N~ d~!%Y-i~ , 2011.
/n ^ ~.
°YL~~
Notary Public
NOTARIAL SEAL_
DIANE M SMITH
Notary Public
MECHANIC56URG BORO, CUMBERLAND CNE
My Commission Expires Jun 22, 2012
COUNTY OF CUMBERLAND
ss.
We, /~9 (~~i2lL /~ (,Jl~l C.~~/ 'S- and \I/
Jsernn,e~ ~ ~ h a ~[
the witnesses whose names are signed to the attached or foregoing uzstrument
being duly qualified according to law, do depose and say that we were present
and saw Testator sign and execute the instrument as his LAST WILL, that
ROBERT J. KEMP signed willingly and that he executed it as his fr a and
voluntary act for the purposes therein expressed; that each of us in 'hearing
and sight of the Testator signed the Will as witnesses; and that to the st of our
knowledge, the Testator was at the time 18 years of~ge,~r r,~o~e, o ound mind
and under no constraint or undue influence. ~~ // /