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HomeMy WebLinkAbout01-25-12Reset PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND 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: BESSIE M. KIR'$`~ a/k/a: a/k/a: a/k/a: Date of Death: 11/17/2011 File No: ~~ `~ ~ ~~ (Assigned by Register) Social Security No: 234-28-9100 Age at death• 92 Decedent was domiciled at death in CUMBERLAND County, pA (state) with his/her last principal residence at 1141 MEANS HOLLOW ROAD SHIPPENSBURG, PA SOUTHAMPTON TWP. CUMBERLAND Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 1141 MEANS HOLLOW RD SHIPPENSBURG, PA SOUTHAMPTON'TWPCUMBERLRND PA Street address, Post Office and Zip Code City, Township or Borough County State Estimate of value of decedent's property at death: If domiciled in Penttsylvania ............................ All personal property $ 2,000.00 If not domiciled in Pennsy!vania ........................ Personal property in Pennsylvania $ If not domiciled in Pennsy[vania ........................ Personal property in County $ Value of real estate in Pennsylvania ...................... ......... $ 70,Q{ln_no TOTAL ESTIMATED VALUIE:.... $ 72.000.00 Real estate in Pennsylvania situated at: 1141 MEANS HOLLOW RD. SHIPPENSBURG, SOUTHAMPTON TWP CUMBERLAND (Attach additional sheets, if necessary.) Street address, Post Office and Zip Code City, Township or Borough 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 J1JLY 15 thereto dated t 1 State relevant ~ircu~stances (~k. renunciation, death of executor, etc.) Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, was not divotred, 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(g), and did not have a child born or adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.. O• NO EXCEPTIONS Q EXCEPTIONS ^ B. Petition for Grant of Letters of Administration (If applicable) c.t.a., d.b.n., d.b.n.c.t.a., pendente lite, durante absentia, durante minoritate If Administration, sta. or db.n.c.i+a., enter date of Will in Section A above and complete list of heirs. 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(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person. O NO EXCEPTIONS ~ EXCEPTIONS Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the following .s (if any) aneirs (attach,.., additional sheets, if necessary): ~ ~„^ ~ r'; -'U 7~. Name Retationshi C:^ s Address ~- ~~ -~~n ~-z _ t ~J ~ ~ s ;~ ~: :'„ ` .~ 4J~~ ~{ e Form RW-02 rev. ~oirlizott Page 1 of 2 2004 and Codicil(s) Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF CUMBERI-AND } Official Use Only Petitioner(s) Printed Name Petitioner(s) Printed Address DORIS F. KIBLER 205 HARVEST LN CHAMBERSBURG PA 17202 KATHY G. CHAMBERLIN 33 INDEPENDENCE DR., SHIPPENSBURG, PA 17257 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 ecedent, the Petit' er(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before Date - 2-S ° ~ Z- Date ~ - ~ a"' me this da o , ,, Date By: For he Register Date BOND Required: ©YES ~ NO FEES: Letters ...................... $ 1 ( f, )Short Certificate(s)...... ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other ~~~i~ ••••-•-- Automation Fee ............... JCS Fee . .................... ~3. TOTAL ..................... $°_~ To the Register of Wills: Please enter m_y appearance by my signature below: Attorney Signature: ~ ~ ~~ Printed Name: SALLY J. WINDER Supreme Court ID Number: 24705 Firm Name: Address: P.O. BOX 341 ~7., '7l "~01 ~.r'i !V Phone: 717 776 6656 ~ cri m c,r- ~'~ Faz: 717 776 1245 ` C~~ -r3 <-a:." ~'`~' Email: ~n~**+~~r ~nc•nm .act ncyf'S ~ -i W !"-.. ~.~ c"~ rya. S~ ~ ~ DECREE OF THE REGISTER Estate of BESSIE M. KIRY File No: G~ (~ ~ ~ ~! ' ~~ a/k/a: AND NOW, ( ! ~ , in consideration of the foregoing Petition, satisfactory proof havtng been resen d before me, IT IS DECREED that Letters TESTAMENTARY -are hereby granted to DORIS F. KIBLER AND KATHS' G. CHAMBERLIN in the above estate and (if applicable) that the instrument(s) dated JULY 15 2004 described in the Petition be admitted to probate and filed o e ord as the last:Will (and Codic~ (s}) of Decedent. ~r ~~ -~ Re ister of Wil s r ~ ~ ` 4~` Page 2 of 2 Form RW-O2 rev. l0/11/2011 H 105.805 REV (01/071 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 This 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 forwarded to the State Vital Records Office for permanent filing. ' P 1808474 C f~c lion tuber ~. ca egistrar Date Issued ~.~. ~~ ~ a ~ ~ ~:~ ~_ - ~~-. to ~~ -~--- ~,• J aCt r . 11 ,~.~,:: G~ ~ '~ }~~ `'~ COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VRAL RECORDS Ntos-,w ray Ilaoon TM~ y P"~ "' L V CERTIFICATE OF DEATH PERMANENT BUCK rA( (See instructions and exampbs on reverse) STATE FILE NUMBER ^~ W G'1 V', OJ w 1. Nm d Dsrodad (Poet noddle, tau, aHoc) 2. Sex Female 3. SoNal Seanny Nulher 234 - ;?8 - 9100 /. Due Dub (~~ der. yet) OV. ~7 a,Oll Beat-i.e M. K,ueby 5. Ape BaM BiMday) lkdu 1 Urltlu 1 6. Dtla d Bktlr 7. eM stele a M. Plero d Death Check a ae ylospnal: OIMn Mallon Days MWa AYare March 2, 1919 Sa><,ta n, Gl V ^ ,,,~,,,,, ^ EB I anptiW ^ DOA ^ Mlahn Nary Rrldenro ^ onla - spadly: 9 2 vfS, Twp. a orb 9d Fadly Name (n nd YaMunm, pNe ekrt end nlerlOer) 9. Wr Decedslll d HeM~ ~? ®No ^ Yes 10. Pan: Anenron IMen, Bluk, WNte, uc. Bom CM h & • , . , 9b. Carly d Deel (n yes. eped!r Gl6all, and Socithamp~tan, Twp. 1141 Meant Ho.P,.baw Road MP~b~eb.) lU e Cumben? . Dsrodue's lklrl ~ d woadane moo d ~ Ire. Do nd stele 12. Wr Dsrodem ewr b be 19. Depdus'n EManm (SPsdY oM' ~~ P•d• ronV~•dl ,1. klel"N SIMU: Marliad, Never ManMd, 19. Suvluip Spans (n wna, pM rrelden rrm) Nd, Dlvaad 11 itla ,1 . US. Amin Faros? W J 1(kM d Work utnd d Bukrre llnduslry Elumdary l Searltlery (P12) Cale"e l1~ a 5~) Gl.c,dawed 7~h Homemaker Own Home ^ r« ®Nn Derodalra Melkrlp Addler (Seed, dty l bwn, eMb, zp aMe) 16 DerodelM's P Line k, 17c. ®Yr, Derodem Lbul b $0uthampta n Twp. T,,p, . 1141 Means Ho.E/Cow Road, Shi.ppend bung "tha1"tltlenCe "°~"° Cum ~,an TowneMp? nd. ^ N0. Deoeded wed wnMn ~/~ PA 17257 lm'0oi'~ Aa°elUmiMd ,". FethKS Nom (Firol, midde, Yu, sulAs) ,°. Motlere Name (Fku, mbde, molder nglrnle) lU.iek~i.ne lse S i Ann . . . Henry tU. tVe~.h.~.e 20a. blomerrt's Name (Type /Pmt) 200. MomerRS MaJnn Adder (~~ dlY I bwn~~+e model L~ II~111 era bung, PA 17202 203 Harvea~ Lane , 1)on~ F. K-i,b.Celc 2,e. Metlbd d Disposition I ^ c0enluion ^ Danatlon 21b. DaM a Diepmkbn (Mont, dY~ Yrr) 21c. PMU d Dhproikm (Name d ronldery, aenl•bIY a otM plaro) 21 d. laoenon (Cry/bwn, Mete sip ~) 2011. M.t. Hehmon Bap~C,b~ Church Ceme~ y Union, lVV 24983 23 atlarAWMdrd Novembeh ly b ; ^ • , . na an WrCmmM Rnmawtmmste ® a,;l ^ ~r I br Medical EumIMrlCarolluT ^ YM^ No 22e Spears d Fund la suds) 71b. Llunae NuliOer 22c Name ^ Addrer d FacWy 112 Glees K~.ng SZ. Sh,i.pp~nebung, PA 17257 H r-Bnieke~c F ~ . . aange FV 014351-L Foge ~ rum z9ec sly wyrn ~ z9e. )na my ktowl•dpe, death Mgr eM ~ ~_I~On~l. antl ntb) Y.b. lYSnse NuMa 2k. Slpned (Matpl. dy, rinr) Y~ f / I " L v o l o - ` ~y ~ plryaidan 4 na aae14DN u one d drb b U cuYly rote d drb. deY,Yrr) ffi. Wes Case b ANdcal Elmnikler / Caorer w ° Rrem over ben lemenon a DaWion7 ZS Deb IMomh , 21. tens d b Iblm 2e~26 mat be mn4Mled 0Y Pelson ^ Yes No (~ M b d . ~ . ~ wM pmaranas r CAUSE OF ATH (Sae irukruollorea end enmpln) I Appro=buu Marva: Pan II: Emu drr ' 28. Did Tobacco flee CadrBUN to DBWI? nr9rs - messes, Y(ulies, a rorllplicubm }dal dueclly oeuad tle daetlr. DO NOT eder kfmaal averds such ae cerdec emu, I Omel b Defiel but nd laeldnrlp n the uMertjup rue psat h Pan I. ^ Y ^ Probably Pad I: Einar be fbBID~ ram 27 h ~ ^ U . - exm n ; ach 6ne e on e ualYy as rou ekdo9Y. ~l rrpkatory earl, a venlnanar tbrikabn rAtled ehowkq the ~I~ _ (~ •~ ,( n •~ ~ ~ n d ~ ~ e A, ~ ~ ~ ~Q.: jr ~v u v+.'v V ~- rl c-G~-' / ` ~~~--~.~vl"' '~ Q~ ~ ~ m ~ IJ i1~~ "F NntaVreprem wnn~n pest year co~mJa~g In ~e~tll) ~ '- -"^- a. II ~e ^ prepmm M tkm d deab Due b r a GamequMCe dY ~ ~ Q • 1 •'`~'~ d ays , ^ Nd pregmn6 6M prepmm weMn 12 S~epue~rlYelh Fu wrldfaa, n arty. 6. Edo roU"Ie1WE~8LYN~G CIroiUS a Du to (a ae a wmeaance dl: i ~Q,, d tleeb n ryu ryy the sWiebd the c i - ^ Nd pngnull, hA prepmM 43 days b 1 year m) LAST tarots death d d4 °1I e ee n m y . pub (a r e consequence oQ: /') { ~ ~i n d. ~ SL_ W c ^ UdueMn n peplenl willlb ne pest year 30e. Wr en Aubtey 30b. Wm Aleogy Fil3gs M a 91. r d Oedh /~ 92a. Dale d II(ury (Month, tley, Yesr) 32b. Dawibe Now Ir(ury Oaurretl 92c. Place d IIMxy: Flale, Farm, Saeel, Faday, Olfiro &Xldlg, eb. (SpecO)'1 Panamed? Avakrde Pnor to CanpbEm ~_ p'u ,~ , arel ^ Homidds ~ d Gus d Death? ^ N ^ "' '- ^ Accbad ^ PaMnp bveenna0on 92tl. Time d IMuY 92e. In)ury a Wolk? 321. II Trampoltalbn blay (Speayy) ^ DriurlOperaa ^ Pawnpu ^ Pedeanan a2g. Lmanon d imury (Slmel alY /tows sMU) No ^ Yes o Yr ^ Sukade ^ Codd Nd be Daemked M. ^ Yr ^ No Otler ~ Syedly: 93a. CeNTer (sack ady om) gab. s~yawe a+d rwe d canes ~~ • CMlykq P°rablr (POYaiaan rortlykp taus d tlrb rAen ostler phyeiderl lee praeulmtl drb and anglued Item 23) ~ , To tle Orld my lmowYdpe,drtllottured duet tle ceuaNa)a11d IIIMlmrrpded_________________________________ bdh drtlr em ronilYbe b sue d deetll) Pr :a a la a~i 33c. LAeme NUmOu ' r + !? 33d. Dab ~IMp , day, ~ ur ( y en w lye re • Pmnorcka rra rontlrtls p To Ile bW d my anoaledP, tlrtll occumd M lr dne,sYb, end plre, rld ske b tle sore(s) eM manner r atNetl_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ ~ y ( p~ V J O V ~l ~ ~ l - (• ~ ! 1 ~O • Iled{cal FalakwlCaaer On Ne hrrr d arldrrsbn Mm l a bveglaUal, b my opYtlan~ aeaUl opcl°led V tnedme, da., rd plus, rM are lolhe roues) old Inlru r ataed ~~° a l P riA 91._Wglea ~ eu d Pora>~ lT~ ~I~ V ~ - " ~ Ty{ "/ ~ .. S ~ ~~ r~,( ~~ 7 I ~ 02 ~ ~ l - G / , ~ `~6 ~ ./~/'e . cW~tM~ R ~j . o ~ t ~// 0713408 DiaPOSlOOn PemA No. .Gast ~ViCCand'~Iestament of Bessie ~IVI. ir6 ~ y ~ _ ~~ m ~ ~~r. ~~~ ~ ~ :~ r 7{~ j C ~ ~ ~ it I, BESSIE M. KIRBY, of Southampton Township, Cumberland County, Penn~>~ia, beir~f so ;' ti ~ t~', ~. mind and memory declare this to be my Last Will and Testament and revoke any will or codicil previons~y made me. ITEM I: I direct that all my just debts and funeral expenses, including my gravemarker and all expenses of my last illness, shall be paid from my residuary estate as soon as practicable after my decease as a part of the administration of my estate. ITEM II: I give devise, and bequeath all of my estate of every nature and wheresoever situate to my husband, ALVIN J. KIRBY, provided that he shall survive me by thirty (30) days. ITEM III: Should my husband, ALVIN J. KIRBY, predecease me or die on or before the thirtieth (30th) day following my death then, I give, devise and bequeath all of the rest, residue, and remainder of my estate wheresoever situate to my issue per stirpes living on the thirty-first day following my death, in shares of equal value, share and share alike. ITEM IV: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and r , by whatever jurisdiction imposed, shall be paid from my residuary estate as part of the expenses of the administration of my estate. ITEM V: I appoint ALVIN J. KIRBY, Executor of this, my Last Will and Testament. Should he fail to qualify or cease to act then I nominate and appoint DORIS F. KIBLER and KATHY G. CHAMBERLIN, Cow Executors of this my Last Will and Testament. ITEM VI: I direct that my Executors or their successor shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I hereunto set my handfand seal to this my Last Will and Testament, written on ~ sheets of paper, dated this `~ ay of July, 2004. BESSIE M. KIRBY ~~ The preceding instrument, consisting of this and other typewritten page(s), each identified by the signature of the testatrix, BESSIE M. KIRBY, was on the day and date thereof signed, published and declared by BESSIE M. KIRBY, the testatrix herein named, as and for her Last Will, in the presence of us, who, at her request, in her presence, and in the presence of each other, have subscribed our names as wifiesses hereto. (~~'~„ /LQ,~ ~~...P ~ residing at ,1 y ~ ~^~r~~A residing at ~/L~GL~Z/'1~-~° 2 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS We, BESSIE M. KIRBY, the testatrix in, and the undersigned wifiesses to, the will, the attached or foregoing instrument, who have signed the instrument, having been qualified according to law do depose and say: (a) that I, the testatrix, do hereby acknowledge that I signed the instrument as my will, that I signed it willingly and as my free and voluntary act for the purposes therein expressed; and (b) that we, the wifiesses, were present and saw the testatrix sign and execute the instrument as her will, that she signed it willingly and executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testatrix signed the will as a witness and that to the best of our knowledge the testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. BESSIE M. K1RBY W ifiess J :~'/ G%e~~~F%G~i Witness Subscribed to and subscribed or affirmed and acknowledged before me by BESSIE M. KIRBY, the testatrix and the ifiesses w ose ames are signed above this [~ day of ~~~, 2004. Notary ub NOTARIAL~S ARY PUBLIC NORTH N~pN TWP.. CUMBfgLANO COUIIT'1 MT COMMISSION EXMRES MARCH 6 ~7 3