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HomeMy WebLinkAbout02-23-12IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of Gerald D. Kauffman ,Deceased ESTATE NO: 21- ` ~ - 7- a1k/a: a/k/a. SS NO: 219-14-8033 Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as applicable: D 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 Testamentary the last Will of the above-named Decedent, dated 8/22/1995 under and codicil(s) dated n/a __ _ - - - -- (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): n a ^ B. Grant of Letters of Administration ~~ ~~ --~ _~ •_~ ., .~~_~ -r-+ THIS SECTION MUST BE COMPLETED: '~ ~ ~ ~ ~/ i~ r- ~^ Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal r~e~sidence~ -~ At 210 Bi S rin Road Newville PA 17241 West Pennsboro Townshi (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) Decedent, then 88 years of age, died 2/16/2012 at Newville, Pennsylvania (Month, Day, Year of death) (City and State where death occurred) Estimated value of decedent's property at death: _If domiciled in PA All personal property _If not domiciled in PA $ 50 000.00 Personal property in Pennsylvania $ _If not domiciled in PA Personal property in County $ _Value of Real Estate in Pennsylvania $ Total Estimated Value $ 50 000.00 Location of Real Estate in Pennsylvania: (Provide full address if possible.) n/a Signature(s) Interim Form RW-02 revised 12.26.10 by Name(s) & Mailing Address(es) Page I oft (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(g), except as follows: OATH OF PERSONAL REPRESENTATIVE Commonwealth of Pennsylvania County of Cumberland SS 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 before me this ~ ~r ~ day of '~ , L~%>>il? 'rte 'Jl,~~i lr i _ C. ; ~ I ' G t1 lam:- , r or the Register DECREE OF PROBATE AND GRANT OF LETTERS Estate of Gerald D. ~K~l (,~ ~~ ti l 7~, Deceased File Number: 21- 1 ; ~--- _ t `; ,_~ C~ ~/ AND NOW, this . ~ ~ ~ .t j~ day of `. ', ~ ~ {,~(~ ~ ~ 1~-C.-' (~ , in consideration of the Petition on the reverse side hereon, satisfactory proof having been p ented before me, IT IS DECREED that Letters x Testamentary _ of Administration are hereby granted to: (If applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.) Karen L. Sykes the above estate and that instruments(s) dated s/2z/1995 in admitted to probate and filed of record as the last Will and Codicil(s) of Decedent ribed in the petition be FEES: Letters ....................$ 90.00 Will ........................ 15.00 Codicil(s) .............. . (lo) Short Certificates 40.00 (2) Renunciations....... 10.00 Bond ............................ Other ............................ ................................. ................................. Automation FEE......... 5.00 JCS FEE ................... 23.50 TOTAL ................$ 183.50 ~` - ~' ,,~ Glenda Farner Strasbau ~%~- ~ t, Register of Wills ~' ~~~~` iG~ ~ ~~~- Signature of Counsel Required to Enter Appearance Atty's Signature PRINTED Name: l~athan C.~yolf Supreme Court ID No.: 873so Address: 1o West Hi h Street Carlisle, PA 17013-2922 Phone: 717-241-4436 Fax: 717-241-4437 Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 2 oft LGICAL REGISTRAR'S Ei~~~I~ICA~`I~~V C~~. , ";-~ >w. w ,, ~~'r~~';is'~k~.~~ dl~plic~t~ ~l~Is:~ ~:=~;a~( by ~hot+~stat or z~h~~; ~~``~~ ,.;f i C I ~ ~ _.uJ ~'cc' 'I !~,7~ ter liit..ttL. :~!).~I) C~~~~ (~ - ~ .~ ~ ~ ) ~ ~ 1 ~ ~(,; . ~... _- . ___-__ - __._ -- , *r,),~, '~ . _ I 'TYPe/Print In ~.(.~_<ii L'C'; / Permanent COMMONWEALTH OF PENNSYLVANIA ~ DEPARTMENT OF HEALTH ~ VITAL RECORDS Black ink CERTIFICATE OF D 1. Decedent's Legal Name (First, Middle, Last. Suffixl -. EATH I l ~ 88 Months Days IB R Idence (State or Foreign Country) gt PA and Nu Spring -- -'- -~~ a Township? Yes, decedent lived in Wes -- - 10. Marital Status at Time of De Yes [~NOcVQ Unknow ath O No, decedent lived within limits of Married n ~ Divorced 0 Never 12. Father's Name (First Mid Widowed 11. SUrvivin 5 Married ~ Unknow g Pouse's Name (If wife give nam , tlle, Last, Suffix) Walter 2 _ Kau££man , e pr 13. Mother's Na 14a- Informant's Name me Prior to First Marria He (First, Midtlle, Last; Saral-1 [/1] l Frederic Kau££man 146. R elaiio nship [o Decetlent e ty 14c. Informant' M G ~ If ~~--~--------' son s ailing gddress (Street antl Number, Ci Strathrno _ p Death Occurred' -"-"" . m a HoSPital: ~p+--'" •-..........•...........•....... L_I Inpatient '-""' 15 •---•---•- a. P ace o Deat ...................... w C e ~ , B~n c M r ~ ~ Emergency Room/Outpatient O Dead on Arrival 156 Fa ili If Death Occurred Somewhere _ - ------.p,.• - ..................... Othe~Than a Hospi[at~ --~ -~ . c ty Name (If not Institution, give street and n umber; ~ Hospice Facili Nursing Home/Long-Term Care Facility Oth Green R1d e Vi11a a er 5 15c. Gity or Town, State, antl Zip Cotle ( Pecify) 16a. Method of Disposition ~ Burial Newville, lsd. cppntyt PA 17241 a p ~ Removal from State Cremation ~ Donation 16b. pate of Disposition 16c. Place of Ots Cum ostfi otner(sPetify) S6d Feb O 201 p on (Name of cemetery, crematory, o r . Location of Disposition (City or Town, State and Zi ) , ProBp~-+Ct Hill Cemet , p Y va. gna pf Fu eral se ery re' a ccensee P - ork, PA 0 12c. Name and Cnm pleie Atldress of Funeral Facility 18. Decedent's Education -Check the box that best describ ~ es the highest degree or level of school co mpleted at the time f d 19. D cedent of Hi spank Origin -Check the o eath. Q 8th grade or less box that best describes whether the decede t Q No diploma, 9th - 12th grade n is Spanish/Hispanic/Latino. Check the "NO" ~ High school graduate or GED completed bo if dec edent is not Spanish/Hispa nlc/Latin ~ Some college credit, but no degree o o. 'CN O, n t Spanish/Hispanic/Latino ~ Associate degree (e.g. AA, q5) ~ Ves, Mexican, Mexican American Chicano Q Bachelor's degree (e.g. BA, AB, BS) , O Ves, Puerto Rican ~f Master's tlegree (e.g. MA, M5, MEng, MEd, MSW MBA ) ~ Yes, Cuban , 0 Doctorate (e-g. PhD, EdD) or Professional de r ~ Yes, other Spanish/Hispanic/Latino g ee . MD DDS DVM, LLB lD (Specify) 2 1. Decedent's Single Race Self-Designation -Check ONLY ONE io Whit indicate h e 0 Japanese w at She decedent considered himself or Black or African American ~ Korean 0 Samoan W Q American Indian or Alaska Native 0 Vietnamese 0 Other Pacific Islander ~ Asian Indian ~ Other Asian O po n't Know/Not Sure Chinese 0 Native Haw ii ~ Refused a an Q Filipino ~ Guamani ~ Other (Specify) ITEMS 23a - 23d MUST BE COMPLETED an or Cha m 23 a D c ono BY PERSON WHO PRONOUNCES OR . a e Prono need Dead (Mo/pay/Vr) 236. SI¢n atu r,. f CERTIFIES OEATH 23d ~_ 1 1 _ _ `P 1 o person Pn / ~ - . Date Signed (MO/Day/Yr) 24. Time of Oe [h /\ C~P/t psf S ~- - \ ~n - 1 ~ a ~- -- - - ` . .. ( \r c~ E 013144E ~ 7 ~+1,1~ twP. city/boro. 9010 to indicate what e decedent considered himself or herself to be White Black or African American . ~ Korean ~ Viet American Indian or Alaska namese Native ~ Other Asi Asian Intllan Chinese an ~ Native Hawaiian Filipino ~ Guamanian or Chamorro Japanese ~ Samoan Other (Specify) O Other Pa ciflc Isla ntler during most of working life' DO NOT U EPR ETIRED! Minister United Methodist Church RN CAUSE OF DEATH ~a~ yammer or coroner contacted? O ves 26. Part I. Enter the chain of events--diseases, ~ I respirato i~]ur~es, or complications--that directly caused the death. DO NOT enter terminal e ry arrest, or ventricular fibrl llaiion ithouT showing the etiology` DO NOT ABBREVIATE. Enter onl gents such as ca rtliac arrest IMMEDIATE CAUSE ------ ~ C P ~~ Y one cause on a Ilne. gtld additional lines If necessary _________> a. ~ S// l (Final disease or con tlition resulting in tleath) D t ( q f) b. Sequentially Ilst conditions, if any, leading to the taus Due to (or as a consequence of): listed on line a. Enter Thee UNDERLYING CAUSE (tlisease or injury that Due to (or as a consequence of): initiated the events resulting d. in death) LAST. Due to (or a5 a consequence of): 26. Part 11. Enter other sianif'ca nt tl"t' i 'b i t d th but not r..e~ u...... ._ .~_ .-_ Q Not pregnant within past year ~ pregnant at time of death Q Noi pregnant, but pregnant within 42 days of death Not pregnant, but pregnant 43 days to 1 year before death Q Vnknown if pregna of within the pas[ year lace of Injury (e.g, home; construction site; far June 20, 1923 mbe - Inclnds. A... n~~.. Approximate I nterva I: Onset to peath to co^plete the cause of tleath? ye ~ Probably' -Manner of Death !~ O Natural Unknow ~~ gccident ~ Homicide Q Pe ntlingolnvestigation f l t ry (MO/Day/yr) (Spell Month) ~ Suicide 0 Could t be determined yes I3B. Describe How Injury Occurred: ~ Driver/Operator 0 Pedestrian Q No Q Passenger Q Other (Specify) ~C rtf~i (Ch k ly ) ~'Y fy g PhY T th b t f y k I dg d th d d t ih 0 P g tL C Ifyi g physics n - To the best of my knowled ( ) nd manner stated ~ Medical Examiner/Coroner - On sis ga. death occurred at the time, tlate, and place, and due to the cause of examination, and/or investigation, in my opinion, death occurred at the time, date, and place and due to rhea ause Signature of certiFler: _ ~ . _ O (s) and r statetl b. Name, Address and Zip Code f Title of certifre r: • anne n Completing Cause of Death (Item 26) License Number:~2d~ O `~ /~- -- C Darryl Guistwi e, 56 Asl-iron Street, Carlisle, P 3s=-Date Signed(Mo/Day/Vr) . Regi tr s District Number A 17015 / -~ / ~ 41. Re~g / is Sig~nJatu re ` /~ Z ~ ~ `~ ~ ~ Z - Y~Za/rI !/.LT ~,a/ - .7~ /~~ ~ / I I - ,yC„ - 42. Registrar File Date (MO/Day/Yr) i Disposition Permit No.~/J ~_-~~~~~ R H105-143 2Ncao9393 ~ ,a LAST WILL AND TESTAMENT OF `yG ~.. ~ GERALD D . KAUFFMAN _=-`? ~ .;,.: 'LJ'9!T _ L J ; _"~ I, Gerald D. Kauffman, of the Borough of Carlisle, ~ ~ ~`1 Cumberland County, Pennsylvania, declare this to be my last Will and Testament and revoke all Wills and Codicils previously made by me. ITEM I: I direct that my just debts, funeral expenses, and the expenses of the administration of my estate, including any state, federal or other death taxes payable because of my death, shall be paid from my residuary estate as soon as practicable after my decease, as a part of the expense of the administration of my estate. ITEM II: I devise and bequeath all of my estate of every nature and wherever situate unto my wife, Eleanor L. Kauffman, provided she shall survive me by thirty (30) days. ITEM III: Should my said wife, Eleanor L. Kauffman, predecease me or die on or before the thirtieth day following my death, I bequeath all of my jewelry and other personal effects, household furniture and furnishings and other tangible property of like nature (not including automobiles, cash or securities) in equal shares unto my children (I have three children: Karen Louise (Kauffman) Sykes, Frederic Hershey Kauffman and Kristen _;`, ;a~ -z" -t_ ., _ T J ,- `". - : -~ ~, r Anne (Kauffman) Hall) who shall be living on the thirty-first day following my death, to be divided among them as they shall agree. ITEM IV: Should my said wife, Eleanor L. Kauffman, predecease me or die on or before the thirtieth day following my death, I devise and bequeath the rest, residue and remainder of my estate of every nature and in equal shares unto my three children, Karen Louise (Kauffman) Sykes, Frederic Hershey Kauffman and Kristen Anne (Kauffman) Hall, provided, however, that the share of any of my said children who predeceases me or dies on or before the thirtieth day following my death shall be distributed to his or her issue, per stirpes, living on the thirty-first day following my death, and in default of such then living issue, such share be added to the shares for my other then living children and the issue, per stirpes, of my then deceased children. ITEM V: I appoint Farmers Trust Company, of Carlisle, Pennsylvania, guardian of any property which passes, either under this Will or otherwise, to a minor and with respect to which I am authorized to appoint a guardian who have not otherwise specifically done so. Provided that this appointment of a guardian shall not supersede the right of any fiduciary in its discretion to distribute a share where possible to the minor or to another for the minor's benefit. Such guardian shall have the power to use principal, as well as income, from time to time for the minor's support, medical and health care, and education or to make payment for these purposes, without further responsibility, to the minor or to any person taking care of the minor. ITEM VI: I appoint my wife, Eleanor L. Kauffman, Executrix of this my last Will and Testament. Should my said wife fail to qualify or cease to act as Executrix, I appoint my three children, Karen K. Sykes, Frederic H. Kauffman and Kristen K. Hall, Executors of this my last Will and Testament. ITEM VI: I direct that my personal representative, as well as their successors, shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WeI~JT1NESS WHEREOF, I have hereunto set my hand and seal, this ~~'~day of August, 1995. ~e ~ Gerald D. Kauf an The preceding instrument, consisting of this and two (2) other typewritten pages, each identified by the signature of the Testator, was on the date thereof, signed, published and declared by Gerald D. Kauffman, the Testator therein named, as and for his last Will, in the presence of us, who, at his request, in his presence and in the presence of each other, have subscribed our names as witnesses hereto. ~;~ ~ ~ '; ~ r ~~ ~~ ~.L~~t RENUNCIATION Cumberland REGISTER OF WILLS COUNTY, PENNSYLVANIA ~~ i -~ 1,. ~, - t~ ~, ~ c Estate of Gera}d D. Kauffman ~ .._~ C~ ~-:_; 'tom 1 ~? ~n- exr _ , c ~~ J~ C'J t. ,_ t~` ~ • ~' - _~ r-r. ~. _ . ~.~ `-~ ~: I, Kristen A. Hall Deceased in my eapacitylrelationship as (Print Name) ' dau~hterlnamed co-executrix of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Karen L. Sykes 02~1,?l2012 (Date) (Signature) 823 Spruce Street (Street Address) Roaring Spring, 16673 (City, State, Zip) Executed in Register's ~rce Sworn to or affirmed and subscribed before me this of day Deputy for Register of Wills Executed out of Register's ()f Srce 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 of -~~ B R tg ~ a ~ ,~?d/~ / /, ti+-iii-,c~4 ~~ • tc t"iy / Notary Public My Commission Expires: CI ~~ ~ ~ -. ~~ 1 ~ (Signature and Seal of Notary or other official qualified to administer oaths_ Show date of expiration of Notary's Cotnmission l Farm RR'-(1! rev. 1(1.13.bG TM of ~s~rtv~wv- s~ Gwendolyn S. 8tH'ket. Notary PubNc Taybr ~1^rR~ 81ak ~ 7"~,3~ 2112 Gommt~ ME~IEER VAMAt~9'9pC7A110MOF AWES RENUNCIATION Cumberland REGISTER OF WILLS `ti `!' . _f ^~~ ;_~~ .'r; _.t~ ~~ j r~2 r i C.J f 7'. _... -s r~ -~~"7 '~ - ~i ry ~.`.J ___, Deceased ~© ~~ _~ ~~ T ~ c'. ~ . ~/j ~ j ,` ~ (.~ --~ `-_ "i L~ Estate of Gerald D. Kauffman I Frederic H. Kauffman (Print Name) son/named co-executor COUNTY, PENNSYLVANIA 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 Karen L. Sykes 02/Q~[2012 (Date) t --~ _.Z_ (Signature) 358 Strathmore Drive (Street Address) Bryn Mawr, PA 19010 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills r. .,.._. nru n~ _,,., rn i a n< Executed out of Register's Offue Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the oses stated within on this ~~ day ofd Q h t ;~~ ~. ,,~~ /~ -~~~ Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show~~ piration of Notary's Commission.) NOTARIAL SE_i1L_~ FORTUNATO LOM8ARD0 Notsry Puelk RAONOR ~. DELAWARE COUNTY iWf- Commie:ion Expires Oct 19, 2015