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Home My WebLink About02-23-12PETITION FOR GRANT OF LETTERS REGISTER OF WII.LS 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: Rodney W. Kitner _ _ File No• ~ / "~ 1' ~~ _~~ `-/ ~ - a/k/a: __ (Assigned by Register) a/k/a: - a/k/a: Social Security No: 167386584 Date of Death: 2/12/2012 Age at death• 59 Decedent was domiciled at death in Cumberland _ County, Pennsylvania (State) with his/her last principal residence at 3 South Water Street Borough of Newburo Cumberland_ _ Street address, Post Office and Zip Code City, Township or Borough County Decedent died at M.S. Hershey Medical Center Hershey __ Dauphin - P_A_ 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 Pennsylvania ................................All personal property $ _ 2 ~Q~.00 Ijnot domiciled in Pennsylvania .............................Personal property in Pennsylvania $ If not domiciled in Pennsylvania .............................Personal property in County $ - _ _ value of real estate in Pennsylvania ...................................... ............. - Real estate in Pennsylvania situated at: none TOTAL ESTIMATED VALUE.... $ - Z~~~O.OQ (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 C7 ~~--~ ~ Petitioner(s) aver(s) he/she/they is/aze the Executor(s) named in the last Will of the Decedent, dated 7/20/20¢~.~ ~ and Cc~}(~ thereto dated none ~ -n ~'t ;, J ~ ,~ State relevant circumstances (eg. renunciation, death ojexecutor, ete) ~7"T~ ~ Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, was not divorced; ~i~6t~ party-f~a pending ~':''~, divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g), and did nd~we a child bow or - adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. -T_' n.~ -_- :~~i ® NO EXCEPTIONS ^ EXCEPTIONS ~ i cn `'~~ ^ 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, t~>.a. or db.n.c.>: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. ^ NO EXCEPTIONS ^ EXCEPTIONS _ 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 (attach additional sheets, if necessary): _ Name Relationship Address 3 South Water Street, P.O. Box 123 .Lisa K, Kitner _ souse Newbur _ PA 17240 Form RW-02 rev. lOill/2011 Page 1 Of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF CUMBERLAND } __ Petitioner(s) Printed Name Lisa K. Kitner -- --- -- --- - - I ~- =,. C; 7 -~ t~~ PA '`~72~ r~-t <~ _, r,---td -T;~l CrJ i ~ .- J~~ ~w iV ,~ - Fr.. 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 lm low edge aq~elief ~~ of Petitioner(s) and that, as Personal Representative(s) of the Decedent, the Petitioner s) will 1 and truly administer the estate according to law. Sworn to or af~tmed ands bscribed before - Date ~~~~a me s ~~ ~ day o ~ i,lC.r.l. ` ~/ `~ BY:d~(,-1~~_'1 ~ ~ °2 -~, r _ - Date ----- ForttieRegister~-~LZI~ (~~ t,/v}eL~-~k~ --- Date __ - Date BOND Required: ^ YES ®NO FEES: Letters ....................... ', (2 )Short Certificates(s) ..... . ( )Renunciation(s) ......... . ( )Codicil(s) ............ ( )Affidavit(s) ............ . Bond ......................... Commission ................... . Other Will JCS fee _. Automation Automation Fee ................ . JCS Fee ...................... To the Register of ~I[s: Please enter my appearance by my signature below: 20.00 ~ Attorney Signature: 8.00 P i ed Name: Joel RL ullin er ~~ g ---- 15.00 23.50 5.00 TOTAL ......................$ 71.50 Supreme Court ID Number: 17516 Firm Name: ZUllinger-Davis, P C _ Address: ____ 14 North Main Street - - _- -- Suite 200 _ Chambersburg _ _ PA 17201 -- - Phone: (717)264$029 Fax: (717)264-1884 -- ---- Email: _ jzullinger ~zullinger-dav_is.com DECREE OF THE REGISTER Estate of Rodn~W. Kitner ~ File No: j ~ ~.~, ~ <~ ~_ a1k/a: _ - AND NOW, ~ ~ t ~ ' ~ f. ~ , 2012 , in consideration of the foregoing Petition, satisfactory proof having been esented before me, IS DECREED that Letters TestamentaN _ -- - are hereby granted to Lisa K. Kitner _ - --- - the instrtunent(s) dated July 20, 2011 in the above estate and (if applicable) that described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. -} ) Register of Wills .. ~ -- -- Form RW-02 rev. 10/11/2011 ~- ~ge 2 of 2 o~~i~ use o~y -1 -. _ -- --- Petitioner(s) Printed Address 3 South Water Street, P.O. Box 123 c~ LC3CAL REGISTRAR'S C't~`Y1~ICA~°I+C~f~ ~' ~~._~ WA~`-t~~$jil~ tardupBi~~}~ g, i:~ ~:=~K;y ~Y ~ha#~stat gar ~s~~~'-; I ~ J l,. i Zf` I yi FLL- ~ 1,;~, ~ e L~..I~•.) _ Jf .~iJ ~!i2i-rB23 PM l2: Sb CLERK OF ORPHAN'S C~~)Rr ('~I"(EI3Ci7tlt)!1 ~ .to11~1C'1 ------ 59 . Residence (State or Foreign 1 PA i. Residence (County) Cumberland er in US Armed Forces? Yes Q No QUnknown . Father's Name (First, Middle, Ray W Kitner a. Informant's Name Lisa K. Kitner Death Occurred in a~HOSpital: "r; ;fir i'y~~, Y c3 (a' ~ r--~ e, 3a .\ J~t 811 )iqr s`il": Type/Print in COMMONWEALTH OF PENNSYLVANIA ~ DEPARTMENT OF HEALTH ~ VITAL RECORDS PermanenS Black ink CERTIFICATE OF DEATH 1. Decedent's Legal Name (Fl rat, Middle, Lest, Suffix) 2. Sex 3. Social SecuNty Humbert Rodney W Kitner Male '167-38-6584 Se. Age-Last Birthtlay (Vrst Rh I I..ne. L ve_. ._ .._ ~__ _ - Hours Minutes March 19, >. Residence (Street and Number -Include Apf N 3 South Water Street !. Residence (Zip Cotle) 1 7 2 4 D I Status at Time of Death ~'tNarried Q cad Q Never Married Q Vnknow 14 b. R¢Iationship to Decedent Wife lenT :If Death Occurred Somew Dead on ArrlVal n u....,__..___, G E ~' a vl.~. r,ersney nn e(7 (cal Center a. Method of Olspos~tion Burial Q Removal from State Q Donation uar.Lis ~ 9 $ 2 76. Birthplace (CO o.) 8c. Did Decedent Liye In a Township? ~Q Yes, decedent lived in 117NO, decetlent Iiyed within IlmiCS of W ldowed 11. Surviving Spouse's Name (If Lisa K. McBr id 33. Mother's Name Prior to First Marr(age ({ Angeline M. Holloway 14c. Informant's Mailing Adtlress (Street anc P.O. Box '123, Newbur .._~._... o~,y o~~ .............................. here Other Than a Hospital: ~~HOSI Ong-Term Care Facility Q Other (Seech 1 i;~:; . 11 L'[?\ 11111 ~)I(.) , t Ia Y(' -Il +l ~ ~ ( ~tta-1 (1 ~g .?.s ~ .. A . y' ,.. February 12 2012 1 State or Foreign Coun[ry) I Cumberland iwp, Newburg City/Dorq give name prior To first marriage) Mftldle, Last) nbe r, City, State, 21p Cotle) PA 17240 er (specify) 2-16-2012 Sprin 6d. Location of Disposition (City or Town, State, antl Zip) une 17a. Signature oT F ~~+J~'~eerryy~~1~~~~ Licensee or i Sh ippensburg, PA 17257 ~ (~a.[~ / ~ '' " pl t Atld f F e al Facility C ~ VV n.~t~ ~L FO elsan er-Bricker Funeral Home Inc. 112 West Ki 3. Decedent's Education -Check the box [hat best tlescribes the ' h n S 19. Decedent of Hispanic Ori in -Ch k th ig est degree or level of school completed ei the time of death. g ec e box that best describes whether th D d Q Bth grade or less Q No diploma, 9th - 12th grade e ece ent is Spanish/Hispenic/Latino. Check the "NO" ~~High school graduate or GED completed box if decedent Is not Spanish/Hispanic/Latino. ~NO not Spanish/Hi i Q Some college credit, but no degree , span c/Latino QYes Mexican Mexic n A Q Associate tlegree (e.g. AA, AS) , , a merican, Chicano QYes Puerto Rican Q Bachelor's degree (e.g. BA, AB, BS) , Cuban QYes Q Master's degree (e.g. MA, MS, MEng, MEd, MSW, MBA , QYes, ocher Spanish/Hls a 14L Doctorate (e.g. PhD, Etl D) or Professlonai degree p n atino e. MD DOS DVM LLB JD (Specify) L. Oec dent's Single Race Self-Designation -Check ONLY ONE to indicate what the dec d ~ hite Q ) p nesc e ent considered himself or hi Q Sam o e Q Black or African American Q K oan Q Other Paclfl I l d Q American Intllan or Alaska Native ~ Vietnamese c s an er Q Don't Know/N t S Q Asian Intllan - Q Other Asian o ure Q Refused Q Chinese Q NetWe Hawallan Q Other (Specs fY) Q Filipino Q Guamanian or Chamo rro EMS 23a - 23d MV BE COMPLETED ' PERSON WHO PRONOUNCES OR 23a. Date Pronounced Desd (MO/Day Yr) 23b. Signature of Person Pron '.RTIFIES DEATH ~~/j K(///.c )~ /Z ZG'~/Z ~. Burin ~' n°ICate type of wor g most of working life. DO NOT USE RETIRED. terial Hanril e-/1-....1,~ a n.. .._ U.S. Gorlv.ernment CAUSE OF DEATH .__. 26. Part 1. Enter the chain of~van .~)ISeases, InJurles, or compllca Nons--that dlrec<ly causetl the tl th D '~'pprOximat respiratory arrest, yr VentNCUiar fibrlllatlon without showing th ea . O NOT enter ter e etiology. DO NOT ABBREVIATE E t e minal events such as cardiac arrest Interval: t-a IMMEDIATE CAVSE -------> ~I U.Qiv(L US . n er onl y one cause ~~GL ~ 2G/N on a line. Add atlditional Tines If necessary Onset to Death (Final disease or condition > ~~~~ resulting In death) D t ( q ce of). _ b. Sequentially I15t contlitlons, - If any, leading to the cause Due to (or as a consequence of): listed on line a. Enter the LNDERLYING CAVSE (disease or InfUry that Du¢to 0 ( r as a consequence of): F Initiated the events resul<ing tl. In death) LAST. Due io (or as a consequence of): a 26. Part 11. Enter other signifies diti Ib 1 t d [h but not resulting In the underlying cause i i P g ven n ert 1 27. Wes an autopsy performed? ~'' Q Vea Q-~ Zg. Were autopsy flntlings ayaile ble g 29 If Female: to complete the cause oT tleath? c . ~ Not pregne ni within past year 30. Did Tobacco Use Contribute to Death? Q Yes Q No 31 Manner f p Q Pregnant at time of death )~ Nos Q Probe bly . o eath ~ Natural Q Homi id ~ ~ Q Not pregnant, but pregnant within 42 days oT tleath Q Not pregnant, but pregnant 43 da s t 1 b Q Q Unknown c e Q AccitlenY Pending Inyestlgatlon Q Sui id y o year efore death Q Unknown If pregnant within <he past year 32. Date of In'u 1 rY (MO/Day/Vr) (Spell Month) c e Q Coultl not be determinetl Yes °'~ "'r ^ imury Occurred: Q Q Driver/Operator Q Petlestrian Q No Q Passenger Q Other (Specify) 3 C rtlfl (Ch k ly ) C rtlfyl g phy I i T th b st oI my knowletlge, death occurred due to the cause(s) and manner statetl Pronouncing 8. Certifying physician - To the best of my knowletlge, tleath vccu rred at the time, Bete, and place, and due to the cause(s) antl manner stated Q M¢dical Examiner/Coroner - On the basis of examinatlvn, and/or Inyestlgatlon, In my opinion, death gccurretl et the time, tlate, and place, and due tv the cause( ) nd m Signature of ce rtifler: Gt'-.S '~- ~ ~ / //a stated Title of certifier: License Number: ~/-~-~y ~~~7 b. Name, Atl dress and Zip Code of Person Completing Ca D h ( 26) ~ i c Y~11~.9~lersfiey Medical Center, Hershey, Pa-17033 39 Datesgned(Mp/Day/yr) ~. R¢gi sera is District Number 41. Registrar's Signatgfa _ ~ Z ~~ ~~~ ~ /~ ~ ~" - /j 42. Rgstrer Flle Dat¢ (MO/Day rl Hi11 Cemeter rn In Charge of Interment I FD-012984-L teat, Ship pensburg PA 17257 20 D tl t Race Check ONE OR MORE races to indicate what t~h~e~d"ecetlent consideretl himself or herself to be. hit p w e Q Korean Q Black or African American [] Vietnamese Q American Intllan or Alaska Native Q ether Asian Q Asian Indian ~ NatiVe Hawallan Q Chinese Q Filipino Q Guamanian or Chamorro Q J•Panese Q Samoan Q Other (Specify) Q Other Pacific Islander _ Dispnsition Permit Nn . ~ l ~ `.J O ~ H105-143 -- REV O~/201]. JRZ - 5.1 kitner.l July 8, 2011 -..~ n O ~;:; p~rn ,,a n:~ w LAST WILL AND TESTAMENT -}<~~j -~, ~<~-~ ~; --, .. ~~ I, Rodney W. Kitner, of Three Water Street, Newburg, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby declare this to be my will, hereby revoking any and all former wills and codicils thereto by me rieretofore made. ~, ~~ I. I direct that all my just debts and funeral expenses, including all expenses of my last illness, shall be paid from m Y estate as soon as practicable after my decease as a part of the expense of the administration of my estate. II. 1 I give, devise and bequeath the residue of my estate of every nature and wherever situate to my wife, Lisa K. Kitner, providing she shall survive me by thirty days. III. Should my wife predecease me or die on or before the thirtieth day following my death I give, devise and bequeath the residue of ~~ -,-; ; •, t~:-, ~~ ~,~ `T -T - ~:~ -_ T7 c~ p -s-- my estate of every nature and wherever situate to my children, namely Katie M. Kitner and Sarah R. Kitner, in equal shares, provided that the share of any child who predeceases me or dies on or before the thirtieth day following my death shall be distributed to my other then-living child, and in default of any such then- living child to Doris Jackson and Annette Ocker, in equal shares. IV. In the event that anyone entitled to a share of my estate shall be under the age of twenty-two years at the time for .,, distribution to such beneficiary, I constitute and appoint Katie M. Kitner as trustee of any property which passes either under this will or otherwise to said beneficiary. Said trustee shall in the ~` trustee's sole discretion and without order of court, use principal as well as income from time to ti me as may appear to be necessary for the beneficiary's welfare, comfort, medical care, recreation, t support and education, without responsibility to the beneficiary or ' to any person taking care of the beneficiar y; and the remaining balance in the hands of said trustee shall be distributed to said beneficiary when the beneficiary attains the age of twenty-two years. If such beneficiary dies prior to attaining the age of twenty-two years, said trustee is authorized in the trustee's discretion to pay part or all of the beneficiary's funeral expenses and the remaining balance in the hands of said trustee shall be distributed to the beneficiary's personal representative. In the Page 2 event the funds held by the trustee for any beneficiary become in the opinion of the trustee too small for proper and efficient administration, the trustee, in the trustee's sole discretion, may deposit such funds in a savings account in the name of the beneficiary. V. Any fiduciary under this will shall have the following powers in addition to those vested in them by law and by other provisions of my will applicable to all property whether principal or income, ~ including property held for minors, exercisable without Court approval, and effective until actual distribution of all property: A. To retain any and all of the assets \ of my estate, real or personal, without regard to any principle of diversification of risk. B. To invest in all forms of property including stock, common trust funds and mortgage investment funds without restriction to investments authorized for Pennsylvania fiduciaries as they deem proper, without regard to any principle of diversification of risk. C. To sell at public or private sale, to exchange or to lease for any period of time any real or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms or conditions as they deem proper. Page 3 D. To allocate receipts and expenses to principal or income or partly to each as they from time to time think proper. E. To compromise any claim or controversy. F. To distribute in cash or in kind or partly in each. G. To hold property in their names without designation of any fiduciary capacity or in the name of a nominee or unregistered. v2. ~ The interest of t he beneficiaries hereunder shall not be subject to anticipation or to voluntary o r involuntary alienation; and the principal and income shall be paid by the trustee or guardian directly to or for the use of the beneficiary entitled I\ thereto, without regard to any assi nment r g , o der, attachment or \ claim whatever. VII. 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. Page 4 VIII. I appoint my wife, Lisa K. Kitner, as executrix of this my will. Should my wife predecease me, fail to qualify or cease to act, I appoint Katie M. Kitner, my daughter, as executrix of this my will. IX. No bond shall be required of any fiduciary hereunder in any jurisdiction. X. I appoint Katie M. Kitner as guardian of the person of any minor child of mine. IN WITNESS WHEREOF, I hereunto set my hand and seal to this my last will and testament, consisting of six typewritten pages, the first four of which bear my signature in the margin for the purpose of identification this ~~~ y of ~ 2 D// -L _''~ ,.r r ~/ ( SEAL ) Signed, sealed, published and declared by the above-named testator as and for his last will and testament in our presence, Page 5 who in his presence, at his request and in the presence of each other have hereunto set our hands as attesting witnesses. 1 ! /4 C. ~ s~, • / We, Rodney W. Kitner, .i~f'i ~_ ~L1 ~~IYt~Qf and ~` a~~~~/1 ~ ' al IS the testator and the witnesses res ectivel P Y~ whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testator signed and executed the instrument as his last will and testament and that he executed it as his free and voluntary act for the purposes therein expressed and that each of the witnesses, in the presence and hearing of the said testator signed the will as witnesses and to the best of their knowledge said signer was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. ~~ --1.~ Test r /~ fitness ~-~ Subscribed, sworn to and acknowledged Witness before me by the above-named signer and subscribed and sworn to before me by the above-nai ed witnesses this2~~y~ day of ~.c Notary Publi COMMONWEAI7}i pF PENNSYLVANLq Page 6 Notarial Seal '4n9ela M. Sheffer N ~sburq 9oro, Cumberi~ ~ ~, MEMBER, PENNSYL ~~ M 15, 2015 CATION OF NpTq~~