HomeMy WebLinkAbout04-24-12PETITION 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 requests the grant of Letters in the appropriate form:
Roger D. Kreos
Name: Elma T. Kreps File No: 21 - t<~ - (` ~ Y~
a/k/a. (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: 04/06/2012 Age at Death: 91
Decedent was domiciled at death in Cumberland County, pA (State) with his/her last
principal residence at 5225 Wilson Lane, Mechanicsburg 17055 Lower Allen Township Cumberland
Street address, Post Office and Zip Code City, Township or Borough County
Decedent died at Holy Spirit Hospital 17011 Camp Hill Cumberland PA
Street address, Post Office and Zip Code City, Township or Borough County State
Estimate of value of decedent's property at death
!f domiciled in Pennsylvania ...................... All personal property $ 13.800.00
Ifnot domiciled in Pennsylvania ................ Personal property in Pennsylvania $
Ifnot domiciled in Pennsylvania ................ Personal property in County $
Value of real estate in Pennsylvania ................................................................... $ 0.00
TOTAL ESTIMATED VALUE $ 13,800.00
Real estate in Pennsylvania situated at None
(Attach additional sheets, rf necessary.)
Street address, Post Office and Zip Code
City, Township or Borough
® A. Petition for Probate and Grant of Letters T amenirv
Petitioner(s) aver(s) that he/she/they is/are the Executor(s) named in the Last Will of the Decedent, dated
thereto dated
11/01/2011
County
and Codicil(s)
State relevant circumstances (e.g., renunciation, death of executor, etc.)
Except as follows: after the execution of the instrument(s) offered for probate, Decedent did not marry, was not divorced, 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 did not have a child born or
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., pedente lice, durance absentia. durante minoritate
If Administration, c.t.a or d.b.n.c.t.a., enter date of Will in Section A above and omol list of h ire.
Except as follows: Decedent was not a party to 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):
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Name Relationship Address
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Form RW-OT rev. 10-11-2011 Copyright (c) 2011 form software only The Lackner Group, Inc. Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF Cumberland } ~ _i , -< t_ ~ Biaiay J 9n ,-
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Petitioner(s) Printed Name Petitioner(s) Printed Address
Roger D. Kreps 5535 Westbury Drive C~ERK r ~'
Enola, PA 17025
QRPHA~'S ~01~~732aso7
_ ~ t -,_
~ ne retiuoner~s/ above-names sweartsl or atrirmtsl the statements In the toregomg Netition are true and correct to the best of the knowledge and
belief of Petitioner(s) and that, as Personal Representative(s1of Decedent, PeJti i~er~(sj) will well and truly administer the estate according to law.
Sworn to or affirmed and su5scribed before • `~"`^~r "~--" Date ~~j~-
me t day of 1' ~~L~-~ Date
By: ~ .~(~ hl ~ O ~ ~ ~ F~~~Y ~ ~ ~,~~~, ~ Date
or th2 Register Date
BOND Required? ~ YES ~ NO
FEES:
Letters .......................................... $ ~ Q ~~ . C)C~
( ~ )Short Certificate(s)......... ~~ (p . i`~
( )Renunciation(s) ..............
( )Codicil(s) ........................
( )Affidavit(s) ......................
Bond .............................................
Commission ..................................
Other
(,~)1~~
Automation Fee ............................
JCS Fee .......................................
TOTAL .........................................
(~•C~
.` OCR
F "C:
$ 1~~I ~C
To the Register of Wills:
rtease en1:e~
Attorney Sig
belOW:
Printed Name: ~lennifer B. Hipp
Supreme Court
ID Number: 8 556
Firm Name: Bottar and Hipp Law Offices
Address: 1 West Main Street
Shiremanstown, PA 17011
Phone: 717-737-8761
Fax:
E-mail: jhipp~bogarlaw.com
DECREE OF THE REGISTER
Date of Death: 04/0612012
Social Security No:
Estate of Elma T. Kreps File No: 21 - I~ -(; ~ X 1
a/k/a:
AND NOW, 1 ~ ~~ t rl a ~ I~ , in consideraYon of the foregoing Petition,
satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to Roger D. Kreps
in the above estate and (if applicable) that the instrument(s) dated 11/0112011
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. ~
Re ister of Wills (,l ~(, ~
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Copyright (c) 2011 form software only The Lackner Group, Inc. ~ 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. X6.00
~ ~ r~~f57
V .S. V ~.~ t~.. a.J l.J ___-
Certification Number
e/Prim In
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'7"his is to certify that the information here given is
correctly copied from an original Certzficaie of Death
duly tiled with me as. Loral Registrar. TI1e original
certificate; will be forwarded to the Mate Vital
Records Office tar permanent filing.
~L~~~
Local Registrar date ]slued
COMMONWEALTH OF PENNSYLVANIA • DEPAPTMENr Oi HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
Uxepent's Lgal Name IFINL Middk, last Sufikl 1. Sea 3. 5«Ial Sxurky Number 1. Date pi Dexh (MO/Day/Yr) IS«II Mo)
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Sa. A{e-Vrt Birthday Iynl Sb. Under I Year Sc. UMer 1 6. Da4 of Birth IM
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9 1 Monms Days Nours Minutes ~ u5~r ~ L~ I ~ "`O
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Be. Resdence IOP Coda) D ^ No, tlxMent INed within Ilmib o/ cltY/baro.
9. Ever M US ArmeE Forcesi 10 Markel Status at Time of Deam p Married ~ WldowM 11. Survivint Spouu's Name III wife
{IVe name prior to flnt mamgel
,
^Yes ~NO ^Unknown OONOrpd ONeyer MilrlM ^Unknown
11. hthei s Name (first, Middle, last. Sumxl 33. Mothei s Name Pdor to First Marnge (First, Mlddk. Last)
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1Ea. Inf«mant's Name 11b. Relatlonmip to Decedent lk.Intormant's Malllnt Mdrcsa(Strcet and Number, Cky, State. Zlp COde~
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If OeaM Oweredk aHOSpital:•• yIn atlent If Death OCCUmdSOmewhere OmarThans H« I. •••••••••.....••.••••.••.......•••.. ....•••••.•....•..•.•••
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^ Emer{ency Room/putpatlent peatl on Artlval NurslM Noma/lo -Term Care FaclNry aher (spedryl
2 ISb. FxNlry Name (11 not Instkutlan, {IS'e street antl number; 19c. pry w Town, State, and Zlp Code lSd. County of Death
~ 1-101
m 1fia. Method of ~ Burial ~ Crematlpn 18b. Date of Dhp« bn 1 . MKe of DNpaltbn (Name pl pmetery, crematory
««har plan)
Removal hom Stott ~ Dpnatkn ,
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eol Inttrment
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lTb. Uprise Number
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3 ITC. Name and COmpkrc Address MFPMnIFxlllry ^^~ - 7
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18. eden[S Eduut -Chxkthe boa that best deudbes the 19. Deceden HlsWnk Odtln-Chxkthe 20. Oer:edent's Rxe-CheckO OR MORE races to lrMlpte wjL
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est tlgrce «leYel pf sdtool completM at me time of deem. boa mat hest describes whether the depdent tlw decedent cansklered hlmuH «hersell tp be. j'~•
8th trade «less Is Sp+nlshMbWnk/tatlno. Check the'Na' Whke ~ Korpn
No dlPlama,9M-12m {rode boa Hdxedentbnot Spanish/Hlspank/laHna. Black or ghkan American ~ Vkmameu
^HI{h xlgol {raduatt or GED pmpleted No, rwt Spanish/NlyankAxlnp ^Amerkan lrglan orANSka NaNVe ^Other ASkn
Soma colkte credit, but no dgrae ^ Yes, Maakan, Mevipn Amerlpn, Chicano ~ Allan Indkn ~ Natlw Hawaiian
^ Ass«ku de{ree (e.{. µ ASI ^ Yn, Puerto Rican ~ Chineu ^ Guamanian or Chamorro
^ BxheloYf dgree le.b BA, AB, BSI ^ Vn, Cuban ~ Filiplm ~ Samoan
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Master
s dgroe (e.{. Mq MS, MEM. MEd, MSW, MBAI ^ yes, Mher Spanlsh/NlsWnl4tatlnp ~ Japanese ^ Other Pacific blander
^ Dact«att le.{. PhD, EOD) or Professional dgree IsoecHVl ^ Omer IS«clryl
e.. MD ODS DVM LLB 10
21. Oxedent's Sln{k Rxe SeH-DesltnaNpn - Chxk ONLY ONE to IMkate what the decedent pnsidered hlmulf «herulf to be. 22x. Decetlent's Uwal Occupatlan - IMipte type of wort
~ wnke ^ 1,wneu ^ mmwn
done durlry most pl wrMirr{Ilfa. DO NOT UEE RETIgEO
.
^Blxk or Alrlcan Amenpn ^Krnan ^Other PadBC Islander
^ Amerkan Indkn or Alaska Nature ^ Vktnameu ^ Don't Know/Nat Surc ~ OVVr 2TVtAlF~-V
^ Mlan Intllan ^ OthM Allan ^ Relused 11h. Kind of auslness/Intlustry
CTlnna ~ Nature Hawaiian ~ Other ISpenfyl
^Filipim ^Guamanian orCMmorto L/~
ITEMS - MUST BE CAMPIETFD Z .Date Oronounced Dead IMO Oay rl 13b. Synaturc o Person Pronauncin{ Death Ion Y when appllnblel 23c
Uprise Numbe
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BT PERSON WNO PRONOUNCES M I{~(`t r I la
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cERnnES OGTyI
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13d. Daft 3Nned (MO/DaYM) 1a. Time oiDpM \x~c l:~F-•'I L~I.(I'UJ ,GVI:I ~(i Jt~
t ~\ lr 2x12 I I N I ~ ~ n 15. Was MMlpl Epmi«r or Coroner Cpnttctetli ^ Yes No
CAUSE OF DEATH
Approalmate
16. Part I. Enter the chain of events--0ISeaus, Intydes, «complkatbns--that dircdly caused Me deem. DO NOT enter terminal events such as cardiac artest Interval:
respiratory arrert,arventrlcular RbdlkHOn wkM1OUt showl
n{"the etlolory. DO NOT ABBREVIATE
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nt
er only
one pose on aline. Adtl adtll[ional lllus if necesury Onut
to Death
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IMMEDIATE CAUSE -----------~> a. c i / Y1 111 f ~1 y I e' (r
IFinal diseau or rondkbn Due to Ipr as a <onuouence a~:
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If arse. leaan{ ro ehe puaa -y
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UNDERLYING CAUSE Due to Ipr as a conspuenc oN'. ~
IdN.au or Inlury that
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~ In death) lASt. Due to for asapnsequence pO.
3 26 Pert IL Enter other Naniflpn[coMkbn MbEal tnd mbut not resultin8~ theu derlylnl puu 6lven'rn Panl 2]. Was an autopsy perfamedi
i CUVY7^~y ~,~Cy ~rJf°.rC; M~"•1~ti1 1y~1(
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~ 18. Were autopsy flndiga available
to complete the puu of deaths
29. Il female:
30
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b ^ Yes No
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y«o Uu ConMbute to Death) 31. Manner of Death
Not pre{nan[withln part year ~ Ves ~ Probably ~Matural ~ Hpnkide
b' ~ Pre{nant atdme Mdeath
^ No known 0 A«kmt ^ veMln{Immtlptbn
N
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~
« pre{nan4 but prgMnt wkhln /Z d
ays p/death
~ Suicide ~ Cook rwt be dattrmMed
N« prgnant, but prgnant l3 dM to) year before death 32. Date of Inlury (MO/Day/Yr) (Spell Month)
~ Unkrwwn If pretMnt wimin the part Year
33. Time al Inlury
3I. Plop of Mlury le.{. home; cdutmctlm site; farm; sdwdl 35. L«nbn of Inlury IS[rcet aM Number, Clry, State, Zip Code)
36. Inlury at Work 3T. MTrcmpMatbnln)ury, SpxHy: 3B. DeuHbe NOw Inlury Occurred:
Q Yes ~ Driver/Operator ~ PadesMan
^ No ^ Pauenter ^ other ISpxNyl
3 9x. Certifier IDhxk only anal:
„0'certlfyxlB pnyrlnan - ro me ben or mr krloyMedte, death «arted due m the came(sl and manner attted
^ Prorlwndq 8 CMifylnt physltlan - To Me best of my knowktlBe, death «curted at the time, dale, and pixe, arM due to the pux(sl and manner stated
^ Medkal Examiner/C«oner - o buts of exam atbn, aM/« ImestlgaNOn, in my Donlon, deem «curred at the time, date, and pxe, and due to the pose
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OATH OF SUBSCRIBING WITNESS(ES) _
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REGISTER OF WILLS J 4 ~
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CUMBERLAND COUNTY, PENNSYLVANIA ~ y ~=.:,
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Estate of ELMA T. KREPS
Deceased
Jennifer B. Hipp and James D. Bogar , (each) a subscribing witness to
(Print Name/s)
the ~ Will ~ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that she / he /they was /were present and saw the above Testator /Testatrix sign the same
and that she / he /they signed the same and that she / he /they signed as a witness at the request of
the Testator /Testatrix in her /his presence and in the presence of each other.
(Signature) ! ature) /
One West Mai Street One West Main Stre
(Street Address) (Street Address)
Shiremanstown, PA 17011
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this
day
of ,
Deputy for Register of Wills
Executed out of Register's Office
Sworn to or affirmed and subscribed
before me this ~ 8+~ day
of - c~01 a ,
~~
Notary Public _
My Commission Expires: / a~~o~.~! 5
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization.
Form RW-03 rev. 10.13.06
eETR B. LENGEL, NOTARY PUBLIC
~MREMANST0INN BORO, CUMBERLAND COUNd
MY COMMISSION EMPIRES DECEMBER 12, YOif
Shiremanstown, PA 17011
(City, State, Zip)
'.-:~ a~
LAST WILL AND TESTAMENT ~~~ ~ ~-
:.--,. ~ m
OF '~~ ~ 3`
ELMA T . KREPS rt' ~ '~` .;,~ rn
I, ELMA T. KREPS, of Mechanicsburg, Cumberland County,
Pennsylvania, make, publish and declare this as and for my Last
Will and Testament, hereby revoking all other Wills and Codicils
heretofore made by me.
FIRST: I devise and bequeath all the rest, residue and
remainder of my estate of whatever nature and wherever situate,
including any property over which I hold power of appointment and
together with any insurance policies thereon, to my son ROGER D.
KREPS, provided that should he predecease me, then to my
daughter-in-law, DEBBIE KREPS. If both ROGER D. KREPS and DEBBIE
KREPS predecease me, then to HEATHER E. KREPS.
SECOND: In addition to all powers granted to them by
law and by other provisions of this Will, I give the fiduciaries
acting hereunder the following powers, applicable to all proper-
ty, exercisable without court approval and effective until actual
distribution of all property:
(A) To sell at public or private sale, 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 (including credit, with or without security) or
conditions as are deemed proper. This includes the power to give
legally sufficient instruments for transfer of the property and
to receive the proceeds of any disposition of it.
(B) To partition, subdivide, or improve real estate
and to enter into agreements concerning the partition, subdivi-
sion, improvement, zoning or management of real estate and to
impose or extinguish restrictions on real estate.
t
(C) To compromise any claim or controversy and to
abandon any property which is of little or no value.
(D) To invest in all forms of property, including
stocks, common trust funds and mortgage investment funds, without
restriction to investments authorized for Pennsylvania fiduci-
aries, as are deemed proper, without regard to any principle of
diversification, risk or productivity.
(E) To exercise any option, right or privilege granted
in insurance policies or in other investments.
(F) To exercise any election or privilege given by the
Federal and other tax laws, including, but not necessarily being
limited to, personal income, gift and estate or inheritance tax
laws.
(G) To make distributions to my herein named benefici-
aries in cash or in kind or partly in each.
(H) To borrow money from themselves or others in order
to pay debts, taxes, or estate or trust administration expenses,
to protect or improve any property held under my will, and for
investment purposes.
(I) To select a mode of payment under any qualified
retirement plan (pension plan, profit sharing plan, employee
stock ownership plan, or any other type of qualified plan) to the
extent the plan or the law permits them to do so, and to exercise
any other rights which they may have under the plan, in whatever
manner they consider advisable.
THIRD: I direct that all inheritance, estate, trans-
fer, succession and death taxes, of any kind whatsoever, which
may be payable by reason of my death, whether or not with respect
to property passing under this Will, shall be paid out of the
principal of my residuary estate.
FOURTH: I nominate and appoint my son, ROGER D. KREPS,
Executor of this, my Last Will and Testament. In the event of
2
the death, resignation or inability to serve for any reason
whatsoever of the said ROGER D. KREPS, I nominate and appoint my
daughter-in-law, DEBBIE KREPS, Executrix of this, my Last Will
and Testament. In the event of the death, resignation or inabil-
ity to serve for any reason whatsoever of the said ROGER D. KREPS
and DEBBIE KREPS, I nominate and appoint my granddaughter,
HEATHER E. KREPS, Executrix of this, my Last Will and Testament.
I direct that my Executor or Executrix, as the case may be, and
their successors, shall not be required to post security or a
bond for the performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and
seal to this, my Last Will and Testament, this ~S{ day of
~U~{~~b~~ 2011.
~ yy
~~ ~ 1~ (SEAL)
ELMA T. KREPS
Signed, sealed, published and declared by the above-
named Testatrix as and for her Last Will and Testament in our
presence, who, at her request, in her presence and in the
presence of each other, have hereunto subscribed our names as
attesting witnesses.
Address
Address
3