HomeMy WebLinkAbout08-06-12PETITION 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 request(s) the grant of Letters in the appropriate form:
Decedent's Information
Name: GL L ~w,> 1`l,C.rl ~Cl z~
a/k/a: iDi4Lt.Z- 1 ~ ! ~ C.r`aP /for /~~ P
a/k/a:
a/k/a:
Date of Death:
Decedent was domiciled at death in ~
principal residence at lfD ~'
Street address, !Post Office and Zip Code
Decedent died at 7~~ ~ ~ l ti ~ ,-,r~-- l2 ~~
File No: 21 - / ~- - u~~~
(Assigned by Register)
Social Security No: - ,Z T-D OCj ~-
Age at de the
' ~ (Stale) with h;~/t,o.. t,.,..
_ ,...
City, Township or
Street address, Post Office and Zip Code
Estimate of value of decedent's roe City, Township or Borough
p p rty at death:
If domiciled in Pennsylvania ........ .
If not domiciled in Pennsylvania ......... • • • .. • • • • • • ~ • • ~ ~ • ' • ' ~l Personal property
• • • • • • • • • • • • • .....Personal property in Pennsylvania
Ifnot domiciled in Pennsylvania .......................... . . .personal property in County
Value of real estate in Pennsylvania
~ _ ~ Coun~
County State
$ .-
Real estate in Pennsylvania situated at: TDTAL ESTIMATED VALUE.... $ ~~ pv~ ~n
(Attach additional sheets, ifnecersary) Street address, Post Office and Zip Code
City, Township or Borough
County
A. Petition for Probate and Grant of Letters Testamenta
Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated 7
thereto dated ~O/LPi ~ Z / ~ and Codicil(s)
State relevant circumstances (eg. renunciation, death ojexecutor, etc.)
Except as follows: after the execution of the instrument(s) offered for probate Decedent did not m
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S~ 3323 not divorced, w
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ~ a PAY to lending
§ (g), and did not lj~hild bornwts~7C,
,~,NtO EXCEPTIONS ^ EXCEPTIONS 1 ~ ~ ~~%
~-J ~~ ~
C1 <,:°T
^ B. Petition for Grant of Letters of Administration (If applicable) ~ CT ~_' i r ;
y
c.t.a., d.b.n., d.b.n.c.t.a., pendente lire, durante a ` ` ~'
"~"~
If Administration, c.t.a. or db.n.c.t.a., enter date of Will in Section A above and com lete list g~}`~ '' durante~,orttate! ~ ~~'~~
Except as follows: Decedent was not a P g P ~ S• N '~~ r~
in 23 Pa. C.S. 3323 PaztY to a endin divorce roceeding wherein the grounds for divorce had been esfir6lished as defin~
§ (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 /aa,,,.t,
additional sheets, if necessary):
FormRW-02 rev. l0/11/201/
Page 1 of 2
- ---r•~~~..wuve(s) of the Decedent, the Peti Toner(s) will well d
an correct to the best of the knowledge and belief
Sworn to ~~irmed s bscribe bef a .. true administer the estate according to law.
me this ' a ~ ~ /~~~
BY' ~ Date ~ ~L
t Register Date
Date
BOND Required: ^ yES [.d''NO
FEES:
Letters ....... .
( )Short Certificates(s) .. $ ~ ~ ~
~ ~ )Renunciation(s) ..........rj~,C?I~
Codicil(s) .. , , , .... .
( ....
)Affidavit(s) ... ,
Bond .........
............
....
ommission ..... .
..............
Other
Automation Fee ..... .
JCS Fee ..... ~ ~ ~~ ~~ ~ -
TOTAL ....................... C~
Date
To the Register of Wills:
Please enter my appearance b
y my signature below:
Attorney Signature:
Printed Name: r-
Supreme Court ~:,
~
IDNumber: q
~~:%
~ C ,
-
~
` ::, t7
-
-
Firm
Name: .- `
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..
_
Address:
Q"~
~
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2 j ~
• ~1 M
T V _
- ~~
Phone: W ~~
Fax: C..?
Email:
DECREE OF THE REGISTER
Estate of ~-~(~-~~ • e (~I
a/k/a: ~- ~ld,flkl~ 1~,. ~ 1 ~~~ IFI~Yte No: 21- ~... ~-- '
AND NOW,
satisfactory proof having been presented before me, IT IS DEC
---- , in consideration of the foregoing petition,
are hereb REED that Letters
__ Y granted to
the instnunent(s) dated 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.
Form RW-02 rev. /0/!1/201/
Register of Wills
Page 2 of 7
Oath of Personal Renra~o,.~...~_
LOtc~-~AR'S CERTIFICATION OF DEATH
„ r4, , !~?~~I'to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00 ~~I2 dU6 _6 p~ ~2; ~~
~.•>_st r
ORPHA1v'S t~Ul1~
~ 18 ~ ~ ~ ~ RLAND CO., PA
b
Paul N7i ~~ e• Last, sufflx~
)bur ECUn7t1e
Sa. qge-Last Birthday (Yrs) Sb. Under 1 Vear
82 Months SI
Days
Ba. Residence (State or For i
PA a gn Country) gb. Resl
Bd. Rre<s. id_e tn~ce_(COUnty) 70Q
`-"++`~s.~r18nG~ 8¢. Resin
3. Ever in US Armed Forces?
Yes W No ~ Unkno 30. Marital Statu
t~ c°.~__._ •. - ~ Divorced
~?
Certification Number ~-~ylht ~~~~jl,c~
Type/Print In
Permanent
o¢ .iaU 1'C1-1t2
G
_~ If Death Occurred~in a Hosplial:~
~ ~ Emerges
cY Room/Outpatient
16b. Facility Name (If not Institution, give
Forest park Health
~, 16a. Method of Disposition
~ Removal from State 0 Burh
Other (Specify) ~
16d. Location of Disposition (Clt- y or ToLyn
~ Csar~lo+isle, P(Ap.17013
3 1zriOL ~II18n-~OLridd fFUnei
~4iner
Aug 1,
~ la. Decedenr: Educatlpn _ a'i rlolne and
~- highest de Check the
box that best d
r Crematory 219
North 138504
P
g
escribes the
ee or level of school tom leted at the time of death
Q 8th grade or less Hanover
19. Decetlen[ of His
Street
Panic Origin -Check
b
h
f Carl i
1
.
O No diploma, 9th - 12th grade t
e
ox that best describes whether the decedent
is Spani
h @ f PA 17013
20. Decedent's Rece -Check ON
W Hlgh school graduate or GED completed
Q Som s
/Hispanic/Latino. Check the "No"
box If decedent is not 5 the Decedent consid
® Whi E OR
ered himself MORE races
to Indicate what
or her
lf
e toile
ge credit, but no degree
Associate tlegree (
qq panish/His
~ No, not Spanish/His panic/Latino.
Panic/Latino se
te
to be.
~ Black or gfrican g
~g,
,45)
Q Bachelor's de
~ Master's de gree ( .g. BA, AB, BS)
~ Ves, Mexican, Mexican American, Chicano
~ Yes, Puerto Rican
[] gmerican Indian
Q Asian I
di merlcan
or glaska Native ~ Vietnamese
~ Oth
gree (e.g. MA, M5, MEng, MEd, MSW, MBA)
0 Doctorate (e.g, PhD
EdD)
0 Yes, Cuban
0 Yes n
an
Q Chinese er Asian
~ Native Hawaiian
,
pr Professional degre
(e.g. MD. nnc r..,.. .. _ e , other Spanish/His
Panic/Laf loo ~ Fillplno ~ Guamanian o
r Ch
White -._ .._..~ ~°„-I+eslgna
Black or African American
Q American Indian or Alaska Native
~ Q Asian Indian
Chinese
Q Filipino
ITEMS 23a - 23d MUST BE COMPLETED
BY PERSON WHO PRONOUNCES OR
CERTIFIES Dcaru
G
i~
E
(Spedty) ~ Japanese Q Samoan amorro
Other (Specify) __ ~ Other Pacific Islander
icate what ..,° ~__
Q Samoan ~ -.._ _~..~~
Other Pacific Islander
Don't Know/Not Sure
(~ Refused
Q Other (Specify)
Indicate type of wort
ring most of working life. DO NOT USE RETIRED.
Television Repairs
°~ alHnature of I
~ ~., The
This is to certify that the information here giver
correctly copied from an original Certificate of De
duly filed with me as Local Registrar. The origi.
certificate will he forwarded to the State Vi
Records Office for permanent filing.
"'°ac~ry. or other place) ~-
neral Home find
of lntermen< ~,. „__-- -- Crematory
Self
as Medical Examiner or coroner contactedz K ~ '
26. Part 1. Enter the c}, I f CAUSE OF DEATH O Yes
respiratory arrest, or ve t j P I -diseases, injuries, or compllcatlons--that direefl
n r cu ar fibrillation without showing the etiolo Y caused [he death. DO NOT enter terminal events such as cardiac arrest.
IMMEDIATE CAUSE /~ BY. DO NOT ABBREVIATE. Enter only one cause on a line, Add additional Tines if necessary
(Final disease or condition ~ a. C_!r CYt Q. yq~G ~ ~~"/~c-~~.~u
reaulHne mdeath) Due~~ as a con se ~'~ S6s
sequence of):
Sequentially Ilst conditions, b.
if any, leading io th¢ cause Due to (o
listed on line a. Enter the r as a consequence of):
UNDERLYING CAUSE
(n isease or Injury that c Due to (o
1 itlated the events r ulting d r as a consequ p~.
In death)LA57. es cote
>6 part 11 Enter Due to (or as a consequence of):
other z~nifl ° t onditi
'7^~ t~ tl but not resultin in She under) in
_/!° /~+'cLJ-t ~j LL g Y H cause given In Par[ 1
If Female:
Not pregnant within past year 30. Did Tobacco Use Contribute to Death?
Q Pregnant at time of death 0 Ves 0 probably 31~ n]an ner of
Not Pregnant, but pregnant within 42 days of death ref
pregnant, but pregnant 43 days [0 1 ~NO 0 Unknown Natural
Unknown if pregnant within the Fear before tleafh 32. Date of In u O Accident
past year 1 ry (MO/Day/Yr) (Spell Month) ~ Suicide
'lace of Injury (e.g, home; construction site; farm; school) 33. Time of Injl
35. Location of Injury (Street and Number, CI
nJury at Work 37. If Transportation In u LV. State, Zip
Ves j ry• Specify;
No 0 Oriv¢r/Operator [~ Pedestrian 3g. Describe How Injury Occurred:
Q Passenger Q Other (Specify)
GerHfler (Check only one) ~~-
d34_ y_~
Interval:
Onset to Death
~~
-~~-__
~~~
to complete the ca_ of death
f'l v__
Homicide
Q Pendi ^golnvestigatlon
Q Could t be determined
d' Gertffyfng physician - To the b st of my knowled
0 Pronouncing
g, Ce
g
death
Yi
n
r
o In eph
0 Medical Exa finer/G o o •
oc red due to <
s lan -
To the bes f my knowled hu c
ause(s) and manner st
_
Signat ated
the basis of el ination, and/ ge, death o c rred at the time, date, and
or investi
l
ure of certifier
b. Na
Addre
gaH
~_ p
ac
On, in my opinion, death occ red
ur e, and due to She causes
at She time, date
and
l
t
J,
ss a d p C de of P r
~"~~
//N ~ ^1 ~' / CompleHt,a t-a„se of D ath (liem 26
HIS 303 /~/
)
Title of certifier: M ,
p
ace, and tlue So
the cause(s) and manner stated
Ucense Nu
b
M
Registra DistrlctNU
' , ~ftOY'1L
~_
// ~ m
er:
3'~ &SSE
_
1I _~` ~ 41. Registrar's 51
re
~t "-
r f r/{ 39 ~~te~'Hned (MO/Day/yr)
~"~DI~S
A d t 1 ~ ~r,~ /'3~ ~d0/i
Disposition Permit No. `~~ ~~ ~ `LJ~
H105-143
k ONLY ONE io Intl
O Japanese
Q Korean
Vietnamese
Other gsian
0 Native Hawaiian
Q Guamanian or Cha MOrro
JL~ 31/201
Local Regjstrar --
COMMONWEALTH OF PENNSYLVANIA . DEPgRTMENT OF HEALTH • VITAL RECORDS ~clte ~SSUed
CERTIFICATE OF DEATH
L Oa h7ale 208-24-0$02 r 4. Daie of Death (Mo/Day/Vr) (Spell Mo)
6. Date of Birth (MO/Day/year) (Spell Month) 7a. Birthplace CI July 29 r
Minutes ( ty and State or Forei 2012
April 18. 1930 gncountry)
eet and Number- Include Apt No. fib. Birthplace (County)
1Llt ) Hc. Did Decedent Live in a Township?
Bot tOlll Rf9 _ Yes, decedent lived in
p Code)
of Oeath 0 Married CVO, decedent Ilved within limits of _ twp,
Never Married Q Unk~~.vn idowed il. Surviving Spouse's Name fIF ..--~~` ~ P
`~ city/h....
~~-_~
LAST WILL AND TESTAMENT n~ T-.~
OF ~ ~ ~_ , ~,-=~
PAUL W. KUNKLE ~G' ~
~">C_-
C~'~_.
t~z
--+ ~
I, PAUL W. KUNKLE, a resident of 403 Walnut Street, Boiling
Springs, Cumberland County, Pennsylvania being of sound mind,
memory and understanding, do hereby make, publish and declare this
to be my Last Will and Testament, hereby revoking all Wills and
Codicils heretofore made by me.
ITEM 1: I direct that all my just debts, the expenses of my
last illness and funeral expenses be paid as soon after my decease
as the same can conveniently be done.
ITEM 2: I direct that there shall be paid out of my
residuary estate all estate, inheritance and like taxes together
with any interest or penalty thereon imposed by the government of
the United States, or any state or territory thereof, or by any
foreign government or political subdivision thereof, in respect to
all property required to be included in my gross estate for
estate, inheritance or like tax purposes by any of such govern-
menu , whether the property passes under this Will or otherwise,
excluding, however, any property over which I have a taxable power
of appointment, provided, however, that no residuary beneficiary
shall by reason of this provision be denied the benefit of any
deduction, credit, favorable rate of tax or other benefit which by
law enures to such beneficiary.
~~"' ~~
PAUL W, KUNKLE
-1-
a~
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--c7
LAST WILL AND TESTAMENT
OF
PAUL W. KUNKLE
ITEM 3: I give, devise and bequeath all of the rest,
residue and remainder of my estate, real, personal and mixed, of
whatsoever kind and nature, and wheresoever situate at the time of
my death, unto my mother, NELLIE M. KUNKLE, provided, however,
that she survives me and is living sixty (60) days after the date
of my death.
ITEM 4: If and in the event that my mother, NELLIE M.
KUNKLE, does not survive me and is not living sixty (60) days
after the date of my death, then and in such event, I give, devise
and bequeath all of the rest, residue and remainder of my estate,
real, personal and mixed, of whatsoever kind and nature, and
wheresoever situate at the time of my death, as follows:
Fifty Percent (50%) unto my sister, ARLENE M. GROUP
Fifty Percent (50%), divided in equal shares, unto my
nephews, BENJAMIN GROUP, AARON GROUP and AUSTIN RUTZ.
ITEM 5: I hereby nominate, constitute and appoint my sister,
ARLENE M. GROUP, Executrix of this my Last Will and Testament,
with full power to do any and all things necessary for the
complete administration of my estate, and direct that no bond or
other surety is required of her in this or any other jurisdiction
for her performance of this office.
_ ~~ ~~ ~~~~C~
PAUL W. KUNKLE
-2-
LAST WILL AND TESTAMENT
OF
PAUL W. KUNKLE
If and in the event that my sister, ARLENE M. GROUP, does not
survive me and is not living sixty (60) days after the date of my
death, or does not complete her duties as Executrix, then and in
such event, I hereby nominate, constitute and appoint KIM RUTZ,
Executrix of this my Last Will and Testament, with full power to
do any and all things necessary for the complete administration of
my estate, and direct that no bond or other surety is required of
her in this or any other jurisdiction for her performance of this
office .
ITEM 6: If any provision of this Will or of any Codicil
hereto is held to be inoperative, invalid or illegal, it is my
intention that all the remaining provisions thereof shall continue
to be fully operative and effective, so far as is possible and
reasonable.
IN WITNESS WHEREOF, I, PAUL W. KUNKLE, the Testator, have to
this my Last Will and Testament, typewritten on four (4)
consecutively numbered pages, subscribed my name and affixed my
seal this -~y~day of October, 1989.
T7:-c.~-~C~ t~J /~.CUh~~;,wC'~ ( SEAL )
-3-
LAST WILL AND TESTAMENT
OF
PAUL W. KUNKLE
Signed, sealed, published and declared by the above named PAUL W.
KUNKLE, as and for his Last Will and Testament, in the presence of
us, who have hereunto subscribed our names at his request, as
witnesses hereto, in the presence of the said Testator, and of
each other.
?~ ,~ ~ _ ~
' ~,~ residing at i'~/~'`~L~Z~- 'y
~ ~ .~
residing at
-4-
OATH OF NON-SUBSCRIBI~,7G WITNESS(ES)
REGISTER OF WILLS
COUNTY, PENNSYLVANIA
___ f/
Estate of ~~~~ ~- /~.- ~-1- i~.~,~i~
Deceased
~~~ra-e_ dYl ~i+~u~
and
(each) being duly
acquainted with
law, depose(s) and
that she he /they was /were wen-
t
with the handwriting and signature of the decedent, and that the signature of
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of
is in his/her own proper handwriting.
_x ~ ,~-
(Stgnalure)
~r ,~ ~~t ~~~~ ~-
(~treet Address)
_ ,..,.... ~,Nr
Executed in Register's C;fi~e
Sworn to or affirm.
bef e me th'
0
n ~.
/ 1 i~
Deputy forfor Regi /uuu
Form RW-04 rev. !0)3.06
and am/are familiar
(Signature)
(Street Address)
(City, Stale, Zip)
and subscribed
~
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.
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of Wills ~~ . ~'
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OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
COUNTY, PENNSYLVANIA
Estate of ~~ (/V ~ /CU lr~.~{~~o
Deceased
~~ ~ ~~~.~
and
each bein dul '
g y qualified according to law, depose(s) and say(s) that sh he /they was /were well-
acquainted with ~Q , , Q /i ~ ~~ , : , ~ ,~ r,
with the handwriting and signature of the decedent, and that the signature of c
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of
is in his/her own proper handwriting.
(Signature) R ~~~
(Street A ress) / ,---~
«YCr s ~~ t% ~Ct ~ 7D / S~
(City, State, Zip)
Executed in Register's Offce
and /a~m/are famili/ar /~
i~C G~ ~'C EC u-~C,y~
(Signature)
(Street Address)
(City, State, Zip)
Sworn to or affirmed and subscribed ~`'
befo me this `fit day ~C
`'-' ~.
~'" ~t
~'
Of ~, ~ ~/ '
~~• ~ ~ r`-r ~ r ~ ~j
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Deputy for Register of Wi s ~
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4~ ~
x-
Forst RW-04 rev. 10.13.06
RENUNCIATION
~~>12 AtIG -5 P~! 12~ 3
REGISTER OF WILLS
CUMBERLAND CONY, PENNSYL Ul~FH~~v'~D C;~~:P
6~1~~~J~..A~1 CO , A
Estate of
!~~
Deceased
I~ G t,~.
(Print Name) , in my capacity/relationship as
.~ ~s r
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
// . r `~ ~
(Date)
(Signature)
t l ~ ~-' 1,t1. lnl ~ ~
(Street Address)
.r
~- ~v~S~:All,t._ PA 1 7 0 7 3
(Crry, State, Zrp)
Executed in Register's Office
Sworn to or affirmed.and subscribed
befo e this th dax
of oC
p ty for Register of Wills
Executed out of Register's Offce
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
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev. 10.13.06