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HomeMy WebLinkAbout08-06-12 (2)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 /. l /~ J / Name• ~~} L~ ~it~ l~u~ Kl L°_ File No: ? 1 - / ~' (../~`~ a/k/a: .~-'~- (i(~ /L(~ L.(.JP ~~/ /'- l! P (Assigned by Register) a/k/a: a/k/a: Date of Death: Decedent was domiciled at principal residence at ~~ Decedent died at Street address, Post Office and Zip Code Social Security No: ~ ' ~. ~ ~(~ 2- Age at de the (State) with_his/hpr tact. Estimate of value of decedent's property at death: If domiciled in Pennsylvania ................................All personal property If not domiciled in Pennsylvania .............................Personal property in Pennsylvania If not domiciled in Pennsylvania .............................Personal property in County County Coun~ r State Value of real estate to Pennsylvania .............................................................. $ ~ ~(~~ TOTAL ESTIMATED VALUE.... $ _~ O D~ Real estate in Pennsylvania situated at: (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 L.3~ ~ ~ ~ and Codicil(s) thereto dated /lD~l.ei State relevant circumstances (e.g, renunciation, death ojezecutor, etc.) Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, was not divorced, w of a party to ~nding divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g), and did not hild bornKyy adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. T~ ' ~O EXCEPTIONS ^ EXCEPTIONS ' ' C ti ~~ ~ r--i ,--i", ^ B. Petition for Grant of Letters of Administration (If applicable) t/~ ` `° ~ .r. r ~°: c.t.a., d. b. n., d. b. n. c.t.a., pendenle life, durante a~3 '~,:durante~toritate^i If Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and com lete list t3f F~•s rv ~~ .-~ Q Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had been esfished as defin~ ~ 'T~ 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 Forn, nw oa rev. loinizou Page 1 of 2 Register Date Date BOND Required: ^ YES C~NO FEES: Letters ....................... $ ,~ ~ ( )Short Certificates(s) ...... ~~_ (~ )Renunciation(s) .......... _ 'S•(~11 ( )Codicil(s) ............. . ( )Affidavit(s) ............ . Bond ......................... Commission ................... . Other Automation Fee ................. ~, (' ~ ~ JCS Fee ....................... C~ TOTAL ......................$ C~ To the Register of Wills: Please enter my appearance by my signature he~nw• Attorney Signature: Printed Name: ~ r.~ Supreme Court © ^' -.-. ~ ;-n ID Number: ~~ ~ C r~ C~ _ ~ ( F ~ t Firm Name: _ ~ ~,, ~ Y ~ _~ x t Address: C7 ~ - ~ N ,-~ ~ C~ C"'f ~'k Phone: W Fax: Email: DECREE OF THE REGISTER Estate of ~c~ t.1 I U11 . ~ 1 ~~ ~e ~~- {~(~~ {-y? i ~ O ~ l~I IK~'ll'e~No• 21- 1 ~ ~~`~$ a/k/a: • AND NOW, "/ t' ~ ~j satisfactory proof having been presented are h the instrument(s) dated described in the Petition be Form RW-02 rev. 10/1!/2011 in,~nsi eration of the foregoing Petition, me, IT IS DECREED that tters 2 I~ ~ r~ ~ 1~ 1 ~ ~ rn ~n ~ r ~ granted to ~lfiZ _ in the above estate and (if applicable) that to probate and filed of record as the last Will (and Codicil(s)) of Decedent. i ~~ l(,~ _ Register of Wills ge2of2 i ne rennoner(s) above-named sweaz(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 Decedent, the Peti loner(s) will well d tnxl administer the estate according to law. Sworn to ~f~irnted s bscribe bef ~e `C~~~ ' /~ me this ' /' a ~ ' V1~ Date By: Date HI05.805 REV (9/I Ij LO}T~AR'S CERTIFICATION OF DEATH WA ~, M~~ to duplicate this copy by photostat or photograph. .: ( _,.~- Fee for this certificate, $6.00 ~~~2 A~~ -6 ~}~ ~2: 3v This is to certify that the information here iv' P g En correctly copied from an original Certificate of De ~~ ~ duly filed with me as Local Registrar. The oriQi) '"``'i'~ ~ ;'~ certificate will be forwarded to the State V ~~ ~ ~~~~~ Records Office for permanent filing. Ct~IBEF~LAND CO., PA 18627~~0 ~~~~ u~. / Certification Number b TVPe/Print In Permanent ~G J 3 1 201 Local Registrar Date Issued COMMONWEALTH OF PEN NSVLVANIA ~ DEPARTMENT OF HEALTH ~ VITAL RECORDS /"C~T~r~~w Tr ~. 1. Decedent's Legal Name (Firs[, Meddle, Last, Suffix) ~ ... .--s s z z State File Number: 2. Sex 3. Social Security Number q. Date of Death (MO/DaV/Vr) (Spell Mo) Paul Wilbur Kunkle Male 208-24-0802 July 29, 2012 Sa. Age-Last Birthday (Yrs) Sb. Under 1 Year Sc Under 1 D . a 6. Date of Birth (MO/Day/Year) (Spell Month) 7a. Birthplace (City and Stat¢ or Foreign Country) 82 Months Days Hours Minutes April 18 ~ 1930 7b. Birthplace (County) Sa. Residence (state or Foreign Country) 8b. Residence (Street and Number -Include Apt No.) 8c. Did Decedent Live in a Townshlp7 PA 700 Walnut Bottom Rd . Q Ves, decedent Ilved in 8d R id . es ence (County) [wp Cumberland 8e. Residence (Zip Code) [~' Jo, decedent lived within li i f (" m ts o - aYl i zql 9. Ever In US Armed Forces? 10. Marital Status at Time of Death Q Married Q Widowed 11. Survivin 5 o city/bo Q Y g P us N f e s ame (I wife, give name prior [o first marriage) es ~ No Q Unknown Q Divorced ~ Never Married Q Unkno w 12. Father's Na lFlrs[, Middle, Last Suffix) 33. Mother'ys Name Prior to First Marriage (First Earl Wilbur Kun]sYe Middle L t , , es ) Nellie Mae Hamilton ~ C 14a. Informant's Name 14b. Relationship tq Decedent 14c. Informant's Mailing Address (Street and Numb City, State 21p Cotle Kim Rutz Niece 430 Hillcrest Dr_f Carlisle, 1SA 17b15 ......................................................... ..................-..-..............-•:If a .. •„• is ace o Deat c ec on y one __ If Death Occurred in a Hos Ital: sPwy - "----••-•----•••••----• ••••••••-•--•• . .... ... .... ........... P L,J Inpatient ~ Death O ... d o y ~ ___ .. .. ccurre P ty .................................. Somewhere Other Than a Hospital: F II '••'----' Hos Ice ac i Decedent's Home Emergency Room/Outpatient 0 ~ Dead on Arrival _ ~ Nursing Home/Long-Term Car F ili W e ac ty Other 5 15 b. Facility Name (If not InsNtutlon, give street and number; 15 c. CI ( pecify) tY Town, St te, d 25 Code Fo t P ~ res ark Health Center lStl. County f Death Carlisle PA 7013 r ~- Cumbe land 16a. Method of Disposition Q Burial [~ Cremation 16b. Date of Disposition 16c. Place of Disposition (Name of cemete Q Removal from state cr $ ry, ematory, or other plac¢) Q Dpnaap^ At1 1 . 2012 - ~ - - g H h .€ Ot er (Specify) man-Roth era) Hann $nd Crematory 16d Location f Di . o sposition (City or Town, Stat¢, and Zip) 17a. Signet f Funeral Serv I r Person in Char e of I t ~ g n erment 17b. License Number Carlisle, PA 17013 138504 17 N d Co fee dd f Funer I F Ility > ~`f~ = ` =#o man ~o~~i ~ iinera~ dome and Cremator 219 N ~+' y, orth Hanover Street, Carlisle, PA 17013 18. Decedent's Education -Check th b h t- e ox t at best describes the 19. Decedent of Hlspe Mc Origin -Check the zo. oecedents Race -Check ONE OR MO highest tlegree or 1¢vel of school c m l t d p o e e RE races to Indicate what at the time of death. box that best describes whether the decedent the decedent considered hi Q 8th rade or l lf g mse or herself to be. ess is Spanish/Hispanic/Latino. Check the "NO" ®White Q No diploma 9th - 12th d , gra Q Korean e box If decedent Is not Spanish/Hispanic/Latino. W Hlgh school graduate or GED completed Q Black or Afrlean American Q Vietnamese No no[ S anish/Hi i , p span c/Latino Q gmerican Indian or Alaska Native Q Other Asian Q Some college cr¢dit, but no degree Q Ves Mexican Mexic A , , an merican, Chicano Q Asian Indian ~ Q Associate degree (e.g. AA, AS) Q Native Hawaiian Yes Puerto Rican , Q Chinese Q Bachelor's degree (e.g. BA, AB, BS) Q Ves Q Guamanian or Chamorro Cuban , FIII i Q Master's degree (e.g. MA, MS, MEng, MEd, MSW, MBA) Q Ves, other 5 Q p no Q Samoan panish/Hlspa nic/Latino Q Japanese Q D octorate (e.g. PhD, EtlD) or Professional degree (Sp¢cifyj Q Other Paclflc Islander Q Other . MD ODS OVM LLB JD (Specify) 21. Decedent's Single Race Self-Designation -Check ONLY ONE to indicat¢ what the decedent considered himself or herself to be. 22a White Decedent' U l . s sua Occupation -Indicate Q Japanese Q Samoan type of work Q Black or AfNCan American Q Korean done during most of working Ilfe. 00 NOT USE RETIRED. Q Other Pacific Islander Q American Indian or Alaska Native Vietnamese Television Repairs Q Q Don't Know/Not Sure Q Asian Indian Q Other Asian Q Refused Q Chinese Q Native Hawaiian Q Other (Specify) 22b. Kind of Business/Industry Q Filipino Q Guamanian or Chamorro Se1P employed ITEMS 23a - 23d MUST BE COMPLETED 23a. Date Pronounced Dea Mo Day/Vr 23b. Signature of Person Pronouncing Death Onl BY PERSON WHO PRONOUNCES OR ^ y w en appllca eJ 23c. License Number CERTIF/ES DEATN ~ I71 ^ ~~ I IhQ 23tl. Dat¢ Signed (MO/Day/Vr) 24. Time of eath t ~ J Q r-- So3 y~-q L Z - ~~ ~ 25. Was Medical Examiner or Coroner Contacted? Q Yes No CAUSE OF DEATH 26. Part 1. Enter the chain of events--diseases, Injuries, or complications--that direct) APProXlmaLe y caused the death. DO NoT enter termin l i a r¢sp ratory arrest, or ventricular fibrillatio events such as cardiac arrest. Interval: n without showing the etiology. DO NOT ABBREVIATE. Enter only one cause on a Tine Add additi l // . ona ~' Ilnes if necessary Onset to Death IMMEDIATE CAUSE _______________> a. ~Y CN Q.-~f~~ ~• L ~NSG ~ /1! s'!Y (Final disease or condition D to (o as a consequence of). resulting in death) b. Sequentially list conditions, Due to (o as a cons equence ofJ: if any, leading to the cause listed on line a. Enter the ~j UNDERLYING CAUSE Due to (or as a copse (disc r Injury that quence of): initiated the events resulting d. ~ In death) LAST. Due to (or as a consequence of): ag a 26. Psrt 11. Enter other s(aniflcant conditio t 'b ti t d th but not resulting In the untlerlying cause given in Part 1 • ~ 27. Was a auto ~ ~~ _/ ~ psy perfor ed7 /'l n ~ Vez No 2H. Were autopsy findings available to complete the cause of death? 29. If Female: Q Ves ~ N 30 D d S . i o Tobacco Use Contribute to DeathT er Q Not pregnant within past y¢ar 31. of Death Q ~'es Q Probably ~ Q Pregnant at time of death Natural Q Homicide ~NO Q Unknown Q No[ re na t b p g n , Q gccldent ut pregnant within 42 days of death i n l t- 5ulcide Q Not pregnant, but pregnant 43 days to 1 year before death 32. Date of In u Q Q Cou d not be de~er mined J ry (Mo/Day/Vr) (Spell Month) V k n Q nown if pre gnan[ within the past year 33. Time of Injury 34. Place of Injury (e.g. home; construction site; farm; school) 35. Location of Injury (Street and Numb Cl er, ty, State, 21p Code) 36. Injury at Work 37. If Transportation Injury, Specify: 38. D¢scribe How Injury Occurred: Q Ves Q Driver/Operator Q Pedestrian Q No Q Passenger Q Other (Specify) 39a. Certifier (Check only one): Ce KI(ying physlclan - To the b st of my knowledge, death occurred due to the cause(s) and manner stated Q Pro i 8 nounc ng < Certifying ph s Ian - To the bes f my knowledge, death occurred at the time, date, antl place, and due to the cause(s) and manner Q Medical Examiner/Coroner - th t d b s ate e asis T,}e/I in ti and/or investigation, In my opinion, dea t h o ccurred at the time, date, and place, and due to the cause(s) and m ~ anner statetl f ~ ~ A Signature of cer[ifler: ~ yl OOI~/i~ Title of caKiFler: I-I % Ll~ense Nt,tnb M ~ O 34 8 Sg E er: 39b. Name, Address and 21p Cod¢ of Person ComplIeting,,C~ use of Death (It¢m 26) 39e. Oate igned (Mo/D / vid R Y7fll 3 N ay/Vr) MV 30 ~n~r+.+toric -F- ~a// S . r FA l~a~s U o aoi~- 40. Registrar's District Number 43. Registrar's Si 42. Re Istrar FI ¢ Date Mo Day r) ~~-a~b ~_ 1 ` 43. Amendments ~(~ O~ Disposition Permit No. ll ' L ~ p ~ JQ B H305-143 .~_~ <~~, LAST WILL AND TESTAMENT C~ r``' ~a ~r ~ -~+ ~. rn C OF ~~C..1 L"'~ f r:` C PAUL W. KUNKLE ~~` ~-;~-, C~ ~, . ~ "~ OC ~ `-=~ e _~ ~_ D W ~~ 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- ments, 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- 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. 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. -c.,~`-'y ~ n~~;1~C,~- ( 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. /~_, /~ i ,. "tE~ residing at ~~C/~"Z~2 y ,~ residing at -4- OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS COUNTY, PENNSYLVANIA _~ l / '~ / Estate of ~~'~-~ C/~./' ~~ ~~-~` '~- ~~~ ~~ ~~-~' a nd Deceased (each) being duly qualifi d accordin to law, depose(s~)jand say() that she he /they was /were well- acquainted with .( and am/are familiar ~~ /LC .G~ with the handwriting and signature of the decedent, and that the signature of ~-Y~ l~/~~ ~~i~c ~K to the foregoing instrument purporting to be the Last Will and Testament/Codicil of is in his/her own proper handwriting. x ~. (Signature) (Street Address) l /a.~(•sl~ ~ ~ ~ ~a ~3 (Crt , ate, Zip) Sworn to or Deputy for Regi and subscribed (Signature) (Street Address) (Crty, State, Zip) ~ a,,,a c.+ ~~ +v Q ~'p _ ~-7 c 17~ A ~ G7 ~3Q ,~i .~" .. r ` ~ C~~;. JS ~ ~ ~''~ FormRW-04 rev.l0.13.06 Executed in Register's Gf,'fire OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS COUNTY, PENNSYLVANIA Estate of ~~ ~' v ` ~u ~-`"" ~°- Deceased `` 1~/~. ~ d~Lli~ and (each) being duly qualified according to law, depose(s) and say(s) that sh ~ ~ he /they was /were well- acquainted with 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. ~. ~° `~ (Signature) C7L/ (Street A ress) s ~~ ~c~ ~ ~D t S (City, State, Zip) Execccted in Register's aff ce Sworn to or affirmed and subscribed befo me this ~t day of ,~/~1-, C ~a~ ~~f2~~~-- Deputy for Register of WiJ,I's and am/ar/e, f~amirrliar (S~gnature) (Street Address) (City, State, Z~pf rv ^a ~ ~~ . c ~?© ~ } G'7 ~ Q1 ~ -` p €---~ rn -~ N ~ ~ U1 `' .~- Forst RW-04 rev. lOJ3.Ob .2l-/.2 -~~~f~ Z~~2 BUG -$ P~~ 4~ ~ OATH OF SUBSCRIBING WITN ~L~D CO TPA CUMBE REGISTER OF WILLS ~,S1,t~,~P.~~at~~ COUNTY, PENNSYLVANIA Estate of ~, Deceased - ~_!~/~D.dG ~ ` E'~ y d , (each) a subscribing witness to (Print Name/sJ 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 / ~e.st:a~c 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) (Street Address) (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills (Signature) (Street Address) (City, State, Zip) O ~ Executed out of Register's Office Sworn to or affirmed and subscribed before me this ~~ day of ~ ~ ~' ~^' urDOSSr rn~rnustw~a'a3ew3w Aiunao v~waWro'~ u~vv w ~s ~IIV~d ~N ' 'W uM~l IBS NN~N VIN4iAlJlSNN3d d0 FLLlN3MNOWWO~ 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.) NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization. FormRW-03 rev. !0./3.06 ~:CC~'~-~) ~;1r~-iCE OF RENUNCIATION `'~12 AUG -6 PM 12= 3 REGISTER OF WILLS `~`` ~~~: ~ `- z r (~i~PW~iti ~ uJJ~s CUMBERLAND COUNTY, PENNSYLI.AND CO., P1A Estate of 'f~~~it. ~ G~l~ b t.L. Deceased in my capacity/relationship as (Print Name) ~ ~ s ~ of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to ~,-CL c~tA.~ ~ , oZ 0 I ~ (Date) (Signature) (Street Address) (...t ~Rl~~%t.aJC.~- PA (7 O 7 3 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed befo e this th da of p ty for Register of Wills Executed out of Register's Office Before the undersigned personally appeared the parry 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