HomeMy WebLinkAbout09-10-12PETITION 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: Marc C. Kornfeld
a/k/a:
a/k/a:
a/k/a:
Date of Death: 8/5/12
Decedent was domiciled at death in Cumberland County,
principal residence at 1104 Greeor Court 17055 Mec
st t as
File No: 21 - 12 - ~--' ~~
(Assigned by Register)
Social Security No:
Age at death: 71
(State) with his/her last
ree a rasa, Post Office and Zip Code City, Township or Borough County
Decedent died at 100 University Drive 17033 Hershey Dauphin pA
Street address, Post Office and Zip Code Ctty, Township or Borough County State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania ................................All personal property $ 1.000 00
If not domiciled in Pennsylvania .............................Personal property in Pennsylvania $
If not domiciled in Pennsylvania .............................Personal property in County $
Value of real estate in Pennsylvania .............................................................. $
TOTAL ESTIMATED VALUE.... $ _ 1 000 00
Real estate in Pennsylvania situated at:
(Attach additional sheets, ifnecessary.J
street aaaress, Yost 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/aze the Executor(s) named in the last Will of the Decedent, dated 2/12/93 and Codicil(s)
thereto dated None•
State relevant circumstances (e.g, renunciation, dea[h ojexecutor, 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(g), 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., pendente lite, 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 comulete 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 ~-'
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Form RW-02 rev. 10/11/2011 Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF CUMBERLAND }
Official Use Only
~l ~` r• ~ 1
C ,.~ ~ :,(~ ~~
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Petitioner(s) Printed Name Petitioner(s) Printed A dre J
1104 Gregor Court
Jennifer Catherine Kornfeld Mechanicsbur
- PA 17055
~L'l~tir
CUMBERLAND CO, P
The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition aze true and correct to the best of the knowledge and belief
ofpetitioner(s) and that, as Personal Representative(s) of the Decedent, the Petitioner(s) will well and trul administer the estate according to law.
Sworn to or affirmed an. sub crib d before
met ~,~! d y of- r f ~ ~ ~/~~_ ~ Dates ~
EY~~jt~`t~---'E ~ Q~~- ~~~ Date
For the Register Date
Date
BOND Required: OYES ®NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters .......................
(~" )Short Certificates(s) .... .
( )Renunciation(s) ........ .
( )Codicil(s) ............ .
( )Affidavit(s) ............ .
Bond ........................
Commission .................. .
Other
l.~-,fit ~~ .........
Attorney Signature:
~~ `
Printed Name: Hubert X. G' o Es uire
Supreme Court
ID Number: 29943
Firm Name: Martson Law Offices
Address: 10 East High Street
Carlisle PA 17013
Phone: X717)243-3341
Fax: (717)243-1850
Email: I~ilrovCc~martsonlaw com
$ zC~ ~
~ O
f`~~U
Automation Fee .................
JCS Fee ....................... ~~_~ • ` LI
TOTAL ......................$ ~`~ ~ .~~
DECREE OF THE REGISTER
Estate of Marc C. Kornfeld File No: ? 1 - I z - G
a/k/a: ~ ~
AND NOW, ~ n.~~~ V1.( ~2 ~ ((~"9 , ~~/2 , in consideration of the foregoing Petition,
satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to Jennifer Catherine Kornfeld
in the above estate and (if applicable) that
the instrument(s) dated'~e~tmq-i-2--}993-. Ll~~ (`j--~
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//20/1 Register of Will ~j `~ ~ /
LOt;~;-~f~I~gRAR'S CERTIFICATION OF DEATH
WA Cat ~fiS=i11~~ to duplicate this copy by photostat or photograph,
u, ~ ~. ~ i
Fee for this certificate, $6.00 ~~1~ S~P { Q p~ ~• 3~J IIIIII,,,~ZH~QFp-- ~ This is to certify that the information here given is
- ~,IIIy~E.a Fdy correctly copied from an original .C2rtificate of Death
J+ `,,~`~ _ `~~ ` duly filed with me ~s Local Registrar. The original
{~.~ ~ ~ ~ ` ~; i; certificate will be forwarded to the State Vital
Q~~~ "~ "~~~~ ~ ~ y a ROcords Office for permanent filing.
P 1 R ~ ~ ~ ~ ~ ~tlMBERLAND ~CO.I PA ~ *,.
Certification Number ' '""""'" ~ Local Registrar
Type/PrMt In COMMONWEALTN OF PENNSYLVANIA. DEPARTMENT OF HEALTN .VITAL RECORDS
Penrl~nent R`FQTIC~f`ATC AC s'11CATY
Issued
1. DecederK's LlPI Name (Firs; Mild M, last, Suffix) 2. Sex 3. SoetPl;~urltjLNymb4
10 N4. Date Of Wath (Me/DaY/Yr) (Spell Mo)
8 6 5
1 ~3 ~3 .3 L 4 August 5, 2012
Sa. Ap-Lart Birthday (Yro) S Y r SG Under 1 Da 6. Date of 61rth (MO/Day/Year) (Spell Month) 7a. BlKhplau (Gty and Sbte or Patellas CourKry)
r
71 Mortthf
DaY, Neun Minutef July 25, 1941
7b. Blrthplau (County)
V ~- e (gbt~ pore
~n Gauntry) , -Jteslyanet(StrNt and Nypl
- Inelutle Apt No.) Sc. Did Deodent Uw In a To 1
7
Illl
y
t •
p
YE`
s
.LVan18
11CJ4 liregor l+ a~Y
~PPer Allen
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d
ea,
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ent
ve
In
g~ s1d ~C t~ twp.
C..RUi D0r 18I1Q
M. bsidanu (ZIP COde) ONO, decedent Ilved within limits W city/bpro.
9. Ever In US Armed FOrusi 10. Marlbl Status at Time of Death Married owatl 11. SurvMnt SpOUfe's Name (M wlh, live name prior to flrrt marriatej
Q Yes [~ No ~ Unknown Q DNerud Q Never Married Q UnknOWn
B
12. FatMla Name (FNSt, Mwtlle, Last, Sufflx) 19. Mothels Name Prbr to First Marrlate (FNS; Middle, fart)
Ernest Korn£eld g =.
14a. InformaMY Name 14b. RalationshlD m Decedent 14c Inmrmant'a Mallint Adtlress (Stroet and Number, Gty, Sbb, Zlp Castle)
Jen
if
K
£
ld
n
er
orn
e
Wi£e
1104
Gre or Ct. ME-chanicsbur PA 17055
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sup a
........................ ...................... ........................... ....... - ..... pas.
H Death Oecurted In i Flos ibl: ks1ys~i ......................................... .............t~~r ...................... .............. ..
P yss ~InPatlent If Deati, Oearred Somewhere Other Than a Nes Ital• ~ ~~~"'" "
P U Nosplu Facility ~~~~~ ~DecedaM's Nome
Eme n Room/O atlant Dead on Arclwl Nursi Nome/LOn Term Care FseY Other e J
15 b. FudlRy Name 1 pt Institutlen, tNe Srreet and numbed i5c. Qty er Town, Sbb, d ZIP Code SSd. County of Death
Hershey Medical Cantor
Derry Twp, PA 17033 Dauphin
~, 1Ba Meth M qs uitbn Burial Crematbn IBb. Wte of gsposltbn 10e. Platt oT Opposition (Name Of umetery, cromatory, ar other plau)
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e
O °°"atlo"
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8/7/2012 Temple Beth Shalom Cemetery
1 . Location Of Dbpesltbn (City or Town, Stab, and Zip) 17a. Sitnaturo o} Funeral Servlra Uunsee or Person In arse o Interment 17b. Llunse Number
Mechanicsbur
PA
g,
~ ~ Ge FD-013592-L
1 Name an Ce ate Adtlros Funeral F dl
etric~c-~tner ~
n
~ ~
31
~' u
era
ome,
25 Walnut St. Harri:§burg, PA 17109
s
-
~ 18. Deeeden YS Eduertbn - cheek the box that Dert deserWea tM 19. Decedent of Nbpanic Orltin - Ch the 20. DeutlenYa Rau -Check ONE OR MORE races to Indlub what
hlthert detroe or bwl of sef,ool umpletatl at tM time of death. box that pert defwlbea whether the deced
t th
tl
en
e
eutlent considered himself or heroeM [o be.
~ Bth Vatl• or Mss b Spanbh/NisPanlc/Latlno. Check eM "NO" ®WhRe
Ko
roan
Q No diploma, 9M - 12th trade box If deutlent b not Spansh/Hlapanle/latlno. ~ Black or Afrk:an American 0 Vietnamese
~ Nish school troduab or GED cam Plated Q No
net SPanbh/Nlapanb/Latlna
,
Q Some eollep eretllt, but no detrae ~ Ves, Mexlun, Mexican American, CJ,IUno O Asian Indbndlan or Alaska Native Q Other Asian
~
~ Natlve Nawallan
~ Afsacbte detroe le.t- AA, AS) 0 Yes, Puerto Rlun
0 Chinese Q Guaman bas or GTamorro
_] Bachelols detrae (e
t
BA
AB
6S)
.
,
,
,
Q Vas, Cuban
Q Masbls detrM (e.t. MA, MS, MEnt, Mld, MSW, MBA) 0 Yes, other / p n 4 0 FlYplno ~ ymoan
Spanish Nb a 1 Latino ~ Ja
an
p
ese Q Other PacM<ISlantler
0 Dectorob (e.t. PhD, EdD) or ProfasslonN datroe
S
(
PecMV) ~ Other (Specfy)
21. DeudenCS Slntle Rau SeM-DeSitnatbn -Cheek ONLY ONE m Indlub what the tleudent considered himself or MrseH m be. 22a. DauMnYs Usual Oeeupatbn - Indkab type d work
whip
~ Ja
anes
p
e
0 Samun done durint mart of workint IHe. DO NOT USE RETIRED.
p BpckorArrte.nAmenun p Kor«r
O DlherPaanelfpnaer
T
Q AmKkan Indian or Alaska Native ' 0 VMena efe Q pent KnowMot Suro
Union Representative
Q plan Indian ~ Other Asian ~ Refused
22b. Kind W Busineas/Indurtry
Q Chinese Q Natlve Hawallan ~ Other (SPecYFy)
Q Fllipbo ~ Guamanian or Chamerro PSEA
ITEM - BE D .Date Proneunu Dea Me DaY Yrl 23 naturo o Person Pronouneint Daa[ On When aP iu le) 2 c Uunae Num e
BY PtRtON WNO -RONOUNOIlt OR AUgUSt S, 2012 r
23d. Dab Sitned (Me/Day/Yr) 20. Time of Death
1
0:51 AM
.
25. Was Medlul Examiner or Coroner GanbcYed7 ® Yes Q No
CAUSE OF DEATH ~
Approximrte
26. art 1. Enter the chain pf awns-diseases, Injuries, or mmplkatlons-that dNactly causstl the tleath. DO NOT •rKer terminal events such is urtllac arrert, i Imerval:
piroiory arrert, er wntrlalar fibrllptbn without showlnt the aebbtY- DO NOT ABBREVIATE
Enbr onl
o
.
y
ne Ouse on a line. Adtl adtlNlonal lines If necessary 7 Onset to Death
IMMEDIATE UUSE -----___> a Multiple Traumatic Infurlas °
(FInN dlwaaa or ponditlon Du• m (er as a unaegwnce of):
ro:I.ltlnt b death)
b. Motor Vahicla Crash
SequentlalN Ibt contlitlons, Due m (or as a mnaagwnu of): (
I} an V. leadlnt t0 the ouae
Ibbd on Ilne a. Enter the I
c
UNOERLYIN6 GUSE
Due m (or as a unsagwnu of):
(disNSe or Injury that
inltlabd the ewMS resu Rint d.
in death) LAST. Due m (or a unwgwnu of): l
as
26. Pert B. Enter ocher aieniflcnt mnd Riena ~. rib i - - d -h but not resuRint In Ma underiylnt cause
awn i
P
1
l
n
art
27. Was an aumpsy performed)
e~' Yes
28. Wero aUmpsy flntlinp awllabp
m OomPleb the cause t death 7
29. H Percale: 30. Dld Tebaeeo U Contribute to Death? 31. Manner of Death Y No
~ Net PratnarK within past Year
~ 0 Yes Q Probably
Q Protnant at tkne Of death ~ No Q Unknown ~ Natural Q NomkYde
~ ~ Net pretnant, but Pretnalrt within 42 daYS e7 deatF ®Aeeklent Q Pendant Invertlptlon
~ Not pretnant, but pretnaM 43 days to 1 year baforo tleat- 32. Dab Injury (MO Day r) (Spell Monts) 0 Sulcitla 0 Gould not be determ Mad
Unknown H protnant within the past wet August 4, 2012 33. nme of Injury
Apx 03:16 P
34. Place o} Injury (e.i- home; eonrtructlon she; farm; school)
35. Lowtbn of Injury (Street and Number, CRy, StNe, DP Cade)
R
oadway. Grantham Road J4. West Rosagafdan Bivd Machan(c
b
P
s
urg,
A 17055
36. INury at Work 37. If Tranaportrtlon Inlury, Spetlfy: 3B. Desvlbe Now Inlury Occurred;
® No ~ OrN.r/op.roter p Pw.:zn.n Motor Vahicla Crash
.
Q Prsenpr ~ Other (Specify)
39a. CartMer (cheek only one):
Q Cartl}Hnt Physidpn - To the pert of mY knowledte, tleath oooumd dw to the cause(s) and manner stated
O Proneundnt i Urtlfylnt Ph
sldan - T
th
y
o
e t of my knowledte, death oearred at tM tlme, dab, and Olau, and due to the cause(s) and manner rtabd
® Med{ral Exuminer/CO - On t b
i
b
m
nat
n, and/or InwsNNtion, in my epinlon, death ocarretl at the tlme, date, sntl place, and due to Me cause(s) and manner rtabd
Sitnaturo of prttfier Two oT artlfiar: Chief DaOUtV Uonse Numb. r:
9 .Name, as a d 21p Cede Peroon Gam Mt Buse De (Hem 26) 99c. pate Sitned (MO ay r)
Liss A. POttsigsr, 1271 south 2Hth StreBt, Harrisburg, PA 17111 ~
August 6, 2012
. Retbtror s Dbtrlet 41. R s tnatur
_ 4 . Retirtror F e Gate pay
4 9. Amendments
.~ ~.,. ;„.~~iv.l
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Disposltbn Permit NO.V /`>G`7/O N10S-343
REV 07/2033
LAST WILL AND TESTAMENT
OF
MARC CHARLES RORNFELD
~Fu~~:. _,_G
~ ,, -~ ~, ~ ~~I1I i C
t=~,L SEP I 0 PM 2~ 3
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OtsPFt~~i~'~ vUI~R~
CUMBERLAND CO.. PA
I, ![ARC CHARLES RORNFELD, a resident of Mechanicsburg, Cumberland County,
Pennsylvania, declare this is my Will.
I. I revoke all wills and codicils that I have previously made.
II. I am married to JENNIFER CATHERINE RORNFELD and all references in this Will
to "my wife" are to her. I have three (3) children whose names are PAUL ARTHUR
RORNFELD, SHARON LOUISE RORNFELD and DANIEL ERNEST RORNFELD. I have no deceased
children. The terms "my child" and "my children" as used in this Will shall
include any other children hereafter born to or adopted by me.
III. It is my intention by this Will to dispose of all property which I may own.
However, I hereby elect not to exercise any power of appointment exercisable by
a will which I now have or which may hereafter be conferred upon me. No pro-
\~( vision of this Will shall be construed as an exercise in whole or in part of any
CJ such power.
~~ IV. I direct the payment of my debts and expenses of my last illness and
funeral from my estate as soon after my death as conveniently may be done. If
there be no cemetery lot available for my interment at the time of my death, I
authorize my personal representative to purchase such cemetery lot with a
contract for perpetual care, using therefore funds from my estate in such amounts
as he shall consider necessary and desirable, and I authorize my personal
representative to cause title to or ownership of such lot so purchased to be
vested in such person as personal representative shall designate.
Further in this connection I authorize my personal representative to expend
funds from my estate in such amount as my personal representative shall consider
necessary and desirable for the purchase, erection, and inscription of a suitable
marker for my grave.
VI. I appoint JENNIFER CATHERINE RORNFELD executrix of this my Last Will and
Testament. In the event of the renunciation or death, resignation, or inability
to act for any reason whatsoever of said wife, I nominate, constitute and appoint
JEAN H. RORNFELD, my sister of this my Last Will and Testament. I hereby relieve
my executrix from the necessity of posting security in connection of such in any
jurisdiction in which her or she may be called upon to act as far as I am able
by law to do so.
VII. In addition to the powers conferred by law, I authorize my executrix in her
absolute discretion:
A. To retain in the form received and to sell either at public sale or
private sale any real or personal property.
B. To manage real estate.
C. To invest and reinvest in all forms of property without being
confined to legal investments and without regard to the principle of
diversificaticn.
v
J
D. To compromise claims without court approval and without the consent
of any beneficiary.
VIII. I direct that any and all inheritance, estate, or transfer taxes imposed
upon my estate passing under my Will shall be paid out of the principal of my
residuary estate.
IN WITNESS WHEREOF, I hereunto set my hand and seal to this my Last Will
and Testament, consisting of three (3) typewritten pages, the first of which bear
my signature in the margin for the purpose of identification of this day
of 1993.
~~'C~ ~~ ( SEAL )
Page 3 of 4
CO)iWONWSALTH OF PENNSYLVANIA ,
COUNTY OF CUMBERLAND ,
We, Ruby D. Weeks, Marylyn Lapato, Shirley Clevenger and MARC CHARLES
RORNFELD, the testator and the witnesses, respectively whose names are signed to
the attached or foregoing instrument, consisting of four (4) typewritten pages,
this page included, being first duly sworn, do hereby declare to the undersigned
authority that the testatrix signed and executed the instrument as his Last Will
and Testament and that he signed willingly 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 testator, signed the will as
witness and that to the best of their knowledge the testator was at that time
eighteen (18) years or older, of sound mind and under no constraint or undue
influence.
~-
arc Charles Kornfeld, Tes for
ti
Ruby D. W eks, Esquire
Marylyn to
hirley Cle enger
r.
Subscribe, sworn to and acknowledged before me by MARC CHARLES KORNFELD,
the testator, and subscribed and sworn to before me by Ruby D. Weeks, Marylyn
Lapato, and Shirley Clevenger, witnesses this ~ da of ~~
Y 1993.
L
Notary Public -'-
Notariai Seal
CarGsleBoro KCtunbe ~PubRc
MY Commission Expires Jan. 22,1
Page 4 of 4