Loading...
HomeMy WebLinkAbout11-19-12 Reset 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 Name: WILLIAM HARVEY BARNDT File No: 1 a/k/a: HARVEY K. BARNDT (Assigned by Register) a/k/a: WILLIAM HARVEY KINSEY BARNDT a/k/a: Social Security No: 183-07-5578 Date of Death: October 19, 2012 Age at death: 89 Decedent was domiciled at death in Cumberland County, Pennsylvania (State) with his/her last principal residence at 52 Little Run Road, Camp Hill, PA 17011 Hampden Township PA Street address, Post Office and Zip Code City, Township or Borough County Decedent died at Messiah Villace Upper Allen Township Cumberland PA 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 $ If not domiciled in Pennsylvania Personal property in Pennsylvania $ If not domiciled in Pennsylvania Personal property in County $ Value of real estate in Pennsylvania $ % 2.vo TOTAL ESTIMATED VALUE.... $ 2,00.00 Real estate in Pennsylvania situated at: 52 Little Run Road, Camp Hill, PA 17011 Hampden Township Cumberland (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 January24, 2007 and Codicil(s) thereto dated State relevant circumstances (eg. renunciation, death of executor, etc.) Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, was not divorce~ not a par( p a peaili divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g), antiriot have mild bdii io~F adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. O NO EXCEPTIONS © EXCEPTIONS %Ad ❑ B. Petition for Grant of Letters of Administration (if applicable) c.t.a., d.b.n., d.b.n.c.t.a., pendente lite, durant ` .rentia, dura minor`-iF.ttt~-,--~ If Administration, c.ta. or db.n.c.ta., enter date of Will in Section A above and completghst"of heirs r, Ln GO Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had been establisl&Tas defined in 23 Pa. C.S. § 3323(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person. © NO EXCEPTIONS 0 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, ifnecessary): Name Relationship Address Kimberly Ann Bamdt Daughter 1409 Arch Street, Emmaus, PA 18049 a/k/a Kimberly A. Lowmaster Daughter 1409 Arch Street, Emmaus, PA 18049 Form Rw-o2 rev. 10/11/201/ Page 1 of 2 Oath of Personal Representative Official Use Only COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF } Petitioner(s) Printed Name Petitioner(s) Printed Address C r ~s / 1019 i _ - 41 f 2 Kimberly Ann Bamdt 4409 Arch Street Emmaus PA 18049 !d (4--- Kimberl A. LowmasterArch Street, Emmaus, PA 18049 _ Ll CD 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 knowge and beli-O of Petitioner(s) and that, as Personal Representative(s) of the Decedent, the Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before Date me this "day of LL_ m?O/.? Date ~J$y: Date Y .,,h, Register Date BOND Required: Q YES Q NO To the Register of Wills: FEES: Please enter my appearance by my signature below: Letters $ L • Attorney Signature: ( ) Short Certificate(s)..... . ( ) Renunciation(s)........ . ( ) Codicil(s) ( ) Affidavit(s)........... . Bond Printed Name: David H. Radcliff Commission Supreme Court Other ID Number: 25483 Firm Name: Cipriani & Werner, P.C. Address: 1011 Mumma Road Suite 201 Lemoyne, PA 17043 YYytl1 `'1 Q ~P ~t:L~~ Phone: (717) 975-9600 Automation Fee Fax: (717) 975-3846 JCS Fee . r - 5C Email: dradcliffnc-wlaw-com TOTAL $ e DECREE OF THE REGISTER I 7 Estate of WILLIAM HARVEY BARNDT File No: 2,/ a/k/a: HARVEY K. BARNDT a/k/a WILLIAM HARVEY KINSEY BARNDT AND NOW, ~Oyayub_('-r , "~2G1/ - , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Kimberly A. Lowmaster a/k/a Kimberly Ann Bamdt in the above estate and (if applicable) that the instrument(s) dated January 24, 2007 described in the Petition be admitted to probate and filed o r c /rd as the last Will (and Codicil'/)) of Decedent. (li Register of Wills Form RW-02 rev. 10111,2011 Page of 2 l lens Wl k)_~ ~v;l n LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, 56.00 Tln,, is is certify- that the information here given is aljh OF I ~''~E ~ Loj( ctIY copied hour an anginal Certificate of Death duk filed with me is 1 oc (I Registrar. The ork-,inal cC(til( .ate will he fork uded to the State Vital Rcirnus Uilice fur permanent filing. P 1897541 I Certification Number ,;rNT~fl„y, = Lor-al R -i,trar Date Issued Type/Print In COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF HEALTH VITAL RECORDS Permanent CERTIFICATE OF DEATH Black Ink State File Number: 1. Decedent's Legal Name (First, Middle, Last, Suffix) 2. Sex 3. Social Security Number 4. Data of Death (MO/Day/Yr) (Spell M.) William Harvey Barndt Male 183-07-5578 U j q Sa. Age-Last Birthday (Yrs) 5b. Under 1 Year 15- Under 1 Da 6. Date of Birth (MO/Day/Year) (Spell Month) 7a. Birth piece (City and State or Foreign Country) Month, Days Hours Minutes Souderton; Penns lvania 89 May 23, 1923 7b. Birthplace (County) Mont Omer Be. Residence (State or Foreign Country) 8b. Residence (Street and Number - Include Apt No.) Sc. Did Decedent Live in a Township? Penns lvania 52 Little Run Road 0 Yes, decedent lived In Hampden Turp. two. 8d. Residence (County) Cumberland Be. Residence (Zip Code) 17011 1-3 No, decedent lived within limits of city/born. 9. Ever in US Armed Forces? 10. Marital Status at Time of Death 0 Married Iff Widowed 11. Su rvlving Spouse's Name (If wife, give name prior to first marriage) w Yes No Unknown 0 Divorced Never Married 1:3 Unknown 12. Father's Name (First, Middle, Last, Suffix) 13. Mother's Name Prior to First Marriage (First, Middle, Last) Harve F. Berndt Katie Kinse 14a. Informant's Name 14b. Relationship to Decedent 14c. Informant's Mailing Address (Street and Number, City, State, Zip Code) g Kimberl Lowmaster Dau hter 1049 Arch Street Emmaus PA 18049 If Death &,curretl Ina Hospital [j In patla ni Ilf Death Occur ed Somewhere Other Than a Hospital d Hospice Facility r3 Decedent's Home 0 Emergency Room/Outpatient 0 Dead on Arrival C, Nursing Home/Long-Term Care Facility O Other (Specify) 15b. Fac4it~y ~N~ae (if not ~I nt s.{fltution, giLj,-f 1,2 a C' A lob 4g ve street and number) I IS- City or Town, State, and 21p Code ,t lSd. Corn of Death / 16a. Method of Disposition E_j Burial Cremation 16b. Date of Dlspositlon 16c. Place o isposl me of cemetery, crematory, or other place) m 0 Removal from State O Donatlo 10-23- 12 p Other (Specify) Cremation Society of Pennsylvania j 16d. Location of Dlspositlon (City or Town, State, and Zip) 1]a. Sign of Funeral Se Licensee or Per in C Interment 176. License Number SX+ Harrisburg; Pennsylvania 17109 FD-013376-L 17c. Name and Complete Address of Funeral Facility 3 Auer Cremation Services O£ Penns lvania Inc 4n lvania 7109 18. Decedent's Fducation - Check the box that best describes the 19. Decedent of Hispanic Origin - Check The 20. Decedent's Race - Check ONE OR MORE1 races to indicate what .2 highest deg a& or level of school completed at the time of death. box that best describes whether the decedent the decedent considered himself or herself to be. 0 ath grade or less is Spanish/Hispanic/Latino. Check the "No" ® White 0 Korean 0 No diploma, 9th - 12th grade box If decedent Is not Spanish/Hispanic/Latino. 0 Black or African American O Vietnamese 0 High school graduate or GED completed ® No, not Spanish/Hispanic/Latino 0 American Indian or Alaska Native E3 Other Asian Qq Some college credit, but no degree 0 Yes, Mexican, Mexican American, Chicano 0 Asian Indian 0 Native Hawaiian 0 Associate degree (e.g. AA, AS) 0 Yes, Puerto Rican 0 Chinese 0 Guamanian or Chamorro 0 Bachelor's degree (e.g. BA, AB, BS) 0 Yes, Cuban 0 Filipino 0 Samoan 0 Master's degree (e.g. MA, MS, MEng, MEd, MSW, MBA) 0 Yes, other Spanish/Hispanic/Latino 0 Japanese 0 Other Pacific Islander 0 Doctorate (e.g. PhD, EdD) or Professional degree (Specify) 0 Other (Specify) . MD DOS DVM LLB JD 21. Decedent's Single Race Self-Designation - Check ONLY ONE to indicate what the decedent considered himself or herself to be. 22a. Decedent's Usual Occupation -Indicate type of work Q9 White 0 Japanese 0 Samoan done during most of working life. DO NOT USE RETIRED. 0 Black or African American O Korean 0 Other Pacific Islander q 0 American Indian or Alaska Native 0 Vietnamese 0 Don't Know/Not Su re Claims Adjuster ,7C 0 Asian Indian 0 Other Asian 0 Refused 22b. Kind of Business/Industry 0 Chinese 0 Native Hawaiian 0 Other (Specify) Cl Filipino O Guamanian or Chamorro Nationwide Ins. Company ITEMS 23a - 23d MUST BE COMPLET n BY PERSON WHO PRONOUNCES ED 23aJ. Date Pronoun ed Dead (MO Day r) 23b. Signafur Person Pronouncing Death (Only when applicable) 23c. License Number OR L 2.~. n + 1 CERTIFIES DEATH vS,V t0 7 23d. D S ned (M Day/Vr) 24. Time of D th Lior Co t Z. ':2- -2- 25. Was Medic I Examiner or Coroner Contacted? 0 Yez No CAUSE OF DEATH Approximate 26. Part 1. Enter the chain of events--diseases, injuries, or complications--that directly caused the death. DO NOT enter terminal events such as cardiac arrest, I Interval: respiratory arrest, or ventricular fibrillation without showing gtthhe.etiology. DO NOT~A+BBR EVIATE. Enter only one cause on a line. Add additional lines if necessary. 1 Onset to Death ~EI/ZE I IMMEDIATE CAUSE a. /C LLJ JC_z tiTO y J -J&, (Final disease or condition Due to (or as a consequence of): resulting In death) - b. a-A Je& J4 0 - ✓3 Ll I+V-* A LR tr 0) 2461 Sequentially list conditions, Due to (o as a consequence of): If any, leading to the cause I listed on line a. Enter the UNDERLYING CAUSE Due to (or as a consequence of): I w (disease or Injury that Initiated the events resulting d. in death) LAST. Due to (or as a consequence of): 2^6_. Part 11. Enter other ni 1 It ont,lbutina to death but not resulting In the underlying cause given in Part 1. [2%=~,utop,y 7. Was an autopsy performed? S S3 i ►JL a L GL.►1fJ7n P%/m-L-t;, HX.-YI 0-1 0 Yes No / V f findings avatiable plete the cause of death? 0 Yes No 20 29. If female: 30. Did Tobacco Use Contribute to Death? 31. Manner of Death E 0 Not pregnant within past year 0 Yes 0 Probably 4!5, Natural 0 Homicide 19 0 Pregnant at time of death 0 No 111C Unknown 0 Accident 0 Pending Investigation 0 Not pregnant, but pregnant within 42 days of death 0 Suicide 0 Could not be determined 0 Not pregnant, but pregnant 43 days to 1 year before death 32. Date of Injury (Mo/Day/Yr) (Spell Month) 0 Unknown if pregnant within the past year 33. Time of Injury 34. Place of Injury (e.g. home, construction site; farm; school) 3S. Location of Injury (Street and Number, City, County, State, Zip Code) 36. Injury at Work 1,37. If Transportation Injury, Specify: 38. Describe How Injury Occurred: O Yes O Driver/Operator 0 Pedestrian ER_NO 0 Passenger 0 Other (Specify) 4 39a. Certifier -physician, certified nurse practitioner, medical examiner/coroner (Check only one): Certifying only - To the best of my knowledge, death occurred due to the cause(s) and manner stated. 0 Pro ing & Certifying - To the best of my knowledge, death occurred at the time, data, and plate and due to the cause(s) and manner stated- 0 Medical Examiner/Coroner - On the basis of examination and/or investigation, In my opinion, death occurred at the time, date, and placend due to the cause(s) and manner stated. Signature of certifier: ~~--/l GL.Gi1.0 2inA-,', Title of certifier: I_] License Number: QSOG (-L OC C+ y L 39b. Name, Address and Zip Cotle of Person Completing Cause of Death (Item 26) 39c. Data Signed (Mo/Day/Yr) OA(c bast sea kt )OQ w\¢-W1 ✓1rP((v &FCCta,ln tlc -.,1).4 std:4rEK', 4 Cca-obi-;-r 2.~ zzotz- 40. Registrar's District Number 41. Registrar's Signature 142. Registrar Flle Dal a e (MO/Dey/Yr) oY ~oZ fV ~3 - 020L~ 43. Amendments /r'1 p j0q C) I H105-143 Disposition Permit No. l ) aJ ~J REV 07/20 7/2012 r LAST WILL AND TESTAMENT KNOW ALL MEN BY THESE PRESENTS, that I, HARVEY K. BARNDT, currently residing at 52 Little Run Road, Camp Hill, Cumberland County, Commonwealth of Pennsylvania, being in good health and of sound and disposing memory do hereby make, declare and publish this as my Last Will and Testament, hereby revoking all former Wills and Codicils heretofore made by me. FIRST: I direct that all of my debts not barred by the statute of limitations, expenses of my last illness, funeral expenses, costs of administration and claims allowed in the administration of my estate shall be paid by my Executor hereinafter named, from my estate as soon after my decease as shall be found convenient. SECOND: I give and bequeath my automobiles, household and personal effects and other tangible personal property (not including cash, securities, or trusts), together with any existing thereon to my daughters, KIMBERLY ANN BARNDT and NANCY L. DENICOLA, to be divided among them as they may agree in as nearly equal shares as possible, provided that if they are unable to agree then they shall make selections in turn with the oldest going first until the dollar value of the items selected is as nearly equal as possible. THIRD: I give all the rest, residue and remainder of my estate whether real, personal or mixed, and of any nature whatsoever and wheresoever situate to my daughters, KIMBERLY ANN BARNDT and NANCY L. DENICOLA, in equal shares, per stirpes. FOURTH: Provided that she agrees to serve without commission or compensation I hereby nominate, constitute, and appoint KIMBERLY ANN BARNDT as Executor of this, my Last Will and Testament and direct that she shall serve without bond. In the event that KIMBERLY ANN BARNDT shall predecease me, or be unwilling or unable to act, as aforesaid, then I nominate, constitute and appoint NANCY L. DENICOLA without necessity for posting security regardless of state of residence, as Executor of this, my Last Will and 1 74 Testament, provided that she agrees to serve without commission or compensation. All references to the Executor herein shall be applicable to either substitute Executor. FIFTH: My Executor shall have, in addition to the powers and authority conferred upon her by law, the following additional powers and authority: 1. To sell at public or private sale, exchange, transfer, partition, give options upon, repair, lease, mortgage, pledge or otherwise dispose of any property, real or personal, at any time constituting a portion of my estate, and upon such terms and conditions as the Executor shall deem wise. 2. To invest and reinvest any money at any time in such bonds, stocks, notes, real estate, mortgages, life insurance, annuities or other securities, or such property, real or personal, as the Executor shall deem wise, without being limited by any statutes or rule of law regarding investments by the Executor. 3. To retain, without incurring any liability, as investments, any property owned by me at the time of my death, as long as the Executor may deem it wise, and even though such property is not the kind of property an Executor would purchase as an investment; and even though to retain such property might violate sound diversification principles. 4. To cause any security or other property which may constitute a portion of my estate to be issued, held or registered in the Executor's own name, or in the name of a nominee, or in such form that title will pass by delivery. 5. To consent to the reorganization, consolidation, readjustment of the financial structure, or sale of the assets of any corporation or other organization, the securities of which constitute a portion of my estate, and to take any action with reference to such securities which, in the opinion of the Executor is necessary to obtain the benefit of any such reorganization, consolidation, readjustment or sale; to exercise any conversion privilege or subscription right given to the Executor as owner of any securities constituting a portion of my estate resulting from any reorganization, consolidation, readjustment, sale, conversion or subscription. 6. To pay all costs, taxes, charges and expenses in connection with the administration of my estate, including such compensation to the Executor which shall be in accordance with established fees throughout the period of administration of my estate. - , 2 7. To determine what is "income" and what is "principal" hereunder, and the Executor's decision thereon shall be final; and to purchase securities at a premium or discount, and to apply or charge said premium or discount against income or principal as the Executor mad determine. 8. The Executor may make payments to or on behalf of any person who is the beneficiary hereunder but in no event, however, shall payments be made to any creditor or other such person because of anticipation of payment by the beneficiary, and any such claim made by way of anticipation by the beneficiary shall be of no validity or legal effect. 9. To borrow money from any person, firm or corporation, including any corporation acting as an Executor hereunder, for the purpose of protecting and preserving or improving my estate hereunder; to execute promissory notes or other obligations for amounts so borrowed. 10. To employ legal counsel, accountants, brokers, investment advisors, custodians, managers and other agents and employees and to pay reasonable compensation out of my estate or any funds held hereunder to which said compensation is attributable. 11. To carry on any business owned or controlled by me at my death for whatever period of time the Executor shall think proper, and the Executor shall have the power to do any and all things the Executor deems necessary or appropriate, including the power to close out, liquidate or sell the business at such time and upon such terms as the Executor shall deem best. 12. To make distributions in cash or in kind. 13. To compromise controversies. 14. To do all other acts in the Executor's judgment necessary or desirable for the proper and advantageous management, investment and distribution of my estate. SIXTH: I direct that all transfer and inheritance taxes, state or federal, assessed because of my death, whether the funds, property or insurance proceeds to which such taxes are attributable pass under this Will or not, shall be paid out of my residuary estate; that my Executor pay, or provide for payment of all such taxes at such time, or times, and in such manner as my Executors deem best. N 3 IN WITNESS WHEREOF, I, HARVEY K. BARNDT, the Testator to this, my Last Will and Testament, typewritten on two sheets of paper which I have identified at the bottom of each page by my initials, hereunto set my hand and seal the day of 2007. HARVEY K. B NDT The preceding instrument consisting of this and three other typewritten pages, each identified by the initials of the Testator, HARVEY K. BARNDT, this day and date thereof signed, published and declared by HARVEY K. BARNDT, the Testator therein named, as and for his Last Will, in the presence of us who, at his request, in his presence, and in the presence of each other have subscribed our names as witnesses. 4 COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF I, HARVEY K. BARNDT, Testator, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. HARVEY K. BA T / Sworn or affirmed to and acknowledged before me by HARVEY K. BARNDT, Testator, the day of u Et , 2007. (SEAL) NOTARIAL SEAL Totary Public DAVID H RADCLIFF Notary Public LEMOYNE BOROUGH, CUMBERLAND COUMy Commission Expires Jun 29, 2008 COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF utilBGT~ G~} We &'J (Vj C Ofi4krylijit) and /l e~WEE/l / 16-5tpL , the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Testator sign and execute the instrument as his Last Will; that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as witnesses; and that to the best of our knowledge the Testator was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed to and subscribed to before me by and r iycCC<v Lam, /~t~SPL witnesses, this day of 2007. (SEAL) NOTARIAL SEAL Notary Public DAVID H RADCLIFF Notary Public LEMOYNE BOROUGH, CUMBERLAND COUNTY My Commission Expires Jun 29, 2008 5