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Home My WebLink About01-16-13PETITION 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: Pamela M. Ha erich and James D. Kin sborou h De~~dent's Information Name: Edith. Kingsborough File No: 21-13 - ~ L%~ ~> a/k/a: M (Assigned by Register) a/k/a _ a/k/a: Date of Death: 0110712013 All personal property $ Personal property in Pennsylvania $ Personal property in County $ Decedent was domiciled at death in Cumberland County, PA (State) with his/her last principal residence at 120 Parker Street, Carlisle 17013 Carlisle Cumberland Street address, Post Office and Zip Code City, Township or Borough Counly Decedent died at 120 Parker Street, Carlisle, PA 17013 Carlisle Cumberland PA Street address, Posl Office and Zip Code City, Township or Borough County State Estimate of value of decedent's property at death: If domiciled in Pennsylvania ...................... If not domiciled in Pennsylvania ................ If not domiciled in Pennsylvania ................ Value of real estate in Pennsylvania......... Social Security No: 195-16054 Aga at Death: 90 223,600.00 ........................................................ $ 176,400.00 TOTAL ESTIMATED VALUES 400,000.00 Real estate in Pennsylvania situatetl at 120 Parker Street, Carlisle 17013 Carlisle Cumberland (Attach additional sheets, i/necessary.) Sheet address, Post Office antl Zip Code City, Township or Borough County ® A. Petition for Probate and Grant of Letters Testamentary Petitioner(s) aver(s) that he/she/they is/are the Executor(s) named in the Last Wilt of the Decedent, dated 11/18/2010 and Codicil(s) thereto dated 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. p~~ition for Grant of Letters of Administration (If applicable) c.t.a., d.b.n., d. b. n. c.t.a., pedente life, durante absentia. durante minoritate If Administration, c.t.a or d.b.n.c.t.a., enter data of ~""sill in Section A above and comoleta list of heirs. Except as follows: Decedent was not.a party to,pending divorce proceedingg 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): ~ C ,~ ~> ~ ~ Name Relationship Address m ~ ~~- ~*"~ r~ FJ r ~(.~ .Y `. J~ .+ .. ~5 _ _3 _ l ~ ,~ : , i.._., .!J *•. Form RW-O2 rev. 10-11-2011 Copyright (c) 2011 form software only The Lackner Group, Inc. CJ "`j'7 Page t or 2 Oath of Personal Representative Official Use Only COMMONWEALTH OF PENNSYLVANIA } } SS COUNTY OF Cumberland } ~ ~, ~, .- ~, .. ~ ~"''°'` iJ `- ' " ~ ~ '~ ,,._~_~ Petitioner(s) Printed Name Petitioner(s) Printed Address ~ ' o `' ` I ' ' '°• °' Pamela M. Hagerich 432 Limestone Road .J Iti°,~ 1 ~ r (I~ l ~ v b 1 Carlisle, PA 17015 ~~ .+. X 1 1 Name as listed in Will: Pamela M. Ha erich James D. Kingsborough 6 Wellington Court ~ i ~ '- I' "„ Carlisle, PA 17013 1 :~ . ~ , Q ~ _ f ` i , ; Name as listed in Will: James D. Kin sborou h - - ~ .. _. _ a The Petitioner(s) above-named swear(s) or attlrm(s) the s[atemenrs m me roregoing reuuvn aic a uo ai w ~~~ ~~~< <~ r~ ~_ ..~~. ~~ °~ ~~ ,.,,.,•.,,,..y., ~~ ~~ belief of Petitioner(s) and that, as Personal Representative(s) of the Decedent, Petition r(s) will well and t my administer the estate according to law. Sworn to or affirmed and subscribed before ~ ~' ~ Date J me this ~ ~tday of ~ ~ + ~~ ~ I ~ !r Date ~ G 3 . ~ ; Date For the ~~st ~ ~ Date BOND Required? ~ YES ^x NO FEES: Letters .......................................... $ 360.00 ( 6 )Short Certificate(s)......... 30.00 ( )Renunciation(s) .............. ( )Codicil(s) ........................ ( )Affidavit(s) ...................... Bond ............................................. Com m issicn .................................. Other Will 15.00 PA Inh tax return 15.00 Inventory 15.00 JCP 23.50 Automation fee 5.00 Automation Fee ............................ JCS Fee ...................................... TOTAL ......................................... $ 463.50 Please enter my appearance by my signature below To the Register of Wills: Attorney Signature ~u~1 : L~ p ~ ~. ~~JLst/d--~ -~ Printed Name: George F Douglas, III Esq. Supreme Court ID Number: 61888 Firm Name' Salzmann Hughes, P.C. Address: 354 Alexander Spring Road, Suite 1 Carlisle, PA 17015 Phone: 717-249-6333 Fax' E-mail: gdouglas@salzmannhughes.com DECREE OF THE REGISTER C rOrc Date of Death: 01/07/2013 M Social Security No: 195-16-4054 Estate of Edith ~ Kingsborough File No: 21-13 G( x~ a/k/a: AND NOW, ~-°' f -~ , in consideration of the foregoing Petition, satisfactory proof having been presented a re me, IT IS DECREED that Letters Testamentary are hereby granted to Pamela M. Hagerich and James D. Kingsborough in the above estate and (if applicable) that the instrument(s) dated 11/18/2010 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(~$)) of Deced t. ~ ~ r Regi rofWills ~ ~~( ~ ~; ~ ~E-,, ,~ Copyright (c) 2011 form sofhvare only The Lackner Gro(ip, Inc. ~ t t' ~ ~ ~ _ Page 2 of 2 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. (~ !,~ p~t h ): I n r pp~~Cllrl~` it a :.ri Fce 1br this rertilu-ate. `b6.fM* This is t(1 certity that the infurmatlon hole ~*iven i~ "~'~) C ~' alrrectly copied lrum an ori~,inal Certificate of 17eath REGIS ~ ~,, i ,.._~ duly Yiled with me as Loe:al Registrar. The original 1~3 ~~~~ 1 b ~,~ 1 ~~ certitiicutc swill be (brurarded to the State Vit;)1 t' 1 ~hR~ecord.i Office Ibr perrnanenl filing. - _ _ -~f;PfFA~1S' (J I r-i _ _ _ Jp~ 1 ~J13 ( LrulicaUun tiumber ~~ Local ReListr[u Pate issued ~r~. CUMBERLA~`~' ~ ~. I JJype/Prln[In COMMONWEAITH OF PENNSVLVgNIADEPARTMENT VF HFALTH.VITAL ftECOROS Paivaoei0 f FRTI FI['ATF AF f1RAT41 G 1. DecPtlvnf'z 1 regal Namu (FirzY, Middle, 1 azr, Suiflx) 2_ Sex 3. Social <ecurlty Number 4. Dale Of Uea[h (MO/Day/Y[) (SpCli MO) Edith Marie KingsLxJrougYl F 1 95 7 6 4054 7anua 7, 2013 Sa Ag¢-Last Blrthtlav IYrs) Sb. Vnder 1 Vear c. Under 1 Oa J 6. Datn of Birth (Mta/paY/Near) (Spell Mvn2h) >a. 8lrfhplac¢ (City antl State nr Fur¢Ign Countryl MOnihz pays Hours Min utes Newbur , PA 90 April 12, 1922 >b. 9lrthplac¢(cgpnty) CtanL~erland 8a. Resltlence IStatr nr For¢Ign Country) 8h. ftcsld¢nce (Street antl Numbrrr - Inclutle Ap[ No.) Rc. Dld Oecetlent VVe in a Township? YA sa. Resrean[e Icnunty) 1 20 Parlcar Street dvd3, aenedent ll„¢a m rwp_ - -- Clanberland ea. Residence (zip ende) n, ae[eaent Iwea Wln.ir. limits pf Carlisle eitYfbP.P. 9, Evrr iri US Armed Forces? 10 Marl[al status a[Tlme of path O Marrlad Q Widowetl ]t. Surviving Spouse's Nam¢ (If wife. 8lve name prlnr W first marriage) Q V¢s ~ NO QUnkn ~ plv Orr_¢d Q NC r Mar/letl Q Unkn - w 12- Fa[h Cis Name (First, Mltltll2, Las[. SUrfIXI 13_ MOIh¢r's Nam¢ Prior tO Flrxt MarrlagC (F{t5t. Mid Ain, Last) Adam B• Daih1 Lenora I7astlon 14a In iormant'z Namc 14b. Relationship [O DerrJenf 14c. Informant's Mailing Address (Strapt and NVmber, CI[y, State, 21p COdel Pamela Hayerich Daughter 432 Limestone Road, Carlisle, PA 1'7015 C 1 a. P gee o peat c e nn y one ............ .... ._ . .... . If Death Otcu rretl In a Hos Pltal; ~ Inpatient w . _ . _ .. .... ........... _. _... ..............._..........._... ................_..._............ If Death Vccurrad Snmc M1ere Othe TM1an a HurplYal: t} Hnsplc-e Facility ~D¢cetlen['s Homes [' 0 Emergency Room/OUtpaClen[ ~ Oeatl On Arrival _ Q Nursing IIOm¢fL[ang-TBrm Cale Facill[V Other (Specify) SSb. Facility Namu (li noY Institution, glvr z[ru¢t antl nVmber; 15c. CI[V or Town, Stat¢, end 2Ip CoaC 35tl. CounCY of Daa[h 120 Parker Street Carlisle, PA 17013 CLanY2erland lfia. M¢Yhotl of Ulsposltlon Burial Q Crenra[lon ltib. Date of p{spos521on 16c. Plac¢ of Disposition (Name Of c¢metery, crematory, ur other place) ~ R¢moval Irom state Q Donation 1/l?/2013 other (spe~isv)_ Westminster C'~letery 16tl. Location of Dizpusitlvn (City or Town, Sfat.-, and Zlp) t2a. signature of FVnaral S¢r vita Vicense r Parse Charge _of In[ermenl ~ 1>b. LI[ensv Numt[vr Carlisle, PA 17013 C ~~.G FD 012633 L 0 1> me a cOn,pln[ Address wn¢ral Fa lit ~Xiai-lg Hrot~lers ~unera`1~. ~`-Icmte, Snc. 630 South Hanover Street, Carlisle, YA 17013 ]R. Decadent s Ed VCa[ion - [heck th¢ boX that best tlescrihrz the 19. Vecetl¢n[ Of Hispanic OrlRln Check [h¢ ZV, pcCed¢nt's Rac¢ - CFICCk VNE O0. MORE races [0 indicate. what Fighast tlegrP .r 1¢ ¢I Of school compler¢A at the [Ime of tleath. hex the[ best descrlpes whr<her tYtx tlecetlen\ the decadent considered himself or herself to br. Q Bch grade or less Is Spanish/Hicpanl[/Latino. Check [he "Nu' ~Vhlte Q Korean 0 No dlplOrna, 9th - 12th gratle bu: if de[edenY Iz not Spanish/Hispanic/La[Ino. Q Black Or African Am¢rlcan Q Vl¢[namase ~HiRh school gradoatc or GED c mpletetl o[ Spanish/Hlspanlc/La[Inu Q gmerlcan Intllan or Alaska Natlv¢ Q Other Asian Q SUme coll¢Re c ¢di[, but n ~ dugr¢¢ Ve Mexlca Mealcan American. Chico n0 [] gs18n Intllan Q NatlV¢ Hawelien Q gssoclarn dcgrea (e.g. AA. AS) L] Vc pyerto Rican ~ Chin Q Gu reign or Ctlamofr0 ~ Bachelor's tleHrer (e.G- BA, AB, B51 O Ves, fuban Q FIIIp1no Q Samoan ~ Master's degree (c.g- MA, MS. MEng, MEd, MSW, MOA) ~ Ves, o[M1er Spanlzh/Hlspanlc/Latino Q Japanese ~ Other PacIFl[ IslandCr Q Doctorate le.g. Ph O, FdD) ur Professional tlegraa (Specify) _.__ ~ Other (Specify) . MU DDS, DVM LLB JO - 21 DarpAeni s Singl¢ Race Se1Y-DCZie^atlon -check ONCY ONE [o in dica(e what the decedent considered hlmsalf or Irerzelf tv be. 22a. D¢ceden['s Usual Occupa[lOn - InalCate type of work hite 0 Ia Pa n¢ze 0 Samoan gone tluring most Of working Ilfe. DO NOT USE RETIRED. Flack or Afri[an gm¢riran QKOrean QO[hrr pacific lslande Q Amarlran Indian Or Alaska Naflva Q VIC[nam CSC Q DOn'C KnOW/Not sore C~YY metal P011S1"1er 0 Asian Intllan Q Other Asian U gPfuzud 22b. Kind of Buslnacz/Ind us[ry [_1 Chin Q NativC Hawaiian Q C1tM1er (SpCrify) _ -_ QFiliplno Q~uamanlan or Cfiamotr0 Pte ZCJ Cr]/Stal LO. ITEMS 23a - 3d MVST aE COMPLETED 23a. Date Prp~unk¢ pcad (MO/OdY Vr) 23b. Signature of Person Pronounclnq Death (Only when appllcablel 23c. Cleanse NVmber BY PERSON WHO PRONOUNCES OR CERTnF1E5 DEATH i// ,1 `/ ~ /)~7 rJ~~1 O-J.?~2.~ ) - 23d. a e S~g Cd o/Vey/Vr) 2a. IImC f ~~/ T~1'+lEr F. NCO 25. s MediCel CXamin¢r Cv r Co artrdi Q Yac No CAUSE OF DEATH ApproXlmate 26. Part I. En c the chain of a nts--tllsr njurle mplicafions--tM1at tllrecClY caused iha tlea[h. pD NOT Cnf¢r t minal a nts uch a artlla ages[ Interval: tesplratory arrest, nr vrntrl ular flbr111aVOn whhout zhowlnP. the etiology. DO NOT ABBREVIATC. Faster on1Y one causes on a linec Adtl aaditlonal lines If necessary Onsat to O¢a[h IMMEDIATE CAUSE - -s a. ~~n~ v, ~~/fit' ~YJ~L i zJ ~1/r' (Final disease or contll[ion _ Uue to (nr as a consequence of)_ f rc..ul[InH In death) ' b_ _ 5¢quemially list cored Rlons. DYe t0 (Or a3 a consagnen C¢ Of): - If any, leading [o [hC r _ y hstad nn line a. Enter the _ _ _ UNOEftLYING CANSE Du¢ to (or as a Consagnrnca of): (disease of In Jury [ha[ nl[lafad the ~ nts r¢sul[Ing d, _ ¢ in tleath) LP.ST. pn¢ [u (Vras a cOnsequ nr¢ Off: r t~ 2ti. Part Il. Fn[Cr otfier siRniFlc nt c ndltiOns c nt ClbuSln¢ to tlaafh but not resul[inH In the und¢rlying cauSC given In Part 1 2>. Wa u[opsy peYfOrm¢aT S Q Ves LtS No 28. Were aurOpsy findings ayellahle [u rn pleas [hv c of deatM1'J C ~ Q Yas No 29. li FCmale: 30. DId Tobacco Us@ Contrlbutr to D¢a[h? ;1_ Mann¢r Of pCath E ~ NOt prrgnvnt wRhln past year Q Yes Q Probably Q Narnral Q Homicide as Q Pr¢Rnant at timr of death H NO Q Unknown Q Accltlcnt ~ Pentling InVestlga[VOn m ~ No[ prCgnaru, but prrRnam within 4J days of aeath Q Sulcidr Q [_ould n0( be dKBrmin¢tl No[ pregnant, but ~ nr.-gnant 43 tlayz [0 1 YCar hrfure deatM1 3Y- Date of Inf Vry (MO/DaY/Vr) (5p¢II Month) Q Ilnknuwn li P~eRnan[ within fhc past Year 33. Timr of Injury 34. Plarr 01 Injury (e.R~ home; conzrructlun site; farm: school) 3S. Loia[lon of In)ury (Siren and Number, City. Staf¢, Zlp CotlCl 36. In(urY a[ Work 3]. If Tra nSpoYta[IOn Injury, SpaClfy; 38. Deacrlh¢ How InfVry OccVrraa: Q Y¢s ~ DrlvPr/OpBra[or Q Ped¢s<rlan p NP O Passenger O D[her ISPecifyl I 39a. Certifier (Chock ..n ly easel: ffi Certifying ph VSrclan - To thr p.sst of my knowletlg¢, dCarh uccu rretl tlue [o <M1¢ c rte(s) and manner siatad ~ Pr ncing K CertlfylnR physician - Tn the best of my knowla dgr, dr_ath o ed at tM1e time, date, antl plat red due to th¢ c e(sj and n toted a r [] Madlcal Examiner/Coroner O tM1 ba Y tlon, and xamr n si s o na ¢ a ~ /o. Investigarlnn, In mY oPinlon. tlC th retl at [he time, dare, and place, antl duP. c cur t ¢ ca se s an ma nc s ro h ( ) tl n r [atRd ' te _ ~ ' / om/ ~ Signafu re of cCrtihe r:__,~~t~. ~ E ] 'z __ Tltln of certifier: ~J License Numh¢r: ~ , _ ~~~~~~ 396 Name, Atl r and >IP Cude of Person COmpICNng Cause of Veath (It¢m 1C.) 33c. Date Igned ( o/pat/Yr) m( -"Ll~..«1 nlj iMVr~ n`l-F- ~ 1 ~ PA of os wi3 an. R¢gls[ra is District Num er 41. R+aiz[r ar'S 5~~uurree ~-, h2. Regf irar Flle Date Mo VaY YrJ ~ ~-~~6 C~o~Cl c ,8 ao t3 a3. A....-namencs Di3pncitlun P¢!ml[ NO. ~~i/~"7 ~}-~ ~ H105-3a3 REV O>/2011 LAST WILL AND TESTAMENT ! ~ " ~~' OF EDITH M. KINGSBOROUGH ~ ~~~ ;~ ~.~ W .,,~~ ~ ~ ...~ t-s1 y C.9 I, EDITH M. KINGSBOROUGH, of Carlisle, Cumbe~aij~l CQunf~,, =~; ~., -tee Pennsylvania, being of sound and disposing mind, memory and understa~t~idtng,' do,.rx~akei ~ publish and declare this as and for my Last Will and Testament, herel~l revokir~' and -n making void any and all former Wills, Codicils, or writings in the nature thereof, by me at any time heretofore made. FIRST: I hereby order and direct my Executrix or Executor, hereinafter named, to pay all my just debts, funeral expenses, testamentary expenses and all Inheritance, Estate, Transfer and Succession Taxes, as soon as may be conveniently done after my death, out of my residuary estate. Further, to the extent that sufficient assets exist in my estate, any and all inheritance or other estate taxes, whether to non- charitable or charitable beneficiaries, shall be paid by my Executor or Executrix from the residuary of my estate prior to distribution and no part of the taxes paid shall be prorated or apportioned among the persons or beneficiaries receiving the taxable property regardless of tax rate applicable by law to each such persons or beneficiaries. SECOND: I give devise and bequeath my entire estate to my four children, BONNIE R. MURRAY, C. STEPHEN KINGSBOROUGH, PAMELA M. HAGERICH and JAMES D. KINGSBOROUGH in equal shares per stirpes, provided they survive me by sixty (60) days. LASTLY: I nominate, constitute and appoint my daughter and son, PAMELA M. HAGERICH and JAMES D. KINGSBOROUGH to serve as Co-Executors of this my Last Will and Testament. No Executor or Executrix shall be required to file bond in this or any otherjurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seat this r ~ ~'" day of ~ I;~,-~,r,,~,~ , 2010. ~~- EDITH M. INGSBORO H SIGNED, SEALED, PUBLISHED and DECLARED in the presence of: c ~~ ~~~~ 2 1 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss I, EDITH M. KINGSBOROUGH, Testatrix, 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. Sworn or affirmed to and acknowledged before me, by EDITH M. ~N KINGSBOROUGH, the Testatrix, this ~~ day of rJ~'~*-Q.3-~.~ , 2010. ~~!~///~/~r>(i~,,~ ~ //ry EDITH KI SBOROUGH' Testatrix I~~~. ~ ~- Notary Public NOiARUL SEAL F oolx~la3, m, Nonwr cARUS~EeoRO, cx~~neERUwo couHrv MY (X)MMISSION EXPIRES JUt~ 26, 2011 _~ ~. ,. COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss We, George F. Douglas, III and Karen Riccardo, 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 Testatrix sign and execute the instrument as her Last Will; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the best of our knowledge the Testatrix was at that time 18 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 George F. Douglas, III and Karen Riccardo this 18th day of November, 2010. . ~ ~~i~4~ ~''i, George F. Douglas, III, fitness ~~~~ti- ~~ ~t~~~c~ Karen Riccardo, Witness _,~ ~ l ~l_~ ~L~. ~..~ ~ ~~Lt.~ i...._.~ Notary Public COMMONwEALTN OF PENNSY Vq~y]q SoutTh~~~ ~' Y PuHNc MM ~1~4ty wt*+n•- 4