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HomeMy WebLinkAbout02-27-13PETITION FOR GRANT OF LETTERS REGISTER OF WII.,LS 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: CHARLOTTE P. KULP File No: 21-14 - 2 ~~ a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: 2/4/2013 Age at death: 91 Decedent was domiciled at death in CUMBERLAND County, PENNSYLVANIA (State) with his/her last principal residence at MESSIAH viLLAGE MECHANicseuRG 17055 UPPER ALLEN TOWNSHIP CUMBERLAND Street address, Post Office and Zip Code City, Township or Borough County Decedent dled at MESSIAH VILLAGE MECHANICSBURG 17055 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 $ 75,000.00 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.... $ 75,000.00 Real estate in Pennsylvania situated at: NONE (Attach additional sheets, if necessary.) Street address, Post Office snd Zip Code City, Township or Borough County ® A. Petition for Probate and Grant of Letters Testamentary Petitioner(s) avet{s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated 4/27/2000 and Codicil(s) thereto dated hIONE 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 divorced, was not a party to a pending divorce proceeding wherein the grounds for divoroe 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 (lf applicable) c.t.a., d.b.n., d.b.n.c.t.a., pendente lite, durante absentia, durante minoritate If Administration, c.i:a. or d b.n.c.xa., 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 fol~wing spouse (icy) an~e~(attach additional sheets, if necessary): ~•-> ~© -r, ~~ Name Relationship _ ~,, d ~ ~ ~~ T1 x,. t'"' C V ~~'1 f- ~ ~ --.~ ;~ ~ n..y-~ _ ~ r ~ G'a cros 3 ~ ,..~.i ~ ~ yX'y y--_ 3wt'i C.._. ~ ~ '-- (J3 T~ a-~ Form RW-O2 rev. 10/11/2011 Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } ss: COUNTY OF CUMBERLAND } Official Use Only REGORGF~ GPr~CE OF ~ ,.. Petitioner(s) Printed Name Petitioner(s) ; ~ ~ HAROLD T. KULP 4303 KENTUCKY DRIVE `"' HARRI BURG . ~A 17112 r. . 4RPNANS' Vv~,~ ~. G. , PA 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 knowledge and belief of Petitionertsj and that, as Personal Representative(s) of the Decedent the Petitioner(s) will well d truly administer the estate according to law. Sworn to or affirmed uescribed before Date ~, ~ "~ /~ 3 me ~ da of ~ ~~~ ~ ' Date By' Date ~'or the Register - Date BOND Required: Q YES ®NO FEES: Letters ....................... $ (~ )Short Certificates(s) ...... ~. ~ • ~ ( )Renunciation(s) ......... . ( )Codicil(s) ............. . ( )Affidavit(s) ............ . Bond ......................... Commission ................... . they ~ G ~ ......... ~~ ~I~.Q,Vl1 Ply ......... -~ - csC~ .yax ~ Automation Fee ................ . JCS Fee ....................... TOTAL ......................$ To the Register of Wills: Please enter my appearance by my siggature below: Attorney Signature: f i '~ Printed Name: MURREL R. WALTERS, III Supreme Court ID Number: 24849 Firm Name: MURREL R. WALTERS. III Address: ATTORNEY AT LAW 54 E. MAIN STREET MECHANICSBURG PA 17055 Phone: 717-697-4650 Fax: 717-697-9395 Email: murrel _ altersgalloway com DECREE OF THE REGISTER Estate of CHARLOTTE P. KULP File No: 21-1? ~ ~~~ a/k/a: AND NOW, ~ ~~. , in consideration of the foregoing Petition, satisfactory proof having been presen before me, IT IS DECREED that Letters TESTAMENTARY are hereby granted to HAROLD T. KULP in the above estate and (if applicable) that the instrtunent(s) dated 4/27/2000 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. Register of Wills ~O .r ~ ~ Form RW-02 rev. 10/11/2011 t'C.+ e 2 of 2 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.(~ E C O R D E D OFFICE O F This is to certify that the information here given is REGISTER 0 F Yd I L L S correctly copied from an original Certificate of Death m duly filed with me as Local Registrar. The original ~C+i3 F£B 2? ~~ J 8 ~1 certificate will be forwarded to the State Vital Records Office for permanent filing. P ~. ~~16~ ~4 c~ERK of `~ ~. , ANS' COURT ~- ~~ Certification Number Local R gistrar Date Issued Type/Print In GUM B E R LA N D ~O~I,LTIi OF PENNSYLVANIA ^ DEPARTMENT OF HEALTH VITAL RECORDS Permanent CERTIFICATE OF DEATH Bla k Ink Stab File Number: n 1. Decedent's Lepl Name (First, Middle, Lsst, Suffix) 2. Sex 3. Social Security Number 4. Date of Death (MO Day r) (Spell Mo) Charlottes P. Kulp Fsmal• 311-1as-9978 Fab 4 2013 Sa. Ate-Last Birthday (Vrs) Sb. Under 1 Y r Ss. Und i Os 6. Dab of Birch (MO Day ear) (Spell Month) 7.. Birthplace (City end Stab or Foreltn Country) Months Days Hours Minutes 91 Ssptsmbsr tar 1921 7b. Birthplace (County) 8e. Residence (Stele or Foreltn Country) Bb. Residence (Street end Number -Include Apt No. 8c. Did Decedent Uw In s Township PA 225 La• Court 01 Y.:, decedent Ilwd In East Psnnsbew ewp. 8d. Residence (county) CUmbarland te. Residence (21p Code) 1 O No, decedent Ilved within limits of etty/born. 9. Ewr in US Armed ForeesT 30. Marital Sbtus ec Tlme of Death Marrhd WI owe 11. Survivint Spouse's Name (11 wife, tNa nerve pAOr to first maMap) D Yes ~ NO D Unknown D DNOrced D Never Married ~ Unknown 12. Father's Nerve (First, Middle, Last, Suffix) 13. Mother's Nerve Prier to First Marrlete (First, Mid le, Last) Harman A Chasl Carol Schrosdsr 14a. Informant's Name 14b. Relationship to Decedent 14c. Informant's Malllnt Address (Street and Number, City, State, Zip Code) Harold Kul SON 4303 Ksntu Dr. HaMsbu PA 17112 - - - - _ - - _ _ - _ - - - _ - _ a_ ~ u ~ o Yone _ _ If Death Occurred in a Hosplbl: ^ Inpatient Ilf Death Occurred Somewhere Other Than a Nospitali ^ Hospice Facility b Decedent's Home a D Eme Roem/OuepaGent Oead on ArHVaI ~ Nunl Home/I.o -Term Cara Facility ^ Ocher S cl ) iSb. Facility Name (If net Inseltutlen, atie Kr.k and numWr) SSe. City or Town, Sb[e, and Zip Cede 15d. county of Death Nlsasialh Vlllaps Uppsr /ulan, PA 17055 Cumhsrland 16a. Method o Disposition Burial Cremation lib. Date Disposition lie. Plsq of Dlsposldon (Name of wmetery, crematory, or other p see ^ Removal from State ^ Donation ocher s Fab S. 2013 Enola Csmstsry 16d. tncailon of DlsposRlon (City or Town, State, and Zip) 17a. Slt rt of Funeral SfMCe Ucensee or Person In Charq of Interment 37b. Lk:ense Number Enola, PA 17026 ~b,~ aiib,,,, FD-13545-L 17c. Name and CompNte Address of Funeral Facility aulllvan Funeral Horns 51 N. Enola Or. Enola, PA '17026 ~' 18. Decedent's Education -Cheek the box that best describes the 19. Decedent of Hispanic Orltln -Cheek the 20. Decedent's Rsee -cheek ONE OR MORE races to Indleab what I° hithest detMe or level of school completed at the lima of death. box that best describes whether the decedent the decedent considered himself or herseN to be. p 8th trade or less Is Spanlah/Hbpanle/Latino. Cheek the ^NO" ~ White D Korean O No diploma, 9th - 12th trade box If decedent Is not Spanish/Mispank:/Latino. ^ Black or Atr)csn American ^ Vietnamese ^ Hith school traduate or GED completed m No, not Spanish/Hlspanlc/Letino ^ American Indlen or Alaska Nettie ^ Other Asian ^ Some collets credit, but no detree ^ Yes, Mexlean, Mexlean American, Chlea no ^ Asian Indlen ^ Native Hawaiian ^ Associate detree (e.t. AA, AS) ^ Yes, Pwrto Rlean p Chinese O Guamanian or Chamorro ~ Bachelor's detree (e.t. BA, AB, BS) O Yes, Cuban O Flllplno O Samoan Q Master's detree (e.t• MA, MS, MEnt, MEd, MSW, MBA) ^ Yes, otMr Spanish/Hispanic/Latino ^ Japanese ^ Other Pacific Islander ^ Doctorate (e.t• PhD, EtlD) or Professional detree (Specify) ^ Other (Specify) e. . MD DDS DVM LLB JD 21. Decederrc's Slntle Race Self-DesKneclon -Check ONLY ONE to Indicate what the decedent considered himself or herself to be. 22a. Decedent's Usual Occupation - Indlcab type of work ® WhKe ~ ^ Japanese ^ Samoan done durlnt most of workint IH~. DO NOT USE RETIRED. Q Black or African American ^ Korean D Other PaeMic Islander ^ American Indian or Alaska Native O VMtnamese ~ Don't Know/Not Sure Rsplstsrsd Nurse Q Asian indlan O Other Asian O Refusetl 22b. Kind of Businsss/Industry O Chinese ^ Natve Hawallan ^ Other (SpecNy) ^ Flllplno ^ Guamanian or Chamorro Hsalthcaro S - 2 O 2 •. ate ronoune • o Day r tnature o arson ronoune nt eat n n app lu • 3c. tense Num er sY PERSON wtto PRONOUNCES oR CERTIF oEATSI OZ - Oy ZO ~ j ~ j'~7 (Zi~ 3,5'2 ~Q 7 ~ 23d. D b Sltned (MO ay/Yr) 24. Tim e ot Death ~~~ 0 - ZQ ~ / ' J2 ~ T 25. Was Medical Examiner or Coroner Contacted? ^ Yea ~ No CAUSE OP DEATH ~ Approximate 26. Pert 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: ty. DO NOT ABBREVIATE. Enbr only one cause on s Ilne. Add additional Ilnes if necessary. i Onset to Death lo t showi n t the etie respiratory arrest, or ventNcular flbrlllation wit ho u / ~ ~^ /fi ~ ~ ~ A ~Q ~fJ ~KaI ~IJ~~ 1 F7•~~ NJ1 IMMEDIATE CAUSE -------------> a. 1 (Final disease or contlltlon Due to (or as a consequence ory: i 1 resultant in death) i b. 1 Sequentially list conditions, Dw m (or as • consequence of): i If any, lesdint to the tau:e / listed on Ilne a. Enter the c. i UNDERLYING GUSE Due to (or as a consequence of): i (disup or Injury that 1 1 Initlebd the wanes nsultlnt tl. / In death) L/tST. Dw to (or •s a consequence ot): 1 26. PaR 11. Enter other sienlficane eonditiona eontrlbuNne to death but not resultnt in the undarlylnt cause then In Part 1. 27. Wes an autopsy performed? CrOi'etrNt~I!'y ~1Q`l'~N.` jY~a,Bts.Y ^ Y No ~~~~~,~ 28. Were autopsy flndints available to complete the cause of death? ^ Yes No 9. If Female: 30. Did Tobacco Use Contribute to Duth7 31. Manner of Death )j+9~NOt pretnant within past year ^ Yes ^ Probably , '~ Natural p Homicide ^ Pretnant at time of death Q No ~ Unknown ^ Accident ^ Pendant Inwstiption ~ ^ Not pretnant, but pretnant within 42 days of death ^ Sulclde O Could not be determined ~°. O Not pretna nt, but pretnent 43 days to i year before death 32. Date of Injury (MO/Oay/Yr) (Spell Month) p Unknown H pretnsnt within the past War 33. Time of Injury 34. Place of Injury (e.t• home; eonstruetlon site; farm; school) 35. Location of Injury (Street and Number, City, County, Stab, 21p code) 36. Injury at Work 37. If Transportation Injury, SpecHy: 38. Describe How injury Occurred: Q Yes Q DrNer/Operator O Pedestrian Q No O Pasaer,ter Q Other (Specify) S9e. Certifier - physlekan, grtifNd nurse praetitloner, medical examiner/serener (Cheek onN one): 6~ certlMnt only - To the best of my knowledp, death occurred dw to the cause(s) and manner sbbd. ^ Pronounclnt & CertfMnt - To the best of my knowletlte, death occurred at the time, date, antl place, and dw to the cause(s) and manner stated. curced at the time, date, end place, and dw to tM cause(s) end manner sbbd. ^ Medical Examiner/Coroner - On sis of axaminatfon and/or investitatlon, in my opinion, death d c She b a Q - - n ~ t Sltnature of certifier: ~^~~~L~4~' ~ 1~~ Tlcle of cartiAer: // i d ~ Ucense Number. ~~St70 ~ ~~~' 39b. Name, Address and Zip Code O Person Complltlnt Cute O OeaCh Item 215) 39c. Date 3ltned (Mo/Osy r) K/~~~If'E~ Ira¢ y/p Joo JNI~ N-11~i1 ~+~°1 '~ ) ~ 6 S':r 2 o /l3' et stray s 1st et Num r 1. et stra s eture s 4 • tray a ate o Osy r ~~ 43. Amendments 08672'.f1 H105-143 Disposition Permit No. REV 07/2012 LAST WILL AND TESTAMENT BE IT REMEMBERED THAT I, CHARLOTTE P. KULP, a resident of Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my LAST WILL and TESTAMENT, hereby revoking any and all Wills and Codicils previously made by me. I I declare that I am not married, my beloved husband, GEORGE R. KULP, having predeceased me, and that I have six (6) children, GEORGE R. KULP, JR., KAREN L. HOFFMAN, LOIS A. SEARNOCK, JOHN H. KULP, HAROLD T. KULP, and MARY L. ZIMMERMAN. II I direct ri..> that all my just debts and funeral exper~e s shams k~ o ~~ rn ~~ paid from my residuary estate as soon as practicak~e~ t~ m~ v decease ~v~" rv ~ ~ ~ -~ mrn ~ ~ . , :~t''~ coo III ~ ~' ° ~+~-~ ~ ~ I direct that all taxes that _ {~ 4..,. ...~. «.. ,,.~ may be assessed in ~ccinsequ~nc~ ~ of my death, of whatever nature -~ ~ ~„ and by whatever jurisdiction imposed, shall be paid from my res iduary estate as a part of the expense of the administration of my estate. IV I give and bequeath my Grandfather's clock to my son, GEORGE, per stirpes. V I give and bequeath my organ to my daughter, MARY, per stirpes. VI I give and bequeath my silverware to my daughter, KAREN, per stirpes. VII I give and bequeath all of the IBM stock which I own at my death to the ZION LUTHERAN CHURCH in Enola. VIII All the rest, residue and remainder of my property, whether real or personal, wherever situate, including any property over which I may have a power of appointment, I give, devise and bequeath to my children, GEORGE, KAREN, LOIS, JOHN, HAROLD and MARY, in equal shares, per stirpes. IX I nominate, constitute and appoint my son, HAROLD T. KULP, as Executor of this LAST WILL, to serve without bond. If my son is unable or unwilling to act in that capacity, then I nominate, constitute and appoint my daughter, MARY L. ZIMMERMAN, as Executrix of this LAST WILL, to serve without bond. IN WITNESS WHEREOF, I, CHARLOTTE P. KULP, have set my hand to this LAST WILL this ~rf day of ~ I , 2000. ~ __. TTE P . KULP (~',~ Signed, sealed, published and declared by the above-named CHARLOTTE P. KULP, as and for her Last Will and Testament, in the presence of us, who, at her request and in her prese ~nd in the presence of each other, have here}~nto subscribed names as witnesses . /' .~ / 2 ____ ,, ACKNOIILLDC~EMSId'!' COMMONWEALTH OF PENNSYLVANIA : ss. COUNTY OF CUMBERLAND I, CHARLOTTE P. KULP, 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 as my free and voluntary act for the purposes therein expressed. 1 ~ _ ~ LOTTE KULP or affirmed to and acknowledged b,~f ore Testatrix, this ~ ~7~ day of ~~~'~,~ me by CHARLOTTE P. 2000. Notary Public Notarial Seal Diane M. Smith, Notary Public Mechanicsburg Boro, Cumberland County AFFIDAVIT My Commission Expires June 22, 2000 COMMONWEALTH OF PENNSYLVANIA : ss. COUNTY OF CUMBERLAND ~/' ~.. . We !/~C~2-C`~Z t~- ~~/~L~~ and ~r~'~-c- f~~C.~:~'~~~~ 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 CHARLOTTE P. KULP 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 witness s; and th to the best of our knowledge, the Tes at x w yt the time 8 years of age or more, of sound mind n and 4 c strai or undue inf luence . ~,: R F "~~,~ w.~ ............. ~_~ ~~~ /J///~ Sworn or affirmed to and acknowledged before me this a 7~ day of 2000. 1. Notary Public Notarial Seal Diane M. Smith, Notary Public Mechanicsburg Boro, Cumberland County PAy Commission Expires June 22, 2000 3 Sworn KULP,