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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 requests the grant of Letters in the appropriate form:
Mark L. Kugler
Decedent's Information
Name: Beth A. Kugler
a/k/a:
a/k/a:
a/k/a:
Date of Death: 12/11/2012
Social Security No: 188-54-1732
Age at Death: 52
Decedent was domiclled at death in Cumberland County, pA (State) with hislher last
principal residence at 123 Kline Road, Shippensburg 17257 Southampton Cumberland
Street eddross, Poet Offiw and Zip Code City, Township or Borough County
Decedent died at Chambersburg Hospital, Chambersburg, 17201 Chambersburg Franklin PA
Street eddreas, Poat Ofaee end ZIp Code City, 7ownahip or 9orough County State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania ...................... All personal property
Nnot domiciled in Pennsylvania ................ Personal property in Pennsylvania
If not domlelled In Pennsylvania ................ Personal property in County
$ 107.00
Value of real estate in Pennsylvania ................................................................... $ 91,500.00
TOTAL ESTIMATED VALUES 91,607.00
Real estate in Pennsylvania situated at 153 Kline Road, Shippensburg, 17257 Southampton Township Cumberland
(Attach additional sheets, i{ necessary )
Street address, Post Office end Zip Code City, Township or Borough County
^ A. Petition for Probates and Grant of Lettara Tesfamantarv
Petitioner(s) aver(s) that he/sheRhey is/are the Executor(s) named in the Last Will of the Decedent,
thereto dated
r.:
CJ ~ frt
~ ~ ~ ~ ~d Codicil(s)
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State relevant arcumstences (e.g., renunpafron, death orezecutor, etc.) Z' ~; ,~ ~, ~
Except as follows: after the execution of the instrument(s) offered for probate, Decedent did not ma wl#~trt71i' d, s notzd p'~ to a pending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S.§ ~332t3bg)4~n id nave ~fu~ bom or
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. O ~ r... G9
NO EXCEPTIONS ~ EXCEPTIONS -~-f p r ~
®B. Petition for Grant of Letters of Administration D O ~
(If applicable)
c.t.a., d.b.n., d.b.n.c.t.a., pedente life, durance absentia. durente minontate
If Administration, c.ta ord.b.n.c.ta., enter date of Will in Section A above and comoleta list of heirs.
Except as follows: Decedent was not a party to pending divorce proceedin 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 adjudipted 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 (ff any) and heirs (attach
additional sheets, if necessary):
Name Relationship Address
Samuel R. Kugler Son 6 East King StriOet
Shi nsbu PA 17257
Mark R. Kugler Son 408 Sunset Lane
Shi nsbu PA 17267
Mark L. Kugler Spouse 123 Kline Road
Shi nsbu PA 17257
Fom RW-02 rev. vats-2ott
File No: 21 - ~ `, ~ W~
(Assigned by Register)
Copyright (c) 2017 form software only The Laeknx Group, Inc.
Page 1 of 2
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Oath of Personal Representative oreaai uea only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF Cumberland }
Petitioner(s) Printed Name Petitioner(s) Printed Address
Mark L. Kugler 123 Kline Road
Shippensburg, PA 17257
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nc rcuuuner(s/ above-names swearts/ or amrm(s/ me scacemems In [ne roregoln~ rennon are true antl carre~'8b the be the o ridge and
belief of Petitioner(s) and that, as Personal Representative(s) of a ec ent, Petitio eJr(s) will well and truly~adrtiinister th stat 'rig to I w.
Sworn too firmed ands cribed b fore ~/~ ~~ - ~'' ~ oaf L
me this a of Dace
Data
isfer Date
BOND Required? ~ YES Q NO
FEES:
Letters .......................................... $ D r
( f )Short Certificate(s).........
( a)Renunciation(s) .............. )
( )Codicil(s) ........................
( )Affidavit(s) ......................
Bond .............................................
Commission ...............................
Other rt ~ ~j,((/J
~ e j .K c~
Automation Fee ............................ -
JCS Fee .......................................
TOTAL ......................................... $ r S
To the Register of Wills:
Please enter my appearance by rqy signatyre below:
A orney Signatug ~
I `~
Printed Name: Jerry A. Weigle q ire
Supreme Court 01624
ID Number:
Firm Name: Weigle & Associates. P.C.
Address: 126 East King Street
Shippensburg, PA 17257
Phone: 717/532-7388
Fax: 717/532-6289
E-mail:
DECREE OF THE REGISTER
Date of Death: 1 211 112 01 2
Soefal Security No: 188-54-1732
Estate of Beth A. Kugler Flle No: 21 ` ~ ~ - UQr$
a/k/a:
AND NOW, ~~ ~_ , in consideration of the foregoing Petition,
satisfactory proof having been presented before me, IT IS DECREED that Letters of Administration
are hereby granted to Mark L. Kugler
in the above estate and (if applicable) that the instrument(s) dated
described in the Petition be admitted to probate and tiled of record asRhe~last 1M1iill (and codicil(s)) of
Register ofWills / JI,I /,r~ `~ (~ fC~~%Q,
Copyright (c) 2011 form soltwaro only The Lackner Group, Inc. T _ U } ~ J! Pepe 2 0! 2
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 19066924
RECORDED OFFI
REGISTER OFD!
1013 ~flfl 4 (~~
f z*~
CLERK _'6qq' EN1
ORP~tANS' CO .,,,,,
CUMBERLAND C0.1 PA
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This is to certify that the information here given is
correctly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
certificate will be 'forwarded to the State Vital
Records Office for perm ent filing.
L
Registrar ate Issued
Certification Number
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P\rmPn\nt
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REGISTER OF WILLS OF
RENUNCIATION
CUMBERLAND
RECORDED Dp--}CE OF
REGtSTE~ OP 6'a'`~~~
COUNTY, P~IVINSYLVANIA
~ naA ~ ~r~ 1 o co
CLERK OF-
ORPHANS'000RT
G1JM8ERLAND i;~J, PA ,Deceased
Estate of Beth A. Kugler
~~ Samuel R. Kugler in my capacity/relationship as
1R'ASl
son
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Mark L. Kugler
a~ ao-i3
(Data)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me thic day
of
Deputy for Register of Wills
Form RW-OG Rev 10.13-2008
(name) Samuel R. Kugler
6 East Kins~ Street. Apartment 5
(Sfroet AUtlress)
Shippensburg, PA 17257
roar, stare, zo)
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on +his z o day
Of 2 brtnar Z0~3
,
/~
Notary Public
My Commission Expires:
(Slgnamre anE seal of Notary or othx oifieial yyualifieo to
aAminiater oaths. Show Gate of expiration of Noterys commission.)
' ~y yy yyam~,,~ ~ pp..
YIRW 1~. IVO~l, r{~j
~~PP~eb~ ~ Cl~ullbofrend CotlMy
C.omrlti~ion Ault 15,2018
Copyright (c) 2006 form software only The Lackner Group, Inc.
-3-cx~~'1
RENUNCFATION RECORn~o ofi~ieE of
REGISTER OF WILLS OF CUMBERLAND CC~JNTY~~~~1~4NIA
1013 t~flfl ~ ~~} 10 Op
CLERK QF
ORPHANS'COURT
Estate of Beth A. Kugler CUMBERLAND CO,p~ased
~~ Mark R. Kugler in my capacity/relationship as
m-~n
son
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Mark L. Kugler
(oero) , ~~ ~~ 3 (Signaturo) rk R. Kugler
408 Sunset Lane
(srreeraddressl
Shippensburg, PA 17257
(city, ware, zipl
Executed in Register's OfFce Executed out of Register's OfEce
Sworn to or affirmed and subscribed Before the undersigned personally appeared the
before me this day party executing this renunciation and certified
that he or she executed the renunciation for the
of purposes stated within on tllis~day
of FQ6rwnr7 Zo/3
`ate ~ ~-~
Deputy for Register of Wills Notary Public
My Commission Expires:
(Signature and seal of Notary or other omcial ualified to
administer oaths. Show data of exp" s cammisaicn.)
~RIIW pl ~70W
Lir~l K. IOppel~~iit/,~NOtary PIl~C
~, R1 Cun>!>eiiand Ivw~nl
Cofrwri~ion Audit 15,2011
Farm RW-OB Rev. 10-13-2008 Copyright (c) 2006 forth soitwaro only TM Lackner Group, Inc.