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PETITION 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 2 I,�,���
Name: Clara T. Kaspar File No:
a/k/a: (Assigned by Register)
a/k/a:
a/k/a; Social Security No: 198-18-8435
Date of Death: 09/06/2013 Age at death: 91
Decedent was domiciled at death in Cumberland County, Pennsylvania (Srare)with his/her last
principal residence at 4192 Nantucket Drive Mechanicsbur�, Hamnden Township Cumberland
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at 4192 Nantucket Drive MechanicsburQ Hampden 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 properry $ 90,000.00
If not domiciled in Pennsylvania. ....................... Personal property in Pennsylvania $
If not domiciled in Pennsylvania. ....................... Personal property in Counry $
Value of rea[estate in Pennsylvania......................... ................................ $ 1()(l,�(l�.(1()
TOTAL ESTIMATED VALUE. ... $ 190,000.00
Real estate in Pennsylvania situated at: 4192 Nantucket Drive Mechanicsburg Hampden Township Cumberland
(Attach additional sheeu,ifnecessary.) Street address,Post Office and Zip Code City,Township or Borough County
� A. Petition for Probate and Grant of Letters Testamentarv
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated October 31, 1980 and Codicil(s)
thereto dated
C'�FxP �,s�t�_r,FlainP FranciS died nn Ma��,?004
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 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 Q 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,durante absentia,durante minoritate
If Administration,c.t.a. or db.n.c.za.,enter date of Will in Section A above and complete 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 c"�
C � , -,.,,
Petitioner(s),after a proper search has/have ascertained that Decedent left no W ill and was survived by the fo_H�w�spouse(if any)ari�heii�.+(attach
additional sheets,if necessary): C� �'
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Name Relationshi 3dr ss�r; -°
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Form RW-02 rev. 10/11/2011 Page 1 of 2
Oath of Persanal Representative °���'a�v�fln3y
C{?MMONWEALTH OF PENNSYLVANiA }
} SS:
� COUNTY OF CUMBERLAND }
Petitioner(s}Printad Name Petitioner(s)Printed Address
La Kas ar 4192 Nantucket Drive Mechanicsbur PA 17055
The Petitioner(s}above-named swear(s}or affirm{s}the statements in the foregoing Petition are true and carrect ta the best of the knowledge and belief
of Petitioner(s)and that,as Personal Representative(s)af the Decedent,t e Petitioner(s)will wall and truly administer the estate according to law.
J
Swom to or affirmed and subscribed befare Date�!`—�2.�.�
me 's � day af f� �---, / Date
B � - "t'�. � I}ate
Far the Register " Date
BQND Required: YES Q NO T"o the Register of Wills:
FEES: Ptease enter my appearance by my signature beiaw:
Letters.. ... ... . .. . . .. ... .... $ �t�1t,�.� Attamey Signature:
( 6) Shart Certificate(s).. . . . . %�j�'?,('� r,.��� .
{ }RenunosatiQn{s)_. .,. ... . � � f�
t 7 eodscfl(s). . .. . .. . . .. . . l ,,l
( )Af�davit(s).. . .. . . . . . . .
Bond.. . . . ... .... ... .. . .. ... . Printed Name: Paul D.Da�gs
Commission. . . . . . . . . . . . . . . . . . Supreme Court � _� w�
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Other . . ... . ID Number: 646$$ C -,
'��" . ... .. —f-�' t ?— CYJ w;� -, .�
1 , . . ... . . . ,L � Pirm Narne: DAGGS LAW,LLC � _ . �.,, '� ` ;
�.(�i l� ... ..-.. t Address: I3(}W_Church Street �7 r� �_._ f�, ,
�` � �ST,- 3
• � • � • � • Suite100 � ��
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... .. . .. Dillsbur�,PA 17055 _�-L_�;, ;
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. . . ..._. _-� �:� .... ,_- ..:
. .. . . . . . '�-- Phone: 717-884-4963 r,� �_: }_..� =�
AutomaLion Fee. .. .. .... .. . .. . � • �t1 Fax: ° � �� '
JCS Fee. . . . . . . . . . �-� Ernai1: aun ICa?rlaguclaw rnrn �, �� `" µ7
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TOTAL. . .. . ...... . .. . .. ... . $ '�' � "'-`.�
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DECREE OF THE REGISTER
Estate of Clara T.Kas�ar File No: � � ` � ��
a1k1a:
t��-�1 j�j �
AND NC?�4', � �1` , �Gt.��� ,1C��� ,±����,in consideratian of the fare oing Pecition,
satisfactory proof having been presented before me,IT IS DECREED th t Letters ��
are hereby granted to �._._G�Y�t��� �S��C.� Y-
in the above estate and(if applicable)that
the instrument{s}dated '"
described in the Petition be a tted o pro ate and filed of record as the iast Will(and Codicil(�))of Decedent.
X..C�(. � �,�,�{ t�',.� -�L''G� �� ''�_-
Register of Wills �'��1� �'��� ����,
Form RW-02 rev./0/lI/20/1 � Fage 2 af 2
.,�;n. m ��..�.� .�.�. � .�„��.�,��.�-g��-�„-� �
H705.805 REV(9/11)
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by phofostat or photograph.
�,,, .., .,._ _
Fee for this cerkificate, $6.00 � - Y' ,u���""' y This is to certify that the information here given is
• � ��,,��'��,�SH OF pf';-.__ correcEly copied from an original Certificate of Death
� .��o�`� _ --_`fL; duly filed with' me as Loca1 Registrar. The original
� . , :� � ; � , - === z� certificate will be forwarded to the State Vital
-�' L -� - ' ` ` `'' ? Records Office for permanent filing.
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❑Bachelafs degrse(e.{.Bq A9,BS) ❑Yes,Cuban ❑Filiplrw ❑Samoan
❑Mastds dqree(e.{.MA,M5,MFny MEtl,MSW,MBA) ❑ves,aner sp.nisMNi:omic/�+n� ❑lapanese ❑ane�v�n��:i.�de,
❑ooao�a�e la.o.rno,eaol or rrore::ionai eeeree I�iryl ❑aner I�iMI
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73.D edent's Sintl�Race Selt-Desi{mNon-Check OxLY OMF to indloh wbt Me decedent m�idered hlmulf or herul(ro be.�13a.OecMent's Uaual Occupatbn�bMlote type of work
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❑Asbn InElan ❑O[Aer Rsian �RehseE 72b.Klnd o(BuslMi/Industry
❑Chl�rcse ❑Natrve Mawaiian ❑Other�Specily) ����I�
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� � ITEMS�t3��I3d MUST BE COMVLEtED 23a.�ate Pronounced pead(Mo Day r) 136.S{q�aturc of Verson Dro�rouirting Dea[h(Only when aOP��Uble� ]3c License Number . . � �� � �' . �
� � BY VERSON WMO MONOUN[ES OR � � �. � � .. . . � ...
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.. . � CAUSE OP DEATH � . . .. � 't nanm.�mx�� � . . . � � .
26.v�rtl Enterthethalnotevents-dlttases,Iryunes,arcamplloHOns-IhaldlrectlYOUSMthedeath.OONOTen[ertermliuleventssuchasordlacarrest Interval:
�es0��aroryarrcst,orventricularflb�lllatlonnwithoufshowingtheetlolory.�ONOTAC?iEVIATE.Enleronlyonecauseanaline.AddatlOMionallinesifnecessary ? Onset[oDea[h
IMMEDIATEGUSE '-"---"'-'a a. 1'��e-tcl.S��'�i���C 1�J2`e(t.Lr C'(�\C C_.-" i�
�Flrul dlseau or contlitlon O�e to la�as a conaequence on-.
rcsulHn6 in dea[h)
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� UNOERIYINGGUSE Duele�eras.omns�:pueiueof�: � �. � � � . .. .
(Elu�se or Inlury Mat .. � . . � ... . . . .
' inlNahE ehe ewnts rc�ulHnA d. . . . . . . �
`a�� in dot��UST. Due ro�or as a consequence a�: . �-
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. f � ze.wn�.�w�vn�m�.�.n.m. ���. . . .
. . . � � . � totrom0lece.theouse.oldeaM7 �� � �
4 � ❑Yel�� No �
Y ]9.II Fe�le: 30.Old ToOacco Uu[onerlbute ro�eaM] 31.M�^ r of DeaN
o �'NOtPrc6mntwlthinpaftyear ❑Yy ❑ProbabN �Natural ❑Homiclde � ...
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❑Unkrpwn If pregnant wi[Mn Me past year 33.Tlme o1ln�ury
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36.In�uryatWOrk 3].IiTransportstbnln�ury,5peclfy�. 38.DexrlbeNOwln�ury0ccurred�
❑�Y ❑Oriver/Opentor ❑Pednhian
[j'NO ❑VassenBer ❑OIM��50«MI
39a.�er(Qieck only one�:
[��CertilyiM VMskisn�Ta the best of my krwwleAge,Oeath acurred due lo the aUSe�s�and manner slated
❑Vronouncing 6 CertNylny Ohysician-To the best o1 my knowleEBe,Eea[h occutred at the tlme,tlate,anE place,aib Eue[o the ause�s)and manner sG[ed
❑Mediwl EMamir�er/[oroner-On the asls of eRaminaHon,>nd/or invesHgation,In my opinron,dnea,�M ocwned at[he time,date,and plaa,and due m[he^o,,use�s�and menner sntM
51groWreofcert � ��\.'L-� Titko(a���fier 1"\`�� LicenseNUmber: ("� �.�vS�3E .. . .
� � 39b Nama P4Eress and ZIp CoE of n��w ComOktlne C x of DeaM(kem=6)� � 39c Dat<SIB�b(MO/Day/Yr� �� . . . � �
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oi:oo:inonre�mnNO.s� r � nevovzo�i
O:�TH OF \Oti-SL"BSCRIBI`G `�IT�ESS{ES)
REGISTER OF��'ILLS
�u�,�e�ah�,Q COUI�;TY, PE�INSYLVANIA
�'! � //
Estate of l.- �t J a- � , l�.G� �' pG� /' ,Deceased
Lr'"l' !'�Pl5' �r" and � q�� �/�e�c•�c�3 C��i �UG►ti �h��3 �
(each) being uly qualified according to law, depose(s) and say(s)that she/he/they was/were well-
acquainted with__ �/Q/"�t �. /�ciSDa r and am/are familiar
with the handwriting and signature of the decedent, and that the signature of C�4/� T /�� a r
�,/"
to the fore�oing instrument purporting to be the Last Will and Testament/Codicil of C ar� % /�T�Da�
is in his/her own proper handwriting.
, �
( U i�'�) (Signnru,• �
y 1 �1� /��h�u r��� �r,W� � 1�-l'S' n c��.f'�r �'jr�
(Street Address) (Srreet Adriress) �
�ec���„�s�u�� P/� ���53� /"�e �N%�� :� /'� � 7�s,s'
(Ciry.Srn�e,Z�p) ' (Ciry.Srnte.ZiPI
Execcrted i�z Register's Office
Swom to or affirmed and subscribed �' �: ,
c_: `-�-°
_ c� ,�;
before me this ���` day �� "' ;
of � P� ,�L '� � -y r- �-.,
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Deputy tor Regist of��'il?s .,� =� �� " `
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Fw-u�RW-04 rev. 10.13.0(
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LAST WILL AND TESTAMENT ^� � �'
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CLARA T. KASPAR ` ' ': °
,. ,
• :. '� � .
� ,-,
I, CLARA T. KASPAR, of Mechanicsburg, Cumberland
County, Pennsylvania, being of sound mind and memory, do
hereby make, publish and declare this to be my Last Will
and Testament, hereby revoking and annulling any and all
Wills heretofore made by me.
ITEM I - I direct that the expenses of my last illness
and funeral be paid from my estate as soon as practicable
after my death.
ITEM II - I give, devise and bequeath all the remainder
of my estate and property, of whatever nature and wherever
situate, to my issue, per stirpes.
ITEM III - Al1 estate , inheritance, succession and
other death taxes, imposed or payable by reason of my death,
and interest and penalties thereon, with respect to all
property comprising my gross estate for death tax purposes ,
whether or not such property passes under this Will, shall
be paid out of the principal of my general estate, �s if
such taxes were administration expenses without apportionment
or right of reimbursement. I authorize my legal representatives
to pay all such taxes at such time or times as may be
deemed advisable.
WITNESSE
'` � ' � � � (SEAL)
�
ITEM IV - I appoint my children, Elaine Franc�s
and Larry Kaspar, or the survivor of them, to serve as
Co-Executors or Executor of this, my Last Will and Testament,
and I direct that they be permitted to serve without bond
or without intervention of any court, except as required
by law. I authorize my Co-Executors or Executor to sell,
encumber, mortgage, invest, distribute in kind or retain
any items of property of my estate in such manner as they
shall deem proper, limited only by their own discretion.
IN WITNESS WHEREOF, I have hereunto set my hand and
seal to this, my Last Will and Testament, this ��day
of ����� ,1980 .
-,�.. � (SEAL)
CLARA T. KASPAR
THIS INSTRUMENT consisting of two (2) typewritten
pages, each of which bear the signature of CLARA T. KASPAR,
the above named Testatrix, was by her on the date hereof
signed, published and declared by her to be her Last Will
and Testament, in our presence, who at her request and in
the presence of each other, we, believing her to be of sound
and disposing mind and memory, have hereunto subscribed our
names as witnesses :
residing at �� C.
'� � '� {� �1 .
,�;� r e s id in g at � �}/Lc..+� Cl-
v�'`
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