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I PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY,PENNSYLVANIA
Peti6o er(s) named below, who is/are 18 years of age or older, apply(ies) for Letters as specified below, and in
suppo thereof aver(s)the following and respectfully request(s)the grant of Letters in the appropriate form:
Dec ent's Informatlon �' � —I � r � O � )
Name KENNETH W.RICHWINE File No: (
a: (Assigned by Register)
a:
a: Social Security No:
Date f Death: AUGUST 25,2013 Age st death: 64
Deced nt was domiciled at death in CUMBERLAND County, pENNSV[,VANiA (smre)with his/her last
princi al residence at 765 BALTIMORE PIKE.GARDNERS 17324 SOiJTH MIDDLETON TOWNSHIP CUMBERLAND
SlreM addrer,Post 011ice md 7Jp Code CHy,Towoe9ip or Borovgh Couoty
Deced nt died at CARLISLE REGIONAL MEDICAL CENTER CARLISLE 17013 CUMBERLAND PA
Street addre��,Poat Otllce�od Zip Code CYty,Township or Borough County Sfate
Estimat of value of decedenYs property at death:
/j o'niclled ip Pennsylvunk...... ...................... All personal property S 5,000.00
!j w dowkJkd in Peansylvania. . ... ................... Personal property in Pennsylvania $
Ij ot don�ki&d in Pennsylwnia. . ... ................... Personal pmperty in County $
V ue oJreal estaa in Penasylvenia.................................... .... ................. $ 7(I�fl(IO.MI
TOTAL ESTIMATED VALUE. ... $ 75.000.00
Reai es te in Peansylvania situated ar. 965 BAI.TIMORE PIKE.GARDNERS 17324 S.MIDDLETON TOWNSHIP CUMBERLAND
(Atroch ditlonal sheets,ifnecessory.) Street addrees,Port 011la�ud Zip Code Cily,Towethip or Borough County
� A. Pet[tioa for Probate aod Grant of L.etters Testamentsrr
P itioner(s)aver(s)he/she/they is/aze the Executor(s)named in the last Will of the Decedrnt,dated JANUARY 22,2013 and Codicil(s)
th eto dated
Shte relev�at drcum�taocee(e.g.rcnwnckdon,/uth of utertor,tfc)
Fac ept as follows:after the execution of the instrument(s)offered for probate Decedent did not many,was not divorced,was not apariy to apending
di orce procceding wherein ihe grounds for divorce fiad been established as de6ned in 23 Pa.C.S. §3323(g),and did�rot have a child bom or
pted;and Decedent was neither t6e victim of a killing nor ever adjudicated an incapecitated person.
Q O EXCEPTIONS �EXCEPTIONS
❑ B. PeNlion tor Grant of Letters ot Adminiatntion (If epplicableJ
c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,dumnte absentia,durante minoritate
- �
If dministration,c.ta or db.n.c.ta,enter date of Will in Section A above and�nokte 8atiof he�.�
Ex ept as follows: Decedent was not a perty to a pending divorce proceeding wherein t6e gromds for�ev�e had oege�estabkiahe�s defined
in 3 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incepacitated per�p.= n ��-' ��. . �+
;r
Q O EXCEPTIONS Q EXCEPTIONS � t' rrr+. �n � �-3
Pe itioner(s),after a proper search has/Aave ascertaineA that Decedent left no Will and was survived by the f�vflgg�use{i,�ny)�pd 1�p�rs(attach
ad i�ionaf sheets.ijnecessaryJ: � Q c` � , .�"s
Name Relationehi A dr � ���`
'Tl c.,.a -rt
n rn
FormR -01 .�. toiitizo�i Page 1 of2
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. . . _ . .. ._ . .. _ _ . .. . ._ . . .— __—__ _._ . . .... _....
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Oath of Personal Representative °�1e�us°On1y
CO MONWEALTH OF PENNSYLVANIA }
} SS:
CO TY OF �h4BERLAND }
Petitioner(s)Printed Name Petitioner(s)Printad Address
TIM THY L.BRANDT 765 BALTIMORE PIKE GARDNERS PA 17324
1'he Pe itioner(s)above-named swear(s)or affirv�(s)the statements in the foregoing Pe6tion are true and correct ta the best of the knowledge and belief
of Peti 'oner(s)and that,as Personal Representative(s)of the Deced t,the Pe' ' ner(s),j�'' ell and huly administer the estate acwrding W law.
Sw0 t0 Cd S sc ' ed b¢�[C7 ���_E�Gti*4�0'��� Date 9 - / 9- �3
me s a �7 Date
By Date
Date
BO D Requtred: Q YES Q NO To fhe Regtsfer oj R'tlls:
FE S: Pleaee enter my appearance by my algeature below:
Lette s . . . . . . . . . . . . . . . . . . . . . . S 135.00 Attomey Signature: �--��-�
( )Shor[CactiRcate(s). . . . . . 10.00
( )Renunciation(s).. . . . . . . .
( )Codicil(s). . . . . . . . . . . . .
( )Affidavit(s).. . . . . . . . . . .
Bon .. . . . . . . . . .. . . . . . . . . . . . . Printed N�me: MATTHEW A.McKNIGHT
Com ission. . . . . . . . . . . . . . .. . . Svpreme Court
Othe . . . . . . ID Nomber: 93010
WIL . . . . . . . . 15.00
INV NTORY . . . . . . 15.00 Firm Name: IRWIN&McKNIGHT,P.C.
INH TAX RE1'[JRN . . . . . . . 15.00 Address: (�WRCT POMFRF.T CTRF.RT
� � . . . . . . CART.iSi.F. PA 17013
. . . . . . Phone: (717)249-2353
Auto ation Fee. . . . . . .. . . . . . . . 5.00 Fax: (7171249-6345
JCS ee. . . . . . . . . . . . . . . . . . . . . 23.50 Email:
TOT L. . . . . . . . . . . . . . . . . . . . . $ 218.50
DECREE OF THE REGISTER
Estat ot KENNETH W.RICHWINE File No: ( f �/� " � "' �
a/k/a:
D NOW, � �` ��✓ in consideration of the foregoing PeGtion,
satisf ctory proof having been presented before me, IT IS DECREED that Letters TESTAMENTARY
aze hereby granted to TIMOTHY L.BRANDT
in the above estate and(if applicable)that
the in trument(s)dated_JANUARY 22,2013
descri d in the Petition be admitted to probate and filed of record as the last� 'll(and Cod' 'l(s))of De dent.
�F�
g� er of Wills
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`ld;,�x -oz .�. ianuzon Page 2 of 2
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I LAST WILL AND TESTAMENT � 3�- � O I I
' � Prepared by: Mark F. Bayley, Esquire
17 West South Street
Carlisle, PA 17013
(717) 241-2446
I, Kenneth W.Richwine, of 765 Baltimore Pike, Gazdners,Pennsylvania, do
hereby make,publish and declaze this to be my Last Will and Testament,hereby revoking
all wills heretofore made by me.
1. I direct my personal representarive to pay a11 of my debts, funeral and
administrative expenses as soon as convenient after my decease. I direct that all
inheritance ta�ces imposed or payable by reason of my death and interest and penalties
thereon with respect to all propetty, whether or not such property passes under this Will,
sha11 be paid by my personal representative out of my estate.
2. I authorize and empower my personal representarive to sell any realty and/or
personalty owned by me at my death and not specifically devised or bequeathed herein, at
public or private sale or sales and to give good and sufficient deeds and/or bills of sale
therefore,in fee sunple, as I could do if living. My representative is authorized and
empowered to engage in any business in which I may be engaged at my death, for such
period of time after my death as seems expedient to said representative.
3. I nominate and appoint Timothy L. Brandt as executor of my estate, to serve
without bond.
4. I give, devise and bequeath my estate of whatever nature and wherever situate to
my son, Steven W. Richwine, provided that h�survive me by at least thirty(30) days, in
L`; .ttust� follows:4
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` :-_7 �°,� o a. My trustee shall hold the trust principal, assets and any
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.,-, J 4 � undistributed income thus received for the benefit of my son, Steven
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�I W. Richwine(hereafter"Steven"), who is designated as beneficiary of
,', this trust.
b. My trustee shall hold the trust proceeds for the benefit of Steven in
recognition that there may be a nutnber of needs other than support
and maintenance which may be unavailable to Steven except through
the provisions of this hust.
c. This trust is intended to pmvide the non-support needs of Steven,
as deemed appropriate in the absolute discretion of the trustee. This
trust is not intended to displace any source of income otherwise
available to Steven for his basic support(such as food and shelter),
including any govemmental assistance program to which he is or may
be enritled. It is not intended to be a resource of Steven and it is not
available to him upon demand. This trust is intended to be a
discrerionary spendthrift trust created for non-support purposes for the
benefit of Steven.
d. No part of the principal or income of this trust sha11 be used to
supplant or replace any Public Assistance, Medicaze, Medicaid or
Social Security benefits received by or through any country, state,
federal or other governmental agency for the benefit of Steven.
e. During the lifetime of Steven, to the extent that benefits are not
made available to him for other than basic living expenses,including
food and shelter, the trustee, in its absolute discretion,may distribute
from income and principal to or for the benefit of Steven for his needs
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Iother than basic support. For the purposes of this provision, non-
I
' support purposes sha11 include,but aze not limited to dental care,
unreimbursable medical expenses, including plastic and reconstrucrive
surgery, diagnosric work and treatment and rehabilitative training,
supplemental nursing or related caze,recrearion, cultural experiences,
vacations,travel, compnters,telephone and television,reading and
education materials, exetcise equipment and unreimbursed therapy.
The trustee's discretion in making distributions authorized hereunder
is absolute without regard to distriburions from the trust estate and
shall be binding on all interested persons.
f. If Steven is unable to maintain and support himself from his own
resources and sources of income, independent of the principal and
income of this trust, the trustee shall seek such support for him from
public sources. The trustee should,therefore, seek entitiements
which aze available to members of the community who aze
experiencing disabilities which aze substantially similaz to those which
Steven experiences. The trustee sha11 deny requests made by any
agency or governmental enrity requesring disbursement of trust funds
to satisfy Steven's support needs.
g. The trustee shall take whatever legal steps may be necessary to
initiate or conrinue any governmental benefits for which Steven is or
may become eligible. The trustee may bring such action in any court
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; having jurisdiction over the matter,to secure a ruling or order that this
Itrust is not available to Steven for support purposes.
h. This trust shall wntinue during the life of Steven and upon his
death the remaining principal and any accumulated and undistributed
income and/or assets shall be paid and distributed to Timothy L.
Brandt, in the event that he survives Steven by at least 30 days. In the
event that Timothy L. Brandt does not survive Steven by at least 30
days then any accumulated and undistributed income and/or assets
shall be paid and distributed to Steven's estate,per stirpes.
5. I nominate and appoint Steven's financial guardian,to be determined and
appointed by the Court, to serve as trustee of the above estate. In the event that the Court
determines that Steven has sufficient capacity that a financial guatdian is not warranted,
then a11 assets associated with the above trust sha11 be immediately distributed to Steven
upon him reaching 18 years of age.
6. It is currently my desire and hope that Timothy L. Brandt assumes guardianship
responsibilities over Steven after my death. It is my belief and desire that Timothy L.
Brandt will, after my death, reside with Steven and maintain a residence with Steven at
765 Baltimore Pike, Gazdners, Pennsylvania, for as long as it is practicable.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this,my Last Will
and Testament,beating my signature, this� day of�� , 20��.
1�G � ^ C2.
Kenneth W. Richwine,Testator
_ _ _ . . __ _
' . .
I�, Aclrnowled�ement
Commonwealth of Pennsylvania .
County of Cumberland .
I, Kenneth W. Richwine, 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 and Testament; that I signed it
willingly; and that I signed it as my free and voluntary act for the purpose therein
expressed.
� �
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�C�
Kenneth W.Richwine, Testator
Swom to and subscribed to
Before me this��day
of �n1.1QY'�, 20�.
`�.BIlNYt1�
Notary co►�MOnwFxrr+oF�snv�u
aww soa�
. conrMe].Glbcon,tabrv�c
CeifMe Borv.Qimbelmd CawRY .
�BmYK Aup.ll,1015
MHABER PE/MSYLVRNU ASSOfIATlON OF NDTMIES .
I
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.
,
Commonwealth of Pennsylvania .
County of Cumberland •
We, �ar�P' AdO��+n� and MarK �-3a.�. lz�_,
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/
Testatrix sign and execute the instrument as his/her Last Will and Testament, and that
he/she signed willingly and that he/she executed it as his/her free and voluntary act for
the purposes therein contained; that each of us in the hearing and sight of the Testator/
Testatrix signed the will as wimesses; and that to the best of our knowledge,the Testator
/Testatrix was at that time 18 or more yeazs of age, of sound mind and under no
constraint or undue influence.
i
Sworn to and subscribed to
Before me this ZZ day
of_�_, 20 !3.
J
�
Notary
cor+►aarw�u.ni oF v�snvnnu
HoaNa�sab
Cannie l.G�San,NpF�'Publk
Carllsk Borv,CumbwlNiO
�'h'� 17, � 15 �
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