HomeMy WebLinkAbout12-17-13 PETITION FOR GRANT OF LETTERS
REGISTER OF WII.,LS OF CUMBERLAND COUNrY,PENNS�LVANIA
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 fonn:
Decedent's Information
Name: RANDY R. KAUFFMAN File No: 21-13- �' �
�a: (Assigned by Register)
a/k/a:
�a: Social Security No:
Date of Death: 11/15/2013 � Age at death: 58
Decedent was domiciled at death in CUM6ERLAND Co�ty, PENNSYLVANIA (State)with his/her last
principal residence at 331 F�FTH ST,NEW CUMB 17070 NEW CUMBERLAND CUMBERLAND
Strcet addreas,Poat Oftice and 71p Code City,Township or Borough CouMy
Decedent died at 331 FIFTH ST.NEW CUMB 17070 NEW CUMBERLAND CUMBERLAND PA
Street addreaa,Past OfBce aud Zip Code City,Township or Boroug6 County State
Estimate of value of decedent's property at death:
If domiclltd ln Pen»sylvania................................All personal property $ 43,s�0.Q�
If not do�tic�ltd In Pennsylvania.............................Personal property in Pennsylvania $
If not do�nictled�n Pennsylmaia.............................Personal property in County $
Value ojreal estate in Pennsylvania........... ................................................. $ 127,70�.��
TOTAL ESTIMATED VALUE.... $ 171.3��.��
Real estate in Pennsylvania situated at: 331 FIFTH ST. NEW CUMB 17070 NEW CUMBERLAND CUMBERLAND
(Attach additional sheets,if necessary.) Street address,Post Office xnd Z[p Code City,Tow�6ip or Borongh � � � Cooety
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❑ A. Petition for Probate and Grsnt of Letters Testamentarv � � � � �
Petitionec{s)avec{s)helshe/they is/are the Executor(s)named in the last Will of the Decedent,dated �1 -*- �"� -� �1 Codicil(s)
thereto dated � �'" � � ,�,,,����"`"J
.,�.�''�-�-- v—
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State relevant circumstances(e.g.renunciation,deatb of executor,eta) � � � –^� "�"'� �
�
Except as follows:after the execution of the inst�ument(s)offered for probate Decedent did not marry,was not'�v�,+„�e,ecl,�v as not a p � � ding
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.§3323(g),�nd cf�not have�"a'c�il�c� r�
adopteci;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. -rp """� � � �
3"� Ul
❑NO EXCEPTIONS ❑EXCEPTIONS
� B. Petition for Grant of Letters of Administration(�appucable)
c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,durante absentia,durante minoritate
If Administration,c.ta or db.n.c.�a,enter date of Will in Section A above and comalete 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 peison.
� NO EXCEPTIONS ❑EXCEPTIONS �
Petitioner(s),after a praper seanch has/have ascertained that Decedent left no Will and was survived by the following spouse(if any)and heirs(attach
additional sheets,if necessary):
Name Relationship Address
107 SUSAN ORIVE
DAVID ALAN LAUFFER a minor SON EBENSBURG PA 15931
107 SUSAN DRIVE
ALLIE LOUISE LAUFFER a minor DAUGHTER EBENSBURG PA 15931
703 COCKLIN STREET
RALPH SAMUEL KAUFFMAN FATHER MECHANICSBURG PA 17055
6214 CHARING CROSS
MICHAEL S. KAUFFMAN BROTHER MECHANICSBURG PA 17050
Form RW-Ol rev.10/11/2011 Page 1 Of Z
Oath of Personal Representative o����v�o�y
COMMONWEALTH OF PENNSYLVAI�IIA }
} SS:
COUNTY OF CUMBERLAND }
Petitioner(s)Printe�Name Petitioner(s)Printed Address
6214 CHARING CROSS
MICHAEL S. KAUFFMAN MECHANICSBURG PA 17050
The Peritioner(s)above-named sweai{s)or affirm(s)the statements in the foregoing Petition are true and correct to the best of the knowledge and belief
of Petitionec{s)and that,as Personal Representative(s)of the Deceden the Petitioner(s)will well and tculy administer the estate according to law.
Sworn to or�med subscribed be re ,S �te / 2.. 17 �3
me this 1�n day of ��
Gl,w�. nace
By' nate
For the Registe Date
BOND Required: ❑ YES � NO To the Register of Wills:
FEES: Please enter my appearance by my signa low:
�-.:.
Lett ...................... $ �O• �� Attorney Signature: �' � �
( �)Short Certificates(s) ...... ' 6 `�'' t':1 �
c� c,� ,a
( � )Renunciation(s).......... � ` ---
( )Codicil s .............. � "� � t1� �
� ) �
� )Af�davit(s)............. f'"" �" �'t �
Bond ................... Printed Name: MURREL R. , , III �
_ ...... �
Commission .................... Supreme Court �;7 � � 'T3 "'st "r'�
p��. , ID Number: 24849 �'a � �~r�t �' �
�
... '�' � � E` o�
......... Firm Name: ATTORNEY A'.�L�4�W �" c�
........ � ,,,,�
� Address: 54 E. MAIN S�tEET rn
, ......... �
• .........
MECHANICSBURG PA 17055
••••••••• Phone: 7176974650
••••••••• Fax: 71T69T9395
Automation Fee . '
��•••••••••••••• I1 Email: murrel ,�waltersgailoway.com
JCS Fee ....................... ` (J
TOTAL ......................$
DECREE OF THE REGISTER
Estate of RAN�Y R. KAUFFMAN File No: 21-13- ���
a/k/a:
AND NOW, , Z ,in consideration of the for�going H�e�ition,
satisfactory proof having been presented before me,IT IS DECREED that Letters ADMINISTRATIO�N � -
are hereby granted to MICHAEL S. KAUFFMAN
in the above estate and(if applicable)tha#
the instrument(s)dated
described in the Petition be admitted to probate and filed of record the last Will( d Codicil(s))of cedent.
Register of Wills
Form RW-02 rev.10/11/1011
P ge2of2
���. ��,�:
i1��Qi'i1t�FJ ������ ��
RENUNCIATIOl'������� a� �����
:���3 ��G 17 Pi� � C6
REGISTER OF WILLS �.
CUMBERLAND COUNTY,PE�� ��-
�1-1� -1.��1� �.������.��� ��., ��
Estate of RANDY R. KAUFFMAN ,Deceased
I, RALPH SAMUEL KAUFFMAN , in my capacity/relationship as
(Print Name)
FATHER of the above Decedent,hereby renounce the right to
administer the Esta.te of the Decedent and respectfully request that Letters be issued to
MICHAEL S. KAUFFMAN .
a �3 a(�>3 �
(Date) (Signature)
703 COCKLIN STREET
(Street Address)
MECHANICSBURG PA 17055
(City,State,Zip)
� Cc�nm�orc��a��Y�y�ve��- �ss
G��6b �-�'`°� '
.
Executed in Regi.ster's O�ce Executed out of Register's O�ce
Sworn to or a�ed and subscribed Before the undersigned personally appeared the
before me this day party executing this renunciation and certified
of , . that he or she executed the ren ' t�n for the
purpo es stated wrthm on this day
of �t'Q,�v�12(� , o .
�
Deputy for Register of Wills Notary Public
My Commission Expires: �'a-3-��
(Signature and Seal of Notary or other official qualified to
administer oaths.Show date of expiration of Notary's Commission.) .
COMMONWEALTH OF PENNSYLVAN
NotaN�i Seai
Form RW-06 rev. 10.13.06 ���H�'�ry��
Med�anicsburg 8oro,Cumberiand County
My Comm�on Ex�res Dec.3,2016
MEMBER,PENNSYLVANU4 ASSOCIATION OF NOTARIES