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PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBLERLAND 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: Keith E.Peifer File No: _��-
a/k/a: (Assigned by Register)
a/k/a
a/k/a: Social Security No:
Date of Death: 10/22/2012 Age at death: 71
Decedent was domiciled atdeath in.Cumberland County, PA (state) with his/her last
principal residence at 4122 Willow Bend Road Lower Allen Township,Mechanicsbure Cumberland
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at 4122 Willow Bend Road Lower Allen Township,Mechanicsburg 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 $ 44,000.00
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. . . . $ 44,000.00
Real estate in Pennsylvania situated at:
(Attach additional sheets,if necessary.) Street address,Post Office and Zip Code City,Township or Borough County
✓❑ A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated 10/20/2012 and Codicil(s)
thereto dated
State relevant circumstances(e.g.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, , s not a party to a pending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S. §T.?23(g),and cf�'�iot I%e=hild born or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person C: CD Mn
NO EXCEPTIONS Q EXCEPTIONS. n �, C_�—+
Q B. Petition for Grant of Letters of Administration (If applicable) r'' l `' r
TJj
c.t.a., d.b.n., d.b.n.c.t.a.,pendente lite,dufante absentia;•durante minoritate
If Administration, c.t.a. or d.b.n.e.t.a., enter date of Will in Section A above and-complete irst of.heirs.
Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce hadcb?en esfabldshed as defined
in 23 Pa.C.S. §3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated pe'xson. O j C�
NO EXCEPTIONS Q EXCEPTIONS
Petitioner(s),after a proper search 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
Form RW-02 rev.10/11/2011 Page I of 2
Oath of Personal Representative official Use only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF Cumberland }
Petitioner(s)Printed Name Petitioner(s)Printed Address
Saundra M.Peifer 4.122 Willow Bend Road Mechanicsburg,PA 17055
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 Petitioner(s)and that,as Personal Representative(s)of the Decedegt;tfie"Petitioner well and truly administer the estate according to law.
Sworn to or affirmed nd subscribedbefore Date 10
me this ay o ,� i Date
y: Date
or e Register Date
BOND Required: (a YES NO To the Register of Wills:
FEES' Please enter my appearance by my signature below:
Letters. . . . . . . . .. . . . . . . . . . . . . $ V•C)() Attorney Signature: C7 M
( )
Short Certificate(s). . . . . . d Uo c7 C)
( )Renunciation(s).. . . . . . . . I"
( ).Codicil(s). . . . . . . . . _ T�
( )Affidavit(s).. . . . . . . . . . . ;,, rTi
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: Rob A.Krug,Esquire ,
Commission . . . . . . . . . . . . . . . . Supreme Court :-) C:) -rt
Other . . . . . . ID Number: 25123 C.)
1 rn
. . . . . . E5,06 Firm Name: Krug Law Firm
V . . . . . . . . Address: PO Box 155
. . . . . . . Dover,PA 17315
Phone: 717-292-5615
Automation Fee. . . . . . . . . . . . . . . Fax: 717-292-5837
JCS Fee. . . . . . . . . . . . . . . .I. . . . . Email: k1glaw4c omcast net
TOTAL. . . . . . . . . . . . . . . . . . . . . $
DECREE OF THE REGISTER
Estate of Keith E.Peifer File No:
a/k/a:
AND NOW,— j�/�_m p�.t U/7 , in consideration of the foregoing Petition,
satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to Saundra M. Peifer
_in the above estate and(if applicable) that
the instrument(s) dated 10/20/2012
described in the Petition be admitted to probate and filed of record as the last Will(and Codicil(s)) of Decedent.
e aster of Wills
Form RW-02 rev.1011112011. Page 2 of 2
v
LAST WILL AND TESTAMENT c - :�10 rn
c.—D �? c�
KEITH E. PEIFER rn �' `� " ::0
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n r, 'Co'
I, Keith E. Peifer, a resident of Mechanicsburg, Pennsylvania declare this t'o
b&my st -
Will and revoke all former Wills and Codicils. Co
rn
ARTICLE I
Identification of Family
In making this Will I have in mind my wife, Saundra M. Peifer, and my children, Kirsten
M. Shovlin,born 1969, and Eric C. Peifer,born 1971,but does not include any children hereafter
born to or adopted by my wife and me. Any reference to a"child of mine" or "my children"
shall include the persons, other than my wife,named or referred to in this Article.
ARTICLE II
Appointment of Fiduciaries
A. Appointment of Personal Representative. I appoint my wife as Executor of
my estate.
B. Bond; Court Supervision. My Executor shall have the right to serve without
bond and to administer and settle my estate without the intervention or supervision of any court,
except to the extent required by law. Nothing herein shall prevent my Executor from seeking
the assistance of the court in any situation where my Executor deems it appropriate.
ARTICLE III
Disposition of Residue
A. Provision for Wife. I give all of the rest and residue of my estate,wherever
located(hereafter referred to in this Article as "residue"),to my wife if she survives me.
B. Provision for Descendants. If my wife does not survive me then I give the
entire residue to my descendants.
1. Provision for Others. If I am not survived by my wife, or by any of my
descendants, I give the entire residue to my heirs.
ARTICLE IV
Alternative Methods of Distribution
Will of Keith E.Peifer Page 1 of 5 Initials: Date: 10 - 11--12—
A. Purpose of Article. Recognizing that under certain circumstances the terms of
this Will may direct that property be distributed outright to a person who is under age twenty-one
(2 1)or under a legal disability; I make the following provisions to facilitate the distribution of
property to such persons.
B. Alternative Methods. Whenever the terms of this Will direct my personal
representative(referred to in this Article as the "fiduciary")to distribute property outright to a
person who is then under age twenty-one(2 1)or under a legal disability,the fiduciary may retain
pursuant to Paragraph C. of this Article or distribute all or any portion of that property in any one
or more of the following ways:
1. Delivery directly to the beneficiary;
2. Delivery to the parent or stepparent of the beneficiary;
3. Delivery to the guardian of the beneficiary's person or property;
4. Delivery to any Custodian for the beneficiary under the Uniform Gifts to
Minors Act;
5. Delivery to any then existing trust created for the beneficiary;
6. Deposit in a financial institution in an account established in the name of
the beneficiary alone pursuant to the laws of the State of Pennsylvania;
7. Storage of any tangible personal property in safekeeping with the costs of
storage to be borne by the beneficiary; or
8. Sale of any tangible personal property and delivery of the proceeds in any
manner permitted by this Article.
Provided the fiduciary acts in good faith,upon delivery of any property in accordance
with the provisions of this Article,the fiduciary shall be discharged from all responsibilities in
connection with the property.
C. Discretionary Trust. Any property not distributed as provided in Paragraph B.
of this Article shall be retained by the fiduciary in trust for the beneficiary on the following terms
and conditions: During any period in which the beneficiary is under a legal disability or under
twenty-one (21)years of age,the fiduciary shall pay to or apply for the benefit of the beneficiary
so much of the income and principal of the trust as the fiduciary, in its sole and absolute
discretion, determines is advisable for the beneficiary's health, support, education and general
welfare. At such time as the beneficiary is neither under a legal disability nor under age
twenty-one(21),the fiduciary shall distribute any remaining trust assets to the beneficiary. If
the beneficiary dies before all of the trust assets have been distributed,the fiduciary shall
distribute any remaining trust assets to the beneficiary's estate.
Will of Keith E.Peifer Page 2 of 5 Initials: Date:
ARTICLE V
Administrative Provisions
A. Powers and Duties of Personal Representative. My personal representative
shall have all of the powers and duties granted to or imposed upon personal representatives
serving with non-intervention powers pursuant to the laws of the State of Pennsylvania.
B. Debts and Expenses. All expenses of administration chargeable to principal,the
expenses of the disposition of my remains, and all my legitimate debts, if and when paid, shall be
paid from the principal of my residuary estate. No debt need be paid prior to its maturity in due
course and except as otherwise provided in this Will no interest in any property passing under
this Will need be exonerated.
C. Taxes. All estate, inheritance or other similar death taxes,together with any
interest or penalties thereon,arising by reason of my death with respect to any property
includable in my taxable estate, and any adjusted taxable gifts,whether passing under or outside
of this Will, shall be paid from the principal of my residuary estate without reimbursement from
the recipients or beneficiaries of such property,provided,however,that in the event any
proceeds of insurance upon my life or any property over which I held a power of appointment
are included in my estate for purposes of determining the federal estate tax liability of my estate,
then the residue of my estate shall be entitled to receive from the recipients of any such proceeds
or property the portion of such federal estate tax liability attributable to such proceeds or
property determined in accordance with IRC §§ 2206 and 2207.
ARTICLE VI
Miscellaneous
A. Number and Gender. Unless the context indicates a contrary intent,the plural
and singular forms of words shall each include the other, and every noun and pronoun shall have
a meaning that includes the masculine, feminine and neuter genders.
B. Survival. To "survive" me, as that term is used in this Will, a person must
continue to live for thirty(30)days after my death.
C. Descendants. The "descendants" of an individual include only the following:
1. All such individual's biological descendants, except any person not born in
lawful wedlock and his descendants,unless the biological parent who
would otherwise cause him or her to be a descendant has acknowledged
paternity or maternity in legitimation proceedings, or in an unambiguous
signed writing identifying such person by name, or by raising such person
in the same household; and
2. Persons adopted by such individual or one of his or her descendants, and
Will of Keith E.Peifer Page 3 of 5 Initials: Date: t
their descendants.
If the parent,who would cause a person to be a descendant as defined above,is replaced in an
adoption proceeding, such person shall remain a descendant unless such parent voluntarily
consents to the relinquishment of his or her status as parent in connection with such adoption
proceedings.
D. Heirs. The term "heirs" shall mean those persons entitled to inherit under the
then-applicable laws of the State of Pennsylvania governing the descent of an intestate's separate
estate. They shall inherit in their statutory proportions. If the provisions of this Will call for a
distribution of property to my heirs or the heirs of any other person and the event giving rise to
the requirement for such distribution takes place at a time later than my death or the death of
such person,the determination of the identity of such heirs shall be made as if I(or such other
person)had died on the date of the event giving rise to such requirement for distribution.
E. Exclusion of Pretermitted Heirs. Other than as set forth in this Will, I make no
provision for any child of mine or descendant of a deceased child of mine. I specifically make
no provision for any person(whether now living or hereafter born), other than a child named or
referred to in Article I or a descendant of mine as defined in this Will,who may be entitled to
claim an interest in my estate under the laws of the State of Pennsylvania.
F. Legal Disability. A person is under a legal disability if my personal
representative determines, in good faith,that the person is incapable of managing his property or
of caring for himself,or both, or is in need of protection or assistance by reason of physical
injury or illness,mental illness, developmental disability, senility, alcoholism, excessive use of
drugs, or other physical or mental incapacity.
G. Title to Real Property. Upon my death,title to any real property passing under
this Will shall vest in my personal representative in his fiduciary capacity and shall remain so
vested until my personal representative distributes or sells that property, at which time title shall
vest in the distributee or purchaser.
H. Disclaimer. Except as may be otherwise specifically provided in this Will, in the
event that any beneficiary disclaims an interest arising out of this Will or any trust created herein
it is my intention that the interest disclaimed shall be distributed in the same manner and at the
same time as if the disclaiming beneficiary had died immediately preceding the event pursuant to
the laws of the State of Pennsylvania.
I. Governing Law. The provisions of this Will shall be interpreted in accordance
with and in light of the laws of the State of Pennsylvania.
J. Corporate Successors. Whenever a corporation or other business entity is
referred to herein,the reference shall include any successor organization.
K. References to Statutes. In this Will,the abbreviation "IRC" shall refer to the
Internal Revenue Code of 1986 as amended.
Will of Keith E.Peifer Page 4 of 5 Initials: Date: 10—
lz_
I have initialed and dated for identification purposes all pages of this, y Last Will, and
have executed the entire instrument by signing this page on the day of NO—,2012:�
at , Pennsylvania.
Keith E. Peifer
Attestation and Statement of Witnesses
Each of us declares under penalty of perjury under the laws of Pennsylvania that Keith E.
Peifer, the Testator, signed this instrument as his Last Will in our presence, all of us being
present at the same time, and we now, at the Testator's request, in the Testator's presence, and in
the presence of each other, sign below as the witnesses, declaring that the Testator appears to be
of sound mind and under no duress, fraud, or undue influence.
r [Witness Signa e] Y / [/Witness Signature]
[Print Name] [Print Name]
Residing at Residing at
/VjU7yvr
Will of Keith E.Peifer Page 5 of 5 Initials: Date:
COROEO Oq=rtG� OF
OATH OF SUBSCRIBING xN .STS(v���'
REGISTER OF WIa1A
Cumberland COUNTY PENNGVcv,SIA
ORPH P1SI t61JRT
PA
Estate of Keith E. Peifer , Deceased
Kirstih Shovlin , (each) a subscribing witness to
(Print Name/s)
the ✓0 Will 0 Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that she/he/they was/were present and saw the above Testator/Testatrix sign the same
and that she/he/they signed the same and that she/he/they signed as a witness at the request of
the Testator/Testatrix in her%his presence and in the presence of each other.
(S gnalure (Signature)
' 15 PineR#tRoad
(Street Address (Street Address)
Ramsey,NJ 07446
(CiPlStte,Zip) v (City,State,Zip)
Executed in Register's Office Executed out of Register's Office
Sworn to or affirmed apo subscribed Sworn to or affirmed and.§ubscribed
befoe me this day before me this � day
of lJ C�Q L O�� , O (t4 of P ,
Deputy for Register of Wills Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of ex iration of Notary's Commission.)
Finst-rumen;t(sw*V"arization.HRI$.WMARiS.
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or c
we of Ntw im"
Form RW-03 rev. 10.13.06 sion Expim Apr 18,2016
al ly /o3 �
OATH OF SUBSCRIBING 01; F F ICE OF
SFi- S
REGISTER OF WILIN14 SGT 31 RM 9 04
Cumberland COUNTY, PENNSIQNI
ORPANI GOO T
Estate of Keith E. Peifer , Deceased.
Jessica Peifer , (each) a subscribing witness to
(Print Name/s)
the 0 Will 0 Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s)that she/he/they was/were present and saw the above Testator/Testatrix sign the same
and that she/he /they signed the same and that she/he/they signed as a witness at the request of
the Testator/Testatrix in her/his presence and in the presence of each other.
(Signature) (Signatu )
1370 East Lisburn Road
(Street Address) (Street Address)
Mechanicsburg, PA 17055
(City,State,Zip) (City,State,Zip)
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Executed in Register's Office Executed out of Register's Office o N
Sworn to or affirmed and subscribed Sworn to or affirmed and subscribed Z a m
before me this day before me this `� day o a°�a M X
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ofOf i'�� , aol w CD y
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Deputy for Register of Wills Notary Public J
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s)at time of notarization.
Form RW-03 rev. 10.13.06