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Home My WebLink About11-12-14 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 request(s)the grant of Letters in the appropriate form: Decedent's InformationQ1 Name: GERALDINE H. KOLLER File No: `t a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: 11/5/2014 Age at death: 94 Decedent was domiciled at death in CUMBERLAND County, PENNSYLVANIA (State)with his/her last principal residence at 20 N 12TH ST., LEMOYNE 17043 LEMOYNE CUMBERLAND Street address,Post Office and Zip Code City,Township or Borough County Decedent died at MANOR CARE CAMP HILL 17011 CAMP HILL BOROUGH 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 $ 340.000.00 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.... $ 340,000.00 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 6/26/2009 and Codicil(s) thereto dated N/A State relevant circumstances(e.g.renunciation,death of executor,etc.) v Except as follows:after the execution of the instrument(s)offered for probate Decedent did not marry,was not divorced,(;Rsdgt a party tola—pen dfit M divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.§3323(g),and did ncsY ag=child b mor adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ,Fri n cn ® NO EXCEPTIONS ❑EXCEPTIONS ❑ B. Petition for Grant of Letters of Administration(If applicable) 4:? - =' CD c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,durante-absentii,-Iduran�;minori)ate,-1 If Administration,at.a. or d.b.n.c.t.a.,enter date of Will in Section A above and complete list of-heirs. C0 r rn Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had been established as deed in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated 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(if any)and heirs(attach additional sheets, if necessary): Name Relationship Address Form RW-02 rev.10/11/2011 Page 1 of 2 Oath of Personal Representative Official Use Only COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF CUMBERLAND } Petitioner(s)Printed Name Petitioner(s)Printed Address 78 LITTLE RUN ROAD SANDRA J. KAUFFMAN CAMP HILL PA 17011 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 Decede t,the Petitioner(s)will well and truly administer the estate according to law. / Sworn to oQLaaffirmed and ubscribed before Date �� 1 me this\c_-�l day f � ,2A1� Date By. lt Date For the Register Date BOND Required: ❑ YES M NO To the Register of Wills: FEES: Please enter my appearance by my signature below: Letters. ..... . .... ..... .... .. . $ Attorney Signature: c> cz (5 )Short Certificates(s) . ..... 2� Co rrs m—fiCo r t1 ( )Renunciation(s). . . ..... .. `T1 — c� ( )Codicil(s) ... . . . . . .... . . C-,:� `�>-;"'` Affidavits r r r , ~' ) r2 ( Printed Name: CHARLES E. PETRIE -= ry Bond .... . ....... . . .. . . . ...... Commission .... Supreme Court Other"{ ..... . . . . S ID Number: 29029 r:� = ':D 15 -� XY. . . . Firm Name: LAW OFFICES OF-CHARLES E�ETRI[fna Address: 3528 BRISBAN STREET -> Lo CD -n . . . . .. . .. HARRISBURG PA 17111 • •• ••••• • Phone: (717) 561-1939 . ..... . . . Fax: (717) 561-4121 Automation Fee .... ... ...... . . .. S Email: Petrie Law(aD_aol.eom JCS Fee .... . ........... .. . . . .. TOTAL . .... ..I. ....... .. ... .$ 4-10SC DECREE OF THE REGISTER Estate of GERALDINE H. KOLLER File No: � 01 I a/k/a: AND NOW, November �� , 2014 ,in consideration of the foregoing Petition, satisfactory proof having been presented before me,IT IS DECREED that Letters Testamentary are hereby granted to SANDRA J. KAUFFMAN in the above estate and(if applicable)that the instrument(s)dated 6/26/2009 described in the Petition be admitted to probate and filed of record as the last Wil (and Codicil(s))of Decedent. e ister of ills Form RW-02 rev.10/11/2011 (��J�� f/ age 2 of 2 RECOPEDED OFFICE OF PN E 0 1 s-:-F-F,, 0,F kY I L L S LAST WILL AND TEST-A&W F"M 9 95 CLEF,*' OF I, GERALDINE H. KOLLER, of 20 North 12th �p , ,iApat ent 112, CUfABERL/,,1,Tk Lemoyne, County of Cumberland, Pennsylvania, do hereby make, p-Alish, and declare this to be my LAST WILL AND TESTAMENT, revoking any and all prior wills and codicils in manner following, that is to say, I �31 FIRST, that I direct that my Personal Representative shall pay all of my just debts and funeral expenses as soon as this shall be practicable. SECOND, that I give, devise, and bequeath all of my property, real, personal, and mixed, to my husband, ROBERT W. KOLLER. THIRD,, that if my husband has predeceased me, or has failed to survive me for a period of at least ninety (90) days, or if our deaths should occur in such a manner that it cannot be determined which of us has predeceased the 'other, then I give, devise, and bequeath all of my property, real, personal, and mixed, to SANDRA J. KAUFFMAN. If Sandra has predeceased me, or has failed to survive me for a period of at least ninety (90) days, then I give, devise, and bequeath all of my property, real, personal, and mixed to RICHARD KAUFFMAN. FOURTH, that I hereby direct that no share of my estate shall pass to my son, DONALD KOLLER, of West Palm Beach, Florida. FIFTH, that I hereby appoint SANDRA J. KAUFFMAN as the Executrix of my Estate. I direct that my Personal Representative shall not be required to post bond in this or in any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 26th day of June, 2009. GERALDINE H. KOLLER ._ ITNESS WITNESS ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN I, GERALDINE H. KOLLER, testatrix, 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 purposes therein expressed. Sworn or affirmed to and acknowledged before me by GERALDINE H. KOLLER, the testatrix, this 26th day of June, 2009. GERALDINE H. KOLLER TARY UBLIC ` COMMONWEALTH. PENN8ftVANIA NOTARIAL SEAL KELLY P.ROBERTS,Notary Pd* Common Ex i C� 27,2013 AFFIDAVIT WE, CHARLES E. PETRIE and ROBERT W. KOLLER, 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 testatrix sign and execute the instrument as her Last Will and Testament; that GERALDINE H. KOLLER signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testatrix signed the will as witnesses; and that to the best of our knowledge the testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed to and subscribed before me by CHARLES E. PETRIE and ROBERT W. KOLLER, witnesses, this 26th day of June, 2009. 01 WITNESS WITNESS TAR UBLIC coMMON WEALTM�EW4sirwAM1A NOTARA,SEAL KELLY P.ROBERTS, w Ps V Bao.,D phis ty Orion E Jan 2r.2013 REGISTER OF WILLS CERTIFICATE OF CUMBERLAND COUNTY GRANT OF LETTERS PENNSYLVANIA Of CUtije No. 2014- 01071 PA No. 21- 14- 1071 Estate Of: GERALDINE H KOLLER 0 (First,Middle,Last) CID Late Of: LEMOYNE BOROUGH N CUMBERLAND COUNTY WIC-) C,> C) Deceased Social Security No: 1750 WHEREAS, on the 12th day of November 2014 an instrume' n' t dated Co June 26th 2009 was admitted to probate as the last will3of, co C) GERA L DINE H KOL L ER (First,Middle,Last) 1a to of LEMO YNE BOROUGH, CUMBERLAND County, who died on the 5th day of November 2014 and, WHEREAS, a true copy of the will as probated is annexed hereto. THEREFORE, I, LISA M. GRA YSON, ESQ. . Register of Wills in and for CUMBERLAND County, in the Commonwealth of Pennsylvania, hereby certify that I have this day granted Letters TESTAMENTARY to: SANDRA J KAUFFMAN who has duly qualified as EXECUTOR(RIX) and has agreed to administer the estate according to law, all of which fully appears of record in my offi ce a t CUMBERLAND COUNTY COURT HOUSE, CA RL ISL E, PENNS YL VA NIA. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my office on the 12th day of November 2014. o �t Rn'jffVk) URe—gisf%r of VU1, 0 C�� ba6/7"'D D�Put� **NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)