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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 Information
Name: WAYNE P.KELLER File No: �I�'/ '"'�/� � �
��a' (Assigned by Register) �
a/ic/a:
a/k/a: Social Security No;
Date of Death: DECEMBER 14,2014 Age at death: 73
Decedent was domiciled at death in CUMBERLAND County,pg��YI.VANIA (Srure)with his/her last
principal residence at 99 WOLF'S BRIDGE ROAD CARLISLE 17013 MIDDLESEX TOWNSHIP CUMBERLAND
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at 99 WOLF'S BRIDGE ROAD CARLISLE 17013 MIDDLESEX TOWNSHIP CUMBERLAND PA
Street address,Post Office and Zip Code City,Township or Borough County State
Estimate of value oi decedenYs properiy at death:
If domiciled in Pennsylvania....... .... .... . .... .. .. .. .. All personal property $_ 5,000.00
If net donriciled in Pennsy/vania. . . ... ..... . ... . . . ... . . . Personal property in Pennsylvania $
If not domiciled in Pennsylvania. ..... ..... ... ... . ... . .. Personal property in County $
Value af real e�tate in Per.nsy!vaxia.. . . .... . . . . . .. . ... .. . . ...... . .. . .. . ... ... . . . ........... . $ 15(;0�(�0(;
TOTAL ESTIMATED VALUE. ... $ 155.000 00
Real estate in Pennsylvania situated at: 99 WOLF'S BRIDGE ROAD CARLISLE 17013 MIDDLESEX TOWNSHIP CUMBERLAND
(Attach additional sheets,ifnecessary.) Street address,Post Office and Zip Code City,Township or Borough Count
Y
❑ A. Petition for Probate and Grant of Letters Testamentar
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated and r'odicil(s)
thereto dated
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State relevant circumstances(e.g.renunciation,death of executor,etc) p m
.4 � � � �
Except as follows: after the execution of the instrument(s)offered for probate Decedent did not marry,was not di ficc��not�ag rty t� pQ��n
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S. § 3323(gj;'�n��rli�ot h�a ch�Mr�n or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ,,. �j - � �.M;a C�
O NO EXCEPTIONS Q EXCEPTIONS � r • �-:;a G"7
� 7 -';-� � �. `T!
� B. Petition for Grant of Letters of Administration (Ifapplicable) � �� � �-�
c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,dur,�teztbsentia,durantet'i�'in�,ritate
If Administration,c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of lft�rs. � �
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 Q EXCEPTIONS
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse(ifany)and heirs(attach
adclitiorial sheets, ifnecess�ari):
Name Relationshi Address
KIMBERLY GARDNER DAUGHTER 99 WOLF'S BRIDGE ROAD
CARLISLE PA 17013
KATHY BALLEW DAUGHTER 80 MILL ROAD
SCOTT W.K.ELLER SON 9 GASOLINE ALLEY
CARLISLE PA 17013
RANDALL W.KELLER SON 118 WESLEY DRIVE
MECHANICSBURG PA 17055
For•m�RW-02 rev. 10/11/3011 Page 1 Of.2
Official Use Onty
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF CUMBERLAND }
Petitioner(s)Printed Name Petitioner(s)Printed Address
rv
KIMBERLY GARDNER 99 WOLF'S BRIDGE ROAD CARLISLE P 7013 �
� rn
80 MILL ROAD,SHERMANS DALE,PA 1 �(P � �
��� KATHY BALLEW � .-.:.
� CJ U� �
RAIVDALL W.KELLER i 13�'✓ESLEY DRIVE,MECHANICSBURG,F .A�1(� -- c-,�
, ,� r<�
� 9 G�SOLINE t�LLEY,�ARLISLE,P�. 1701�„, � ��� �
SCC�TT W.K..LLER '
. . , , , c'a
The Petitioner(s)above-named swear(s)or affirm(s)the statements in the foregoing Petition are true and correct ta'the::best o��l' e kno��le�e and belief
of Petitioner(s)and that,as Personal Represeniative(s)of the Dec e ,the Petitioner(s) ill well and truly,a(�n�it�isi��the e�te aer�r�g to law.
Sworn to o af�fi�'ed subscribed before " ' =--; �ate ��
me t �kiay of ,� �e q -- �
Date��—,�1-���
By' Date
or t e Register �7 2 9�1[!��
BOND Required: Q YES Q NO To the Register of Wills:
FEES: Please enker my appearan�e by my signature below:
Letters . . . . . . . . . . . . . . . . . . . . . . $ 260.00 Attorney Signat :
� 4; Sho:t Certificate(s). . . . . . ��•�� /� (/ __
( ) Renunciation(s).. . . . . . . . �
( )Codicil(s). . . . . . . . . . . . .
( )Affidavit(s).. . . . . . . . . , .
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: MARCUS A.McKNIGHT,III
Commission. . . . . . . . . . . . . . . . . . Supreme Court
Other . . . . . . . . ID Number: 25476
INVENTORY . . . . . . . 15.00
INH TAX RETURN 15.00 Firm Name: IRWIN&McKNIGHT,P.C.
Address: Gn u��c�r nn1�AFRFT cTRFFT
C'ARI I4I F PA 1701'i
. . . . . . . .
Phone: (717)249-2353
Automation Fee. . . . . . . . . . . . . . . 5.00 Fax: (717)249-6354
JCS Fee. . . . . . . . . . . . . . . . . . . . . 35.50 Email:
TOTAL. . . . . . . . . . . . . . . . . . . . . � 350.50
DECREE OF THE REGISTER
Estate of WAYNE P.KELLER File No: �� �����
a1k/a:
AND NOW, ���' `J ,,��--'in consideration of the foregoing Petition,
satisfactory proof having been presented before me,IT IS DECREED that Letters OF ADMINISTRATION
are hereby granted to KIMBERLY GARDNER KATHY BALLEW RANDALL W.
KELLER AND SCOTT W.KELLER in the above estate and(if applicable) that
the instrument(s)dated
described in the Petition be admitted to probate and filed of r ord as the last Will(and C dicil(s)) of Decedent.
Register of Wills
Form RW-02 rev. 10/I l/3011 g� f�
REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA ADMINISTRATION
oF cu�y
e _ „ -
��y (��� ��` No. 2014- 0�2� 1 PA No. 2�- 14- �21 �
0 9A Es ta te Of: WA YNE P KELLER
� D ` (fiist,Middle,Lastl
� v �
� ��? /� Late Of: MIDDLESEX TOWNSHIP
�. , N ; J / CUMBERLAND COUNTY
Deceased
175� Social Securi ty No: 204-
WHEREAS, WA YNE P KELLER
(Fi�st,Midd/e,LastJ
late of MIDDLESEX TOWNSHIP CUMBERLAND COUNTY
died on the 14th day of December 2014 and,
WHEREAS, the grant of Letters of Administration
is required for the administration of the estate.
THEREFORE, I, LISA M. GRAYSON, ESQ. Register of Wi11s in and
for CIJMBERLAND County, in the Commonwealth of Pennsylvania, have
this day granted Letters of Administration to:
KIMBERL Y JO GARDNER and SCOTT W KELLER and
NORA KATHLEEN BALLEW and RANDALL W KELLER
who have duly qualified as ADMINISTRATOR (RIX) of the estate
of the above named decedent and have agreed to administer the estate
according to law, all of which fully appears of record in my office at
CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYL VANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my offi ce on the 30th da y of December 2014.
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**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)
;