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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: MICHAEL KARPER File No: � I� lt� ' 4� �'a
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: JANUARY 07,2015 Age at death: 53
Decedent was domiciled at death in CUMBERLAND County, pA (Sr te with his/her last
principal residence at 505 MULBERRY DRIVE.MECHANICSBURG 1705,� �1�� CUMBERLAND
Street address,Post Office and Zip Code City,Township or Borough �j��y,�,-y��� County
Decedent died at HOLY SPIRIT HOSPITAL CAMP HILL 17011 CAMP HILL 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 $
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. ... $ .�CJ. (S f,�l .p pp
Real estate in Pennsylvania situated at: 505 MULBERRY DRIVE,MECHANICSBURG 1705� �V1� (;UTd(�:1ZLAND
(Attach additional sheets,ifnecessary.) Street address,Post Office and Zip Code City,Township or Borough C�)�f� County
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� 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 and Codicil(s)
thereto dated
c=? �7
State relevant circumstances(e.g.renunciation,death of executor,etc.) � � �-�� �
� p �. G� p
Except as follows: after the execution of the instrument(s)offered for probate Decedent did not marry,was not d't�gor�ji,was no�jarty Yp�pe�ding
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S. §3323(�?ad�d�not l�u�a cl�ilt��Q�n or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. j.— =;, J-�q � 5 i;.,.j
�NO EXCEPTIONS �EXCEPTIONS �-'' � ��'
� PP ) � �_�`'' � C_�
� B. Petition for Grant of Letters of Administration Ifa ticabie '> � �
c.t.a.,d.b.n.,d.b.n.c.t.a.,percdentelite,dur',dnte�ibsentia,c�ante°��nin ra ate
__� v,.� c.�
If Administration,c.t.a. or d.b.n.c.t.a.,enter date of Will in Section A above and compl�te list of h�s. "'�
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 �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 Relationshi Address
KAREN KARPER WIFE 505 MULBERRY DRIVE,MECHANICSBURG,1705
MINDY KARPER DAUGHTER 635 PENN AVENUE,GLENSIDE,PA 19038
EMILY KARPER DAUGHTER 442 MEADOW DRIVE,CAMPP HILL,PA 17011
Form RW-02 rev.10/ll/2011 Page 1 of 2
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Oath of Personal Representative e��°r�'a�use� G-, �
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COMMONWEALTH OF PENNSYLVANIA } ;,yT r°� N r�t
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COUNTY OF CUMBERLAND `�'
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Petitioner(s)Printed Name Petitioner(s)Printed Address�",� � t'~� `
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KAREN KARPER 505 MULBERRY DRIVE MECHANICSBURG 1`7a5� � � ``�
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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 Dece nt,the Petition (s)will well and truly administer the estate according to law.
Sworn to r affi e ubscribed before __��� `c_ 'L���`- Date 1 - Zz- - 1 �,.-
me t ' � ,�Q�j� Date
By: Date
- F the l�egister Date
BOND Required: � YES Q NO To the Register of Wills:
FEES' Please enter my appearance by my signature below:
Letters.. . . . . . . . . . . . . . . . . . . . . . $ ����C Attorney Signature:
( �7 ) Short Certificate(s). . . . . . "�'�'
( Z )Renunciation(s).. . . . . . . . •0�'
�� µ �t�
( )Codicil(s). . . . . . . . . . . . . ;..i��j" `
( )Affidavit(s).. . . . . . . . . . .
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: WILLIAM C FELKER,ESQUIRE
Commission. . . . . . . . . . . . . . . . . . Supreme Court
Other . . . . . . . . ID Number: 67999
. . . . . . . Firm Name: LAW OFFICES OF WILLIAM C FELKER,ESQ
�n�j, /�{,k% � �7�/ . . . . . . . . �(��nC Address: Pn BOX 1401
• . . . . • . . C'AMP HiI,I.,.pA 17001
. . . . . . . Phone: 7175120647
Automation Fee. . . . . . . . . . . . . . . � ��' Fax: 7172546916
JCS Fee. . . . . . . . . . . . . . . . . . . . . �. d Email: WC'FF.SO(a�C'TMAiI._�nM
TOTAL. . . . . . . . . . . . . . . . . . . . . $ �9:66-
� �71��"aJ 4-'
DECREE OF THE REGISTER
Estate of MICHAEL KARPER File No: 2 j-�.S� D a 7�
a/k/a:
AND NOW, �� ;'`��(✓ ,in consideration of the foregoing Petition,
satisfactory proo ing been prese e before me,IT IS DECREED th �, tt rs ���{���-�{�1��-l��
f��r}�;n,.��-i-a�j c�/� are ereby granted to ��1��r� ���'�,���"
in the above estate and(if applicable)that
the instrument(s)dated
described in the Petition be admitted to probate and filed of re ord as the last Will(an�l dicil(s)) of Decedent.
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Register of Wills �, ���;��,,�,. � `��
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Form RW-O2 rev.l0/ll/2011 " 1 ab�e L Of 2 V
REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA ADMINISTRATION
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� (��� eF,p No. 2095- 00075 PA No. 2�- 15- 0075
J� � Es ta te Of: MICHAEL KARPER
O � Z IFirst,Midd/e,Lastl
V �
� La t e Of: SlL VER SPRING TO WNSHIP
� ��
CUMBERLAND COUNTY
Deceased
1750 Social Security No:
WHEREAS, MICHAEL KARPER
(Fiist,Middle,Lasil
late of SILVER SPRING TOWNSHIP CUMBERLAND COUNTY
died on the 7th day of January 2015 and,
WHEREAS, the grant of Letters of Administration
is required for the administration of the estate.
THEREFORE, I, L/SA M. GRAYSON, ESQ. , Register of Wills in and
for CUMBERLAND County, in the Commonwealth of Pennsylvania, have
this day granted Letters of Administration to:
KAREN E KARPER
who has duly qualified as ADMINISTRATOR (RIX) of the estate
of the above named decedent and has agreed to administer the estate
according to law, all of which fully appears of record in my office at
CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYLVANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my office on the 22nd day of January 20�5.
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RENUNCIATION �`� ''' r�' "t �`�'
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REGISTER OF WILLS � ��
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Estate of , Deceased
I, rn /U /'—" �p�� , in my capacity/relationship as
(Print Name) �
HTE�2 of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
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(Date) (Signature)
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(Street Address)
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(City,State,Zip)
Executed in Register's Office Executed out of Register's Office
Sworn to or affirmed ar}yi subscribed Before the undersigned personally appeared the
before me this ,2�tjt, day party executing this renunciation and certified
of C� ,�. that he or she executed the renunciatiory for the
purpo stated within on this .,.�G•�1 day
of ,_�2��
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Deputy for Register of Wills Notary Pub ic
My Commission Expires:
(Signature and Seal of Notary or other o�cial quali6ed to
administer oaths. Show date of expiration of Notary's Commission.)
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REGISTER OF WILLS :�
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Estate of _ � �i1/_ f i/� ��-e�, , Deceased
I, �Y1�1 � � a � }�S �Y��Z° , in my capacityhelationship as
(Print ame)
��(.1 iw�l'1 �'-�,� of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
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(Date) �� (Signature)
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(Street Address)
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(City,State.Zip)
Executed in Register's Office Executed out of Register's Office
Sworn to or affirmed 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 renunciation for the
purposes stated within on this /`� '��' day
of Ja�cc��� , �o/�
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Deputy for Register of Wills Notary Public
My Commission Expires: vc to bc� 30. �o�7
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(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration ofNotary's Commission.)
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