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Home My WebLink About04-17-15 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: Scott D.Klapac Decedent's lnf mr ation Name: Kevin P.Klapac File No: 21-16 a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: 02/28/2015 Age at Death: 38 Decedent was domiciled at death in Cumberland County, PA (State)with hislher last principal residence at 739 Old Silver Spring Road,Mechanicsburg 17055 Mechanicsburg Cumberland Street address,Post Office and Zip Code City,Township or Borough County Decedent died at The John Hopkins Hospital Baltimore City Maryland 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 $ 75.00 If not domiciled in Pennsylvania................ Personal property in Pennsylvania $ If not domiciled in Pennsylvania................ Personal property in County $ Value of real estate in Pennsylvania................................................................... $ 98,000.00 TOTAL ESTIMATED VALUE $ 98,075.00 Real estate in Pennsylvania situated at 739 Old Silver Spring Road,Mechanicsburg Mechanicsburg Cumberland (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)that he/she/they is/are the Executor(s)named in the Last Will of the Decedent,dated and Codicil(s) thereto dated _-RENUNCIATIONS;Clara Ann Kla ac&Paul J.Klapac 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,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 did not have a child born or adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. NO EXCEPTIONS EXCEPTIONS ® B. Petition for Grant of Letters of Administration (If applicable) ata.,d.b.n.,d.b.n.c.t.a.,pedente lite,durante absentia.durante minoritate If Administration,c.t.a or d.b.n.c.t.a.,enter date of Will in Section A above and complete list of heirs. Except as follows:Decedent was not a party to pending divorce proceedingwherein 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 adudicated 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): «a Name Relationship Address c� Clara Ann Klapac Mother 2114 Drury Lane Bethlehem PA 1Rd18C C-1 m Paul J.Klapac Father 2114 Drury Lane l_-.- ;r; .J Bethlehem PA 1'801$" M CD Form RW-02 rev.io-i t-tot i Copyright(c)2011 form software only The Lackner Group,Inc. Page 1 of 2 Oath of Personal Representative Official use only COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF Cumberland } Petitioner(s)Printed Name Petitioner(s)Printed Address Scott D.Klapac 22 Wellesley Lane Downingtown,PA 19335 610-269-1291 The Petitioner(s)above-named swear(s)or affirm(s)the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner(s).and that,as Personal Representative(s)of the Decedent'Petitioner(s)will well and truly administer the estate accordipg to I l Sworn to or.affirmed and subscribed before o�etc Date `!'Z - - - me this day:of i Date By: Date Faor. Register Date BOND Required? ❑ YES E]_`NO To the Register of Wills: Please enter my appearance by my signature below: FEES: n Letters...........................................$ Ab Attorn Ign re: 5( )Short Certificate(s)......... IV ( � )Renunciation(s).............. lel ( )Codicil(s)........................ u tT1_ ( )Affidavit(s)...................... Printed Name: Matthew H.Doll Esq - C> n rp rte, Bond............................................. co Supreme Court Commission.................................. ID Number: 83762 M r. p Other t r Firm Name: Boyd&Karver,P.C. ` i "'n Address: 7 East Philadelphia Av_enti,' - T r-- rn r-- Boyertown,PA 1951211-1 "� W Phone: 610/367-2148 Automation Fee............................ Fax: 610/367-5406 JCSFee....................................... 60 TOTAL.............. $ `j 0 E-mail: mdoll@boydandkarver.com DECREE OF THE REGISTER Date of Death: 02/28/2015 Social Security No: Estate of Kevin P Klapac _'File No: 21-15 a/k/a: AND NOW, /"�(,�� +i/ in consideration of the foregoing Petition, satisfactory proof having been presented before me,IT DECREED that Letters of Administration - are hereby granted to Scott D.Klapac in the above estate and(if applicable)that the instrument(s)dated _ described in the Petition be admitted to probate and filed of record aXVA stWill(and Codicil ))of Decedent Register of Wills Copyright(c)2011 form software only The Lackner oup is Page 2 of 2 RENUNCIATION REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Kevin P.Klapac. , Deceased 0 c r.M, C C> rs7 n C1 o r-- t-a rrj M l'.-Clara Ann Klapac in my capacitylrelatiolist*,w. C> (Print Name) Mother _ _ of the above Decedent, hereby rend ce-the 4t to.- , administer the Estate of the Decedent and respectfully request that Letters be issued to r co Scott D. Klapac k--1A \u (Dare) (sgnature) Clara Ann Klapac r � 2114 Drury Lane (Streetlutdrass) Bethlehem, PA 18018 fCtty,State,7jF) Executreof 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 that he or she executed the renunciation for the of-.---, purposes stated within on this I= day t 121c2_tS Deputy for Register of Wills 4Q-Xary Aublic My Commission Expires: Ao-11 �jQA (Signature and seal of Notary or other official qquualified to administer oaths. Show date of expiration of Nolary's commission.} COMMONWEALTH OF PENNSYLVANIA :Allentown, 7ARlAL SEAL KamalaMouitri�,Notary Public City of Lehigh CountyForm i`2W--06 izo,tU-t i-l.70b Copyright(c)2006 form sottwar�:exdy Ilia Lackner Group,Inc. My Common ExQireS April 3:0 201$ RENUNCIATION REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Kevin P. Klapac De¢ sed rn G'1 C> rn a r- M M l Paul J. Klapac in my capacity/refati�_r�st�••ip ash _ __. �.. i=- c� (Print Nemo) C::) M Father of the above Decedent, her by rAnouncectSe ri@ t@; (. 'T? administer the Estate of the Decedent and respectfully request that Letters be issued to Scott D. Klapac AQQ1 � ,r 2 r {Dalo) (signature) Paul .lilap ac 2114 Drury Lane (Stree!address) Bethlehem, PA 18018 (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 da party executing this renunciation and certified Y that he or she executed the renun aMn for the of-----, purposes stated within on this day Qf �� '� Deputy for Register of Wills Notary Public My Commission Expires: k 2—CA 7 (.iignature and seal or Notary or other official qquall ad to administer oaths. Show date of axpiration of Notery`s corrunission.) COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL Kamalah Y Moultrie,Notary Public City of Allentown,Lehigh County My Commission Expires April 30,2018 Form fr A 66 Rev.40.13.2006 Copyright(c)2006 form software only The Lackner Group,Ina.