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PETITI�N FOR C�R�tiT OF LETTER� � �`�.., � �' �' �
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REGISTER OF WILLS OF �1JA/�'[�Q�L,��V�COLI�TY, PE�;V'��L`�.�N3� ���� �'
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Petitioiler(s) named belo�v, who islar� 18 ye�rs of �ve or older, apply�i�esj for Latter� as's;p�c��1'fied�elo��;,,�ai� � i��
support thereof aver(s) the followinb and respectfiilly request(s� tha erai.t of Let�vr� iu th�appro�riate for� -��- ���
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Decedent's Information *� -�� `�� r�� U' �
Name: EL�►2.A.K�`T'1� F. _ _ 1� File�o;IC,di..J ��� N
a/k/a: (,'�ssignecl by Rebiste��)
a/k;'a:
a/k�'a: Sociat Security No: ' ».^��
Date of Death: 4 ��`a.0��j Age at death: Qq
Decedent was domiciled at death in �M$TtQ�lfy�l�p County,�n1S�ll. A 1A. (sr«re)with his/her last
principal residence at a�pp�S'S°���,�j,►��.t�ay,_ 3 [1/�y��,] lC'SRU(� GJl��iRL,AI�}�
Street address,Post Office and Zip Code City,Township or Borough t��� County
Decedent died at����,�,g��I��t'�,#0�3 I��IC ��.1'a � ,, ��
Street address,Post Office and Zip Code City,Township or I3orough t"'� Count� Statc
Estimate of value of decedenPs property at death: ^�
If domiciled i�i Pennsylvania......... . .................. All personal property ti $ 3 Q.v�J _
If not domiciled i�i Pennsy[vania. ....................... Personal property in Pem�sylvania $� �l�s
I/'not doniiciled in PennsylvmTia. .......... ........... .. Per.onal property in County $
Vnlue af rea[estate i�:Pennsylvnnia......... ....... .... .......... ....... .... ....... ......... �
TOTAL ESTINIATGD VALUE. n. $ CYOO
Real estate in Pennsylvania situated at:
(,�ttoch cidditionnl sheers,i/necessary.) Street address,Post Office and Zip Code City,7'ownship or Borough County
[� A. Petition for Probate and Grant of Letters Test�mentarv
Petitioner(s)aver(s)he/sJaefth�is/arethe Executor(s)named in tlie last Will of tUe Decedent,dated ost2�Lao�3 and Codicil(s)
thereto dated �-y
State relevant circumstances(e.g.renru�iation,deud�of execuror•,etc.)
Except as follows: afrer the execution of the instniment(s)offered for proUate Decedent did rot mariy,was not divorced,was not a party to a pending
divorce proceeding wherein the grounds for divorce l�ad 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 (Ifapplicab(e)
c.t.u.,d.b.n.,d.b.�7.c.t.c�.,pe+tclente lite,clairante ubsentiu,dirru�2te mina-itute
If Administration,c.t.a. or�l.b.n.c.t.a.,enter date of Will in Sectiou A above and complete tist of heirs.
Except as follows: Decedent was not a party to a pendiug divorce proceeding wherein the grounds for divorce had Ueen established as defined
in 23 Pa.C.S.§3323(g)and was neitlier the victim of a killing nor ever ac�judieated an incapacicated person.
❑NO�XCEPTIONS �EXCEPTIONS
�- Petition,:(:;),after a proper search haslhave ascertained that Decedent left no W ill and wa. �;arvived Uy die following spouse(if any)and heirs(attnch
udditionul s/�eets,if necessury):
Name Relationsh`.� Address
F�,�,�,arv-nz ,��,�.foi�uznii Page 1 of 2
.�»Q�i��r ii�ir� �
Oath of Personal Representative Official Usc Only
COMMONWE_�LTH OF PENNSYLVANIA }
} SS:
COUNTY' OF CSJ�'r�L.AND }
Petitioner(s)Printed Name Petitiom�(s)Printed Address
t�a.,c. � . ��MA� 4y4a �� ��,��J , Qa r�ssa
The Petitioiter(s)above-named swear(s)or affirm(s)the statements in the foregoing Petition are tnie and correct to the best of the Ialowledge and belief
of Petitioner(s)and tl�at,as Personal Representative(s)of the Decedeut,the Petitioner(s)will well and titiily administer the estate according to la�v.
Sworn to o affirmed and ubscribed before Date ���-rtis
me t is f�'ay of r / ' � _ Date
r Date
By�� Date
� r th Register -
BOND Required:Q YES �NO To the Register of FVills:
FEES: Please enter my appearance by my signature below:
Lett . . . . . . . . . . . . . . . . . . . . . . $ rOU Attorney Signature: t-j p
�-.-.
( ) Short Certificate(s). . . . . . ' � � -,�� O �' � �
( ) Renuuciation(s).. . . . . . . . C'7 '� � � �
�.-;� `C7 'Ls � ..:
( > coa«�i�s>. . . . . . . . . . . . . �, ~�---�,
( ) Affidavit(s).. . . . . . . . . . . ''` � N .`j �
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: H `-,�` -�i .! r�1
_� C 7
Commission. . . . . . . . . . . . . . . . . . Supreme Court =-`
> �_,. > t.�
ID Number: y �
O h�r . . . . . . . �— ..
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—�i�r Firtn Name: ;-� � " ��
� . . . . . . . . `O� Address: � �
. . . . . . . . n� �
Phone:
Automation Fee. . . . . . . . . . . . . . . _ � Eax:
JCS Fee. . . . . . . . . . . . . . . . . . . . . � Email:
TOTAL. . . . . . . . . . . . . . . . . . . . . $ ,
DECREE OF THE REGIST�:12 , ��1,��
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Estate of ' /� � � � I'ilc No: �'"/J M
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a/lc/a: -
AND NOW, " � ��l �Q��`��, in co � ration of the foregoing Petition,
satisfacCory proof havin been presented before ine,I'T IS D 'CREED that L�tters �G� Gf �
are hereby granted to � "!L � ''���'-�� —
in the above estate and(if applicable) that
the iustrument(s) datc;d —
described in the Petition be admitted o probate nd filed of rec rd as the last\�Jill(and Codi il(s))of Decedent.
- i�.�.�
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gis�er of Wills � ��� � �`�" /
� Page 2 of 2
Form R6G-03 rev. 10/ll/2011
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REGISTER OF WILLS CERTIFlCATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA
, , ,
oF cuiy
`t @� No. 2015- 00472 PA No. 21- 15- 04 72
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Estate Of: ELIZABETHFKAUFFMAN
O D A (First,Middle,Lastl
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� La t e Of: SlL VER SPRING TO WNSH/P
CUMBERLAND COUNTY
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Deceased
Social Securi ty No: 046-
1750
WHEREAS, on the 27th day of April 2015 an instrument dated
May 28th 2013 was admitted to probate as the Iast will of
ELIZABETH F KAUFFMAN
(First,Middle,LasU
late of S/LVER SPR/NG TOWNSH/P, CUMBERLAND County,
who died on the 17th day of April 2015 and,
WHEREAS, a true copy of the will as pro.hated is annexed hereto.
THEREFORE, I, L/SA M. GRAYSON, ESQ. , Register of Wills in and
for CUMBERLAND County, in the Commonwealth of Perznsylvania, hereby
certify that I have this day granted Letters TESTAMENTARY to:
MARK E KA UFFMAN
who has duly qualified as EXECUTOR(R/X)
and has agreed to administer the estate according to law, all or wr�ich
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 27th day of April 2015. n
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� �,NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)
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LAST WILL AND TESTAMENT .���' `�.: �' rv ;=;e r�
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OF � ,.; ' --�, -;, _.5,
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ELIZABETH F. KAUFFMAN � ' ° �' r��' �""
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I, ELIZABETH F. KAUFFMAN, of Cumberland County, Pennsylvania, being of
sound mind, memory and understanding, do make and publish this my Last Will and
Testament, hereby revoking and making void all former Wills by me at any time heretofore
made.
ITEM I. I direct that all my just debts and funeral
expenses be fully paid and satisfied as soon as conveniently may be after my decease.
ITEM II. I give all of the rest, residue and
remainder of my estate unto my grandson, Mark Kauffman, or his living issue per stirpes.
ITEM III. In addition to the powers conferred by
law, I authorize my Executor, in absolute discretion:
A. To retain in the form received, and to sell either at public or private sale
any real or personal property.
B. To manage real estate.
C. To invest and reinvest only in forms af property defined as legal
investments according to the laws of the Commonwealth of Pennsylvania.
D. To exercise any optional rights arising from ownership of investments.
E. To compromise claims without court approval, and without the consent of
any beneficiary.
ITEM IV. It is hereby directed that my Executor,
hereinafter named, shall pay all inheritance, state, succession and legacy taxes to which
I I
my estate or the transfer of any property hereunder may be subject and to charge such
tax as part of the administration, payable out of my residuary estate.
ITEM V. I nominate, constitute and appoint my
grandson, Mark Kauffman, to be and act as my sole Executor of this my Last Will and
Testament. In the event of renunciation, death, resignation or inability to act for any
reason whatsoever of my grandson, Mark Kauffman, I nominate, constitute and appoint
Cinda Kauffman to be and act as my sole Executrix of this my Last Will and Testament.
No personal representative or fiduciary appointed herein shall be required to post bond or
give any security.
IN WITNESS WHEREOF, t have hereunto set my hand and seal this � day of
�����' , 2013.
'�-> (SEAL)
ELIZA ETH F. KAUFFMA
The preceding instrument, consisting of this, and one (1) other typewritten page,
was on the date thereof signed, published and declared by ELIZABETH F. KAUFFMAN,
the Testatrix therein named, as and for her Last Will, in the presence of us, who at her
request, in her presence and in the presence of each other, have subscribed our names
as witnesses hereto.
' r �-� Residing at
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. Residing at
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COMMONWEALTH OF PENNSYLVANIA :
: SS:
COUNTY OF �Dp U PN�n� :
The Testatrix and the witnesses whose names are subscribed to the foregoing
instrument, being first duly sworn and qualified according to law, do hereby
acknowledge and declare to the undersigned authority that the Testatrix signed and
executed the instrument as her Last Will in the presence of the witnesses, that she
signed willingly or willingly directed another to sign for her, that she executed it as her
free and voluntary act for the purposes therein expressed, that each of the witnesses, in
the presence and hearing of the Testatrix, signed the Will as witnesses, and that to the
best of their knowledge, the Testatrix was at that time eighteen years of age or older, of
sound mind and under no constraint or undue influence.
,
Testatrix
�: .�...,-�'
� itness
,//
itness
Sworn to, subscribed and acknowledged before me by the above named Testatrix
and witnesses this �S' day of a'Yl�4� , 2013.
�..;,�- �
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�,,�' ,. ������ `����'�..�xG�"� (SEAL)
No� ry Public
t
COMMONWE�aL'fH�.�F PENNSYLVANIA
13184-001/203121 Notarl��5eal
Nancy L,a'�reski,NoWry Public
Susquehanna Twp,,,pauphln Counry
My Commission Expl�es March 16,2016
�?EMBF'2,�ENN�YS�'qMIA A�'''��CIAl2f�N OF NOTARIES