HomeMy WebLinkAbout10-06-05
Register of Wills of Cumberland County
PETITION FOR PROBATE and GRANT OF LETTERS
Estateof 7AYZ-,<.:- ~ ~ 0J&,()\YJ No. 'J-. \ - ':::J S - ~~'-c
also known as To:
, Deceased.
Social Security No. I <=1 g - 03 - ~:2 ~
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner0'!, who is/arc 1,8 years of age or older, and the execut~ named in the last will of the
above decedent, dated A v,;;>r-\ I 2.... B .z 00 I) ,20
and codiciI( s) dated rJv. r e:' I
I 'f'l1
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in C U ;V\ B 6 Ii( LA J "D
Pennsylvania, with h11ast family or principal residence at
County,
(list street, number and municipality)
Decedent, then ~1;ears of age, died O<:.-t- 2-. , 20Q5., at ,.,..,' + ~c; , t~
Except as follows, decedent did not marry, was not divorced and did not have hild born or adopted a er
execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent:
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(Ifnot domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania J).
situated as follows: ~f. \' I/I'/Ih~,'rf:- I
. P. w c v V"'- 0.... Y't d
(D /.0 () 0
I
rk\
$
$
$
$
/:2 ~() 0 ((jU..
)
WHEREFORE, petitioner(s) respectfully request(s) the propate of the last will and codicil(s) presented
herewith and the grant ofIetters \,"",,, Lv\. ~_
(testamentary; ad 'nistration c.I.a.; administration d.b.n.c.t.a.)
thereon.
Signature(s) 21~
~_M,
Residence( s) of Petitioner( s)
~:t~Lf:~I/~V~~ Iftr~
Estate of
Register of Wills of Cumberland County
OATH OF SUBSCRIBING WITNESS
I .) I;: 11>11./ (-/- f j //1!\.,
r CA. \/' \t( C::.. v?.~ L_ No_
Also known as
, Deceased
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/1
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1'-
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I. /'v
b 4 1':!r..'J / /[, c,
(each) a subscribing witness to the will/codicil presented herewith, (each) being duly qualified according
to law, ~~~se(s) and say(s) that -~- vJt0present and saw
-~- C""-V-- \<..~ 1L E J~'-c1-t-r/~11 ,thetestato'-, sign the same and that
. ':/ )-.r:..__- signed as a witness at the request of the testat...Qr'Jn h ~
presence and (in the presence of each other) (in the presence of the other subscribing witness(es).
tv\.~
j ./\ (~-I//.!) IAi::/~
c; -)- c( L\v~ /) s: 1 .~L- ,::~ ~t
(Address) I); A Ii" ~5 \1- lie rk' 170~=-7)
'.~
Sworn to or affirmed and subscribed
Before me this l.. ""~ day of
'J'0; ~W<.\~ ,20 <:::lS _
~ ~<:;s~,
Register
~.~~
Deputy '\ .
~\
"" ~t> "" ~~
..,)..... ~'- ",
,.......
"\"^
(Name)
,-..)
(Address)
(..:.1
eel
N
Register of Wills of Cumberland County
OA TH OF SUBSCRIBING WITNESS
Estate of flu. t~ E Ka."".//mq ~
No.
Also known as
, Deceased
t:rrA
G 5/'-1-
(each) a subscribing witness to the will/codicil presented herewith, (each) being duly qualified according
to law, depose(s) and say(s) thatSJe Wtl So present and saw
4;" k t'/ f(a (< /f/7? c? r? , the testat C1 r, sign the same and that
,
Sj, e signed as a witness at the request of the testai'rin h.i:L
presence and (in the presence of each other) (in the presence of the other subscribing witness(es).
Sworn to or affirmed and subscribed
Before me this <.c """\0,, day of
<::i~. ,20~
~~~/
(Name) t:~7A C;'SILL
'ffl Hollmo/lcf\f
1-1<2__5 h €..f' /.:1.4 I 70:3 d
(Address)
~~~ ~~i~ ~~~ l~"
Register .('q
q .'L~~, ~ '" ';)~~
Deputy ~ \
(Name)
(Address)
,
(~)
(..J
n'~ '." '\
Thi.' is to certify that the information here given is con'ectly copied from an original certificate of dcath duly filed with me as
I.oell Registrar. The original certificate will be forwarded to the State Vital Rccords Offiee for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
117)('Q')
.k.i, g !J:.J u ......~
No.
~ Pi cp;;~
Fee for this certificate. $6.00
Local Registrar
p
OCT 0 4 ZQO~
',-~,
-CJ
11
'./
Date
1
.)
:)
c.)
N
Rev. 2/87
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
STATE FILE NUMBER
NAME OF DECEDENT jFirsl. Middle, Last)
SEX
SOCIAL SECURITY NUMBER
3. 198
DATE OF DEATH (Month, Day, Year)
4.0dvk;r 2 Z<,,,,)
87
v"
BIRTHPLACE (City and
State or Foreign CountiD A
pew Cumberla
RMidMce 0 ~;:~~) 0
RACE - Amari{;Bn Indian, Black, While, et
(Specify)
white
10.
,.
COUNTY OF DEATH
8b.
Cumberland
DECEDENT'S USUAL OCCUPATION
(~lv:O~Qi~;\i!;~~ ~~eu~~rir~?r~d)SI
East Pennsboro
8c.
KIND OF BUSINESS I INDUSTRY
MARITAL STATUS - Manied,
Never Married. Widowed,
Divorced (Specify)
,w.idowed
SURVIVING SPOUSE
(I! wife, give maiden name)
,~ mana er 1&~lephone co.
DECEDENT'S MAILING ADDRESS (Street. Cityrrown, State, lip Code) DECEDENT'S
ACTUAL
RESIDENCE
(See Instructions
on other side)
15.
John Kaufman
17c. 0 Yes, decedenllived in
17b. CountyCumberland 17d.k1 ~1h~e~~~~~t~i:OfNew Cumberland
MOTHER'S NAME (First, Middle, Maiden Surname)
19. Anna Da hof f
INFORMANT'S MAILING ADDRESS (Street, Cllyrrown, State, lip Code)
w~524 Lansvale St. ,Marysville,PA17053
PLACE OF DISPOSITION. Name of Catnfttery, Crematory LOCATION - CitylTown, Slate, Zip Code
or Other Place
2'c. Mt.
twp.
615 Hilltop Dr.
New Cumberland,PA17070
city/boro.
Jan M. Gardiner
Items 24-26 must be completed by
person who pronounces death
27. PART I: Ent.r the dl...a.... Injurl.. or compllcatlona whiCh cau....d th" death Do nof .nl.r th" mod.. of dyIng, luch a.. cardiac or r...plralory ar","I, .hoCk or hurt failure.
LI..tonly onl CIU... on tach line
A DATE PRONOUNCED DEAD (Monlh, Day, Yeer)._
M. 25 DLTo(l,ER. 0;) '200 ~
2..
, Approximate
; interval between
,onset and death
Other significant conditions contributing 10 death, but
not resulting in the underlying cause given in PART I.
Sequentially list conditions
If any, leading to immediate
cause. Enter UNDERLYING
CAUSE (Disease or injury
lt1at initialed events
resulting on death ) LAST
r
IMMEDIATE CAUSE (Final
disease or condition
resulting in death}---+
WAS AN AUTOPSY
PERFORMED?
WERE AUTOPSY FINDINGS
AVAILABLE PRIOR TO
COMPLETION OF CAUSE
OF DEATH?
MANNER OF DEATH
Natural
~
D
Homicide
DATE OF INJURY
(Month, Dav, Year)
D
D
D
TIME OF INJURY
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED
uuu. D
y" D No D
30e.
Yes 0 No ~
Yes 0
NoD
Accident
Suicide
Pending Investigation
Could not be determined
30a. 30b. M.
PLACE OF INJURY - At home. farm. street, factory, office
blJildi"ll.alc,(SP<lci~l
30e,
288. 28b.
CERTIFIER (Check only one)
*l~~~F~~?or~~\';~~~e~~~~tl, cgfc~~~ci~J: t~ ~:~arr~:~(:)~~3r;.g~x~~a~9 h:t~~~~~~~.:~.~ .~~~~~.~?~ .:?~~?t~.~ ,I.t~.':; .~:,).........
29.
*PfoOt~~~a~l~fGm~Nk~;;I~;'~I:e~t~~~~~Crr~~ ~~~~:i~~~~~~tr~~~U~~~~,d:~: d~~d t~e;:r~~u~er:;(~i:~~ d~:~~.r as stated,.....,.,............. 0
*MEDICAL EXAMINER/CORONER
On the basis of examination and/or Investigation, tn my opInion, death occurred ilt the time, date, and place, and due to the causes(s) and
manner BB stated..........................................."........"".....................................,.....",."...",..................................... ....,., 0
31B.
R'S SIGN~
~/pi'1"'1 I
34.
33.
LAST WILL AND TESTAMENT
OF
PARKER E. KAUFMAN
I, PARKER E. KAUFMAN, a resident of New Cumberland, Cumberland County,
Pennsylvania, being of sound and disposing mind and memory, do hereby make, publish,
and declare this for and as my Last Will and Testament, hereby revoking any and all
Wills or Codicils by me at any time heretofore made.
ITEM I -
I declare that I am a widower, and that I have two (2) living children
and no deceased children. My wife, Ruth H. Kaufman, died on February 25, 2005.
ITEM II -
I direct my Executrix, hereinafter named, to pay all my just and
lawful debts and funeral expenses out of my personal estate as soon after my decease as is
convenient.
ITEM III - I specifically give and bequeath the sum of Ten Thousand Dollars
($10,000.00) to my grandson, CHRISTOPHER J. LAWLER.
ITEM IV - I specifically give and bequeath the sum of Ten Thousand Dollars
($10,000.00) to my grandson, MICHAEL V. LAWLER.
ITEM V -
I specifically give and bequeath the sum of Ten Thousand Dollars
Ii t 1\ (Initials)
Page 1 of 4
(,)
r.,)
"
"
($10,000.00) to my grandson, JOHNATHON KAUFMAN.
ITEM VI - I specifically give and bequeath the sum of Ten Thousand Dollars
($10,000.00) to my granddaughter, MEGHAN KAUFMAN.
ITEM VII - I give, devise and bequeath all the rest, residue and remainder of my
estate, real, personal and mixed, wheresoever situate, to my two (2) children, JOHN P.
KAUFMAN AND JAN M. GARDINER, in equal shares, per stirpes.
ITEM VIII - All federal, state and other death taxes, payable because of my death,
with respect to the property forming my gross estate for tax purposes, whether or not
passing under this Will, including any interest or penalty imposed in connection with such
tax, shall be considered part of the expense of the administration of my estate and shall be
paid from my estate without apportionment or right of reimbursement. All such taxes on
present or future interests shall be paid at such time or times as my Executrix, may think
proper, regardless of whether such taxes are then due.
ITEM IX - My Executrix and her successors shall have the following powers for the
administration of my estate except as limited hereinabove, in addition to those vested in
them by law and by other provisions of my Will, to be exercised in their sole discretion:
A. To retain any and all assets of my estate, real or
r ,~i (Initials)
Page 2 of 4
personal, without regard to any principle of diversification,
risk, or productivity.
B. To invest in all forms of property including stocks,
common trust funds, and mortgage investment funds, without
restriction to investments authorized for Pennsylvania
fiduciaries, as they deem proper, without regard to any
principle of diversification, risk or productivity.
C. To sell at public or private sale, to exchange or
to lease, for any period of time, any real or personal
property and to give options for sales, exchanges, or
leases, for such prices and upon such terms and conditions
as they deem proper.
D. To borrow money from any person or
institution including my Executrix and to mortgage or
pledge any or all real or personal property as my
Executrix, in her sole discretion, shall choose, without
regard for the dispositive provisions of this instrument.
E. To compromise any claim or controversy.
F. To exercise any option, right or privilege
granted in insurance policies or in other investments.
k(Initials)
Page 3 of 4
. .'
",
ITEM X - I nominate and appoint my daughter, JAN M. GARDINER, to be the
Executrix of this, my Last Will and Testament. In the event my daughter, JAN,
predeceases me or is unable to serve as Executrix, then I nominate and appoint my son,
JOHNATHON P. KAUFMAN, to be the Successor-Executor ofthis, my Last Will and
Testament.
ITEM XI - No bond or other security shall be required in any jurisdiction for my
Executrix or any Successor-Executor to serve in the performance of her or his duties.
ITEM XII - It is my desire that my house be sold as soon as is convenient and
feasible in order to serve the best interests of my estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~ day
of
flrr; I
2005,
a~~ \~
(SEAL)
PARKER E, KAUFMAN
WITNESSES:
~'(Yl.~, ,,,,,,;C
residing at 539 LQ(ldsJ,G ('<;5" ,-)t- H.o aft li'llt:; Pr.. 17053
(' "
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,... \,.00'
/
residing at ,3..J.r N 21 sy ~ ~L-e ,#1 TCJ / I
Noonial Sea 1
JulIe A. Snyder. Notary PIIbIic
c.. HiR aom. Cumberland ColUIty
My o.Meion Expires July 30. 2006
Moomer. ~n., ^""OCiatimolNllMllee
Page 4