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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 --J "/" /1 --/. 1'- ,.:.-1. \./ 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 (' " ~A ..!b-() ,... \,.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