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Home My WebLink About12-28-05 Register of Wills of Cumberland County PETITION FOR PROBATE and GRANT OF LETTERS EstateojJ::jArzrH-A- --JAN~ Kul'L'l'"Z. also known as No. To: Cf /' () $'- (I! ') Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania , Deceased. Social Security No. I 7 9 - / t.{ - 2 B t;- t; The petition of the undersigned respectfully represents that: Your petitioner( s), who is/are 18 years of age or older, and the execute:; ;1... named in the last will of the above decedent, dated 1;:t, 0::::-.?I 2-1) I q, '-\ )- ,20 and codicil(s) dated /,-IA (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decedent was domiciled at death in \\iE'1J-/ L U M 13 c./Z-~, 7 /3e-'/2 '-' " Pennsylvania, with h_ last family '?r :principal residence at , ') \ L r I u ~ 5...... l"-l F-.-i-V C v I'VI/] t3 il L--4-1V//, j-",Q ... / (list street, number and municipality) C/)#?/.l/~ty, ) 7(./ -;>t' Decedent, then PI-/" years of age, died I '2 - I LI , 20 0 ~ , at C; (./:5 ti' v~.t/A- r ~/). I~~ Ct/_ Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after 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 (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows:1--.L' 2? /i- rJ' :5r. /V~V L'/~3~--2.-,-~;J $ $ $ $ ~ /J 2. L.( 00(/ I '-r 2 '7 t:..') ,; 7?~ ? <::> WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant ofletters r;~sr AI''J6 }.../7A/2- '/ (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) thereon. Signatu,e( s) ~tioncr( s) F-,,/J5.-r /27 Residence(s) of Petitioner s /t.,-~ ?r-, ';:::/e./ C..--Jt.1',3~~L-A,<~,.2 r r rl~ 'I~" . ~. -.' .~ '.~' . Register of Wills of Cumberland County OATH OF PERSONAL REPRESENTATIVE COUNTY OF CUMBERLAND COMMONWEALTH OF PENNSYLVANIA SS: The petitioner(s) above-named swear(s) or affmn(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief ofpetitioner(s) and that as personal representative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. ~~~~ } Sworn to or affIrmed 2d su~bed Beforlfte this or 1 jlty of 'P~ ,20 O~ ~ rk- ?-M1bf SIrlS/JIIlfC (JV ~ m-~'S' { C/.l ~. g ..., A on '-' No. ~1'()["JlI3 Estate of ~o. t t~t:( J It no! I(fI{hrneceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW -1)k.. ~ 1l...n--- . 200< in consideration of the petition on the reverse side hereo , satisfactory proof having been presented before me, IT IS DECREED that the instrument(s), dated ti C , described therein be admitted to probate filed of record as the last will of ~,.-'1 ~II.L t:vrh- ; and Letters are hereby granted to ~ l:Jt. ... (). Kv~ FEES Probate, Letters, Etc. ............. $ Will................................. $ Renunciation....................... $ $ $ $ $ $ 20l1)" ~ Short Certificates ( ).. .. .. .. .. .. JCP.................................. Automation Fee................... Bond............................. .... Total_ Filed f).L(l rl f ~ ~. kl ~H.,U. Chza;s~ex.4 ~ ~A ~ /J4-~ P;;- R,e'gister of Wills J {, () .0 D · ~, tJD Attorney (Sup. Ct.I.D. No.) - I~.~f) II) . r) IJ Address O. iJ i) .J 0 J-. Phone Thi, l~, to certifv that the information here given is correctly copied from an original certificate of death duly filed with me as L(H-ll Registrar. The original certificate will be forwarded to the State Vilal Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. No. ~~ L(~\lI~E pl;'~-__ ~/~ ~4'~."\ ~~'~I - -~_ \~":. ~ ~/ .~"y~ ~~.r - ~ \I~~ ~ t.-'~,f~~- h,~ ~~ *'~".. '.:*~ ":. a. ./",,,,,,,,, /~,~ \.~~ /~l' "'---..~,fril~--(:~~ /' ---",,;," EN1 ~'.'III!fl '''''NUIf/1I11 an j'"0/,} ~ ' ,.,.., ~h ...~ ',of ....':..,.,~/!-'t/,,~~ /V'~ (~ ./.;,..r- ~ .,,,-," ...<? Fec for this certificate. S6.00 Local Registrar DEe 1 6 2005 f"\ l<d~ .'1 1 ....."'1. "',~ '1 ') 6 ..1 _ ''':,': j ~ ...t. ~) , Date Rev.2/87 COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH STATE FilE NUMBER ~=..: NAME OF DECEDENT (First. Middle, Last) 5. COUNTY OF DEATH 88 Yrs. SEX SOCIAL SECURITY NUMBER 2.female 3. 178 -14 -2858 P CE OF DEATH Che onl n HOSPITAl: Inpatien! 0 ER/Ouli:lati~1 0 DOA D 8a. DATE OF DEATH (Month, Day. Year) 4Pec .14,2005 d{e /C' e.- Residence D (Specify) RACE - American Indian, Black, While, et (Specify) white 10. 1. AGE (Last Birthday) 8b. Dauphin 8c. Susqu2hanna DECEDENrs USUAL OCCUPATION (~fY:O~Qi~:~Z~~o d~t'~u~~rir~~r:'t l1a.schoolteacher 11b.education DECEDENrs MAILING ADDRESS (Streel. CitylTown, State, Zip Code) DECEDENrS ACTUAL RESIDENCE (See instructions on other side) MARITAL STATUS. Married, Never Married, Widowed. Divorced (Specify) 14. widowed SURVIVING SPOUSE (If wife, give maiden name) 17a. State P p n n ~ y 1 "rl n ; rl ~~~edent Cumber 1 and :~=~~~p? 17b. Countv i7e. 0 Yes, decedent lived in hrf No, decedent lived 17d.;:.::J.. within actual limits of twp. New Cumberland citylboro Joseph Lukehart John D. Kurtz MOTHER'S NAME (First. Middle, Maiden Sumame) 19. n/a INFORMANrS MAILING ADDRESS (Street. CilylTown, State, Zip Code) 20b.127 16th St", New Cumberland, PA 17070 LICENSE NUMBER 22b. FD 013163 L PLACE OF DISPOSITION. Name 01 Cemetery. Crematory or Other Place . ~~on-O-Lite Crematory NAME AND ADDRESS OF FACILITY Mysselman FH&CS,324 LICENSE NUMBER LOCATION - CilylTown, State, Zip Code ~haeffer~l8~~,PA LemoYne~PA17043 Hummel t\ve. DATE SIGNED (Month. Day. Year) !tems 24-26 must be completed by person who pronounces death. 27. PART I: Enter the diu...., InJurl.. or complications which cau..d the duth. Do nol. enler the mod. of dying, auch as cardiac or respIratory arr..t, shock or heart fallur.. Ust only on. CRU.. on each lina. : Approximate I interval between : onset and death PART II: Other significant conditions contributing to death, but not resulting in the undel1ying cause given in PART I. IMMEDIATE CAUSE (Final disease or condition resulting in death)--+ , J-A-i*""" Sequentially list conditions if any, leading to immediate cause. Enter UNDERLYING CAUSE (Disease or injury that initiated events resulting on death) LAST I:: d. OUE TO (OR AS A CONSEQUENCE OF) WAS AN AUTOPSY WERE AUTOPSY FINDINGS MANNER OF DEATH PERFORMED? AVAILABLE PRIOR TO ~' COMPLETION OF CAUSE Natural Homicide D OF DEATH? D D Accident Pending Investigation Yes D No~ Yes 0 NoD Suicide D Could not be determined D DATE OF INJURY (Month, Day, Year) TIME OF INJURY INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED. 28a. 28b. CERTIFIER (Check only one) .l~7~~F~~tGor~~~~~3g~S~~~rh cg~~~~':J~: teg g,eea~a,;:;,~:~(:r~Wjr;g~X~i~~a~s h;t~f.~~~~~~.~ .~~~~~. ~~~ .~.~~~~.t~,~ .i~~~ .~~)..... 29. 30a. 30b. M. PLACE OF INJURY - At home, farm, street, factory, office buildIng, elc. (Specify) 30a. 30d. LOCATION (Street, CilylTown, State) 301. SIGNATURE AND TITLE OF CERTIFIER ...........[3 31b. tv~ #v1' ., LICENSE NUMBER ............. D ~1c. {jf,. ~.s<:J'jt19~ L 31d. / I,;-J~y~ NAME AND ADDRESS OF PERSON WHO COMPLETED CAUSE OF DEATH (Item 27) Type .~r Prinl II f'I /,'. 1"...1. l{'~ IV' ) 1--"'" 32. I)., I IV DATE FILED (Month. Day. Yes D No D 30e. 'PRONOUNCING AND CERTIFYING PHYSICIAN (Physician both pronouncing death and certifying to cause 01 death) To the best of my knowledge, death occurred at the time, dat., and place, and due to the causes(.) and manner as stated...., "MEDICAL EXAMINER/CORONER On the basis of examination and/or Investigation, In my opinion, death occurred at the time, date. and place, and due to the causes(s) and 31 a~anner as atated........"...............................................,...............,..........,....,...............,.............. ..."....,...... .................... 0 REGISTRAR'SJ>lj3NATURE AND NUMBER /,;; J0'1 t;;f-' 33. ~ ~ /' /1' ;'c'2>1.~1_.~ ,.,., a(.~o ~-l ~MI/.....I !J 34. /2. ,)l~-;' !+ /'7J1L. (j' 0 S- /111?' LAS~ WILL AND TES~AMENT I, Martha Jane Kurtz, of Cumberland County, pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my last will and testament, hereby revoking all other wills and codicils made by me. FIRS~ I direct the payment of my debts and expenses of my last illness and funeral from my estate as soon after my death as conveniently may be done. If there be no cemetery lot available for my interment, owned by me at the time of my death, I authorize my personal represen- tati,ve to purchase such cemetery lot with a contract for perpetual care, using therefore funds from my estate, in such amount as he shall consider necessary and desirable, and I authorize my personal repre- sentative to cause title to or ownership of such lot so purchased to be vested in such person as my personal representative shall desig- nate. Further, in this connection, I authorize my personal representa- tive to expend funds from my estate, in such amount as my personal representative shall consider necessary and desirable, for the pur- chase, erection and inscription of a suitable marker for my grave. SECOND I give, devise, and bequeath all the rest and residue of my r' , 1 1J(/Y1A/k (a'7.1/ /{gfj , ' property, including both real property and tangible or intangible personal property owned by me at my death unto my son, John D. Kurtz, if he survives me by thirty-one (31) days. In the event my son John D. Kurtz fails to survive me by thirty-one (31) days, I give and bequeath said rest and remainder of all real property and tangible or intangible personal property, and all insurance policies in which my son John D. Kurtz is named beneficiary, to my sister, Barbara Murray, 44 Horseshoe Drive, Greensboro Georgia, 30642. THIRD I direct that any and all inheritance, estate, and transfer taxes imposed upon my estate passing under my will or otherwise shall be treated as administrative expenses and paid before any bequeath, distribution or bequest, whether said bequeath, distribution or be- quest be in trust or otherwise. FOURTH Any and all payment or payments of any sum or sums, whether in cash or in kind and whether for principal or income, payable to the said children, or any of them, shall be made upon the sole receipt of the respective individual to whom the payment is made, and free from anticipation, alienation, assignment, attachment, and pledge, and free 2 /)?;z;J:k tth~, ~t from control by the creditors of any such beneficiary. All shares of principal and income herein given shall be free from anticipation, assignment, pledge, or obligations of any beneficiary, and shall not be subject or any execution or attachment. FIFTH Finally, I nominate, constitute, and appoint my son, John D. Kurtz, personal representative of this, my last will and testament, but should my said personal representative, predecease me or for any reason fail to qualify as personal representative, then I nominate, constitute, and appoint Dauphin Deposit Bank and Trust of Harrisburg, PA as successor personal representative of this, my last will and testament. If in the event Dauphin Deposit Bank and Trust of Harris- burg, PA fails to serve for any reason, I authorize the Court of Common Pleas to name an appropriate personal representative, giving preference to similar institutions. IN WITNESS WHEREOF, I have set my hand and seal to this, my last will and testament, consisting of four (4) typewritten pages, each of 3 A/)/l II (] JJ ~ /1(jl~;W Z~11.1/ ~~ which bears my initials in the margin for the purpose of identifica- tion, this d I day of ~bruaJ'f , 1995 and being first duly sworn, do hereby declare to the undersigned authority that I sign and execute this instrument as my last will and that I sign it willingly, that I execute it as my free and voluntary act for the purposes therein expressed, and that I am eighteen years of age or older, of sound mind, and under no constraint or undue influence. K-' , (seal) Date of Birth May 11, 1917 We, the witnesses, sign our names to this instrument, being first duly sworn, and do hereby declare to the undersigned authority that the testatrix signs this instrument as his last will and testament, and that, to the best of our knowledge, the testatrix is over eighteen years of age, of sound mind, and under no constraint or undue influ- ence, and signs it willingly. Address ,:r: J7t)/~ Address 4 . . .' . , COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND Subscribed, sworn to and acknowledged before me by Martha Jane Kurtz, the testatrix, and subscribed and sworn to by l)0'1(j)i1 tL.J.:~j).c:>v ty\rti} / , J./ ^/DIr iWikrJ~J/t , and , witnesses, this J/l9 'r , day of ? ~V\f\0v-/ I , 1995. ~rn.( Notary Public My commission expires: '" ~<\~q! I VIRll!arn D. v,,;;,,c .,',,':, I New Curr:b: i" '::.: ! MI" cc'n::'i;"S.~.m. ...m".__..,,~~:_:J rober, POnnEri!vania f\::E::c."~ia;iCin of Notaries 5