HomeMy WebLinkAbout01-18-06
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Register of Wills of Cumberland County
Estate of John E. Kelso
also known as
PETITION FOR PROBATE and GRANT OF LETTERS
~\-06-S()
No.
To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
, Deceased.
Social Security No. 1 85- 28 - 3 8 6 8
The petition of the undersigned respectfully represents that:
Your petitioner( s), who is/are 18 years of age or older, and the execu1l:" i X named in the last will of the
above decedent, dated May 1 3 , , 20 05
and codicil(s) dated
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in Cumber land
Pennsylvania, with hislast family or principal residence at
1110 Rebecca strp.p.~, C-arlisle, PA 17013
(list street, number and municipality)
County ,
Decedent,then69 years of age, died August 17 ,20~,at Carlisle Reqional Medical
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after Center
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:
o
$
$
$
$
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented
herewith and the grant ofIetters Tes tamen tary
(testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
thereon.
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Jane L. Kelso
Residence(s) of Petitioner( s)
1110 Rebecca street
Carlisle, PA 17013
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Register of Wills of Cumberland County
COMMONWEALTH OF PENNSYLVANIA
OATH OF PERSONAL REPRESENTATIVE
The petitioner(s) above-named swear(s) or affirm(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, ~~SUb, scribed {~ K ~-
Before me;his / (; ) I d,y of
~4Lif[~' 71-,20 Vio I 7
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No. 'J.I-O&-OOSO)
Estate of Joh f) E. Ke I s ()
COUNTY OF CUMBERLAND
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, Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW 20_, in consideration of the petition on the reverse
side hereof, satisfactory proof having been presented before me,
IT IS DECREED that Jane L. Kelso
is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration
are hereby granted to Jane L. Kelso
in the estate of
FEES
Probate, Letters, Etc. .............
Will .................................
J..o.OD
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$
$
Renunciation.... ...... . ...... ..... . $
Short Certificates (If) ............ $
J CP .. . . .. . . .. .. .. . .. .. . . . . . .. . . .. .. .. $
$
$
$
20~
ilo. 00
iD. QD
5.00
Automation Fee...................
Bond............................. ....
Total
Filed 9 a..n. I Y'
t.o 10.00
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Register of Wills -pVt .. ~
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~'c;:, is :0 ccrrii'v that the information here given is correctly copied from an original certificate of death duly filed with me as
L,cal Rc'gislr:ll. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
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Fee for this certificate. $6.00
No.
AUG 2 0 2005
Date
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H105.143 Rev. 2187
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
STATE FILE NUMBER
17b. County
C"lImho:>rlFlnr'l
MOTHE.R'S NAME (FIrst. Middle, Malden Sumame)
19,
INFORMANl'S MAILING ADDRESS (Street, CitylTown. State, lip Code)
2Qb. no Rebecca St., Carlisle, PA 17013
PLACE OF DISPOS1TION- Name of Cemetery, Cramatory lOCATION - Cltyffown, State, Zip Coda
or Other Place
21eYorktowne Crematory 21d. York, PA
NAME AND ADDRESS OF FACILITY Hoffman-Rotb Funeral Home
22e.219 N. Hanover 51:. \,;arI1Sle~ t'A .L 701.:1
LICENSE NUMBER DATE SIGNED
(Month, Day, Year)
23b. "^ 1> 'f{7 /7 23e. t? .}.. I . 05,-
WAS CASE REFERRED TO A MEOICAl EXAMINER ICORONER?
26. Ve, 18 No Iil
: Approximate PART II: Other significant conditions contributing 10 death, but
. il1\e-JV81 between not resulting in the underlying ceuse given in PART L
: onsel and death
11d. 0 ~h~e~~~~~b~~ of
city/bon).
TYPE/PRINT
IN
PERMANENT
BLACK iNK
3. 185
TH h nl n
28 -
. 17, 2005
NAME OF DECEDENT (FInt'. Middle. LUll John E. Kelso
1.
AGE (last Birthday)
SEX
Male
SOCIAL SECURITY NUMBER
einstru ion
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COUNTY OF DEATH
69 y"
~=~fy) 0
RACE - American Indian, Black, White, et
(Spedfy) White
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'--"'\ lb.
MARITAL STATUS - Married, SURVIVING SPOUSE
Never Married. Wrdow-ed, {If wife, give m.iden n.me)
Divorced (Specify)
1.. Married Jane I-r'lliae
N. Mi r'ldlptnn twp.
Mary Tritt
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Sequentially Nst c:onditlons { b,
. if any, leading 10 immediate
.. cause. Enter UNOERl VING
CAUSE (Disease 0( Injury c.
thallnllialed events
reSlJlting on deafh ) LAST d,
WAS AN AUTOPSY WERE AUTOPSY FINDINGS MANNER Of DEATH
PERFORMED? AVAILABLE PRIOR TO
COMPLETION OF CAUSE Natural
OF DEATH?
DUE TO (OR AS A CONSEQUENCE OF):
Accident
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Homicide
DATE OF INJURY
(Monl/l, Oily. Year)
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TIME OF INJURY
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED.
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Ye, 0 No 0
30c.
Yes 0 No,rg
Yo'O
NoD
Suicide
Pending Investigation
Could nol be determined
30a. 30b. M.
PLACE OF INJURY. Al home, farm. street, ractory, office
bLJlldlng, siC. (5PBcify)
30e.
28a. 28b.
CERTIFIER (Check. only one)
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.PRONOUNCING AND CERTIFYING PHYSICIAN (PhySIcian both pronouncing death and certifying to cause of death)
To the beat of my knowledge, daath occurred at the time, date. and place, and due to the cause.Cs) and manner as stated..."..............
.MEDICAL EXAMINER/CORONER
~:~~:rb::~:t~~~amlnatlon and/or lnvestlg8tion, In my opinIon. death occurred at the Vme, date, anti place. and due to the causas(sJ and 0
31a.
REGISTRAR'S SIGNATURE AND NUMBER
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LAST WILL AND TESTAMENT
OF
JOHN E. KELSO
I, JOHN E. KELSO, 1110 Rebecca Street, Cumberland County, Carlisle, 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
heretofore made by me.
FIRST:I direct the payment of all my just debts and funeral expenses, as soon after my
decease as the same can be conveniently done. I further direct that my remains be cremated.
SECOND:
I give and bequeath my gun collection to my two (2) sons, to wit, KIM R.
KELSO and MICHAEL K. KELSO, share and share alike and direct that the Inheritance Tax on
this bequest be paid out of my residueary estate.
THIRD:
All the rest, residue and remainder of my estate, real personal and mixed,
whatsoever and wheresoever the same may be situate, I give devise and bequeath to my wife,
JANE L. KELSO, provided she shall survive my by thirty (30) days.
FOURTH:
I nominate, constitute and appoint my wife, JANE L. KELSO, Executrix
of this my Last Will and Testament and direct that she can be excused from posting bond or other,
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security for the faithful performance of her duties in any jurisdiction. ~'-i
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IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will
and Testament, consisting of two (2) typewritten pages, each identified by my signature, this
13 day of
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John . Kelso, Testator
Signed, sealed, published and declared by the above-named Testator, John E. Kelso, as
and for his Last Will and Testament, in the presence of us, who, at his request, in his sight and
presence, and in the sight and presence of each other, have hereunto subscribed our names as
witnesses.
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, Witness
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.. , WItness
COMMONWEALTH OF PENNSYLVANIA )
: SS.
COUNTY OF CUMBERLAND )
I, John E. Kelso, Testator, whose name is signed to the attached or foregoing instrument,
having been duly qualified according to law, do hereby acknowledge that I signed and executed
the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as
my free and voluntary act for the purposes therein expressed.
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Joh E. Kelso, Testator
COMMONWEALTH OF PENNSYLVANIA )
: SS.
COUNTY OF CUMBERLAND )
we:1CUuru it t. 14J..tJl5 and tlt ( , the
witnesses whose names are signed to the attached or for oing instrument, being duly qualified
according to law, do depose and say that we were present and saw Testator sign and execute the
instrument as his Last Will and Testament; that he signed willingly and that he executed it as his
free and voluntary act for the purpose therein expressed; that each of us in the hearing and sight
of the Testator signed the Will as witnesses; and that to the best of our knowledge the Testator
was at that time 18 or more years of age, of sound mind and under no constraint or undue
influence.
J Sworn or affirmed to an
and '~ -
2005.
subscribed to before me by cr~hA..iJ. L. I0I-IM
, witnesses, this /..:1 t1.... day of /JJ Ihj
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Witness (SEAL)
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W' ess (SEAL)
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otary PublIc
"Jocar.al SeEli
lhd8J. Jtmper, "<<8v Ptdc
CaII&It Bolo. Ctnmedarid CountI
My Celt......., EXQiAII.Uf 23.2000
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