HomeMy WebLinkAbout02-24-06
Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Estate of Howard L. Kautz
also known as
No. 21-06- () 172
, Deceased
Social Security No. 180-09-4431
Marilyn E. Kautz
Petitioner(s), who is/are 18 years of age or older, appl(ies) for:
(COMPLETE 'A' or 'B' BELOW)
00 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the
the Decedent, dated 08/09/2004 and codicils dated
named in the last Will of
State relevant circumstances, e.g., renunciation, death of executor, etc.
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents
offered for probate; was not the victim of a killing and was never adjudicated incompetent:
D B. Grant of Letters of Administration
(c.t.a; d.b.n.c.t.a; pedente lite; durante absentia; durante minoritate)
Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs:
I Name
Relationship
Residence
I
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his/her family
or principal residence at 2200 Yale Avenue, Camp Hill Borough
(list street, number, and mUniCipality)
Decedent, then
87
years of age, died
02/03/2006
at 2095 Clarendon Street, Camp Hill, PA
(Location)
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
20,000.00
$
$
$
$
130,000.00
situated as follows: 2200 Yale Avenue, Camp Hill, Pennsylvania
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant
of letters in the appropriate form to the undersigned:
Marilyn E. Kautz
yped or printed name an resl ence
2095 Clarendon Street
Camp Hill, PA 17011
ignature
717n37-0614
I -1 .f)
",,; l..)
Prepared by the Pennsylvania Bar Association
Copyright (c) 2004 form software only The Lackner Group, Inc.
Form Ft'.f(:1 (1991)
Oath of Personal Representative
Commonwealth of Pennsylvania
County of Cumberland
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 of Petitioner(s) and that, as personal representative(s) of
the Decedent, Petitioner(s) will well and truly administer the estate according to law.
Sworn to or affirmed and subscribed
before me this J l.{ day of
l':t b Yl.L{j)~~ ' ,7- fro.b ,
.Jv)~ k &/.1 /11A./ ~sk) L,
~1J- CU~ M '~rister
)(VY)J1~ ~- I{ n l~
/ Marilyn E. Kautz
No.
21-06- 017"J
Estate of
Howard L. Kautz
, Deceased
also known as
Social Security No: 180-09-4431
Date of Death:
02/03/2006
AND NOW, f:.-tt. J'1{j a () .. ;< (/ , {..;.;Jb'0 , in consideration
V. ,
of the Petition on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters 00 Testamentary 0 of Administration
(c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate)
are hereby granted to Marilyn E. Kautz,
in the above estate and that the instrument(s) dated
8/9/2004
de'enbed ;0 Ihe Pet:~::e adm;tled to proba: aO~fi"ed 01 ,"""ol ~of re'diz, M<-~' S b(;L
Letters........................................$ 0<.11. U1) (t .d~-?' --;'11 -_
Register ills
Short Certffioate(').....$ ,j 4, n ItiN 7 e
Re~n......~.'..u..............$ I q-. /lJ Attorney: Michael L. ngs
Affidavits ( )...........................$
I.D. No: 41263
Extra Pages ( )....................$
Address: 429 South 18th Street
CodiciL........ .... ....... .... ..... .n... .....$
JCP Fee...............<:+...A.v.+.O....$
'is-v/)
Camp Hill, PA 17011
Telephone3 717/730-7310
Inventory.............................. n.... $
E-Mail:
Other......................................... .$
f ~)
:0_ r:.1'
.j l~!~...
TOTAL............................ $
~I~
Prepared by the Pennsylvania Bar Association Copyright (c) 2004 form software only The Lackner Group, Inc.
Form RW-1(1991)
O).XO"i REV 1/05
This is to certify that the information here given is correctly copied fro~ an original cert;ificate of death dulr filed with me as
Local Registrar. 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.
Fee for this certificate. $6.00
p
12225435
No.
~ "
~~I?~
Local RegIstrar
F~~ 0 ti ZOOP
Date
13 Aev,Q1106
JPRINT IN
UANENT
\CKINK
1 Name 01 Decedent (Firsl, nlddle, Ias1)
Howard L. Kautz
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH STATE FilE NUMBER
3, Social Security Nurrber .4 Date of Death (Month, day, year)
5 p.ge- (Last birthday)
8. Birth lace C' and state or lor
7. DateolBirth onth,da, ear
87
June
y"
Bb. County 01 Dealh
Cumberland
camp Hill
180
14 Marrtal Status: Married, Never married, 15, Surviving Spouse (II w,le. give maiden name)
Wldowe<l. Dmrc&<l (Specify,
Widowed
11 Decedent's Usual Occ hon Kind 01 work done durin roost orworkin life; do nol stat3 reU.ed
1 Kinlt 01 Wprk .. .J<ir'K\of Busine~fldustry 1
E ectrlclan Betnlenam ~tee
16 Decedenl's Mailing Mdress (Slreel. c~'l1own, slate, zip code)
17a. State
Pa
13 DecMent's Education S eci onl... hi hesl rade co leled
ElemeI~(Sec()n<:lary (0-12) College ~1.4 or ~+}
Twp
2095 Clarendon Street
Camp Hill, Pa 17011
17b County
r.llmhPr 1 .<In"
19. Molher's Name (First. middle. rMiden surname)
1a Falher's Name (Firsl, middle, last)
Did Deceaenl
Live inti.
Towns.h~?
Yes, Dacederlt live<i in
17c.O
17d Z
Camp Hill
No, Decedent Lived wilhin
.Adual Limits 01
Ctty/80ro
Richard L. Kautz
Florence Kinsey
2Ob. Informant's Mai~ng Address (Street, cily^own, slate, zip code)
2Oa. Inlormanrs Name (TypeJprinl)
21b. Date of Disposition (Monlh, day. yeac)
2095 Clarendon Street Camp Hill, Pa 17011
210. location (CityAown, slale. zip code)
Marilyn Kautz
':'
21<:. P\ace {)f Di!.posrtian- (Name {)l cemelery, cremalOl)' or olhel place)
Rolling Green cemetery
22c. Name and Address 01 Facility
Myers-Harner Funeral Home inc
23b. License Nurrber
Camp Hill, Pa
1903 Market Street
Cam Hill Pa 17011
23c. Dale Signed (Month, day, year)
,..-
Cc
e
CAUSE OF OEA TH (See inslructions and.""mplesl
11em 27. Part I: Entef the chain 01 events - diseases. injuries, or complications -thaI directly caused the dealh. DO NOT enler lermina: events such as cardiac arrest.
respiralory arres!, or lJentricular ftbrillation without showing the etiology. 00 NOT abl:ne'liate. E.n1ef only {)!\9 cause on a lif'Ie
:~~~~:~n~~~~:~;d.'~ a ~fi~\ 1-..,).J G-
Due to (or as a consequence on.
: Appro.:imate inlerval
: onselto dealh
(' IAQ c..llJ O'N'\--A
Sequentially fist conditions, il any,
leading 10 the cause listed on Line a.
Enter the UNDERL YfNG CAUSE
. (disease 01 injury lhat initiated the
even's resulting jn death) LAST
Due to {or as a consequence on.
Due 10 (or as a consequence oQ
o Yes ~NO
d
300. Were Autopsy Findings
Available Prior 10 Corllllelion
01 Cause or Death?
o Yes 0 No
320. Time of lniul)'
32b Describe how Injury OccUlTed
32g. Location (Street. citytlown, Slate)
31 Manner or Death
32a. Dale of Iniury (Month, day, year)
o Homicide
o Pending rnlJesligation
o Couk:1 Not Be Oeteimined
o Natural
[1 Accident
o Suicide
32e.lnjuryaIWork?
DYes 0 No
M.
338. Certifier (cht1Ck only one)
CertifyIng physician (Phystcian certilying cause 01 death when another physician has pronounced death and completed Item 23)
To the best of my knowledge, death occurred due to U1f cause(s) and mannet as stated ..._mmn_..........M..'''................,... ..
Pronouncing and certifyIng physician (physician both pronouncing death and cerlilyino 10 cause of dealh)
To the best ot my knowledge, death occurred at the time, date, ilnd place, and due 10 the cause(s) anet manner as sbited_.._..._.
Medical e.r.amirterlcoroner
On the basis 01 examination aOOlor investigation, in my opinion. death occurred at the time, date, and place, and due to the CilUSe(S) .ilnd manner as stated
.........0
........0
3S
"'~
(See instructions and examples on reverse)
I -Z. / 1..2..1 ./ V 1
3
.:2.Dob
o Yes )('No
Parlll: Enter olher s'lonrf1canl conditions conlrilUlinn 10 death,
but nO! resulting in the underlying cause given in Part I
28 Did Tobacco Use Contribule to Death?
o Yes X Probab~
o No 0 Unknown
29 II FelTl81e
o Not pregnant within past year
o Pregnafll alUme of deatll
[1 Not pregnant, but pregnant wrthin 42 days
afdeath
o Not pregnant, but pregnsnl43 days 10 1 year
before death
o Unknown if pregnant w~hin Ihe past year
32c. Place of Injury: Home, Farm, Street. Factory, Office
BuildIng, etc. (Specify)
....f!J'"
321 lfTransportation InJlIry {SpecifYJ
(J Driver/Operator 0 Passenger
o Pedestrian 0 Other - Specify:
33b. Signalure and Tille 01 Certifier
~
33c L""seNumber 33d D~'7~(/Mo":.:;;y.Yearl
.roC> 0/" 'nO - c .. ... Ulol
34. Name and Address 01 Person Who Co~leted Cause of Death (llem 27) TypelPrinl
T?CJ.lAflD J". P;"t:I. t.. In "'~
")") ~ S. IV71.. OJCTI"-' Av ~
H 11\0('''', .s q C ~ I? II ,
a.\- ()~- 0173
0J#Jj
~
~;/Jn/Yd 9L 9ulafff
I, HOWARD L. KAUTZ, of2200 Yale Avenue, Camp Hill, Cumberland County,
~
Pennsylvania, declare this to be my last will and revoke any will previously made by me.
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ITEM I. I direct that all my just debts and funeral expenses, including my gravemarker
\
~ and all expenses of my last illness, and any and all taxes and assessments imposed by any
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governmental body as a result of my death, whether on property passing under this will or
otherwise, shall be paid from my residuary estate as soon as practicable after my decease as a
~ part of the expense of the administration of my estate.
~
I~ ITEM II. I give and bequeath all of my household goods, automobiles, jewelry, and all
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other articles of household and personal use, equipment and ornament, together with all
insurance thereon and relating thereto as follows:
~
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~
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A. Fifty (50%) Percent to my daughter MARlL YN E. KAUTZ provided
she survives my death by 30 days. Should she predecease me or not survive my
death by 30 days, then her share shall be evenly divided among her issue, per
stirpes, as survive my death by thirty (30) days.
B. Fifty (50%) Percent, to be divided evenly among my grandchildren,
SONJA L. BRUNNER and JEFFREY D. APGAR, provided they survive my
death by 30 days. Should either of them predecease me or not survive my death -)
by 30 days, then his or her share shall go to the survivor of them.
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ITEM III. I give, devise, and bequeath all the rest, residue, and remainder of my
possessions and estate of every nature and wherever situate as follows:
A. Fifty (50%) Percent to my daughter MARlL YN E. KAUTZ provided
she survives my death by 30 days. Should she predecease me or not survive my
death by 30 days, then her share shall be evenly divided among her issue, per
stirpes, as survive my death by thirty (30) days.
B. Fifty (50%) Percent, to be divided evenly among my grandchildren,
SONJA L. BRUNNER and JEFFREY D. APGAR, provided they survive my
death by 30 days. Should either of them predecease me or not survive my death
by 30 days, then his or her share shall go to the survivor of them.
ITEM IV. All of the interests of the beneficiaries hereunder shall not be subject to
anticipation or to voluntary or involuntary alienation nor shall they be subject to any execution or
attachment.
~~
ITEM V. I appoint my daughter MARlL YN E. KAUTZ executrix of this my last will.
}:
ITEM VI. In addition to the other powers and authorities granted to my personal
representatives by Pennsylvania law and by the other terms and provisions of this will, I hereby
give to my personal representatives the following powers and authorities effective without court
approval and until actual distribution of all property: to compromise any claim or controversy;
to make distribution in cash or in kind, or partly in cash and partly in kind, and in such manner as
my personal representatives may determine and at valuations finally to be fixed by them; to
invest in all forms of property, including any stock or other securities in any corporate fiduciary
2
or its successor without restriction to investments authorized for Pennsylvania fiduciaries, as my
personal representatives deem proper, without regard to any principle of risk or diversification;
to retain any or all assets of my estate, real or personal, without regard to any principle of risk or
diversification; 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 or conditions as my personal representatives deem proper; and to allocate
receipts and expenses to principal or income or partly to each as my personal representatives
deem proper in their sole discretion.
ITEM VII. I direct that my personal representatives and fiduciaries shall not be required
to give bond for the faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand this! tlMr day of
,2004.
j ~~1 ), /lct4b--
HOWARD L. KAUT V
3
"
",
'.
The preceding instrument, consisting of this and THREE other typewritten pages, each
identified by the signature of the testator was on the date thereof signed, published, and declared
by HOWARD L. KAUTZ, the testator therein named, as and for his last will, in the presence of
us, who at his request, in his presence, and in the presence of each other, have subscribed our
names as witnesses hereto.
4
,. '\.
COMMONWEALTH OF PENNSYL VANIA
)
( SS:
)
COUNTY OF CUMBERLAND
The undersigned, being the testator whose name is signed to the attached or foregoing instrument,
having been duly qualified according to law, does hereby acknowledge that I signed and executed the
foregoing instrument as my last will, that I signed it willingly; and that I signed it as my free and
voluntary act for the purposes therein expressed.
,..( , m
/ !-n--1.--v-c:e/2,? (~ ) I J (Jtu~0i
HOWARD L. KAUTZ \ v
()
NOTARIAL SEAL
NOY $. CHESBRO, NoBy PLMc
Lower Allen Twp., CumbertInf ec.nv
My Commission ExpN May 10, 2fJ/1
COMMONWEALTH OF PENNSYLVANIA )
( SS:
COUNTY OF CUMBERLAND )
WE, M.c-J~' L ~(VGJ and J~)Ll6LAS -!. c./\ss."1 IT , the
witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according
to law, do depose and say that we were present and saw the testator sign and execute the instrument as his
last will; that he signed it willingly and that he executed it as his free and voluntary act for the purposes
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.. ..O...f. .,e, of sound mind,
and under no constraint or undue influence. I /\ Ii () 0 I . ,/
~~) C ' /
NOTARiAL. SEAl
WEND'( S. CHESBRO, No4my PubIc
l.t.:M<< AIloo Twp., Cumbertand Counly
My CommIssion ExpIres May 10, 2007
5