HomeMy WebLinkAbout03-07-06
PETITION FOR PROBATE and GRANT OF LETTERS
~1-O(o~OADI
Kc 'J. or 0
Estate of e rl\1l. .J. !Vet r
also known as
Register of Wills for the
, Deceased. County of r!Ltn.ur/MtJ in the
Social Security No. dOS- zz,- 9!:/9 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older an the execut rix
in the last will of the above decedent, dated .:r a. null. rJ fo
and codicil(s) dated
No.
To:
named
,19~
(state relevant circnmstances, e.g. renunciation, death of executor, etc.)
Decendent was domiciled at death in C um ~rlMd County, Pennsylvania, with
h ; S last family or principal residence at 30:l :rtfmeS ~trut, /)1ecllan"~~61(fJ
&1'011 '7h
</
(list street, number and muncipality)
;;?~ ,~d~,
Decendent 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:
$ I. ~()
$
$
$
WHEREFORE, petitioner(s) respectfully request(sl the probate of the last will and codicil(s)
presented herewith and the grant of letters fp.sfOh1t/Jtlu ~
(testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
theron.
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302 ;:James St
lY1e('/h'lf\i~sbk'7J' fJlI noS'S
j
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA ~ ss
COUNTY OF (lam AFRLA-NP )
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 represen-
tative(s) of the above decedent petitioner(s) will well at,ld truly administer the estate according to law.
i ~ - ) -I~
swor.n to 0< affi.rmed and sUbscribed. { ~ ~. ~. /.
before me this 1 day of 0'" ,e p. Bur
f~~~~A<{:P(~1t!r
--F Ister"\
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en
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No. ~I -0 LP- ojo I
Estateof_K0<VY))T J.{)ElZR..
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW -.01.1rR CUr-, ./- O&J , in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated ,T Pr N LA kR- '-( tp I I q 1 G
described therein be admitted to probate and filed of record as the last will of
. EeR
and Letters
are hereby granted to
FEES
Probate, Letters, Etc. ......... $ 20.00
Short Certificates(J) . . . . . . . . .. $~
~RQReiati8R ~~Ar' ~-~~'28
Filed .. .~.fJ ..oTI~~~.~. ~. ~~ .'~.~.
~~
t!t44~ ,!.'.A~~0~- 5
AITORNEY (Sup. Ct. LD. No.) 3gS-/j
6 t!~v.sv. A'tf
/JJeellLJ'J/c5DtI';Y' fJ,f /7()SS
ADDRESS
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PHONE
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tn u.:r' 'h
F~c~,i"N' :1'
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the informaTion here given is correctly copied from an original certificate of death duly filed with me as
lr:ginal ccrulicatc \vill be fonvarded to the State Vital Records Office for permanent"filing,
WARNING: It is
illegal to duplicate this copy by photostat or photograph. '1/'1
~J~00 -0 o<cJ
'('I thi, certificate, S6,()()
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J!wh,1 ,d t~~Ar1J
Local Registrar
P 12381544
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t1'Date
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H1QS 143RQV 01{l6
TYPEJPRWT IN
PEAYANEUT
BLACK INK
1 Na~"D<<'d~;~:~.;. Beer ---.----~e - 3 ~~.~S,,"':N,;;
'J Aga (Lasl blrthrJay) .Undet ~ ~ 7 nile 01 Birth Monlh. da ~ ear a Birthplace ~Cify and slale ot Iore~n cOlJnlry) IIa Place 01 Death Chec~ on
7 7 y,< H~UrSl Minutes 1 Qd DuBol' s PA H ",nitaa',._, Clher
.. ----1 " " 0 ERIOul allent 0 DOA 0 NUlf>1f\ HOlM 0 Rll:.ldence 0 ClIhel.
~~'ID"'~rland ~;~:~;~:boro ~hi MfN~i(lIslrt,'o"':'~'''ao''""~''1 9. ~"N~~~"~::~r~:~:Ei~~~~1 10 ::~.."md2'~CkW~""
II Decedenrs U:.ual Occu anon KinjolwOl~donedurin IOOsl 01 workin Hle~do nol stale telited 12 Was Decedent evel in IheU$ 13 f2!!,s Educalion S eel 14 Malilal Status MaHied, Ne....el mallled 15 SUNlVingSpouse (Ilwlte, grve maiden nameJ
Kind 01 WOI~ Kind 01 Business/Industry Aimed forces? EtenJE!n~ryISecondary (0.12) Widowed. DIVOfced (5p6cif)1
__~i~~_ a~.L...sllp I L. Married Jose hine Bemben cl
~ 16 Dec enl's lhng Mdress (Sllee1. cttyl1own, slale, lip code) 17a Slale_____P~nnsylvania ~~eDin~edenl 17c.O Yes,DecedentLivtldirl__ T"4I
302 James street To.os,.?
Mechanicsburg, PA 17055 1/b Cooo',. CUIll'p~r!and 17d!lll ~;,~~::'~~''''''dhmt-!E!<::hCl.n!cf).burgc"",,,
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
STATE filE NUMBER
i-a-Faihei's Name -iFusl, ntddle, last)
l-~-t;-f~ihe,;s-Nanlil (Fll"sl. r~liddle, maiden surname)
Willi am Beer
Kathryn Reiner
2Ob~joimanrsMaiiirigMdress (Slieet. crtYl1own. stale, Zip code)
20a InloHnanfs NamEl (Type/plln!)
Jose[,hine P. Beer
302 James street, Mechanicsburg, PA 17055
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ill MelllodolOlSp.;lSIIlOn
R: Sutial 0 CwnallOn
o OOIel-S(.Jt0fy
22a SignaluleoIFunelaISerYlCelk;el'lSee(Ofpersonacllllgassuchj
~' ....
I. 'Cortlliete Iteffii 23a~ 0 wlMln certitylllg 23a, To Ihe besl 01 my knowledge. dealh octurrild allhe lima. dale aod placa slaled (Signature and IiUe)
pnyslClClnlSnolavallabklallimeoldealhlc
~ cellltycauseoldealtl
. IIams 24.26 must be c~leted by person 24 Tmle of Dealh 25 Dale PfOnounced Dead (Mootll, day, year}
. who pronounces death .). 2; jJ M r2/,6 .;.' Z j .I., t/ ", t
CAUSE OF DEATH (See lnstruchons and examP'es)
11em27. Palll Enltlllhe~-diseases, InJufies or COl1llllCallOns -lhaldileclty caused the death_ DO NOT entellerminalevenls such as cardiac arrast
respualory allest. 01 ventricul,lI ftlrillation wrthoul showing lhe etiology DO NOT abbrev~te. Enlel only one cause on a line
~~~~~~~e~~~~S:~~:~d~e~r a . ___ L~~;t!~~~d_'fr.-,C:!:~_.__._..__.~,_.r
Due to (OrtS,8 cOIl~uence1 /, /. _, ./ . ..~. / ,/
L....l~"d,..&'.. ~~"'~.L. .mkk"'-__Z;&""x.~"
Due 10 lor as a consequeoceoO If
o AeroovallTomSklle
o DonatIOn
2ic Pldce 01 Dispos~JOn (Name of ceM'l8lery. crematory Of ulhar place)
()//667 -L...
Malpezzi Funeral Home
23b lk;enseNurrber
PA 17055
Gate of Heaven Cemetery
22b_ UcenseNurrtJer
22c NamEl and Address 01 Fac~ily
26 Was Case Relerred \0 a Medical Exaffil/lel"tCoioner?
: I\1pwximaleioleNal
:onsetlodealh
o YeS~NO
ParlU Enlerolher n III n n I III
bul nol resulting in the underlying cause given in Pall I
"l:t-'"~C& tIt.<. I~<:!.~'t.!i.-..J..il>',-f
28 Dld Tobacco Use Conllllule to Death?
DYes 0 Pfobably
o No O"lJoknown
29 ,'Female
o Not pte\Tloln{ wllhm past YliIilr
o PreQrlanlatllfTleoldealh
o Notpregoafll.bulpte\1lilntlflollhin42da,.s
ofdealh
o Notplegflanl. but plegnanl 43 days 10 1 year
beloie death
o Unknowflllpragnanlwilhlnthepaslyear
32c Place 01 Injury- Home, him, Street, hctory, Ofhce
Buikling,alc (Spoclf)1
Sdqueohalty Ia&IcondlllOns, ilan~
leading 10 Ihe causa Iisledon linea
.. Enlet Ihe UNDERLYING CAUSE:
(disease or lnJuty lhalinrtlaled Ihe
1.J eventsresuRlIlgiodealh)lAST
_.. _.. ........ ___ ....__n. ..___.._
Due 10 (or as a consequence oQ
1
as
o
w
'--'
o Yes ~NO
d
JOb Were Aulopsy Findings
AvaIlable Priol to C<lfTlllellOll
01 Cduse of Dealtl?
DYes 0 No
31 Manner of Dealh
~Ndlutal 0 Homicide
o Accident 0 Pllloding Inl/eshgallOn
o Suicide 0 Could Nol Be Dell:rmined
32a 0"001 """ (Mooth, <lap'''1 . ]32b "'",b, ho"n~" Occ,,,""
32d Ti/lleollnluty 13~Uty il.t-work?-- 3211fTransportatioll Injury (Spedy)
DYes 0 No 0 Dn....etlOperalol 0 Passen~I
M 0 Pedl!Sllliln 0 Other ': 5p!lClfy
~- 33bSignalUrea~ofC~.i/
o //'/ ~. / JlIV
32g localion (Slreel. cAyrlown. ~Iel
30a Was an Autopsy
PerloflTltld?
1330 C,rt'~<('''''' on. '"'I
. Certifying phys.cu.n (PhYSICian Cetlllylng cause o! deanl when ollolh!!r physlCld.n has PIOIIO<.lOCed dedlh and cOfTllleled Ilem 23)
To the beit of my knowledge deillh occurred due to lhe CilUSe{S) ilnd 111i1nflt!r ilS slilted
. Pronoloclng ilnd certifying phYSICIan (PllySICIaIl buttl plunvlJrK;lllg dealh and celllfylllg 1.1 cause 01 dealhj
" To the beil 01 my koowledge death occurred illlhe time date ilnd place ilOO due 10 Ihe caUSE!lS) ilOO lTIiInnet as stited
MedlCill eXilllllnellcOIOna( .
~_h _..... _,__~ ~_.. .....^.^ .h^ ,.~,'c"'cl ~nrl nUnn..r.:l~ !tIAt~
p
/>1,:)t-?/c.i '1'~. ).-:;
33d OaleSigned(MOlIlh,day,yeatj
hb .1-, ...',~C
33c_ License Nurrtlel
o
34_ Name and Addless 01 Pelson...Who Go~lel~d Ca~e ~ D>>rh (Ilt:m 27; TYP~'Pllnl
No.
~I~OLP- 030 I
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"
LAST l'!ILL AND TESTN1ENT OF KERHIT J. BEER
~-=:'=--===-':::'~":.':':';'=':::;~.~ -',. '
I, KERMIT J. BEER, of the Borough of Mechanics-
burg, County of Cumberland and State of Pennsylvania,
being of sound and disposincr mind, memory and understanc-
incr, do make, publish and declare this to be my Lastl'Jill
and Testament, hereby revokinq and making void all former
\'Tills by me at any time heretofore made.
1.
I direct all my just debts and funeral expenses
to be paid as soon as conveniently !T1.ay be after my decease.
2.
All the rest, residue and remainder of my Estate,
real, peJisonal and mixed, vlhatsoever and wheresoever situate,
I give, devise and beaueath unto my beloved wife, Josephine
P. Beer, to her own use and benefit absolutely.
3.
In the event, hmvever, that my said vlife should
predecease me, or as the result of a disaster common to
both of us, should die at about the same time as I die, or
within thirty (3D) days f~om the date of my death, then I
0ive, devise and bequeath my Pstate to my sons, William J.
Beer, and Kevin J. Beer, in equal shares.
4.
LASTLY, I nominate, constitute and appoint my
said wife, Josephine P. Beer, to be the Executrix of this,
IT1V Last r.Jill and Testament. I f she should predecease me,
or for any other reason fail to qualify as such Executrix,
-..-
-..
.,
. ~
I nominate, constitute and apooint my sons, r'Tilliam ,J.
Peer, and Kevin J. Deer, to be the Executors of this,
my Last Pill and. Testament., in her place ann stead. I
c.irect that neither of theM shall he require<'l to file
bond or other security in the office of the Register of
f,rills for the purpose of administering my Estate.
IN f,HTNESS rTI-IEPEOF, I have hereunto set my hand
and seal this 6th day of January, A.. D. 1976.
-Jf-~-L)-~~ ____(SEAL)
Signed, sealed, published and declared by the
ahove-named KEP~IT J. BEER, as and for his Last Will and
Testament, in the presence of us who have hereunto sub-
scrihed our names at his request as \'7i tnesses thereto,
in the presence of the said Testator and of each other.
--~a-kU~L-
__~j~_~a.~__~__.___
REGISTER OF WILLS OF COUNTY
OATH OF SUBSCRIBING WITNESS
codicil
(each) a subscribing witness to the will presented herewith, (each) being duly qualified according to
law, depose(s) and say(s) that present and saw
the testat , sign the same and that signed as a witness at the
request of test at_ in h 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 day of
19_
(Name)
(Address)
Register
(Name)
(Address)
REGISTER OF WILLS OF C It m (?cl2tfrN f) COUNTY
OATH OF NON-SUBSCRIBING WITNESS
l<E V IN J. "Be: E"R.
-(each) a subscriber hereto, (~ being duly qualified according to law, depose(s) and say(s) that
HE /6 familiar with the signature of J<eR,lYIIT .:r. 13a:R
codiei~
will
that
tIT:
presented herewith and
codicil
believes the signature on the will is in the handwriting of
testat~ of (OR@ of thp _l1h_crihing witne~~es to) the
-He Stud K E ~ I}'\ 11" J: 13 E" EJ(
to the best of ",",'IS _ knowledge and belief.
~
Sworn to or affirmed and 5ubscribed before
me this day of
C jl1l,~
egister
\fA V)}J; .
(Name)
Mec.,h~fli rs1 u rjl fA /7050
(Address)
(Name)
(Address)
REGISTER OF WILLS OF COUNTY
OATH OF SUBSCRIBING WITNESS
codicil
(each) a subscribing witness to the will presented herewith, (each) being duly qualified according to
law, depose(s) and say(s) that present and saw
the testat , sign the same and that signed as a witness at the
request of testat_ in h 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 day of
19_
Register
(Name)
(Address)
(Name)
(Address)
REGISTER OF WILLS OF C 4 m d3FILLA-N..b COUNTY
OATH OF NON-SUBSCRIBING WITNESS
JOSePH IN/: 1>. I3I:i!'f<
feaekt a subscriber hereto, (eadI.) being duly qualified according to law, depose(s) and say(s) that
SHE: IS familiar with the signature of KElllnl T.J. 13~
c6sieil
will
testat~ of (eRe sf tAe stll:m:ribing witnesso to) the
presented herewith and
-eetiteil
believes the signature on the will is in the handwriting of
K E IlM I , ::J. r.3EE<.
hEIr knowledge and belief.
()~~~ 4~ ~~
.::!Io5cPHINI: P. (Name) Bee(l
?loZTa.mes St., rnecntlfl1c..sout^B, {JA
(Address)
that
.51-/ E
H.t <sa cd
to the best of
Sworn to or affirmed and subscribed before
me this H 'J day of
~ ~
,. ' LP A "ftnDJLt1..t - .
/ \peAvmp~
170 SS
(Name)
(Address)