HomeMy WebLinkAbout03-14-06
Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Estate of CATHERINE A KECK
also known as CATHERINE STONE KECK
No. 21-- Ow --022..5
. Deceased
Social Security No. 186-30-6646
LAURA C PYNE
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 12/10/2002 and codicils dated
EXECUTRIX
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 801 NORTH HANOVER STREET, BOROUGH OF CARLISLE
(list street, number, and municipality)
Decedent, then
90
years of age, died
02/27/2006
at CHURCH OF GOD HOME, CARLISLE, PA 17013
(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
situated as follows:
$
$
$
$
Unknown
Unknown
Unknown
Unknown
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 appropnate form to the undersigned:
Signature Typed or printed name and residence
LAURA C PYNE HOLLY COURT
Shippensburg, PA 17257
On .II"W
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Prepared by the Pennsylvania Bar Association
Copyright (c) 2004 form software only The Lackner Group. Inc.
Form RW-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 -~ c. (? ~
AU CPYNE ~
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before me this J "'+' day of
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--AJoh .~ For the Register
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No.
21-- 01.0 - 022.S
Estate of CATHERINE A KECK
also known as CATHERINE STONE KECK
Social Security No: 186-30-6646 Date of Death:
, Deceased
02/27/2006
AND NOW,
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, in consideration
of the Petition on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters (!] Testamentary D of Administration
are hereby granted to
LAURA C PYNE, EXECUTRIX
........'1
(c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; dufiSte minorita,te), '
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in the above estate and that the instrument(s) dated
12/10/2002
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FEES
Letters............ .... .......... ................ $
20.00
31..00
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described in the Petition be admitted to probate and filled of record as the last Will of Decedent.
Short Certificate(S)....C~.t......... $
Wd}
R-efltlAeiatien............................... $
Attorney:
Extra Pages ( )......................$
J.D. No: 10264
Zullinger-Davis, PC
Address: 20 East Surd Street, Suite 6
Affidavits ( )...........................$
Codicil........................... ............... $
JCP Fee..................... ........... ....... $
\0.00
Shippensburg, PA 17257
Telephone: 717-532-5713
ham iltondavislaw@comcast.net
Inventory.............................. ... ..... $
E-Mail:
(Ju.Jo
Other..... ........ .......................... ..... $
5,00
TOTAL............................ $
~ 2,00
Prepared by the Pennsylvania Bar Association Copyright (c) 2004 form software only The Lackner Group, Inc.
Form RW-1(1991)
HI ():'Uj05 REV I/O)
This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
I.ocal 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.
No.
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Fee for this certificate, $6.00
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MAR 2 2006
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H10S.143 Rev. 01106
TYPElPRlNT IN
PERMANENT
BLACK INK
1. Name 01 Decedent (First, middle,last)
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIRCATE OF DEATH STATE FILE NUMBER
Catherine Stone Reck
186 _ 30
4. Date 01 O.ath (Month. day, year)
February 27, 2006
8/31/1915
3. Social Security Number
5 Age (ust birthday)
90 Y,s
Bb. County of Death
Cumberland
7. Date 01 Birth nth, da , ear
. and slate or for .
Carli$le PA
Other.
tient 0 DOA Nurs' Home
9. Was Decedent of Hispanic Origin?
Xl No 0 Yes (If yes, specify Cuban,
Mexican. Puerto Rican, ere.)
o Residence 0 Other.
10. Race: American Indian, Black, Wh~e, elc.
( SpeciM
White
11. Decedenl's Usual Occ lion Kind of wor!( done durin moslof worltin life; do nol slale rel~ed
Kind ot Work Kind of Businessllndustry
Housewife
16 Decedenl's Mailing Address (Street. cily^own, stale, zip code)
801 N. Hanover St
Carlisle PA 17013
o Yes
Decedent's
Actual Residence
13. Decedenfs Education
8emen1ary~ (0-12)
i on hi esl rade co leted
College (1-4 Of 5+)
14. Marital Status: Married, Never married,
Widowed, Divorced (Specify)
widow
15. Survivinll Spouse (If wife, give maiden name)
17a. Slate
PA
Did Decedent
Live in a
T ownsh~?
17c. 0 Yes, Decedent Lived in
17d. de No, Decedent Lived within
Actual Umits of
Twp.
17b. County Cumbe r 1 an iI
Carlisle
CilylBoro
18. Father's Name (First, middle, last)
19. Molhel's Name (First, middle, maiden surnamEf)
David E. Stoner
Martha CuI
20b. Intormanrs Mailing Address (Street. cityllown, slate, zip code)
203. Intormant's Name (Type/print)
Laura pyne
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21b. Date 01 Disposition (Monlh, day. year)
21d. localion (Cilyllown, slate, zip code)
Carlisle PA 17013
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23b. License NuniJ9f
RI\J 1~II06AL
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CAUSE OF DEATH (See Instructions and examples)
<<em 27. Part I: Enter lhe ~ - diseases. injuries, or co~lications -llIat direcllt caused the death. 00 NOT enlef terminal
respnlory Irresl, or ventricular Iibrillalion without showing Ihe eliology. 00 NOT abbreviate. Enter onlt one cause on a line.
=~:~:n~S: J=::dis~r a. Cv{(..o\V 1~'1 A1tT(~t11) lS'f M \Z
Due 10 (or as e consequence oQ:
o Yes 0 No
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26. Did Tobacco Use ContriJute \0 Death?
o Yes 0 Probably
~ No 0 Unknown
29. If Female:
~. Not pregnant within past year
o Pregnant at lime 01 death
o Not pregnant. but pregnanl within 42 days
01 death
o Nol pregnant. but pregnant 43 days to 1 year
before death
o Unknown ~ pregnant within the past year
32c. Place of InjulY: Home, Farm. Street. Factory, Office
Building, etc. (SpedM
Pari II: Entef other sionificanl condttions contriJutino to death
but no1 resuRing in the underlying cause given in Pari\.
Sequentialy list condftions. W any.
leading 10 the cause hsled on Une a.
- Enter lhe UNDERLYING CAUSE
_ (disease or injury thai innialed the
events resuling in death) LAST.
Due 10 (or as a consequence oQ:
Due 10 (or as a consequence 01):
3Oa. Was an Autopsy
Per1ormed?
o Yes '1No
d.
JOb, Were Autopsy Findings
Available Prior to Ccf11llelion
of Cause 01 Death?
o Yes 0 No
31. Manner of Death
~ Natural 0 Horricide
o AccOent 0 Pending Investigation
, 0 Suicide 0 Could Not Be Detefmined
328. Dale 01 Injury (Month, day, year)
M.
321. IfTransportation Injury (SpedM
o Oriver/Operalor 0 Passenger
o Pedestrian 0 Other - SptIcify:
33b, S' I eand 1 Certifier
32g. location (Street, cityllown. slate)
32d. TBIIS of Injury
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o
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338. Certlflec (check onlt one)
CertifyIng physician (Physician certifying cause of death when another physician has pronounced dealh and compte\ed Rem 23)
To the best 01 my knowledge, death occurred due to the cause(s) and manner as slated
Pronouncing and certllylng physician (Ph~ician both pronouncing death end certifying 10 cause 01 deal/l)
To the basI of my knowledge, death occurred at the time, date, and place, and due to the c:ause(s) and manner as slated 0
Mldlc:al examlnerJcoroner . -'1
On the basis of examination and/or Inveslillatlon. in my opinion, death occurred at \he time, dale, and place. and due 10 \he Cause(sl and manner as stated _0
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33d. Dale Signed (Month, day. year)
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Il(tl Sf'LIN'i:; t2Ct,\~
C A'YLL\S\..€ fA \ lOt1
(See instructions and examples on reverse)
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LAST WILL AND TESTAMENT
I, CATHARINE A. KECI(, of North Newton Township, Cumberland County,
Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly
revoking all Wills and Codicils heretofore made by me.
1. I direct my Executrix to pay all of my debts, funeral and administrative expenses as
soon as may be done conveniently after my decease.
2. I authorize and empower my Executrix to sell any realty owned by me at my death, at
either public or private sale, and to give good and sufficient deeds therefor, in fee simple, as I
could do if living.
3. I give, devise and bequeath all of my estate of every nature and wherever situate to my
daughter, LAURA C. PYNE, and if she is not living at the time of my death, this share is to be
divided between her four daughters, share and share alike.
4. I nominate and appoint LAURA C. PYNE to be the Executrix of this my Last Will
and Testament, she is to serve as such without bond. Should she die before my death, renounce
or refuse to serve for any reason, or die leaving any of my estate unadministered, I nominate and
appoint CHARLENE C. LIGHTFOOT as substitute Executrix, also to serve as such without
bond, with the same powers as are given herein to my Executrix.
5. I hereby suggest that my personal representative retain the services of Irwin,
McKnight, & Hughes as attorneys in the settlement of my estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this It) .? day of
December, 2002.
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(SEAL)
CATHARINE A. KECK
Signed, sealed, published and declared by CATHARINE A. KECK, the Testatrix
above-named, as and for her Last Will and Testament, in the presence of us, who, at her request,
in her presence and in the presence of each other have subscribed our names as witnesses hereto.
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ACKNOWLEDGMENT AND AFFIDA VIT
WE, CATHARINE A. KECI(, MARTHA L. NOEL and SHARON L.
SCHWALM, the Testatrix and witnesses respectively, whose names are signed to the
foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that
the Testatrix signed and executed the instrument as her Last Will and Testament, that she had
signed willingly, that she executed it as her free and voluntary act for the purpose herein
expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed
the Will as a witness and that to the best of their knowledge the Testatrix was, at that time,
eighteen years of age or older, of sound mind and under no constraint or undue influence.
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CATHARINE A. KECK
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. A T L. NOEL
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. SHARON L. SCWHALM
COMMONWEALTH OF PENNSYLVANIA
SS:
COUNTY OF CUMBERLAND
Subscribed, sworn to and acknowledged before me by CATHARINE A. KECI(, the
Testatrix herein, and subscribed and sworn to before me by MARTHA L. NOEL and
SHARON L. SCHWALM, witnesses, this lor: day of December, 2002.
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