HomeMy WebLinkAbout03-28-06
.
Register of Wills of Cumberland County
PETITION FOR PROBATE and GRANT OF LETTERS
Estate of- J-/ E. L C rJ W. KE J fYI No. ~ 1- D (p -0;;"<.0 9
also known as To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
, Deceased.
Social Security No. J.q f - 3 () - 0 ( q I
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, and the execut!:.!..::i.. named in the last will of the
above decedent, dated A iA. G- LJ 5" r ;Z '-I I ~ . 20 0 4
and codicil(s) dated
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in (l ~ LA fYl ~ t ~ L Ii N D
Pennsylvania, with rn...s-Iast family or principal residence at
.d- L0NG-5;CO I?.. F \tV A '-I C A ~ LI ~ L c
( I (list street, number and municipality)
Decedent, then ~ .:t. years of age, died rEI':. Q. v An.. ,/ :l.3 . 20.Q.L, at \ \ : I tJ (.1. NI
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:
County,
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:
$ Q. 00 0
$
$
$
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented
herewith and the grant ofletters
(testamentary; administration c.t.a.; administration d.b.n.c.t.a)
thereon.
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Residence{ s) of Petitioner{ s)
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Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
}
SS:
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 ofpetitioner(s) and that as personal representative(s) of the above
decedent petitioner(s) will well and trulY. administer the estat~a:cor<ting to law , _~.-/ ~ .
sworn.t...ooraffmnedandSUbSCribed {~~~ ~
BefpJ:e me this ;; I~QaY of CJ:l
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. (/ - No. :;z ( __()/;r-~ 7
Estate of lk--~-1 tV - /Cll'>,.... , Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW 1IJ1ti-J'f_t... 2 r 20 ~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
fffi..7 tK S , ..2.. CI (/L1 , described therein be admitted to probate filed of record as the last will of
/ ; and Letters are hereby granted to J1147 L.'Vl1.e fl( c0.A-1
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~gister of Wills
Automation Fee.. ...... ..... ......
Bond............................. ....
Total
Filed '-.g - r( f - g7p
FEES
Probate, Letters, Etc. ............. $
Will................................. $
$
$
$
$
$
$
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Attorney (Sup. Ct. I.D. No.)
Renunciation...................... .
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Short Certificates ( ).. .. .. .. .. ..
JCP................................ .,
Address
20_
Phone
05.805 REV 1105
This is to certify that the information here given is correctly copied fro~ an original ce~ificate of death duly. filed with me as
Local Registrar. The original certificate will be forwarded to the State VItal Records OffIce for permanent filmg.
WARNING: It is illegal to duplicate this copy. by photostat or photograph.
No.
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Local Registrar
Fee for this certificate, $6.00
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12269954
FEB 2 7 2006
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H105.143 Rev. Dl.Q&
lYPM'AlHT II
PERIlAHEHT
BLACK INK
,. NII.OI 0cedenI (FI'sl, middle. list)
Keirn
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH STATE FILE NUMBER
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3. Socio15ecL<lly"'_
23, 2006
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171. Slale
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Lidie Hartzell
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Charles A. WOlfe
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Mary Lou McGinn
13 Bentley Place, carlisle, PA 17013
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(See instructions and examples on reverse)
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LAST WILL AND TESTAMENT
OF
HELEN W. KEIM
I, HELEN W. KEIM, of 214 Todd Circle, Carlisle, Cumberland County,
Pennsylvania, being of sound and disposing mind, memory and understanding, do make,
publish and declare this as and for my Last Will and Testament, hereby revoking and
making void any and all former Wills, Codicils, or writings in the nature thereof, by me at
any time heretofore made.
FIRST:
I hereby order and direct my Executrix or Executor,
hereinafter named, to pay all my just debts, funeral expenses, testamentary expenses
and all Inheritance, Estate, Transfer and Succession Taxes, as soon as may be
conveniently done after my death, out of my residuary estate.
SECOND: I give, devise and bequeath all the rest, residue and
remainder of my estate to my husband, JOHN W. KEIM, provided he survives me by a
period of thirty (30) days.
THIRD:
In the event that my husband, JOHN W. KEIM, fails to survive
me by thirty (30) days, I give, devise and bequeath all the rest, residue and remainder of
my estate as follows:
A.
\/d '\-:-;:...', _ '''' <(l/"'\
LOOlU)IYI,t.QIWri' 1-.)
._,.J]
Forty-five (45%) percent of my estate to my daughter, MARY
B.
Thirty-five (35%) percent of my estate to my son, JOHN W.
O I' :ur:. I iI-' f:.,?
tn: _;.,
gaaz
KEIM, JR.;
C. Ten (10%) percent of my estate to my grandson, BRETT J.
KEIM; and
D. Ten (10%) percent of my estate to my grandson, WALTER J.
KEIM, JR.
LASTLY:
I nominate, constitute and appoint my daughter, MARY
LOUISE McGINN, to be the Executrix of this my Last Will and Testament. In the event
that my said daughter, MARY LOUISE McGINN, shall be unable to serve as Executrix for
any reason, I appoint my granddaughter, KRISTIN L. MAHOONEY, as Executrix. No
Executrix shall be required to file bond in this or any other jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
;.2 ::; H day of A;; UA(J.-
J6t#L/lv.l(~
Helen W. Keim
,2004.
SIGNED, SEALED, PUBLISHED and
DECLARED in the presence of:
~1~C)'~'YJ-
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2
COMMONWEALTH OF PENNSYLVANIA
ss
COUNTY OF CUMBERLAND
We, James D. Flower, Jr., Esq. and Dawn L. Flower I
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
Testatrix sign and execute the instrument as her Last Will; that she signed willingly and
that she executed it as her free and voluntary act for the purposes therein expressed; that
each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that
to the best of our knowledge the Testatrix was at that time 18 or more years of age, of
sound mind and under no constraint or undue influence.
Sworn or affirmed to and subscribed to before me by James D. Flower, Jr. Esq.
and
Dawn L. Flower
this 25th
day of
August
2004.
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U ~ Witness V
J~ ~~O-(/
Itness
~rt.bliC
NOTARIAL SEAL
RENEE L. MURRAY, Notary Public
Carfisle Boro, Cumberfand County, PA
My Commission Expires Dec. 13, 2005
4
COMMONWEALTH OF PENNSYLVANIA
ss
COUNTY OF CUMBERLAND
I, HELEN W. KEIM, Testatrix, 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; that I signed it
willingly; and that I signed it as my free and voluntary act for the purposes therein
expressed.
Sworn or affirmed to and acknowledged before me, by HELEN W. KEIM,
the Testatrix, this 25th day of AUQl1St: , 2004.
/'~~~N1/Uv, t~
Helen W. Keim, Testatrix
NOTARIAL SEAL
RENEE L MURRAY, Notary Public
Car1isle Bora. Cumb8t1and County, PA
My Commission Expires Dec. 13, 2005,
3