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Home My WebLink About10-12-06 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION " PETITION FOR GRANT OF LETTERS No. ~l- rv IJ .gc{Cj Estate of KAREN SUE AKIN also known as KAREN S. AKIN , Deceased Social Security No. 491-46-3899 George C. Akin Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE "A" OR "B" BELOW:) [i) A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut or Decedent, dated 11/4/2005 and codicil(s) dated named in the Last Will of the 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 incapacitated: o B. Grant of Letters of Administration (c,ta., d,b.n.c.ta.: pendente lite, durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained the Decedent left no Will and was survived by the following spouse (if any) and heirs: Name Relationship Residence " > ,~ (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last famiryOr princip~i ' residence at 50 Circle Drive, Camp Hill, Borough of Camp Hill, Pennsylvania 17011 (list street, number and municipality) Decedent, then 63 years of age, died July 14 ,2006 ,at Hershey Medical Center, Hershey, PA 17033 (Location) 1, Decedent at death owned property with estimated values as follows: (if domiciled in PAl All personal property......................................... $ (if not domiciled in PAl Personal property in Pennsylvania .................... $ (If not domiciled in PAl Personal property in County.............................. $ Value of real estate in Pennsylvania .... ................................................................................... $ Total ..................................................................................................................... $ Real Estate situated as follows: S1) Ci y cI L V n' V I' J ('It m pH, IJ , P ~ 11 () II 1 lJ{){) .00 , no 080 .~O 11JIJOO. l) 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: Typed or printed name and residence Geor e C. Akin 50 Circle Drive Cam Hill PA 17011 RW-7 . Oath of Personal Representative Commonwealth of Pennsylvania County of The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petition s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate ac ding t;law. f!. ... Sworn to and affirmed and subscribed - e C. Akin before me this /0 day of ~~ r__UiQJ~~ - r...) DECREE OF REGISTER Estate of KAREN SUE AKIN also known as KAREN S. AKIN Social Security No: 491-46-3899 Date of Death: 7/14/2006 AND NOW, 0Q"~,,- /3 2006 , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, Deceased O? J-of4 . En; ~J '; r-j -.-) ;'f i No. IT IS DECREED that Letters IZI Testamentary 0 of Administration (c.I.a., d.b.n.c.l.; pendente lite; durante absentia; durante minoritate) are hereby granted to GeorQe C. Akin in the above estate and that the instrument(s), if any, dated November 4, 2005 described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES Letters Short Certificate(s) ....(3). Reftullciation~\\................... Affidavit ( ) ... ................... Extra Pages ( ).............. Codicil ..r....................... C A \0 JCP Fee ...,.,~................ $ $ Inventory & Tax Forms............. $ $ Other. $ ~ toO.(J) A $ $ $ $ Id.c:i) IS.c:f) .Alta; IS-CO Attorney: Leon P. Haller, Esquire I.D. No: 15700 Address: 1719 North Front Street HarrisburQ, Telephone: (717) 234-4178 DATE FILED: 10 110 10 (p PA 17102 TOTAL. ..........................$ 300 -aD RW-7A fi'ii':; ~I)';; I,ll:\" ' ill'::: This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. LJ_J (-.) LL. i () Rev,OliOO 'RINTIN ANENT :KINK 1 Name of Decedent (First middle. last) Karen 5 Age (Lastbirlhday) 63 v" 8b. County 01 Death Dau hin WARNING: It is illegal to duplicate this copy by photostat or photograph. a /7,','~, '71"::';;; , (0, V/'?.-.... ,,",,/ " ...~ ~./~;~;!.J~ Fee for this certificate. 56.00 ",,"II~~(1"'Orpl~---____ \\II~~4'ij____ I<::::;_V_ ...... \~;. ~ ~, ?'l"' ' ? ~ ~~( ~ \;:2:% ~ B! - rr#,. :i:~ ~ \ ,,'j-,j ,/ '" "*~. "~.'.""""'~,',"'*$ -.:::2 .>-y~- /~ ,\ \.~ . /~,l\ "'- 1'-1>)0 /....\.'r." -.,.'' I4fEN1~\ ~ ,1111 "'/I'''''''''',,,,UIl1110''' Date Local Registrar L' p JUL 1 8 2006 12625806 c~ No. o 1-- c.~~1 C' '__C1 c..'::1- c;::.;,. c........J COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH STATE FILE NUMBER 3 SocialSecurny NurPber r 4 Da[e of Oealh (Month. day, year) '491- 46 7-14-2006 Other o ERIOut atient 0 DOA 0 Nursin Horne 9 Was Decedent of Hispanc Origin? rx No 0 Yes (If yes, specify CUban, Mexican, Puerto Rican,etc.) o Residence 0 OIher-S ci 10, Race: American tndiarl. Black, WMe, elc. (Specify) white hi hest rade co letad Co[Iege (1-4 or 5+) 14 Marrtal Status: Married, Never married, 15 Surviving Spouse (If wife, give maiden name) Widowed, Divorced {SpeciM 17a. Stale P::. 16 Decedent's Mal 109 Address (Stree1, city"own. stale, zip code) 50 Circle Drive Camp Hill, Pa. 17011 18. Fathers Name (First, middle, last) Elmer Herrmann 208, [nforman1's Name (Type/print) Did Declldent Live in a 17c. 0 Yes, Decedent Lived in Townsh,,? Twp. 17bCoun~ Cumberland 17d 0 No, Deceden1 Lived w~hin Ac[ua[Lirritsof CitylBoro 19, Mother's Name (First, middle, maiden surname) Inez Rideout 20b. Informant's Mailing Address (Street. city"own, stale, zip code) Rev. G. Coleman Akin 21 c. Place of Disposnjon (Name 01 cemetery, crematory Of olher place) 50 Circle Drive Camp Hill, Pa. Items 24-26 must be COlTllle1ed by person . who pronounces death Home Inc. 23b. License Number 24 TimeorDealh 26. Was Case Referred [0 a Medical Examiner/Coroner? 1.,{', ,rYes LlNo Pari II: En1er other sionificant condrtions conlributioo to death, bul not resuhing in lhe underlying cause given in Part I ll..\ '2..00 c., : Acproximale inlerval : onsettodealh 28 Did Tobacco Use Conlribule 10 Death? O~ Yes 0 Probably No 0 Unknown lIam 27. Part I: Enter the ~ - diseases, injuries, or COfTlllicalions - that directly caused lhe death. 00 NOT enter terminal even1s such as cardiac arrest, respiratory arrest, or venlricu[ar fibrillation wrthoul showing Ihe etiology. DO NOT abbreviale. Enler only one cause on a line. IMMEDIATE CAUSE (Final disease or condnkln resuning in dealh) -:;,. a Sequentia[1y lisl condrtions, it any, leading to lhecause listed on Linea. Enler the UNDERLYING CAUSE (disease or injury that inijialed lhe ev8flls resuhingin death) LAST. 29. If Fema[e: J!PNot pregnant wrthin pes! year o Pregnanl allime ot death o Nol pregnant, but pregnant within 42 days of death o Notpregnant.bulpregnant43dayst01 year before death o Unknown if pregnant within the pasl year 32c. Place of [niury: Home, Farm, Stree!, Factory, Office Building, etc. (Specify) Due to (or as a consequence 01) 308, Was an Autopsy Performed? DYes cf'No d 30b. Were Autopsy Findings Available Prior 10 Completion 01 Cause 01 Death? OYesONo o Homicide o Pending Investigation o Could Nol Be Delermined 32g. Location (Streel,city"own,slale) 33a. Certifier (check only one) Certifying physician (Physician certifying cause ot dealh when another physician has prooounced death and COfTllleted "em 23) To the best of my knowledge, death occurred due to the cause{s) and manner as stated... Pronouncing and certifying physician (Physician both pronouncing death and certifying 10 cause ot death) To the besl of my knowledge, death Occurred at the time, date, and place, and due to the cause{sj and manner as staled Medical exarnlnerkoroner On the basis of examination andlor Investigation, in my opinion, death occurred at the time, date, and place, and due to the cause(s) ancl manner as stated 31 Manner ot Death .2f"Natural o Accident o Suicide G 32a.DateollnjtJry(Month,day,year) 32d. Time of Injury M. (Jt..~ 33d Date Signed (Month, day, year) 35 (/ '..C'7 1';<1/1.,7, 1/ r (See instructions and examples on reverse) MS. Hershey Medical etr. /) . L .L.r~ ^"DI~Hershey, PA 17033 Last Will And Testament Of KAREN SUE AKIN I~ KAREN SUE AKIN~ of the TOWNSHIP OF EAST PENNSBORO, COUN1Y OF CUMBERLAND, COMMONWEALTH of PENNSYLVANIA. being in good bodily health and of sound and disposing mind and memory~ and not acting under duress, menace, fraud, or undue influence of any person whomsoever. merely calling to mind the frailty of human life~ and being desirous of disposing my worldly goods while I have the strength and capacity so to do~ I do make, publish and declare this my ~ WILL AND TESTAMENT. I hereby revoke, cancel and annul an my former Wills and Testaments, including codicils thereto, by me at any time made, and declare this alone to be my LAST WILL AND TESTAMENT. AS TO SUCH ESTATE IT HAS PLEASED GOD TO ENTRUST ME WITH IN THIS UFETIME, I DISPOSE OF THE SAME AS FOLLOW~ VIZ: HEM 1. I direct that my Executor hereinafter named, pay and discharge an of my just debts~ funeral and testamentary expenses. llEM 2. I order and direct that my bodily remains be cremated HEM 3. All the res~ residue and remainder of my entire estate~ wheresoever situate~ and whatsoever it may consist of. I give, devise and bequea~ absolutely~ and in fee~ to my dearly beloved husband, GEORGE C AKIN. In the event my dearly beloved Husband dies with me in simultaneous disaster~ or fails to survive my death by thirty (30) days~ then I give~ devise and bequeath my entire estate~ wheresoever situate, and whatsoever it may consist of. WENDY SUE STETLE~ ELISA LUNSFORD, and CHRISTOPHER C. AKIN, share and share alike, per stirpes. llEM 4 I nominate and appoint GEOB..GE C. AKIN as E..~ecutri'i( of this my Last Will Should the Executrix named herein fail to qualify or cease to act as Executrix then I appoint ELISA LUNSFORD and CHlUSTOPER C. AKIN, as Executrix/Executor in her stead. veL,' " . .>:, .', /,., ~,' A~. /,!/a ~~ SUE. AKJN 9i ..' I ITEM 5. ITEM 6. ITEM 7. ITEM 8. I order and direct that my Personal Representative(s) named herein use the legal services of JAMES M. BACH. as Attorney for my Estate. I direct that my personal representatives. as wen as their successors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. I direct that an estate. succession, legacy. inheritance or other transfer taxes. however designated that shall become payable by reason of my death in respect of an property comprising my gross estate for tax purposes. whether or not such property passes under t:Im LAST ~ shall be paid by my Executrix out of my residuary estate. I grant to my personal representatives herein named. in addition to. but not in limitation of those powers vested by law. to be exercised without prior application to or approval of any court. the power and authority to retain indefinitely any property. to invest and reinvest any assets or the proceeds derived from the sale of assets. although said investments may not be of the character prescnbed by law. to sell. convey. assign. transfer and encumber any property. to pay. settle or compromise an claims. to make distnbution or divisions in cash or in kind. and in genetal to exercise an powers in the management of any property hereunder which any individual could exercise in the management of similar property owned in her own right, and to execute and deliver any and an instruments and to do all acts. which may be deemed necessary and proper. / ' cifl:W-/2Le ~ KAREN SUE END 2 ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA) COUNTY OF CUMBERLAND ) ) 55 I, KAREN SUE AKIN. the 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 purpose therein expressed. Sworn to or affirmed and acknowledged before me, by: the TESTATRIX this 4th day of Novnnber, 2005.~~ . ..' - / .~.. y ,dde<h- KAREN SUE AKIN NOTARIAL SEAL JAMES M. BACH, Notary Public Hampden Twp., Cumberland County My Commission Expires May 13, 2007 /L I~JJI ~~ M. BACH, ESQUIRE ARYPUBUC hanicsburg, P A 17050 My Commission Expires: OS/13/fY1 The preceding instrument consisting of this and two (2) other typewritten pages, identified by the sigo2ture of the TESTATOR, was on the date thereof signed. published and declared by KAREN SUE AKIN. the TESTATOR therein named as and for her LAST WILL :it~ ~f!ttr;(!J Residing at 352 S. Sportio,g Hill Road Mechanicsl>w;g. P A 11050 Residing at 352 S. Sporting Hill Road Mechanicsbw;g. P A 17050 AFFIDA VIT COMMONWEALTH OF PENNSYLVANIA) COUNIY OF CUMBERLAND ) ) ss We, LEZU J. I...EAR and MARY L CLAYCOMB, 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 the TESTATOR. signed it willingly and that he executed it as his free and voluntary act for the purpose therein expressed; that each witness 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 the ~ 18 or more years of age. of sound mind and under no constr2int or undue influence. Sworn to or affirmed and acknowledged before me, by: 1.F.7.1.1 J. LEAR and MARY L CLAYCOMB, witnesses, this 4th day of November. 20( . ~~, . (;k J. MAR NOTARIAL SEAL JAMES M. BACH, Notary Public Hampden Twp., Cumberland County My Commission Explrei May 13, 2007 .-' M. BACH, ESQUIRE ARY PUBUC hanicsbwg, PA 17050 Commission Expires: OS/13/fY1 3