HomeMy WebLinkAbout11-08-06
Register of Wills of Cumberland County
Estate (If.. June W. Kauffman
also known as
PETITION FOR PROBATE and GRANT OF LETTERS
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No.
To:
, Deceased.
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
Social Security No. 186-24-9954
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, and the execut~ named in the last will of the
above decedent, dated December 7,1999 ,20_
and codicil(s) dated [none]
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in Cumberland
Pennsylvania, with h~last family or principal residence at
41 Greystone Road, North Middleton Township
(list street, number and municipality)
County .
Decedent, then 100 years of age, died November 1 , 20~, at ManorCare Health Services, Carlisle, PA.
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 adj udicated incompetent:
[n/a]
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:
$ 80,000
$
$
$
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented
herewith and the grant of letters testamentary
(testamentary; administration c.La.: administration d.b.n.c.La.)
thereon.
sirature(s) ofP~titi9.ner(s)
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Residence(s) of Petitioner(s)
41 G'reystone Road, Carlisle, PA 17013
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Register of Wills of Cumberland County
OA TH OF PERSONAL REPRESENT A TIVE
COUNTY OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA
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SS:
The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and
correct to the best ofthe knowledge and belief of petitioner(s) and that as personal representative(s) of the above
decedent petitioner(s) will well and truly administer the estate according to law.
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Estate of June W. Kauffman
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, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW November 8 20~, in consideration of the petition on the reverse side
hereof, satisfacto~ proof having been presented before me, IT IS DECREED that the instrument(s), dated
December 7, 199 ,described therein be admitted to probate filed of record as the last will of
June W. Kauffman ; and Letters are hereby granted to
Linda H. Carns
FEES
Probate, Letters, Etc. .............
Will............................. ....
Renunciation...................... .
Short Certificates (4) ............
JCP..................................
Automation Fee...................
Bond.................................
Total
Filed November 8 2006
Stephen L. Bloom #49811
Attorney (Sup. Ct. I.D. No.)
2100 Longs Gap Road
Carlisle, PA 17013
Address
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717-249-7717
Phone
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Thj, is to certify that the information here given is correctly copied fro!l1 an original cenihl'ate or death Lillly filed \\ llh Ille ~iS
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for p<~rlllanel1! filil1~~.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
fce 1'\)1 this certificate. S6.00
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P 12728163
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H105.143 Rev. 01106
TYPE!PRINT IN
PERMANENT
BLACK INK
1 Name 01 Decedenl (Firsl. middle, last)
~e ~. ~~&.~-t.k~/
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Locd RCi!!stl iI
______l'!O V ;}
Dale
2006
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH STATE FILE NUMBER
3 Social Securky NUrrDer <I Dale of Dealh (Month, day, year)
5 Age {laSI birthday)
J\.rE W. I<auffrmn
7. Daleo/Birth Month.da ear
a. Birth lace C' andslaleorbfe
11
100
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1906
Carlisle, PA
Bb. Counly01 Dealh
Cumberland
S.Middleton Twp.
Manor Care Health Services
12 Was Decedent ever in the US
Armed Forces?
o Ves No
Decedent's
Actual Residence 17a, State
PA
Cumberland
41 Greystone Rd.
Carlisle, Pa 17013
17b. County
19. Molher's Name (Firs!. middle, maiden surname)
la. Falher's Name (Firsl,middle,lasl)
Harry Wetzel
2Oa. Informan!'s Name (Typefprint)
Iffi-24m54 November I, 2006
o ERIOu alient
9
h'hest radeco lelecl
College {H or 5+)
o Residence 0 Other-S
10. Race: American Indian, Bleck, White, elc.
(S_
White
14. Marital Status: Married, Never married, 15, Surviving Spouse (Ifwi/e, give maiden name)
Wldowed,DivorCed(S,D6Cif)1
~:e~::aedent '7c.0 Ves, Decedenl Lived in North Middleton
TOWllship?
Twp
17d.0 NO,Decedenllivedwilhin
Actual Umits or
City/Boro
Ella Slonaker
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21b, Date 01 Disposilion (Month,day, year)
lOb. lnlormanfs MaiUng Address (Street, CityI10Wfl, slale, zip c,:xje)
Linda H. Carns
41 Greystone Rd., Carlisle, PA 17013
21c. Place 01 Disposition (Name of cemetery, crematory or oth,~r place) 21d. location (Cityllown, Slate,.zip code)
Hoffman-Roth Funeral Home PA 17013
Hoffman-Roth
24 Timeo/Death
CAUSE OF DEATH (See Instructions and examples)
nem'll. Part I: Enler the ~ -diseases, injuries, orco"lllications -Ihat direclly caused the death. DO NOT enter terminal evenls soch as cardiac arrest,
respiTatory arrest. or ventricular fibr~lation without showing the eliology. DO NOT abbreviale. Enter only one Cause on a line.
IMM~DIATEC~USE(Finaldiseaseor C'~' 'o---L.\..R.... 1...- -+- & ~ Iv JL
condllionlesu"lIl11indealh)~a. .~\. ~_,
Due 10 (orasa equeneeoQ:
Sequentially list COndiOOns,lfany,
leading 10 the cause listed on linea
- Enler the UNDERl VlNG CAUSE
_ (disease or injury that initiated the
evenls resulting ifl dealh} LAST.
Due 10 (or as a consequence oQ:
Due 10 (or as a consequeoce 01)'
j
d.
JOb. Were Autopsy Findings
Available Prior 10 COlTllletion
ofCauseo/Death?
o Vas 0 No
32e.lnjuryatWor1l?
DYes 0 No
308. Was an Autopsy
Performed?
o Ves J{ No
31. MannerofDealh
ti Natural 0 Homicide
o keidel'll 0 Pendinlllnvestigation
o Suicide 0 Could Not Be Determined
32a. Dale of Injury (Month, day, year)
32d. Timeo/lnjury
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33a, Certiflet (check only one)
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Pronouncing and certifying physician (Physician bolh pronoul"lCing death and certifying 10 cause of death)
To the best of my knowledge, death occurred at lhe lime, dale, and place, and due 10 the cause(s) and manner as slated u........................"......"... ........"'...............,,0
Medical examiner/coroner
On the basis of examlnation and/or invallgalion, in my opinion, dealh occurred OIl the lime, date, and place, and due to the cause{s) and manner as slaled ........0
,3
(See instructions and examples on reverse)
23c. Dale Signed {Month, day, year)
Nevtrrj bw- ,) 200'"
26, Was Case Referred to a Medical ExaminerlCoroner?
Yes 0 No
Approximate interval'
onset 10 dealh
PartH: Enlerolher1!m!ill!'anlconditionsconlrilulinalodealh,
but nol resuning in the underlying cause given in Par1 \.
2B. Did Tobacco Use Conlrnute to Dealh?
o Vas 0 Probabfy
J/JIIJ0 0 Unknown
29 If Female
o Nolpregnantwithinpaslyear
o Pregnant at time ofdealh
o Nol pregnant, bul pregnant within 42 days
01 death
o Notpregnanl. but prellnanl 43 days 10 1 year
beloredeath
o Unknown if pregnant within the pas! year
32e_ Place 01 Injury: Home, Farm, StreeL Factory, Office
Building, etc. (Spedf}1
32b. Describe how Injury Occurred'
321
32g_ location (Slreet, cityllown, stale)
city:
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"'\<'( st7"eE; y..<j
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34. Name and Address of Person Who Co"flleted Cause of Dealn (Item 27) TypelPtint
Darryl GuistwJ.te, 00
522 South Pitt St., Carlisle, PA 17013
LAST WILL AND TESTAMENT
1, JUNE W. KAUFFMAN, of North Middleton Township, Cumberland cfi\.inty,
Pennsylvania, being of sound and disposing mind and memory, do hereby make, publish ahd d~are
. '
this to be my Last Will and Testament, hereby revoking any and all former \Vills of'Codicils ~e
. .\=-
made.
1.
I direct that all my legally enforceable debts, funeral expenses, testamentary expenses and all
inheritance taxes (whether such taxes may be payable by my estate or by any recipient of any
property) shall be paid from my residuary estate as soon as practicable after my decease and as part
of the administration of my estate. My personal representative shall have no duty or obligation to
obtain reimbursement for any such tax so paid, even though on proceeds of insurance or other
property not passing under this Will.
2.
I give, devise and bequeath the sum of One Hundred Thousand ($100,000.00) Dollars unto
my son, GEORGE M. HAYS, II. In the event my said son, GEORGE M. HAYS, II, shall predecease
or fail to survive me by more than thirty (30) days, then this bequest shall lapse and become part of
the residue of my estate.
Page 1 of 4 Pages
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3.
I give, devise and bequeath all the rest, residue and remainder of my estate, both real and
personal property, unto my daughter, LINDA H. CARNS, absolutely.
4.
In the event my said daughter, LINDA H. CARNS, shall predecease or fail to survive me by
more than thirty (30) days, then I give, devise and bequeath all the rest, residue and remainder of my
estate, both real and personal property, per stirpes unto the issue of my said daughter, LINDA H.
CARNS, absolutely.
5.
I nominate, constitute and appoint my said daughter, LINDA H. CARNS, as Executrix of my
estate. In the event she shall be unable or unwilling to serve in such capacity, then I appoint my
grandchildren, BARBARA C. SZELAG and RICHARD H. CARNS, as Co-Executors of my estate.
6.
I direct that my Executrix( ors) shall not be required to file a bond to secure the faithful
performance of their duties in any jurisdiction.
7.
I authorize and empower my personal representative( s), in their sole and absolute discretion,
to purchase or otherwise acquire and retain any investments of which I die seized or any real or
personal property of any nature; to sell, lease, pledge, mortgage, transfer, exchange, dispose of or
grant options in regard to any or all property of any kind forming a part of my estate for such terms
and such prices as they may deem advisable; to borrow money for any purposes connected with the
Page 2 of 4 Pages
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protection and preservation of my estate; to mortgage or pledge any real or personal property
forming a part of my estate or to join in or secure the partition of same; to compromise any claims or
demands of my estate against others or of others against my estate; to make distribution in kind and
to cause any share to be composed of cash, property or undivided fractional shares in property
different in kind from any other share; to employ agents, attorneys and proxies and to delegate to
them such power as my personal representative(s) consider desirable and to pay reasonable
compensation for such services as may be rendered by such agents, attornl~Ys and proxies; and to
execute and deliver such instruments as may be necessary to carry out any of these powers, In
addition, I direct that my personal representative( s) shall have the power to Iconduct an inventory of
any safe deposit box necessary to the administration of my estate.
IN WITNESS WHEREOF I have hereunto set my hand and seal this 7th day of December,
1999.
SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testatrix, as and
for her Last Will and Testament, in the presence of us, who at her request, have hereunto subscribed
our names as witnesses thereto, in the presence of the said Testatrix and of each other.
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Page 3 of 4 Pages
COMMONWEALTH OF PENNSYLVANIA )
: SS.
COUNTY OF CUMBERLAND )
I, JUNE W. KAUFFMAN, Testatrix, whose name is signed to tht: 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. ,
&... i ../,(' {ii, /Y:ny) //{4 /( .
June: iau~~an to"
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Sworn or affirmed to and acknowledged before me by JUNE W. KAUFFMAN, the Testatrix,
this 7th day of December, 1999.
COMMONWEALTH OF PENNSYL VANIA) Notarial Seal
Sharon E. Bloom, Notary Public
: SS. North Middleton Twp., Cumberland County
COUNTY OF CUMBERLAND ) My Commission Expires Aug. 5, 2002
1\ Member, Pennsylvania Association of Notaries
we,(,Sfephfn L. O/eo/)') and LO(C~tlLI f? K 1,'/1(.
the witnesses whose names are signed to the attached or foregoing'instrumemt, being duly qualified
according to law, do depose and say that we were present and saw JUNE W. KAUFFMAN, the
Testatrix, sign and execute the instrument as her Last Will; that the Testatrix signed willingly and
that the Testatrix 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 witm:sses; 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. __-k;;;! <~~~~~:: ..7
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Sworn or affirmed to and subscribed bef:Vme this7"',d;ty OiDeCe~ber, 1999.
\ / ffntn) tff6b ~(_/
Notary Public
82661 will
Notarial Seal
Sharon E. Bloom, Notary Public
Page 4 of 4 Pag ~s North Middleton Twp., Cumberland County
My Commission ExpinilS Aug. 5, 2002
M(~mber, Pennsylvania Association 01 Notaries