The URL can be used to link to this page

Home My WebLink About11-17-06 ~ Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS No. 21- daxP, /O/f Estate of John F. Kimmel also known as John Kimmel . Deceased Social Security No. 172-36-1062 Lois A. McKeon Petitioner(s}, who is/are 18 years of age or older, appl(ies) for. (COMPLETE 'A' or 'B' BELOW) D A. Probate and Grant of Letters Testamentary and aver that Petitioner(s} is/are the the Decedent, dated and codicils dated named in the last Will of r-> State relevant circumstances, e:9., renunciation, death of executor, etc. ~~ 0 ~ Except as follows, Decedent did not marry, was not divorced, and did not have a child bom or adopted after execution of tne'RQQJments ~ offered for probate; was not the victim of a killing and was never adjudicated incompetent: - - .~ =';d ''''- r-::.", __in') i"'r" (-) i.~.~:) -7::) l .,..\ ~-'i" ~ C~--,) --J i f..--.... ........-.... :: ) I~-) , :CI't - ,-.\ ., C C) ,un -.J> (:) ..'-;--1 ,\ I 11 B. Grant of Letters of Administration c.t.a. i c__ . ...jJ (c.t.a; d.b.n.c.t.a; pedente lite; durante absentia; durante mlnoritatel~ :--1 Petitioner(s) after a proper search haslhave ascertained that Decedent left no Will and was survived by the following spousellf any) and he~ 00 ~:- I Name Relationship Residence I Shawn F. Arnold Son FP 5511 Somerset, PA 15501 Misty E. King Daughter 643 Bethel Road Paw Paw. WV 25434 (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with hislher family or principal residence at 2311 Gettysburg Road, Camp Hill, PA 17011 (hst street, number, and muniCipality) Decedent, then 61 years of age, died 07/31/2006 at East Pennsboro Township, Cumberland County, Pennsylvania (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 10,000.00 $ $ $ $ situated as follows: 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: Ignature yped or printed name an residence Lois A. McKeon 633 Allen Street New Cumberland, PA 17070 717-774-0159 Prepared by the Pemsytvania 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. Swom to or affirmed and subscribed lJ~ ' ~i~~ For the Register ci~ A. 1:4 €-~~ Lois A. McKeon No. 21- ;{,n(){ ~ -- /01 r Estate of John F. Kimmel also known as John Kimmel Social Security No: 172-36-1062 I Deceased Date of Death: 07/31/2006 AND NOW, , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters D Testamentary 00 of Administration c.t.a. (c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate) are hereby granted to Lois A. McKeon, Administratrix in the above estate and that the instrument{s) dated described in the Petition be admitted to probate and filled of record as the last Will of Decedent. FEES Letters.......................................... $ (/)cf) r:;o,OD 10,,00 ~~~'- -- - -egisterof~' i*-/i- Short Certificate(s)...................... $ Renunciation............................... $ Attorney: James D. Bogar J.D. No: 19475 Bogar & Hipp Law Offices Address: One West Main Street Affidavits { )...........................$ Extra Pages ( )......................$ Codicil...... ........ ..... ....................... $ JCP Fee.......................................$ JI-,...h , Inventory..... .............. ........... ........ $ /().~ !5.~ Shiremanstown, PA 17011 Telephone: 717-737-8761 E-Mail: Other....... .............. ....................... $ -rf.;-.dD TOTAL............................ $ '2.2 Prepared by the Pennsylvania Bar Association Copyright (c) 2004 form software only The Lackner Group, Inc. Form RW-1(1991) 'C'~.~0~ ~.:v '/f~'.5 Thi 5- 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 filin~(p. 10 /6 WARNING: It is illegal to duplicate this copy by photostat or photograph. No. t2wn-/J!~ Fee for this certificate, $6.00 Local Registrar p 12626490 AUG 0 1 2006 Date 9 ~o ~::5,{: ~~ .' ":. -:."J ( () '.;::. ~ ~ a' ;;f: <;2 -! _ 5. Age (lasl.1litldIy1 ~ 61 VIS COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH (:~': -...,i.....--' :_c)~~ :j; _-;r ....;.;;.. -j, ~'-i) = ?~~ V.02/2OO6 ;NT IN I\ENT INK 1. Name 01 00e0d0nI (Filsl. _.Iosl, suAix) Cf! c:> (Jl :;: Ilb. County 01 0e0IIl ill ~ Cumberland East Pennsboro II. 00c0dl!nrI Usual moot of lie. Do ncI_lehd. Kind of Wort< Kind 01 Businoss IIncllst!y rinter trade assoc. . 16. llocedent's t.IailrG- (SIreet. city, _. stale. ~ tode) PpnnRylv;:Jn;;:J lib. County Cumberland 17c.~Ves.lloc:8dentLiYedin Lower Allen 17d 0 :u.,,,=,~wilhin TlOp. CIty/Boro Paul Lerue Kimmel '9. Mother'. Name Ifilsl. middle. -. oumame) Pauline Patterson Hill, PA17011 21d. LocaIion (CiIy 1_. -1l.."~b f ower All~ti'TW'b ...... 23&<: en, when <8fIying pI\ysil:iIn is naI mieIlIe IIlIme of deIII '" l:eItIy cause of deIII. Iloms 24-26 .... be CIIllJlIeIOd by plll!lOIl ....._dIalh. Hummel Ave.,Lemoyne,P~17043 23b. UcenlIe Number Zlc. Dale Sigood (MmIh. day. year) 26. w. c.. ReIemld '" ModicaI Exarninol/ Coroner for. Reason 0Iher INn CIomation IX DonaIian? o Ves ~No : /wtl>litNlle_' : Onsello Dealh Pari 11: E"'"'''''''...._.......... -- "'- bul naI_1Iing in !he undortyIng cause gven in Part I 28. IJIdTobacco U.. Conlrtule 10 DeaIh? o Ves 0 ProbalIIy o No 0 Unknown 29. K Female: o Not pregnant wiIhin past year o Pregnant III lime oJ _ o Not pmgnanl. bul pregnanl wilhln 42 day> ofdea1h o Not pIOgnanl. bul pIOgnant 43 day> to 1 yost 0/ deeth o Unknown if pIOgnanl _ !he pasl yellt 32<. PIoce of 1njlIy: Heme. Fann. S_. FllC1Ory. 0fIice BuIding, etc. (Specify) =...ca-.s.~any. . ~ta*_onlne.. EnIor UIIlEIlLYlIIG CAUSE =-~':..,~!he b. 321, KTrIllSpCllWm Jnjury (Sp8cI)Ij DOIWel/Oper8lDr DPMsengef D~an M. 0 Oltler. Sped)': 33e. CIdlIlor (chocI< only """I 331>. Signalure and Tile rJ C8tlifter . C80lIIyIng p/ly8IcI8lI ~ COI1ifying cause of_""" anoIher physician has pronotMlCOd dealh and COf11lIeIed 118m 23) .. h,....R.~ C t.....iL/-C:'--"\/,... To...._ol"'Y..-.._ClCCIlMlIdueIoIheC8lllllaI8l\d_.. -.;. _ _ _ _. _ _ _.. _ _.. _ _ _. _ _. _. _ _ _ _ _ _ _ _ _.D . "'-"'dIlg..... COIlIfylng pI1pIcIeIt (Physidan boIh pIllIlOUI1Cing - and cerUIying 10 ceuse 01_1 :llc lJcenae _ 33d Dale Signed (Month day year) Tolhe_.."'Y..-..__81IheIlmo.d8lw,8I\d.......end dutlo....CIlIM{.)8tld_..IIolacl.________________.D . j ... ., 3 a . 3'J'; . __Euninorlc- vIO, y 1,. J..- I' . I 0 0 OIl........ III III8IIn8lIon 8I\d I or ~.In "'Y opinion. deIIIh occurrod 8llllo -. -. .... ....... end duo 10 lllo .-(8) 8I\d - HIl8Ifci _.D 34. N....lWllI_ 01 Person Who Crxnpleted c.... of DeaIh (118m 27) Type I Print SilJllIlllul\dOioll1cltmller 36. O8leFlod(Monlh.day.year) DR... LI1It1:utN. ~ \, 1d1....1~.....I..I;' ~ ~1o M~d;u-J Af.J /t::Ji..<-ilc.t1 (See Instructions anC! examples on reverse) /' . .. L.~ 17, II PA o Ves D No 31. Manner of Deal> )! NMUraI 0 Homicide o A<ddenl 0 Pending "'-tigaIon 32d. Time rJ Injury o _ 0 Could Not be IleIenniled 32b. Descrilo How JnjMy Ocamed: 300. _ an Autopsy PoIrformed? Dves 'fiNo 32g. l.ncetionolfnjllly(Street.city/_._1 /10 /1 . oGJ -Iolt Register of Wills of Cumberland County, Pennsylvania RENUNCIA TION John F. Kimmel No. 21- d6D&r /6/<6 Estate of also known as John Kimmel , Deceased The undersigned, Misty E. King , (RelationshIp) (Capacity) the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters be issued to Daughter of Lois A. McKeon WITNESS my/our hand(s) this ~u () --+-.. ~. day of 01 0 CZ, ~ {\'" \~ 2J 2v(Jfo (&gn~\ Misty E. King 643 Bethel Road Paw Paw. WV 25434 (Address) o <;;0 ..~ ~~~ c) <~ :2: c, r--'" C;) c;:::) cr- :;'~ -l (Signature) I 'j ..-../-.... 9? o (j\ 1.'] :..~ (Address) (Signature) Sworn to or affirmed and subscribed before me this 30 (Address) day of 0 e;.t3k , 2004 NJ:1~~ OFFiCIAL SEAL NOTARY PUBLIC STATE OF WEST VIRGINIA, MARY JANE BRADFORD PAW PAW PUBUC UBRARY PO BOX 9 250 MOSER AVENUE PAW PAW, 'NIl 25434 My com mIssion expires JantHIfY 28, 2015 My Commission Expires: (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission.) Prepared by the Pennsylvania Bar Association Copyright (c) 2004lorm software only The Lackner Group, Inc. NOTE: Renunciations executed outside the Office of Register of Wills in some counties are required to be notarized. Form#RW.4 (1991) ~~ Register of Wills of Estate of John F. Kimmel also known as John Kimmel Cumberland 0& c (0 1'1 County, Pennsylvania RENUNCIATION No. 21-- rJ6Qp/ (6(6 I Deceased The undersigned, Shawn F. Arnold , Son (RelatIonshIp) (CapacIty) the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters be issued to Lois A. McKeon WITNESS my/our hand(s) this '" c:::::> C_? 0'""\ COMMONWEALTH OF PENNSYLVANIA COUNTY OF SOMERSET On this, the 2051 day of Seotember ,2006 before me a Notary Public, the undersigned officer, personally appearedAmold. Shawnl FP-5511 ,satisfactorily proven to be the person whose name is subscribed to the within instrument, and acknowledged that he executed this same for the purposes there in contained. I n witness whereof, I here unto set my hand and official seal. Sworn to or affirmed and subscribed before me this:;).o day Of~,~ day of (~....~ ~ Shawn F. Arnold FP 5511 5706 Glade Pike ~omerset. P A 15501 (A ress) (") So ~~CJ ~:- (.=, "',< ~/ Q.O/Ok> __:.J' r~, ~ l -.- --~:7 r-i--l . ," ~,....... _ ,'r,/j')_~ -.1 -.' ~"---': C') C -;-,;, (,:~ :15 'S' ---I j...~ (Signature) (Address) (Signature) (Address) ~aJlJ~v~' ~"'a~A~ otary Pu IC My Commission Ex MONWEALTH OF PENNSYLVANIA (Signature and seal of otary or other ofll\iQlarial Seal . . . . ~w=..a~.Hauser, Notary Pubhc qua~ifi~d to administer thS: spmeri'c!t""t\Vp., So!"erset County expIratIOn of Notary's m'Mtl~ission ExpIres Apr. 7, 2007 Prepared by the Pennsylvania Bar Association Ccpyright (c) 2004 form software only The Lackner Group, Inc. NOTE: Renunciations executed outside the Office of Register of Wills in some counties are required to be notarized. Fonn#RW-4 (1991) of co o CT\ fL'