HomeMy WebLinkAbout12-01-06
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF ~(i' m!Ju, k /1~ COUNTY, PENNSYL VANIA
Estateof &'<117 -ilL ~~kr
also known as
File Number
a I-Olo- IOu (
, Deceased
Social Security Number I try-3fT - /g q y-
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE ~' or 'B' BELOW:)
~ A. Probate and Grant ofL~l;estamentary and aver that Petitioner(s) is lare the
last Will of the Decedent dated ~m ~ and codicil(s) dated -
named in 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 instrument(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: /?? ~ ~
o B. Grant of Letters of Administration
(If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minori/ate)
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: (If
Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
Name
Relationship
Residence
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
ecedent"was doll].iciled at death in
,...d ~t-.
(List street address, town/city, 0 ship, cou
Decedent, then f5 7 years of age, died on
Ilh r AJ"
. ,
unty, Pennsylvania with his / her last principal residence at B I A/
A- I CJ/I
~ro/y 7?-? (! r(!/rl(3~ la.-n e
#-q rr/ s6 "r 1
-es,;c/" rJ ~
at
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) 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 rei
situated as follows: 3 I At. a ?
~I()Z)O
,
$
$
$
$
qo .ItJOO
.
S+, ('.4 qJP'1t 1/ / pTJ
I '
- /'70/1
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 approJlriate form to
the undersigned: ("") ~
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Form RW-02 rev. /0./3.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
~Q'Jb.eI'I(1 nd
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 of
the knowledge and belief ofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
~!l2~$::??/~
Signature of Personal Representative
Signature of Personal Representative
Q.I-O(O-lOlJ /
Estate of ~ei~{1~Jif
Social Security Number:J <1~ - ~r'" I~q R Date of Death: I J - ~ - (Jj;
AND NOW, 1 ~ OOlf~~ onLbvJ , c!J.ro 7 . in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters ,fSltlUYU~
are hereby granted to
File Number:
, Deceased
in the above estate
and that the instrument(s) dated
described in the Petition be admitted to probate and filed of record
FEES
~:::"c';';~~;';;) i 0.: /).~::;
Renunciation(s) .c9-:-...... $ IO.CD
Jet . . . $ 10.OD
~~...$ 5,00
-Wi II ... $ 1&3.00
... $
... $
... $
... $
... $
... $
TOTAL.. .. .. .. .. .. .. $ a...-Cf 0,(1)
Attorney Signature:
Attorney Name:
Supreme Court LD. No.:
Address:
Telephone:
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Form RW.02 rev. 10.13.06
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PW5.805 R~V '.105
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.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No.
~
Fee for this certificate, $6.00
p
12950938
NOV 1 0 2006
Date
8' I - O~ - I 010 I
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CO.-oNWEALTlt Of' PENNSYLVANIA. DEPARTMENT OF HEAL Tlt . vrTAL RECORDS
CERT1F1CATE OF DEATH
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LAST W:ILL AND 'l'BSTADHT
01'
D:I'l'B A. GAUGLBR
I, Keith A. Gaugler, of 31 North 33rd Street, Camp Hill,
Cumberland County, Pennsylvania, being of sound and disposing mind,
memory and understanding, do make, publish and declare this to be my
Last Will and Testament, hereby revoking all Wills and Codicils
heretofore made by me.
ITEM I. I direct that all my debts and funeral expenses,
including my cemetery lot and grave marker and all expenses of my
last illness, shall be paid from my residuary estate as soon as
practicable after my death as part of the expense of the
administration of my estate.
ITEM II. I make the following specific devises and bequeaths:
my 1999 Chevrolet Cavalier to Charles A. Christine, Jr.
ITEM III. I devise and bequeath all of the rest, residue and
remainder of my estate of every nature and wherever situate as
follows:
to Edgar B. Hartman, III - 3% of my net estatei
to Botschafts Lutheran Church - 3% of my net estate
for their Cemetery Fundi
to Botschafts Lutheran Church -
for their Building Fundi
to Botschafts Lutheran Church -
2% of my net estate
1% of my net
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- 3% of my net est~CJ
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3% of my net estatij;2;gj
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to Candice Koveleskie - 3% of my net es~~~
to Kimberly Lehman - 3% of my net estatfiS5
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for their General Fundi
to Richard McClellan
to David McClellan -
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9. to Kimberly Lehman, in Trust for Victor B. Lehman,
until he attains eighteen (18) years of age - 3% of
my net estate:
10. to Carol Hartman - 3% of my net estate;
11. to Carol Hartman, in Trust for Nikki Hartman, until
she attains eighteen (18) years of age - 3% of my net
estate:
12. to Justin Hartman - 3% of my net estate:
13. to Tom Koveleskie - 3% of my net estate:
14. the remaining 66% of my net estate is divided equally
among Mary McClellan, Lois Hartman, and Gail
Koveleskie and their issue per stirpes.
ITEM IV. I direct that any and all Inheritance, Estate and
ransfer taxes imposed upon my estate passing under my Will or
therwise, shall be paid out of the principal of my residual estate.
ITEM V. I appoint my sisters, Mary McClellan, Lois Hartman,
nd Gail Koveleskie, Co-Executrixes of this my Last Will and
estament. I relieve my Co-Executrixes from the necessity of posting
ecurity in connection with their duties as such in any jurisdiction
n which they may be called upon to act.
IN WITNESS WHEREOF, I have hereunto set my hand to this my Last
ill and Testament, which consists of ~ pages, to each of which
have affixed my signature this to't:h-. day of f-- e two
housand and six (2006).
~~~
. .
~OMMONWEALTH OF PENNSYLVANIA
ss
. .
. .
~OUNTY OF CUMBERLAND
We, Keith A. Gaugler, and
the
testator
and
the
and
witnesses
espectively, whose names are signed to the attached or foregoing
nstrument, being first duly sworn, do hereby declare to the
lndersigned authority that the testator signed and executed the
nstrument as his Last Will and that he had signed willingly, and
hat he executed it as his free and voluntary act for the purposes
herein expressed, and that each of the witnesses, in the presence
nd hearing of the testator, signed the Will as witness and that to
he best of their knowledge the testator was at that time eighteen
ears of age or older, of sound mind and under no constraint or undue
nfluence.
Keith A. Gaugler, Testator
Witness
Witness
ubscribed and sworn to and acknowledged
efore me by Keith A. Gaugler, Testator
nd subscribed and sworn to and acknowledged
efore me by , and
, witnesses this
day of , 2006.
Notary Public
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ZOOo NO\! 30 A/i 8: 52
OATH OF NON-SUBSCRIBING WITNES~~\~~ ~bURT
cur/,:.: . ' :C: ::''] PA
REGISTER OF WILLS
~~14~ COUNTY, PENNSYLVANIA
Estate of /(E;.. JIll A, Gjlf.(a; t:.r:.~
, Deceased
fI)
and
(each) being duly qualified according to law, depose(s) and say(s) that she / he / they was / were well-
acquainted with and am/are familiar
with the handwriting and signature of the decedent, and that the signature OfJrjg/'I-1? A. ~~-f kr
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of ~ / fh A .
&; tl L/ r 1-1' r is in his/her own proper handwriting.
~driu~~
(Signature)
(Street Address)
(Street Address)
(City, State, Zip)
(City, State, Zip)
. Executed in Register's Office
Sworn to or affirmed and subscribed
befo~f rre this ~ day
of f\lOJe JU...hif ,~.
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<:;l eputy for ~gi ter of Wills
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Form R W-04 rev, 10.13. 06
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OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
a.4?~r~ COUNTY,PENNSYLVANIA
Estateof ~lr# A ~A.U~L EL--
~/-00-1(j.p1
, Deceased
At a Y' y A ~ /VI(!L!/ct' II~ and
(each) being duly qualified according to law, depose(s) and say(s) that she / he / they was / were well-
acquainted with of-A
with the handwriting and signature of the decedent, and that the signature of
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of
&; ttu1 /-t,- is in his/her own proper handwriting.
t2~Q,'m~
/ ~O I AJ~w 73.ev It'/'} Jlcol
(Street Address)
mIdi! .oteri (JI/ /7JK/~
(Signature)
(Street Address)
(City, State. Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this ~ q -J..h day
of .lJQJJUY/bvt. 6l(JO~ .
Form R W-04 rev. /0.13. 06
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Register ofWtDs of Cumberland County
Estate of /{R ," h A
Also known as
RENUNCIATION
"a~4 1#("""
No. ;AI- 0(0 - J Olel
. deceased
To the Register ofWiUs of Cumberland County, Pennsylvania
The undenigned, ~/ S /.let V' ~ rna ~\sf-f r
(NlDe) -=~) (CIpecity)
of tile above dcccdent, hereby renounce(s) the right to adnJinillt&' the esCaIe and I~ teqUeSt(s) that
Letters
be issued to ff\a f~ A, M~ (I_LELLA- N
Witnessmy/ourhand(s)this l?rlfdayOfffiuJ!UUIJF-~ .2o~b
Affirmed and ~ before me this
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t ().).., 13# (j/7 (SigDlltlR)
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(Address)
~omm~~i ~_;
M. Kleinschmlclt. Notary PubRc
Coal Twp.. Norttllmberland County
Myeo.'.'~I~I_Ap..1.7, ~7
"'5':'" Pennsylvania Association Of ~
(Sigoatule)
(Address)
Affirmed and subscribed before me this
_ day of
(Signature)
Register of Wills
Deputy
(Address)
(Signature and seal of Notary or other official
qualified to adminisb' 08Ibs.. Show date of
expiration of Notary's commission)
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Register ofWdIs of Cumberland County
RENUNCIATION
Estau=of J<~/i-h A. 4a u~ r
Also known as
. deceased
No, JI-O&- }ao(
To th&Register of Wills ofCwnberland County. Pennsylvania
Theundersigned r;a" I /({)v.e- reS fie J o:S/sle r
(NlmJe) (ReIRtil-hip) (Capacity)
of the above decodcnt, heRby renounc:e(s) the right to adminisla' the estIIIe 8Dd respecttblIy request(s) that
Letters
beissucdto /V\a V" ~ A-, ~(,___I# Ilov-r-.
Witness my/our hand(s) this
day of
.20_,
Affinned and subscribed before me this
0\ 'i~ day of N<..W'E'i'T' ~
~<o
NOTARIAL SEAL
Evelyn J. Kerr. NotaJy Public
Montgomery Twp.. Montgomery eo.,
My commission expires June 13.2010
(Signatunl )
Or
Affirmed and subscribed before me this
_ day of
(Address)
(Signature)
Register of Wills
Deputy
(Address)
(Signature and seal ofNowy or other official
qualified to administer 0Idbs. Show date of
expiration ofNoWy's commission)
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