HomeMy WebLinkAbout01-19-07
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PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland
COUNTY, PENNSYLVANIA
Estate of 'PA~l'"l d tfi""1r~v
also known as
File Number
c2/-o7 - O()(PL
. Deceased
Social Security Number
201-18-1418
Petitioner(s), who Ware 18 years of age or older, apply(ies) for:
(COMPLETE ~' 01' 'B' BELOW:)
o A. Probate ud Grant orLetten Testamentary and aver that Petitioner(s) is I are the
last Will of the Decedent dated June 4.197fi and codicil(s) dated MIA
named in the
(SttzJe relevant circumsfllnce8. e.g.. renunr;i4tion. dsath 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 or Letten or Admiliistration
(If applicGb/e. enter: r;.La.; d.b.n.c.t.a.; pendente lite; durante absentia; dtuante minoritate) _
/./~./
Petitioner(s) after a proper search has I 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 0/ Will in Section A above and complete list o/heirs.)
Name
Relationship
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(COMPLETE IN A.LL CASES:) A.ttiIc" tuIditiolUll ,"eets if IUCGSfI1'Y. (:""') 8 ~
Decedent was domiciled at death in Cumbe rIa n n County, Pennsylvania with his I her last principal ~'1:4ie at
231 Plum St T.emovne Pa - 1704~ - ~
(List street address, town/city, township, county. stiJte, zip code)
Decedent, then R ::l
years ofage, died on 1 /13/0"7 at Ho lv Sni ri t. HORn i t-.;:!Il
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All persona1 property
(If not domiciled in P A) Personal proper,:ty in Pennsylvania
(If not domiciled in P A) Persona1 property in County
Value of ~ estate in Pennsylvania
$ 7n, 000 00
S
$
S
....
situated as follows: 231 Plum Rt T.Amovne p;;!
17n4~
Wherefore, Petitioner(s) respectfully rcquest(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant ilfLcttcrs in the appropriate Conn to
the undersigned: .
T
Rnhp.rt-. R;:!Iv T.onpl'" ~r ??4 ~t-.;:!It-.P ~t-. Mi nn' pt-.nwn P..
n;:!ll1nhin l"onnt.v 'P.. 17n~7-1nlQ
Form RW-02 rev. /0./3.06 Page 1 of 2
Oath of Personal Representative
COMMONWEAL TH OF PENNSYL VANIA
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 Decedent, Petitioner(s) will well and truly
administer the estate according to law.
1 q-ffl
day of
~t/LLJL<. ~
'gnature of P~l ~~~ative
Sworn to or affirmed and subscribed
Signature of Personal Representative
Signature of Personal Representative
File Number:
Estate of
['c3rl C. HicJrcv
Pearl G. Mickev
, Deceased
Social Security Number:
?()1-lR-141R
Date of Death:
Januarv 13. 2007
AND NOW, , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters
are hereby granted to Robert Ra V Lauer Sr-
in the above estate
and that the instrument( s) dated J u n e 4 - 1 976
described in the Petition be admitted to probate and filed ofreco as the last Will (and Codicil(s)) of Decedent.
Letters ............... $
Short Certificate(s) . . (P. . . . $
Renunciation(s) .......... $
~p ... $
J9:u...~mQt1~ ... $ 5. IT)
~...$~
$
$
$
$
$
$
TOTAL.. .. .. .. . .. ... $-! ~q. em
J SF) cfi)
dtl ()()
puJ;j ,
FEES
Attorney Signature:
ID.(D
Attorney Name:
Supreme Court LD. No.:
Address:
Telephone:
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Form RW-02 rev. 10.13.06
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Page 2 of2
H105.805 REV 1105
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.
Fee for this certificate, $6.00
p
13215988
No.
JI-07-ctlog
HI05 143 REV 0212006
TYPE I PRIfIIT IN
PERMANENT
BlACK INK
1 Nameci Decedent (fBI, rnd<Ie.last, suffi.)
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Local Registrar
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
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8b Coont~ of Oealh
Cumberland
East Pennsbor
11 Oecedenl's Usual
Homema~ewr
Il'lO$Iciwcrt, 1iIe.00nolSlaleretired
O ....".eo-ssl""'"'lry
wn Nome
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Ac1ua1 Resldeoce 17 a Stale
17b CounIV
:< OD rr
OERI()<paloeN OOOA
9. WasOecedenlolHispanlcOrigIl')
(1Iyes,speclyCIIban,
Mellican. Puerto RIcan, etc )
I". Marital S1alllS: Married, Never Marned,
w...... o;""ced (Speclfyl
Widowed
Did Decedent
live in a
Township?
17c Q Yes, Decedent lived in
1/d IXI ~='J""d""" Lemoyne
T.p
Cumberland
19 Molher's Name (First, middle. maiden surname)
Fannie
Dean
Russell,
Jr.
20a Inbmant's Naone (Type I Pml)
Robert Lauer
21a. MehodofOlsposlCioo
III Burial 0 Remo~a1lrom Slale
a 0"""'. '
~ 22a
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CllylBow
2(Il Informanl's Mailing Address (SIteeI, city / lown. S$aIe,llp code)
224 State Street Middl
21c PlaceolDisposdion(NarneolcelTllltefy,CI8maIoryorolherplace)
Rolling Green Memorial
'. CAUSE OF DEATH (h. inatruction. and ...mp.... : ApproiUmale irllefYaI Part It EnleroCher ~l~~)2lilllll.
lIem 27 PART I Enter lhe ,hi!n 01 evetlts . diseases. lIljuoes. 01 O)rJlplicaliollS . lt1al dlfeclly caused Vle death 00 NOT enlet IerrOlnal events SUCI1 as caldiac ilffest. : Onsel \0 Oeat! but not resulting II1lt1e ~ cause gIVen in Pil1l
respifalory arrest, or WIfIlnctJIar fIlfillallOll wilhoul shoWing lhe eliolog~ llSl only one cause 00 each hoe ,
i),VllUUJ It( J&/t-l ;t{cPdi{{IP'lJil-l'tJ/u. - /./paJ Tu;k'f' ~ Ja" J-
0uek){Of&ll8COOIeqUeoceoO ' : .11'
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eo.lOtru..consequen~ot), I (J /
Ctt,"mic J{ed:tal lJ,kCtlp :C'~M""(
Due to (Of ! consequence of) , :{-, ,
0: : (!;- )tflUf[
308 WasiWIAlAopsy n WereAuIopsyFindings 31 Ma"lflerofDealtl 32b OescrtleHowIojuryOccurred
Performed? ~~~a=~:Il~boo ~~aI 0 Hoolme ~ (c-\
o Aaidenl OPendll"l9l~ 32d Timeof~ J2f IITransporlabOnlnjuf)'(Spec;tyj
OSulCide OCouIdNotbeDefermll1ed /J(O\. ODriver!()p(:ralor Dpasiienge, OPedeslfian
M 0 Other - Specify
3Jb Slgnalute and Tile 01 Certifier
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&'f8OtSresulllogll'ldealh)LAST,
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3la Certif... (check ont)' one)
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~:;:U=:"= :=::':::~:::: :ml:"~':::::c~.:rt~:;:~~::Uo:.::d m.nnlr'l ltattcl_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ n
= ~:':.n:r~o:.:. Md J 01 invnlv.Uon, in m~ opinion, ..h occW'red II the lime, ute, IOd pilei, .nd dut to Ihe ClUlt(l) Ind IUI'lner II 1Wlt _ ..D
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26 Was Case Referred to Medic.aj El3ITIlI'Ief I Coroner b a Reason OIhet Ilan Ctemabon q 00naIi00?
o res m ""
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28 DldTooacc~ConIribuIetoDealtl?
DYes ~Probably
o No D UnlmOWrl
29 If Female
~pregoarnlNllf1rnp.l5lye..
o PrtlQfJafllalllmeofdealh
o Not pregnant, bul..-egnanl wllhln 42 OatS
oIdealh
o Not Pfegnant, bul pregnillll43 days to I ye.
01 death
o UnIlnownllpleo;,talllwwithln ItIepasl year
32c Placeollnju'y Honle,Farm,Snel,Facby,
Olflce Building, eIc (SptKlfy)
32g localionollnjury(Street,ciy/klwn,sIalel
~/G/'
33c license Numbel 33d 0, s.~ (Monltl. day, yeilll
MDt/z'1{}J 0I{13/07
34 N:;:'""ti;'t,..t";;{,,,w;'Stt;""';tf1:,<J0e2It>1-211 T...,P"",
36 OaleF""'_.day,ye"j ~i~'{ S/JIRlr{/('JP/flJ/.., tI{)J(JIY/lJ/sr
I~ 1/ I ;2...1 I I,) I JtlN o/!);J.oo7 {i/1MP Ifll(, ~/J 110/(
(See Instructions and examples on reversal
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U/75"lG.-f;
31Iast Ifill ~nb ffitstMttm
OF
PEARL G. MICKEY
I, PEARL G. MICKEY, of the Borough of Lemoyne, Cumberland
County, Pennsylvania, make, publish and declare this to be
my Last Will and Testament, hereby revoking and making void
any and all former Wills by me at any time heretofore made~
1. I direct payment of my debts and funeral expenses as
soon after my death as convenient to my Executor hereinafter
named.
2. I make the following bequests of specific items of
personal property:
A. To Robert Ray Louer, Sr., Middletown,
Pennsylvania, one captain chair and kitchen set
with five wooden chairs;
B. To Terry Lee Louer, Sr., Middletown,
Pennsylvania, one straight chair and one marble
top drop-leaf tab Ie;
C. To Eugene Ellis Louer, Sr., of Middletown,
Pennsylvania, one small wooden gate-leg table and
one miniture dry sink;
D. To Paula Russell, of New Cumberland,
Pennsylvania, two black wooden rockers and one
deacon bench.
3. I direct my Executor to sell at public or private sale,
as he may determine, the remainder of my property, real and
personal, and I give and bequeath the funds received from such
sales in equal shares to my niece, Paula Russell, and my nephews,
Eugene Ellis Louer, Sr., Robert Ray Louer, Sr., and
Terry Lee r-.:l
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4. I name, constitute and appoint my nephew, Robert Ray
Louer, Sr., to be the Executor of this Will.. In the event
that the said Robert Ray Louer, Sr. shall predecease me or
for any reason not qualify as such Executor, or, having
qualified, shall die, resign or be removed, I name, constitute
and appoint my niece, Paula Russell, to be the Executrix of
this Will.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
this Lf~ay of June, 1976.
tZ.1r~' x-J Sn ~ ~D L
Pearl G. Micltey
( SEAL)
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, in her presence and in the
presence of each other, have hereunto subscribed our names as
witnesses.
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-2-
OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
f'llrnhprl ~nCl COUNTY, PENNSYLVANIA
cQl- 07 - C{)f.og
Estate of
Pearl G. Mickev
, Deceased
d.? I r-...e I
an f. rl !J p/. . AI/, f,OU'eA( .Bit-
(each) being duly qualified according to law, depose(s) and say(s) that she / he / they was /were
~ a.v.. \ 0..... \\ -\ c.\< b f (1, Y\.c\ t-
well-
acquainted with Pearl G. MickF>v
and am/are familiar
with the handwriting and signature of the decedent, and that the signature of Pear 1 G. Mi ckev
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of Pea r 1 G. Mi.ckev
is in his/her own proper handwriting.
Q~~~
(Signature)
(Stre~J?dr~f: e~~~ ON
\'J~ ~ tfc...l1070
(City, State, Zip)
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~g ture)
;<;l~ 5U7e' S~
(Stree Address)
/111 c/dZ}f;~.tV /~#
(City, State. Zip)
/?df7-/cJ/ 9-
,
Executed in Register's Office
Sworn to or affirmed and subscribed
H1
day
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Form RW-04 rev. 10.13.06