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Home My WebLink About09-12-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA :J) - () 7 - O%.?fc; Estate of JOHN R. MILLER also known as File Number . Deceased Social Security Number 186-34-2183 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) III A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is I are the EXECUTRIX last Will of the Decedent dated MAY 15,2006 and codicil(s) dated named in the (State relevant circumstances, e.g.. renunciation. death of executor, etc.) or pro e, was no e VlC 1m 0 a mgan was never ~u ca e an mcapacl a person: o B. Qrant of Letters of Administration (/fapplicable, enter: C.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante 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 of Will in Section A above and complete list of heirs.) I Name Relationshio Lu.:.\...~VI'I'll....c. VI' I REGISTER OF W'ILLS 2007 SEP 12 PM 3:31 CLERK OF ORPHANS' COURT (COMPLETE IN ALL CASES:) Attach additional sheets ifnecesslllY. CUMBERLAND CO., PA nnrr"\nT"'\T"~ r'\r-T""Tr--..,..., .r"'\.T"" Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his I her last principal residence at 345 EAST LOUTHER STREET. BOROUGH OF CARLISLE. PENNSYLVANIA 17013 (List street address, town/city, township, county, state, zip code) Decedent, then 63 years of age, died on SEPTEMBER 3, 2007 at CARLISLE REGIONAL MEDICAL CENTER, CARLISLE. PENNSYLVANIA Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 20,000.00 (Ifnot 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: . Wherefore, Petitioner{s) respectfully request(s) Ihe probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate fonn to the undersigned: I Silmature Tvned or nrinted name and residence I ~ 1~ GLORIA S. GILBERT, 345 E. LOUTHERSTREET, CARLISLE, PA 17013 FonnRW-02 rev. 10./3.06 Page 10f2 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 fi bat t th . f f kill' d ad' di t d 't ted COMMONWEALTH OF PENNSYL VANIA Oath of Personal Representative 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. Sworn to or affrrmed and subscribed her"'e me the ,!-H-. day of ~a~ For Register Estate of JOHN R. MILLER File Number: ~~~ Signature of Personal Representative Signature of Personal Representative Signature of Personal Representative t}/- ()7-d5?kJ , Deceased Date of Death: SEPTEMBER 3, 2007 AND NOW, !;)m7. in consideration of the foregoing Petition, satisfactory proof having been presented before me, IS DECREED that Letters TESTAMENTARY are hereby granted to GLORIA S. GILBERT and that the instrument(s) dated MAY 15,2006 described in the Petition be admitted to probate and filed ofreco d as the last Will (and Codicil(s)) ofDec (f. FEES Letters ............... $ Short Certificate(s) . . . . . . .. $ Renunciation(s) .......... $ JCP ...$ AUTOMA nON FEE . .. $ WILL ...$ ... $ ...$ ...$ .. . $ .. . $ ...$ TOTAL .. ...... .... .. $ FormRW-02 rev. /0.13.06 60.00 4.00 10.00 5.00 15.00 94.00 in the above estate Attorney Signature: ~ "".~ Attornoy Name, ROOE~. ESQUIRE Supreme Court J.D. No.: 6282 Address: 60 WEST POMFRET STREET CARLISLE, P A 17013 Telephone: (717) 249-2353 Page 2 of2 'I LAST WILL AND TEST~ENT of John R. Miller I, JOHN R. MILLER, of the Borough of Carlisle, Cumberland County, Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly revoking all Wills and Codicils heretofore made by me. 1. I direct my Executrix to pay all of my debts, funeral and administrative expenses as soon as may be done conveniently after my decease. 2. I specifically give and bequeath the following items to SAMUEL G. GILBERT: a. the drop leaf table; b. the set of antique dishes; d. two (2) chests; and ~\...VlUJnu VrrlL.n vr REGIS1ER OF WIlLS 2007 SEP 12 PM 3:31 CLERK OF ORPI-LWS' COURT CUMBERLAND co., PA c. the wash stand; 'DDrr\Ur'\"'C'r'\ r\T:'nTr"r:o I'\r:' e. the wooden wardrobe. 3. All the rest, residue, and remainder of my estate of every nature and wherever situate, I give and bequeath to my friend, GLORIA S. GILBERT. If she has predeceased me, then I give . and bequeath all the rest and remainder of my estate to my daughter, VICKI L. FLICKINGER. , I 4. I nominate and appoint GLORIA S. GILBERT to be the Executrix of this my Last Will and Testament; she is to serve as such without bond. Should she die before my death, renounce or refuse to serve for any reason, or die leaving any of my estate unadministered, I nominate and appoint VICKI L. FLICKINGER as substitute Executrix, also to serve as such without bond, with the same powers as are given herein to my Executrix. 5. My Executix may, at her discretion, compromise claims, borrow money, retain property for such length of time as she may deem proper; lease and sell property for such prices, on such terms, at public or private sales, as she may deem proper; and invest estate property and income without restriction to legal investments. 6. I hereby suggest that my personal representative retain the servIces of Irwin & McKnight as attorneys in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this IS' day of May, 2006. 9cI!.- e ~@J(SEAL) {/ JOHN R. MILLER 2 . . Signed, sealed, published and declared by JOHN R. MILLER, the above-named Testator, as and for his Last Will and Testament, in the presence of us, who, at his request, in his presence and in the presence of each other have subscribed our names as witnesses hereto. ~~-tX~~ /~bA/"X-)/:~ ~kJ~ 3 . , . . ACKNOWLEDGMENT AND AFFIDA VIT WE, JOHN R. MILLER, MARTHA L. NOEL and SHARON L. SCHWALM, the Testator and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his Last Will and Testament, that he had signed willingly, that he executed it as his free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as a witness and that to the best of their knowledge the Testator was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. ~g~ t/ JOHN R. MILLER ~~~ . MART . L.NO . ~~ /0--1--/A)a/~ . SHARONL.SCHWALM COMMONWEALTH OF PENNSYL VANIA SS: COUNTY OF CUMBERLAND Subscribed, sworn to and acknowledged before me by JOHN R. MILLER, the Testator herein, and subscribed and sworn to before me by MARTHA L. NOEL and SItARON L. .~ SCHWALM, witnesses, this ~ day of May, 2006. A.~ TH OF PENNSYLVANIA Norarlal Seat Roger B. Irwin, Notary Public Carlisle Boro, Cumberland County My CommlssIon Expires Oct. 3, 2008 Member. Pennsylvania Association or Notaries 4 H IO<.KO< REV l(l!m'! /)-I-Q7-N3& LOCAL REGISTRAR'S CERTIFICATION OF DEATtt WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 13858005 Certification Number This is to certify that th~ informatiOll here given is correctly copied from an uriginal Certificate of Death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. ~!J;~' Sr 7 }007 Local Registrar ~ate Issued "-C,\...Vl\.LICJJ VI'I' 1Ll::'. UJ:< REGISTER OF WILLS 2007 SEP 12 PM 3:31 CLERK OF ORPHANS' COURT CUMBERLAND CO., PA llDr-'r'\nT"\T':'T"'\ I"""'\.........T,...~ r"\.T"" REV 11/2006 I PRINT IN AANENT ,CKINK COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples on ...verse) STATE FILE NUMBER 4, Dole ol 00a1h (Monlh. day. yoo~ Se teaber 3. 2007 I.Nomeol_(Rntl._.Iast,IIUIfix) John Russell Miller 5. fqJ (la~ Blrthday) U*' 1 ...... lla. Place olllealh ChId< one HoopiIaI: 0Ihe< J[Jlnpellenl OERIOuopaIlentODOA ONuIling_. 0-... OOlher.Sl>ecIfy: 9, Wu Oecedont ollfilpenlc 0rii;n1 111 No 0 Vee 10. _:_ _. BIacI<. While. elC- (~yee.opeclly~. (Spo!;ify) South Middleton Twp Carlisle Regional Medical Center _._Rlcan.>1C.) White _ ol 119, Do nolllele 12, Wu Decedent ever in Ihe 13. ~ Educ:allon (SI>ecIfy only hipeI ~ completed) 14. _SlIIuI: _ Never M.rried. 15. SuMving Spouse (II wile. give m.iden nome) Kind ol_1 InclJslTy U.S. Anned Forcee1 E1e_1Secondary (()'12) ColIoge(I-4or5+) _1JIvon:ed(~ Retail Sales IIIv.. ONo 12 Divorced . Ie. Decedonf. t.Wing Add.... (51..... elly 11own. _. zip code) IleCedInl'$ Old -. 345 East Louther Street Aduoi-.ce 17aSla" PennsvlvJlniJl =1 Carlisle. PA 17013 17bCoun~ eu.berland 18. F--. Nome (Am, _.1u1, suIlix) 19. --. Nome (FnI, _. maiden.......) John A. Miller Gloria Martin 2Ob,_.IotaJIi><I_(SIreel.cllyl_._.zipcoclo) 902 North West Street. Carlisle. PA 17013 21~ PIlIceol~(Nemeol_.aelIIIIlllYor_pIoce) 21d. L.ocalion (Cltyllown.......Z\>code) e,Doleol_(_. 7. lIIld_or 63 8b. Cou~ of lleaIh Vrs. Sept. 20. 1943 Carlisle. PA 8d.FacIilyName(lfnol_.~_lIIld_ eu.berland ~ Items 24-28 must be ~ by person """""'"""""'death. 24. Time of Death I Approximalelnterval: I Onset 10 Death I , I I I , , , , , I , , , , , ~=~=}~ ;f7 /" t~..,. y' I [))~...y(- Sequonllaily is! condItiono. H ony. Ieadna to !he caae IIt8d on line a. EnIIr ilIo UNOERLYlNG CAUSE =:e~m~~~ L-vro...,..,....;./ Duelo(or...~of): ) f, - 1 ~k-p.l.) Doelo(orasa~of): I J. .. h1rl.j?> ,.... Due 10 (or as a consequenl!e: I d. :na. Was an Autopsy - 301>, Wont Autopsy FondIngo AvaIIabkI PrIor 10 Completion of Cause of Death? OVee ONo 32d. Trne 01 Injury 31. MamerofOeaIh IilNalural D- O _I 0 Pending InveetigIlIon o ~ 0 Cou~ Not be Determined - 2183 17e. 0 v... Ilecedenl Uwd in 17d.C11 No._Uwd_ Ac1uIJ~ol Twp. Carlisle CIty 1 Sore Harrisburg. PA 17109 Cremation Services. Inc. 231>, UCenIo Numb<< 230. Da.. Signed (_. dly. ~ 21. Was CuI ReI8mld 10 MlKIcaf examiner f Coroner for a Reason OthIr than Ctemlllori or Donation? o Yee iii No Part U: Enter other IimIIa!InI: ootdIIons conlrhmo 10 dIath, !kl1noll9lUlinginlhe~CIlIIlI\iVIflinPartl. 28. Old Tob8a:o Use ContrIKIt..-to Dellh1 OV" OPoOOIbly ONo 0- 29. If Female: o Nolpnrgnlnl_postyoar o Prognantlllitn8oldeath o Nol_I.butpreglllllwllh~42d1ys oIdeath o Nol........, !kl1........<3days 10 1 year bef1n death o UnknownH(ll8IlIIIfIl_lhepostyeer 32c.==:"'~i_FIdOly. M. 321, ~TranBpor1aJlonlnjury(Specl/y) o Driver I Opera'or Opassenger 0- Olher . SpociIy 331>. SIgna1ura llnd1l1leof Ov" ~ No 331. CeIlIfler (check only one) . e.1IfyIng pbyoIcIIn (I'hyslOIn ~ CIlIIlI ol deelh when onoltIer phyelclon hu poonounoed death lIIld .......ed IIem 23) To lllebeetolmy kMwIedge. _ _duo IoIheCllrae(.)end.........1IoIod.. _ _ _ _ __ _ _ _ __ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ a . PronouncIngllldcortlfylngpllyliclln(Physidanbolll_deathlllld~IoCllllllloldeathl Tolhe bOIlolmykMwledge._ occurred lllhe_. dIte, end pIoce.1lId due IoIheCllrae(.) IlId """""eellolod.. _ _ __ _ _ _ _ _ _ _ _ _ _ _ __ 0 . _ _ICoroner On the billa of eumlnatlon Ind I or InYllttgItton, In my opinion, dnlh occurred at the time. dlle. Ind pI8ce, and ciullo the ClUH(I) and rnenner ullltlld.. 0 34. 35. R'9;s~)gnaI"" a. nd OJlliolf~r . . ~ . ~brv,"7 /'/ ~...v 102, II c.:l.1 / I ;' I DIspositIon Permit No. 0050897 ThD I '1l.U' (;,t. "vl,::fu fJj\ ..- ri ~I)