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Home My WebLink About11-14-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBLERAND COUNTY, PENNSYL VANIA Estate of Kenneth P. Fleagle also known as File Number ~ \ D \. \ bL\ 1 , Deceased Social Security Number 174-16-1434 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) IZI A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the Kenneth P. FLeagle last Will of the Decedent dated November 17, 1998 and codicil(s) dated named in the (State relevant circumstances, e.g., renunciation, death of executor, etc.) Except a<; foUows, 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 f have ascertained that Decedent left no Will and was survived by the following spouse (if any) and 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 [.I.., OU);:;:; <<:: r.rl:j~ F-<~. Ut-' ~O ti:~~[.I..,;:Ju [.I..,[.I..,~o8Q OO~~- Z Q~>~Z<<:: ~~O:Ji~ ~~ZUp...r.rl 00r-- ~ES County, Pennsylvania with his / her last principal residence at _ ~ ~ ~ 0 (3 Residence (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. Decedent was domiciled at death in Cumberland 23 Dewalt Drive, Mechanicsburg, P A 17050 (List street address, tawn/city, tawnship, county, state, zip code) Decedent, then 86 years of age, died on February 27, 2007 at Decedent at death owned property with estimated values as foUows: (If domiciled in P A) AU personal property (If not domiciled in PA) Personal property in Pennsylvania (lfnot domiciled in PA) Personal property in County Value of real estate in Pennsylvania $ 100 . 00 $ $ $ 90,000.00 situated as follows: 23 Dewalt Drive. Mechanicsburg, PA 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 appropriate form to the undersigned: T d or rinted name and residence Phyllis S. Miller, 81 Linda Drive, Mechanicsburg, P A 17050 Form RW-02 rev. 10.13.06 Page 10f2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA 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) ofthe Decedent, Petitioner(s) will well and truly administer the estate according to law. before me the \L.\ ~~~ Signature of Personal Representative Sworn to or affirmed and subscribed day of Signature of Personal Representative Estate of Kenneth P. Fleagle , Deceased ~ OC/J...c -< r.r.)H~ F-<P.. U ~ f'I') ~ ~ tI:es~~;::;O ~~l:l,OOU OO~~::-,q q~ ~C/)Z r.r.)t:35r.r.)~:J 2~Zd~gJ OClr-- ~E9 rJUrJg 0""< ('\J ;::; U Signature of Personal Representative File Number: ~ \ \)\ \bL\l Social Security Number: 174-16-1434 Date of Death: February 27, 2007 AND NOW, ~ ~\)~ f<\'oL( \ S , 'd..C5\)\ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Phyllis S. Miller in the above estate FEES Letters .... ~.t?,~~. $ Short Certificate(s) . . .~ . . . $ Renunciation(s) .......... $ ,~\\\ . . . $ ~<..R ...$ ~~ ... $ ... $ ... $ ... $ . .. $ ... $ ... $ TOTAL.............. $ d\D \"d, Attorney Signature: ," I~ ,0 S' " Attorney Name: \ John R. Fenstermacher ,- Supreme Court LD. No.: 29940 Address: 5115 East Trindle Road Mechanicsburg, P A 17050 Telephone: 717-691-5400 ~ -6:00 Form RW-02 rev. 10./3.06 Page 2 of2 HJ05.805 REV l!O5 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 13378316 No. {~ ')(~.Q" ;90)>~ Local RegIstrar 1)' 6/ 'j~~,.t:l {;, ;),00 7 ate RECORDED OFFICE OF REGISTER OF WIllS 2007 NOV 14 PM 3:31 CLERK OF ORPfL\NS' COURT CU?\.fBERLAND CO., PA Hl05.143 REV 11f2006 TYPE I PRINT IN PERMANENT BLACK INK COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples on reverse) STATE FilE NUMBER ~ \ \t>L\j ;;l. 1 J.-tlQ 1 1. Name 01 Decedent (FIr>!, middle, last, suffix) Kenneth 5 Arje (last Birthday) 6. Date 01 Birth (Month. da , year) 86 oct 21, 1920 Somerset PA ad. FaciIy Name (If not iflsIitution, give $tree! aod llUIltleri Bb. County of Death Dauphin Community General 12. Was Oecedenl8\1sr in !he U.S. Armed Forces? ~ves DNo -, ActualReSidence 17a.SIate most of IiIe Do not stale retired Kind 01 Business I lndustry 17b. County Cumberland 0"""" . Spec,~. 10. Race: American Inljan, Black, While, fil1c .'Wh"t te 14. Marital Status: Married, Never Married, Widowod.[);vo(codISpeci('J) Widowed Did Oecedenl live In a Towns~? Spring 17c. ~ Yes, DecadenI Lived in 17d 0 No._lNod_ AduallimiIs of rwp CIty/Boro 19. Mother', Name (Firs!, midlie, maiden surname) Clara Libert 201:1. Wormanrs Mailing Address (Street, cty, town, slate, zip code) 81 Linda Drive Mechanicsbur 21c. Place of Disposition (Name 01 cemetery, crematory or oIhef place) PA 17050 21d. locaIion (City flown, Rate, zip code) Rolling Green Memorial Park Camp Hill PA 17011 22c. Name at1d Address 01 Fidty MYERS FUNERAL HOME 37 E MAIN ST MECHANICSBURG PA 17055 hems 24.26 must be completed by person ~ \II'ho pfOoounces death. 24. T1fT\El 01 Death ;;) ?, dOO .s ~ -L. 25. Date ~ Dead (Uonth, day, year) 5?M /-eb ru lA..,I:_ CAUSE OF DEATH (See Instrw;:lIon. and e.amples) Item 27 Pan J: EIller Ihe ~ ~ diseases, injuries: or complicatlons - that directly caused !he death. 00 NOT enlerlerrmnal events such as cardiac arrest, respralot'y arrest, or ventncular librialion withou1 showing the ellology. list ooIy one cause on eactlline I Approximate imerval: . Onselto Death , , , , , , I , I . I I I I I I ~J~US:~~~ldjse~ A"O~~L Due 10 (or as a consequence of) b /\f'\\'5) .' .~t Due to (or as a sequeoce of): r f'\ c.. ~I.-.~ \ {') ~"'- 'I \.-..,').. c\.~ILA-\ '-~\A.. ,.., l. \;ld r'. Seqoenliallylistcooditions,i1~y, ~::CO=~~~AU~ a. ldisease orlOjurylhal ioitIaledlhe evenls resulbilg III dealh) LAST. Due to (or as a consequence of) 3Oa. Was an Autopsy Performed? JOb. Were Autopsy Findings Available Plior 10 CompJelion 01 Cause 01 Oealtl? 31 Manner 01 Death ~alUral DHomicide o Accldenl 0 Pendlng In~eSligalion o Suicide 0 Could No! be Determined M 32fllr,..........,."*,,y(SpeciIy} o Drivel I Operator 0 Passenger DPedestrian Olt... . Spoo~ 33b. Signalure aod Tille of C~ ~ 'S ~ Lj/2) Dv" ON' 32(1. Tlffieollnjury Dves ~No c1 ~ 33a CertiflElr (chedl only one) Certifying physician {PhySlClaO cerut)'lOg cause of death when another phYSICIan has pronounced death and completed lIem 231 To Iht bell of my knowledge, dUthoccurntdduelothe cau$e(a) and manner. stated.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___ ~~=~'~=::t:~:=:~i==~~:::r::ei~~=~:a~~ mannera. .taled_ _ _ _ _ __ _ _ _ _ _ _ _ _ __ _ 0 = ~~~~~:.o::. and I or Investigation, in my opinion, death occurred It the limt, date, and place, and due to Ihe caUM(.) and manner.. Iiblled- 0 23b, license Nurrtler 23c Dale Signed (Month, day, yeatl 25. Was Case Referred to Medical Examiner I Coroner Iof a Reason Olher than Cremation or Oonalion? DYes ~ Part II: Enter oIher siooificant COOliIioos conIribulina 10 death, butootresullf1g inlheundertyingcause!Jven in Part I. 28. Did Tobacco Use ConIrilule 10 Death? o Ves DProbably o No gu,."""" 29. If Female: ~ No! pregnant wiItlin past year o P'egnant allime ot death o No! pregoanl, but pregnaol within 42 days 01..... D No! pregnant, btJI plegnan143 days 10 1 year before del... o Unitnown it pregnant within !tie past year 32c. Place oIlnlU'Y: Home, Farm, Slteet, Factory, Oll<e .......g. elc (Spocify) :129. locabon ot Injury ISrael, city 1I0000, state) F.A- z ~ 15 ~ I ;l..1 I 1.;;2 I I I d I "'_""",Po,milNo 0 (;) 'i ~ / S' 7-' r'"'I 33d Dale SIgoed(Monlh,aaY,Yeall ~ \)\ THE LA W FIRM of: JAMES M. BACH Attorney-At-Law LAST WILL AND TESTAMENT I.I....... -1"' O;j~ f-<p.; r.r.l....J "" ~ ~ ~~~1.I..;:J8 1.I..1.I..~08Q OO~:iU:lZ Q~>~z-r: r.r.l~o:S~~ ~~ZUp..r.r.l OCJr-- ~E9 Ur.r.lQ 0"'" r.r.l~Q ;:J ~ N U FOR I, KENNETH P. FLEAGLE of the TOWNSHIP of SILVER SPRING, COUNTY of CUMBERLAND, COMMONWEALTH of PENNSYLVANIA, being in good bodily health and of sound and disposing mind and memory, and not acting under duress, menace, fraud, or undue influence of any person whomsoever, merely calling to mind the frailty of human life, and being desirous of disposing my worldly goods while I have the strength and capacity so to do, I do make, publish and declare this my LAST WILL AND TESTAMENT. I hereby revoke, cancel and annul all my former Wills and Testaments, including codicils thereto, by me at any time made, and declare this alone to be my LAST WILL AND TESTAMENT. AS TO SUCH ESTATE AS IT HAS PLEASED GOD TO ENTRUST ME WITH IN THIS LIFETIME, I DISPOSE OF THE SAME AS FOLLOWS, VIZ: ITEM 1. I direct that my Executors hereinafter named, pay and discharge all of my just debts, funeral and testamentary expenses. ITEM 2. It is my wish that I be buried at the Rolling Green Cemetery, Camp Hill, Pennsylvania ITEM 3. All the rest, residue and remainder of my entire estate, wheresoever situate, and whatsoever it may consist of, I give, devise, and bequeath, absolutely, and in fee, to my dearly beloved daughter, PHYLLIS MILLER, per stirpes. ITEM 4. I nominate and appoint PHYLLIS MILLER as Executrix of this my LAST WILL and TESTAMENT. Should the Executrix herein named fail to qualify or cease to act as Executrix, then I appoint DEVON MILLER as Executrix in her stead. ITEM 5. I hereby direct that all my personal representatives, as well as their successors, shall not be required to give bond for the faithful performance of their ~ f:%e ic KENNETH P. FLEAG~ Page 2 of 4 duties in any jurisdiction. ITEM 6. I order and direct that my Personal Representative(s) named herein use the legal services of JAMES M. BACH, as Attorney for my Estate. ITEM 7. I direct that all estate, succession, legacy, inheritance or other transfer taxes, however designated that shall become payable by reason of my death in respect of all property comprising my gross estate for tax purposes, whether or not such property passes under this LAST WILL, shall be paid by my Executor out of my residuary estate. ITEM 8. I grant to my personal representatives herein named, in addition to, but not in limitation of those powers vested by law, to be exercised without prior application to or approval of any court, the power and authority to retain indefinitely any property, to invest and reinvest any assets or the proceeds derived from the sale of assets, although said investments may not be of the character prescribed by law, to sell, convey, assign, transfer and encumber any property, to pay, settle or compromise all claims, to make distribution or divisions in cash or in kind, and in general to exercise all powers in the management of any property hereunder which any individual could exercise in the management of similar property owned in his own right, and to execute and deliver any and all instruments and to do all acts which may be deemed necessary and proper. ~d{ p~ KENNETH P. FLEAGL WITNE .... WITNESS Page 3 of 4 ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA ) ) ss COUNTY OF CUMBERLAND ) I, KENNETH P. FLEAGLE, the TESTATOR, whose name is signed to the 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 purpose therein expressed. Sworn to or affirmed and acknowledged before me, by: KENNETH P. FLEAGLE, the TESTATOR this ~ day of November, .l22&. ~;cfb-4 KENNETH P. FLEAG E NOTARIAL SEAL ATTORNEY JAMES M. BACH. Notarj Public Cul'Tlberland Countv My Commission &pires May 13. '. ~ ES M. BACH, ESQUIRE NOTARY PUBLIC Mechanicsburg, P A 17055 My Commission Expires: 05/13/99 AFFIDA VIT COMMONWEALTH OF PENNSYLVANIA ) ) ss COUNTY OF CUMBERLAND ) We, JASON J. MAZZEI and SUSAN T. MAZZEI, the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the TESTATOR sign and execute the instrument as his LAST WILL; that the TESTATOR signed it willingly and that he executed it as his free and voluntary act for the purpose therein expressed; that each witness in the hearing and sight of the TEST A TOR signed the WILL as witnesses; and that, to the best of our knowledge, the TESTATOR was, at the time, 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn to or affirmed and acknowledged before me, by: JASON J. MAZZEI and SUSAN T. MAZZEI, witnesses, this ~day of November, .l22&. ~ESSJj~ T ~~ SUSAN T. MAZZ I NOTARIAL SEAL ATTORNEY JAMES M. BACH. Notary Public Cumberland County My COmmjssio~ Expires May 13, 1999 4? ES M. BACH, ESQUIRE NOTARY PUBLIC Mechanicsburg, P A 17055 My Commission Expires: 05/13/99 Page 4 of 4