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Home My WebLink About02-15-08 Estate of Charles R. Miller Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS No. --1\ -' 6~ / DI ~~ also known as , Deceased Petitioner(s), who is/are 18 years of age or older, apply(ies)for: (COMPLETE "A" OR "B" BELOW:) [Xl A. Probate and Grant of Letters and aver that Petitioner is the executor named in the Last Will of the Decedent, dated July 25. 1996 and codicil(s) dated Social Security No. 191-18-2765 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 doe.um~cifferedfd-fJtrobcde; was not the victim of a killing andwas never adjudicated incompetent" ~,'"' "', ,'- ,,'..,J, \'.. ..~ .--.~.. ~-. .-,' .................................................................................-.............: -- -.;J' ....:..i_ - " n - .., ~ ," " ........ (c.t.a., db.n.c.t.a.: pendente lite; durante absentia; dUriiAte ~~ '~, ' Petitioner( s). after a proper search has/have ascertained that Decedent left no Will and was survivWhe fOIl~~'g s~ (if an and heirs: ~ :0 .." GJ C) 1 ::c (") { , "J -~, - r= ~-i " ' '.~ ;:r:> rn c'\ en B. Grant of Letters of Administration 'l..'\] ~; (~/) ?( Name Relationship Residence i () -n >.........(-- , -I :::0 (COMPLETE IN ~LL CASES:) Attach additional sheets if necessary. Decedent was-domiciled at death in Cumberland County, Pennsylvania, with her last family or principal fesidehce at '~3o-jj;entral Avenue. Camo Hill. Cumberland County. Pennsylvania 17011-4516 " ' ~ - (list street, number and municipality) ~edent, t~Q 8:Cy$irs of age, died Februarv 3.2008, at Holy Soirit Hosoital. East Pensboro Townshio. Cumberland ~o~~.,,~.nsyl~~ia' . . ~ F . \ " ~ ~~t.at'd~ilth.d property with estimated values as follows: :(lfdOltlicifed in PA) All personal property.......................................................................................................................$ 300,000.00 (If not domiciled in PA) Personal property in Pennsylvania (If not domiciled in PA) Personal property in County Value of real estate in Pennsylvania........... .................. ................. ..... ... ....... ......... ...... ................................................. ... ..... .........$ 90.000.00 Total................................................................................................................................ ..............................................$ 390,000.00 (Location) Real Estate 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 appropriate form to the undersigned: T ed or rinted name and residence Jeffrey M. Dows 347 North Mountain Road Newville, Pennsylvania 17240 Fonn Rw.l POll" 1 of 2 J;umbe....d County). Rov. "'2 Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland The Petitioner( s) above-named swear( s) and affirm( s) that the statements in the foregoing Petition are true and correct to the best ofthe knowledge and belief of Petitioner(s) and that, as personal representative(s) ofthe Decedent, Petitioner(s) will well and truly administer the estate according to law. rV~ Sworn to and affirmed and subscribed ':::l.. ~ n ~ -::::3 Co co --'1 rn ~ :D .." rn J:-) ~i~ ~ ~~~~ -":__: (... J A CJ1 -T-'~ l-"--l :-Jc'Q C) C) ) . ( .~,,~ o. J - " -0. --,._-J-C} ,_ .' ..... . - :;.).-- ." :Jt "". ::'J ..~~............ ...................................................~.....~...~~. l .~ .-.:,:',\ ~ [)aC~E OF REGISTER ~ ;;, V.l (~:; r;;state -of Cnarles,F. Miller Deceased No. J../ ,0 q -- 0/& 1- before me this fi Iq111 day of also knQ'Nn ')~ Social Security No: 191-18-2765 Date of Death: Februarv 3. 2008 AND NOW, ' 20_, in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters lEI Testamentary 0 of Administration _ are hereby granted to Jeffrev M. Dows in the above estate and that the instrument(s), if any, dated Julv 25, 1996 described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES Letters......................... . Short Certificate(s)..(12)..... Renunciation................ .. Affidavit ( )................. Extra Pages ( )............ Codicil............... _......... JCPFee/~ Inventory... (. i'.f....... ....... -ethef:..W.~............. . TOTAL......... ....... Fonn RW-l Page 2 of 2 !:umborlandCounlyl- Rov. 9/92 $~ $-4KlrJD $ $ $ $ $ IS/CD $ $_[5 f5D $j3KO' ~ (Jrwwv~~~ .... Register of Wills - w... ~<"'':-'. ... ,.\, ,- ( ;\..: \.~ '"""-'\ ,0 I." \ 6a:~ 1.0. No: 44797 Address: 2813 North Second Street Harrisbura. Pennsvlvania 17110 Telephone: (717) 213-6653 DATE FILED: ;..:.;;:I:;::".;_tA~hLi~iij~~~~~_~i'~f,*~l~ P105.805 ~V (OY07) ~-(f{ -OJ lJ~ LOCAL REGISTRAR'S CERTIFICATION OF DEA~TH WARNING: It is illegal to duplicate this copy by photostat or photogra~)h. Certification Number 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. FEB 0 6200 tZm.-/J;~j / Local Registrar Date Issued Fee for this certificate, $6.00 P 14121515 (") ~o Co~ "'''''''0 ~~j~6 u)~ :::;Q c::0 -n :=)~ -u-i :'J> ,...) c::o c::o Cl=>> .." 1"11 0::1 -0 ::lIC: r::? c.n ::0 "J.:) iTl Fn("") G)O ~=o i-:,::j ~;~ :rJO (~}C:) -;-1 --i'l ,., c") n, 1"- './) (-:--) -C{', (,11 lEV 11/2006 PRINT IN ANENT :KIM< #31-206 I,Nomoal_(1'IrIl._.1ul,1UIIIl) Charles Uoo(\.alllllr1l1doy) COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CORONER'S CERTIFICATE OF DEATH (See Inatruc:tIona and axamplea on _) 83 VIS. July 26, 1924 Mechanicsburg, PA STAle FILE NUMBER 4._al~(Ilanlh.dly.yeor) February 3, 2008 R Miller I._al_ 7. ....-.. lb. Counly al Ooolh Cumberlan-d lId.F.-yNomoI...._r;.o_.......-, 516 Hogestown Road _al 1k00"'_ _"_11nduotry Federal Governmen 11.~-._~cly/_,_.q,_1 2830 Central Avenue Cam Hill, PA 17011 11. F....Nomo(Fioll, -.....-1 J. Paul Miller 2OI.-'_~IPItnI) Jeffrey M. Dows 21L_alDiopoolllon O~ 0- 21~DoIoallllopaoian(llanlh.dIy.yeor) 1iI- 0 R.mo..i__ ..._..__ o ~.~ ..,__Ic:aron.? OV.ONo February 8, 2008 Rollin Green Cemete 22&. ..-c.._......1UCII) 221>. t.-._ 221:. Nomo...._alF.-y . Parthemore PH & CS, Car4iN _ 23H:"""_ cdyIng 23L rotlebollal my~. _ _II tie."., dale IIld pilot _. (SIpln ""110) ~~noI_It"'al_1ll CIIIIy_al_. 11._Uouol COlllP. tW- 12.___lnlho u.s.__? 1iIv. ONo ~ __ 17L_ Pennsylvania 170.0 __u.ooln 17d.1iI ~ o.:"alu.oo- lIop. 17b. Counly Call1tl Hill ClOy 1 Bolo Newville, PA 17341 214 L..-. (CIIy'.....-..-1 Lower Allen ., PA 17011 Inc., P.O. Box 431, New Cumberland, PA 17070 231>. Uconoo _ 23<:. Dote SIiJlId (Monlh, dIy. yoo~ _ __ be "",,*,*,br_ 24. l1mo al Doolh 25. _ _ o.d (Ilanlh. diy, yoo~ ..._-. Aprx. 3:30 P. M. February 3, 2008 CAuse OF DEATH ce- _ _ .........1 ....27.PoItt EnIor"~-_Ir$IIIII,or"""""-""dIlIcIy_"_IlONOTIl1IIr__""".__ ...,.....,_..____oIIoolnglho 1IIoIllgJ. UoIan1y..._..._h. 300. Woo..,.., -- d. D. _,.., Findngo __Ill~ al c.. al 1MIl? DYes OND SI._afDooll ~- 0- O-DPIlIlIngIlMlllglllon 0- OC<UdNolbe_ 21. Walc.._..__,eoo-lor._OlhotlhonC__.._? ~. ONo ~- PoIt.:EnIor____.._ 21. 1lId_U.CallIIbIilIII 1MIl? 0nIIl1ll1Mll bulnoI.....eIr4llnlllollllllrljlng_""""InPoltI. 0 Yes OPnilllllll ONo 0- 211."_: o NoI__plllyoor o I'logrwoIII...al_ o NoI-.buI__42d1ys al_ o NoI_bul_43d11yo"'yoor --- O_l__lhoplllyoor 32l:.==~_-." =:&f:"I-==~ .. ~lII-'.MY. to -..IItIdCllIlnt.. EnIor _YIlG CAUIIE =-..:!tl.~~ b. Sudden Cardiac Event DIIe III (or. a_al): Hypertensive Cardiovascular Disease Dllelll(..ua_al): c. Out to (or II. canMqUenl>> 01): DYes ISf No 32d.liMall'*'Y I!. 32f."r__~/lilIIDI\1 01llW/0parIIar 0"- 0- 0Iwr . $lacIy. 321. L-. 01 ~ (9NoI. cIy I..... _) S3L CarIIor (d1ack """ ...) . CarIIlfng~~cdyIng-"---~haI___""~"'231 TDlho_oI.,.........__......caooaa(a)...._.________________ ___ _ _ _ _ _ _ __ __ ___ _ _ 0 . =-:=.'="'.=:::.:::::..~.::::.....~=_.________mmm__ 0 '-_1- 00.. _01-"" ""Ior 36.RagIolraJ'. . I Chief Deputy ~ Coroner 33d. Dolo S9'Od _ diy, ,.., February 4, 2008 34~"e'm~~o~~cr:r"file~titY Coroner 6375 Basehore Roadl Suite dr- Mechanicsbur ,PA 7050 OIIpooItion_No. ,!#ir:~~.:"''''r'_'~_'':'''T'""^'<''-:T~?~r~'-''~~~'T''''''''',l' . . . " -', "~ ""~' "'. ~ '''',,~ " . )"1 ^ i' '''', ":"~A~"~ :-.,)"J'f" ",(.',.:~-' '. "n.r!-,-;.,,'''K'!'!l\~'~ ,:,~ ,^, '. .~~ ,~" ,. ,"1"" '" .,~ ,"." ,- J( -o~ ~ OJ [04 "PaUll OU-ell" Last q,Ji~~ ..A~d T estaMe~t of Charles R. Miller I"'..:l c::::l 'n ,.-., = ",'00 '- J _ _, r; 1 Co - -'-'C') I, Charles R. Miller, a re~ident of Camp Hill, Pennsylvania,. being of sound ~~~os.in~ ~ and memory and over the age of eIghteen years, do hereby declare thIS to be my Last W;il~ Tes.tamen~:" r!' and I expressly revoke all Wills, including codicils, heretofore made by me. )~ (J5 ~ (J't c:; ~ C'"J Q <:;",) .." -:, =F\ ',,,e: n::li;: (~'5 "J N ,iTl ::~ .. L'/) I.~-) ::u (J't "T1 1.1 I hereby declare that at the time of making this Last Will and Testament dfat I am mwed , : to Doris M. Miller. ARTICLE I 1.2 I declare that I have the below listed children at this time: Joanne L. Fedora ARTICLE II 2.1 I declare the entire residue of my estate be distributed to the Trustee(s) then in office under that trust designated as "The Charles and Doris Miller Living Trust" established '- Thl Y ...zs.. 19~, of which I am a grantor. I direct that the residue of my estate shall be added to, administered, and distributed as part of that trust, according to the terms of the trust and any amendment made to it before my death. To the extent permitted by law, it is not my intent to create a separate trust by this will or to subject the trust or the property added to it by this will to the jurisdiction of the probate court. 2.2 I hereby direct that my Executor or my Trustee(s) may elect to: (1) use administrative expenses as deductions either for estate tax purposes or income tax purposes; and (2) to use either date of death values or optional values for estate tax purposes, regardless of the effect thereof on any of the interests under this Will. 2.3 I further direct that my Executor or Trustee(s) shall not be required to pay any debt in advance of the due date thereof, including installment obligations, but instead may pay the same in installments as each installment comes due. However if the Trustee(s) deems it to the advantage of the estate any or all debts may be paid in advance of their required installments. 2.4 I stipulate that any asset under litigation, lien, or claim that might cause the assets of the aforementioned Trust to be compromised in any fashion, be held separate from the said Trust until it is free of any claim or threat to the integrity of the Trust. ARTICLE III 3.1 If the disposition in Article II, above, is inoperative or is invalid for any reason, or if the trust referred to in Article II above, fails or is revoked, I incorporate herein by reference, the terms of that trust, as if executed on this date, without giving effect to any amendments made subsequently, and I bequeath and devise the residue of my estate to the Trustee(s) named in the trust as Trustee(s), to be held, Signed &L~ u? 1tt~pagel . . . ;;::;(,~'~':>!"',~n:-,~'., ',~ ':'~'~":.'rl f"'~~~~': ,,'~ 'Y~ "...., "".-, "..-n;:w~!!"",~~"~,,,1_,~"'l:.,":""I7 ~,~ " ,"' -, "'~ ~"~""",,.,"'" "', " ,'" administered, and distributed as provided in that instrument. ARTICLE IV 4.1 I do hereby nominate the following individual(s) as the Executor(s) of this Will, to serve in the order listed: Doris M. Miller, Jeffrey M. Dows. 4.2 The Executor shall have full power and authority to carty out the provisions of the Will, including the power to manage and operate during the probate of my estate any property and any business belonging to my estate. However, the Executor should not compromise the referenced trust in any fashion by premature transfer of assets that may carty any claim or litigation into the Trust. 4.3 The Executor or Trustee(s) shall serve without bond. However, in the event that one (1) or more bonds are required for one (1) or more such individuals, in their capacities as Executors hereunder, then I request that such bonds be nominal bonds, and, my Executor shall pay any such bond premiums, as bonds premiums are due, as administration expenses of my estate, until the administration of my estate is completed. Signed f-~ U? 1Jtr~ Page 2 ~, .~ . 1~:}S::'~"'",~'lj"'~E7",~:7"",T~"'~ . . . r,,' ~~ -""r"'I'~' '__'\"",'n'~'"!:"'''''':/~'_''"'__j, '_I r'" -"'F"" ;" r,! '" ,,~,?,";.-q'ir-'~;. ' : 1.,""~'~_~ ,~};,;;." < '~r;. " h .. 'l" , ,", ,." ''',", ," IN WITNESS WHEREOF, I have hereunto subscribed my name to this document, my last Will and Testament, which consists of three (3) typewritten pages, and for the purpose of identification, I have initialed or signed each page, all in the presence of the persons who are witnessing, at my request, the execution of this, my last Will and Testament on this 2 S day of JV I f 19CJ(. , at C ~_" U;I\) f)-., f r?icJw f}_ k~ Charles R. Miller Certificate of Acknowledgement of Notary Public Commonwealth of Pennsylvania) :ss. County of Cumberland ) On this '2. 5 day of 1"' J\ 'I ' AD, 19..9.L, appeared before me Charles R. Miller personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed in this instrument, and acknowledged that he/she executed it. ..21.0~~ Notary Public My Commission Expires Residing in Notalial Seal NorthG~~~. ~ebert. Notary Public My C n wp., Cumberland County ommlsslon Expires May 8, 2000 NOTARY SEAL: Signed fJI~ ff2, 'kL Page 3 -:"C~~,"~~,,'<':11:7)~'f':i;:~1l,,~ :"~'J;~-, ."! .U ., ~.' ~:. .'- "-.--r"'(~~'1'l!:~C~\~.~ , .' ...",., . ATTESTATION The foregoing instrument, which consists of three (3) typewritten pages, was signed, sealed, published, and declared by Charles R. Miller, the testator, to be the testator's last Will and Testament, in our presence, and we, at the testator's request and in the presence of each other, have hereunto subscribed our names as witnesses, this '2S day of 0\,)\ 'I ' 19 ~ at t"'!-f 1+, i I -Yo.. . ~ rL t Q (J("~ 1 ()- (Witne.. Signature) ~R L ~r LO (Print Name) 7 Ja <>'fctc' Date <.7'11 ('et\.+c--..\ It.,e. (Address) (City, State, Zip Code) /~~Date / / :t:. r e. '^ t.. Love \ \ (Print Name) .' 3008 'i Ci- \ -e A ve. (Address) ('~ H-\\ \ I Po.... ''70 l \ (City, State, Zip Code) . Signed (%,-L u? IkLpage4 . ol.::~.:.r"\~'"1r,"~,~>-' '~~'?':-:'!f~:'~:7;'-:~:r-"'~ ~~~7:~V:'l~;~~j;~rr~-~ "~~"'- f!..~'Jr"'~:", .>,. . "~:,-:<t:~ ~ '''''jr-;'''~i'!.~',' .' ,!,~; "~' '. ,. . ;~."~,~ ""If "'" """"",~, ''',,",", "', "", ,,,..,"=~ . ACKNOWLEDGEMENT OF THE EXECUTION OF THE ,LAST WILL AND TESTAMENT OF Charles R. Miller We, whose names are signed below, each declare under penalties of perjury: that Charles R. Miller, the testator, executed the foregoing instrument as the testator's last will and testament; that in our presence, the testator signed the testator's signature and declared that such signing was the testator's free and voluntary act for the purpose of executing the testator's last will and testament; that each of the Witnesses thereto,in the presence of the testator (and at the testator's request) and in the presence of each other, signed such instrument which the testator stated to be the testator's last will and testament; and, to the best of our knowledge, the testator was, at the time of the testator's signing and at the time of the signing of the witnesses, eighteen (18) or more years of age and of sound mind. (Jk~ tf2.1tc~ Charles R. Miller 2J~/19'i(. . ~t:4. ;L 'fiJry-' fJ- (Witness Signature) ~ L'l>tTIc-0"fl1 0 (Print Name) ~ 1'1' (' ~",-w-a.. \ Av~. (Address) 7,b..,f 9' Date (City, State, Zip Code) (Witness Signature) /' bS"'~'( Date / ./ ---Iof'Q ~e lOIf~l \ (Print Name) .:!loo?; ~CI..J.e ~,,-e., (Address) C~ \-\-,' \, P --. '10 l ( (City, State, Zip Code) . Signed OI~ f? ~L Page 5 ,'~~;"'",,:,',":l'~,wr~ ""~~"'l ""1"" 1 ,'~:~~'" . . . :~<~"~~.~, \.:;::" ,1;" \~nJ,.,I;i' \\('_:.._. ...t)~!i.'~:i~'~ "," ' ., ,,' . , - .r ~ ." "PaUll OU'ellll Last 9Ni ~~ -A~d T estaltte~t of Doris M. Miller I, Doris M. Miller, a resident of Camp Hill, Pennsylvania, being of sound and disposing mind and memory and over the age of eighteen years, do hereby declare this to be my Last Will and Testament and I expressly revoke all Wills, including codicils, heretofore made by me. ARTICLE I 1.1 I hereby declare that at the time of making this Last Will and Testament that I am married to Charles R. Miller. 1.2 I declare that I have the below listed children at this time: Joanne L. Fedora ARTICLE II 2.1 I declare the entire residue of my estate be distributed to the Trustee(s) then in office under that trust designated as "The Charles and Doris Miller Living Trust" established 7\> 1 i ~ S 1~ <.. , of which I am a grantor. I direct that the residue of my estate shall be added to, administered, and distributed as part of that trust, according to the terms of the trust and any amendment made to it before my death. To the extent permitted by law, it is not my intent to create a separate trust by this will or to subject the trust or the property added to it by this will to the jurisdiction of the probate court. 2.2 I hereby direct that my Executor or my Trustee(s) may elect to: (1) use administrative expenses as deductions either for estate tax purposes or income tax purposes; and (2) to use either date of death values or optional values for estate tax purposes, regardless of the effect thereof on any of the interests under this Will. 2.3 I further direct that my Executor or Trustee(s) shall not be required to pay any debt in advance of the due date thereof, including installment obligations, but instead may pay the same in installments as each installment comes due. However if the Trustee(s) deems it to the advantage of the estate any or all debts may be paid in advance of their required installments. 2.4 I stipulate that any asset under litigation, lien, or claim that might cause the assets of the aforementioned Trust to be compromised in any fashion, be held separate from the said Trust until it is free of any claim or threat to the integrity of the Trust. ARTICLE III 3.1 If the disposition in Article II, above, is inoperative or is invalid for any reason, or if the trust referred to in Article II above, fails or is revoked, I incorporate herein by reference, the terms of that trust, as if executed on this date, without giving effect to any amendments made subsequently, and I bequeath and devise the residue of my estate to the Trustee(s) named in the trust as Trustee(s), to be held, Slgn'dX.;. J ~_ ~ Pag' J ,,;~;;'TY'f~~'~?'~,"<.i};jr~~''q'';'' ..'~ . . - N' ,.., ~ "'..... +'i~ }~0,;>;~...1N",T",~...~ . ~T"" .' '? ",,",""''' """,,'~,', ' ~'" ""~P- administered, and distributed as provided in that instrument. ARTICLE IV 4.1 I do hereby nominate the following individual(s) as the Executor(s) of this Will, to serve in the order listed: Charles R. Miller, Jeffrey M. Dows. 4.2 The Executor shall have full power and authority to carry out the provisions of the Will, including the power to manage and operate during the probate of my estate any property and any business belonging to my estate. However, the Executor should not compromise the referenced trust in any fashion by premature transfer of assets that may carry any claim or litigation into the Trust. 4.3 The Executor or Trustee(s) shall serve without bond. However, in the event that one (1) or more bonds are required for one (1) or more such individuals, in their capacities as Executors hereunder, then I request that such bonds be nominal bonds, and, my Executor shall pay any such bond premiums, as bonds premiums are due, as administration expenses of my estate, until the administration of my estate is completed. Sign'dL, Ufn. ~ ,Iv.; Pag,2 :7~{~~1;,~~t'~\::'p;:'~-~,~~"\<p4"T~~',~~ll"'W,'~,"'J1'"74i~':,:':'~_~~J'" . . . ..,"",,"'" :C)ji0:'1':/',P~'~' """',.,"",.~ "" ",~,':""f"L,,,. ',,....~','""',,,""".,,:' ,. '''<,.-,IT,''''''','''''''', , . '" ,,_~ "'= ,._ IN WITNESS WHEREOF, I have hereunto subscribed my name to this document, my last Will and Testament, which consists of three (3) typewritten pages, and for the purpose of identification, I have initialed or signed each page, all in the presence of the persons who are witnessing, at my request, the execution of this, my last Will an~Testament on this 2.. S day of 3',,\ f ' 19~, at ('--r ~h'" , .....Q..... ~'v~dlw Doris M. Miller Certificate of Acknowledgement of Notary Public Commonwealth of Pennsylvania) :ss. County of Cumberland ) On this 2.S day of :r U\ i ' A.D. 19~ appeared before me Doris M. Miller personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed in this instrument, and acknowledged that he/she executed it. ~}tJ~ Notary Public My Commission Expires Residing in Notarial Seal NOrthG~~~':i ~wpebertc' Notabery PUblic My C . '. um rland County omm,sslon Expires May 8. 2000 NOTARY SEAL: Signed oGT~ ~. ~page 3 _,;TI~~:""l"'''>-::T'- . . . -~''''''':'~,~ .Tr-j?1:f';:':';-;i:\ r.....:, '''~'':I'7 v,,~, '-'~~!9;~~~~~,\!~:~}":.C'<~:~m:w"",.....~.:r,n~:;i " ~../.~ '"-. ATTESTATION " "..' , .<ocr"',,_~q, . "' ., , -, ,,~, The foregoing instrument, which consists of three (3) typewritten pages, was signed, sealed, published, and declared by Doris M. Miller, the testator, to be the testator's last Will and Testament, in our presence, and we, at the testator's request and in the presence of each other, have hereunto subscribed our names as witnesses, this 2 5 day of .Ju\ f ' 19~, at c~~ A I-h" ~ , ""'0- w./.J · ';f ~~ (Witness Signature) ~~ l.%L.OrJ(') (Print Name) 'l?11 C'eW'-+n.... l AvE!... (Address) Tf'~ If\e, l(:) ".~ l I 3oo~ ~n \ -E? A \/'e . Cwy ",,",'\ \, ~~. ,,0 l \ (City, State, Zip Code) (Witness Signature) (Print Name) (Address) (City, State, Zip Code) ?f,~9' Date ~~/: Date Signed ~~.~Ltwpage 4 . . . . . ACKNOWLEDGEMENT OF THE EXECUTION OF THE LAST WILL AND TESTAMENT OF Doris M. Miller We, whose names are signed below, each declare under penalties of perjury: that Doris M. Miller, the testator, executed the foregoing instrument as the testator's last will and testament; that in our presence, the testator signed the testator's signature and declared that such signing was the testator's free and voluntary act for the purpose of executing the testator's last will and testament; that each of the Witnesses thereto,in the presence of the testator (and at the testator's request) and in the presence of each other, signed such instrument which the testator stated to be the testator's last will and testament; and, to the best of our knowledge, the testator was, at the time of the testator's signing and at the time of the signing of the witnesses, eighteen (18) or more years of age and of sound mind. ~an~ Doris M. Miller -.:JJ ~ 5/19 CfG. ~;;f f?~a- (Witness Signature) ~~ L \)r--oCOPLU (Print Name) '4.., l' (' ., A. ""-r... , A v ~ (Address) (' "'1J i+< I t. Po.. ''7.. \ I (City, State, Zip Code) ~ P (Witness Signature) :r:: I't!' ~ l () V' C!. \ \ (Print Name) 300cg 'iCt....\-e.. A \Ie. . (Address) C~ \-ok '\ \, Po- l'1o l \ (City, State, Zip Code) ?/~9' Date ~hb Date , , Signed ~a,.~ Page 5 Cumberland REGISTER OF WILLS COUNTY, PENNSYLVANIA (") Co S::O 00-0 rT1::C (") ;Q :Po ~ "> ~ ::.0 ";':' (f) ~ ;:=j -~OO .--)O--n b~ -o~ :J> ""' = c:::> ell:) ...., rt'l CD \0 OATH OF SUBSCRIBING WITNESS(ES) -0 :% ~ ()1 -J Estate of Charles R. Miller , Deceased Beth L. Procopio and Irene Lovell , (each) a subscribing witness to (Print Name/s) the IZI Will [J Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that she / he / they was / were present and saw the above Testator / Testatrix sign the same and that she / he / they signed the same and that she / he / they signed as a witness at the request of the Testator / Testatrix in her / his presence and in the presence of each other. ~tj1rJ.;;t ~ ~ ~o a~~ (Signature) 2871 Central Avenue (Street Address) 325 Wessley Drive, Apt. 3223 (Street Address) Camp Hill, Pennsylvania 17011 (City, State, Zip) Mechanicsburg, Pennsylvania 17055 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day Executed out of Register's Office Sworn to or affirmed and subscribed /y~ day ~? of Deputy for Register of Wills NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy ofinstrument(s) at time of notarization. Form RW-03 rev. 10.13.06 ...*~!&~~*-~""'Ul{!~ :.:J\ -j;';":,.,, .,~~:""H seAL' Pubftc ~\;':it~'f;~.':,,,~: " ft\I.I~~. ;:rt~A. ~.-oJ ... ClIgp.HD1 BorG, Q:~~ My COI"ntlsS\On ExI*eS, . . 0-iJ