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Home My WebLink About03-18-08 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of WILLIAM E. BURKEY also known as File Number d- \ ()~ 60bJ , Deceased Social Security Number 191-26-6458 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) 121 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the EXECUTRIX named in the last Will of the Decedent dated APRIL 29, 1986 and codicil(s) dated N/A MALINDA E. MILLER, IDENTIFIED AS "FUTURE SPOUSE" IN DECEDENT'S SAID WILL IS NOW CALLED MALINDA E. BURKEY HAVING SO CHANGED HER NAME UPON HER MARRIAGE TO DECEDENT ON MAY 3. 1986 (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: MARRIED MALINDA E. (MILLER) BURKEY o B. Grant of Letters of Administration (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate) 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.) . c:); R~id'~,;:! .......:....., .,--.... Name Relationship -~;~) -V .....,.-'. , , -",'. (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. l} >-\ .r:- Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his / her last principal residence at 220 2ND STREET, BOROUGH OF WEST FAIRVIEW (ENOLA MAIL), PA 17025 (List street address, town/city, township, county, state, zip code) - C... Decedent, then 74 years of age, died on FEBRUARY 18,2008 at 220 2ND STREET, BOROUGH OF WEST FAIR VIEW (ENOLA MAIL), PA 17025 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 15,000.00 $ $ $ $ situated as follows: N/ A Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codieil(s) presented with this Petition and the grant of Letters in the appropriate form to the undersigned: T ed or rinted name and residence MALINDA E. BURKEY, 220 2ND STREET, ENOLA, PA 17025 Form RW-02 rev. 10.13.06 Page 1 of2 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) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed Signature of Personal Representative Signature of Personal Representative C~', File Number: l' () 't <J3tJ4 Estate of WILLIAM E. BURKEY , Deceased '---- Social Security Number: 191-26-6458 , d45o'b , in consideration of the foregoing Petition, satisfactory proof TESTAMENTARY Date of Death: FEBRUARY 18,2008 AND NOW, \"{\tk'< CY\ ,q having been presented before me, IT IS DECREED that Letters are hereby granted to MALINDA E. BURKEY in the above estate and that the instrument(s) dated APRIL 29, 1986 described in the Petition be admitted to probate and filed ofrec rd as the last Wil Letters ............... $ Short Certificate(s) . .5". . . . $ Renunciation~s) .......... $ \,(h \ \ . .. $ -.JCL. . . . $ ~10 ... $ ... $ . .. $ . .. $ .. . $ . .. $ . .. $ TOTAL . . . . . . . . . . . . . . $ loD aD FEES Attorney Signature: I~- /6 S Attorney Name: THOMAS E. FLOWER Supreme Court LD. No.: 83993 Address: SAlOIS, FLOWER & LINDSAY 2109 MARKET STREET CAMP HILL, PA 17011 Telephone: 717-737-3405 /I 0 00 0.00 Form RW-02 rev. 10.13.06 Page 2 of2 :~105.::-;05 REV (OliO?) LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 14122170 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. ~/1l~18Z0~8 / Local Registrar Date Issued t '-" c. c::. REV 1112006 PRINT IN .!ANENT CKINK COMMONWEALTH OF PENNSYLVANIA. OEPARTMENT OF HEALTH. VITAL RECOROS CERTIFICATE OF DEATH (See Instructions and examples on reverse) STATE FILE NUMBER d-. \ 0'6 0 ~()Ll 1. Name of Decedent (First, middle, last, suffix) William E. Burkey 5. Ago ILasI Birthday) 74 12. Was Oecedenf lIVfK in !he U.S. Armed Fon:e.? IXI v.. oNo ~f. Actual Residence 178. State Pennsylvania Cumberland 6. Date of Birth (Month, da , year) 7. B4rth~BC8ICi 3. Social Security Number 191-26 _6458 4. Date 01 Dearh (Mort/h, day, year) February 18 2008 ea. Place 01 Death (Ched< on~ one) Hospital: Other: o Inpatienl 0 ER I Culpa!ienl 0 OOA 0 NOf.ing Horne }[] Residence 9, Was Decedent of Hispanic Origin? iJ No 0 Yes Ilf yes, specIIy Cuban, Mexican, Puerto RIcan. etc.! 13. Oecedenf. Educalioo ISped~ on~ highesl grade comple\ed) 14. Marital Slatus' Merried. Never Merried. Elementary 1 Secondary 10-12) College I"" or 5+) _.1JiVOrted 15pecffyI U NK Married 5/19/33 Harrisburg, PA v". lb. Coon~ 0/ Deeth Cumberland ed. FadliIy Neme III not_. give .treet sOO runber) 220 2nd st. 11.Decedent'sUsuaI ticn Kifldofwor\(done rnostol' life. Donolsta1ere Kind of Wort KindofBuHless/lodustry Mechanic Truckin - 16. Decedenr.MeilOlg-"'IStreet. city 1 town. stale. zip_) 220 2nd St. Enola, PA 17025 17b. Coon~ 19. Mother's Name (First, middle, maiden surname) Evelyn G. Brinton 18. f=alher's Name 'First. middle, last, suffix) William I. Burkey Malinda E. Burkey oOther - SpeO~, 10. Race: American Indian, Black, White, etc. (SpeciM Whi te 17c IKI Ves.lJecedenlUveclin East Pennsboro 17d. 0 No, Dec_tlived wI1hin AclualUmi1sof Twp. City I Bora 21a. Method of 0-"," l2!I Burial 0 Ae/llOllallrom Slale o Other - SpeciIy: 22a.Signa1ureofF 1 2Ob. Inlonnanf, Meiing Address IStreet. city 1 town. stale, ",code) 220 2nd st. Enola, PA 17025 21c. Place of D!;posllIon (Name fA _,""""IOry" olhet ~",) "d. Locatlan ICily Ilown, .tale, zip code) Rolling Green Memorial Pk. Camp Hill, PA 22c.NemesOOAddressofFecii~ Su 1 van Funera Home 51 N. Enola Dr. Enola, PA 17025 20a Informant'. Nome (Type f Prin1) ~=S~~~)<ise~ I Approximate interval: : Onset 10 Deafh I +1 €:- .p~--'10 g (; rv1'h.. .p '^ , L0R E:- : b.~~ ~d~ ! ~CO<~of) ~ ~ ~v'~ d ouelolorD'?lnon~ c.v-...fCl.A- 'I' e~ : SeQuemia/Iy/lstcontfljoos, ilany, leadna to the cause listed on line a. Enter Ihe UNDERLYlMG CAUSE ~~=-~~ 308, Was an Autopsy Per\Ormed? 3ll>. Were Autopsy Fondings AvaMabIe Prior to Completion of Cause 01 Death? 31. Menner 0/ '$ Ne1\lTa1 0 Homicide o Acdder1t 0 P~ l..-;getion o Sum 0 CookI Not be Dete_ OVes ~ No DYes oNo 32<1. llme of Injury lA. 33a. ~ Idled< ~ one) Ceo1IlyIng physician (PI\ysician certiIyiog cause 0/ death wlIen enolher physicien hes pronounced death sOO completed Item 23) 1'i, ~ Tothe_of my ~._occurred<luelolhe CIII5O(I)and monnores atatecL. _ _ __ __ _ __ _ __ __ _ _ _ _ __ _ __ _ _ _ _ _ _ __ _ __ __ p :=.n:.-.: =~: ..'...~=ti:""~ oo:.~':":ioto.:==monner.. atatecL. __ __ _ __ _ _ _ _ __ _ _ __ __ __ _ __ 0 =' =m:::: and I or InvestlgaUon, In my opinion, death occurred at the lime, date, and place, and due to the cause(a) and manner IS statecL 0 35. Registrar's Signatu ~ 23b. License Nurnber 23c. Date Signed (Month, day, year) 26. Was Case Referred to Medical Examiner' Coroner for a Reason Other than Cremation or Donation? oVe. ONo Part II: Enter other sionificant CONilions con1ribulina to DBath, 28. Did Tobacco Use Contnbute to Death? botnotl8SUltingin lite UfJderlyil1g C8lIse given in Pall I. 0 Yes oP,obebly o No 0 Unknown 29. If Female: o Not pregnant within past year o Pregnenl at time of deeth o Not pregnant, but pregnant within 42 days ofdeeth o Not pregnenl, but pregnant 43 days 10 1 year before death o Unknown n pregnant within \tie paSl year 32c. Place allnjury: Home, Fann, Street, Factory, 0lIice Bulldng, elc. (Specify) 32g. Location of Injury (Street, city f town, slate) 33c. Ucsnse Number TlD ).;t::() ~ S~ . fuast mill ann QLestnm2nt OF WILLIAM E. BURKEY I, WILLIAM E. BURKEY, of West Fairview, Cumbel"'land County, Pennsylvania, being of sound mind and disposing memory, do hereby make, publish and:declare this My Last \~ill and Testament, hereby revoking any and all former wiEls and:,,: , j " codicils by me heretofore made. ,_. ,,:... ---", -, l.." ITEM I. I desire and direct that any funeral expenses, my legal debts, and at} - ,I charges of administration of my Estate be paid without unnecessary de~ay by mY~ Executor to be hereinafter-named and appointed. c ITEM II. I hereby give and bequeath my entire estate whether real, personal or mixed, of whatsoever nature and wheresoever situate, unto my friend, and future spouse, Malinda E. Miller, absolutely. ITEM III. I hereby nominate, constitute and appoint my friend and future spouse, Malinda E. Miller, as Executrix of this, my Last Will and Testament. ITEM IV. In the event my friend and future spouse should predecease me or we should die in a common di5aster then I hereby give, devise and bequeath all the rest residue and remainder of my estate whether real, personal or mixed, of whatsoever nature and wheresoever situate unto Shirley A. Shatto, and I hereby nominate, constitute and appoint the said Shirley A. Shatto as Executirx of this, my Last Will and Testament. f~~-:! ~ (SEAL) -1- ITEM V. I do not deem it fitting or appropriate to devise or bequeath any of my earthly possessions or belongings unto any of my children, namely Diane Lynn, Steven M. or Susan Michelle because they have abandoned me in my lifetime and have conducted themselves in such manner as to be not worthy of remembrance. ITEM VI. My Executor is hereby authorized and empowered to sell at public or private sale or sales all of the personal property of which I may die seised and to likewise sell all real estate of which I may die seised, and to convey the same by fee simple deed or deeds to the same effect that I could personally do, if living. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament, consisting of two (2) typewritten pages, bearing my signature this ~~I day of April, A.D., 1986. ~~.~ William E. Burkey (SEAL) ,~.~ ~~ -2- OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA Estate of WILLIAM E. BURKEY , Deceased THOMAS E. FLOWER and JOHN E. SLIKE (each) being duly qualified according to law, depose(s) and say(s) that she / he / they was / were well- acquainted with WILLIAM E. BURKEY and am/are familiar with the handwriting and signature of the decedent, and that the signature of WILLIAM E. BURKEY to the foregoing instrument purporting to be the Last Will and Testament/Codicil of WILLIAM E. BURKEY is in his/her own proper handwriting. ~~ (Signa 21 ~ MARKET STREET (Street Address) 2109 MARKET STREET (Street Address) CAMP HILL, PA 17011 (City, State, Zip) CAMP HILL, PA 17011 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed 'II-+L before me this l"i day , rJODK . c, Form RW-04 rev, 10,13.06