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HomeMy WebLinkAbout06-02-08PETITION FOR PROBATE rAND GRANT OF LETTERS REGISTER OF WILLS OF ~ ~ ~~~ r ~~ ~ d COUNTY, PENNSYLVANIA Estate of t YAP n N ~. ~ i ~ I ~ Y- File Number C~ I t/ 0 also known as c.~ Deceased Social Security Number ~~^~ ' ~~ ' ~ ~~ / Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) F+a C7 d 1 aKa ^ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the ~=x P ~ ~ htry" ~ ~~med ~n_ the last Will of the Decedent dated t ~ ~~ 3 ` 1 ~~' 7 and codicil(s) dated ~~ ~ i`-~- m (State relevant circumstances, e.g., renunciation, death of executor, etc.) ~ Cj ~ .' ~_-~ C7 X11 ~ -~-~ Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution ~ nsttument s offered; ,L `-, for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~ ~~ { ^ B. Grant of Letters of Administration Qfapp/icnble, enter: c. t. n.; d.b.n.c.t.n.; pendente life; durante absentia; durante minoritnte) 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. ord.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) Name Relationshi Residence (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in ~ `^ "~ (E3 ~r~ `' ~d County, (List street address, town/city, township, unty, state, zip code) a with his /her last principal residence at 0 ~~ ~ ' kv C+ru ~~ ~•~v ~~ Decedent, then r~ years of age, died on ©.2- ~ ~/~-~.:.tli~ at lr tl"SS ~i u (/1 ~ ~ ~ (d c ~~ - ~ Pr ~ W ~ 1 ~ + bca re ~~ / 7~f 5 Decedent at death owned property with estimated values as follows: (If domiciled in PA) Al] 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 situated as follows: ~v $~~~ ~ `_ Wherefore, Petitioner(s) res ectfully 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: Sienature Typed or printed name and residence I ---~ ,~~A9//,1~~ . ~ ~3.,, f?, ~., fir, w G~a r~; ~ t' h uw. ~~" Il9~G ~ - Lt v2 7~j' Form R4V-0? re,,. 10.13.oe Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF ~ .c-~K ~~ ~k ~ d The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and con•ect to the best of the knowledge and belief of Petitioner(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 ~r~ before :2~e the ~, d~ay~of ,_~ For the Register x ` ~s Signature ojPersonai Signature of Personal Representative a <~ ~ Signatm-e of Personal Representative 1 N ~' ' fl(DC~ ~ ~~ .. .•., File Number: ~ ©~ N ~ ~ Estate of ~lr'E vt a- ~ - V~ ,~ ~ ~ P ~ ,Deceased ~ ~; -_~ :. . E'c_w f"-1 .r ./ d, ~ ~T.;' ,, ~- - t-r ,{ ., Social Secu/r~ity Number: C~SeI ' `~~ - 7 ~ 7~ Date of Death: ~ ~ - ~ ~ ` ~ ~'~ AND NOW, ~ ~"` , ~, in consideration of the foregoing Petition, satisfactory proof having been presented before m , IT REED that Letters are hereby granted to ~. a~ ( I- }fc' ~`f' in the above estate and that the instrument(s) dated - described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.'. FEES ~ ~ ReglsterajF/ilis r"`~ ~J~~~j Letters ....2-..`~.,~~•.~~.J $ D©..C~~ i"~ j C Short Certificate(s) .. -?.... $ ~~; Renunciation(s) .......... $ ... $ l S• C?~-~ JC. ... $ 10.E ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ 1 ~ ~.~0 Attorney Signature: Attorney Name: Supreme Court I.D. No. Address: Telephone: Form R4V-(12 rev. 10.!3.0( Page 2 of 2 ~- ~' -G~~ -C is ~~c; LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. 1 Fee f~~r This certificate, b6.00 P 1~2~.Q~~=: Certification Number ~~ This is to certify that the information hexe given is correctly copied from an original Certii7cut~ of Death duly filed with me as Local Registrar. 7'he original certificate will he forwarded to the Slate 'Vital Records Office for permanent filing. Lo~Registrar ~~ Date Issued Y tt,~ COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS 'a'EerYt CERTIFICATE OF DEATH ~ (Sea Instructions and examples on reverse) srArF FxE NUMaER FJ t~ / ~ ~ ~ . Y ~ J 1; . . ~ ~ C ~ C~ ~ + _~_ ~ ` ` - --`.t ~ , ~ i% ii ~ ~'1 V ` J ~ --ri ~ t..J ~ ^. ~ f ~ _ ~ -gip , A N 1 Nanr a Dacaawe IFasa male. rr, vLU) z Su 3. Soda Setuay NutOar ~. Der a Dean ItaarNn aeY. Yawl 7379 02/19/2008 059 46 -. - TRENA MAY MILLER EMALE s. ABa (l W Yaalda„ lAidar 1 IAtaar t s. Ora a film (Alwim. Do . T. ( and nua a M m. Pmw a Deuh Ictww «r) Fbapdet Ottrr. 94 Yn atw+w wn Mesa ~... 09/15/1913 Cedar Springs PA ^,,,~,,;~,,, ^ER/odprNNa ^DOA L)ta.aaw Mom. ^MeudwKe ^Unw-spewy: Bp Caurry d Dean &. City, S«o. Twp. d wW ab. Fedry Naar (Y nd aaYAaion, YN'e suer am mnnal B. Was Dawaea d Mispwit Qfpn9 ^ No ~] Yw 10. Haw: Nnwiwn Yl6an, Bbd, YAw, eb. s ~ Cumberland Mechanicsbur PA g 1.'»,s.s~tYr~. I a« rY hl C SS (A ~ V . f l,q ~ ~e,b.n. Pawto wNaa..b ~ White M. 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I direct that all estate, inheritance and succession taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid out of the principal of my general estate to the same effect as if said taxes were expenses of administration and all property includable in my taxable estate whether or not passing under this Will shall be free and clear thereof. III. I bequeath unto my husband, Joe D. Miller, alI tangible personal property which i own at my death. IV. All the rest of my property, of whatever nature and wherever situate, including property over which I hold a power of appointment, I devise and bequeath unto my husband, Joe D. Mi 1 ler. V. In the event that my husband, Joe D. Miller, does not survive me, I devise and bequeath my entire estate that would have otherwise passed under Paragraphs III and IV above as follows: A. Ten (10%) percent unto Messiah Village, Mechancisburg, Pennsylvania, to be used in its Endowment t~und. d. Ninety (90%) percent to be Divided into three (3) equal shares. I then give one (1) share unto our son and daughter-in-law, Gilbert and Earleen Miller, the survivor of them or their issue per stirpes; one (1} share unto our daughter and son-in-law, Sharon and Earl Herr, the survivor of them or their issue per stirpes; and one (1) share unto > > r ., , S j ,~ i`1 f ~.J c. c.: -, ~-- ,,; Y - ,: ~_-, . , ;, our daughter, Edith E. Miller. Should she predecease me, her share shall be divided equally between the other two (2) shares. VI. I appoint my son-in-law, Earl E. Herr, Executor of this my Will. VII. I direct that no bond be required by my fiduciaries for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I, TRENA MAY MILLER, herewith set my hand to this my last Will, typewritten on two (2) sheets of paper including the attestation clause and signatures of witnesses, this i3 ~-`` day of ti-v~ ~.~_ ~s . 198 7. ~- -a-- -' '"'"' tip- '~'.s`a¢~`s°G ' ; / (SEAL ) TRENA MAY MILLER Signed by TRENA MAY MILLER, by her declared to be her Will in our presence, who have hereunto subscribed our names as witnesses in her presence and at her request, this ~ a ~`` day of ~"''«~~-A~. 1987. -'% ~ ~~i ~,`,'~~: G y__ residing at~j~_~~ ~ '~~, -2- -~--~- ~- residing at ~/;zu 1~~..~a~~~.~ ~`%,~ COMMONWEALTH Ur PENNSYLVANIA SS: COUNTY OF CUMBERLAND : ~> We, TRENA MAY MILLER, i~-° {3 «T ~ `=-~^~~~ 7 and fir- ~?,~ U ~~ ~~cz_, the testatrix and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her Last Will and that she signed willingly (or willingly directed another to sign for her), and that she executed it as her' free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the testatrix, signed the will as witness and that to the best of our knowledge the testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. v_ ~i -mss .~-YZ,,r.~ ~y,~ ~ TRENA MAY MILLER J ~~ i -r- ,, ~~ a ; WITNESS. t ,, WITNESS -- Subscribed, sworn or affirmed and acknowledged before me by TRENA MAY MILLER, the testatrix, +~{~,3 ~Y~, J- t=,~~~ ~ r and i~ z , ~ ~ r) ~ << ~~-~ witnesses, this -~Y~ day of ~~v~a.-.-L. 1987. (SEAL) NOTARY PUBLIC `~ ROBERT ,. FAY, tdOTARI' PUBLtC UPPER ALLEM TWP., CUMBERLAND COUNTY MY COMMtSStON EXP{RES JULY 7, 1987 _~_ Member, Pennsutvania I{ssociation of Notaries