HomeMy WebLinkAbout05-28-08PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of WILLIAM R. ROBINSON
also known as
COUNTY, PENNSYLVANIA
File Number 21-- L~~ -~~7~
,Deceased Social Security Number
LAURYN E. MILLER
Petitioner(s), who islare 18 years of age or older, apply(ies) for:
(COMPLETE `A' or `!3' BELOW.)
~X 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 11/05/2003 and codicil(s) dated
Sfate 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:
B. Grant of Letters of Administration
app rca e, en er: c..a.; .n.c..a.; pe en e r e; uran e a sen ra; uran a mrnon a e
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.)
Decedent, then $3 years of age, died on 05/23/2008 at
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) 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
situated as follows: LOT IN THE BOROUGH OF NEWVILLE, PENNSYLVANA
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:
re Typed or printed name and residence
~~ LAURYN E. MILLER 51 GRANDVIEW ROAD
~ A Fairfield, CT 05825
Form RW-02 Rev. 10-13-2006
$ 100.00
$ 1,000.00
Copyright (c) 2006 form software only The Lackner Group, Inc.
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(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at
62 VINE STREET (NEWVILLE BOROUGH) NEWVILLE, PA 17241
(List street address, town/city, township, county, state, zip code)
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 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 ;~
„ ~ atureofPe onalRepresentative LAURYN E. MILLER ~ ~j
(yam o "--~n -
before me this day of ~ O ~ C
Signature of Personal Representative ~ ~ ~ ~
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Forth egister Signature of Personal Representative n O ~ c
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File Number: 21 _- ~~ ' ~'~~7A
Estate of WILLIAM R. ROBINSON ,Deceased
A/K/A
Social Security Number: 201-18-8921
Date of Death: 05/23/2008
AND NOW, _ ~~~~ ~~ (;~ ~Yt,Zl70,. ~~~ , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT ECREED that Letters Testamentary
are hereby granted to LAURYN E. MILLER
in the above estate
and that the instrument(s) dated 11/05/2003
described in the Petition be admitted to probate and filled of record as the last Will (and Codicil(s)) of Decedent.
FEES
Letters ......................................
Short Certificate(s) ...................
.$ ~ , ~
$ `TV.
Renunciation(s) ............................. $
Att
1~i1~~ l l $ 1j51, //~//'~~
$ I(.~- VV
$ ~ ~~ Supreme Court I.D. No.: 10264
Z II'
TOTAL .................................
u anger-Davis, PC
$ Address: P.O. BOX 40
$ Shippensburg, PA 17257-0040
$ Telephone: 717-532-5713
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Form RW O2 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2
Attorney Name: Hamilton C. Davis
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photographs.
Fee for this certificate, $6.00 r~r~~~~~~~°---., This is to certify that the information here given is
11r''P~~H Of pF-.
1yyo1'~~, Ny -_ correctly copied from an original Certificate of Death
,~°~ -= `~~; duly filed with me as Local Registrar. The original
~o _ - z certificate will be forwarded to the State Vital
t~ A's ,
~~3 a Records Office for permanent filing.
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Certification Number "~~~°"" Local Re Tistrar ~~
g Date Issued
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H1o5.t44 REV 11/2008 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
TYPE /PRIM! IN
PERMANENT CORONER'S CERTIFICATE OF DEATH
BUCK INK (See instructions and examples on reverse)
STATE FILE NUME
1. Nerve of Decedent IFlrs6 midde, bel 9ulf¢) 2. Sax 3. Social Srurlry Number 4. DMe d OrN jMOMh, day, year)
William R Robinson Male 201 - 18 - 8921 y 22, 2008
5. Age (test BidMey) Under 1 yrr UrMer 1 tley 6. Dale cl Sidh IMmm, de ,year) 7. SMgace ( rd smm a mrel9n tau ) fie. Pbro of peaty (Check one)
83 M°w' Den Moue kexaee tlrplml: alb,:
Yre. April 7, 1925 Newvi Ile, Pa ^mrorM I~ERroapuieM ^DDA ^Nurekg Hare ^Rritlence ^ahr-Sprily:
' eb. Couny d Deets Bc. CIy, So wp d Deets Btl. Fxdmy Name Ih not iretlaeon, glue stress are mmberf B. Wr Deptlenl d Hlspenic OIKpn7 ®No ^ Yes 10. Race: Amerken Intir, elerA, WMb, etc.
Cumberland South Middleton (tl yr, eP•c6Y Cuban. (Spap)(y)
Carlisle Regional Medical Ctr Mexlpn.PUedaRican,etc.> white
11. DecedenYe Unlm dm KNItl d wok dab tl nlml d sae. Do M wb 72. Wr Decedent ever m Me 73. DepdenYS Educalbn (Speedy qtly Nghest Breda aarpbted) 1I. MMiml SmNe: MaMed, Never Married, 15. Survivkg Spouse (tl wlm, give maldr rorre)
KNtl d Wak Nkxl d Soaker / IMrtry U.S. Armed Forces? Elementary / SecoMery (0-12) Cdlege (1 J or 5v) Widowed, DN°rcad (SpatlM
Laborer Carlis T• ®Yr ^~ 8 Never Married
18. DacerenYs McAing Address (Street, oily I sown, aorta, zip pde) DecedrYe Did Decedent
6 0 Vine S t AdaN Residenp 1Ta. slam P a Lwe Ina no. ^ rr, Decadent uxaa m _ T„p.
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. owronlp? 17d. ^ Na, Depdalt Uved wmmm
tn. cwn
n Cumh
n nfewvill
Mue,litn4sa
e Gry/eon
16. FaUe/s Name (FiBI, made, seal, 9uflix)
Benjamin R
R
bi 19. Mdher's Name (Flret, ntldde, meitlen wrcneme)
.
o
nson Viola Mae Stitzell
20a IniomenYS Name (Type / Pdntj 206. Infomanl's Medbg Address (Strrt dty I tam. smm, zip wde)
Janice M era 60 Vine St. Newville, Pa 17241
21 a. Method d Disposition ^ Cremation ^ Daedon 21 b. Date d Disposmon (Mats, day, yrr) 21 c. Placed '
Dlsppieon (Name d cemdery, a.matay a dha portal 21 d. Lacalbn jClry / rown, sorb, zip wM)
~~ Burial ^ Remwel hom Sale ~ Was Cremetlon or Doretlon AuNOrtud
^aha-spacry byMedplExMalror/Coroaen pvr^w ay 28, 2008 Cumb Valle Mem Gdns Carlisle, Pa ~'~a(3
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.
22a. SgreNrepf F I Se Urereee (or person ad:g as each) 22b. Liprea Number 22c. Name antl Atltlress d FaciBy 15 Big Spring A V e
Complem name 23as oMy when
physiden rs nal avagade n lime of OrN to 23e. To the hrl of my knowledge, deeN a¢urred at the fine, tlate ant pmts elmetl. (5ignalure entl PomJ 23b. License Number 23c. Date S'
goad (Monty, day, year)
army pre a arm.
Gems 24-2fi must p mmpblr W person 24. Tore of Death 25. Dam Prmampd peal (Month, day, year) 26. Was Casa Relerretl to Medpl Examiner / Comlbr roc a Beeson aver Nan Cremation a Donetlon7
"I'°p'°'°'""°a°°°"'. 8:29 A M. Ma 22, 2008 ®ves pNo
CAUSE OF DEATH (See InazrueNOna sod e,emplea) r 0.pproxlmele interval:
Item 27. Pad I: Enmr the dbm d erMS -deears, k~unes, a compkptiae - Net drectly caused Ne deelh. DO NDT emer terminal evade sots r cardiac amass, Onset ro DrN
rrgreta
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fibnl Part IL Enta dha '
but M resMling in Ne underlying pre grvr in Pan L 2fi. Da Tobaao Uae CantrDUle ro DrN1
^ Yr ^ Probedy
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bfbn wiltaul showing Ne atldogy. Usl atly one pose m each Ilse.
INMF-IATE CAUSE (Flrol dsear a ~ ^ No ^ IAIMearl
andlan resul&gndeam) .~ Occlusive Coronary Artery Disease ~
a.
Remote CABG 29. II Female:
Due to (or as a consequace ory: - ^ Nd Pregnant wMnm pct Year
UeIIy ket cmdieons, it erry, b Diabetes Mellitu ^ I'IegronlMdm•ddrN
.
Ieto the plxe slated on kro a.
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Deem
EMx Ab UNDERLYING CAUSE (a as a consequence ofJ: -
^ Nd prepent, but pregnMa wMF 42 days
(deere avgay Nel'm"pa~ad Me
BvedS resuekg in drN) LASL c at tlrN
Due b (a r a tonaeglence
tit _ ^ Nal IAepeM, bd pregeM /3 days m 1 yrr
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r before deaN
^ Unknown K pregbnl wiatln ee poet yea
30a. Wr r AWyey
Perlormetl7 30h. Were AMOpsy Flndkgs
Avalade Prior b Cartpmtim 31. Memer d Deets 32a. Date of In'
Wry IMOnm, day, yeerf 326. Deecfie kiaw Iry'ury Occunetl 32c. Plop d Injury: Hans, Form, Sreek Factory,
d Cause d DeeN? trl Nemrel ^ Hankdde Office SdkYng. etc. (SP•dM
^ Yr ~ No ~ Yr ^ No ^ ~~ ^ Pendn9laestlgalun 32tl. Tore d Inury 32e. Injury at Wok? 321. a Trensponetbn Iry'ury (SpeatyJ 32g. Locatlorl d Injury (Sorel. dly I lam. smm)
^ SWrde ^ Codtl Na ba Delermaed ^ Yea ^ No ^ DMer l Operala ^ Pe95,Mpr ^Pedesbun
M ^UDl•r' '
33e. Canifier (deck only ae)
330. Slpnetae antl T
• Cr1tlYNg phy,Nr jPhyskmn pmM^9 par d tlrN wtbn areeer ptry9iden Ilan Pronouupd drN ant pngleletl eem 23)
TelM bnldmy knsrbtlge,drN ocouma dr tw tlr or,ep)snd mrnlarr,mlad_________________________________ ^
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Michael L. Norris, Coroner
OaavSr~3 ,a~a..aaar~a:ar„a~s, rn ~,,,~,.
Disposition Permd No.
LAST WILL AND TESTAMENT
I, WILLIAM R. ROBINSON, of Newville Borough, Cumberland County, Pennsylvania,
-~
declare this to be my Last Will and Testament and revoke any Will or Codicil previor~nade b`~?
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me. ~= --
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ITEM I: I direct that all my just debts (except as may be barred by a Statute of Liirii~~tion~: '
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and my funeral expenses (including my gravemarker and expenses of my last illness) slial~ be pa~
from my residuary estate as soon as practicable after my decease as a part of the administration of
my estate.
ITEM II: I bequeath those articles of my household furniture and fumishin;gs and those
articles of my personal effects and personal property as I have or may set forth in a separate
memorandum (which is or will be signed by me, dated and make specific reference to this Will and
memorandum, which I shall place with my Will or deposit with my attorney), to the persons therein
designated.
ITEM III: I devise and bequeath all the residue of my estate of every nature and wherever
situate to my friend and companion, JANICE M. MYERS, providing she shall survive me by thirty
(30) days.
ITEM IV: Should my fi-iend and companion, JANICE M. MYERS, predecease me or die
on or before the thirtieth (30th) day following my death, I devise and bequeath all the residue of my
estate of every nature and wherever situate in equal shares to LAURI'N E. MILLER, LANCE S.
MILLER and LENA J. MILLER (who are the children of Jay Miller, Jr. and who are like family to
me).
ITEM V: Should any of LAURYN E. MILLER, LANCE S. MILLER and LENA J.
MILLER ,predecease me or die on or before the thirtieth day following my dead but leaving
descendants who so survive me, such descendants shall receive, per stirpes, the share that such
predeceased person would have received had he or she so survived me.
ITEM VI: If any property passes outright (either under this Will or otherwise) to a minor
(which shall be defined as anyone under eighteen (18) years of age) and with respect to which I am
authorized to appoint a guardian and have not otherwise specifically done so, I decline to appoint a
guardian but instead authorize my Executor to distribute such property to a Custodian selected by
my Executor (and my Executor may act as such Custodian) as Custodian for the minor under the
Pennsylvania Uniform Transfers to Minors Act. Provided, however, that this appointment shall not
supersede the right of any fiduciary to distribute a share where possible to the minor or to another
for the minor's benefit.
ITEM VII: I direct that all taxes that may be assessed in consequence of my death, of
whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as
part of the expenses of the administration of my estate.
ITEM VIII: I appoint LAURYN E. MILLER Executrix of this my Last Will. Should she
fail to qualify or cease to act as Executrix, I appoint LANCE S. MILLER, Substitute Executor of
this my Last Will. If LANCE S. MILLER has not reached age eighteen (18) (or is otherwise
unable or unwilling to act), I appoint my attorney, HAMILTON C. DAMS, Substitute Executor of
this my Last Will.
ITEM IX: I direct that my EXECUTRIX, custodian, or their successors, ;;hall not be
required to give bond for the faithful performance of their duties in any jurisdiction.
ITEM X: The interests of the beneficiaries hereunder shall not be subject to anticipation or
(h
to voluntary or involuntary alienation.
IN WITNESS WHEREOF, I hereunto set my hand and seal to this my Last Will and
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Testament, written on four (4) sheets of paper, dated this ~ _ day of
I
~, . ~~ , .,..; .,. '~ .2003.
WILLIAM R. ROBINSON
The preceding instrument, consisting of this and three (3) other typewritten pages, each
identified by the signature or initials of the Testator, was on the day and date thereof signed,
published and declared by the Testatrix therein named, as and for his Last Will, 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.
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
ss.
I, WILLIAM R. ROBINSON, 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; and that I signed it willingly and as my free and voluntary
act for the purposes therein expressed.
--L~-~-~-`~~~~~ ~. (SEAL)
WILLIAM R. ROBINSON
Sworn to or affirmed and acknowledged
before me by WILLIAM R. ROBINSON the
Testa~t,/or, this ~ day of
/V G~l~~/~,~/ , 2003. COMMONWEALTH OF PENNSYLVANIA
. Notarial Seel
_ ~~~~ ~~,~, Carri J. Weimer, Notary PubNc
L~C1C~ ~, ~amPlon Twp., Cumberland CatrNy
otary Public ~ mo""""b" E'~'"Be ~' s, 2007
Member, Pennsylvania Assocation Ot Notaries
COMMONWEALTH OF PENNSYLVANIA
. ss.
COUNTY OF CUMBERLAND
We~,(~~ •' 1 and ~ ~Q ~ ~l'~,, 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 willingly and executed it as his free and voluntary act for the
purposes therein expressed; that each subscribing witness in the hearing and sight oiP the Testator
signed the Will as a witness; and that to the best of our knowledge the Testator was at the time
eighteen (18) or more years of age and of sound mind and under no constraint or undue influence.
Sworn to or a ed and sub 'bed to
fore me by ~ • (,Zy% and
f ,witnesses, this
,~~-' day of ~/pyPM1~~" , 2003.
~a~~ ,i~ J ~~I~.~i%
Notary Public
v` ~ v! ~ _,
COMMONWE,gLTH OF PENNSYLVANIA
Grri J. Weimer, Notary PubYc
AMY ~lT des. ~
Member, Pennsylvania Association Of Notaries