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HomeMy WebLinkAbout08-06-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PErdNSYLVANIA Estate of Anna L. Dum File Number 21-08- Cl 1' j also known as ecease Social Security 1T7-24-7300 Petitioner(s) who is/are 1$ years of aoe or older, apply(ies) for: [Xj A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Executor named in the last wll of the Decedent dated August $, 2006 and codicil(s) dated N/A (state re evenat circumstances, e.g. renunctatton, eat o 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 (If applicable enter: c.t.c~.; .n.c.t.a.; en ente ate; urartte a sentia: urante 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.h.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) Decedent then 79 years of age died on 7(2(08 Carlisle Regional Medical Center Decedent at death owned property with estimated values as follows: (If domiciled in Pa.) (If not domiciled in Pa.) (If not domiciled in Pa.) Value of real estate in Pennsylvania situated as follows: _ 150,000.00 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 a ro riate form to the undersigned: _ ignature Ype or nrmte name an rest ence p , 1 facie Miller ~e.N~ L ~ . ~~ I ~ ~ 6 :~ 3437 Pleasant Valley Road, Elliotsbur;:, PA 17024 >'~ r.~ r.--.~ ~' n -. _ .~ 3,. e- c~ ~ ' ~ T _ ;( i •-- - ~ - ; ~^ ~ . F.~• -7 i ~ - __.. '~- _. _ :JIJ -~ _ _ ~~ _ .. t 1 ;r> N ~2 Page 1 of 2 COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with hisJher last principal residence at 212 Todd Circle Carlisle, PA 17013 Carlisle Borough ( ist street a Tess, town/city, towns aip, county, state, zip co e) OATH OF PERSONAL REPRESENTATIVE COMMONWEATLH OF PENNSYLVANIA coUrrTY of CUMBERLAND The petitioners} above-named swear(s) or affirm(s) that the statement in the foregoing peition are true and corn 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-~ cie Miller before nie t.~~s ~ fl ~ti~ cam. C~4 ~ :~ o ~, Q ~ -~~. For the Register ~~ t~ ,_r ,__, , -:. ~ _ ~~ File Number: ~.1•®~S •C) ~~ = '~' ~~ -a N ...! Estate Of Anna L. Dum Social Security Number: 177-24-7300 Deceased Date of Death July 25, 2008 AND NOW~~-~h.~,c~~ L4`Fr' , 20~ min consideration of the Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Jacie Miller in the above estate and that the instrument(s) dated August 8, 2006 described in thte Petition to be admitted to probate and filed of record as the las Will (and C,odieil(s) of Decedent) Register of Wills FEES Signature Attorney Name Letters L,~Q.'C1 • ~ ' Short Certificates ~ . ~'~ Sup. Ct. I.D. No Renunciation ~~ t i ~~', ~~p Address: .~ GP - 1 ~. l~ - - - `~'~~ r-~-~- Telephone: TOTAL... ~U . ~ ~~~. Robert G. Frey 46397 5 South Hanover Street Carlisle, Pennsylvania 17013 17) 243-5838 ~~ Page 2 of 2 OCAL REGISTRAR'S CERTIFICATIONI OF DEATH WARNING: ft is il{egaf to duplicate this copy by photostat or photograph. Fee for this certificate, $6.(~0 P 14649492 'his is to certify that the intormahon here gtven u orrcedy copied from an original Certificate of Dean my tiled with me as Local Registrar. The origina ertiCicate will be forwarded to the State Vital records Office for permanent filing. ~e•~•_cx~'~a,c~.e,,.,c~,,•,1~~ 2 9~ 2008 ~ocal Registrar ~~ Date Issued Certifieatiou N~i ber • z--- ~'' _ ~ Y- .,o - _. ~. ' 7 -- ; •~_ "`~ i :~ G:. - Ca ~ J r:, ~a M10S113 REV 112006 TYPE /PRIM IN PERMANENT 9UCK INK N Ill ~y ~' i COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH /'~ ` /•~ (, (See instructions and examples on reverse) STATE FILE NUM6ER L 1 •` ' j~ • n R .NamadDe~,t(>aa`m~atlla,la=,,aamx) 2.Female 3 ~ 7'~N_m 24 7300 4 Julynt25,~~r~08 ._ Anna L. Dum 6. Age tlast Birthday) Under 1 year Under 1 tla 6. Dale of Binh (Month, day, year) 7. Binhplecw (C' ant dale a loreign country) Ba. Place of Daem (Ctrede oMy one 7 9 """°W rime '"'". '"""" 6/ 1 8/ 1 9 2 9 Hoapimc char. vre LOysville, PA ^ Ingarent LyJEFl /Outpatient ^ DOA ^ Nutskg Home ^ Resitlence ^Omer ~ Speciy Sb. County oI Deam &. CM. Baru, Tw . of Death ed. Fadmy Name III rbt mslaulbn, give street afq nrmiwr) 9. Was Decretlant d HiNlanic Origin? g] No ~ Yes merian Indan. Black, WMe, ek. 10. Ra c e A Cumberland S. Mi dleton '~ ~ 4 S 1 E'. F~~"y` i 01~1Ct_ l 1 y ~ IC~ (n rea, speciN coven, ~ n, Puerto Rlcen, etc.l P e g M tSW n 1 t e 11. DttwtlenYS Uwat ion N'mtl d work a ria Turin rtasl a wotki Ale. Do not stela reared 72. Was Decetlanl aver in the 13. etlent's Education (Specay only highest grade comp leted) 74. Model $atlus'. Monied, Nave! Marrlad, 16. Surviving Spo use Qt wife, give maiden name) KiM d Wode k Cl Kintl of Business / rxiuslry Penn Doi U.S. Amtetl Faces? ~ Elementary t Seconds ( 2) "1~ College (1-4 or S.) Witloweq Divorced (Speary/ Divorced er ^ya, p 16. DerwOenYS MailkgAtltlreba ISlleel, d1Y /town, stale, zip cotle) Decwdent's pA Did Decedent Uve N a 17 ~~ Yas Det tl m lived in Tw l R i 7 S 21 2 Todd Circle p. c. , a a Actua dence 1 a late es T°"^~"'°? PA 1 7 01 3 lisl C „d.~ Np.oa~aoa,,,i;,~ownh;n Carlisle ,?b. County Cumberland ar e , Adaal Limas d city /Bad 16. FMner'S Name (First, mitlde, lest, sullix) 19. Mother's Name IRrst middle, maiden sumamel Arthur F. Gra Mabel Sheilds 20a. IdamanYS Name (Type! Print) 200. Informem's Mailing Address (Street, city! town, state, zip code) Jacie Miller 3437 Pleasant Valley $d. Elliotsburg, PA 17024 21 s. MetfaO d D'eposkion ! ~ Cremates ~ Dmatinn 2f b. Date of Disp«Itlon (Mmm, tley, year) 21c. Pkro of Disposition (Name of cemetery, crematory «omar pace) 210. location (City / t«m. slate, xp code) ® acne, ^ Renrovalfranalete i waacremtlas«ooredonAmnpdzed • Jul 30 2008 Cumberland Valley Memorial Carlisle, PA 1 701 5 ^ om« - spedry: i br Madkel Ex•miner roeroner. ^ vea ~ No Y r 22a. Saplature of Furrerei Servke Lkareee for person ~u1kg as sanj 22b. License Number 22c. Name afM Atlaess of Fadllly • ~ ~ 011589E Hollinger FH&CrematorT~ Mt. Holly Springs, PA 17065 Canpkte Items 23ac ady when cartiryag 23a. is the East d my knOwletlge, aem atoned at the lime, dale antl place staled. (Signawre and tillaj 230. license Number 23c. Dale Sgrad IMomh, tley, year) physician a rid avaaable az time d tleem Io ~/~ ~~ _ ~ ~ ~ r~ artAy wuae a Beam. ~ a ..~.. / (~,(~)IpI~ ) t Q kerns 24-26 must 6e cmipeletl M parse 24. Tmw of Death 25. Dale Prfzauftcetl Deatl (M ,day, year) 26. Was Case Relenetl to Metlical Examiner / Coroner Iw a Reason Other Than Cremation or Donation? wtn pna'~arncas death. `'~jZ.lca l~r M. O ?.~ Yas ^No CAUSE OF DEATH (See Instruetlona end ezem less) n approximate Imerval: Pan II: Ent« drier ~7j{~aii($mtlitions cmlribuelxt to deem, 28. Did Tahaao Use CcdtibWe to Deem? Item 27. Pan 1: Enter the diai° d evenla - diseases, gryunas, a mnpicatias -mat directly twined Ure deem. DO N0T azAm terminal evens such as remix anest, Onset b Death t h H i buf ref resubmg in the mdedying cause given n Pan I. ~ Yes ~ Probedy ~ st oNy one cause on eac ne. respfalpy arrest. a vemna,lar fibnpalion wahofd s wwmg are elbbgy. L o ^ lMluawn INMEdATF CAUSE (Fidel disease w i caNOkm fawningmdaemj ; a C,O (L 01~1A(:Y ~~.~~~' PIS~AS+G f• `ti A'ONI~ k~i~1p(kjY .~ISv`AS 29. I~t-,Frr~r~ele: i ' s Due to (or es a conseVUe~e oR: , ^ ~$'~ o~ n past year J Nd Negunt wim L ^ Pregnant al lima d deem SelHerlneay Asl arltlliats, a any, b. L'i ~ ~p ro me cause NstBd an tla a, Due to oC es a oanOatlUBnCe d): r $ UNDEIILYING CAUSE I Ent ^ NOI Pregnant, bd pregnant wimin 42 days ie e (dreeasea kljury mat initiated Vte c~ S~Ja'C6 ~17'Tx'A~i. ~Lirw!(Ai-rATi. ddeam events resulPrg m Oeelh) LAST qm Ie (or as a wne%afetka d)'. N'{Pd~'RT®NS,kenl ^ Not Ixegrwnt, buf pregrunl/3 days to 1 year ceroretleam d. Unknown a Pregnant Wlmin ma >aaz y0M 30a. Wes an Autopsy 305. Ware 0.ubgy Fn&gs 31. Manner of Death 32a. Date of Inlury (Month, day, year) 32b. Describe How Injury Occunetl 32c. Plata d Injury: Homo, Ferro, Beet, Factory, Ofice Buntllrg ma. rSpeuryl Petlartretl? Aveilebb Pda 5o Camptatbr d Cause d Deem? ~,/ L'J Nelwal ^ Homirrde , Yes ~o ^Yas dNc Accident ~ Penang kwesligation 32d. Time d Irryury 32e. Injury at WodR 321, fl Tmnsponelan Inlury (Specfty) 323. Location d Injury IStreel, dry /sown, stale) ^ Suicide ^ Could Nat bs Determined ^ Yes ^ Nc ~ Driver! Operator Q Passenger ^Petlaslnan M Omaf ~ Specyly: 33a. CeniNer (check ody one) tonaunced death ant rompeletl hem 23) f deem h n n mar h skian has Ph n nA Y • C Ut i h ki 33b. Spretur///e~~kantl Ttl1e of Certifier ~J /J / 4 ~/ ' p y p an ( ys an re y tg cause o w e a n er y ng p ys dsal0 occurred due la Memwgs)end manner es StaML___________________________,.____ To lM beeldmYkmwkdge . _ , ~ . /~ Ei+•K~/1 , • Prortounchp and centlyklS pnyalClan (Physician both pnotmuunan9 deem and certifying b cause d tleaM) ^ 3?c. Liceme Number 33d. Date Sgnetl IMpnm, day, yaerl To tlf0 best of my WaMadge, death occurred n me Lana, ante, and place, end due to Ne 0ause(a) entl manner as sbted _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ dial Examiner yCOrawr • M t • 1 N -I ~ 770 ~ 1,1 lY '~ p r Z C7C1~ e On the basis of examinellon ant I a tnvestigallon, in my opinion, death fxcurretl at the time, date, and place, and tlue to IM cauae(sj arM nanner es sWed_ ^ 34. Name and address of Person WM Can red Copse al Deam (Item 27) T 1 Print uAm ~ Va+1a+i~l M !~ l w 35. Signature and Dill ber 36. ate Tied IMam, tlaY, Yaarj , s ~ . U i13 C ~ S:On{ T RuZ T f l~ 11 I,~ I ~ I(~ I Gga4as~a rA i7o(3 ~~ b~~t~~''~ ~ Dispaiiicn Permit No. 2 1 ~ Q~•C~k 1'~ t-- LAST WILL AND TESTAMENT ~_ ~._ `" ~" OF = - ~ - ANNA L. DUM .~:,~- ~.~_ ~~? I; ANNA L. DUM, widow, of the Borough of Carlisle, Cumberland County, ` ~!~ Per~-~Ivania, (mailing address; 212 Todd Circle, Carlisle, PA 17013), being of sound __ ,~ an~~posing mind, memory and understanding, do hereby make, publish and declare this aQ~l for my Last Will and Testament hereby revoking and making void any and all Wills by me at any time heretofore made. 1. I direct my hereinafter named Executor or Executrices to pay all of my just debts and funeral expenses as soon after my death as may be found convenient to do so. I further direct that all inheritance, transfer, succession, estate and death taxes, including interest and penalties thereon, which may be payable on account of my death shall be payable from the residue of my estate regardless of whether the assets upon which such taxes are based are included in my probate estate. 2. I declare that I am an unremarried widow and that I have four children, GERALD DUM, JOHN DUKE, KENNETH DUM, and JACIE MILLER. 3. All of the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath as follows: 1. Sixty percent (60%) of my estate shall be divided evenly among such of my four children as shall survive me by a period of ninety (90) days, the share any deceased child would have received to pass to his or her issue, per stirpes, and if there be no such issue said share shall lapse and be added to the remaining share or shares. Each said child shall have the right to choose to take as a part of his or her share any of my jewelry, furniture, mementos, and other tangible personal property as that child shall desire, the value of such property to be as determined by an appraisal performed at the direction of my Executor. Should there be any disputes as to who shall receive any such property, the determination of my Executor shall be conclusive on said dispute. Provided however, that my daughter, JACIE MILLER, shall have the first right to select my sewing machine. 2. Twenty percent (20%) to the BETHEL ASSEMBLY OF GOD, 1412 Holly Pike, Carlisle, Pennsylvania, of which, 15% shall be used for the missions of the church and the remaining 5% may be used as determined by the leadership of the Church. 3. Twenty percent (20%) to SAFE HARBOR, INC., 102 West High Street, Carlisle, Pennsylvania. 4. I hereby nominate, constitute and appoint my daughter, JACIE MILLER, as Executrix of this my Last Will and Testament, but should she predecease me or fail to qualify then in such event I nominate, constitute and appoint my son, GERALD DUM as Executor, and I further direct that neither of them shall be required to post any bond to secure the faithful performance of his or her duties in the Commonwealth of Pennsylvania or in any other jurisdiction. 5. Should any person less than 21 years of age be entitled to distribution from my estate, in such event the share that person would otherwise have received shall be paid to my hereinafter named Executrix in trust. Should my said Executrix at any time be unable to serve as such, then in such event I nominate, constitute and appoint my son- in-law, KENNETH MILLER, as Trustee. I authorize the herein named Executrix or Trustee to receive and invest the same and to pay the income arising therefrom together with so much of the principal thereof as in her or his opinion is necessary or desirable to be expended for the proper maintenance, support and education of such person to or for the benefit of such person and upon such person attaining 21 years of age to pay to him or her the then remaining principal together with any undistributed income. ~ ~. Page 1 of 3 7. In addition to the powers conferred by law, my hereinbefore named Trustees and Executors and their respective successors, are empowered: a. To invest any part of the trust corpus in such securities, investments, or other property as may be deemed advisable and proper, irrespective of whether the same are authorized for the investment of trust funds under the laws of any governing jurisdiction. b. With respect to any corporation, the stocks, bonds, or other securities of which may be held, to vote in person or by proxy on any shares of stock; to consent to the merger, consolidation or reorganization of such corporations; to consent to the leasing, mortgaging or sale of the property of any such corporations; to make any surrender, exchange or substitution of such stocks, bonds or other securities as an incident to the merger, consolidation or reorganization of such corporations; to pay all assessments, subscriptions and other sums of money which may be deemed wise and expedient for the protection and maintenance of the proportionate interest of the investment in such corporations; to exercise any option or privilege which may be conferred upon the holders of such stocks, bonds, or other securities of such corporations either for the conversion of the same into other securities or for the purchase of additional securities, and to make any and all necessary payments which may be required in connection therewith; and generally to have and exercise as to all such stocks, bonds and other securities, the powers of an individual owner who is not under trust obligation. c. To hold the trust corpus in one or more consolidated funds in which separate shares shall have undivided interests. d. To sell at public or private sale for cash or upon credit, or partly for cash and partly on credit, and upon such terms and conditions as shall be deemed proper, any part or parts of the estate, and no purchaser at any such sale shall be bound to inquire into the expediency or propriety of any such sale or to see to the application of the purchase moneys arising therefrom. e. To keep on hand and uninvested such money as may be deemed proper and for such period as may be found expedient. f. To compromise, settle or arbitrate any claim or demand in favor of or against the trust estate. g. And authorized in the discharge of fiduciary duties, to employ counsel and to determine and to pay such counsel reasonable compensation which shall be charged against the principal or income of the trust fund, and shall further be entitled to charge against the principal or income such other reasonable expenses and charges as may be necessary and proper to incur for the proper discharge of fiduciary duties and for the proper management and administration of the trust estate. h. In making any division of property into shares for the purpose of any distribution thereof directed by the provisions of the trust, to make such division or distribution, either in cash or in kind, or partly in cash and partly in kind, as shall be deemed most expedient, and in making any division or distribution in kind may allot any specific security or property or any undivided interest therein to any one or more of such shares, and to that end may appraise any or all of the property so to be allotted and the judgment as to the propriety of such allotment and as to the relative value for purposes of distribution of the securities or property so allotted shall be final and conclusive upon all persons interested in the trust or in the division or distribution thereof. i. And authorized to register any shares of stock or other assets of any trust in their awn names or in the name of a nominee. j. To retain and invest in shares of stock of my Trustee. k. To retain any investments including mutual funds which I may own at the time of my death and in addition to invest any part of the Trust corpus in such mutual fund or mutual funds as may be deemed advisable or proper, irrespective of ~. ~ ~. Page 2 of 3 whether the same are authorized for the investment of trust funds under the laws of any governing jurisdiction. 1. To determine from time to time whether all or some portion of realized capital gains shall be treated as ordinary income for distribution to a beneficiary or treated as principal to be retained as part of the corpus, and such designation need not be consistent from one year to another. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament written on three (3) pages, this ~ ~~'day of ~ ~ ~` J 5 ~` , 2006. J Yom/ ~'~ ~~,1~.C~- ~ (SEAL) ANNA L. DUM Signed, sealed, published, and declared by ANNA L. DUM, the Testatrix above named, as and for her Last Will and Testament, in our presence, who, in her presence, at her request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. ,-, Page 3 of 3 OATH OF SUBSCRIBING WITNESS(ES) REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA Estate of Anna L. Dum Robert G. Frey & Trisha A. Liess , (each) a subsribing witness to ~~ •~ ~~- C> ~~ I`7 Deceased the [X] Will [] Codicil presented herewith, (each) being duly qualified according to law, depose(s) ; say(s) that she / he /they was /were present and saw the above Testator / Tesatrix sign the salne and that she / he /they signed as a witness at the request of the estator /Testatrix in her /his presence and in the presence of each other. ~~ (Signature 5 South Hanover Street ss) Carlisle, PA 17013 (Gifu, State, Zip) Executed in Register's Office (Signature) 5 South Hanover Street (Street Address) Carlisle, PA 17013 (City, State, Zip) Executed out of Register's Office Sworn to or affirmed and subscribed before me this_~~'~ da of ~~~~._-, 20 ~ -may Sworn to or affirmed and subscribed before me this day of , 20 ~~( eputy for Regist r_of Wiles Notary Public My Commission Expirees: (Signature and Seal of Notary or other offical qualified to administer oaths. Show date of expiration of Notary's Commission.) NOTE: To betaken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization. ~=; __ ~ :~ - ; ~: 7 <'") ~_... . _, f. ~ _.. :. ~ ~ r,,, '. ._...~ .. ~7 ~d ~I~Q~•O~i~" OATH OF SUBSCRIBING WITNESS(ES) REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA --------------------------------- Estate of Anna L. Dum ,Deceased Robert G. Frey & Trisha A. Liess , (each) a subsribing witness to the [X] Will [] Codicil presented herewith, (each) being duly qualified according to law, depose(s) ; say(s) that she / he /they was /were present and saw the above Testator / Tesatrix sign 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 e~eh other. ~ (Signature) (Signature 5 South Hanover Street (Street Address) 5 South Hanover Street (Street Address) Carlisle, PA 17013 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , 20 Deputy for Register of Wills Carlisle, PA 17013 (City, State, Zip) Executed out of Register's Office Sworn to or affirme an subscribed befor me this da of , 20 0 i--) ~~ -~ No ry Public ( My ommission Expirees: Y (Signa re and Seal of Notary or other offica] qualified to a 'ester oaths. Show date of expiration of Notary's Commission.) NOTE: To betaken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization. r' ..:~_ N c... '" ~i 4.. NOTARIAL SEAL J ~, _ <_ - ~ SUSAN R. HENRY NOTARY PUBLIC ~-s --~ ~-- ,,:_ Carlisle Borough, Cumberland County ~~ ~ ~ ~ _ ; M r~Commission Expires December 15, 2009 ! tJ ~%' ~ _;` _ ~ C..-- ~~ U