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HomeMy WebLinkAbout08-25-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of Susan A. Miller also lauown as COUNTY, PENNSYLVANIA File Number Deceased Social Security Number Petitioner(s), who is/aze 1 S yeazs of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) !11 A. Probate and Grant of Letters Testamentary and aver that Petitioners) ~s /are the EX@CUtor last Will of the Decedent dated August 7, 2002 and codicil(s) dated NSA _ (State relevant circumstances, e.g., renunciation, death of executor, etc.) named in the Except as Follows, Decedent did not many, was not divorced, and did not have a child born or adopted after execution of the instruments} offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: B. C;rant of Letters of Administration (Ifapplicable, enter: c.t.a.; d.b.n.c.t.a.; pendente life; 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 Adminis~Yation, c.t.a. or d.b.n.c.t.a., enter date of Wilt in Section A above and complete list of heirs.) Decedent, then 76 years of age, died on August 12, 2008 at Holy Spirit Hospital, Camp Hill, PA ` 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 Form RW-02 rev. 10. ]3.06 Page 1 of 2 - -. ,~,~ (COMPLETE INALL CASES:) Attach additional sheets if necessary. - _, --. Decedent was domiciled at death in Cumberland County, Penns lvania with his /her last ' ~ ' ~ ~ ~• princi al estdence at 4270 ~Nertzville Road, Enola, .~„ n..,,, owns ip, CumberlandyCounty, Pennsylvania 172 ~~~_~" (List street address, town/ctty, township, ca ty, state, zip code) 1-- Wherefore, Petitioner(s) respectfiilly request(s) the probate of the nd Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to the undersigned: Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COIJNTYOF CUMBERLAND The Petitioner(s) above-named sweaz(s) or affirm(s) that the statements in the foregoing Petition are true and correct to the best of the laiowledge 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 before me the / 0~6 day,of Gt~.ST ~~ For the Register File Number: Estate of Susan A, Miller Deceased ~~ Social Securi Number: ~~,,{{~~~~ Date of Death: August 12, 2008 AN1D NOW ~ o7JY o((~J~ in co id rat'o is e i i ~f tke fireb~mg ?ehU~n, satisfactory proof having been presented before me, TT IS DECREED that Letters Testamentary are hereby granted to Jimmie Shomper in the above estate and that the instrument(s) dated August 7, 2002 described in the Petition be admitted to probate and filed of record as the last Wild (and Codicil()) of Decedent. FEES O~' Letters ... !~ ~V t ~~ .. $ (00 Short Ce:rtificate(s) .. j0..... $ a y Renunciation(s) .......... $ l.~~ilr' ... $ %5 _ ~L~.f ... $ / 0 ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ //'~ ~ 0.00 of Persona! Representative _ _ -_,, ~3 Signature of Personal Representative ~ ~ ~ ~ --•w, -- Signature of Persona! Representative . % `?~ F~..; ,., - cr, _." . _ .... _._4 ~s.. , J x• of Ctrs Attorney Signature: Attorney Name: Mark T. Silliker, Esquire Supreme Court I.D. No.: 33671 Address: 5922 Linglestown Road Telephone: Harrisburg, PA 17112 (717) 671-1500 Form Rw-0.? rev. 10.13.06 Page 2 of 2 105_ROS REV (UIl07) 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 14854244 Certification Number This is to certif~~ that the information here liven is con~ectly copied from an original Certificate of Death duly filed with Ire as Loca] Registrar. The original certificate wilt be forwarded to the State Vital Records Office for ernlanent film«. ~~ ~ ~ ~ ~~ Local Regis ar Date Issued _. __~ _ -. _.. _._..__... _ i~ i -;'7 ~ - -- a ~~ - ~ r~. „~ COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VRAL RECORDS _ _ ~ ~- ° 'M CERTIFICATE OF DEATH -=i 1":a ,, rK See instructions and exam las on reverse t P ~ STATE FILE NUMBER I. Nana of Decern (Fa:q nW7a, Iasi Waal 2. Sa 3. $opY Sxary N«Mar 1. Dab d Dsadl (M«W, my. yawl `. - Susan Arsula Miller 8340 24 l 159 - ema e - Au ust 12 2008 s. AYa 0.a:, &^^oril lndr , yw uro« , s. Dau a BiM pawn. T. e:Ypbor l ' ana awa « 1 Ys. Platy a DaaYs (Chwis «+M ar) .~. Data rwa irwa PA Nwpirl: Darr 76 ra. 7/2/1932 E. Pennsboro Twp ® ^En,a~Y ^~,, ^waabuNaw ^ ^D,,,,.~,aay b. Cosmry d oars k. GsY, Boeo, Twp. d Dwds 80. FaeYly Nanr (Y na.rYaNan. ya alad and rrrbx) 9. wr DaaMra d IiiParia pgbT ~ No ^ Yr 10. Nan: Mwa:an b6aa Bhm. wNb, r:. lsad,~ White nd E. Pennsboro Tw Holy Spirit Hospital '"~~ b l C ~) um er a ,,. Daceoara's Uwd Om ~ d non Oor ~ nlad d ~ Yl. Do rid dra ,2. wr fkwdra asnr n rb 13. Dawdaflra EduwYOn ISoaeilY may' ~~ g~ ~^) ,a. AIriW 9aM: arnbd, Narar Marnsd. 15. Ssamg SFarr IY wb, ~ maids rums) lwdorwd Diwwd (SVar%M , Kad a was Krd a Briraa I bdday U.s. Amrd Fawn? Elanwdary ~ SewMary (a12) CoMga (1~ a 5.1 Wid - ow ------ Seamstress Garment Co ^Yr $)jlo 12 6. Dacww~s frig Aadrra (3aax ah ~ bwa. dab, av mda) Dr•drl''' 0i° awd"{ E . P e n n s bor o Adar ffaidrsw na aab PA fin b a nc. ~Yr, Dacad.Y tiv.d ~ Trp. 4270 Wertzville Road TaarWlc? Cumberland ,Ta^~ a °^"'n Enola, PA 17025 ~,Ba,a ,Te.c«.ay `Y. F'YI`' Name lFru "•la•' `g' anal Unknown L i dd i c k ,Y Abrws Nrr (Fat nrdaa, mrtlr wrwr) m"~`>m,a"ra Nrr lTrf» ~ Pnv Jimmie E . 5 h ompe r x°.'r~«"rrr",rirr° um~.` rsr,. d" „arrr' abb''° `m~ 4270 Wertzville Road, Enola, PA 17025 2,a Mxlrm a Dlpraon I ^ Cnrnauan ^ D«sdos 21b. Dab d DYPOaibn pass d//• YaYrl t,c. 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To tlrewdr,bw.bdYa ~ - ( . • Pr xiosascirsp ari wWYInY PM+«~ IPMacbn Eor~ pmnaa,dnq dare and wralYYS b war d anal 7o ub aasl d sly bsYYYadYY. daaa amrrad d Yr Yme, dab, sad pbw, arsd dw b tlr wuaa(a) and aunrr r sYriL """"""" -" ^ St. lrrw Nunbar O ~ \~v ~ o 730.y luaan, hy, yaarl v 1 O O v ` Q • 14diwl Earsamr I Caaw On des Yada a aaardndiori and 1 a bNatlgatlon. b my oplYYrl daaM omrnd tl Cb tlab, 4r, an0 platy, and dies b tlia eauaa(p and r„arvsr r abri ^ ~. d tl Oaaal ( 2T) Tyq Prira -'~i V~ /' v Q / DiapasiYm Pemal No. / / / U ! ~ (( LAST WILL AND TESTAMENT OF SUSAN A. MILLER I, Susan A. Miller, a resident of Cumberland County, Pennsylvania, being of sound and disposing mind and memory, and over the age of 18 years, do make, publish, and declare this to be my Last Will and Testament. ****ONE**** I revoke all prior Wills and Codicils by me, heretofore made. ****TWO**** --,_, ~; I declare that I am currently widowed. ~ 1..=~' .. ****THREE**** 1. I have two (2) children whose names are: -- Susan L. Ferree, born May 12, 1955, and Wilson G. Miller, born Apri129, 1970. 2. The above-mentioned children are living. I have no deceased children. 3. The terms "child" and "children" as used in this Will include the children mentioned herein, any children hereafter born to me, deceased children, and any children I may hereafter adopt. ,~ ~z ~~ ****FOUR**** I have intentionally omitted to make provision in this Will for any future spouse which I might have. ****FIVE**** I give, devise, and bequeath the sum of $100 to each of my children, and the rest, residue, and remainder of my estate, both real property and personal property, unto my beloved nephew, Jimmie Shomper. ****SIX**** In the event that Jimmie Shomper should predecease me or fail to survive me, then I give, devise, and bequeath his portion of my estate unto Jamie and Brian Klemz, in equal shares, on a per capita and not per stirpes basis. ****SEVEN**** If any provision of this Will or any Codicil thereto is held inoperative, invalid, or illegal, it is my intention that all remaining provisions, thereof, shall continue to be fully operative and effective so far as possible and reasonable. :~ 7,~ ****EIGHT**** I direct my executor, hereinafter named, to pay all of my funeral expenses, administration and expenses of my estate, including inheritance and succession taxes, state or federal, which maybe due by the passage of or succession to any interest in my estate under the terms of this instrument, and all my just debts. ****NINE**** I appoint Jimmie Shomper Executor of this Will, and direct that no bond or other form of security be required by reason of his acting in such capacity. ****TEN**** Should Jimmie Shomper be unable or unwilling to act in the capacity of Executor, I appoint Jamie Klemz and Brian Klemz as Co-Executors and direct that no bond or other form of security be required by reason of their acting in such capacity. IN WITNESS WHEREOF, I Susan A. Miller, hereby set my hand to this my Last Will and Testament, each page of which has been signed by me, on this yam, day of '~'~c~ , 2002, at ,--~~,~ ~, r ,Pennsylvania. - :J .. Susan A. Miller Signed, sealed, published and declared by Susan A. Miller, the above- named testatrix, as and for her Last Will and Testament, in the presence of us, who, on her request, in her presence, and in the presence of each other, all being present at the same time, subscribed our names as witnesses. ~,'? ,,-, Address ~~ ~ < L ~ ~%' `~° + ~~' Witne f,~ / ~. %' ~; ~_~ ~'+,.~..~,,_. Address `_~ ~ _~ Wi ess '` ~.__...., ~. COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN SS. I, Susan A. Miller, testatrix, whose name is 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, that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein contained. Swor~~oir affirmed to and acknowledged before me, by Susan A. Miller, testatrix, this ((day ))of , 2002. L Susan A. Miller ti ~ ,i3 ~..~.. Notary Public KC1TAt3ir~L SEAL RENEE DREtSBACH. Notary Public City of !#Eisnsl'w~. DauPhi~ County My Corrr~iss7orr~x~~res Nov. 30 2aQ2 - COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN SS. rt ~- We, ~~ fl ~ jt ~~ ~' and -_..~ ~;;G,x^h-~~ ~~~,~,~ the witness 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 testatrix sign and execute the instrument as her Last Will; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testatrix signed the Will as witnesses; and that to the best of our knowledge the testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed to and subscribed to before me by %( ~ l ~~'1. ~ f e ~~°' ~ ~ and -~~~~ ~ } ~ }~ ~ ~,,,F-, ,witnesses, this _ day of 2002. ~~~ Witness Witness ~_ / ~ ~'- / ti. Notary Public -~j` ~v-d~F.lAL SEAL ~~ ;~v,Nr=E=IIF-~E±Sf3ACH, Notary Pu}~lrc lity of h~Fnshufy Dauphin County J Co,~r~rriissx~rtfx;,,;g,, Nov. 3!~? 2002