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HomeMy WebLinkAbout02-03-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of MERLE E. PIPER also known as Deceased Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) COUNTY, PENNSYLVANIA File Number C~~ ~~ ~d~ Social Security Number 210-26-6286 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the named in the last Will of the Decedent dated NOV. 8, 2002 and codicil(s) dated NONE Galen E. Piper, Gary E. Piper and Gerald E. Piper, Co-Executors named in the Wi11 renounced in favor of M&T Bank (State relevant circumstataces, e.g., renunciation, death oJ~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 (lfapplicable, enter: c.t.a.; d. b. n. c. t. a.; pendentelite; dnranteabsentia; dtn-antetninoritate) Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) heirs: (If Administration, c. t. a. ord. b. n. c. t. a., enterdate of Will in Section A above and complete list o~heirs.) ~ ~ __ O -- Name Relationship Resic~.-. rn _ ~. C!~ ~+ W ti i _. ..Q - (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. ~ ~ Cumberland W ~ " Decedent was domiciled at death in County, Pennsylvania with his /her last principal residence at O 401 Mt. Rock Road, West Pennsboro Township. Cumberland County. Newville. PA 17241 (List street address, town/city, township, county, stale, yip code) Decedent, then 74 years of age, died on January 17, 2009 at Carlisle, PA Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 388,775.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ 160,000.00 situated as follows: 401 Mt. Rock Road, Newville, PA 17241 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 m the undersigned: Si nature T' ~ ed or rinted name and residence Jane F. Burke, Vice President, M&T Bank, One West High St., Carlisle, PA 17013 Form RW-02 rev. 10.13.06 Page 1 O f 2 ~r~/ Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS 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 ±o or affirmed and subscribed before me the _~„__. day of ., t 1>/• CL l~ ~, ~ ~~7~1~1 r o/Personal Representative Signatrre q1 Personal Representative Signature o/Personal Representative N c~ C~ .o Q -n File Number: ~ \ ~ \ ~,~~ .~ ~~ 43 C;7 7 ~ _ Estate of MERLE E. PIPER , Deco ?~3 W Social Security Number: 210-26-6286 Date of Death: iANUARY 17, 2009 ~ ~ O ._ - "- '; --: ~.$~`= ~_.. 4 c_ _- , 1 >n AND NOW, ~ ^' u`~ , in consideration of the fo egom((~~ Petition, sati/s~factory proof having been presented before me, IS DECREED that Letters ~~e}~- - ~A' 1 111~t ATV G'~~i1Gv1 C~~ are hereby granted to M&T Bank in the above estate and that the instrument(s) dated November 8, 2002 described in the Petition be admitted to probate and filed of FEES SyB.~~s.~~o `° Letters ... .. ... $ 1100 Short Certificate(s) ..~ ~.... $ `t"D`~^ Renunciation(s) ....~-~..... $ ~~ I J i_~~~~ ... $ O° i5 J .Q _ ... $ , o°~ ~~ ... $ 5~ ... $ ... $ ... $ ... $ ... $ ... $ .......... TOTAL C6^',~~~ ... $ ~y.~ as the last Will end Codicil(s)) of Attorney Signature: Attorney Name: CharlesGErShield7s, II1, Esquire _~ Supreme Court I.D. No.: 3 O J ~~J Address: Telephone: 6 Clouser Road Mechanicsburg, PA 17055 717-766-0209 Form RW-OZ rev. 10.13.06 Pa~e Z Of 2 lLlli ;ifl~ 12t.C' ~I11;f1 i 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 x.5093693 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 for~~arded to the State Vital Records Office for permanent filing,. L~ir~~~e~ac~-~c, `De.`ra~ex"JAt~ 1 9/ 2Q09 Local Registrar Date Issued rv ;~ ~ =- `_~ C7 W r` C7 © ~ E O H10S743 REV 11200fi COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS TYPE / PRINT IN PERMANENT CERTIFICATE OF DEATH BLACK INK See instructions and exam lee on reverse ~ \ ~ ~ O,U~ P ~ STATE FILE NUMBER E 1. Name d Decedent (Fusl, mklde, last, sulaxj 2. Sex 3. Satiel Secudry Number 4. Date of Death (Month, day, year) /~7CI~. Z- E ~ J~=PE~' , MALE 210 -26 - 6286 I I 2~~c1 5. Aga (last &mkay) thlder 1 UMer 1 ce B. Date of BiM (Mmm, des , r) 7. BNhplace (G alxl slate a foreign country) Be. Place of Death (Check Day one) '"""` °"° "°"`" ""'""" 6/28/1934 Newville PA Hospital: Other. 7 Yrs. Inpaaenl ^ ER / Outpetienl ^ DOA ^ Nursing Home ^ Residence ^Omer -Specify: ' eb. CouMy W Deem Bc. City, Born, ~of Deem Bd ( (' I ~~Ia~~~~ Medical 9. Was Decedent of Hspenk Origin? ~NO ^ Yes 10. Rata: Amedran Intlian, &azk, While, ak. Cumberland South Middleto Center (n yea.apedlycaban, Mexican, Puma Rican, etc.) (spec;M Whit e 17. Decedents Usual aan KiM of wode d are most d wad Ne. Do rwl slate reared 12. Wes Decedent ever in Iha 13. Decedent's Educetien (Specify Doty highest grade canp leted) 11. Maaal Status: Monied, Never Monied, 15. SuMving Spo use (If wife, give maiden name) Kintl of WaN Kiq d Business / kdusay Line Operator Electronics U.S. Amletl Fo~rc(es~? ^vea l!~fJp Elements / ery (0.12) ~ Cdlege (1 ~4 or St) Widowed, Divorced (Spea'lyd Widowed • 16. Decalenys Makig Aamess j50eet city /tam, stale, zip code) Decedents Da Dacedem sata PA Liaema „p ~yB9 pep~l~ro West Pennsboro T AmualRaeidenm na 401 Mt. Rock Road . , . wo. Tpwnahip? Newville PA 17241 ,7a.^Np, Depeaent lived within ,7b.cway Cumberland Aptp~ld c~/~ 18. Fatlwls Name (First middle, IesL sago) Irvin H. Piper 19. Momx's Neme (Rrst midde, maiden almame) Hazel L. Shopwell 2oa. Infpmrem's Names (TYPe /Print) ~~bMl°)"H""~~1 Q" a ~o'ad" t ~.; potle) g ii~pensbur PA 17257 Galen E. Piper g, zta ~M a- mod d aeppeiam I ^ crematron ^ l3oream • zm. Data d Diep~imn (MOrah, der, marl z1p. Place m f3iepossm (Name d minatory, premarory a ahx Wace1 ztd. Lmeam Icm / rown, elele, n mesa 1 ~ y ~ alp Baia) ^Ramoval from Sxe wu CremeBOnaDarutlon AatlloKea 1/21/2009 Westminster Cemetery Carlisle P , .70 3 ^ Dlner ~ Spa ily: 1 by AI•akel Exmninar / Cwaner7 ^ Ves ^ No 22A sgna"x F upanaaa (a parapn aping as a«") nb.'~n:a "~naar 2zD.'~g~~aa °Fta'i~i e r a 1 Home Inc 15 Big Spring Ave . ~ ~ ~ FD 13895 L Newville PA 17241 CaryMe name 23et any wMn a ' ' ~ ' 23e. To tls bast a my krox+ed7e, aaam omurtee at the line, dale erd pMce sated. (SlgnaNre aM tltle) 23b. Lroence Number 23c. Date Signed (MOnm, day, year) phyx wu16 nd evru6le et time of deem to h . ~ , s ~ ~~ 3 2 ~ 3 2 rrD ~ 1 ~ mNry paws d deem. ~ • Items 2428 met ce mnpleted by person 2A. nine d Dean 25. Date Prmaxced Dead (Noah, say, year) 26. Was Case Referree to Medlcel Examiner / Camrler to a Reason Other man Cremation a Donetlon?. •' vRlo pralaaxres death. - 5 M. (~ 17 2 ~~ ~ ^ Yes No CAUSE OF DEATH (See Instrucdons sntl examples) r Approximate interval: Pan II: EMx Diner ~ ~ 28. Did To6emo Use CantribWe b Death? nom 27. Pad f: Eax the aam of events -diseases, IMudes. a mngYratlaa -tlM aredy causes Ns tleatll. DO NOT sax temerel events sups as ceNiac arrest. Onset m Death bW not resularq ro me axkdyig cause given Mt Pall L ^ Yes ^ Prabady respiatary arrest, a veadmAer ImrlAatlan wMaul sfrowilg the etldogy. list Day one cause m each ace. ' No ^ Ualmwn IkIMEdATE CAUSE IFnal d aease a ~ caldlkn resWthgm m) _~ s. /~,~,il rh" (_Lk'FR~?D i/ASLUI~/~-R ~CG'7•DE/y r ~ zs.nFemala: ^ Due m (a as a mnsxluence o~• ~ ~~ CDn~liaa, n ery, b. n s !~ R i 7~ s m E L i_ s T u S ~ Na pregnam wNan past year ^ Pregnant at ama pf deem ka~q ro cause Waled m Ike a. Due m a as a consequence ap: I En~r he UNDERLYUNi CAUSE ( r ^ Nd pegnaa, but Dregnanl within 42 days ' (disease a iDpx1' That weal the p I avmm reaana m eaem) u~r a death y . Duero (a as a mnsa9uerrce on: - ^ Not pregnant but Dreyen143 days ro 1 year b l d m d. e ae ee ^ UMmwn it pregnem woman Ina peal year 30a Was an Autopsy 300. Were Auropsy Fln9rgs 31. Manner d Death 32a. Dale of Injuy (Noah. day, Year) 320. Descdce How Injury Omurtad 32c. Piece d Injury: Home, Faint Slraet Factory, Pedamed? AvailaNe Prbr ro Complelkn a cause d Deem? ~ Naarel ^ Homidtle Once Budding, ero. (SpedyyJ ^ Ves ~ No ^ Yes ®No ^ Acpicenl ^ PenUrg Invesligenon 320. T of Injury 32e. Injury a Work? 321. n Trerispenetion Iryury (Speci/yf / O l ^ P ^(' d td ^ Dd 32g. Loceaon al Inlury (Sreet dry /town, state) I ^ Suidde ^ CaM Nd ce Detertnkled ^ Ves ^ No ver pem a sssxger e es en M - ~lY: 33e. Carat Ipiladr my mat se d deem when anoUler siu'an has rapurced deem and com leted Item 23) N h ieisn e t • CMI ~ ~n ~ a 336. Signature aM T"le of Cerlfier J M p g p ys a p ry p ty ( Y Y 9 Tp„~ba,amyknawkdga.aa~laaa~aaaalan»aaa~,).ldm.nnHa,al.lea--------------------------------- ^ - k - 8 - S • Pronouncng erM cerlllying physkin (P11ysician hotll pronouncing deem aM cer8lydng to tales d deem) ^ 33c. Ucense NumLer 330. Date Signed (Mmm, day, yeaQ To the beat of my knowbdge, death occumeal the nme,eat~.aM place,xM sue to Me ceuse(sl arM manrrer as stated------------------ • MetlicM Esamirlx /Coroner ? M f~ 3 ~~J / ~ 1 7 ~.~~ On the basis of examinatlon and / a inrestigatbn, in my opiNOn, seam occunea at ltle tlme, dale, antl place, ana due to the cause(s) ana manner as stalBfL ^ 34 Name eMM Addtesa d Persm Who Can fed C.erusa,LOl Deam (Item 27) Typo I Prml ~ M R i h ' Si ' t kl 35 38 Date Faad Maah tle ~I ~+ ~' ~ ? ~ ~ ~ ~ ~T ~ eg s zr s gn p s r . - `~~ ~a~ I ~~. ~ i ~ o~ , Y. Y a c Ls~~ R~r~soN.~L M~~=~~ c~~~~ oiaposiupn Pam,a No. ~ J ~ ~ 7~ LAST WILL AND TESTAMENT OF MERLE E. PIPER I, MERLE E. PIPER, unremanied widower, currently of 401 Mount Rock Road, Newville, Cumberland County, Pennsylvania, 17241 being of sound and disposing mind, memory and understanding, do make, publish and declare this my Last Will and Testament, hereby revoking and making void any and all prior Wills by me at any time heretofore made. 1. I direct the payment of all my just debts and funeral expenses as soon after my decease as the same can conveniently be done. 2. All the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situate, I give, devise, and bequeath to my three sons, in equal shares, per stirpes to wit: A.) one share to GALEN E. PIPER, per stir~es; B.) one share to GARY E. PIPER, per sties; and C.) one share to GERALD E. PIPER, per stir~es. No step-children are to take through any per stir~ital distribution or otherwise under this will. 3. I nominate, constitute and appoint my three sons, GALEN E. PIPER, GARY E. PIPER, and GERALD E. PIPER, to be the Co-Executors of this my Last Will and Testament. I further direct that they shall not be required to file bond or other security in the Office of the Register of Wills for the purpose of administering my Estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~ day of ~~~i--~~.D. 2002. ~~ ~ -~/~ (SEAL) MERLE E. PIPER Signed, sealed, published and declared by the above-named MERLE E. PIPER, as and for his Last Will and Testament, in the presence of us, who at his request and in his presence, and in the presence of each other, have hereunto subscribed our names as witnesses. C7 ~O ~~ ~ ~~ V~ ~~^ ~G ~~ 0 -,ry rrt f W 3 W W ~} J ~..e `~ ~~ -- 1, ~r a~ ~~ o~~ OATH OF SUBSCRIBING WITNESS(ES) REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA c ~ ~m cn~ ,C3~~ -~--~ 7> _~. -~ t.~ _ _ m t t=- ~ i, -v -. -~ -, , 3 ~-~ a"~ i ,:~ <":; W ' W Deceased Estate of MERLE E. PIPER Charles E. Shields, III (each) a subscribing witness to (Print Name/s) the ®Will ®Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were present and saw the above Testator /Testatrix sign the same and that she / he /they signed 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 each other. (Signature) (Street Address) (Cih~, State. Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me/this ~ day of Ft°,~j~Z1C 2 ~~ . _~, ~ ~~ -, Deputy fo Regis e f VViLs Mechanicsburg, PA 17055 (Cih~, State, Zip) Executed out of Register's Office Sworn to or affirmed and subscribed before me this of day Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarisation. (Signature) 6 Clouser Road (Street Address) Form RW-03 rev. 10.13.06 ~~ ~ ~ `~~~ N OATH OF SUBSCRIBING `tiTTNESS{ES) " ` C,_ - _. ~ T_ ~' Q~ C_ REGISTER. OF WILLS "~> ~ ~;,~ '-:i ~- cn ~c _ -. CyMbt:~U-f~N D COUNTY, PENNSYLVANIA ~ `- '=' -~ w , Estate of M X12. ~ E E• P I P S ,Deceased fl~j ®~ ~ /~ ~"~ /Yl ~ , (each) a subscribing witness to (Print Name/s) the J'~ Will ~~-E~e~rei~{~-) presented herewith, {eae~~ being duly qualified according to law, deposes} and say(s) that she ~t how was~> present and saw the above Testator Matrix- sign the same and that she ~'' signed the same and that she %'~ signed as a witness at the request of the Testator i '~'...~+,~„-.° in ~-,~••his presence and in the presence of each other. (Signature) (Street Address) (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this of day Deputy for Register of Wills (Signature) ~ C/ouse~ ~Pd . (Street Address) f iIG~ICS~GG~~ ~/~ ~ 7C~ $~~ (City, Stale, Zip) Executed oast of Register's Office Sworn to or affirmed and subscribed before me this ~~~ day of ~w.a ~-~ d 4 _, Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of T~~G35~R~~hISYLVANIA Notarial Seal Charles E. Shields III, Notary Public Farm R w-U3 rev. !0. /3.06 Monroe Twp., Cumberland County My Commission Expires Juna 20, 2012 1r!e~hF t''` ^ ^ .~~tsaci»tion of Notaries a ~ ~` c~ 01 b~ RENUNCIATION N ~ ~~ ; -,r^t t , ~~n ~ , ~ REGISTER OF WILLS C u m t3~~~ COUNTY ~~ ~ ~ ~ c:~ r ,_`. , PENNSYLVANIA ~ ~,:~ ~? ~ ' ~~ ~ - _~ w -- ~:~ v w .,. - w Estate of /YIERL~' ~, G~/~~ ,Deceased I' G ~~Y '~" ~~~~ , in my capacity/relationship as (Print Name) _`~`cCu r0 of the above Decedent, hereby renounce the right to administer thh/e) Estate of the Decedent and respectfully request that Letters be issued to t 1' I ~ I ~' ~'~ .Tan. z z, a,o© q (Date) Executed in Register's Office Sworn to or affirmed and subscribed before me this of day Deputy for Register of Wills Form RW-06 rer. 10.13.06 Z. (Stgnature) ~+~ Y ~-. ~ pE~ ~ i_Z s L / iuiNG C T (Street Address) C/y/~i2LEST,t~, se ~ ~ X07 (City, Stare, Zip) Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposes stated within on this- 01.E __ day of .~G~utr , __ o~OQ It Notary Public My Cormnission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) COMMONWEALTH OF PENNSYLVANIA Notarial Seal Charles E. Shields III, Notary Public Monroe Twp., Cumberland County My Commission Expires June 20, 2012 Member, Pennsylvania Association of Notaries RENUl`~CIATION REGISTER OF WILLS rn~~ Cu M ['~7r2t~} IU.D COUNTY, PENNSYLVANIA ~~ t:~ ~ r~ Estate of l~l tr R L F ~: PI~~Oe N Q - C~ TI rte!'.,, - ~ ~~~ - - - w . ~~ C `-' ' => ~ _ . ~~ W r~ ..~r_t .. ~., W G? Deceased I, G~-G EN ~' ~ ~ PEA , in my capacity/relationship as (Print Name) ~ - AXE Cu To~ of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to 0Y1 ~' -T' d~nJ k JRn.2Z, Zook (Date) k _ ~~ (Si ature ~ ~/ ~~ ~ ~ GAL ~N 9 ~~ oP~~6E- ~~ (Street Address) ~H/ppFNS~N~ ~~ 17,57 (Ctty, Slate, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this of Deputy for Register of Wills Form RN'-06 rer. 10.13.06 day Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposes stated within on this _ ~?2t~c/ day n of JG{nicany oZ o09 o ~_ ~~ r O j d ~ '~ r n ~ ~ ~ ~/!~Z~~~~ 3~m ~ m Notary Public iz ~ M Commission Expires: m~~ ~ --a Y ~~ 3 ~ m~ o ~ m . q ~ (Signature and Seal of Notary or other official qualified to ~ ~ i? m m administer oaths. Show date of expiration of Notary's Commission.) m' n~ Z O° ~ N COMMONWEAIT_9;_~~t' r~P~+~iSY'LVANIA ~~ _ N ~ Q r ~~, ;y tar~~~c .~'.~r... N~ ° ~ Charles z; '~hscN9° dtP 'Votary Public _Z Monroe '~wN -u~°~Ger!a~c+ County D My Ca~.,.,~,,.tiu~•:~ _ .. .. a,i~ 20, 2912 Member, Perinsv.~<.><rreW ;-.~sotiiation of Notafies 3, \ 0`1 ~\ RENUNCIATION REGISTER OF WILLS ~a Cu m ~iEnLA-NJ) COUNTY, PENNSYLVANIA ~~~ ~ ~ r'1" t ~~=,~ Estate of m E I~L E C• ~~ ~"~'~ .a ~.J : _` -~ -_ _ ' > Q~ i ~.f ~ (`t F l ~ _3;r7 'C? ,...~ ~~._~ Ems) c-'f"7 .• _~ w .. _,~eceased I, G~~'L'v ''F' P~PFr~ , in my capacity/relationship as (Print Name) CO - ~ kE e ~ -T /~ of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to m ~ ~ ~~Nk ~' ~'kh• 22, Zooy (Date) (Signature) G' Executed in Register's Office Sworn to or affirmed and subscribed before me this day of " Deputy for Register of Wills Form RW-06 rev. 10.13.06 ~'. ~/ PEA ~ 2 s GooDs 'D R. (Street Address) 1<)D~l(,;S~oi2-, 7-E~vr-! 3763 (City, Stare, Zip) Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposes stated within on this °'2~ _ day of 0?009 Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) .O~fiUIONWEALTH OF PENNSI"LVAN3i-\ Notarial Seal Charles E. Shields III, Notary Public Monroe Twp., Cumberland County My Commission Expires June 20, 2812 Member, Pennsylvania Association of Notaries