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HomeMy WebLinkAbout09-01-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of ROBERT E. BURGER File Number 21 09 ~'~ LCD also known as ,Deceased Social Security Number 198-30-2149 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' OR 'B' BELOW:) ^X A. Probate and Grant of Letters Testamentaryand aver that Petitioner(s) is /are the Executor named in the last Will of the Decedent dated ~f 9lo~aa't and codicil(s) dated none (State 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 (Ifapplicnble, enter: c. t. a.; d. b. n. c. t. a.; pendente liter durante nbsentin; durante rninoritate) 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:(// Administration, c. t. a. ord.b.n.c.t.a., enter dale of Will in Section A above and complete list of heirs.) r~ Decedent was domiciled at death in Cumberland County, Pennsylvania, with his /her last principal residence at 126 South Hanover Street Carlisle PA 17013 Carlisle Borough (List street address, town/city, township, county, state, zip code) Decedent, then 70 years of age, died on 8/24/09 at 126 South Hanover Street Carlisle Carlisle Borough PA 1701.3 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 (1f not domiciled in PA) Personal property in County Value of real estate in Pennsylvania situated as follows: g 200,000.00 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 appropriate fi~r~r ~.~~ the undersigned: Signature Typed or printed name and residence (a1 «~ jti.-~ ~~/ ` ~ `la Alan B. Cline (717) 486-5034 30 Chelsea Lane Carlisle PA 17015 Page 1 of 2 Form RW-02 rev. 10.13.06 (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. ~ -~' 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 ~,t before me the ~ ~ day of ~~~ ,~ ~~ ., ~~ ., Signature of Personal Representative Alan B. Cline Signature of Personal Representative r. ~ `~. c~ C ..,~ j For the Register Signature of Personal Representative ~ =~ ~t :' ~ C7 "L~ "~?m /,\ _~.. - ~=~5"t~ t~T- ~ ~ ., ~~:. File Number: 21 L.~ ~~~C.% ~~~ C, ~U .~- Estate of ROBERT E. BURGER ,Deceased -- Social Security Number:198-30-2149 Date of Death: 8/24/09 AND NOW, ~~~~r`f~1~.~ ~ , 2009 , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that LettersTestamentarv are hereby granted to Alan B. Cline in the above estate and that the instrument(s) dated ~~~ ~~dd ~ described in the Petition be admitted to probate and filed of record as the last Wil}1(and Codicil(s) of Decedent. FEES Letters ........................... $ ~~:-~,, !ice Short Certificate(s) •••••••••••• $ ~~ ~~ Renunciation(s) •••••••••••••••• $ V ~ ~ - .... $ ~ C`s L~ '.~ c-vim "t i v`~1 .... $ .... $ TOTAL .... $ .... $ .... $ JAI Register of Wills ~ ~ J' ~ Attorne Signature: ~ ~ ~ `,~ Y Attorney Name: Christopher E. Rice Supreme Court I.D. No.: 90916 Address: 10 East High Street $ Telephone: Carlisle PA 17013 717-243-3341 Form RW-02 rev. [0.13.06 Pale 2 of IIU.RU~ REv. 01/Ii: LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate. `6.00 /j"'~~~~ ~fp[/~ 1 J~ P C ~ Thl~ is rL1 .crli?7 Ir.)t Ih ~ inlL+u) t tfr/ ut - ;~ ) .)a i. ~ ~ ) . (, //~i P 1 ~ C. ()II~~( \ 1, a))C il ))~1 ,i 1 1 l~~ljl ll ~ t i (l~) 4 1 '' L11 I) )~I /p,~p~ ~ s~~ ~ Bull filcLl ~G ltil n j, I , ~.J ILL ) - ~:)) i ~n~ :n i tj:~.,i ~~~ ~ z 11 llltltll all \A !'I !l Till\1 11 ; l'tl ?I1 ~l:iY:' ~ t l ~rJ ~, ~1 a I ~ f~ltL)+-.~`, (3113.'.' ?L`1-i rl.,l :,. ll; ll lfil ". P 15 7 2 9 716 - , ~ F,99j F~~P~?`x1x 7 ~~~ (~ ~ ^~' `,, ~~ 1 s 20 9 ~ fi --..MENT ~ `' _~ - -- A 1 2 0 _- --- Certi cation Number -,,,,,,r~„'% Loyal Rc~~l~ttat '~ r;a~c, 1),I L~ i~~ r.? ~ ~, -' r- ~ ~-. ~ .a ~ _ ~ ~ v~ ; ~: -p .. ~ . _ ~. - ..Jm - -.., - , (: ~ ; ., 2 _ ~ ~~ + l --1 Z ~ ' , t nds.144 REV nnggs COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS TYPE/PRINT IN PERMANENT CORONER'S CERTIFICATE OF DEATH BLACK INK !k'~~-nR~ (See Instructions and examples on reverse) „_,_~ ~„ _,,,,- NII 0 i 1. Name of Decedent (Frei, middle, last, suffix) 2. Sex 3. Serial Security Number 4. Date of peach (Month, tla ,year) Robert E Burger Male 198 - 30 - 2149 August 2~+, 2009 5. Age (Last &'nnday) IhMer 1 year Under 7 day 6. Dale of Blnh (Month, tlay, year) 7, Birthplace (City aM state or foreign coumry) 'ia. Place of Death (Check Doty one) 70 ~~` "`" "~" Mimw~ Oct. 14, 1938 Butler, PA Hospital: other. Yrs. Inpatient ^ER/Ou¢atiartt ^DOA ^Nursing Fiume Residence ^Other-Specfiy: 86. County of DeaM Bc. Boro p. of Death Bd. fadlily Name (II not instlMbn, give street aM number) 9. Was pecedmt of Hispanic Origin? [~ No ^ Ves 10. Race: American Indian, Black, While, etc. Cumberland Carlisle I26 South Hanover Street myes,apedycaban, js/~;M Mexican, Puerto Rican, etc.) White 11. Decsknt's Usual Occu at'ron Kind M woM done Bunn most d wwki Ida. Do not state refired 12. Was Decedent ever in fhe 13. Deptlent's Education (she ify Dory hghast grade cnnryleted) 74. Martial StaNS: Married, Never Marrieq 15. Surviving Spouse (If wits, give maiden name) Hits d Work Klnd of Business I IMustry U.S. Amred Forces? Elementary /Secondary (D-12) College (1-4 or 5r) Wtlo'xed, Divorced (Speci/y) Accountant PA Turn ike ^Yea ®nw 12 16. Decetlent's Mailing Atltlress (Street, city /town, state, up code) Decetlent's Did Decedanl 126 South Hanover St . Aaual Reaidax a ,7a. sore PA Live Ina „~ ^ y„ oepde"„~,,;" Carlisle, PA 17013 , rib cmnty Cumberland Township? 17d. ~] No, Decedanl Lived witNn Twp " AcNal Umas of ~ar 1 7 ~ CM / Boro 18. FaMets Name (First, midtlle, last, suffix) 19. Mother's Name (Frsl, middle, maitlen surname) David Bur er Helen R. Bowman 208. Informant's Name (Type I Print) 200. Inlomenys Maianq Atldress (Street, city /town, state, tp Wde) Alan Cline 39 Chelsea Lane, Carlisle, PA 17015 21a. Medved of Dispositun ^ Cremalpn ^ Donetxm 216, Dale of D'spphion )Month, day, year) 21c. Place of Disposition (Name of cemetery, crematory or alher dace) 21 d. Locat'wn (Chy I town, stale, zip code) [~ Burial ^ Removal from Slate ;Wee Cremetlon or Donation Aulhodzed ^ ^ Aug . 28 , 2009 ShOOps Cemetery rrisbu PA 17109 Gdrer - SPe<ih' ;~ by Medical Examiner /Corms? Vas ^ No ~ , 22a. SgnaNre of Fun ice (err person acdrg as such) 22b. lkense Number 22c. Name and Address a Facility Hof fman-Roth Et]rieral Home & Crematory .Inc - _ 138425 19 N Canplete Items 23ac mty when certifying 23a. o dre best of my knowledge, death oozrred at the Ixne, date aM place stated. (Signature aM tole) 23b. License Number 23c. Date Signed (Monts tla ear) physkien is rM availeMa at tlme of deaM to , y, y teddy cause of dash. Hems 24-26 must be compleed M person Z4, lime of Death P rX . 25. Date Pralounced Deatl (Marts, day, year) 2fi. Was Case Relened to Metlkal Examiner /Coroner tar a Reason Ottrer tom Cremation or Donation? cater Drorourxas aeafb. 1:30 A. M. August 24, 2009 Yes ^No CAUSE OF DEATH (See Inetruetlone end exampbe) r APproxlrnate imerval: Item 27. Pan I: Enter the :hnin of evems -diseases, injuries, a romplketlom- Met tlirecgy caused the tleaM. W NOT emer terminal events such as cardiac artesl, Onset to DeaM n Pan IC Enter aher •jgnakam pndifb • cmMbul f der.'" but rid resulfing In dxl untlemying cause given in Pan L 2fi. Did Tobearo Use Contribute ro DeaM7 ^ Yes ^ Probably readmtory artesl a venl cular fibrillation without snowing dN efblogy. Usl arty Dire cause m each tine. r ~ IMMEDIATE CAUSE IFiral dsease a ^ No ^ Unkrpwn condilim rasulNng in eats) ~ a Gunshot t0 Head 29. If Female: Due to (or ea a wnsequenca op: ~ ^ Not pregnant wdnin pest year $equantlalry fist card'tfons, d arty, D. ked'mg t tfre se f tad on line a. ^ Pregnant at time of tleath Enter the UNDERLYING CAUSE Duo to (or as a mnsequerrce oQ: ^ Not pregnant, bm pregnant wimin 42 days ~dsease a injury Mat iniliafed fhe ants resulting m tleath) LAST. c' of tleath Dua to (w as a consequence op: ^ Na pregnant, bm degnant 43 days l01 year d. ~ before tleaM ^ Ilnkmwn i! pregnant wdhin Me past year 30a, Was en Amapsy P l T 3W. Wem Aulapsy Fmdrrgs A l 31. Manrrer of Death 32a. Date of Injury (Monts, day, year) 32b. Dexdbe How Irpury Occurred 32c. Place of Injury: Home, Fartn Sties Factory er orme va leblePrloraComplelim mcauseolDaath? ^Natuml ^Hankide Au 24 2009 g• , Self-inflicted gunshot -handgun , , , Dr ewlding,at/sper/y~ Home ._...{ ^ vas ry.LNo _ ^ vas ^ No ^ Awe"t ^ Pendn9 Invespgelim 32d. r o(Inlur~P rX , 32e. IMUry at wwk? 321 u TranspMation Irqury ISPedNI 329. LaUtion of Inlury (Slreel, ciy /town, state) T Suicide ^ Could Nol be Determined 1 ~ 30 A M ^ Ye5 No ~( ^ Dnvs / OpereWr ^ Passenger ^Petlestnan S. Hanover St. Carlisle PA . ~~r~h, , , 33a. Certifis (check mly orm) 33h. Signature and T r , • Cenllying phyaleian (Physidan terdflnn9 pose of death when another physiaen has prmounpd tleath and completed ttem 23j th b f l T d - Co ion e r _ _ _ ^ e my know o eat o edge, eaM occurred due to the tauae(e) and means as alatad_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ • Pronaurming and tanKYM9 ptrysklart (PhYSZian hots prmwndng tleaM and certifying to pose of tleath) To the heal of my knowedge death ottunad at the hme date lace am eM due to the pus s) and l t ^ . Lk: 330. Date Si and y ~ 9 (Monts, de ,Year) , , , p , g manner as s e ed_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ • MedlplExammerlCOrons On the basis of exemlretlm aM I or InveadgMbn, In my opln(on, deaM occurred of the Nme, date, and place, aM due M die cause(s) antl manner m afefe4 ~ August 2S, 2009 ~ Name f p ~ t o Death 7 /Porn ar~,l,~€~a~'`~. ""i~bdr~i~ei~, C~~'$bI'P~r 3s,Regist wreamtlois 1~c- l~ ~ I I ~~I l I h I -f i~ DateFletljMOnM,dagyear) ~ 6375 Basehore Road, Suite Ifl 'aacn~x~~ i. , - S Mechanicsburg, PA 17050 Dlsposibm Permit Na. ~I.T(~(~;~1L7 LAST WILL AND TESTAMENT OF ROBERT E. BURGER I, ROBERT E. BURGER, of the Borough of Carlisle, Cumberland County, Pennsylvania, declare this to be my Last Will, hereby revoking all prior wills and codicils. FUNERAL EXPENSES FIRST: I direct the payment of my fiineral exYensPs, including may gravemarker, as soon as may be convenient after my death. PAYMENT OF DEATH TAXES SECOND: 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 apart of the expense of administration of my estate. r_. -. ~~~ ~ :- > BEQUESTS c_ ~, ~=• - _~J !-~~ ~~ ~,~~ n~ THIRD: I give the indicated amounts to the organizations as follows: ~~''-' ~ __ _ A. The Bellaire Acres Rod & Gun Club, Ten Thousand and no/10(~~= ' ` =''~ ($10,000.00) Dollars. _ , --`i `•' ' DISTRIBUTION OF RESIDUE FOURTH: I give the rest of my estate in equal shares, per stirpes, to the following persons who survive me for a period of thirty (30) days: A. Alan B. Cline, or his issue; B. Joseph R. and Dorothy Hribal, or their issue; C. Jody Wert Angline, or her issue; D. Donald E. Wert, Jr., or his issue; and 4l~ ~ ~ ~~ initials E. Kathy Steigleman and Larry Steigleman, or their issue. PROTECTION OF BENEFICIARIES (Spendthrift Provision) FIFTH: No interest in income or principal shall be assignable by a beneficiary or available to anyone having a claim against a beneficiary before actual payment to the beneficiary. Provided, however, any beneficiary may assign any part or all of the beneficiary's interest in my estate to any one or more of my descendants or to any one or more of the beneficiary's descendants. MINORS AND INCAPACITATJFD ~F,NEFICIARIES SIXTH: If any income or principal shall be payable to any person who shall be a minor or who shall be incapacitated for any reason, my executor as trustee shall hold such income and principal during minority or incapacity and shall be entitled to apply such income and principal to the health, maintenance, support and education of such person during minority or incapacity without the appointment of any guardian or committee or any authority of court. My executor as trustee shall be entitled to make direct application hereunder or to make application by payment of income and principal to the parent or other person in charge of such minor or incapacitated person, or to his or her guardian or to a custodian under the Uniform Transfers to Minors Act. Any remaining income and principal to which such person shall be entitled shall be distributed to such person upon the termination of minority or incapacity. My executor as trustee shall have the same powers as my executor. POWERS OF EXECUTOR SEVENTH: I confer upon my executor the right to sell or otherwise convert any real or personal property at public or private sale, at such time or times, in such manner, and for such price or prices, and on such terms and conditions as my executor shall determine, and to execute and deliver good and sufficient conveyances, assignments and transfers of the property, without liability of any purchaser for the applicatio~~ of anv considerati~~n; to burro.=r :rzvn~y ar~d t~~ secure its payment by mortgage of real or personal property, pledge of investments, or otherwise, without liability on the part of the lenders to see to the application thereof; to retain any investments at discretion; to invest and reinvest at discretion, without restriction to so-called "legal investments"; to make distribution in cash or in kind; to allocate and distribute different kinds or disproportionate shares of property or undivided interests in property among beneficiaries, in cash or in kind, or partly in each; and to do all other acts and things necessary or appropriate in the management, administration and distribution of my estate. ~~ ~ ~ ~ t initials APPOINTMENT OF GUARDIAN OF ESTATES OF MINORS EIGHTH: I appoint my executor as guardian of the estates of minors with power to hold all property payable by law to a guardian appointed by my will and to use it for the minor's health, maintenance, support and education, either directly or by payment to any person selected by my executor to disburse it whose receipt shall be a complete acquittance. Guardian may, in discharge of all the guardian's duties, pay any minor's share deemed impractical of administration to the parent or other person in charge of the minor or to his or her guardian or to a custodian for the minor under the Uniform Transfers to Minors Act. My executor as guardian shall have the same powers as my executor. APPOINTMENT OF EXECT?TOR/RIX NINTH: I appoint Alan B. Cline, Executor of my will. WAIVER OF BOND TENTH: I direct that no fiduciary hereunder shall be required to furnish bond in any jurisdiction, and if any bond is necessary, no surety shall be required. INTERCHANGEABILITY OF LANGUAGE ELEVENTH: Words used in the singular may be read to include the plural or the plural may be read as the singular. Similarly, the masculine form may be read to include the feminine and neuter; the feminine may be read to include the masculine and neuter; and the neuter may be read to include the masculine and feminine. HEADINGS TWELFTH: The headings used on the various paragraphs of this will are included for convenience only and shall have no legal significance. I have signed this will this ~ ~ day of ,~1~( ~'~ , 2009. Rob E. Burger, Testator Witness Witness ACKNOWLEDGMENT and AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF CUMBERLAND We, Robert E. Burger, the Testator in and the undersigned witnesses to the will, the attached or foregoing instrument, who have signed the instrument, having been qualified according to law do depose and say: (a) that I, the Testator, do hereby acknowledge that I signed the instrument as my will.. that I signed it v~~illingly and as m~~ free and voluntary act far the purposes therein expressed; and (b) that we, the witnesses, were present and saw the Testator sign and execute the instrument as his will, that he signed it willingly and executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the will as a witness and that to the best of our knowledge the Testator was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence. Robertt E. Burger, Testator Witness Witne s '~' ~~ ~. Notary Public COMlV1aNWEALTEI Uf PENNSYLVANIA Notarial Seal Robert R. Black. Notary Public Carlisle Boro, Cumberland County My Commission Expires Sept. 28, 2009