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.)
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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
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before me the ~ ~ day of
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Signature of Personal Representative Alan B. Cline
Signature of Personal Representative r. ~
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j For the Register Signature of Personal Representative ~ =~ ~t
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File Number: 21 L.~ ~~~C.% ~~~ C,
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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
.... $
.... $
.... $
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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[/~
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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) „_,_~ ~„ _,,,,-
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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
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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
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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
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T 3W. Wem Aulapsy Fmdrrgs
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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
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orme
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leblePrloraComplelim
mcauseolDaath?
^Natuml ^Hankide
Au 24 2009
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Self-inflicted
gunshot -handgun ,
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Home
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_ ^ 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
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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
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_ _ _ ^
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my know
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eat o
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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
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^ . Lk: 330. Date Si and y
~ 9 (Monts, de ,Year)
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,
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manner as s
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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
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~ 6375 Basehore Road, Suite Ifl
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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.
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BEQUESTS c_ ~, ~=•
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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