HomeMy WebLinkAbout09-30-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of Alice Virginia Bemiller
also known as
Deceased
COUNTY, PENNSYLVANIA
File Number
Social Security Number 193-24-0128
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW.)
A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the Lynn Sanderson named in the
last Will of the Decedent dated October 25, 2000 and codicil(s) dated
(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 tl~nstrument(s}~fered ,
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: None C ~ `~ - ~
~~ ~
B. Grant of Letters of Administration 3 ~~ -v -
~T7 G.J
(Ifapplicablg enter: c.t.a.; d. b.n.c.t.a.; pendente liter durante absentia; durance mtrior~tg~ C7 _.
C
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse ~ifi~) and ~Irs: (If -;
Adrninistration. c.t.a. ord. b. n. c.t.a.. enter date of Will in Section A above and complete list ofheirs.) -- -'
(COMPLETE /N ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at
570 Gutshall Road, Boiling Spr1nQS, South Middleton Township, Carlisle, Cumberland County, Pennsylvania 17007.
(List street address, town/ciry, township, county, state, zip code)
Decedent, then 77 years of age, died on Setpember 16, 2009 at the Carlisle Regional Medical Center, 361 A-exander
Spring Road, Carlisle, PA 17105
Decedent at death owmed property with estimated values as follows:
(If domiciled in PA) All personal property
(If not domiciled in PA) Personal property in Pennsylvania
([f not domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
situated as follows: 570 Gutshall Road, Boiling Springs, PA 17007
$ 28,600.00
~ 114,955.00
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 form to
the undersigned:
or printed name and residence
Lynn Sanderson, 6063 Glatfelters Station Road, Seven Valleys, PA 17360
Form RW-03 rev. 10.13.06 Page I of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYL\/ANIA
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
_ ,i
before me the~~ day of
r, 7I
of Personal
Signature of Persona( Representative
.j
}
Register Signature of Personal Representative
_ _ ~~?
-~:
_, _ .~
_,~
~T
0
~s---r--
cn i;
~" ~'i
"U
~r--
~i _ ;
.: u: -' _
_. 'Y
File Number: t ~
Estate of Alice Virginia Bemiller ,Deceased
Social Security umber: 193-24-0218 ~j/~} Date of Death:9/16/2009
AND NOW, __~'"~> in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT [S DECREED that Letters Testamentary
are hereby granted to Lvnn Sanderson
and that the instrument(s) dated October 25, 2000
described in the Petition be admitted tc probate and filed of record
FEES ~
Letters ............... $ 260.00
last Will (an Codicil(s)) of
~~~ ~'~ ~ r
ReQister6(Wills c
Short Certificate(s) ........ $ 40.00 Attorney Signature: _
Renunciation(s) .......... $ 0.00
Attorne Name: Heather D. Royer
JCP/Automation $ 15.00 y
Will ... $ 15.00 Supreme Court LD. No.: 76327
... $
Address: 4431 N. Front Street, 3rd Floor
... $
... $
... $
... $
' ' ' $ Telephone:
... $
TOTAL .............. $ 330.00
in the above estate
Harrisburg, PA 17110
171234-2401
Form RW-02 rev. 10.13.06 Page 2 of 2
OCAL REOISTRAR'S CERTIFICATION OF DEATH
WARNING: It ins illegal to duplicate this copy by photostat or photograph.
ee for this certificate. $6.00 r ;,,~-~=;~ This ir~ t!i ccrti(~~ that ih~ inllnmation liu~ r~i~en i~
P~,SH OF pF°-
to~~, ~~ crnrecrly~ clyhied Iltnn an !~i)~~inal Certil-i~ itc of Beath
/~°o~~ `~1-= Llul~ tiled ti°ith n~c as Ll,ral Regisu-ar. I'he c1ri~~inal
(~ g% ~ , ~'
,~! ~ ~zi cutifiaite ~~ill he Il~rwarded ttiy the State Vital
.ol
~~( ~ ; ~a: R~cl~rc, IOfficr tin- hrrnruicnt lilin~~.
P 15 7 3 0 0 2 9 ~=~`~°~ ~ ~~~~''~~~~ ~~ ~~ ~Kt
9lN1ENT OF`r~l,',n1' _ __ '~"°~ SEF)' 1 7~2t~I9
Certification Number ,,,,/,/"r Li~cal Re~,;i~.uar Date issued
C ~ ~
-n cn ,~
,~ r~ •_
~-G'1-11~1~~--~F ' ' = n c„a
;, c~
• > ;_. _, I -~- _
.T~ --1
i
H1os/e3 REV tingo6
TYPE/PRINr IN
PERMANENT
BLACK INK
COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and exameles on reversal
1. Name d Decedent (RrsL mklde, lass, sumxl 2. Sex 3. Said Secudry Number ' ^ f L r'LC ,. n, 4. Date a ih (Monet, day, Year)
L QGMiIIG
J-
Y
-9 -2 -oIL oq (o p
5. Age (Last Birthday) Under 1 r U«kr 1 day 6. Date of Biah (Month, day, year) 7. Birthplace (ciry all stale or faegn country) fia. Plare a Deem (crack ony enai
xlaxle oayc Moue MMwrec p H~osPn~al Other:
Yrs. ~ 3 I ~ I 1 3 ~ Re[l~Vah
PA
^
•~Inpatienl
I
ER /Outpatient ^ DOA ^ Nursing Home ^ Resitlence ^pmer -
9Pedly:
fib
Cooll
a D
th
.
y
ea
&. Ciry, Bono, Twp. d Deem . FBCliiry Name (II not inaituuan, give street all number) 9. Was Decedent of Hkpank Odgin? No ^ Vaz 10. Rare: Amerkan IMian, Bkcle, White, etc.
-
Pr yea
apedly cabers
,
, (~+M
~ Y
~^ ~- 1' ~ CU?l~CSIL ~.~. lu(~al ~~, Mexicen,Pu«taRiren,etc.) W~I~V
t 1. Deredenrs Usual non Nkb d work done tlu' most of life. Da not slate n'li 12. Wes Decedent ever in the 13. OeretlenYS Education (Specity only Nghest gretle completed) 11. Medal Sblus: Monied, Never Marded, 15. Sumving Spouse (II wile, gK'e makkn name)
Kmd of Wak Ki
U
S
Armed F
?
f
.
.
arces
ra o
Business I Industry
Elementary /Secondary (o-12i Cdlege (1-A or 5+) WitloweQ Divorced (SpecrM
Re istered Nurse M
di
l
e
ca
^rea (~NO 3 Widowed -
16. DecedarYS Matikg Address (Shea, tlry /town, slate, zip code) DecetlenYS Did Decedent
A
Actual Reactance 17a. Slate Live Ina Twp
570 Gutshall Rd.
np.®vea,l]ecsdentLivedn Monroe
Tawnanp~
Boilin S tin s PA 17007 +]b.Ccunry Cumberland ,7d.^
i`~eawiwn
~
°i
~
cry Baq
A
cNa
u
o
16. Famer's Name (Ftrsl, mitlme, last, suA'a)
'
19. Homer
s Name (Frst, mkdl6, maiden sumerne)
George - Uhler Alice - Brawn
20a. InfwmanYS Name (Type / Pnnl) 200, InlormanYs Maifng Atltlress (Sheet, dIY /faun, slate, zip wde)
L E. Sanderson 6063 Glatfelters Station Rd., Seven Valleys, PA 17360
21 a. Memotl a Dislwsaion ~Drematia, ^ ooretron 210. Date a Dis{osilion (Monet, day, year) 21 c. Plea of Disposaon (Name of cemetery, crematory a Deter place) z1d. Loreu« (city / rown, gala, zip code)
~
Budel ^ Removal Iron State ~
Wu Crematkn w Donstlon Arnhmhed
^ OO r
may: ; brktedkalExxninarycomxr? [Yea^Np 9 18 2009 Etrans Cremation Services
Leola, PA
~
22a. Signaure a F ice tkensee (w 22b. license NaMer 22c. Name ell Address of Fadiry
- - FD 012633 L Ekaing Brothers Funeral Herne, Inc., Carlisle, PA 17013
Complete Hems 23aC only when rernfying
physkden k na avaleble at lima d deem to 23a. To the best of my knowbdge nth oa:urred et tl1e titre, tlale all place snktl. (SignaNre orb ak) 23b. Lkanse Number 23c. Dale Signed Monet, tley, year)
reraly reuse d seem.
Hama zazfi must oe ~onglelea w pwaan
wroDrwraxteeamam za. Tkne al Deem
r/
' y
P zs. Data Pmnaxwed Dead ( m, day, 2fi. Was Case Referted t
o dial Examiner /Coroner fw a Reason Omer man Cremation w Donation?
M.
.
v 4 ie o o
Y
^
CAUSE OF DEATH (Sea instructions and ezamplea) I Approximate Interval: Pad II: Enter Deter stet &ad contlinma trkurl n to deem, 26. Did T Use ConlnLWe M Deam?
Item 27. Part C Ent« the drain d everss - d'698aes, injudes, or CPIrQlka0Pr5 -mat directly mused me dash, W NOT enter Iemwlal events Such as cardiac anesl
, OnSel to Death but rwl msubing in the underlying reuse given In Pal I. es ^ Plabady
respiraory anesl, or venhianar nbdlaeon wi1Ma slwwirg me elkrogY. till Doty one cause on each tine.
r ^ No ^ Unkmwn
HIMEOIATE CAUSE 'Firer Qaeese w A / // /~ r
con6non resulnrg in deem)
_~ a, ff L.~ rC' f C'S~ r lG 1-1Y' / 'f"q I V (° r ~~ L(-Ge.~ ~ a+'t O C4/G(! L / t-r,~ 29. If Fe
r Y A r
Duero (or az a rxxxsequenoe op: (
Nd pregnant wihin pest year
ka carditkra.it arty, b. ()-S rr0.~f~1~/L I
Ia~a~rtq to 1 cause listed on 6ne a
^ Pregnant at gme a deem
-
~
~ d
2 ~lC'4
~
~~~ r
.
.(
r.vP
r+ f
V
1t
f
Eller the tMDERLYING CAUSE Due m (or as a consxTrence of): ~
^ Nol pregnant
but pregnant wilhk 42 de
(di
i
m
ka
i
a
,
sease err
njury
et
t
/
sied the o l C ~i ~ L' 0./K • y
events resunng n deem) LAST. , dM d (. f (xx of deem
Due to (or az a consequence op:
/ ^ Na preyram, M pregnan113 days to 1 year
/
d. ~ Qt/'.~u( •~:~n•tl~rr~~a•L ba«eeeam
^ Unknown it pregnad within me pea year
30a. Was an Autopsy 30b. Were Auropsy Findings 31. Man f Deem 32a. Dale of Iryury (Month, day, Year) 72b. Describe How Injury Occurred 32c. PWat al Inpay: Horre, Farm, Shea. Factory,
Pedomad'I Availade Prior Ie Catglelion
Omce Butia
a cause a Deem? Nat«a ^ naniebe ry. ere. lspaaM
^ Yes ^ Yes L7^ ^ Acdtlent ^ Pentlirq Imazngatbn 32tl. Time a Inlury 3'te. Iryury at Wade? 32f. It Trenspatanon inlury (SpedM 32g. Lannon a Injury (SreeL dry I town, state)
^ Suitltle ^ Cook Nal be Determirretl
^ Vas ^ No ^ Driver I Operetw ^ Passenger ^Pedeslrien
M
^Omer - Spedfy:
33a. Cedker (check Dory one)
' CMitylrg phyakkn (Physidan red'Rying reuse a deem when anom«
physkian has Dranouncetl tleath and completed Item 23) 33b. Sgna re orb Title d Corti r
-
To Ina beat d krrow
my kedge, death occurred due to the ~au~e(s)end manner a9 eteted_______________
^ - M~
__________
• Pmnoundng ell certltying physkian (Physkun both pronouncing deem and reniryin
le cause of tl
th
- _ _ _ - _ _ _
g
ea
)
Tome best of my krwwktlge, deem occurred at fha Hme, date, and place, and due to the eausels) end manner az sMtetl_ _ _ _ _
,License Number
33d. Dale igred ( Ih, day, year)
_
• Meant Exsminer/Coron ____________ r~~
~ ~!O ~ 3~/ ~ ~ ~
Dn me Oasis of examination and / or investlgetlon, In my opinion, deem atturrecl al the lime, date, and place, all due to ill cauce(a) and manner as statetL ^ Q/
34. Name a teas of
P,eraon
Who Canplal G8 Se of cam (Ite m 2]) ype / Prlnl
Reg¢Ire' aWre and D'atrictlflambq•
Dale Filed (Monet
day
year) }
~]
~aV•(/ /{ ~~r ry /- r11~•
~
(
,
I .~. I I I I I I I ,
, r A
Ca
ze r A !e gyn. -d sr r 9
~ 4r (iS~e 9GY5
Disposition Permit No. ` ' ~~il
o ~ . yes
LAST WILL ~
~.ro ~ ~:~
-:,.
~~ ~
~f ~ " ~~ r~
z. n -r,
-:,-n w -
ALICE VIRGINIA BEMILLER ,~ ~ '
r
;-~.
_. -,,.
~.
~~_~ ~ -%
rs
...._ _;
I, Alice Virginia Bemiller of Boiling Springs, Cumberland County, Pennsylvania, `~'
declare this to be my Last Will and revoke all wills and codicils previously made by me.
I have five (5) children: Lynn Sanderson (now or formerly of R.D. 1 Box 192,
Seven Valleys, Pennsylvania), George D'Amico (now or formerly of Box 220 Skagway,
Alaska), Raymond D'Amico (now or formerly of HC77 Box 409, Uvalde, Texas), Terri
Hopkins (now or formerly of 103 West Greenhouse Road, Dillsburg, PA), and Hope
Martin (now or formerly of 17799 Sutton Drive, Houston, Missouri). I am not married.
Article I: I appoint my daughter, Lynn Sanderson, executrix of this, my Last
Will. Should Lynn Sanderson fail to qualify or cease to act as executrix, I appoint my
daughter, Terri Hopkins, executrix of this, my Last Will.
Article II: I direct my executrix to pay all of my just debts from my residuary
estate as soon as practicable after my decease.
Article III: I direct that my executrix shall not be required to give or post bond
for the faithful performance of her duties in any jurisdiction.
Article IV. I bequeath all of the Series EE United States Savings Bonds that
are held by me or in my name at the time of my death to the said Lynn Sanderson IN
TRUST FOR her son, Nicholas Sanderson, to hold, manage, invest and re-invest, the
Page - 1 -
~ ~ ` ~~ ~
corpus so received and the accumulation of income thereon and to use and apply from
time to time such portion of income and principal thereon as the trustee shall think proper
for Nicholas Sanderson's support, maintenance and education. Should Lynn Sanderson
fail to qualify or cease to act as trustee, I appoint my daughter, Terri Hopkins, trustee of
the testamentary trust created herein for the benefit of the said Nicholas Sanderson.
Article V: I bequeath my curio cabinet and its contents to my daughter, Hope
Martin.
Article VI: I bequeath my "Mother's" ring to my daughter, Terri Hopkins.
Article VII: I devise my real property located at 570 Gutshall Road, Boiling
Springs, Cumberland County, Pennsylvania in equal shares to those of my children who
shall survive me per capita, subject to an option, described herein below, granted to the
said Raymond D'Amico, should he survive me, to purchase the shares of my other
children who survive me, and to take the real property in kind.
I direct my executrix to retain the services of a qualified appraiser as soon as
practicable after my decease to determine the fair market value of the said property. The
appraiser's fee shad be deducted from my gross estate as part of the expense of the
administration of my estate. I direct my executrix to promptly provide each of my
children who survive me with a copy of the appraiser's report. For a period of thirty (30)
days from the date of the appraiser's report, my son, Raymond D'Amico, shall have the
option to purchase the shares of those other children who survive me by giving notice of
such election in writing to my executrix and by tendering to my executrix no later than
Page - 2 -
~~~~
sixty (60) days after notice of such election the fair market value of those shares. If
Raymond D'Amico elects not to purchase the other shares, or if he fails to tender the fair
market value within the time period stated hereinabove, I direct my executrix to expose
the property to public or private sale, and to administer and distribute the net proceeds
from the sale of the property as part of the residue of my estate.
Article VIII: I direct my executrix to sell at public or private sale all of my
personal property (including my automobile) and I further direct that the proceeds of the
said sale shall be divided equally among my children who survive me per capita. If none
of my children shall survive me, the proceeds of the said sale shall be divided equally
among my grandchildren who survive me per capita.
Article IX: [give, devise and bequeath all the rest, residue and remainder of
my estate of every nature and wherever situate in equal shares to those of my children
who shall survive me per capita. If none of my children shall survive me, I give, devise
and bequeath all the rest, residue and remainder of my estate of every nature and
wherever situate in equal shares to those of my grandchildren who survive me per capita.
Article X: All federal, state and other taxes payable on account of my death
with respect to the property forming my gross estate for tax purposes, whether passing
under this, my Last Will, or otherwise, including any interest or penalty imposed in
connection with such taxes, shall be considered a part of the administration of my estate.
Page-3-
~~~~
IN WITI~]ESS WHEREOF, I have hereunto set my hand and seal this -~_~day~of
~~,.~.-e-y~~ ~ 2000.
~a
The preceding instrument, consisting of this and three (3) other typewritten pages,
each identified by the signature of the Testatrix, was on the date thereof signed, published
and declared by Alice Virginia Bemiller, the Testatrix therein named, as her Last Will, in
the presence of us, who, at her request, in her presence and in the presence of each other,
have subscribed our names as witnesses hereto.
1 ~ ~ [Witness]
_~
,~,y [Witness]
Page-4-
S/
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS.:
I, A. VIRGINIA BEMIL,LER, testatrix whose name is signed 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
expressed. ~
~._ 1 ~ ,.
,~~,~~ ~
. Virgi Bemiller
Sworn or affirmed to and acknowledged
Before me by A. Virginia Bemiller, the
Testatrix, this ~ 5 day of
~ C ~ a b ~ ~- , 2000.
COMMONWEALTH OF PENNSYLVANIA )
( SS.:
COUNTY OF CUMBERLAND
We,~ti~~~-~~~ ~.~a(~~y and ~ ens, eY ac,~~z ,the witnesses 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 the 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 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 acknowledged
Before me this ` ~ day of CSG ~, ~ f-,
2 00.
No eal
Sue A. Gaffney, Notary Public
Soulfi Middleton Twp., Cumberland County
MY Commission Expires Oct. 13, 2003
Member, Pennsylvania Association of Notaries
1~-,~~~Q,..
~ /'~ ;