HomeMy WebLinkAbout10-30-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of ~~ M. MILLER
also known as
COUNTY, PENNSYLVANIA
File Number ~ I -~ v l I f~y
Deceased Social Security Number 172-24-7736
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 Substitute Executor named in the
last Will of the Decedent dated October 19, 1988 and codicil(s) dated N/A. See attached Renunciation of decedents spouse, Herbert F.
Miller, to Vickie M. Galbraith (formerly Vickie M. Zei¢ler). The other named substitute executor (Sherrie L Simon) died gn 01/21/2007
(State relevant circumstances, e.g., renunctatio», death of executor, etc.)
Except as follows, Decedent did not many, 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: None
^ B. Grant of Letters of Administration
(If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lire; durance absentia; durance 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
Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
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(COMPLETE INAZL CASES:) Attach additional sheets if necessary. ~ ~`T~ t~1 ~ ~ ~~ 1
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Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his /her last principal resl~d~~~e ~t ._ _ r' ,--7
39 Clu¢ston Road Newville North Newton Township Cumberland Countv PA 17241 _`~-' `'~ -~. ~?
(List street address, tawn/city, township, county, state, zip code) ' aL7 -~~
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to
Decedent, then 74 years of age, died on November 30, 2005 at Holy Spirit Hospital ~' ~,'_ ~ `>
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ 1,000.00
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $
situated as follows:
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:
Si Lure T ed or rirrted name and residence
Vickie M. Galbraith, 45 Windy Hill Road, Newville, PA 17241
Form RW-02 rev. 10.13.06 Page 1 of 2
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.
Swom to or affirmed and subscribed
before me the ~~ day of
'~
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Signature of Personal Representative
Signature of Personal Representative
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Signature of Personal Representative ~ n ~ -TM
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File Number: ;~ ~ ''~
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Estate of DORA M. MILLER ,Deceased ..,, _~
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Social Security Number: 172-24-7736 Date of Death: November 30, 2005
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AND NOW,
/c5 - ~ ~~09 . in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT DECREED that Letters Testamentary
are hereby granted to Vickie M. Galbraith (formerly Vickie M. Zeigler)
October 19, 1988 in the above estate
and that the instrument(s) dated - -
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of cedent,
FEES `
Letters ............... $ UU Register o ills !~~ rr
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Short Certificates ....... '
() • $ Attorney Signature:
Renun iation(s) .......... $ ~• ~~?
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Name: i3
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am
nayi S, Esq.
c1CP ... $ U Uv 10264
Supreme Court I.D. No.:
~l,l~-clrnufiuY~ ... $
$ Address: 20 E. Burl St, PO Box 40
... $
• • • $ Shippensburg PA 17257
... $
$ Telephone: 717-532-5713
... $
TOTAL .............. $ ~ .. ~ ~~
Form RW-Ol rev. 10.13.06 Page 2 of 2
RENUNCIATION
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
V
Estate of DORA M. MILLER
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I, HERBERT F. MILLER
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l9Qceased
in my capacity/relationship as
(Print Name)
husband and named Exeuctor in the Will of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
VICKIE M. GALBRAITH, formerly VICKIE M. ZEIGLER
Oc~n>'.ta1 26 ~zudq
(Date)
Executed in Register's Office
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(Signatrve)
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(Street Address) ~
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(City, State, Zip)
Executed out of Register's Office
Sworn to or affirmed and subscribed
before me this day
of ,
Deputy for Register of Wills
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 Z ! ~ day
of_ O C•~!J~e.c ?dog
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Notary Public
My Commission Expires: Sot-, ~ Z~ , z v ~ Z
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
COMMONWEALTH OF PENNSYLVANIA
Form RW-06 rev. 10.13.06
Notarial Seal
Hamilton C. Davis, Notary Public
Shippensburp eoro, CumberlanG County
My Commisafon Expires Sept 27, 201~Z
Member, Pennsylvania Association of Notaries
his is to certify that the information here given is correctly copied from an original cerrificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
Deal Registrar
f~ 12046120 ~. ,~
No.
H70.5.1I3 Rev. 2lS7
TYPFARINT
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS .~ ' ~
CERTIFICATE OF DEATH
NAME OF DECEDENT (Ebel, Middle, Last) SEX SOCIAL SECURfTY NUMBER V _ DATE OF DEATH (Month, Day, Year)
1. Dore M. Miller 2Female 172- 24 . 773':6
AGE (4s1 BWday) R Y DATE OF BIRTH BIRTHPL4CE (Ciy an0
P F 3 4
Month Days Hours MMdes (Month, Dry, Year) Slate ar Foroign Country) Hosprtu: ~OTNEa:
s. 74 Yro.
s.03/OS/1931 NewtJall ~
TQmberiffi'YI OD. PA
a wti ~ ERlDUlprtlyre ^ lMA ^ ron~: ^ Rt•tl•rc.^ csaP•~) ^
' COUNTY OF DEATH CITY, BORO, TWP OF DEATH FACILITY NAME (If not iftsgtutbn, plus street and number) WAS DECEDENT OF HISPANIC ORIGIN? RACE - Amaricen Indian. Blade, White, e
y r /
No Yas I-I N yes, epecNy Cuban, (SPed(Y)
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A/
eb. Cumberland kE • Pennaboro Twp. sd
~YV M°"qn' P1°
'~~°"• °'~ White
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10.
DECEDENTS USl1AL OCCUPATION KMID OF BUSINESS! INDUSTRY AS EDE EVER IN CEDENTS EDUCATbN MARITAL STATUS -?Molded, SURVNING SPOUSE
lgire of ~ aaiw r U.S. ARMED FORCESS
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Divorced (BVedM
Yes ^ No ®
(pg) ry.z or s.)
+1a Secretor +mGrahaID Buick ,2. +3. 12 u. Marri d s. Herbert F. Miller
DECEDENTS NAILING ADDRESS (Street, CNy?own, Slate, Zlp Coda) pECEDENT'S +7y ~re penneylvania
ACTUAL Dld 1Tc
deeedentWadin N. Newton Twp. r„
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39 Clugston ROad p.
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RESIDENCE decedent
+s. Newville PA 17241 on~oll~aie 17b. toady Cumberland iw :ny,v nd.^ No'dawdadtired
wghin adwl Arrdls a ciylboro.
FATHER'S NAME (FbsL Middle, WI) MOTHER'S NAME (Fbs4 Mlddb, Maiden Sumsme)
+~• car Hamilton 1g. Alice Kyle
INFORMANTS NAME (TypslPdrrl) INFORMANTS MAILING ADDRESS (Street, CNy?own, Slate, Lp Code)
20a Mil r zsb. 39 Clu stop Road, Newville, PA 17241
METHOD OF DISPOSITION 1'-L
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I~ DATE OF DISPOSTION
(worn
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rttr PLACE OF DISPOSITION- Name d Cemebry, Crematory
a Ollmr Plsce LOCATKNi - CNylTOwn, Stile, Zip Code
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relnatbn
val lrom State
Donation ^ ,
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t1• °d'°( > ^ 21b. 12/04/2005
z1e.Newville Cemetery
21a.Newville, PA 17241
SI OFF U OR PERSON ACTING AS SUCH LICENSE NUMBER NAME AND ADDRESS OF FACIUTV -
~+• - szb. 011776-L 22yUgelsariger-ffiidcer EH, PD Box 336, SlTippensblug, PA 17257
Ibrrrs 23oc '~~ adM^G
physkbn w not avegebb at lane d loth to To the best d my knowledge, death ocwrrad al the gme, date end place slated. LICENSE NUMBER DATE SIGNED
orgy aura d death. (Signature end TNIa) (Month, Dry, Year)
4Sa. 23b. 23c.
g°T° 21-28 muq ~ Cdfrpkled by TIME OF DEATH DATE PRONOUNCED DEAD (Modh, Day, Year) WAS CASE REFERRED TO A MEDICAL EXAMINER/CORONERS
person who prorouncec death.
24. r M. 2s. O O 48, Ves ^ No
27. PART I: Eller tlw ar.t.«, adr•nw or eompgttlbne wakh urw/ the a..m. De net ent.r tn. mesa e/ Iylna, taco u etdye or rapt ry •m.t, totes or Mtrl hours. ~ Approzbnete PART I1: OMer sgnKcanl conditbns conldbugng to death, but
Wt any om etwt on elan IM.
• interval between not reaullinp M the undedying cause givenbt PART I.
IMMEDLATE CAUSE (Final ~(~,~ :Dotal and death
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DIIE TO (OR A8 CON°EOOENCE OF
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d ery, ked4lg l0 brvrediale IXIE TO (OR A6 A C EfJgENCE OF):
cause. Eder UNDERLYgIG
CAUSE (Diwase or gijtrry c'
Mat brigaled avanb TO AS A 6EOUE E OFI:
reaulgrrg ar dash) LAST d.
WAS AN AUTOPSY WERE AUTOPSY FINDINGS MANNER OF DEATH GATE OF INJURY TIME OF INJURY INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED.
PERFORME07 AVAILABLE PRIOR TO
(wow. Oty, Ystr)
^
COMPLETION OF CAUSE Nelurol ~ Homkide
OF DEATHS
Acddent ^ Pending InvestipeNon ^ Yes ^ No ^
30c
Ves ^ No ~ Yee ^ No~ Su1eMe ^ Could not be detemrined ^
PLACE OF INJURY - Al home, term, sVaet, factory, olgce
LOCATWN (Street, CiylTown, Slde)
wMwy, etc. (seedy!
28s. 2tlb. 28. 30e. 30I.
CERTIFIER (Check Doty one) y SIGN R AND TRLE TIF R
•CERTIFYIIIG PH K:IAN Physician cedilying cause d death when endher physlden tiespro pounced death and completed Nem 23)
To Ure bast d my pe. deNh oceumd dw to the cswes(s) and manna es slat.d ................................................................ ^ -
31b.
'PRONOUNCING AND CERnFY1NG PHYSICUIN (Physician both pronouncing dwlh end certiyinp to cause of death)
T
tl LICEN NUMBER GATE SIGNED (M th, Day, Yeer)
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r heel d mY lurowbdge, death oeeumed at the lime, dab, and plow, and dw to Iha esusw(s) and manner ss abbd ...................... 31c. O ~ ~ S ~ -
31 d. ~ O
'MEDICAL El(AMW ERK:ORONER
On the Wsb of szsrrtbutlon sndla InvsHlgstlon
in my o
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destlr occurretl N tM g
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l NAME AND ADDRESS OF PERSON WHO COMPLETED CAUSE OF DEATH
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' manner as stated ..................................................
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REGISTRAR'S SIGNATURE AND NUMBER ~ r ~ DATE FILED (MOdh, Dey, Year) ~
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LAST WILL AND TESTAMENT
I, DORA M. MILLER, of North Newton Township, Cumberland County,
(Pennsylvania, declare this to be my Last Will and Testament and revoke any
(will or codicil previously made by me.
ITEM I: I direct that all my just debts and funeral expenses, including
my gravemarker and all expenses of my last illness, shall be paid from my
jresiduary estate as soon as practicable after my decease as a part of the
administration of my estate.
ITEM II: I devise and bequeath all of my estate of every nature and
,wherever situate to my husband, HERBERT F. MILLER, providing he shall survive
me by thirty days.
ITEM III: Should my husband, HERBERT F. MILLER, predecease me or die on
d
~~'1
before the thirtieth day following my death, I devise and bequeath all of my
estate of every nature and wherever situate in equal shares to my daughters,
VICKIE M. ZEIGLER and SHERRIE L. SIMON, providing they survive me by .thirty
(30) days. Should either of my daughters, VICKIE M. ZEIGLER or SHERRIE L.
SIMON, predecease me or die on or before the thirtieth day following my death
r.a
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but leaving issue who so survive me, such issue shall receiv~~-,-~er st~pes_,,~ ;: "`
'~Y:7 C~ t'~.~~~ ~--~
the share that such predeceased daughter would have received had ~he ad ~` x.~
r~ ~ f- ' ':::~
survived me. _`~ ~-~ ~^~
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ITEM IV: I appoint DAUPHIN DEPOSIT BANK AND TRUST COMPAN~i~of ~~ +' ~~~
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Shippensburg, Pennsylvania, guardian of any property which passes outfight
either under this will or otherwise to~a minor and with respect to which I am
authorized to appoint a guardian and have not otherwise specifically done so,
provided that this appointment of a guardian shall not supersede the right of
any fiduciary in its discretion to distribute a share where possible to the
minor or to another for the minor's benefit. Such guardian shall have the
power to use principal as well as income from time to time for the minor's
support and education (including secondary, college education, both graduate
and undergraduate, professional and other education) without regard to his or
her parent's ability to provide for such support and education, or to make
payment for these purposes, without further responsibility to the minor or to
the minor's parent or to any person taking care of the minor.
ITEM V: I direct that all taxes that may be assessed in consequence of
Amy death, of whatever nature and by whatever jurisdiction imposed, shall be
(paid from my residuary estate as part of the expenses of the administration of
Amy estate.
ITEM VI: I appoint my husband, HERBERT F. MILLER, executor of this my
last will. Should he fail to qualify or cease to act as executor, I appoint
my daughters, VICKIE M. ZEIGLER and SHERRIE L. SIMON, executrices of this my
last will.
ITEM VII: I direct that my executor or guardian or their successors
shall not be required to give bond for the faithful performance of their
''duties in any jurisdiction.
IN WITNESS WHEREOF, I hereunto set my hand and seal to this m``(~y~/L~~ast Will
and Testament, written on three (3) sheets of paper, dated this ,~?~"""day of
1988.
~~ bt a- ,~~a~~[ ~~v ( SEAL )
Dora M. filler
The preceding instrument, consisting of this and two (2) other
typewritten pages, each identified by the signature of the testatrix, was on
the day and date thereof signed, published and declared by the testatrix
therein named, as and for 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.
residin at ~~
~ o~G~PiV residing at /~a .
2
COMMONWEALTH OF PENNSYLVANIA
ss.
COUNTY OF CUMBERLAND
I, DORA M. MILLER, the 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; and
that I signed it willingly and as my free and voluntary act for the purposes
therein expressed.
~fJG~t~ ~~G~Y~~J~ . (SEAL)
Dora M. Mi ler
Sworn to or affirmed and acknowledged
before me by DORA M. MILLER,
the testatrix, this ~ day of
0 c fa b ems- 1988.
Notary Public
NOTARIAL SEAL
VELDA M. SEASE, Notary Public
Shippensburg Boro, Cumberland Co., Pa.
Nod Commission Expires April 16. 1990
COMMONWEALTH OF PENNSYLVANIA
ss.
COUNTY OF CUMBERLAND
We, /~{~Otrt r e~lc. ~• LtJr ~( and /~Z'Src,. J. ~Grri~{e G tG~..el , 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
the testatrix signed willingly and executed it as her free and voluntary act
for the purposes therein expressed; that each subscribing witness in the
hearing and sight of the testatrix signed the Will as a witness; and that to
the best of our knowledge the testatrix was at that time eighteen (18) or
more years of age and of sound mind and under no constraint or undue
influence.
Sworn to or affirmed and subscribed to before
me by ~jCliri'e,(r~ ,Q. .Gll, /~ and
e ~,/• ~u~-' c. e/ witnesses,
this /9tti day of c a er 1988.
Notary Public
NOTARIAL SEAL
VELDA M. SEASE, Notary Public 3
Shippensburg Boro, Cumberland Co., Pa.
My Commission Expires April 16, 1990