HomeMy WebLinkAbout12-01-09Register of Wills of CUMBERLAND County, Pennsylvania
PETITION FOR GRANT OF LETTERS
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Estate of Robert K. Wyland No. ~ I ~ ~~ - ~ 1 ~ n c
C7
also known as ,Deceased Social Security No. 716-07-2616 v~
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Petitioner(s), who is/are 18 years of age or older apply(ies) for. ~_, ,--., _;.,
COMPLETE "A" OR "B" BELOW:)
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® A. Probate and Grant of Letters and aver that Petitioner(s) is/are the executors named in th~Last Will df~1e
Decedent, dated October 3, 2008 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 the documents
offered for probate; was not the victim of a killing and was never adjudicated incompetent:
^ B. Grant of Letters of Administration
(c.t.a., d.b.n.c.t.a.: pendente life; durante absentia; durance minoritate)
Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with his/her last family or principal residence
at 14 Mumma Avenue, Mechanicsburo PA 17055
(list street, number and municipality)
Decedent, then 95 years of age, died November 26, 2009, at Camp Hill, Cumberland County, PA
(Location)
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property ................................................................................ $ 10.000
(If not domiciled in PA) Personal property in Pennsylvania ............................................ $
(If not domiciled in PA) Personal property in County ...................................................... $
Value of real estate in Pennsylvania ................................................................................................... $ 176.500
Total ..................................................................................................................................... $ 186,500
Real Estate situated as follows: 14 Mumma Avenue. Mechanicsburg PA 17055
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and
the rant of letters in the a ro riate form to the undersi ned:
lSignature Typed or printed name and residence
Rodger K. Wyland
153 North Belvedere Dr.
Hampstead, NC 28443
Form RW-1 Page 1 of 2 (Rev. 9/92)
(I:UMF'Lt I t IN HLL GHStS:) Httach atltlltlOnal sheets It necessary.
Oath of Personal Representative
Commonwealth of Pennsylvania
County of CUMBERLAND
The Petitioner(s) above-named swear(s) and 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 r~e,~resentativ~s) of
the Decedent, Petitioner(s) will well and truly administer the estate/a~cording to law. ~- .n
Sworn to and affirmed and subscribed ~`ry~=~? ~"''
before me this / Sf' day of
U'LC~I fit.r2~ ~~~~~
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DECREE OF REGISTER
Estate of Robert K. Wyland, Deceased
also known as
Social Security No
No.
716-07-2616 Date of Death November 26, 2009
AND NOW, I S~ ~p.rn~ >~~f , 20, in
consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters ®Testamentary ^ of Administration
t. a.; d.b.n.c.L; pendente life; durante absentia; durante minoritate)
are hereby granted to -Rodger K. Wyland
in the above estate and that the instrument(s), if any, dated October 3, 2008
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
FEES ~ ~ ,~
Letters ................................. $ ~~(~~ ,(~(~ Register of Wills c - j' C
~ ~u~:
Short Certificate(s) ......... $ ~ (.~(~
Renunciation ..................
Affidavit ( ) ...................
IA~`'~~l
codicil
J C P~~~~~rY1C; ~C o'1 L
I ~a~-Fsr+x~s..
Other ...............:.............
TOTAL
... $
... $
... $ 1~,~`~O
... $
... $
Attorney:
I.D. No.:
Address:
Telephone:
DATE FILED:
Jame~~R. Cl~fnoer
0715
3631 rth Front Street
Harris rg, PA 17110
717-232-7661
Form RW-1 Page 2 of 2 (Rev. 9/92)
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
f='ee 1~?r thi. ccrtricat~. S6.(1O
P_160.30011
CertiYfc~._ior '~umher
This is to certify: that the information here given i
correctly copied Irom an original Certificate of Deat
duly filed with me as Local Re~,_*istrar. "The origina
certificate will be forwarded to the State Vita
Records nfficc for permanent tiling.
'~ ~ - ~~ 1 ~ 3a d~
Local Registrar Date Issued
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nlos~tas REV trzoo6 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
Tl'PE / PRINT IN
PERM"NENr CERTIFICATE OF DEATH
BLACK INN (See instructions and examples on reverse)
STATE FILE NUMBER
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1. Name a Deceeea IFir;t. middle, last satix) 2. Sex 3. Segal Security Number a. Dale d Deam (MOnm, day, year)
Robert Knox land - -
SAge hest BiMdayl Under t year Untler 1 day fi. Date of BiM (Month, de , ear) 7. BiNpYw (City aril Yale a cpara j be. Place a Deam (Check oMy one)
aMnphs Oays Muurs Mnules y{ospilY- Dm¢r,
95
y,s DeCettlber 5 ^Inpatiem ^ER/Outpatient ^DOA i~NursngHOme ^Reside«e ^mher sp¢cAy
60. Cowry d Death &. City, Boro, Twp. of Deam be. FacAiry Name IN nil nstluGbrl, give stray arN number) 9. Was DeceUem a Hispank Or«pn? ®No ^ Yes 10. Race American Indan, Black. WIWe, etc.
Cumberland Cam Hill In yes, aDeaN CWren, (gp¢r, yh
Manor Care of Hill '"~"'~" P°~"°"~~^•ekj White
71 Decedem's Usual Oau alion IKiid d rood done tlu' most d 6te Dona Yate retired
' 12. Was Decetlem ever ro the 13. Deceded'e Eduotlan (SplxAry anry hghest grade cornplerodl 11. Marital Slaws: Manned, Never Marrred, 15. Sunrvin9 Spouse pf wile, give maven name)
K
ntl d Wat Kintl d Business /Industry U.S. Armed Forces? EYmentary / SecaMary (P72j College (l-4 « Sal Witlowed, Divorced (Speci/)7
S Writer Naval Depot ~Y~ ^Nd 2 Widowed
16. Decetlem's Maynq Address (Sheet cM l town, state, np cotlel D«edenl's Did Decetlea
19 Mumma Avenue Mual Resgerre l7a gate Pennsylvania live n a 17c. ^ves
D«edem Lived in
Mecl~lanicsburg
PA 17055 ,
Twp
- Township?
,7b.coanly Cumberland 17d~~,D«~a~ivedwahn ~chanicsburg
, aly / Bdro
1B Fameys Name IFrst. middle, last. suaix) t8. Maber's Name (First, ntdde, mai0en surname)
Ward Wyland Ada Knox
20a. mlomlant's Name (Type / Piing 20b. hyomlanYa M
8dty AdMes4 (Street, dry /town, stale, iip Code)
Rodger K. Wyland 153 N. Eelvedere Drive Hampstead, NC 28443
2la Mettwd of Disposiucn [~Cremaf ^ Donation 21 b. Date a Disposaiwl IMomn, ear. Year) 27e. Place a Di nrotary, erematay place)
spcsition (Name of ce « Wren 21 e. L«aum (city /sown. stale, zp code)
^ Bunal ^ Hemcval hen Stale
^ Ome~~Spenry- Wag Cremadon or Donalbn AWlwrnad
byYadcNEaaminar7Caoner7 tgYes^No
N7v9Ib3 30 2009
HOlll er Cremato
Mt.Holl S nn S PA
22a Syn 1 n acting as sucnj i 22b License Nwrber rep Name arld Adareas d Faaery 8 Market Plaza Way
- FD - 014889 Malpezzi Funeral Home Mechanicsbur PA 17055
C 23a- when - 23a. To me treat d my krowkdge, deem o«urred al the uma, dale aM ~ac¢ staled. l$iDlatura end gtla) ~ 23b. license Number 23c Dale Signed IMOnm
day yew/
sican Is and av- de el erne of dawn ,
ceNty case d deem. -
unns 21.26 mull ce completed by poison 24. Tme of Deam 25. Daro Pranou«eo Dead (Noah, day, yew) 26. Was Casa Referred w M¢tlkal Examiner /Coroner for a Reason Omer tluul Cremalron or Dmauon?
wtn prwau«aa eeam. 12:38 PM~ November 26 2009 ^ves ~Nn
CAUSE OF DEATH (See Inakuetlons and saamDtes) r APpoximaro intend: Pan II: Emer omw ' 1q dEam, 2B. Dq Tobacco Use C«trnute to Deam?
nom 27. Pan I. Enter are ypypgt g~hJS - a;eases. i~ryurl¢s, or wrnplcauons -mat 6reGly caused me death. DO NOT enter terminal events such as rerdiac arrest, r OrtsY to Deam
resgtdory arteA or vea«uWr IIbnllabon witnout showing the etiokgy. list ceN arse cause an each lirl¢- r but rat resuaag n Ute urdertyrtg reuse given n Pan 1. ^ Yes Prdudy
IYYEDIATE CAUSE tFmdl disease or
i No ^ lhWtuwn
cortdtim resoling n Beam)
Ti- lin / I ~ ^ r 29 q Female:
-~ a.
Due to (or as a consequence op: ^ Na pregrem wnNr~ past yam
SaquenUally asl conalwns, d any, d_ ~
leadup b Iha cau5¢ tided on line a ^ Pregad al ume of deatn
Dua w (or as a cons a ce of
ErNer 6~e UNDERLYWG CAUSE equ n ):
^ p¢gnw>t. but ,i
Nul (eyr~anl wnnin i2 days
(d.:¢ ae w rydry mat eutidled me ~ i
events resuing n tleaml LAST r a mom
Due to (or as a conseque«e ol): I ^ Nd pegwe. but preglad a3 days l0 t year
d. bewre Beam
^ UrWawn II peynam wimp ute past Year
30a. Was an Autopsy 30D. Were Autopsy fudirgs , 3l Mayer of Death 32a. Date d Iryury IMOnm, day, year) 32b. DescrO¢ lbw Irryury Occwred 32c Place d Yqury~ Horne Farm Saeel. Factory,
PeAormed? Available Prior to Completion r,(
CJ Ndlwal ^ Homiude gfrz Building, eK. (Specfyl
of Cause of Deam.
IJ Ves [/ N~u ^ Yes ~ ^ Auadenl ^ Pendiny Invesuyalien 92a. Time a Irqury 32e. Injury Y Wat9 321. y Trarsponaaon hywy (SpecAy) 32g. L«adm d 4ryury (street, dry! bwn, swat
^ SuicNe ^ (:glld N"I be Delermared ^ Yes ^ No ^ Drwer / Operawr ^ Passerpar ^PedeYrian
M Omer Spa
3aa. DenItMN (clwcA oily awj $IgMwra and TIIro aNMr
• CardlyMq phyakln IVlryslcan <nNlymy reuae of dedtn wtnn canner pnysx:iart Ms proaw«e0 deem aril mntplerod Item 231 ~ 0
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To iM beat of my tnowMdq, deem o«uned dw W ihs ousels) and manrtar as atatad_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .
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Dtaoddhdn Permit No. 0425224
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LAST WILL AND TESTAMENT ~" ^`> r n ~
OF ,~,~~„ ...._
ROBERT K .
WYLAND ~_;~~C f ~
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CJ ._,., ~:
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I, ROBERT K. WYLAND, of the
Borough of [v
Mechanicsburg,
County of Cumberland, Pennsylvania, being of sound mind,
memory and understanding, do make and publish this my Last
Will and Testament, hereby revoking and making void all former
wills by me at any time heretofore made.
ITEM I. I nominate, constitute and
appoint my brother, Rodger K. Wyland, as the Executor of this
my Last will and Testament. In the event of renunciation,
death or inability of my brother to act as Executor, I then
nominate, constitute and appoint my sister-in-law, Judy
Wyland, to act as the Executor of this my Last Will and
Testament. My Executor shall not be required to post bond or
give any security.
ITEM II. I direct my funeral be
conducted in a manner corresponding with my situation in life
and that my estate purchase a grave marker as closely
identical as reasonably possible to that of the marker of the
Musser Family adjoining the burial plot which I own at the
Millheim Cemetery, Millheim, Centre County, Pennsylvania. I
direct that all my just debts and funeral expenses be fully
paid and satisfied as soon as conveniently may be after my
decease.
1
ITEM III. I give all of the
rest, residue and remainder of my estate unto my brother,
Rodger K. Wyland, provided that he is living on the thirtieth
day after the date of my death.
ITEM IV. In the event my brother,
Rodger K. Wyland, does not survive me by said period of thirty
(30) days, to his issue, in equal shares.
IN WITNESf,S~WHEREOF, I have hereunto set my hand and seal this
day o f (.yG~ e.-'~Lil. 2 0 0 8.
f
` r ~ ~ ~~, (SEAL)
• ~
2
The preceding instrument, consisting of this, and Robert K.
wyland other typewritten pages, was on the date thereof signed,
published and declared by Robert K. Wyland, the Testator therein
named, as and for his Last Will, in the presence of us, who at his
request, in his presence and in the presence of each other, have
subscribed our names as witnesses hereto.
/~~ ~,~r~S Residing at
a~
,~
Residing at
~'~- 1 C ~'~ d r~
__-~~~~ ~~,r~ ~~~~ tel. i _ s:~~. /~L-_~ ~5~_
3
ACKNOWLEDGMENT AND AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
/a S S
COUNTY OF ~1.t~v'~c.~'~
The Testator and the witnesses whose names are subscribed to
the foregoing instrument, being first duly sworn and qualified
according to law, do hereby acknowledge and declare to the
undersigned authority that the Testator signed and executed the
instrument as his last Will in the presence of the witnesses,
that he signed willingly or willingly directed another to sign
for him, that he executed it as his free and voluntary act for
the purposes therein expressed, that each of the witnesses, in
the presence and hearing of the Testator, signed the Will as
witnesses, and that to the best of their knowledge, the Testator
was at that time eighteen years of age or. older, of sound mind
and under no constraint or undue influence.
~:~, ; .
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Testator
~~~j ~~-7 _ `s
fitness
% witness
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Sworn to, subscribed and acknowledged before me by ,the above
named Testator and witnesses this ~ day of ~~ ~., ,
2008.
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(SEAL )
otary Public
;t;9i1;1u~(~;~? ~ d _~:~,:_; ri ;,~w=?~s,~~Y~..VANIA
0 5 "/ ? :i - 0 01 / 13 8 9 9 4~~~ ~°ir-~~arial Seal
I ai~i jer Rahn, Notary Public
~ Meenanicsburg 3oro, Cumberland County
L Nly Commissian Expires Apr. 23, 2010
Member ~:~,~~ca~~~ , :~a:- a ~,~, ,~•:f ~~otarie=
4