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01-13-10
PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Troy A. Burkholder /, File Number t~~ - w- "~ also known as ,Deceased Social Security Number 188-20-8796 Diana D. Miller Petitioner(s), who is/aze 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.•) m A. Probate sad Grant of Letters Testamentary and aver that Petitioner(s) is /are the Executrix last Will of the Decedent dated March 24, 1980 and codicil(s) dated ~ed in the C ~, sr~ l:. l:.r~-.. '.- j C (State relevant circumstances. e.g., renunciation, death o/'executor, etc.) f ~> ~ ~ W , T , {~ Except as follows, Decedent did not marry, was not divorced, and did not have a child bom or adopted after execution ofjfi~~ent ~, .; _:~- (~offere ` ~ for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~.~ C ~ - ' ~ - -, :~ 'T.7 _1 ~ L:. t..~~ ^ B. Grant of Letters of Administration ?'' ~ ~-% ~ ::') "~ (Ifapplicable,enter: c.t.a.; d. b. n. c.t.a.; pendenteli[e; duranteabsentiarduranreminoritote) 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: (/f Administration, c.t.a. or d.b.n.c.t.a., enter date of Wil! in Section A above and complete list ojheirs.) Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at _8 Cedaz Road Carlisle Middlesex Township, Ctmtberland Countv Pennsvlvania 17015 /Lest street address town/crry townsh[p county state z[p code) Decedent, then 82 years of age, died on November 20, 2009 at Carlisle Regional Medical Center, Carlisle, Cumberland C un Penns Ivania Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal ro e (If not domiciled in PA) (If not domiciled in PA) Value of real estate in Pennsylvania P P rtY Personal property in Pennsylvania Personal property in County $ 50,000.00 situated as follows: Wherefore, Petitioner(s) respectfully reyuest(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate forth to the undersigned: (COMPLETE WALL CASES:) Attach additional sheets ijnecessary. FormRW-02 rev, IO.IJ.Oh Page 1 of 2 Oath of Personal Representative " ~~-~`' ~" 'J COMMONWEALTH OF PENNSYLVANIA ZOI O .JAN 13 Ali 8t SO SS COUNTY OF CUMBERLAND CLERK CF The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and ~r ~ the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) wi II w~an~~Y} 1 ~~l I {~A administer the estate according to law. Sworn to or ~fiirme~ .and subscribed before me the _~~ ~v~of For the Register (,.t.~ Signature ojPersonal epresenta Signamre of Personal Representative Signature oJ'Persona! Representative FileNumber:_ ~/ -aU~~ ~~ Estate of Troy A. Burkholder ,Deceased Social Security Number: 188-20-8796 Date of Death: November 20, 2009 _ AND NOW, , ~~~ , in consideration of the foregoing Petition satisfacto having been pres before me, I IS DECREED that Letters Testamentary t'Y Proof are hereby granted to Diana D. Mil er in the above estate and that th M e msttument(s) dated arch 24, 1980 described in the Petition be admitted to probate and filed of record a the last Will (a Codicil(s)) edent. FEES Letters $ ~~. ~ Regist .Wills Short Certificate(s) ........ $ aly ~' Attorney Signature: Re n u nciation(s) ... ....... $ , `` ++ ws $ ~3, SD Attorney Name: C g A. Hatch, Esquire ~ ' ' $ '~ ~ Supreme Court I.D. No.: 76361 .. $ . $ Address: Gates, Halbruner, Hatch & Guise, P.C. ' ' $ 1013 Mumma Road, Suite 100 .. $ . , $ Lemoyne, PA 17043 ~~ $ Telephone: (717)731-9600 .. $ TOTAL ....... ....... $ ~/. SO ~~ Form RW-02 rev. 10.13.06 Page 2 of 2 OCAL REGISTRAR'S CERTIFICATION OF DEATH l~ ~~ WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee forthis certificate, $6.00 ~' . P 15977656 Certification Number This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. 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ITEM 1: I give, devise and bequeath all and every part of my entire estate, real, personal and mixed, whatsoever and whereso- ever situate, including property over which I shall have any power of appointment, to my wife, MARY A. BURKHOLDER, provided that she shall survive me by a period of Ninety (90) days. ITEM 2: Should my wife, MARY A. BURKHOLDER, fail to survive me by a period of Ninety (90) days, I give and bequeath my wife's large diamond ring to my daughter, Carol J. Burkholder, provided that she shall survive me by a period of Ninety (90) days, Should my said daughter, Carol J. Burkholder, fail to survive me by a period of Ninety (90) days, I then give and bequeath said large diamond ring to my daughter, Diana D. Burkholder. IT_ ~ 3: Should my wife, MARY A. BURKHOLDER, fail to survive me by a period of Ninety (90) days, I give and bequeath my wife's wedding band with diamond chips and my wife's black onyx ring with diamond chip to my daughter, Diana D. Burkholder, provided that she shall survive me by a period of Ninety (90) days. Should my said daughter, Diana D. Burkholder, fail to survive me by a period of Ninety (90) days, I then give and bequeath said wedding band with diamond chips and said black onyx ring with diamond chip to my daughter, Carol J. Burkholder. IT_ ~ 4: Should my wife, MARY A. BURKHOLDER, fail to survive me by a period of Ninety (90) days, I give, devise and bequeath all the rest, residue and remainder of my entire estate, real, personal and mixed, whatsoever and wheresoever situate, including property over which I shall have any power of appointment, as follows: (a) Fifty (50%) percent to my daughter, Diana D. Burkholder, provided that she shall survive me by a period of Ninety (90) days, Should my said daughter fail to survive me by a period of Ninety (90) days, I then give, devise and bequeath her interest in this the residue of my estate to her then living issue, per stirpes. Should my said daughter die without leaving issue to survive me by a period of Ninety (90) days, then her interest in this the residue of my estate shall be disposed of as hereinafter provided by Sub-paragraph (b). (b) Fifty (50%) percent to my daughter, Carol J. Burkholder, provided that she shall survive me by a period of Ninety (90) days. Should my said daughter fail to survive me by a period of Ninety (90) days, I then give, devise and bequeath her interest in this the residue of my estate to her then living issue, per stirpes. Should my said daughter die without leaving issue to survive me by a period of Ninety (90) days, then her interest in this the residue of my estate shall be disposed of as hereinbefore provided by Sub-paragraph (a). ITEM 5: I appoint The Russell National Bank, Lewistown, Pennsyl- vania, guardian of any property which passes, either under this Will or otherwise to a minor or with respect to which I am authorized to appoint a guardian and have not otherwise specifically done so, pro- vided that this appointment of a guardian shall not supersede the right of any fiduciary in its discretion to distribute such share to another for the minor's benefit. My said guardian shall have the power to use ~ ~~ ~2 ~ ~~ principal as well as income from time to time for the minor's support, welfare and education (including education beyond the high school level), without further responsibility, to the minor or to any person taking care of the minor. IT_ b: I direct that my just debts, funeral expenses, including my grave marker, estate taxes, inheritance taxes, and all other administration expenses are to be paid out of the residue of my estate as soon as practicable after my decease, as a part of the expense of the administration of my estate. ITEM 7: I appoint my wife, MARY A. BURKHOLDER, as Executrix of this my Last Will. Should my ~; fe ~„rn~v ,,,,,,,,,,,,, ___ _ unwilling or unable to so act, I then appoint my daughter, Diana D. Burkholder, as Executrix. of this my Last Will. IN WITNESS WHEREOF, I have hereunto set my hand this day of 1980. r ur o er The preceding instrument, consisting of this and two (2) other typewritten pages, each identified by the signature of the Testator, was on the day and date thereof signed, published and declared by TROY A. BURKHOLDER, the Testator therein named, as and his presence andLinlthehpresencecofoeach~o herahavessubscribediour names as witnesses hereto. K J /U ov3s~ OATH OF SUBSCRIBING WITNESS(ES) REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA. Estate of Troy A. Burkholder rv O ':J Dei~a sect=;;,; . 7r C; ~~~r ~ c,: ,, ~ r 1'7 ~:: W Z-' ~ -"7 ~ G~'? `_ C.C~ b '1 1 Lester H. Zimmerman Jr . ~ .~ ., , . . 7- _ ~ ~ Pia subscribi~ witness ~ , `-~> a copy of which is attached hereto the ~x Will ~~~~~ti ~iifd~Cbei d l ~ ng u y qualified according to law, depose(s) and say(s) that ~3~C/ he /RpfAy was GI~Cg[ present and saw the above Testator t sign the same and that i~ he / Hili~C signed the same and that lE~{/ he /7t!@7~t signed as a witness at the request of the Testator /Xf7~mltpt in his XQfAi: presence and in the presence of each other. (signature) ~esier h. Zimmerman, Jr. /sneer Addnaa~ 119 W Market St. fsrreergdoYassJ (city, were, ztiol COMMONWEALTH OF PENNSVI.Vi NO AL SEAL innV L. r. N y PubRe ' f/aryi .Miff County v .Commis ' ... r July 2 2010 ,. .:. w, xiryWry>w NwcY1ar d Nobpa WEALTH OF PE-rNSYL1rMMtyl NOTARII1l SEAL Gam' l Sfiger, Norwy PubEe Derry iwp, Mifffin C M glen E. w Aa ~lr2010 MambRr, f~rrrpar~ A~~ a hloka+aa Lewistown PA 17044 Icry. ware, zivl Executed out of Registers Office Sworn to or affirm/e~d" apd subscribed befo me this._. pry-l~. day of My Corl~mission Expires: `l~~/~j~ (Signahxa and seal of Notary or otlier ofi(tlal Qualified fo adminkter oaths. show dale of expirafio„ of Notarys commission.) NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization, ~a- ~v 3 S- OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS ~~~'«"~~ COUNTY, PENNSYLVANIA Estate of _ ~~ ~ ~ U~ Deceased /'-l ~L~1 and (each) eing duly qualified according to law, depose(s) and say(s) that acquainted with vR ~ she / he /they was /were well- ' ' " ''v "" ~ ~ L and am/are familiar with the handwriting and signature of the decedent, and that the signature of ~pY ~ ~~ ~F C to the foregoing insQtr'ume)nt purporting to be the Last Will and Testament/Codicil of {~/~!~Iijjl~ -- ~ / y is in his/her own proper handwriting. ~~ .sue / ~//a Executed in Register's Office Sworn to or affirmed ann~d~ subscribed before e this ~''` day of ~//Q for (SignntureJ (Street Address) (City, Stale, Zip) n ° :-> :7 f` 4~n ~ u .! ~ „~:'~ _ W `~J r~~") ~ ~ ~1 L~ ~:iM ' t ~ _ '1 r7~.~~~ ~ _~•l `n --i a OQ ~ ,-~ ,~> 0 Form RW-04 rev. /0.13.06