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HomeMy WebLinkAbout05-24-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Duayne J. Orner File Number 21- %U -U~i,3~ also known as ,Deceased Social Security Number 188-20-6009 Joyce Orner Stiles Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE `A' or `8' BELOW.) ® A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the EXeCUtrIX named in the last Will of the Decedent, dated 11/06/2~~1 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 instrument(s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: No exceptions. ^ B. Grant of Letters of Administration app Ica e, en er: c..a.; ..n.c..a.; p en e ~ e; uran e a sen iei; uran a mmon a e 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 Wll in Section A above and complete tilt of heirs.) Name Relationship Residence o ' 5-- - a C ~ 0 Q -, , ~ ~ ,_~ . ;:.1 ~~-ter rrt rv -- _ -z~ , .. .~ 7 -,=~ z" (COMPLETE INALL CASES:) Attach additional sheets if necessary. ~ t7 -- `~r' Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principf~residence a~ "' ~-,--~ 11 Village Drive. Mechanicsburg, Silver Spring, Cumberland PA 17050 (List street address, town/city, township, county, state, zip code) Decedent, then _$~ years of age, died on 0 511 512 0 1 0 at Cw.nbu'Ic~G) ~...ew.-+~ Decedent at death owned property with estimated values as follows: (If domiciled in PA) (If not domiciled in PA) (If not domiciled in PA) Value of real estate in Pennsylvania All personal property Personal property in Pennsylvania Personal property in County g 250,000.00 g 150,000.00 situated as follows: 11 Village Road, Mechanicsburg, Silver Spring Township, Cumberland Co., PA 17050 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: Signature Typed or printed name and residence ~ //~~//~~ D- l Joyce Orner Stiles 6423 Lee Highway ~%~~f ~~ C.(l..itil~J~~ Arlington, VA 22205 Form RW-OT Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc 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. 0 Sworn to or affirmed>and subscribed before me this _~ day of For the Register Joyce Orner Stiles Signature of Personal Representative Signature of Personal Representative N n ~ ~~ o ~ r~ File Number: 21 ~ ~~ JJ3d Estate of Dwayne J. Orner ,~eceased Social Security Number: 188-20-6009 AND NOW, ~ , having been presented before me, I IS DECREED ttiat Letters 2°i~ , in consideration of the foregoing Petition, satisfactory proof Testamentary are hereby granted to _~Q)(Ce Orner Stiles in the above estate and that the instrument(s) dated 11/0612001 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES ~7 SS//~~ ll _ $ ~ Letters ...................................... .... ~r Short Certificate(s) .................. ..... $ ? ,r`G~ iation(s) ....................... Renunc ..... $ 11 1 N ,JCS' $ Z3 w ~i7~ImE,ficv~ $ ~~~~ $ $ $ $ $ $ TOTAL .............................. ..... $ ~Z3 5 UU Date of Death: 0 511 5/201 0 O 00 } r ~' i _._ . .~ <--_ , - , - : -> - __ rn ~~>C`, .~ ~ Supreme Court I.D. No.: 200490 Tucker Arensberg, P.C. Address: 111 North Front Street P.O. Box 889 Harrisburg, PA 17108-0889 Telephone: 717-234-4121 Form RW-OY Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2 Attorney Signature: ( ~,~' AttorneyAttorney Name: Aaron C. Jackson Esq. .n;, '. ;~ 9ea t. -,,:1 t , .I r.: ,. - °#A ..".r •'t gip!', {~:!~; *,~~; ,it t .~,.~~~,~... O~9u~-~at 1 . I/1~ _, l ~ Iq .~-._ I: .~`If L`,=-ilkrliltllt I1L'I .' SCI=, fti _~ ~ 'I' .r _!I] l) '~ Cfi:l li'aCl' r1( ()C ~Illl .,. .. .. ~ li ~ -')~{)-it---. ~ ~1C t I[?tll:;l ' r f.d j ~t ~(.. ~( I l'!. .. , / l a !? _ . .; H106-I43 REV 112006 TYPE /PRINT IN PERMANENL &ACN INK 0 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples on reverse) s~~ C7 `~ C~ I o I ~' ~ . I ', , ~~n ~ ; ~ 1 r ~ rt N -, , 3 rr-~ ~-~ 3~ C~ , _ -.., -..i ~_. ~ - ~ t ? ' ) '~ ~ ... , O ~~ M W ,~ I Name d Decedent ~Frst. mtldb, last. sulfa) Dwayne Joseph Orner 2. Sax Male 3. Social S«arAy Number ... ` ..` V .. 4. Deb d Deem (Monet. mY, Year) 188 _ zo _soos May 1s, 2010 5. Ago (Last BiNbey) UM« 1 ear under 1 m 6. Dale d Birtn Monet, m , 7. & and slate or for m c°un d . Pma d Daam Olletk on oM, 80 ~""` Da" "°°rs ~"°~ January 27, 1930 Clevland, Ohio "osvibl aner Yrs. ^ Inpatient ^ ER /Outpatient ^ DDA ^ Nursuq Home Pesbence ^ Omer ~ Speciy. 6b. County d Deem &. City, Born, Twp. 01 DeaM Cumberland Silver S rin fid. Fadliry Name Itt rot insMUDm. Siva street aM number) 9. Was DecetlarN of Hiaperkc Origin? ~~ ^ y~ 10. Pace. Amman Indian, Black, While, eb. c b ee 11 Vill d m ~ R p g a Y an. (spedY~ age w N oa Mexican. Puerto flium, ea.) White 1 t. Decedent's Usual e°n Kird d work done inn most d world Nfe. Do rrd stab re' 12. Waa Decedent aver b ore 73. Oec«bnYs Etluaaon (Spedty only hgasl greet mrglemdl 14. Madlm Status: MarrieQ Never Married, 15. Survmng Spouse III wtte, gbe maiden name) Air Trafl(IL~°L1°Y~`ntroler ede'f°J~P`~IW~1ent us AmbO Fomea? Elemenmry / secorwlary 1o-12) coAegaJ,-a p/ sr) W Wid _ ed ~) Yes ^ No C ow qa~p` ~p • t~l Vlllagelioa~treat.cM/lpwnelaa,rippnda) Decadent: pA DrfDecedent Silver Spring Actual Residence 17a. Stale Live in a t 7c.~Vas, Decedent Lived b Twp. Mechanicsburg, PA 17050 t 7D C Cumberland T°w"~"p? nil ^NO oecemntoxeawtlnm . ounry . , Adual Umds d Ceyl Boro tS. FaMers Name (First, middle, last, suffix) Dwayne C. Orner 19. MOdrers Name (First, mitftlle, maiean surname) Aneina "Pat" Weller 20a. lnlomranrs Nama RYpe /Print) Victoria J. Ringel 20b. Inl«rrenrs Mailing Amress street. dy /town. stale, ~nde) 4~ Longview rive Mechanicsburg, PA 17050 21 a. Method of a5peaillprl ^ cremation ^ DaaDm ~kBural ^ Remoaurom smte ~ w c n D ti lib. Date °( Dispasi0on (Monet. Day, Year) 21 c. Pence of D'aposam (Name of amerory. crematory «oUer peal ltd. Locaaa (City I town. stale, np cme) aa r.ma on« ona on Autlronned ^ Otlrer~ r by 1 Examiner/CoroneR ^ Ves^ No ~ May 21, 2010 Calvary Cemetery Altoona PA 1 6602 22a. Sgna Service - as such) 22b. lice Number 22c. Name aM Address d Fecilny ~ FD-012662-L Myers Funeral Home, Inc. 37 East: Main Street Mechanicsburg, PA 17055 items N when artilyvg 2 be51 d my etlga, dm rtad at mre Dmo, mta and pma srotea. (SignaWre arM amt 23D. License Nurtbar 23c. Dale Sgnetl Monet year) pnyaidan a rat available M lime of loam to aMN carne d mom. '(? v k~ l~f` \ O~ ~~!\;'~X1.X ~~y , , _ a I~ 1 ~( ~ d. l~J ~ ~ ~ ~ 1 ~ ~i 1 l> Iterrxs 24-26 must m,wrrpmtetl b/ parson ' who «anounces deem 24. Tined m 26. Date De (Monet, my, year) C S ~ S 0 . 26. Was Case Rtdemed to Medical Exenaar I Canner t« a Reasm Omer man Cremation or Donaoon7 , . M. ~ S `~ ^ Yea No CAUSE OF DEATH (See Instructbns and ezampbS) earn 27. Part t. Entar me tlem of events -diseases, i(urbs, or arrgkcaDom -mat tlireclly ceuaed me mom. W NOT enter mrmbal eve r Appreximam Mtervat nts such as cardac arrest, Onset to DeaM Pen It. Enter other gjgpjti r -M'~~-- [ tle:° bN trot resulDny in me umm~yirg tease given in Pan I. 26. DM Tobacco Use C«rcridne to DeaU? ^ yps ^ P b bl raspiatory arrest, « ventricubr fibdlmGOn w,mout showing Me etidogy. Lsl onN one cause a e6M litre. INMEDU7E CAUSE (Final d ase « D I ~ A / ro a y ^ No ^ Unknown 0~ A conQDOn rosdDng b Beam ~. i/e z / ~. (../, ~ ,L„J,~ ~ 11 _ ~ /a /~ ~ a n F~b_ --L _ l ( 4 / / -~ ~ t( ,Q ~[(~ ~ ^ N Due to (or as a y.onsepuerrce o~~ uenaally 4st c«rdDOr¢, N any, D. me L a. m ~r~,~(,~s ,.~~ ~ ~ « pregnam wiMin past year ^ P ratglanl aI Ame d mom Dire to « ( as a consequerce oR. Enter UNDERLYING CAU J ) ^ Not pregnan4 Out pregnant wimin 42 mys (QS9a « njury dwl idmlerl Me , , ~ / ~ ~ ~ of deem c. evonm rowlDr,g m mom) usT. G ~{~ { ~ ( ~C~ ^ Due m for as a consequence dl. Nd pregnant but pregnant 43 mYS m t year a arore mom ^ urmnawn a pregnant wimin trb peat year 30a. Waa an Autopsy Pedomz:d? 300. Were Aubpsy Fmtlirgs A il Dm P b C l ' 31 Manner d beam 32a. Date d Iryu7 (MOdh, mY~ Year) 32b. Describe How Inlury Osuned 320. Pmc d I r{wry: H«r ,Farm, Strael, Facbry. va a r r to omp N ron I ANOWraI ^ Hankida ~~"" Office Buidng, eb. ($pecilyl / o I Cause d Deam? 111 ry ^ Vas L/~ No ^ Yes ^ No ^ A«90era ^ Pertlkg InvnsligeDOn ~~ Time d Injury 72e. Injury at Work? 321. II Transportation InN7 (SPexvIYJ 32g. L.ofalion of Inlury (Street, city /Town, state) ^ Suicim ^ Cadtl Not be Delemynetl M ^ Vas ^ Na ^ Dever/Operebr ^ PaSSOm3« ^ Pemstmn Omar ~ SPeci/y: 33a. Certifier (cnetle onN one) 33b. Skyret aM Title d CortiNar • Carulykq phyakMn (Physioan artdying rouse a meM when archer physidan has prorwu«atl mom aM conrpleled Imm 23) ~ To tlw best of my knowbdge, deaN aauned duebthe cauee(e)and msnneru ebted_________________ ________________ ~ ~~ • Pronouneing and cerltll'm9 Mnicmn (Pnyslddn Dom pronourcig eaaM arM cerVlyirg m cause d math) 33c. License Nurtbar 33d Dab Signed M. day. year) TYedkN Examkrer Lororbr ' daaM occurred a11M time. date, uW plea. and due to tlta ausala) and manner as atabd_ _ • _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ 5.~-1i1 ~ "C/ ~ ~ ~ L ZO/ On tlr baelS d examinatlon and / or krvsstigaeon, in my opinion, matA occurred at the tlla, dab, end Ise, antl due b the au P Sa(e) arM manner a6 sbtad_ ^ 34. Name aM Address d Perem (~NHpe~@~ Type / Pvq 3s. R s sywDaa and Dimid Namher n ' ~ ~ 36 Dam Filed (Monet, my, roar) MEDICAL GROUP, CAMP HILL m I I ~ ( I ~ I /ry cry G FAMILY MEDICINE ~u V Dispoainon Permn No. ~ ~ / 7~ ~ 7 ~/ (;AM'P HILL, PA 17011 LAST WILL AND TESTAMENT OF DUAYNE JOSEPH ORNER I, DUAYNE JOESPH ORNER, of 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 funeral expenses, including my gravemarker, as soon as may be convenient after my death. PAYMENT OF DEATH TAXES SECOND: I direct that all taxes that maybe assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of administration of my estate. PERSONAL PROPERTY THIRD: I bequeath those items of my household furnishings, personal effects, and personal property as I may set forth in a separate signed memorandum to the persons named in that memorandum. DISTRIBUTION OF RESIDUE FOURTH: I give the entire residue of my estate to my wife, Elizabeth Jane Orner, providing she shall survive me for a period of thirty (30) days. If she shall not so survive me, I give the entire residue to my children, equally, provided that the share of any child who predeceases me or dies on or before the thirtieth day following my death shall be distributed to his or her issue, per stirpes, living on the thirty-first day following my death, and in default of any such then-living issue, such share shall be added to the share or shares for my other children. If neither my wife nor children shall survi -~ me for a period of thirty (30) days, the entire residue shall be distributed according t4~Y intestacy laws of Pennsylvania. __i=cam ~r,. rn -, ~. { Jt _ '~ _t) "~ ~.~ tom, n~ .,~-- ..+. t.J 0 rj ' i~ t'`! .:J t--, ?'7 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. TRUSTEE OF ESTATE OF MINORS AND INCAPACITATED BENEFICIARIES 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 a:ny guardian or committee or any authority of court. My 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. Trustee may, in discharge of all the trustee'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. Any remaining income and principal to which such person shall be entitled shall be distributed to such person upon such person reaching the age of 18. My trustee shall have the same powers as my executor and shall serve without bond. 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 tirnes, in such manner, and for such price or prices, and upon such terms and conditions as my executor shall determine, and to execute and deliver good and sufficient conveyances, assignments and transfers thereof, without liability of any purchaser for the application of any consideration; to borrow money and to 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 inve;stments;" to make distribution in cash or in kind; and to do all other acts and things necessary or appropriate in the management, administration and distribution of my estate. APPOINTMENT OF EXECUTOR EIGHTH: I appoint Joyce Orner Stiles, executrix of my will. If Joyce Orner Stiles is unable or unwilling to qualify as executrix or having qualified is unable or unwilling to act, I then appoint Duayne Michael Orner as executor hereof. I direct that my executor shall not be required to furnish security in any jurisdiction. INTERCHANGEABILITY OF LANGUAGE NINTH: 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 TENTH: 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 6 ~~day of Wendy J. Jac bs t ~ ~ Thomas J. A rens ACKNOWLEDGEMENT and AFFIDAV[T COMMONWEALTH OF PENNSYLVANIA: SS. COUNTY OF CUMBERLAND I, Duayne Joseph Orner, the testator in, and Thomas J. Ahrens and Wendy J. Jacobs, the witnesses to the last will, the attached or foregoing instrument, who have signed the instrument, having been duly qualified according to lavv do depose and say: (a) that I, the testator, do hereby acknowledge that I signed and executed the instrument as my last will, that I signed it willingly and as my free and voluntary act for the purposes therein expressed; and (b) that we, the witnesses, were present and saw the testator sign and execute the instrument as his last 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 witr.~ess and that to the best of our knowledge the testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. ;~ ,ry uayn Jose Or, er /~ ~ _® Witness, Tho as J. Ahrens ~' ! Witness, Wend 3. J obs NOTARIAL SEAL ~ ~ ~' JnDO M. AHRENS, NOTARf PUBLIC MfdU1NiCSBURG BORO., CUMBERLAND (;~ , (' ~~ ~/' Mr COMMISSION EXPIRES MAY 23 2005 ~ ° ~/~I~~~ 1_~~,-- N tart' Public