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HomeMy WebLinkAbout06-07-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of MYRON R. BROWN also known as MYRON R. BROWN, SR. Deceased COUNTY, PENNSYLVANIA File Number ~1 l ~ ' (~' Lr7 O Social Security Number 193-12-9918 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 CO-EXECUTORS last Will of the Decedent dated 07/31/1976 and codicil(s) dated GLADYS V. BROWN DIED ON DECEMBER 11 2001 (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: B. Grant of Letters of Administration (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente liter durante absentia; durant<~ 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.) Name Relationship Residence (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his /her last principal residence at 442 WALNTJT BOTTOM ROAD CARLISLE CUMBERLAND COUNTY PENNSYLVANIA 17013 (List street address, town city, township, county, state, zip code) Decedent, then 90 years of age, died on MAY 31, 2010 at THORNWALD HOME, CARLISLE, CUMBERLAND COUNTY PENNSYLVANIA Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 70,000.00 (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 nature T ed or rinted name and residence ,,,~,,,,~.~ WILLIAM P. BROWN, 34 DERBYSHIRE DRIVE, CARLISLE, PA 17015 ~~ n MYRON R. BROWN, JR., 525 CRISWELL DRIVE, BOILING SPRINGS, PA 17007 ~~in ~ ~/~~ ~ DONNA,' W LE , 507 CRISWELL DRIVE, BOILING SPRINGS, PA 17007 Form RW-02 rev. 10.13.06 Page 1 of 2 named in the Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS 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 before me the day of c0 _ For the Register Signature of Personal Representative ~ .Q ~ i, _ ~:~ 3 File Number: ~, ~' ~~ "OJT ~~ Estate of MYRON R. BROWN ,Deceased Social Security Number: 193-12-9918 Date of Death: MAY 31, 2010 AND NOW, ~ , ~~~ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, I IS ECREED that Letters TESTAMENTARY are hereby granted to WILLIAM P. BROWN, MYRON R. BROWN, JR. AND DONNA B. WILES in the above estate and that the instrument(s) dated JULY 31, 1976 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s) of Decedent. FEES Letters ............... $ 135.00 Short Certificate(s) ........ $ 12.00 Renunciation(s) .......... $ JCP , .. $ 23.50 Attorney Signature: Attorney Name: AUTOMATION FEE $ 5.00 Supreme Court I.D. No.: 6282 WILL $ 15.00 Address: 60 WEST POMFRET STREET ... $ ... $ CARLISLE, PA 17013 ... $ ... $ • • • $ Telephone: (717) 249-2353 ... $ TOTAL .............. $ 190.50 Form RW-02 rev. 10.13.06 Page 2 of 2 Signature of Personal Representative t.,,~ +~ ;: ;;r `~. © V ~ ., ~-'~'°`; Signatur of Personal Representative ~ ~ "~ " r`~. ~ v.~ /~ /1,/1 ~D , ' ~ ~ 3 W -llna.cjnc pR.~~ mi m~~ LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. ~ Fee for this certificate, $6.00 P 16~~~'622 Certification Number i~ H105-143 REV 11!2008 TYPE /PRINT IN PERMANENT taACac MIK N w This is to certify tha)~ the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. L,~c:af rce~i5trar IH 0 1 010 Date Issued rra -, t~- ..,. L ._~~~• .. ,~ . r z C ~ ~; ~ , ., Lp~.. ~4,..i I h ~°1 3 ...~ -- ~ ~ E.-~ • E.~t F COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH r (See instructions and examples on reversal __-__ _- _ _ __ 1. Name d DscedmN (Fka, wwlde, last, surrr~ Myron R. Brown 2. 3. 9ocia Secudry Number - --- - .^ .._.-. 4. Dale d Death (Month. day, ~ Mae ~ 3 -12 -9 18 / 0 s. Aoa (l.a$t Bktndey) under 1 year lArder 1 my s. Dal. d Birth (Month, 7. ( and aw « ~ ea. P~ a Deaur chew ore 90 "°~" °"' "°"' '~`""" Aug. 16, 1919 Shermans Dale "°°p'hl~ °tl1er Yrs. ~-,/ ^ I~tieM ^ ER / Outpetkw ^ DOA Ili Nurskg Home ^ Residerw.g ^09~« - Spectily: • 9b. County d Dean 9c. Ciry, Boro, Twp, d Deah th. Faddy Name (II nd batllwion, 9h'e areal and ramber) 9. Was Decedent d Hispanic Origin? No ^ Yes 10. Race: Amerfnn Indan, Black, INhihh, roc. • Cumberland Carlisle Thor n Wald Nom 1~ ~ `~• ~..~ (white 11. Decedent's Usud KYW d work d one most d gle. Do nd etas re0 12. Waa Decedent ever M Ihs 13. Dacedenfs EOucaYon (Spedty ody hiplrest grade canp letsd) 14 Marital Status: Married Nevin Mewled 15 Survivin S g ~ ~ ~ Kind d Work Yard Foreman Kind d Business I Inkaby Lumber Co. U.S. Armed Forces? ®Yea ^No Elernen /Secondary (0-12) ~ Cdlege (1-4 «5f) . , Widowed, ~~ ( Widowed . g pouse I name) . 9 ~ ~ 18. a Address (Sstreet, sty !ban, state, zip code) Decederd'a Did Decedent Wa nut 130ttOm Road Adua ReNderae 17a. stab PA Uve m a 17c. ^ Yea, Decedent Lived h _ Trop, - Carlisle, PA 17013 1m, ~,,,,y Cumberland T0YN15Np? na. C~ No, t~ecedew uved wiUdri C l i l ar s e cry, / ~ Adua 1Lnils er 18. Fwfrm's Name (Fad, midde, last, sulfa) Wilb r B 19. Mob«'s Name (FYsL nridtae, ntaden surname) u rawn Blanche Fenicle Schlosser 20a. Informants Name (Type / Prkrt) William Brown 20b. kilomraM's Maikg Address (Strew, dH /town, sale, zip cods) 34 Derb shire Drive, Carlisle, PA :17015 21a Mehod d Dispoatbn ^ Crematlon ^ Dorrtlon 21b. Date d Disposi0on (Mortal, day, yea) 2 e d ( d cr«nebey «athmp~ 210. Lacagon (C9y /town, alas, zp code) DC ^ Remo,rabanslat y M ~V e wa.crernWon«D«rwionAUtlroriasd June 3, ^ ey tr.aeai Eaamkhr / caorwT ^ vee ^ No a.e 2010 emorl3l Carlisle, PA 17013 Lk ( per amng ~ `~' 22D. l.icerae Nurttba ~ 224 Name eM AddrNS d FadMy Hof fman-Roth Funeral Home & Crematory, Inc - 013144E 219 No h Hanover Street Carlisle PA 17013 Cangph 23ac oNy when rwr8lying physician is rat avalatle slime d dew!, b . To pre bed d my growledge. dash oowrred a the tYne, dale and place Mated. (Sigrwhae and title) - ~ ~ 23b. l~erre Number 23a Date ~1Bd ('' ~', ~) Derby term. d dash. ~ ~,~,,., _ N a l 0 9~. ~. a 3/ dal ~ Items 24.28 moat be mrrplerod by person ~'° °`°n0U11Ce° d~"' 24. Tyne d Death 25. Dale Pranarrcad Dead (Mortar, day, year) 26. Was Case Referred h Medcel ExarNner J Coroner i« a Reason Oh« hen Cremegon « DonationT ~ 6.15 P M. Ma 31 2010 ^Y~ CAUSE OF DEATH (Sss inalructlons and axampdea) r Approsimete kNerva: Item 27. Pad I: Enter Ore t~gygpt@ - dseasee, , «cmpYCetlons - ha dredy caused the dash. 00 NOT actin tarrrwnal events such es tardlac awes r Onsw b D th Part N: Enter other b 28. Did Tabeooo Use Contdbwa b Deep? respiratory anew, «ventdcWm fibrWetlan wtaaw showing Yre etfolagy. Uw ady one cause on each Wte. , ea ; ut not reauMirrg h the urtdedyirig cause given b Pert I. ^~ TE CAUSE Fine daease « ~ ~ ~ No ^ UNubwn W wn tlon resWthg in _~ e ~ ~ ~ ~ 29 II Female: lam/ ~ 7 . Due b (« as a d): ual~ ka cartdruons tl am, b C6 G~ e ~ /l ~is / t ~ ^ Nd pregrwrt wihkr pest year w w ti a a h ^ P e . , .. b rouse listed on Ilne a. ~ v 'tPl7 Lw't d"~f 'egna me s 6dm l1NOFALYNtlO CAUSE Due b (« as a consequence an: .. "' r r ^ Nd pregwN, teal pregnmd wihin 42 days disease « Brw c • reatlstl g~rr deaM) LAST. D r r of deatlr ue to (« u a consequence oQ: ^ pregnant, but pregnant 43 days b 1 yam • d i - ^ llrtlsroam tl pregnant wghin the past year 30a. Was an Autopsy Pedornred? 30b. Were Autopsy Findngs Available Prior b Completion 31. Memm d Death 32a Date d I ' ~ry (. ~t~ Y~ 3~. Deeiarbe How ktFay Ocwrred 32c. ~ d krjruy: Hama, Fann, SVea, Factory, d Cause d Deah? ,~Naura ^ ftonrrcWe 9. ~ (~yl'/ ^ Yes ~ No ^ Yes ^ No ^ Aetsdenl ^ Pervling Imestigatlon 32d Tana d Injury 32e. Iryury at Wark? 3N. 0 TrensportetWn Mry'ury (Specify) 32g. Locatbn d Injury (Street, dty /town, state) ^ Suicide ^ CauN Nd be Detemdned ^ Yes ^ No ^ Drwm! Operator ^ Passengm ^Pedeslrian M• Other- Spedllc 33a Certi9m (dredc oMy one) 33b. SignaWre and r d Cenifi« • CmWykp phyadan (Physidan cenilykrg cause d death when erather physician has pronaurrced death and camplaed Item 23) ~ To the hew d my knowhdge, dash occurred dos to ore uuee(a) and msreur u steta~ _ _ _ • Pranounckg and certif in h eichn (PFr ia b th ~ - (~~„"„'~Y y g p y ya an o pronouncing dash and ceNlyhig to cause d death) To BN bawd my knoarktlge, dselh occurred at the time, doe, and place, and due h the cause(s) and mann« u shted_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ 33c. License Number 33d. Dale Signed (Mann, day, yam) • MedcalEsmniner/Coranm On O b i d i ~ ~ ~ ~ ' ~ ~~ e O re as s eaam naBon ant / «investlgation, in my opinbn, death ocwnad w the lima. doh, and place, and dud h the cause(s) and nrenrrsr n stated_ ^ 34. Name and Address d Person Who Complwed Cause d Death (Ite m 27) Type /Print 35. Re ' rg.S lg naWre and j~ /'~ 38 Fil d M i~G.~n C~~~ ^..~ri1~~6 -A~ (, tG ~ ~ ~ I ~ ! I I , / / v . e ( omh, day, Year) ~ t ~ LU/e 1. l X03 IJ . ~-,l'~-"`0 ~ ~e i`l~- ~•~Il ru-, I~E~tS DiapasiGon Permit No. V y~ // a '~~ OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA Estate of MYRON R. BROWN, A/K/A MYRON R. BROWN, SR. ,Deceased ROGER B. IRWIN and WILLIAM P. BROWN , (each) being duly qualified according to law, depose(s) and say(s) that acquainted with MYRON R. BROWN with the handwriting and signature of the decedent, and that the signature of MYRON R. BROWN to the foregoing instrument purporting to be the Last Will and Testament/Codicil of MYRON R. BROWN is in his/her own proper handwriting. r' . r' ~~~~~~ (Signature) 60 WEST MFRET STREET (Street Address) CARLISLE, PA 17013 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , Deputy for Register of Wills she / he /they was /were Well- and am/are familiar _.._ (Signature) 34 DERBYSHIRE DRIVE (Street Address) CARLISLE, PA 17013 (City, State, Zip) C9r T ~. f 1 a~ 1.+iV j,.~ i~ -~ s ~, fay? _~ ...,.~ C r~•~ :figg ~~M f ~f~Y ~"~~ t~ y ~, -~- ~~~1 s,n Form RW-04 rev. 10.13.06 f , • ~ P ~~' ' ~ wit ~~...~~ A' ~ ~i >~ , . r . .r ~ ....,.} + a lk ~~ d+" ., ~~~~ ~}t ~rM• u • ~~~~ ~ ~~ ~ ' - ,~ '. I, MYRON R. BROWN, of Monroe Township, Cumberland Coin , w ~=` t~ '~' , Pennsylvania, do make and publish this as and for my last Will ar~~- '* 4,~~ ` ~. Testament, hereby revoking any and all Wills heretofore made by me. 1. I direct my executrix t o pay all of my debts, funeral and administrative expenses as soon as convenient after my decrease. 2. I authorize and empower my executrix to sell any realty and/ or personalty owned by me at my death, and not specifical;~.y be- queathed or devised herein, at either public or private sale or sales ,,and to give good and sufficient deeds and/or bills of sale therefor, in fee s im le as I o d do i i M p, c ul f 1 ving. y executrix is authorized and empowered to continue to engage in any business in which I may be 'engaged at my death, for a period of one year after my death. 3. All .the rest, residue and remainder of my property, real and personal, I give, devise and bequeath to my wife, Glac~ys V. Brown. ~. If Gladys V. Brown should not survive me for a pE~riod of 60 days, then I give, devise and bequeath all my property, real and personal, to my three children, Myron, Jr., Donna and Wil]_iam, share and share alike. 5. I nominate and appoint Gladys V. Brown to be the executrix i, of this my last Will and Testament without the filing of any bond. 'Should she die before my death, renounce or refuse to serve for any reason, or die leaving any of my estate unadministered, I nominate and appoint Myron R. Brown, Jr., Donna B. Wiles and William P. ~~'Brown as substitute executors with the same powers as are given here- in to my executrix and also without the filing of any bond. 6. I suggest that my personal representative retain the services of Irwin, Irwin & Irwin, Carlisle, Pennsylvania, as attorneys in the settlement of my estate. WITNESS my hand and seal this ~/'°~~day of July, 1976. ~~,,~_(SEAL ) R R. B W 4 Signed, sealed, published and declared by the within named testator, as and for his last Will and Testament, in our Xresence, who at his request, and in his presence and in the presence of each other, have hereunto set our names as subscribing itnessE~s.