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Home My WebLink About02-07-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYZVANIA REGISTER OF WILLS Estate of TONY L. a/k/a: _ a/k/a: _ a/k/a: PETITION FOR PROBATE AND GRANT OF LETTERS ,_.t,, VARNER ,Deceased ESTATE NO: 21- ' ~ !~ ?`• SS NO: 173-56-7~I1:~ Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' ANDS "C" as applicable: L-~ ^ A. Probate and Grant of Letters Testamentary or ^Administration c.t.a., or d.b.n.c.t.a. (com~7Part C u~o) ~~ and aver that Petitioners Is/are entitled to the aforementioned Letters TESTAMENTARY ~` ~`~ ~' ; T~ (.) ~ ~~~vder r~,r "7 the last Will of the above-named Decedent, dated 12/15/2010 and codicil(s) dated i ^~ 1--- ~ _~~ ., __ , r. r ' _._ , _ _r~ _ : ; _-. ,' (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 afte~~xecution ogre ~_` C':i instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated pe~son, alnd wa ~qot a ~;.,;~ ~.~ party to a pending divorce proceeding at the time of death wherein grounds for divorce had been established as ct~fined in ~'~ 23 Pa. C.S.A. § 3323(8):_ _ ______ ^ B. Grant of Letters of Administration (If applicable, enter d. b. n., pendent lite, durante absentia, durante minoritate) C. 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 and complete list of heirs); was not the victim of a killing; was never adjudicated an incapacitated person; and was not a party to a pending divorce proceeding wherein 8r•ounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(8), except as follows:- Name ___ Address _ Relationslhipto Deced UJ>•; AllUI CIVNAL JHH:>±:1 ~ IN IV~(;N;JSAKY ant THIS SECTION MUST' BE COMPLETED: Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence At 1156 ROYER ROAD CARLISLE, S. MIDDLETON TOWNSHIP, CUMBERLAND COUNTY, PA 17103 ____ (Street address with Post Oftice and Zip Code, Municipality: Township, Borough, City) Decedent, then _ 47 __ years of age, died 12/19/2010 at CARLISLE, PA (Month, Day, Year of death) (City and State where death occurred) Estimated value oi~decedenr••s property at death: _If domiciled in PA All personal property _If not domiciled in PA Personal property in Pennsylvania _If not domiciled in PA Personal property in County -Value of Real Estate in Pennsylvania "Total Estimated Value Location of Real Estate in Pennsylvania: (Provide full address if possible.) Signature(sp 35,GOOAO 35,000.00 Name(s) & Mailing Address(es) ~C Y~ ~~~ DARLA M. VARNER, 115E ROYER RD., CARLISLE, PA 17013 Interim Form RW-02 revised, 4 ? 2f~. l (1 h~ Cumberland County pending action by the Court Page, I oft OATH OF PERSONAL REPRESENTATIVE Commonwealth of Pennsylvania = SS County of Cumberland The Petitioner(s) herein named swear or affirm 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 \ ~ ,~ _ -~ ~ .i_i ~ ~ r---~ before me this ______ day of -=j - . ~~' ' ~~` t .; . _ < , -- _-~ - .. 1 ~ _ ~ I ;.. ,, ~ ~ , ~~ -..,.J ~ - ---- ~ ~ , l ~ -- . _.. - - ._ '~ - 1 .-. a - ~~ ~ For the Register -,-,, _=, _ r~o _~ ;T> f `.s.. DECREE OF PROBATE AND GRANT OF LETTERS ~ ,. -~ Estate of TONY L. VARNER ,Deceased File Number: 21- - `~ AND NOW, this _ day of ~- -^ .~ ~~, ~ , in consideration of the Petition on the reverse side hereon, satisfactory proof having been p~sented before me, IT IS DECREED that Lettel•s `~. Testamentary ____ of Administration are hereby granted itc-: (If applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.) _ DARLA M. VARNER __ in the above estate and that instruments(s) dated 12/ls/2o1o _ described in the petition be admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. Glenda >~arner Strasbaugh, ~ ~ " ~~ d Register of Wills FEES: Letters ....................$ r ,~ ~ , Will ....................... ! -t:.(', Codici 1(s)...... „ ....... . (~~ ,~) Short Certificates _ '~ ~(~ ~ ~~. ( }Renunciations....... Bond ........................,.... Other ............................. Signature of Counsel Required to Enter ~~p~pearance Atty's Signature PRINTED Name: _WILLIAM A. DUNCAN Supreme Court ID No.: 22080 Address: i IRVINE ROW Automation FEE.......... 5.00 JCS FEE ................... 23.50 Phone 1 ~ Fax: TOTAL ................5 ~8-.~-- Interim FOnll RW-02 revised 1~.?h.l(i b~ Cumberland County pending action by the Court Page. 2 of CARLISLE, PA 17013 717-249-7780 717-249-7800 - ,-~~. - C) ,."' 'tea ; 'r'1 l~ _ r-r l; .._ r~7 ' ~ : ,._I :~ : r ~7 ~ ::_. :7 r . -- - - ... - - :--, --.3 ) , _ - ~ -.~ ~i ':...i ~ .. .,..:. .. ..~ _ .1 4 ~J ;~='` P 7 ,,> « ~ ~ ~ H105-143 REV 11/201 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS TYPE /PRINT IN PERMANENT CERTIFICATE OF DEATH BLACK INK (See instructions and examples on reverse) STATE FILE NUMBER C ~ • Ul O a O :v 0 w a 1 r\ ~ z w 0 w 0 Disposition Permh No~ L7 ~-Y 1. Name of Decedent (First, middle, last, suffix) 2. Sex 3, Social Secuiiry Number 1 4. Date of Deatti (M onth, da , ear) 20~~ 12/19 Tony L. Varner ale 7 173 _56 _ 7 / 5. Age (Last Birthday) Under 1 ear Under 1 da 6. Dale of Birth (Month, da , ear 7. Birth lace Ci and state or tor ei n count Ba. Place of Death (Check only one 4 7 M°~ths Days "°ars Mfmutas 1 1/ 2 6/ 1 9 6 3 C a r l i s 1 e, P A Hospital: -- - Other: YrS. ^ Inpatient ^ ER /Outpatient ^ DOA ^ Nursing Home x`I Residence ^ Other -Specity: 6b. Ceunty of Death 8- City, Boro, Twp of Death fid. Facility Name (If not institution, give street and number) 9. Was Decedent of Hispanic Origin? ~ No ^ Yet 10. Race: American Indian, 81ack, White, etc. Cumberland Middleton S 1 1 5 6 Royer Rd . !If yes, Specity Cuban, (Spe~c~{~ t . Me~.xican, Puedo Rican, etc.) W i 11 e 11. Decedent's Usual Occu lion Kind of work done B urin most of workin life. Do not state refired 12. Was Decedent ever in the 13. Decedent's Education (Specity only highest grade comp leted) 14. Marital Status: Married, Never Mamed, 15. Surviving Spr wse (If wda, give maiden name) Kind of Work Kind of Business/Industry U.S. Armed Forces? Elementary / Seconds (0-12) College (1-4 Or 5+) Widowed, Divorced (Specify) Dock Worker Freight Co. ^ yes CXNq 1 ~ Married T>arla M. Smith 16. Decedent's Mailing Address (Street, city /town, state, zip code) _ Decedent's Did Decedent PennsylVania PRlddletori r A t l R id S l7 St 17 i ®Y D d Li 1156 Royer Rd. „_ ence c ua es ate n wp. a c. es, ece ent ved Towrshi? p , Carlisle PA 17013 17d. ^ No, Decedent Lived within ty Cumbe r 1 and 17b. Coun _- Actual Limits of _City/Eloro 16. Father's Name (First, middle, last, suffix) 19. Mother's Name (First, middle, maiden surname) Kenneth Varner__ Shirley Vaughn 20a. Informant's Name (Type I Print) ___ 20b. Informant's Mailing Address (Street, city /town, state, zip code) Darla M. Varner 1156 Royer Rd,.Carlisle,PA17013 21a. Method of Disposition ^ Donation ® Cremahort 21 b. Date of Disposition (Month, day, year) 21c. Place of Disposition (Name of cemetery. crematory or other place) __ _ n f d. t ocation (City! town, state, zip code) 1 7 0 6 5 ^ Buriai ^ Removal nom Slate Was Cremation or Donation Authorizetl~~ 1 2/ 2 3/ 2 01 0 H o 11 fi n g e r C r e rn s t o r y M t, f~ 011 y Springs P A ^ Other- S eci by Medical Examiner/Coroner? ~A_J Yes^ No , ature of Funeral Service Licensee for person a~nng as such) 22a. Sign 22b. License Number --- - 22c. Name and Address of Facility t - ~.n: ~ . l 011589E HollingerFH&CrematoryMt.Holly Springs,,l?A 17065 Complete items 23ac only when certitying 23 Tc a best of my knowledge.>ieath occurred al the time, date and place stated. (Signature and title) 23b. License Number ~3c. Date Signed (Month, day, year) physician is not available at lime of death to 7 '7 , , ~ I L ~ ~~? /_ /_t / ~i I/ ~ r ,] % cenity cause of death. ' `- '- r'-iL c I p ~ y (~ /~ / ,,~,, ~ y ~ p /~ Items 24-26 must be completed by Berson ~ 4. 'ime of Death ~ ~ - 25. Date Prono d Dead (M day, yea '~! 26. Was Case Ratered to Medical Examiner r Coroner for a Reason Other than Cremation or Donation? who pronounces death. (~, „/ (~ ~ M "1 ~ j ~j~ ~ ~ G ~ ~ ^Yes ~No CAUSE OF DEATH (See instructions and examples) i Approximate interval: Pan II: Enter other st9nificanl conditions contributing ;o deatn 26. Did Tobacco U s~aConfdbute tc Death? Item 27. Part I: Enter the chain of egr~ - diseases, injuries, or complications -that directly caused the death. DO NOT enter terminal events such as cardiac arrest, ~ Onset to Death respiratory arrest, or venhicular fibrillation without showing the etiology. List only one cause on each line. ~ ~ but not resulting in the underlying cause given in Pal ~. r~ r ^Yes LJ Probably C ^ i No Unknown IMMEDIATE CAUSE IFlnal disease or r i l ~ ~ ~ d ~ ~ 29. I( Femaie~ condit on resu ting in eath) ` a - ~ C ~ ~~(~ rvx,•~ r l7 ~~( T - _ _-__ [] Not pregnant within past ear f Due to Ior as a consnquence off: y Sequentially list conditions, if any, b i '-- ^ Pregnant at lime of death ^ leading to the cause listed on line a. r Enter the UNDERLYING CAUSE Due t~~ (or as a consequence of): , ' -- ---- No! pregnant, but pregnant within 42 days (disease or injury that initiated the ~ r events resultin in death) LAST ----- ' - ~ - --- of death ^ g . Due to for as a consequence of). ~ r Not pregnant, but pregnant 43 days to 1 year before tleath d. _ ~ -- i -- -_ ^ Unknown if pregnant within the past year 30a. Was an Autopsy 30b. Were Autopsy F'mclings 31. Manrler of Death 32a. Date of Injury (Month, day, year) 32b. Describe HOw Injury Occured 32c. Place of Injury: Home, Farm, Sbeet, Factory, Performed? Available Prior to Cornpietion of Cause of Death' •~?_/ Natural ^ Homicide C7ffice Building, etc. (Specity) ^ Y N jJ N ^ V ^ Accident ^ Pending Investigation 32d. Time of Injury 32e. Injury al Work? 32f. If Transportation Injury (Specity/ 32g. Location cf injury (Street, city /town, slate) es o es c ^ Suicide ^ Could Not be Determined ^Yes ^ No ^ Dover/Operator ^ Passenger ^ PedesMan - -_-_ M. ^ Other -Specity: 33a. Certifier (check only one) _.---_- 33b. Signature and Title of Cedifier • Certifying physician (Physician certityi~g cause of death when another physician has pronounced deem and completed Item 23) To the best of my knowledge death occurred due to the cause(s) and manner as stated /h , _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ • P f f yMonth, day, year) c. License Numbe 33d Dete Signed Pronouncing and certi ying physician ( hysician both pronouncing death and certifying to cause o deem) To the best of my knowledge, death occurred at the time, date, and place, and due to the cause(s) and manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ / /~ / ~ ~ 4/ Y -L GI ~/ ;Z / ~., ~ , ~ y / / / / - • Medical Examiner/Coroner Onthe basis of ezaminatlon and I or im~estigation, in my oplnbn, death occurred at the time, date, and place, and due to the cause(s) and manner as stated_ ^ .. t - -- ¢ im m 27) TvpE ! r of Dea th (It e Cau se ho Complete d 34, Name and Address of Person W / / ~ t 35. Registrars re and Dls]dcl er ,,. ` " 36. Date Filed (Monm, day, year) , ~ ~ l ~. l ~ ~ r r P/} G{ L y ~ ~ iT /t-' / c-~Ji' r ~ 'M17 J ` ~LI~ t I c~ I ~r ~ ,K`1 c ` ~ „ - \ \ ~ ~ u iu ~~ ~Q ~ !~~ ~ ~ - - 1~1[~ 1 ~ e~. t ~r ,; °. , - LfIST WILL -:- 7::'+ -__J ' _ lam. l - ~ T.y i TESTAMEI~'T - _ - i-' ~ < , .r I, "hON Y L. VARNER, of 1156 Royer Road, Carlisle, South Middl~,t'on ~ [~ow ns~~,p, ' Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do herebv make, publish and declare this as and for my Last Will and Testament, hereby revoking any and all other wills and codicils heretofore made by me. FIRST. I direct that all my just debts and funeral expenses be paid from my estate as soon after my death as practically and conveniently may be done. SECOND. I direct that my remains be interred within my family's burial plot in accord with my expressed wishes. THIRD. I authorize my personal representative to expend funds from my estate, in such amounts as my personal representative shall consider necessary and desirable for the pi_irchase, erection and inscription of a suitable marker for my grave. FOURTH. I give, devise and bequeath all of my estate of every nature and wherever situate unto my wife, DARL,A M. VARNER, provided she survives me by thirty (3O) days. [n the event she fails to survive me by thirty (30) days, I give, devise and bequeath all of~m~.y estate unto .IOL1I M. 'MILLER, MISTY M. WEAVER, VALERIE J. MARTIN and KELLY ;^~ VARNER in equal shares, per stirpes. FIFTH. I direct that any and all Inheritance, Estate and Transfer taxes imposed upon my estate passing under my will or otherwise, shall be paid out of the principal of my residuary estate. SIXTH I hereby nominate, constitute and appoint my wife., DARL,A M. VARNER as Executrix of this my Last Will and Testament. In the event of renunciation, death, resignation or inability to act for any reason whatsoever of DARLA M. VARNER, I nominate, constitute and appoint KELLY A. VARNER and JODI M. MILLER as Co-Executrixes of this my Last Will and Testament. I hereby relieve my Executrix from the necessity of posting security in conn~ecti~on with her duties, as such, in any jurisdiction in which she may be calaed upon to act insofar as I am able by law to do so. In addition to the powers conferred by law, I authorize my Executrix, in her absolute discretion, to retain in the form received, and to sell either at public or private sale any real or personal property owned by me at the time of my death. IN WITNESS WHEREOF, I have hereunto set ~y hand and seal to this, my Last Will and 'Testament, consisting of one typewritten page this Lam, day of ~'~-Q- ~',~~~~--~_---.~ , 2010. _ r F « ~: ~~ .~~ /: ~ , ~~~--- - ~ti~ - ----------- TONY L. VARl'VER` I Signed, sealed published and declared by the above named Testator TONY L. VARNER as and for his Last Will and Testament, in the presence of us, who, at his request, in his sight and presence and in the sight and presence of each other, have hereunto subscribed our names as witnesses. ~~ <. ~ w ~ ~. '; , i J, ~\ ~ ~ ~_'" --tip ~-- ` P ~ ~~ ~~ I ~: / f j P COMMONWEALTH OF PENNSYL VANIA . SS. COUNTY OF CZIMBERLAND I, TONY L. VARNER, Testator 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; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. __ TONY L. VARNF,R ------------- ----- Sworn or affirmed to and acknowledged before me, by TONY L. VARNER this j ~~, day ~ , ~ ~ ~ ~. r~.t ~f`" , 2010. .. ~ ,; ~ ~ ~, Notary public _ Notarial Seal Kathy L. Mummert, Notary Public ~: arlisle Borough, Cumberland County, PA My Cornrnission Expires August 1 i, 2011 COMMONWEALTH OF PENNSYL VANIA :SS. COUNTY OF CUMBERLAND i We, '~~~ r ~ G ~i ~t`i w~~- ~~U`i'~~'.~~i.~ and •.~~~~~'~Pr~i .~ ~. ~~~~~°~ the witnesses whose names are signed to the attached or foregoing instrument, being d~ul~r qualified according to law, do depose and say that we were present and saw TONY L. VARTIER sign and execute the instrument as his Last Will; that he signed willingly and that he executed 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 witnesses; and that to the best of our knowledge, the Testator was at that time eighteen (18) or more years of age, of sound mind and under n~o constraint or undue influence. r 1 ~ , ~ \I ~ +~ `I t ~ ,~ ~ I r a, ~u ~ ~ !!~ r'' ~f `~ j, ._ .. ~ Sworn or affirmed to and subscribed before me b °~''~~ , ~ y ~' c~ ~ ~~. .,~-'`~ . ~t1 r ~~ I G ~ ~ ~~ and ~~~~ ~ ~~ ~ ~ ~lS ~ ,witnesses, this ~ ~_ day of ;, =~~ ~~ ~ ~ . °~~ ~ ~~ ~ 2010. . , Notary Public T Notarial Seal Kathy L. Mummert. Notary Public (,arlisle Borough, Cumberland County, PA My Commission Expires August 11, 2011