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HomeMy WebLinkAbout02-25-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of ~s }- h ~ 1- K ~ /~ , ~ ~ Q.I~ Deceased ESTATE NO: 21- ~' (~ ,, n~i,.. a/k/a: SS NO: ~.3 a-(o0 - 151 (~, Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as a plicable: ~. Probate and Grant of Letters Testamentary or ^ Administration c.t.a., or d.b.n.c.t.a. (complete Part C also) and aver that Petitioner(s) is/are entitled to the aforementioned Letters T S t o m e r~.1-c,, ry e.. , under the last Will of the above-named Decedent, dated a`l .7a nueyr y ano 6 and codicil(s) dated''? --rs .... -,~ r,-, ~, . 41•/ V l l W C_ YY ~.~ .- L I (State relevant circumstances, e.g. renunciation, death of executor, etc.) ~ ~ ~ ut ` i. ' j Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted af~~e~Ution of the c:_._~. instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated p~~d wa$tot a. `- '~ party to a peedieg divorce procealiag at the time of death whereie grounds for divorce bad ban est;i~hed as defieed'ii 23 Pa. C.S.A. § 33230: ~.~ .. `n ^ B. Grant of Letters of Administration (ItappGcablp enter d.b.n., pendent life, durance absentia, donate minoritate) C. Petitioner(s), after a proper search, has/have ascertained that Decedent left no Will and was sttrvived 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 grounds for divorce bad been established as provided in 23 Pa. C.S.A. §3323(8,, except as follows:- (Street address with ost Office and Zip Code, Mtuticipah : 'f•'ownship, Borough, City) Decedent, then ~7d1 years of age, died 6 S oZ0 at Me~~~~~5~urq) PA (Mon ,Day, ear of death) (City and Smte where des occurred) EaNmated value of decedent's property at death: _If domiciled in PA All personal property $ °1'or 000 . e7o _If oot domiciled in PA Personal properly in Pennsylvania $ _If sot domiciled in PA Personal property in County $ -Value of Real Estate in Pennsylvania $ Total Estimated Value $ O- 0.00 LoeationofReal Estate in Pennsylvania: (Provide full address ifpossibleJ ~O k~/~ ~ ~ovat r"1 Cc-ha n tcSbturq / PA 17o5D Signature(s) Name(sl & Mailintr Addresa(eal Decedent was domiciled at death in Cumberland County, Pennsy vania, with his/her last family or At 1D Ke.U~~ oac~, ec-~t.awicsburg, ~Fl 1~oso }-~~m,prQey~ e-t-u~ Dy -~a-~ Dr Mew tli~sbu P~ r 7dsa Interim Fnrm Q{U119 r..,:...i 10 9c tot... ~..~t~t-~~ n_.~~. ___~e__ __.~_ _ ._ .,., .., ,.....,...6 ......,...,~ ...~ ...,w. t Page 1 of 2 THIS SECTION MUST BE COMPLETED: Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA r SS COUNTY OF L _C.1, tN\ b'e-Ir ~CLV~ 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 Estate of ~ ~ ~-~ 2.r K + }"~ ~ l l F.Ir ,Dec ~1 -; D ~ C: [~? -~ n -n y °~ rC`7 Social Se urity Number: ~a- ~ 0' 15 1 b Date of Death: ~.S I ~.~) I fi- AND NOW, , ~ , in co`nsideration of the foregoing Petition, satisfactory proof having been presented before me, IT I ECREED that Letters T S~t"0. vwe/l'~~ll'y are hereby granted to ~ U ~ 5 Z.e~{'t4.5 I in the above estate and that the instrument(s) dated O ] I ~-I' / a.n O ~ described in the Petition be admitted to probate and filed of reco,Id as the }ast Wi}} (and Codici~s~of Decedent. n FEES Letters ............... $ ~' Short Certificate(s) ........ $ ~ Renunciation{s~ .......... $~ $ / .. $___t:z~~ $~ .. $ .. $ .. $ .. $ .. $ .. $ TOTAL .............. $ Attorney Signature: Attorney Name: Supreme Court I.D. No.: Address: Telephone: Wills F~+„~ Rw-nz rev. In.IJ.n6 Page 2 of 2 me the ~ day of administer the estate according to law. ~~.a~ 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 17029742 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. The original certificate will he forwarded to the State Vital Records Office for permanent filing. Local Registr Date Issued n r-~z ~ ~ ~ _ -*l ~ ' m -~, m r~ c ~ n csJ c~, -n ~ N ~I ,it ~-'r't ~ _,- O -~ ~ ~~ D CYI Jr mnuu nEV. nrata TNEITMN n7meart aealra COMMONWEALTH OF PENNSYLYANU• DEPARTMENT OP HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (3r inalnu•21Ma ant rxamelrr en rowlrel ST~rE FlLE NWABEA 7. rr.aoaw+6.argr~.rt rag 2Qr 18Wr8rr4'Mnrr lal,aaa,rlena. W.rrl Either K. 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MD ~S2E January 26, 2011 • aaerd.+.rl~a.r r N.n, rorrrr..yyrrrr.r.ra f] rw rrrrr.,.erar..er aarrarr.r rlrer re r. - , . ry s br .w. w~.d~r~.a aar~Prem Tro.lvn. ~ GC ' + raorwwrr earv-eWwan.nt Yt -- X' ~t - 1 r>Z I l I ~ I 1 I oC I .J.. `d b~ ,ZO I i 110 Lowther Street Lsmonys, PA 17043 ~ \ u V Depatiron PMmX eb. U7 (D / S d _S j/ ~~y, r.., ~ a~~t ~iYr a~~b ~Ce~ta~nte~t ~~" ~ " . -" ESTHER K. MILLER o~ ~ ~ -- -`-' A u1 ~p '~5 I, ESTHER K. MILLER, of Mechanicsburg, Cumberland County, Pennsylvania, declare this to be my Last Will and revoke any will previously made by me. ITEM I. I direct that my executor or alternate executor arrange for my cremation. ITEM II. I direct that my funeral expenses, grave marker and the costs of the administration of my estate be paid out of my residuary estate as soon as may be convenient after my death. ITEM III. I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as part of the administration thereof, to the end that no beneficiary hereunder, or any other person, shall be charged with or required to pay any part of such taxes. ITEM N. I devise and bequeath my entire estate of every nature and wherever situate, whether real, personal or mixed. to my husband, John R. Miller, provided he shall survive me by thirty (30) days. ITEM V. Should my husband, John R. Miller, predecease me or die on or before the thirtieth (30th) day following my death, then and in that event, I devise and bequeath my entire estate of every nature and wherever situate, whether real, personal or mixed, to my children, Rhonda L. Ouimet, per stirpes, Rose E. Fazekas, per stirpes, and Rochelle Gomboc, per stirpes. ITEM VI. I authorize and empower my hereinafter named executor or alternate co-executors to convert any property that I may own at my death, whether real, personal or mixed, at either private or public sale, whichever in their opinion is deemed best, hereby vesting in said executor or alternate co-executors full power and authority to make, execute, acknowledge and deliver good and sufficient deeds or assurances of title therefor, taking into consideration what would be best for any of my beneficiaries who may then be minors. ITEM VII. I appoint my son-in-law, Louis Fazekas, executor of this my Last Will. Should my son-in-law, Louis Fazekas, fail to qualify or cease to act as exdcutor, I appoint my daughters, Rose E. Fazekas and Rhonda L. Ouimet, or the survivor thereof, alternate co-executors of this my Last Will. ITEM VIII. I direct that my executor or alternate executor shall not be required to give bond for the faithful performance of their duties in this or in any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand this 24~' day of January, 2006. ~~~ ~k~~~ ESTHER K. MILLER .,~ The preceding instrument, consisting of this and two other typewritten pages, each identified by the signature of the testator, was on the day and date thereof signed, published and declared by ESTHER K. MILLER, 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. ~..f~' ~~ j /~02~ OATH OF SUBSCRIBING WITNESS(ES) REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA ~.... , = _, .~, ~: ~ -r~ r ri cn -~ ~ _, ~-> ~~ ~ ~~ ;_~ m .. ---I .. ~ -~ ~ ~ rs ~ r Estate of ESTHER K. MILLER Deceased ROBIN HOLMAN LOY and CAROL V. HEGE , (each) a subscribing witness to (Print Name/s) the ®Will ©Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were present and saw the above Testator /Testatrix sign the same and that she / he /they signed the same and that she / he /they signed as a witness at the request of the Testator /Testatrix in her /his presence and in the presence of each other. (Signature) ignature) 16 E Main St (Street Address) 122 S Carlisle St (Street Address) New Bloomfield, PA 17068 (City, State, ZipJ Executed in Register's Office Sworn to or affirmed and subscribed before me this day of New Bloomfield, PA 17068 (City, State, Zip) Executed out of Register's Office Sworn to or affirmed and subscribed before me this '~ ~~\\d',ay'' of ~l• Deputy for Register of Wills ~-P~6tary Public My Commission Expire (Signature and Seal of Notary or other official quali ted to administer oaths. Show date of expiration of Notary's 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. Form RW-03 rev. /0.!3.06