HomeMy WebLinkAbout02-18-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS
PETITION FOR PROBATE AND GRANT OF LETTERS C~
Estate of ~ {l -~ ~ • X11 L t ~ ,Deceased ESTATE NO. 21- ~ I `^~ ~~ 1
a1k/a:
a/k/a:
a/k/a: SS NO: a 3 `~ " S 4 - 3 ~ 7 ~-
Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or °B' AND "C" as
pl
the last Will of the above-named Decedent, dated aN ~uBUarY ae0~ and codicil(s) date __
(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
instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated person, and was not a
party to a pending divorce proceeding i,at the time of death wherein grounds for divorce bad been established as defined in
23 Pa. C.S.A. § 3323(8):
^ B. Grant of Letters of Administration
(If applicable, eater d.b.a., pendent lite, duraute absentia, duraute miaoritste)
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 (lf 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; wads never adjudicated an incapacitated person; and was not a party to a pending divorce
proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(8), except asfollows:-
Name Address Relatiousbi t D d
o ece
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THIS SECTION MUST BE COMPLETED:
Decedent was domicile at death in Cumberland County,
At ~O k2Vt/~ oad ~ l`~lpL}tict,vti~CS bit
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t, with his/her last family o~ri~cipal r sue]
17 b50 Ef a rn Drlp.~ ~~ ~~
(Street address with Post Of$ce and Zip Code, Municipality: 'Irownship, Borough, City) ~
Decedent, then 11o years of age, died O a 3 ~ ~ at M ~,c hu ~ 1 c 5 ~ u f-q 1 P
(Mo th, Da , Yeaz of death) (City and State where de occurred)
Estimated value of decedent's property at death:
If domiciled in PA All personal property $ r{d, 0 OD• ~O
_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 $ a .OC}0.00
T-
Location of Real Estate in Pennsylvania: (Provide full address if possible.) 1 ~ /~~ ~ -~ ~o otCx ~ ~~,~G ~cr, W (, cs b ut-q , ~~ r 7 D 5 a
Signature(s)
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Name(s) & Mailing Address(es)
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Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
I SS
COUNTY OF Cumbe-l~lan~ .
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
Cd 1 l
or the Register
Signature of Personal Representative
Signature of Personal Representative
File Number: D'`~ _ ~ ~ -" ~ ~ o~~
Estate of ~ ~'~ R ~ N1 ~ l 1~ ,Deceased
Social Security Number: 23'-I ' 5 y ~ 3 ~ z L Date of Death: d(o ~d23 / o2C~ / C~
AND NOW, OTr,~ ~ , ~, in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT I~ DEC that Letters _T2S ~CtYY1(,d1i'fctC-1/
are hereby granted to Lout 5 F ~ z~, as
and that the instrument(s) dated ~ I / a-'-/ / a a o
described in the Petition be admitted to pf`obate a
FEES v~
Letters ............... $ !~) Q. `,'l.l
Short Certificate(s) ........ $ ' •l~
Renunciation(s) .......... $ y°17-1
$
...
$
...
$
...
$
...
... $
... $
TOTAL .............. $ ~pS•
in th~bove estate
filed of record as the last Will (and Codicil(s)) of Dec "*1 ~ i; `j
~~
~ egister of Wills G9 ~ ~: 3
Attorney Signature: ~ ~ ~ ~ _,:.-
~ N __-
Attorney Name: ~ ~'r~
C
Supreme Court I.D. No.:
Address:
Telephone:
Fa-m RW-OZ rev. 1U.13.Oh Page 2 of 2
IOs.817.5 REV l01/OT ~I
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 16461554 '~~
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 be forwarded to the State Vital
Re/co~rdsnOnffice for permanent filing.
Local Registrar Date Issued
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(Sae instnectlons end examples tan reverse)
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JOHN R. MILLER ~,
I, JOHN R. 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 maybe
convenient after my death.
ITEM III. I dialect 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 part o~ the administration thereof, to the end that no beneficiary
hereunder, or any other erson, shall be charged with or required to pay any part of such
taxes.
ITEM IV. I de ise and bequeath my entire estate of every nature and wherever
situate, whether real, pe onal or mixed. to my children, Rhonda L. Ouimet, per stirpes,
Rose E. Fazekas, per sti es, and Rochelle Gomhoc, per stirpes.
ITEM V. I au orize and empower my hereinafter named executor or alternate
co-executors to convert y property that I may own at my death, whether real, personal
or mixed, at either privat or public sale, whichever in their opinion is deemed best,
hereby vesting in said ex cutor or alternate co-executors full power and authority to
make, execute, acknowl dge and deliver good and sufficient deeds or assurances of title
therefor.
ITEM VI. 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 executor, I
appoint my daughters, Rpse E. Fazekas and Rhonda L. Ouimet, or the survivor thereof,
alternate co-executors ofithis my Last Will.
ITEM VII. I di ect that my executor or alternate co-executors shall not be
required to give bond fo the faithful performance of their duties in this or in any other
jurisdiction. ',
IN WITNESS
2006.
I have hereunto set my hand this 24~' day of January,
JO R. MILLER
The preceding i
consisting of this and two other typewritten pages, each
identified by the signatur of the testator, was on the day and date thereof signed,
published and declared b JOHN R. MILLER the testator therein named, as and for his
Last Will, in the presenc of us, who, at his request, in his presence and in the presence of
each other, have subscri dour names as witnesses hereto.
': ('r
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OATH
OF SUBSCRIBING WITNESS(ES)
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REGISTER OF WILLS ~=~ ~ ~ ~ ~_
CLIMB RLAND COUNTY, PENNSYLVANIA c~o~ ~ ~#.
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Estate of JOHN R. MILLER
Deceased
ROBIN HOLMAN LOY d CAROL V. HEGE , (each) a subscribing witness to
(Print Name/s)
the ®Will ~ Codicil(s) presente herewith, (each) being duly qualified according to law, depose(s) and
say(s) that she / he /they w s /were present and saw the above Testator /Testatrix sign the same
and that she / he /they sign d 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.
< ~'1Y
~c:,,..,,,,,. ignature)
16 E Main Street
(Street Address)
New Bloomfield, PA 17068
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subs
before me this
of ,
Deputy for Register of Wills
(Street Address)
New Bloomfield, PA 17068
(City, State, Zip)
Executed out of Register's Office
bed Sworn to or affirmed and subscribed
day before me this ~ day
. of ~ ~~ 11 0.~~ , ik~ 1 ~ .
1 ~. `
~ Public ~
My Commission Exp
(Signature and Seal of Notary or other ofFCial qu ~ i to
administe: oaths. Show date of expiration of Notary's Commission.)
NOTE: To be taken by Officer authorized t~ administer oaths. Please have present the origint2l or copy of instrument(s) at time of notarization.
122 S Carlisle St
Form RW-03 rev. /0.!3.06