HomeMy WebLinkAbout07-08-11 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS
PETITION FOR PROBATE AND GRANT OF LETTERS
Estate of ROBERT GLENN STARKER ,Deceased ESTATE NO: ~
a/k/a: ROBERT G. STARKER
alk/a: R. GLENN STARKER
tea: SS NO:
Petitioner(s) who is/are yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as
applicable:
~ A. 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 TESTAMENTARY under
the last Wi11 of the above-named Decedent, dated and codicil(s) dated
RENUNCIATION FOR ROBERT G. STARKER, JR. IS ATTACHED HERETO
(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 at the time of death wherein grounds for divorce had been established as defined in
Pa. C.S.A. § 3323(g):
? 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.~.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 pendi~~ divorce
proceeding wherein grounds for divorce had been established as provided in Pa. C.S.A. § 3323(g~except as $~ows:__~
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Name Address i to l~eden~:,`?,°~
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USE AllDITIONAL SHEF,TS IF NECESSARY'
THIS SECTION MUST BE COMPLETED:
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence
At 1 LONGSDORF WAY, CARLISLE, S. MIDDLETON TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA
(Street address with Post Office and Zip Code, Municipality: Township, Borough, City)
Decedent, then years of age, died at CARLISLE, PENNSYLVANIA
(Month, Day, Year of death) (City and State where death occurred)
Estimated value of decedent's property at death:
_If domiciled in PA A11 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(s) Name(s) & Mailing Address(es)
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ROXEY S GROUP, SUNSET DR MT HOLLY SPRINGS PA
' ~ DARYL PENLEY, E. MARKET STREET, YORK, PA
- VONNIE ATTIG, LONG ST DR EAST BERLIN PA
Interim Form W-02 revised by Cumberland County pending action by the Court Page I of 2
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 affirn~~d end subscribed -
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be ~ e me is day of -
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r the Register ~ :n ~ ~ ~ ~
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DECREE OF PROBATE AND GRANT OF LETTERS ~
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Estate of ROBERT GLENN STARNER ,Deceased File Number: - }
AND NOW, this ~ day of , in consideration of the Petition on
the reverse side hereon, satisfactory proo havi een presented before me, IT IS DECREED that Letters
x Testamentary of Administration are hereby granted to:
(If applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.)
ROXEY S. GROUP, DARYL PENLEY AND VONNIE ATTIG in
the above estate and that instruments(s) dated 9/s/2oo3 described in the petition be
admitted to probate and filed of record as the last Will and Codicil(s) of Decedent.
I. F
~-s
enda Farner St baugh,
Register of Wills
FEES: Signature of Counsel Required to Enter Appearance
Letters •J~
Wi1L AttySs Signature
Codicil(s) .
(i )Short Certificates PRINTED Name: ROGER B. IRWIN
Renunciations....... s.o0 Supreme Court ID No.:
Bond
Other Address: WEST POMFRET STREET
CARLISLE, PA
Automation FEE.........
JCS FEE Phone:
Fax:
TOTAL
Interim Form RW-02 revised by Cumberland County pending action by the Court Page 2 oft
LOCAL REGISTRAR'S CERTIFICATION ~~F DEAT-I
WARNING: It is illegal to duplicate this copy by photostat or~ photograph.
Fee ':For this certificate, Thi<; is to certify that the informat.i~~n here given is
~~~~~~1~~~p~,ZH OF pF,f~~~ - correctly copied froth an original Certificate of Death
o l dal} tiled with me as Local IZegistr~~r. The original
~ ~ certificates will be forwarded to the State Vital
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v y~=~ ,a~ Recorc~.s Office for permanent filing.
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- ~"~9T~ENT,O~;,;~rllt,
C~,rtification Number Local lZegistrar Date Issued
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H105-143 REV COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
TYPE /PRINT IN
PERMANENT CERTIFICATE OF DEATH
BUCK INK
(See instructions and examples on reverse)
STATE FILE NUMBER
Name of Decedent (Kral. ntiddb, lest, sulmr) Sex Sodel Security Number Date of Deem (Monet, day, year)
Robert Glenn Starner Male Ma
Age (Last Birmday) lMder t r Under 1 de & Date of Birth Monet, r BMh end state w coon fie. Place of Daam GTteck cxte
M0"ms D•Ya Mkxaee Hospital: Omer:
9 5 Yrs 1 2 / 2 / 1 5 Gardners , PA ? ? ER / Dn~anred ? DOA Nursktp Home ? Residerae ? fJdrer - spedly:
T1 6b. Coady of Deem City, Bao, Tv~. of Deam 6d. FadlKy Neme (If na irtstltutlon, give street and number) Was Deadenl of Hispenk; Odgkt? ®No ? Yes Race: American Indian, Blade, While, etc.
Cumberland Crossin Qfyec,apedycaban, (spt~
~ ~ ~ Cumberland S. Middleton gs Mexlant,PuertoPian,etca White
Decedem'e Usual lion Kind of work data dun moat of IKe. Do rat ebb rod Wu Dtx;ederd ever in the Decedem'e Educatbn (Spedfy Doty hlgftstk grade compbted) MarKxl Stelae: Married, Never McMed, Surviving Spouse Qt wife, give maiden name)
Kind of Work Kind of Business/ Irtduatry U.S. Amted Forces? Elements I Seconds Cone Wdaved, Divorced (Specify)
ry r~ ( ) sia or widowed
Weaver Manufacturin ? yea ~,e 1 l
r
V Decedents Mailing Address (Street, dly I town, state, zip code) Decedents Did Decedent
Aduel Residence , 7a. state P e n n s y l va n i a uve in a yea, Decedent Lived in S . Middleton Twp.
1 Longsdorf Way „~~,„ty Cumberland T0Y"r'~p? ?Ne,DecedenlUvedwimin
nc.
Carlisle , PA 1 7 5 Actual lamils of cty / Born
Formers Name (First, rttiddle, lest, suffix) Mother's Name (First, middle, maiden surname)
Arnold Stern Elizabeth Weidner
20a. Infomtem's Name (Type / Pnnt) 20b. IrdarnenYs Maiing Address (Stru4 dry /town, state, zip code)
Roxey Group Sunset Dr. Mt„ Holl S rin s PA
a. Memod of Disposition r ? Cremetbn ? Da~don b. Date d Dkpositbn (Monet, day, yex) 21c. Place of Dktpcsitlon (Name of cemetery, crematory «other place) 21d. Location (City /town, state, zip code)
o ~ L~J axial ? Rerravel from state ~ was Cronladon a Donedort Autftwfad 1 7 0 6 5
• ? nbyMadkalExamkler/cwoner9 ?yee?No Mt. Holly Springs Cem. Mt. Holt S rin s PA
~ 22a~St~re of~ Furbral Service Lice (a person aging as such) 22b. Lk:enee NuMer 22c. Name and Address of Fedlily
` ? t~--= ~ ~ ~ 011589E HollingerFH&Cremator Mt. Holt S rin s PA
Complete flertw 23ac sty when ardlylrg 23a. To best d my knowledge, deem a Kme, date and place stated. (Signature and We) 23b. lkense Number 23c. Date Signed (Monet, day, year)
physician is oat evailede et tiros of deem a V
aruty atnae of deem. ni ~ r rn ~ ~ 3 ao i t
• Items must be axrpbted by person 2a. Time of beam Date Prortastced De m, day, year) Wes Case Refened to Medical Examiner I Coroner for a Reason Other men Cremation or l)ortetion?
. who prortotxtcas deem. ~ 3 ~ M. a a ~ I ? Yes ~ No
CAUSE OF DEATH (Sea Instructions and examples) t Approximate interval: Pert Enter other ' Did Tobacco Use Contribute to Deem?
Item Pan I; Enter me dteln d events -diseases, injuries, a ampkcatlons -met directy caused the deem. DO NOT enter tertnktel events such es cardac enesl, r Orteet to Death but rat resuttirg in the underying cause given in Pan I. ? Yes
respkatay arrest, a ventrkxder fibrillation wimout showing dre etlology. List atty ate cause on each line. r ? Probeay
L(~~, ~ ' ? No ? Unknown
a .~Q ~ If Female:
esuflkg
In dead disease or C 1 • ~'CJ?~ ~ V' ~ j
Duero as a con uerae oQ: , ? Not pregnant within pest year
ks, • ~ , K b. ~ ? Pregnant at gets of deem
i m cause isbd on a.
'v Error UNDERLYING CAU5E Due a (a es a consequence of): ~ ? Not pregnant, but pregnant wihin days
of deem
(tFsuse a kNuY that kxlbted me c i ? Not pregnant, but pregnant days to 1 year
. evems roerAtirg n deem) UST. Due to (a as a comequertce oQ:
~ • d. i before deem
~ r ? Urtlcnoem'rf pregrtem within the pest year
30a. Was an Autopsy 30b. Were Autopsy Fndktgs Manner of Deem 32a. Date of Injury (Monet, day, year) 32b. Describe How Injury Orxtsred 32c. Place of Injury: Home, Fenn, Street, Fadnxy,
Performed? AveXable Prig to Canpletion Office BuiWkg, etc. (Specify)
of Cause of Deem? ~ Netael ? Homkide -
~ ? Yes ~ No ? Yes ? No ? Acddent ? Pending Investigetbn 32d. Time of Injury 32e. Iryury at Work? K Tronsponetbn Irtjupr (Specify) 32g. Locaton of irtjury (Street, city /town, state)
? Suicide ? Could Na be Determined k, ? Yes ? No ? Driver/Operel« ? Pa ? Petlestrien
~ ? Omer • Spedy:
l 33a Certlfier (dock only ate) 33b. Signature and
caMMng pitysklan (Pltyeldan art6yktg cause of deem when entoKter physiden nee prorannced deem and completed Kam ~
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TotMbutolmyknowledga,dssthoaunaddwtothaauaa(a)andmannsraatsled--------------------------------- ?
Proraunclrg and anlying phyaklan (Physician item pronotxtdrtp deem and ceneyirg ro cease d deem) 33c. License N 33d. Date Sign (Month, day, year)
To the but of my knowledge, dalh occurred et tM tlme, lisle, and plea, end due ro tM cause(s) end merwmr es stated- _ _ _ _ _ _ _ _ ~ Q Q ( S ~ j ~ 3 ~
°w • Medial Examinsr/f:OrgMr - - - - - - - - - , ~".J ` i
W On the bob of uamirtetlort and I a invutlgetbn, In my opinion, dudt occurred at the Nme, data, and place, end due to the ease(s) end manner u petsrL ? Name and Address of Person Who Completed Cause of Dom (Item Type /Print
~ Reglsbar lyre and Dietrid Dab Fled (Monet, day. year G c- ~ ~ ~gi C
DiaposKion Permit No.~. " ~n `~n O.S~U
RENUNCIATION
REGISTER OF WILLS
CUMBERLAND
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COUNTY, PENNSYLVANIA
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Estate of R. GLENN STARNER ,Deceased
I, ROBERT G. STARNER, JR. __, in my capacity/relationship as
(Print Name)
CO-EXECUTOR
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
ROXEY S GROUP, DARYL D PENLEY & VONNIE K. ATTIG
/nay ~~~~~
(Date)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of ,
Deputy for Register of Wills
~e~fi_ ~ a
(Signature)
(Street Address)
-----~
. ~ n~`iQ~a.~~~~ ~ ~C 3z--~'v_3
(City, State, Zip)
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purpose stated within on this ~ day
I~
Notary Public
My Commission 1?xpires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
COMMONWEALfiH 8F R~NN6~fLVAN~A
Form RW-06 rev. 10.13.06
Notarial Seal
Karen S. Noel, Notary Publk
Carlisle Bono, Cumt~iand County
Commis~on res Dec. 8, 2011
MEMBER, PENNSYLVANIA TION OF NOTARIES
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LAST WILL AND TESTAMENT ~ ~ ~
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I, R. GLENN STARNER, of South Middleton Township, Cumberland County,
Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly
revoking all Wills and Codicils heretofore made by me.
I direct my Executors to pay all of my debts, funeral and administrative expenses as
soon as maybe done conveniently after my decease.
I authorize and empower my Executors to sell any realty owned by me at my death,
and not specifically devised herein, at either public or private sale, and to give good and
sufficient deeds therefor, in fee simple, as I could do if living.
I give, devise and bequeath all of my estate of every nature and wherever situate as
follows:
(a) One-half thereof to my four children, ROXEY S. GROUP,
DARYL D. PENLEY, VONNIE K. ATTIG and ROBERT G. STARNER,
JR., share and share alike, the child or children of any deceased child
taking the share their parent would have taken if living;
(b) One-half thereof to my eight grandchildren, share and share
alike, the child or children of any deceased grandchild taking the share
their parent would have taken if living; and
(c) It is my desire that the above inheritances be used for each of my
children and their children.
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I nominate and appoint ROXEY S. GROUP, DARYL D. PENLEY, VONNIE K.
ATTIG and ROBERT G. STARNER, JR. to be the Executors of this my Last Will and
Testament; they are to serve as such without bond.
I hereby suggest that my personal representatives retain the services of Irwin,
McKnight & Hughes as attorneys for the settlement of my estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this 8 ~ day of
September,
(SEAL)
R. GLENN STARNER
Signed, sealed, published and declared by R. GLENN STARNER, the above-named
Testator, as and for his Last Will and Testament, 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.
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ACKNOWLEDGEMENT AND AFFIDA YIT
WE, R. GLENN STARNER, KAMELA S. CORNMAN and SHARON L.
SCHWALM, the testator and witnesses respectively, whose names are signed to the foregoing
instrument, being first duly sworn, do hereby declare to the undersigned authority that the
testator signed and executed the instrument as his Last Will and that he had signed willingly, and
that he executed it as his free and voluntary act for the purpose herein expressed, and that each of
the witnesses, in the presence and hearing of the testator, signed the Will as a witness and that to
the best of their knowledge the testator was, at that time, eighteen years of age or older, of sound
mind and under no constraint or undue influence.
. GLENN STARN R
KAMELA S. CO MAN
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SHARD L. SCHWALM
COMMONWEALTH OF PENNSYLVANIA :
SS:
COUNTY OF CUMBERLAND :
Subscribed, sworn to and acknowledged before me by R. GLENN STARNER, the
testator, and subscribed and sworn to before me by KAMELA S. CORNMAN and SHARON
L. SCHWALM, witnesses, this ~ ¢ day of September,
J~
` -Not ry Public
N«at~ai s~ai
~ g. Itwtn, Notary Public
Cwabarland County
l~yr ~a~u~~ ~ Clct. 2U0~4
~~tro4b~r,'Pc~'ha~t~If1~D~iln~
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