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HomeMy WebLinkAbout08-10-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of ~ ~,~' '~~ ~yLir~ ~~~c~~,~ , peceased ESTATE NO: 21- < < - ~! a/k/a: a/k/a: a/k/a: SS NO• ~~ ~ - ~~~ - l L`1~~ Petitioner(s) who is/aze 18 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. (complerte Part C also) and aver that Petitioner(s) is/aze entitled to the aforementioned Letters '~t;he~h c~~ Ct~4~~ ~;l~:h~'jh~lxl~t~~~ the last Will of the above-named Decedent, dated _ _~ j ~~j ~ ~~~\ _ _ and codicil(s) dated (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 23 Pa. C.S.A. § 3323(8): ^ B. Grant of Letters of Administration applicable, enter d.b.n., pendent lite, durante absentia, durante minoriitate) 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 a~mplete 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 had been established as provided in 23 Pa. C.S.A. § 3323(8), except as follows:- C7 ___ •-- NAmP nua LO IIlC ~~ - :~ ~ J nec -~ ~. .~~, nvv~ i ~v:~: ~r. JnG r. l J Ir lv GI.GJJ.-1Kl ~~ ^-{ - ~' A .. THIS SECTION MUST BE COMPLETED: ~''' Decedent was domiciled at death in Ct.tmberland Cotmty, Pennsylvania, with~iis/her last family or principal, resi< At c~~~ Ly\~__~~il1F m~(~l(1Cl~lC~hllc ct \~~.~ ~~~JC1(__` !-rP~t11(~l~il Ot _ ~7 ~_f e T'7 r ;-. .^` i_'-' T1 L `~ t../ --r, (Street address with Post Office and Zip Code, Municipality: Township,13d7ough, City) f Decedent, then _~~ years of age, died ., ~ ~-1 f c4C~ l \ at ~(1~.~ ~ (1lC`~Ul~~ C ~ ~C~ (Month, Day, Year of death) (City and State where death occu ) Estimated value of decedent'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 $ 0, 0.00 [.ocation of Real Estate in Pennsylvania: (Provide full address if possible.) Signature(s) Name(s) & Mailing Address(es) r ` ~~ .. , C~1G._C ih`j ~ Lam: ~ t1~ ,. cl~ 1c, L5% ~ S Lc. t1 C. Mirnm Fnrm RW_n~ ~A.,.~o.i t7 ~~: In 1... ~..... t,,._i.._a ~_..._._. ___~~__ _ ~~1~:~~ ~.,,.:~~y Ncuumg acu~u uy ule ~ uun Page 1 of 2 LOCAL REGISTRAR'S CERTIFICATION OF DEdA'T'F~ WARNING: It is illegal to duplicate this copy by pholtostat ar photog~apFF. Fee For this ccrtifirite. `~6.UU lr%, ~ ; i hi n l, :_, ,,11 p~ZH OF pfy , ; Li , t I i , i ~n inl:llnultil7l) I,LI~ ~ri~.rn i~, ~ ~ 1,,~~, - ~•~~ ~ ~ II I~C,_lt1 ~t ~~IL",. I II ? ^1 111 :f ll;l~ ~ C11!I I~.IIe ly( ))i;,fl~1 Y ~g==~ e~ ~'~ •Y} ~G 1 t•U~l ~I~Y' , .1~': .. ~ 4 IYI <li }lC Ill{~1~. I h~' I)fi i'lll~ll y he „ z, ~ ti Ill..li. ~ li =r= Ird~il t<Y Elie Sla[L, Vil;Il ~,~, a- 'a:~ ILL ,rl~, r>t~ I~rn.l;~~:•nl lilin ~ - _ . 7 ~+ ~ ~ CC / 1aO l CeruficaUon N h I,I .' .,rMENT ~F %~~" _ - - ~ _ .. um er ~" ,,,,r~=" ` I ,~r,ll Rcr,i~~tr~;u ,--~ _.._ D<It ~~I ~~ J ;'r. Ji ` ' . ~(TI z G .. •CI)T ~_~--}t~ ~w _.r C~ -ti-t ~. ,_~ ~- _~ C--~ =a aEV "'2°°6 ' PRINT IN [aMANENr COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS --~ "'~ ' ' `~. ~ Il,1CN INN CERTIFICATE OF DEATH ~'' ~'~~ -r') (See instructions and examples on re verse) I Name a Deceaem tFvy. mgpN. Asl. wttr=1 STATE FILE N UMBER Robert W. 5 Aga ILay &mlaaYl UrN« I rear umler I nav 2. Sax Miller Male ..,, ... ~ .. ._....__. _ _ _ _ 7. Sxw Secun Num0er N 173 - 38 - 6042 _. J Dale cl Deam IMOnm. my, year) July 27, 2011 r.WUns D„v .a,~s Aenr,rw - - _ _ _ _ __ unry anal RoSpml: 64 yr5 Aug 3, 1946 Dauphin Co, PA omer 6D County a Deam do cry. Raro Twp of Deam ^ Inpatwnl ^ ER r Outpatient ^ DOA ^ NarSmg Home X~ Res,pence ^om.r _ sp.my: BG. Faalrly Name tll rlpl rnslautron. gwe Slre« arN num0«I 9. 'Nay Oeceaenl of Hrspanrt Orgn? ~ No ^ Ye5 IG. Race' ArMnrn pltian. BbCk WNe, etc. Cumberland Hampden 'I~7p. 22 Lois Lane utre5.5pecrpcupan. I Me=can, Puano Ryan. ek.l Whit e tt. Deceoent'S Usual Occ' pan lxmtl of work done Dunn moll al worN LIe. 0o nm sole reyeol t2 was Oeceaent ever m ma t3. Deceoenl'i Eaucdtgn ISpeGrry °nry nrgne;l grape Wmpreleol N Manbl Sblus. Marnetl. Never Marnep 15 Sunrwng Spouse Ilt wee, tyre malaprt name) Baker NeN ~ Won 1~M d Rusrne6s. Irquslry U.S. Armetl FprceS? Elementary r Secontlary f0~ 121 Coilega 11 ~a or 5.) Wbowea. Dnorcep ISpecrtyl Food Industr ^Y.5 ®Np 12 Married Sandra Atkinson t6. DeceaenYS Mwulg Appress tSlreet. ury .town. sale np code) Oeceaem's DW Decedem 2 2 Lois Lane AcWy Resderce 17a. Sub PA Lne m a I7c. ®Yes. Decedent Urea rn _ Hampden T Townsnrp? w Mec anicsburg, PA 17050 np cwnry Cumberland na.^ Np.Dxeaent Lwa wmrn Aatiy Lurvb a ~, r Bom IS. Fam«'s Name IFry. matle. lass. ;utlial I g. Lbmers Name rFvsl. nlgOb. nuraen surnarre) Otto Miller Genevieve Lawful 20a. Inlorrtwxs Name ITypa Pnnll 2170 Inlormanl5 Mading Aaareu r9reeL nry .lawn, SbN. tp Cale) ~'a LtertlW aD Desiree Miller 201 Longmeadow Street, Mechanicsburg, PA 17055 5povpon ®Cremarwn ^ Donation 210. Dale of Dr ^ &rrNl ^ Removdr tram Slate Sposdron rMOnln. adY, yedrl 21c Place of Drsposrtwn 1Name of CarMlery. CremNlery or Darer place) 21a Loralgn rCrry ~ )own, stab, Ip cope) Wu Cramaion w Dabtbn AutlgrlxW ^ om« sa.~h pvNaalwE=aminarrcwpn«? ~YeS^Np 7-28-2011 Cremation Society of PA Harrisburg, PA 17055 22a wr I Funeral jenrc L,censee I D sm actin ,lrcl~ 220. License NumOer 22c. Name and Aopress a Facrbry ~ C Auer Cremation Services of Pennsylvania, Inc. ~ FD 138312 4100 Jonestown Road, Harrisbur PA 17109 Carpal )tams 23a<onry wnsn c 23a. io .ore orn of my IvpwNage seam uaurrea y me time. tlaN and puce sbletl 1Sgnalwa aro tidal pnysCUn u nd avadaae al Ima to 230 lx se Numoar 27c. Odle 55nap tMOnm. tlay, year) cenly was.aaeam. ',C-C lt1,L . ~'1 . •dCcl ra•(C{.s ~ Y~" ~~v ~'~L•/ ~ ~ r INrrn 2a-26 oars) a 24. Time of C m ~ .•i' CI ='t ~ ~-t~ ;f // c°rnpNtea Oy cerson 25. Daiy7rorpuncep Deaa IMOnm. day, Ye~ar/l 26 Was Case Relerrep 1 rat E•amma Conner tar a~easm w Wn rama0on or ponapOn? «tw Ymaxlces seam. ~•' ~ tC ~ n M. ~ Y `! . .y /71 ^Yes CAUSE OF DEA7H (Sep inatruetion d exam rlq) 1 gpproumale ~mer:w. Pan ll. Emar olnar sranrt +m -manron. ono ,i , INm 27 Pan L Enr« ar rwwn d event - mseases. rryaws. ur comgcatnru -that auactly rw.5ea tlN . DO NOT tar tem«w evenly sum as rxdac arrest. -~~L n ~"aL"~ 28. Dq ToOacco Usa Can04W b Daps? respralory arrest. « ~enlnCUW IrbNauon wpqul snowng pre alwbgy. LW °nly °rle [auw on earn nM. Onset ro Deam put not re5alxg .n the urlparlyrng reuse yven n i an I ^Yes ^ Prmayy 11WEDIATE CAUSE IFvW auease « / _ ^ tdp ,D~~ xrlatNnresaprq.ndaml /~l'^- ~ ~C -- ~ ,~~~ l •, lLC t -'.LIL 29. Il FamaN. a_ Due to ,or as4 con nce Dry. _ ^ ~ ~e ~ ~ ~ Seganauy My COrlpagn5. d dny. p ^ Prapurr ai pole d Gam ~eaav~p N the Cause a5ted on my a. Enbr dN UNDERLYING CAUSE c Due to for as a conseguerlce oq~. _ ^ ~ ~~A ~ a~x ~ u everltt rewpmg a~arm~LAST a a~ a dept Due to r,a as a consepuence ol)-. _ p. ^ tbt prequra, Oa prequn dJ days N t yW Dated dept 30a Was an AWOpsY 700. Were AWOpSY Fmorrgs 31 Mannar of Deam 32a. Dale of I I ^ UrYltpwn d Ixegwa w1N1 tlN pay yeel PBrAxmetl? Avadade Pnor I° CNnpNlron ryury IMOnIn. Day. Year) 720 Desurpe Mow Inlury Gccurreo ~Nawral ^ Nanrcbe 32c. ~Faca Del Iryury, eNprp. Farm Seel. Fsuory, or cause a Deam ~^9 ~Yl ^ Yes ISd No ^ les ^ no ^ Acooenl ^ Penpug Investgalron 32p Time rl Injury 32e. rrryury al Wom? 32f p Transponalwn nlury ISpec,hl 32 laapon of n „rr :reel '(~ 9 I :.ry town. ;tiler ^ Sumrtle ^ Coulo Na oe Det«mrnea n v.~ n .~_ n Dnv« ~ Ooeralcr n v=.~., nP..r.•,.,,., 33a Ceruber tcnecs Dory ones ,~"'•' ~ weceY 730 Sgr,l„re arq rpe of C_ egA;r _ ' CerUryup pnyskbn rPnyscran cenrryrng cause °I xam wnen arother pnysxran nas «orrouncea peam arW campeletl uem 271 "~ ---~ Tpm.ayamyN,ewNay.,aabnul,n.Bawl.may.e,.I51a„a„b„n„„Sbc.a-------- -~ ~ M.n • Pronourscxsg and caaMNg MY•iGbn ~ Prrysrcan cum aronounurng ceam and cenrryxy to cause of deem) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ To pb pay of my NlowMaga, 4aN occurrW at pw time, aN, arq pbu, arse aw to UN uu 37c Lcen4e.Weeper" 330 Dale Sgnetl ~ Mwrm..yaY rear) • N.aNy ELrwNr I Corww Wal and manna u fbla4 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ _~~~~ - Z on tn. aaN a aamNapon +na 1 a mwyigatwn. rn my opinion, dam «cxmad m tM pm., aa.. and place, and aw to IM c,uaalq and manmr ae mt.a ^ _ T ~ ~.. 2. 7 "tame aria Aabess a Person Wlq CrmoNlep I'ar.se a Geam .Item ~;. 'rpe Pnnr IS R s Sgna1 ~E - NurpOer U. J~;_{."•, ,:, ~ {s, .•Y -,,,, ~ r Ln Pli.~. ~ 121 ZI 212 173 >e~ ,re~~/aY.Yearl Jr~.~ .~I Ira ~r..,.,•r-/.tdvi ~ ~~:r DrSposaan Pwmrl No Will of Robert Wayne Miller Sr Part 1. Personal Information I, Robert Wayne Miller Sr, a resident of the State of Pennsylvania, Cumberland County, declare that this is my will. Part 2. Revocation of Previous Wills I revoke all wills and codicils that I have previously made. n r f~ ,~~_, ~-= -~ ; ~~, ~ ~ ; "r7 ^ C.:.: ~., ~ ., l G f Part 3. Marital Status ?_ f~i"1 •' ~~ ~ ---- ~' _ ~ : ~~,~ I am married to Sandra Kay Miller ~ _- ' ' . . _ ~ Part 4. Children I have the following children now living: Robert Wayne Miller Jr and Reginald Wayne Miller. Part 5. Grandchildren I have the following grandchildren now living: Halie Anne Miller, Jadelyn Marie Miller and Brittney Rayann Miller. Part 6. Failure to Leave Property If I do not leave property in this will to any of my children or grandchildren named above, my failure to do so is intentional. Part 7. Disposition of Property A beneficiary must survive me for at least 45 days to receive property under this will. As used in this will, the phrase "survive me" means to be alive or in existence as an organization on the 45th day after my death. If I leave property to be shared by two or more beneficiaries, and any of them doers not Pagel Initials: ~ Date: ~'~-r''~~ Will of Robert Wayne Miller Sr survive me, I leave his or her share to the others equally unless this will provides otherwise. My residuary estate is all property I own at my death that is subject to this will that does not pass under a general or specific bequest, including all failed or lapsed bequests. ~PrY ___._~_~ ~_ Ileave 2005 Chevrolet Van to ~l Wayne Miller. s,~`'` ,j~~ ~NOIJ ,- Ileave 1999 Buick Park Ave to-R~e~t Wayne Miller ~. I€Rc~bert Wayne-Miller Jr does- not.survive rn~, f leave thi~.pr~rlyy_to _I_~eginald Wayn~Miller. ~~: _', I leave my residuary estate to my spouse, Sandra Kay Miller. If Sandra Kay Miller does not survive me, I leave my residuary estate to Robert 'Wayne Miller Jr, Reginald Wayne Miller and Mark Anthony Stevens in equal shares. If Sandra Kay Miller and Reginald Wayne Miller do not survive me, I leave Reginald Wayne Miller's share of my residuary estate to Brittaney Renay Miller and Jane Miller in the following shares: Brittaney Renay Miller shall receive a 1/3 share; Jane Millesr shall receive a 2/3 share. If Sandra Kay Miller and Mark Anthony Stevens do not survive me, I leave Marl: Anthony Stevens's share of my residuary estate to Robert Wayne Miller Jr and Reginald Wayne Miller in equal shares. All personal and real property that I leave in this will shall pass subject to any encumbrances or liens placed on the property as security for the repayment of a loan or debt. Part 8. Executor I name Mark Anthony Stevens to serve as my executor. No executor shall be required to post bond. r Page 2 Initials: ~ 1 Date: 7-/5 Will of Robert Wayne Miller Sr Part 9. Executor's Powers I direct my executor to take all actions legally permissible to have the probate of my will done as simply and as free of court supervision as possible under the laws of the state having jurisdiction over this will, including filing a petition in the appropriate cc-urt for the independent administration of my estate. I grant to my executor the following powers, to be exercised as he deems to be in the best interests of my estate: 1. To retain property without liability for loss or depreciation. 2. To dispose of property by public or private sale, or exchange, or otherwise, and receive and administer the proceeds as a part of my estate. 3. To vote stock; to exercise any option or privilege to convert bonds, notes, stocks or other securities belonging to my estate into other bonds, notes, stocks or other securities; and to exercise all other rights and privileges of a person owning similar property. 4. To lease any real property in my estate. 5. To abandon, adjust, arbitrate, compromise, sue on or defend and otherwise deal with and settle claims in favor of or against my estate. 6. To continue or participate in any business which is a part of my estate, ands to incorporate, dissolve or otherwise change the form of organization of the business. These powers, authority and discretion are intended to be in addition to the powers, authority and discretion vested in him by operation of law by virtue of his office, and may be exercised as often as is deemed necessary or advisable, without application to or approval by any court. Page 3 Initials: ,tirgcl Date: - ~$~1 Will of Robert Wayne Miller Sr Part 10. Payment of Debts Except for liens and encumbrances placed on property as security for the repayment of a loan or debt, I direct that all debts and expenses owed by my estate be paid in the manner provided for by the laws of Pennsylvania. Part 11. Payment of Taxes I direct that all estate taxes assessed against property in my estate or against my beneficiaries be paid in the manner provided for by the laws of Pennsylvania. Part 12. No-Contest Provision If any beneficiary under this will contests this will or any of its provisions, any share or interest in my estate given to the contesting beneficiary under this will is revoked and shall be disposed of as if that contesting beneficiary had not survived me. Part 13. Severability If a court invalidates any provision of this will, that shall not affect other provisions that can be given effect without the invalid provision. Signature I, Robert Wayne Miller Sr, the testator, sign my name to this document, this (~ 1~ day of r,~ 2D f , at t "l1 m r1c~ /~,i,.f~ ~-~- ~~,., (city or county, and state). I declare that I sign and execute this document as my last will, that I sign it willingly and that I execute it as my free and voluntary act. I declare that I am of the age of majority or otherwise legall-y- ered tom e a will, and under no constraint or undue influence. Signature: - ~ ~ ,~~~~ ,~~_, Witnesses We, the witnesses, sign our names to is docum d declare that the testator Page 4 Initials: ~i ate• ~-~ i Will of Robert Wayne Miller Sr willingly signed and executed this document as the testator's last will. In the presence of the testator, and in the presence of each other, we sign this will as witnesses to the testator's signing. To the best of our knowledge, the testator is of the age of majority or otherwise legally empowered to make a will, is of sound mind and is under no constraint or undue influence. We declare under penalty of perjury that the foregoing is true and correct, this • fl ~ 5 day of~~~- 7~ 1 / , at C.~M(3~R~.~u~ ~-P~IIN~I ~,vsy1-i~'~.~.9"~"city or county, and state). First Witness Sign your name: ~„ ti, ~,C rum Print your name: ~~ ~ ~r/,q ~- ~~ ~q ~ ~~ , LC M ~ ! N G E 2 Address: ~ 7 /= A i !~ 1/A Y D aK City, State: c A M l' /-1 / L L /~ /.~ ) ~ G3 t Second Witness Sign your name: Print your name: ~u L ~ if L/~N ~I y.~ Address: Z 7 ~~~~,v/ /2.L/~~ City, State: _ /~i~l,L,l~jU,yLS~d/~(s- ~ ~ /4- 17a.~ p r Page 5 Initials: Date: ~ / ~ /I OATH OF SUBSCRIBING WITNESS(ES) c~ `~~ ~ :~, ; REGISTER OF WILLS '' ~~ ~~ CUMBERLAND COUNTY, PENNSYLVANIA --,~,~ ~_..,~' +,. r-- ~ ,~ ;~ ~ _.... . ; _ -- Estate of Robert Wayne Miller Sr. ~~'~ ,~., ri Deceased Jonathan H. Uhlinger , (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 /~ they as were present and saw the above Testator Testatri:K sign the same and that she ~ they signed the same and that she / he they signed as a witness at the request of the Testator Testatrix in her is presence and in the presence of each other. (Signature) (Street Address) (city, state, zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this of day Deputy for Register of Wills (Sgnature) ~ 57 Fairway Dr. (Street Address) Camp Hill, PA 17011 (City, State, zip) Executed out of Register's Office Sworn to or affirmed and subscribed before me this ~ day of ~UC'U~-' ~ s,+ Notary Pu c My Commission Expires: ~- ~ ~- -- ~-a-~ (Signature and Sea] of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) NOTE: To be taken by OtTicer authorized to administer oaths. Please have present the original or copy of instrument( ~~f~t~iil SAN A Nt~TARIAL SEAL GINA UQAIDI, Notary Puhiic Form RW-03 rev. !0.!3.06 Camp HIM BOrO, Cumberland County My Commission Expires February 12, 2014 OATH OF SUBSCRIBING WITNESS(ES) r, -~c~ n =~ REGISTER OF WILLS , ~a CUMBERLAND COUNTY, PENNSYLVANIA A ,~r-, c,~; ry II ~ _ ( /~ '~~~~,~ ; ~~ n r~- 1 =;:,, -L'i - `~ v .~ -:_-, -, ; ,-, r c°~ ~ .. _- ~_, ~. , ~~~ ~ --;•~ Deceased Estate of ROBERT WAYNE MILLER , SR PAUL E. HIRN . JR (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 the Testator /Testatrix signed the same and that she / he /they signed as a wifiess at the request of in her /his (Signatwe) presence and in the presence of each other. _ ~ ~~~ (Signature) (Street Address) (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , Executed out of Register's Offi~°e Sworn to or affirmed and subscribed before me this ~~~` day of ~~~~ ~ ,~l%tii Deputy for Register of Wills No ry Public My Commission Expires: ~ ~ ~ ~. i 2 0 ~ 3 (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) u. NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrum~e~M~ NOTA~IALIic JILL SMEIGH, Notary Form RW-03 rev. 10.13.06 r~, Cumberland County Camp Hill Bo fires February 12, 2013 My ComJ~p 27 LONGVIEW DRIVE (Street Address) MECHANICSBURG, PA 17050 (City, State, Zip)