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Home My WebLink About03-26-13 � nese� PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for Letters as specified below, and in support thereof aver(s)the following and respectfully request(s)the grant of Letters in the appropriate form: Decedent's Information Name: Ralph L.Oyler File No: a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death:February 18,2013 Age at death:91 Decedent was domiciled at death in Cumberland County,Pennsylvania (state)with his/her last principal residence at 918 Baltimore Road,Southampton Twp.,Shippensburg,PA Cumberland Street address,Post Office and Zip Code City,Township or Borough County Decedent died at Chambersburg Hospital,Chambersburg,Borough of Chambersburg, Franklin PA Street address,Post Office and Zip Code City,Township or Borough County State Estimate of value of decedent's property at death: If domiciled in Pennsylvania.. . . . . . . . . . . . . . . .. ... . . . . . . . All personal property $ If not domiciled in Pennsylvania. . .... . . ... . . . . . . . . ... . . Personal property in Pennsylvania $ 1.000.00+ If not domiciled in Pennsylvania. . ........ . . . . . . . . . . ... . Personal property in County $ Value of real estate in Pennsylvania.. ...... . . . . . . . . . . ..... . . . ........ . . . . . . . . . . . . .. . . . . . .. . . $ 75.000.00 TOTAL ESTIMATED VALUE. . . . $ 76,000.00+ Real estate in Pennsylvania situated at:918 Baltimore Road Shippensburg,Southampton Township,Cumberland County,PA 17257 (Attach additional sheets,if necessary.) Street address,Post Office and Zip Code City,Township or Borough County A. Petition for Probate and Grant of Letters Testamentary Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated and Codicil(s) thereto dated State relevant circumstances(e.g.renunciation,death of executor,gk.) w r�l Q M C Except as follows: after the execution of the instrument(s)offered for probate Decedent did not marry,N�divorce�as n&a , to a pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S." 0 and:-M noffla��ya child born or adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated persclt- C)NO EXCEPTIONS C)EXCEPTIONS ° r% < P1 B. Petition for Grant of Letters of Administration (If applicable) 7F s c.t.a.,d.b.n., d.b.n.c.t.a.,pendenle litd}durante}absendd,—durante minoritate If Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above anA completok%t oVii irs. Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S. §3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person. Q NO EXCEPTIONS ®EXCEPTIONS 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(attach additional sheets, if necessary): Name Relationship Address evin .OOyler son 918 Baltimore Road,Shippensburg,PA 17257 Dean 0.Oyler son 460 Eden Roc Circle,Apt.301,Virginia Beach,VA 23451 Form RW-02 rev.10/11/2011 Page 1 of 2 Oath of Fersonal Representative Official Use Only CC}MMt�NWEALTH C}F PENNSYLVANIA } } 5S: C4UNTY OF�umber�and � Petitioner(s)Printed Name Petitioner(s)Printed Address evin�..0 ler 918 Baltimore Road,Shi ensbur ,PA 1'7257 . The Petitioner{s}above-named swear{s}or affirm(s)the statements in e faregaing Petition are hue and correct to the best of the knowledge and beiief of Petitioner(s}and that,as Fersonal Representative(s}of the Dec t,t�ie Peti' e 1 well and truly administer the estate accarding to 1 w. Swarn to or affirmed anci subscribed before -�� Date � �� .�'/� me t i 1�.�,t`� ay of ,��,�j Date By• Date For the Register � D�� BG1ND Required: � YES � NO To the Register of Wills: FEES: Please enter my appearance by my signature below; Letters. . . . . . . . . . . . . . . . . . . . . . $ �. Attarney Signature: ( )Short Certificate(s). . . . . . { }Renunciation{s}.. . . . . . . . ( )Codicil(s). . . . . . . . . . . . . - { }Affidavit(s}.. . . . . . . . . . . Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: Timothy S.Sponseller Commission. . . . . . . . . . . . . . . . . . Supreme Court Other . . . , , . . ID Number. 21b59 r�� a � . . . . . . . �:, � c.,.a . . . . . . . �� rn �„�.- Firrn Name: S nse�lerl�raham, � � �? ��.► . —�, . . . . . . . Address: � C3 �' �� . . . . . . . �``� � � . . . . , . . �' Cfi '� . . . . . . . C� �, ::'-� ""�'�, ""�'t . , . . . . . Phone: 717-264-11Q0 � � -'�,� ._;,:,� .��- �_�:,"# Automation Fee. . . . . . . . . . . . . . . (� Fax: �._ F.__� ., - ��.�C� '717-2 1880 _ � � �� JCS Fee. . . . . . . . . . . . . . . . . . . . . �_ �(,�, Em�il: t�,,,_r�x cn,�-LncPl]�r.�`,��"f�i7Cnm �,� � TOTAL. . . . . . . . . . . . . . . . . . . . . $ . � Y�"' �� DECREE O►F TI3E REGISTER Estate of Ralph L.Oyler File No: ��`1b./�,.�'�� a,/k/a: AND NOW, � � �� , , in consideration of the foregoing Petition, satisfactory proaf having be presented before me,IT IS DECREED that Letters of Administratian are hereby granted to I�evin L.Oyler in#he abave estate and(if applicable)that the instrument(s�dated described in the Petition be admitted to probate and filed of recor a the last Will and Codicii(s )of Decedent, �� Reglster of Wills � Form RW-02 rev.10/11/2011 ��e Of 2 14105.805 REV(9111) LIOCAL REGISTRAR'S CERTIFICATION OF DEATH Vdt #ll 6rduplicate this copy by photostat or photograph. REG IST 6EM OF 7''6ILLS Fee far this certificate, $6.00, ,I/f"r- This is to certify that the information here given is ARR 26 F;] 11 03 (()l'y;,�a��°�PFNy--- correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original R _ certificate will be forwarded to the State Vital ° Records Office for per,"ent filing. P 19 3 3 7 4 @@ABERLANO CC.f PA 2 T�1EN 141)1'` Certification Number °"""""' Lo istrar Date Issued Type/Print In COMMONWEALTH OF PENNSYLVANIA•DEPARTMENT OF HEALTH W VITAL RECORDS Parmanent CERTIFICATE OF DEATH Black Ink Stake File Number: 2, eced¢M's tegat Name(First,Mitltlte,Last,Suffix 2.Sex 3.Social Security Number 4.Date of Death(MO/Day r)(Spell M. Ralph L OYLER Mala 183-12-4956 February 18,2013 Sa.Age-Last Birthday(Yrs) 15b.Under 3 Year ISc.Under 1 Day 6.Date of Birth(Mo/Day/Year (Spell Month) 7a.Birthplace(City and State or Foreign Country) Months Days Hours Minutes Fayetteville,PA 91 August 23,1921 7b.Birthplace(County) Franklin 8a.Residence(S—or Foreign Country) 8b.Residence(Street and Number-4nclude Apt No-) 8c.Did Decedent Uve In a Townshlp7 PA 918 Baltimore Rd XaYes,decedent lived In_v_ Southampton TWP two. $r1.Residents(County Cumberland is,.Residence(Zip Code) 17257 jr3No,decedent lived within limits of city/boro. 9.Evelio U5 Armed Forres? 3-'M arital Status at Time of Death Q Marri¢d Widowed 11.Surviving Spouse's Name(if wife,give name prior to first marriage) My— Q No Q Unknown Q Divorced Q Never Married Q Unknown 12.Father's Name(First,Middle,Last,Suffix) 13.Mother's Nam,Prior to First Marriage(First,Middle,Last) H.Lester Oyler Edna Walker 14a,infprm e.Name Relationship to Decedent 14c.informant's Mailing Address(Street and Number,City,State,Zip Code 34b. ) os Kevin L.Oyler Son 6403 Spring Forrest Road Frederick MO 21701 G .......... ................•tfy .................... ....... a. ace o ea ...ec..on y one.............................. ...... ... ......... 1 .....................� a 'g' If Death Oecmrrsd fn i Hospital: tta Inpatient If Death dc4urred some here 0th r Than a Hospital' Hosfy) Facility Decedent's Home Emer ency Room/Outpatient Q Dead on Arrival Nursing Home/Long-Term Care Facility Ocher(Specify) 13b.Facility Name(1 not Institution,give street an number] 35c.City or Town,State,and Zip Code 15d.County of Death ,,..y Chambersburg Hospital Chamberaburg,PA 17201 Franklin y 1641.Method of Disposition IN Burial 0 Cremation 16b.Date of Disposition 16c.Place of Disposition Name of cemetery,crematory,or other place (� Q Removal from State Q Donation Z fy) February 23,2013 Norland Cemetery 16d_LOaO Lion (City or Town,Stale,and Zip) 17a.Sign ral Licensee or Person In Charga o£interment 17b.Ucense Number Chambersburg,PA 17201 mni _ FO-014831-L [} 17c.Name and Complete Address of Funeral Facility 8 Fogelsanger-Bricker Funeral Home 112 W King St.PO Box 336,Shippensburg,PA 17257 & 1$.Decedent's Education-Check the box that best describes the 19.Decedent of Hispanic Origin-Check the 20.Oeced¢nt's Race-Check ONE OR MORE ra es to Indicate what highast degree or level of school completed at the time of death. box that best describes whether the decedent the decedent considered himself or herself to be. Q 8th grade or less is Spanish/Hispanic/Latino.Check the"No'. ]g[White Q Korean Q No diploma,9th-12th grade box If decedent is not Spanish/Hispanic/Latino. Q Black or African American Q Vietnamese Q High school graduate or GED completed No,not Spanish/Hispanic/Latino Q American Indian or Alaska Native Q Other Asian Q Some college credit,but no degree Q Yes,Mexican,Mexican American,Chicano Q Asian Indian Q Native Hawaiian Q Associate degree(e.8-AA,AS) Q Yes,Puerto Rican Q Chinese Q Guamanian or Chamorto N Bachelor's degree Wa.BA,AB,BS) a Yes,Cuban Q Filipino Q Samoan Q Master's degree(e.g.MA,MS,MEng,MEd,MSW,MBA) Q Yes,other Spanish/Hispanic/Latino Q Japanese Q Other Pacific Islander Q Doctorate(e.g.PhD,Edo)Or Professional degree (specify) Q Other(Specify) .MD DOS DV"_LLB!D 21.Deced¢nt's Stngie Race Seif-Oesignation-Check ONLY ONE to indicate what the decedent considered himself or herself to ba. 22a.Decedent's Usual Occupation-Indicate type of work IN White Q japanese Q Samoan done during most of working life. DO NOT USE RETIRED- C3 Black or African American Q Korean Q Other Pacific Islander Self Employed Q American Indian or Alaska Native Q Vietnamese Q Don't Know/Not Sure Q Asian Indian Q Other Asian Q Refused 22b.Kind Of Business Industry et t]Chinese Q Native Hawaiian Q Other(Specify) w3�t Q Fdip(no Q Guamanian or Chamorro Farming ITErAs 2341- MUST BE LETED 3a.Data ronounced Dead o Day 23b.signature o Person ronouncing Death Only w en app ca 23..U..nsa Number BY PERSON WHO PRONOUNCES OR % IFIES DEATH 23d.Date Signed(MO Pay r) 24.Time to Death 4:23 PM 2S.Was Medical Examiner ar Coroner Contact¢d7 CAUSE OF DEATH = Approximate 26.Part 1. Enter the chain of events--diseases,Injuries,or complications--that directly caused the death. DO NOT enter terminal events such as cardiac arrest. Interval: respiratory arrest,or ventricular fibrillation without showing the etiology. DO NOT ABBREVIATE. Enter only one cause on a line. Add additional lines if necessary Onset to Death IMMEDIATE CAUSE a Comp(iostlons of Traumatic Injury to Left Hip 6 days (Final disease or Condition Due to(or as a consequence 00: i resulting In death) b, Fell from Chair Sao uvndaily list conditions. Due to(o as a consequence of): if any.leading to the cause listed On it re a.Enter the C. l UNDERLYING CAUSE Due to(or as a consequence of): W lot sea.a or Injury that s Initiated the events resulting d. In death)LAST. Due to(or as a c Itaq u¢nce of}: s 26.Part R. Enter other but not resulting In the underlying cause given in Part I 27.Was an autopsy performed? Yes No Blood loss Into hip area 2$.Were autopsy findings available At to complete the cams of death? Q Yes No 29.if Female: 30.Did Tobacco Use Contribute to Death? 31.Manner of Death Q Not pr.gn t within past y®ar Q Yes Q Probably Q Natural Q Homicide Q Fragrant at time of death IN No Q Unknown JK Accident Q Pending Investigation Q Not pregnant,but pregnant within 42 days of dealt Q Suicide Q Could not be determined Q Not Pregnant,but pregnant 43 days t0 1 year before deatt- 32.Date of injury(MO/Day/Yr)(Spell Months Q Unknown If pregnant within the past year February 12,2013 133.rme pt Injury Approximately 1 0:00 AM 34.Place of Injury(¢.g,home;construction site;farm;school) 35.Location of Injury(Street and Number,City,State,Zip Code) Residence 918 Baltimore Rd,Southampton Twp,PA 17257 36.Injury at Work 37.If Transportation Injury,Sp¢cifv: 38,Describe How Injury Occurred: Q vas Q Driver/Operator p Pedestrian Fell from Chair IN No Q Passenger Q Other(Specify) 3941.Certifier(Check only one): Q Certifying physician-To the bast of my knowledge,death occurred doe to the cause(s)and manner stated Q Pronouncing&Certifying physician-To the best of my knowledge,death occurred at the time,date,and piece,and doe to the eause(s)and manner stated > ]$Medical Examiner/Coroner,,,,..-On the basis of examination,and/or investigation,in my opinion,death occurred at the time,date,and place,and due to the cause(s)and manner stated Signature of certifier:� g . ?DST' /;P e uwa+ear Title of certifier: Coroner License Number: 39b.Name,Address and Zip Code of Person Completing Cause of Death(Item 26j 39c.Dat¢Signed(MO/Day/Yr) Mr.Jeffrey R Conner 1497 Loudon Road,Chambersburg,PA 17202 February 22,2013 , eg sitar s street Number 41.Re 1 S gnature 42.Reg attar 1 e eta o ay r 43.Amendments H2O5-143 Disposition Parrott No"0981911 REV 07/2011 O Pf 1 C? Q-> rrI n Cn RENUNCIATION r'' f °- REGISTER OF WILLS Cumberland COUNTY, PENNSYLVANIA ' Estate of Ralph L. Oyler , Deceased 1, Dean 0. Oyler , in my capacity/relationship as (Print Name) son of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Kevin L. Oyler J �2d (Date) (Signature) 460 Eden Roc Circle,A t. 301 (Street Address) Virginia Beach,VA 23451 (City,State,Zip) Executed in Register's Office Executed out of Register's Office Sworn to or affirmed and subscribed Before the undersigned personally appeared the before me this ? — day party executing this renunciation and certified of R7 that he or she executed the renunciation for the purposes stated within on this day of , Deputy for Register of Wills Nota tic _ My Commission E pires: C9-30'1'� (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Comm, .) SIPHER MARTIN HAS r 4p1AR4 P,35 1193, A ,.c REGISTRE�NH OF VIRGESIA Form RW-06 rev. 10.13.06 it C 0 McoMMISSIS,?N�� _