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10-10-13
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 requests the grant of Letters in the appropriate form: Bonnie J.Middleton Decedent's Information c� Name: Robert M.Middleton File No: 21-13 " I Q O - a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: 0 8/2 012 01 3 Age at Death: 90 Decedent was domiciled at death in Cumberland County, PA (state)with his/her last principal residence at 1700 Market Street,Camp Hill 17011 Camp Hill Cumberland Sheet address,Post office and Zip Code City,Township or Borough County Decedent died at 1700 Market Street,Camp Hill,17011 Camp Hill Cumberland PA Street address,Post Offim 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 $ 200,000.00 If not domiciled in Pennsylvania................ Personal property in Pennsylvania $ If not domiciled in Pennsylvania................ Personal property in County $ Value of real estate in Pennsylvania................................................................... $ TOTAL ESTIMATED VALUE $ 200,000.00 Real estate in Pennsylvania situated at (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 Petitioners)aver(s)that he/she/they is/are the Executor(s)named in the Last Will of the Decedent,dated 10/3012008 and Codicils) thereto dated State relevant circumstances(e.g.,renunciation,death of executor,etc.) Except as follows:after the execution of the instruments)offered for probate,Decedent did not marry,was not divorced,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(9),and did not have a child born or adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ®NO EXCEPTIONS ❑ EXCEPTIONS ❑ B. Petition for Grant of Letters of Administration (If applicable) at a.,d.b.n.,d.on.c.t.a.,pedente lite,dmante absentia.durante minontate If Administration,c.t.a or d.b.n.c.t.a.,enter date of Will in Section A above and complete list of Intelrs. Except as follows: Decedent was not a party to pending divorce proceedingp 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 atljudicated an incapacitated person. ❑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): C'> Name Relationship Address � o rn cn a rvi rn a o C7 C'1 © LD C'> t r] � 1 � Form RW-02 rev.10.11-wii Copyright(c)2011 form software only The Ladner Group,Inc. Page 1 of 2 Oath of Personal Representative Official use Only COMMONWEALTH OF PENNSYLVANIA } } SS: 73 COUNTY OF Cumberland } n �-' rn Petitioner(s)Printed Name Petitioners)Printed Address ;X Bonnie J.Middleton 8384 Cypress Mill Road '-i ;` Baltimore,MD 21236 M CD � c7 Name as listed in Will: Bonnie J.Middleton ' (f1 o 0 n CD _ {-" 49l The Petitioner(s)above-named swear(s)or affirm(s)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'q(,ecedent,Petitioner(s)will elell,and truly administer the estate according to Sworn to or affirmed and subscribed before Lx/ rp1,f d(Nl Date met day of. ,� Date By; Date r fhe Regis er Date BOND Required? ❑ YES ❑X NO To the Register of Wills: FEES: Please enter my appearance by my signature below: Letters............ ............................. $ 260.00 Attorney Signature: ( 5 )Short Certificate(.)......... 25.00 ( )Renunciation(.).............. J ( )Codicil(s)........................ ( )Affidavit(s)....................... Printed Name: George F Douglas,III Esq. Band............................................. Supreme Court Commission......... ....... ................ ID Number: 61886 Other Will 15.00 PA Inheritance 15.00 Firm Name: Salzmann Hughes,P.C. Inventory 15.00 Address: 354 Alexander Spring Road,Suite 1 JCP 23.50 Automation fee 5.00 Carlisle,PA 17015 Phone: 717-249-6333 Automation Fee............................ JCS Fee....................................... Fax: TOTAL......................................... $ 358.50 E-mail: gdouglas @salzmannhughes.com DECREE OF THE REGISTER Date of Death: 08/2012013 Social Security No: Estate of Robert M.Middleton File No: 21-13— a/k/a: AND NOW, ,in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Bonnie J.Middleton in the above estate and(if applicable)that the instrument(s)dated 10/30/2008 described in the Petition be admitted to probate and filed of record as the last Will(and Codicil(s))of Decedent. Register of Wills Copyright(c)2011 form so only The Lackne roup, ftware Page 2 of 2 H RECORDED OFFICE OF REGISTER OF kViLLS LAST WILL AND TESTAMENT Li3 OCT 10 `M li 24 OF CLERK OF ORPHANS' COURT ROBERT M. MIDDLET&BERLAND Co., PA I, ROBERT M. MIDDLETON, of 824 Lisburn Road, Apartment 315, Camp Hill, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void any and all former Wills, Codicils, or writings in the nature thereof, by me at any time heretofore made. FIRST: I hereby order and direct my Executrix or Executor, hereinafter named, to pay all my just debts, funeral expenses, testamentary expenses and all Inheritance, Estate, Transfer and Succession Taxes, as soon as may be conveniently done after my death, out of my residuary estate. SECOND: I own three remaining burial plots in the Rolling Green Cemetery, Camp Hill, Pennsylvania. I will be buried in one plot next to my late wife, Pauline M. Middleton. I give the remaining two plots to my daughter, BOVIINIE J. %VDIDLI ETON. THIRD: I give my entire estate to my daughter, BONNIE J. MIDDLETON. In the event that my daughter, BONNIE J. MIDDLETON, should predecease me, then I devise and bequeath all the rest and remainder of my estate, both real and personal, to my sister, FRANCES JOHNSON and my brother-in-law, EUGENE HULL, in equal shares, per stirpes. LASTLY: I nominate, constitute and appoint my daughter, BONNIE J. MIDDLETON, to be the Executrix of this my Last Will and Testament. In the event that my said daughter, BONNIE J. MIDDLETON, shall be unable to serve as Executrix for any reason, I appoint my sister, FRANCES JOHNSON, as Executrix. No Executor or Executrix shall be required to file bond in this or any other jurisdiction. Q'H IN WITNESS WHEREOF, I have hereunto set my hand and seal this day day of O c�o Q, t.. 2008. h" Ivyl Rob rt M. Middleton SIGNED, SEALED, PUBLISHED and DECLARED in the presence of: 2 COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND I, ROBERT M. MIDDLETON, Testator, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and acknowledged before me, by ROBERT M. MIDDLETON, the Testator, this day of Oc-*-c -t-, 2008. Robert M. Middleton, Testator Notary u is COMMONWEALTH OF PENNSYLVANIA Notarial Seal ,io Ann Seker.Notary Public Camp Hill som,Cumberland County My commission E)ires June 30,2M I Member,Pennsylvania Aa50Clat1e11 of Notades 3 COMMONWEALTH OF PENNSYLVANIA ss COUNTY OF CUMBERLAND We,GEOR&,E F• q)�G CAS and bau it the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that-we were present and saw Robert M. Middleton, Testator, sign and execute the instrument as his Last Will; that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as witnesses; and that to the best of our knowledge the Testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed to and subscribed to before me by GCutr f_ otacrcAS 6 and i/an this 36 day of n6-k4Rr- , 2008. Witness �-�—�- ess Nota;;i i c COMMONWEALTH OF PENNSYLVANIA Notarial Seal Jo Ann Seker,Notary Public Camp Hill Born,Cumberland County My Commission E)ires June 30,2011 Member,Pennsylvanla Association of Notaries 4