HomeMy WebLinkAbout02-01-05
./
Register of Wills of Cumberland County
Estate of Arletta B. Miller
also known as N / A
PETITION FOR PROBATE and GRANT OF LETTERS
No..:JI- Oc;-~ lot
, Deceased.
193-7.4-0S6G
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Register of Wills for the "-;; 0
County of Cumberland int~<i::'J
Commonwealth ofPennsyl~ai!ii!i:?
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To:
Social Security No.
The petition of the undersigned respectfully represents that:
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(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in Cumbe r land
Pennsylvania, with ~.rlast family or principal residence at
Apt. 2087. 4905 E. Trindle Road. Mechanicsbllrg. Pa. 170S7.
(list street, number and municipality)
County,
Decedent, then ---9..l. years of age, died ,T;::ml1~ry ?S ,20......D..5..-, at Mr!nr.r (";::are
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after
execution of the will offered for probate; was not the victim ofa killing and was never adjudicated incompetent:
None
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(lfnot domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows: N/A
$
$
$
$
2S0.000.00
None
None
None
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented
herewith and the grant of letters testamentary
(testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
373
Residence(s) ofPetitioner(s)
.Tamps Wol f
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Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
}
COUNTY OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA
SS:
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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 ofpetitioner(s) and that as personal representative(s) of th above
decedent petitioner(s) will well and truly administer the estate accordi to law.
,
Sworn to or affirmed and subscribed
Before me this 1st
~ruarv
day of
.20 05
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James
0..;21- OS ' JOt
Estate 01 ARI;ETl'A B. loITf.T.!':R
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
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ANq1:'!OW bruarv 1. 20Q2., in consideration of the petition on the reverse side
hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s), dated
September 26. 2003 , described therein be admitted to probate filed of record as the last will of
l'rl PTTrl R Mi 11 pr ; and Letters are hereby granted to James Wolf
FEES
Probate, Letters, Etc. .. ..........
Will.................................
Renunciation...................... .
Short Certificates (l0) ............
JCP..................................
Automation Fee.... ,.......... ....
Bond.................................
Total
Filed.:J, I
$
$
$
$
$
$
$
$
2~
Register OfWiIlS~"
310.00
15.00
N/A
40.00
10.00
5.00
r;/A~
1!l0.00
Attorney (Sup. Ct. I.D. No.)
2921 N. Front Street
Harrisburg, Pennsylvania
Address
17110
717-236-2109
Phone
Register of Wills of Cumberland County
OATH OF SUBSCRIBING WITNESS
Estate of
a64~~A /?;:tZ~~)
17'/4
,
Also known as
No.d-I - 05 -Int
, Deceased
9L- /} ;Y; Y; J S'h~4- X Jk~
(each) a subscribing witness to the will/codicil presented herewith, (each) being duly qualified according
ose(s) and say(s) that ttJ""
~
sta~, sign the same and that
signed as a witness at the request ofthe testat_ in h~
presence and (in the presence of each other) (in the presence ofthe other subscribing witness(es).
Sworn to or affirmed ~ubscribed
Before me this / day of .
('2e-b./k./ /CIAO-' 200S-
~~~~-'-o~\..ThC\('~L
Regist~
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eputy
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(N e) "M-y\
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(Address) 16. /7/ / tJ (J
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_(i9hP~o ,i i/t~
(Name)
o:J~/ff/;J~4 ~~9-J
(Address) /) f
fa. /7//0
11332888
105.143 Rov.2/87
NAME OF DECEDENT (Flrsl.
1. Arletta
AGE (Lul Birthday)
Monlhs
9t
y"
..
COUNTY OF DEATH
lb.
Cumberland
DECEDENT'S USUAL OCCUPATION
(~""":"~.:\~~:o do,,':u~n(~~.:rr
No.
_7
thn.,/?l~
Local Registrar
JAN 2 8 2005
Date
.;)/ D5 -lOr
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
c:,
CERTIFICATE OF DEATH
o,Lost)
B.
SEX
2. female
BIRTHPLACE (Cilyand P EOI' AT
Stato or Forolgn Country) HOSPlfAL'
(unknown) Inpotj.nlD
7. ...
FACILITY NAME (II not InslilutiOll, llivo slfool and numbor)
Miller
Manor Care
DATE Of BIRTH
(MonIh,Day,Year)
Match t4,
.. 1~13
CITY, BaRD. TWP OF DEATH
...
Carlisle
KIND OF BUSINESS I iNDUSTRY
AS DECEDENT EVER IN
U.S. ARMED FORCES?
YuD NoD
n.
en
IiTATEFILENUt.lElER
(..)
UJ
DATE OF DEATH (Morllh, Day, Year)
4. January 25, 2005
SOCIAL SECURITY NUMBER
.. 193 24
ell I n tion
0566
ERIOulp.~."ID
~O
~~)D
RACE - Amerk;an Indian, Black, White, 01
{$plIdfv}
".
white
11a. Bookkee er l1b. Retail
DECEDENT'S MAILING ADDRESS (Slrool. CilylTown, Sllilllt. Zip Code) DECEDENT'S
ACTUAL
RESIDENCE
(Seelnslructlons
OIlolhers.lde)
DECEDENT'S EDUCATION MARITAL STATUS _ Married,
(Spoa only hlllh.1l ~.do carnp_) Never Married, Widowed.
Elem.nlllr)lIS."""".ry Ct>loll" Divofced(Speclfy)
13. 120.12) l'.4orS+) 14. widowed
Pennsylvania Did 17e. D Yes, decedltnl lived in
decodonl
liveina
Iown5hip?
...
Hampden
.....
17a. Slale
4837 E.Trindle Road
16. Mechanicsbur J PA 17050
fATHER'S NAME (first. Middle, Lasl)
11. unknown)
INFORMANT'S NAME (TypltlPrinl)
20.. Marchelle L. Shelton
METHOD OF DISPOSITION
Burial D Crltmelion Owmoval from Slato D
Olher(Spoclly)
NE R
_22".
Corriplatoilems23a-e0llIywhan ng
physlclanlsnolava~ebleallimeofd8lilthlo
certifycauseofdeelh.
Items 24-26 musl bo complltled by
plmlOrlwhopronoun~sdealh.
MOTHER'S NAME (Fil"5l, Middle, Malden Surname)
18. Laura (unknown)
INFORMANT'S MAlLlNG ADDRESS (SlrHl, CllylTown, Slale, Zip Code)
20b. 199 Blue Mountain Drive Lewistown PA 17044
PLACE OF DISPOSITION_ Name 01 Cemetery, Cremalory LOCATION _ CilylTown, Slate, Zip Codlt
orOlherPlace
Humanity Gifts Registry 21d. Philadelphia, PA
NAME AND ADDRESS OF FACILITY art emore , nc.
",. P.O. Box 431 New Cumberland PA 17070-0431
LICENSE NUMBER DATE SIGNED
(Month, Day, Y8liIl)
23b. 2k~nlAAr
WAS CASE REFERRED TO A MED~L EXAMINER /CORONER?
28. Yes iii v No mr
ol.nt., tho mod. ofd)llng. .uoh.. cor 1.0 0< '''plr.tol')l.''.I~ Ihook or "".,.,I.llw... . Approximallt PART II; Olher lliIInlflcant COlldllions eontribulinll 10 dealh, but
:Inlervalbotween oolresullinginlheUndeflyir1g~usegiveninPARTI.
: Onllllland dealh
17b. Counw
Cumberland
".
21. PART I: Ent.rlh.dl.......lr'ljurill.O'.......pllcoUo""whlehe.....dlh.d..th.
LI.lo...yon.co....on..OhllM.
Saquenliallyhat wndilions b
iflilny. leading 10 lmmedillle
tause. Enter UNDERLYING
CAUSE (01"_ or injury { ,
lhal initialed avenl5
rll$lJlIIrtg 011 dealh) LAST d.
WAS AN AUTOPSY WERE AUTOPSY FINDINGS
PERFORMED? AVAILABLE PRIOR TO
COMPLETION Of CAUSE
OF DEATH?
YesD NolZI
YesD
c
'1->12-
J;;.. ~ ( tA.
l1-e.4-
.
DUE TO (OFt
CONSEQUENCE OF)'
OUE TO (OR AS A CONSEQUENCE QF);
DUETO(OOASACONIiEOUENCEOF)
MANNER OF DEATH
DATE Of INJURY
(Month.OO)l,V..')
Nalural
ISiJ
o
o
30a.
PLACE OF INJURY
llulldlng..lo.(Sp.ai)/l
30..
30b. M.
Al home, farm. slrHt, laclory, ofllco
.....
LOCATION (Slfeel, CllylTo\Vl1. Slate)
,
o
(?o.
o
o
o
Accldenl
Homicide
Pltndinlllnvesligation
Could nol bodelennined
NOO
SlJicide
2h. 28b.
CERTIFIER {Check onlyOOlt)
.l~'g:=~~tGor::'~\I;~~~.il':'l.s:~:rh C:~~~~J~u:: I':: :l::~~i:'~:~(:r~:\'3'J~x~~~a~1 h:I~f:~~~.~~~~.~ .~.~~.I~. .~~~ .~.~~~~~~.~.i.t~.~ ?~.).
29.
................0
'PRONOUNCING AND CERTIFYING PHYSICIAN (Physician bolh pronouncing dealh end cltrlllying 10 causo 01 delllh)
To the ~I 01 my knowleclge, dnth occurr.d It Ih. tlm., dlle, and pllte, and due to th. clIu'''('Jand mann.r IS at.l,d.
.........D31e.
'MEDICAL EXAMINER/CORONER
Onlh.blSl'ofllllamlnatlon andlorlnv.stlgallon, In my oplnlon, dlllth oceu rred althlllme,dall,andplacl,aodduIIOlhilcliIuseal') and
mann...s....I.d..........................................................................
31..
REGISTRAR'S SIGNATURE AND NUMBER
~/7;~
W v.11 III
SURVIVING SPOUSE
(""illl,g'..m.iden,,"mo)
17d. 0 ~h~=~~~~~~ of
eltylboro
c-
TIME OF INJURY
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED
YesD NoD
50.
WILL AND TESTAMENT
.?f - Oc;- - 101
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ARLETTA B. MILLER,
of
Hampden TownshiJ2.
in
C',')
~lle
.c-
County of Cumberland and State of pennsylvania, being of sound mind,
memory and understanding, do make and publish this my last will and
testament, hereby revoking and making void all former wills by me
at any time heretofore made.
And first, I direct that my funeral be conducted in
manner corresponding with my estate and situation in life and that
all my just debts and funeral expenses be fully paid and satisfied
as soon as conveniently may be after my decease.
As to such estate as it hath pleased God to intrust me
with, I dispose of the same as follows, viz:
I. In view of the fact all of my assets at the time of the
making of this will are personal property, I authorize my
Executor to convert all of my assets into cash, at either public
or private sale, without the necessity of prior court approval
and without the necessity of posting bond and after the payment
of all debts, costs, taxes and expenses, I make the following
provisions, to wit:
,~
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(a) I hereby bequeath the sum of $500.00 to my
daughter, patricia Jane Wolf;
(b) I hereby bequeath the sum of $2,000.00 to my
granddaughter, Cindee Wolf;
(c) I hereby grant and bequeath to my following great-
grandchildren, the sum of $50.00 a piece to wit: Derek Wolf,
Brooke Waters, Ashley Shelton, Morgan Lindsey Fox, Allison
Wolf, paige Fox.
(d) I hereby bequeath the sum of $1,000.00 in the
memory of Gilbert S. Miller and Arletta B. Miller to the
Shrine Crippled Children's Hospital at Elizabethtown, Penn-
sylvania.
II. I further expressly authorize and empower my Executor, that
all bequests are to be made free and clear of inheritance
taxes due on each bequest, which inheritance tax shall be
paid from my residuary estate.
III. As to the rest, residue and remainder of my residuary estate,
real, personal or mixed, wheresoever situate, I bequeath 30%
of the said residue to Patricia Jane Wolf and 30% to the
children of my deceased daughter, Dolores Ann Thomas, equally,
share and share alike, to wit: LaVonne Waters, Marchelle
Shelton and Denise Thomas Fox. As to the remaining 40% of
my estate, I bequeath the same in the following portion or
- Page 2 -
a'13 17),
shares, to share and share alike, a one-fifth (1/5th) share
to my four grandchildren, Cindee Wolf, LaVonne Waters,
Marchelle Shelton and Denise Thomas Fox; the remaining one-
fifth (1/5th) share shall be divided in a one-half (1/2)
portion each to Derek Wolf and Allison Wolf, my great-
grandchildren. I further direct and provide, that if my
said daughter should predecease me, then in such event only,
her respective share shall pass to her surviving children.
IV. I further expressly direct that as to any grandchildren or
great-grandchildren who have not attained 21 years of age
at the time of my death, I hereby appoint James Wolf, their
trustee/guardian, without the necessity of posting bond, to
invest their respective interest in a secured investment,
and shall not be payable to them, until the said child attains
21 years of age; at which time, their respective trust shall
terminate.
V. I direct that my body, pursuant to an authorization signed
by me during my lifetime shall be given to the Humanity Gifts
Registry of the State of Pennsylvania and I donate my said
body and organs. In view of the same, there shall be no
formal burial for me.
VI. I hereby nominate and appoint John J. Krafsig, Jr., Esquire,
to serve as the attorney for my estate and direct my Executor
- Page 3 -
c::Z<{] '-YYl,
to engage his services.
And I hereby nominate, constitute and appoint JAMES
WOLF, my Executor, and if he predeceases me or is unable to serve,
I hereby nominate, constitute and appoint JOHN J. KRAFSIG, JR., my
Executor, of this last Will and Testament, without the necessity
of posting bond.
IN WITNESS WHEREOF, I, ARLETTA B. MILLER, the Testatrix,
have to this, my Will, written on four (4) sheets of paper, set my
hand and seal this
"'2.~day of September, A.D. Two Thousand
Three (2003).
r:Li'~ ~ 'rYl~~~./
Arletta B. Miller
(SEAL)
Signed, sealed, published and declared by the above
named Testatrix, as and for my last Will and Testament, in the
presence of us, who have hereunto subscribed our names at her
request as witnesses thereto, in the presence of the said Testatrix
and of each other.
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