HomeMy WebLinkAbout04-22-05
PETITION FOR PROBATE and GRANT OF LETTERS
Estate of DORIAN E. MILLER No. Q I - 05 - :> IS-
also known as To:
Register of Wills for the
, Deceased. County of CUMBERLAND in the
Social Security No. 196-14-3140 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older and the execut RIX named
in the last will of the above decedent, dated OCTOBER 28 2002
and codicil(s) dated
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with
h ER last family or principal residence at 30 SOUTH 24TH STREET. LOWER ALLEN TOWNSHIP
CUMBERLAND COUNTY. PENNSYLVANIA
(list street, number and municipality)
Decedent, then 84 years of age, died 4/11/2005
at HEAL THSOUTH REG. SPEC. HOSPITAL - CUMBERLAND COUNTY PENNSYLVANIA
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 of a killing and was never adjudicated
incompetent: NO
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
([fnot domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
$
$
$
$
100.000.00
0.00
0.00
0.00
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant ofletters TESTAMENTARY
thereon. /'~_) 1~1 Mtestamentary~ a~:;~~:~~~~~:'~stratlOn d b n, ta)
3"l /It,__ CAMP HILL PA 17011 ,.,
~ CATHY WARTZ '')
~
"v;---
~i
~ 0
o 0
~:E
~ "
"'~
,~
a 0
"
o
"
i;i
C"..)
C)
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYL VANIA } ss
COUNTY OF CUMBERLAND
The petitioner(s) above-named swear(s) or affirrn(s) that the statements in the foregoing petition are
'"
0;;'
,
Q
"
~
2
Register
~11
No. -8J-Cl5- 315
Estate of DORIAN E. MILLER
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW ~~ ~;:l ri.C'X-J5 , 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 10/28/2002
described therein be admitted to probate and filed of record as the last will of DORIAN E. MILLER
and Letters TESTAMENTARY
are hereby granted to
CATHY M. SWARTZ, EXECUTRIX
l>-~t FEES \ S ffi
P b L E $.') 1000
ro ate, etters, tc.. . . . . (7\_
Short Certificates ( )...... $ Z. 60
1llQjI'~A,JI("'Ch..~~ $ 5.60
\rP $ ~o .01-:;
TOTAL _ $ d-Lj.~, (\l)
Filed '-\-.-.2:~~ 95. . . . . . . . . . . . . .
ATTORNEY (Sup. Ct. LD. No.)
414 BRIDGE STREET
NEW CUMBERLAND PA 17070
ADDRESS
717-774-7435
PHONE
C.::
'''' ~r" ,,":\ ,,~
Thi, is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent fIlIng.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
P '1 1 r- - ,., 4 .'
-. , / ~,,~, -'
, I , . '1;.) . ...J
No.
1"'IIIII""N"~~~~,,
","':. \>.\1" OF Pi,?:---,
"'~." "'0'-
l~ . , VA'\
t~_. . ~'\.
~:.t" "-" ?~
~Q - .. ':' I!:~
~ '-',.ft'1- I:b.~
,.~... .... ,1.1
~ a -.,' !~ ~
\.~ {.~lll
- "'--9 ~\." II'
"-- fAfEN1\\\" "",
'....",~~~"NIIf"IIIIII"
thn-7?1~
Local Registrar
Fee for this certificate. $6.00
APR 1 4 2005
Date
.JR.....2J87
::J 1-0 5 -~l c:;
COMMONWEALTH OF P~YLVANIA. OEP~TMbiT OF HEALTH. YITAL RECORDS
CERTIFICATE OF DEATH
AGEll~"'&tt>da1'l
UNDER I YEAR
...... "'''
:i.female 3. 196 - 14
- 3140
C')
c:)
OAoTE Of OEAfH,Monih, l>a)-. '_I
'4/11/2005
NAol,lE Of oeCEOENT tF.sr, MIddol, U""
..
'"
SWiF'liNlJIoI8ER
SOCIAol SECURITY NUMBER
..
UHOIER1Ob
Holn ll,llinul..
OAoTE OF BIRTH
MOOlh,OaV,.....1
BIRTHPlACfIC.'V~r.d PUoCltOf'OENHlC""""""'v<:>ne_ _'''*''''''","",0.",11>'''_1
SLoI..",fcreot,jtlCounuyl HOSPITAoL; -
Harrisburg,PAtllplll.....j(. ER/OI4aI.....O
7. ...
FACIlITYNAoI,IIE(II""I'nsI-M""'.gweslf....,~nd"""'!leI,
30 South 24th
1..Camp Hill, PA
Flll"HER'S NAWE (F~",. MoOdie, laS/I
education
tI. nti.
oeCEDE:NT'S MAIlINGADOAESS (SuNl.Cfy{bwn.~. ZopCOdel DE:.CEOENT'S
AoCTUAL
RESIDENCE
~-
""__I
Street
17011
17..SI.... PQIlIl'iylu:=oni;'l
="Y.O
L 84
COU"lTYOI'OERH
9/13/1920
..
ctrY.8OAO.TWPOIOEAoTH
oeCEDENT'SUSUALOCCUPRlON
(~~_:ca'::'::~;j'
...Lower AI] en J.IealthSouth
KINO OF BUSlt'l.SSllNOUSTRY 'NIlSOECEOENT EVER IN
- US,AA"'EOfOACES1
_0 ...]8.
lolARITALSTNlJS.~
N_U.n*,.WldDwed.
--...
w.idowed
17~O",".""""lIwod;,.
RACE-AmINOCln1n<iMl.8IIck.WfIile,.cc
",,,'...
to.whi te
-"""""
1._,......rY\IIdIIIn........,
...
,~.
mberland
'"
.......
....
-'
...
'*'-aIIromSl...O
No...............,
1711 ____limltaot
lolOTHER'SNA,MEIF~5I, MiOdle.Ma-.Sur_1
1~ r"ne E. Ha erman
INFQAMA,NT'S WoILINQ IoOOfIESS tSlrNl. CilV/TOom. Sl-..lip Code)
m Hill PA 17011
........orCe""-'etf.c.......,..., lOCRlON.Cilv/TDwn.~.llpec....
. 1710~
21~rrlsburg, A
HummfilmRlfll,:"PA
O,IQ"ESMlNED
.....,. -,. r-
-//-0::>
Camo Hill
-
".
1Nf"0000000S NAME (T rP8IPfnl
Harrisburg Cern.
NAME A,HO AoOOl'tESS OF FAClUTY
Husselman FH&CS,324
LICENSENUM8I:A
...
,"-imal.
'inIefV8l~
l---
,
i
PART.:
Olf'IereignillcMlcordlioneconlfilMMnglOdHIlI.but
noII.......in_~_.-.,PNnI.
" a.
%7. PART I; E,IIl.. lI'Ie diaM.... injuriN Of COfllpIicaIionI-.hicI..:.UHd U... ...111 CIa not efIl.. lhtI mode oll/viog, sucll ill culSi.ilc offe..,i'alory a".", s/Io<. or I",~n fililur.
u.lorq_CIl.-DfIMC/1lir-.
5~e~\s
OUElO(OAAS"'CONSEOUENCEOfj, ..' - J
~ f_ c.uIT M 'I . """,^,A l
DUE lOR IlSAoCONSEOUENCEClf1:
," fM<.'1',~
OUE1OIORASAoCONSEOUEJl/CE Of),
,
WERe AoU1OPSY FINOINGS
AWtdLA8lEPAlOAlO
COMP\.ETIOHOFc.r.usE
OFOEAJ'H7
""""NEROFOEAoTH
......
--
J8,
o
o
OATE OF INJURY
l"'DfIIIl,Oay.......
TIME OF INJURY
tKJURVf(fWOAK?
DESCRtBE HON INJURY OCCURAED.
Hom;c:icle
o
o
o PlACi'OFINJURY.Aloom.,I.rm.5I,_.laclOry.oltlce ....
bIl-.g, _ 1Sper;..r.1
....
Yea 0 NoD
.........~"
...]l!l:.
_0
...0
Suicide
Co<<Id_~<l<H.rm,"'"
o
"H
_. ....
CERTlFlEAICl>KtlorVvon.l
.CERTIFYIN(JPHYIJCI...N\Pl'Iyso::.....cf!fblvlngCOlUSfld-_ _.......11... plw"""anhilSpronouncadde~lh """cO<npleleanem2JI
To_bMl..._~....e...__.....__c-..('elalldman....ne..laCI. .
a.
.PRONOUNCINOA,NOCERTlFYlNOPHYSICIAN(~boItl ;>0"""""<:"'11 oealhandc....,oIY"'l9'oC~US8 01 <leatt>1
10 '1I.~ol...ykno..............thKC...'...allIw_,d.too. .....plac:.. .....du.I".....uuHt.l.nctm.n".r~....lad_
o
"MEllICAl EXAMINER/CORONER
On lhe b.~ 01 "".minell_lndlor Inlf..I"'lioft, In my opinion, d..11I occurred.1 tile lime, dll., and pIU., ;lnd dU.lo tha UU"(IJ.nd
m.nne'...tM"...........,........................ ...................... .. .... .............................
".
REGISTR/l.I'I'S lG
o
RE.<tNONlJ~ t:?t-
'-"1- ";( ~
--=~-"----
".
pilI Pl /1/ I OATEfILEOI~O""'~V,Yean
.-------- ,(4;J _'-I
q(7o ,C_
OATH OF SUBSCRIBING WITNESS
Estate of DORIAN E. MillER No. (;11- 0 5 - ,~l 5
also known as
, Deceased
ROBERT J. laSH
KEllY M. laSH
(each) a subscribing witness to theO codicil(s) IliI will(s) presented herewith, (each) duly qualified according to
law depose(s) and say(s) that she/he/they was/were present and saw the above Testator(rix) sign the same and
that she/he/they signed as a witness at the request of the Testator(rix) in her/his/their presence anW in the
presence of each other IliI in the presence of the other subscribing witness(es).
r?~~t"e)
ROBERT J. laSH
26 SOUTH 24TH ST., CAMP Hill,
(Address)
>'~:)
PA 17011
r",
,~o O~ ~",-\-)-::o, Y---
, (Signature)
KEllY M. laSH
26 SOUTH 24TH ST., CAMP Hill,
(Address)
PA 17011
Sworn to or affirmed and subscribed
before me tl1is ;:( /:,-r day of
~ ..>",,,-
d~~
N'6tary Publi
My Commission Expires:
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
GERALD J. SHEKLETSKI, Notary Public
New Cumberland Bora. Cumberland Co.
My Commission Expires Nov. 9, 2006
(Signature and seal of Notary or other
official qualified to administer oaths. Show
date of expiration of Notary's commission.)
NOTE: To be taken by officer authorized to administer oaths. Please have
present the original or copy of instrument(s) at time of notarization.
RW-2
LAST WILL AND TESTAMENT
2/-05 375
I, DORIAN E. MILLER, of the Borough of Camp Hill, in the
County of Cumberland and State of Pennsylvania, being of sound mind and
memory, do make, publish and declare this my Last Will and Testament, in
manner following that is to say:
First, I direct that all my just debts and funeral expenses be paid as
soon after my death as may be practicable.
I give, devise and bequeath my Baby Grand Piano to my grand-
daughter, Dorian I. Speed.
I give, devise and bequeath the sum ofTen Thousand ($10,000.00)
Dollars to each of my grandchildren, Dorian I. Speed, Allison E. Underhill,
Abby L. Swartz and Todd D. Swartz.
All the rest, residue and remainder of my estate I give, devise and
bequeath to my daughter, Cathy M. Swartz.
I hereby appoint my daughter, Cathy M. Swartz, to be the Executrix of
this my Last Will and Testament. In the event my daughter, Cathy M. Swartz,
should predecease me, I appoint my son-in-law, Michael E. Swartz, Executor
of this my Last Will and Testament.
In Witness Whereof, I have hereunto subscribed my name this c5l8';z;k
day of October, 2002.
JJ;f7~<Z/Yu cf/ )Jt ~
DORIAN E. MILLER '
WE, whose names are hereunto subscribed, do certify that on the
~.::vt. Day of October, 2002, the Testatrix above named, subscribed her name
to this instrument in our presence and in the presence of each of us, and at the
same time, in our presence and hearing, declared the same to be her Last Will
and Testament, and requested us, and each of us, to sign our names thereto as
witnesses to the execution thereof, which we hereby do in the presence of the
Testatrix, and of each other, on the day of the date of the said Will, and write
opposite our names our respective places of residence.
<~%U~
~
Residing at ~ s., ,~'-i.\...v ~~ e.-+-,. ~~ \-\ \ \ \
Residing at J.fo S .2.4'< <Sf a""PU/I J mho /I
(',:.~j