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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: Robert Frank Berge File No:
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: February 27,2015 Age at death: 80
Decedent was domiciled at death in Cumberland County,Pennsylvania (state)with his/her last
principal residence at 511 S. 18th Street,Camp Hill,PA 17011
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at 511 S. 18th Street,Camp Hill,PA 17011
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 $ 13,000.00
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. __. $ 13 000.00
Real estate in Pennsylvania situated at: 511 S. 18th Street,Camp Hill,PA 17011
(Attach additional sheets,ifnecessary.) 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 May 27,2014 and Codicil(s)
thereto dated
State relevant circumstances teg.renunciation,death of ececutor,d¢)
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(g),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 0 EXCEPTIONS
0 B. Petition for Grant of Letters of Administration (If applicable)
c.t.a.,d.b.n.,d.b.n.c.ta.,pendente lite,durante absentia,durante minoritate
If Administration,ata.or db.n aLa.,enter date of Will in Section A above and complete list of heirs.
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.
NO EXCEPTIONS 0 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,ifnecessary):
Name Relationship Address
ry
2C 1
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E. .71
.
Form RW-02 rev.10/11/2011 tv PF4e&bf 2
a) - J
Oath of Personal Representative Official use Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF }
Petitioner(s)Printed Name Petitioners)Printed Address
In Hui Berge 511 S. 18th St.,Camp Hill PA 17011
91he Petitioners)above-named swear(s)or affirms)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 Decedent,the titioner(s)will well and truly administer the estate according to law.
Sworn to,or affirmed and subscribed before Date 1
Int day of Date
By: 0 /WI ` �/�V\ Date
For the Register Date
BOND Required: Q YES 0140 To the Register of Wills:
FEES: // Please enter my appearance by my signature below:
Letters. ..... . ......... .... .. $ V Attorney Signature:
( l U )Short Certificate(s)......
( )Renunciation(s).. .......
( )Codicil(s). ........ ... . r ,a
( )Affidavit(s)---- --- -----
cry n
Bond.... .... .. ..... ........ . Printed Name: :4'Q rri C-
Commission. ... . ... .......... Supreme Court t. :.-O C+7
Other . .. .... . ID Number:
C$
........ } Firm Name:
�f"e:h.swl .. .... i Address: -s t J 'r " -Ti
..... Phone: N T7
Automation Fee. .... ......... . Fax:
JCS Fee. . . ..... ....... .. .... Email:
TOTAL. .......... ...... .. ..
.00
DECREE OF THE REGISTER
Estate of Robert Frank Berge File No:
a/k/a:
AND NOW, MCt rC a(D , 9G ! ,in consideration of the foregoing Petition,
satisfactory proof having been presented before me,,IT IS DECREED that Letters
46 W/1 46 1W
are hereby granted to
in the 9bove estate and(if applicable)that
the instrument(s)dated 2 7 j
described in the Petition be admitted to probate and filed of record as the last Will(and Codicil(s))of Decedent.
Register of Wills %"Peae
Form RW-02 rev.10/11/2011 of 2
"
LAST WILL AND TESTAMENT
OF
ROBERT FRANK BERGE
Dated: May 27, 2014
Prepared by: LP
'79 `-
Office of the Post Judge Advocate a �' C"
Captain Joseph S. Steere 0 :.' ri
22 Ashburn Drive, RM 105
Carlisle, Pennsylvania 17,013 Y N �--
(717) 245-4940 r)
LAST WILL AND TESTAMENT
OF
ROBERT FRANK BERGE
I, Robert Frank Berge, a resident of the Commonwealth of Pennsylvania, make,
publish and declare this to be my Last Will and Testament, revoking all wills and codicils at any
time heretofore made by me. I am retired from the military service of the United States.
FIRST: I direct that the expenses of my last illness and funeral, the expenses of
the administration of my estate, and all estate, inheritance and similar taxes payable with respect
to property included in my estate, whether or not passing under this will, and any interest or
penalties thereon, shall be paid out of my residuary estate, without apportionment and with no
right of reimbursement from any recipient of any such property.
SECOND: It is my desire that, upon my death, my body be cremated with full
military honors and that my ashes be interred in Fort Indiantown Gap National Cemetery.
THIRD: I give all the rest, residue and remainder of my property and estate,
both real and personal, of whatever kind and wherever located, that I own or to which I shall be
in any manner entitled at the time of my death (collectively referred to as my "residuary estate"),
as follows:
(a) If my wife In Hui Berge survives me;to my wife outright.
(b) If my wife does not survive me, then to those of my children Barbara Susan
Berge and Christiaan Frank Berge who survive me and to the issue who survive
me of those of my children who shall not survive me, per stupes.
(c) If my wife does not survive me and there shall be no issue of mine then
living, I give my residuary estate to those who would take from me as if I were
then to die without a will, unmarried and the absolute owner of my residuary
estate, and a resident of the Commonwealth of Pennsylvania.
FOURTH: If any property of my estate vests in absolute ownership in a minor
or incompetent, my Executor, at any time and without court authorization, may: distribute the
whole or any part of such property to the beneficiary; or use the whole or any part for the health,
education, maintenance and support of the beneficiary; or distribute the whole or any part to a
guardian, committee or other legal representative of the beneficiary, or to a custodian for the
beneficiary under any gifts to minors or transfers to minors act, or to the person or persons with
whom the beneficiary resides. Evidence of any such distribution or the receipt therefor executed
by the person to whom the distribution is made shall be a full discharge of my Executor from any
liability with respect thereto, even though my Executor may be such person. If such beneficiary
is a minor, my Executor may defer the distribution of the whole or any part of such property until
the beneficiary attains the age of eighteen (18) years, and may hold the same as'a separate fund
for the beneficiary with all of the powers described in Article SIXTH hereof. If the beneficiary
dies before attaining said age, any balance shall be paid and distributed to the estate of the
beneficiary.
FIFTH: I appoint my wife In Hui Berge to be my Executor. If my wife does
not survive me, or shall fail to qualify for any reason as my Executor, or having qualified shall
die, resign or cease to act for any reason as my Executor, I appoint Christiaan Frank Berge as my
Executor. If Christiaan Frank Berge shall fail to qualify for any reason as my Executor, or
having qualified shall die, resign or cease to act for any reason as my Executor, I appoint Barbara
Susan Berge as my Executor. I direct that no Executor shall be required to file or furnish any
bond, surety or other security in any jurisdiction.
SIXTH: I grant to my Executor all powers conferred on executors under the
Pennsylvania Probate, Estates and Fiduciaries Code, as amended, or any successor thereto, and
all powers conferred upon executors wherever my Executor may act. I also grant to my
Executor power to retain, sell at public or private sale, exchange, grant options on, invest and
reinvest, and otherwise deal with any kind of property, real or personal, for cash or on credit; to
borrow money and encumber or pledge any property to secure loans; to exercise all powers of an
absolute owner of property; to compromise and release claims with or without consideration; and
to employ attorneys, accountants and other persons for services or advice. The term "Executor"
wherever used herein shall mean the executors, executor, executrix or administrator in office
from time to time.
SEVENTH: I direct that for purposes of this will a beneficiary shall be deemed
to predecease me unless such beneficiary survives me by more than thirty days.
EIGHTH: I have served in the Armed Forces of the United States. I therefore
request that my Executor make appropriate inquiries to ascertain whether there are any benefits
to which 1, my dependents or my heirs may be entitled by virtue of any military affiliation. I
specifically request that my Executor consult with a retired affairs officer at the nearest military
installation, the Department of Veterans Affairs, and the Social Security Administration.
IN WITNESS WHEREOF, 1, Robert Frank Berge, sign my name and publish
and declare this instrument as my last will and testament.this 27th.day of May, 2014.
L
Ro ert rank Berge
2
The foregoing instrument was signed, published and declared by Robert Frank
Berge, the above-named Testator, to be his last will and testament in our presence, all being
present at the same time, and we, at his request and in his presence and in the presence of each
other, have subscribed our names as witnesses on the date above written.
having an address at
having an address at
3
ACKNOWLEDGMENT AND AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA, COUNTY OF , ss.
We, the Testator and the witnesses, whose names are signed to the attached or
foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that
the Testator, Robert Frank Berge, signed and executed said instrument as his last will and
testament in the presence and hearing of the witnesses, and that he stated that said instrument
was his last will and testament, and that he had signed willingly, and that he executed it as his
free and voluntary act and deed for the purposes therein expressed, and that each of the witnesses
at the request of the Testator, in the presence and hearing of the Testator and each other, signed
the will as witness, and that to the best of his or her knowledge the Testator was at the time at
least eighteen years of age or emancipated, of sound mind and under no constraint, duress, fraud
or undue influence.
A _f
Robert rank Aerge
Testator
print: ouy�ae oyi�rar'
Witness
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Witness
Subscribed, sworn to and acknowledged before me by the said Robert Frank
Berge, Testator, and subscribed and sworn to before me by the above-named witnesses, this 27th
day of May, 2014.
JIIL�
Notary u 1c
Vcommission xpires on J�l U v�
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Kami May Hertzler,Notary Public
Carlisle Boro,Cumberland County
My Commission Expires April 15,2017
MEMBER,PENNSYLVANIA ASSOCIATION OF NOTARIES