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Home My WebLink About06-14-05 I Register of Wills of Cumberland C unty, Pennsylvania ---_.----,.~-,----_..__..----,._._---_._-_.--- -- PETITION FOR GRANT OF LE ERS Estate of Doris R Myers No. 21-05- 5;;<1 also known as , Deceased Social Security No. 187 -16-6203 Charlene M Meyers, Nancy M Dunkle and William H. Myers Petitioner(s), who is/are 18 years of age or older, appl(ies) for: (COMPLETE 'A' or 'B' BELOW) [!I A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the named in the last Will of the Decedent, dated 11/23/1998 and codicils dated none State relevant circumstances, e.g., renunciation, death of exe utor, etc. Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopte after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incompetent: none 0 B. Grant of Letters of Administration (c.t.a; d.b.n.c.t.a; pedente lite; durante abse tia; durante minoritate) Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived y the following spouse (if any) and heirs: Name Relationship Reside (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Cumberland ... Decedent was domiciled at death in County, Pennsylvania with his er family --. (~rl or principal residence at Beverly Nursing Center, Decedent, then 84 years of age, died 06/06/2005 at - Decedent at death owned property with estimated values as follows: (If domiciled in PAl All personal property $ 200,000.00 (If not domiciled in PAl Personal property in Pennsylvania $ (If not domiciled in PAl Personal property in County $ Value of real estate in Pennsylvania $ situated as follows: none Wherefore, Petitioner{s) respectfully request(s) the probate of the last Will and Codicil(s) presented ith this Petition and the grant of letters in the appropriate form to the undersigned: Signature Typed or pri ted name and residence Charlene M Meyers P.O. Box 59 HNP Hawaii National Park, HI 96718 Nancy M Dunkle 1738 Creek Vista Drive New Cumberland, PA 17070 William H. Myers 615 Good Hope Road Mechanicsburg, PA 17050 Prepared by the Pennsylvania Bar saciation Copyright (c) 2004 fonn software only The Lackner Group. In . Fonn RW-1 (1991) I Oath of Personal Represent tive Commonwealth of Pennsylvania County of Cumberland The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition e true and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representativ (s) of the Decedent, Petitioner{s) will well and truly administer the estat~;~~ng tolaw. ;1;01 (~L tJ i /~ td t-(f;;. t-t Sworn to or affirmed and subscribed '-... ., 3-+0 before me this I. day of -. ~~ JJ.~ \ ~ No. 21-05- -....... Estate of Doris R Myers ' Decease<! c also known as Social Security No: 187 -16-6203 Date of Death: 06/06/2005 .. -...-." AND NOW, ' in consideration C of the Petition on the reverse side hereon, satisfactory proof having been presen ed before me, IT IS DECREED that Letters [!I Testamentary o of Administration (c.I.a.; d.b.n.c. .a.; pendente lite; durante absentia; durante minoritate) are hereby granted to in the above estate and that the instrument(s) dated 11/23/1998 described in the Petition be admitted to probate and filled of record as the last Will of Decedent. FEES Letters.......................................... $ 260.00 Register of Wills Short Certificate(s)...................... $ 20.00 :k Renunciation............................... $ Attorney: , Esq. Affidavits ( )...........................$ I.D. No: )......................$ Said is, Shuff Flower & Lindsay Extra Pages ( Address: 2109 Marke Street Codicil............. ...... ....................... $ Camp Hill, JCP Fee....................................... $ 15.00 Inventory......... ............................. $ E-Mail: Other............................................ $ 15.00 TOT AL...................... ...... $ 310.00 Prepared by the Pennsylvania Bar Association Copyright (c) 2004 form software only The Lackner Group, Inc. Form RW-1(1991) II 1.'1:\ This is to certify that the information here given is correctly copied from an orig'nal certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Rec rds Office for permanent filing, WARNING: It is illegal to duplicate this copy by phot stat or photograph. " ;'1":---- Fee for this certificate, $6.00 t.,L/rvn..,.. /~ '?::Z/~~ Local Registrar JUN 0 9 2005 ,'" -1 "i 1,:" t.... ('\ ., I -' .cL J. d tl ~.J '.: :) No. Date "-"'~-- -- r . ~-<',-.. -. lev, 2187 COMMONWEALTH OF PENNSYLVANIA. OEPARTMENT OF HEALTH. VIT L RECOROS CERTIFICATE OF DEATH .., ., STAt E FILE NUMBER SEX URITY NUMBER DAlE e,.?EATH ,Mcnitt. 08,,<-') 1. ev,f .. Female - 16 - 6203 .. June 6 2005 BIRTHPLACE IC.1y <lAd Pl..ACE OF DEATH lCt>ec1l only t)r\8 - '>ell ,nSlfUCloOn'::i on ache. 5108) . Stale CM FCleq'l Counl'lY) HOSPITAL; . Silver Sp~ ,_1....0 llOAo =oIylo 84 VIW. 0 . , . .. ... COUNTY OF DEATH fACIUTV NAME (II not msNUhon, give s'reel and number I RACE - Amencan lnOian. Black. White. etc. (SpecoIy) .... Cumberland ... Whi te DECEDENT'S USUAL OCCUPMION MARITAL STATUS. Married SURVIVING SPOuSE (~:n~Itf~:O~~f~~ Never M.....iIed. Widowed. let 'NIle. gMI malden namti) OiYorC<<J (Specify) "0- Homemaker 11b. Widowed ... DECEDENT'S MAtllNG ADOAE$S ($IfNI. ClIVlTown. SIaaia. Zip Code) DECEDENT'S Lower A en 1738 Creek Vista Drive ACTUAL 17.. State 0Kl ..... RESIDENCE - New Cumberland,Pa 17070 (SeeIllSlr'uC1I01'\S live... on oIher Slde~ Cumberland lownship1 ... 17b. Coun 17d. c:iIy-" fATHER'S NAME (Filst. Middle, laSl) MOTHER'S NAME (First Middle. M II. Ro W. Rank ... Irma Bare lNFORMANT'S NAME (T ypej'Prinl) INFORMANT'S .....llING ADORESS I eel. CilylTown. sa.ae. Zip Code) _. Nancy Dunkle Hb. 1738 Creek V sta Drive New Cumberland,Pa 17070 UETHOO OF DISPOSITION PlACE OF DISPOSITION. Name of C -'Y. Cr.m.loty lOCRlON. Cily/Town. SW.. Zip~ _I 01: C'.mollon 0 Removal trom Sla.. 0 Of OIher Ptae. DonoIion D OI'-ISpKoIy' "0- 21c. 10 the bu. 01 my knowledge, dealh occurred allhe time, date and ~ac. slaled (S9laIure and Tille) 23. 23c. ...... 24-21 mu.l tM compteled by DATE PRONOUNCED DEAD (Monlh. Day, Year) CASE REFERRED TO MEOlCAI. ElCAMINERlCORONER? ..J9 ~ who ptOnl:)unCft dlNlh. _0 PART A: OIhor.ign__lXNlCIiIxOingto_. but noI rHUling in..... undIItying ceuse given in PART I. _DlATECAUse(Fonao d-. or COl'lCilIIOn r.....-.g In deaIh)-.. SequenriaIy IisI c:ondiIione II Mf. 6Nding 10 immediat. c:auee. Enter UNOERLYIHQ CAuSE (Otsease Of ......"y IftaI inlIia&ed 8YIlfU '.....-.0 11"I de8Ih) lAST MS AN AUTOPSY DATE OF INJURY INJURY IJ V<<)RK? DESCRIBE tfCM'INJURY OCCURRED. PERFOAUe01 CMonlh. Day, 'real) ...."'01 0 Homicide 0 0 NoD 0 0 "'" Accadent Pending mv.sligalton "'" 0 No~ v.. 0 NoD Suicfde 0 Coutd not be determined o ~CE OF INJURY. AI home. tatm~;e.1. factory, 0 . buiklng. etc_ ISpecltv) .... 'Ib. a. 300. CERTIFIER (Check onty one) .CIERTlFYIHG PHYSICIAN (PhySIC"'" CP.f11fytng cause 01 dealh when another physlC>aI1 has pt'OflOUOCed dealh ana completed "em 231 To h""l 0' my know'-dge, d.ath occW'T'ed due to the cause(s) and menn.,.. stated. . . . . . . . . . . . . . . . . . . . . . . . . . . . ................... . PRONOuNCING AND CERTifYING PHYSICIAN fPhVSClan ooh iJ1onOUOClng aealh dOd ceflllYlflg 10 cause 01 dealhl 0 To the beet of my knowledge, death occurred .tthe lime, dale. and place. and due 10 the cauM(I) and manner.. st.led.. . . . . . . . . . 'MEDICAl EXAMINER/CORONER a.m c. R-W1t.,1I.D. On Ihe b..i. ote.aminaUon and/or Invesllgation,ln my opinion, d..th occurred althe lime, date, and place. and due to the cause(s) and 0 mann.. a. slated.. . . .. . . . . . . . . . . . . . . . . ... .. .. . . . . . . . . .. .. .. . . .. . .,.. .. . ... . . . . . . . . . . . . ... ... . . . ... . . . . . . ... . . .. ... 31. ~ 7- ~ . 3'. REGISTRAR.SSIGNATUR~ ~~R Y) ~.tA.A-1 /m.",~(.' c1 DATE FIL 0 (Mane ...>....8\ I~ n '. ','" " 'v' , . ,. .', ,... !. ,,- -.. I I r:A1/ ( I ~ dL'1ttJ.5~ 3.. - J.,,} (" .") c.. '--_._" LAST WILL AND - OF DORIS R. MYE S Mo.,," ~"...-' .j I, DORIS R. MYERS, of the Borough of Camp Hill, Cumberland County, Pennsylvania, declare this to e my Last Will and Testament, hereby revoking any will pr viously made by me. I - I direct the payment of all just debts and funeral expenses out of my estate as soon as y be practical after my death. II - I bequeath certain articles f my tangible personal property in accordance with a written ist made by me during my lifetime. In absence of a list or des'gnation on such list, my tangible personal property shall be di ided among my living children or sold as my Executors shall determine. III - I direct that my deceased h sband's brother, G. BOYD MYERS, shall have the right to be inte our burial lot ln RolJing Green Cemetery, Lower Allen To Cumberland County, Pennsylvania, next to his mother, Lucille M. Myers. SAIDIS, SHUFF & IV - I devise and bequeath all t e rest, residue and MASLAND AlTORNEYSeATeLAW remainder of my estate of whatever nat situate 2109 Market Street Camp Hill, PA unto my three children, DUNKLE and CHARLENE M. ME RS, NANCY M. WILLIAM H. MYERS, the share of a d child to be paid to his dJf?71l, , or her issue per stirpes. V - I appoint my children, CHARL NE M. MEYERS, NANCY M. DUNKLE and WILLIAM H. MYERS, as Execut rs of this, my Last Will and Testament. My Executors shall not be required to post bond in this or any jurisdiction. IN WITNESS WHEREOF, I have my hand and seal on this, the ~?""-,,( day of , 1998. ~ J? (SEAL) R. Signed, sealed, published and declared y DORIS R. MYERS, Testa- trix therein named, on this and one (1) other sheet of paper as and for her Last Will and Testament, in our presence, who, in her presence, at her request, and in the pr sence of each other, have . hereunto subscribed our names as attest'ng witnesses. ~, ~ /~ Name SAlOIS, ~ L;JJ 'j~ 1 SHUFF & , . , 0 MASLAND "~, j~ ~ ".."- C "" 71 )), I J l'~ ATTORNEYS-AT-LAW /, N me Address 2109 Market Street ' Camp Hill, PA COMMONWEALTH OF PENNSYLVANIA} : SS. COUNTY OF CUMBERLAND} WE, the undersigned, the Testa rix and the witnesses, respectively, whose names are signed t the foregoing instru- ment, being first duly sworn, do hereb declare to the under- signed authority that the Testatrix si ned and executed the instrument as her Last Will and Testam nt and that she signed willingly (or willingly directed anoth r to sign for her) , and that she executed it as her free will nd voluntary act for the purposes therein expressed, and that e ch of the witnesses, in the presence and hearing of the Testat ix signed the Will as witnesses and that to the best of thei knowledge the Testatrix was at that time eighteen years of age or older, of sound mind, and under no constraint or undue influ nee. '. /~) 7)L ~ b-U~' ." .' t/,' Testatr I I I Subscribed, sworn to and aCknOW~edged before me by the testatrix, and subscribed and sworn to efore me by both wit- nesses, this ~3,..d day of JJoJerr,be.--. , 1998. SAID IS, SHUFF & Notarial Seal tfL~-tL MAS LAND Jo Smith, Notary Public AlTORNEYSoAToUW Camp Hill Boro, Cumberl,Ti ~g8'o 2109 Market Street My Commission Expires ay , otary Public Camp Hill, PA ~