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Home My WebLink About09-30-05 II Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of William Phillip Miller also known as' William P. Miller, Sr. No. 21-05- O?;'7 ().. , Deceased Social Security No. 168~26-2963 , RobertC. Miller Petitioner(s), who is/are 18 years of age or older, appl(ies) for: (COMPLETE 'A' or'B' BELOW) [R] A.Probate and Grant of Letters Testamentary and aver that ~etitioner(s)is/are the the Decedent, dated 10/11/2000 and CQdicils dated Executor named in the last Will of State relevant circumstances, e.g., renunciation, death of executor, etc. Except as follows, Decedent did not marry, was not divorced, ,and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incompetent: I o B. Grant of Letters of Administration: 1 (c.t.a; d.b.n.c.t.a; pedente lite; durante absentia; durante minoritate) II Petitloner(s) after a proper search haslhave ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: Name Relationship Residence ..r' /.., ".'1 ,.) ::J (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. , Decedent was domiciled at death in Cumberland County, Pennsylvania with his/her family I" m I or principal residence at 525 Boslar Avenue, Lemoyne Borough (list ,street,number, and municipality) Decedent, then 75 years of age, died 09/22/2005 at 525 Bosler Ave., Lemoyne, PA (Location) Decedent at death owned property with estimated values as follows: (If domiciled in PA) All person~1 property (If not domiciled in PA) Personal property in Pennsylvania (If not domiciled in PA) PersOnal'property in County Value of real estate in Pennsylvania $ $ $ $ i 5,000.00 ~5'OOO.OO situated as follows: 525 Bosler Ave., Lemoyne, PA Wherefore, Petitioner(s) respectfully request(s) the probate 6fthe lastW,i1landCodicil(s)presented with this Petition and the grant of letters in the appropriate form to the undersigned: ' RobertC. Miller Typed or printed name and residence 2193 County Line Road DiIIsburg. PA 17019 Signature Prepared by the Pennsylvania Bar Association , Copyright (c)'2004 form software only The Lackner Group, Inc, F~rm RW~1 (1991) Oath of Per$grialRepresQntative Commonwealth of Pennsylvania County of Cumberland The P~titioner(s) above-named swear(s) or affirm(s) that the stateirien;tsi~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, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed . ~~ C ~ '0 "-.'"_ Robert..C~MH~er before me this ,5, . . day of ":\ ~ptirYI~:> ^'- ,;W05 \~):.:i;Un(la *~J1M(;.Y/1~ b-L~I~ ~'ccr.(b,~...te' - U . . No. . '21-o5~() 'OJ a- Estate of William Phillip lIIIi11er also known as William P. Miller, Sr. Social Security No: 168-26-2963 ANDNDW.~~~h,.~ 30 , Deceased Date of Death: 09/22/2005 dOC s- , in consideration of the Petition on the reverse side hereon, satisfactory proof helVing been presented before me, IT IS DECREED that Letters 00 Testamentary DQfAdininistration . '-', . - ." . (c.t.a:; d.b.n.1::.t.a.; pendente lite: durante absentia; durante minoritate) are hereby granted to Robert C. Miller, Executor in the above estate and that the instrument(s) dated 10/11/2000 . . described in the Petition be admitted to probate and filled of rec;Qrdas the.'~tWilr of Decedent. ',:~\R~~~~\, \ 5 . l1l~ ~QD h", "''''ft. J Register of Wills >M... W~ . Wiley U ~~~ FEES Letters.. ....... ................................. $ dID.OC) Short Certificate(s)...................... $ \\.-O,OD Renunciation............................... $ Affidavits ( )...........................$. ExtrCl PClges ( ).\.1,;).\.\\......,..$ ..Wiley,Lenox, Colgan, & Marzzacco;.P.C. Address: .130W.Church$t. CodiciL.... ............... ...................... $ DiIIsburg, PA 17019 Telephone1 717-432-9666 JCP Fee.......................................$ lO. 00 Inventory......... .......... ................... $ Ot~er.C~~.~.~.~.......$ . E"MCliI: r: l"~ .:::>. j '--" /)i::-'I _ TOTAL............................$ Q:l '-"~ (.,\J" Prepared by the Pennsylvania Bar Association Copyright (c) 2004 form software only The Lackner Group, Inc. Form RW-1(1991) I' Thi' is [0 certify that the information here given is correctly copied from an original certificate of death duly filed with me as LOCLli Registrar. The original certificate will be forwarded to thc State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. P"' '11-'C'O/lJ~2 _ ..L,..! lJ '1, L"'~,= No. ,'II'I,,'H"'///h'~~~~~ ",,"'!\.\>.\\" OF PEl----__ i'#~.. . ~~"';. t~_~\ ~~. '--' ~~ ~~ .. . I'#~ ~ c-) - ~#~; ,h~ \. *~.~:.::.: - ;) * j "-.::2 -. - ,~" '\. ~ <"~\l .,. :<fP~ ~\.\-", -.,.--~/ MEN1 \\\" "." """~"'///##JlJJ'I,'1 t2nm-1?~. Local Registrar Fee for this certificate. $6.00 I SEP 2 7 200~ Date Cumberland 525 Bosler ~~..i, ";'.1 " (h ;1, -'1.) (1" CO Rev 1/91 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (Coroner) ~:..-~ 1130-080 NAME OF DECEDENT {First, Middle, L..ast) 1. William P Miller SEX 2. Male STATE FILE NUMBER SOCIAL SECURITY NUMBER AGE (lasl Birthday) UNDER 1 YEAR Months Days UNDER 1 DAY Hours Minutes 3. 168-26-2963 75 v" DATE OF BIRTH PLACE OF DEATH (Check ()(lly one - see inslruc!ions on other side) (Month, Day, Year) HOSPITAL: Inpatient 0 ... FACILITY NAME (II not inslitutio.l, give slreet and number) 5. .. COUNTY OF DEATH CI Bb. Be. DECEDENT'S USUALOCCUOOION (1~?:,k:~tlire~~d~~t~IJ~r;~Wr~jt 110. letter carrier l1b. ostal service 12. DECEDENT'S MAILING ADDRESS (Street, CityfTown, State, Zip Code) DECEDENT'S ACTUAL RESIDENCE (See instructions on other siOO) WAS DECEDENT EVER IN U.S. ARMED FORCeS? Vo.O NoJ'.!'5. MARITAL STATUS - Married Never Married, Widowed, Divof~d (Specify) ,..married 525 Bos18r Lemoyne,PA 11. FArHER'S NAME (firs!, Middle, Last) Avenue 17043 178. State Pennsyluiiniii Did de_' livelna Cumber land township? 17dg~~h~n~~~7~~::ot MOTHEA'S NAME (First. Middle, Maiden Surname) _ Elizabeth L. Gardner INFORMANT'S MAILING ADDRESS (Street, CityfTown, Stale, Zip Code) 2~2193 Count Line Rd. Dillsbur PA 7019 PLACE OF DISPOSITION - Name 01 Cemetery, Crematory LOCATION. CityfTown, State, Zip or OtIler Place 17C.0 Yes, decedent lived 1 lwp. 17b. Coun Lemo ne city/bOro. 1B. INFORMANT'S NAME (TypelPrim) Charles R. Miller, Sr. 2 . METHOD OF DISPOSITION Burial l5( CrematiCl\ 0 Removal tfOm State 0 Other (~. , Robert C. Hill Cemetery NAME AND ADDRESS OF FACILITY 23b. 23c. WAS CASE REFERRED TO MEI(!SAL EXAMINER/CORONER? Ye.JJSJ f.oD 2.. IApproximate PART II: Other significant conditions ntributing to death, bul : interval between not resulting in the undertyl cause gMim in PART \ ] onsel and death ! HTN 22 238. Items 24.26 must be cOrTl~eted by TIME OF DEATH DATE PRONOUNCED DEAD (MOIllh, Day, Year) per""nwhOpmnouncosdealh. 24. 10: 00 M. 25. S'eptember 23, 2005 Z1. PART 1: Enter the diseases, injuries or complications which caused the death. 00 not enter the mode of dying, such as cardiac or respiratory arresl, shock or heart failure. L1sl only one cause on each Hne. IMMEDIATE CAUSE {Final disease or condition resulting in death)----+ Probable Myocardial Infarction DUE m (OR AS A CONSEQUENCE OF): Sequentially list conditions if any, leading 10 immediate cause. Enter UNDERLYING CAUSE (Disease or injury thaI initiated events resulting in death) LAST b. DUE TO (OR AS A CONSEQUENCE OF): DUE ro (OR AS A CONSEQUENCE OF): d. WAS AN AUTOPSY WERE AUTOPSY FINDINGS MANNER OF DEATH PERFORMED'? AVAILABLE PRIOR TO COMPLETION OF CAUSE OF DEATH? Nalural DATE OF INJURV (Monlh. Day, Year) TIME: OF INJURY INJURY AT WORK? DESCRIBE HOW INJURY ,CURREO v.. 0 NO~ No D Accident ~ Homicicle D 0 Pending Investigation D 0 Could not be determined 0 Yes 0 NoD 28a. 28b. CERTIFIER (Ct'>.eck. only ooe) .CERTIFYING PHYSICIAN (Physician certitying cause at death when anolher physician has pronounced deal~1 and compleled lIem 23) To the best of my knowledge. death occurred due to the causees) and manner as stated. . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . Suicide 29. 30.. 300. PLACE OF INJURY. At home, farm, street. lactory, office building, etc. (Specify) 300. M. 30c. Vo. D Coroner D 33. ~ 32. DATE SIGNED (Mo. th, Day, Yea!). D 31e. 31d. SepteJlnber z6, 2005 NAME AND ADDRESS OF PERSON WHO COMPLETED CAUSE OF DEATH (Item 27)TypeorPrinl Michael L. Norris, (;oroner 6375 Basehore Road,iSuite #1 Mechanicsburg, Pa. ~7050 DATE FILED (Month, Day, Year) Po7 ~O'~.... 34. .PRONOUNCING AND CERTIFYING PHYSICIAN (Physician both pronounCing death and certifying 10 cause of death) To \he best of my knowledge, death occurred at the time, date, and plaice. and due to the cause(s) end manner as stated.. .MEDICAl EXAMINER/CORONER On the basis of examination and/or Investigation, In my opinion, death occurred at the time, date, and place, and due to the cause(s} and manner as stated.. . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31a.. REGISTRAR'S SIGNATURE AND NuMBER I~ /[ '2,-IJ I lliast lIill nun QI-eshtm.ent OF WILLIAM PHILLIP MILLER ^'<:. ; ";-;:s BE IT REMEMBERED, that I, WILLIAM PHILLIP MILLER, 'of 52!:r,i; ':.,-"+) , ,'I Bosler Avenue, Lemoyne, Cumberland County, pennsYlvcin'ia,~~ Ci being of sound mind, memory and understanding, do make,;:, publish and declare this as and for my Last Will and:;-~ Testament, hereby revoking and making null and void any and~D all Wills and Testaments and writings in the nature thereof by me at any time heretofore made. ITEM 1: I direct that all my just debts and funeral expenses be paid as soon after my demise as may be convenient. ITEM 2: All the rest, residue and remainder of my estate, of whatsoever nature and wheresoever situate, whether: it be real, personal or mixed, including property over which I have a power of appointment, I give, devise and bequeath unto my three children, WILLIAM P. MILLER, JR., ROBERT C. MILLER and BARBARA J. UNDERKOFFLER, in equal shares, per stirpes. ITEM 3: I direct my hereinafter named Executor to pay all inheritance, estate, succession and legacy taxes of whatsoever nature and kind, to which my estate or the transfer of any property passing hereunder or otherwise passing by reason of my demise, may be subject and to charg~ such taxes against my residuary estate, it being my intention that none of the aforesaid taxes, either federal or stat.e, on any property required to be included in my gross estate, under the provisions of any state or federal law now in force ~ W~~~SEAL} WILLIAM PHILLIP MILLER -1- '''----', II . . or hereafter enacted, shall be prorated among the persons' interested in my estate to whom such property is or may be transferred or to whom any benefit accrues. ITEM 4: I appoint my son, ROBERT C. MILLER, as Executor of this my Last will and Testament. Should my son, Robert C. Miller, predecease me, fail to qualify, cease to act or renounce probate, I then appoint my son, WILLIAM P. MILLER, JR., as alternate Executor of this my Last Will and Testament. ITEM 5: I direct that my Executor or his successor shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal 1/1/) /f- day of () t! i:JJ.L-t) , 2000. this ~.w ; l ' . /(L~LtU-s. ~~~SEAL) WILLIAM PHILL P MILLER -2- II . . COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF YORK We, WILLIAM PHILLIP MILLER, JAN M. WILEY, ESQUIRE and SHAWNA L. VARNER, the Testator and the witnesses respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his Last will and Testament and that he had signed willingly (or willingly directed another to sign for him), and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed this Last Will and Testament as witness and that to the best of their knowledge the Testator was at the time eighteen (18) years of age or older, of sound mind and under no constraint or undue Sworn to and subscribed before me this /I~ day of O(!-biu>~) , 2000. s iJdlMJ JJUfCbJJ NOTARY PUBLIC MY COMMISSION EXPIRES: