Loading...
HomeMy WebLinkAbout01-24-06 Register of Wills of Cumberland County Estate of II 6/~ also known as PETITION FOR PROBATE and GRANT OF LETTERS L'1"'" ~~e". No. a 1, 0 ~ - 6 /) -r:r To: Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania , Deceased. Social Security No. dO 7 - $"2. - IS ~.:> The petition of the undersigned respectfully represents that: Your petitioner(s who isl)l€ 18 years of age or older, and the executtf"")( named in the last will of the above decedent, dated &1"\4.." .:Jr. ,,.,,.,,, and codicil(s) dated N6AJ t:... (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decedent was domiciled at death in C fVIN\ ~~,,~ County, Pennsylvania, with h~ast family or principal r sidence at 3 3 u.. t"ec. St6wV~~ e- ~r- (list street, number and municipality) Decedent, then~ years of age, died :I4V\\4ctV'1 1 'of ,206' , at 11"'.1 tf,/~ .ffr._e..I'.JI S"""'.., ~~ Except as follows, decedent did not marry, was not divorced and did not have a child born or ado'pted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: 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 Pennsylvanil si ted foIl ws: ~ I ~tNO ~Jr- ~ WHEREFORE, petitioner(s) respec herewith and the grant of letters lly request(s)jhe probate of the last will and codicil(s) presented ", e.,?Q V' (tes amentary; administration c.t.a.; administration d.b.n.c.t.a.) thereon. ~ ~atur,;(;;petitioner(S) ,f;; C1 r- "..; I _ ,I,~ ;~~l .~,: _J ,.' (1 ""I .1'1\ ~.l ' I ~J \-;7 (' U :..1 . ~ I ". .~ Register of Wills of Cumberland County OATH OF PERSONAL REPRESENTATIVE COUNTY OF CUMBERLAND COMMONWEAL TH OF PENNSYL VANIA } SS: The petitioner(s) above-named swear(s) or affrrm(s) that 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 above decedent petitioner(s) will well and truly administer the estate according to law. P~?1 A1?~ Sworn to or affrrmed and subscribed Befi~e e this ~ ~f rz.... day of _ULA- t ~ ,20 Dip , filPn tilt ~ flu ~~S/;Y"JL ru. ~ tI&v '1~ 1fItJJs { CIl QQ' ::l ll' 8 ..., (l> ~ No. J 1- b h-()~ 7')- Estate of (<f)!yfll ['(/Iii (J1oy1?/, Deceased DECREE OF PROBATE AND GRANT OF LETTERS L FEES Probate, Letters, Etc. ............. Will............................. .... $ $ $ $ $ $ $ $ 20lhL Renunciation...................... . Short Certificates (~ ............ JCP.... . . . .. . . . . . . . . . ... . . ... . . . . . . .. Automation Fee................... Bond................................. Total Filed go. VI rl ij 6(&D I~-S jIP,uu 10 -"j S .t~ ' $0" ~4 ifi~ 6/rOJ 6-,.e;;tU'/ ~ A~ Attorney (Sup. Ct. LD. No.) ~(4C /t,../v/~ ~E? A1d~ss /JA tJ-Cf ,."." ~ ~ / r /r" I -;> 1'1' / 7/'")- 2.31'-0 f/j p- I Phone 05;~~:Vi~O~0 certify that the information here given is correctly copied fron: an original cert.ificate of death dul~. filed with me as Local Registrar. The original certificate will be forwarded to the State VItal Records OffIce for permanent fIlmg. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 p 12224402 No. --,-~_._.._---~~.._..._---~.^_...... thm- (flf:::7- JAN 1 9 2000 ~!"-", ;::;-:'; -bale, i i ; J "_~__:~ ~ 1 r....' ;"43 Rev. 2187 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH STATE FILE NUMBER f) J- 6b'-o6 7 45 Yrs. SEX 2.Female BIRTHPLACE (City and LA E FDA Stale or Foreign Country) HOSPITAl: Harrisburg, PA 'n....",O 7. aa. FACILITY NAME (If not InsUlutlon. give street and number) SOCIAL SECURITY NUMBER 3. 207 52 DATE OF DEATH (Month. Day. Year) 4. January ]4, 2006 8565 5. COUNTY OF DEATH 8b. Cumberland DECEDENTS USUAL OCCUPATION (<:-~~of~~d~:==t . 1Tr.ansportation Analyst l.flP.rfolk Southern Corp. DECEDENTS MAILING ADDRESS (Street. CitylTown. State, Zip Code) DECEDENTS . 313 3rd St. ~mD~NCE 1~.ummerdale, PA 17093 ~~~~~~:)ns 17b. Counlv Cumberland FATHER'S NAME (First. Middle, Last) 1a. Marlin R. Moyer INFORMANTS NAME (TypelPrint) 20a. Patsy A. Moyer METHOD OF DISPOSITION Burial [] Cremation ~emoval from State 0 (Month, O.y, Veer) . 21.. Other (Specify) 21b. January 18, 2006 . SIGNATURE OF F,UNE VICE LICENSEE OR PERSON ACTING AS SUCH . 22 Complete darns 23&..: on en certifying physician Is not avaUable at Ume of death to certify cause of death. AS DECEDENT EVER IN U.S. ARMED FORCES? Yes 0 No IX! 12. 17e. Stata PA he k InstnJ . 5 on 0 ERIOulpallent 0 DOAO R..~.nce i9 ~=~) 0 RACE. American Indian. Black, White. et . (Speclfy) 10. White SURVIVING SPOUSE (lfwihl, glVl!l maiden name) Old d.cedent live In a township? MARITAL STATUS. MarTied. Never MerTied, Widowed. Divorced (Specify) 1.J'lever Married 17e. IKl Yes, decedent lived in Eas t 17d. 0 ~~"=~I\i~ of c1ty/boro. 15.Petsy A. Stewart Pennsboro lwp. MOTHEA'S NAME (First, Mlddl., Malden Surneme) -L. 19. f/C/:fs A. J fe.. Lv ct./' ( ~:~'3TS rl~NGS'r~RE~t='i~~'i~' s~~ Zl~ 9'tl'J 3 PLACE OF DISPOSITION- N.me of Cemetery. Cremalory LOCATION - CltylTown, State, Zip Code or Oth.r Place 21e.Stone Church Cemetery NAME AND ADDRESS OF FACILITY 22~chardson F.H. Inc. 29 S. LICENSE NUMBER e. }/'7U n'i.-i -hti72 <..U()~, /- Ci {c (/("""(11. OUE TO lOR AS A CONSEOUENCE OF): Sequentially list conditions [ b. n eny. leading to immedlata . cause. Enter UNDERLYING CAUSE (Disease or Injury e. . that Initiated events resulting on death) LAST d. WAS AN AUTOPSY WERE AUTOPSY FINDINGS PERFORMED? AVAIlABLE PRIOR TO COMPLETION OF CAUSE OF DEATH? DUE TO lOR AS A CONSEQUENCE OF): DUE TO (OR AS A CONSEQUENCE OF): MANNER OF DEATH rEf o o Homicide Pending Investigation Could not be determined o o o DATE OF INJURY (Month, Day, Veer) Natural Accident 21d. Silver Spring Twp. PA 17025 26. : Approximate . Interval between : onset and death Other significant conditions contributing lo d.ath, but not resulting In the underlying cause given In PART i. TIME OF INJURY INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED. 3Oa. 3Ob. M. PLACE OF INJURY. At home. 'arm, streeL fectory. office bu3dlng, eta. (Specify) 30e. Yes 0 No 0 30e. Yes 0 No NoD Yes 0 Suidde 29. 280. 2ab. CERTIFIER (Check only one) .l~~~fo~lf:~~~..Y':l."~~h~~i::,~J"J'': t~ g,e:~.~:~(:r~::'3\.r.=~.h:~!:.~~~.~~~.~~.,:,:,.~~~!~.I!~.~?~!.................. .P:OO:~~~I~fGrn~k~;;.:J1:.~:~H~:.c".~~ ft~:i~~e~~~:~~':r~~~~.d:~t d':."~ :::,~ul~.~~i:~~ 'l::~~r es .tated...................... 0 'MEDICAL EXAMINER/CORONER On the basis of examination and/or InvestIgation, In my opinion, de.th occurred at the time, date, and place, and due to the cauHs(l) .nd manner al stated........ .... ................................. ........ ........ ..... .... ............................ ......... .............. .......... ......................... 0 310. REGISTRAR'S SIGNATURE AN~ /JJ tJI- n ( I ~ / I'?' / III f..!.! ~I I.:"j.~ . lJ'\~\// 34. {(()O'c LAST WILL AND TESTAMENT OF ROBIN LYNN MOYER KNOW ALL MEN BY THESE PRESENTS, That I, ROBIN LYNN MOYER, r_~ _'-' -c. of the Township of East pennsboro, County of Cumberland and State of Pennsylvania, do make, publish and declare this instrument to be my Last Will and Testament, hereby revoking a~d making void any and all former Wills by me at any time heretofore made. FIRST - I direct the Executrix hereof to pay all my just debts, funeral expenses and costs of administration as soon as conveniently may be done after my death. I further direct the Executrix hereof to pay all inheritance, estate, transfer and succession taxes which may be levied or assessed upon any property which is included as part of my gross estate for the purpose of any such tax. SECOND - I give and bequeath my Smoker's collection to my niece, ANDREA L. BLAINE. THIRD - I give and bequeath my Indian collection to my niece, MANDl LYNN BLAINE FOURTH - I give, devise and bequeath all the rest, residue and remainder of my estate, both real and personal, to my mother, PATSY A. MOYER, on the condition that she survives me. FIFTH - If my mother fails to survive me, then I give, devise and bequeath all the rest, residue and remainder of my a 1- b~ -0011-- ~ estate to my sister, MARILYN K. BLAINE, to be distributed by her as she deems fit and in her sole discretion including any portion she chooses to distribute to herself. SIXTH- I appoint my said mother, PATSY A. MOYER, to be the Executrix of this, my Last Will and Testament. In the event of the death, resignation, renunciation or inability to serve of the said PATSY A. MOYER, then I appoint my said sister, MARILYN K. BLAINE, Executrix of this, my Last Will and Testament. I do hereby give to the Executrix full power, discretion and authority at any time or times to: (a) mortgage, lease, sell at private or public sale, pledge, exchange or otherwise deal with or dispose of the property comprising my estate upon such terms as deemed best, (b) settle and compound any and all claims in favor of or against my estate as deemed best, and (c) for any of the foregoing purposes, to make, execute and deliver any and all deeds, mortgages, contracts, leases, bills of sale or other instruments necessary or desirable therefor. LASTLY - I direct that no fiduciary appointed by this, my Last Will and Testament, shall be required to give Bond and that ~ if, notwithstanding this direction, any Bond is required by any law, statute or rule of court, no Surety shall be required thereon. IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Will and Testament, consisting of three (3) pages on the margin of which (except this page) I have affixed my initials ;J" this ~ day of ~~, A.D. 1999. ~ -rr/1f^ ( SEAL) Signed, sealed, published and declared by ROBIN LYNN MOYER, the above named Testatrix, as and for her Last Will and Testament. This document was executed at her request and in her presence, and in the presence of each of us, and we have hereunto subscribed our names as attesting witnesses. ~/~f >>a.:t a. ~~ ~ ACKNOWLEDGMENT STATE OF PENNSYLVANIA :ss COUNTY OF DAUPHIN II ROBIN LYNN MOYER, the testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me by ROBIN LYNN MOYER, the testatrix, this ~h~ day of ~~ ' 1999. f(~ ~ ~rI~ ROBIN LYNN ER Tesd: ~4}r Notary Publi . NOT~~~:",! SEAL CARA J. WEt;C,:::(, Notary Public Harrisburg, Dauphin County My Commission Expires Feb. 24, 2003 ~ AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA :ss COUNTY OF DAUPHIN We, Gregory R. Reed and Gail A. Laninga, the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the testatrix sign and execute the instrument as her Last Will; that the testatrix signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the testatrix signed the will as a witness; and that to the best of our knowledge the testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. NOTf.~r.'\L SEAL CARA J. WENGER, Notary Public Harrisburg, Dauphin County MyCommission Expires Feb. 24,2003 : ~