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)
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Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COUNTY OF CUMBERLAND
COMMONWEAL TH OF PENNSYL VANIA
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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
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filPn tilt ~ flu ~~S/;Y"JL
ru. ~ tI&v '1~ 1fItJJs
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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.)
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A1d~ss /JA
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7/'")- 2.31'-0 f/j p-
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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
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34.
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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
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