HomeMy WebLinkAbout06-07-06
Register of Wills of Cumberland County, Pennsylvania
Estate of HELENA M. MILLER
also known as HELENA MARY MILLER
PETITION FOR GRANT OF LETTERS
No. d- \- D lO~ 0'1 tJ~
, Deceased
Social Security No. 206-38-9753
HELENA M. JONES
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE "A" OR "B" BELOW:)
GJ
A. Probate and Grant of Letters and aver that Petitioner{s) is/are the execut rix
Decedent, dated 5/12/1997 and codicil{s) dated
named in the Last Will of the
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 incapacitated:
o
B. Grant of Letters of Administration
(c.t.a., d.b.n.c.t.a.: pendente lite, durante absentia; durante minoritate)
Petitioner{s) after a proper search has/have ascertained the Decedent left no Will and was survived by the following spouse
(if any) and heirs:
Name
Relationship
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal
residence at 42 Creek Bank Drive, MechanicsburQ, PA 17050 (Silver SprinQ Township)
(list street, number and municipality)
Decedent, then 96 years of age, died 5/25/2006 , _ , at Homeland Center, HarrisburQ, PA
(Location)
Decedent at death owned property with estimated values as follows:
(if domiciled in PAl All personal property ......................................... $
(if not domiciled in PAl Personal property in Pennsylvania .................... $
(If not domiciled in PAl Personal property in County .............................. $
Value of real estate in Pennsylvania ........................................................................................ $
Total ..................................................................................................................... $
13,500.00
88,000.00
101 ,500.00
Real Estate situated as follows:
One-third interest in 42 Creek Bank Drive, Mechanicsburg, PA 17050 (Silver Spring Township)
Wherefore, Petitioner(s) respectfully request(s) the probate of the Last Will and Codicil(s) presented with this Petition and the grant of letters in
the appropriate form to the undersigned:
Typed or printed name and residence
Helena M. Jones
42 Creek Bank Drive Mechanicsbur PA 17050
RW-7
Oath of Personal Representative
Commonwealth of Pennsylvania
County of Cumberland
The Petitioner(s) above-named swear(s) and affirm(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 Decedent,
Petitioner(s) will well and truly administer the estate azording to law. rJ--n ..
Sworn to and affirmed and subscribed ~ ( .PI? ~".) 7n. ~
7 Helena M. Jones
before me this f1- day of
gy /1--f ~
W.s~~Pjz
DECREE OF REGISTER
Estate of HELENA M. MILLER
also known as HELENA MARY MILLER
Social Security No: 206-38-9753
Deceased
No. ~ FI)(P~o5IJb
Date of Death: 5/25/2006
are hereby granted to Helena M. Jones
;2&D
'J ::5 .()l)
2(i.crV
I S ~ (/Z)
TOTAL ..{g./..:.Jlb.~........$ 3/ 0 -v0
AND NOW, , in consideration of the Petition
on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters ~ Testamentary CI of Administration
(c.t.a., d.b.n.c.t.; pendente lite; durante absentia; durante minoritate)
in the above estate and that the instrument(s), if any, dated 5/12/1997
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
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Letters.................................... $
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Short Certificate(s) ...............
$
$
$
$
$
$
Inventory & Tax Forms............. $
$
Renunciation......................... .
Affidavit (
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)..............
Extra Pages (
Codicil................. ......... .......
JCP Fee ....-:t../bf.n)...........
Other..................................... .
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Attorney -.1 -.-j
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Attorney: John M. Smith, Esq.
I.D. No: #19520
Address: 222 S. Market St., Suite 201, PO Box 267
Elizabethtown
PA 17022
Telephone: (717)367-1370
DATE FILED:
FJn~.sn::; REV li(J~
Thi s is to ~ertify that t~e .informa~i?n here. given is correctly copied from an original certificate of death duly filed with me as
Local RegIstrar. The ongmal certIfIcate WIll be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No.
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.. ocal Registrar .
Fee for this certificate, $6.00
p
12535643
JUN 02 2006
Date
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TYPfJPIlIfT III
P61IIANENT
BLACK INK
1. Nameol~(F.sl middle. last)
Helena M. Miller
s. ,\go (las' bi1l>day)
96
VIS.
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH STATE FILE NUMBER
III. Counly of 001111
Dauphin
7. Oa'oofBil1h lII.da. oar 8. laca and s1aloor III
7-30-09 Phila, Pa.
ed. Focilily Name (n not insOuti>n. givo S~IOI.nd nu_)
2006
3. Social Sacurlly N_
206_ 38
~. Oa'o of Dealh (Monll1. day. yoa"
Harrisburg
10. Race: Amori:In Indian. Black. WIlla. 81<:.
(~
White
11. O_sUsuaIOct 100 ol_dooaduf moslol_' lilo;donol'Ia'oralited
Hous~rre DOm~S'~
16. Doc:odonfslolaii1g _... (S~IOI. cilyilown, 'lale. z4> codo)
42 Creek Bank Dr.
Mechanicsburg, Pa. 17050
12.
13. Decarlolll" Education
EIomoro''Sy~1t:2)
a.
onh lade
CoIego (H or 5+)
14. MarUI SlaIU.: Married, Nova' ..niod, 15. Surviving Spouu (If.m, givellllidon name)
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17b. Counlycumberland
~oDIn~ Hc.K Yas,DecodonlLWodIn ~; 1 "~r QrriRg Tup~.
T ownshil?
17d. [J No. DocedonI Lived wf/lln
Actual Lirils of
Cilynloro
Helena W. Jones
19. ModI.... Namo (Filii, middll, maidIn surnamo)
Mary Peirson
201>. Inlormolll" Mailing _us (SIr.... cilyllown, "'11. z4> code)
42 Creek Bank Dr. Mechanicsburg, Pa. 17050
18. F_.Nomo(FISI,_,IasQ
Cornelus Owens
201. JnIormInI'. Name (Typ&'prinl)
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2' c. Placo 01 DisposlOO (Name 01 cemoIolJI, .....laIy or aiM' pIKe)
Ivy Hill Cemetery
2fI8"l"1'i'1rg~i-acapH / Crem. Inc.
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. _ 231..: ooIy _ COfIiying
physician is noI..._1I1ine 01 dealll 10
cor1ilycausoofdealll
. _ 24-26 _ bo COfI'llIoIed by person
"""_dealll.
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CAUSE OF DEATH (Sol lnabuclIanI.nd uamplool
110m 27. PaI1!; entar1he ~ - dis....., in;Jries, or co",,*"1ions -thol diroclti caused 1he death. DO NOT anlar lo,minalovanlS suclI as cardioc anosI,
'espiratory .nasI, or vonlrEull' _lion _~howilg 1he. . DO NOT __0. En1er ooIy ono causo an a ino.
IIIIEDlATE CAUSE (FonaIdis8ose or c.' _ -L _ """--
canclIion'.....IngIn_1 ~ o. ~ ~
SequontiaIy1islCOldD1s.hny. b. Du.lo(orO$.__....oI): (\4. r,:.
- ==~=C:u':" Due 10 (or as oconsoquoncool) Qi\.~~(\).
_ f-.oorqurylhol_1ha
I\IIIIlS 'osuIIng in _) LAST.
: Appmxinale interval: PIIt II: Enltt 00111 !linnifito.AnI t'.Mdilivts MRlrlhutiM to dum
: onsoIlo _ but no! rasullng in 1he undarlylng causo given in PaI1I.
28. Oil Tobaa:o U.. Conlri>uIo 10 llooIh?
[J Vas [J Pr~
1i' No [J UnIuIown
29. W F....Io:
,2 No! prognanl- put yoar
[J PrOQlllftt alline of_
o No! pregnanl, but prognalll wilhi142 days
01_
[J No! prlllJllnl. but prognanl43 cloys 10 1 yoar
bolor. death
o UnknoWn W prognanl wilhi11he past y,,",
320. Place 01 tnpJ/y: Homo, Farm, SIr.... FaClOIJI, 0lIic0
Buitding.oIC.(~
Duo to (or as 0 consequonce 01):
3Ila. WO$ m Auilpsy
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d.
:lOb. WIfO AuIopsy FII1dlngs
""0_ Prior to CocrllIoIion
01 Causo of Oooth?
[J VIS [J No
31. Mar",.IIIDoalll
l!'" Nalural [J Homi:id.
[J _ani [J PancflllQ /nvasligoti>n
[J Suicido [J Could NoiSe Determined
320. Delo ol/njuly (Monlh. day. yoo,)
M.
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32<1. Time of Injury
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33a. CottJ1Iar (cheCi on/; one)
Certifying plly.iclln (Physicion cef1i1ying ceuse of daalh wilen onoIher physician has pronounced doath and """"IBled nom 23)
To 1/10 bOIl 0' "'i knowlodgo. dulfl occunod due to 1/10 caUll(s,.... IIIInnor IS ollled ..._...._...._..___.......__..__...............___...____...''.......'...............
Pronouncing .nd conltyt", pllyolc:lan (Physician both pronouncilg doalll Ind clrliIyWlg 10 cause 01 doalll)
To the but of my know-.:tge. death occurred at the time, date, and pYc', and due to the caUSe(I) and manner H ltated........._.._...._.__....._._.._._.........__. .._.0
_leal ..aminarlcoronar
On the buis o' euminaUon .ndIor investigation, in my opinion, death occurred at the tilm, date, and plat:e, and due to the Cluse(S) and manner U IWId ._.D
Ro , Signatu.oand Dist HwnIler 36. Dolo FIIod (Monll1. day, yoa,)
.. . ~ I o<:l- I I d1- I I I 0 I ..f u.JJr; I ZlJtJfp
33<1. Olio SignOCl (Month. day, yoar)
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~. Ha.... Ind os. 01 ~loIed Causo of DOIlh (Ram 27) TypolP,lnl
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,301 ~Ol.lk -(l~,,~ i'I il
Prrn P l"-t 1I ,... J 70
(See instructions and examples on reverse)
5-31- 6 (,
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LAST WILL AND TESTAMENT
OF
HELENA M. MILLER
I, HELENA M. MILLER, also known as HELENA MARY MILLER, a united
States citizen and permanent resident of St. Petersburg, pinellas
County, Florida, being of sound mind and disposing memory, do hereby
make, publish and declare this my Last Will and Testament, hereby
revoking all Wills and Codicils by me heretofore made.
ITEM I
It is my wish and direction that I be buried in my lot in Ivy Hill
Cemetery, Mt. Pleasant Road, Philadelphia, Pennsylvania, beside my
deceased
former
husband, William Wilson, Jr., and my personal
representative hereinafter appointed shall have charge of my funeral
and burial and shall cause my name, date of birth and date of death to
be inscribed on the marker in place at my grave site. Proceeds of any
insurance payable or inuring to the benefit of my estate may be used to
pay
lawful
claims,
funeral
and
burial
expenses,
costs of
administration, taxes, and the remaining proceeds, if any, shall be
distributable as part-"C}f my residuary estate.
ITEM II
with respect to any real or personal property, which I may own at
the time of my death, as an estate by the entirety, jointly with right
of survivorship with one or more persons, or in the,.,~orm of a
'.: \",)
certificate of deposit, brokerage account, saviq~~".'etc.~C?-u;:n::tfJtrust, or
:Ji"J )~'c~\j 'lJ
similar depository account, I do hereby confirm the same and direct
w" YJ1 '71rJ
L 1'1"'''' [;.-:,";7
, , :Gi \~d - l'i; II J.:Uv
1
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~U :JJ\jj\,J \.ij'wUV-- _...d
a. (-0 fp-lY)(){)
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that such property shall pass to the surviving joint tenant or tenants
or beneficiaries, as the case may be, and I give and devise said
property accordingly.
ITEM III
I direct that all estate, inheritance, transfer, legacy or
succession taxes, or death duties, which may be assessed or imposed
with respect to my estate, or any part thereof, after marital
deductions
and other allowable credits, shall, unless otherwise
provided for, be paid out of my residuary estate. Any apportionment of
estate taxes shall be governed by the Florida Apportionment Statute
then in effect.
ITEM IV
I give and devise to my daughter, HELENA M. JONES, if she survives
me, any automobile I may own at the time of my death and the furniture,
furnishings, fixtures and contents of my condominium or dwelling in
which I reside at the time of my death, which does not constitute
exempt property. In the event my said daughter, HELENA M. JONES, does
not survive me, this devise shall lapse and become a part of my
residuary estate and be distributed as hereinafter provided.
ITEM V
I give and devise the sum of Five Thousand ($5,000.00) Dollars
each
to A. RICHARD JONES, JR., my grandson, WILLIAM ROBERT JONES, my
grandson, and PATTI SUSANNE HARTMAN, my granddaughter, or to such of
them as are living at the time of my death. In the event any of the
beneficiaries designated in this Item predecease me, the devise to him,
her or them shall lapse and become a part of my residuary estate.
?~ ~
,~
2
..
designated in this Item predecease me, the devise to him, her or them
shall lapse and become a part of my residuary estate.
ITEM VII
I give and devise the sum of One Thousand ($1,000.00) Dollars each
to AMY HARTMAN, my great-granddaughter, KELLY HARTMAN, my great-grand-
daughter, MEGAN HARTMAN, my great-granddaughter, STEPHANIE JONES, my
great-granddaughter, and SARAH JONES, my great-granddaughter, or to
such of them as are living at the time of my death, should any of my
said great-grandchildren predecease me.
ITEM VIII
I give and devise all the rest, residue and remainder of my estate
not hereinabove specifically or generally devised, including real,
personal and mixed property of every kind and nature and wherever
situated of which I may die seized or possessed or entitled to,
insurance payable or inuring to the benefit of my estate, lapsed
devises and all property over which I may have a power of appointment,
after payment of lawful claims, taxes and costs of administration,
my daughter, HELENA M. JONES, if she survives me, but should my said
daughter predecease me, I then give my residuary estate to which my
said daughter would have been entitled had she survived me, in equal
shares to my grandson, A. RICHARD JONES, JR., my grandson, WILLIAM
ROBERT JONES, and my granddaughter, PATTI SUSANNE HARTMAN, or to such
of my said grandchildren as are living at the time of my death. If is
my specific intention that my residuary estate shall be distributed to
my daughter, HELENA M. JONES, if she survives me, or to such of my said
\
~~ 1-11
grandchildren as are living at the time of my death and not to any
3
~
descendants of my said grandchildren, should any of my said grand-
children also predecease me.
ITEM IX
I appoint my daughter, HELENA M. JONES, as personal representative
of this will, who shall serve without bond or surety, or minimal bond
only if such is required, and I hereby give to her, as personal
representative, full power and authority at any time or times to sell,
mortgage, pledge, exchange or otherwise deal with or dispose of the
real and personal property comprising my estate, upon such terms as she
shall deem best, to settle and compromise any and all claims in favor
of or against my estate as she shall deem advisable, and for any of the
foregoing purposes to make, execute and deliver any and all deeds,
contracts, mortgages, bills of sale, or other instruments necessary or
desirable therefor, and to distribute my estate in kind or cash. If my
daughter, HELENA M. JONES, does not serve, I then appoint my grand-
daughter, PATTI SUSANNE HARTMAN, as personal representative, who shall
serve under the same terms and conditions as recited hereinabove.
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed
my seal to this my Last will and Testament at St. Petersburg, Florida,
this
/2
,
day of
~
f')rk~-9 'J1// 1!i~ - (SEAL)
HELENA M. MI LER
, 1997.
4
Declared, published, signed and sealed by HELENA M. MILLER, as her
Last will and Testament in the presence of the undersigned as
witnesses, she first signing in our presence, and we, then at her
special instance and request, signing in her presence and in the
presence of each other, this
J Z day of
.
~
, 1997.
residing at St. Petersburg, Florida.
? ~.n_n~ ;;L, ?nAA4~L/
residing at St. Petersburg, Florida.
/'I- I1t ~
5
'- '.'
STATE OF FLORIDA
)
)
)
SS
SELF PROOF OF WILL
COUNTY OF PINELLAS
We,
HELENA M. MILLER
the testator, and
W. J. REYNOLDS and GENEVIEVE W. MARSHALL , the witnesses,
respectively, whose names are signed to the attached or foregoing
instrument, having been sworn, declared to the undersigned officer that
the testator, in the presence of the witnesses, signed the instrument
as his last will or cOdicil, that he signed, or directed another to
sign for him, and that each of the witnesses, in the presence of the
testator, and in the presence of each other, signed the will as a
witness.
(The masculine gende~ used herein shall include
the feminine gender as the context requires).
~/h_fI. - :j:l4t 'l:l-~ <{b t.-
es a or
~~
- J ~ - itness . -
1 JVw'..G<<h"~ iV, -'J-??.vt d/>L/
Witness .
Subscribed and sworn to before me by HELENA M. MILLER
,
the testator, who is personally known to me or who has produced
personally known
as
identification,
and
by
W. J. REYNOLDS
, a witness who is personally known to me or
who has produced
personally known
as identification and
GENEVIEVE W. MARSHALL
,
a witness who is personally known to me or
who
has produced
personally known
as identification, on
May ,~
, 1997.
.\~'1.~1"~'4 JuIe S. Wood ~
l;t:i"'.J~ CQMMtSS10N , CC487172 Cl\r1r~
~*: :*i MY September 20, 1999
~k.....it BONDED THRU TMY FAIN lN8WNC1,1MC.
''',Rfl'~''''
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Printed Name: Julie S. Wood
NOTARY PUBLIC, STATE OF FLORIDA