HomeMy WebLinkAbout08-30-06
WAYNE F. SHADE
Attorney at Law
53 West Pomfret Street
Carlisle, Pennsylvania
1701:,
v'
IN RE: EST A TE OF
M. EUGENE MILLER. JR.,
Deceased, Late of the
Township of North Middleton
Cumberland County, Pennsylvania
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
: ORPHANS' COURT DIVISION
: NO. 21-06-236
DISCLAIMER AND RENUNCIATION OF
BENEFICIAL INTERESTS PURSUANT TO
20 Pa.C.S. 96201, et seq.
I, BRIAN E. MILLER, a son ofM. Eugene Miller, Jr., late of North Middleton
Township, Cumberland County, Pennsylvania, Deceased, hereby state, as follows:
1. My father died testate on December 14,2005. His Last Will and Testament
dated April 16, 1999, was duly probated with the Register of Wills of Cumberland
County, Pennsylvania, on March 16,2006, and is recorded at 21-06-236.
2. Pursuant to 20 Pa.C.S. ~6201, et seq., I hereby disclaim and renounce all
beneficial interest I am to receive in UnumProvident Group Life Insurance policy number
1072 in the face amount of $50,000 on the life of my father.
3. I have not accepted any interest in the property which I am disclaiming herein.
4. I have not received any consideration for making this Disclaimer and
Renunciation.
5. I intend this Disclaimer and Renunciation to be an irrevocable and J.UJqualified
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refusal by me to accept any beneficial interests to which I am entit~he p!>perfy'
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disclaimed therein except as under the said Last Will and Testame@~?fty fdtl\er. .,: ;
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WAYNE F. SHADE
Attorney at Law
53 West Pomfret Street
Carlisle, Pennsylvania
17013
IN WITNESS "'HEREOF, and intending to be legally bound hereby, and
intending that this Disclaimer and Renunciation shall be filed of record in the Office of
the Clerk of the Orphans' Court of the Court of Common Pleas of Cumberland County,
Pennsylvania, I have hereunto set my hand this Z1~ay of March, 2006.
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Brian E. Miller
STATE OF NEW JERSEY
)
) SS:
)
COUNTY OF
On this, the e:t 7 day of March, 2006, before me, the undersigned officer,
personally appeared BRIAN E. MILLER, known to me (or satisfactorily proven) to be the
person whose name is subscribed to the within instrument and acknowledged that he
executed the same for the purposes therein contained.
IN WITNESS "'HEREOF, I hereunto set my hand and official seal.
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Notary Public
Oebra S. Kramer
Notary Public of New Jersey
r"IY Comrfllssion Exoires October 10, 2008"
WAYNE F. SHADE
Attorney at Law
53 West Pomfret Street
Carlisle, Pennsylvania
17013
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IN RE: ESTATE OF
M. EUGENE MILLER. JR.,
Deceased, Late of the
Township of North Middleton
Cumberland County, Pennsylvania
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYL VANIA
: ORPHANS' COURT DIVISION
: NO. 21-06-236
DISCLAIMER AND RENUNCIATION OF
BENEFICIAL INTERESTS PURSUANT TO
20 Pa.C.S. 96201, et seq.
I, LESLIE K. THUMMA, a daughter ofM. Eugene Miller, Jr., late of North
Middleton Township, Cumberland County, Pennsylvania, Deceased, hereby state, as
follows:
1. My father died testate on December 14,2005. His Last Will and Testament
dated April 16, 1999, '" as duly probated with the Register of Wills of Cumberland
County, Pennsylvania, on March 16,2006, and is recorded at 21-06-236.
2. Pursuant to 20 Pa.C.S. ~620 1, et seq., I hereby disclaim and renounce all
beneficial interest I am to receive in UnumProvident Group Life Insurance policy number
1072 in the face amount of $50,000 on the life of my father.
3. I have not accepted any interest in the property which I am disclaiming herein.
4. I have not received any consideration for making this Disclaimer and
Renunciation.
o
WAYNE F. SHADE
Attorney at Law
53 West Pomfret Street
Carlisle, Pennsylvania
17013
IN WITNESS ""'HEREOF, and intending to be legally bound hereby, and
intending that this Disclaimer and Renunciation shall be filed of record in the Office of
the Clerk of the Orphans' Court of the Court of Common Pleas of Cumberland County,
Pennsylvania, I have hereunto set my hand this ~ day of March, 2006.
~u~cJnVJWjj_
lie K. Thurn
COMMONWEAL TH OF PENNSYL VANIA)
) SS:
COUNTY OF CUMBERLAND )
On this, the 00 U day of March, 2006, before me, the undersigned officer,
personally appeared LESLIE K. THUMMA, known to me (or satisfactorily proven) to be
the person whose name is subscribed to the within instrument and acknowledged that she
executed the same for the purposes therein contained.
IN WITNESS ""'HEREOF, I hereunto set my hand and official seal.
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COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
CONNIE J. TRITT, Notary Public
Carlisle Bora., Cumberland County
My Commissio~".~~pire~..Q_<:!Ober 5,2008