HomeMy WebLinkAbout09-01-06
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Register of Wills of Cumberland County
PETITION FOR PROBATE and GRANT OF LETTERS
Estate of '4'L?/l/J/( Ie I</J // L.../f/~ No. /:) j. l;(; - 78D
,
also known as To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
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, Deceased.
Social Security No. .2/() '--"7<:;' -:3c'C.~['
The petition of the undersigned respectfully represents that:
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Your petitioner(s), who is/are 18 years of age or older, and the execut_ named in the last will of the
above decedent, dated /.:) t: t.. c,),~t..'S' r-' / 7' I /99C"'- , 20
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and codicil(s) dated /1, / -4
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(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in (1 I. < /" ~.8 C:. /<. ~ /''1'', /:.::> County,
Pennsylvania, with h~ ~ast fam~ly 0: pri.nc. .ip. al r..esidenc..e at ." '. . .. "'. .... ..' . '.' J' ,/-:1. ... '/ 'p---
. .;/-cJ (~//~, //~-I<:/c /..JK: c ""-:/:'!L / > cL -;"/1 7'- ..:;,.?
(list street, number and municipfIity)
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Decedent, then 1; i years of age, died c.c.yz 5- / , 2 ():>' t~ , at ~/' /? -~.. ,/?/ I H;>/'" 1/ ."eel ~j!:;'~ :;': ')
Except as follows, decedent did not marry: was not rlivorced and did not have a child born or adopted afte~
execution of the will offered for probate; was not the victim of a }<illing 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
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
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WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and c~ffi~pres~ed
herewith and the grant of letters L:' >'7~.J//?L ',/;-./'.~ d..~ . C)c . J,.;
(testament ry; administration c,t.a.; ~stration .n.c.tcaj ,-~,
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Register of Wills of Cumberland, County
OA TH OF PERSONAL REPRESENT A TIVE
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COUNTY QF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA
The pctitioner(s) above-named swear(s) or 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 above
decedent petitioner(s) will well and truly administer the estate according to law.
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Sworn to or affirmed and~Jfbscribed
Before~e this ',. I day of
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Estate of h''c/1,/J'y.l,', ;</,-1/JL/lA/, Deceased
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DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW \~'-._ ~ 2~ in consideration of the petition on the reverse side
hereof, satisfactory pr of having been presented before me, IT IS DECREED that the instrument(s), dated
.L"7"'iC/,;t-SC/" /"/ / 9s..c.. , described therein be admitted to probaje filed of record as the last willof r--..;J
/LL:}//J{ k. je/) IN..,V/ ; and Letters are hereby granted to .t';L/,?'Y J-. /?>~O<:'L' /<-~
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Probate, Letters, Etc. .............
Will.................................
Renunciation.........,............ .
Short Certificates (2..) ............
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Automation Fee................,..
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Total
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$ 150Q
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Attorney (Sup, Ct. 1.0. No.)
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REGISTER OF WILLS OF L .-v//,j-/ ,if COUNTY
OATH OF SUBSCRIBING WITNESS
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(each) a subscribing witness to the will presented herewith, (each) being duly qualified accordiJ1g to
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law, depose(s) and say(s) that ~ .;" '1._ .,-,~..J present anc s,av,'
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Sworn to or affirm~.and subscribed before
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test1i~ of (one of the subscribing witnesses to) the will
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Recorded Office Of
Register Of Wills
2006 Sep-1 PM 12 :24
Clerk of Orphans Court
Cumberland County, P A
H105.143 REV. 0212006
TYPE / PRINT IN
PERMANENT
BLACK JNK
1. Nameoi'Oecedenl {Firsl. middle. lasl. sulflx)
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
Bb. CQlJ'lI'/ofDeath
Bd. FElCillty Name (IJ nol instiMion. give s!reel and Ilumberj
STATE FILE NUMBER
4. Dale of Death (Monlh,day, year)
8/25/2006
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6. Date of Birth Monlh,da
Wendy K.
5, Age (lasl Birthday)
54
10/7/1951
echanicsburg, PA
8a, PlaceolDeath Checkonl one
Hospital
o InpalJenl 0 ER lOutpaliem DDOA 0 NurSing Home
g, Was Decederltof HispalllcOrigm? &JNO DYes
(11 yes, spe(:lfy Cuban,
Mexiccirl. Puerto Rican,etc.l
11, Df!ooClenl's Usual Ck;cupatron Kind of work done dUfin mosl of workin life Do riel slale retired
KirJdolWQl"\o; KindofBuslf'oeSsllnduslry
Dis tcher rint Telephone
. 16 Oececlent's Mailing Address (Street. Cily / tOW'l, state, ztp code)
12 Was Decedent ever in the
US Armed Forces?
Dv" IiaNo
13. Decedent's Edl.lcation (Specity oolyhlghestgrade completed)
Elementary f Secondary (Q.12l College (1--4 or5+1
14. MarilalStatus Married, Never Married,
Widowed. Divorced (Specify)
Divorced
'1(
Clrrnberland
. 455 Petersburg Rd.
20 Oak Park Ave.
Carlisle, PA 17013
Decedent's
ActualResidence 17a.Slale
17b County
PA
Cumberland
Did Deceden!
Uveina
TOWflshlp?
17, I8l v". """"01 li.'" ic South Middleton
17d. 0 ~iu=;~?iI'f.ldWi!tJm
Twp
City/Bora
18. Fathw's Name (First, mKidle, iasl, suffix)
Robert E. Miller, Sr.
19. Mother's Name (First, middle, maiden surname)
Betty I. McGough
20b Informant's Mailing Address (Sfreel. city I lown, state. Zip code)
570 Dellville Dam Rd., Shennans Dale, PA 17090
2021, Informarlt's Name (Type/Print)
Jason A. Ka lan
2121. MelhooofDISpositlon
[I Burial 0 Removal from Slale
21c. Place 01 Disposition (Name of cemetery, crematory or other place)
2td, Location (City I IQwfl,s\ale, Zip COde)
ans Crenation Services
LEDla, PA
Home, Inc., Carlisle, PA
17013
Complele Ilems 23a--c only when oortifyil'9
physiclar is nol available at lime ofdealh 10
certitycauseofdealh
Ilems 24..2!:i musl be compleled by perrol1
whopronouncesooalh
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: Appro~;mateinterval
: OnsetloDealtl
=TI~~\~e~~~~~~J:~~\dise~ a &St..J PI,t /1-.(; i?JJrL, c:/I11e,~ll\JoJlvf A
Due (0 (or as a consequenGeo(j
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28 OtdTobaccoUseContributeloDeath?
DYes OProbably
fia.No o Unknown
29 IIFemale
G5J Nolpregnant within pasl year
o Pregnanl al time of death
o Not pfegnant, but pregrlanl wilhln 42 days
ofdealh
o NoIpregnafll.butpregnant43daysl01year
ofdealh
o Urlknownifpregnanl>Mlhin Ihepastyear
32c Place of Injury: Home, Farm, Slreel,Faclory,
Office Building, etc, (Specify)
Sequenhaily lisl conditions, II any,
~~~:~ UNoE~t~G C~~S'E
(disease Of 1f1)lJr; tI1at inllialed the
. evenlsffJsulllng In death) LAST.
Due fo (or as a consequence of)
Due to (or as a C<Jrlsequem;e of)
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DYes J>>No
Dyes I3NO
!XI Natural 0 Homicide
o Accidenl DPendif)glnvesllg31ion
o Suicide 0 Could Not be Delermirled
32d. Timeofln)ury
32g. localkln of InJury (Slreel.cilyllown,slale)
30a, Was a!1 AlJlopsy
Performed?
30b WereAutopsyFirldings
Available Plior to Completiofl
01 Cause 01 Death?
31 Manner of Death
3321 Cmtifier(chec~orliyone)
Certifying ph~lcian (PI1ysician certifying cause of death when another pt1ysiaan has pronounced !jeath and completed Item 23)
To the besl 01 my knowledge, death occurred due to the cause(s) and manner as slate.9_ _ _ _ _ _ _ _... _ _ _ _ _ _ _ _ ... _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~
Pronouncing and certifying phr.;ician (Physidilf1 ooth pror1OOn~ng death and cer1ifylllg 10 cause of death)
To the best of my knowledge, death occurred al the lime, date, and place, and due to the cause(s) and manner as stat!,d_ _... _ _ _ _ _ _ _ _ _ _ ... _ _ _ _..D
Medical Examiner I Coroner
On the basis of examination and I or investigation, in my opinion, dealh occurred at the time, dale, and place, and due to the cause(sl and manner as stat~... ..D
33d Dale Signed (Monlh. day, year}
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I, WENDY K. KAPLAN, of So!.~th Middl,,,toI Ie ,"cru.p,
Cumberland County, Pennsylvania, declare this to be ~y last Wll~
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WIll
revoke
preV10US~Y made by me.
any
r. I devise and bequeath all of my estate of e~er~
nature an~ wherever sItuate to my son, JASON A. KAPLAN, p~ovldlng
he shall surVlve me by thirty days,
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Shaul d :1\Y son,
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b e ~~:eb "... ~ Q f rn \' !2 S ':. 2. t e CJ f t:"v e !: y :1 at u r E~ an. d. r...:J:1~';::: e\ ~i ':' r s i.
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~:g!~:3trl; and shOuld rlil' :oCtl, }ASO:1 F-.. !\ll.PLAN.. leave I1C ;,UCtl
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b2;~lleat~1 m~. erltire est~ate to rny parents, ROBERT E. Mr.LIJER,
BETTY 1. MILLER, (J{ the surviVi~;. .:::,f tLe:11l, li'J.~r;-:;; L ::J.
t. 1-" j t t ?-'~
:Lst day followIng my death
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BETTY I. MILLER 3 d ~y fat er,
TL'j I1'1O t.
ROBERT E. MILLER,
Dr t~e sur~livCJL
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pe:"SOrl of !ry mlno~ sor
Should both my said pat.,?~~S fa.~_
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.~~j~111fy or c~t~ase to ac~ as guardlan, I appoint m:
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DAVID
L. MILLER, and. his wIfe, BARBARA J. MILLER, or the 51"IVIVC: .)f
th~m, guardlans of my minor son.
IV. I appoint. DAUPHIN DEPOSIT BANK AND TEUS'! CO:t-"P,\Nf OF
ARLISLE. PENNSYLVANIA Qua a:an of any propert
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~tne: unaer this will or otherwise to a minor ;iDi:l ~litt r-eSpt~ct
':r.;T,l'1C'f!! ~ aIT! aulr}ori:ecl to ap~!C.lrlr" a glla.rdiaL
~erw:se specifIcally j,one s[)/ provided that this ~,flP0' t,~-_ert
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support and
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BETTY T. MILl.RH, ~.X2: tL1X
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Sh,ould my mother fail to qua:.ify
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a_ ;:~, rr\y t:;{ E': cut r 1 x
= appoint my tretter, ROBERT ~. MILLER,
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E:X ~utor of this my last will.
Shoul d my br othe t. ECBEET
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fai: to guali,fy or cease
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aplolnt my ~)r0~he:'
DAVID L. MILLER. executor
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t:la~ E.l''" ;:,,~...<ee l~"t rs (3r 9 2!:clians ;;;.b:l11 :'; 4.
~. requll:-ec1 t.O gi,\!2 br:)r~:',:'~, -tor t.b_e faj~trlf~';~11 :pet':<~l.-l:'!aL
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~'JENrY K.
KAPLAN
T _r1 e p t E: r: e d i ri 9 :_ Tl s t r LIIT: e .n_ t ,on s i s tin. 9 f t 1 , i:2 an ;:1 t if] c'
(; her typewritten pages identifJed by the signature of the
statrix v!ENDY K. KAPI.AN, \.J<3s;n the day and daLe thf-::teJI
_ gne~, ptlblished and declaretJ y WENDY K. KAPLl~N ~ te3t3~'
f'i""':l ::'~\;':d a:::' and IO ber last wlll,in the J}re::e.l'~i;e cf 1,
'vn. C, a the " r e q \..l. est I 1 ), n e r p 1: e s en c e, and. j, nth E' pre s e PJ: eo:: e a c :.
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subsc~",i})ed OlJr :"Larn.es a~~ wi tr.\eSSE-~;S ~',;:~ r:',
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