The URL can be used to link to this page

Home My WebLink About10-13-06 . Register of Wills of Cumberland County Estate of Gary Lee Bremer, Jr. also known as Gary Lee Bremer PETITION FOR PROBATE and GRANT OF LETTERS No. (l,- 01.1> - qo~ To: , Deceased. Register of Wills for the County of Cumberland in the Commonwealth of Pennsy lvania Social Security No. 162-52-8700 The petition of the undersigned respectfully represents that: 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 October 6 . 20 06 and codicil(s) dated N/A (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decedent was domiciled at death in Cumberland Pennsylvania, with h~ last family or principal residence at 13 Park Street, Mt. Holly Springs, PA 17065 (list street, number and municipality) County , Decedent, then ~ years of age, died October 6 . 20 ~ at 13 Park Street, Mt. Holly Springs, PA Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: N/A Decedent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (lfnot domiciled in Pa.) Personal property in Pennsylvania (lfnot domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: $ 0.00 $ 0.00 $ 0.00 $ 0.00 ,- .1 l.) c:;:, t.='. .~ C""\ -- J .......cJ CJ .. 1 --I :lj --I j C1 -,'e:> .- -,' <~) -0 n ~ j f"'j <":'-~J WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) p:resbntedw herewith and the grant of letters testamenta '.~: (testamentary; administration c.t.a.; administ'ratiohid.b.n . .a.) ~:-.-:: -.... Residence( s) of Petitiorier(s) 13 Park Street, Mt. Holly Springs, PA 17065 is .r:- 'h ..' orl (~-5 nr ) .:f .~ a 0') . Register of Wills of Cumberland County OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } SS: COUNTY OF CUMBERLAND The petitioner(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 repre tative( s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed a~bscribed Before me this 13 day of Ct:-trt. ~ ,20 d..o { () -0 .J , C':'".;) ,::=:> ,-v'"\ ~~(~.'4un.'~anJ"'Ji~ ~, ~, ~i"" l C) ('""') -j r/J ciQ' ::> a Ei .U . iS~(~ ,.J '1'1 , ~~~) Nobl/- Otp. gOlo w Estate of Gary Lee Bremer, Jr. V =rh: , Deceased --j DECREE OF PROBATE AND GRANT OF LETTERS c:::> en AND NOW October 13 20~, in consideration ofthe petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s), dated October 6, 2006 , described therein be admitted to probate filed of record as the last will of Gary Lee Bremer, Jr. ; and Letters are hereby granted to Stacy A. Miller-Lobdel FEES Probate, Letters, Etc. ............. Will.............................. ... Renunciation... .. ... . . . . .... . . ..... Short Certificates (Z) ............ JCP..................... ............. Automation Fee................... Bond............ ..................... Total Filed October 13 2006 $ ;)0.00 $ I" -0.."'\ $ $ $ $ $ $ ~S' db ~ . OC'j \ n. <.:A:::) S.o-o Attorney (Sup. Ct. J.D. No.) 200 South Spring Garden Street, Suite 11 Carlisle, PA 17013 Address 717-243-7143 Phone Thi, is to certifv that the information here given is correctly copied from an original certificate or death duly filed \vith me as LOG!! Registrar. The original 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. I II ,11111111'/",,,,,,,,,, \,\\,"'~~\.\\\ OF PEi:----__ l\~~4tJ).,~ ~ ~~:I" 11ia.~..... \~\ ~ ~/ ~ \?~ ~~",.... ,~~ ~B(.ffi' ,I~~ ~" * ',-, .' '~,"," '.'r.,;; * ~ "&' '~,~" i~,~ \.~~ /~l "'-.,.-Z!'-?lMfNl \\{'t-\:"".... ,........","""'11111111',,1 ,I /'7 .'" Lbrv'i'0- /''i .,~ , '.. ,. / /'1):.-<./" ._~'~ .. /...~'",>:.</ ~ '''' .. l,~" . ~."''' '. Fee for this certificate. S6.00 Local Registrar P 12839995 OCT 1 3 2D06 Dale 13. Oecedenrs Educabon (Specify only highest grade complelecl) Elementa-y I Secondary (0-12) College (14 or 5+) 12 2 C) r-.." C~'"3 :.:~::) c-:r",\ ~ f PRINT IN ~~~~~T 1/30-359 1. Name of Decedent (First, middle, las!, suffix) COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (CORONER) Gary 5 Age (Last Bilthd",) L Bremer, Jr. 6. Dale of Birth Moolh. da , 7. Birth 39 V~ March 31, 19'67 Harrisburg, PA Sb. County of Death ad. Facility Name (If no! jns~lulion. give street and number) Cumberland 13 Park Street 11 Decedent's Usual Occu tion Kird of work done dum mosl of worki ~fe. Do noI slale relired Kind of Work Kind of Business flndustry Retail Pharmac 12 Was Decedent ever in the U,S, Armed Forces? IliIves ONo Decedent's AclualResidence t7a,Slale -,..., 14. ~=~a:~=~jMarried,_~ ~, Surviving Spoose (11~emaiden !fame) Married Heather cr. Ho 13 Park Street Mt. Holly Springs, PA 17065 18. Father's Name (First middle,lasl, suffix) Gar L. Bremer, Sr. 20a. Inlormanl's Name (Type I Print) Heather L. Bremer , ~ Cremation 0 Donation . Was Cntn'IItion or DoneUon AuUtorized : by ~ca' Examiner f Coroner? osee (01' person acting as such} 17b, County Pennsylvania 17c,O Ves,Oec-edeo'Uvedin Twp Cumberland 17dlill ~~iu~;~~~"~in Mt. Holly Springs Ci~IBom 19. Mother's Name (Firs!. middle, maiden surname) Francene Yachovich lOb, Informanrs Mailing Address (Streel, city flown, stale, zip code) 7~ Eagle Lane, Etters, PA 17319 21c. Place of Disposilion (Name of cemetery, crematory oroltler place) 21d. location (City IIoWll, stale, zip code) Mt. Holly Springs,PA 17065 . ~ FH & CS, Inc.;'p.O. Box 431, New Cumberland, PA 17070 23b, license"Number 23c. Dale Signed (Month, day, year) 8:45 25, Dale Pronounced Dead (Month, day, year) October 9, 2006 26, Was Case Referred 10 Medical Examiner I Coroner IOf a Reason Other than Cremation Of Donation? a Yes 0 No lIems 24-26 must be completed by person . who pronounces dealt1 24. Time of Death CAUSE OF DEATH (See instructions and example.) Item 27. PART I Enter the ~...i!!l9f~- diseases, injuries, Of complicalioos . that direcUy caused !he death. DO NOT enter terminal events such as cardiac arrest, respiratory arrest or ventricular fibrillaNon without showilg the etiology. list only one cause on each line DYes ~NO OVes ONo 31 Manner of Death o Natural 0 Homicide o Accident D Pending Inveslig.ation )(SUlCide D Couk:l Nol be Determined Oct. 9,2006 3211 R'jJflj.~u.~ 8: 45 AM. : Approximate interval Part 11: Enter other sianificanl conditions conllibulina to death 28. Did Tobacco Use Contribute 10 Death? : Onselto Death but not resulbng In lhe underlying cause giwm in Part I 0 Yes 0 Probabiy o No 0 Unknown 29. ~Female' o Not pregnant within past year o Pregnant at bme ofdealh o Not pregnant, but pregnant wilhin 42 days o/death o Not pregnant, but pregnant 43 days 10 1 yew; a/death o Unknown if pregnant within Ihe past year 32c Place of Injury: Home, Fann, Street Factory, gunshot - handgun OffioeBuiklng.et,,(Spec,~) Home =~~le~u9:~~~ J:~;\ d~~ Gunshot to Head Due to (or as a consequence of) Sequentially list conditions, if any, ~~:a: ~~~L~~ ~At~E (disease or i~iury lhat initiated the events resulting 10 death) LAST" Due to (or as a consequence 01) Due to (or as a consequence of) JOa. Was an ALJtopsy Performed? n. Were Autopsy Findings A....ailable PriOr to Complelion of Cause of Death? Springs, PA 33a Certifier (check only one) Certlfytng physician (Physician certifymg cause of death when another physICian has pronounced dealh and completed Item 23) Co r on e r To (he bett of my knowledgl, death oecurrid dUI to the cause(l) and mann.,. as ltalesl_.... _ _ _ _ _ _ _ .. _ .... .. _ _ _ _.... _ _ _ _ _ _.. .... _ .... ..D . ~ol~:u:;;~,a;~ :~:=~J:~~~'~:~::i: :htl~:n:n~e::::'~a:tr:l:t~~::~~:r:~ manner as ItatttL.. .. _ .. _ _ _.. .... _.. _ _ _ .... .D 33d. Dale S~ned (Month. day, year) . MedlcatEx.m1norICoroner "" Oc t. 10, 2006 On the be, sis of examination and I Of in....esUgaoon, in my opinion, death occurred at lhe time, dati, end place, and du.lo the cause(s) and manner al.tatfd_ _ ~ 34.)iat"9 ~ AddfQ;'>S o{Person Who Comp/fted Cause of Death (I!em 27) Type I Print .. ',. l1~chael. L. Norr~s, Coroner 35 R",is ,ogn'lu..and~u~__, 36, Dat,ROdIMon~,d",} 6375 Basehore Road Suite III ~ / "( ?a--:l4.,.J..</,,'1'~~:;~_ lc021 / Id 1/ ( t::l ~ Mechanicsburg, PA 17050 (See instructions and examples on reverse) Last Will and Testament of Gary Lee Bremer Jr. (AKA: Gary L. Bremer) I, Gary L. Bremer jr. (here after referred to as Gary L. Bremer), whose address is P.O. Box 215 Gardners, PA. 17324, declare that this is my Last Will and Testament and I revoke all previous wills. I am married to, but separated from Heather L. Bremer (my estranged wife.) I have one (01) child living. His name, address, and date of birth is as follows: Name: DOB: Address: Jason Demmitt 09/15/1987 2975 Grandview Dr. York Haven, P A C) ~ , ! r.......", c-...,:) C:) 0"'\ :::J C') -I w , I v .-.-::"... I give all of my property, whether real or personal, wherever located, to . Stacy A. Miller-Lobdell, who is my live in companion (Remember we did livt; t~gether;'; and many of the items are either hers or ours.), or if not surviving to Frank Bremer, en who is my Brother. Stacy A. Miller-Lobdell may distribute any property as she sees fit, if at all. All beneficiaries named in this will must survive me by thirty (30) days to receive any gift under this will. If any beneficiary and I should die simultaneously, I shall be conclusively presumed to have survived that beneficiary for purposes of this will. I intentionally disinherit any person not specifically named in this will. Including; Heather L.Bremer, my estranged wife, Robert E. Bremer, last known to be in AZ. I appoint Stacy A. Miller-Lobdell, who is my live in companion, whose address is P.O. Box 215 Gardners, P A 17324, as Executor, to serve without bond. If not surviving or otherwise unable to serve, I appoint Frank Bremer, who is my Brother, whose address is 130 Duvall Lane #103 Gaithersburg, MD, 20877, as Alternate Executor, also to serve without bond. As my executor, she is now in charge of my vested interest in the sale of real estate property located at 4702 Enola Road in Newville, PA, 17241, Cumberland County, Lower Mifflin Township. If this property is sold an addendum will appear with this last will and testament. In addition to any powers, authority, and discretion granted by law, I grant such Executor or Alternate Executor any and all powers to perform any acts, in his or her sole discretion and without court approval, for the management and distribution of my estate, including independent administration of my estate. In addition, I appoint Stacy A. Miller-Lobdell, who is my live in companion, whose _1:) IT. C) C) '.-J ( ~J fTl C:::::J c-.-) ;-, ( ~:i 1-7/ address is P.O. Box 215 Gardners, P A, 17324, as Trustee of any and all required trusts, to serve without bond. If not surviving or otherwise unable to serve, then I appoint Frank Bremer, who is my brother, whose address is 130 Duvall Lane #103 Gaithersburg, MD, 20877, as Alternate Trustee, also to serve without bond. In addition to all powers, authority, and discretion granted by law, I grant such Trustee or Alternate Trustee full power to perform any act, in his or her sole discretion and without court approval, to distribute and manage the assets of any such trust. In the Trustee's sole discretion, the Trustee may distribute any or all of the principal, income, or both of any such trust as deemed necessary for the beneficiary's health, support, welfare, and education. Any income not distributed shall be added to the trust princi pal. Any such trust shall terminate when the beneficiary reaches the required age, when the beneficiary dies prior to reaching the required age, or when all trust funds have been distributed. Upon termination, any remaining undistributed principal and income shall pass to the beneficiary; or if not surviving, to the beneficiary's heirs; or if none, to the residue of my estate. I also declare that, pursuant to the Uniform Anatomical Gift Act, I donate any of my body parts and/or organs to any medical institution willing to accept and use them, and I direct my Executor to carry out such donation. No Funeral arrangements shall be made: Instead, cream ate my body and do not hold any commemerative services. The executor of my estate is then instructed to spread the ashes of my remains in any manner that they wish. I appoint Stacy A. Miller-Lobdell, my executor, as my health care representative. I grant my health care representative the maximum power under law to perform any acts on my behalf regarding health care matters that I could do personally under the laws of the State of Pennsylvania, including specifically the power to make any health decisions on my behalf, upon the terms and conditions set forth below. My health care representative accepts this appointment and agrees to act in my best interest as he or she considers advisable. This health care power of attorney and appointment of health care agent and proxy may be revoked by me at any time and is automatically revoked on my death. However, this power of attorney shall not be affected by my present or future disability or incapacity. This health care power of attorney and appointment of health care agent and proxy has the following terms and conditions: 1. If I have signed a Living Will or Directive to Physicians, and it is still in effect, I direct that my health care representative abide by the directions that I have set out in that document. 2. If at any time I should have an incurable injury, disease, or illness which has been certified as a terminal condition by my attending physician and one additional physician, both of whom have personally examined me, and such physicians have determined that there can be no recovery from such condition and my death is imminent, and where the application of life prolonging procedures would serve only to artificially prolong the dying process, then: I direct my health care representative to assure that such procedures be withheld or withdrawn, and that I be permitted to die naturally with only the administration of medication, the administration of nutrition and/or hydration, or the performance of any medical procedure deemed necessary to provide me with comfort, care, or to alleviate pam. 3. If at any time I should have been diagnosed as being in a persistent vegetative state which has been certified as incurable by my attending physician and one additional physician, both of whom have personally examined me, and such physicians have determined that there can be no recovery from such condition, and where the application of life prolonging procedures would serve only to artificially prolong the dying process, then I direct that my health care representative assure that such procedures be withheld or withdrawn, and that I be permitted to die naturally with only the administration of medication, the administration of nutrition and/or hydration, or the performance of any medical procedure deemed necessary to provide me with comfort, care, or to alleviate pam. THE FOLLOWING INSTRUCTIONS (IN BOLDFACE TYPE) ONLY APPLY IF I HAVE SIGNED MY NAME IN THIS SPACE: HOWEVER, IF AT ANY TIME I SHOULD HAVE BEEN DIAGNOSED AS BEING IN A PERSISTENT VEGETATIVE STATE WHICH HAS BEEN CERTIFIED AS INCURABLE BY MY ATTENDING PHYSICIAN AND ONE ADDITIONAL PHYSICIAN, BOTH OF WHOM HAVE PERSONALLY EXAMINED ME, AND SUCH PHYSICIANS HAVE DETERMINED THAT THERE CAN BE NO RECOVERY FROM SUCH CONDITION, I ALSO DIRECT THAT MY HEALTH CARE REPRESENTATIVE HAVE SOLE AUTHORITY TO ORDER THE WITHHOLDING OF ANY AID, INCLUDING THE ADMINISTRATION OF NUTRITION, HYDRATION, AND ANY OTHER MEDICAL PROCEDURE DEEMED NECESSARY TO PROVIDE ME WITH COMFORT, CARE, OR TO ALLEVIATE PAIN. 4. If! am able to communicate in any manner, including even blinking my eyes, I direct that my health care representative try and discuss with me the specifics of any proposed health care decision. 5. If! have any further terms or conditions, I state them here: I have discussed my health care wishes with the person whom I have herein appointed as my health care representative, I am fully satisfied that the person who I have herein appointed as my health care representative will know my wishes with respect to my health care and I have full faith and confidence in their good judgement. I further direct that my health care representative shall have full authority to do the following, should I lack the capacity to make such a decision myself, provided however, that this listing shall in no way limit the full authority that I give my health care representative to make health care decisions on my behalf: a. to give informed consent to any health care procedure; b. to sign any documents necessary to carry out or withhold any health care procedures on my behalf, including any waivers or releases of liabilities required by any health care provider; c. to give or withhold consent for any health care or treatment; d. to revoke or change any consent previously given or implied by law for any health care treatment; e. to arrange for or authorize my placement or removal from any health care facility or institution; f. to require that any procedures be discontinued, including the withholding of any medical treatment and/or aid, including the administration of nutrition, hydration, and any other medical procedure deemed necessary to provide me with comfort, care, or to alleviate pain, subject to the conditions earlier provided in this document; and g. to authorize the administration of pain-relieving drugs, even if they may shorten my life. I desire that my wishes with respect to all health care matters be carried out through the authority that I have herein provided to my health care representative, despite any contrary wishes, beliefs, or opinions of any members of my family, relatives, or friends. I publish and sign this Last Will and Testament, consisting of six (6) typewritten pages, on August 8, 2006, and declare that I do so freely, for the purposes expressed, under no constraint or undue influence, and that I am of sound mind and of legal age. I have read the Notice that precedes this document. I understand the full importance of this appointment, and I am emotionally and mentally competent to make this appointment of health care representative. Si~~~at~~ r; ,/; If 'f L, 6:f E /'? /'::.A' Printed Name of Testator We, the undersigned, being first sworn on oath and under penalty of perjury, state that: On October 6,2006, in the presence of all of us, the above-named Testator published and signed this Last Will and Testament, and then at Testator's request, and in Testator's presence, and in each other's presence, we all signed below as witnesses, and we declare, under penalty of perjury, that, to the best of our knowledge, the Testator signed this instrument freely, under no constraint or undue influence, and is of sound mind and legal age. . ~ ~~ ~\\).~ Signature of Witness # 1 ~ ~~"'\~"~~~ Printed Name of Witness #1 \.\'S\~ ~\~,,^,,-'~\. . J S""- __~"",-~",,-, \:) ~ Address of Witness # 1 ~~ \ "\lo::I'",'" . ~_ .~ ;/-IJ/J. Si~ture of Witness #2 ~Q~ t 0t/k.1"'5 Printed Name of Witness #2 2--l{u Rl~ ~w.,~ R<i l1pP#S- Sl.cf'.w\ '\ ~k. pI}. /1 cJ9 C) Address of Witness #2 Notory Acknowledgment State of Pennsylvania County of Cumberland ----On October 6, 2D06 , Gary L. Bremer, the Testator and \ h.bru... T/'II;J!.u-- and Jt\M..K \ IJ /{),f KI/lJ~ , the witnesses, personally came before me and, being duly sworn, did state that they are the persons described in the above document and that they signed the above document in my presence as a free and voluntary act for the p rPoses stated. Notary Public, In and for the County of Cumberland State of Pennsylvania My commission expires: Notary Seal * "OMlvh_,.;i'lwtALTH OF PENNSYLVAf!!t .., ;':J"t)TARIAL SEAL DAWN M ,HUGHART. Notary Public Boro of Ccdlf.le, Cumberland County My COffiE:;,'<;\<;m E~lrQi.N.,g~c:_~~~