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Home My WebLink About12-11-06 PETITION FOR PROBATE AND GRANT OF LETTERS C-.'-' oM. ~~ r \c--. J. COUNTY, PENNSYLVANIA REGISTER OF WILLS OF Estate of .A ~r"". - A. also known as ~;IJ{~r File Number J-I-()(P -III ~ , Deceased Social Security Number .2tJl - 01 - 'i~ '(2. Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) ~A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the last Will of the Decedent dated ,APT' \ 1'1, ~ ou\ and codicil(s) dated 14 "''j t:..x ~ '-0-14- r l X ":16\ 200_'1 .........J. named in the ,t.1..~ .:J 1 I :Jilt 'J (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 instrument(s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: f"""'" c:::> C 0 ~ i~:~..~. r{~~~, ..:. ~ . . (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; dur~~ ~oritat~ [;.) t=J c,)>r _ : :'\cn Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the followings~6UG!if an~nd he~'~ FiP Administration, c.t.a. or d.b.n.c.t.a.. enter date of Will in Section A above and complete list of heirs.) ,; (<) 7' 9 ..' c ) 0"" , -[-.\ ..,~~ :j~ o B. Grant of Letters of Administration Name Relationship \.0 (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. Decedent was domiciled at death in C-"" _ \. ~ r l._.l County, Pennsylvania with his / her last principal residence.Jlt W. Is. L... I~ (List street address, townleity, township. county, state, zip code Decedent, then l) ~ years of age, died on ,-; I') - 0 I. at 'a~.-:) \) .n...{" I '" ~ Co. \a PD.... Decedent at death owned property with estimated values as follows: (If domiciled in P A) 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 $ $ $ $ It /0 000 \ situated as follows: 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: T ed or rinted name and residence W I I ~u Form RW-02 rev, 10.13.06 Page 1 of2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF ~v_t.w r l...-l 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 representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. ~g"!f::::::;:":~ - ~ Signature oj Personal Representative Signature oj Personal Representative Q ";;:0 '-~ ;;g -,- C) ;:;::r- 7fT1 ....~- -n -., en /'. C.J () :;2 -'I., :::0 , D~asdd .-;-~ I'....:l = == c::r- o rrl (""') File Number: /)1-00- ///::0 +:'" ~.:J =T} fT.} ,,,C") C-:l C.J (::"; (5 ',f!8 C) . r-1 ..,. '" .,;; C") ... In -0 ::J: Estate of Social Security Number: ,2{)'l- 0 1- <? <<-t t/ .1. Date of Death: (.-:1"}-O' (...) \.0 -/--) AND NOW, having been presented before me, IT IS DECREED that Letters are hereby granted to , in consideration of the foregoing Petition, satisfactory proof in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. fl FEES $ 45.CV KCO Letters Short Certificate( s) , . . . . . . . $ Attorney Signature: .......... $ ... $ .. , $ . .. $ ... $ .. . $ .. . $ $ $ $ TOTAL .............. $ Supreme Court I.D. No.: ~,II, -- -,;- '7:.//1 J'/:'Y/u :Jq/& t,' L'1t I .oj+-- .$FJ_~ I- Hf., 1.1'0.. I? 10 1 its.OD 45. DO 10.00 -GD -S. Attorney Name: Address: Telephone: ('II')) !""Vo - t', & J .1 lag. tiJ Form R W.02 rev 10.13.06 Page 2 of2 ,_, 'n,~.\</\~ '},'__\ Thi., is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Lonl 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. avn.. /1; ~cf::=: Local Registrar Fee for this certificate, $6.00 p 12624953 JUN 2 8 2006 Date r;; ( - OLo - /II 'J- o ':c:~ ""C) I:rO !:r;6) - -,) : CD:;>:::: ~ c:::::o = CJ" o rrt ("") &"' Aev.OtAJ6 IAINTIN ANENT :KINK ,. Name of Oacedenl (First middle, laSI) COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH 3. Social Security Number Mervin A. 5. Age (last birthday) 86 Yrs. Bb. Counly of Death 7. DalaofBirth nlh,da. ear 8. Sirt lace C' andstateorbr' Cumberland o Residence 0 Other. to. Aace: American Indian, Black, WMe, etc. (Speci/)1 white h' est rade ted College (1-4 or 5+1 14. Marital Slatus: Married, Never married, 15, Survivinv Spouse (Kwife, gi\fe maiden name) WKIowod, Divorced (Speci/)1 owan Did Decldenl Liveina 17c.D Yes, DecedenlUvedin Townsh~? Twp. Pa 17055 17d_ 0 No, Oecedenllived within Actual Limits 01 CitylBoro 19. Molher's Name (FIrst rTiddle, maiden surname) Ida R.Brinser 208. /nlonnanfs Name (Typctlprint) Doris Eppler 2Ob. Inlormanfs MiMing Address (Street, cityAown, state, z~ code) 225 Wilson Lane Apt#2105 Mechanicsburg Pa 17055 21b. Date 01 Dispos~ion (Monlh, day, year) 21c. Place of Dispos~ion (Name of cemetery. crematory or other place) Con-O-Lite Crematory 22c. Name and Address 01 Fac~ity 21d. location (Clyl1own, stale, zip code) Schaefferstown Pa 1708 CAUSE OF DEATH (See InslructkIM and .xamples) hem 27. Part I: Enler Ihe ~ - diseases, injuries, or c~lications - that direclly caused the death. DO NOT enler terminal events such as cardiac arrest, respiratory arrest, or ventricular I:Jrilalion without showing the etioloQY. DO NOT abbreviale. Enter only one Cluseon a line. IIUEDIATE CAUSE (Fna'diseas,or CtJ 1"./1 /"-:-, "'. /" condillOn resultnO 1M dealh) ~ a. ~ ~ Due to (or as a consequence oij: ApproxirMle interval: Part II: Enter other simianl cond~ions conlribution 10 death, 28. D~' T se Conlmute to Death? onset to death but not resuning in lha underlying cause given in Part 1 0 0 Probably o CI Unknown 26. Neumyer Funeral Home Inc., 23b. license ~urrber ~ i 7'10 PM 2.7 2- DO Ie Sequentially IisI condlions. Wany. iI leading to lhe cause listed on Une a. Emer th, UNDERL'tflG CAUSE . (disease or injury Ihal inlialed the events resuling in death) LAST. b. CA-;t' ,If.."..,fl"" rfl!.A.<Jo r 29. II Female: o Not preonant within PlSI year o Pregnanl allime 01 death Cl Not pregnant, bul pregnant within 42 clays oldealh o Not pregnant, but pregnant 43 clays 10 1 year bebre death o Unknown if pregnanl within the past year 32c. Place 01 Injury: Home, Farm, Street, Faclory. Office au;~inil.e1c.(Speci/)1 Due to {or as a consequence oij: Due 10 {or as a consequence oij: d. . W8I8 Autopsy Findings AllailableP~"to . liDo of Cause 01 0 o Yes No 31 MaM oath 321. Date 01 Injury (Month, day, year) 32b. Describe how Injury Occurred: alura! o Accident o Suicide o Homicide o Pendinglnllestigalion o Couk! ~ot Be Determined 32d. lime of Injury M 32g. Location (Street, clyllown. stale) 331. Certifter (check only one) Certtfytng physician (Physician certilying cause 01 death when another physician has pronounced death and COOllleted hem 23) To the bell of my knowledge, death occurred due 10 the cause(s) and manner as .tated ..,...............__.............__. ..............._...........__.._...... Pronouncing and certifying physician (Physician both pronouncing death and certifying to cause of death) To the best of my knowledge, death occurred at tho lima, date, and place, and due to the eaUH(s) and manner as stated.....___........ ................................................_0 Medical examinerkoroner On the basis of examination and/or InvesllQaUon, in my oplnkm, death occurred at the time, dale, and pl.ace,.and due to the c.ause(s)and INInner as staled ....._..0 3311. Date Signed (Month, day, year) L - 2...9 -..)(" 3< 35 Regislrar'sS ;2.\ J I ~I II I I (See instructions and examples on reverse) ,/1 ~;1... (f~/1 OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS ~-- lot... d-,J COUNTY, PENNSYLVANIA ~l-O[Q-/(/~ Estate of /Vlt:n....." A. ~pp kJ - , Deceased c:;J, II, <>--. -r. ~I r and '7i? el...oIl.\;; [~ <oJ..-l (each) being duly qualified according to law, depose(s) and say(s) that she / he / they was / were well- acquainted with !/~RtJ; J f( Eff 14'R, and am/are familiar with the handwriting and signature of the decedent, and that the signature of M-4'"r,-,\. ~ €,) t4 ~.r to the foregoing instrument purporting to be the Last Will and Testament/Codicilrof is in his/her own proper handwriting. M~r""'." ~I.~ I"t'r- ". ~,j'~ -e.<<-c~ (Signature) .2 i'"o ~ ...A-IJ '-r L-. <...... (Street Address) l-Ib)..L Ii lI-2 . (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed /4Hl of DE eJrfl b UL , c::JllJ(P (") (- ':;:;0 , .:::0 '-0 :.1-0 , -I> r- . ~~~!j3 U)^ CJO )0-1'1 )C , ::0 :u--1 --> before me this day Form RW-04 rev, 10,13.06 17..l. 6( I I'-.,) ~ = C7'\ Cl rrt C"? +- -0 ::x - .. W \D ~;~ .....-., ('~5 ::0 C-:J rn (:::J C) T'l "-r-I <:'5 rn LAST WILL AND TEST AMENT OF MERVIN A. EPPLER I, MERVIN A. EPPLER, a resident of the Commonwealth of Pennsylvania, make, publish and declare this to be my Last Will and Testament, revoking all wills and codicils at any time heretofore made by me. I am retired from the military service of the United States. FIRST: I direct that the expenses of my last illness and funeral, the expenses of the administration of my estate, and all estate, inheritance and similar taxes payable with respect to property included in my estate, whether or not passing under this will, and any interest or penalties thereon, shall be paid out of my residuary estate, without apportionment and with no right of reimbursement from any recipient of any such property (including reimbursement under Section 2207B of the Internal Revenue Code). SECOND: I give all the rest, residue and remainder of my property and estate, both real and personal, of whatever kind and wherever located, that I own or to which I shall be in any manner entitled at the time of my death (collectively referred to as my "residuary estate"), as follows: o So ;~~o j '~7: r- (B) If my wife does not survive me, my residuary estate shall be paid an&~~ distributed to those of ROBERT LEE ROWAN, RICHARD E. ROWAN, SUSAA)Q BAKER, ROGER ROBERT, LARRY EARHART, DONNA ANDREWS ~~~-n ROBERT ROWAN, JR. who survive me,-w the fO,Il~ing pf,fportions: )]~ 't (,.-, I" MC\..- p:J-, (a) forty-three percent ~) in equal shares to my brother-in-law ROBERT LEE ROWAN and forty-three percent ~Io) in equal shaIjs to my brother-in-law RICHARD E. ROWAN, per capita; lft,. -, o/f, 1'1-0... ~ V) tt \ @~(b) 0 and eight tenth percent (2.8%) in equal shares y niece SUSA'N B 0 and eigh tenths percent (2.8% y nephew ROGER ROBERT, two an . ht te hs percent . 0 to my nephew LARRY EARHART two and e t nths cent (2.8%) to my niece DONNA REWS, an percent (2.8%) to my nephew ROBERT ROWAN, JR., if an se t ers sha ive me, their individual portion shall to dist . in equal shar s to my brother-in- OBERT LEE ROWAN and rother-in-Iaw RICH E. ROWAN, per capita; (A) If my wife DORIS R. EPPLER survives me, to my wife outright. ~ ~ <::::) 0'"' C:J 1-" r> -0 :x ::0 ~} C) :XJ C":J rn CJ '~O' -;-1 -n -n (;'"5 rT1 '-., Ie ., ":1"j ,J..- - .. w U) (c) If none of the aforesaid beneficiaries of my residuary estate shall survive me, my residuary estate shall be paid and distributed to Lebanon Valley College, Annville, Pennsylvania. v~ 5\2.) ~ ?S,-J/~5 eJY/~ Q - ~J1-- THIRD: If any property of my estate vests in absolute ownership in a minor or incompetent, my Executor, at any time and without court authorization, may: distribute the whole or any part of such property to the beneficiary; or use the whole or any part for the health, education, maintenance and support of the beneficiary; or distribute the whole or any part to a guardian, committee or other legal representative of the beneficiary, or to a custodian for the beneficiary under any gifts to minors or transfers to minors act, or to the person or persons with whom the beneficiary resides. Evidence of any such distribution or the receipt therefor executed by the person to whom the distribution is made shall be a full discharge of my Executor from any liability with respect thereto, even though my Executor may be such person. If such beneficiary is a minor, my Executor may defer the distribution of the whole or any part of such property until the beneficiary attains the age of twenty-one (21) years, and may hold the same as a separate fund for the beneficiary with all of the powers described in Article FIFTH hereof. If the ben- eficiary dies before attaining said age, any balance shall be paid and distributed to the estate of the beneficiary. FOURTH: I appoint my wife DORIS R. EPPLER to be my Executor. If my wife does not survive me, or shall fail to qualify for any reason as my Executor, or having qualified shall die, resign or cease to act for any reason as my Executor, I appoint my brother-in- law RICHARD E. ROWAN as my Executor. If RICHARD E. ROWAN shall fail to qualify for any reason as my Executor, or having qualified shall die, resign or cease to act for any reason as my Executor, I appoint my niece DONNA ANDREWS as my Executor. I direct that no Execu- tor shall be required to file or furnish any bond, surety or other security in any jurisdiction. FIFTH: I grant to my Executor all powers conferred on executors under the Pennsylvania Probate, Estates and Fiduciaries Code, as amended, or any successor thereto, and all powers conferred upon executors wherever my Executor may act. I also grant to my Executor power to retain, sell at public or private sale, exchange, grant options on, invest and reinvest, and otherwise deal with any kind of property, real or personal, for cash or on credit; to borrow money and encumber or pledge any property to secure loans; to divide and distribute property in cash or in kind; to exercise all powers of an absolute owner of property; to compromise and release claims with or without consideration; and to employ attorneys, accountants and other persons for services or advice. The term "Executor" wherever used herein shall mean the executors, executor, executrix or administrator in office from time to time. SIXTH: I direct that for purposes of this will a beneficiary shall be deemed to predecease me unless such beneficiary survives me by more than thirty days. SEVENTH: I have served in the Armed Forces of the United States. I therefore request that my Executor make appropriate inquiries to ascertain whether there are any benefits to which I, my dependents or my heirs may be entitled by virtue of any military affiliation. I specifically request that my Executor consult with a retired affairs officer at the nearest military installation, the Department of Veterans Affairs, and the Social Security Administration. 2 ~.~ IN WITNESS WHEREOF, I, MERVIN A. EPPL~, sign my name and publish and declare this instrument as my last will and testament this -'2..:... day of A.I),e,Z , 2001. I also have affixed my signature on the bottom of each of the preceding pages ~reof. ~ /> ~ (; Q,.ll.~ G " MERVIN-A. EPPL The foregoing instrument was signed, published and declared by MERVIN A. EPPLER, the above-named Testator, to be his last will and testament in our presence, all being present at the same time, and we, at his request and in his presence and in the presence of each other, have subscribed our names as witnesses on the date above written. aA, by- having an address at ~('~ fJA- ( 70/3 ~ o. t1J having an address at 1~,1f /14.J"T G6}.QAr-O ' w- 3 ACKNOWLEDGMENT AND AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA, COUNTY OF CUMBERLAND, ss. We, MERVIN A. EPPLER and t::s-!FL G-e-ou.([ ~ _~[I1_ A _ ~I~ _ _ _ _ _ _ _ _ _ _=___-_-_-_-~~===_=___-_-_~fu~T;~~~~dth~ witnesses respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator, MERVIN A. EPPLER, signed and executed said instrument as his last will and testament in the presence and hearing of the witnesses, and that he had signed willingly, and that he executed it as his free and voluntary act and deed for the purposes therein expressed, and that each of the witnesses at the request of the Testator, in the presence and hearing ofthe Testator and each other, signed the will as witness, and that to the best of his or her knowledge the Testator was at the time at least eighteen years of age, of sound mind and under no constraint, duress, fraud or undue influence. 6'] -'6~ (J,~ MERVIN A. E R Testator ~~ess~J~ ~tn~; P41T Subscribed, sworn to and acknowledged before me by the said MERVIN A. EP~ER, Testator, and subscribed and sworn to before me by the above-named witnesses, this a day of 11-J'~ ~ ,2001. ~,(~ otary PUblic - My commission expires on Notarial Seal . Betty R. Standridge, Notary Public Carlisle Boro, Cumberland County My Commission Expires May 14, 2001 Member, Pennsylvania Association of NotarieS CODICIL TO THE LAST WILL AND TESTAMENT OF MERVIN A. AND DORIS R. EPPLER '. ,rI DATED 15 FEBRUARY 1994 cP r(J In the event of the demise of both Mervin A. and Doris R. Eppler' at the same time, we direct our executor to deliver our Pet Sheltie, ROBBIE, to Doctor Calvin Clements, Colonial Park Animal Clinic, 4905 Jonestown Road, Harrisburg, Penna., as soon as possible, to enable Doctor Clements to find a suitable home for him. Witness our hand and seal this 13th day of April 1994. ...4.;./ ,e~ 5/>- cJ ( " 3 Dor1s R. E P er b ')!J!tQ MERVIN A. EPPLER' S BURIAL INSTRUCTIONS CODICIL "2" It is my desire that upon my demise, I should be cremated and interred, as soon as possible. I desire only graveside services - no memorial services, etc. Instead of flowers, I will ask for donations to be made to ones charity of choice. I desire to be buried at Indiantown Gap. {~'3.k) Date ~J\,J< 0- ~_ MERVIN A. EPP Codicil "2" CODICIL "311 TO WILL DATED APRIL 17th, 2001 SECOND (B) (b) I leave 5.6% to my niece DONNA ANDREWS; AND 2.7% to the following four (4) people: SUSAN BAKER ROGER ROBERT LARRY EARHART ROBERT ROWAN (niece) (nephew) (nephew) (nephew) If any of these people listed here in this Codicil to (B)(b) shall not survive me, their individual portion designated above shall be distributed in equal shares to my brother-in-law, ROBERT LEE ROWAN, and my brother-in-law, RICHARD E. ROWAN, per capita. [- L] -V :3 Date rf\~ O,~ MERVIN A. EPPL