HomeMy WebLinkAbout02-05-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
Estate of ROY R. GREEGOR
also known as ROY R. GREEGOR, JR., a/k/ a ROY GREEGOR,
JR., a/k/ a ROY RICHARD GREEGOR, JR. , Deceased
File Number d. \
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Social Security Number
162-36-8319
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
o A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the
last Will of the Decedent dated and codicil( s) dated
named in 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 instrument(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
(8j B. Grant of Letters of Administration
(If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate)
Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (If
Administration, c. t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
r Name Relationship Residence I
see attached Schedule :~.-;
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(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
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Decedent was domiciled at death in Cumberland
Rhoda B01l1p"ard. Monrop 'T'own!':hip,
(List street address, town/city. township, county, state, zip code)
County, Pennsylvania with his / her last principal residence at: 102"5)
('llmhprlann ('ollnt-y PA 17n<;<;
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Decedent, then
60 years of age, died on
01-04-07
at
home
(,. ~,
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
10,000.00
$
$
$
$
60,000.00
situated as follows: 1025 Rhoda Boulevard. Monroe 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:
T ed or rinted name and residence
Marlin R. McCaleb
219 East Main Street, Mechanicsbur
PA 17055
Form RW-02 rev. 10./3.06
Page 1 of2
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 ofPetitioner(s) and that, as personal representative(s) ofthe Decedent, Petitioner(s) will well and truly
administer the estate according to law.
tidJtq;;;u
Signature of Personal Representative Marlln R. McCaleb
Sworn to or affirmed and subscribed
before me the 5- day of
F('DC'4 01
~~I ~_
For the Register
Signature of Personal Representative
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Signature of Personal Representative
cr.:
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File Number: d' (:)'-1 (:) \ \ci
ROY R. GREEGOR, a/k/a ROY R. GREEGOR, JR., a/k/a ROY
Estate of GREEGOR, JR., a/k/ a ROY RI CHARD GREEGOR, JR ~ Deceased
o~,
Social Security Number:
162-36-8319
Date of Death: January 4, 2007
AND NOW, ~ r ek)'/UCL(~-\ ,dD6 -L, in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREkD that Letters of Administration
are hereby granted to Marlin R. McCaleb
in the above estate
and that the instrument(s) dated N/A
described in the Petition be admitted to probate and filed of r:x~ as the ,last ~~l (and Codicil( s)) ~:' Decedent.
FEES ~.~ ~"---L.~I'~
I .3 'S 00 Regist r of Wills
a () cO
f8:
500
~=C";i~~'~(;). Ii..) :
R~u.l}\(iatiOn(S) ... (~). . $
&f ...$
o \u ...$
.. . $
.. . $
.. . $
.. . $
.. . $
.. . $
... \ f.}J~
TOTAL . .. . .. .. .. . .. . $ 10 .
Attorney Signature:
Attorney Name:
Marlin R. McCaleb
Supreme Court I.D. No.:
06353
Address:
219 East Main Street
Mechanicsburg, PA
17055
Telephone:
717/691-7770
Form RW-02 rev. 10.13.06
Page 2 of2
~\ 01 O\\ct
SCHEDULE OF FAMILY RELATIONSHIPS
Decedent was not survived by issue, parents or
grandparents. His surviving next-of-kin are as follows:
1. Gladys V. Manning (aunt)
64 Ashburg Drive
Mechanicsburg, PA 17050
2. Pearl G. Mickey (aunt)
231 plum Avenue
Lemoyne, PA 17043
(Died on January 13, 2007)
3. Paul L. Russell (uncle)
81 Hummel Avenue
Lemoyne, PA 17043
4. Darlene Shultz (cousin)
6119 Redwing Avenue
Englewood, FL 34224
(daughter of deceased aunt)
All of the foregoing next-of-kin have renounced their
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rights of administration in favor of Petitioner.
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1l105.S05 REV 1/05
This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local 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.
Fee for this certificate, $6.00
No.
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Local Registrar 1M
p
13215829
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bate
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Hl05144 REV 1112006
TYPE {PRINT IN
PERMANENT
BLACK INK
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH. VITAL RECORDS
CORONER'S CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
Cumberland
1'. Oecadent's Usual Occu alion Kind oj work done du most 01 WOIiin life. Do no! stale retired
KlOd 01 Work Kind 9l. Business I Industry
Accounting Manutacturlng
. 16{025 ~1'1h'~ d~ B'r~dlate. z~codel
Mechanicsburg PA 17055
1025 Rhoda Blvd
- 36- 8319
Sa. Place of Death (Check on one)
Hospital: Other:
o Inpatient D ER / Outpatienl DooA 0 Nursing Home Ilia' Aesk>>nce
9 Was Decedent of Hispanic Origin? 00 No DYes
(II yes, specify Cuban,
Mexican. Puerto Rican, etc.)
STATE FILE NUMBER ~ \ CJ 1 D \ \ ~
4 Date of Death (Month. day, year)
January 4, 2007
60
V~
31, 1946
I. Nameol~ (First, middle, last, SUffil)
Ro
R
Greegor
6 Date of Birth (Month, day, year)
5 Age (last BinhdaYI
12. Was Decedent ever in the
U,S. Armed Forces?
DVes ~N<>
13, Decedents Edocation (Specify ooJy higheSl grade completed)
ElementaY'rOndary (0-12) CoHege (1-4 or 5+)
14, Marital Status: Married, HeY6/' Married,
Widowed. Divo<<:ed (Sped!>>
Never Married
DQther. _,
10. Race: American Itdan, Black, YIhlte, INC
(Specil)j
W'hite
80. County of Dealh
17b.County
PA
Cumberland
Did Decedent
Uvetna
Township?
17C.[:vJ Yes, Oecedeot Lived in
17d. LI No, Decedent lived within
Ac:luaILimitsol
~ORrOQ
T"ll.
Decedenfs
AclualResideoce 17a, Stale
C<yllloro
18 Falher's Name (First, middle. last, sulfix)
Ro R.
Gree or, Sr.
19. Mother's Name (Firsl, micklIe, maiden surname)
Rosella Russell
20a Informanfs Name (Type f Print)
2Ob. Inlormanfs Mailing Address (Street, city 11oWn, slate, zip code)
64 Ashber Mechanicsbur PA 17055
21d, Location (City I iown, stale, zip code)
Carlisle Pa 17013
C>
W
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=>
~
221:. Name and Address of FacOOy
MYERS FUNERAL HOME 37 E MAIN ST MECHANICSBURG PA 17055
23b. license Number
23c. Date Signed (Month. day, year)
h&ms 24-26 musl be compleled by person
who pronounces death
24. Time of Death
25. Dale Pronounced Dead (Monlh, day, year)
26. Was Case Aelerred to Medical Examiner I Coroner lor a Reason Other !han Cremation or Oonaboo1
'f)/l'Vos DNo
A X 8:00 A M. January 5, 2007
CAUSE OF DEATH (See Instructions and examples)
Ilem 27. Pari I: Enter the dlitn...Q1~ - diseases, injuries, or complications ~ thai directly caused the death, DO NOT enler terminal evl'lnls such as cardiac arrest,
respiratory arresl, or ventricular libriIIalioo without showing the etiology, Ust only one cause on each line
Approximaleinlel\lal:
Ooset to Death
Part It: Enter other sianificant conditions cootribulino to death,
but not resulting in the lSlderl)'ing cause giVen in Part 1
~~~S~~~)~sea~
a. Ischemic Cardiomyopathy
Due to (or as a consequence of):
Remote MI
28. Did Tobacco Use ContrnIle to Oeatl?
o v", DPr_
DNo Du",,,,,,,,,
29. II Female:
o ""'",_-past,.,,,
D Pregnant at tme 01 death
o ""''''egnant....P<Egnan\_42days
ol_
D Not pregnant, but pr8lJl8lll43 days to 1 year
be... _
o l.InknoM1ifpregnanl wiltWlthepaal year
32e, Place ollllfl:l'Y: Home, Fa'!". Street. Factory,
Oli<e""""'O.eIc.(SpeciIy)
SeQuentia/lylistc:.oodlions.d'any,
leading to !he cause lisled on line a
E""" the UIIOEAL VIHG CAuse
(dlseaseor injury thai initialed !he
events resu/liog 1fI dealh)LAST.
b.
Due to (or as a consequence of):
Due to (or as a consequence of)
d.
DvOS .J&1No
DvOS ON<>
31, Manner of Death
~ Natural 0 Homicide
o Au:ident 0 Pending InvestigatlOfl
o Suicide 0 Could Not be Oelennined
32d.Time 01 Injury
30a Was an Autopsy
Periormed?
JOb Were Autopsy Findings
Available Prior to Complelion
otCaU!foe 01 Death?
~
~
C>
I
321,IITransporta\iQnlnjury(Sp6cify)
o Driver I Operator 0 Passenger Dpedestrian
M Other - Specify:
33a. Certifl8r (check only 008) 33b, Signature and Tille
=::ro::~==:.~~:=~~=:,~:"~~~h_a~~~~~~~_________________ 0 .. Coroner
Pronouncing and cerUtylng physkWI (PhySICian both pronouncing death and cenityiog to cause ol death) 0 33c, license Number 33d. Date S9l8d (Month, day, year)
::"~a::=' dealhoccurredalltl-tlmt, dale, and placl, and ctutto lhecauae(a) .ndmlnner II atated_ - - - - -- - - - - - - --- - - January 8, 2007
On 1M baM ot eumiAltlon andJ or InvuUption,ln my opkIIon, death occurred.t the time, elite, .nd pI.ce, and due to the ClIul8(a) and manner II statecL ~ ~ t<lamt and AlWtesUlf Per'SQ(l Who CorlJPIeled Ca\.1i6 of Oealtl (Item 27) Type I Print
M1cnaeL L. NOrriS, ~oroner
',SognaIu"a""O"'""Nuntbe ~ I "\ ... 36. Date Filed (Mon". da,. ,wi 6375 Basehore Roadl Suite 111
~ I _ 1<>< I I I Q\,I J Mechanicsburg, PA 70:,0
Ol'po,ition Permil N<> () / 7 Ii 7 ).. .1'
RENUNCIATION
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYL VANIA
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Estate of
ROY R. GREEGOR
. I
, ~~eased
(7)
I,
Paul L. Russell*
(print Name)
, in my capacity/relationship as
of the above Decedent, hereby renounce the right to
uncle
administer the Estate of the Decedent and respectfully request that Letters be issued to
Marlin R. McCaleb
January
( 7 +'-> 2007
Paul L. f-\tssell \\ f\ f\ (\ ^ -l
By: \'~ ~~
(Signature) Paula Hildebrandt
Attorney-in-Fact
81 Hummel Avenue
(Date)
*by Paula Hildebrandt, his
Attorney-in-Fact pursuant
to Power of Attorney dated
November 21, 1994.
(Street Address)
Lemoyne, PA 17043
(City, State, Zip)
Executed in Register's Office
Sworn to or affIrmed and ~scribed
before me this I 7 day
of 5A).J4^;<"~ ' '?.s.k.7
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this { 7 +- day
of January 2007
Deputy for Register of Wills
~~C6--.P
My Commission Expires: 7 - 3( - Loa 7
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev. 10.13.06
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Patricia A. Gordon, Notary Public
FaiTvI6W Twp., York County
My eommission Expires July 31,2009
Member. Pennsylvania Association 01 Notaries
RENUNCIATION
REGISTER OF WILLS
CUMBERLAND . COUNTY, PENNSYLVANIA
!
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Estate of
ROY R. GREEGOR
, Deceased
I, Robert Ray Louer, Sr. , in my capacity/relationship as
Executor under ~~t~E~t Will and Testament .
of Pearl G. Mickpy ;'l11nt- of the above Decedent, hereby renounce the nght to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Marlin R. McCaleb
January 24,
(Date)
2007
Sr.
(Signal1lre)
224 State Street
(Street Address)
Middletown, PA 17057
(City, State, Zip)
Executed in Register's Office
Sworn to or affIrmed and subscribed
before me this day .
of
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this ~ t [ day
of Januarv 2007
~.
Deputy for Register of Wills
.,lI J
No Public
My Commission Expires: 05 - ~ q - dJ D I -0
(Signature and Seal ofNorary or other official qualified 10
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev.l0.J3.06
eOMMONWI!AL iH OF' PENNSYLVANIA
Notarial Seal
~ura A. Hiester, Notary Public
Middletown Boro, Dauphin County
My Commission Expires May 29, 2010
Member, Pennsylvania Association of Notaries
RENUNCIATION
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
I
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d\ D\ a\\~
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en
Estate of
ROY R. GREEGOR
, Deceased
I,
Gladys V. Manning
(Print Name)
aunt
, in my capacity/relationship as
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Marlin R. McCaleb
January lS, 2007
(Date)
64 Ashburg Drive
(Street Address)
Mechanicsburg, PA 17050
(City, State, zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this Ir~ day
of January 2007
r;,
Public
ommission Expires:
Deputy for Register of Wills
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
NOTARIAL SEAL
VIRGINIA L MANNING. NofIIy NIle
Mechn:IIug Boro. CwnberIInd Co.
IIy CcrnmIuIDn ExIJhI Fib. 2, 2001
Form RW-06 rev, 10./3.06
RENUNCIATION
j"_::,,)
I
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REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
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d.\ 0-\ O\\d.
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ROY R. GREEGOR
Estate of
, Deceased
I,
Darlene Shultz
, in my capacity /relationship as
of the above Decedent, hereby renounce the right to
(Print Name)
cousin
administer the Estate of the Decedent and respectfully request that Letters be issued to
Marlin R. McCaleb
January 30,
(Date)
2007
\ . (\ 1'\
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(Signature) Dar ene ~~t
\...,,,/
6119 Redwing Avenue
(Street Address)
Englewood, FL 34224
(City, State, Zip)
Executed in Register's Office
Sworn to or affIrmed and subscribed
before c:}:s .3 0 day
of r/'/~~
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this ,:gO day
Of_;;:rry, ... J!A~
No~42J/!' .~
My Commission Expires:
Deputy for Register of Wills
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev. 10.13.06
......................... .................,
r CAROLYN J. SPRADLIN
E ~"t~f7"',,, (":o..-,mJ OD0.;75477 :
: !<s~~ uq,:\ L:;c$ 12117/2009 :
. _.. ,.:""6 _, .
:~.1l, ~} Bondc;j \hlu (800)432-42541
: ~~f.~\'" Florida Notary Assn., Inc_=
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