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Home My WebLink About02-21-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Mary Rose Hagan also known as N/ A File Number 4/-d(XYT- /~tj . , Deceased Social Security Number 456-78-9644 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A 'or 'B' BELOW:) l'-~ 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 (") ~53 ::,Q ( ) :~'~:~ c::> ~med in the ,'i II .,- '-. rn CO N . _u . "-'.' ../'," (State relevant circumstances, e.g., renunciation, death of executor, etc.) . ) , (-- ) J:!oo Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution oftfi6tqstrument[sToffered -^~ 1..0 for probate, was not the victim of a killing and was never adjudicated an incapacitated person: .-:' -- j .. ...... - N ".-- W rO- --, ~.~ ' - ) lZI 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 /ist of heirs.) I Name Relationshio Residence I Richard W. Hagan Brother 7902 Mulchins Way, PIano, TX 75024 Michael F. Hagan Brother 1940 4th Street, #2, Sparks, NV 89431 (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his / her last principal residence at 3 Marilvn Drive. North Middleton Township. Cumberland County. PA (List street address, town/city, township, county, state, zip code) Decedent, then 59 years of age, died on February 6, 2007, Philadelphia. Philadelphia County. PA at University of Pennsylvania Medical Center, 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 ofreal estate in Pennsylvania 19,000.00 $ $ $ $ situated as follows: N/A 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 Thomas E. Flower, 2109 Market Street, Camp Hill, P A 17011 FormRW-02 rev. 10.13.06 Page 1 of2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND r...... ~ .J "-J c- t:::;J The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are tru~~orrect t:.fi!he best of the knowledge and belief of Petitioner( s) and that, as personal representative(s) of the Decedent, Petitioner(sj ~hYel1 a.ly,'; administer the estate according to law.,:~{ W ;:; "', ~ ~ ~;[i;:~~ 5; . r:~ Signature of Personal Representative --/ ~9 before me the f\) .r- ;-- -j Signature of Personal Representative Signature of Personal Representative File Number: cl/-c?ei$ - /~f Estate of Mary Rose Hagan , Deceased Social Security Number: 456-78-9644 Date of Death: February 6, 2007 AND NOW, , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters of Administration are hereby granted to Thomas E. Flower, Esquire in the above estate and that the instrument(s) dated N/A described in the Petition be admitted to probate and filed of record as the last W' I (and Codicil(s Letters $ (PO,oO ,~. ci) )Q.C;:> /0- f/O S,(fA FEES Short Certificate(s) . . . . . . . . $ Renunciation(s) .~...... $ ~...$ J!fi!Q . . . $ .. . $ ... $ ... $ ... $ ... $ . .. $ ... $qt(j? TOTAL .............. $ '. ~ Attorney Signature: Attorney Name: Thomas E. Flower, Esquire Supreme Court J.D. No.: 83993 Address: 2109 Market Street Camp Hill, PA 17011 Telephone: (717) 737-3405 Form RW-02 rev. 10.13.06 Page 2 of2 t. H105.R05 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. 01 _ (04 WARNING: It is illegal to duplicate this copy by photostat or photograph. No. ~Li1R (J. xf~r- Fee for this certificate, $6.00 Local~~straro 2001 P 13321088 Date 1'-,;) .....:~ <=> -..J -.., rri co N ;::;:.. :Ii"" . , ---j \..0 N ~ H1CJ5.143 AEY 11.12006 Ttl'EI_" - LOaI_ COIIIIONWEALTH OF PENNSYLVANIA. DEPARTMENT' OF HEALTH . VITAL RECORDS CERTIRCATE OF DEATH (See IrIMIuc:tIcIM ............. on _I Vos. 7. t ..._or 1......._('...._......_ 5...(1.o?I_ 59 Jan 12, 1948 Washngton, ...FodIy_(...._g;.._Illd_ - ) .. Ccu<r" ~ 1>hiladelphia '1.-.r.~ 1Cind"_ Case Worker Federal Gov't ,..-.-.g--cilyl-.-.zip-I 3 Maryland Drive, Carlisle, PA 17013 Universit 12....0Ic:IIdIrt..1III.. u.s.__? 0..... KJ'" -. AcalIIAIIidInct 17a.S. la Ccu<r PA Cumberland 170.0......__11 '701&1....___ _LM*.. T"" Carlisle ClIy/- ,..--.-__....._1 ,9.-'_____ Charles R. Hagan Grace Chapman a-.-.g__cilyl-._,zip_ 1940 4th Street, #2, Sparks, Nevada 210 Plooo"-'_"_,_"_"""I Cavanagh Cremation Services 89431 __'_{TIP"PlinI) ~ ~ 21d.~(ClIyI_,_,zip_ Media, PA 19063 Funeral Home, 301 Chestp.r Pike, Norwood, PA 19074 23b.Lm._ 23c.OllItS9'Od_dlly.yoIO) ::en-==~ a Yp.) b.lM"lor".~'~~'"I~t.i,~. DueIo(Ofasa~oI)~ \t. " ,- c- '--, Due to (or as I consequence of): (,)lQ ~\ID \ "-, PIIlH: EnIIrolher 28. [ldrot.:co'UII Car*itMlIo DeIIb1 buI"'_Il..~....jjvIollPootL 0"" D- ONG 29.'_ ~_-""''fOII 0_........- o ...---.buIlJ1Ol1lll"l1-....... ..- o..._buI_......."''fOII -- o -'IJIOlIlll"lI-.."",'fOII :a==:-~j__' -- 0ns0I" ~ ?Z <: 1:.. ==..c:ondIIiorw..iI.... to ~.....anline.. --- =-..:.I:nw:...~ d. o,...@,.. o Yes CJl'"' Ifi...... 0 - O-ol'lnlng""""","", 0"- 0 CoUd.....-..... 32d. _...... ~~......_cily/-,-) 30a WlsM"""" - n __ AncIogs --"CcIonpIelim aI CauIe aI Dedl? 31. MInner of 0eIIh II. I l!s ! :Do CorIIk _ only....1 . c.nr,Ino~I-'-_causs"_"""""_"'__Illd_""231 10"'_ ...._ _ _......._...._..-._ un_ _ _ n_ _ __ _ _ _ __ _ _ _ __ _ n n_ n 0 . _....__I-.-_............_Illd_"......_1 To...... fII..,.............. acamlCI......... ....... pIIeI.................. _............... _.......................................... . ..... EDIIIiw'/e- Oo.._.._....,.._.....___........_Illd_.........._...._.-.o dIIy.'fOIIl 1,;;).1 ~ ~ 3171 __No. 0155847 0-1- f&Y RENUNCIATION r-..;} {.::.':! C;;;;;> ......, -" rr, co I'\) 52 REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA '-- l'1 -..:j ::~ ::I: "!? I"\) .&:- Estate of MARY ROSE HAGAN , Deceased I, RICHARD W, HAGAN (Print Name) , in my capacity/relationship as of the above Decedent, hereby renounce the right to BROTHER administer the Estate of the Decedent and respectfully request that Letters be issued to THOMAS E. FLOWER, ESQUIRE \~ ~~\ ~7>' (Date) " ~hQ. ~'"^"-- (Signature) 7902 MULCHINS WAY (Street Address) PLANO, TX 75024 (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 renunc~ for the purpose~ ;tated with'n on this ~ day of -s/nP " J Iftf7 ' Deputy for Register of Wills Form RW-06 rev. 10.13.06 (Signature and Seal of Notary or other official qualified to administer oaths~_SJJQW date ofe'SP.iration of Notary's Commission.) COMMONWEALTH OF PENNSYLVANIA Notarial Seal Sara J. Ensinger, NotaIy Public CarIIIIe 8olo, Cumberland County My Commission Expires Oct. 17, 2009 Member, Penlllylvania Association of Notaries D 1 . I vY RENUNCIATION REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA r" t~ .s ....., -'1 rr-j co N Q ;r.,., ::r= ~-I -~ 1,.1? N ...... , Deceased Estate of MARY ROSE HAGAN I, MICHAEL F. HAGAN (Print Name) , in my capacity/relationship as of the above Decedent, hereby renounce the right to BROTHER administer the Estate of the Decedent and respectfully request that Letters be issued to THOMAS E. FLOWER, ESQUIRE 1 / (') 1 I ES ;2~7 /kiL cLJ::;1. !/ 'y~ (Sig"ature) (Date) 1940 4TH STREET, APT. #2 (Street Address) SPARKS, NV 89431 (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 renuncia~n for the purpos s stated w' in on this day of :t: 'I Deputy for Register of Wills Form RW-06 rev. 10.13.06 (Signature and S or other official ualified to administer oat Fe n.) NotarIal Seal Sara J. EnsInger. NotaIy PubIlc CaItI8Ie Bom. Cumberland Counly My Commlsaion Ellpires Oct. 17,2009 Member, Pennsylvania Aaaoclatlon of Notaries