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Home My WebLink About03-06-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVJ\NIA File Number 21-07- () cl \ 0 Estate of Stanley D. Ramsey also known as S. David Ramsey or David S. Ramsey , Deceased Social Security Number 181-34-7278 Jennifer G. Ramsey Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) D 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 circumstences, 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: .......................................................................................................................................................................................................................................................................... ........................................................................................................................................................................................................................................................................... I!J B. Grant of Letters of Administration (I' applICable, enter: c.l.e.; d.b.n.c.l.a.; pedente Ii/e; durante absent,a; durante mlnoritate) 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 Administratton, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) I Name Relationship Residence I David Ian Ramsey Son 3821 Green Street Harrisburg, PA 17110 .... '...~;.J Jennifer G. Ramsey Daughter 28 Garden Parkway --.'" "-~., -'> Carlisle PA 17013 . (-', ~ .. ,"rl f --- -- (7", ~..,. .... (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his/her last principal residence aC -. , 3414 Louisa Lane, Mechanicsburg, Hampden Township, Cumberland, PA 17050 (List street address, town/city, township, county, state, zip code) -0 '" "\ L,) C"-l at 3414 Louisa Lane, Mechanicsburg, PA Decedent, then 64 years of age, died on 02/03/2007 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 12,000.00 $ $ $ $ situated as follows: nQJU\........................................................................................................................................................................................................................... ..................................................................................................................................................................................................................................... ..................................................................................................................................................................................................................................... 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: Typed or printed name and residence Jennifer G. Ramsey 28 Garden Parkway Carlisle, PA 17013 ....................................................................................................................................................................................................................................... 717-241-5630 Form ~2 Rev. 10-13-2006 Copyright (e) 2006 form software only The Lackner Group, Inc. Page 1 of2 COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland Oath of Personal Representative } SS } 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 repres "ve(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before me this lo day of Jennifer G. Ramsey Signature of Personal Representative Signature of Personal Representative File Number: 21-07- D d.,\O Social Security Number: Estate of Stanley D. Ramsey 181-34-7278 Date of Death: 02/03/2007 , Deceased AND NOW, fY'b-ych Lo ,;)DOl , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters of Administration are hereby granted to Jennifer G. Ramsey in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and filled of record as the last Will (and Codicil(s)) of Decedent. $ $ $ $ $ $ $ $ $ TOTAL.................................... $ /0 Q . OU FEES Letters............. ............................... $ Short Certificate(s)........................ $ Renunciation(s)............................. $ ftP -to Form RW-D2 Rev. 10-13-2006 !()() -00 dO.OO .5.00 / u 00 ~o() '1 Attorney Signature: Attorney Name: Hubert X. Gilroy Supreme Court 1.0. No. 29943 Martson Law Offices Address: 10 East High Street Carlisle, PA 17013 Telephone: 717-243-3341 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2 HlOs.80s REV 1105 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. No. ~(\.~~~ Local Registrar . Fee for this certificate, $6.00 p 13310998 FEB 2 3 2007 Date ~-~-~--~-_._-----~-------- .___,___.__~~___'__H_~__'~_'_~>'___"__~.'_'_"_'__'_'-----,~--~. ..::;.:;.. I C' -0 N W -.l o u COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS CORONER'S CERTIFICATE OF DEATH (See Instructions and examples on reverse) ~\ () 1.. () d.-\D H105.144 REV 11f2006 ~:'~~N REPLACEMENT aLACK INK //30-446 D Ramsey 6. Dale of Birth (Month, day, year) 4. Dale of Death (Month, day, year) February 3, 2007 64 Dec. 29, 1942 9-,1 In Q) ..-1 Sb. County 01 Death Cumberland Be:!. FaciHty Name (If not Institution. give stl'98l and number) 3414 Louisa Lane Residence DOlher. Specify: 10. Race: American Incian, Black, White, etc. (SpeaI).jWhi te y~. o Decedenr, AclualResidence 17a.Slale 17b. County 14. Marital Status: Married, Never Married, Widowed, Olvorce<! (~ Divorced Dkl_ Uveina Townsf'Iip? 17,.K!Y",_livedln Hampden Twp. .17d.DNo,_livedwllhln """'~oI ~ 11.DecedenI'sUsual tion ofworklb1e moslof life. DonolSlatereti ~oIWorll: KInd of Business f Indystry OwnerjProprieto Auto Parts . 16. Decedenl's MaIlngAddleos(S1IHl. cllyl_,_, zipc:ode) 3414 Louisa Lane Mechanicsbur Pa. 17050 12. Was Decedent ever in the U.S. Armed Forces? Dy,. ~ Cilylll<>ro 2Ob. lnformanrs Mailing Address (Street, city I town, state, zip code) 28 Garden Parkway Carlisle, Pa. 17013 21c. Place of Disposition (Name of cemeteIy, crematory Of olheJ place) 21d.localion (Cily floWn, state, zip code) 6,2007 Hollinger PH/Crematory Inc Mt.Holly Spgs.Pa.1706 22<:. N""".mi....... oIF..;11Iy 501 N 13 1 t . Hollinger PH/Crematory Inc. ML .Hoh J.~O~rnA~epa. 17065 23b. license Number Ilems 24.26 must be competed by person 24. Time 01 Death Aprx. "'proooun<:esdaa~. 8:00 P. 25. Dale Pronounced Dead {Month, day, }l98r} M. February 4, 2007 26. Was Case Referred to Medical Examiner I Coroner for a Reason Other than Cremation or Donation? b(y" 0 N, Approximate interval: Part II: Ente~_other siMilicant conditions cmtributioolo death, 28. Oid Tobacco Use ContriW:e 10 Death? Onsel 10 Death butrdresultingintheunderlylngeauseglveninPartL 0 Yes DProbably o "" 0 lmlmoom CAUSE OF DEATH (See Instructions and examptes) lIem V. PIlf'I!: Enter the ~ - diseases, \l1Ufie5, or complications -that drectIy caused the death. 00 NOT enlerlenninal events such as cardiac arrest, respiraIoryamtSt,OfventriCliarltlrillatlonwilhoul showing the eliology. Usl onty one cause on each fine. ~~~~~)disease"";' Occlusive Coronary Artery Disease Due to (or as B consequence o~: Remote CABG, DM 29.,lf Female: o Not pregnant within past year o Pregnanlallimeofd8llth o Notpregnant,butpl'8!1lantwilhin42days "'dna~ o Nolpregnanl.buIpregnari43daysto1year """"- o l.InknownHpregnanlwitttinlheplStyear 32c.=~=:t~jStreet,FaclorJ, _"-,''''1, \eading to the cause bted on line a. Enler!he UNDERLYlNG CAUSE =- ~'l., ':..,'W"ST"" b. Due to (or as a con~nce 01): Due to (or as a consequence of): 3Oa. WasanAutoply """"""" d. 3Ob.__F_ AvailablePriorIo~ 01 CauM of Death? Dy" )(No Dyas DNo 31. MaMer of Death ~N'IUI" D- O- Dp"",,"l- D&idda DCouldNolbeDet.""",,, 32d. TmeollnjlJry Coroner ... z w ~ ~ 32f. lITransportalion Injury (Specify) OO."."Operalo< Dp.....,.. Dp M. Other-SpecIfy: 33a.CeI1ifiBr(dlec:kon1y....) 33b. Signa""" ~~..=:..:u."":::ue~~==~=-~_~~_~~~':'.:'~_m_____mm__ 0 ~ ~ ond c:er1Ifylng,.,._ (Physic:ian ""'" pronoonc:lr1g daalh'" C8l1lfying" c:ausa '" c1aalh) 330. Uc:ense Nom"" ".. Date 59-ad I""""', day, yaaO To.._oImy_-"""'nedat..llma,-.ond.-,ancI.......cauee(.)ond.......".........u--u--u---u-- 0 February 21, 2007 __/CofoneI' 'tel On tht.... 01 examlnltion JIld/Of InvestIgdon, In myoplnkx1, dellhoccurreclatthlllme,da,and pI8ee,ancl due to thecause(') andmlWln8l'ustldeeL ~ 34. Nameand}.l:kkessrpersonWho~Caueeol..Qeath (1Iem27) Type/Print Micnae L. Norr~s, ~oroner ~~~~ Id. II 1(}.ll 10 1 FIad(lom01,day,_) A~~~a~f~~g~~tR~ld17tl~~te //1 o " ::! d- \ (:) \ (J d \() RENUNCIATION REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Stanley D. Ramsey , Deceased I, David Ian Ramsey in my capacity/relationship as (Print Name) - , of the above Decedent, hereby ~~unce t~right to ',j -~D Son administer the Estate of the Decedent and respectfully request that Letters be issued to , d"~ -c Jennifer G. Ramsey .F~ .... \" c...) G~ ~O/ (Date) 3821 Green Street (Street Address) Harrisburg, PA 17110 (City, State. Zip) before me thi!': of day Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the ren}Jllqiation for the purposes stated within on this lo%' day of YnJtrct I ,2007. rt0~~~~ Notary Public My Commission Expires: Executed in Register's Office Sworn to or affirmed and subscribed 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.) ~~_....z=..xc~...._.~ Form RW-06 Rev. 10-13-2006 " NOTARIAL SEAL . CORRINE L. Myt'RS NOTARY PUBLIC I CARLISLE BORO, COU~i TY OF CUMBERLAND .. MY COMMISSION i.;P:HJ::S MAY 27, 2007 ~~'-"'''~..<',."," ....:c~_..."..J!"...-JI!)._ ....'" -.; Copyright (c) 2006 form software only The Lackner Group, Inc. . .. - ~~ .