The URL can be used to link to this page

Home My WebLink About03-22-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of DANIEL C. CUSTER File Number ~ \ () -1 OJ- [ ;} also known as , Deceased Social Security Number 208-52-7387 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (CO/'rIPLETE '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 ~u:; ::~(~ . ,'~ ~';~ ,~:_~~. t-.~" '\ ~:L:.' = -- , ."J (State relevant circumstances, e.g., renunciation, death of executor, etc) .:-:; S-j 1'-0 Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after executioQ'~{~e inst~nent(s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: c \d .0:'[ ?, -"...,.. :;:-L... '-- :""rJ "-'..- ---j '7? 00 B. Grant of Letters of Administration (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante mino~te) 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:(!{ Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) Name Relationshi Res idence JENNIE A. METALLO MUJ::L f<. C us..fuc. MOTHER r H, e-r<- 50 SPRINGER LANE NEW CUMBERLAND PA 17070 (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with his! her last principal residence at 179 NORTH ENOLA ROAD ENOLA PA 17025 EAST PENNSBORO CUMBERLAND (List slreel address, town/city. IOWIlShip, county, slale, =ip code) Decedent, then 48 years of age, died on 3/6/2007 at 179 NORTH ENOLA ROAD ENOLA PA 17025 Decedent at death owned property with estimated values as follows: (If domiciled in PAl All personal property (If not domiciled in P A) Personal property in Pennsylvania (If not domiciled in PAl Personal property in County Value of real estate in Pennsylvania $ S S S 13.000.00 0.00 0.00 0.00 'ItuateJ 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 foml to the undersigned: Signature Typed or printed name and residence a_ JENNIE A. METALLO 50 SPRINGERS LANE NEW CUMBERLAND PA 17070 Page 1 of2 FrlolI R II'.()_' r,,' 10/3.1)6 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 beliefofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s} will well and truly administer the estate according to law. before me the ~~ day of Sworn to or affirmed and subscribed ~ ,.JtfJi ( ,n~~ ' Fo, the Registe, Signature of Personal Representative Signature of Personal Representative File Number: .9. \ (:) l 0 d-l d-.. Estate of DANIEL C. CUSTER , Deceased Social Security Number: 208-52-7387 Date of Death: 3/6/2007 AND NOW, f0.~c'0 a~ ,aDD, ,in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that LettersADMINISTRATION are hereby granted to JENNIE A. METALLO 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. Jj6~V ~~:;:~erti~~~~~'~~';""::(3) : Renunciation(s) ~ C--P ~\-D 0D .r)) \~ .tJ) Attorney Signature: ~ FEES TOTAL ................ $ $ $ $ $ $ $ $ S S S \D-cO 5.DO Attorney Name: DAVID H. STONE. ESQUIRE Supreme Court J.D. No.: #39785 Address: 414 BRIDGE STREET NEW CUMBERLAND PA 17070 Telephone: 717 -77 4-7 435 "&11..00 F"n" R II'-II~ 1<'\' / II. /3. illS Page 2 of 2 HJ05.805 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 p 13107890 No. ~ \ U L (j;}l, ((},. ~I'l~~ Local Registrar MAR 1 0 2007 Date o c- ."",,0 :~,~g ~TJ ;'.;...- ./"'- r--......)c c.;:t <=> ........ ...,... ~ ;>= :;;0 N N ~'~5 ~'I~ :t..- ...,.,.. -'- COMMONWEALTH OF PENN.SYLVANIA' DEPARTMENT OF HEALTH. VITAL RECORDS CORONER'S CERTIFICATE OF DEATH (See Instructions and examples on reverse) 19. Mother's Name (Arst, middle, maiden sumame) Jennie A. Williams 2lI>.lnfoonai1t'sMaDlrolAddrosst_clIy/_.s1ale.zip_) Jennie Metallo 50 Springers Lane, New Cumberland, Pa 17070 OCnlmaIlon Ollonalion 21c.PlaceoIDio!><Jsilioo(Nameolcemetely,CIeIllBtoly"'olhe<place) 21d.LocaIIon(CIly/lOwn._.zip_) ~"~ex.::r...~OVesONo Mar 1 2, 2007 Indiantown Gap Nat'l Cem Lebanon Co, Pa as_I 22c.NameondAddressolFadIIy Sullivan Funeral Home FO 011897-L 51 N Enola Or Enola P 17 238. To !he best 01 "'f knowledge. dealh oa:urred elthe time, dall ond piaal s1aled.(Sig-.e ond tille) 2:1>. Ucense NlJrber lEV 1112006 'AINTIN ~ENT KINK if30-471 1. Name 01 Docedant (F1nl, _. 1asl. sutIIx) Daniel s. NJe(LasI BiI1hday) 48 C Custer 6. Dolo 01 B;r\tl (MonIh. day. Dec. 31, 1958 7. Vrs. 12. Was Decedent ever in the U.S. Armed Foo:os7 !iQ Yes 0 No __, AclualResidenc:e 178.State PF!nn!'lylvi'lnii'l Cumberland Harrisburg ad. FadIIy Name (~noI_. glYe "'"" ond I1lIIlIbe<) 179 Enola Road 8b. Coonty 01 00aIh Cumberland 11. Oecedent's Usual Knd of WOIt done most 01 ife. Do not SUIte retired Kind 01_ Kindol_/1ndi.o1ry Unk Arm Veteran 16.llec8dan1's MaiingAddlOSs tSlllel, clIy 1_. -. zip-) 179 N. Enola Rd Enola Pa 17025 18. Father's Name (Fim, mldlle, I8st, suffix) 17b. Coonty Samuel R. Custer 208. Infonnanl's Name (Type I PrinQ Il8ma 24.26..... be ~ by pelSllI1 24. T.... iKIlHIilt 25. Del. PItIIlOIroC8d Deed (Month. day. j881) whopronouncosdaelh. Aprx. 8: 30 M. March 6, 2007 CAUSE OF DEATH (See Inslruc:lIoM and ......pIea) 118m 27. Pall I: Entar!he ~ - _........ '" compIlc8lIoos -1Mt chclIy caused Ih8 _. 00 NOT 8l1l8r_naI...... such..~ arrss\ ,.,prmyanesl, ",_rfibrilallon _-.g1h88lio1ogy. UslonIyOll8081J1Oon_lln8. I Approximate interval: : Onset to Death I I , I I I I I I I I I 1 I I ~~~=---: a. Pending Investigation Due to (or as 8 oonsequenceof): em:1sI oondtions, H eny, . 10 C8US1lstedonlinea. Enter UNDERLYING CAUSE =-~.~~ b. Due 10 (or as a consequence 01): Due to (or as a consequence 00: d. 308. Was anA_ - 3lb. Wors~FI1lIngs Available Prior 10 Completion 01 Cause 01 0801h7 o Yes *0 3UAa"""0I08011l 0- D- 0- )!(PtndlngII\Vllllg81lOn o Suk:kIo 0 Could NoI be DeIarmln8d M. 32d._oIlnju1y ~.. 0 No 33a.~(d1ockon~OIl8) . =:'~a!:'==:'~u."'::":=':~-~_~~~~~2_---___~--------- 0 ~ . =:~":::=~end~=loto.:-~=.-.otaIad.._________________ 0 . _ _/Coroner On U. _ "'_ end I.. kwestIg8l1on.ln my opll1Ion, _ occurred" U. _. _. end placa. end due to tho cause(a) end.- as alated.. 35. A8gI8lrw's ~ ,.JI I I ,~I / V DisoosiIlon Penn. No. \.0 Never Married Did_ Uveina 17C.QV...Dec:odantlN8d~ast Township? 17d. a No, Decedent Lived within Actu8IUmltsol Pennsboro Twp. City I Boro 23<. Dele Signed (MOOIh. day, j881) 26. Was Case Aefemtd 10 Medical Examiner I Coroner for a Reason Other than Cremation or Donation? Yea 0 No Part 11: Entarolhe<_ oondtionsoonlrbmo .._ 26. DidTobec:co Use Con1IIbul8 to 0801h1 butnolresullirg II !he undaIIyIng08USOgiYen II ParI I. 0 Yes OProb8bIy o No 0 Unknown 29. ~ Femel8: o NoIplegnantwllhinpeslyeer o I'Iolr1anlelllm801daalh o NoI_nt.butpregnanlwllhin42days ol_ D NoIpregnanI.butpregnanl43dayslotyeer b8Ior8_ o U_~pregnanI_lh8peslyeer 32c. Place 01 ....,. Home. Form. SO...., Facloly, OftloeBulldng.8Ic.(Speci/y) 33c.IJoenseN 33<1. 0818 Signed (Month. day. yoorl March 8, 2007 34 Nall'''nd~J'''C:''=~!e~m2ferrl ~puty Coroner 6375 Basehore Road, Suite if1 Mechanicsbur PA 17050