HomeMy WebLinkAbout03-27-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYL VANIA
File Number 2/ - 01- c2q~
Estate of DONNA M. SHIRLEY
also known as
. Deceased
Social Security Number 164-28-0397
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE ~' 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:
Ii] 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 a/Will in Section A above and complete list a/heirs.)
I Name Relationshio Residence I
William K. Shirley son 355 W. Rid~e Street, Carlisle, PA 17013
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(COMPLETE IN ALL CASES:) Attach additional sheets if necessary. n i~ C)
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Decedent was domiciled at death in Cumberland County, Pennsylvania with his / her last principal ~~ at
1 West Penn Street. Carlisle Borough. Cumberland County. Pennsylvania 17013 ; ,', {-,
(List street address, town/city, township, county, state, zip code) '.' C) -;'1
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Decedent, then 74
years of age, died on Au~ust 7, 2007
at Carlisle, P A 17013
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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
4,500.00
$
$
$
$
situated as follows: none
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Lelters in the appropriate fonn to
the undersigned:
T d or rinted name and residence
William K. Shirley, 355 W. Ridge Street, Carlisle, PA 17013
Form RW-02 rev. 10.13.06
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 beliefofPetitioner(s) and that, as personal representative(s) ofthe Decedent, Petitioner(s) will well and truly
administer the estate according to law.
Sworn to or affirmed and subscribed
before me the .~ ru day of
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P 91U . U~U>>..IjC
\ or the Register
Signature of Personal Representative
Signature of Personal Representative
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File Number: :<, - (j 1- J, q i
Estate of DONNA M. SHIRLEY
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Social Security Number: 164-28-0397 Date of Death: August 7, 2007
AND NOW, 11J,9-.rc.h d'7 , dOC f_, in consideration ofthe foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters of Administration
are hereby granted to William K. Shirley
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.
in the above estate
FEES
\\.......
Letters ............... $ ~.. 6D
Short Certificate(s) . . . . . . .. $ 4 ,00
Renunciation(s) .......... $
~(LP ... $
G..u...-t'\)W'\O..+~ l5Y\ . . . $
'" $
... $
. .. $
... $
. .. $
. .. $
... $
TOTAL . . . . . . . . . . . . .. $
Register of Wills
Attorney Signature:
Attorney Name:
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Supreme Court J.D. No.:
Address:
Telephone:
0.00
FormRW-02 rev. 10.13.06
Page 2 of2
H105.905MS REV. 6/06
This is to certify that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Records In accordance
with Act 66, P.L. 304, approved by the General Assembly, June 29, 1953.
WARNING: It is Illegal to duplicate this copy by photostat or photograph.
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Calvin B. Johnson, M.D., M.P.H.
Secretary of Health
Date
Frank Yeropoli
State Registrar,
AUG 2 9. LUUb
0904728
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No.
H1C15.1"'REV.~
T'l'PEJPRIIT ..
=' #30-307
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Donna
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH (CORONER)
7. lilli_or
STATE FILE N'--ER
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August 7. 2006
M
Shirley
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74
17. 1932
Carlisle, PA
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1 West Penn Street
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J. Earl Shirley
Helen Walker
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355 W. Ridge St., Carlisle, PA 17013
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William K. Shirley
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. mcti':e1...t':"~r B. or~e~ T.-I_
6375 B4sehore Roadl Suite #1
Mechan1csDurg. PA 7050
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