HomeMy WebLinkAbout04-10-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYL VANIA
Estate of Charles M. Edmiston, Jr.
also known as Charles M. Edmiston
File Number
2/- 07 - 337
. Deceased
Social Security Number 286-76-2101
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE ~' or 'B' BELOW:)
o A. Probate aDd GnDt ofLetten Testamentary and aver that Petitioner(s) is / are the
last Will of the Decedent dated and codicil(s) dated
named in the
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(State relevant circumstances, e.g., renunciation, death of executor, etc.) ; ~li~ ~~.~:g . i \
Except as follows, Decedent did not marry, was not divorced. and did not have a child born or adopted after execution Of~~(s) off~re<i:j
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for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
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IZI B. GraDt ofLetten of AdmiDiatratioD
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(Ifapplicable, enter: c.t.a.; db.n.c.t.a.; pendente lite; durante absentia; duijj,te minoritateN
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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 db.n.c.t.a., enter date o/Will in Section A above and complete list o/heirs.)
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I Name RelationshiD Residence I
Charles M. Edmiston, Sr. Father 15 Cardinal Drive, Carlisle, PA 17015
(COMPLETE IN ALL CASES:) AtI4d tMIIJitIDlUIl fllIub lj'MCafltuy.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his / her last principal residence at
IS Cardinal Drive. Carlisle. South Middleton Townshiu. PA 17015
(List street address, town/city, township, county, state, zip code)
Decedent, then 36
years of age, died on April 2, 2007
at 15 Cardinal Drive, Carlisle, P A 17015
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
$
$
$
$
20,000.00
0.00
0.00
0.00
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 fonn to
the undersigned:
I
SilDlature
Tvned or nrinted name and residence
I
)l (J.. jjl edn-r. V- t;;:
15 Cardinal Drive, Carlisle, P A 17015
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 affmn(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) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
Sworn to or affirmed and subscribed
before me the qHl day of
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Signature of Persona! Representative
Signature of Persona! Representative
Signature of Persona! Representative
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File Number:
';) 1-07- 0337
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Estate of Charles M. Edmiston, Jr.
, Deceased
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Social Security Number: 286-76-2101 Date of Death: April 2, 2007
AND NOW, QpiJ Q , Ii.. 007 , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters of Administration
are hereby granted to Charles M. Edmiston, Sr.
in the above estate
and that the instrument(s) dated N/A
described in the Petition be admitted to probate and filed of record
FEES
Letters ............... $ t..tIJ.(){)
Short Certificate(s) . . . . . . . . $ ! ~ ~
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~...$ ,Cj.
... $
... $
.. . $
... $
... $
... $
.. . $
TOTAL. .. .. ......... $ q{jpo
Attorney Signature:
Attorney Name:
Andrew H. Shaw
Supreme Court I.D. No.: 87371
Address:
200 S. Spring Garden St.
Carlisle, PA 17013
Telephone:
717-243-7135
Form RW-02 rev. 10.13.06
Page 2 of2
Hl.05J;:Q5 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 certifj.cate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
LL._~.~~.~~
Local Registrar
Fee for this certificate, $6.00
APR
Date
p
13445380
No.
,\
~,- D7- 02>37
H'IIU" N!V 11I20OI
TVI'E I PMIT IN
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IUCKINIC
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CORONER'S CERTIFICATE OF DEATH
(See InetructIon. 8IlCI_mpIM on ~
#30-488
4 2007
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Dec. 21, 1970
STATE FILE NUIo&iR
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April 2, 2007
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Cumberland
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15 Cardinal Drive
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Barbara Rutter
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RENUNCIATION
REGISTER OF WILLS
CUMBERLAND COUNTY PENNSYLVANIA
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Estate of Charles M. Edmiston, Jr.
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I, Barbara Edmiston
(print Name)
. in my capacity/relationship as
of the above Decedent, hereby renounce the right to
mother
administer the Estate of the Decedent and respectfully request that Letters be issued to
Charles M. Edmiston, Sr.
April 9, 2007
(Date)
~~~
(Signature)
15 Cardinal Drive
(Street Address)
Carlisle, P A 17015
(City, State, Zip)
Ex<<uted ill Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Executed old of Reg/stB's Off"lCe
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purpose stated within on this . ~ day
of
Deputy for Register of Wills
Notary Public
My Commission Expires:
Form RW-06 rev. 10.13.06
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
COMMONWEALTH OF PENNSYL VANIA
Notarial Seal
Andrew H. Shaw, Notary Public
Carlisle Bora, Cumberland County
My Commission Expires Oct. 24. 2010
Member, Pennsylvania Association of Notaries