HomeMy WebLinkAbout05-07-07
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Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Julius E. Christiana
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Estate of
No.
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also known as
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. Deceased Social Security No. 206-34-5674
PeUtioner(s), who is 18 years of age or older. applies for:
(COMPLETE "A" OR "B" BELOW:) :"'.)
W
O A. Probate and Grant of Letters and avers that Petitioner is the execut_ named in the Last Will of the
Decedent, dated and codicil(s) dated
State relevant drcumstances. 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 documents offered for probate;
was not the victim of a killing and was never adjudicated incompetent: N/A
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B. Grant of Letters of Administration ~. P 11 (I ~
(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:
I Name Relationship Residence
Erin E. Christiana Spouse 400 Fifteenth St., New Cumberland, PA 17070
Julie Marie Kenes Daughter 3614 Golfview Drive, Mechanicsburg, PA 17050
Julius E. Christiana, III Son 700 Nailor Drive, Apt. 301, Camp Hill, PA 17011
Christopher Michael Christiana Son 400 Fifteenth St., New Cumberland, PA 17070
Sara Beatrice Christiana Daughter 400 Fifteenth St., New Cumberland, PA 17070
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence at
400 Fifteenth Street. New Cumberland. Cumberland County. PA 17070
(list street, number and munidpality)
Decedent, then ~ years of age, died March 29 . 2007, at Holy Spirit Hospital. Camp Hill. PA 17011
(Location)
Decedent at death owned property with estimated values as follows:
(If domiciled in PAl All personal property ..................................................................................................................$ 20.000.00
(If not domiciled in PAl Personal property in Pennsylvania...................................................................................................$
(If not domiciled in PAl Personal property in County.............................................................................................................$
Value of real estate in Pennsylvania................................. ....................................... .................................................. ....................... ............... ...$
Total....... .... .... ... ......................... ............ ............................... ............................................. ......... ........................ .... ................... ..$ 20 000 00
Real Estate situated as follows: N/A
Wherefore, Petitioner respectfully requests 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
Erin E. Christiana
170"7 D
Form RW.1 Page 1 of 2 (Cumber1and County) - Rev. 9192
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Oath of Personal Representative
Commonwealth of Pennsylvania
County of Cumberland
The Petitioner above-named swears and affirms that the statements in the foregoing Petition are true and correct to
the best of the knowledge and belief of Petitioner and that, as personal representative of the Decedent, Petitioner will well and
truly administer the estate according to law.
Sworn to and affirmed and subscribed
before me this '1111 day of
?~?PAv;~
No. ~1-07-043f:
Estate of
Julius E. Christiana
Deceased
Social Security No: 206-34-5674
Date of Death: March 29.2007
AND NOW, , 20~, in consideration of the Petition on the
reverse side hereon, satisfactory pr f aving >ee'1Presented before me,
IT IS DECREED that Letters 0 Testamentary rn-6f Administration
are hereby granted to Erin E. Christiana
d.b.n.c.t.; pendente lite; durante absentia; durante miooritate
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 of Decedent.
FEES
Letters.......................... .
Short Certificate(s)......:-:Q
Renunciation................. .
Affidavit ( ).................
Extra Pages ( )............
Codicil......................... .
JCP Fee........................
InventoryQ.lttD.UYl..tl(Jh
Other........................... .
TOTAL................
Fann RW.1 Page 2 of 2 (Cumberland County) - Rev. 9/92
$ 110. CJl)
$ 1~.c77)
$
$
$
$
$ IO,eD
$ 5.0 ()
$
$ Z1PD
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(}if ~Reg~ift[ ~,
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Attorney:
1.0. No:
Address:
Heather O. Rover. ESQuire
76327
4431 North Front Street
Harrisbura, PA 17110
Telephone: (717) 234-2401
H105.805 REV 1105 ;\ I _ ()"7 -0 </ "3S'
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
No.
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Local Registrar
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13352892
APR 0 4 1007
Date
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REV 1112006
PRINT IN
4ANENT
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I. NameolDocodon(Fi...._.l8sI,suffixl
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions snd sxample. on reverse)
6. Date 01 Birth (Moolll. , a'l
C and stale or
001111" Spedfy:
10. Race:.American Indian, B1aclt, While. etc.
(Spaci(yl
White
Oocedant'.
ActuaIAesideoce Ha.StaIe 'Pt::lnna-yl 1Tani:A
17b. County Cumbe r land
14. Marital &atus: Married, Never Married,
w_. _ (SpecIr)1
Married
E. McCann
17e. 0 Yes. ~I lived in
17d.KJ ~=oILlvedwlltlln New Cumberland
T"".
19. Molhar', Name (Fist, _. maldan_1
Beatrice Thomas
2Ob.lnfonnanf, t.taJIJngAddNssISlreal, cIly/_, _, zip_I
400 Fifteenth St., New Cumberland, PA 17070
21e. PlscaolOispooltion (Name 01_, CIIm&roIy or_placal 21d. Loca.ion (Cflyl_, ...... zip-I
Rolling Green Memorial Park Lower Allen Twp., PA
220. Name and _ 01 Fac:Illy
Parthemore. FH & CS, Inc., PO Box 431, New Cumberland, PA 17070-0431
231. To Iha basi 01 rnr kMwIodge. - ""'1Tad "Iha lima, dsla and placa slated. (SIgna.... and lIttel 231>. Uconso Numb&< 23c. oa.. Signed (Month, day. yaarl
CflyIBoro
1\ 25. Oala POOI"<lI1C:Id Daad (Ilcnh. day. yaarl
M. MOv~ .?--'-' ~ Co l
CAUSE OF DEATH (See InoIructfone end .Kemp"')
110m 27. Part I: Enlarlha ~-_.~, orcomplk:otlons-lIloidrodlycauaedlha _. DO NDT....._ __asca_a_,
rooplImy.- or _r _ wilhooI sI-.g Iha otioIogy. l.iol only one CII.OO on _1110.
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b. Dueto(or~~r: fc,.,'I()..(-€...
Due to (or.. a_oI):
24. Trme of Death
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26. Was Cue Refemtd to MeckaI Examiner I Coroner for B Reason Other than Cremation or Donation?
OV.. ONo
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Dnae,Io Daelll
Par1I1: Entltl'otherslCl'lllicant~contrhlllinnlodulfl.
butnol18SuIllngWllhaundatfyingClll.Olglvenin Part,
2B. Old Tobacco Use ConIributo 10 Quill?
o Vaa OP~
o No eru-
2U F"!JIlK
E!'NoIp_wllhinpaalyaar
OPregnen'''lImaol_
o Not PfI!lIlllnt, but ~I wll~n 42 days
oIdoIlh
o Not pl8gn8nt, but PfI!lIllln' 43 days to I year
baIoIe_
O_HP!IgI1l1ltwilhinlhapaalyear
32<. b::~: ~~j SlresI, F-.y,
~Ialcordmt, Hany,
10 CIl8t IIst8d on me a.
EI1Iar _LYlHQCAUSE
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Due to (or as a consequence of):
300. Waa an Aulopay
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301>. Wole Aulopay Rndngs
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31._oIDealI1
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0_ OPandinglnwatigollon
0- 0 CWd Not be Datonnnad
M.
33e.~(_onIyonal
CortItytng phyoIclon (~CII1ifying ca.-a 01 doIIIl wilen another phyIlclan hat pronouncad daolll and""-l1em 23)
To IIIe boot 01 my 1lMModga, _ occurrocI duo to IIIe cauoo(a) end _.. __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
=:=~..'e..~~':::::"'~~.::tlollle~=monll"'___________________ 0
::: ~c: and I or In""tigltlon, In my opinion, deIth occurred It the IIrnt. dItt, and pAIce, Ind due to the ClUN(.) and I'MInntr..1tIIed.. 0
I.,,(I/IOZI /1 /1 Y (GlI1~~
oi,posH,on Perrm' No. (') /" 3~: R tJ 3
32d._oIlnjury
:!2lJ.Locallonoltnfury(~dly/-'_1
Ov.. m No
35. Registrar's
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