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PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF e Uf'YI blZ.-r land.
COUNTY, PENNSYLVANIA
, Deceased
File Number ;J. / - 01- SLf 7
Social Security Number / 9 s - 3..;L -
0(09(,
also known as
(!~ -t'h~". II/I~
t!A ~/e-
'E. Sl-r6 h~ ~
,5 kh eckEfi-
Estate of
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' 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
Q
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution Oftl€:instlume~) offered
. J,-J (
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: . S ..~ : ::c::
(State relevant circumstances, e.g., renunciation, death of executor, etc.)
~ Grant of Letters of Administration
I
Ul
. (If applicable, enter: c. t.a.; d. b.n. c. t.a.; pendente lite; durante absentia; duranle-~';qritate) ;:";
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Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following SP~ (if anyh.~ heirs: (If
Administration, c.t.a, or d.b.n,c.t.a., enter date of Will in Section A above and complete list of heirs.)
Decedent, then
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~rr/sJ.ur<J
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Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property $ J, I d 0
,
(If not domiciled in P A) Personal property in Pennsylvania $
(If not domiciled in P A) Personal property in County $
Value of real estate in Pennsylvania L $ ~iU(JuJN to-
Pr +.. pr-<~J1+) L ILk ./'-H~5 -e K ~d.... 1'l-'5:s.-e-t:.s
situated as follows: 2. 2.. 0 S U5{)U(?hfl n/lo... A-ue.n~ ;;--/11 ()LA jJ A I 7 o~ y
/
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:
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Page 1 of2
Form RW-02 rev. 10.13.06
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF
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 representative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
Sworn to or affi~bscribed
before me the day of
'X/?'ll~~~
Signature of Personal Representative
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Signature of Personal Representative
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, tho Rogi''''' ~ SigM.""1 P",",wi "P~""""~
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File Number:.:d..l - 0 \ - OS'-\-'\
Estate of ('~y...e.r\",-e.. ~ ~-\'lt'\hP~ ' Deceased
Social Security Number:jg5 -~;2 - Ol1><1lo Date of Death: .5 ~...J.lI-d()O'1
AND NOW, J~ \ \ .2co\ , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters C1.c\m",,\s\'C"'O-.~~
are hereby granted to ~ \ Cu'\1(\..Q G. \ \.Q~
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
FEES
~cP
(\.J. J. t-\~-bo-f\
Letters ............... $;;l (:) . 00
Short Certificate( s) . . . . . . . . $ l.;:t . Of)
Renunciation( s) .......... $ 1 S- ~ ci::::>
.., $10.00
...$S.aD
.. . $
.. . $
. .. $
.. . $
... $
.. . $
.. . $
TOTAL .............. $ Lad.- -' 10
Attorney Signature:
Attomey Name:
Supreme Court LD. No.:
Address:
Telephone:
Form RW-02 rev, 10,13.06
Page 2 of2
H105.805 REV (01107)
LOCAL REGISTRAR'S'CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 13670261
Certification Number
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.
W~R.~
Local Registrar
.s /01 /011
Date Issued
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Hl05-143 REV 1112006
TYPE I PRINT IN
PERMANENT
BlACK INK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions end exemples on reverse)
8a. Place of Death (Chect OM)
Hos.""
'0,...... 0 ER 10<lIpati." 0 00' 0 Nurslng Homo 0 At...,.
9. Was Decedo.. of H\spaI1ic Orllin? ao... 0 v..
('Y"._C-,
Hospital _.PuortoRioan,elc.)
13. Docodont's E_ISpec;Iy only hlghe~ grade completed) ... ....... SIaO.o_. ..... 11"';00,
E_1aIy I Secondaty 10-12) College 11-' '" 5+) W_. Divoo:ed (Spocd)\
12 Divorced
Pennsylvania ~~ 17c,1Kl Yts,OocedeI<LNedn East Pennsboro
TownoI;p? 17d. 0 ..., IlecedonIlNed....
ActuaIUmilsol
1St Mohlr', Name (First, middle, maiden sumamel
01 a M. Sass
201>. _s MaOng.......ISlIeoI,cilyl_......, ",-)
507 Slasemans Drive, New Cumberland, PA 17070
21c,l'laceof~(Nameof_._CK_place) 21d,~(COyI_,.....,,,,~
Cremation Society of PA Harrisburg, PA 17109
22c,NameIll1d_ossofFdty Z mmerman Auer Funera Home, Inc.
4100 Jonestown Road Harrisbur Penns
23b. lic8nse Number 231:. Dale 5qled (Monlh, day, rear)
I. Name 01 ~ (Fd, middIe,last suffix)
Catherine E. Strohecker
s.,..,.....Bk1hdaY)
65 v..
81>. CouoIy of Dealh
Harrisburg
12. Was 0ecedenl8V8f in the
U.S. Armed Focces?
ov.. 00...
_.
ActuaI~0C817a.SlaI8
17b. County
Cumberland
6 _of_I.......,
7. Bir1l1Jlace( and &*ale or
June 7, 1941 Harrisburg, PA
'" FacillyNameI.noI......iion,\IV8_III1d"""""l
Dauphin Harrisburg
11. Decedent's Usual tion Km OhVOfk done mosl of liIe_ Do no! *" retired
I<mdof_ 1<" of........ 1 Induslry
Machinist Ber Electronics
. 16. OecedIn&'s MaiWIg Addresa (SlreeI, city I town, s&iMe, zip code)
220 Susquehanna Avenue
Enola, Pennsylvania 17025
18. Father', Name (First. middle, last, SIJff~
Ra ond Diederich
208.. InCormanl's Name (Type I flint)
Suzan M. Strohecker
o
III
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~
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"""-.... 23o~ only.... cellifyng 230. To'"
pRysicianllinotivaitableillWnlloldealhto
C8Ilily""""ofdoadl.
1&ems24.26mdbecompletedbypetiOll
. pronouncel d8a1h. '.
ApprOlimatemerval:
Onset to Death
=~=)lise::.
Due to tor as a consequence 01):
Sequenliallyi&l:conditions,ililIlY,
ieadrlatohcauselistedoninea.
E....... _YlNG CAUSE
~~~~Il1~nrmf.'
b,
Due to (or as a consequence 01):
Due 10 (or as a consequence of)"
301. Was an Autopsy
PertooneCl?
d.
JOb. We,e AuIopsy FIOding$
AllailablePnortoCompletion
of Cause 01 Dealtl?
0'" 0'"
32<1. TII'l'lt of Injury
31. ManoerotOeail
ON"". D-
o- 0'"",,",,''''''_
o SUICide 0 Could Not be Determined
oQlhe, - SpeQly
10. Race: Arnerican Indiin, BlacK. White, Ik:
(Sj>oa/)j White
T""
CiIy/Boro
28. Dill TobaccO lJlIe ~ to Oedl?
o Yts 0-
0"'0-
~UF ,
NotpregnanlwiltWlput)'8ll"
Ptegnantaltimt~deall
0...."'_,......--12.."
of_
D Notpr89"ifll.butpregoanl43daySlolyeat"
_.-
0""""""'1"'_...........,'"
32c.~=:(~,9rtet,Fildol'1,
32g. locaIion of Injury (Street. city llown, 51ate)
M
321. If Transportalion Injury (Sp9cilyJ
o Driv9l1 Operalor 0 Passenger OPedeslriao
Other. Specify:
33b. Signature and Tille of Certifier
tf\()
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33a~I"""'onIy""'l
~J:~=::::'de:IhI~::'::=~~=-~..~~:~~~~~~:~_................................ 0 ..
~"':,~=~~~:a;::~::::~~dea~~.::to=~:a: manner.. slaSed........ _................ __...... 0
=- ~u::-..= IDdJ or Inv~,ln my opinion, death occurred 111 the limt, elite, and place, and due to the ClIIuse(S) and manner.. &tiled- 0
RENUNCIATION
,
u.
REGISTER OF WILLS
. (! U IY1 ht,. i(.l. Y) cI... COUNTY, PENNSYL VANIA
c
Estate of
c~ -th-er-:n e.
c,
S+rol-t<vker'"
. Deceased
I, SVZ(J" m I 3ohtlsoJ\ At;A ,SU:?-Z'th m. StlDhec k~F . in my capacity/relationship as
(P1't Name)
'/Ja I(!J h +~ r of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
(Yl 0.. .,.. ; 0.... YI n e..
AI/eN
~). y'\ e LJ I ;);((/O~
(Date) I
~ ~. '1
_ ~?J! ~
{igna:J~C:Nl /J!.:J't ,JpJ~
5'CJ 7 .s~.5eJ'11Ct/J..5 iJr/ Ii'€-
(Street Address)
/J?u/ Ct~6(?,k/l~ /y /?070
(City, State. Zip) /
Executed in Register.'s Office
Sworn to or affirmed and subscribed
before me this day
of
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunc~al~or the
purpose stated within on this <-t day
of Y'-5L
Deputy for Register of Wills
fl () () I 5', -;)06 7
Forni 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.)
,,",'VIIVIUNWEALlH OF PENN::>lL.\tt"\....
Notarial Seal
Tina M. Rober1son, Notary Public
East Pennsboro Twp., Cumberland County
My Commission Expires Nov. 15,2007
~~ember. Pe",,",svlvania Al'sociation Of Notaripo
RENUNCIATION
_.~....;
REGISTER OF WILLS
. <! U 1Y1 h(,. 10. P) cl... COUNTY, PENNSYLVANIA
,
-".....
.
.
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ll,...tJ
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c"_~}
Estate of
Co- -}- h ~ r- ;'Y\ e:.
E,
S+rOh(c,ker'
. Deceased
I, 13-a-c 0-aro \'1\. D d rn 0 11
. (print Name)
5; G.ter
. in my capacity/relationship as
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
/Yl 0.. r ; C{, i1 n t!-
AI/eN'
t-if-t91
(Date)
#1",~';t(.ci11~~
~{J 8/ ';if(f(<LU1- iJ.-.
(Street Address)
J+4! 'PA /7/09
Executed in Register's Office
Sworn to or affinned and subscribed
before me this day
of
Deputy for Register of Wills
No Public ~ 0\
My Commission xpir: ~ (3 /2f)O I
(Signature and Seal of Notary or other 0 cia] q ified to
administer oaths. Show date of expiration of No s Commission.)
FornI RW-06 rev. 10.13.06
_. NOTARIAL SEAL
REBECCA L. OUVER, NOTAfII' PU8UC
LOWER AOOON TOWNSHIp, 0itlJPHN COUNTY. M
COMMISSION EXPIRES JULY 13. 2COt
, '
RENUNCIATION
C:)
(--.
I
(J.
REGISTER OF WILLS
. Q U IY1 bt,. Ia. ,., cJ.. COUNTY, PENNSYL VANIA
'.J::')
\. :
Estate of
Co- -th-er;'h e.
E..
S+r 0 J., -l c-ke r"
, Deceased
I, ,lJP~('O-- v: ~/A/A,^fi
(print Name)
fJ I f? C~
, in my capacity/relationship as
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
{Yl ().. r ; C\..- n n II!-
AI/eN
JUIlI7 _ Y: 020 (J 7
(Date) .
"""<A_~) ! ~ ~ ~ # /
(~l7h dtl1/C~, CA 'ltJf'tll
(City, tate, Zip) I
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunci ion for the
purposes ted wi' n this ay
o
Deputy for Register of Wills
Form RW-06 rev. 10.13.06
(I) NOTARlAlSEAL
REBECCA L 0lNEfl. NOM'{ PIlBUC
LOWER PAXTON lOWNSHIP.lWJPHI4 COUNTY. PA
~ COMMISSION EXPIRES JULY 13. 2008