HomeMy WebLinkAbout07-16-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYL VANIA
Estate of RUSSELL E. MENTZER, JR.
also known as
File Number
~1-07-0~wg
, Deceased
Social Security Number 208-42-5314
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE j4' or 'B' BELOW:)
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Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution offr!t,lnstrument(s)~ered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: N
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
IZJ 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.l.a., enter date of Will in Section A above and complete list of heirs.)
I Name Relationshio Residence I
CHRIS MENTZER DAUGHTER 1416 MEMORIAL AVENUE
WILLIAMSPORT,PA 17701
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his / her last principal residence at
32 CENTER STREET. LOT 16. MT. HOLLY SPRINGS. PA 17065 .
(List street address, town/city, township, county, state, zip code)
Decedent, then 54
years of age, died on JULY 6, 2007
at CARLISLE REGIONAL MEDICAL CENTER
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) 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
5,000.00
$
$
$
$
situated 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 form to
the undersigned:
T d or rinted name and residence
CHRIS MENTZER
1416 MEMORIAL AVENUE
WILLIAMSPORT, PA 17701
FormRW-02 rev./O./3.06
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 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
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before me the -J (j day of
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Signature of Personal Representative
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Signature of Personal Representative
File Number:
~I-Ol- Ololo~
Estate of RUSSELL E. MENTZER, JR.
, Deceased
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Date of Death: JULY 6, 2007
,~, in consideration of the foregoing Petition, satisfactory proof
that Letters OF ADMINISTRATION
AND NOW,
and that the instrument(s) dated
described in the Petition be admitted to probate and tiled ofr
FEES
Letters
$ 'YJ,OO
4 a,m
Attorney Signature:
Short Certificate(s) . . . . . . . . $
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tle1l. ... $ &=).00
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TOT AL . . . . . . . . . . . . " $
Attorney Name:
Supreme Court J.D. No.: 88347
Address:
SCARINGI & SCARINGI, P.C.
2000 LINGLESTOWN ROAD, SUITE 106
HARRISBURG, PA 17110
Telephone:
717-657-7770
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Form RW-02 rev. 10.13.06
in the above estate
J
Page 2 of2
~!()':=;Y0~ R;::V {(nl()?)
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 13621081
Certification Number
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This is to certify that the infornation h~re given is
correctly copied from an orig'inal Certifi c He of Death
duly filed with me as Local Regislrar. The original
certificate will be forwarded to the State Vital
Records Office for permanent fding.
.~. ~~Ul/ 1 2/2007
Local Registrar Date Issued
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Hl05-1~ REV 1112006
TYPE I PFINT IN
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BlACK INK
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
(See Inatructlons and tXllll\plea on -l
STATE FILE NUIA8ER
5314 'o.:J~r;'~'~
1,_"_IFIrII._.IIoI._'
Russell E. Mentzer, Jr.
I.DoIe"llilIII
~ Dec. 5, 1952
5. Ago {loIl_
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Carlisle Regional Medical Center
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32 Center St. Lot 16
Mt. Holly Springs, PA 17065
PA
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Russell E. Mentzer, Sr.
Russell E. Mentzer, Sr.
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Betty E. Swartz
37~~~n~~;''e"a~r;r~, PA 17013
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