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HomeMy WebLinkAbout07-24-07 PETITION FOR PROBATE AND GRANT OF LETTERS Cum ba'\oncL COUNTY, PENNSYLVANIA REGISTER OF WILLS OF Estate of L4J1JftJlE'A/I.;C /sAAt s- File Number dl- 0'1- 1{X) , Deceased Social Security Number / t/8' - / g' - 7 S/-7-- also known as Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) D 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 ,.......,) ::2 ~edinthe .',0 C) -.J t~:~) ~ ::<] N '.J ' . ,'- .&;- Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution ofth~~~~men~ offered. ,'1._._,~,.1 _,.... for probate, was not the victim of a killing and was never adjudicated an incapacitated person: . --. ....;". ::~1 (State relevant circumstances. e.g.. renunciation. death of executor. etc) Y.'B. G"" of L""" ,f Adm','"'''''' III (If applicable. efller: c.t.a.; d.b.fl.c.t.a.; pendente lite; durante absentia; durallte milloritate) 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 Admlnlstratloll. c.t.a. or d.b.ll.c.t.a.. ellter date of Will in Section A above and complete list of heirs) lien" (!T 70s- Residence at z : /5 .tJ /1'1 / Decedent at death owned property with estimated values as follows: 4t- (If domiciled in P A) All personal property $ (If not domiciled in PAl Personal property in Pennsylvania $ (If not domiciled in P A) Personal property in County $ Value ofreal estate in Pennsylvania $ ,- situated as fOIIOW-!ttI1/{nt:'Un i.rk/r,$. 1Jt>/liJv iP//I~~ 4k /'U.te. vr -I11td- slIr-kcd /br;/~OD7 '1/1 .J / Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropnate form to the undersigned: OD ~ ~t:JO,-- Ty ed or rinted name and residence :DEAN F. IsAA C S 3'-1 . O(Y/es-te6J ve, vJd--ler- J LA r 06705" Form RW-02 rev 10.13.06 Page of 2 1:1105.905 REV.(6106) This is to certifY that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Records in accordance with Act 66, P.L. 304, approved by the General Assembly, June 29, 1953. 07- 1(:'0 WARNING: It is illegal to duplicate this copy by photostat or photograph. ~ ~'rc tft<YfoL No. Frank Yeropoli State Registrar Calvin B. Johnson, M.D., M.P.H. Secretary of Health >.....,'"' ,- " ..'~; ~ ~:.; ." '. 4098923 MAY 1 7 Z007 :-~!.5!<' ~ ......., (:::;:) C::::::l --, c_. c:: r- N .r-- pate ~C;;O ,~'? ::'.J __j"-1 ;? -", Hl05.i4JAev.2.'17 COMMONWEALTH Of PENNSYLVANIA. DEPARTMENT Of HEALTH. VITAL RECORDS CERTIFICATE OF DEATH N . 916358 jyPElPRtHl IN 'ERMAHENT BLACK Me: ... Ie.E. SEX SlAJl fiLE Nl1frlI8ER SOCIAl.. SECURITY ~UM8€R DA1 E OF OEATH ,Mcnlh. Oa.,. -"*, NAME OF DECEDENT tFnll. MIddle. :"_1 t. ..-GEllast~vt UNOER 1 YEAR - Daya Lawrence UNDE:A 1 OM Hot.n ! MinuI.. .. Male ,. 148 - 18 ZOOl d' S. COUNTY OF OE.JIi1H 74 '''' SlRTHPl.ACE;C"'tand P\.ACi:Of:OEATH#Ct>edlOf'lyor-. _'nslfuc:toOn$onOlf'oet... 3.... QI fcte.gn Counoyt HO$PtTAL: llingswood,NJ ,':'"""0 tN:.1ftY NAME (It not JnSfItlAIotI. gMlStfHl and numtlefl =...,0 Cumberland DECEDENT'S USUAl OCCUAVlOH (~-=:_:O':::::t:i 11L Florist 11" DECEDENT'S WAlUNG AOOAESS (Sar.... ~11Own. Stale. ZIp CocMI White 5URYMNG SPOUSE I'WIle.~",-*,~ to. FRltER"S NAME (First. Miadle. Last) 46 Erford Road CalJll Hill, Pa 17011 DECEDENT'S ACTUAL RESIDENCE ........... ""'.- ''''. Cumberlarid ... - Min. .........1 17111.0 ~-:::--=oI MOTHEA.S NAME iFits, l.loddIIt. ~ ~namet to. Margaret Besore "'~S~"'''''~'''''.ffi..~ _ . ogress ve., nug, Pa Pl..ACE OF 0ISP0Sf1l0N.,.,.. of ~ c~ lOCAllON -CIty(Town. St... ZIp eoc. "''''''''''- ...... - to. WFClAMAHTSNAUE(T'fPIIIPrinC] Robert L. Isaacs Dean F. Isaacs z w fit :.l o ~ o w ~ z - METHOD ~ OlSPQSrTtQH ......0 c_oa .........0 O"*(Sp<<"" .... SIGNATURE OF FU 21.1. Hbg, Pa UCENSE NUMBER .... F.D.011897 L Enola Dr. Enola Pa ORE saGNEO (Mcd'l. o.v. Yewl -- 1ME0F0E:JJH4 ... cJ -- f to. 2S. 27. PART I: Ena.,..... di$lN.... in;uries Of c:ompIic.atioMwNch caused lhe <teath. 00 noc .nI..... modeot dying, such as cafcliac Of ,ltsptralory &lr....lhoctlor he." failure. LiM onty or1e cause on..a.... 23b. Dc. 'MS CASE: REFEARED TO MEOtCAL EXAMlNEJUCOAONER? "",l9FD ...0 "' ~ { : d. WERE AUTOPSY FWOtNGS NAIlA8lE PRIOR 10 COWPl.ET1ON OF CAUSE OF 0EAnf7 Alv~ 2S. I~. l=--= !~ PART'" Olhet~ c:onctIIioNClOI'llfibutin9IOdud\. ~ noI.......-;ngin...~QUMgowtIinPARTI. Co/' 'J , , c pvO DUE lOfORAS A CONSEOUENCE OF): DUElO(OFI /\SACONSEOUENCE Of): WANNER OF OEATH DAlE Of iNJURY CWotIIh,Oay. Year) TIMe CW INJURY INJURY 1111 WORK? OESCRtSE HOW INJURY OCCUAAED. ......... ~ o HornicMM PwIKIiPg........;g..tion o o o ~CE OF I"UUAY . AI home. t~~,...... ladofy, olt'ice building, etc. \$peotvI _. "'" 0 ...0 '"' ~ 'l: -.-. 'n 0 ...0 Suiddo CotJId noli be deMrmlMd M. JOe. !- 00.' I 'I, 2... 2eb. CERTWtEA ,Check oniy one) "CERTIFYING PHYSICIAN fPhySICoat' CP.f1lfyong cause 01 (]~atf1 wiler" anOlhe< phVSIC~ has PfQt'lOUllCe(l dea'" atl(J c~ed Item 23) To the ~I 01 my know~. _.~ OC'CU"lId "'10 Ihe cau-fsJand manner as .tM.d. . "PRONOUNCING ANO CERTIFYING PHYSIOAH (Physocar'l 00U'1 ~f::.onounc"'9 Clealh olnd certlyong 10 cau~ 01 death' To lhebesl ot my knowledg_. death OCClWred" the........ dat.. and pl-.;.. ..net dutl" the c..use(s...nct m..nn., n s~ted,. "". SIGNATURE AND TITLE OF CERTifIER f"IJ".. ~ r LICENSE NUMSER 0 o "c. 1""''7 ='-1.t"-:>}3. L ".. "".--<"-~'~' 0, NAMe AND ADOReSSOF PERSON WHOCOMPLETEOCAUSE OF DEATH (nem271TvpeOfPrinC -rl-..?",-CP~, (4-..J......' )-'2 J"70 /'>",,/....... ~"''''''~-<-I ~ ,:;, ~ ' , I ) /,,,~ J 1 41, 32. CATE FILED (llolonlh. Day, '!'eatl ~ /..y ..7tJ~ / ~"'EDtCAL EXAUINERJCORQNEA On the basis or ..aminalion andlor investigation, in mv opinion, dealh occurred at 'he time. date, and place, ~ due to the c:.use(a) and mannCf' as ,Ialed.. 31.. REGISTRAR' ,r NATU~E ANO~A.:~P':. I ... 6V";~~""'.",,"" ,r....( ;' ~~rs:--.~-p.-:~;:>_~---' .~ o k::>"l Ii .:>( /i' -1 .. - 0"," ,"" ;,.'~J' . f 31/1/ ~/Ii4!At~ ;J~ {lr d6 /0~ :;2-1 ~1 4 d-OO 7 4/1,. tJtlMda 2<215 kr- /7 C~~~ . C~~,,/~4 GfInJa ~~:t K~ ~tJ~f~~ ar-MJ,[lQu~ OM &u.~ r<z~ Cak& fJ/l /7tJ/5 /)M.- (th. )r~ : W r ()-t&' ~.Iad ~~? J n /1, ),fTtJ 7) J zfcWe. 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I ~ '}.-<'" 7, a_I 5'.- ; Cl4J {'.II< tlf/3 / J tar-Uk: t,-M~/ (~~f ;1~tl.t C~ r tj<~f j Cr f1jJ (7C:/j. , ' ttl11.-k "fez.' kr tlA~d;. Jl yJ1.e ",,.,.1 #'M~ ;4, cz,L,-a... <a ~~" f -1-)- I~ / -/--- tI ) // ~~- da,llt. . ') "_,, <~. /'f' , /v7fr;J7 / 4~d/1 ~--I-/~a'cL; '-'" Kirk S. Sohonage, Esquire Solicitor Marjorie A. Wevodau First Deputy Glenda Farner Strasbaugh Register of Wills & Clerk of the Orphans' Court Wanda S. Zeigler Second Deputy One Courthouse Square Carlisle, PA 17013 OFFICES OF (717) 240-6345 FAX (717) 240-7797 1-888-697-0371 x 6345 ~egister of Wills anb Qtlerk of tbe <!&rpbans' Qtourt <!Count!' of <!Cumberlanb July 25,2007 Honorable Thomas P. Brunnock Waterbury Probate District City Hall Annex Chase Bldg. 236 Grand Street Waterbury CT 06702 IN RE: Estate of Lawrence Isaacs, deceased Estate No. 21-2007-0700 Your Honor: Enclosed please find a Commission to Take Oath, Petition for Probate and Grant of Letters and Oath of Personal Representative. If you would please advise Dean Franklin Isaacs, when he may appear before the Probate Court to execute the oath, it would be appreciated. Dean Franklin Isaacs's telephone number is 203-756-9672 at home or 203-837-8299 at work. Enclosed you will find an envelope for the retum of the Petition and Oath. If you have any questions or concems, please feel free to call. ~ ~~~AJ( ~ lenda Famer Strasbaugh --(]' '-- Register of Wills and Clerk of the Orphans' COl111 Enclosures Register of Wills of Cumberland County State of Pennsylvania SS: County of Cumberland BE IT REMEMBERED, that I, Glenda Farner Strasbaugh, Register of Wills of Cumberland County, Pennsylvania, do hereby commission you, Thomas P. Brunnock, Probate Judge of Waterbury Probate District, Connecticut, or one of your deputies, to administer the Oath of Personal Representative in the Estate of Lawrence Isaacs, late of East Pennsboro Township, Cumberland County, Pennsylvania pursuant to Section 3154 of the Probate Estates and Fiduciaries Code, 20 Pa.C.S.A.3154. IN TESTIMONY WHEREOF, I have here unto set my hand and affixed my seal I}/i ell- the Ju daYOf~' 2007. ~~~~~/U/ ~~-pp -Glenda Farner Strasbaugh / . (J-- Register of Wills Cumberland County