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Home My WebLink About08-15-07 , PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Martin R. Shetrom File Number 19..1 - () 1 - () 7 73 also known as Martin R. Shetrom , Deceased Social Security Number 13~ - 3b ' )fiL- 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 (State relevant circumstances, 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 instrument(s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~ B. Grant of Letters of Administration (lfapplicable, 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: (I{ Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) I Name Relationship ResidenCe . ,-, ., I Mary E. Shetrom Wife 311 Beaver A venue, Enola, P A 1'1<12'5 . Robert E. Shetrom Son .. j (....,: ) Patricia J. Shetrom Daughter -.---. , ;'.'" DaV1d A. Shetrom Son ~8M]Jl!H"E /Ar~LP~.Mf:p.wuach additional sheets lj~tKlessary. -) Decedent was domiciled at death in Cumberland County, Pennsylvania with his / her last principal re.sjde~e at r'.) 311 Beaver A venue. Enola, East Pennsboro Township, Cumberland County, Pennsvlvania, 17025 ~ (Ust street address, town/city, township, county, state, zip code) to Decedent, then ~1 years of age, died on April 30, 1995 at 3l\ ~.... !tv"""".. ~ b-llt.. 'A (1;as 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 ofreal estate in Pennsylvania - IH~o, $ $ $ $ situated as follows: 311 Beaver Avenue, Enola, PAl 7025 Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codieil(s) presented with this Petition and the grant of letters in the appropriate form to the undersigned: T ed or rinted name and residence 1 A (1o~S Form RW.02 rev. 10.13.06 Page 1 of2 l,. Oath of Personal Representative COMMONWEAL TH OF PENNSYL VANIA SS COUNTY OF CflWBEIITVYID 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 affirmed and subscribed before me the ~ day of . -' 8fJ.Jl ,;j J Ii "\)/i tl~ .~ \ '( Lei / ) For i_RegIster Signature of Personal Representative ~ Signature of Personal Representative " .' File Number: t2/- Ol-Oi 73 0) ., Martin R. Shetrom . Deceased . \.; J Estate of Social Security Number: 125" J.t - 3 <is' - I q Y I AND NOW, (h I t"~ Ill> , :JO,'l having been presented be e me, IT IS DECREED that Letters are hereby granted to r'('(~ ~ Kn__~ .,:W f'{'\{.t n ,-....: .. Date of Death: 04/30/1995 ,.) in the (\bove estate and that the instrument(s) dated described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES < ):jJ~ n .!D,)JaUU{ ~"J/:J, t'i.~ 11JL,L Letters............... $ J. o. dD RegISter of Wills (. r~71i'1 . J Short Certificate( s) . . . . . . . . $ \ -;).. . GO Renunciation(s) .......... $ d-O ,DO ~ .., $\Cl'O'U r.. '. C:'~'\ \. . \j~-t .. t'l"\ . . . $ :J OJ rQ.."P.C_~ ... $ ~ -S-o . . . $ .. . $ .. . $ .. . $ $ $ TOTAL. . . . . . . . . . . . . . $(r.q. 5C' -e:<<v Attorney Signature: Attorney Name: . .... Supreme Court I.D. No.: Address: ~ ...~ Telephone: ~--- ---- -7; \ Form RW-02 rev. 10.13.06 Page 2 of2 Hl05.112 REV 8-se (FEE FOR THIS CERTIFICATE $2 U(J) WARNING: IT IS ILLEGAL TO ALTER THIS COpy OR TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF HEALTH VITAL RECORDS LOCAL REGISTRAR'S CERTIFICATION OF DEATH CERT. NO. 2647386 .c; Name 01: Decedent __. 777~ First ____L Midd!c ~r~ Last Date of Death r'1 3,?-- /qf/S __-.2!t / ~ , niJ , Part I: Immediate Cause (a) !3'h:,!e/JAf. xt/~~ () /; '--// J1 ~..L' (b) I ---ld->-~-d A.te-o..-d \.7 r ~ (c) ~h lA.Lmn/ (I. - . -r: [,,) Part II: (d) Other Significant Conditions C> t'V Manner of Death: Natural 0 Homicide 0 Accident l:8i Pending Investigation 0 Suicide 0 Could not be Determined 0 Describe how injury occurred: .:raULA/7b+~ ,'" ,. ?/ E//lp Name and Title of Certifier___ 777J.rkpL 77l...Lt'.Ad- 'i~ . cI- I~A..-~ .11 v. (MD.. D.O.. Coroner.. ME) Address / ?'(:, ~r~- 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. LLT1Y J FC?JSE 312 SPRUCt ~l HUlmNCDOi'l, FA 1'66!iJ~eg;s1rar of Vital District No /9QS Street Address City, Borough, Township COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYL VANIA ORPHANS' COURT DIVISION --'\ ESTATE NO. i...l ) NOTICE OF REVOCATION OF BENEFICIARY INTEREST IN ESTATE c._; ~ . .; I, f' " v C:::I KNOWN ALL MEN BY THESE PRESENTS, that I, Patricia J. Shetrom, a benefi~tiry of the estate of Martin R. Shetrom, deceased having died intestate on April 30, 1995, in Cumberland County, and Mary E. Shetrom, having been appointed as Administratrix of said estate on July 31,2007, by Order of the Orphan's Court Division of Cumberland County No. hereby affirm that I voluntarily renounce my portion of the real property owned by the decedent at the time of his death located at 311 Beaver Avenue, Enola, P A 17025, and agree to have the said property transferred to Mary E. Shetrom, wife of the decedent and the Administratrix of said estate. It has been explained to me that I am entitled to a portion of the subject property and of decedent's estate, as applicable, and that by my singing this revocation, I forfeit my rights to said portion of the estate. I hereby knowing and volunta;>ly renounce said interest in the said estate. _//~. .. \ ryi.i -.L~> , / ;:~~c;;:~~~H~I~~M ,/ L/C? ~SEAL) Sworn to before me . .-/ this ~ day of rha l, <'1! , 2007. , , '-J.. Ii -l {f /1. . .,,-. '...\..Jo.....~ Notllrial Sc8I Reba D. PlM.-e, Notary ....blic: Mary.ville Horo.. Perry COlIIlty My {'OIlIIJIiIlIioft F.xpira JlIIIO 30, 20 II I /( ,--/f)J~ . Notary Public COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYL VANIA ORPHANS' COURT DIVISION ') o ESTATE NO. C'O) NOTICE OF REVOCATION OF BENEFICIARY INTEREST IN ESTATE Ci '. ) . I j\..) C) KNOWN ALL MEN BY THESE PRESENTS, that I, David A. Shetrom, a beneficia1)O of the estate of Martin R. Shetrom, deceased having died intestate on April 30, 1995, in Cumberland County, and Mary E. Shetrom, having been appointed as Administratrix of said estate on July 31,2007, by Order of the Orphan's Court Division of Cumberland County No. hereby affirm that I voluntarily renounce my portion of the real property owned by the decedent at the time of his death located at 311 Beaver Avenue, Enola, P A 17025, and agree to have the said property transferred to Mary E. Shetrom, wife of the decedent and the Administratrix of said estate. It has been explained to me that I am entitled to a portion of the subject property and of decedent's estate, as applicable, and that by my singing this revocation, I forfeit my rights to said portion of the estate. I hereby knowing and voluntarily renounce said interest in the said estate. ----------; /,/ 4-'f!'~' - (SEAL) /~~~ETROM' Sworn ~ before m~ __ this i:.fl)day of IUd (... 'J I ,2007. '.-- fl~L:l f:, "f ::,[f~__./ . Notary Public Notarial SC8J Reba O. l'aw. Notary Public: Mal}'lIville Horo.. Pllny COUIIty My Commillsioe F.llpiAlll JUDe 30. 201 1 COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE NO. C) NOTICE OF REVOCATION OF BENEFICIARY INTEREST IN ESTATE c. f"-:J KNOWN ALL MEN BY THESE PRESENTS, that I, Norman M. Shetrom, a C:.:> N beneficiary of the estate of Martin R. Shetrom, deceased having died intestate on April 30, 1995, in Cumberland County, and Mary E. Shetrom, having been appointed as Administratrix of said estate on July 31,2007, by Order of the Orphan's Court Division of Cumberland County No. hereby affirm that I voluntarily renounce my portion of the real property owned by the decedent at the time of his death located at 311 Beaver Avenue, Enola, PA 17025, and agree to have the said property transferred to Mary E. Shetrom, wife of the decedent and the Administratrix of said estate. It has been explained to me that I am entitled to a portion of the subject property and of decedent's estate, as applicable, and that by my singing this revocation, I forfeit my rights to said portion of the estate. I hereby knowing and voluntarily renounce said interest in the said estate. ,,/ ~ ~/ ' %~r:~ /L~/ / (SEAL) NORMAN M. SHETROM 110, 'OE 0KInf Q1fdrd UOIWNI.....) .<w .(1UftO.) ..we.. ..o.tutIDn"'..ww 3ftlN "-ION ..... '0 -..v .... ......... COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION i-'''':) () -,..J ESTATE NO. i' ~-) NOTICE OF REVOCATION OF BENEFICIARY INTEREST IN ESTATE c ,.! I l'~ KNOWN ALL MEN BY THESE PRESENTS, that I, Robert E. Shetrom, a bene~iary of the estate of Martin R. Shetrom, deceased having died intestate on April 30, 1995, in Cumberland County, and Mary E. Shetrom, having been appointed as Administratrix of said estate on July 31,2007, by Order of the Orphan's Court Division of Cumberland County No. hereby affirm that I voluntarily renounce my portion of the real property owned by the decedent at the time of his death located at 311 Beaver Avenue, Enola, P A 17025, and agree to have the said property transferred to Mary E. Shetrom, wife of the decedent and the Administratrix of said estate. It has been explained to me that I am entitled to a portion of the subject property and of decedent's estate, as applicable, and that by my singing this revocation, I forfeit my rights to said portion of the estate. I hereby knowing and voluntarily renounce said interest in the said estate. ~I (" ~L) R BERT E. SHETRO ~ Swo~ t& before t this..3.: day of d~ ,2007. (il///JU/;:: Notary Public COMMONWEALTH OF' F!::NN5YLVANIA NOTARIAL --SEAL Donald M. Wood, Jr. - Notary Public : East Pennsboro Twp., Cumberland Co ('(i~"n"q<::'C'I""N . unty __::_::,~~_.~XPIRES NOV. 08, 2010. -. _..l