HomeMy WebLinkAbout09-13-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUfrt8t:Rl..ll-N.D COUNTY, PENNSYLVANIA
Estate of S;tyJhen N. /114n/~
also known as
File Number
~\ 0'- (j~~9
-
, Deceased
Social Security Number
I ~/-LJI'-fShtJ
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or'S' BELOW:)
~ A. Probllte lInd Grant of Letters Testamentary and aver that Petitioner~ is / _ the fe.iIIl(.'" knehc,4""~ 6""'IIwn:Le1r;~l.~W)
last Will of the Decedent dated .. " '2lXJ and codicil(s) dated J
H~ I~ ,.,,'11 In , -Mr 'I':r
.,. . l>t.c~J...f
4 4M.J kid << $;~'t.. /tJ41f.
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the instrument~2'pffered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: 2 g:;
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lE B. Grant of Letters of Administration
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(If applicable, enler: c./.a.; d.b.n.c./.a.; pendente lite; durante absentia; durante mj?ior.j~~1()
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Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spous.{~) an~irs: rlf
Administra/ion, c.t.a. or d.b.ll.c.t.a.. ellieI' date of Will in Section A above and complete list of heirs.} . -~:.-:::
Ih I!I. Jt I '3 S"
(COMPLETE IN ALL CASES:) Attach addilio/tal sheets if ltecessaJY.
Lot #7.
Decedent, then
S1, years of age, died on ~ ~ 2/)fJ7at 1:J'IlvlJleU ,p,.;Y(, ur #7 qfi,lt'.sttdl
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(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
is; f<<). 80
$
$
$
$
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:
Typed or printed name and residence
/JD A,~ /3S"
H.,.tr; /J'1';J.9
For/llRW-02 rel'./0./J.06 Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
5S
COUNTY OF c41t1ger14t1d
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 tepresentative(s) ofthe Decedent, Petitioner(s) will well and truly
administer the estate according to law.
before me the
day of
MANley
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Sworn to or affirmed and subscribed
Sigllalllre oj Personal Representative
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Signature oj Personal Represelllative ~;
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File Number: ~ \ b'l e56..?F\
Estate of S7~NcH IY. IJt/lNl8Y , Deceased
Social Security Number: /~/-.ye - ?~() Date of Death: 59#;' 7" U07
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AND NOW,
having been presented before me, IT IS DECREED that Letters
are hereby granted to 7"/11"'''$ A. /JIll" I~
and that the instrument( s) dated ~,o!.' I '2eo 1
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s ) of Decedent
, in consideration of the foregoing Petition, satisfactory proof
M.~"(\\.t\ \S~'\\cV\ t 1: A
in the above estate
Letters
$
3<J
~t.f
$'
IS-
/0
S
FEES
Short Certificate(s) . _ . . . . _ . $
Renunciation(s) .......... $
Will . . . $
" 1( / P .. . $
AtA0 ... $
.. . $
.. . $
.. . $
.. . $
.. . $
.. . $
TOTAL ..... . . . . . . . . . $
Attomey Signature:
Attomey Name:
C/ur/eu-
3fSI :3
" (!l6VSV /ld
l1!eeJ,rtJl,'CS JtI"'~ /,f
11()5"~
Supreme Court I.D. No.:
Address:
Telephone:
7 17- 7~d1- "~()9
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Forl/l RW-02 reI'. 10./3.06
Page2of2
H105.805 REV (01/(17)
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this c~rtificate. $6.00
p
13815679
This is to certify that the information here given i~
correctly copied from an original Certificate of Deatl
duly filed with me as Local Registrar. The origina
certificate will be forwarded to the State Vita
cords 0 fi e fo ermanent filing.
67
Certification Number
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'105144 REV lI/2OCl6
TYPE I PAINT IN
PERMANENT
BW:K INK
1131-090
COMMONWEALTH OF PENNSYLVANIA' OEPARTMENT OF HEALTH' VITAL RECOROS
CORONER'S CERTIFICATE OF DEATH
(See instructions and examples on reverse)
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56
Jan. 31, 1951
Elizabeth,
() \ ~or
I Name of Oecedenl (First. midlte. last SUMlj
Stephen
5 ftq!\LaSl BttlhaaYl
N
Manley
6._~_(MOOlI\.".~
2007
,,,
7. SiI1tlpace ands&aCeor
Cumberland
124 Woods Drive
_ 00lI>o<. SoeaIy
10. Rice: American Indiwt. BIadl.. White, t'C
(~ White
80. County 01 Oeatt'l
.F.-iIy~lll'nolins&ilulion.gjvt:Ilfeec:IIld~
11, Clecederc's Usla Occ Ki'ld-oI won dOne moss 01 lilt. Do 1'lOf'" "'ed\
"""01"'" Kind 01_'_
Electronlcs Tech Electronics
. 16. ~s Mailing AdlhsI (Slreld, city 11Own, aMe, lip COOt)
124 Woods Drive, Lot 7
M chanicsbur PA 17055
18. Fafler's HImt (Firs!. rnidcIe.1ast. suIfu;)
12. Wit o.c.dIInt IWI' in..
U.$.__1
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Ac:IUII ReIidIncI 17a. sa.e.
14. Mari&II Sl.llUI: MarriN. ~ Married,
_. OMlocOd{~
Never Married
Ilb. Cowt
PA
Cumberland
oa_
lNo,,_ I7JQ1:....._t.Soi.l ver Spr ing
~1 17<1o..._LNod_
AcNllli'nb: at
TWO
C<yll'llnl
Frank A. Manley, Jr.
19.1loIw'._fFnI,_.___)
Doris J Derick
2OIl._.-._~",,1-'_."_1
P.O. Box 135, Harford, PA 18823
lle._oI~(Hama"__"_"" 21<1L_IC<yI"".""..._1
Rolling Green Memorial Par Camp Hill, PA 17011
ZQa. Ir'ltorrnanr's Name (Type I Print)
Thomas A. Manley
. ~
221:._"'_"'""
Shalonis FH, 206 Maple Ave., Marysville, PA 17053
2310. Uconse _ 23<:. DaI, _,""""'....,.,.."
....2<C.26muslOt~bypetSM 24 Tlll'lloIOealt1 prx .2S.n.~DiidlMoNh,dIy,'jINl')
7 ..."""""""'- 1: 00 P. M September 9, 2007
CAUSE OF OEATH(Soo __ --_l
111m 21 P.." I Enteflt1t ~ - cIiseaSes.ltlfUrits, or ~ -... dit<<1ty cIUMd!he 0Mlh. 00 NOT enter ~ IYeI'Iti sucn is caniIc arrest,
fI'SpIfatot)f arml, Of venrriwtat librillalion wilhool Shl::lWW19 tit...". Us! ..., 0l'It caLM on IICh 1inI.
26. WIs ea.. ~ kl WedaI E.umirlet I Coronet tor a Rauen ocn., Ihan Cremation 01 Donation')
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, ~ irUNaI' PM I:.en., oIhIr Urikantan:iticn. alrIIliIUinn 10 dHlh 28 Did TObaCCO Use Contributelc Oulh?
0nIet 10 Oedt bul no! tauImg in 1M undlNtying ca.. ~ in PM I. 0 Yes 0 PrOOlOly
o Na 0 Uo1knoon
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311a.w...._, ""W...AulopoyF~ )'_oIOoa1l ~.00I0..",...,~....,_1 32bDoscriba....",...,Oo:a<nool Intentional inhalation 32ePlaoo~""""Hclmo>fann.!>mlf",,,,,,.
p- ~=:~~ o......u 0- Sep. 7.2007 of snow blower exhaust fumes OOlcoButi"plt.(S<1oc/Iy} Home
0'" l8(Na 0'.. DNa 0- oP_""- 32tJip.t'x""'" 321n_"""'~1 329.....-01",...,1-."".........,
J:i!lSuocido oCoulo....._ 1: 00 P... ~= 0"- 0- Woods Drive. Mechanicsburg. PA
33a c.rot., IdltlCk arit'I 0fWl1 D. ~- and Tille
~ P"Ysic:iM (PhysicIan, ~cause ()i tIUIl\ wtlrIn ___ phytlciMhas~"" and compleled hm 23) ...
To....brtslorImy~dulhocc"""..IO""'-caJSt(.)___.sIIllM........... __.................... _............ __.... __ __.. 0
.............. .... -"Ylng ..........IPhys<ian.... __ _..... _fO causa "_I 33<. L_
To"''''1 DI"y~.dI.lhocwrrecl"lN tune....,andp6Ke.IIMI.dutlohcalM(.I_INMef'..~td_.... -- -;......-.... --" -- - 0 S b
_EnoNaoo/c- eptem er
On IN DtMoIeum6twttion J 01' Inve....tion.1n my opinion, dNch OCCwNdalthetimt, ....Mdpac.. and OUt 10 'M ClWM(I).lftdmanner.......... Jil 34. ~ilJdAdlntlgf Ptrson'{t'tlo~ CIuN~ DNfl (111m 2n Tyot I PrVll
M1Cnael L. NOrris, ~oroner
''1/ ~5111 rt 6 ,bl . Fled I .....- ~;~~a~~~~~~~e R~~di7556te III
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Carbon Monoxide Intoxication
OueIO(orasli~oI}.
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INdlnq 10 ..... QUSllIsltd online a
e,., h UHOUIlYWG C4USE
(dsease or I1p'Y IhaI nillIltd tilt
......ufesul&ii'l9l1ldeathlLAST.
OueIO (or as iClJnHQUel'lCtot):
OueIO{orasa~oI).
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Coroner
2007
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RENUNCIATION
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REGISTER OF WILLS
C l-tm l3al.ANA:::OUNTY, PENNSYLVANIA
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Estate of
STePlIE"# 111. 11I,+#LEY
, Deceased
I, DU.Jr.NE G. ~ w/J.terz.. , in my capacity/relationship as
(Print Name)
Ne7JJlEW tf.- I<ESII)IfMY ~ErlEFC/ARy of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
7i!bh/M ,4., I1f ItNteY
~, )3" YJIFJ
(Date5
)t '"s.-~ ~ h~
(Signature) DuANE C. SWAflTZ
"3 ZO N () GE" oS??; UJ III I'C.l>.
(Street Address)
fJ1Et!JIlflVlC5~M6 . 1?1 17/)SV
(City, State. Zip)
Executed in Register's Office
Sworn to or affIrmed and subscribed
be~iSh _ 13 day
of J1\ :l-\- , .;V61 .
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this day
of
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev. 10.13.06
OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
Ctt /I18E1U.A-AI.b COUNTY, PENNSYLVANIA
Estate of 5ktkA ~ ~1J"lt'l
I
, Deceased
"
7J",h14J ,f. ./hMlr
(each) being duly qualified according to law, depose(s) and say(s) that ~ he ~
acquainted with ~j,OJ /to l?I~o/
with the handwriting and signature of the decedent, and that the signature of
and
1) kfl nf C. SWlull.
was I~
well-
and a~ familiar
s~ #. /Jl4A4'
to the foregoing instrument purporting to be the Last Will and TestamenitLC8cli~il of .5./1!;rJA&1 A:. ~t'
is in his/.fter own proper handwriting.
1IiV-fi;,.tIt,4,1 I If' ~ 3
(City, State, Zip)
j)~4~
(Signature) 1)l..tANIe (;. S""'4~ t
32b II~S~/4IA ,f4l'.
(Street Address)
(!!!~~:t!st~'!' /A /7() SD
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(Signature)~hIIJ.S A. /hit,,'"
f't' Llo)tt. /3$
(Street Address)
day
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Executed in Register's Office
Sworn to or affirmed and subscribed
0;)
before me this [3
of Jlp~
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Form RW-04 I'ev.10.13.06