HomeMy WebLinkAbout09-20-07
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
No. r21-0l-08'&~
Estate of EDYTH MARIE STEWART
also known as Edyth M. Stewart. E. Marie Stewart
E.M. Stewart. Edith Stewart. Marie Stewart
Deceased.
To:
Social Security No. 197-22-0947
Register of Wills for the
County of Cumberland
Commonwealth of Pennsylvania
in the
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, appl ies
for letters of administration
on the estate of
(d.b.n.; pendente lite; durante absentia; durante minoritate)
the above decedent.
Decedent was domiciled at death in Newville. Cumberland County, Pennsylvania, with
h er last family or principal residence at 35 Countrv View Estates. Newville. PA 17241
(list street, number, Twp. or Bom.)
Decedent, then 80 years of age, died 8/22/2007
at The John Hookins Hosoital. Baltimore. MD
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
situated as follows:
$
$
$
$
500.00
NO BOND REQUIRED-ALL BENEFICIARIES SIGNED RENUNCIATION IN FAVOR OF ADMINISTRATOR.
Petitioner after a proper search ha S
the following spouse (if any) and heirs:
Name
ascertained that decedent left no will and was survived by
Relationship
Residence
73 Fifth Avenue
Fa vi lie
397 Vogler Road
Adv nc NC 27 6
5204 Budding Lane
Farmin n NM 87402
1000 Mulberry Avenue
H rstown MD~ 42
PA 172 2
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THEREFORE, petitioner( s) respectfully request( s) the grant of letters of administration in the .-"
appropriate form to the undersigned.
w
en
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NA~. MARSHALL
73 Fifth Avenue
Fayetteville
PA 17222
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA }
ss
COUNTY OF Cumberland
The petitioner(s) above-named swear(s) or affmn(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 above decedent petitioner(s) will well and
truly administer the estate according to law.
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Estate of EDYTH MARIE STEWART
, Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW ~ lQtV\ 'Da~ of ~ b ~ ;}{')() 7 , in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
lT IS DECREED that NANCY L. MARSHALL
is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration
are hereby granted to
NANCY L. MARSHALL
in the estate of EDYTH MARIE STEWART
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Register of Wills 0/
FEES
Letters of Administration. . . . . . $);{). ~
Short Certificates ( )...... $ ) lJ, .
Renunciation. . . . . . . . . . . . $ -5,00
\~$ t6.~
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Filed. . . . . . . . . . . . .~.~.f)I"OO
RICHARD K. HOSKINSON 1.0. No. 100
ATIORNEY (Sup, Ct. I.D, No.)
147 East Washington Street
Chambersbura PA 17201
ADDRESS
(717) 263-8535
PHONE
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SEAL
DAn JSSUID:
August 24, 2007
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DCOD ON'JIl.E JNTBE DI\'ISIDN OJ'VttALRECORDS.
~~~ A ~
/ S'I'A.1'E BEGJS'I'IWl OJ' UoUCORDS
State of Maryland / Department of Health and. Mental Hygiene
, :..- Certificate of Death
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Baltimore
9. Birthplace (State or Foreig
Country) .
Pennsy lvam.a
Usual ResidenCll of Decedent
lOa. State lOb. County
1Oc. City, Town or Location
lOcI. Inside City Limlb
I 1 DB. Slr8BI and Number
is
Newville
Ctunber land
PA
101. Zip Code
17241
; 35 Country View Estates
c 11,Marlta1Slalus 12'~lVBrlnu.s.
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II. 1 0 NlIYer Married 20 Married lOVes 2Cl No
>- ~ Ves, G1v8K
J:I ~dowed 40DIvorced VearorDatas:
i
a.
E
8
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13, Was Decedenlof HI~lc Origin? (S~ Ves or No-
If Ves, specify Cuban, Mexicari, Puarto RICan, etc.)
1 OVes ~o Specify:
15. Dacedenfs Education
(Specify only highest grade cornpletsd)
Elementary/Secondary (0-12) College (1-40r 5+)
8
Homemaker
16b. Kind of Elus!nNslh:i<liistry
J1C~)"'1
. ~.~) ':=n
Home '; ';-
16. Mothefs Name (First, Middle, MaJdBn Surnsme) :::-t
Olive B. Boggs i:.
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16a. Dacedenfs Usual Occupation
(GNe kind of worlc done during most of worldng
11flJ. DO NOT use retired)
-0
3:
17. Fathefs Name (First, Middle, Last)
Ezra
C.
Brewbaker
19b. MalUng Address (Street and Number or Rural Route Number, City or Town. State, Zip Code)
1000 Mulbe
21742
Spring Run, PA.
. ~~..:1t~~o'f.ri''=I':ie
C cause. Enter Underlying
E .If:~~~[.Ir\JUry
:= resulting In daath) Last
W
"3
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:2 IF FEMALE:
C 23b. Was decedenl pnsgnent
~ in the pasl~nthS?
'ii lOVes 2 No
~ 90Unkn
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II
III
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d.
23d. Dsle of delivery
Month Day
230. If }I!lS, outcome pf E"egnancy
1 Olive birth 2 D Fetal death
40Pregnant at lime of death
90 Unknown
30Ectopic pregnancy
50 Other (spacIfy)
Year
Part 11. Other significant conditions contributing to death but not resuftlng In the undartylng cause given in Part I.
3D Probably 4 OUnknow
24b. Were autopsy findings avallab
prior to compleUon of cause of
death?
lOVes 20 No
26b. Time of
Injury
24a. Was an
autopsy
parfonned?
10 Ves 2 No
26. Place of Desth Checlc
3D DCA Other. 40 Nursing Home 50 Residence 6 OOlher (Specify)
260. ~g:hat 26d. Describe how Injury occurred
lOVes 20No
25. Was case referred to medical
examiner?
lOVes
27. i: of Death
1 Natural
AccIdant
3D Sulclde
4 0 Homicide
M
281. Location (Street end Number or Rural RoUTe Number,
City or Town, State)
268. ~=':,I~~~(s=e, fann, street, factory, offlce
29a. Certlller
(~onJy
one)
1 c::ertItytng Physician: To the best of my knowledge, death oocurnsd at the time, date and place, and due to the cause(s) and manner as slated.
o leal Examln<<: On the basis of examination and/or Invesllgation, In my opinion, death oocurred a1 the lime, date and place, and due to the cause(s)
and manner slaled.
ORIGINAL
Register of Wills of
CUMBERLAND
County, Pennsylvania
RENUNCIATION
Estate of Edyth Marie Stewart
No. -P-I .. D 7- 0 'l(;~
also known as Edyth M. Stewart, E. Marie Stewart, E.M.
Stewart, Edith Stewart, Marie Stewart
, Deceased
of
(Relationship) (Capacity)
the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters be issued to
The undersigned.
children
Nancy Marshall
WITNESS
our
hand this
19TH
day of SEPT.
2007
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397 Vogler Road
Advance, NC 27006
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(Address)
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(S ignatu re )
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Ge e s-tewart
5204 Budding Lane
Fa in ton, NM 87402
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(Address)
Suders
1000 Mulberry Avepue
Hagerstown, MD 21742
(S ignatu re )
(Address)
Sworn to or affirmed and subscribed
before me this~ day
COMMONWEALTH OF PENNSYLVANIA
NotarIal Seal
Evelyn L Shreiner, Notary PlilIic
Charnbersburg Boro. FrankIln CW1ly
My CommIssIon Expires Feb. 11, 2009
Member, Pennsylvania Association of Notaries
m~'~
cfJ:!r ~ ·
My Commission Expires:
(Signature and seal of Notary or other official
qualified to administer oaths. Show date of
expiration of Notary's commission.)
NOTE: Renunciations executed outside the Office of Register of Wills
in some counties are required to be notarized.
Prepared by the Pennsylvania Bar Association
Copyright (c) 1996 form software only CPSystems, Inc.
Form tlRW-4 (1991)