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Home My WebLink About10-11-07 PETITION FOR GRANT OF LETTERS OF ADMINISTRATION ~/ ~ () 7 - Oq I~ Cj Estate of Steven E. Frve also known as No. To: Deceased. Register of Wills for the County of Cumberland Commonwealth of Pennsylvania in the Social Security No. 207-46-2833 The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older, appl 1 e s .:J 1.-. R. (d.b.n.; pendente lite; durante absentia; durante minoritate) the above decedent. CO:; for letters of administration on the estate 'of Decedent was domiciled at death in Cumberland County, Pennsylvania, with - h is last family or principal residence at 433 Peach Street. Lemovne. P A 17043 (list street, number, Twp. or Bom.) e:.'.... Decedent, then 50 at years of age, died 9/12/07 w ~ 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: 433 PeFlch Strppt / Lemoynp. $ $ $ $ PI).. 17()4~ .J 0 (J 00 _ G'(/ /' "6 rl t'J ('~ . ISd ./ Petitioner after a proper search ha 2-- ascertained that decedent left no will and was survived by the following spouse (if any) and heirs: Name Relationship Residence 731 Wallace Street Jacnue A. Frve mother York PA 17403 1205 E. Poplar Street Connie L. Molitor sister York PA 17403 713 Garber Street GailA. Gill sister Hollidavsbura PA 16648 22 Houston Drive D. Michael Frve brother Mechanicsbura PA 17050 THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the appropriate form to the undersi d. 22 Houston Drive Mechanicsbura PA 17050 ~ " 5 :9 V>~ " V> 0>::13 "0 " " 0 ~:E ~~ 26 '" @, Vi OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } ss I, .'., 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 above decedent petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed Jt~~},'~~~ Register {i (..~,) 1'-: :2 ~ 'a <:: .0(; c/j No. ~/-07-(rl/l5 Estate of Steven E. Frve , Deceased GRANT OF LETTERS OF ADMINISTRATION AND NOW , in consideration of the petition on the reverse side hereof, satisfactory roof having been presented before me, IT IS DECREED that D. Michael Frve is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration are hereby granted to D. Michael Frye in the estate of Steven E. Frve $ [.~ 00 Short Certificates (I; ). . . . . . $ ~ ~~~ciation {~!. . . . . . . . . $ --f ~: CO 'ALl ten\Cl ~ 1 CN\- $ ~.(X) TOTAL _ $ Filed. . . . . . . . . . . . .. A.D. /y/J.DD FEES b..wfJR ~ 1a!lllVt \JtvL ~ hauplv LJ R,,;;<crorw;lI, per i)t f)1f'ZJ Will~L~qu~y.ID#09983 Peters & Wasilefski AlTORNEY (Sup. Ct. 1.0. No) 2931 North Front Street Harrisbura PA 171101280 Letters of Administration. . . ADDRESS 717-238-7555, extension 101 PHONE ~/-07-0qI5 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WAF~NING: It is illegal to duplicate this copy by photostat or photograph. Fee ror this l'Crtiricate. S6.()() ,ji;~."~~S~~?~ /~~,\\#/ ~~\ It ~~! ~[i;\~\ I~ :e:/:' \~~ r~~: :";1.- \:-~ \~ c...) \. . -.., ~ i . _ ;::t::.. ~ \\ * ""'. '''"-'-''. ." '.. . '" , * ~ If a"'~' /'l::-~\ \. ~,/~ l ~--.,.!,flMENf \\{ ~\.~,~\ ''''''''////,1/11111111111' II P 13858259 Certiricat\on Numher This is to certifv that til nlt'll1lation here g-"ven is correctly copied from ar )[' ~ill~d Certificate of Death duly filed with Ille :1, L'IL',,1 Regi,trar The miginal certificate \vill he to\ \ rded te the Slate Vital Records Office lor peIT!l\l!.'nt filing. (~/1l ~~~~14 ~U1 _ Local Registrar '-q-'-- Date I"ued ( ) _.J c.) c 1131-093 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CORONER'S CERTIFICATE OF DEATH (See Instructions and examples on reverse) STATE FILE NUMBER ,EV 1112006 PRINT IN ANENT :K INK 1. Name 01 Decedenl(Firsl. middle, last. suffix) Steven E Frye 5 Age (last Birthday) 50 12. Was Decedent ever in the U.S. Armed Forces? DVes ~ Decedent's Actual Residence 178. Stale P",nn"'ylvrln;Cl Cumberland 6. Dale of Birth (Month. day, year) May 24, 1957 Altoona, PA v" 8b. County 01 Death Cumberland ad. FacHity Name (UnOlinstilution, give streel and number) 433 Peach Street 13. Decedent's Education (Specify only highest grade completed) Elementary I Secondary (0-12) College (1-4 or 5+) 12 11. Decadenrs Usual Occ lion Kind of work clone durin most of workin me. Do nol state retired Kind 01 Work Kind of Business f Industry drywaller con3tructiort 16. Decedent's Mailing Address (Street, city Ilown, stale, zip code) 433 Peach St. Lemoyne,PA 17043 17b. County 4. Dale 01 Death {Monlh, day, year} September 12, 2007 Residence 0 Other. Specify 10. Race: Amencan Indian, Black, 'Nhile, elc. (SpecifYl white 14. Marital Status: Married. Never Married, Widowed, Divorced {Specifyl ever married Did Decedent Live;n a Township? 17c. 0 Yes, Decedent Lived m 17d'~~iu~e::o~VadWilhin Lemoyne Twp City/Bora 20a. Informant's Name (Type I Print) Robert E. Frye D. Michael Frye 19, Molher's Name (FII'SI, middle, maiden surname) Jacque Lehman 2Ob. Informanfs Mailing Address (Street, city I town, state, zip code) 22 Hou3ton Dr.,Mechanicsburg,PA 17050 18. Father's Name (First, middle, last, suffix) ! 0 Cremation 0 Donation 21 b. Date 01 Disposition (Month, day, year) i wasc<ematlono'DonationAuthOrizedD D Sept. 17,2007 i by Medical Examiner I Coroner? Ves No 22b. License Number 22c. Name and Address of Facility FH&Cs,324 21c. Place of Disposition (Name of cemetery, crematory or other place) Rolling Green Cemetery 21d. localion (City f town, state, zip code) Camp Hill,PA17011 26. Was Case Referred to Medical Examiner I Coroner for a Reason Other than Cremation or Donation? Jl9.ves 0 No Approximate interval Par1l1: Enter other sioniftcanl conditions conlributioo to death 28. Did Tobacco Use Contribute to Death? Onselto Death but not resu~ing in the undertying cause given in Par1 0 Yes 0 Probably o No 0 Unknown 29. If Female: o Notpregnantwrthinpaslyear o Pregnant at time ot death o Not pregnant. but pregnant within 42 days of death o Not pregnant, but pregnant 43 days to 1 year belore death o Unknown If pregnant within lhe past year 32c. Place of Injury: Home, Farm, Street, Factory, Office Building, etc. (Specify) 321. II Transportation Injury (Specify) o Drivel" I Operator 0 Passenger OPedestrian OIh", . Specify; 331. Certifier (check only one) 33b. Signature and 11l1e of ~::.:'~rJ~~:::::"d:~:~~:= ;~~~n:~a::~~~n~=":' ~ =-~_ ~~h ~~ ~_~~~ ~e:':~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0 .... Pronouncing and certifying physician (Physician both pronouncing death and certifying 10 cause of death) 33c. license Number 33d. Date Signed (Month, day, year) To the bell of my knowfedge, death oceurred at the time, date, and place, and due to the cause(sj and manner as stalecL - - - - - - - ... ... - - ... - ... - -... 0 Set b r 12 Medical Eumlnet" Coronet p em e , On the basis 01 examination and' or investIgation, in my opinion, death occurred al the tIme, datl~, and plac., and due to the cause(s) and manner as sl.tEML ~ 34~NaQ'\e and Addr8f$ ot.Person Who Completed Cau~f Death (Item 27) Type I Print .. M~Cnae.l L. NOrr~S, \.-oroner 35.RegisIJ'rsSig J d JdN 'J, / .:..1 / / 36. Dale Filed Month de ,} 6375 Basehore Road, Suite 1/1 .. 1!3J 1011 I I / 'C 7 Mechanicsburg, PA 17050 DisposrtionPecmilNo. 00....1""08' 'I 24. Time Qf Death 25. Date Pronounced Dead (Month, day, year) September 12, 2007 CAUSE OF DEATH (See Instructions and examples) Ilem 27. Part l: Enter the ~ - diseases. injuries, or complicationS -that direct~ caused the death. DO NOT enter terminal events such as cardiac arrest, respiratory arrest or veotncular fibrillation without ~owing the etiology. Ust on~ one cause on each line =~~ATe~&t~~~~ ~~~~\ dise~ Pending Investigation Due 10 (or as a consequence of) Sequentially list conditions, if any, ~t~~O ~JD~~~I~b~~~"i a. ~=e~~m~g~nth:a\~~re DiJe to (or as a consequence ory. Due to (or as a conseQuence of). d. 308. Was an Autopsy P&r1ormed? 3Ob. Were Autopsy Rndings Available Prior 10 Completion of Cause of Death') 31. Manner of Death o Natural 0 Homicide o .6.ccidenl ~ending Investigation o Suicide 0 Could Not be Determined D Ves "tl(Ne DVes ONe 32d. 11me of Injury M. '.Iumme 1 Ave.,Lemoyne,PA17043 23b. license Number 23c. Date Signed (Month, day, year) Coroner 2007 Estate of Steven E. Frye RENUNCIATION No. j,J -07- {filS C) { .:.:::~--,. "".1 .-:'_ .J C.-_' also known as , Deceased :":) (...,) c..: The undersigned,Gail A. Gill, sister of (Relationship) (Capacity) the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters Administration be issued to D. Michael Frye Witness rYlL{ hand this . '.j-- . l'S day of ut toPcf ,~l .-5boSl U. <~~ (Signature) GailA. ~ill G \ (' { \3 Av- '0 011 ~-f (Address) /-\0 II ,dr. ysb t; r9 / 10 b <.{'6 f?A (Signature) (Address) (Signature) (Address) Sworn to or affirmed and subscribed \'Si- before me this day of (")0-\c .klar , ~\l . '--rYT. ~ 1 {),t .t- Notary P~bliC .. ? J:; My Commission Expires: f ;;;"3/69 COMMONWEALTH OF PENNSYLVANIA Notarial Seal Misti K Grenz, Notary Public Logan Twp., Blair County My Commission Expires Sept 23, 2009 Memt:\I~r. Pennsvlvania Association of Notaries (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 are required in some counties to be notarized. RW-3 RENUNCIATION Estate of Steven E. Frye No. 8J~D7-Cfl/5 ,r.~>._' also known as , Deceased The undersigned,JaCqUe A. Frye, mother of (Relationship) (Capacity) c.) c: the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters Ad~t10n be issued to D. Michael Frye -ttJ~ Yn,' J ness ~~iS ,lX'iJ'1 . (Address) (Signature) (Address) (Signature) (Address) Sworn to or affirmed and subscribed before me this day of COMM0r'l\'JEtL Hi OF PENNSYLVA IA r- ~~;)!ariar Seal Denise L. Miller, Notary Public Spring Garden Twp., York County My Commission Expires Feb. 4, 201Q Member, Pennsylvanlf' Association of Natarles -L. L... otary Public I J My Commission Expires:8 L/ /(6 (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 are required in some counties to be notarized. RW-3 RENUNCIATION Estate of Steven E. Frye No. (~/- 07- {)1/5 also known as , Deceased The undersigned, Connie L. Molitor, sister of (Relationship) (Capacity) the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that :=-' Letters Ad\Ji' istration t _ be issued to D. Michael Frye (.) , J1 1"\1 L;. m J.~L-, Cl C . . t~ ~and this ~'t~t-)( U~ ~ (Signature)- Connie L. Molitor (Address) (Signature) (Address) (Signature) (Address) Sworn to or affirmed and subscribed b~ me this 6/9 day of fbitf;~( i!!tJ:;j,- Notary Public / I J My Commission Expires: IX L/lltJ COMMONWEALTH OF PENNSYLVANIA Notarial Seal Denise L. Miller, Notary Public Spring Garden Twp., York County My Commission Expires Feb. 4, 2010 Member, Ponnsylvania Association of Notaries (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 are required in some counties to be notarized. RW-3