The URL can be used to link to this page

Home My WebLink About11-27-07 PETITION FOR GRANT OF LETTERS OF ADMINISTRATION Estate of Shirlp.y C ZOOK No. ~ 1- 07 - 10/9 also known as To: Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania Deceased. Social Security No. 198-30-1297 The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years ofage or older, appl ys dbn (d.h.n.; pendente lite; durante absentia; durante minoritate) the above decedent. for letters of administration on the estate of Decedent was domiciled at death in Cumberland County, Pennsylvania, with h er last family or principal residence at 43 W Loc-.u!;t Street Mechanic-_c:bu(O BomuOh (list street, number, Twp. or Bom.) Decedent, then 71 years of age, died 11/18/2007 at Harrisbura HosDital Harrisburo Penm\ylvania 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: $ $ $ $ 5 000 00 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 43 W Locust St 2937 Adams Dr 105 Stone Head Rd 43 W Locust St THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the =approP~.;'" f~rtffito the undearSign.ed. ~w7 ~ 627 Lancaster Ave Harri!;burQ PA I Michelle M SERFF ~ '6 'Ui' ~'t::' "2::! lil .g ,,;,"i I~ ! iii (") ~SS cn -0 n ;:r: (") c.. ,1> F;; /0;: :z; ::0 "0'._ ef) ^ Go C'")O ~ ?~ :o--f ::t> ~ c:::a c:::a -..I Z o <: N -.J ':D ':-..1::) III n~IC) G"J C:) U) ::0 -;0 rnrn ::rJ c.-:J C _.~ C:). ':'"'8 ~ o 'n ::Do ::It - .. en OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } ss COUNTY OF CumbArI:md The petitioner(s) above-named swear(s) or affrrm(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 before me this 7. i-T- day of Nmb;{J~~7 (thAnlA JiM~ Pu- Of Def- Register No. Estate of Shirlp.y C ZOOK { (") ~o ~-J ::0 --'"""0 ~;P::;2 ~ '.....:..o..:.~m , ~...._~ I Len::;,::;: ~ ~ - t~)C)O I ('~gr . ~ ::g -ii! ")> <:3 .; ~ d-1-67- I07CJ , Deceased GRANT OF LETTERS OF ADMINISTRATION AND NOW Novemberil 2007 , in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that Mirl1ellA M SERFF is/are entitled to Letters of Administration, and in accord with such rmding, Letters of Administration are hereby granted to Michelle M SERFF in the estate of Shirlev C ZOOK FEES Filed . . . . . . . $ $ $ $ TOTAL _ $ ....... A.D. Letters of Administration. . . Short Certificates ( :? ). Renunciation. . . ~ c::::J c::::J --I :z: o ...: N -.I .:'0 ::0 rn rT1 ,:"") G)';::::) C') :0 '----10 r-n fTl ::0 t:J ~>,o ;, 'f --- .,., -?:~ ..~._... 1-.. r-' (./") 0 "'h > :x - .. '" r/JIf1Zdo (%;;mh JtI)jJh:;/,d Register of Wills per ~ ~v l,... Forest N Myers -- >--2..-~ 18064 ~. ATTORNEY (Sup. Ct. .0. No.) 137 Park Place West ?fJ (X) I 'J f){) d fl. IX) PA 17257 ShippAnsbllrQ ADDRESS 717.532.9046 PHONE HIOS.80S REV (01107) ~,! -07-/071 LOCAL REGISTRAR'S CERTIFICATION OF DEAT.i WARNING: It is illegal to duplicate this copy by photostat or photograph. Certification Number This is to certify that the infonnation 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. Fee for this certificate, $6.00 P 13823916 ..v'...........,..:., ~~ ~ I' [It {d 1 "toea} Registrar · .' Date Issued I._"'-Cfinl.-.I..I."~ Shirley C. Zook .~,,\go (u.,r 1liINaY)'- . llofI 7. . o 'CO S::?:J ; ;J, --o~o ':,) c. Z f::;] ",.". _::0 ";" (j) /' tsoo (-) 0 ." (~.. c::. """":0 . ~ :p. ~ ~ % c::> ..c: N -J Hl06-143ftfV 1112006 MlIlI~1N _NT IlL.\CKINK COMMONWEALTH OF PENNSYLVANtAo DE4>ARTMENT OF HEALTH. VITAL RECORDS CERTIFlCATE OF DEATH (See Inatrucllontl.etKlexamplo on reve....) !i -- -- .. -:l') ::X:" ion r-r\ cf) G')Q .- :::Q ~:.'3o nl r"" '::00 (JO -n -rt ~o;;: :!J ~~ S:; <;1; -- 71 v,. ... co.nr III 0o?I1 '.DoIolll_l-. . -..- Dauphin Harrisburg "__ ifIOO...._ tcnllll&,loioesollridu$lly Healthcare Feb. 3,1936~e# III FlIOlII ,...iIt""....... iNo-......,;,.j Harrisburg Hospital 11 .UWoI Klndlll_ Nurses Aide '12._~,*in"" u.s; Armid forCM? DYe> 0'No ..._.--.g__cilyl_.-,,,,_' 43 west Locust Mechanicsburg, PA 17055 ... F_.s_IF...._, 1ast,_1 Bruce er OIl::edIrtil ACcullfItsidenca l1a.SIaet Ill> Counly l1c.D Yes, OllcidenIliYedifl 17~.ii2i'No,_UwocI_ Mechanicsburg' -~'" T... ~ ~ Cly/llooo OCulnal;on 0- .1 -'_IFiJl, -.-""'*Ml Mildred C. Foltz ....._.--.g_(SnOl,cily/__"'_1 2937 Adams Drive Charrbersburg, 21C.PIocellllli&polillanl_llI_._OtollorpIICI) PA 2007 Mechanics i!2c........._llI~ zzi Funeral Harle 230. Oalo Sopd (lIonlI1. clsy. ~,,) 28. Was Cue AeterNd to MedicII.Ex8miner/CQroneffOl aAeuonOlhlrIhlltCrtllIllIIioRer 00MIi0n? Ov.. ~No Pall.It.ENIJ....IilInibnIUlndiIiaRs~bdaalh, w.flot~in.,.undllftrinIJClUltV*l.ilPartl 2IDilr.o.ca.LM~.._7 DYes OP"""" o No. 0........ 2UF_, g'Not pregnant.... PHI yNI t] Pregnanllltimlloldiaall. 0""'.._......_-42.... llI_ o NoI~,WpreliJlllOl43day'1D1yMr O~__...,........ 32<. PIocelll.., _. F_. Slrtst. F-,; 0I;c0&id;ng, '" I_' =~=)~ ====s. =-~'L,~r . 6, '(',.A; ~L- A- VI (l J t iiU"".(." -'vi -t..> Due 10 (oras 1;0CJnIe4l80CI of): .. ~ b. . 0011.1(,\ t!f7/vt!: (,tt~1.r 1'41l.-""t&" GulIO(Of II' COOMqUIf'lC8 01); c. [)uei)(orUICIClI'IIIqUInCIof); 301_.._ htfonned? d. 30Il ....._ F..... "'-_..~ of Caust of Death? OY.s ONo 3kMimer 01 Dulh ~'.....~ D- O^""'" O"*"""ll~ OSUlClde OC<luklNol"""'_ OY"~No I l!l is J I~II ~I ( 1.:21 Di~ion Permit No RENUNCIATION CUMBERLAND REGISTER OF WILLS COUNTY, PENNSYLVANIA ;)/-07- J07Q go :S:::r.! 12 '"0 . ,':cO ,.2 >- FM -.,,,4....-.. <.. (f) ~ "'~1 ./00 09'" (~'-- :~ ~ ~ % o ...: N -J ::0 -'-1 en i"'T'1 C"') (7') 0 US,P ,,_', ,,::J on (T1 ::0 t:::J S:;d, <;?, _ " -r'1 :: -;:,;. C') ~:;"m t/~,o -'1.'1- , "Beceased - - .. Estate of Shirlev C ZOOK I, Phillip M ZOOK (Print Name) , in my capacity/relationship as of the above Decedent, hereby renounce the right to snn administer the Estate of the Decedent and respectfully request that Letters be issued to Mir..helle M SFRFF "OII~ '2.6 / 2IllCS"'1 (Date) /Z fiv~ ~e) 2937 Adams Dr (Street Address) Chambersburr;,1 (City, State, Zip) PA 17201 Executed in Register's Office Sworn to or affirmed and subscribed before me this day of 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 'Z~ ~ ,day of November , 2007 Deputy for Register of Wills ~ ,-2-d- Notary Public My Commission Expi COMMONWEALTH OF PENNSYLVANIA Notarial Seal s: Forest N. Myers, Notary Public Shippensburg Boro. Franklin County My Commission Expires Dec. 19, 2009 (Signature and Seal of Notary or administer oaths. Show date of expiration of Notary's Commission.) co NWEAI ?1:~ '>''' ~'t'l'!Nsn; N Forest N' 00 Shlppensb'-, ' My Commisso cublic 'i., County '"c19, 2009 Form RW-06 rev. 10.13.06 - RENUNCIATION CUMBERLAND REGISTER OF WILLS COUNTY, PENNSYLVANIA c2l- 07- /07Q 2 .",,0 :;"..::0 '12 -0 ("') -rJ;f r-: -~ '7 tT1 ;;E@~ ','J(jO ,-,0'" " > c: C:) ::cl .. ~ ::g ....., g --' :% o ...:::: N -J :po ::It ::0 Xl ["1\ fr1 (:"") ,,'"') 0 (.'5 :P -'1 CJ ",rT1 ::.00 C)<:..~ ~.."~ -n "'S"~a ..~_.,- F"" I" r- t~,"')O "'fr, - - ~. C1' , Deceased Estate of Shirlev C ZOOK I, Asa M 700K (Print Name) , in my capacity/relationship as of the above Decedent, hereby renounce the right to hushand administer the Estate of the Decedent and respectfully request that Letters be issued to Mic-.helle M SERFF \,\ {2..1 /01 t~,~ ~~ (Date) 43 W Loc-.ust St (Street Address) Mec-.hanic-_c;hurO (City. State. Zip) PA 17055 Executed in Register's Office Sworn to or affirmed and subscribed before me this 21 day of Ni'N_Q,oa... ~, . 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 Novemher , 2007 ~:~1:~gw~ 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 - - RENUNCIATION CUMBERLAND REGISTER OF WILLS COUNTY, PENNSYLVANIA <11 -07 - IO-ri o S:;;;;O ::;.... "'J ::0 .', -0 .j::1:0 ;-';~O~ '--jO" (:)c : ::0 ::0-1 );> :0 ::::0 rn rn r-) (;"') b C:75 ::0 -Ie) rnrn :::l'J CJ C' c..j \ ~ ""1' i~o -:: r ~..., rn _ en ("-) ,<fiecease<f'l "'" c:::t c:::t -.I :z: o -< N -.J > :x Estate of Shirlev C 700K I, Rrian K 700K (Print Name) , in my capacity/relationship as of the above Decedent, hereby renounce the right to :;on administer the Estate of the Decedent and respectfully request that Letters be issued to Mil"nelle M SFRFF '--/. -_/ ~~_.- t..Lo"~~ 2.'1, ~, /' -\ /~ / . "rSignatu ---------;:> . ~ (Date) 105 Stone Head Rd (Street Address) DiII!:burg (City, State, Zip) PA 17019 Executed in Register's Office Sworn to or affirmed and subscribed before me this z-r day of ~,,~CU*- 2co1 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 November , 2007 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 - - CUMBERLAND Estate of Shirlev C ZOOK I, I isa I STROHECKER (Print Name) dauQhter RENUNCIATION REGISTER OF WILLS COUNTY, PENNSYLVANIA ILl -07- /079 o ~o " :0 ~:5-o Cl:cO ..J)>r- '-:: :z; 9:3 (i (J) ^ '.00 C) 0 ..,., C)C , :D :u-i )SO ro.) c::::I c::::I -.I :::n ;:x)rn lliCJ 00 ej) :::0 ._~ CJ rnrn :':0 t:J s~Q " .. -.' .." sa ~::: rn 0') C) - "T'. , B'eceased :z o <: N -.J :=0- :x - - .. , in my capacity/relationship as of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Michelle M SERFF ~~ '2.1, ~., (Date) Executed in Register's Office Sworn to or affirmed and subscribed before me this 2'1........ day of Wov~e.CG- 2c:01 Form RW-06 rev. 10.13.06 JUil)c!) Shn~ (Signature) 43 W Locust St (Street Address) Mer.hanirsbllro (City, State. Zip) P A 17055 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 November , 2007 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.)