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PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland
COUNTY, PENNSYLVANIA
Estate of Rosalie S. Armento
also known as
File Number
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. Deceased
Social Security Number 207-07-4008
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE ~' or 'B' BELOW:)
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(State relevant circumstances, e.g., renunciation, death of executor, etc.) ,..:Jr.: p~
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Except as follows, Decedent did not many, was not divorced, and did not have a child born or adopted after execution of!it ~ent(~ffered,)
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: 0"\
o A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is I are the
last Will of the Decedent dated May 17, 1994 and codicil(s) dated
IZI B. Grant of Letters of Administration
(ffapplicable. enter: c.t.a.; db.n.c.t.a.; pendente lite; durante absentia; durante minoritate)
Petitioner( s) after a proper search has I have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (If
Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list ofheirs.)
I Name Relationshio Residence I
David Armento son 714 RanRe End Road, Dillsb~, PA 17055
Frederick Richard Armento son 1686 Shiffield Drive, Blue Bell, P A 60 193
Rosanne Fox dauWiter 332 Balsam Ct, Schaumber, IL 60193
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his I her last principal residence at
Carlisle Relrional Medical Center. Carlisle. P A. Cumberland County
(List street address, town/city, township, county, state, zip code)
Decedent, then 88
Cumberland County. P A
years of age, died on July 14, 2004
at Carlisle ReRional Medical Center, Carlisle
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(If not domiciled in PAl Personal property in Pennsylvania
(If not domiciled in P A) Personal property in County
Value of real estate in Pennsylvania
40,000.00
$
$
S
$
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:
name and residence
David Armento 714 Range End Road, Dillsburg, PA 17055
Form RW-02 rev. /0.13.06
Page 1 of2
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In Re: Estate of Rosalie S. Annento, Deceased
Section B
Additional Heirs
Ralph Armento
2505 Warren Way
Mechanicsburg, P A 17050
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF Cumberland
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 ofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
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Signature of Personal Representative
Sworn to or affirmed and subscribed
before me the
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Signature of Personal Representative
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File Number:
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Estate of Rosalie S. Armento
, Deceased
Social Security Number: 207-07-4008
Date of Death: July 14, 2004
AND NOW, . in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters of Administration
are hereby granted to David Annento
in the above estate
and that the instrument( s) dated December 6, 2007
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
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FEES
Letters ............... $
Short Certificate( s) . . . . . . . . $
Renunciation(s) .......... $
An+<r'ati~Ull<..'(' . .. $
lLY tee . .. $
LUIII ... $
... $
... $
'" $
.,. $
... $
... $
TOTAL ..... . . . . . . . .. $
90.00
12.00
Attorney Signature:
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Attorney Name:
Peter J. Russo
Supreme Court I.D. No.: 72897
Address:
3800 Market Street
Camp Hill, PA 17011
Telephone:
717-591-1755
117.00
Form RW-02 rev. 10./3.06
Page 2 of2
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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.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
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Local Registrar
Fee for this certificate, $2.00
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JUL 1 6 2004
Date
III. Cumberland
DECEDENT'S USUAl OCClJAVlON
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Carlisle
K1HOOF BUSIHESSJlNDUSTRY
SEX
2. Female
stAlE fIlE NUueER
SOCIAL SECURITY NUMBER
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH · VITAL RECORDS
CERTIFICATE OF DEATH
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NAME OF DECEDENT If w$I. Middle. Lasl
1. Rosalie
AGE (La.. 8o<lhdavl
S. Armento
VNOEA 1 YEAR UNDER 1 0Ift
Monm. Dav- HoIn Minul..
).207
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PlACE OF OEATH(C~~ Oflly ()f'Ct -- '"iee IllilfucteOl:l'$onOl-f'\tel ...,.)
HOSPITAl.
Hagerstown, Inpal_l~ ER/OulpattelllO
7. MD ...
fAC1L1T't' NAME (II noc ,nS"'I..IOO. (I"'" S1,eer and numll8l'
BIRTHPlACE :C.ly ......,
Sial. 0< f c,e"Jl' Country)
OOAO
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MARITAL STATUS. .....med
Ne_ Man..... W_.
Oiwrc:ed (SpeclIy)
10. White
S\)lMVING SPOUSE
IU ...... gI" ......- namel
Ua. Glass Paster 11_. Charles Glass
DECEDENT'S MAILING AOOReSS /SIt..... CilyllOwn. s.-. ZtpCodel DECEDENT'S
ACTUAl
RESIDENCE
(Sea ,'''''''''''''''
on__1
714 Range End Road
,Pillsburg,PA 17055
FRHEfl'S NAME (first MlOdIe. LaSl)
11. Ro B. Stone
INFOAMANTS NAME (T ypelPrinlJ
a.. David Armento
METHOD OF DISPOSITION
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Other (SpeclIy1
17b. Coullly York
Did
decedenI
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ao..nshop? 17d.G~-=-=Ol Dillsbur~
MOTHER'S NAME lFoSl. Modllle. ...._ Surname)
11. Mamie A. Cole
INfOfWANT'S MAIlING AOOFlESS ISlrlllll. c~. Slale. Zip Codel
Hb. 714 Ran e End Road Dillsbur PA 17055
~ ~m~a't:Ttn~Ob '1ef)l of LOCATION -CiIy(bon. Slat.. Zip Code
21c. PA Crematory 2,at.Harrisburg, PA 17109
NAMEAHOAOORESSOFfACIUTY Cremqtion Society of PA
u~100 Jonestown Road Rarrisbur PA 17109
LICENSE NUMBER DATE SIGNED
O (' 1\ (MonIl. Dev. -I
2311..;lN \":\:)-\4- nc. Q'~~~Gl
\I\lA.S CASE REfERREO TO MEDICAl EXAMlNERlCORONER7
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14. Widowed
17C.O 'fee. decedenllived in
Cflylbor
_ 24-28 mull be compIeI*' bt
...- who llfOJ1IlUfICM ~.....
24. j,),' \ 0 (> M. 25.
27. MRT I: E....' I,.. disH.... inJufies or <:ompIICa(1OnS wllich caused ,,.. dIlalh Do not .111.. I'" _ 0' dylllg, such as ca,aw: 01 'eSlll.at"", anest. SlloCk 01 haan fa......
Lial 0Nt one cause on NCIl_.
NoD
~ AN AUTOPSY
PEIlFORMEO?
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d
WERE AUlUPSY fINDINGS
AIAIlA8LE PRIOR 10
COMPlETION OF CAUSE
OF 0ERH1
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DUE 1O(OA AS A CONSEQUENCE 01'):
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DUE 1O(OA AS A CONSEOUENCE 01'):
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PART II:
0Ihet .iQtliI\cIlnl concIIIiona c:ontrilluIing 10 _th. buC
llIII......inQ in the ~.,.... ~ in PART I.
_OIAlE c:AUH (FonaI
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i/8fI\I.1NdiIlQ 10__
_. e-lJNl)EAU'1NG
CAUSE(OdeareOllfl\UfV
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DUE 10(00 AS A CONSEOUENCE OF)
v.. 0
MANNER Of DEATH
NMurel Q HomICldl 0
Acclde... 0 PendIng In..s1tgallon 0
Suic:1de 0 Could not be del.'mlll8<l 0
DATE OF INJURY
(Mon"'. Day. Year)
TIMe OF INJURY
INJURV /IJ WORK?
DESCRIBE HOW INJURY OCCURRED.
YM 0 NoD
:a... 21b.
CERTIFIER ICheclt oniy onel
'CERTIFYING PHYSICIAN (Phy5lCliIIl CP.rlilytng causa oJ <leash ""''''' .-.~'" phv5'C,an has plonoullCe<l de.-.'h ana comPle'e<lllem 231
To"" beat 01 my kno~, ~.th occUfftd _'" .... cau"(sland manne' aa ogled. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
29.
PlACE OF INJURV..... home.I.'m. S1I_. '&C:IOfy. ollie.
bui1din9. etc. ,Spec,t.l
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"PRONOUNCING A.ND C~"l'fY'NG PHVSICIAN (Phys.cidO txJl~ ;J.O,IO\#lClng Ut:dlh dnd l.;efllty""'Q to\.:3Us.e 01 t1edtt1)
To the bnl of my knowledgft. death OCCUlred at ....u.n., da.e. ilnd place, .nd due 10 the cause,.. and mann.'~. ...led
.MEDICAl. EXAMINER/COAONER
On 1M baai. 0' e.aminallon and/or investigation, in my opInion, de.'h occurred allhe lime, date, and place, and due 10 the cause(.) and
mann... .. sl.led.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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ReGISTR~R'S SIGNATURe AND ~"'R 1?1 :7( .; .. .'. ".~. <:"'.-:1
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LAST Wll.L AND TESTAMENT OF ROSALIE S. ARMENTO
I, ROSALIE S. ARMENTO, unremarried widow, of the Borough of Mechanicsburg,
Cumberland County, Pennsylvania, being of sound and disposing mind, memory and
understanding, do make, publish and declare this my Last Will and Testament, hereby revoking
and making void any and all prior Wills by me at any time heretofore made.
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I direct the payment of all my just debts and funeral expenses as soon after my'd~@se ~
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the same can conveniently be done.
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2.
I give and bequeath my diamond wedding ring to my daughter ROSANNE FOX. This ~t
to be death tax free.
3.
All the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and
wheresoever situate, I give, devise and bequeath in four (4) equal shares to my beloved children,
FREDERICK RICHARD ARMENTO; ROSANNE FOX; RALPH ARMENTO; and DAVID
ARMENTa, ~ sti1:pes. I love all of my children dearly and equally and it is my wish that they
will all agree and get along well together in selecting items for themselves and in the settlement of
my estate.
4.
I nominate, constitute and appoint my two sons, Frederick Richard Armento and Ralph
Armento, to be the Co-Executors of this my Last Will and Testament. In the event that they both
should predecease me or for any reason be unwilling or unable to act as Co-Executors, I nominate,
constitute and appoint my daughter and son, Rosanne Fox and David Armento, to be Co-Executors
in their place and stead. I further direct that they shall not be required to file bond or other security
in the Office of the Register of Wills for the purpose of administering my Estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~ day of
~7I1r ' A.D. 1994.
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ROSALIE~. ARMENTb
Signed, sealed, published and declared by the above-named ROSALIE S. ARMENTO as
and for her Last Will and Testament, in the presence of us, who at her request and in her presence,
and in the presence of each other, have hereunto subscribed our names as witnesses.
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