HomeMy WebLinkAbout01-28-08
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
Estate of
ROBERT E. DIETRICH
File Number
:J I ~O>f- OOqq
,
also known as
. Deceased
Social Security Number
169-44-3175
D A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the
last Will of the Decedent dated and codicil(s) dated
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Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
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Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the instrument(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
(State relevant circumstances, e.g., renunciation, death of executor, etc.)
~ B. Grant of Letters of Administration
(If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite,' durante absentia; durante minoritate)
Petitioner(s) after a proper search has / 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 of heirs.)
I Name Relationship Residence I
See attached Schedule A. All ne} t-of-kin have renc unced their rights to Letters
of Administration and have nomine ted Petitioner to administer the estate.
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
Decedent was domiciled at death in Cumberland
Main Street. Borouah of Mechanic~~lrq
(List street address. town/city, township, county, state, zip code)
County, Pennsylvania with his ~r last principal residence at 53 East
C'nmhprl ~nn rr'll1n....y f pn 17055
Decedent, then 55 years of age, died on June 23, 2007
Mechanicsburg, FA 17055
at 53 East Main Street,
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) 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
1,500.00
$
$
$
$
None
situated as follows: N/A
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:
T ed or rinted name and residence
Marlin R. McCaleb
219 East Main Street, Mechanicsburg, PA 17055
Form RW-02 rev. 10.13.06 Page 1 of 2
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 of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly
Sworn to or affirmed and subscribed
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administer the estate according to law.
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Signature of Personal Representative Mar lin R. McCaleb
day of
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For the Register
Signature of Personal Representative
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Signature of Personal Representative
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Estate of
ROBERT E. DIETRICH
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, Dece~d
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Social Security Number: 169-44-3175
Date of Death: June 23, 2007
AND NOW, January r<)r!b/) 2008. in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters of Administration
are hereby granted to Marlin R. McCaleb
in the above estate.
D<tKmmKimtoJxontflx~
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FEES ~' Jet ,~'-!;;:,,~~.ayi-'A1J ~llt[l{l"i'r<,~
Letters ............... $ ~~:~~ Re7:01:: // "::>~'t/j} ,l~
Short Certificate(s) . . . . . . . . $ Attorney Signature: t?:z.~
R " () r $ LlU ;(J (;
enuncIatIon s .......... '.2
.. . $
... $
.. . $
.. . $
. .. $
...$
. .. $
.. . $
. .. $
TOTAL . . . . . . . . . . . . . . $
Attorney Name:
Marlin R. McCaleb
Supreme Court J.D. No.:
06353
Address:
219 East Main Street
Mechanicsburq, PA
17055
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Telephone:
(7l7) 691-7770
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Form RW-02 rev. 10.13.06
Page 2 of2
HI05.~05 REV 101/117)
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LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CORONER'S CERTIFICATE OF DEATH
(See Instructions and example. on rever.e)
3. Soc:iaI Seculity Nuntlot
169 - 44
Sa. ~ III Oealh (Check one
HoIjliIal:
D iI1>alienl D ER I Outpatient D DOA D N~ _ Aesidonce OOlher. Sjlec:iIy
9. Was 0ec8denl 01 Hispenic Origin? lp. Race: AmoIic:lIn 1rdlwI, IllIl*, VtbII. 8:.
(U yea, II*ilY CubaII, (~
Mexican, PUllIIo Rican, 1Ilc.1 White
14. ~ SIaIua~~ _. 15 Sl.rwtWIg SpoolIe (U.... glv811l1idon._1
Never Married
Fee for this certificate, $6.00
P 13670732
Certification Number
Hl05 144 REV 1112006
TYPE I PRINT IN
PERMANENT
lllACKINK 131-042
I HIIne 0I1loc2donI (Fi<sl. middle, Ia$l, ......)
Robert
5 Ago (lasIlliIlIIday)
55
This is to certify that the information here given
correctly copied from an original Certificate of Dea
duly filed with me as Local Registrar. The origin
certificate will be forwarded to the State Vit
Records Office for permanent filing.
M4t: 11L
Local Registrar
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Date Issued
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STATE FILE NUMBER
E
Dietrich
6. llaIa III Bi'" (Monlh, da .
7. .
t Wld 11II11 or
July 16, 1951
Mechanlcsburg, Pa.
ed. FaciIily HIIne IU not inslilulion, gIv8 S1teel and numbetl
53 East Main Street
11. Oocodonl'. Usual
roost 01 life. Do noI Slate rotirod
Kind oIll\t1ir.!!lI IIn<b1ry
Retail Grocery
16. DocedonI'. Mailing Addr... (Slreel. city 11own, slale, ~ code)
53 East Main Street
Mechanicsburg, PA 17055
12. Was 0ec8denl..... in tho
U.S. Annod For_?
DYe. ~
Decedent's
AcIual Residence 17a. SIale
13. o-IInr. Edue*ln ( . ooIr .
ElemenIary I Second8ty (0-12)
12
PA
Cumberland
17b. Coonly
18. 1.IoIhe<'. Name (FifSl, nidlJe, maiden surname)
Verna L. Yost
18 Falhe<.s....... (First, llIiddIe.lasl. SlMill)
Robert H. Dietrich
2Oa.lnIormanI's Name (TjpO I Prinl)
4. Dille III Dea.th lMon1h, day, YN'l
June 23. 2007'
17e. D Yes, Decedeot I.iwd in
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Mechanicsburg
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2Ob.lnloomanI'a MaMlg Address (SlreeI. city J -.. _, zip CCldo)
55 East Main Street Mechanicsburg, PA 17055
21e. Place 01 Dosposition (HIIne 01 cemetery, crematory or olIlOI place) 21d. Location (()jy 1-.. _, zip CIlda)
Mechanlcsburg Cemetery Mechanlcsburg, Pa.17055
Barbara Beistllne
D Cremation D IlooaIion 21b Dele 01 Disposilion 1-, day.jlW)
~":"~~Dy..DNo 6-30-2007
22b. l.icanie _ 22c Nome and AddrllII 01 FaciIiIy
FD-012662-L Myer. Funeral Home, Inc. 37 East Main Street Mechanlcsburg, PA 17055
231>. l.icenae Numbet 23c. Dele Signed (Monlh, day, year)
IIems 24-26 musl be compieIed by peISOl1 25. Date P""""""'ed Dead (MonlII, day, yeet)
wtlopnlflOl.WlCOS_ t.. M June 23. 2007
CAuse OF DEATH (See lnatructlana and ..amp.a)
1lem 27 p." I: Em...... ~ - _s, injuries, or comp/icallons -thai direcay caused lIIe dealh. DO NOT enI",lermonalevenls SucIl as cardIaC alTest,
leSpiralOr)' 8ITesl. 0( \'OIlIIiWar lilriation wiIhout showing lIIe 0Ii0I0gy. List only one couse on eaclllile
I Approxirnale inlefval:
, 00seI1o Doa"
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Occlusive COrOnary Arterv Disease
Due 10 (or as a CO/lSOQIJOflCO 01):
SllQuenIieIy lISt conditions, ilIIlY,
IOaCiinglOlhe cause Iisledoolile a
e- ... UNlIERLYIlG CAUSE
==-:.~r
b.
Due 10 (0( as a CllnSOQUOnCe 01):
Due 10 (0( as I conseQUOIlCe 01)'
300. Was an AWpsy
POIIormed?
d.
JOb. 'Note Aulopoy rondings
A,_ Prior 10 Conl>IeIion
01 Cause 01 Dea"?
D Yes 0 No
32d. TIIIllI 01 Injury
31 Manne< 01 0eaIII
~ Natural D Homicida
o AccidenI 0 Pending Invosligalion
o Suiclda 0 Could Not be Determined
DV.. ~No
Y.
tz
e
~
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I
33a CaI*l (dledI only one)
. CerlIIyIng phy- (~ COIWyilQ cause 01 dealh _ anoIher physician has pronounced _ and compieIed Item 23)
To'" _01..,.......... daIllI OCCUI1IddullOtIlIcauu(.)and_1I1lIlacI.. _ __ _ _ _ _. _ _ _ _ _ _ _ _ _ __._ _ _ __ _ _ _ _ _ _ _ 0
::::,~=:."::"'~:::.=.~~~ '=""tIO'::'~~: _as .1alItL__ __ _ _ _ _ _ _ _ _ _ _ _ _ _ 0
. _E.-/eo.-
Oft... - of __ and I or lnvnlIgaIIon.1n Illy opinion, da.... OCCUfNd 01 till lima, _. and pIKe. and dua 10.... cauu('l and _ IIIlIlacI..
35
~
I~ I 11 ~ I J. I J. I .Dellr=lW:da~,~O'J
Disposition Permil No. 0 o.!r {J S'1 cz,
26. Was C... RefelTed 10 MecicaI E_ I Coroner lor a Reason 0Iher Ihiln er.matlon or Donation?
18lve. DNo
Part II: Enler olIIer sioruficanl oondiIions _ 10 _ 28. IJId TOba<co Use CatiIUla III lleaIl?
but noI rOBlliling iIlllle Illldallying cause given in Pal11 0 Yes D ProbebIy
DNa D~
29. NFemaJe
D NotIl'OQIl8I1lWllhin pall yeaI
o PIOlJl8Il\a1limeol_
D Notll'egnaIIl, but pregnaIIl wllIW1 42 days
01 daalIl
D NotlXegnaIIl, but lXepnl 43 days III 1 year
IIaIare _
D ~. pregnanl_tho JlIIII_
321:. Place 01 """ Home, Fann, SIr.... FllCIary,
0lIIca 1kJiIding. 8: (Sp6ci/';)
Coroner
33d Dale Sipd (McdI. day, yNr)
June 25, 2007
34'~~m 01 t':"" mGfmc:....~8t"tlm2fl TjpOl PrinI
6375 Basehore Roadl Suite #1
Mechanicsburg. PA 7050
SCHEDULE A
Next-of-Kin of Robert E. Dietrich, Deceased
Barbara Yost Beistline {first cousin}
55 East Main Street
Mechanicsburg, PA 17055
Pat Dietrich Hench {first cousin}
47 Garland Street
Carlisle, PA 17013
Pam Dietrich Gotshall {first cousin}
6192 Union Deposit Road
Harrisburg, PA 17111
Edward Harry Deitrick (first cousin)
1292 South 28th Street
Bistline House, Apt. 507
Harrisburg, PA 17111
Virginia Sheaf Panza {first cousin}
3101 Derry Street
Harrisburg, PA 17111
Cynthia Kauffman Thumma (second cousin)
1220 Mitchell Drive
Mechanicsburg, PA 17055
Kelly Kauffman Gitt (second cousin)
1604 Holly pike
Carlisle, PA 17015
Saundra Kauffman (second cousin)
220 South Washington Street
Mechanicsburg, PA 17055
RENUNCIATION
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REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYL VANIA
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ESTATE OF ROBERT E. DIETRICH
Estate of
ROBERT E. DIETRICH
, Deceased
I,
Barbara Yost Beistline
, in my capacity/relationship as
of the above Decedent, hereby renounce the right to
(Print Name)
first cousin
administer the Estate of the Decedent and respectfully request that Letters be issued to
Marlin R. McCaleb
~,; ~r<< 2007
(Date)
55 East Main Street
(Street Address)
Mechanicsburg, PA 17055
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Executed out of Register's Office
Deputy for Register of Wills
~(f~/O?
(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
COMMONWEALTH OF PEHNSYLVNM
NOTARIAL SEAL.
Joseph l. Grow. HoWry Public
Slhet SprinI} Twp.. Cumb8dMd County
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CUMBERLAND
REGISTER OF WILLS
COUNTY, PENNSYL VANIA
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RENUNCIATION
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ESTATE OF ROBERT E. DIETRICH
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Estate of
ROBERT E. DIETRICH
, Deceased
I,
Pat Dietrich Hench
(Print Name)
first cousin
, 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
Marlin R. McCaleb
~ <dI~ dl
(Date)
2007
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(Signature) Pat Dl.etrl.ch Hench
47 Garland Street
(Street Address)
Carlisle, PA 17013
(City, State, Zip)
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 ,,::>, day
of ~~ ~DO-:+-
&uo o,~~IA'~
Notary Public ./
My Commission Expires:~ ~ I ;;;lo\\.
Deputy for Register of Wills
(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
COMMONWEALTH OF -PENNSYLVANIA
Notarial Seal
Barbara J. Kri1schgau. Notary Public
South Middleton Twp., Cumberland County
My Commission Expires March 22, 2011
Member. Penn,ylvan'. Alloclatlon of Notaries
RENUNCIATION
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REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
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ESTATE OF ROBERT E. DIETRICH
(..)
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Estate of
ROBERT E. DIETRICH
, Deceased
I, Edward Harry Deitrick
(print Name)
first cousin
, 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
Marlin R. McCaleb
/ I u- '1- D'7
(Date)
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(Signature) Edward Harry Dei tr ick
1291 South 28th Street
Bistline House Apt. 507
(Street Address)
Harrisburg, PA 17111
2007
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Executed Ollt of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciat~~ the
p~ses stated within on this.Lf day
~~n~ ,AX'
f ~t) -- U;U0ct' -
Notary Public A-J;; 1
My Commission Expires: / () P f'<17
(Signature and Seal of Notary or other official q~ed to
administer oaths. Show date of expiration of Notary's Commission.)
Deputy for Register of Wills
Form RW-06 rev. 10.13.06
~MMONweAl TH OF PI;NNiYlVANIA
Notarial Sea ...,
Vck' L
. I I . Duncan, NcttZ:j Public
Oty Of H~rrisburQ, Daupilitl County
_ My Comml6SlOn E;~.lres Oct, 27, ~OQ7
Member. Pennsylv<ifll:J Aosoc,ation or- Nc..bTiea
RENUNCIATION
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
ESTATE OF ROBERT E. DIETRICH
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Estate of
ROBERT E. DIETRICH
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, :Deceased
I,
Kelly Kauffman Gitt
(print Name)
second cousin
, 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
Marlin R. McCaleb
/ IlJh/07
(Date) , / /
2007
/
1604 Holly Pike
(Street Address)
Carlisle-
M:t. llQl1y,. PA
(City, State, Zip)
i701S-
11103
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 q day
of 0 c.. -to be-r ().C:O 7
~l.ljL(l. ~~
ary Public
My Commission Expires: g 1 ~o ) ) D
Deputy for Register of Wills
(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
NOTARIAL SEAL -
Julia 4. Htndrfckson, Notary Public
Wartington Twp. York County
My Commission Expires Sept. 30, 2010
I/-
RENUNCIATION
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
ESTATE OF ROBERT E. DIETRICH
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Estate of
ROBERT E. DIETRICH
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, Erecea$ed
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I,
Saundra Kauffman
(Print Name)
second cousin
, 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
Marlin R. McCaleb
/ October Iff~
(Date)
2007
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220 South Washington Street
(Street Address)
Mechanicsburg, PA 17055
(City, State, Zip)
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, sw.ted within on this Ic;rth. day
of ~~ ,...;>00').
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Notary Public
My Commission Expires:
Deputy for Register of Wills
(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
~1HOFPENNS'ft.VAMA
NOTARIAL SEAl.
~L BROWN, NOTARY PUBtJC
fMT PeNIIORO lWP.. CUMBERlAND CO.
UY~ EXPIRES JUNE 18.2008
RENUNCIATION
ESTATE OF ROBERT E. DIETRICH
5:
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
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Estate of
ROBERT E. DIETRICH
, Deceased
I,
Pam Dietrich Gotshall
(print Name)
first cousin
, 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
Marlin R. McCaleb
vio ,\J{
(Date)
2007
~~ ~i~A~s~ ~
6192 Union Deposit Road
(Street Address)
Harrisburg, PA 17111
(City, State, Zip)
Executed in Register's Office
Sworn to or affmned 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 irtl. day
ofOcft::> bey , ;(ao7
~a;Aff~
Notary Public
My Commission Expires:
Deputy for Register of Wills
(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
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Marlin R. McCaleb, Notary Public
Mechanicsburg Bore, Cumber1and County
My Commission Expires Dec. 14, 2010
Member, PeMsvlvania Association of Notaries
RENUNCIATION
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
N
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ESTATE OF ROBERT E. DIETRICH
Estate of ROBERT E. DIETRICH
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, Deceased
I, Virginia Shea~ Panza
(print Name)
first cousin
, 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
Marlin R. McCaleb
vC: I )~/p f)
(Date)
2007
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
Form RW-06 rev. 10.13.06
~~}g,-::panza
3101 Derry Street
(Street Address)
paxtang, FA 17111
(City, State, Zip)
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 f~ the
purposes stated within on this ol.. c:< -? day
of ~Yl ~cLt/'1 ' ~ DO <?-. .
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Noa P (J
My Commission Expires: i. / ~ t.../ /1 I
(Signature and Seal of Notary or other offici/qUalified to
administer oaths. Show date of expiration of Notary's Commission.)
RENUNCIATION
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
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Estate of
ROBERT E. DIETRICH
, Deceased
I,
Cynthia Kauffman Thumma
(print Name)
second cousin
, 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
Marlin R. McCaleb
January 25, 2008
(Date)
~
1220 Mitchell Drive
(Street Address)
Mechanicsburg, PA 17055
(City, State, Zip)
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 25th day
Of$;;~200A
Notary Public
My Commission Expires:
Deputy for Register of Wills
(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
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Marlin R. McCaleb, Notary Public
Mechanicsburg Boro, Cumber1and County
My Commission Expires Dec. 14,2010
r,k',Ylho.. Pennsylvania ASsocia.tion of Notaries