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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 ,._, i-~~ '=h _J S6 :i2 t'-") ~ CQ c.... '1:;.T:-- :z Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) (.J So ::0 v ..:~E~ ~...../ .; ;.......... -0 :A - c.J .::- 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 ~4~ administer the estate according to law. :)\(~ Signature of Personal Representative Mar lin R. McCaleb day of Q(j(\~ /.~ .u,v~ For the Register Signature of Personal Representative ~-"') Signature of Personal Representative (') f:,~ ~~ ~<,. --r'\ C,;:~ c~ ~.~ . " - <- ?;: rv CO ~ ,~.--) . File Number: .2 I - O${ - 00 Q'1 - - ; .....--'~; (~;'2 -0 -'t'tT ~... . --'\" ~ Estate of ROBERT E. DIETRICH ...,--, ~ , Dece~d - .- 0) <.)1 - 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~ ~~~~~~~/KU~~ml0eJl~. 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 Jcf (JJUJo (v.W ~rOO Telephone: (7l7) 691-7770 o/J.~o Form RW-02 rev. 10.13.06 Page 2 of2 HI05.~05 REV 101/117) Z l - OK -O<:Y1c( 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 ~ /~" /b7 Date Issued n ~~ t.-....,) c::> (':':~.~ co ~ ..~ 4-:.:"", _i ) (~) r-- hi N co -0 =t: w .:=- 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 17d~~~~_ T"" Mechanicsburg ()jy IIIoro o '" ~ ~ ~ - ~ . 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" I I I , I , I I I , I I I I I I ~~~tI:a"l~ 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 ~ ~ 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 C) c=;o 1~p, REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYL VANIA -"h 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 . . 1 . Pol.~ AIIooIaIIon 01..... r-...) ........, r-:;::: c::o Co- :::r-- ._':::'!"'" C'V CO u 3:: w m CUMBERLAND REGISTER OF WILLS COUNTY, PENNSYL VANIA f,"",) ;g co RENUNCIATION <'- ::;= .,:...:..- N co V :76: ESTATE OF ROBERT E. DIETRICH (..) 0"1 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 ~~ro~~;c:~ ~C'-~ (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 r'0 REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA t:li) -u ESTATE OF ROBERT E. DIETRICH (..) 0") 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) ~ ~~ !J~ 1JJ~ (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 N (~'2; Estate of ROBERT E. DIETRICH G) '~~\ , :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 t- ) (~r..;o "-'),--. ~-.=? Estate of ROBERT E. DIETRICH _',.1 , Erecea$ed 0.> .." Q) ;:2--; 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 --:':~~::::d~Jt-6- 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'). ~-~Q.~ 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 N co -0 -'~~ w 0' 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 C.:; -c ESTATE OF ROBERT E. DIETRICH Estate of ROBERT E. DIETRICH c.j u' , 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 <?-. . ~ t?~ r- 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 f'..) c:\) -- =-~~[ c..) C"l 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