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HomeMy WebLinkAbout01-1030 PETITION FOR GRANT OF LETTERS OF ADMINISTRATION Estate of Troy John Benedic t also known as Troy John Penasa No. To: c:<, - 0 I - J 030 Deceased. Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania Social Security No. 138-60-6063 The petition of the undersigned respectfully represents that: Your petitionerOO. who is/lI~ 18 years of age or older, appL ies for letters of administration on the estate of (d.b.n.; pendente lite; durante ab!'ientia; durante minoritate) the above decedent. Decedent was domiciled at death in Cumberland' County, Pennsylvania, with h is last family or principal residence at 46 West Orange Street. Borough of Shi..1UH~nsburg (list street. number, Twp. or Boro.) Decedent, then 35 years of age, died August 30 at Chambersburg Hospital, Chambersburg, PA 17201 )C~ 2001. 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: None Petitioner_ after a proper search haL- ascertained that decedent left no will and was survived by the following spouse (if any) and heirs: Name Relationship Residence Tammy S. Penasa Spouse 46 West Orange Street Shippensburg, PA 17257 THEREFORE. petitioner(s) respectfully request(s) the grant of letters of administration "in the appropriate form to the undersigned. i~l>l~M~ ~ ~ Tammye fPenasa Cll:~ . -g.g ~.::: ~~ 'G'... ;;0 'Cii I:: I:lO Vi 46 West Orange Street Shippensburg, PA 17257 (717) 532-3894 J '7 -~O - ~ OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } 55 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. . ~ " n Sworn to or affirmed and subscribed ~~_'~\I\\i~ before me this 6th day of ==~ - S. - nasa November - ~2001__ 'tn~ t~\ Register l - fI.l f =' ~ Q .. m No. 21-01-1030 Estate of Troy John Benedict a/k/ a Troy John Penasa , Deceased GRANT OF LETTERS OF ADMINISTRATION AND NOW NOVEMBER 9 ~2001, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that Tammy S. Penasa is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration are hereby granted to Tammy S. Penasa in the estate of Troy John Benedict a/kl a Trov John Penasa '-rnalV1 CJ";;e IJ'"'^ ili..-.f?t~ , Register of Wills FEES Letters of Administration ..... $ 1 R . 00 Short Certificates( ).......... $ ~ nn Renunciation ................ $ JCP $ E:\ no TOTAL _ $ ?h.OO Filed. .NO"Y:.. .9~2Q01...... A.D. 19_ Jerry A. Weigle, Esquire #01624 ATTORNEY (Sup. Ct. J.D. No.) WEIGLE, PERKINS & ASSOCIATES 126 East Kin~ ~~rpp~ ADDRESS Shippensburg, PA 17257 PHONE (717) 532-7388 "'" ~", Q,t:"V 0 'Q(.. 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. No. 21-01-1030 Fee for this certificate, $2.00 p 7645815 AI. ~ ~~/ Date _.1/91 COMMONWEALTH OF PENNSYLVANIA .~wtMl"T OF HEALTH · VITAL RECORDS CERTIFICATE. OF DEATH (COrOher) UNDeR 1 OM Houri Mlnotn ~'=Il'l 0 RACE. American Indian. Block. WhO.. ete (SpeeW'h i te 10. SURVIVING SPOUSE (ll WI!". <JIVfll1lalt 11'11 rlWll'" S. Worthington !wi' Shippensburg citylllom 11257 17257 ME SIGNED (Monlt1. DAY. \'M.) NoD I'IIlRT ", 0Itler IlgnIIfetInt condtIIOns contribut1nolO _tho but not rnultlnQ in the undeftyltvjl caul4' Qi"''''' in P~ll _1m! CAuee (FInal _orcandllieln ,~in_)- .........,. ......... M_IoedIng.._ ..... Enler \IIIlIIII.YlNGI CAuee~or;r.jury 1I>al__ ,~in_)LA8T b. Possible C-S ne FractUre DUE TO (OR MJ A CONSEQUENCE OF): Blunt Force Trauma 0Uf TO (OR MJ A CONSEQUENCE OF): .... 0' No iii ....0 Noli] NIlInI AccIdonI D !iI o HomIddI PendInoI~ Cooid noI be cIIlerrnlrNld INJURY AT WOR1<? DUE TO (OR M. A CONSeOUl!NCE OF): IIW'S AN A 1'EflFORMED? Y DINGS --.ABLE PRIOR TO COMPLETION OF CAUSE OF DEAl'H? MANNER OF DEAl'H ... JIlt. CIIlTI'lIIIl ~ arty onel oCIRTftM I'tl'IIIClAII (PhyoIcIIn <*1IlyIng caJIIl of _......, __ ~ Me ptotlOll",* _ and 0CIT1jlI0Ied n.n 23) ....btIlot""---.......___"'...........,_____.................................................... . SUICIde 21. n. 11JI,..t.l1 ,J1 Coroner DIITE SIGNED (Monlt1. DAY. 'lilII1 II. September 4, ;lOO1 Y . ~n"ri'rr~~~~er DEATH 1497 Loudon Road [j III. Cham burg, PA 17201 om FILED (MonIt1. Day.-l ol'ftOtlQ~ _CMrI'YMGPltYIlCWI (PhyIlcien bal>pronauncIng dIIlh nI~ "'.-01.... ....btIlot"".........._~II........d8Ie.IIId.......lllddulilll..___'IlIId-.................................. . olllDlCAl.~ . On the.... "'............... Mdlor ~1On.1n my opinIOn, cIeIIlII-.md lithe IIIMo...... MIl pIee, MIl clue 10 11M -...1 Wi -_..-............................ ................................. .. ................................... "L . REOISTlWl'S S1GNRURE AND NUMBER M. MARK, WEIGLE AND PERKINS, ArrORNEYS AT LAW 126 EAST KING STREET. SHIPPENSBURG. PENNA. 17257 '-'-':'i;i,i;lHONE: (717) 532-7388 FAX: (717) 532-6552 IN RE: EST ATE OF TROY JOHN BENEDICT a/k/a TROY JOHN PENASA, late of the Borough of Shippensburg. Cumberland County, Pennsylvania. deceased IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE NUMBER 21-01-1030 CERTIFICATION OF NOTICE UNDER RULE 5.6 (a) Name of Decedent: Troy John Benedict a1k/a Troy John Penasa Date of Death: August 30, 2001 Estate No. 21-01-1030 To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above- captioned estate on November 21, 2001 : Tammy S. Penasa 4202 East Henry Avenue Tampa, FL 33610 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except NONE. Address: /~'-'~"\, I " s~ ,,,"",,, ' , \ ,. ,/' Ii . ~\ /1 ' Signature---rJM . C I LtC_iiL/.'i,. Ji' \, ~l Jerry A. Weigle, Esquire ~ Weigle, Perkins & Associates 126 East King Street Shippensburg, P A 17257 Novell1ber 21,2001 00 I'''' ~ N '.- :? ...- 'j E: 0 "', ~ .;~ ,;' ~:;: > ,;! I S! ti t') -; ";' ~ ~:JI -~ .Q 11) - '- s: r:~> a: p <i) I: er ad Name: Telephone: (717) 532-7388 Capacity: Personal Representative X Counsel for Personal Representative WEIGLE, PERKINS & ASSOCIATES -, ATTORNEYS AT L~,W 126 EAST KING STREET -- SHIPPENSBURG. P/'- 1 (;~ ' REGISTER OF WILLS, CUMBERLAND COUNTY STATUS REPORT UNDER RULE 6.12 Name 0 f Deceden t : Troy John Benedict a/k/ a Troy John Penasa Date of Death: 8/30/01 Will No. Admin. No. 21-01-1030 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complet~: Yes X No Estate was opened just to get Short Certificatl All assets joint with spouse. required for payment of insurance proceeds. 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No X b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes No X d. Copies of receipts, releases, joinders approvals of formal or informal accounts may be filed Cerk of the Orphans' Court and may be attached to thi c: ~t ()<J;;i iDO: a: Fl '0 .0 ~s= (0- 0u Jerr A. Wei Ie, Esquire Name (Please type 0 WEIGLE, PERKINS & ASSOCI 126 East King Street Address Shippensburg, PA 17257 ( 717) 532-7388 Tel. No. Date: 1/22/02 \,Q N (">'"') CL .:~~t ...... () co ..- z o::::c J Capacity: Personal Representative X Counsel for personal representative (MAH:rmf/AM3)