HomeMy WebLinkAbout02-25-08
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYL VANIA
Estate of
also known as
MICHAEL R. GU~CHEL
Fi]e Number
, Deceased
Socia] Security Number
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
o A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the
last WiH of the Decedent dated and codicil(s) dated
named in the
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(State relevant circumstances, e.g., renunciation, death of executor, etc.)
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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 ofthejn;'it;:.Ument(~tTered
T' c..n
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: - .
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IK] B. Grant of Letters of Administration
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(Ifapplicable, enter: c.t.a.: d.b.n.c.t.a.: pendente lite: durante absentia; durante mmQhtate)
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Petitioner(s) after a proper search has! have ascertained that Decedent left no Will and was survived by the following spouse~9~;) and flttrs: (/f
Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
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C Name Relationshin Res idence 1
Jovce E. CaDD Mother 685 Moore's Mountain Road,
Mechanicsburg, PA 17055
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
Decedent was domici].ed at death.. in.. rll~"':l:'J ~R<l . County, Pennsylvania with his / her last principal residence at
297 Walnut Lane, Mlddlesex owns lPF(Post Offi~e: Carlisle, PA 17013)
(List street address, town/city, township, county, state, zip code)
Decedent, then 44 years of age, died oiebruary 16, 2008
County. Pennsylvania.
ill Silver Spring Township, Cumberland
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
$ '5.000.00
$
$
$ None
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 Ilndersigned:
("
oyce app
685 Moore's Mountain Road, Mechanicsburg, PA 17055
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S i nature
FormRW-02 rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEAL TH 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) ofthe Decedent, Petitioner(s) will well and truly
administer the estate according to law.
Sworn to or affirmed and subscribed
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before me the
.;)s
day of
Signat, e 0
Joyce E. Capp
(k;
2008
Signature of Personal Representative
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Signature of Personal Representative
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File Number:
c.)
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Estate of
MICHAEL R. GUSCHEL
, Deceased
Social Security Number: 161-60-2152
AND NOW, '-4e bn1(-lty as- ,2008
having been presented before me, IT IS DECREED that Letters
are h(~reby granted to .Joyrp E. CRpp
Date of Death: February 16, 2008
, in consideration of the foregoing Petition, satisfactory proof
of Administration
in the above estate
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FEES
Letters ...... .5.1~~' $
Short Certificate(s) . . q: . . . $
Renunciation(s) .......... $
jC? ...$
k-\o ...$
... $
.. . $
. .. $
. .. $
.. . $
...$
.. . $
TOT AL .... . . . . . . . . . . $
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Attorney Signature:
Ib
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Attorney Name:
Supreme Court 1.D. No.: 1106355
Address: 44 West Main Street
Mechanicsburg, PA 17055
Telephone: (717) 697-8528
to SOO -tr.ee-
Form RW-02 rev. 10.13.06
Page 2 of2
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
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fr.- ~2jJ..o/ or
Thi.sl\ It> ClTtlfy thill the iJ1fonnat!o!1 here gl\en is
correctly COPll'd 1nl!li an onginal Certificate of DC<lth
duly filed \\ lth me a. Local Regis!rar. rhe original
certificate will be forwardlxl to the? State Vital
Records Ollice lor pCrlllilrJCnt filing.
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Hl05144 REV 1112006
TYPE I PAINT IN
PERMANENT
BLACK INK
1/31-211!
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CORONER'S CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
I. Name of Decedent (First, 1Tlidlie, last. suffix)
IUchael
R
Guschel
S. Age (La. _,I
44
6. Date of Birth (Month, day,
May 12, 1963
,_(c.
Mechanlcsburg,
Vrs.
8b County of Death
Cumb,erland
&t Facility Name (If not institution, give &tree! and ~r)
Bernheisel Bridge Road
mosl of WOlIon life. Do not state retired
Kind of Business I Industry
Trucking
12. Was Decedent eVI( in the
U.S. Anned Forces?
~Yes ON<>
~'.
A.ctuaIReSideOCe 17a. Slaftl
13 _'. Education (Spec;Iy only ~ 11'.... compIelBd)
Elemenlaoy I Secoodary (0-12) CoM6ge (1-4 or 5+)
1
- 16. OecedeIlf's UaiIingAddress (Street city I town, state, zip code)
297 Walnut Lane
Carlisle, PA 17013
PA
Cumberland
llb. County
19. Mothel's Name (Firs!, middll, maiden surname)
Joyce Johnson
18 Faltler's Name (First, rnkXlIe. lasl, suffix)
Ronald Paul Guschel Jr
4. Date 01 Death (Month, day- year)
February 16, 2008
14. Marital Status: Married, NEwer Married,
WOlowed, 0_ (Spoci/)j
Divorced
Top
DR....."'" r - Soooil<r
6iLN<> 0 Yes 10. Race, American \'dan......., _, elc
(Spoci/)j White
Oid_
Uveina
Township?
Middlesex
17e. I:A..ves, Decedent lived in
17d.D No,Decedenllilledwithin
Actual limits of
City/Boro
Joyce Capp
2Ob. Inlormanrs Mailing Address (&reel, city I town, slate, zip code)
685 Moores Mountian Road Mechanlcsburg, PA 17055
21d. localion (cry I town, stale, zip code)
Schaefferstown, Pa. 17088
21c. Place 01 Dispo6itioo (Name 01 cemetery, crematory Of OCher place)
Conollte Crematory
20a InlonnanJ's Name (Type j Pliol)
"
3
~
iI
22c. Name and AddJoss of FacMity
Myers Funeral Home, Inc. 37 East Main Street Mechanlcsburg. PA 17055
26. Was Case Referred to Medical Examiner I Coroner lor a Reason OIher than emation or 00nali0n7
~y.. ON<>
Appfoximale inl8rvlll' Pan I!: Enter other!!limD:anf coodlrians lXlrIlributno 10 dealh 28. Did T(i)aQ;o. Vu Contti:ue 10 0ea1h7
QrlselloDealh bt.JlooIresultinginlhell'lderlyingcause~inPartl 0 Yes OProbabty
ONo ou""""",,
29. "Female:
o Nol__""""
DPr~allimeoldealh
o NolPlO\1...., bu1 p__" do,.
.......
O...proglaOl.....pr......""'Y.lor...,
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320 P\oCe oIlrjuoy' Home, Fann, _ F-"
ole, overturned OIicos."""Il'''li~r'rh Road
32g location ollnjufy (Street, city llown, &Sale)
ttems 2.4-26 must be cornpIeled by person
. who pl"0l'\0lJf)C8$ c1eath 1.
24. Time 01 Death
Aprx.
P. M
25. Dale Pronounced Dead (Month, day, year)
February 16, 2008
4:30
CAUSE OF DEATH (s.. Instructions .nd examples)
Item 27 Pall I. EilleI the aJ..m.mnlIi - diseases.lfIIUnes, Of oompIiCallOfls - thai directly caused the death. 00 NOT enter terminal 8'l6flts such as cardiac arrest,
r.:!Spir8Iory illest. Of ventricular IibriUation without showing the etiQlogy liS! only one cause OIl eactlline
~~~S~=)dlse::.
Traumatic Neck Injury
Due 10 (or as a consequence of):
b Motor Vehicle Crash
Due 10 (or as a consequence of):
SeQuer\tlalylist(:ondItions,ifany,
leaCknQ 10 the calJS8 tisledoolirea
EIlIM lie UHDEIIlYIHG CAUSE
L~~e~~n~~~1re
Due to lor as a consequence o~
d.
3Oa. Was an .4.utopsy
p,-
JOb. Were Autopsy F/I'l(jng$
Available PrioI" to CompIetioo
cl Cause 01 Dealh?
31 Mann6fr>>Dealh
o Natural DHornicide
~ Accident 0 Pending Investigation
o SwOOe 0 Could NoI be Oetemuned
4:30
DYes Ili:rNo
Ov" ONo
32cf,TlfJ\8otlnjuly
I
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J3a CeMiM {dltlCA only one)
~~:r:::~~:=:=:..~~c:u=~~=r:::..~_~a~ ~ ~~ ~~~ _ _ _ _ _ _ _ _ __.. _ _ __ _ _ 0 ...
Pronc>UOtlng and tertityinll phy5lcian IPhySlcian both prOOOllocing death and certifying 10 ClWSe at death} .
To lhrll but oe my knowtedgt, death occurred II the time, dlte, and place, and dlJt to the ClUaa(') and manner II ...tIeL. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0
~~ ~=~":.":: and I Of lnv..tiguion, in my oplnlon, 4eath OI;curred .t the lime, data, ....d place, end dlJl to the CluH(.) and manner .. stated.- at)
1,).,1 / ~ I / 14 I
Disoosilion Permit No
/93.2.()rJ
23b. License Number
Rd,Carlisle,PA
Coroner
33d 0... Signed IMonlII, "'Y, year)
February 19, 2008
34 'm. 't"b't1'~"ff PL":' "tIb~" ~~ ~ i'l~il~''''' p"",,
6375 Basehore Road{ Suite Hi
Mechanicsburg, PA 7050
33c. Licel"l$8 Number