HomeMy WebLinkAbout03-04-08
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
Estate of LUKE S. BASSLER
File Number
J. \ U(;
O'dL\: u
also known as
, Deceased
Social 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 Will of the Decedent dated and codicil(s) dated
named in the
(State relevant circumstances, e.g., renunciation, death of executor, etc.)
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:
o 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 a/Will in Section A above and complete list a/heirs.)
c= Name Relationship Residence I
HARR Y 1. BASSLER, III FATHER 36 WOBURN ABBEY AVE., CAMP HILL, PA 17011
MARIAN J. BASSLER MOTHER 36 WOBURN ABBEY AVE., CAMP HILL, PA 17011
STEPHEN E. BASSLER BROTHER 36 WOBURN ABBEY AVE., CAMP HILL, PA 17011
(COMP1.ETE IN A1.L CASES:) Attach additional sheets ifnecessary.
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his / her last principal residence at
36 WOBURN ABBEY AVENUE, CAMP HILL. EAST PENNSBORO TOWNSHIP, CUMBERLAND COUNTY, PA 17011
(List street address, town!city. township. county, state, zip code)
Decedent, then 21
PENNS YL VANIA
years of age, died on FEBRUARY 8, 2008
at EAST ARMAGH TOWNSHIP, MIFFLIN COUNTY,
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
150,000.00
$
$
$
$
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:
~
!17!rDeLfJ/h
T ed or rinted name and residence
HARRY 1. BASSLER, III, 36 WOBURN ABBEY AVENUE, CAMP HILL, PA 17011
MARIAN J. BASSLER, 36 WOBURN ABBEY AVENUE, CAMP HILL, PA 17011
Form RW-02 rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYL VANIA
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
administer the estate according to law.
before me the
L.-/
Sworn to or affirmed and subscribed
~(J:Ch,
/ '; J,
Signature of Personal Representative
File Number:
d \ 6 8 Od'-t"-.J
Estate of LUKE S. BASSLER
, Deceased
Social Security Number:
Date of Death: FEBRUARY 8, 2008
AND NOW, fYlo r ell ~ , ;JOLJ({ , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters OF ADMINISTRATION
are hereby granted to HARRY J. BASSLER. III AND MARIAN J. BASSLER
in the above estate
and that the instrument(s) dated N/A
described in the Petition be admitted to probate and filed of rec~r1 as the ~Iast :~( and Codicil~ ) of De~edent.
FEES ~ Yh_ :;]1V(f/L .
Register of Wills
10.00
5.00
Attorney Name:
Letters ............... $
Short Certificate(s) . .(4). . . $
Renunciation(s) .......... $
JCP . . . $
AUTOMATION FEE . . . $
.. . $
.. . $
.. . $
.. . $
.. . $
. .. $
.. . $
TOTAL .... . . . . . . . . . . $
260.00
16.00
Attorney Signature:
Supreme Court I.D. No.: 78627
Address:
940 CENTURY DRIVE. SUITE B
MECHANICSBURG, PA 17055
Telephone:
717-766-7702
291.00
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.
Fcc ,'or Ihi, eerlil ,:al<:'. "('.00
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Certificdtl\'!i ;\Iumher
Thi, is tu ~'enir) tlidl lhe inionn:lli('n her<: gi\cn I
~'oITectjy c(lf1ied Ir'lfn an original Certificate of Deat
duJ, filed wilh ile a" LOl'aJ RCi.!:\irar. The oni!in.
,:ertificillt' \\tll he jUr\\arded 'I.) thl' Slate ViI.
Rel"Ords Office h r permancllt filing.
~~t f1aiJ~~~-2iJ ~-.LQL
Local ~P:t::;::-~ Date Issued
HlllS.144 REV 1'_
lYPf I PRINT IN
PERMANENT '
IllACKINK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CORONER'S CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
STATE ALE NUMBER
o ~ O;lL\V
1. Nameol_(ArsI,_,Iast,_)
5. Age (last Binhday)
21"...
811. County 01 o.a..
Luke S. Bassler
6. DaI8 01_ (Month, day, art
7.Birl!1place(C andslal80r
October 12,1986
Harrisburg, PA
Miff/In
East Arrnagh
ad, FaciityName (0001_, givo_and~
U.S. Highway 322 E. Arrnagh Twp.
11. Decedent'sUsualOc
KindIi'Wort
College Student
mosl d life. Do not state retired
Kind 01_1 IndusUy
Higher Education
12. Wu Decedent 8V8f in the
U.S. Anned f0lt0S1
o v.. III No
0ec8d0nl'.
ActuaIResidflnce 17a.State
PA
, Cumberland
. 16.Decedent'IMailingj~(Slreet,city/toM'\.aaate,zipcod&)
36 Wobum Abbey Ave
Camp Hill, PA 17011
16 F....... Name (1'''', _, Iast,_)
17b. County
16._.Name(FIrs1,_,_"""""1
Harry Bassler
66- 1534
00lh0t. SpadIy:
10. Raco:_-,-,-,8Ic.
(Spoor)!
White
Oid_
lNe~. 17c.00 V..,_lMod~
T_1 17d.o No, _lMod_
Adu8I '- 01
East Pennsboro
Twp.
ClyIBoro
Marian Kupchlnsky
2Ob.lntonnart.MaiIing_(-'cilyl_,_,Z\l_1
36 Wobum Abbey Ave Camp Hili, PA 17011
!Jl
::>
~
I ApproximaIeIn!8lv8l:
I OnseUo 0eaIh
I
I
,
: MinJt~
,
I
,
,
,
,
,
I
I
I
200.1_. Name (Type 1 Print)
21c,PI8aoolOioposilion(Nameol_,_or_"...)
Evans Cremation Service
21d. Ulc8don (CIy 1_ _ Z\l-l
Leola, PA 17540
220. Namo and _ 01 FaciiIy
Gilbert L. Dalley Funeral Home 650 South 28th St. Harrisburg, PA 17103
231>. Lico!nM _ 230. _ SIgnad (Month, day, yell)
338. Criior (dlICk orOf ono)
. =::''::'"'':::-==:''~",~~':~~~_~_~~~u___mu__m__ 0 ~
~andCOl1lfytng~(PI1yolcIanboOhprollOUlldng_""tol1iIyInQIo"""'oI_) 330. .....N...... 33d.Il8I8S1gnad(_day,j08/)
T."'_oImy~__"""_,d8Io,andploco.anddue"""COllI8(.)and__..oloI8cL________.________ 0 ' Fp-......... 00 ~
. __/cew- ~UULT ,
On ""..... of -- and/", ~ In my opkIIan, - --.. '" -, daI8, "'" ploco, and due" '" COllI8(.)and --.. oloI8cL it 34. Name anl_... 01_ WIIo CompIoIod Causa 01 Ilea.. (118I1127) Type 1 Prilt
24. rN118 01 o.a..
M.
GAUSE OF DEATH (See InatrucUons and exam lea)
_'0. Parlt em.ll18l:1l1iu1tmll11-_ ...,..,or__-lhlIldllucdyc:ausod..._. 00 NOT ..."_8V8f'ISsuch....-.......
.......tory....., or__........JIIclwinQ...oIioIogy. Ustorqono""",,,,_ ino.
=~=~ .. MJltiple ~ Pra:taes
Doe to (or aa a COO58QU8fICe ot):
=101_, 'any,
to cause kted on line 8.
em. UIIOfIll.YING CAUSE
t="~nu:..~~'"
b.
Due to (or as a consequence 01):
c.
Due to lor as a consequeoce 01):
d.
n. W...AuIopsy Fincings
A_Priorlo~
of Causa 01 Deafh?
KI V.. 0 No
31. MaIno< 01 DeaOl
0....... 0-
rx- oP8lldinQlnv8Sligallon
0- oCouldNolb8~
30L Was an_
P-
~V.. 0 No
I
~
~
26. Was Caae _ 10 _ E_I CoIorw "". RaIson Olhot Ih8n c--... Donadon?
xxv.. 0 No
Part II: Enter 0Iher sKnficanI mnlIIInn& 00I'lIriUin0 10 d88Ib 28. Did Td:lecco lJae ConIrIIue b Death?
butnol""*i1g~"'iIIIdol1yingC8US8givon~P8I1I. 0 V.. oP.-oy
ON<> o~
29.0_:
o NoI__pastyaar
o ~""'0I_
o NoI_,but___<2days
ol_
D NoI_buI_43doyslolyoar
--
o~I__"'""yoar
320:. PI8ao 0I1rPY: _, Fann, s..at. F"""Y,
0lIica IluIdk1g. "'. (SpedIy)
3211. Ulc8don 01 k1juIy (-. cily 1-. )
lE Hoy. 322 E. ~ 'll:wHtip ,Mifflih._ .
,~
1;(,~.;2j ,J.,,'1,
""","'ion P."", No 00 (.,(-1 L( I
35. RogsIrar'.
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