HomeMy WebLinkAbout03-18-08
Estate of RICHARD E. YINGER
also known as
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
~ I 0 ~ rJ3lJb
No.
To:
RICHARD E. YINGER
Social Security No. 209-50-9260
Deceased.
Register of Wills for the
County of CUMBERLAND in the
Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, appliES
for letters of administration
on the estate of
(d.b.n.; pendente lite; durante absentia; durante minoritate)
the above decedent.
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with
h IS last family or principal residence at 661 LEREW ROAD. S. MIDDLETON TOWNSHIP
(list street, number, Twp. or Bora.)
Decedent, then 50 years of age, died 3/1/2008
at FORGE ROAD AT FAIRVIEW STREET. CUMBELRAND COUNTY. PA
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:
$
$
$
$
500.00
Petitioner after a proper search ha S
the following spouse (if any) and heirs:
ascertained that decedent left no will and was survived by
Name Relationship Residence
661 LEREW ROAD
DIANA W BELT-SCHAFFER YINGER SPOUSE BOILING SPRINGS PA 17007
661 LEREW ROAD
HUNTER YINGER SON BOILING SPRINGS PA 17007
661 LEREW ROAD
ANGELA YINGER DAUGHTER BOILING SPRINGS PA 17007
731 RANGE END ROAD
CHIANNE SHIELDS DAUGHTER DILLSBURG PA 17019
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THEREFORE, petitioner(s) respectfully request(s) the grant ofletters of administration in the
appropriate form to the undersigned.
I.D
661 LEREW ROAD
BOILING SPRINGS
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DIANA W. BEL T-SCHA ER ~G
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PA 17007
OATH OF PERSONAL REPRESENTATIVE
COMMONWEAL TH 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 ofpetitioner(s) and that as personal
representative(s) of the above decedent petitioner(s) will well and
truly administer the estate according to law.
Sworn to or ~ffimle1r subscribed
befoJ<1"}'jfalS _~ of
(,J1f$j(k~-
(; Register
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No.
o ~ 03DO
Estate of RICHARD E. YINGER
, Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW /)IIUf ch I gv ;;OlJ>;/, in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that
is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration
are hereby granted to Pt O-rt tZ. !JJ fy /-1 ~ Sera ~ r 0 tll?,o r-
in the estate of RICHARD E. YINGER
FEES cO
L fAd'" SJD, $ ~6
etters 0 mmlstratlOn...... _
Short Certificates ( )...... $
Renunciation. . . . . . . . . . . . $
JcP..&- il<<1D $ 15
TOTAL_$
-35
Filed . . . . . . . . . . . . .. A.D.
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MARK A. MATE
78931
ATTORNEY (Sup. Ct. J.D. No.)
P.O. BOX 127
BOILING SPRINGS PA 17007
ADDRESS
717-241-6500
PHONE
HII':i,S05 H.L\ (lilfO"
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, S6.00
Certification Number
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This is to certify that the information here given 1
correctly copied from an original Certificate of Deat
duly filed with me as Local Registrar. The origim
certificate will be forwarded to the State Vite
Records Office for permanent filing.
P 14394300
t\.~~~M~ f/ 200
Local Registrar '. Date Issued
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H105.144 REV 1112006
TYPE I PAINT IN
PERMANENT
BlACK INK il31- 228
,.......,,_(RfsI,_.Iast._1
Richard
5. Age (l.8sl ~_YI
50
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CORONER'S CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
f'.)
c:
VIS.
7._1
'.SociaI__
209 - 50 - 9260
8a.Placeof""",,,(Chec:koniyone)
H"""', 0lI1er.
Mechanicsburg, PA O_nt OER/Oulpotient ODOA o Nu,.;ngHome OResldeoce ~Olher.Spodfy:
9._""""'"''''....,...,0ri\III, [JNo DYes 10._,_""".Black,_."'-
l"yes.speclfyc.tJan. (SpoQfj1 White
Mexican. Poena Rican. etc.1
13. Decedenrs EWcation (SpecIfy only highest grade COO'lf)Ieted) 14. Marital Status: Married, Never Married. 15. Survlving Spouse (If wife. give maiden rlame)
Elementary I Secoodary (0-12) College (1-4 Of 5+) Widowed, Divoroed {~
8 Married Diana W. Belt
PA ~~ 17C.IXJY"._Uved"S. Middleton
C Townshlp' 17d.ONo._lmd_
umberland AoIuaJUrn"'"
STATE ALE NUMBER
E
Yinger
e. Oate of s"" (Moott\. day.
Sep. 9, 1957
4. Date of Death (Month, day, year)
March 1, 2008
6b. Coonty of """'"
Cumberland
6d. F_ Name I" not -......... and numbed
Forge Road at Fairview Street
11.Decedent'sUsual
I(ll'ldofWOJ1l
Customer Service
Jl'IQ&\Q( llie.Oondslate
Kfld """"",,,I ,_
Lumber Yard
12. Was Decedent ever in !he
U.S. Armed Foroes'
DYes Or<o
Oecedonr.
N:ruaIResid9nce.17a.SIate
17b. County
T"p.
. fe. Decodenr.MaiIng_I-. cI1y/lown,_.."axlel
661 Lerew Rd.
Boiling Springs,
18. Father's Name (Arst, middle, Iasl, suIflx)
PA 17007
Cloyd Barrick
City/""'"
208. Informanrs Name (Type I Print)
Diana W. Belt-Schaffer Yinger
19. MoIher's Name (Fm. middle, maiden surname)
Erma Yinger
2Ob.lnlonnanrsMailng_ l-'cI1yllown,_.""_l
661 Lerew Rd., Boiling Springs,
''ff(\Tf'~~fi''TU.'h~'1r~ &
Crematory
22c.Nameand_oIFaciIly Hoffman-Roth Funeral Home
219 N. Hanover St., Carlisle, PA 17013
PA 17007
. ..
2008
21d.l.ocatioo(Clly/lown,state,zipcode)
Carlisle, PA 17013
& Crematory,Inc.
211. Method of DisposItion
23&. the best 01 my knowledge, death occurred al1he lime, date and place slBted. (8i!,m1ure and 1IfIe)
23b. license NI.I'nber
23<:. 0... Signsd \_. day. yesd
IIems 24-26 must-be compIeIecI by person
who pronounces death.
24. TIITl8 of Dealh
3:30
25._P",""""""llesd\MonIh,dsy.yesr}
March 1, 2008
26. Was Case Referred to Medcal Examiner I Coronel' for a Reason Other than Cremation or Donation?
r&Ves DNa
CAUSE OF DEATH (See instructions and examples)
Item 21. Part I: EnterIhe~-dseases,~.orcompll:atioM;-thaldrecdyC8tJSed\h8death. 00 NOT enter tefTl1inal evenls such as carclacarrest.
respiratory arrest, orY8l'lIricUat fIriIalion wilhoutshowing Ihe etiology. Us! only one cause on each line,
I)l Ysa 0 No
0- 0-
~- 0 Pendngl_
OSWcide OCouidNdbsDelelmined
I ApproximateinteMlJ:
: Onset to Dealh
,
,
,
,
,
,
,
,
,
,
I
,
,
,
,
p,rt II: Enter other simiIlr.anl oonritlm!I mnlrixllinn to death
but not redilg In the undeffyin.gC8l.l9agNen in Part \.
Sequsnti8ly Is! concllions. " '"Y.
~t)lhecausella\edanlinea.
_Ihs UNOERl.VING CAUSE
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28. Old Tobacco Use ContrIbute to Death?
o Vsa OProbsbly
o No 0 Unlmown
29. II Female:
o Ndp<sg18nt_pestyesr
Op_"""",,_
o Nd_""","""","""'<2days
"....~
o Nd","""""""",""",,,43dsyslolyesr
-.....~
O-"_"""...pestyes,
32e. ...... ~ kjuly:'-. F"",,, -. F......"
vehicle that failed to yield at stop sign <Jfllco~;Y~ad
32f."T""""""""n~~_) ....Locslionollo~~I_cI1yl_,_1
""""IClpMalor OPasser1gM 0- orge Road, Carlisle, PA
OII1sI.SpoldIy.
33s. Cer1Ifis< ("""" only """I 331>. S9>s"~ and
. =:'"'J:""":: '::=:"":'u:"'" ...:t.)1lld"'= ': ~_~ _":'~ ~:'~ n _ m _ __ _ _ _ _ _ __ _ 0 ..
. _1lld'"""rlnll....-.(Phys;cIon"""'~_SIOdC8ltilying.._"'....~1 33C. Numbs< 33d.1lal8Signsd(_,day,yearl
::.""'eu::.:--.....IIms,-.Illd_lllddllolO...CIUI8(.)Il1d-ner..__________n_______ 0 March 3, 2008
llnlhs_of...._""'I"'~In""___..lhs_.......""'place,Illd.....,lhscsUOO(.IIlld.........-- 'PiQ. ...tW>"o"".......oIl!o"""I\IJl""'-CausellL.....(ltsm2n TypslPMI
M1cnae~ L. ~orr1S, ~oroner
. srd~. b)...~ 18.1 ( I.Q 1 \ 1 0 I Osls (-~Y.yesrj ~~~fa~i~~~~~~, R~~di 7~56te ill
Oisposltion_No OI934{,<{
Head and Chest Injuries
Doe 10 (or as a consequence 01):
b. Motor Vehicle Crash
Due to (or as a consequence 01):
=~=I"":;.
Oueto(orasaCOJ'lS8QUlll'lCof):
d.
3Oa.WasanAliopsy
-.-
""._AulopsyFlnclngs
AvaMabIe Prior 10 Completicn
of Cause of Death?
31. Manner of Death
:NV" 0 No
32d. Time of Injury
3:30
Coroner
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15
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35.
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