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Home My WebLink About03-27-08 (2) Estate of Shirley L. Fishel REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYL VANIA PETITION FOR GRANT OF LETTERS OQ OoSY No._21 also known as late of Lemoyne Borough. Cumberland County, deceased Social Security No. Petitioner(s) who is/are/ 18 years of age or older, apply (ies) for: (Complete A or B below:) ~ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the executor/executrix named in the Last Will of the Decedent, dated April 8. 2005 and codicil(s) dated Decedent's husband is deceased on 3-7-1996 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 documents offered for probate; was not the victim of a killing and was never adjudicated incompetent: B. Grant of Letter of Administration 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: Name Relationship Residence - , ( -) .. ...-<) . ~ "<\ --J - D Complete in all cases: Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal res~nce at 439 Herman Avenue. Lemoyne. PA 17043 Decedent then ~ years of age, died March 7. 2008 , at 439 Herman Avenue. Lemovne. P A 17043 Decedent at death owned property with estimated value as follows: (If domiciled in P A) 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 $ 10.000.00 $ $ $65.000.00 Situated as follows: 434 Herman Avenue. Lemovne. P A 17043 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: rinted name and residence Brian H. Fishel 1001 Erlen Drive York,PA 17402 I Oath of Personal Representative Commonwealth of Pennsylvania County of .~~ The Petitioner above named swears or affIrms that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner and that, as personal representative of the Decedent, Petitioner will well and truly administer the estate according to law. ~~,--91r~J2 Sworn to or affirmed and subscribed Before me this ;:}.,5J7 day of Brian H. Fishel March ,2008 MY COMMISSION EXPIRES FIRST MONDAY IN JANUARY 2012 /jl'iI,6'~~~he~~~;r~ j No. 21- o'D () 'bS~ Estate of Shirley L. Fishel Deceased Social Security No: 184-26-5595 Date of Death: March 7, 2008 AND NOW, ~\p l~ i 1 \,2008, in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letter ~ Testamentary Of Administration Are hereby granted to Brian H. Fishel r-,_ ') --.1 in the above estate and that the instrument( s) dated -y..., described in the Petition be admitted to probate and filed of record as the Last Will of Decederit. C) FEES (~~ts Letters ......................... $ 135.00 Short Certificates 8 $ 32.00 Attorney: John D. Miller, Jr. LD. No. 25753 Address: 139 East Philadelphia Street York, PA 17403 Telephone: 717-845-1524 Renunciation................. $ AffIdavits ( ) ................ $ Extra Pages ( ).............. $ Codicil ......................... $ JCP Fee ......................... $ 10.00 Inventory ....................... $ Other ......................... $ TOTAL ............ $ 5.00 182.00 ~\.) ( \ \ IS H105.80S REV (01107) LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 Certification Number 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. tZm- fr; ~.. MAR 1f7. lnn~ Local Registrar Date Issued P 14123389 '> r",-} -_3 ;). \ 0 <() CYb <f:> Y -Yi REV 1112006 I PRINT IN MANENT \CK INK COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) STATE FILE NUMBER Cumberland 439 Herman Avenue 4. Date of Death (Month, day, year) 1, Name 01 Deceden! (First, middle. last, suffix) Shirle 5. Age (Last Birthday) L. Fishel - 26 -5595 March 7 2008 v" 6. Dale of Birth (Month, day, year) 72 Mar.16,1935 Harrisburg,PA 8b. County of Death ad. Facility Name {If not institution, give street and number} 11. Decedenfs Usual Occu lion Kind 01 work oone du Kind of Work housewife most of wor1o;in lile. Do not stale reli Kind of BlJSlness I Industry own home 12. Was Decedent evar in the U.S. Armed Forces? Dves DNo 13. Decedenfs Education (Specify only highest grade completed) Elementary I Secondary (0-12) College {1-4 or s+} 12 14. Marital Status: Married, Never Married, Widowed, Divorced (SpecifYl widowed 17b. Coonty Cumberland Did Decedent Liveina Township? 17c.D Ves. Decedent Lived in 17d. pa.~=~to~ived within Twp. . 16. Decedent's Mailing Address (Street, city f town, state, zip code) 439 Herman Ave. Lemo ne PA 17043 18. Father's Name (First, middle, last, suffix) D a vi d Ben net t Decedent's Actual Residence 17e. State Pt:lnnc;}'Ju:::ani:::. Lemoyne City/Boro 19. Mother's Name (First, middle, maiden surname) 2Ob. lnfoonant's Mailing Address (Street. city I town, stata, zip code) 1001 Erlen Dr., York, PA 17402 2fc. Place of Disposnion (Name 01 cemetery, crematory or olher place) Rolling Green Cemetery 21d. Location (City I town. state. Zip code) Camp Hill,PA FH&CS,324 Hummel Ave.,Lemoyne,PA 17043 23b. Uce e Number R ';'SC;g7 { L 23c, Dale Signed (Month, day, year) 3/7 o,g> D Ves D No 31. Manner of Death "r Natural 0 Homicide o Accident D Pending Investigation o Suicide 0 Could Not be Determined 2S. Was Case Referred,to Medical Examiner I Coroner for a Reason Other than Cremation Of Donation? o Ves )(NO Approximate interval: Part 11: Enter other skmificant condHions contribuhna to dsath, 28. Did Tobacco Use ContribU1e to Death? Onset to Death but not resulting in the underlying cause given in Part I 0 Yes 0 Probably D No D Unknown 29,lfFemale: o Not pregnant within past year o Pregnant at lime of death D NoIpregnanl,butpregnantwithin42days oldealh o Not pregnant, but pregnant 43 days to 1 year before death D Unknown it pregnant wilhin the past year 32c, Place of ~njury: Home, Farm, Streel, Factory, Office Budding, elc. (Specify) Items 24-26 must be completed by person ~ who pronounces death, CAUSE OF DEATH (See instructions and examples) lIem 27, Part I: Enter the ~ - diseases, injuries, or complications -that directly caused the death. DO NOT enter terminal events such as cardiac arrest, respiratory arresl, or ventricular fibrillation without showing the etiology. Ust only one cause on each line. :, .,In<. Due to (or as a consequence ";( ~~~T~~tn~~~ ~~\ dise~ UU1L'RI' Sequenlially list conditions, n any, leading to the cause listed on line a. Enter the UNDERLYING CAUSE (disease or ifJjury that inniated the events resu~lng In death) LAST. Due to (or as a consequence on: c. Due to (or as a consequence on; d. 3Oa. Was an Autopsy Performed? 3Qb. Were Autopsy Findings AvaHable Prior to Completion of Cause 01 Death? DVes ~NO 32d. Time of Injury 32g. Location of fn;ury {Slreet, city / lown, stale} M 33a. Certifier (check only one) CertifyIng physician (Physician certifying cause 01 death wnen another physician has pronounced death and completed Item 23) To lhe best 01 my knowledge, death occurred due to the cause(s) and manner as slated.. _ _ _ _ _ _ _ _ _ ... _ _ _ _ ... ... ... _ ... ... ... ... ... ... _ ... ... _ ... ... _... 0 ~~~:u:e~~II~~ ~~:=~hJ:~~~a~r::=: :hll~~~~n;n:;:~~~a:~"t;~ol~:=~~~~~ manner as stated_ _ _ _ _ _ _... _ _ ... ... _ _ _ _ ... _ 0 ~::::~:~~":~~;~~:t:~ and J or investigation, in my opinion, death occurred at the time, dale, and place, and due to the cause(s) and manner as slated.- 0 :. Registrar's Sigm2::~~~2~um ~ II oil /1 11 n'OMO'''M PO'M" N" () I q 5 -, ?t 5 d'h~ 70'fs