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Home My WebLink About04-09-08 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA Estate of Victor E. McBride also known as File Number 1.\ ()~ 6,-\~\ , Deceased Social Security Number 717106543 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE ~' 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 fl)llows, 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: 00 B. Grant of Letters of Administration to Karl E. Rominger. Esquire-Renunciations signed by Victor&Stephen McBride (fjapplicable, 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 of Will in Section A above and complete list of heirs.) Name Relationshi Residence Victor G. M Bri PA 17 n PA 17 2 (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. (") "" Decedf:nt was domiciled at death in Cumberla~d County, Pennsylvania, with his / her last principal ~~ce at 1 ~ Ma~~~t7~ Street CamoHl1I PA 17011,,;:;g l6 c-r,r-=) (List street address, town/city, township, county, state, =ip code) .J ;S; P :::;0 ~~;; S5 '-,..,n I ,,'Ci years of age, died on 4/30/2006 at Manor Care Nursing Home'-;:;:; ~ I.D ':-li ,ell Cumberland county~~8~PA ::J701:t..--; ~i~ .J ~ ~ .~f; :;Q ]:l e. ,.1 fOG {.".i")t-' ~'~l Decedent, then 89 Carlisle Decedl~nt at death owned property with estimated values as follows: (If domiciled in P A) All personal property (If not domiciled in P A) Personal property in Pennsylvania (If not domiciled in PAl Personal property in County Value of real estate in Pennsylvania $ $ $ $ ~ 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: Signature Typed or printed name and residence I ) , ..-.----.---". Karl E. Rominger Carlisle 155 South Hanover Street PA 17013 Form RW-02 rev. 10./3.06 Page 1 of2 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 beliefofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. ..---:> / Sworn to or affmneci and subscribed before me the ~ day of ~I . // / Sig;,ature of Personal Representative Karl E. Rominger, Esquire ~------= . Signature of Personal Representative File Number: 2\()tJoicN o :;:;'U ;;;::0 'V :.J~P zn, -j :j; ~ -..00 -)C)-l/ -.JC :0 -u-l :rs: , Deceased ~ ~ &I!!$ = :x:.... -0 ::::0 I \.0 . . ': f.;; ,~~~5 c'~:.' '~~~:J ~... .- ,'-....... C~: _J f~'::: 1 . ~~J Signature of Personal Representative ):). .:x C") ;..,-./ , , c-s r-T"l Estate of Victor E. McBride co Social seCUri~ Numbe<. 717106543 AND NOW, ~()\ q having bt:en presented before me, IT IS DECRJ: are hereby granted to Date of Death: 4/30/2006 ,2008 in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and filed of record as the last Wi! FEES Letters (.00 $ 26 ............................. Short Certificate(s) ....':1:..... $ IV; Attorney Signature: -.--'----~__~..m. Renunc:r~~ ......z"...... $ ID '- .... $ 16 Attorney Name: Karl E. Rominger ~ $ S- Supreme Court LD. No.: 81924 $ $ Address: 155 South Hanover Street $ Carlisle $ $ PA 17013 $ $ Telephone: 717-241-6070 01} TOTAL ............................. $ (pI Form RW-02 rev. 10.13.06 Page 2 of2 Hj(l:'i,:-;il:, !{EV !ill') This is to certify that the information here given is cOlTectly 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. a /J.~ ";."----' . 1// 0~ ;'. /';;t_/J.\1.G"2..-(..~r Local RegIstrar . Fee for this certificate. $6.00 ( ) s;JC)te '~::o )-u :co "s> [-- Zrn :-~,?22 :.~J ~ """ ......., , r.O .Cl-~-'i '.JC ::0 .:u-i ..J> OCT 0 1 2006 ~ = = l> -0 ::::0 I W p 12839387 ):loo :::Jt .~.:~ :-) (~J .0 .""") ,~.'~!~j \0 ,143Rev,01106 'PElPRINT IN ERMANENT 3LACK INK 1 Name of Decedent (First, middle, last) COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH STATE FILE NUMBER 1..\ 015 0'-\ 6'--{ Yrs. 7 Dale of Birth Monlh,da , 8. Birth lace and stale or lore 9/30/06 Victor E. McBride 3. 5- ,I Security NurrtJer .717 10 4 Dale of Death (Month. day, year) 89 4/21/17 Newville, Bel. Facility Name (If not instrtution. give slreet and nurrber) 5. Age (Lasl birthday) Cumberland Camp Hill Care Nursing Home Other o EPJOut alienI 0 DOA ~ Nurs" Home 9. Was Decedenl of Hispanic Origin? XI No 0 Yes (If yes, specify Cuban, Mexican, Puerlo Rican, etc.) o Residence 0 Other. 10. Race: American In(lIan, Black, Wtlrte, elc. (Spedf}j White 8b County of Death 1700 Market St. Camp Hill, PA 17011 12. Was Decedenl ever in the us Armed Forces? ~Yes 0 No Decedent's Actual Residence 17a. Slate 13. Decedent's Educalion S i Elemenlary/Secondary (o..t2U on h' hest radeco leled NKCoII,ge (1-4 ",5.} Did Decedent Liveina Townsh~? 14. MarRal Status: Married, Never married. 15, Surviving Spouse (If wife. give maiden name) WlCloW9d, Divorced {Specif}1 Widowed 17b. Counly Pennsylvania Cumberland He,D Yes, Decedent Lived in TWO 17d.}f] NO,Oece<leoll;.,edw,"," Camp Hi 11 ActualUrmsol Cilyi&ro 18. Father's Name (First, middle, last) Victor W. McBride 19. Mother's Name (Fitst. middle, maiden surname) Laura Newton 20a. Informant's Name (Type/print) Victor G. McBride 2Ob. Informant's MaiHng Mdress (Slreet, cityllown. stale, zip code) 33 College Hill Rd. Enola, PA 17025 o Donation 21b. Date of Dispos~ion'(Month, day, year) 10/2/06 o Removal from State 21c. Place of Dispos~iQn (Name of cemetery, cremalory or other place) 21d. location (Cityl1own. slale, zip Code) Evans Cremation Leola, PA 22c. N.me and Add,es, 01 Facility Sullivan Funeral Home 51 N. Enola Dr. Enola, PA 17025 the best 01 my knowledge, death occurred ~tthe lime, date and place staled. (Signature and m1e) ".. 23b. License Nurroer 23c. Date Signed (Month. day, year) /LIV ()i.f1J..5', q-30'~, '--J1u.-f.'WV(!.dA-t-1Ut'1tLI~1 fJA q; 30 '-0(; 22b, license NurrtJer ~ FD014993 2 TI of Dealh 25. Date Pronounced Dead (Month, day, year) 0'-\35 AM (1-30"OG CAUSE OF DEATH (See instructions and examples) Kern 21. Part 1: Enter Ihe f!JJi!l.~ - diseases, injunes, or co~licalions -lhal directly caused the death. 00 NOT enter terminal events such as cardiac arresl. respiratory arrest, or ventricular fibrillation without showing the etiology. DO NOT abbreviate, Enter only one causa on a line. IMMEDIATE CAUSE (Final disease or cond~ion feSlJKing in death) ---;:.. a, Due 10 (or as a consequence IIpprol(imate interval: Part It: Enter other sianificant cond~ions contributina to dealh, oosetto death but not resutting in the underlying cause given in Part l. 28. Did Tobacco Use Contribute to Dealh? o Yes 0 obably o No nknown Due 10 (or as a consequence 0 : 32a. Date of Injury (Monlh, day, year) 321. If Transportation Injury (.5,oecnn o DriverlOperalor 0 Passenger o Pedestrian 0 Other - Specify: 33b Si~i1C'rt;t w/-1A ('7ufl 308. Was an Autopsy Performed? o yes! No d. 3()1). Were Autopsy Findings Available Prior 10 CorTllletion ofcauseo~;th? o yes; 0 32b. Describe how Injury Occurred: 29 If Fermte: o Not pregnant within past year o Pregnant at time ot death o Not pregnanl. but pregnant wM.hin 42 days ofdealh o Nol pregnant. but pregnant 43 days 10 1 year before death o Unknown if pregnant within the past year 32c. Place of Injury: Home, Farm. Slreet. Faclory, Office Buikling, etc. {Specifyj Sequentially list cOndkions, if any, leading 10 Ihe cause isted on Line a - Enter the UNDERLYING CAUSE . (disease or injury that in~ialed 'the evenls resuling in death) LA5r. b. Due 10 (or as a consequence o~: o Horricide o Pending Investigation o Coukl Not Be Determined 32d. TIme of Injury M. 33a, Certifier {check only onel Certifying physlclarl {Physician certifying cause of death when another physician has pronounced death and corTl)leted Item 23} To the best of my knowledge, death occurred due to the cause(s) and manner as slilted ......................................... Pronouncing and ~~rtlfylng physiCian (Physician bolh pronouncing death and certifying to cause of death) To the best Of"'i knowledge. death occurred at the time, date, and place, and due to the cause(s) and manner as slilted. Medkal examinerlcl)rOner On the basis of examination and/or investigation, In my opinion, death occurred at the time. date, and place, and due 10 the cause(s) and manner as stated ... Aegi r' m.....;Y .....0 ........0 34. ~ / 1 0(1/ ( 36 ;;;;%a';~ (See instructions and examples on reverse) Estate of Victor E. McBride also known as RENUNCIATION No. 1-\ CJ~ 6,--\6lt , Deceased The undersigned, Victor G. McBride Son (Relationship) (Capacity) the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters of Administration be issued to Karl E. RominQer, Esquire Witness fIN.( Sworn to or affirmed and subscribed '. rd before me this .., day of N(;;; Public M Commission Expires: (JOt) 1":>-, ).C I \ (SignaturE! and seal of Notary or other official qualified to administer oaths Show date of expiration of Notary's commission) RW-3 of hand this '3~ day of f}f(2AL, &:>0). ~7k~ (Signature) 33 ColleQe Hill Road, Enola (Address) PA 17025 (Signature) (Address) (Signature) (Address) COMMONWEALTH OF PENNSYLVANIA - Not;:;nal Seal Tina M. i~obertson, Notary Public East Penns~r~ Twp., Cumoerland County My Commission Expirf'-S Nov. 15, 2011 Member, Pennsylvania Association of Notaries 2 :;~O c~J~P ~,:n, vj~ ~~o :=::,11 :n --I ::F1 I"--.) = <= c:o :l> -0 :;:0 I 1.0 :bI ~'~=; s~ ::J:: .....J ;::~ r ) t-- . . \0 NOTE: Renunciations executed outside the Office of Register of Wills are required in some counties to be notarized. RENUNCIATION EstatH of Stephen J. McBride No L \ 0"6 o4<sLf also known as , Deceased The undersigned, Stephen J. McBride Son (Relationship) (Capacity) the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters of Administration be issued to Karl E. RominQer, Esquire '2~ A I L Witness ~ hand this -:J day of . p rt , . _/L/~~rL of Humer Street, Enola (Address) PA 17025 (Signature) (Address) (Signature) (Address) Sworn to or affirmed and subscribed before me this ; rd- day of COMMONWEAL"Ii j .;:JP PENNSYLVANIA Notarial Seal Tina M. Robertson, Notary Public East Pennsboro Twp., CUmberland County My Commission Expires Nov. 15,2011 Member. Pennsylvania Association of Notaries Nota Public My Commission Expires: (I (/ 11 i S- ,}-c I I (Signature and seal of Notary or other official qualified to administer oaths Show date of expiration of Notary's commission.) 2 <:9 ;J;g ,~IO '~~~ Co ~C)'''I ....:3c! . :::0 :0-1 )> --, = <:::;) co :0- " -v I U) 2:la ::r.: - .. \D NOTE: Renunciations executed outside the Office of Register of Wills are required in some counties to be notarized. RW<3 ""'r", .U :-",."\ Fie;::-') C'.. .:') c....;.9 >~ ;"--"/ s~ . . C) fl""t