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Home My WebLink About04-17-08 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Estate of Del S. Brunner also known ~IS CUMBERLAND COUNTY, PENNSYLVANIA File Number 21-- 0 ~ - O<!..?f1 , Deceased Social Security Number 182-40-9371 Cathleen M. Bland and Jennie M. Cross 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) istare the last Will of the Decedent, dated and codicil(s) dated ~)O ",.,-).-", -0 Except as f()IIows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the .lh~~~nt(s) Olfered for probate, was not the victim of a killing and was never adjudicated an incapacitated person:_ ::Q w .iZ ).:: N W State relevant circumstances, e.g., renunciation, death of executor, etc. o So . ,_0 i -'r) , L \.~ .) .~::?~ ~"r"'l , 'J~3;J f-..) 0:= n~d in thei,:~j ;r:.. ': ) ~g '. ') =., ' ~'.':,<?; -.l (:::J <-') -h "" ;;~ 00 B. Grant of Letters of Administration Ilt applicable, enter: c.t.a.; d.b.n.c.t.a.; pedente lite; durante absentia; durante mmontate} Petitioner(Si) after a proper search hasfhave 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.) I Name Relationship Residence I Cathleen M. Bland Daughter RR1 Box 867 Blain, PA 17006 Jennie M. Cross Daughter 1550 Williams Grove Road #146 Mechanicsbura. PA 17055 (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his / her last principal residence at 825 Windsor Place, Mechanicsburg, Cumberland, PA 17055 (List street address, town/city, township, county, state, zip code) Decedent, then 58 years of age, died on 03/05/2008 at Carlisle, Cumberland County, Pennsylvania Decedent at death owned property with estimated values as follows: (If dlomiciled in PAl All personal property (If not domiciled in PAl Personal property in Pennsylvania (If not domiciled in PAl Personal property in County Value of real estate in Pennsylvania situated as follows: 825 Windsor Place, Mechanicsburg, PA 17055 500.00 $ $ $ $ 70,000.00 Wherefon~, 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: c;::::= / C' UA^ Typed or printed name and residence Cathleen M. Bland RR1 Box 867 Blain, PA 17006 Jennie M. Cross! 1550 Williams Grove Road #146 Mechanicsburg, PA 17055 Form Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 1 of 2 Oath of Personal Representative } SS } COMMONWEALTH OF PENNSYLVANIA 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 .dm;.",",the .".le ''''''''''9 to ''''.~~~ J Sworn to or affirmed and subscribed ~ "'oe. m. !h" /1 If., doy of ,:.""""m,,",,, "'..""'2:: ~p. ' ~fX)f CJvLLJ om aflkV1/Uhu For~er Signature of Personal Representative File Number: /),'- Or -04?f1~ Estate of Del S. Brunner NKlA Social Security Number: 182-40-9371 AND NOW, J 7fh Ixlj fil ApUJ having been presented before me~ IS DECREED that Letters , Deceased Date of Death: 03/05/2008 , eJ-CO f , in consideration of the foregoing Petition, satisfactory proof of Administration are hereby granted to Cathleen M. Bland and Jennie M. Cross in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and filled of record as the last Will (and Codicil(s)) of Decedent. Renunciation(s)............................. $ Attorney Signature: ;jUri ~ l ~ ,}JMJly; 111// RegJsterofWills f)fr ~ lYtf. ~1\' Jennif r B. Hipp FEES Letters............................................ $ 13500 J{o.f4) Short Certificate(s)........................ $ }D.OO 5,C{) Attorney Name: Supreme Court 1.0. No.: 86556 Bogar and Hipp Law Offices Address: 1 West Main Street Shiremanstown, PA 17011 Telephone: 717-737-8761 )ltl,.on TOTAL.................................. $ Form RW-02 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2 HJ05.H()~ REV (nI/07) d I-Of? -Of 39 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Certification Number \111,(~(W'otpl;'---___ 4\\'#/~rfA. "\..,. !$~~~$ \~\. !~/! ~ "-~ - . \~~ ~ B\ _.",.t,.' I.i:~ ~ \_ 'hl:!l _ ,-' So ~>. *.; . -~.""-" -.'; *~ \a\ ..~ /~~ \~~_A~\\\l ~.,.__,?IMEN1 \\\ ~~"" ............'. ,,1' .....,'/.'///1,,11111' 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 ords ffice r permanent filing. Fee for this certificate. $6.00 P 14218747 Q (~~ --0 .: -r: (:-) 't>l- '7rll ;:J:~~ >-". .....,..; ji."":.2 -;:n )~- . :::0 .:::CJ -1 t,..... r rOt .~ -< j -,-.j ~- ...} , ; l,:'j -J -0 ::E: Y! (+f~~ T-! , , r-''l Hl05-143 REV 11/2006 TYPE I PRINT IN PERt.lANENT BLACK INK COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (See Instructions end examples on reverse) N W STATE ALE NUMSER 58 v" ... Cc"-"'yalOoalll 1Soc:io1SocUlily_ 182- 40 - 9371 II. PIICt 01 ONI\ Chedt one _: 00h0r. 0._ 0 ERI "'- 0 IlOA """"'II...... 0 Ro.-.. 9.Woo_alHloponi:Origin? I9ND oV.. . f'yoo,tpOClly~ Clarenont NursJ.ng Ibre ___....) 12. Woo _ _ illho 11 00c:0d0rtI_ (SpociIy"" hipol grodo 0lIllpI000d) ".""" SIILo: _ -_ U.s._Fon:oo? EIomonIoIy/Socondotyf()'l2) CoIogo (..... 5+) _-fSjlooll)l XJV" oND 12 Divorced ="'~ 17L_ PennsylVania t:.~ 17~0v...__LJM" CUmber lard -.Np? 17d. 51:.... -- LJM_ 17\l.Cc"-"'y _~aI .. 0010 aI DHlh 1_. day. YN'l March 5 2008 I Homo aI Oecoc"" I~ _.IuI._1 Del s. '1>qo1WlBOl1tdovl Cumber land 00lh0t . SpociIy: 10. RIce; AmIrican Inlian, EIIac:Il.. 'M*, ett. (SjIooII)l White 11.OecedIrtsU:sual ~oI .Donat... Krdal_ Kildal_,1nIUOy Laborer 'S Ccmnun. . 16._.IoIoing__ISlrMl.OIyI-._...._1 825 Widsor Pl. Mechanicsburg, PA 17055 l&F_Ri~~~ 2OL_.Nomo(Typo/Plill) Jennie Cross 211. MeChod d IJiIpoIidon TOO Carlisle Clly/Bao . ~ 146, Mechanicsburg, PA 21"- Lcab (ClIy ,-' _. ..._1 ~ ~ :;/ Schaefferstown PA ~- 0n00I1o 000II PM I: en.... ___ anIliMs MI'lIrtUnr!. m dMIh bulno1/0111l1ingillllolllllloolyilg_<i-ilPIrt'- 28. Did Tobaa::o lJM ConIrI:W ~ Deilh1 o v.. 0"- OND o~ 21. II FenIe: o Nol,..g\ll1l_puIYN1 o __......aI..... o Nol-.buI__42dav> ai_ D Nol-.""_43d1ys~'YNI --- o ~'_-"puIYN1 1~==:7~is.....F~. 32g.lDcaIianalIrjuoyISIrMI.OIy/_._1 ~~~=I~ C~b ~"'",""""",'In/. =UHDE~~~U~a. =--~t,~~ b. Out kI (or II a CXll"lIIqUInC8 01): OutklIOl.IClOI'IHJqUIf'lCof): JOa. 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