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Home My WebLink About05-29-08 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA File Number 21 0'6 ()61~ Estate of Daniel Sims also known as , Deceased Social Security Number 211-58-8546 Harold T. Sims and Adele M. Sims Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'N 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: 00 B. Grant of Letters of Administration (If applicable, enter: c.t.a.; d.b.nc.t.a.; pedente lite; durante absentia; durante mmontate) Petitioner(s) after a proper search has I 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 Harold T. Sims Relationship Father Residence 18 Ross Avenue, Apt. B New Cumberland, PA 17070 1007 Bridge Street New Cumberland PA 17070 Adele M. Sims Mother (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 1007 Bridge Street, New Cumberland Borough, New Cumberland, PA 17070 (Ust street address, town/city, township, county, state, zip code) Decedent, then 27 years of age, died on 01/23/2006 at Harrisburg Hospital, Dauphin County, Harrisburg, PA Decedent at death owned property with estimated values as follows: (If domiciled 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: 6?oo.fJ a o ;... :-.,,] ~]~n ......, --::, <=:::;:, = .~. ~ :.;J :,J .>>~ ...... ......6... .r:~ -< N \J:~ . . ~-,,,i ~'-. -: ~-~) ~~ . -II ~ " ~~ 9 I ~;.~t NOME Wherefore, Petitioner(s) respectfully request(s) the probate of the Jast Will and Codicil(s) presented with this Petition and the grant of letters in the appropriaCllJorm to the undersigned: .1F!. --; t _.J --': Signature -~I Harold T. Sims Typed or printed name and residence 18 Ross Avenue Apt. B New Cumberland, PA 17070 1007 Bridge Street New Cumberland, PA 17070 ~ Adele M. Sims (L{.~ ,.) Form -0 Rev. 10.13.2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 1 of2 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 administer the estate according to law. Sworn to or affirmed and subscribed '('/~ 7J~d T. S. ~~ .yO - .~~ -~,-j ',,' -';'" ('-'""'\ 2~S~ r-..) c:::;:') L~ = before me this d1 day, of 2Wr Signature of P~nal Representative {/ cLt&. Signature of Personal Representative ~.... -- Adele M. Sims ~ -< N I...D Signature of Personal Representative ~"'iI -~ ~ C5 " t."'J File Number: 21 b't) o'3l i Estate of Daniel Sims , Deceased Social Security Number: 211-58-8546 Date of Death: 01/23/2006 AND NOW, \~ L Cf. having been presented before me, IT S DECREED that Letters LOl)r{ , in consideration of the foregoing Petition, satisfactory proof of Administration are hereby granted to Harold T. Sims and Adele M. Sims 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. FE7iJO<'l Letters................... .W. 8J.................$ Short Certificate(S)..........!............ $ ITb t-.f ~d ---.J[f -Aufv jTJ S- Attorney Name: r...l/1/f./4JII-L/9 ~~. Terrence J. Kerwin Renunciation(s}............................. $ Attorney Signature: $ $ $ $ $ $ $ $ $ TOTAL........................... ........ $ (fJ1 Supreme Court tD. No.: 29922 Kerwin & Kerwin 27 North Front Street Address: Harrisburg, PA 17101 Telephone: 717/238-4765 Form RW-02 Rev 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2 HI05.905 REV.(Gf06) This is to certify that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Records In accordance with Act 66, P.L. 304, approved by the General Assembly, June 29, 1953. WARNING: It is illegal to duplicate this copy by photostat or photograph. /!.~ '4 C4(5 ~ (lfJJM-Yc lf~0L Calvin B. Johnson, M.D., M.P.H. Secretary of Health Date C) Frank Yeropoli State Registrar 4271563 fES 0 ~ Z008 No. "lOIS'''''"'..'''' CORRECTED ITEM(S): 3 cQUIIONWEAlTH OF PENNSYLVANIA' DEPARTMENT OFHEAlTK. V1TALRECORO$ ~ PER:FD DATE:03-31-06 bll11'" CERTIFICATE OF DEATH (CORONER) STAlE ALE NUMBER IIlAQlNC 1. ......___.1uQ 2. Sox 3. ___ .. Dolo"~_do!.yoorl Daniel Sims male 58 01/23/2006 5. ""(1.00""" ....-.. 27 VIS. ... Ccuoly" ~ lil .j 14. ......SIIU:Mamed.NtverflWrild. IS. -.-(*"'>! Never Ma CoIooo('.....S.' 2 llif_ LNe ill 17c:. 0 Va. 0tcadttC lNed in T_' lH. ~ :...."':::"..u..t_ N~w Cumberland ClI\OIlOIO 1007 Bridge Street New Cumberland, PA 17070 ,1b. CounIJ Cumberland f~....) = C:=J <= :::r.: )> -< N 1...0 ):;>0 ::J: C) .. 0_ 0 to. RIel: JnricIIl......IIIlcl..... IE. (SpociM white -(,....~-- r... 11. FIIlNl"I NImt IF"nt. JriddIt,IMO Harold T. Sims 11. ......s...... (FISI. MdIII, nidtn surNtlnil Adele Karasinski 20>. _.~_...(SnIl.~",,,,q,-, 18 Ross Avenue, Apt. B, New Cumberland, PA 17070 .... _'''''(TypollrioIJ Harold T. Sims ~ ~ "c. Poco..........~.._._..-.., ""'l.OCIIico~_...._l 17011 o DcNIi.. 0___ January 27, 2006 .....-- Rolling Green Memorial Park ower Allen Tw ., PA 22c. ........_.."FociiIparthemore FH & CS, rne. P.O. Box 431, New Cumberland, PA 17070 2:lb.'-_ Z1c. _S9>od_da,._ 0431 -_........,-- "......._~. ........10 ....,.-..- _24-,._bo_bJ_ ~-- FD 013 340 L Zlo. ,.........""___........._......_.(...-......., 24. TIINoto-lt 25. Dolo _00Id _.do!._ 01/2312006 a _c.._",_~ llv.ollo 4:16 PII. CAllSlOF....THjs._.._ ....27.... t EIW...~__.........._-.........,........._.llONOT___-....-_ _..____..._.DONOT-.EoIorOl/lt................ c:==~. Electrocution . ',. OUIIo(or..OOftMilIUIICIol'): :-- :orwet.... PIrt I: EMIr oller "'...-.....--........, ~iII_h",. "*"a to lit ca.-.... on u... _"'__CAII!E ~..~...._... __in_l LAST. b. c. Out" (or..._oII: Out 10 (or"'_o/I: d. 300. __FftIiOIO> _Prb"eco.pooIoa "CMo"~l ill v. 0 110 31. MilnnerorDelCh 0_ o_ il( _ 0 PonlfooIrWostlglllon o _ 0 CoUd"'8a~ 320. _"...,(WcoIh.do!."'~ 01/23/2006 32d. rllll""" '3OLw..."'*'JlIf -- lXv. 0110 3:25 P II. 330. ~_""OOOI ....,..,__~_.......___...........__..._....23) To......., fIlJ................ 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