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Home My WebLink About06-02-08 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Ruth E. Ensor also known as Ruth E. Ensor File Number ').. \ 0 S 0 lDDLQ , Deceased Social Security Number 182-22-8988 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE ~' OR 'B' BELOW:) D 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 - (-5 . r I"l c"'-").'-r -'.::, (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 ) 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.n.c.t.a.; pendente lite; durante absentia; durante minorita~ 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:(lf 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 651 Georgian Place on H rris r PA 17111 435 High Street son W t F irview PA 17 25 110 Brooksmill Road da h r Gr ntville PA 17028 (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. Decedent was domiciled at death in Cumberland County, Pennsylvania, with his / her last principal residence at 316 Second Street West Fairview PA 17025 East Pennsboro two Cumberland Countv (List street address, town/city, township, county, state, zip code) Decedent, then 78 years of age, died on 4/30/2008 at Holv Soirit Hosoital Camo Hill PA Decedent 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 PA) Personal property in County Value of real estate in Pennsylvania 316 Second Street, West Fairview, PA 17025 $ $ $ $ 3.000.00 90.000.00 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: Typed or printed name and residence Donald Wayne Ensor Harrisbur 651 Georgian Place PA 17111 Form RW-02 rev. /0.13.06 Page 1 of2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA : ss COUNTY OF CUMBERLAND The Petitioner(s) above-named swear(s) or affinn(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 afftnned and subscribed a#~~ Signature of Personal Representative Donald Wayne Ensor (") ~S3 co~ rl1 ("") :::0 Fn ~ .:;0 ~_ en ^ 0>:<0 8c'" ~ :0 ~-f before me the .:< day of Signature of Personal Representative Signature of Personal Representative File Number: 2. \ b 9 Ol.cOlo Estate of Ruth E. Ensor , Deceased I"-) = C;) CD c- c:: :z: , h", i r'T-~ C) G} (~-~) ~:::; (:5 f-:::;t .-""--- ...);:.:::; ." :x r- oo (~>- C~~) -l-t- ..,., ;~?~ 'C",:l ~~ "j o Social Security Number: 182-22-8988 Date of Death: 4/30/2008 AND NOW, ~l.Lf'\..Q... () , 2008 , i~ ~onsi~eration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters of Administration are hereby granted to Donald Wayne Ensor and that the instrurnent(s) dated described in the Petition be admitted to probate and tiled of record as the last Will (and Codicil(s)) of Decedent. FEES ~ ~'~Ht.~"~ ~ 2~20.'0000 jRMJeglsterO~ifW"IS N '{ 1M ~ ' Letters ................~i:@'ti. -- Short Certificate(s) -"".......... Attorney Signature: Renunciation(s) .......~..... $ ~a.OO Will $' 1 G.ee, Attorney Name: Jacaueline A. Kellv JCP fee $ 10.00 automation fee $ 5.00 $ $ $ $ $ $ TOTAL ............................. $ ~ in the above estate Supreme Court I.D. No.: 91973 Address: 845 Sir Thomas Court. Suite 12 Harrisburg PA 17109 Telephone: 717-541-5550 Nm \ l)6CS. --/0 A1J-or Vie; Form RW-02 rev. 10.13.06 Page 2 of2 HJil:'.Si.l5 RE\ {OliO',1 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Certification Number ~ IIII'(~\.'," OF p1;,-----_ ,""~ /~4'J'......... ;l~Y _ _ \,-6."",- (j$--~ ,<.-:::."- ,~, "', , \?"- ~ ~/ ;. ,~~ ~C)~' r#: I_~ ~ c.,..) \, _ '<j.,~j /.:b.... \\*' , l,i,',~' ,,*~ \\aL.'.,. /.:~l ~~ ,/~/ - -IP,. ~>\.\.'r,ll -......,'7, MEN1 ~\" ",I """"'/I/UFlIIIIII",,1 This is to certify that the information here given l~ correctly copied from an original Certificate of Deatt- duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vita! a::f~'~~~.?_4~08 Local Registrar Date Issued Fee for this certificate. $6.00 P 14330188 STATE FILE NUMBER ("') ~j?2 #zrn ~cn:O o ^ f3~lTl ~ ,.." = c::::. co c.... c::: Z I N REV 1112006 PAINT !N 1ANENT ::K INK ;L \ () ~ ()loDl.o COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) ." :x z:- C~' ,"-1 -" '1 ~i ~~~; ,~:;: n, .') <;.;:) Holy Spirit Hospital -22 -a988 4, Date of Dealtl (Month, day, year) r. 30,2008 1. Name of Decedent (First, middle, last, suffix) R 5. Age (Last Birthday) E. 6. Date 01 Birth (Month, day, year) 78 Y~, June 30,1929 Duncannon, PA ad. Facility Name (If not institution, give street and number) 10. Race: American Indian, Black. White, etc. (~ hlte 316 Second St. West Fairview,PA 17025 18. Father's Name (Rrst, middle, last. suffix) Robert Barninger Donald E. Ensor 12. Was Decedent ever in the U.S. Armed Forces? DYes )&1NO Decedent's Actual Resideoce 17a. State 13. Decedent's Education (Specify only highest grade completed) Elementary I Secondary (0-12) College (1-4 or 5+) 9 14. Marilal Status: Married, Never Married, Widowed, Divorced (Specify) widowed 17b. County Pt3nnQyl";::fjni~ Cumberland 17C,~s.DecedenILivedio East Pennsboro 17d. D No, Deceden! Lived within Actual Limrts 01 TW?, City I Born 19. Mother's Name (Rrst, midclle, maiden surname) Effie M ers 2Ob. Inlormanfs Mailing Address (Street, city I town, state, zip code) 651 Georgian Place, Harrisburg,PA 17111 21c. Place of Disposition (Name of cemetery, crematory Of oth6f place) Stone Church Cemetery 21d. Location (City I town, state, zip code) Enola, PA 17025 22c. Name and Address of Facility usselman FH&CS,324 Hummel Ave.,Lemoyne,PA 17043 Items 24-26 must be completed by person . who pronounces dealtl at the ,tim~le and place stated.(~nattll'&'and title) '-c'J t/'" 25, Dale p~ r <, "1, CAUSE OF DEATH (See Instructions and xampies) Item 27. Part I: Enter the ~ - diseases, injuries, or complications - that directly caused the death. DO NOT enter terminal events such as cardiac arrest, respiratory arrest, or ventricular fibrillation withoot showing the etiology. List only one cause on each tine. =~~o~~~~\dise~ ~ ::t?t'?P~ t' )/C' Approximate interval: Part II: Enter other sinnilicant cooditions contributinn to death, 28, Did Tobacco Use Contribute to Death? Onset to Death but not resulting in the underlying cause given in Part I. DYes D Probably o No 0 UOkrlOW1l DYes DNo 31. Manner of Death )a Nalural D Homicide D Accident 0 Pending Investigation o Suicide 0 Could Nol be DelermN1ed 29. If Female: D Not pregnanl wilhin past year o Pregnant at time of cleath D Not pregnant. but pregnant within 42 days of death o Not pregnant. but pregnant 43 clays to 1 year before death o Unknown il pregnant within \tie past year 32c. Place of Injury: Home, Farm, Street. Factory, Office BUIlding, etc. (Specify) Sequentially lis1 conditions, if any, ~~oJ~h~~I:G~~U~: a. (diseaseorinjurythatiniliatedthe events resulting In death) LAST. Due to (or as a consequence of): d, 3Oa. Was an Autopsy Perlormed? 3Qb. Were Autopsy Fiodings Available Prior to Completion 01 Cause of Death? Dyes ~NO 32d. Time of Injury 32g. location of Injury (Street, city I town, slate) M. 33a. Certifier (check only one) Certifying physician (Physician certifying cause 01 death when another physician has pronounced deall1 and completed lIem 23) To the best of my knowledge, death occurred due to the eause(s) and manner as stated- _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _.. _ _ _...... _ 0 ~~u~C~~t: ::~~~hJ::a~c:r:: ::I~~~n:~~:~~ ~~rt~:iot~::~~::~ manner as stated_ .... .. _ _ _ _.... _ _.. _ _ .... _ 0 Medkal Examiner I Coroner On the basis of examination and I or investigation, in my opinion, dealh occurred at the time, date, and place, and due to the cause(s) and manner as stated_ /f/J. 35. Registrar's Signatu ~ ni<ml"lcC:iliM PArmir NI"l CUMBERLAND COUNTY REGISTER OF WILLS RENUNCIATION Estate of Ruth E. Ensor 1\ 6 'B" 0 lo()U No. also known as Ruth E. Ensor , Deceased The undersigned, Jacqueline R. Murphy, dauQhter (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 Donald Wayne Ensor of hand this Witness (Y\ ~ PA 17028 (Address) (Signature) (Address) (Signature) (Address) Sworn to or affirmed and subscribed before me this d \ $" day of 8 r-..,:, c::> c::> ffiJ CIC (.., iE ~ c:: :z: I ~cn^ N o~~ " P:o :x ii-t .c- .. (:) (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission.) NOTE: Renunciations executed outside the Office of Register of Wills are required in some counties to be notarized. NOtARIAL SIAL RW-3 JACQUElINE A ICIUY Notary PublIc CItY OF HARIIIIUIG. DAUPHIN COU My Comm'Ulon Expl,.. Dee 17. 2011 ~,~.~ ~~ ,.. --i""I ~ I" .> (II CUMBERLAND COUNTY REGISTER OF WILLS RENUNCIATION Estate of Ruth E. Ensor No. )... ~ 0 'fs OLD ola also known as Ruth E. Ensor , Deceased The undersigned, Dale Herman Ensor, son of (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 Donald Wayne Ensor ~13"'" hand this Witness ~ 2008 1f35 l-hJh Sf.. LJ~,;f FarrvJ~/)..~ fYl /70:15 I (Address) (Signature) (Address) (Address) (') ~~ St;1~ ~~g ~u3~ o(')~ gg ; ::0 :o~ )> ~ ~ = co t- e::: :z:: I N -0 ~ s:- r'.' '; C' ) ,: '-:'1 L .:.:.-j .,-.-t.l (' :J ~?C~ -, I c'3 r ('1 (Signature) before me this I.._"'s o Not My (Signature and seal of Notary or other official qualified to administer oaths, Show date of expiration of Notary's commission,) NOTE: Renunciations executed outside the Office of Register of Wills are required in some counties to be notarized, NOTARIAL SIAL JACQUELINE A ICILLY Notary Public CI1Y OF HARrns'UR~. DAUPHIN COUNTY My Commlulon expires Dee 17. 2011 RW-3