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HomeMy WebLinkAbout07-03-08PETITION FOR GRANT OF LETTERS OF ADMINISTRATION Estate of JK also known as MARK A. TRIMBLE Deceased. Socia! Security No. 180-66-8431 No. d ~ ~~J - ~ !L~!~ To: Register of Wills for the County of CUMBERLAND in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older, appl I ES for letters of administration on the estate of (d.b.n.; pendente life; durante absentia; durante minoritate) the above decedent. N Decedent was domiciled at death in CUMBERLAND County, Pennsy.~i nia, with h>~_ last family or principal residence at 264 HENDERSON STREET CARLISLE (list street, number, Twp. or Boro.) ~~~ C Decedent, then 35 years of age, died at Decedent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: Petitioner after a proper search ha S ascertained that decedent left no will and was survived by the following spouse (if any) and heirs: Name RUTH TRIMBLE Relationship MOTHER Restdence 264 HENDERSON STREET CARLISLE PA 17013 MATTHEW ALAN TRIMBLE FATHER 14877 CHATSWORTH DRIVE MISSION HILLS CA 91345 CALEB A. TRIMBLE SON 14450 KINCADE ROAD ATHENS OH 45701 ALEXIS RAINES DAUGHTER 826 JEFFERSON AVE CHILLICOTHE OH 45601 THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the appropriate form to the undersigned. RUTH TRIMBLE vV x ~~ ~o .y y .~ ~ 0. 7 W ,., O c6 C oD O~~ ~ ~ 0 ® ~ lF ~ . $ O 264 HENDERSON STREET CARLISLE PA 17013 s~ (_e . r. µ« ~-~ 7 +-rt -"~ . OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA 1 ss COUNTY OF CUMBERLAND J 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 above decedent petitioner(s) will well and truly administer the estate according to law. Sworn to or affi ~~nd subscribed bef9 e melthis day of L ~~ ti Register No. ~~ '~ ~; n c ~' ~,,~ .-z _ :._ J c~ us ~ ' ~-y ~ _ C . . y ~~ ` = ' ~ ~ . - F~ ~r i v o r Estate of ~K ,Deceased GRANT OF LETTERS OF ADMINISTRATION AND NO W in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration are hereby granted to RUTH TRIMBLE in the estate of ~ K FEES Letters of Administration . $ Short Certificates ( ) . $ Renunciation . $ TOTAL $ Filed A.D Register of Wills ,~~ MARK A. MA YA 78931 ATTORNEY (Sup. Ct. LD. No.) P.O. BOX 127 BOILING SPRINGS PA 17007 ADDRESS 717-241-6500 PHONE hi. is to certify that the information here given is correctly copied from an original certificate of deaf dui, I'ilell ~~af ,,le as L~~cal Re~:istrar. The original certificate will be forwarded to the State Vita] Records Office for perman~•11t t~ilil~~~. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for thl~ certificate. X6.00 `~91~ -'A. ~~c~'~i,c~~;~.. Lor<II Rcairhar ~ P 12726409 ~~~. _,~~_ ~ ~ zoos Uate c m ~, =n `- •_, , , r ~ ~, om ~ , _~i t - ~~~ E.; .-- ; ~ -•~ -_ W . Rtgs.lu Rev.UVlogs COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VRAL RECORDS TYPE I PRMT M ~;cK",w<"T 1130-286 CERTIFICATE OF DEATH (CORONER) //~\ (~j STATE FILE NUMBER 2,,,' ' L% ~ ^ ~ L 1. Nine d Daceaxd (Fksl, midge, last, wlfia) 2. Sex 3. Social Security Number 4. Gale of Dean (M«Uh. tlay, px) Mark A Trimble Male 180 - 66 - 8431 .July 18, 2006 s. Aga (Last 13NMay1 uro« y IAger / e s. Dare d ekn Monet, a ~. eLnn ace a aM slate a 1 ea. v~ate a Dean clwtk 35 M°"°" °a" "°"' a""" April 14,1971 ~y Noapld: «e oNer. Yrs. 10rk, PA ^npatiea ^ER/OUyatera ^DOA ^NUrsirgNpme ~j+eaidame ^oNx.speary: B6. County d DeaN & C' rq. d Dean Bd. Fad,y Narle III riot instiNtion, give abed and number) 9. Was Decedent of Hepxac Drgn'>_C~ No ^Yes 10. Race: American Il,lian, 81aac, White, N t Cumberland Carlisle 403 N. Bedford Street ("p''3pe°ry0~' 1Y r rye. Ll Mexican. Pusno Ripn, em) 1 t 6 71. Decedents Uwal na of r,«k done dais moll dwak' Nfe. Do rid,tau retires. 12. Was Demdmtevar m Ne 13. Decedent's £ducaliou (Speary only hgMet 4ade comlAeled) 14. Mahal Suds: Marrred, Never Mined, 15. Surviviig Spouse (n wile, give maiden rime) IGM d Work Ignd a Sus,ms! nMstry U. S. Armed Fomea7 Ekmimlay I Saco (4121 Cdhge j1J a 5^) Widaved, DNOroed (SpecilyJ Laborer Construction ^vee []Cva 1~1 Divorced I 16. Deoedenrs Matirg Address (streN. mr y town, male, ap meet i3eceamra Dq [lareaea 264 Henderson St. Actux Reaiaence na stare Emma nt ^ Yea, Decexm u"ean Twp. Township9 17a. No, Decedent li a wiNin Carlisle, PA 1 701 3 1~D°""ry ~ AtmxL~dea tea,-~ ; ~~ ~, Gq/l~oro Ruth Krvsher na. a uapuamon V Cremation u D«relCn o. uau a uywnron Insonm, say. Yearl rare a ulaonsmon (name of cemetery. crertwmry a Deter puce) -eta. i«aeon fury t town, sate, »P m°e) J:7 aa~r ^ Rarn",al uom srala : W,. cmman°n «o«wmn ,wm«we 1 7 0 6 5 a ^ .spaply: :MMadk.lExrninar+wren.ra ^Yea^Np 7/22/2006 Mt. Holly Springs, Cem. Mt. Holly Sprin s PA `3 zza. sgnxpre a Funeral service Lirerlaee ( ang as sacnj ne. Ucan» Nume« nc Name aro Address a FarAliry • - ~.+•~ „t , l~I~.L. 01 1 589E HollingerFH& Crematnrv Mr u~i i x, c.-..-; ....,. ., Cdnpek IMn6 23at only vAan cemMn9 23a. To best d my knowledge, aeaN occurretl al ere Mne, dek and plan staled. (Slgnawre aM title) 23d. Licenm Number 23c. xe Signed on ,day, year) pnysitlan b M avadade x time of aeaN b oxdry taoae d dean. • Ibms 2426 mull he wmpkletl by person z4 Time of Death 25. Dale Pronw tl Dead IM«N, day, year) 26. Was Case Relened m Medical Examner / Carver fa a Reason Odrer Nan Ctemxan « Oonaeon7 ~d~°~^a°~°a d°°l^ 11:19 P. M. July 18, 2006 vas ^ No ~••~~~••, •^-^~•~t+•••,••..~••~•,. •,,..•••,•r,.^r het Ty. PMT L EnM Ne than d eyend -diseases, injures, a canplltahms - Thal a,ectly fasces Na death. DD NOT enlx lerminal events 5udl es taNiac artist. ~ npproemate aneaal. Ousel b Death ran n.[:nler Deter Aplylll~lll torte eons canmouaw waam lalf not rewltiiy in pie umdedying Cause given in Part I w. wiwaw ux uamnv,e ,u wmn• ^ Yes ^ Probady respirabry arrest. a verlbicdx fidillation wiruul,howalg Ne etiohgy. Lnl only are reuse «each line. ^ No ^ Unknown IMMEDIATE CAUSE Final disease a mroi6atresdlkym~eanl ~ Exsanguination a. 29. n Female: Doti w (« as a crosepusncx op. ^ Nel pregnant vnNin past year S e p armay~lta,a4wns.dam. b. Perforating Chest Wound ^ PregnaY,laltimadaeNn I e a dng b tales tisbd on Wn 0 Due to (a °s a coneepuence oft'. Enla 4e UNDERLYMG CAUSE ^ Nd pngnanl, bN pegnant wphn 42 days (disease«injay Nmiralialea me Fall of seam evxid resuaig n dean) LAST' Due to (or a, a mnepwnce eN~. ^ Nd pregraM, WI pregnan143 tlap b 1 year f d m d o ee ^ unknown it pregnant w;mn me pall tea 30a. Was ar wmpsy 305. were Autopsy F'mdirgs ]t. Mannar of DeaN 32a. Dale of Injury jMonlh, tlay, year) 32b. Desaihe How Injury Occuned'. 7k. Place d Injury: Honre, Farm, Slree4 Fack,y, P°""n"d' o~c~ o reremc,°'"wa`p" ^ Nalurel Norma ^ Jul 18, 2006 Y Fell onto broken (char p) pick handle a6tesaiMing,a (sp~yl ~tes l.dence s~.~ IN Yes ^ Na ' yry LA Vas ^ No jay ~ C-1. obanl ^ Pendag ImesAgas« 32tl. Time a Inlay p rX 32e. Injury al Wok? 321. II Transporlalgn Injury (SpeCdyl l P P 72g. LaWtim of Injury (SVM, dry I bwn, s1aM) T T~ ^sniraa ^ca,ld"°'eaDa'arm"ad 11:00 P ^Y°°~"° oparal« ~ asaarg« ^ °d°°ma, ^°n~r N. Bedford St., Carlisle, Pa. .M ^ ou wr ~ spears 33a. anln.r (cna x «ly aye) 33b. s~nal«e and r a T caRNrtw pnyalclsn lPhysitian cxnryng Deese a aaN wren anomer pnraw;an nos pronooaad dean aria mnroleled uem z31 Co roue r - Toth hMldmykmwladga,MNh«cumddua lp the owalal arM mannaruslateg_____________ ______-___ ___--_-_ -_~ • Pronwrcirq and pM6tyklg phytklAn (Pnysiaan boN prorwuncing death and cergyirg to Cause a tlealh) To Uia bml d m NnowlMga dxM ptturrBd N Iha Ihna rlala and plate and tlue to Ne causNa) aM manner a aW 4 ~ ~c Lcense Number 33d. Dale Sgred (M«Ih. tlay, par) y , , , , p - . MaakaiExamin«yc«an. -------------- On Me bpb d examinallon arM I «Ima)tigallon M my ognbq aaN «currad e11M lima awls aria plate arM due to Mw Duca(t) aria manMr a amg --~ A July 20, 2006 , , , , - ~ pddre 1 non Camille Cause n rem 27 Type I Print "1~°icr"~]ae'~ ~,. ~orr~ds, ~oibne~ ]5. Sryuh,e - ~~'~cP.~ lob I ( ICI ~ I ~ I 36.DakFiled(MOnN,day,par) ~II.1.! :~_~ ~(1('1f_ 6375 Basehhore Road qguiite 111 Mechanicsbure. PA X7050 ISee Instructions alld examples on reverse) t ~ '~ ~~! 08/26/200& 18:25 FAX 7172415099 MARK MATEYA Eq ~-I -~-'~' ~r'i~ f~002 RENUNCIATION ~, MARK A. TRIMBLE No. ~~' ~' ~ ~ c>c, Estate of 2~' ~' ~ ~ ~-- - also known as ~ ~ s N P r ~- p ? 7( ~ e- ~ = = MARK A, TRIMBLE ,Deceased The undersigned _~~~ ti.7 nth 7~ -r~ ~~.~ of the above Decedent, hereby renounce{s) the right to administer the estate and respectfully requests} that Letters OF ADMINISTRATION be issued to RUTH TRIMBLE Witness ,._ hand this ,~~„ ~F ~~~ ~l . ~ ~ ~ ~;1 Kass l T ~ ~ 7 l'.~t /~; ~iS(,t7?n.~l r~ ~ ~ U-~-~~ ~ (Adtlrass`~- (Signature) (Address) Sworn to or affirmed and subscribE~d befora me this ~ ~ day of ~~/;-1~ z©o ~' - -_ ._. . -~ -~~ j otary Publi - My C sion Expires: ,tQy~~cr~. I ~ (Signature and seal of Notary or other official Quslifletl to atlministor oaths. Show Oate or expiration of Notary's commission.) ~vv y JAIME O. T~ Cpmmit:sbn # 1570416 Npfpty Public •~ California Los AnOeles Counts My Camm. Explr~u Apr 1 T, 2009 NOTE: Renunciations executed outside the Office of Register of IMII6 ere required in some counties to be notarized. w . + -_.~: C~°' -; a 3 SR~~ ~:j ,~ __~ RW-3