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HomeMy WebLinkAbout07-11-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland Estate of Frances C. Gabig also known as Deceased COUNTY, PENNSYLVANIA File Number ~~° QtJ Social Security Number 175-22-5699 .-~.r s.. Petitioner(s), who islare l8 years of age or older, apply(ies) for: Q ~?, (COMPLETE 'A' or 'B' BELOW.) C Q r .} A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the_"-~~'_, -~tamed'ii the =k, last Will of the Decedent dated and codicil(s) dated - -~ ~ '~ - -; -, .'C3 - (State relevant circumstances, e.g., renunciation, death of'executor, etc.) ~I r~ W Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the nstrument(s~fered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: B. Grant of Letters of Administration (lfapplicable, enter: c.t.a.; d.b.n.c.t.a.; pendentetite; duranteabsentia; duranteminoritateJ Petitioner(s) after a proper search has 1 have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (!J' 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 William I. Gabig son 365 Walnut Street, Carlisle, PA 17013 fJ ' iti f4 I T(k C c`1 (COMPLETE /NALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at 20 West Main Street, Newville, Cumberland Counri. Pennsylvania 17241 (List street address, town/city, township, county, state, zip code) Decedent, then 78 years of age, died on May 25, 2008 at 20 West Main Street, Newville, Pennsylvania 17241 Decedent at death owned property with estimated values as follows: (IF domiciled in PA) All personal property $ Z D, ~ Go (If not domiciled in PA) Persona] property in Pennsylvania $ (If not domiciled in PA) 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: and residence 1,,, /' ~/ ~ ` n /~~©~ I William I. Gabig, 365 Walnut Street, Carlisle, Pennsylvania 17013 Form RW-02 rev. 10.13.06 Page 1 of 2 Francis O. Gabig 920 Whisler Road Etters, Pennsylvania 17319 Thomas A. Gabig 2230 Ofd Trail Road Etters, Pennsylvania 17319 Kevin E. Gabig 106 Veshio Drive Sewickley, Pennsylvania 15143 Miss Sarah Jane Gabig 1555 Broley Drive, Apt. D Fairborn, Ohio, 45324-6527 c7 ~.~ `:- _n ~° :_~, t~, t__ ~ -; c~ ~ _. .. i _ .. r'1 ~ ~ f __ ~ ..Y~ ~ _.`) ._ .~' Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland SS 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 ar affirmed and subscribed -t Y~ before me the _ _ ! ~ day of ~ ~, `, i "'~ or the Register ~ .~ r Signature of Personal Representative Signature of Personal Representative Signature of Personal Representative t ~,~ ~ e~ r-- ~ ~ ~7 ~ . t"-~ -- - ~i , _... _; -~, i. ~ J ."I File Number: ~-~ W .c- Estate of Frances C. GabiQ ,Deceased Social Security Number: 175-22-5699 Date of Death: May 25, 2008 r--- :i _ ~':,? r'"_ ` -_~ - _~ 1 AND NOW, , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters of administration are hereby granted to William I. GabiQ administrator in the above estate and that the instrument(s) dated none described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent FEES Letters ...z-~ lOO~.... $ Short Certificate(s) ...~ ... $ , e~ ~~ ... $ iv.Cb ~>_.~ ... $ 5. C1~ ... $ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ ~ ~,00 Attorney Signature: Supreme Court I.D. No.: 61974 Address: O'Brien, Baric & Scherer 19 West South Street Carlisle, Pennsylvania 17013 Telephone: (717) 249-6873 Form RW-02 rev. 10.13.06 Page 2 of 2 Attorney Name: Michael A. Scherer, Esquire ]05.905MS REV. CIOC 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. 30~, approved by the General Assembly, June 29, 1953. Military Status ~~r WARNING: It is illegal to duplicate this copy by photostat or photograph. ~`_ ~. Calvin B. Johnson, M.D., M.P.H. Frank Yeropoli Secretary of Health State Registrar ~-1880 ,~uN ~ 2 2~8 H, "5-Ia3 HEV n/zoos CORRECTED ITEIIfl I~. COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS TYpE/PRINT IN _ DATE: /o//L O Pelac "iIEVK PER F`'d / ~~~}' CERTIFICATE OF DEATH (See instructions and examples on reverse) Date 1. Name of Decedent IFvs:, midtlle, last, 5umr) 2. Sex 3. 3cciaf Security Number 4. Date or Death (Month day. year) Francis C. Gabig , Male 175 - 22-5699 May 25, 2008 5. Age (Lass Birthtlay) Under t year Untler 1 tley B- Date of Bmh (Month. tley, year) 7. BiMpmce (City antl s\ata or lore n ouniry) 6a. Place cd Death (Check only one) Monn,s Cavs Hours inure Hob ital. D Omer: 78 vra. Oct. 2, 1929 Pittsbur h, PA ^mDar¢in ^ER;outpahenl ^poa ^NUrsingHome ~]Heaitl¢nca ^om¢r-sp¢e;y: Bb. Ceunly of Death 8c. City, Boro. Twp, of Death Bd. Facility Name (Ii not insliWtion, give street and number) 9. Was Decedent o, Hispanic prigin~ ®Ne ^ Ves I0. Race: American Intlian fllack WMte etc Cumberland Newville 20 W. Main , , . , St. (nyaa. opacity aba", (specrN Mexican. Pr,en¢ HiEan, std.) White it. Decedent's Usual pccu aeon Kintl of work tlone du'in m t et workin Ina. Do not stale rat'+etl os 12. Was Oecetlent ever in the 13. Oecetlen['s Education (Specily only highest grade completed) ,d. Marital SmNS. Marriatl Never Marrieq 15 Surviving Spouse (1i wile ive maiden name) Work K 0 1 Business /Industry Mi'1°it Ret US Go 1/.S. Armed Forces? , . , g Elamenla /Second Witlowed Divorced S ry ary(o,z) couege(,.a°rs.) c ae°rM . ary . vernment y^v¢a ^Nn 4 Widowed te. Dec¢dem's Mal4rrg address (Btree,, city I town, sra,e, xip coast oecedem's pld Decedem P~' 20 W. Main St. Acwal Peaieence 17a slate p"e ins vc.^vae. Dec¢d¢m Lwaam Twp. Newville, PA 17241 ,7n county Township? tytl [~ No. Decetlenl Uvetl wimin Cumberland Ne Vill W Jxgp°alumna°, e c;tv/Bw° 18. Father's Name (First. midde. Ie51. suMixl 1g. Momer's Nama (First, midtlle, maitlan surname) Francis B. Gobi Doroth Collier 20e. miornant's Neme (Type ~ Print) William Gabig 20b Inrormanl's Mailing Adtlress (Sheet, city I town, state, zip ood¢) 365 Walnut St., Carlisle, PA 17013 21a. Melnotl o! Disposition ~' ^ Gramalion ^ ponahun 21 b. Date of Disposition f Monlh, day, year) tic. Place of Disppsilien )Nama of cembfery, crematory ¢r other plac¢) 2, tl. Location (City; town, slate zip code) s°nal ^ Hanw"al "pmSUle ' Waacrema"°"°'°°nan°ngamorisEa ^ arlr s~dy byMedlpmExAmmoNCOroxn ^Yea^N¢ ' May 30, 2008 Indiantown Ga National Cemete P , Annville , PA zza. sgremr¢ °1 Faneml s r„pa Lie¢° rs°n aehng as aben) ~~ ` - -- " - 2zb ueanse Namb¢r 1 2zn. Nama anegddr¢ae °r F~iliy Hoffman-Roth Funeral Home & Crematory Inc - !e -` ~-- _ _ _ -- _ - 38425 , . 219 N. Hanover St., Carlisle, PA 17013 Complel¢ It 523at N h n ceretying of avail bl Sl ti eol tleafh to , DM1Y t M, y knowledge. tlealh oxurrad me lime, a aM Ia1B ( el /l~ ute and title) j 23b License Number ' n 23c. Dafe.Signetl (Month tley, year) ~ ceni of deem. ' ! ~ n as ! ~ ~' ~ N ~ ~ ~ Y~~~ ~ `X ' / ~ . ~ ~ d~ c G Y J` G '~~ .~~ ~ Items 2d-26 must be compeletl 6y pason who r noun tle lh 2a. lime of Death ' 25. Data P n nced sad (Nord , T~ year) 26. Was Case Relerred lp~etllcal Examiner; Caroner,or Reason her roan Cremaaen or Donation? - / p o ces a ~ rl . ~ M ~ `~` ~ ~ ~ d, ^ Yes LEI No CAUSE OF DEATH (See Inatructioss6 erstl a mples) r Appmximata inlarvat. Pad II: Enter other fi I d t 1 b t I ee ih. 28 Ditl Todacco Usa ContribNe to Deatn? nem 2] Pan 1 Enter me Ma n of evenk_ -diseases, injuries. or compliwlrrMS -mat directly caused the tleath. DO DT enter terminal events such as cardiac arrest. Onset ro Oealh i t l l l but not result m Ina ands I in9 tying cause give in Pan I. . ^ Yes 'Probably resp ra ory arzest, or ventricu ar idn lalion without showiig the etiology List only one cause on seen line. pIIMEDIATE CAUSE ffF- nal tlisea a or n ^ N° ^ Unknown a coneitbn resuning m tle Inl _; ~ ~, ; ~ (, a )'rg25 ~, ,/its)...! i.~ i.; to NC~.~ y 2s. I1 Female. Due \o {or as a comequerca oty. • ^ Noi pregnant within past year Sequ fishy list contlitions, it any b LN!!.. 'V'im .2~HAd. r.iJ $~+FFal~w(E.-rvGY leading Ib the cause IiNed on line a. yy~Z,j ~y~nk~p~„ E_~kT,d e) ^ Pregnant at limeWdaath pus to (or as a core I Enter the UNDEPLYING CAUSE equence of -_ ^ Nat pregnant, but pregnant within Y2 day5 (disease or injury met inilNteO me aven6 resulting in death) LAST. ' pt tleath pus to (or as a consequence of): ^ Nol pregnant, but pregnan143 tlays to 1 year tl. ^ U fknpwnait pregnant within the past yea 30a. Waz an. autopsy 30b. Were Au[apsy Findings 31. Mmmer of Deatn 32a. Dale of Injury lMonih, say, year) 32b. Describe How Injury Occurred 32c. Place of Injury: Home Farm $Ireei Famory Pedarmetl? Available Prior to Camplelior' ®'Naraml ^ H¢mmma , , OXice Builtlinq, etc. (SperAly) m cease of Deam? ^ Yes ~ No ^ Ves ^ No ^ Acmdenl ^ p¢ndng Investlgalien 32d. Tim¢ of Injury 32a. Inlury at WOrh? 321.11 Transportation Injury (sD~eciryJ 32g. Location or Injury (Street, city; town, state) ^ Sukitle ^ Could Nol be D¢termined ^ Yas [] No ^ Dover {Operator ^ Passenger ^Petleslden M ^Olhar- Specby 33a. Cendier (check only on ¢r are 336. Signet end T rte W Certdier Certityldg DhY¢kian (Pnysidan ceditying cause of Oaath When another ¢6yaician has pronouncetl tleath antl completed nem 23) T th ~~ /` ~ a _ o e best of my knowledge, tlEath occurred tlne to the cause(s) antl manner as etated_ _ _ _ _ _ _ _ _ _ _ _ _ _ Pron in n d rti i h i i • _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ Fi <.S ~ G ou c g en ce ty ng p ys e en iPhysk an C¢Ih pronouncing tleam antl cemrymg to cause °f deem) i To the best of m Mno letl tl th 33c. License Number ate Signed (bloom year; tley y ge, w ¢e occurretl el the tiros, tlete, end place, antl due to IhE cause(s) aM manner as sleted_ _ • Metlical Examiner /Coroner _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ µfjaU ~~ , ~y ~- , , ,~ ~' ~ p r~S~ On the basis o/nomination and / or investigation, in my opinion. death occwted at the lime, date, and place, antl tlue I° the cause(s) and manner ae ateted_ ^ 34. Name antl Atldress of Pe'son Who Completed Cause of Death flte m 2]I Type. Print 35. Regi r Bignarurea siri her ~*~LT(~ +~ ` p ~ ~ .Date Flletl iMon,h, tley, Year) .~ V C%e'.~.^aK+t w"ra-Z •Kd. r~:'~6-5 4/~ . ~1~\`R1(~ 'el~~rQ~N Lpl I 1 ~d ~ 1 10 I C C S 3" :_... r,.~.~ . : 5~ " ~~ D 7C i cAna..4a-rz l Oisposilion Permit No. ~j ad~~ N~ C~ e-=5 ~C ,-, ~ ; '7 _ ) ~° ; _ _ ..__ ,( F _ _.1-I ~ - v _ ^ . .. _~ ' y _ ~ t_ . W t ly ~) ,c -~' RENUNCIATION r-_, c~ `~ _ ~~, c_ REGISTER OF WILLS -~' -, ~ ` ,- Cumberland COUNTY, PENNSYLVANIA '~'; __ , - , , -~~• _. - ~'l7 ~J - - _ _~ C~ .~' Estate of Francis C. Gabig ,Deceased I, Sarah Jane Gabig , in my capacity/relationship as (Print Name) dau;;hter of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to William I. Gabig (Date% Executed in Register's Uffice Sworn to or affirmed and subscribed before me this day of , Deputy for Register of Wills Form RW-06 rev. 10.13.06 C (Signature) S5. ~'Ror~tl~y. ~~ ..A~~ ~. (Street Address) Fft1,eBC~ly_ ~~(• ~ ~ ~ 2 ~ (City, State, Zip) Executed out of Register's O~ ace Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposes stated within on this ~`~ day of ~ cx~ $ ~~ ~~~~~, ota Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. S~Q~d~-g~of expiration of Notary's Commission.) ?r L\\!~(j~~'c =CAROL A. EDWARDS, Notary Public '_ • ' • • =_ in and for the State of Ohio + ~:,~ • ~~? My Commission Expires March 4, 2011 r'•.. ~.. irr~AF / c1F , 4 ~~ RENUNCIATION r_, r.::7 REGISTER OF WILLS ~ Cumberland COUNTY, PENNSYLVANIA ' _~ `~ -':~ ;-r~ --- F. , - ~ :7~ C.J ~ Francis C. Gabig ~~ Deceased Estate of I, Kevin E. Gabig , in my capacity/relationship as (Print Name) son of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to William I. Gabig 6~~g~~ (Date) Executed in Register's ~jjtce Sworn to or affirmed and subscribed before me this of _ day Deputy for Register of Wills L_ (Signature) f O ~ I/-~4iuo ,J~s? (Street Address) ^- (City, State, Zrp) Execuiea' Dui u,~'~iegisiter's t'ijfiCe Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposes stated within on this ~ day No~t~y ~`ublic M. ~mmission Expires: I a ~ ° .~ (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) COMMONWEALTH OF PENNSYLVANIA Form RW-06 rev. 10.13.06 Notarial Sez James David Ro9off, Notary Pubdic: Sewickley Boro, Aflegheny County ' My Commission Expires Oct. 10, 2008 Member, Pennsylvania Association of NatFrrdes Cumberland Estate of Francis C. Gabig RENUNCIATION ~ ~ r _ c-, r ~~ REGISTER OF WILLS =-= ~ ~ - ~_ ~ - ~; ti ~ COUNTY, PENNSYLVANIA ~~~!~ ., ~'" ~-~~ -- ;_;~ ; ,, - c.~ ,, ; , ~, - ~~j 4J _.~ Y~ L,J Deceased I, Thomas A. Gabig , in my capacitylrelationship as (Print Name) son of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to William I. Gabig (Date) A`~ 6 ~ (Signature) { ~ ~3,o ~t>~ ~i~ L >~-,d (Street Address) i~l7F12S, ~~ L~~19~-`~.~iy (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , Deputy for Register of Wills Form RW-06 rev. 10.13.06 Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposes stated within on this / ~ day of u ~ e ~~ `~ e._. tary Public Commission. Expires: 1 ~ - ~ ~ _ ~j~ (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) COMMC~Pdt~lrAi-7N OF PE('dNSYLVANIA .. ~ ;,t.,. . ,~~ ~,~ ~ Pub6C ,~,~. Sau' rf~~ ; s. {f ,a,~ci County Nly Gon~...Y_:_.:. _...._ _ ` C"-_ 2A. 2009 Member, P~3nnsyivani~ As:-oc' .~~nn oS Notaries RENUNCIATION r_,, r-~ REGISTER OF WILLS Cumberland COUNTY, PENNSYLVANIA ~ -- .~,_, ~.~>~; - } _ r-. _~ - _:_~ ~ _ ,, ~' :~ _~ ~ r GS Estate of Francis C. Gabig _ _ ~ Deceased I, Francis O. Gabig , in my capacity/relationship as (Print Name) of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to ~~U~ C ~3, ~o~ g (Date) (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , Deputy for Register of Wills Form RW-D6 rev. ID.13.D6 Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she. executed the renunciation fir the purposes stated within on this ~ day of ~',A,.e c, (~ :y Notary Public My Commission Expires: -~.S /--~' S' (Signature and Seal of Notary or other official qualified to administer oaths. Show date of ex tration f N s Commission.) COMMONWEALTki OF ~ENNS~FLYR~I~ Notarial Sea- PaViaa A. G,ordort, Notary Public Fairview Twp., York County My Commission Ex{aires July 31,2009 Member, Pennsylvania Association of Notaries ~(~.D t,~HT~LE~ ~'~. (Street Address)