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HomeMy WebLinkAbout09-11-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of Judy A. Means also known as Judy A. Rynard . Deceased Petitioner(s), who is/aze 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) COUNTY, PENNSYLVANIA File Number o~ ~ 6 0 ~~ (s Social Security Number A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the named in the last Will of the Decedent dated and codicil(s) dated c~ ~ -, ~ : `~" "C7 v ~..,...::::~ (State relevant circumstances, e.g., renunciation, death of executor, etc.) j = r-' ~ : ;,t Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of#lie iis~rttment(s) offer>rd, r~ pry' ~=~ 3~' , for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ; -S --t -sc _ '-= ®/ B. Grant of Letters of Administration ~ ~~~ .t' (Ijapplicable, enter.• c.t.a.; d.b.n.c.t.a.; pendente liter durante absentia; durante minoritate) ,Gf> 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: (If Administration, c. t. a. ord.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) Name Relationshi Residence Joan M. Garcia-Cruz Sister 96 Partridge Circle, Carlisle, PA 17013 Jodi L. Rynard Sister 62 East Penn street, Carlisle, PA 17013 Mary E. Rynard Mother 423 North Pitt Street, Carlisle, PA 17013 (COMPLETElNALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at 922 Burr Avenue, North Middleton Twp, Carlisle, PA 17013 (List street address, townlciry, township, county, state, zip code) Decedent, then 55 years of age, died on August 16, 2008 at Hershey Medical Center Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 5,000.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ 0.00 situated as follows: 922 Burr Ave, Carlisle, PA 17013 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: Si ature / T ed or rinted name and residence C ~ Joan M. Garcia-Cruz, 96 Partridge Circle, Carlisle, PA 17013 ~ Form RW-02 rev. 10.13.06 Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS The Petitioners} 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 taw. Swom tt~ ar affirmediiand subscribed be ore me the ' 1 day of r the Register r-~, `~'I ~G~~ Personal Representative rya Signature of Personal Representative =. = Q - ~-" -- - ~ , ~ Signature of Personal Representative - ~~ -- ~.. --~~, ~7~~ ~ `J ^'t M 1 ~~ File Number: ~(~ ~ ~ bc'1 ~ ~ ~ t~i'1 Estate of Judy A. Means ,Deceased _.. _ ~.-: -. _ --} ~, . ,~~ Social S curity Number: Date of Death: August 16, 2008 AND NOW, ~ , _s~,~, in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters of Administration are hereby granted to Joan M. Garcia-Cruz and that the instrument(s) dated described in the Petition be admitted to probate and filed of record as the last Will f and Codicil(s) of Decedent. FEES Letters ......1~~. .. $ ~c+ • cv . (( Short Certificate(s). .(,1~~`~$ ~g• w Renunciation(s) .~-?~ .~.~ : w $ f O tv ~C'P ... $ ~o w ... $ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL ....... ....... $ ~©~~00 in the above estate Witls Attorney Signature: ~~1i~ Attorney Name: ~ mdsay D. Baird Supreme Court I.D. No.: 72083 Address: 32 South Hanover Street Carlisle, PA 17013 Telephone: 717.243.5732 Form RW-02 rev,10.13.06 Page 2 of 2 IOS.fi05 REV' IGI/07/ ~.OCAL REGISTRAR'S CERTtFlCAT10N OF DEATH WARNING: It is illegal to duplicate this copy by photos#at or photograph. Fee for this certificate, $6.00 i his is to certify (hat the information here given i .orrectiy copied from an original Certificate of Deat July filed with me as Local Registrar. The origins certificate will be forwarded to the State Vita Kecords Office for permanent filing. Q• F@>,~~~~~~~~~ 2 2 f 2t108 Local Registrar ~' Date Issued HtOS143 REV 112006 TYPE /PRINT IN 1 PERMANENT BLACK INK ~i a 0 ra C7 °~ 4; C axe _ -- ~n ti-,1 T :l%~ ~_ ~ ._ ~ i::: '~ C. - ~„ ..., . - GJ1 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH ^ ` G O~ i (See instTUettons and examples on reverse) STATE FILE NUMBER /ri ~ O 1. Name d Decedent (FnsL maBe, last, sumx) 2. Sex 3. Soc'al Security Number a. Oars d Daam (Month, my, Year) Judy A. Means Female 166 - 46 - 3024 Aug. 16, 2008 5. Age (Last BiNdeyl tinder 1 year Under 1 day 8. Dale d Dint (MOmh, day, Year) 7. Birmpar~e (Giy mW state a laegn counlly) 5a Place d Deam (Chetle only one) _ 55 ycea, pm ~, My,b Fiaspdal; Omer. Dec. 11, 1952 Carlisle, PA ~lnpegenl ^ER/Oapeaem ^DOA ^NUrwrg Flume ^Reaidence ^Omer-Seedy Yrs. _ W. County of Deem &. City, Born, Twp. d Deem Bd. Fatlely Name (If not aatwaan, give saes and number) 9. Wes Deredanl d Hiepenro Origin? ~ No ^ Yes 10. flats: Amencen hdien, Bled;, WMte, etc. De T tr bi D Hershe Medical Center 1NYes,spedryca6e"• (S~ White S Y y ~. n au P . . Mexican, Puerto Rican, etc.) It. neceaem's Usual Krd d wMS daa rtaw d Me. Do not sea tee i2. Was Decedent aver in dw 13. DaedenYS Educelion (Spedty say highest grade completetl) 14. Marital Salty: Herded Never Marred 15. Surviving Spouse (tt wile, give maiden name) Wdawed Divorced (Spea'IN Kind of Wak Nina d twsdess / Intluelry Customer service Phone Company , U.S. Armed Forces? Elementary / Secadery (0-12) College (1 ~ or 5«) eves [7~No 12 Divorced - 16. Decedent's Mailing Adaess (street. dry /lawn. ware, zip ode) 922 Burr Ave Decedents ~ Decedent N . Middleton Adwl Rewdeax na. 9aa PA wema tYt,Dy~,~~„I~m Twp. . Carlisle, PA 17013 17b.cwny Cumberland 7ownsh~P? ,Ta.^ A °~dureewaa, ~,/~ 16. FameYS Name (Pest. mitldN, fnsL sum) Myrl E. Rynard 19. Motlrefs Name (Flrsi melds, maiden romaine) Many Yingst 20e. InknrenYS Name (Type / Prid) Mar E . R nor d Y Y 200. lydonmm's Meiirg ArKaess (street do /tam, aorta, zn coda) 423 N. Pitt St., Carlisle, PA 17013 21 a. Method d Dapasxion ^Gremadan ^ Damon 21h. Data d DhposNion (Month, day, yaM) 21c. Plxa d DaPmltfon (Name d cernelery. uanatay a Dinar pace) 21d. laceam (Cdy /town. sate, zip rode) nd Valley Memorial Carlisle, PA 17013 Cumberl Sat ^ R l b A d d d lb b ( I - . a e emova oor n u a xe wo cre,mtlan a ml ~Banar Aug. 25, 2008 MadkalExaminer/CaroneYt ^vee^NO ardens b y ^ Dinar-seamy , ~ 22a. SigaNredFUneral Service aclkp as suds) 226. License Mama 22c. Name and Atldress of FacgNy Ho man-Rot Funera Home & rematzsry, Inc. . ~ 138425 219 N. Hanover St., Carlisle PA 17013 Complete pains 23a<ony when cemYa9 23x. Tome De d my IopaNdge, death attuned at the lira, dent and place sorted. ISyaaxe end ink) 23b. License Number 23c. Date Signed (March, daY, Yre0 physiden a rat ev9lede a1 time d deem ro cemry reuse d seam. - Tyne d Deem 24 25. Dale Pmnaxaed Dead (MOmh, day, yeas) 26. Was Case Aelened Lo~de6cal Evamirrer / Caorer Ia a Reason ONar then Crertatian a Doratbn? Mena 2425 new 6e cangMed M person who Dmiauraes seam. . ~ 1-PJ PL'!M. M. f}(J~US~ 1 ~i i ~1(7C~~ ^Yea L`,1, no/ CAUSE OF DEATN (Sea InstrucBOns arM examples) I Approdlmte Ylaeval: ca d c artesl I m l m h m Pan II: Entar agar ' iven in Pen L t re n m uMen a ease hN dtl 28. Did Tabaoco Use Conbibae ro DmM7 ^ Yea ^ Ple6edy r , e eve a suc m a Omar ro Dee Item ZY. Pan I: Emer da chin d evreMS -aeeases, arfxbe, a camplkedora -met AlecNy caused 9a deem. DO NOT enter temi respirotay ertasL a varnrkJer flhrWetlon wMad shawirg me eddogy, llw any ore caws an each am. ~ I s ng y g g ra e ~ No ^ lAidiowrl NMEDIAIE CAUSE IFoal tliseese a /~x~ ~ r ~t r 7~ l ~ o ~° ~ L r1 F" c,g nd c E ,z , ceMNlon awNag a deem) a 29. N Pamela: H9 m ea ~~Nd m w ~- . Due b (a as a conse0uance at): r N asry M F i ~GL I G /}'~-f L~ C S i _$ r Yet carldAlau 4 1 De r progra 1 Y . ^ Prepant at tare d deem , , . EnNDERLYNG CAUSE ' Due b (or as a caraeaarlce oQ: ~ lessees a irlNxY that awiate0 the t ^ d~ 1, bd pregreM wBha 42 days evens reaxarg a dews) LAST. ^ Nd plepanl, but pregnan143 days ro 1 veer - Due a for as a consewence oq: d balsa dorm ^ lhanown N pregant wihm tla pap Year . - 30a Was en Adopsy 306. Were Aubpsy Faengs 91. Manner d Deem 32e. Oafs d Irpury (Mmth, deY. yeerl 32b. Desaae Has Injury lkeuned 32c. Plea d InN7: FMM, Fenn, Strew. Factory. 011ka Du~16ng. ea. (Speaiy) PeM1 mad? AvalleNe Prig ro Canplatlat em? d c se a D ,/~,~~ ~ "°'~"~ ^ H0"at"e /~~ e au ^ A ^ p~~ Lm~agat 32d. Tina d ahnY 32e. a'4arY at Wont? 321.11 Trenspodation H+yvy (Spedly) 32g.lacelion d irrljuury lStrow, dly! tovm, slaw) ^ Yes CJ "'a ^ Yes ^ Ida ^ Yes ^ No ^ OrNar/Operator ^ Passalgx ^Pedesbien ^ Sdclde ^ Could Nd re Delelmkied M ON>at _ . 33a. Cer9Aer (Mee ay ae) 33b. Sgreere rd Tea d CM'Nier ~~ • CenNying phyakisn (Physitien cerNlyYq awe d deem wM aooNrar phywden las po~aurced deem and winVleled Item 23) deem oxumtldue to Me caues(e)mdmwar ee eMFSd________________________________ ^ bMd inewled e tl g , a my To use d tleam) ro i m d tll a s L'cense Number 33d. Date Sgmd (Month, tlnY~ ~1 ca ea ai rn y g ng • Prorauneag end tenayln9 OM'x~ (Physlaen both praaax To the bsl of my gawNdge, Beam ocaxredMHa llme,deh, asd pMa, and dw to the auags)and nidxar ae states_---'------------- . M-~'l~a ~t~cl ~}y~(,UST Idi LOOyf- • MedaM Exsmmer/Caorw On the bneh d sxamimlion ant / a iaveatlyathn, m my opinion, death occurred at me tam, data, and place, Nd due m ffx causes) and manner as atated_ ^ ~. Name eiM Address d Perron Who Campbted Cause d Deem (lam 21) Typo /Pmt M.S. Hershey Medical Ctr. 35. R tea arr~atk~ber _(` I h ~ I t I a J ( 16 I ~p ~ Data Fiaa (Monet, aa ~.y,~A Y V~ R N~~*' , °'^ ?> Hershey, PA 17033 v , Dispasilbn Permit NO. t~ON-lJb LT RENUNCIATION REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA Estate of Judy A. Means Deceased I, Mary E. Rynard , in my capacity/relationship as (Print Name) mother of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Joan M. Garcia-Cruz and I waive the necessity for her to post bond (Date) (Signature) 423 North Pitt Street (Street Address) Executed in Register's Office Sworn to or affirmed and subscribed before me this of day Deputy for Register of Wills Form RW-06 rev. 10. [3.06 Carlisle, PA 17013 (City, State, Zip) 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 ~G.rx~~ ~-~ ~~{ Notary Public My Commission Expires: (p I ~' ~ I ~(~ I ~ (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) ..~~r~ NOTARIAL SEAL CAMEIA J MANGES Notary Public HAMILTON TWP, FRANKLIN COUNTY My Cammisslon Expires Jun 21, 2010 ~ ~~ - _1 o °° ~. _ ~~ ; ` ' c ~c , c7 ~ ~ , ,, .: ,. _ , ~_ _~ ,-; :~ , -- - ~ 1 ~ ry V i a ~ v `~ o~~s RENUNCIATION REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA Estate of A. Means c~ t-..a - c~ °~ - - _Q 'T .'~7 C~ t i'r? L ,r ' -r_ C7 S~ ~_ ~ ~ __ _ ; 3 } '_... '-. i r-~-i t..... ---+t ~. F J /\ -> ~ ^~ ___. .] ` =- _,~ .~ .c- ,Deceased I, Jodi L. Rynard , in my capacity/relationship as (Print Name) sister of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Joan M. Garcia-Cruz and I waive the necessity for her to post bond l.l~ (Date) (Signat ) 62 East Penn Street (Street Address) Carlisle, PA 17013 (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 5~~-7-~M3r_.JL ~(~b Notary Public - (~ My Commission Expires: (,Q'v~ 1 I fib! Q (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) ~~. NOTARIAL SEAL CAMELA J MANGES Notary Public HAMILTON TWP, fRANKIIN COUNTY My Commission Expires Jun 21, 2010