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HomeMy WebLinkAbout09-16-08PETITION FOR PROBATE AND REGISTER OF WILLS OF CUMBERLAND Estateof_ Jeffrey D. Sealover also known as Deceased RANT OF LETTERS _ COUNTY, PENNSYLVANIA File Number Ol ~ ~Q ~~ ~3 t~ Social Security Number ~2-48-2~^^3 ~-,: ,-~_ t ;_ Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE A or BBELOW.) A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / the ~~,, ~ -y._ ~ ~ O '~d-~-t ~-= i:~ ._.. r ~ , ; `.~ ~ _,,, , _J A .~.; 3 name~al7r{~Ije last Will of the Decedent dated and codicil(s) dated ~7 ~ f` - -.~ ._ _ (State relevant circumstances, e.g., renunciation, dq Except as follows, Decedent did not marry, was not divorced, and did not have a child b~ for probate, was not the victim of a killing and was never adjudicated an incapacitated p{ B. Grant of Letters of Administration __ of executor, etc.) or adopted after execution of the instrument(s) offered (Ifapp[icable, enter: c. t. a.; d. b.n.c.t.a.; p ndente life; durante absentia; durante minoritate) Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and as 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 ist of heirs.) Name Relationshi Residence ~slover Dau hter .R.Z, Box 133-D Harrisvi e, Kelli R. Sealover Daughter R.R. , Box - See Renunciations filed herewith, arrisvi e, (COMPLETE INALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsyly t Coover Street Borou h of Mechanicsburg. nia with his /her last principal residence at (List street address, townlcity, township, county, state, zip code) Decedent, then 46 years of age, died on September 8, 2009 at Co unit General Hos ital, Harris urg, PA Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal prope y $ 5.000.00 (If not domiciled in PA) Personal property n Pennsylvania $ (If not domiciled in PA) Personal property n County $ Value of real estate in Pennsylvania Date of death val e to be $__Unkown determined situated as follows: o u h of Dillsbur Xork Count Penn lvania Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented the undersigned: with this Petition and the grant of Letters in the appropriate form to Si nature T e or rinted name and residence • eulah A. Geiger 900 Bonny Lazte, Mechanicsubrg, PA 17055 Form RW-02 rev. 10.]3.06 Page 1 of 2 Oath of Personal Repre entative COMMONWEALTH OF PENNSYLVANIA SS 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() ofthe Decedent, Petitioner(s) will well and truly administer the estate according to law. Swom to or affumed and subscribed before me the ~~ day of September 2~0~0~8~ ~ r the Register Signature of Persona! Signature of Personal Signature of Personal File Number: ~ I ` V ~' V9 Estate of JEFFREY D. SEALOVER Social Security Number: 1 62--48-2443 Date AND NOW, September '~1~ 2008 . in consi having been presented before me, IT IS DECREED that Letters o~ Admix are hereby granted to Beulah A. Geier lah A. Gei~~ ~~ Y,~ T ~ ~°_ ~ ~ -' G'~ ~ ~-~ C? C~ ~~ L D ,Deceased t~' CT1 T t0 - _~ `~ _ + O1 - aeration of the foregoing Petition, satisfactory proof stxation ~i3E~e~Si~€~c~~& in the aba~re-estate FEES Letters ............... $ ~, ~~ Short Certificate(s) ........ $ r : __ Renunciation(s) .......... $ .~ ... $ /U'W ... $ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ ~~~ Attorney Signature Attorney Name: Supreme Court LL Address: Telephone: & B$ks3~id$~1~1.~. C By_ Richard C. Snelbaker ~To.: ~~06355 44 West Main Street Mechanicsburg, PA 17055 (717) 697--8528 Form RW-02 rev. 10.13.06 Page 2 Of 2 RENUNCIATI~JN REGISTER OF CUMBERLAND COU -~~ Estate of JEFFREX D . SEAZ,OVER PENNSYLVANIA r~.~ n a ca ,.., ~ ~ ~ ~ ~ ~ ry r j'~ - ~~~~ A• r t ~©~ ~ '- ~ t=-~ D r <r ~ rn Deceased I, HEATHER N. SEALOVER (Print Name) _ Daughter of the administer the Estate of the Decedent and respectfully request BEULAH A. GEIGER September 10, 2008 (Date) >in my capacity/relationship as Decedent, hereby renounce the right to Letters be issued to R.R. 2, Box 133~D (Street~4ddressJ Harr~isville, WV 26362 (C'ity, Sate, ZipJ Executed in Re; ister'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 Exec~Cted out of Register's Office Befo e the undersigned personally appeared the party executing this renunciation and certified that e or she executed the renunciation for the purp ses stated within on this 10th day of eptember 2008 n~. ~~ Not Public My Commission Expires: '. {Signatu a and Seal of Notar}+ or other official qualified to zdmirist r oaths. Show date of expiration of Notary's Commission.) COMMONWEALTH OF PENNSYLVANIA Notarial Seal Sanwa K Sttnv~s. Notary Public Mechanicsburg l~c?r, .;umbeAand Cotxriy My Commfssicr~ ie R!~rires Nov. 22, 2011 Member, Pennsylvania Aasoclation of Notaries r~ C'7°ca RENUNCIATI N c ° ~ {~- REGISTER OF CUTIBERLAND C:nT I Estate of JEFFREY D . SEALOVER / 1 Y v + ~ ... I~ KELLI R. SEALOVER ~' Daught eY,(Print Name) of the PENNSYL a -~, 3 ~` VANIA ~ : _-Y Deceased in my capacity/relationship as ove Decedent, hereby renounce the right to Letters be issued to administer the Estate of the Decedent and respectfully request September 10, 2008 (Date) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of (Street ddress) Har isVille, WV 26362 (City, S te, Zip) ~'xec ted out of Register's Office Befor the undersigned personally appeared the party xecuting this renunciation and certified that h or she executed the renunciation for the purpo es stated within on this 10th. day of S ptember 2008 ~~ Deputy for Register of Wills Notar Public My C mmission Expires: - (Signatur and Seal ofNotazy or other official qualified to administ r oaths. Show date of expiration of Notary's Commission.) COMMONWEALTH OF PENNSYLVANIA Nntaria~ Seal Form RW-06 rev. 10.13.06 Sandra K Sho=~^~~ ~Jntary PubSc ~ iy~n-; ~y;~,~~~ ~ My Commission Expires Nov. 22, 2011 Member, Pennsylvania Association of Notaries ins.en~ vcy im/m~ LOCAL REGISTRAR'S CERTIF WARNING: It is illegal to duplicate this copy Fee for this certificate, $6.00 O`~~~ ~~ o a~~ - ` * ~, `'~ ,` P 14792679 Certification Number X105113 REV 1111D(16 TYPE IPRINTw ' PERMANENT SIACK INN 1 Nam. d DacoMx (Pity, midda, bN wN) o~~ l COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT O CERTIFICATE OF DEAT (Sae insVuctions and examples on r Z. 9u D. Sealover Male S. DW d361h Mmth, d. , r 7. Sirl law Ci and rro a mm Lam-/-l./6'lJ / ~~ ATION OF DEATH photostat or photograph. This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. f0 G ocal Registrar Date Issued f7 r~"`'r,,- 0 I ~ ~ ~ .te a' ~ _ Z f T - a ~ G .~~ C 1 j ~ Q1 "S-~ r . ~~ ^^ ~~ ~~uJ ~I A ~_..~ L_ J C_. 3 -~ .. s"} '.ACTH • VITAL RECORDS ~ Se) STATE fILE NUMBER 3. Saar Soanry Numbr 4 Dro d Osan (Moon. ar. teal 162 - 48 - 2843 September 8, 2008 46 rra June 28, 1962 Harrisburg, Pa. D~ m. eaeryaDwn x. ep,eaa,Trp.aD.an m. F.aby"an(Nnain.m,6m,piu.Y.new ®inpw.m ^ERloapNian ^DDA ^Nawp"oar ^Rubro ^oe,,,.spwy DaU hln nnibrl 6w.o0.«erdaNNp.dao;o„t ®No ^Y.: lo.Ro:~m.b«Ina,n.elmr.wow., P Harrisburg Community General Osteopathic Hos ital ~Y"~'~P~°"`"u0in' ( Mu,can. Purlo Roan, .b.) White n. Daruaa ua,r :carat ear mare 6r Dana N.r rwrd. Yz. wu DacodaN.rrNM 17 Da«daryY EdxaNm (Slroly ory nipn.N prau angwa) f1 Mar6r Slwc Mrud, Nowr MarNM, 15 Sunup Spauu (M rib, pivo maidann~r) K6NdWak KMaeaab„a/baaY U.S.Amlod Faaa7 ENmaNry/5wndoY'(p.1~ NLduraa, DNaad(sp.nyp Custom Home Builder Buildin ("as') . s D.«d.m'a ^Y" ®"° 2 Divorced Mrip AdlW (st..l ar /bwl. Nr., aP «d.) D.«a.a'a Did Dudrd 609 East Coover Street Aaitl Riidi'« v+srr Uwb. Yya ^ r.a, Dea,drK liwdn Mechanicsbur PA 17055 TourNP7 Trp 9. 1n Damry Cumberland ®Na D.cwmlir.d IS. FadNr'i Na,r (FrN, middy, bIl wRa) Vernon R. Sealover 10a. Ydamnl'a Nano (Typ IPmQ Beulah A. Geiger zta. MwrdauyaNlbn ^Gametion ^pmation Nb. DwaDil • ®anr ^ Ranrr ram slw w.. G rbn m oanrbn AatlrNaed ^ aN~a ~ ; wMNkreanbrlCoronrT ^w: ^Na Septen zz: sip d Farr ~p u ouch) zm caw,,. Namb. 3 - L , FD-012662-L 'Td Aa+rurwa=""" Mechanicsburg uY/~ 19 MoYrfa Noma (Pity, iddy, mrdn tanams) Beulah A. Tosterud '. zm. blartwiYa Mai6rp ou Ier.al dry /bwn, nr., yP aab) 900 Bonny Lane Mechanicsburg, PA 17055 IManN,,ar,r••rl zm. Pb,aaaapoNYm( an.aaemN.Y,aemrayaahrFMcel Nd Laatlm(c6yrlwn,wr.apooda) 11, 2008 Mec anicsburg Cemetery Mechanicsburg, Pa. 17055 Ya. Nan.anaAdo-.raF.NNy Myers Funer I Home, Inc. 37 East Main Street M h i cmplwYanz3.twywrn h ip raM ~°~ b1pN1e°p'' dorn a,naru N M Yme, aw .na pMce alwd. (Sip curs aM Iw) ec a n csburg, PA 17055 p rNdn w na.rNlad, r Ymc d Andy aauutlMM. 7b. Licence Nimibor 33c Dar Signal (Monty dry, yer) hens 21-26 muN b mnpW W Ey pawn N. Time d OeaN PS. DW Prmaunced Dud (Monty, oey, Yar wrRana.~,a~ + 11:32 A M September 8, 2008 ~ ^ v.. ®NMa6crE,nww/CnonrloraReae°npurnmGemw«vponafmi CAUSE OF DEATH ISoa MsWetlona antl a:ampby Irm 2y. PART I. Enra M man N ewnta.6u+ua. uryaios, a complcums-nN di ~ ApRorima4 '~ ~~ M dsrh. 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