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HomeMy WebLinkAbout09-22-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of AARON M. HOCK also known as _ COUNTY, PENNSYLVANIA File Number ~ ~ _ D~ -~~J v ,Deceased Social Security Number Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) n ~ ~p °~ ,;': ^ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the ~=-- ~7 Cn name"in~~e C. , - .; last Will of the Decedent dated and codicil(s) dated `-; ~ ~ "~ , _~- m N , ~,3 ~.\ _... _.. "-' A - - (State relevant circumstances, e.g., renunciation, death of executor, etc.) :_~ ~. ? `r~ ~ Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution instrutrt~(s) ofl'ei'ett for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ^/ B. Grant of Letters of Administration (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente liter durante absentia; durante minoritate) 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 Douglas E. Hock father ~ 506 Ridge Road, Shippensburg, PA Kathy S. Hock mother 506 Ridge Road, Shippensburg, PA (COMPLETE INALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his !her last principal residence at 406 Ride Road Southampton Township Shippensbure PA 17257 (List street address, town/city, township, county, state, zip code) Decedent, then 24 years of age, died on July 13, 2008 at Hershey Medical Center, Derry Township, Dauphin County Pennsylvania Decedent at death owned property with estimated values as follows: (-f 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 fol g 5,000.00 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: Sienature Typed or printed name and residence I 406 Ridge Road, Shippensburg, PA 17257 Form RW-02 rev. 10.13.06 Page 1 of 2 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 or affirmed and subscribed before me the ~d day of F the Register Signature ofl~rsonal Representative Signature of Personal Representative N r~ c~ ~-- ~ co :-~ p'T -~[7 ~ `>rn N Signature of Personal Representative File Number: ~ I - D X ~ Q~J y Estate of AARON M. HOCK `c%~o: ': j ~~~ --; CJ --s -~, .~ _ _ --t 7® ~O Deceased r~ r ~ _:.~ ~= _ `, ~ _, _~ .:° '~., i ._ . Social Security Number: 191-68-9331 Date of Death: 07/13/2008 AND NOW, ~~ ~d ,~c~o8 , in consideration of the foregoing Petition, satisfactory proof having been presented before me, I IS ECREED that Letters of Administration are hereby granted to Douglas E. Hock in the above estate and that the instrument(s) dated none described in the Petition be ad mitted to probate and fi led of record as the last Will (and Codicil(s)) of Decedent. FEES 30 00 Re ster of !s Ae/~ c . ~ Letters ............... $ . / .... Short Certificate(s) ........ $ 8.00 Attorney Signature: Renunciation(s) .......... $ 5.00 Attorney Name: Jam .Hughes, Esquire Automation Fee , , , $ 5.00 JCP Fee .. • $ 10.00 Supreme Court I.D. No.: 58884 $ Address: SALZMANN HUGHES PC $ ... $ 354 Alexander Spring Road, Suite 1 $ Carlisle, PA 17015 ... $ • • • $ Telephone: 717-249-6333 ... $ TOTAL .............. $ 58.00 Form RW-02 rev. 10.13.06 Page 2 of 2 l -UY OySL RENUNCIATION Estate of AARON M. HOCK ,deceased. To the Register of Wills of Cumberland County, Pennsylvania. The undersigned mother of the above decedent hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters of Administration be issued to l~ougias E. Hock __ WITNESS m~? hand(s) this day of August _, 2008 d~ SIGNATURE Aff d and subscribed efore me this 406 Ridge Road ay of gust, 0 Shippensburg, PA 17257 ADDRESS N b1COMMONWEALTH OF PENN ANIA Notarial Seal SIGNATURE ,)ac~ueline L. Drawbaugh, No tablic Qp South Middleton Twp., Cumberla County My Commission E~ires Aug. 14, 2011 M mb Penr~sylv~nja ~sociatlon of Notaries ADDRESS Affirmed an~ su~iscn e e ore me this day of , 2008. SIGNATURE Register of Wills ADDRESS Deputy ~ a r; -v _-. ~7`t N F -.~ 1 ~ .. ` ~C i ~ ~_...~ ? t7 -.~_~ ~ - . -- ~ i f^ { 3~ _ ~ CJ'i ~ P 14481482 LOCAL REGISTRAR'S CERTIFICATION ~OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 Certification Number -~~ v9sv ' This i,, 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 Reco ~~ Office for a t filing. ©~ /s. o Loc [~egistrar~7 ~ DaterIssued ~ i .% ~• - --~ ~`jj r ~ - - tntnlw lev naofts TYPE / Patrr w PEgNiNENT SlAC1C IHIC ail COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS --t • • -, CORONER'S CERTIFICATE OF DEATH `nom -- (See Inetruetlone end eYemnM: nn rowroel sycrF cn c ui iuwco ~ n 1. ybrir a Deaaarra (F:tl, rams, rt.dra) z. sex s. SaW Saarby Nuror e. Dtle a t>etle pyatlt dY• rM Aaron M. Hock Male 191 _ 68 - 9331 July 13, 2008 s. ~e s,tl sidtl.y) uedr t UMr f e. pb a aim ptoan, T. aro tlw a ea. Dbc. a atln ana e4ae lxrya rbua faaam lmapWl: lMlrr. 24 ya - March 23, 1984 Red Lion, PA ®, ^Enraarabra ^noA ^Naaiplbme ^Matleaa ^Otler-spealy: • tm. Garay a Datlli x. cey, Dao, T.R. a O.ah ed rouay mom. m na mwam, pro abra bat r,ror) t. was Deoednd a ~~ odpnT ~ No ^ Y.e 10. taoa Am.dnn loan tw~k mow., tlc. Dauphin Derry Hershey Medical Center ("'"`'~~' (art ~"~~"~•b1 White 11. Dapderd'a llrrl I(ytl a.arb axre mwt d f4. Do ra rbb 12. Nha Dacaaaa aw h "» 1S OandeaY Eduatorr (Bp.dp ay Nyraal pde aarphW) td. WdW &tlw: wrdw, Newr alrrbd. 15. srwNip L+polre p Mb, "b+nitlem rlameJ IGddYlbk l(Md&eNiwrYdWy U.S AmNa FOroea7 Ebmnyrylsi11-14) Cdbye (1.1 or 5+1 Wbaeed, pvacW (SDscNy) Assembler Andersen Logistic ^yp ~~ 1Z Never Married +soewe.rawnn°,+aa.c`(~.d'ayrbMn'ar.'4"od') 406 Ridge Road 0ipa'+'• Penns lvania Adutlw.tlrr. vatieb y k°tliwmo`:dea 1TO DrrbaLhetlh Southampton i~rea • Shippensburg, PA 17257 . , f>b,~, Cumberland TOivinA1p7 1Ta.^w,Dwdrnluwa.anh Tap. moral lLn4 d fYlyl Dam 1S Fathar'a Nrro lr+tl, adede, bel, ereax) Douglas E. Hock - 10.IdotlwY y4iae IRn mbar, nrltlen auneme) Kathy Swartz Ztk t6nneM'a sham (Type / Pmq Douglas E Hock ?m. mbannh wrgMesaa 18rr4 ay/ban, tlrb, aD code) 4 . 06 Ridge Road, Shippensburg, PA 17257 21a. Mtllcddgrpolam ^parrWiai ^DorWlm ®Buiel ^ tbmad 1mm Sbb 21b. Dab dObpatlYOn(WAA,dry, yea) 21e PbaaDYpnabn DfanmdceMery,arnlayaMrpbp) 21d. lnutlon (Cty/ban, attle, zq atle) yYU Gyearflon a Dartlon Audurbatl D lTmr- D WdalP xamb rC fr D O 7/16/08 S rin Hill Cemeter Shippensburgg, y . w aarb na rw p g y Cumberland Ct. , PA 17257 xa Purrs ~ro ) zffi.Lbenbnuroer YZC.WmerdAedendFadey oge ranger- rlc er nera ome, nc. ^ FD-011776-L P.O. Box 336, Shippensburg, PA 17257 Campbb Seam 49at my Mmaetfyiq ' 29e To to batl d my maWdDe, deem amara0 tl tlr lino, Gb end Door abbd. (Slpren and Wb) 29b tbrrs Nunber 29 Dtl l 6 d tk b plyaidan s ml nebblr tl amdol deaSr b . gm e. r I a , aN 1e°0 anry owe a atln • r~M ze ~ bt. spa 2I. Tme d WuA 04:10 A M zs. Dbr Rawnord tMW Nbah M', YMd July 13 2008 2". wu l:w IMbmd m Mearel Eum~na r l:oroner for a Dsuon phsr 1hn Cmnsbon a Daratlm4 . , ®rb ^w CAUSE OF DEATH (Sw bretnrrtlona and exampNe) .. ~ 28. Did Taberta lba CaYEaeb Daam4 IWn27. Prlt Ear tr tySl9S(~-dpewr, lryuba,amrpkdam-IlW drecy uued tlm aealn DD NOT Sarfaraml erwib rcnrreNacama4 i %"lk e yu, pref p Detlh rarpitlay arral, a vrerlcdar I6rSallon wCga aAOeip tlm etbbgy. Utl mly ors cease m eeM Ixr. , arAnY hflr utled/ip nub even h Pul I. ^ Yaa ^ PraWdy wenuTE CAUSE rmr dYe.e a ~ ^ ~ D 1"d°'°"^' ~ f0na"a"'°~'"h "^) -->: a Multiple Traumatio Injuries ; ze.llPmrmb: Dw b (a o a axreperw a¢ _ ~ ^ Na piepmra salon Wn year bf amdaar. a arty, b. z r ^ tl bae d deem ~ IM~ES~LYNG C e~ lwe m (a as a mmgence oQ: i ^ Na DaPrrd, be pnymN relen a aya ~~ddrbeaa~,~u}h~oeay mmetlt henb rermhpbdatlh b' ~ ddbm Due b (a u a wruepmma a): , ^ Not prapwn, be preprm LT days b t yes d. ~ bdae death ^ Ih~noen a papma wldrn tr Dan year 90a. wu n aeap.y gob. wen Aaepay Phd'+pa 91. aNmar d Dwm S2a Dtle a m)rr Mmm• ar, Y«d 92b. tkeabe How IMury Omrmd 92c. Phb a Hdro, Prm, tDretl, Pwory. P"+0""'dr "YeYh1'P'l0'bD0"p"b" Jul 10, 2008 Motor clist rear-ended an SUV at a hi h rate of s eed •b~sDedr,'r a Care a tx.ma ^ "~ D ~~ Y cY 9 P Roa°A~way ^ yea ®yb D Vas ^ ~ ~ Anidem ^ Prtltq hvrMlagm szd. line a "YmY 97e. tn)uy d Waky 921. p Tmapabem MW lsD+dlrl 924. tnutlm a iNal' (son, oily I bwn, tlabl ^saade ^caednabat>elrmh.d 09:38 Ptl ^Yes ®lea DOiberf0~' ^ OP~+ubn 1804 Oakville Rd, S. of Rt 533 N. Newton Twp P/l , , omr-: 99a. CardRer (ara my are) 330. Spy d Crafrr ~. • ~" plrytlobrr (Ptyndan roM'h2 aam d tlwr rMn rioerer Dlyslden tma pionwncM arm and ampbbe Mm 21) To 1M twf d my mw.raSr, drm oceume are b th ^ aurp)eMnwerramlre_____________________ ___ ___ -__--_ ' l+ron0uncbq ana arln b ala ld lh l b Ph ~ , ~ % Lisa A. Pottelger, cnieT D~utY y err l sn q P p Ye Y pmonprp deadl end cerayln4bwnadraml T a l 99c. Number 9~ D k ~ ~ d --- o e mtldmy bwwbd4a, Mtln rcaaradtl dm ems,deb, end pba,alM dwfotne uew(s)rM marwrY abbd ............... ^ . e ~ ( ' eY'Y~) • afadtc.lEa.mtnrreoraer July 14 2008 on tM bew a exranapm and l a hautlSMlort In ' and tl fbr mm dtle rtl tew and ear to tl ruy ) tl ® , , , p , r u s er mamrr p abbd_ 9e. /tame ~ Atlbera d Pram WmfampWed Cane a Deelh (br n 27) TIDe I Prig ss. ReptlnrY Spbaas W ~ l ~ I ~ I ~ ~ I ~' ei+'~ri°') Lisa A. Potteiger 1271 South 28th Street / Harrfsbu PA 17111 ~j~ Dl.poe"bn PrmN kk. //O'/(O G'!V