HomeMy WebLinkAbout10-02-08tv
PETITION FOR PROBATE AND GRANT OF LET~~RS -
REGISTER OF WILLS OF CUMBERLAND
Estate of CONSTANCE S. BARYON
also known as
Deceased
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File Numbe
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Social Security Number 083-1~ 3194
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Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW.)
A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the
last Will of the Decedent dated December 27, 2000 and codicil(s) dated none
Executrix
named in the
(State relevant circumstances, e.g., renunciation, death of executor, etc.)
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the instrument(s) offered
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. n.; pendente tile; durnnte absentia; durance minoritnte)
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: (!f
Administration, c. t. a. ord. b. n. c. t. a., enter date of Will in Section A above and complete list of heirs.)
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Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at
Sarahtodd Memorial Home 1000 W. South St. Carlisle PA 17013
(List street address, town/city, township, county, state, zip code)
Decedent, then 91 years of age, died on August 9,2008 at Carlisle Bourgh
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: none
$ 50,000.00
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:
or printed name and
Y 9, ~ ~ ~~0 ~ ~n .~L( ~~~ ~ (Mary Beth Shafer, 5 Homestead Road, Newport, PA 17074
Form RW-02 rev. 10.13.06 Page 1 of 2
(COMPLETE /N ALL CASES:) Attach additional sheets if necessary.
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS
The Petitioner(s) above-named swear(s) or affirms} that the statements in the foregoing Petition are true and correct to the best of
the lrnowledge and belief of Petitioner(s) and that, as personal representatives} of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
Sworn to of affiiried and subscribed
before me the _ ~' _ day f
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For the Register
~egnarure o7 rersonat Kepresentative
Signature of Personal Representative
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Estate of CONSTANCE S. BARYON , Deae~~~ ~
itt the above estate
Social Security Number: 083-10-3194 '~ '•
Date of Death: 8/9/2008 ~ ~-- - :; j-
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AND NOW, _ (' , ~~Ok in consideration of the foregoing Petition, satisfactory proof
having been presented before e, IT IS DECREED that Letters
are hereby granted to
and that the instrument(s) dated
described in the Petition be admitted to probate and filed of recor as the last Will (and Codicil(sl) of Decedent.
FEES (~ ~ ~~
Letters ............... $ 90.00 Register of Grills
Short Certificate(s~~ $ t6`~.. $ $.OC) t2-60'
Attorney Signature:
Renunciation(s) . $ 5 . ~~.. $ 5.00
Bond
Extra Pages
ITR
JCP
Inventory
Automation
~iit'
... $
... $
... $
.. , $ 10.00
... $
.. _ $ 5.00
... $ •1.5-9~-
... $
... $
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Attorney Name: Robert P. Grubb, Esq.
Supreme Court I.D. No.: 76057
Address: Metzger, Wickersham, Knauss & Erb, P.C.
321 1 North Front Street, P.O. Box 5300
Harrisburg, PA 17110-0300
Telephone: 717-238-8187
TOTAL .............. $ -13~tbe
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Form RW-OZ rev. /0. /3.06
Page 2 of 2
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LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this. certificate, $6.00
P 14765641
Certification Number
HI05-I.3 REV I IR006
TYPE/PRIM M
PERMANENT
e~AClc sac
t. Name d Deadua IFar, rtWde, rn, sdis)
Constance S.
5 A,a Ilar ~1 crow , ,
91 rase
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en. cwwr a Dre,
Cumberland
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
Records Office for permanent filing.
Local:[~egistrar C7
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~ ••
CERTIFICATE OF DEATH ~ ~ '
(See Instructions and exsmples on rowrsa) STATE FILE NUMBER ~
Barton F~ 3083 ~~10 _ 3194 August 9 ~~1~08
Ham. ~`"` March 2, 1917 New York City NY
b Cap. faro. Trq, a DWI Ia Farly Narr A na rural, /M aaer and RnEerl
Carlisle Pa Sarah Todd Memorial Home
Secre'~i0aryy aamdel.bra/bsry
GPSIeI81 LZlBCtr1C CO
,e. D.aawra Maeq Aaa«a f9rw, ay / Iwm, ar, ~ ood.l
5 Homestaed Road
Newport Pa 17074
+e. Frrfs Name IFM maNa, ret arael
John R. Smith
2aa wlrm.r, Name tryP. /Pall)
Mary Beth Shafer
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RENUNCIATION
REGISTER OF WILLS
CUMBERLAND
COUNTY, PENNSYLVANIA
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_ Deceased
Estate o~ CONSTANCE S. BARYON
son
I, ROGER E. BARYON
(t7inu iYameJ
in my capacity/relationship as
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
my sister, MARY BETH SHAPER
9 2~ 8 ~ ~
(~s~el
6968 Oakland Road• P.O. Box 265
(Street Address)
Loveland, OH 45140-0265
(Gill', State, Ztp)
Executed in Register's Office
Sworn to ~lr affirmed and sub. scribed
before me this ~ ~ -r -i- ~
of .S'~7'~M 13 trl2 ,Q J
Deputy for Register of Wills
FeTm RW-06 ~ ev. 10.13.06
Executed out of Register's O,,Q'ice
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation fo the
Purposes stated within on this - ~ 5 T/~~y
Notary Public
My Commission Expires:
(Signatime and Seal of Notary or other official qualified to
admm~stet oaths. Show date of expiration of Notary's Commission.)
FRANCES K. HUELSMAN
NOTARY PUBLIC, STATE OF OHIO
MY COMMISSION EXPIRES 03-09-11