The URL can be used to link to this page

Home My WebLink About10-07-08PETITION FOR GRANT OF LETTERS OF ~ArDMINISTRAT(I ION Estate of FRANCES J. BREZINSKY No, (~/ ~ - ~~~ '~ (~`~-~ also known as ,Deceased. To: Register of Wills County of Cumberland in the Social Security No. 283 - 07 - 5181 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner, who is 18 years of age or older, applies for letters of administration on the estate oche ~~ c:a above decedent. - - .? G'` .-r1 C7 Decedent was domiciled at death in CARLISLE BOROUGH, Cumberland County, Pennsyl~~i_R~a;, with~T'ier last family or principal residence at 770 South Hanover Street, Carlisle, Cumberland County; P~'fi~sylvawa 17013. ` . ~ - --r~ Decedent, then 93 years of age, died October 1, 2008, at Chapel Pointe, Carlisle, Cumberl>~d Couri~, Pennsylvania. - -' Y ,~- Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent. N/A Decedent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ 450,741.00 (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania situated as follows: $ TOTAL $ 450,741.00 Petitioner, after a proper search, have ascertained that decedent left no will and was survived by the following next-of-kin: NAME RELATIONSHIP ADDRESS Bernice T. Harmon Daughter 28 Little Knoll Drive Hanover, PA 17331 WHEREFORE, petitioner respectfully requests the grant of letters of administration in the appropriate form to the undersigned. T B RNICE T. HARMON 28 Little Knoll Drive Hanover, PA 17331 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND The petitioner above-named swears that the statements in the foregoing petition are true and correct to the best of the knowledge of petitioner and that as personal representative of the above decedent petitioner wit! well and truly administer the estate according to law. Swom to and s' ribed before me this day of ~ ~T Ol~E~~ 2~ 8 ~~ f/I / .7//1/_/ ~/J 1 n BERNICE T. HARMON °~~~~?, " Register ~~~ Estate of FRANCES J. BREZINSKY, Deceased GRANT OF LETTERS OF ADMINISSTRATION AND NOW, October ~, 2008, in consideration of the petition attached hereto, satisfactory proof having been presented before me, IT IS DECREED that BERNICE T. HARMON is entitled to Letters of Administration and in accord with that finding, Letters of Administration are hereby granted to BERNICE T. HARMON in the estate of FRANCES J. BR ZINSKY. ~~ 1, ~~~ gister of Wills,, , ~ ~~ ~. ~'" , i FEES !' `~~~ ~ Probate, Letters, Etc. $ Short Certificates C~ $ Renunciation $ ~~~ $ ~~.~ TOTAL $ Filed: ~=~i _C~ C,b S. IRWII~ III (ID 64 South Pitt StreE Carlisle, PA 17013 717-243-6090 29920) .1~na c c ni-~,r . , ..- ~~ <<;' LOCAL REGISTRAR'S CERTIFICATION OF DEAThI WARNING: It is illegal to duplicate this copy by photostat or photograph. ~ Fee for this certificate, X6.00 P 148~~639__ Certification Number "Phis is to certil~/ that the information here given is correctly copied from an ori~~inal Certificate of Death duly filed with me <i; Local Registrar. The original certificate will he forwarded to the State Vital Rec•urds Ul~tice for permanent filing. a. ~~,..~.-,~, o~T ~ i ~QOe Local Rcrlstrar r~a Date Issued S'~"t :: ~_~ t-~ - t-S (~ •-~ I ~i I .~ ' , •~ ^~ + ~. •~ H1os-143 REV nnlw6 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS TYPE I PRINT IN PERM"NE"' CERTIFICATE OF DEATH RLACK INK (See instructions and examples on reverse) 1. Name of Decedent (Firs(, mitltlle, Met sdlix) Frances J. Brezinsky 2 Sex E'emale 3. Social $acunly Number 283 _ 07 _ 5181 4. Data of Death Month, da Oct. ~, 2~8~ 5. Age (Lest BinCday) Under 1 year UMer 1 tley 6. Data of birm (Month, day, ar) ]. Birthplace (City and stale a for eign country) ba. Place of Deam (Check Doty one) 93 "°""~ °ays ""'° "'^°e' April 14, 1915 Hazleton, PA "~piml o m ar: Yrs' ^ Inpalienl ^ ER / Outpetienl ^ DOA LL ~~y/ I~ Nursing Home ^ Residence ^Olher - Specify: bb. County of Death ec, Ciry, Boro, Twp. 01 Deam etl. Facifiry Name pl not immutlon, give street and number( 9. Was DeCerknl of Hispanic Origin? No ^ Yes 10. Race: American Intlian, Black, White, etc. Cwnberland Carlisle Boro (If yes, spetlry Cuban, (SPeCdI'1 Chapel Pointe at Carlisle Whit e Maxicen,PUanpRkan,ek.) 71. Decedent's Usual Occ tbn Klrxl of wale done tlun most of work' Ihe. Do not stale reared 12. Was Decedent ever m tM 13. Decedent's Etlucatlon (SperAy Doty highest gentle complete0) 14. Mental Slalus: Marnetl, Never Maenad, 15. Surviving Spouse (If wrfe, give maiden name) KiM of Work Klntl of business I I(xfustry Laborer Manufacturin U.S. Armetl Fpmas? Elementary I Secondary (D-12) College (1 ~4 or 5+) Widowed, Divorced (Speciry]j Wid ~ d g ^Yea owe Nq 12 16. Decedent's Meiling Address (Slreel. city /town, slate. zip code) Decedent's Did Decetlem 770 South Hanover Street ApNeI Reaitlence ,]a. Slate PA Live in a t]g ^ vas Decadent Livetl in Carlisle, PA 17013 . Twp. Cumberland T°w"ahlp? ryryIl t]b.copnry 17d.1(y No,DecedentLvetlwhhin Carlisle Actual Limits of Ciry I Bom 18. Famer's Name (Rrsl, middle, last, suffix) 19. Mother's Name (First, mitltlle, maitlan sumeme) Jose Drobeck Helen Bostossky 20e. Informant's Name (Type / Pnnq 266. Inlomant's Meiling Address (Street, city I mwn, state, zip cotlel Bernice Harmon 28 Little Knoll Drive, Hanover, PA 17331 21a. Method d Oaposhion ~ Crematon Donation 21 b. Dale of bon Monet, da j ^ Dispos" ( y, year) 21 c. Place of Disposihm (Name d cemetery, crematory or other lace 21tl. LOCatI°II (City I town, slate, zip coda) ^ Bpnel ^ RemwalfmmSYate l h ~d ~ Hoffman-Roth Funera~ dome & ~~~IEem~ ; ^, ?aa~y° October 2, 2008 ~rlisle, PA 17013 aher~Speciy: Cremato , Inc. 22e. S' f Funeral Service ' ansee ac Such) 22b. License Number 22c. Name eM Address of Facility Hoffman-Roth Funeral Home & Crematory, Inc. ~ 013144E list PA 17013 Compld hems 23aa only when camtyirg 23a. To heel d my knowletlga, nod at pre lime, ~M place sealgggtltltl.ylSlgruture antl title) 23b. License Number 23c. Date Signatl (Month, tley, year) physben is rid available al lime OI tleelh 10 ' cenhy Cause dtleeth. % ~ ~ /~ "] -T //~~~~ `/~y ,~q C~ ~° ~ ~ 3 ~ ~ . . - /C. ) / "7 I 0 ~~ ~`~,A~ 24 Tim f D m fiems 21-26 must be Can area b Ft Y Parson . e o ea 29. e aureetl Dead Momh, Da , Br mn Y Ye I ~ 26. Was Case Referred to Medical Examiner I Comner for a Reaspn Omer I an Cremation or Donation? who pronounces deelh, ~ J M. I /'1 0 n.~ Oy l o ^ Vas Na CAUSE OF DEATH (See Inatruetlona end ezamplee) r gpproximale interval: hem 27. Pan L Enter me [pain of events -diseases, injuries, or compficagons -that directly caused me tleam. W NOT solar tennirel events such as cardiaz arrest Part II. Enter omar <ionifcam cond'ns mbu( t death, 2fi. Did Tobacm Use Comnbule to Death? , Onsal to Death respiratory arrest, or venmcuWr fibrillation wimal shpwirg me etiohgy Usl Doty one cause on each lure. but not resulting In the underlying tease given in Pan I. ^ Vas ^ Prebedy IMMEDIATE CAUSE (Final tlisease or ' NO ^ Unknown corMgron resulting in death) _~ ` V ~ i .L W~ a i 29. If Female: Due to (or as a consequence og: ^ Not pregnant w11Nn past yea! Sequent IN eat NrMitbns, h any, b lead l0 me cease isled on lire a. ^ Pregnant al lime of tleath pce to or Enter Ilro UNDERLYING CAU6E ( as a cOrgequence oh: IS ease or ry hrel initiated me rile mad"d~r°g .n eaem(usT. ^ Nol pregnant, but pregnant within 42 days of tleam Dae m (nr ea a c°naequanpe on: ^ Nol pregrenl, but pregnant 43 days to 1 year d. r 30a. Was an Adopry 30b. Were Autopsy Flndirgs 31. Mannar of Death 32a. Date of Injury (Monet, day, year) 32b. DescnCe How Inlury Ocwrtetl PBdormee? Available Prior m COnpleh before tleam ^ Unknown it prxgnanl wimin the pass year 32c. Place of Inryry' Home, Fartn, Slreat, Factory, of Cause of Death? Natural ^ HomiCitle Office building, dc. (Specify) ^ Ves~ No ^ Yes ^ NO ^ Accident ^ Pending Investigation 32d. Time of Injury 32e. Injury el Work? 321. If Transportation Inryry ($pealyJ 32g. location Of Injury (Street, city ! town, state) ^ Suiotle ^ DopM Nd be Detertniretl ^ Vas ^ No ^ Driver! Operator ^ Passenger ^Pedeslrian M plher- Specv/y 33e. Ceniher (check only one) • Cenhying physician (Physican cenilying cause of deem when arpther physiden has pronouncetl death and completetl Item 23) To me best of m Nno bd tl m b. $gnalur rd Tllle of Ceniller ~ O ~ ~~ a~ ~ •~ y w ge, a occurred due to the cause(s)end menrKl ea SleteQ,________________________________ • Pronouncing antl cerlhying phyaklan (Physician bath rorrountln d m d m i \ ~ p g ee an ce ty ng to Cause d ea01h) To 1M heal d my knowletlge, death occurred a1 ma time, date, end place, arxl due to tM uuee(s) and memrer as steted_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ • Medlcel Examiner/Coroner 33c. LlranSe Number ~y„q~ ~ 16 ~ /' ~ Gh ~ X4.7 _1 {: 33tl. Date Signatl (Month, tley, year; O c m ~ ~OO r Dn the Cash o1 examination antl / or investlgetton, In my Opinlpn, tleam occurred at me Ilene, dale, end place, and due to the cause(s) end manner es slalatl ^ ' l _ ~ N a n~d Addre s of Person Who Completed Ceu ae °f Deam (Ila m 2]) Type / Pnnl 36. Regi signaNre a istric bar n D l Rletl M et s / ( ~ ~ G d h J Cj 7 /ti ~l 1 r'~ (`Z l,' P ` - ~•~eaa cJh~ . ¢ e ( on , tlaY. Ye r " , k V ' 4S~ . ~ p ~, Li.nk'P ~Tl~ 0.A LZr`WJQa ~ oisposuion Parma No. () ~h~$~=