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HomeMy WebLinkAbout11-10-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of Rodney Lee Steele also known as Deceased Social Security Number 223-04-5610 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE ',9' or 'B' BELOW:) N A„ Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the %= ~ teamed in tt~e " last Will of the Decedent dated and codicil(s) dated ~ ~ ~ - C7 .~r = (State relevant circumstances, e.g., renunciation, death ofexecr~tor, ele.J -' ~' ~'` - ,~ "U .~ Except as follows. Decedent did not marry, was not divorced, and did not have a child born or adopted after execution ofi~~,instrumen~ ofier`ed- ~ ._ for probate, was not the victim of a killing and was never adjudicated an incapacitated person: _~ -~-i G"s ©/ R. Grant of Letters of Administration (Ifnpplicable, enter.' at. a.; d. b. n. c. t. a.; pendente life; durante absentia; dm~ante minorirateJ 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, e.t.a. or d. b. n. c. t. a., enter date of Will in Section A above and complete list of heirs.) Name Relationshi Residence Tavonya Steele Daughter 23167 Baywood Court Apartment 2-C (COMPLETE /NALL CASES:) Attach additional s/:eels if necessary. Chestertown, MD 21620 Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at 4341 Carlisle Pike, Apartment B-11, Camp Hill PA 17011 (List street address, town/city, township, county, slate, =ip code) Decedent, then 39 years of age, died on January 7, 2007 at Hershey Medical Center, Hershey, Dauphin County, Pennsylvania Decedent at death owned property with estimated values as follows: (If domiciled in PA) Al( 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: $ 120,000.00 0.00 TOTAL: $120,000.~~ 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: ._ ~ ~' ~ ~~-'~ ~ ~ ~~ ~ ~ Tavonya Steele - 23167 Baywood Court, Apartment 2-C, Chestertown, MD 21620 COUNTY, PENNSYLVANIA File Number `mil ~ ~ ~ \ ~' Form RW'-02 rer. 10.13.06 P1~Te~ Of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUTJ'FY 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 cr affirmed and subscribed before ~x~e the ~_~ day of A~ ,J ~') 1~, i For tste Register Signature of Tavonya Steele ~ _ n ~ - ~..~ - ~ Signature of Personal Represen[ative L`- ` r_ Signature of Personal Representative - ~-' ~ ;'~ "' - <.~,~ ~p ~ r -> -,-~ ~ File Number: ~~ ~' ~ ~`~~ 1- C.ti Estate of Rodney Lee Steele Deceased Social Security Number: 223-04-5610 Date of Death: January 7, 2007 AND NOW, , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters of Administration are hereby granted to Tavonva Steele in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES Letters ... ~ aG~ p~7c~... $ ~~ ~ Short Certificate(s) ... ~... $ Renunciation(s) .......... $ Jc_ P ... $ to ... $ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ o2~f 7`G' -~ Register off 6vills Attorney Signature: ~/'" Attorney Name: Bruce J. Warshawsky, Esquire Supreme Court LD. No.; 58799 Address: 2320 North Second Street Harrisburg, PA ] 7110 Telephone: 717-238-6570 Farrrt R6Y-~2 rev. 10.13.6 Pa~TC ? Of 2 1O5.9O5 R6V.(6IDCj This is to certify that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Records in accordance with Act 6S, P.L. 304, approved by the General Assembly, June 29, 1953. WARNING: It is illegal to duplicate this copy by photostat or photograph. Calvin B. Johnson, M.D., M.P.H. Secretary of Health No. Frank Yeropoli State Registrar r.a JU~`~~ 2007 ~. l~aT~~ .:~ r fi `- . . ~ r , = ~ _ ~ ; .~ ~ ` -- (V ~7 1 Z .,.• , HtO9.p44 REY wzods COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~ ~ 7 G ~. `~__.. "PRINTIN CORONER'S CERTIFICATE OF DEATH PERMANENT i YCaa LraAtllll:t{AAA Arad BYATDIP_A AA IBVReSet STATE FILE NUMBER ~~ W 1. Narro d Decedem (Fast, middle. wst. s:dlix) 2. Sex 3. Socel Security Number 1. Dale d Death (tgonm, day, year) RODIdEY LEE STEELE M 223 - 04 - 5610 January 7,2007 5. Age (Last BiNgay) Under t year Under t day 6. Date of BiM (Month, day, year) 7 ~hpam IC~ and stale a tore wad) fie. Ptam d Deam (Check me) asnrw Oqe New. MMwmc HosMtal', Other. 7/15/1967 Newport News, VA ®l ti arMm ^ooa ^N sn m ^ER,od e ^om -s , ne ^,,x 39 ar g a p er pe<m e nru ., Vra eE. County d Death Bc. CM. Born, Twp. d Deem 8d. FacYny Name (g nd institution, give stred end naMerl 9. Wes Decedmn d Hiaparac Orign? ^ No ^Ves 10. Race: Arrmrcari Yidan, Black, WN4, et. Dauphin Derry Qt yes, speciry Cuban, (SpecilY) Hershey Medical Center Mexican, Puerto Rican, etc) DecedeM'c Usual Ow lion Knd d work done du' most d w Na. Do not sWb rdaeo 11 12. Was Decedent ever n the 13. Demdanl's EducaEOn (Specify ody hghest grade crxnpided) 14. Medal SaNs Married, Never Married, 15. Surviving Spouse (q wde, give maiden name) . Knd of Wont KIM d Business! Industry LLS. Armed Forces? Wdowed, Divorced (Specily) Ebmentary / Secadery (0-12) Cdkge It-A or 5+) Chef/Cook Demon's Rest. ^Y« "° 10 Never • 16. Decetlenl's Maikng AMress (SmeeL Dry / lava, state, zip mde) Decedent's Did Decedent Pennsylvania uve lna „~ ye, O~,d,n, Lwed „ Hamden ,,~ A l R id ,7 9m 4341 Carlisle Pike Apt. b-11 . , ctua es ence a. e Township? 17b~ryHamden Township nd. ~ mwadwdntr ~l~p 1fi. Famer's Name (F~, naddk. last, sulfia) 19. Mdher's Name (First, midde, maden aunurme) Robert Lee Steele Jac ueline Edwina Clark 2Oa. Inbnnad'a Nure (Type, Pnd) 20b. Indortnantk MadngAdtlress (Street, sty 1 tavn, sMm, zip code) Jac ueline Steele 423 21a. Me1hM d QSPmAion ~ ^ Gematbn ^ Dmalnn 21 b. Date d Disposition (Month, day, Year) 21c. Place d DisposnWn lName al cemetery, aengmry a otw place) 270. location (City! Mwm, anent, rp wde) ~Ia'na Remwauromstate I ~ c ~ • ~°° ~"A'"t"r°'d ^ 1/13/2007 el Cemeter Joshua Cha Chestertown MD 21620 ^ ~ , ^Y~ ~ y p , 22a. d F see la as Bahl 72b. License NMrrber 22c. Name and Atldress d Facdiry • - •-J2. F -LiZ/b~- Z ennie Smith F'H, 717 W. Division St. Dover Delaware 19904 Compile gams < Dory when mrENn9 io tie d rtq knowledge, Beam occdre0 al tw taro, date ant pace slated. (SlgroWre ant tlge) 236. Limrwe Number 23c. Dine Sigrod lMOmn, day, year) pMrsiden 6 not aveiN6ie el Ems d deem W ardy muse d seem. • 24. Taro d DeaM 25. Da4 Praqurrsd Dead (Mash, day, year) 2fi. Was Case Ralened m Medical Examiner, Caarmr fa a Reason OYar Than Cremation a DonaMn7 nems24-26 mustbawatpeledDyDemon wro pmrnuncaa eem. 02:03 P M. Janus 7, 2007 ry ~ly~ DNe CAUSE OF DEATH (See Ines+'uesbns and exampMS) , Approxknate intervd: Pan IL Eller Omer a.~7'ifr x mnditaxts canriMmio to deem, 2B. DM Tobacco llsa Can6dae W Daemv tyPffi4 - daeasee, irlunes, a comDkmtwns - met drecdY mused the seam. DO NOT solar tennkal events such as cnrtim arrest. r Onset W Deem Nwn 27. Pen l: Emw ma rLaaLSY hn rot reaugag n the uMertyug muse gven n PaR I. ^Ves ^ Probabry - reeprarory arrest. a venurilm ILrAaf Wn wYaM showag me MiabgY. List aNy tie muse an each Ina. n r ^ No ^ Unknown q1~ EDIATE~ IFaW)dsease a r Complications Of Multiple Traumatic Injuries deem ~ a 2g. q Female. ^ N Nk s . Ow W (a tie a OpnaeWerce op'. r t a bsI patddiate. K r ~ ~ 6 d prepnaritw n pa year ^ PregmM at mre d death ie a. qm muse IisIM on k I~drq b ~ ^ Nd pragrera. Ma pegnam wdM t2 days ,mrca oQ: D,re to (a es a mrxuq A SE ~ DERlY1N G C U Ul l Emx me d deem , vo at a d a x y ~ c ~ n~ w ~ m) IJ1ST . d en~ resunng q+ ^ rya lxaVtent bu pregnant 43 nays W t ymr Due W (or as a anseWenm oq: t before deem r tl • ^ llNoicrsn a pmgnaM werun the past Year , 30a. Was en Aulapsy Penonimd? 300. Were Aubpsy Findngs Araaahle ProrbComgktian 31. Manor d Deem 32A. Daly d ktay (Noah. day, year) 2007 January 3 32b. OascMe Hoe EM ry Oaurred rear-end collision Passenger in MVA 32c. Plane d Iryury Home, Fmm, 3red, Feday, R o ~de ~y ' ~~ f) d Cause d Deam? ^ Naar ^ ~~ , , o a wa ® A[ddenl ^ Pondng DwasEgeNon 32d. Tuna d mjuy 32e. Eyiny d Work? 321. q TrensporhEon kpury fSpedNl 32g. Location d injury (Street. dY I bwn, sWa) ®Ves ^ No ®Ves ^ No ®~ ^DrNa/Optima ^Passervga ^Pakdrian ^ Yes PA 32 8 Market Street, Camp Hill ^ Sutiide ^ Cadd Nd ba Dekrmuwd 2:2O A M. Omer - '' , 33a. CerMix Idw6 oMy me) 336 a Tma d CeMfAr • Crlgynq pNyaleWt fPM'acian cemyag cause d deaf, when andtux p6y6ician has Prarlounced deem end mrmbreo gam 23) engt oaumd due b the muse(s) and nwtrier a EteMd- --- -- - -' _ -- _ --' -' - -' _ -' - -- _ -- - _ - ^ knpwNd e tM seat a m T ~ Patty J. Garber, Chief Deputy p , y o • psorpurcNlg ant caNgYbq phyak(an (Physician bom pmnolrrxq dmsl and cerMying to muse a Beam) ^ Nu 33d. Dale Sigued (Month, my. year) To tNe Deetdnry krowtedge, Beam awtnad ettM limo, ttMe, and plea,ell dw bins muaNaiaM mamrer.a .goe4 ----------------- June 12, 2007 • Yedlcel Examtrmrl Coronr On Nte Wia d exrrEnalbn ant y a mvaatipetioru m mY oprtaq bum occurred at Nr Nine. eats, and plea, ant dw ro r6r cwaya) and eunnar u aWee- ~. Name orb Address d Person WM Cortpleled Cause d Death Ilmm 27) Type, Rol Patty J. Garber ~ NumpEr <~. u. Repstrar'VR~y ~-y. C'. F 1271 South 28th Street ~~~ ~ ~ M1~ , .' - („~ Ir ~ti.Lr'r,l^~ I ~ ~ ~ ~ Harrisbur PA 17111 Dis~ilbn Pannn No. (JV oL~o~-/ ~(