HomeMy WebLinkAbout12-02-08PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Sandra Lee Crone - ,-~ , ~ i ~' ^~
also known as File Number _-- 1~,_r! t/~) C.PI
Deceased Social Securit}~ Number 191-50-2792
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 and codicil(s) dated named in the
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(State relevant circumstances, e.g., renunciation, death of executor, etc.) -'"
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Except as follows, Decedent did not marry, was not divorced, and did not have a child born or ado red after execution of t -cam ~ , ~
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for probate, was not the victim of a killing and was never adjudicated an incapacitated person: 1t~=H~~men~ offered
B. Grant of Letters of Administration - `~
(Ifapp/icable, enter. c. t. a.; d. b. n. c. t. a.; pendente lire; duram'e absentia; durante,~irni5ritateJ F
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) andoheirs: (If
Administration, c. t. a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
Name Relationshi
April M. Crone Residence
Daughter
Carmen L. Crone Daughter
(COMPLETE INALL CASES:) Attach additional sheets if necessary.
~ Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at
Park Place Mechanicsbur Monroe T .Cumberland Co. PA 17055
(List street address, town/city, township, county, state, zip code)
Decedent, then 48 years of age, died on November 19, 2008 at Holy Spirit Hospital, Camp Hill, PA
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property
(If not domiciled in PA) $ 2,000.00
Personal property in Pennsylvania $
(If not domiciled in PA) Personal ro e
Value of real estate in Pennsylvania p p m' m County $
situated as follows
Form RW-02 rev. 10. /3.06
Page 1 of 2
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 annrnnr~ar,. r ..., .,.
the undersigned:
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 -~ day of
n -~ ~ `,.,, ~.,,,
For the-R~h -eg_isth gister
of Personal Representative
Signature of Persona! Re
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Signature of Personal Representative
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File Number:_ ==i r:;'
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Estate of Sandra Lee Crone "-
Deceased
Social Security Number: 191-50-2792
~~ Date of Death: 11-19-2008
AND NOW,
having been presented bef a me, IT IS DECREED that Letter~~ S of Ad,n;motra'aeration of the foregoing Petition, satisfactory proof
are hereby granted to Ralph Charles Crone ton
and that the instrument(s) dated
described in the Petition be admitted to probate and filed of record
FEES
Letters ............... $ , . V l/
Short Certificate(s) ........ $ ~, (~
Re unciation(s) .......... $ !~~
~~ ...$ ,
... $
... $
... $
... $
... $
... $
... $
... $_
TOTAL .............. $ -9.8~
Form RW-02 rev. 10.13.06
Attorney Signature:
Attorney Name:
Address
Telephone:
in the above estate
3820 Marka;t Street
Camp Hill, PA 17011
(717)236-8000
Page 2 of 2
Supreme Court [.D. No.: 61919
IOS.R05 REV rnm~~
LOCAL REGISTRAR'S CERTIFICATIOhI OF DEATH
WARINING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.x(1
' P ~.48101~5
Certification Number
ITEM # ~r i 6
- -- -
_ _ ___
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3EV 11noo6
PRINT IN
ANENT
,K INK
1. Name of Decedent (First, mitltlle, last suffix)
Sandra L. Crony
5. Age (Last BIRIWay) Untler 1 ear
This is to certify that the information here given i
correctly copied ;~rom an original Certificate of Dead
duly filed will; me as Local Registrar. The origins
certificate will he forwarded to the State Vita
kecords Office i~,r permanent filing.
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Local Registrar Date Issued
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS - ~ ''~
CERTIFICATE OF DEATH ' `
(See instructions and examples on reverse) --I
STATE FILE NUMBER -~
2. Sex 3. Sonal Security Number
female 191 _50 .,2792 4.o'VIDif9jM°2,
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Y v, vay 6. Dale of Birih Month, da , ear / V V O
( Y Y ) 7. Binh ace C arts slate or foreign country) Ba. Place of Death (Check only one)
4 8 n "°"~~ °'" "°"' "`°°~~ Nov . 13 , 19 6 0 w j Try
Harrisburg, PA r"r~~-°-a°i'ac otner
Bb. County of Death 6c. City, Boro, Twp. of Death L?Y Inpatient ^ ER / Outpafient ^ DOA ^ Nurmng Home ^ Residence ^Olhe
Bd. Faalily Name (lf ml asliNtion, give street antl number) r ~ Speafy.
Cumberland East Pennsboro Holy Spirit Hospital gwa: Decadent of Hispanic origin? "° ^Yaa ,o. Race: amenpnlndian Black wnlle e,°
(if yes, speciy Cuban, (SpeclIM
71. Decedents Usual Occu tan Kind of work done Burin most of world Ida. Do not slats relined 12. Was Decedent ever in the 13. Decedent's Etlucation Mexican, Puedo Rican, etc.) h 1 L e
Katl of Work Kind of Business /Industry U.S. Armed Forces? (Specify only highest grade completed) 74. Marital Slalus: MartieQ Never Marred, r5. Survi
artist e r a f t Ele~egtpry /Secondary (0-12) Cpllege (i-4 or 5+) Widowed, Divorced (Speciy)7 vi^9 Spouse QI wife. give maitlen name)
^Yaa ~° .SS divorced
1 fi. Decedent's Mailing Address (Street, city 1 town, slate, zip code)
Decedents Pennsylvania Did Decedent
9 8 7 Park Place Actual Residence 17a. slate Uve in a
Mechanicsburg, PA 17055 „b,~anty Cumberland T°wnanip? 17o~~Vaa'Daredaah~adm Monroe
17tl. ^ No, Decedent Lived witha Twp.
I S. Father's Name (First middle, last, wffix) Actual Limits of
Bernard G r e s h a n 19 Mother's Name (Rol, middle, melden sumama) city' Bom
2Ca. mtormam'a Name (type/Pram) Betty Ann Klemchef ski
A p r i 1 Crone 20b. Informant's Mailing Address (Street city / town, state, zip code)
2,a. Memod of oisposnipn 1.932 Grace Ave. , Apt.3,Los Angeles, CA 90068
remalKKl ^ Donation 21 b. Dale of Disposdion (MOnm, day, year) 21 c. Place of
^ Burial ^ Removal from State ~ Way Crometion or Donation Authorized Dlsppition (Name of cemetery, crematory or other place) 21tl. Loplbn ICky !town, stale, zip code)
^ Other - Specrlyr by Medcal Examiner / Comner7 ~9yea ^ No Nov . 19 , 2 0 0 8 Hollinger C r e m a t o r
atwg a Funeral S rvae licensee (or perso gain as such y t . H O 11 S 7 1 6n tX S
g ) 22b. License Number 22c. Name aM Atltlress of Faality CJ
FD-013163-L Musselman FH&CS,324 Hummel Ave. ,Lemoyne, PA 17043
e Items 23ac oay when cenrfying 23a. To the hest of my knowledge, death occured at the time, date and place slated. (Signature and Idle)
• physican is rot available el lime a death l0 23b. License Number
rerMy puce of Beam. 23c. Dale Signed (Month, day, year)
Gems 2426 must be completed oY parson 2d. Time of Daam 25. Date Pronounced Deed (Monts, day, Year)
w1a prenwnces deem. ~ rz (~(j P '1 ~y 26. Wes Case Refensd to Medical Examiner /Coroner for a Reason Other than Cremation or Donation?
.I / M. ~'~,/"-/~ / Gf oC ~ U Q ^ vas
CAUSE OF DEATH (See Instructions end exam lee ~}"0
Item 27. Part I. Enter me cha n of events -diseases, injuries, a complications -mat direclty caused the death. DD NOT amen terminal events such as cemiac arrest, ' Approximate aterval: PaR II: Emer abet
respiratory artesl, or ventricular fibritladon without stwwin the eti ty r Onset m Deelh ~~ °~10n` ronln •ne to tleam, 2S. Did Tobacco Use Coniridda to Death?
g okgy. List an ono pose on each line , but not resudag in me untledying pose gven in PaR I. ^ Yes ^ prohabty
1MYEDIATE CAUSE (Friel disease or 9 I r
condition resulting in deem) _~ a. ~I G~ln1T (~ (" ~ ^ No e-Unknown
I~ SPIYc ~~[Y~-t l J ~~-11 S 1l't ~l ~ Ylil/~1F r
Due to (or as a consequence of): i 29. if Female.
Sagreraislltyy list condAions, Aany, ------_~_ ~I~
leerbng to dre pose fisted on tae a. h- t= ~Ro"1 pregnant within past year
Faster the UNDERLYING CAUSE Due fo (or as a consequence off: ' ^ Pregnant al lime of tlpih
(disease a injury mat adialed rite r
evens rewlflng in death) LAST. c. ^ Not pregnant, but pregnant wthin 42 days
Due to (or as a consequence off: of death
d. n ~~~~
r ^ Nat pregnant, but pregnant 43 days to 1 year
30a. Was an Aul ' before death
WsY 30h. Were Autopsy Findings 31. Manna f Death 32a. Date of Injury (Month, day, year) 32b, Dewnbe How Injury Occurted ^ Unknown it pregnant within lase pall year
p~onn~? Available Prat to Completion
a Cause of Deem? NaNral ^ HaniciUe 32c. Place of Injury: Homo, Faml, Street, Factory,
cY ~ Office Building, etc. (Speciry)
`J" V~ ^ No ~ rvs ^ No ^ ~oidenl ^ PeMmg Investgatan 32tl. Time of Inlury 32e. Injury a1 Wonc7 32L If Transportation InN7 (Sped )
^ Suaitle ^ Coua Not ba Determined M ^ Yes ^ No ^ Drrver /Operator ^ Passenger ^ Petlesman 32g Location of Injury (Street cTy /town, state]
33a. Certifier (check only one) Omer - Specity:
• Cedllylrng physician (Physican ceniying cause a death when andhar pnysaian has pronounced deem and completed Item 23) 33b Si nature a_nd.Faladf - Ifi
To IM bast of my knowledge, dnih acurtetl due to the ceu .---'"'
• Dronounein arts earl I ee(s) and manner se Mated_ _ _ _ _ _ _ _ _ _ _ _ G ~ `.zl/`-(
g fry rag physieian (Physician both prorwuncing death arq codifying to cause of Beam) - _ - _ - - - ~ ~ - - - - - """' - ^ k~ ~' V _
Ta the hest o(my knowledge, death occurred at Une time, date, and play, and due to the cause(s) and manner ae eta 33c. License Numb
• Medical Examiner /Coroner ted_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ // 1
Dn Me basis of examination aria / or investigation, in my opinion, death occurred at the time, date, and place, and due to the cause(s) end manner as slated_ ^ ~ ~ L, l.~- "I f
35. Registrar's Signs ra era Dismct N cer U 34. Name and A-tltlress of P¢ry
rn , i I ~ I / I ~ I 36 Date Rled (Month, day, year) ~ ly-(~~/N
~/ / . ZZ. ;
Disposilbn Permit Nc. ~~I ~~ _g
rc aignreo ,montn, day, year)
~_ 11~2y~c~'
mpleted Cause of Deam (Item 27) Type r pool
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RENUNCIATION ~ ~" ~..~
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REGISTER OF WILLS ~ ~ r`'
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~' ~~~~ ~` ~ Q yr ~ COUNTY, PENNSYLVANIA
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Estate of ~ a~~ ~' t?` L ~ e, C.,r ~ tit ~
Deceased
I ~- Y ~ ~e v~c~e s ~t
in my capacity/relationship as
.}-~ (PrtntName)
~ ` ~` ~ '~ of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that i.ettP,-~ hP ;~~.,,P,~ ~„
11 C~~ rQ ~ ~~Y- 1~ S ~ ~/` b h e.
(Date)
~_ z _c ~.
C ~lL,. / C~~y fgnv~ SIJ'AC~tLe
( iSn re) f" ~ ~ ,
Executed in Register'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
a~3 ~au,~, Srt~~~
(Street Address)
(City, State, p)
Executed out of Regiister's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated withili on this ~_ day
of o?~c~,~
~~
Notary Pu tic
My Commission Expire . ~ ~~ l~
~~ .
(Signature and Seal of Notary or o official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
COMMONWEALeTI-I (J~ PENNSYLVANIA
NOTARIAL. SEAL
TRACEY C. WHITFORD, NOTARY PUBLIC
CITY OF SCRANTON, LAi;KAWANNA COUNTY
NIY COMMISSION E}:FIFES JUNE 29, 2Q11
RENUNCIATION
_~
REGISTER OF WILLS n `-
C.~ r ~ co
CUMBERLAND COUNTY, PENNSYLVANIA `,'r-,
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Estate of SANDRA LEE CRONE y` c.~
deceased
I, APRIL M. CRONE
(Print Name)
DAUGHTER
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
RALPH CHARLES CRONE
~`f ~ ~ ~a
(Date)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this
of
Deputy for Register of Wills
Form RW-06 rev. 10.13.06
day
g ture)
1932 GRACE AVE., APT. 3 --
(Street Address)
LOS ANGELES, CA 90068
(City, State, Zip)
Executed out of Register's Office
Before the undersigned personally appeared the
party executing thi.<<; renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this ~(f day
of ~ y~ant.P,~ ~ 206 R
y misslon Expires: pLT _ ~5 _ ~Oo q
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
~~ ~ ~ _
Notary Public
M Com
= sue,,
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a ~'=x~~;d~+~
z ; t~ ~- ~„
~
~ JOSE VENEGAS ARCOS
Commission # 1
612949
Nolory Public -California
;,;;~ !os ,kngeies County
M y Comm. Expires Ocf 15, 2009
RENUNCIATION ~? ~ -
_ ~ `._,
-,a7 C~7
REGISTER OF WILLS ~
CUMBERLAND ' ~
COUNTY, PENNSYLVANIA -~ ~ ~ -
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Estate of SANDRA LEE CRONE
Deceased
I, CARMEN L. CRONE
(Print Namef
DAUGHTER
m 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
RALPH CHARLES CRONE
v
1 I O
(Date)
(Signature)
4050 STUDIO STREET
(Street Address)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
LAS VEGAS, NV 89115
(City, State, ZipJ
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this ~2~ day
of V ~ ZUO
--
~----,
Notary Public J
My Commission Exipires: 09/ZZ/~~
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date ofexpiration of Notary's Commission.)
sue,
NOTARY PUBLIC
STATE OF NEVADA
Form RW-06 rev. /0.13.06 County of Clark
No: 9 -3665-I DARLENE TACTACAN
M Appointment Expires Sept. 22, 2009
KNOW ALL MEN BY THESE PRESENTS, that I, BETTY KLEMCHEFSKI, .
Widow, of 350 Fairview Street, Plymouth Borough, Luzerne County, Pennsylvania 18651,
have made, constituted and appointed, and by these presents do make, constitute and
appoirn my daughter, CATHY SIRACUSE, of 243 Dacia Street, Swoyersville Borough,
Luzerne County, Pennsylvania 18704, my true and lawful attorney, for me and in
my name and on my behalf, in my name and in her name, to take all actions and
to Perform all acts concerning my affairs as she may deem necessary or advisable,
~,.,_~
in her absolute discretion, as fully as I could if personally present, including,
without limiting the generality of the foregoing, for me aixl in my name on my
behalf; to receive and receipt for all sums of money or payments due or becoming
due to me from any source; to enter my safe deposit boxes, and to add to and to
remove any of the contents thereof; to endorse all checks and other instruments
payable to me in a deposit and withdraw any and ail moneys, checks or other
instruments ~to which I may be any time entitled in my name or in her own
name or in our joint names in any financial institution,. to establish any accounts or
cer'tific~tes of dep~it or brokerage accounts in my bE;half; to pay any and aI]
claims and demands now or hereafter payable by me; to draw and sign checks, drafts
and other orders for the payment of money upon any bank or deposits now or
hereafter belonging to me; to borrow money and to mortgage, Pledge or hypothecate any
`J~ PraPerty, 'l`am or personal, now or hereafter owned $y rr;~e as security therefore, to sell,
r.
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l~s' ensure, manage, maintain, improve, lease, mo e.,
j !f~~ ~j {{ €€ ,' ~~ 33 rtgag ,pledge, encumber, convey and
otherwise dispose of, or take any other action with :respect to any property, real or
personal, including but not limited to stocks, bonds and other securities, now or
hereafter owned by me, on such terms and conditions as my attorney considers
appropriate, and in the event of sale of any of my real estate to execute the Sales
Agreement and the Deed in my name and to make settlement and receive the
~' Proceeds; to purchase, rent or otherwise acquire any lPraperty, real or personal, for
me and to pay for the same; to institute and to engage in and compromise any
litigation on my behalf for me and in nzy name and as n-~y act ~ execute, endorse,
acknowledge and deliver all documents; to prepare, execute and file 'any tax returns,
governmental reports and other instruments of whatever lkind; to engage and dismiss
agents; and to authorize my admission to a medical, nursing residential or similar
facility and enter into agreements for my care; to authorize medical and surgical
procedures, to eke and transact ~ and every kind of business of every nature; hereby
ratifying and confirming all that my said attorney shall lawfully do or cause to be done
by virtue of these presents.
This Power of Attorney shall continue in force and may be accepted and relied _upon
by ` anYo~ to whom it is presented despite my purported revocation of it or my death,
until actual written Mice of such event is received by such person. In the event of my
incompetency, from whatever cause, this Power of Attorney shall not thereby be revoked
but shall thereupon become irrevocable, and may be ~~.~ ~ relied upon by anyone
:v whom it is presented despite such incompetency, subject only to it becoming void and
if no further effect only by such person of (1) written evidence of appointment of a
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guardian (or similar fiduciary} of my Estate following adjudication of incompetency,
or (2) written notice of my death.
I further specifically authorize my daughter, CATHY SIRACUSE, to execute
~I any and all documents necessary to effect the sale of my real property situate at and
I commonly known as 350 Fairview Street, Plymouth Borough, Luzerne County,
I Pennsylvania 18651, more particularly described in Luzerne County Deed Book
1811 at page 847 , said p~m, ~~g a pW of H8SW3-010-033
said documents including, but not limited to, an A~;reement of Sale, Affidavits,
Settlement Statements, Deed and 1099 Form.
'This Power of Attorney shall go info effect invmediately upon my signature of
~ the same.
The following is a specimen signature of the person to whom this Power of
Attorney is given.
i
~a
G,~4.THY SIRACUSE
. IN WITNESS WHEREOF, I have hereunto set Amy hand this ~ ~ ~ r~ day of
~'$ET'1'Y KLEMCHEFSKI'~ °__w_..
~.
FEBRUARY, 1999.
.~ ~ {
COMMONWEALTH OF PENNSYLVANIA )
ss:
COUNTY OF LUZERNE )
ON THE 23' rd day of FEBRUARY, 1999, before me personally appeared
BETTY KI.EMCHEFSKI, known to me (or satisfactorily proven) to be the person
whose name is subscn'b~ to the within instrument, and acknowledged that she
executed the same for the purposes therein contained,
IN WI'T'NESS WHEREOF, I hereunto set my hand and sea].
a..-~_
RECORDER OFD DS
LUZERNE COU Y trQTAflIALSEAI
F'ENNSYLVAM Aqp~ ~. ~~ ~~ PIS
IHSTRI~HT ~ IIRET~rE ~n
MY MNUVHSSIOH EXAWIE'S 0~t .IAN. ~. tt000.
525410
RECt1RBED OM
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Lt1ZERHE t~llMTl' ~3.im
REt~iDINB FEE
PA WRIT TAX .50
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ARCHIVES FEE _..
tuzERHE REtR's i.oo = s.R~ar far t_uzerne County, Penns ~~:. .
ARCHIVES FEE ry .
TOTAL i5.3o Eioak Nam.. Page~7• I
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