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HomeMy WebLinkAbout02-10-09PETITION FOR PROBATE AND GRANT OF LETTERS RF,GISTER OF WILLS OF CUMBERLAND COUNTY, ]PENNSYLVANIA ~~,t~,tcoi~ Robert M. Snauffer, Jr. i~ilcNumbcr `~ ~ ~~ ~ ~~ ~~~ ~,~~„~„~,~~„~~~ Robert M. Snauffer, ° ~~ .Deceased Social Security Number ~~~_ _ ~~ ~_ _ ; ,, ~ _ CQ -7 Pelltl(1nCC(S~. who is/arc 18 years of ago or older. apply(ies) tor: _ ~ ~.D --~ '-- (COMPLETE 'A' or 'S' BELOW:) ~ -- -p ~ . ® A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the -~!y namtd~`rndhe last ~~-ill ol~the Decedent dated and codicil(s) dated ~ e~ N (S'tate relevant circumstances, e. g., reruTnciatiun, death of exec¢Aor, eleJ L~cept 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 fur prohate. was nut the victim of a killing and was never adjudicated an incapacitated person: B. Grant of Letters of Administration (lfapplicahle, enter: c.La.; d. h. n. c. t. a.; pendente /Ice; durance ubsentJa; dterante naiworrtate) Petitioner(s) alter a proper starch has /have ascertained that Decedent left no Will and was survived by the. following spouse (ifany) and heirs: (lJ~ ~I~lnrrni.cn-ation, c. t.c~. or d. h. n.c.La., enter date o/~W'iIl in Section .a above and complete list o~~{teirs.J Name Relationshi Residence ~ Ruhcrt Snauller Son (13) 100 S. Pine Street, Mt. Carmel, PA 17851 N9ichacl Snauffer Son (11) 100 S. Pine Street, Mt. Cannel, PA 17851 (COMPLETE W ALL CASES:) Attack additional sheets if neeessary. Ueccdent was domiciled at death in Cumberland County. Pennsylvania with hiis /her last principal residence at 5If,9 Fist'I~rindlc Ro1d 1 of 37 Mechanicsburg PA 17050 U.i>! ~n~ee~t uddre.e.e, toirn;~~rtr. toirnshitz counti'. state, =rp codel Decedent. then ~? years of age, died on August 22, 2008 at Mechanicsburg, PA Decedent at death owned property with estimated values as follows: (Ifdomiciled in PA) All personal property (li~not domiciled in PA) Personal property in Pennsylvania (ll not domiciled in PA) Personal property in County Value of real estate in Pennsvlvania situated as follows: $ I ,000.00 whcrctbrc. Pctitinncr(s) respecUldly request(s) the probate of the last Will and Codicil(s) presented with this Petition and the ,rant of Letters in the appropriate tbmi to the undcrsiencd: Siam ur ,~ I~ ~ ed or rinted name and residence ~~~~~ ~i~ ~ ~ _~ Russell C. Doodling, Ua Kingsbury Associates, 4 Vicksburg Court, Mechanicsbw~g, PA 17055 _V l~;,rm Rif'-0? rev. 10. l3. I)<> ~a.~e ~ Of Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMRF.RLAND 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 ~ ~ ~ F the Register k Signature of Personal se iv Signature of Personal Represrn(ative Signature of Persona[Represen/alive File Number: ~~~ ~~~ ~~~~ Bs[ateof Robert M. Snauffer, Jr. N O ~ - 11 ~~ ~ ~~. _ -,-a rn c~: ``, -Tn DO <i~, -n -~ ~ ~ i 1V I' De~ased w N Social Security Number.l?7-38-OI93 Date of Death:Aueus[ 22. 2008 AND NOW, ~L_ ~ /, in n ~deration oft e f e oing Petition, satisfactory proof having been presented be e, ITS ~CREF7D that Letters ~ ~~ are hereby granted to l ~ . in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and filed of record ~s the last W ill~(and Codip~il(~s)) of Decedent. FEES ~ ! egis of WIIIs Letters ............... $ ~' Short Certificate(s) ........ $~ Attorney Signature: ~~~~~~~ ~_' ~ d Renunciati ) .......... $~ Attorney Name: Andrew L. Sheol y, Rsquirc ~ '~ ' Supreme Court LD. No.: ~~'y .. $ Address: 127 South Market Strcct „ $ 1?O. Hox 95 $ Mechanicsburg, PA 17055 $ Telephone: 717-697-7050 .. TOTAL .............. $r o berm RW-02 re~c 10.13.06 Pa~TC 2 Ot 2 'I - ,. • LOCAL RECaISTRAR'S CLRTIFICAT113t~ ~)F ~EAT~-t VHARN4Nr: it isi illegal to duplicate this copy ay pl)rato~stat or photoc~rap`;. Fcc for this rcrtit;~atc `~h.{)t) A~~~N pFp~`' 1 hi i~ tl, ~ u ~ 11~~In) ulr ;~ < ~!t I~ I Id~'~, - ~~, ~ C~trl~,'llA l lt(tit ll ~ to i ,i t l1 I 'iila~ ~ U lil•. it v4 '~ti •II~ ''~` d1~~ '`'~f' ~'.PI~ IIIC(~ ~~ Cit JI I I ~' ,II~Ij U. i ~~ tTli t 1"I ~ t 1' l I+t' ~ ILii c~ Iry TI1C ''f !'.C .`il<ll ~. ~, n ~.~ l.'.'f .IIIC~IIC +I.: ?~'~(~~ s>;! I•'t~~Ir(!, i,ill _ t) I,. i :)f i,in~• -: -- L/,~~ ~-('~y 4 (y'~' (7'~( ~`'q~ _ `,~Y?`~~ ~~-•- ~ • ~~.-.-_C~~b SE Y 2! 2008 - - - ' -- Certilic~lti~m tinmhrr =~=% \2~i !:(1Cr,l IiC'_I`,lI',U I)..1C i~~ULY. N.J ('7 ~ ` - ~ - _- Cj -)~ , ~ Zl ~ ~-~ _ C~ - i II.. , . , - ~- ~, ,~\ ;: _ ~ , , I -.J , ~ ~ ~ _-~ ~ )'`icl ~ ~ ~, _ - -- ..m. ~ D~ - C.J , N H106.ta REV ttrzoos COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS PERMANIENiIN CORONER'S CERTIFICATE OF DEATH BLACK INK See Instructions and exam lea on reverse µ ~ ~ ~ P ~ STATE FILE NUMBER ,~ re 1. Name of Decedent iFlrst miatlle, las( sumxj 2. SB% 3. Serial Security Number 4. Dale of Dealn (Month, tlay, year) Robert M Snauffer, Jr. Male 177 -38 - 0193 August 22, 2008 5. Age (Last Birthday) Untler 1 year Untler 1 day 6. Date of Birh (Month, tlay, year) 7. Birthplace (City and stale or Ipreign poumryj Be. Place of Death (Check only one) 62 MAWS Deyc Hpurt Mruw Hospital: Other Vrs October 13,1945 Unknown ^Inpalienl ^ER IONpatienl ^DOA ^NUrsing Home Residence ^Omer-Spedty: 3b. County of Death &. City, Boro T of Death 6d. Facility Neme (If rrot ins(nulion, give slmet aria numbep 9. Was Decedent of Hispanic Origin? [~ No ^ Yes 70. Race: Amerkan Irdren, Black, Whiter, ek. Cumberland Ham den P 5169 Trindle Road In res•sDecily ab<,n, P M i n Rm (sDeciM hi ex can, ae p an, aid.) W te 11. DecedanYS Usual Occu lion Kind of wwk d ome Dunn most of world 10e. Do not slate relirea 12. Wes Decedent erer in the 13. Decedent's Educetbn (Specity ody highest grade comp leted) f d. Marital slalus: Marred, Never Marred, 15. Surviving Spo use (II wile, give maiden name) Kirov d Work KiM of Business I Industry U.S. Armed Farces? Elementary /Secondary (P12) College (t-4 or St) Wiaow['tl, Divorcetl (Specify ^Ye5 ~Np Divorced 16. Decedent's Mailing Address (Sheet, city /town, stare, zip code) DeceaenYS ~ Did Decetlenl Uve In e 17 H a iYl ~ P rl TG /~7 P a A t l R id 77 Sl t ~ y D tl l Li d i 5169 Trindle Road . ~ ~ . ua es ence a. a e c. , es, ace an ve n c Twnsm°? na.^Np,De~eeemweewanin t7b c C b l d Mechanicsburg, Pa. 17050 . ppnn um er an A~wal Dmns pf ciryleoro 19. Femar s Name (First, middle, last, sNfixl 19. Mother's Name (Flrsl, middle, maitlen surname) Unknown 20a. Inlonnant'S Name (Type I PnnQ 26b. Informants Meiling Address (Street, city I lawn, state, zip code) Michael L. Norris, Coroner 6375 Basehore Road, Suite 1 Mech. Pa. 17050 21 a. Mamotl of Disposhion i ~remetbn ^ Donation 21 b. Date of Disposition (MOnlh, day, year) 21 c. Place of Disposition (Name of cemetery, crematory or other place) 21 tl. Laatien (City! town, state, zip code) ^ Bs~ ^ RempvallromSlate w~~~i DOnae ~n~NMrzed® a Fxem ^ t 22 200 S Inc /Cremator llin r FH H 1706 Holl gs Pa S Mt D t C ~ r l Yes Np . , ep y o ge , _ y . . p . lure of Furreml service ~ fi (or ~ n es such ,~i 22b. Liceree Number 22c. Name and Address of Facillly 5 01 N . B a 1 t i mo r e Ave . FD-011932-L Hollin er FH/Crematory Ini~. Mt.Holl S rim s Pa. 17065 omplete Items 23ac nNy wren ce ilyirg 3a. Ta the. ' of my knowledge. death occurted al me tirtre, tlete end place sleled. (SlgnaWre antl IitNj 23b. Cleanse Number 23c. Date Signed (Month, day, year) ysidan is not awaaaae al line rn seam to ceatly cause of tlaath. Hems 24-26 must be canpletad by person 2a. 71me of Death 25. Data Prpnourwwd Dead (MCnm, day, year) 26. Was Case F efenetl to Metlical Examiner /Coroner for a Reason Other Ihan Cremation or Donator? who prorKUnces death. Aj3rX. 2: OQ AM August 22, 2008 Yes ^No CAUSE OF DEATH (See InetrueHOns and esamples) r Approumate interval: Pan II. Enter other ~ficant Wrd'Ibns contdbutngto tleam, 26. Dkl Tobacco Use ContnbNe to Death? Item 27. Pea I: Enter die Main of events -diseases, Inrynes, or canplkatbns -mat directly roused me death. W NOT enter twminal events such as ceNiac artesl, Oreat to Deam but not resuMng In the undenying cause given in Pan L ^ Vas ^ Pmbabty respiratory arram, or ventricular fibrlWlion w4houl shpxirg the etiology. List only one cause on each line. ^ No ^ Unkrwwn IMMEDIATE CAUSE Final tlisease a i mndnpnresbnmq'm~eaml ~ Chronic Obstructive Pulmonary Disease t a 29. If Female: ^ Due to (or es a caGSeque ce op: n No,p,eynamwmm~paslyear Sepuenaary list cnMiliats, II any, h, li ^ Pregnant at time al dean leadrg to me cause Irsled on ne a. pus to (Or as a con ante on: Enter IM UNDEPLYING CAUSE ~ NN m, lwl pregnant Mtnin 42 as ^ Pra9re Y5 (dsease a Injury mat INfietea me vent rasuldng m tleam) LAST c of deem Due to (or as a wit sequence off: ^ Not Dregnant bN Dregnant 43 tlaYS to 1 year b f s m d. e ore ea ^ Unknovm'rf pregnant within the past year 30a. Was an ANOpsy 30b. Were ANOpsy Findings 31. Manner of Deam 32a. Dale al Injury (MOnm, day, year) 32b. Describe Haw Inryry Occurtad 32c. Place of Injury: Home, Fartn, $Ireet, Factory, Peaormed? Availama Prior to Compleaon ~ Natural ^ Hanktitle OK a Building, etc. (Specify) of Cause of Deem? ^ Ves ~ NO ^Ves ^ No ^ Acntlenl ^ PeMmg Imrestigation 32d. time N Inury 32e. Injury al WoM? 32f. It Trenspoaat'lon Injury (Spenty) 32g. Location of Injury (Street, ciN I town, state) ^ suicide ^ Coultl Not De Delermif160 ^Ves ^ No ^ Odvar I Operator ^ Parsenger ^ Pedesldan M. ^ Other ~ Specfy: 33a. Cadifier (checF only one) 33h. Signature end ihle o • CertNying phyeklan (Physldan cenityirg cause of death when another physkYan has pronounced tleeth antl completed Item 231 CO T O ne r i To the beat of mY knowbtlge, tleeM occurretl due to Hre cause(s) end manner es slated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ • pronouncing aM cedaying physician (Physwian both pronouncing death and certitykg to cause of death) tl t th ti t M l tl tl T th b t f k Nd tl th d t ID d t d ^ 33c. Licens umbe 33d. Date Slgrtetl (Month, day, year) occurte e p ace, m _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ o e es o my now ga, 0a a me, a e, a ue p s cause(s) an manner as s ate September 19 2008 • MetllcalExamlrrx/cpmner , Dn the basis pf exeminadon aM / or Investlgatbn, In my ppinbn, deem aecurred el tM time, tlata, aM place, end due to Ile cauee(a) end manner as slated- 34. Name and A 1 e Who Completed Cause of Death (Item 27) Type I Print Mi ~iae~ L N i C 3s. Regi slgnamrea r Ne ban r~ p I~ I ~ 1 7 I ~ In I X ~ ° 36,DataRlaa(Memn,my,yaar . orr c s, oroner 6375 Basehore Road g~L to /11 ~ ~ ~ , - Fi• .-.>..C 1 L Mechanicsburg, PA 705 v Disposmon Pennll Np. 6<~~~ p (J ~~ -L~ l 'J~C~.'~ OFF'IC~ OF THE CORONER MICHAEL L. NORRiS ('nuJrNr~aud RICHARD ~.. MIDDLEKAUFF CORONER ~rrr1°~~'P`~ DEPUTY CORONER O~ MATTHEW S. STONER TODD C. ECKENRODE _~= "~ DEPUTY CORONER CHIEF DEPUTY CORONER Coroner'sp ~",rrk' MARLIN R. MCCALEB SOLIC (TOR CUMBERLAND COUNTY 6375 BASEHORE ROAD, SUITE 1 MECHANICSBURG, PA 17050 PHONE 717-766-6418 FAx 717-766-6419 30 December 2008 Andrew C. Sheely, Esq. Attorney at Law P. O. Box 95 Mechanics burg, Pennsylvania 17055 RE: Robert M. Snauffer, Jr. Coroner's Case #31-336 Dear Mr. Sheely: I apologize for not responding earlier with regards to your question about next of kin for Mr. Snauffer. It is my understanding that he has 2 sons, Robert - age 13, and Michael -age 11, who live with their mother (who is not married to Snauffer). Her name is Karen Sassani, her address is 100 South Pine Street, Mt. Carmel, Pa. 17851. Her phone numbers are: Home - 570-339-1106 Cell - 570-527-6891. If you have any other questions, or if you require any additional information with regards to this case, please do not hesitate to contact me. Resp tf Ily, ~~ ~ - -'~ -,, Michael L. Norris ->? ~ Cumberland Count} Coroner-~~=~<- ~ -~, ~- ;_ ' __ ~ _ -3 Y ',` MLN/mmn