HomeMy WebLinkAbout02-05-09PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of JAMES F. BALLARD No ~~-nCi -Q/~S
Also known as To: Register of Wills for
Cumberland County in the
Social Security No. 200-56-4097 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s),
Administration
decedent.
who is/are 18 years of age or older, applies for Letters of
on the estate of the above
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his last
family or principal residence at 53 John's Drive, Enola, Cumberland County, Pennsylvania
17025.
Decedent, then 86 years of age, died May 13, 2008 at 53 John's Drive, Cumberland
County, Pennsylvania.
Decedent at death owned property with estimated values as follows:
(If domiciled in PA.) All personal property $ 2 000.00
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled PA) Personal property in County $
Value of real estate in Pennsylvania
Situated as follows: NONE
Petitioner, after a proper search has ascertained that decedent left no will and was
survived by the following spouse (if any) and heirs:
Name
Relationship
Residence
The Family Living Providers and a creditor of Decedent were Eugene Hartsock and
Deborah Hartsock of Enola. Keystone Family Support Associates is a human services provider w
agency which provided family living services to Decedent and is a creditor. Said Eugene ~ a ~ ~.
Hartsock, Deborah Hartsock and Keystone Family Support Associates nominate Petitioner to ac w ~ ~ w o 0
as Administrator on their behalf. ,,,,~~
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THEREFORE, petitioner(s) respectfully request(s) the grant of Letters of Administration ~ ~ w ~ ~ ~
in the appropriate form to the undersigned.
OC7o ~~9
Michael Cherewka Esquire i'"/~~,_/ i .~ ~
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The Law Offices of Michael Cherewka
624 North Front Street
Wormlevsbur~ PA 17043
717-232-4701
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA:
ss
COUNTY OF CUMBERLAND :
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing
petition are true and correct the best of the knowledge and belief of petitioner(s) and that as
personal representative(s) of the above decedent petitioner(s) will well and truly administer the
estate according to law.
Sworn to or affirmed and subscribed
Before me this ~~~'' day of
Register
No. ~ 1- U ~ - 0135
Estate of James F. Ballard, Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND, NOW, ~,_ , 2009, in consideration of the petition on the
reverse side hereof, satisfactory p bof having been presented before me, IT IS DECREED that
MICHAEL CHEREWKA, ESQUIRE is/are entitled to Letters of Administration, and in accord
with such finding, Letters of Administration are hereby granted to MICHAEL CHEREWKA,
ESQUIRE in the Estate of JAMES F. BALLARD.
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FEES:
Letters of Administration ~ ~ ' ~~~
Short Certificate(s) ~ ~~ L~7
~jcP $ i c~ - c~c'~
~c.,.~~~~rer ~ S .Old
Filed A.D. 2009
al ~1~
Register of Wills, ,~~:
Attorney #35073
624 North Front Street
Worrnleysburg, PA 17043
717-232-4701
VERIFICATION & CONSENT
We, Eugene Hartsock and Deborah Hartsock, as Family Living Providers of Decedent, at
Enola, Cumberland County, Pennsylvania, verify that the statements made in this Petition are
true and correct to the best of our knowledge, information and belief. We understand that false
statements herein are made subject to the penalties of 18 Pa.C.S.A.§4904, relating to unsworn
falsification to authorities.
Further, Eugene Hartsock and Deborah Hartsock, believe and averring that they are the
principal creditors of Decedent at the time of Decedent's death, do hereby nominate Michael
Cherewka, Esquire as the Administrator of Decedent's Estate, and consent to the appointment of
Michael Cherewka, Esquire as said Administrator.
Dated: _ ~ ~~-~( ~~ ~(
WITNESS:
~~~ ~ ,.
Eugene Hartsock
Deborah Hartsock ~
I, Paula Davenport, the Executive Director of Keystone Family Support Associates, of
Harrisburg, Dauphin County, Pennsylvania, verify that the statements made in this Petition are
true and correct to the best of my knowledge, information and belief. I understand that false
statements herein are made subject to the penalties of 18 Pa.C.S.A.§4904, relating to unsworn
falsification to authorities.
Further, the Keystone Family Support Associates, believes and averring that it is a human
services provider agency which provided family living services to Decedent at the time of
Decedent's death, does hereby nominate Michael Cherewka, Esquire as the Administrator of
Decedent's Estate, and consents to the appointment of Michael Cherewka, Esquire as said
Administrator.
Dated: ~~,q !~
Keystone Family Support Associates
RECORDED OFFICE OF
]EtEGISTER OF ~~'ILLS
2009 FEBRUARY 5
CLERIL OF
ORPH:~tiS' COURT
CU~,IBERLAIvD CO., P.~
By: ~ a~~
Paula Davenport, Executive Director