HomeMy WebLinkAbout02-20-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of ETHEL M. HOCKENBERRY
also known as
Deceased
File Number ~ ~ - ~`7 ~" CJ ~ ~ '{
Social Security Number 193-12-8652
Petitioner(s), who is/are 18 years of age or older, apply(ies) for: C ? p
(COMPLETE 'A' or 'B' BELOW.) C 0 ~ ~ , ; ~.'
~- ~:7 'Tt , 'r t
A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the -r ~, n mimed tf;tflte -'
last Will of the Decedent dated and codicil(s) dated "fir. N t"'" ~ r°~-t
7t~ - . .
(State relevant circumstances, e.g., renunciation, death of executor, etc.) ~ ~ "1
U ~ ,^
Exce t as follows, Decedent did not ma ' ~?
p rry, was not divorced, and did not have a child born or adopted after execution oft~e insttument(~ffered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
B. Grant of Letters of Administration
((f applicable, enter: c.t.a.; d.b.n.c.t.a.; pendentelite; duranteabsentia; duranteminoritate)
Petitioner(s) after a proper search has 1 have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (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.)
SHARYN L. STUM I DAUGHTER ~ 1106 EASY ROAD, CARLISLE, PA 17015
(COMPLETE IN ALL CASES:) Anach additional sheets if necessary.
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his /her last principal residence at ~~D6 C/IS}~ ~
. CARLISLE. CUMBERLAND COUNTY, PENNSYLVANIA 17013
(List street address, town/city, township, county, state, zip code)
Decedent, then 86 years of age, died on FEBRUARY 10, 2009 at M.S. HERSHEY MEDICAL CENTER, DAUPHIN
COUNTY, PENNSYLVANIA
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ 24,000.00
(If not domiciled in PA) Personal properly in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $
situated as follows:
Form RW-02 rev. 10.13.06
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 appropriate form to
the undersigned:
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 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~ya/nod subscribed
before me the ~ l1-~ l day of
~n ~nM r t /` ~ .. n /R S~LJ
'For t} Register
File Number:
Signature of Personal Representative
Signature of Personal Representative
Estate of ETHEL M. HOCKENBERRY
Deceased
Social Security Number: 193-12-8652 Date of Death:02/1012009
AND NOW, ~ U ~ ~Uq , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREE at Letters OF ADMINISTRATION
are hereby granted to SHARYN L. STUM
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 ~ ~ ~ '
Register of Wills r 1
Letters ............... $ 60.00 1/. 1
Short Certificate(s) ........ $ 16.00 Attorney Signature: ~ ~ Cam-- ~
Renunciation(s) .......... $ ROGER B RW ,ESQUIRE
ICp $ 10.00 Attorney Name:
AUTOMATION FEE
$ 5.00
$
...
$
...
$
...
$
...
$
...
... $
... $
TOTAL .............. $ 91.00
Supreme Court I.D. No.: 6282
Address: 60 WEST POMFRET STREET
CARLISLE, AA 17013
Telephone: (717) 249-2353
Form RW-01 rev. 10.13.06 Page 2 of 2
Ul5.8p9 REV f01/07i
_ _ _
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Th' rt'f that thr• information here given is
Fee for this certificate, $6.00 is is to ce t y
-f f D th
correctly copied from an original Certl ~cate o ea
duly filed with me as Local Rebistrar. The original
certificate will be forwarded to the State Vital
Record, Office for permanent filing.
P 15 0 9 419 4 ~-~~~~ ~x F~~ 1 ~/ 2~g
Certification Number Local kegistrar Date Issued
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VRAL RECORDS N ,
CERTIFICATE OF DEATH
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