HomeMy WebLinkAbout04-23-09PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of ROBERT HARRY BARGE
Also known as
Social Security No. 184-50-5184
No. ~~~1- Gil (~ 1
To: Register of Wills for
Cumberland County the a
Commonwealth of F~~vlvan~S
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The petition of the undersigned respectfully represents that: ~~• ~ ~ ~ w
Your petitioner(s), who is/are 18 years of age or older, applies for Letters`d~~~ ~,,,
Administration on the estatee~abov~
decedent. :.D = `-'
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Decedent was domiciled at death in Cumberland County, Pennsylvania, with his lasf~
family or principal residence at 53 John's Drive, Enola, Cumberland County, Pennsylvania
17025.
Decedent, then 78 years of age, died February 9, 2009 at Holy Spirit Hospital; Camp -Hill,
Cumberland County, Pennsylvania.
Decedent at death owned property with estimated values as follows:
(If domiciled in PA.) All personal property $ 1,500.00
(If not domiciled in PA) Personal property in Pennsylvana $
(Ifnot 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 Paul Smith and Wendy
Smith of Enola. Keystone Family Support Associates is a human services provider agency
which provided family living services to Decedent and is a creditor. Said Paul Smith, Wendy
Smith and Keystone Family Support Associates nominate Petitioner to act as Administrator an
their behalf
THEREFORE, petitioner(s) respectfully request(s) the grant of Letters of Administration
in the appropriate form to the undersigned.
a Michael Cherewka, Esquire
:~ y The Law Offices of Michael Cherewka
a C 624 North Front Street
~ ~ Wonnleysburg, PA 17043
0 717-232-4701
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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 aze 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 affumed amend subscribed
Before one this ~_ day of
2009
~-
R~gister
No._~~-poi -U~-IUl
Estate of ROBERT HARRY BARGE, Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND, NOW, (~,~.~ ~`I , 2009, in consideration of the petition on the
reverse side hereof, satisfactory proof 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 aze hereby granted to MICHAEL CHEREWKA,
ESQUIRE in the Estate of ROBERT HARRY BARGE.
FEES:
Letters of Administration $ o~ •~
Short Certificate(s) $ a ~-1. vu
R~e;~as~ien -jC'~ $ i O • U~
~u.~or~c~~ ~ u--~ $ 5 ~ c~
Filed zTI~S A.D. 2009 ~ S~ , ~~
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Register of Wi11s~~
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Attorney #35073
624 North Front Street
Wormleysburg, PA 17043
717 - 232 -4701
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UisposNOn Parrtw Na. ~T^
VERIFICATION & CONSENT
We, Paul Smith and Wendy Smith, 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, Paul Smith and Wendy Smith, 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 appointmerrt~f Micha~
Cherewka, Esquire as said Administrator. c ~ a ,_T_, _
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Dated: ~' ~ `
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WITNESS: ~ ~ o -~ = ,,=r-
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Paul Smith
~~
Wendy Smith
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: 3~13~e~- Keystone Family Support Associates
By:
Paula Davenport, Executive Director