HomeMy WebLinkAbout06-08-09PETITION FOR PROBATE AND GRANT OF LETTERS
Register of Wills of Cumberland County, Pennsylvania
Estate of Ronald G. Gettel File No. ~-.~ ~ 6~~~5 2.`'~
Deceased Social Security No. 182-40-6130
Janie S. Hornung
Petitioner, who is 18 years of age or older, applies for.
(COMPLETE "A" OR "B" BELOW:)
^ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the
named in the Last Will of the Decedent, dated and codicils(s) dated _
State relevant circumstances, e.g. renunciation, death of 6cecutor, etc.
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or ads
the instrument(s) offered for probate; was not the victim of a killing and was never adjudicated an
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eS~cution of':
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B. Grant of Letters of Administration
(if applicable, enter: c.t.a.; d.b.n.c.t.a.; pendent elite; durante absentia; durance minoritate
Petitioner is the surviving parent of decedent's only intestate heir, his son, who is a minor. Prior to decedent's death,
Petitioner and Decedent were divorced.
Petitioner after a proper search has ascertained that Decedent left no Will and was survived by the following heirs:
Name Relationshi Residence
JONATHAN MORRIS GETTEL SON 5025 Mendenhall Drive
17 Years of A e Mechanicsbur
PA 17055
/C~CIMPI FTF IN DI I r`OCFC\• o..~..ti ~.aa~.~,.....i ,.ti ,.,..., :~ ....______. ,
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with his last family or principal residence at
91 Independence Drive Shippensburg Cumberland County Pennsylvania 17257
(List street, address, town/aty, county, state, zip code)
Decedent, then 58 years of age, died on May 28, 2009 at 91 Independence Drive Shippensburg PA
(Location)
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property .....................................................................$ 5,000.00
(If not domiciled in PA) Personal property in Pennsylvania .....................................$
(If not domiciled in PA) Personal property in County ....................................................$
Value of real estate in Pennsylvania ......................................................................................................................$ 120.000.00
Total ......................................................................................................... $
Real Estate situated as follows: 91 Independence Drive Shippensburg PA 17257 125 000 00
Wherefore, Petitioner respectfully requests the grant of Letters in the appropriate form to the undersigned:
Si nature T ed or rinted name and residence
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~ ~ 1 JANIE S. HORNUNG
~
t-~ 5025 Mendenhall Drive
Mechanicsburg, PA 17055
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
The Petitioner above-named swears or affirms that the statements in the foregoing Petition are true
and correct to the best of the knowledge and belief of Petitioner and that, as personal representative of the
Decedent, Petitioner will well and truly administer the estate according to law.
Sworn to and affirmed and subscribed
Before me this 0 day of
2009.
/ /E S. HO NUNG
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File No. -'
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Estate of RONALD G. GETTEL , Decea,~ed. ~~ a.
Social Security No: 182-40-6130 Date of Death: MAY 28, 2009
AND NOW,
2009, in consideration of the foregoing Petition, satisfactory
proof having been presented before me, IT IS DECREED that Letters of Administration are hereby
granted to JANIE S. HORNUNG in the above estate.
FEES
Letters... ~.~~. ~, d~~..
Short Certificate(s) ~o
Renunciation ..............
Affidavit ( ) ..................
Extra Pages ( ).......
Codicil .....................
JCP Fee~:.~,:~..
Inventory ......................
Other ..............................
$ ~CvQ °°
$ ~'~ °b
$ 1S °
6~
TOTAL......... $ ~J
Register of Wil/s
Attorney Signature: ~ ~ 1u
Attorney: EDMUND G. MYERS
I.D. No: 20558
Address: Johnson. Duffie, Stewart & Weidner
301 Market Street P.O Box 109 Lemoyne PA 17043
Telephone: 717-761-4540
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LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for (his certificate, 56.00
P 15663218
Certification Number
1105.144 REV 11/2008
TYPE / PRINT IN
PERMANENT
BLACK INK
Cae 132-038
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This is [o cerUf~ that the informatiu^ here ~ri~'en i~
col7-ectfv copied i~rom un original CerUfir)(e of Deatl
duly filed ~~'ith me as Local Registrar. "The ori~>ina'~
certil7cate will he fin-~~arded to the State Vital
Records Office tin- >enn~ yen( filuir,.
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- or Kegistra~ °c~ l~at~ ,Issued
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~ N
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CORONER'S CERTIFICATE OF DEATH
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(See instructions and examples on reverse) ~~,r< <„ ~ ,,,,•,,,~ 7 1 ~ ~\ ~ _ -~ ~
,. ,w„A ~ ~r,.a=,. maxae, mm. s,mad - - ..,
2. Sex 3. SaW Seventy NuMar 4. Dale d Deam (Homo, dey, year)
Ronald G Gettel Male 182 - 40 _ 6130 May 28, 2009
5. Ape (Lacs annday) Under 1 year Untler 1 my 8. Dale d Binh (MOmh, tley, year) 7. Binhpace (C' and slate a ~ n camlry) Be. Place d Death (Check ony one)
58 "~"" - 0sj8 Naas Mvadae Fiospnel: Omen
Vre. Jan. 2,1951 Chambersburg, PA ^Inpatient ^ER/Oulpatant ^DOA ^NUrshg Home tel Residatce
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ac. city, Born, Twp. Df D.am
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Btl. F~My Name (h nd mdnwon, gwe dreel antl number) 9. Was DBCetlenl of Hispenk Odgin? No ^ Ves 10. Race Amerlan Intlan, Black
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(II yes, spedty CWan, spa
Cumberland Southam ton 91 Inds endence Drive Medcan,PUenoRiwn,ea.) (white
11. Dewtlent's llsuel Kud d work done Juan mod d ~ M1le. Do not sate ~ 12. Was Decadent ever b the 13. Decetlem's Edrwliw (Specify only hiphed grade certpleletl) 11. Martial Status: Manied, Never Mamed, 15. Survivi
Knd d Work Kbd d Business / Wad U.S. Artwd Forces? ng Spouse (11 case, gne meitlen name)
ry
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itloweq ~~ (Spedry9
Ebmemary /Secondary (0.12) Cdlege (1.4 or 5t)
Sergeant PA State Police
^Yea ®NO 12 4 Divorced
• ts. DecetlenYs MaAing Address (Slrai dy /town, eaa, zip wtle) Decetlern's
91 independence Drive actadResioaxe na.saa Pennsylvania U~vemt 1?~ ®yB8 oewaemLNadn Southampton
Cumberland Twp.
Shippensburg, PA 17257 t7b. County rownetkp? nd.^NO, Decedem Urtd whhin
Adwl IArNS d
18. Father's Name (Fad, mitlrde, lad, suffix) Oily / Bao
Morris E. Gettel 19. Mother's Name (Fiat, mitlde, meitlen sumeme)
Mildred L. Brake
20a. Inbrrwm'a Nerve (Type / Pnnq _ zOb. b!omient's MaigngAdtlress (street cpy / tam. sWe, np mtle)
Johnathan Morris Gettel
5025 Mendenhall Drive, Mechanicsburg
PA 17050
,
21 a. Method d Disposaion ~ ^ Cremeban ^ Daalion 21b. Dale d Y ) spwitim (Name d cemde , aemato or titer
® &md ! Dhpwitim (MOmh, as ,year 21c. Place d Di
^ Removd hom Sate !Was Cremation a DonNbn Aumodretl ry ry Dlawl 21d. location (City /town, date, zp cotle)
^ Other- ~ : ! byM.tllwlExemlrarlCorowrt ^Ya^NO 6/5/09 Spring Hill Cemeter Shippensburgg 17257
Y Cumberland Ct.
PA
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a aFuwrel asuch) zzb.LkeneeNixr~Oer 22c.NameantlAtltlreseaFecgdy Fogelsanger-Bricker Funeral Home
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. FD-011776-L P.O. Boxy 336, Shippensburg, PA 17257
Complde term 23ec ony when cenl~lp 23a. To me bed d my krawbtlge, death ocwnetl d me tlme, tlak and Dlace stead. (Sipreare and ah
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23b. License Number 23c. Dale Si
phydden h not evadable d 6me d death b
goad (Month, day, year)
Certify cause d tleelh.
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dams 24-26 mud ba oompeletl by perxm
• "hD p10101R1ABd~" 24. cane. d DathA rX
P 25. Dde Pronounced Dead (MOrnh, dey, year)
28. Was Ceae Rderred to Medical Examiner / Coroner fa a Reason Omer man Cremation a Donation?
10:00 P M. Ma 29 2009 Wes ^No
CAUSE OF DEA7N (See Inatruellons and exampka) r Appmximaa kserval: Pen II: Erner odor ~ ~ ~ ~ 28. Ditl Tobacco Use Cmlribule to Dath7
hem 27. Pan I: Emer me dais d avmns - daeaes, injuries, a cempkwOws - mat daedty caused me lath. DO NOT emer temwrel evma such as cerdiac arrest r
Onsa to Death but not resulting h me untlertying cause ^ ^ y
respiretay arrest, a venlncular fibnlalion witlmul ehowbp me etiology, list on one cause w each tire. r given in Pen I. Yes PmbeM
^ No ^ Unknown
IMMEDIATE C E IF~na~d'wese a ~ r
wndnnn res n h _-~ a. QCC1uSive Coronary Artery Disease r 29
11 F
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emea:
Due to (a ~ a cosequence d): ~
^ Na pregnant within peel year
Sequent®Ay isl wnddiaa, d arty,
leadrq a the ease tided w dre a. b' ~ ^ Prepurn a1 are d deem
Enar Aa UNDERLYING CAUBE Due to (a es a consequence oQ. r
(disease a bryry met Ydhled the c r ^ Na pregwnl. but pregnant within 42 tlays
~ evade resulM1rg m tledh) LAST ~ of death
Da 10 (a 86 a Wn60gneflw Off:
~ ^ Na pregrenl, but pregnant d3 days l0 1 year
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balsa tleeM
30a. Was an 30b. Were pal r ^ Unknown d pregnam wdan me pest year
Autopsy opsy Fmdrgs 31. Manner m Death 32a. Dde d Iryury (Monm, tlay, year) 32b. Deacdbe How Iryury Ocaned
Penam
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rior a Carphtbn 32c. Pace d Injury: Hare, Fann, Street, Faclary,
d Gauss d Deem? ~ Natural ^ Hadcitle Oaice Building, dc. (SpedlyJ
^ Yes '~ No ^ Yes ^ No ^ Acddent ^ Pestling Inved'pdbn 32tl. Time d Injury 32e. Irqury d Work? 321. If Trenspalalion Injury (Spedty) 32g. Locdbn d Inryry Israel, dty /town, sate)
^ Suipde ^ CouM Nd be Delemgred ^ Yes ^ No ^ Dover / Opereta ^ Passenger ^Petlednan
M' ^Otlar-Spedyy:
33e. Cerfifier (dads any one) 33b. Signature end TAN
' ~Ying PMwbhn (1'hYNaan cendring ease d deem when arplher phyeidan has prmaarced tleelh antl wmpated Item 23)
Tome beet of my Imowktlge, lath occurred tlue b the wuas(e) aM manner u ateleeL _ _ _ _ _ _ _
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• PronoundrgantlcenMyingphyskla(PlrysidanbahpraouncingdathaMwndylgawuseddalh) oroner
To die brit of ""-' _
my knowiadga. tleeth oaumtl m Die time, dale, sM Dew, and due to the wuee(a) aM manner as stead_ _ _ _ . _ _ _ _ _ _ ^ 33c. Llwiae
33tl. Dde Sigretl (Mash, tlay, year)
• MetlIulP.xmMwr/COrorrer
On the bash of examlratbn Igmbrl, m my oplnb acumtl sl the tlrw, sate, and plow, and tlw to the wusa(e) and mamer a tided- ~ June 1 2009
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3s. Repiavara slgnawre am ~ 34. Name acid Atltlress d Person Wfn Cmplded Cause of Dam (aem 27) Type / Pnnl
Michael L. Norris, Coroner
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f / Zao 6375 Basehore Road SS to 4I1
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anicsburg, PA
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