HomeMy WebLinkAbout07-15-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
File Number
Estate of Nova R. Sor
also known as ,Deceased Social Security Number 179-12-4415
Petitioner(s), who is/are IS years of age or older, apply(ies) for
(COMPLETE 'A' OR 'B' BELOW.•)
named in the
^ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the
and codicil(s) dated
last Will of the Decedent dated
(State relevant circumstances, e. g., renunciatdon, death of executor, etc.)
Except 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
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
I a hcable, enter.• c. t. a.; d. b. n. c. t. a.; pendente liter durante absentia; durante minoritateJ
B. Grant of Letters of Administration (f PP
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (/f
Administration, c. t. a. or d. b. n. c. t. a., enter date of Will in Section A above and complete list of heirs.)
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Alvin G. Krebs Died 1956 Father ,~ .- - >
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(COMPLETE IN ALL CASES:) Attach additional sheets if necessary. x'1033 OVSfer
Decedent was domiciled at death in Cumberland County, Pennsylvania, Eastt Pennsbor0 TWaI residence
Mill Road Cam Hill PA 17011
(Gist street address, town/eity, township, county, state, zip code)
7/23/1995 at 1033 O ster Mill Road PA 17011
Decedent, then 78 ~- Years of age, died on Cam HIII
C•~c+ Pannchnr0 TOWnShI
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property
(If not domiciled in PA) Personal property in Pennsylvania
(If not domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
1033 Oyster Mill Road, Camp Hill, East Pennsboro Twp., PA 17011
$ 0.00
$ 0.00
$ 0.00
$ 20 000.00
TOTAL:
$20,000.00
situated as follows:
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:
Typed or printed name and residence
Signature
Janice M. Ream
324 Third Street
F~r~, RW-02 rev. ]0.13.06
Page 1 of 2 ~
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Continuation of Petition for Probate and Grant of Letters
Nova R. Sorg
Decedent Name
Page 1
179-12-4415
Social Security Number
Surviving Heirs
Name Relationship Residence
Kenneth M. Krebs Sr. Died 1968 Brother
Weldon M. Krebs Died 1992 Brother
Arline R. Bates Died 1984 Sister
Miriam F. Metro
Janice M. Ream
Sister
Sister 3440 SE Martinique Trace, Montego Cove #101
Stuart FL 34997
324 Third Street
New Cumberland PA ~~mn
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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 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 S lure of Personal Representative Janice M. Ream-- n
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before me the ~ "~ day of ~' ~ C==
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7(109 Signature of Personal Representative - ;-~ ~ ,
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For the ReglsteT Signature of Personal Representative _.~ ~„
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File Number:
Deceased
1/state of Nova R. Sor
179-12-4415 Date of Death: 7/23/1995
Social Security Number:
~.,~h - 2u= in consideration of the foregoing Petition, satisfactory proof
AND NOW, ~ of Administration
having been presented before me, T IS DECREED that Letters
are hereby granted to Janice M. Ream in the above estate
and that the instrument(s) dated
the last Will (a d
Codicil(s)) of ecedent.
cribed in the Petition be ad
d mitted to probate and filed of reco~ as
es
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FEES ~C Lt-~
R inter of Wills
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$ W U
y
Letters .......
Short Certificate(s) $ Attorney Signature: '
Renunciation(s) •••• ••••~•~ $ ~ Attorney Name: Jill . Wineka ES uire
... $ ~,~
1 J .•., $ ~- Supreme Court I.D. No.: 58802
~•~~ $ 1719 North Front Street
$ -_ Address:
$ Harrisbur
.. • ~ $ --- 17102
PA
" " $ Telephone: 717-234-4178
.. .. $
. $
TOTAL ........................... .
Page 2 of 2
Form RW-02 rev. L 0. L 3.06
tu5.9p5 REV.(9/08)
This is to certify that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Records in accordance
with Act 66, P.L. 304, approved by the General Assembly, June 29, 1953.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
~~ ~~~~~
Frank Yeropoli
Stare Registrar
~~'~~5~ MAR 17 2009
No.
Date
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Htos In] Rey z/B7 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~ (~ rr
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TYPE/PRINT CERTIFICATE OF DEATH _ _
IN . - /-'•
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PERMANENT NAME OF DECEDENT tFrsl Midtlle. Last) STATE FILE NUMBER ~ ~~-y (\) 1 ^`~
\!~~q SOCIAL SECURITY NUMRER \ '~
BLACK INK C SEx DATE OF DEATH IMnnnr D.ly 'read
1. ~V~ ~. VVrL _~
AGE (Last Brrll~da 7' ~ 7. 1 ~ 9 -- I ` - ] I U /`!~ e ~ J ~ ~ rj ~ r / ~~~
Y) UNDER 1 YEAR UNDER 1 DAY DATE OF BIRTH BIRTHPLACE (Gty and _/ / ] E..
Monms r Deys HwB , Minutes (MO Ih; Day, lbar) $lalew FOrpi nCournry) PLACE OF DEATH (Check only me See inahud~on5 on aher otler
O ~ g HOSPITAL:
~j Vrs. ~"/(a2YLt }k,J12 n/~ OTIIER:
- 5. . ~" Z~ ~) ~ S 1 0~ !•T InpelNnt ^ ER/Oulpetiem ^ pOA ^ Nurairq Other
COUNTY OF DEATH 6' 7.
CRY, BORO, TNTp OF OEATN FACIIRV NAME(Ilnd insledion. ryv¢yr¢¢t arW numb¢r) Hoo" ^ RavAence,e~, (Spxpyr^
fq5+ P~IV,y~ ~ ia3 a:'s+en WAS DECEDENT OF HISPANIC ORIGIN? RACE American Indian. Black, Whne. etc
,~ i ~ ee.~-'~Ir B~rzLgrvp ~. ~ no Two, 3 M; LL S RD. Np f2~' Yaa ^ n (soaps r
1' yes, apeciry cuben. r
DECEDENT'S USUAL OCCUPATION ~~ Mexican, PUSno Rican, etc. ~\ 'I „}e
~ KIND OF BUSINESS/INDUSTRV VAS DECEDENT EVER IN ~' 10. h
(Give k~ntl d work don¢ ourma moss U. S. ARMED FORCES? DECEDENT'S EDUCATION MARRAL STATUS ~ Marded
of working tile; do nm use relRrree.r s on hr esl radacpn W Never Married, Widowed, SURVIVING SPOUSE
Elemema Becorlde !u woe. give maiden name)
' 11a. Q..15~hC/LCA ~vi~.>;L 11b. HeALTI'1 L({O.£ Ves^ Np® (Oryl2) ry n (t al~e9e) Divorceo (SPeciN)
DECEDENT'S MAILING ADDRESS (Street. CilyRpwn. Slate. Zip Cutler DECEDENT'S 77 17. L• i 1e. ~A~~rl'.17 ~ '
/D 33 JYJTV2 (Y!',LL$ Q~. ACTUAL 17e.Stale_~~rVtiS"L/AN;p Did t7c.®Yes,hcedemlivedin LFy~a- PeNd~bORy
CAT ~I; LL RESIDENCE decedem
(7 (r/A 17U I I Isea instrucl~ons live ins I~
19. nn dla!r aitle) IOwnsnipi No, decetlenl lived
FATHER'S NAME(F'nsl. Mitldle. Last) 17b. Count CuryYb e~LrArv~ 170.^within actual limi15 o1
A L v I N MOTHER'S NAME (First Mitlda. Martlen Surname) ciry/boro
,e. 6. ICR£f35 ~km Wee+Z
INFORMANT'S NAME (TypelPnnl) 19.
7W. l,OV' $ S02 INFORMANT'S MAILING ADDRESS (SUeel. Ciry7TOwn, Stale, Zip Cutler
METHOD OF DISPOSITION 29b. 1033 OYS1{F? Yry;LLS PD. CA -/.'~L P,a ~7O / /
DATE OF DISPOSITION PLACE OF OISPOSRION-Name of Cemetery, Cremero
• Donelron Burial® Gematron^ Removalfrom Stale^ (Momh. Day.>parr or gher Place ry LOCATION~City?own, State, Zip Code
o ^ soar (specnyl ^ ~ - 2 7 - tLS~ /
m 21 z1b. u•L~. Cernt+eRY
7
y SIGNATURE OF FUNERAL SERVICE LICENSEE OR PERSON ACTING AS SUCH 31C'~AmP xitl. /aYYI I~L£ ~~ /70/(
LICENSE NUMRER
• 7~ NAME AND ADDRES$OF FACILITY
Compleleitems23e-canrywnenceni - TolheDestotm krowle nb.FD G/L760-/_ ue.N¢~(.(, V zrcAl 1-lom2 3 c
pnysician is not availebb al urns of death to Y tlge, death occurred et the linty, dale eM place e181atl. ~ `/ V y'17fIQ KC'T jT C .LL QA l'7Gi I
cemhy cease of death. (SignaWre antl Tdle) LICENSE NUMBER
DATE SIGNED
27a. (MOnlh, DaY. year(
hams 2a-26 moat he rompbted by TIME OF DEATH 27b.
person who porquncse death. DATE PRONOUNCED DEAD (Month, Dey. Year) W45 CASE REFERRED TO MEDICAL EXAMINERA;ORONER7
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ze. r M. I9. 1,,. 7 _ ~'S Yes ^ No~
77. PART l: Enter the dseaeee, injuries or tomplkations which caused the death. Do not solar the ngde of 7~'
List only one cause on eacn line. dying. such raise or re iralory arrest, shock or Men failure. ~Approeimale PART II: qna spniliuMCOntliliona contributi rodeam, but
imerval between ^9
IMMEDIATE CAUSE (Final 1 x101 rosuhing In IM undsrrying esuee giWn In MRT I.
tlisease or condition ~~ \1 l~••l erq death
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resMang in death)-i e ? '1(C/ ~
DUE TO ( B q$/~eC p`USINCE OF):
• Seguenlielly list coMilglls b~ 1..~ y..../
ca ny, leetlinq to immediate ( DUE TO (OR AS A CONSEQUENCE OF):
~ se. Emar UNDERLYING I c l
~.: CADBE ID~sease onnjury I
,r,. -mat inrGaletl events DUE 70 (OR ASACONSEOUENCE OF): 1
`~ . revising in tlealh)LAST
tl. I
'~-'~ WAS AN AUTOPSY WERE AUTOPSY FINDINGS MANNER OF DEATH r
PERFORMED? AVAILABLE PRIOR TO DATE OFINJURY TIME OFINJURV INJURY AT WORN? DESCRIBE HOWINJURY OCCURRED.
__ COMPLETION OF CAUSE (MUnth, Day, Year)
OF DEATH? Natural Homitida ^
4„-a 1a Accident ^ PBrMing l~veMigation ^ Ws ^ N¢^
` Yes ^ Na L^J yes ^ No ^ Suicitle ^ CoUM rwt be tlelmmkletl ^ 7M. 7~' M. 70c.
ZN. PLACE OF INJURY ~ AI Iwme, term, mreel, laclory ohice LOCATION ($Ireel, Cily/Tpwn, Stale)
29b. 7Y bulltling, etc. (Specily)
CERTIFIER (Check only noel 7~•~ 701.
'CERTIFYING OHYSICIAN(Physician cerlJy,ny cause of death when anolh¢r pnyacian has pronoune¢d death and completed Item 23) ATU N TITLE OF C.ERTIF
Te the bMl of mY anpwNtlga, death occume due to the cause(s) arW manner n shad .............. I/.}~t ~
Z ....................................... 71b. '
W 'PRONOUNCING ANO CERTIFYIND PHYSICIAN(Physician both pronouncing death and cerslying to cause of tlealh) LICENSE NUMBER P--- ~ DAfE 51 ED(1 Ih D~
~ Te the best o/ my 4mwledge, tleaM oeeumd at Iha time, Bale, antl pbea, arM due lp IM uu ~ %_. ` 17 1 ~ aY veer)
U aa(p and manner as mated.........~ ................. ^ 31c. J1d. ~ (r
~ NAME AND AD ESS OF PERSON WHO COMPLETED CAUSE OF QEATH
a 'MEDICAL EXAMINER/CORONER (Item 27) Type or P ' I r, ~ ~ ~ ~r
p On Ina baste of eaaminaslon and/or Inveallgatlon, In my oplnlon, deetn occurcetl at the time, dale, and place, and due to the oase(s) and ~ ~ Y \ ~~ v ~' ( ~
w manner sa elated......
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................... ^ ~r ~~ t r : r ~~ ~ _ ~~~e< <
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Z REG STRAR'S SIGNATURE AND NUMBE 7t. ~~. ~ le
~) ,1 -y.J DATE FILED IMOnIh, D y Yea I v ~ ~ ~ 1' I l l" ~l
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RENUNCIATION ~~~'
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REGISTER OF WILLS ~'
CUMBERLAND COUNTY, PENNSYLVANIA - ~~4
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Estate of "JOVA R. SOP.G ~~ ,Deceased
I, Miriam F. Metro , in my capacity/relationship as
(Print Name)
sister of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
my sister Janice Ream
l0 " 0
(Date)
Executed in Register `s Office
Sworn to or affirmed and subscribed
before me this day
of , 2009 .
(Signature) ~ ~t ~ l ~ ~ ~ ~ m ~ ~ l~ ~
3440 SE Martinique Trace. Monteao Cove #101
(Street Address)
Stuart FL 34997
(city, state, zip)
Executed out of Register's Office
Before the undersigned personally appeared the
parry executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this ~~ day
of ~~ ~-. , , 2009 .
,~~---
Deputy for Register of Wills
Form RW-06 rev. !0.!3.06
Nota ublic
My ommission Expires: ~ O ~ ~ q ~ ~d
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
,,,•~~~~,,, JILL S. KRE?ZER
zo" ~: Notary Public -State of Florida
•~,` ~v ,o`_My Commission Exp;.es Oct 19, 2010
~"~ ` ~` Commission # DD 579858
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Bonded By Natioo.f Pdotary Assn.