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Home My WebLink About07-24-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of Barbara M. Schock COUNTY, PENNSYLVANIA File Number 21 - 09 - Q(L'~`~ also known as ,Deceased Social Security Number 1922-1465 David E. Schock, Sr. Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE A' or '8' 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 codicil(s) dated (State 2levant circumstances, e.g., renunciation, 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 instrume 1t )offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~ ~ ~-~` ..o -r , C ; ;: ;, xi -ter- C7 r-- ^X B. Grant of Letters of Administration ~'= ~ .~' - - ~ apprca e, en er c .a.; .n.c..a.; p ente de; urante a senha; urante mmontate -'- J : ^ --~ Petitioner(s~ after a proper search has /have ascertained that Decedent left no Will and was survived by the following spou~~tt~tny) aphelrs: ,(If Administratron, c.t.a. ord.b.n.c.t.a., enter date of Will in Section A above and complete list ofheirs.) ;:. ~,.-- ->"1 tV : Name Relationship Residence ? ` a David E. Schock, Sr. Husband 150 Bridge Rd Newville, PA 17241 Christopher W. Schock Son 169 CME Newville PA 17241 David E. Schock, Jr. Son 346 Lincoln St Carlisle PA 17013 (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. See COntlnuatlOn 8chedUle attached Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at 150 Bridge Road, Newville, PA 17241 (List street address, town/city, township, county, state, zip code) Decedent, then 64 years of age, died on 07/04/2009 at Select Special Hospital, East Pennsboro, PA Decedent at death owned property with estimated values as follows: (If domiciled in PA) $ 40,000.00 (If not domiciled in PA) (If not domiciled in PA) All personal property Personal property in Pennsylvania Personal property in County Value of real estate in Pennsylvania $ 92,500.00 situated as follows: 150 Bridge Rd, Newville, PA 17241 and 13 Etters Rd, Newburg, PA 17240 (both held jointly with husband) 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: ~ Signature Typed or printed name and residence ~ David E. Schock, Sr. Form RW-OZ Rev. 10.13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. 150 Bridge Road Newville, PA 17241 Page t of 2 PETITION FOR PROBATE AND GRANT OF LETTERS (Continued) REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Barbara M. Schock File Number 21 - 09 also known as ,Deceased Social Security Number 192-32-1465 Name Relationship Residence Troy L. Miller Son 848 W. Old York Rd Carlisle, PA 17015 Terry L. Miller Son 2187 Rock Hollow Rd Loysville, PA 17047 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. W Social Security Number: 192-32-1465 Date of Death: 07/04/2009 AND NOW, ~ r , in consideration of the foregoing Petition, satisfactory proof having been presented befo m IT IS CREED that Letters Of Administration are hereby granted to David E. SChOCk, Sr. _ 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 Letters ............................................ $ %~lU ~i l / Short Certificate(s) ........................ $ ~ , V Renunciation(s) ............................. $ p2o,//o~~pp~ $ ~,VV $ $ $ $ $ $ $ TOTAL .................................... $ ~ ~ , ` ~~ Register orlMlls t /,/ A.- ~7~P~1 Attorney Signature: ~ ~ ~/V,/Y~'~ '~~1~/ Attorney Name: Sean M. Shultz, Esquire Supreme Court I.D. No.: 90946 Knight ~ Associates, P.C. Address: 11 Roadway Drive, Suite B Carlisle, PA 17015 Telephone: 717/2495373 Form RW-OY Rev. 70-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2 Sworn to or affirmed and subscribed ' '"' Sign re of Personal Representative David E. SChOCk, Sr. before me this ~) day of _ __ __ _. _ _ r-\ Q 0105.805 REV (01/07) _ _ _.~ _. ~'~ ~i~r'(~~~'0 r' LOCAL REGISTRAR'S CERTIFICATION OF I~E,A,TI~ WARNING: It is illegal to duplicate this copy by photostat or phot~~grapl~. Fee for this certificate, $6.00 P 15~~~1~56 This is to certify ih;(t the nfonnation here given is correctly copied from an original (certificate of Death duly filed with me as Local Registrar. The original certificate will be forwa~•ded to the State Vital Kecords Office for rterrr~anent filing. ' ~~,~" J U ~C ;-,8/ 2009 Local Registrar -~:. ~ t.._ Dafe ~S~ued .-) ~ 1.^ - ,_> rn rv `-'CI~i~ ~ -' ..J .~~ ~ ` W Certification Number k H10S113 REV 712008 TVPEyPRMTIN PEIwANENr BlAO( H1K 1~ 3 ~ I 0 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See inatructlona and examples on reverse) RTATF FII E Nt1MBER 1. Name d DBUOenI (Fast nFtlda, beL sulfa) 2. Sea 3. Sodel SecuOh/ Nurlba /. Deb of Deem (Mmm, dry, yw) Barbara M. Schock Female 192 - 32- 1465 July 4, 2009 s. Age (last Birtlday) order 1 UMa 1 8. Der d BIM Month a 7. BI end der a ro Ba. Plea d Death Check an ow Mwua Dew Nam FFMm HwpHal: Other: 6 4 rre. March 3 , 19 4 5 Car 1 i s 1 e PA Henl ^ ER / Oulpeeent ^ DOA ^ Nursing Hans ^ ReeidMip ^ Ollpr - Spedly Bb. Canty a Deem &. Cly, trro, Tyq d Death !b. FedRy Name IH rid retlNtlon, gM sheet eritl msrox) s. Wn OewdeM d H4pank Otlgn? ~ No ^ Vas 10. Ras: Amariron Ilan, Biedt, VMIe, ek. Cumberland East Pennsboro Select Specialty Hospital I~ ~ A~ ~) white 11. DeutlaM'a l1aW Kintl d work done mots d tlle. Do not sbte rstlr 12. Wn Decedent ever in the 13. Oewdenya Edrwtlon I5pedly ady highest grew conp lerO) 14. McMd STNS: Martbq Never Herded, 15. Surviving Spo use (tl wit, give maiden name) Kra d wok Supervisor Kid d BwMas! IMwtry PennDot 0.5. Amwd Farwa7 ^YngXNo Elementary I Secondary (412) 12 Collage (1 d or 5+) ' D1YOf0~ !1 Married David E. Schock 16. Dxmtlenrs Meilrg Address ISlreel, cnY /town, star, rip rode) Decedent's pA Did DeceOeN U uve r a n e r l~ A e r F r a nk f o r d r id D ui A l R ®v d 15 0 Bridge Road wp. c. en n dw es ence na. slate es. ew township? t 7d. ^ Na, ilecsdenl live, widwn Cumberland Newville PA 17241 ,76. Coany Actual UmHSd CitylBao 18. Fathers Nerw (First, midde, rat, euXia) Guy W. Etter Sr. 19. Homers Name (First, midrib, mekbn aumame) Dorothy Thompson 2Da. InlortneM's Name (Type! PnnQ 2 I rite Melirp Atldess (Street cHY / cavn, srte, zip code) ~ Brid e road Newville PA 17241 David E. Schock g 21 e. MNhod d Dbposiwon ~ ^ Crametlan ^ Donation 21 w. Dar d Diapoaldon (Moody day, yea) 21c. Place of l3bpositlon (Name d cemerry, aemebry ar omer pleas) 21 . Locenon IGerlmwn, state sb catle) 1'A 17241 ~ l l ® Barrl ^ Removrfremsrr ~wnCnmatlmaDatdrnAathoHZad July 9, 2009 Cumberland Valley Memorial ar ls e ^ Oppr- ~ M FbtlIW I:Haminsrlcorenx7 ^ res^ No ;.sl~an~~'~"m~."i~' la reonecrgesaucn) 2m.uaa~rHncar ~~ag a;r`~'tunera ome Inc 15 Big Spring Ave FD 13895 L caroler ibma 23e<mty when aertilyFq . To die oast d my knosre9a, deem ocaxmd at Hre rime, nr end Prce srled. ISpnenae ens tlHe) 236. Lkensa Number 23c. Date Signed (Manor, deY. Ynr) physden r M avenwr d tlme d deem ro sorry rawe a exam. Hems 2428 mwl n rorrrolebe q person 24. Time d Deets 25. Dar Pmnaslcetl Deed IMOmn, deY, ynr) 26. Wm Case Rerrretl Medwl Enmrer /Coroner far a Reason Omer man Cremation a Daraon? wfa praaurKn tleam. L1 ~ : 7 ~ M, 3't+ ( ~/ ~. p ~ CI ^ vu LJ No CAUSE OF DEATH (Sae InaWCtbna antl exemplee) r Approeknale Mrtervd: Pen II: Enbr Otis 2& Did Tobacco Use CmMhute ro Deeth7 Item 27. Pan I: Erect tlr )- tlbnsec, iljunn, a canpicatlaa - Ort Erectly awetl dl• deem. DO NOT enrr brmrel avant sly m mrdac artea, l Onset r Deem but not meurrg in tlr underrying cause given in Pan I. ^ Vn ^ Probaay reapiratay arrest, a vwnlricurr AMieHon witllwt daeirg Hr etloWg/. List mry ar cause m each line. ^ No ^ Unknovm 1 ~~ h ) « .1-X u ~ ~-i1G~,~ ~ e. I 1 r !~ ~ ~ t 29. II Female: ^ Nd nanl wXhn eat ear Due r (a pe ot):/ r Fat caldworw, H any, C. S ; ~ ` ~. I+ 1`L L'I [l J. L pieg p y ^ Pregnant al are d eeelh ^ - , _ , b owe wrd an bw a Due r I . oQ: Eder IAA)ERLYBI(i CAUSE ` ` ' ' _ Nd pregnant, but pn9nanl w1NF d2 OeYa d deem ~ (Obsess w ry tlld i~ebO Hr c. W ~/ }~/) n nl ~ '~ i ~ir r r.+ M lY h tl m USf t d3 S t I ^ N b eve S rmu y ee ) . Dw r (a a uence atf: d pregnan o year d P~s9nard, ys berm tlwtlr d. ^ UMOnwn H M witlan ttr ae9w Peat ynr 3h. Was en Auropay 30b. Were AurpW Endings 31. Arms d Deem 32a. Der d Injury (Monts, day, year) 32h. DexnLe flow Inury Occared 32c. Pro of Injury- fhme, Farm, Sbeeb Fecrry, Penanwd7 AvaFebb Pna la Compblbn d Ceun of Irani? NaWml ^ H«Ntlde ONw Bulldog, etc. /SpW.yly) ~/ ^ V yJ N ^ Y ^ N ^ Acddenl ^ Peiding hwesH9ewon 32d. Tyne al Ir~ry 32e. Irnury et Wod? 321. H Tremponetlon Injury (Spea7yJ 329. Lacatlon d Iryay (Sweet. city! tovm, err) n o ea o ^ Sukltle ^ DWM Ndw DeMrmn M ^ Yee ^ No ^ DrNerl Operarr ^ Peeaerger ^ '9n Omer ~ SPxdy: 33s. Carllller Idrea Doty aw) l rW Ph id c d nd i a s m l m l ks n tl a m o l n Ib x3 3 Nn entl Tllb ~ 1 ~ rya an a w • .r ( > rq caw. ea wn am er p rys en ee praiamw n en aaro et m ) ya Mre p 7otM lwld my loawbdge dnm eceumatldwbtle ewayq and rwnnarsbbtl /~!> - , -------------------------------- ' Pmnourkp antl arHr1'mg phyakrn ( boor pmlwltllq tleem and bdiMnB r maw d dwm) To tlr GSldmy knowtedtp, dsM OaumW atlM tbr,deb, sod plea, anadwrtM nwe(s)end msmnrrsblatl__________________^ 33e Irxwe r ~~Z~ ~ ~ 33d. Dab SipiW IMOam, day, yrr) • YadkalEnminwlCaraur V ~ On Ws wnb d smmratbn artl I or Invptlgalbn, In reY rglnbn, deem occurred tl tlts time, dNa, and Dba, sod dw b the sun(s) and moat n starfL ^ 34. None ea a1m~m/ Who ~°1b-,tl Ceu/ee d Deem (Ham 271 Type / M - ( U 35. Regbbara Date Fbd ( day, year) .1 ?1 1/ 1 / 1 ( ~ v` SI~ 03~1`}3a- I I r ~ OisposiHal PamHl No.~' tV ca ~ ~~ c~ C O __ _ _ ~ ~-' ~ ~ii ,~ . C t , -' ~=; -z C7 ~ -'"" _ RElelUi~tCIA'I'~ON _ -~ s~ ~ - .~ ~' .=? ~~~ - -_, REGISTER OF WILLS ~`~ ~~ rv Cyw~b~Gr'I ~r+o~ COUNTY PENNSYLVANIA o ~ ' ' , ca Estate of ~a~lr~var~. /"f • S~-~t d~-~ Deceased I, ~ ~ ~~ S ~o,~he_t^ l.~• ~c~~oc.~ , in my capacity/relationship as (Print Name) C~'1 + ~ ~ of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to a.~~,':~ ~. S~ho~k, Sr (Date Executed in Register's Office Sworn to or affirmed and subscribed before me this of day Deputy for Register of Wills Fonn RW-06 rev. !0.13.06 (Signature) (Street Address) rUe crJu//'~~, ~~~ / 7~f~/ (City, State. Zip) Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the pu ses stated within on this \ ~ day of ~„R,.a ~cx~ Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Cor rvna..~. -- - ~,~y~ 7vw l,k'Ida t"1`1~7^_~1°:', ~it~Tt1d ~Nt~Y Weet ~ E~ires Od• g, Zp11 _.i. RENUNCIATION REGISTER OF WILLS Cyw+6~erl ~r~o~ COUNTY, PENNSYLVANIA r~ n ~ C p , te - _ ~ l ~ C r , n ' -.~~ N ;i ~ ; = • ~~ ;.- - __, c> -„ ~ ~:._J ' N - _~ v .. i O , w Estate of ~ja.r~~cr~. M, sc~ ock Deceased I, ~~/ ~~o~ ~- ~ Sc ~l v~~, t1 ~ , in my capacity/relationship as + ~ ~ (Print Name) of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to 7-~s -~~ (Dare) ~~Y ~~nGa~ ri ~~ (Street Address) (City, State. Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this of day Deputy for Register of Wills Form RW-06 rev. 10.13.06 Executed out ofReeister's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the pu oses stated within on this ~ 5 day of '~ ~~ ~ . I ~ ~ n Notary Public My Commission Expires: (Signature and Seal of Notary or other official quali£ed to administer oaths. Show date o_ fynpi[alipa,~f~~y~`eip - .) COMM~IVWtro-~ 1~ ~+Npfariel 598 Lida L Ga~s~ PIOf~-Y P~CA-~nb Waa P° T E 2011 ~~ ~^y~ls Assoc~at~u^ of Notaries ~->~ `'..:.~7 R~NUNCIAT~ON _' = :s _~ c--, -., ~ --„ REGISTER OF WILLS ~=~ v Cyw+b~crl~v,o~ COUNTY, PENNSYLVANIA ~-~~ ~cl '~ C~~~ N c^a _ i, C t _> N ` T-~ ,~ _ .. --~ _- -. ~ ~ . 0 w Estate of ~Qlr'~~Ir/L /"~ • SGti OGI~ ,Deceased I, ~r~ y L /~ ~ l ~ -~ ~ , in my capacity/relationship as (Print Name) C.y1 i ~ ~ of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to t7.~,~;.C ~. S~ hock, 5 r. (Date) (signal ~ ~~' ~~~~~ ~~~ ic~~l (Street Address) (City, State. Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , Deputy for Register of Wills Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the pu oses stated within on this 15 day of ~, ~ , ~l~°I 17T.. - Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) Form RW-06 rev. 10.13.06 ~y~... _. r10 lkkia L. Danis. ~_~ CptrKltY yy~tPeMe~O.T ExPire+.1~~~pd'^"9~,_2011 ~ ~sociatio n ~ - r ~ ~ ~_-~_, ~ t_ ,-~c~ r r =' t, r--; ,ter _ , N , ENU~ICIATION R - =f~ ~ . ~(. ~'r~' ~ (~ "'l I_. ; , REGISTER OF WILLS ; ~ ~' ~ ~- Cyw-6Lr(~r+o'~ COUNTY, PENNSYLVANIA ~ ~ , w r~C'V 1~ ~Q~~ Estate of ~Qlr'iD~tr'/l. !"~ • St.~t dLk' ,Deceased I, ~ r ry ~_ /L1; ~ ~P r , in my capacity/relationship as (Print Name) CJ'1 + ~ ~ of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request ~.~~;.C ~. S~ho~k, Sr. r--, (Date) n Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , Deputy for Register of Wills Form RW-06 rev. !0.!3.06 Letters be issued to (meet Address) ' ~~ cry ;~~sc ~ , ~~ ~ ~~?~-I (City, State. Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the pu oses stated within on this 15 day of ~, e?~~ Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expira pit p~o~,j~(~'$It(i C ~nc~ LkKia ~- ~' ~~ CAtmtll Weed pd, p. 2Q11 µ~,ptgM', pi~sylvaMa Assocl~lbn of Ne1°ries