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HomeMy WebLinkAbout08-07-09PETITION FOR GRANT OF LETT Estate of Matthew D. Shaffer also known as Deceased. Social Security No. ERS OF ADM/I~NIST TION No. v To: Register of Wills for the County of Cumberland ~ ~ the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older, appl ied for letters of administration (d.b.n.; pendente liter durante absentia; durante minoritate) the above decedent. on the estate of Decedent was domiciled at death in Cumberland County, Pennsylvania, with h is last family or principal residence at 64 Greenhouse Road, Gardners, PA 17324, Dickinson Twp. , (list street, number, Twp. or Boro.) Decedent, then 69 years of age, died 12/11/08 at 64 Greenhouse Road, Gardners, PA 17324 (Dickinson Twp. Cumberland County) 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 situated as follows: Petitioner after a proper search has ascertained that decedent left no will and was survived by the following spouse (if any) and heirs: Name Rowena J. Shaffer Wife Relationship Residence 64 Greenhouse Road Gardners PA 17324 Timoth Shaffer son 8173 Sequra Street Navarre Fl 32566 Leanna Comfort Dau ter 2910 Buttonwood Ave. Miramar Fl 33025 Michelle N. L. Shaffer Dau ter 66 Greenhouse Road Gardners PA 17324 Victoria L. Shaffer Dau ter 64 Greenhouse Road Gardners PA 17324 THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the appropriate form to the undersigned. U Q .b b C .O y 'w a W O Michelle N. . S ffer $ 10.000.00 66 Greenhouse Road Gardners PA 17324 ~-^~ k ! !`'~.1 ~,..} ~ ~ a \a ` ' , 0. ' ,`~ .n..U i~ ~ irn ~ • , (~ ~_ .,~..t 'v ~' r R 1 lC]r ~ ~- l ;:4? _ _.., ,`' ~ ... I ... ~ `:.~ :r OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA Cumberland SS COUNTY OF 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 above decedent petitioner(s) will well and truly administer the estate according to law. .~"~ r -~ -,~ t^n~~ .~ r-- ' ~ s-r, - • -~> ~. -~:t `-l ,'._ L t~ _.~ r~ j -,--~ ^~ '-- .,~ ----a .~ Sworn to or affirmed and subscribed ,. 1 ~ `~~I~XJ`'~ ~~ b e me this -+i--- da of ~ ~ ~ - .o Register `'~ 1 No. `~ ~ ' ~'~ - ''~1'-E- ~1- Estate of Matthew D. Shaffer ,Deceased GRANT OF LETTERS OF ADMINISTRATION r•,~ N AND NOW , in consideration of the petition on the reverse side hereof, sat sfactory proof having been presented before me, IT IS DECREED that Rowena J. Shaffer is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration are hereby granted to in the estate of Matthew D. Shaffer FEES Letters of Administration . $ Short Certificates ( ) . $ Renunciation . $ TOTAL $ Filed ... .... A. D. ,_';-' -) -;.: _ _, t- . ~_ , , ., ~ ; ~ r +1 ~1 :: ;~_~ . ~~ ; _ ~. ~;~- Register of Wills 'J/ John C. Zepp, III 52662 ATTO EY Sup. Ct. I.D. No.) PO Box 204 York Springs PA 17372 ADDRESS 717-528-8900 PHONE JUL-15-09 WED 11.45 AM BELL.AEAL.ESTATE FAX,7175287381 ~.~NUNC~,A,~'T(~N REGISTER OF WILLS CUMI3ERLANn COUNTY, l'~;NNSYLV~LNI~1 PAGE 2 ~~ ~~ '_ ~ ~ ~~-- rn .^ :, C~ -n _.~ --I v -- ~- ; _, -; ~- ... - .y r;- _ ~ _.- c_- -. :.~ ., ?'' IV FState vI' MATTHF,W ~. SHAFFF,R , Dece sed 1, TiMC)THY SHAFFER , in my capacity/relationship as (Print Natne~ son of the above Decedent, hereby renounce the right to administer the Estate of the Decedent ar~d respectfiilly request that betters be issued to n~y ester, MiC:HF.i,i.F N.I.. SHAFFFR ((~a~c) L~'zecuted in 12egister :s Office Sworn to or affirmed and subscribed before me this day of __ , 2009 , Deputy for ~Legister of Walls ~- °G=~.. i~ -tom ~ ,~ (.Signature) 8173 Sequra Street ($'tr~et Address) Nava~-e FI, 32,566 (City, Sf~ilc, Zip) ~'xecuted out of Register', Office 13efore the undersigned personally appeared the party execu#ing this renunciation and certified that he or she executed the renun~~_ t~4n for the purposes stated within on this ~ day of Ju1v _ _ ~ 2009 -> .l - ~ ~''"'"``~ 1VL~RILYN DIAL NOtar~ 1'ub11C~~~ ~ MY COMMISSION # DD4~8579 ~~s: o~r~r 2a, Zoo9 My Commission F~rpires: ~.~os,u~,r ~.r~,,,,,.~,~. (Signature and Seal afNotary ar ocher of~ioial qualified to administer oaths. Shaw date of cxpir~eeion of Notary's Commission.) ,Form RW-06 rev. 1 ~.13.Ob RENUNCIATION REGISTER OF WILLS ~ ~ :.~ ~ r , L.r '9. 1 ,, ~ ~ ` CUMBERLAND COUNTY, PENNSYLVANIA ~~ ~. ri ~ ~ ~~_ ~, ~ ~ - , ~ .._.~ -~ { .Y - . C..J ~ ~~~ ~ ... ~ y ~ ~' ~ , Estate of MATTHEW D. SHAFFER ,Deceased I, VICTORIA L. SHAFFER , in my capacity/relationship as (Print Name) daughter 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. MICHELLE N.L. SHAFFER . 7/ 17/09 (Date) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , 2009 . (Signa ) ._ 64 Green House Road (Street Address) Gardners PA 17324 (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 purposes stated within on this 17th day of July , 2009 Deputy for Register of Wills Form RW-06 rev. 10.13.06 No Public My ommission Expires: ~Si'gnature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL JOHN C. ZEPP, lll, Notary Public Huntington Twp., Adams County M Commission Expires April 16, 2010 RENUNCIATION REGISTER OF WILLS ,,-~~ ~ ~ ~--; ~ ~, < <, CUMBERLAND COUNTY, PENNSYLVANIA ~ ~, ~ - ~.~- ~ A ~~ ,. . - r -, _ J ~?~ ~~ ~ ~ ; i ~.1 ~ ~i, t t~ . ',. 1._ ...., :4 ,~ ~ Estate of MATTHEW D. SHAFFER ,Deceased j, LEANNA COMFORT , in my capacity/relationship as (Print Name) dauehter 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, MICHELLE N.L. SHAFFER •,-~ (Date) 2910 Buttonwood Ave (Street Address) Miramar FL 33025 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , 2009 . Deputy for Register of Wills Form RW-06 rev. 10.13.06 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 purposes stated within on this day of July , 2009 , y Public ~ ommission Expires: ~----r''(Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL JOHN C. ZEPP, Ilt, Notary Public Huntington Twp., Adams County My Commission Expires April 16, 2010 r~ RENUNCIATION ~' o ~ ~~_ ~ ~~ , <-- . ~; ~~ ~ ~. , ~ REGISTER OF WILLS `=! - ~ ~~ r ~-' ~ "~ ~ -' ,.> {,, ~ ~~~ --- CUMBERLAND COUNTY PENNSYLVANIA ~ `- j ~-~ ~'"' ~ _ , b N . tL"+ Estate of MATTHEW D. SHAFFER ,Deceased I~ ROWENA J. SHAFFER , in my capacity/relationship as (Print Name) wife of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to my daughter MICHELLE N.L. SHAFFER . 8/7/09 (Date) ~~ (Signature) 64 Greenhouse Road (Street Address) Gardners PA 17324 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this 7th day of August , 2009 , 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 purposes stated within on this 7th day of Aueust , 2009 , No Public My ommission 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 COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL " JOHN C. ZEPP, III, Notary Public Huntington Twp., Adams County My Commission Expires April 16, 2010