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.
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Michelle N. . S ffer
$ 10.000.00
66 Greenhouse Road
Gardners PA 17324
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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.
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Sworn to or affirmed and subscribed ,. 1 ~ `~~I~XJ`'~ ~~
b e me this -+i--- da of ~ ~ ~
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Register `'~
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Estate of Matthew D. Shaffer ,Deceased
GRANT OF LETTERS OF ADMINISTRATION
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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.
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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
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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
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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
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CUMBERLAND COUNTY, PENNSYLVANIA ~~ ~. ri
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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
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CUMBERLAND COUNTY, PENNSYLVANIA ~ ~, ~ - ~.~- ~ A ~~
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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
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RENUNCIATION ~' o ~
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REGISTER OF WILLS `=! - ~ ~~
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CUMBERLAND COUNTY PENNSYLVANIA ~ `-
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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