HomeMy WebLinkAbout09-01-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of MAURINDA C. WINGARD
also known as
Deceased
COUNTY, PENNSYLVANIA
File Number
Social Security Number 205-50-9361
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW.)
^ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the
last Will of the Decedent dated and codicil(s) dated
(State relevant 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 instrument(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
^/ B. Grant of Letters of Administration
(If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendenteli~e; durante absentia; duranteminoritate) t„~
r
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following 9~t s~ (if any) at+l~ heirs: (If
Administration, c. t. a. ord. b. n. c. t. a., enter date of Will in Section A above and complete list of heirs.) -'j ~ -. ~
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Name Relationshi ResidenCE" ~! 1
WENDELL C. WINGARD SPOUSE 396 GREASON ROAD, CAR~~I'S'L~ PA 17015
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(COMPLETE IN ALL CASES:) Attach additional sheets if necessary. .~
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his /her last principal residence at
396 GREASON ROAD W PENNSBORO TOWNSHIP CARLISLE, CUMBERLAND COUNTY, PENNSYLVANIA 17015
(List street address, town/city, township, county, state, zip code)
Decedent, then 51 years of age, died on MARCH 29, 2009 at HARRISBURG HOSPITAL, HARRISBURG,
PENNSYLVANIA
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ 6,200.00
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $
situated as
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
[he undersigned:
~ ~ Ni (~ I ) ~ WENDELL C. WINGARD, 396 GREASON ROAD, CARLISLE, PA 17015
Form RW-02 rev. 10.13.06
named in the
Page 1 of 2
~: ti _
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
/~>L
befo em~ e~t~he / day of
~l-~`~- ~Z(,~ti- e~G~7
~~ ~ ~~
Signature of Personal Representative
Signature of Personal Representative
or the Register Signature of Personal Representative
File Number: ;~ 1 ~ ~ ' ~ ~~
Estate of MAURINDA C. WINGARD
Deceased
Social Security Number: 205-50-9361 /~ ~ Date of Death: MARCH 29, 2009
AND NOW, ~ /~ ~`-'~ / , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters OF ADMINISTRATION
are hereby granted to WENDELL C. W[NGtARD
in the above estate
and that the instrument(s) dated
described in the Petition be admitted to probate and filed of recor he last Will~aLnd Codicil s) of Decedent. ~
FEES ,9~, G~~-/'~ ~~ ~[ ' ` "~'~
45.00 ~l' Re ster of Ells ~~ ~ ~~~~
Letters ............... $
Short Certificate(s) ........ $ 4.00 Attorney Signature: '' ~--- J
Renunciation(s) ..... ..... $
JCP $ 10.00
AUTOMATION FEE $ 5.00
.. $
... $
... $
... $
... $
... $
... $
TOTAL ......... ..... $ 64.00
Attorney Name: STEPHEN L. BLOOM, ESQUIRE
Supreme Court LD. No.: 49811
Address: 60 WEST POMFRET STREET
CARLISLE, PA 17013
Telephone: 717 249-2353
Form Rw-oz rev. lo.r3.oh Page 2 of 2
OCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is. illegal to duplicate this copy by photostat or photograph.
F« I~ttr thi, rerti~irat~. ~(tO(i - ~- i'hl~ j`, t„ rer!t(~ that IhL ~ulurnruion h~_c I,i` in i.
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Certif~t~a(icYn tiumbcr ~='~° Lc,Lal Re I~u.lr fate I»ucLi
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HtOS1a3 REV 112006
TYPE /PRINT IN
PERMANENT
BLACK INK
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse) ,xrncR
'."aura°f°a~aadjFrsLmid°b'w`'s,rd6') Maurinda C. Wingard 2. sax 3.SodelSecurityNumber d.~lpd~ / ) ~ /
Female 205 - 50-9361 ~~(/
ae
s. Age (Lam anhdavl ureter, ar undr 1 ee 6. Dine d adn Manor, m , 7. al ce am meta a f tour fie. Place d Deem cheat
Other:
Monma Days Han MImAm Hospital:
Oct. 28, 1957 Carlisle, PA ~
51
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al
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mer-
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y:
Nurmng Home
Realdence
DOA
npatbnt
ERIOUIpedem
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fib. County of Deem &. City, Boro, Twp. of Deam Sd. Fedlity Neme Qf no1 inmiMim, pre mreel arM number) 9. Wea Deeedenl M Hispenk Origin? ®No ^ Vas 10. Race: American Indian, Blade, White, ek.
Dauphin
Harrisburg
Harrisburg Hospital of tea, ePacity Daban. (Spedm White
Mexican, Puerto Rhan, ek.)
• 11. D•mtlenrs Uwal KinO of work ri me duri mom d IEe. Do not slate retired 12 Wes Decedent ever in hie 73. Deceden's Edxatbn (Spedty ody highest gretle canp bred) 14. Merilm SIeM: Meded, Never Martieq 15. Survhirg Spouse Qf wrfe, gi,2 maiden name)
KiM d Work KItM of Buskess/Industry U.B. Anmd Fortes? Elementary / BecoMary (D12) Coll (1~4 or 5+)
~ Wdowed Drrorced /Speay/
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ard
Win
ndell C
W
Executive Director Ballet Co. ^ye,[$~ arr
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e
16. Decadanrs Hsiang Address (sheet, cdY /lows, state, ziD coda) Decedents PA Ord Decedent W . Penns bo ro
Liveina r`c
I3ecedenuivedin Twp
~ves
id
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396 treason Rd. .
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es
erce na.
aua
tate
rdwnship?
Carlisle, PA 17015 ,`d ^No,oetededu~eavnmin
nb.County Cumberland
Actual Limits d Ciry! Boro
16. FatheYS Name (FlrsL mitldle, last, wffix)
Selden Jones 19.M°Itrets Name (First, midrib, maiden sumamej Freda Eshenour
20a. IdormanYS Name (Type /Penn
Wendell C. Wingard 2 Intorme Marling address ( dry /, la cep j
~96 reason ~~., ~CarM7.is e, PA 17015
27 a. Memod of Disposition )(„7LCremelion ^ Donation
• 21b. Date of DisposNan (Mmm de , j
l 1
A
2b~~` 21c. Place of Obpask'wn (Neme d canetery, cremetay or °mer plate) 21 tl. Laallon (Clry/lawn, state, zip cede)
^ Banm ^ Ramovanranstate ~weecremmknrl3matlanAallmNZetl pri
, Hoffman-Roth Funeral Home & Carlisle, PA 17013
^ cp,,,. ' W Marllul Exeminar/CaroneYy ~ vea^ Na
22a.SigrieluredF rel ~ (apmsaneairgassuch) 12b.LkerueNanber zzt.NameanaAatlreaadFeakty Hof Tfeter-ggofhh F net 11 gg & Crematory, Inc.
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219 N. Hanover St. Carlis
CompleM ilen s 23a-c Doty when cerUlying 23a. To me East of my knowletlge, death warred at the rime, tlate antl place stated. (BlgnaNre and ant) 23b. License Number 23c. Date S'~etl (Monet, day, year)
phyakaan b nd avaibde al rime d seam t°
c•ntlv cause of deem.
• Items 24-26 mum ba compbled by person 2<. Time of Deam 25. D Pronounced Deatl (M m, day, year)
~ 26. Was Case Referted to Medkd Ezamirer I Coroner for a Reason Other than Crematbn or Danation7
~
woo pronoa~cea seam. , M. Q 9 ^ ye5
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CAUSE OF DEATH (See Inetrucllons antl examples) t Approximate Inbrval: Pen 11: Enter other ypri Grant mMNOns c°nldEUl'm to dorm 26. Ditl Tdacw Use Contribute to Deam?
Item 27. Part I: Enter rite churn of events - dmases, Injures, °r camplicetbm -met d'nectly caused the deem. DO NOT errcer lettnlrel evenb Such as cardiac arrest, Onset to Deam but nd resuronq wt the urMerryirg reuse given In Pan I. ^ Yes ^ Probabty
reapirelay arrem, or venlnabr fibrslat
ion wilhoul showing me edobgy. Lim one cause on each IMe. /'~ ~ ^ NO ^ Unknown
A
TE CAUSE IFinma'dsease a 1"l• ~ ( j . _ . n ~ ~jy ~ ~ ~ ~ ~
resdlkg in des _~ e. ' `Y VMAC~U ro ~/ ?•Q V V`(ut~l\ fMA ~4 C 'A./' Y ~ ~ ~ 2g, ry Female:
{~1~1
nant wimin
ear
re
ast
Due to (a as a consequence aQ:
kt oxdlEarc, d any, b p
g
P
Y
^ Pregnant at rene d deem
^
,
reuse Ibbtl on foe a. Due b a
Enter UNDERLYNG CAUSE ( es a consePtence oQ: Nd pregnant, Eul pregnant wimin 42 days
d deem
• (disease a dpaR' met kktlamd me
°. ^ N
b
t
l 43 d
t
1
events rasdf 9 n meet) LAST.
Dee a (« as a tonaegaance o0: d pragrtanL
u
pregten
ays
o
year
Eefaa deem
d
' ^ unlmown d
pregnant wkhin ere pest year
.
30e. Wes an Autopsy 30b. Ware Adapry Fmdmgs 31. Mariner d Deam 32a. Date of Injury 1Monm, day, year) 32E. OescrtTe Haw injury Occurred 32c. Place d Injury: Homo, Fartn, Street, Pettey,
Ponomed? Available Pna to Conpbtbn
of Cause of Deem?
"° Karel ^ Hamiade Otlx:e BuiMmg, etc. (Spetily)
r-~ ~
^
'
^ N
^ V ^ Aoatlent ^ PeMlrig Invesdgabm 32tl. Time d Injury 32e. Injury at Wak7 321. If iraceponetion Injury (Spxrly) 32g. Location of injury jSOeet, city /town, shh)
Yes LL
NO o
as
^ Sulfide ^ Coultl Nd be Determined
M
^ Ves ^ No ^ Deter/ ^ Passe
Opereta nger ^ Pedestrian
. ^ Omer
33e. CerCTi (cltetk ady onej 33b. Wra BM Tilt d ,' 'n
r
• CrlXying PI'Y•kl•n (Phyekien crkN'in9 cause of deem whM er,omer physician has pronounced tleem ant comlxeted Item 23)
tleeth aeeumddue to tle uu.e(sl atM msnnsruslabd
^
To the lrmdmY Mto•'letlq• - ~,
_________________________________
,
' Prapundnq antl oxttlplrg phymdsn (Phynden both Pramuncki9 deem are tereNkg m team d deem)
deaM Omumetl a, the Sete
sate
antl due to me cd,ea(a)aM manor as amad
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ld
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Nd
a
and
lece
m .License Number .Date Signed
ey,
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__________________
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• M•tlkal ExaminrlCaaror ~
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On the bob d exammetlon sod! r ImestlgNkn, In my opinion, seeth occurred rt the tlme, tlab, and Plan, ant du• to 1M cauea(s) eM menrbr se clsbd. ^ Name antl Address ~ Causeuf Dee Pri '
35. RegsRafs re antl Ushk1 N}~•~1 /~ .Date Fled (Monet, day, year) / '~y.r /~yy 1 yy~
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Disposition Pertns No.v~~~~ ~~