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HomeMy WebLinkAbout10-01-09PETITION FOR PROBATE ANI) UI2ANT OF LETTCRS REGISTER OF'VV11,L.S OP Cumberland (:;OlJN'TY, PENNSYL,VnNIA lsstsrte of McKenna llizabcth Sohunnlch also known as n/a Deceased File Nunil>er ~ ~ - ~ / _ ~~~~~___~_ Social Security Number 189-84-IH72 1'ctitioner(s), who is/are 18 ycun of age or older, apply(ics) Ibr: (COMPLETE 'A' or 'B' BELOW:) © A. Probate and Grunt of L.cltcrs'1'eslumcntar•y i,nd i1NC1' that Pctltloncr(s) 15 / urc the named in the lust Will of the Decedent dated and codicil(s) slated (.Starr r•eleraat circantzurncrs, e.g., remrnciation. death njexecruor, etc•.) Except as follows, Decedent did not marry, was not divorced, and did not hove a child horn or adopted after execution of the inslrun,cnt(s) oficrod for probate, was not the victim ol'a killing and was never adjudicated an incapacitated lx;lson: m R. Grant of Letters of Administration (lfapplicaGle, eater: c.ta.; d.G.n.c,ta.: txnrlente lift: dm~aute crbrcrrria; Jnrnnte minor•iratef Petitioner(s) after a proper search has! have ascertained that Decedent Icft no Wil! and was survived by the following spouse (il'any}and heirs: (!f Adminlsu•ation, e.t.a. or d. b.rt.c.t.n., enter date of Will in Section A above attd complete list q/•lreirs.J Michael J. Sohomuch, ITI Pusher 528 Allcnvicw Dr., Mechanicsville, PA 17055-6168 Jane W. Sohomuch Mother 528 Allcnvicw Dr., Mechanicsville, PA 17055-6168 (COMPLETE IN ALL CASES:) Attach additional sheets if trecessarv. Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at (List street address, to,vn/city, totivrrslrtp, cornrry. stale, zip cvde) Decedent, then 0 years of age, died on July 2, 2008 ~.o ~ -i -~ ~ ~ ~ at the Child Development Centerrlocs~vtr the nse ~'-= •' Distribution Denot Susquehanna Pennsvlvania, New Cumberland. PA r_r' rP-~-, `- - `~~ - - --, ~ -t-n-- ri ~_- "' - ~ 7 Decedent at death owned property with estimated vaiues as follows: ` '~ ~ . ~ (If domiciled in PA) All personal property $ ~} -5 ~ 100.00: (If not domiciled in PA) Personal property in Pennsylvania $' „~ - - r _` ~ (If not domiciled in PA) Personal property in County ~ f -, _.. Value of real estate in Pemsylvania $ 0.00 situated as follows: all property is contained within one bank account in the deceased's name. Wherefore, Petitioner(s) respectfully requests} 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' Michael J. Sohomuch, III, 528 Alienview Dr., Mechanicsville, PA 17055-6168 I(~~ /A J. ~~h ,~M~ ~, /_ I Jane W. Sohomuch, 528 Allcnvicw Dr., Mechanicsville, PA 17055-6168 Form RW-01 rev. 10.13.06 Page I of 2 ,~ ~~. Oad~ of I'~rsol~a( I~~~~resel~t~~tiv COMMONWGAf:I'FI OI~ PLsNNSYL.VANIA . SS COUNTY Of Cwntx:rl~uuf The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the ti~regoing I'etilion are U•uc ant! coircct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) ofthe Decedent, I'elitioner(s) will well and U'uly administer the estate according to Iruw. Sworn to or at~irmed and subscribed before me the s~_ day of ~~~ ~ ~~~ uJ o -. °r - ~` -. ~ > fof the IZeglSler S'ignulur4 q/ I'crsona! Ilrpre.rrnJarn~c ,~ _.~~ ~ '-'-- i') 7 .L. ~ - - .~-i r_. ~~ t t ~ ...~ _; :. ~ ir,-) file Nunlbel': ~ ~ _ O9 O9 Z ~ r ~ -~, N ; } J =~i Estate of McKenna IrGz'tbcth Sohomuch , Dece~c;d ~_ ~ , Social Security Number: 184-84-1872 Uate of Dcath:July 2, 2008 AND NOW, \ ~C~14~.~ ~ aa~q ,inconsideration ofthe foregoing Petition, satisfactory proof having been presented before me, IT' IS DECREED that Letters of Administratia- are hereby granted to Michael J. Sohotuch, Ill and Jane W. Sohomuch, in the above estate and that the instrument(s) dated i>/a described in the Petition be admitted to probate and filed of record as the last FEES Letters ............... $ 20.00 Short Certificate(s) ........ $ 4.00 Renunciation(s) .......... $ Automation Fee , . , $ 5.00 JCP Fee $ 10.00 .. $ .. $ ... $ ... $ ... $ .. $ .. $ TOTAL .............. $ 39.00 Attorney Signature: Supreme Court LD. No.: Address: Telephone: Decedent. Form Rw-02 rev. 10.13.06 Page 2 of 2 Attorney Name: OCAL REiGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 14792384 Certification Number Thi, is to certify that the information here gi~~en is correctly copied from an original Certificate of Death duly filed with me as Local Re~yistrar. The original certificate will he forwarded to the State Vital Kecords Uffice for 1lermanent filing. ,~ ~, ~. L: Kcal Registr.)r Date Issued - _ __ _ _ _. _ _. _ _ _ ra n ~~ _ ~~ I: y O era -, ' --~ -r~ 1~ _ , - :=; ~n_._ _ _ . .> -~ 'T7 ; =, :.:) ~ ) NIOS.IN REY III10pg J ,, 1 ~l TrPE /PRrrrw ~ ' /f i ~ /- L COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~ -`) BLACK ^JK ~ ~ .....) PERNWNENT VV ' / CORONER'S CERTIFICATE OF DEATH v -~ 1. Nam. a oeudda (Fed, middle, rd. aaraQ (See Instruetlons snd examples on reverse) STATE FILE NUMBER • McKenna El i z z. Sea B. sodL sec«py Nuit^r ~. wr a oeanl (Moan, my, r^eri s. Ape (I:d ammr) IAm 1 umr I d oa,, d eHh ~,", T. Female 189 - 84 - 1872 July 2, 2008 M'a• oaw ran .^~,,,. rd amr « ea. Pbw d oa.n rrdr ma) rrt. 5 Feb. 2, 2008 Harrisb °"" • ao cawy a Deem unJr PA ^ mwliw^ ®ER / ouwue« ^ DoA ^ Nuraaq Home ^ R^aa~e pans - sp.dly, Bo. City, Born, Tvp. a Dean ed Faopy Nanr (p na oaahruon, pw even and raaeEer) Oau hin 9. was Daoeav^ d Nyrlic Orgn7 ®No ^ Yea 1a. Raw Arrrdwn n6an, Br4, why, ea P Harrisburg Harrisburg Hospital {"w..wc+ruma• { 11. Dec^dv^a Uaatl lbr a warn dory mod d W. w rd abr rda 1P. Wa^ Daceaa awr h tlw 13. wwdaru'a Educatan Ma'w"• P~wm Rlnn. am.) White "vld a Wora Kara d Buirose / Musby U.S. ArmW foras7 Ebmen / S^card^ (0 WY ~n pwde canpawl) 1/. W~ ~w~„gtl. Nww wnwo. 15. SuMWnp SPOOa. (M W., pw mviaen reme) NIA ^Y.a ®NO I°" n { ) "•s• (1~ «s.) {syaecryl Is. wwdrrta Mairp ANress (9raec wy / aaxl, wr, zp mm) ~ Never Married 528 Allenview Drive o~adr^ Peansvlvania Aaad RmiOeroa Ih sbr °'° Dewaad u.,3 n ^ ITS. ®rw, Dewaad rives b UPPer Allen Mechanicsb PA 17055 lm ca,ny Clunberland T°`"`bpT Ira.O No,Dec.ad^uwa.ena, Teq 10 fanefa Nvn (Fid, n"dde, rd, sulFaf Aural rllab a Ciq / Ban Michael J, SO)lOlilUCh III 1B. Monv'a Nvrie (Fasr mbda, m^i0an eueume) zoa. vadrnaaa Name (ryp. / Primf Jane E e Wilder Michael J. p".+'aMai~uAmr.~(sr..~dy/m,„,.,w,.,poo,.) Sohomuch P,^. M.noddortpoerm III 528 Allenview prive Mechanicsbur PA 17055 ^ G^oan«i ^ D«ienon zlc. Daly a D~sposglor, (~,. dy. rev) zlc. Pboa a ~ ^ e®r eu<w ~ Removal Iran 9ve Wu Cmadlm « wruvm Aabeve oieposabn IName a aalwrry, aenialery a saw pawl 21d mum fpry /tan, ear. rp oaaa) ~'°`"' 0y140~~^~/~m•r+ ^rwONa July 8, 2008 sate of Heaven Cemet Mechanicsburg, PA Y ~ PPa. Sr~ne^ee d Fmeral Serviu LA:eroee (« peram acunp as vrh) 2Ph license NuMer 22c. Nuns arld Addrep d F^oiliry - '~`~ ~ FD-011667 $ Market Plaza Way same 27a~my adan - ~~„ Mal zzi Funeral H PfMSioan a na ^vulade a aura d tleaN~lo o na bed ~' -°~e"Pe, dean uxurrdl d da mu, der and Woe wrd. ISpnaa+a aM Ytle) Pau. Liwrw N«nGr ovtly uuae d aedn. 23C. DW Slprrd (MaW, say, Year) . .ta 2q~~ ~mmpaad oy pertm PI. Tyre d wain P5. Dar Praburcgd Dead IManll, day, yev) 09:39 A M. July 2, 2008 ~' w,d ~'a' R°r"•" r Meoral E+vrunv / Caner for a Reason Wrr man Crenratm «D«WbnT a CAUSE OF DEATH (Sae Insrraolbn^ and ^umprs) ~ Vr ~ No Ham 21. Pal I: Enrr tlr d1aLL>y-eYE0t5 - 6aeuas tpabs, «compiwlims Hal direly caused ae1 dean. DD NDT aAer ~ r ADpoaerwr inlarvr: Pan q: Gqv dMr .. . resprabry shed, a vaanwv fEr"avon rMwJ rrrrial evens cuM as rardlac year ~ Onsel b Dean eauuirq o ne PB. Oid Toban:e lha ComgY b Dadn7 ano.iin me euobgy. lW my «a wise m eaW arr. b^ «a r ugvA+y ease pban d Pad I. ^ Yw ~ Prmeay IrreDUrE cA Feel oieea:, a ' ^ ~ O ~~ C01~°"r"'""~~°'"') ---- a Sudden Death In Infancy Srapderyarld~r Due m (« o a c«~segirnce aq: ~ ?o. M Female: Enr na DNDFAlYY1G CAUgE a b Dua b (a ei ^ mnsegwnca off: r ^ rgrray burs d oWn ~ Due b (« v a corrcequerw oq: i d seen • as pragrdr^ aan /2 aye tl_ ~ ^ belay dean ~ PeYnera p Osys b 1 yer ~ Pvbr~ ~ ~ alatrPaa lion TI Nvnsr a Dedn 77a. oar a HaY (Mona dry, riaA Tx. DmcdW Nov u~rry wuwea ^ UMro.n I pnpwy reran b p^d yw c~ a cause d Dean? ~ ww r ^ Namnda 72c. Prp a ww.y Ibmw, Faun, Brad. F^cbry, ®Yu ^ ~ ®Yas ~ No ^ Acoaenl ~ PenOrp Inw ' tim 32d. LrM d Orrca ~idap, •b~ rsPevnl sew Ww 32e. M•r d wat9 321. n runepmavon hrtY !svub/ azp. Inravm d vY~Y IBUed, W /loan, elw) ^ Suede [] Coun Na be wrrmeied ^ Yes ^ W ^ Drt+er / Openl« O Paseanpv I]Padrlean ^ tr Carw Wwa mp ar) r al~v speuY, ~( /\ Certllytq pnyw.ian IPnYSiaan wraynq wusa d aeon wlwn arroawr pnyanan nee ~~ SgWUn de d Career Te tlr sal a my baa+aaw, a.n aa;wnd era m m. wawuncea awn rb mmpelao n.m zaf - - O - r - ._ ~ Y - ~~~2 p'arr•~'d^Y nrd cennyl cwaysf and ar.ne«awl.a------------------------------- Lisa A. Fonei ~ To IM bey a sq ~ pnydcirr lPAysbian ban prmareap man erq wneyinr to wuw d death) ~ ~~ ~ ' gar, Chief Deputy rw.Maw. dun ooc«ntl d tlw were, dye, vM ace, ens dw m tM uu - ~ xlc. llceits un8er ] r Signed (rash, Day, yev) • YadlulEumlrorl Canner p eNaf ^na mameryabte<L________________ onnaba.raaara,wma„a/«Inrn' UgUSt 11, 2008 Igdiar, m nY opnlon, rralA «uer^d q IM aura, ear. erd pra, arW dw m rAe uueyq end eunm v arra_ ~ ~ Y Squve w Dunn -- 31. Name rd Amroaa d Parton Wro Coaplera Cause d wan ~avn 1Tf type / Pnr ~ r I ~ l I~I ~ rFiadtMpd'~d+r•wrl Lisa A. Potleiger ~ la.l U /4 Harrlsbur(nPA(17111 ( ' Dispceium Pump w. O ~ Q