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HomeMy WebLinkAbout10-15-09.~ • PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Currrberland COUNTY, PENNSYLVANIA Estate of Elizabeth A Shearer File Number ~' ~ O~ ~ © I also known as N/A Deceased Social Security Number 206-34-7946 C-'i c _ -- -~1"2 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: ~ ~ o ~ '~~ (COMPLETE 'A' or 'B' BELOW.) ' ~' n ~-> +,~ D A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the r ~~-~'--~- ~namedFii~thr~ last Will of the Decedent dated and codicil(s) dated `- ''1 ~"~ c;"~ -, _ -,~ ~ + .~ ~" - ;_~ _~ y _~ N (Stare relevant circumstances, e.g., renunciation. death ojexecutor, etc.) -~' t'`~ Except as follows, Decedent did not many, 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 (Ijappltcable. enter: c.t.a.: d.b.n.c.t.a.: pendente life; durance absentia: durante minoritate) Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (!f Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) Jon P Grimley Son 98 East Division Road, Valparaiso, IN 463830000 Robert H. Bruce, Jr Brother 307 Tichy Drive, Mt Holl Spriggs, PA 170650000 Cynthia L. Peterson Sister 903 North Pitt Street, Carlisle, PA 170130000 (COMPLETE INALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at 36 Kenwood Avenue. Carlisle, PA 17013( South Middleton Township) (List street address, town/city, township, county, state, zip code) Decedent, then G3 years of age, died on October 5, 2009 at 36 Kenwood Avenue, Carlisle, PA 170130000 Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property ~ 100,000.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County S Value of real estate in Pennsylvania S 100,000.00 situated as follows: 36 Kenwood Avenue, Carlisle Form RW-01 rev. 10.13.06 Page 1 of 2 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: .1 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland SS 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 before me the (~ day of Signature ojPersonal Representative Signature ojPersonat Representative x ',. ~"T't ... p _i <J3 ,°~~-- Ul ~ j -,rC .~ t.. ` 4`"7 For the Register Signature ojPersonal Representative ~` C7 --i~ ? ~; c.,. _ ---~ N ;'=~=' .t> W - -, File Number: 2.1- ~ - ~ 109 Estate of Elizabeth A Shearer ,Deceased Social Security Number: 206-34-7946 Date of Death:October 7, 2009 AND NOW, ~ ~~ , zOV~ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Of Administration are hereby granted to Robert H. Bruce, Jr in the above estate and that the instrument(s) dated N/A described in the Petition be admitted to probate and filed of record as the last Wjll (and Codicil(s)) of Decedent. FEES 0 u/ 1 R rs r wilt Letters ............... $ 0 • 0 Short Certificate(s) ........ $~~ •~ Attorney Signature: Renunciation(s) .......... $ J n ~ l ~ $' ~ ~ Attorney Name: Robert R Black n - iY~0.'~C~ t3y~ ... 'EJ t-'x.~- $ Jr • C)u Supreme Court I.D. No.: 6267 ... ... $ $ Address: 36 South Hanover Street ... $ Carlisle, PA 170130000 ... $ ... $ • • • $ Telephone: (717)243-3727 ... $ TOTAL .............. $ 31'1.0 A~98 ForneRW-02 rev. 1o.t3.o6 Page 2 of 2 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or• photograph. Fee for this certificate, $6.00 P 15931707 Certification Number This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. L ~iine~~~~•sc.~~~~ca~X" ~ C ~ 1 2~ 2009 Local Registrar Date Issued rv ~\ ,. ~.,~~ ~:. C~:~ { ~ ~.~ ~ ~ _J1C~ ~ ' ? '.~ N ~ 10a1M REV 112008 TYPE / PRM M PETW/iNFM ~`M` #32-114 ~~ !I COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VRAL RECORDS CORONER'S CERTIFICATE OF DEATH (Sss Instnw•tlons and ex~mDlM On roverse) ..__~ _. _ ..... +. xeme a oee.ere (Fid, m+ar1,, w1 wEq z. Sr s. Sodel s.a.zy nn6n /. Oeb a DerA MwR Y••d ~ Elizabeth A Shearer Female 206 - 34 - 7946 October ~ , 2009 a ~. (l,a secrecy) unaw 1 UMr+ a Dw a eim T. eM aa, a ae. Pbr a 0err err "°~ Q1" ""° r`w March 7, 1946 "°'~` Darr 63 rm. Spangler PA ^„~,.,,, ^ER, ^~„ ^ Rera^w ^ozwr• m. ewy d own eG CNy, Trp. DeYr 86 FMelry New al nol betlwar, ~• e6w nd nnEer) B. Wr Deaeerq a Hhpric Oepb7 [~ No ^ 10. Reor. Mrbn bdea Bled4lYhie, ac Cumberland South Middleton 36 Renwood Avenue Ipr'''P°~Ci6in' 1 wwon, Prato Ran, M0.) White 11. D,oedrfe Uwl d wh Oora mw d N/. De nol em 12 Wr Oroewt eve b tlr 12 DeeeewY EOwlbn ( wy npwl nmgw,d) 1/. A Wwa bc A~ba nbrMQ a.9WNb0 Spour (B,.M, 0ne nWrn rmr) luraawan gMdBuYr/bervy Book kee er Manufacturi N ~ l' U.a.AmrM Facr7 Ebnrribrylaaaieep'(0-12) Colepe (1~Iaaa) ] p ng ^rr ~ NO 12 Divorced la DeoeweY daYpAdds (aeee4 dU' /bwr, Mlb,>iP ~) Oerdr/S qe Deoedere PA 36 P.enwood Ave. xarwawn loam we be ,TapYr,o.o,amuweb S. Middletnn T„P Carlisle PA 17013 ~ 7 +le.cary Cumberland ne.^Nn,oewwuerwNb _ Aaw unYS a Cey/ Bom 1a FeBrfe Nrr (FM, mwde, bet eat t8. Mo3rI, Hein, (FYa, mEUe, mean eumrns) Robert H. Bruce zaa bbmrie'e name RyP. / PrkQ Jon Grimle 206. bbmrnh wd`q /mw (sew, dry/ arm, ar, nb ma) y 98 E. Division Rd., Valparaiso IN 46383 zl. wwree a oYpeelYm Q Q.r.em ^ Danem z+a Der a orPwwr Mean. Oy, yeer) zt P y onPodYmlwn, a wwry, aenrorya erw qe~.) 2+a. 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Vi [lIIC C 6375 Basehore Road, Suite #1 I 1 I Mechanicsburg, PA 17050 orpwbn PNmB Na `~~~'~[~ q71 J ~',.'iLt'1 .., M,._~__ RENUNCIATION REGISTER OF WILLS Cumberland 2009 OCT 15 PM 2= 29 CLERt( ~F Cl1P r, r ~ n Pt? COUNTY, PENNSYLVANIA Estate of Elizabeth A. Shearer Deceased I, Cynthia L. Peterson , in my capacity/relationship as (Pant Name) Sister of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Robert H. Bruce, Jr. October , 2009 (Date) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , Deputy for Register of Wills FormRW-06 rev. 10./3.06 (Signature) 903 N. Pitt Street (Street Address) Carlisle, PA 17013 (ctry, smote, ztp) Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciatio~l,for the u ose stated within on this '(N' day P rP of ~~L _ ~~f 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.) NOTARIAL SEAL ROBERT R BLACK Notuy Public CARLISLE BORO., CINiABEt#Wi0 COUNTY ' ~ Ny Canmbtlon Expinu B~q, 2B. 2019 r„• ~. {~ ~~~~~j~r.fi r ~:,, Cumberland Estate of Elizabeth A. Shearer Deceased I, Jon P. Grimley , in my capacity/relationship as (Print Name) Son of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Robert H. Bruce, Jr. October , 2009 (Date) ature) 98 East Division Road 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. !0.13.06 RENUNCIATION 7009 QCT I S PM 2~ 29 CLFR~C ~JF REGISTER OF WILLS ~~RP' ~`,`~ ~ ~"'~-~~~ CUP~~r ~, ~~ , ~ PA. COUNTY, PENNSYLVANIA (Street Address) Valparaiso.lN 46383 (City, State, Ztp) Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renuncitat' ~~r the purpos state~witr~n this' ~ daY of . 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.) . ~f~ NOTARULL SEAL: ROOERT R aLACK Ilotutr ,Public . ~ , ...CARLISLE l.ORO., C1~I18ER ' COtNiTY ':. y~ ~ j ~p ,2018