HomeMy WebLinkAbout11-04-09PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of DENNIS H. JANTZEN
also known as
Deceased.
Social Security No. 318-242435
No. ~ ~ - ~Q - ~n~ ~
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/aze 18 years of age or older, appl ies for letters of administration
d.b.n.; ~ on the estate of
( pendente life; durante absenti • durante minoritate)
the above decedent.
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with
his last family or principal residence at 9 Shadv Lane. Silver S ring Township Mechenicab~rq
(list street, number, Twp. or Boro.)
Decedent, then 81 years of age, died 9/29/2009
at ~ Shedv Lane. Silver Spring Township Mechanicsb~ra PA
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property $ .90.000.00
(If not domiciled in Pa.) Personal property in Pennsylvania $
(If not domiciled in Pa.) Personal property in County $
Value of real estate in Pennsylvania $ 0 00
situated as follows:
NONE
Petitioner after a proper search ha,~_ ascertained that decedent left no will and was survived by
the following spouse (if any) and heirs:
Name Relationship Residence
_ _ _ _ _ _ I 116728 HIGHWAY 5
41 WEST JOHNSON LAKE ROAD
1675 COUNTY LINE ROAD
9 SHADY LANE
THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the
appropriate form to the undersigned.
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MECHANICSBURG PA 17~~n
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF cuMBERLeND ~ SS
The petitioner(s) above-named swear(s) or affirm(s) that the
statements in the foregoing petition aze true and correct to the best
of the lmowledge 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.
Sworn to or ~Y1 d subscribed
before me tlri5 day of
ister
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EStSte Of DENNIS H. JANTZEN ~ DeC@dS8(i
GRANT OF LETTERS OF ADMINISTRATION
AND NOW ~S H' U(11..1 r~ ~I(k~10 nAhP~ abO~ , in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that $EBECCA A. JANTZEN
is/aze entitled to Letters of Administration, and in accord with such finding, Letters of Administration
aze hereby granted to '
REBECCA A. JANTZEN
in the estate of DENNIS H. JANTZEN
of 1Vills
FEES
Letters of Administration . .
. $~_
Short Certificates (p~ ) .. $ R • ~
..~ ... $ , ~--~
Renunciation . ,y~__
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TOTAL $
.............. A.D
MURREL R.
ATTORNEY (~5up. Ct. LD. N(i.l/ -
54 EAST MAIN STREET
>sAECHANICSBUR PA ' 1 y0~5
ADDRESS
71797-4650
PHONE
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RENUNCIATION g
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REGISTER OF WILLS •c ~ ~ ;- ~'
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CUMBERLAND COUNTY, PENNSYLVANIA ~ ~, c`x x `
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Estate Of DENNIS H..lANTZEN ,Deceased
I, MARY D_ PRE ~rRiDG~E) , in my capaQity/relationship as
DAUGHTER of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
(Date)
Executed in Register's Offrce
Sworn to or affirmed and subscribed
before me this day
of ,
Deputy for Register of Wills
Form RW-06 rev. 10.13.06
(Signatur
16728 HIGHWAY ~
(Street Address)
NAUVOO AL ~~~i7R
(City, State, Zip)
Executed out of Register's Office
Before the undersigned personally appeared the
party exect#ing this renunciation. and certified
that he or she executed the renuncciatiAn for the
opurpo ~ Zatgd within on this _ a ~ day
~r ao~~i.
~ 'lam o~
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official. quillified to
administer oaths. Show date of expiration of Notary's Commission.)
ANDREA GAIL WREELER
My Commission expires 11.17-2Q12
STATE AT LAq~S
RENUNCIATION
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
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Estate Of DENNIS H. JANTZEN ,Deceased
I, D. JAMES JANTZFN , in my capacity/relationship as
(Pant Name)
soN of the above Decedent, hereby reinounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
(Date)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
(Signature
41 WEST JOHNSON LeKE ROAD
(Street Address)
OWINN MI 4gstd~
(Ctty, State, Zip)
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciatipn and certified
that he or she executed the renuncia~'on for the
pure es t d within on this ,~=day
of ~ _
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No Public
My Commission Expires:
MM1gf1~ L 1~,~(
(Signature and Seal of Notary or other official qualil~~~KIBLIC, STALE ~ M
administer oaths. Show date of expiration of lJlo~y's ~-~ ~'~ ?~.1ETTE
"~T ~M~16BIUI~) !~I(PIFrE~ Aup 4~ 2011
A~18 M! EBIaNTY ~O~GR~
Form RW-06 rev. 10.13.06
RENUNCIATION ~ -~~
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REGISTER OF WILLS C
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CUMBERLAND COUNTY, PENNSYLVANIA ~ y„ ~;
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Estate Of DENNIS H. JANTZEN
Deceased
I, $USAIy E. MARTrI~NNa~) , in my capacity/relationship as
DAUGHTER of the above Decedent, hereby reisounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
io~i~~9
(Date)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of ,
Deputy for Register of Wills
(Signature)
1675 COUNTY LINE ROAD
(Street Address)
YORK SPRINGS PA 17~7~
(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 .~_day
of ~~~.i ~, ~ ~,'Z.
a~u+oMw~AltH OF ~iSrivgNW
~s~u.
Public ~UISSER
My Commission a ~Ct~NBE~MDOOUNiY
." ~ EXPIi~B JULY 2q, 201
(Signature and Seal of Notary 4f other official'' qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev. 10.13.06
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LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this cert~cate, $6.00
P 15838588
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.
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Local Registrar Date Issued
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ntos-YU tev,l~oos COMMONWEALTH OP PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
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CERTIFICATE OF DEATH
(See Instrucdone and exempMe on roverp)
,~,,, ~ _ _ STATE FILE NUMBER
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• Dennis H. Jantzell 2SNIaIs a2s'°0r24 2435 oral r ,
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