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Home My WebLink About10-23-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of BENJAMIN D. ROSARIO also known as Deceased COUNTY, PENNSYLVANIA File Number Qty 1 ' ~~' ~~ ' Social Security Number ! ~ ~ ~~ ~ T / V ~ Petitioner(s), who is/are 18 years of age or older, apply(ies) for. (COMPLETE A' or 'B' BELOW.) A, Probate and Gnat of Lettcrs Testamentary and aver that Petitioner(s) is /are the last Will of the Decedent dated and codicil(s) dated (State relevant circw>rstmeces, e.g., remaeciotion, death of esecutw, etc.) ; ~-. . , ~ ~ ~ - ~ E "1 '_'~ ~ W r --I Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution o~e instruments offered .~ . , for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~"? ~. B. Greet of Letters of Administration (If applicable, enter: c.t.a; d.b.n.c.t.a; pendente liter darante absentia; durance 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: (If Administration, c.t.a. or d.b.n.c.t.a., enter date of Wil! in SectionA above and complete list of heirs.) Name Relahonsh> ttestaence PATRICIA A. ROSARIO DAUGHTER 4 HILLTOP, MT. HOLLY SPRINGS, PA 17065 JAMES B. ROSARIO SON / 70 RICHARD A. ROSARIO SON ~ C . s a ~--~ n so,n t~pCj E o>'~ Rod C'~vUS~ Bois" (COMPLETE WALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his /her last principal residence at 16 ORCHARD AVENUE CARLISLE PA 17015 (List street address, town/city, township, cowtty, state, zip code) Decedent, then 77 years of age, died on OCTOBER 4, 2009 at HARRISBURG HOSPITAL, HARRISBURG, PA Decedent at death owned property with estimated values as follows: _ (If domiciled in PA) All personat property $ ~ (If not domiciled in PA) Personal property in Pennsylvania $ _ 0 """' (If not domiciled in PA) Personal property in County S -^ ~ '-' 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 the undersigned: name and residence PATRICIA A. ROSARIO, 4 HILLTOP ROAD MT. HOLLY SPRINGS, PA 17065 Form RW-02 rev. 10.13.06 C7 rv ~' _ 0 : :~ C~ f'.r:, ,: n ~rrted ~te: Page 1 of 2 r: '~ y Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF C~IMBERI-AND 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 knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedeirt, Petitioner(s) will well and truly administer the estate according to law. Sworn to or afinme%d~and subscribed bef'o`re me the 3 r~ day of wl ~~--1 Fo a Register Signahve ofPersovtal Represeruative Signatwe of Personal Represeraative ~ ~ r- o to `3'~ ;~J Q t ..~ ,_ _~ Signature of Personal RepresentatJve j ~- ~ '-'t -• ~ N ~;; W' ~.- ,. , File Number: p ~ ~V /' /WI Estate of BENIAMIN D. ROSARIO _~~ ~ ~~ ---~ O Deceased '~ Social Security Number: f d S 'Z4' " / /~~ AND NOW, ~~ ~~ having been presented before me, T IS DECREED that Letters aze hereby granted to in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) FEES Letters ............... $ ~ . Q~ Register of Wi11s Short Certificate(s) ........ $ Attorney Signature: ~ -~~~ Renunc'ation(s) .......... $ Attorney Name: Kathleen K. Shaulis ... $ • • • $ Supreme Court I.D. No.: 37445 $ Address: 1633 Walnut Bottom Road ... $ ... $ Carlisle, PA 17015 ... $ ... $ $ Telephone: 717-243-6655 ... $ TOTAL .............. $ 4:9~ Date of Death: OCTOBER 4, 2009 ~~,-~ r!~ _•-r~ ~~''~ G~7 .: -- : -,~ _~ '_F t. ,'~ ,-...-i ~; in cgnsideration of the foregoing Petition, satisfactory proof Form RW-02 rev. 10.13.06 Page 2 of 2 ~.,,,, ~-i -~ _wo~ LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 15931876 Certification Number ~ ~-#~1~ bG H10S113 eEV 11f1009 TYPEl PIIXIi N PBIxNi1Blr euac iNr m N ,i a 0 U This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital 5 Records Office for permanent filing. L. ~~eac_ OC~ 19~ 2(1Q9 Local :Registrar Date Issued COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See IneMrunNenw ward war.ennlww nn .......car C-7 4°~. :3.7 r -'_• r7~ -, i ~~ N W ~-;-i -~'t == LT ''-'7 .. ~ ..~., . ..i t - -- Q 1. Neme d Deoetlme (Flat riddle, Yr, eulPor) 2. 9ez s. 9edY Seaexy Nunbr ~. m a DmOh e.Y, rml Benjamin D Rosari . o male 105 -24 -495 ~ . s ke Ntl ~XreYl Under 1 Undar 1 s. Dre a !nM T. mr are a M Pxo d Dean CMtlt wrr Den rba. rwr oXrr 77 vn. 1 /6/1932 Puerto Rico ~~ ^~/ ^~ ^~ ^ ^~ sPah^ E0. Cawey d OaeID Bc CXy, Sao. Tap. d Oeeb m FeoSy Name (X rol xmXxeorr BNa sxwF entl anger) B. Wr Deoedmd d Hxpric Otlpb7 No Yr 10. Neon: Mrwtlpn xaMn, Bede. WDM, eb ' 10/4/09 Harrisburg Harrisburg Hospital , ~;,,'""', ~ ) ( , , , Puert Rican 11. Deardmfe Uar dmaxdor moa a r.. Dona elre 1z. car DecatlmX ara b Xw 13 oeudri'e EdrnMn (Seedy aiY Dldwel9~e cmvNbdl 1{. NrMel Bmw: xwred, carer rrhd, 15. S«uNLq BPame (H Mee, gNe mdtlen rrr) lone a wax Xxr a ar.rnmaear us. Armetl FaoeeP Eknrnmry / SeOarery (a12) Cdlepe (u « sy W1daad DDaaea !~•a'YJ Steel• Worker Uni ^ 10 on yr ®No widowed eo.a~e~`w~b°b"r(sx."'d""°"n'°m°'a„°°e) ,W,e,,,,L~„ Pennsylvania ~b°e;°"" „~~r,, 16 Orchard Ave, ~b UDDer Frankford , Trro Carlisle, PA 17015 1m. ca.By_P_umhPrland T0N1NNp9 ntl.^ ~ urea.mNn ~ a ~ryleao 18. FaXaYe Neme (FYq, nXddle, hd, Mfa) 1B. Uetlrre Nana IFnt nidre, nrbr rrnYne) Beni o Rosario Maria Rivera Zoe xMamwts Nerro (ryya 1 Prxd) 20D. xXOmrM'e Meliy Atldrem ($eeeL oXy / gam, err. zq wde1 Patricia A. Rosario 4 Hill Top Dr.Mt. Holly Springs, 21e. Memoa d DYpoeitlon ^ ^ 21D. Dtls d 0MP«am pia~m, dey, paA e 1Y ^ " '" B 21c. Pop d DxpotlMn (Nrr d aanebry, aemelorY or otlrpeca) Y1tl. LxeXm (CXyIMe, exr, zq Dab) ^ ~r i ""°" a" r'° ~~ ^vr^~ 10/10/09 Cumberland Valley t4em, Carlisle, PA 23 dFurr Uomuee (a Denan eaxpreudi) 22h. llonw Numhw 23. 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't~OJ fK~ ' ~ ~/I f e~.`~ ~ CI / / ~ . fit • , - o N - 0 s, / c ~ r~ DkporMn PennX No.'.;. ,. ~/ -p9-1t-1'~J Before the Register of Wills of Cumberland County , , ,, Estate of Benjamin D. Rosario, `-`~ ~ ".. o ,-r, ~:'7 Deceased - ~ ~ ~~ -a <^r~ { N 'i r~+~ N rte, , r :E 1 o. _,~ ~ c~ _,_1~;7 . , : !:. : C^J - `--2-I ~ _ _z'k Renunciation J =` i ~:' :`', . B ~~ s ~ ~ :.-~ 0 ~- , The undersigned (print name) R~ o Amis ~ ~ son of the above-named decedent, Benjamin D. Rosario, hereby renounces any right that I may have to administer the estate of my father and respectfully requests that Letters Testamerrtarytletters of Administration be issued to my sister, Patricia A. Rosario, 4 Hilltop Drive, Mt_ Holly Springs, PA 17065. signature: ~~NY~~ ~ l ~O~ltv~~ Print Name:~~GS ~ ~ ~OS~9 ~/ 2? Address: /3y' ~l/ ~~rwrPJ ,~ COMMONWEATH OF PENNSYLVANIA : SS COUNTY OF CUMBERLAND ~ this ~ day of October 2009, before me the undersigned officer personally appeared SCl Y~1 ~ ~j, ~ ~ (,~ --1 C7 ,known to me (or satisfactory proven} io be the person whose name is subscribed to the foregoing instrument, and acknowledged that he executed it for the purpose therein contained. Witness my hand and officials seal the day and year aforesaid. co~iio~ r~r oR perlNS~va~u- s..l K#M+IMn K. Shi~lii, Nay Public South MIOdIMon'1Yrp., Cumbaiiand County CorrKllM~bn DoC. 22, 2011 Menem, AaodWon of Notaries Not ry Public a~ ~-i vo/ Before the Register of Wills of Cumberland County ~? ~; ~~ C~ (i i ~ ~. Estate of Benjamin D. Rosario, ~ ;~~ C 'S N ~ l ;~ r" Deceased : = - f=~ ' ca ~ ~~ ~ ,.~ '~' r '. c Renunciation .~- The undersigned (print name) nn K-~c~l2.l~ n ~SPrf~,~7 son of the above-named decedent, Benjamin D. Rosario, hereby renounces any right that I may have to administer the estate of my father and respectfullyr requests that Letters Testamen#ary/Letters of Administration be issued to my sister, Patricia A. Rosario, 4 Hilltop Drive, Mt. Hotly Springs, PA 17065. Signature: n Print Name: 2~ c.~{-~.2~ ~S ~,~0 Address: (.v 1`~0~~f f~V i ~ 2 I Z o ~S~ COMMONWEATH OF PENNSYLVANIA : SS COUNTY OF CUMBERLAND On this Z ~ day of October 2049, be#ore me the undersigned officer personally appeared ~E (~'lGl V'~ (~,~ SGT rl a ,known to rite {or satis#actory pnwen) to be the person whose name is subscribed to the foregoing instrument, and adcnawtedged that he executed it for the purpose therein contained. Witness my hand and officials seal the day and year aforesaid. COMMONWEALTH OF PENNSYLVANIA N ry Public Nola~al Seal Kathleen K Shaulis, Notary Public South Middleton Twp,. Cumberland County My Gommistdon Expire>i Dec. 22, 2011 Member, Pennsylvania Association of Notaries N C7 ~ ~'1 C ~ ~ I"~ -" Before the Register of Wills of Cumberland County ~~ _ ° t _~ -_. s- -~ rv r- t ;_ .-~ Estate of Benjamin D. Rosario, ~: ~' ~`=' ?~~' Deceased _~~=`-; -~- `-~ `'~' t _~ .L --9 Q .. _ 'i'~ Renunciation The undersigned (print name) R o b e. r T C. /~ o s a r ,' o son of the above-named decedent, Benjamin D. Rosario, hereby renounces any right that I may have to administer the estate of my father and respectfully requests that Letters Testamentary/Letters of Administration be issued to my sister, Patricia A. Rosario, 4 Hilltop Drive, Mt. Holly Springs, PA 17065. Signature: ~Y~ Print Name: __ Rob c r T jZ o s a~: ~ Address: '-(o y E a /,v y o ~(1C ~ p Cp~C1,'/S~. i°Q. / 705 COMMONWEATH OF PENNSYLVANIA : SS COUNTY OF CUMBERLAND On this a3 day of October 2009, belfore me the undersigned officer rsonall a ,known Pe Y Ppeared G • ~o~x ~a to me (or satisfactory proven) to be the person whose name is subscribed to the foregoing instrument, and acknowledged that he executed it for the purpose therein contained. Witness my hand and officials seal the day and year aforesaid. a o~ ~~ ~~'~~ Not ry Public K~,I~Nn K. Sha41k~ Notary PubNc s~ ., Cumberland courdY DaC. 22, 2011 a Notaries