HomeMy WebLinkAbout12-16-09Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Estate of Peter J. Shellem No. 22 - ~'-t - ~ l ~.Q
also known as
,Deceased Social Security No.: 177-50-8618
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Petitioners, who are 18 years of age or older, apply for. ~ ~p ~
C:D ~ t-r-1 ~~
(COMPLETE "A" OR "B" BELOW:) , ~ n tTt ~:~
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A. Probate and Grant of Letters and avers that Petitioners are the Executors named in the last Will ~# ce dat ' +'"~
_ and codicil(s) dated ~~ _ ~.:j-~'
--
State relevant circumstances, e.g., renunciation, death of executor, etc -~
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Except as follows, Decedent did not marry, was not divorced and did not have a child born or adopted after execution of the diwEuments offered for
probate; was not the victim of a killing and was never adjudicated incapacitated:
~ B. Grant of Letters of Administration
(c.t.a., d.b.n.c.t.a.; pendente liter durante absentia; durante minoritate)
Petitioner(s) after a proper search has/have ascertained the Decedent left no Will and was survived by the following spouse (if any) and heirs:
Name Relationship Residence
Joyce V. Shellem Wife 12 Piney Ct., Gardners, PA 17324
Alek V. Shellem Son 12 Piney Ct., Gardners, PA 17324
Philip J. Shellem Son 12 Piney Ct., Gardners, PA 17324
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence at
12 Piney Ct.. Gardners. PA 17324 '
(list street, number and municipality)
Decedent, then 49 years of age, died 10/24/09 at 12 Pinev Ct.. Gardners. PA 17324
(Location)
Decedent at death owned property with estimated values as follows:
(if domiciled in PA) All personal property ................ $ _ 2,000.00
(if not domiciled in PA) Personal property in Pennsylvania ..... $
(if not domiciled in PA) Personal property in County .......... $
Value of real estate in Pennsylvania ................................... $ 000.00
TOTAL .......................................................... $ 2.000.00
Real Estate situated as follows:
Wherefore, Petitioner respectfully requests the probate of the last Will presented with this Petition and the grant of letters in the appropriate form
to the undersigned:
Typed or printed name and residence
Joyce V. Shellem, 12 Piney Ct., Gardners, PA 17324
00404761.1
Oath of Personal Representative
Commonwealth of Pennsylvania
County of Dauphin
The Petitioners above-named swear and affirm that the statements in the foregoing Petition are true and correct to the best of
the knowledge and belief of Petitioners and that, as personal representatives of the Decedent, Petitioners will well and truly administer
the estate according to law.
Swom~{t++o and affirmed before me
this (.~~ day of
Dec efY1 G~~ , 2009.
DECREE OF REGISTER
Estate of .Deceased No. ~-- ~1~~ - 11(~ ~`
Social Security No.: 177-50-8618 Date of
AND NOW, -December 8 .2009, in consideration ofthe Petition on the
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Q ter:
c-~ ~;,
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11~, satiy proof
having been presented before me, ,~'~' ~ _~~ ~;
IT IS DECREED that Letters Testamentary X of Administration ~
(c.t.a., d.b.n.c.t.a.; pendeMe liter durane absentia; durable minoritate)
are hereby granted to Joyce V. Shellem _
in the above estate and that the instrument(s), if any, dated and described in the Petition be admitted to
probate and filed of record as the last Will of Decedent.
FEES
Letters (Short in lieu) .............. $
Short Certificate(s) (~ .......... $
Renunciation ..................... $
Extra Pages (~ ............... $
I.T.R . ........................... $
JCP Fee ........................ $
Inventory ........................ $
Other .......................... $_
Register of Wills
~.-,
Attorney: Tho s J. a er Es uire
I.D. No.: 58853
Address:
320 Market Street
Harrisburg. PA 17101
Telephone: (717) 234-4161
TOTAL . .................. $
DATE FILED:
ooaoa~s~.~
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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 certificate, $6.00
P 5838997
Certification Number
/nmtaa l~EV luaus
TYPE/PT«RN
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This is to certify that the information here given is ~i
correctly copied from an original Certificate of Death '.
duly filed with me as Local Registrar. The original i
certificate will be forwarded to the State Vital
Records Office for permanent filing.
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Local Registra Date Issued
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RENUNCIATION ~~-
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n REGISTER OF WILLS ~`~' _ f,
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COUNTY, PENNSYLVANIA
`
Estate of 1 'J~~ `~' ~~~`~~ ,Deceased
I, ~~ ~ ~- ~ i' ~ • ~ ~G~t.~h-~t , in my capacity/relationship as
(Print Name)
`~O ~J
of the above Decedent, hereby renounce the right to
administer the Estate o\f the Decedent and respectfully request that Letters be issued to
1
(Date)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
(Signature) G.-----°."~-
1 Z ~ ~ +~ ~ ~v~r
(Street Address)
(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
pu oses stated within on this J ~ day
of ~L~ ~- 2
Deputy for Register of Wills
Form RW-06 rev. 10.13.06
Iry~c -
Co Sion Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
COMMONWEALTH OF PENNSYI.W~WtA
Nohrlal Seed
Jenn'rfer L. BOllt, Notary Pubtlc
City of NarrittDurp, D1Nrpllbr t~otr~
My Commission Megr ~0, 9
Member, Pennsylvahte Asaooiadon rtes
RENUNCIATION
/, REGISTER OF WILLS
(_ ~ M ~3r-,e t~~ COUNTY, PENNSYLVANIA
a 1 -vR -
Estate of ~~ ~ • ~N ~ L
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.D eceased
I, ~ ~ ~K V ~ ~ ~-~'~. , in my capacity/relationship as
(Print Name)
5c~ t-t
of the above Decedent, hereby renounce the right to
administer the Estallte of the Deceden(t~and respectfully request that Letters be issued to
IVIY IM.~I-ln P/` ~I <)V CP V . SC 12<<GG'11 .
(Date)
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. 10. /3.06
n~
"C... z.G~~C
(Signature)
(Street Address)
a~ N r-_.~-s i ~~ ~ 73 Z
(City, scale, Zcp)
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunc~tion for the
pu oses stated within on this ~ i day
of~~~'~~~- 2v~i
ot~rfy Publ
(~ Commis n Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
'"bMMONWEALTH OF PENNSYLVANIA COMMONV1t!£AL7ii.~ ~
Notarial Beal Nda~lr~aMl
Jennifer L. aoMz, Notary Public Jetm~ L. BoNz,
City ~ Marrisbup, Dauphin County Ci ~
My cortaniasba F_xpites May ~, 2013 ~ ty ~buaD
Member, Pen~yNania Assodatlon of Notaries Member' sylva .
Goldberg
Katzman
A full-service law firm.
Arthur L. Goldberg
(1951-2000)
Harry B. Goldberg
(1961-1998)
Ronald M. Katzman
Paul J. Esposito
J. Jay Cooper
Thomas E. Brenner
April L. Strang-Kutay
Jerry J. Russo
Michael J. Crocenzi
Thomas J. ~ti'eber
Steven E. Grubb
Royce L. Morris
Joseph M. Sembrot
J. Ronaldo Legaspi
Jennifer L. Mundy
S. Baker Kensinger
Covtise.~
Joshua ll. Lock
Arnold B. Kogan
Heather L. Paterno
December 14, 2009
Register of Wills
Cumberland County Courthouse
Hanover and High Streets
Carlisle PA 17013
Re: Estate of Peter J. Shellem
To the Register of Wills:
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,
Enclosed is the necessary documentation to open the Estate of Peter J.
Shellem and have letters of administration issued to his wife, Joyce V. Shellem.
To effectuate this task, enclosed is my firm's check in the amount of $98.50.
Should you have any questions, please do not hesitate to contact me.
Please forward the 10 short certificates to my attention in the enclosed, self-
addressed, stamped envelope once they are prepared.
Very truly yours,
Th mas J. e
TJW/jlb
Enclosures
cc: Joyce V. Shellem
ODMA 1 PCDOCSI DOCSV 8444711
HARRISBURG ~ L;~ut:ASTI:R ~ CARLItiLE
X20 :~~Iarket Street, Strawberry= Square ~ P.U. Box 1268 ~ Harrisburg, PA 1.7108-1268 ~ 717-234-4161 ~ 717-234-6808 (fax) ~ www.goldbergkatzn:an.corn