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HomeMy WebLinkAbout12-30-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of MARY E . BEARD ~ / r ~ ~} s / File Number __ also known as ,Deceased Social Security Number 17 2- 2 4- 8 5 5 8 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the roamed in the last Will of the Decedent dated and codicil(s) dated ° ,.~..a ~ ~: _~ ~- j ..; ~ ...~ (State relevant circumstances, e.g., renunciation, death of executor, etc.) ~ ""'~ t'"" W - ",'~t Except as follows, Decedent did not ma ~ < ~'~ ,~~. •~ rry, was not divorced, and did not have a child born or adopted after execution of t1~ ~ent(s)'ered ~ : E '_' for probate, was not the victim of a killing and was never adjudicated an incapacitated person: r.~ ~ "~~ ~ ~ _. =~ f ..~.[..~.ry. . .._ .,~ ..: B. Grant of Letters of Administration -©~ '- ~ ' `~ -' ~ - ~_' i (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente liter durante 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: (If Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) Name Relationshi Residence Beatrice L. Stack ole Dau hter 108 Vir inia Beach Avenue Carlisle PA 17015 (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at 108 Virginia Beach Avenue, Carlisle (Silver Spring Township) Cumberland County, PA (List street address town/city, township, county, state, zip code) Decedent, then 93 years of age, died onNovember 7, 2009 at Holy Spirit Hospital, East _Pennsboro Townshi Cumberland County, PA. Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 4 0 , 0 0 0.0 0 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ 10 , 000 00 situated as follows: 1640 Paxton Street, Harrisburg, Dauphin County, PA 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: -- ' i ed or tinted name and residence Beatrice L. Stackpole 108 Vir inia Beach Ave., Carlisle, PA 17015 Form RW-02 rev. 10.13.06 Page 1 of 2 a Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND 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 lmowledge 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 affirme`d~and subscribed C-/ ~' be±nre me the ,day of December '2009 -G~ ~~ Signature of Personal Representative BeatrlCe L. StaC pole signature of Personal Representative For the Register Signature oJPersonal Representative r.a C7 ~'' ~,- Q ~. ~ . -'~ "V T"t't ~' .....3 ,`_ 1~7 File Number: ~ -•,-. 'W _ T--+ .c..__ _.. .7 ~,.,7 .r.l ~, Estate of M~'RY E . BEARD ~= ~ ~,„, .. .-f __' Decease~l£~~ ~ ~ 172-24-8558 ,: ~~J ,~ ; :-~ FJ,' Social Security Number: Date of Death:_ November 7, ~~ •• ~., , u ~ hJ ~,• AND NOW, December 2009 ~ in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters of Administration are hereby granted to Beatrice L . Stackpole in the above estate ~~c~l~c~~~d~x d~~tf ~>~t~#1~~~:li~sXl~xlx9c~~f~ar~i~~s~~c,~~,4.,,r FEES Letters ............... $ / ~ ~~ ~.. Short Certificate(s) ........ $ - o~~ Re unciation(s) .......... $ `~-"-- ... $ ~ 5~ e~-~ ... $ .~~ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ ~ ~" Form RW-02 rev. 10.13.06 Supreme Court I.D. No.: 06353 Address: 219 East Main Street _ Mechan;n_ b,rg~ pA 17n55 (717) 691-7770 Telephone: Page 2 of 2 Attorney Name: Marlin R. McCaleb 105.805 REV (01/07) 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 15980291 Certification Number tO8~ta3 REV 112008 TYPE ~ PgINT Nd PERMANENT BLACK INK v ~ ~ ..c~ _ ['~1'C1 c;~ t'z"~ r `. t ~ C7 C7 ...l...I ~.~~ ~, w COMMONWEALTH OF PENNSYLVANIA .DEPARTMENT OF HEALTH .VITAL RECORDS T~ ..x7 tf~ CERTIFICATE OF DEATH .v --~ ~ (See inatructlona and examples on nverae) . ~~., ..,.,u.,u :, r __ 'c ; .. ~.~..; ~_. lly ~`~I 1"'} .. _i r~~ 1 I. NYna d DataWn lFrst, nadda, hst. supis) STATE FILE NIJMBEq {~ ~ MAR ~ g FA R'j> z. s.. 3. soaN s.amy Nurrtpar ~. oar a own (MpAI, aay, ys.r~ s. Aga tLast ewtdayl urtd.r , urtd« I s. oar a eirdt Math. 7 - No'V~er 7 2009 ~~ ~ Hotn ~« C and stw a Ba. P,aa a Dwn CMdt ar 93 rrs. June 21, 1916 New Bloomfield, PA ~ ~` BD County d own Bc Gh. Bono, Tttp. a O.art ea. Fat7Mr Name 10 na urwnrort, MwpttrM ^ ER f thnpnary ^ DOA ^ Nasrg Haxa ^ Rattidsrtca ^ Ddrr • Spsody: . 1 yes ww mo rtumperl 9. was o.ad.rr a Nisp.rwc orgn? ~f No ra to. q.u: A.wrcm Mahn, eI.a41Mw..t. Clunberland E. Pennsboro Tap. Holy Spirit Hospital 1~ p ~;..~., „ Dacadanl's u.wl d Knd d tvaw dart mat a W. Oo not staa nwd 12. Was oacaaan warner 13. DacadarN's Educauat ISpacdy arY prglrn grad. arrgMrdl ,1. Mtuwl $laala: MarnW, Nwsr 1lantsd. t5 SumwW $ppq. (M wds, gws rnaidan twrl Cl1St~~°~ ~i n~'rl I u.s. AmW Farpt7 E~„r„y,y ! (at2) CaMps (t~ «s+) wido».d, OnorcW rsP+M9 $.D. ^ vw ~] No ,8. Dacsdant's Mady+g Aadrow ISuwL WY! town, eats, LP cyds) 108 Virginia Beach Ave. AeRasidana ,,,. sw. Pennsylvania w.° ;id"s 17C pg r.,. o.aa.~ ~,.a n Silver SlprinQs 7 17b. County - rl and TownMUp7 174. ^ No. Dacadnt Liwa wyM Twp. t8 Fslhr's Nartr lfirst, nua0la, last. str8s) -- - - Actual lmrW d CilylSao Earl Kinmel tg. Motlrr's Narna IFust, mrddh, maWn strnanta) Lillian Brunner ZOa. Idarrniry's NarM (Typo. Prue) 20b. Inbmtary's Maavtg Addraw (Shoal, aY / Bart, s1W, zp coda) Beatrice L. Sta le 108 Vi inia Beach Ave. Carlisle PA 17015 ?1 a. MtWtad d OrOasmon t ^ Ganwapn ^ oortsoon 2 t D. Oar d aspaarian IMatn, Wy, yaar) 2,c. Placo d asDatlrn INanr d anrtswy, a•^tanY a atnar PrCOI 2,0. Loatrn ICry / town, star, pp ca0p ^ OOMr Burn ^ Removal ham Stag ~ war Golaallpa « OatttMktt AtMOnaad t pr MWkal Eaanrtttr,Cor«tsr- ^ wasp ,~ 11 /11 /2009 Bloattfield Cemetery New Bloomfield, PA zza Stprygr. a Fww acatq as such) 22b LKanw Ntaroar Z2c. Nara an0 Aaaes. d Factory ~ _ 325 N. C.L. Smi High ST. Duricaruion, PA 17020~r~ ~~ Camps rrm caw wtrrt arayrq 23a. 7o IM bw a my tuwwrdga, awn ooaurW at yr tirtta, dew and pea s,atsd. IStgrtaaro and Wal ptYw'+n a na avMapr a lurr d Wan to 23b. Liarts. Numbs corMy carve d Wan. 23c. DaM Sgrd IMonn, WY, yaaq want 2s•ze mw a compalad pY Gonart 2a 7sna d Dyann 1~.. ~ 25. DW Pratoutca0 Dad IMonn, day. yes) Z8. was Caw RalonW to MrtAtal Esmrr Cararr far a Reston Oprr Inn a OonnatT ones wonaurtoaa Wan. ~ O ~ 5 T~vl M. ~C~~~yy~/~ ~ ~p r" ^ rw CAUSE OF DEATH (Sea irtstruatlpna and. 11x111 27. Pant Enar tlta ~v»a1 r ApprosmaN nWval: Part II: Erwr adrr TdilO.~LtlI~OI[ - diseases, uMtrtw, a aalrplr;atrans - art dr.cny causal Br dean. DO N0T ertrr tamtirW avaMS such as cardrx anwt. 1 resplraary arrw. a verthtculer Iytrylapon trNrul sttoahrtg ,he ettaogy. l,st aN' ar Cane on exn urte. t CnsN b Dan bW rtal resulpnq xt ar ttrtdenyutq Cause gtwn n Parr I. Ze. Did Toospco UM b T ^ •Yea ^ Prypsay MMIEOIATE CAUSE foal ,iseaw a , 1 r ^ ND ^ llfretewn ooaattddaamm na,/prq n ~.aat) -~ a A ~j(~(~, ,j, s(~I~/'1A,(G Ci'V~ i 29. 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Cer,drr ICrteCll any art Olltw ~ ~. 330 CMMYtM PtY~1an 1Pnyaratart a«pM„g cause d Wan wMn altadrr ptyslaart has Wonouru.'ed Wan and 1 io rte aeN a my lurwrdge, death oeelrred dw a tM cauaele) and elelrty a Nwd _ _ _ _ _ _ _ ~~~ yem2',!) ^ , • Wonolelcyy aa0 aroryrne phyeieisn 1Pttysrayn pan ' - ~ - - - - ' ~ - - - - ' - " To tM oew d ~n~q dwn art0 ardyrtg b cauw d WaI1H - - 33c Ucenw NtnWar mr ~'»dPa. d.rn oeaurnd M ar true, dates and papa, and aw to nr ewee(q and m.nnar w Naled_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ M ~ ~ f'rJ ~ i~ 330. oaY Siytaa (Hawn, Wy, pearl • MoakYEaaaww/Ceraw r•, 7 ZOU On the twh a aaewlaaorl erw y or MveNiyWOn, M opnion, daa oaurrW r or tlrae, dwa, erW ~J pea, ana des w u1e ay.y.(aW maltrrr a. atete4 ^ 3y, tyarrr err AA^ar./~w~.~a P«wr~ woo canplaad cauy a oan Inam 27) typo / Pnry i ~ I ) 138. F I ,day. Yearl ~1`~ 3S Regsua s , wc~tnG_1~y 1~. .~• 1 ~ ~~ ,,,1 P Dlaposlport PemM No. O 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. j,.