Loading...
HomeMy WebLinkAbout01-13-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of CODY E WERT ~/ ~/~ ,yl~ ~-/- File Number (~lJ `~ also known as Deceased Social Security Number 192-70-3465 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 last Will of the Decedent dated named in the and codicil(s) dated r..a n --, (State relevant circumstances, e.g., renunciation, death of executor, elc.) ~?'~ = m Y ~,.-~ t ~ 7 Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution o ~ r for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~mecSfl?s) offgr'ed,. ~ c~ f=i ~ `i-r c.-> ~ ~ ~ ;~-7 B. Grant of Letters of Administration ~ O ' : n (Ijappl/cable, enler.• c.t.a.; db.n.c.t.a.; pendente/ite; duranteabsentia; dutdnteminoritateJ (,,,~ 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 SectionA above and complete list of heirs.) ROBERT E WERT FATHER 426 SPEEDWAY DR. PA. 17055 (COMPLETE WALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his /her last principal residence at 1184 HARRISBURG PIKE APT 1 CARLISLE PA. 17013 (List street address, town/city, township, county, state, zip code) Decedent, then 24 years of age, died on DEC. 13, 2009 at CARLISLE, PA. 17013 Decedent at death owned property with estimated values as follows: (If domiciled in PA) (If not domiciled in PA) (If not domiciled in PA) Value of real estate in Pennsylvania All personal property Personal property in Pennsylvania Personal property in County situated as s ~7l~(,!~ , uT- S 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 [he appropriate form to the undersigned: ROBERT E WERT 426 SPEEDWAY DR., MECHANICSBURG, PA. 17055 Form RW-02 rev. 10.13.06 Page I of 2 `~ Oath of Personal Representative CONIIVIONWEALTH OF PENNSYLVANIA SS COUNTY OF L The Petitioner(s) above-named swear(s) or aft'nm(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(sl will well ana f,,,i.. administer the estate according to law. Sworn to or affirmed and subscribed befef~ me the i -~----- day of Signature ojPersonal Representative Cn Cs Y~ ~} Register Signature oJPersonal Representative File Number:- ~/ " ~O/(J Estate of CODY E Social AND NOW, having been presented are hereby granted to _ .~~ _ -n W ~ _~_i cri ; ~ 0 ~fT m _ <,~ ~. ~ W ~7/~ Ill ~ ,Deceased Number:- ~ ~~ - ~/ v /`f'~-' Date of Death: IT and that the instrument(s) dated described in the Petition be admitted to probate and filed FEES ~~ Letters ............... $ Short Certificate(s) ........ $~ Renunciation(s) .......... $ ,~-"' (~~ - . ~ $,J ~' .. $ .. $ .. $ .. $ .. $ .. $ ... $ TOTAL .............. $ ~1+.rv ~~~ ~ .., . m co iderationf f the foregoing Petition, satisfactory proof Letters -"' "1 9 /~~~r n :.fin e . . last Will Attorney Signature: Attomey Name: Supreme Court I.D. No.: Address: Telephone: in the above estate Register of )~ ~~ / l Form RW-02 rev. 10.13.06 Page 2 of 2 OCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 15932895 Certification Number H10a.1M flEV II,tOOa *vrEVEflnv~Era ~~ #32- I.r.rrd„ a.Ar p.Iaan 24 m aA.a ra This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registraz. The original certificate will be forwazded to the State Vital Records Office for permanent filing. R~~~ap~~rtzeX' DEI ~ 1 6/ Local Registrar Date Issued COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VRAL RECORDS CORONER'S CERTIFlCATE OF DEATH (see MtWCSoar anE a:anPNE on rev~rq) 60 B'fAiE FllF WrEEfl E Wert zar ae,rerugM,ay, ~.a Inr urrl earrrzn Male 192 -70 - 3465 rr. ~.... '~ .r rrri February 3, 1985 ~,1 n, awn as ~arrsararrr,yrrnw.r Middlesex 80 S. Middlesex Road Cumberland 1,.aasnM1 q,•ia iara~wl~ Sales +a abaa.n aaaa,a.r react w r b.n.. 1184 11at'risburq PiJ~ Carlisle, PA 17013 Ia araan r.r p*t •~. Yr rflp Robert E. Y7ert ,a. wr,rn ram, (rn.I vmq Rabe„trt E. SPert ala rrnwrdyrro. ^ a.w ^. flrnwl,r• ew aa.~ , aarr.,r a, J Wnr (a ~ /'~L _ a na sr PA ,m.~.w QardTerland I0. roihr, Nm,1fiM mW,, mt Susan - Nv ab.1 w,... r..., . n.. _ p Maw eA nraora Aprx. as or,bibweowa 0aine 11:50 A, a December 13 act, Z).MG earr,ryy~_y~K Nrr.a ww.npw rrberrr rw rri„gn) _ ^4rbYrrr.a.wWaY6Yenr fib-~~Iawab aw~oD Naf eMramiww~iiY we~rwian,mp. i u,Mi y~~.....~c +ew~,r•abpy. W m,awrw m rn M. E~~,a j -->• ~-Multiple Traumatic IniL tea ; arb(ar m~grbr( ~ rmuimaary, e.._MoCOr Vehi 7 ' e~rrr~b~uaoyw~rynr~yErry~~ . wb( (:rash c. NrYivny~nr+liAn•." ~~~ ~ Q. b (ar, anrpwo ap: i a. - r,rrrt Rwb Rw4 •G) C7 N ~ TJ '1 _ ~ ~... = S~ ~ c ~ ~ ~ ^? m =t° G-~~ - ~ W = _ rri ~ e~ ~z ; ~ ~`~~lJ y, =ri ~~.. c-7C7'tl ~ _.i.i C.~ C ~'~ ;.~-'~ ~ A O ~ ' ~t1 %/? ~ W 1 w 2009 ~ na L~rr om,uaa Middlesex ~ na O ra waa..ua.rr "'" ^Yr ^rb erahr~~ EI, M Irllrleh N. ~M •••~•r•.mw aro.rrAW,y awpr n.rnrad.n wlnaamma Ua a to A•aem~ Awlrr PbbCngrlm as<arr MAY lrmM0. aa'~1r11 am oraa, Hwr d°'~r~~ ^"""' ^~ Dec.13,2009 control on ice, etYuck ^r ~o ^w ^r, ~"°°bw ^rr+rob++urm ae.m.rr pra. $Mnrwanrt ~},a,~r,.w,in„rMrld~A s c«rrlbrr rba.l rtl0i ^c,w wrn.wwrnw 11:50 A a ^~a ,EQra ~r/~aralr ^Prrgr ^ • mb y "b YbM~awll~eeo.,°~i/e.Yri~~w~graawno.le~ri.r amgYre,.n rd) ~~'•~~w. • ry0°°dM„'p.~M7MO~r~r.VA'rbn Oalipoqu~dVy,Fr,rrrr.rL___ xurrarar.+aEwiarhowl,orrrr, ra..waale.rrrr.w,(y~re rr.wr ^ sae Wqr Mnbw • raarmrr/aalr arr4_.____°-------_ a r err r rrra,rr rr l a rwwprbn, r rP a1tlr1 rr «•ani r r rr. ar,r, rr,b. w1 r r r •rwa(rr w•vrrrr..~ r. M1Cne21r L. N ~ ~~ ~ I i 1,1 11 I O I 0`AY°a°r`0''""( 6375 Baseho i Mechanicebu anaEmnmrxe ' " ~c~-QQ3y?G'' v-gig ^ No ^ aarr NMra ^ Mrgpr1 w11Y1 ar,wr ^ nqw+rarrrm ^ rppwA W rgwrrea•, Olye rr,n ^ wanvrx aawgrveEq,bl Na aa,arn ^ Wmwm,wgw, r,nM~rr. '. Middlesex Rd., Carlisle, PA ~_ Coroner sect u,rs4+e Mrw M. wrtl December 14, 2009 +gGwip.n z~ rn,Imr l:~roner ,.Suite #1 ~o- oc~g ",,~ ~ , v. Cry ;,;- ~,'~'i' ~_S RENUNCIATION 2QI0 JAN 13 AM (0: 13 REGISTER OF WILLS CLERK OF CUMBERLAND ORPHAN'S n ~ ,- COUNTY, PENNSYLVANIfA()MFr^~ ,gin' ~~R~pA Estate of CODY E WERT Deceased I, SUSAN WERT (Print Name) , in my capacity/relationship as MOTHER of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to ROBERT E WERT - /~/a~i o (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. 10.13.06 gna e) 426 SPEEDWAY DR (Street Address) MECHANICSBURG, PA 17055 (City, State, ZipJ Executed out of Register's Office Before the undersigned personally appeazed the party executing this renunciation and certified that he or she executed the renunciation for the purposes stated within on this ~.~ u day of , ~a_ i____ o _~-- 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.) COMMONWEALTH OF PENNSYLVANIA Notadei Seai Charlene M. Shearer, Notary Publie SIMer Spring Twp., CumDsAand County MY Cwnmbeio0 ExpYp Feb. 10, 2071 Member, PennsyNaMa AaeodatlOn of NotaMea