HomeMy WebLinkAbout01-20-10~- ~ _ _ _ .
Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
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Estate of Daivd A. Gutshall No. i `~; ~ ~ ~ ~ ~,--
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also known as ` ~ c~ ~-~~-., ~' r
,Deceased Social Security No. 206-36-81~ -t, ~ -_ ''
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Pelitloner(s), who islets 18 years of ape or older, appty(les) for: ~ '
(COMPLETE "A" OR "B" BELOW:)
[i A. Probate and Grant of Letters and aver that Petitioner(s) are the execut_ named in the Last Will of the
Decedent, dated and codicil(s) dated
State rebvent dreumcrences, e.p., renundatlon, death of executor, e[c.
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents offered for probate;
was not the victim of a killing and was never adjudicated incompetent:
B. Grant of Letters of Administration
(d.b.n.c.t.e.: pendants Ne; durable absentla; durable minodtete)
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:
Name Relationshi Residence
Michelle M. Gutshall Souse 3551 S rin Road, Carlisle, PA 17043
Alice B. Gutshall Mother 3541 S rin Road, Carlisle, PA 17043
Ral h R. Gutshall Father 3541 S rin Road, Carlisle, PA 17043
(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
3551 Soring Road (Middlesex Township) Carlisle. Cumberland Countv. Pennsvlvania
(Ast skeet, number entl munidpaity)
Decedent, then 57 years of age, died January 2 , 2010, at Carlisle Regional Medical Center. South Middleton Two, Cumberland
County, Pennsvlvania
(locatlon)
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property .................................................................. $ 60,000
(If not domiciled in PA) Personal property in Pennsylvania ............................................ $
(If not domiciled in PA) Personal property in County .................................................. $
Value of real estate in Pennsylvania ............................................................................ $
Total ............................................................................................. 60 000
Real Estate situated as follows: 4031 North Front Street. Harrisburg, Pennsvlvania
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:
Si nature T ed or tinted name and residence
Michelle M. Gutshall
3551 Spring Road
Carlisle, PA 17013
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Oath of Personal Representative
Commonwealth of Pennsylvania
County of Cumberland
The Petitioner(s) above-named swear(s) and affirm(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(s) will
well and truly administer the estate according law.
Sworn to and affirmed and subscribed I"-NU.I~ ~~
~ Michelle M. Gutshall
before me this 2(~ day of
Janaarv - 0~ 10
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No. 2 f "~~~V~Q~L[~Z.
Estate of David A. Gutshall Deceased
Social Security No: 206-36-8869 Date of Death: January 2. 2010
AND NOW, o~ ~ 2010 , in consideration of the Petition on the reverse
side hereon, satisfactory proof v been p sented before me,
IT IS DECREED that Letters ~ Testamentary Hof Administration
d.b.n.e.t.; pendenro Ate: durance abserMla; durance minorltate
are hereby granted to Michelle M. Gutshall
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 WIII of Decedent.
FEES
Letters ........................... $~
Short Certificate(s)
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$ Z g Register of Wills -
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Renunciation .................. $ ~~ ~ , }
Affidavit ( ) $ "? ~~- ~ ~
Extra Pages ( )............ $ ~ r, -
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JC~ Fee ........................
$ -SD
Attorney: Stephanie Kleinfelter -
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Inventory
......................
$
I.D. No: 80089 ~
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Other....t'N~ ................ $ 00 Address: Keefer Wood Allen & Rahal. LLP. 6,35 N.
OTA
~ 12th Street. Suite 400. Lemoyne. PA 17043
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L ................ $ Telephone: (717) 901-7786
Form RW-1 Paye Z of 2 (Cumberland County) -Rev. 9/92
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LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNIN G: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00 ,,,,~~~~"""'~---..
~,n~~p,~jN OF pF~;- This is to certify that the information here given is
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a Records Office for permanent 61ing.
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JAN 06 1010
Certification Number ENT
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ocal Registrar Date Issued
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