HomeMy WebLinkAbout01-14-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland
Estate of Luther Dean Jumper
COUNTY, PENNSYLVANIA
File Number ~ ~ ' 1 ~ ~ W ~~
also known as
,Deceased Social Security Number 172-36-0828
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
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(COMPLETE 'A' or 'B' BELOW.) ~-~, ~,,,,,,-' ; ;
^ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the "" -~~ amed in the,
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last Will of the Decedent dated and codicil(s) dated ' ?-t
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(State relevant circumstances, e.g., renunciation, death of executor, etc.) ~ _ :;
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of-~~i#istrument(~ offere~l~-a
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~ ty
/^ B. Grant of Letters of Administration
(If applicable, enter: c. t. a.; d.b.n.c.t.a.; pendente life; 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
Michelle L. Thrush Daughter 2 James Court, Carlisle, PA 17015
Brandi K. Thrush Daughter 24 Chestnut Street, Newville, PA 17241
James A. Gross Step-Son 101 Army Heritage Drive, Carlisle, PA 17013
(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
101 Army Heritage Drive Carlisle Middlesex Township Cumberland County, Pennyslvania, 17013.
(List street address, town/city, township, county, state, zip code)
Decedent, then 62 years of age, died on November 29, 2009 at 1136 Rockledge Drive, Carlisle, Pennsylvania, 17015.
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property
(If not domiciled in PA) Personal property in Pennsylvania
(If not domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
$ 10,000.00
$ 0.00
$ 0.00
$ 0.00
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:
or printed name and residence
James A. Gross, 101 Army Heritage Drive, Carlisle, Pennsylvania, 17013.
Form RW-02 rev. 10.13.06 Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
SS
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 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 to law.
Sworn to or affirmed and subscribed
before me the ~ ~~~ day of
,~v~o
For the Register
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Signature of Personal Representative ~ ~ ~ ~
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Signature of Personal Representative . ?' ~°,~i ~.~ ~~
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Signature of Personal Representative ~
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File Number: o~ 1 - l C7
Estate of Luther Dean Jumper ,Deceased
Social Security Number: 172-36-0828 Date of Death: ~ ~ - Z~L' •-~
in consideration of the fore oin Petition satisfacto roof
AND NOW, ' U g g rY p
having been prese before me, IT DECREED that Letters of Administration
are hereby granted to James A. Gross
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)) of Decedent.
FEES
Letters ............... $ !'t 5 . C~
Short Certificate(s) ........ $ ~ . CEO
Renunciation(s) .......... $ ~ • v~
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... $
... $
... $
... $
... $
... $
... $
TOTAL .............. $Ql • ~
in the above estate
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Reg
Attorney Signature:
Attorney Name: __~ L. Griffie
Y
Supreme Court I.D. No.: 34349
Address: Griffie and Associates
200 North Hanover Street
Carlisle, PA 17013
Telephone: (717) 243-5551
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 15932694
Certification Number
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H106.144 REV 11/2006
TYPE/PRINT IN
PERMANENT
BUCK INK
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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.
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Focal Registrar Date Issued
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CORONER'S CERTIFICATE OF DEATH
(See Instructions and examples on reverse) CTATF FII a NI IuRFR
1. Nero d Readers (FkM, middle, rM, eulnx) 2. Sex 3. Sodel Secudy Nurdrer 4. Dale d Deans (Mona,, day, year)
Luther D Jumper Male 172 - 36 -0828 November 29, 2009
5. Ape (Wt Bkttldey) Urdr 1 Under 1 8. Dale d Bhnl Madh, de , 7. and arete a 8a. Prea d Death Check ale)
6 2 eblaa °"' "°"' wiedee Aril 7 , 19 4 7
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Carlisle , PA "°°Pael' Other:
Yre. ^ inpeaad ^ ER r oulpea.d ^ ooa ^ NuraMg Noes liaiderae ^om.r - sv«aN:
Sb. Coady d l1eMA Bc. City, Twp. Deets 8d. FadNly Name (a rat trudMWon, give street and nunlbx) 9. Was Decadent d FNapadc Odgk1T ~ No ^ Yes 10. Roca: Arradan hWirl, Black, wNre, ek:.
Cumberland South Middleton 1136 Rockledge Drive (nya,.p.dycaban, (Spady)
Mexban, Puerto Rican, eb.) White
11. Daesderlya Ural IOrxf d wodl daa mats d We.'Do rat erere 12. Wa Deadest ever b as 13. Deaded'e Eduadal
(may ~ hlplaet ~° ~) 14. Merkel Sreka: Mertied, Nevi Marrrd, 16. Surviving Space (n wife, give meklen rams)
,try
Klnd d wak KxM d BueNles 11 U.S. Amad Faas7 Elementary !Secondary (0-12) Cdkpe (1-4 a 5r) Widowed, Dkrortred (Spsd/y)
ter son Construction ^Ya ®No 10 Divt,roed
18. DeoeerlYt Makhp Addrw (Shed, dty / bwo, erere, ?4 coda) Decedent's pA Did Decedent
101 Army Heritage Drive Aalual Reekkaae i?a. Stare ~'• h a 17c. ~J Ya, Decedent owed in NLi ddl Pax T„4,
Carlisle, PA 17013 uredwlalr
,Tb.Canty C>~nberlarid Ta""'°'*'T i7d.^
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CNy / Bao
1B. Fatller's Name (FkM, nlidde, wet. euar)
Miley H. Jumper 19, Mortar's Name (Fkel, middle, rtleMen wmanle)
Ruth V. Hock
20e. htlosned'e Name (type / Pddl 20b. Irlfararlfa MMWq Addraa (Street, dy / taus, state, aP code)
James Gross 101 Army Heritage Drive, Carlisle, PA 17013
21e. Metflod d Drpotlaon ^ Daraaon 21 b. Date d Dbpoeitlon (Maxh, day, year) 21a Pros d Drpoekbn (Named arrW a Oster
cam', aY Waa)
21d. Locatbn (City /town, Mare, bP code)
^ BlxiM ^ Rerravd from Slate
^ ~,„r . Mhs Crrmtlon a Dontllorl Aunarlad
,,,b,q, , c«~T ~Ya ^,~ Deetsnber 5 , 2009 Evans Cre3nation Services Leola , PA
22a. a tlcrma eudl) z20. Ilrxnee Number 22c. Name and Addrea d FadMy swing Brothers Funeral Hcime Inc .
- FD012633L 630 South Hanover Street, Carlisle, PA 17013
Conglere Irene 29s•c oNy wtan aertllyMp 23a To tla bets d my ,death accused et the dme, dale end pre erered. (Sigraklrs end tltle) 23b. Uana Number 23c. Date Signed (Month. day, year)
phyaiGarl r not evMrble M ame d dent b
gray ala. a eam.
Irna 21.28 mots be cartiprered by parson 24. Tkne d Death 25. Date ProraUrlaed Deed (Modh, day. year) 26. Wes Case Rererred b Med~M Exarrlklef / Canner for a Reason Oaler tllan Cremation a Done6onT
wlapraaaaadaal. 11:00 P. M, November 30, 2009 ~va ^No
ttem 27. PeA I: Erllr ar ffi1b,lzLltl~l6 - daaa, Yrjurbs, orUlcamgk~ oru~-arts directly . DOaNOT enter tertNnal averse such as ceMac aseM, ~ r kservel:
Orxat b web PaA II: Eder other '
~ not IBSIIIang M ale undedytrlg Caua given b PaA I. 28. DM Tobago Use Caaibde to Deen1T
^ Yea ^ Probably
reepirebry aseM, a ventrkxafar fWrMatbn wklald ehowkg tla etlollgy. Lrt sly as cause on each Ike. i
TE CAUSE FhN dreae a r ^ No ^ Unknown
~radlNpinrSeatl,) _~ a. Occlusive Coronary Artery Disease ; Alcohol Abuse zs•nF:
Due b (a a a oonaequrla of): ~ ^ Nd pregnant allhkl pest year
SagwnaeAy Irt wMaorr, n arty. b. ~
b the ceuee asred on Itrle a. ^ Pregnant M tlrne d death
FJlar UNDERLYIIW CAUSE Due b (a a a coraaquerae d): ~ ^ Nd pregrws, but pregnrs waNn 42 deya
~a ~~ a r
r d death
Dueb aaa
( ~r••glwa• ~~ r ^ Nd greyness, but preened 13 days b 1 year
d. ' ^ Unknown n prepaid wkdn as pets year
3oe. was an Aubpey
PedamadT 30b. ware Auhlpsy Fbdrge
Avakede Pea b Cornpleaon 31. Mrtrar d Deanl 32a. Dare d ~urY (Marsh, day, year) 32b. Daalbe How In)ury Ocalrred 32c. Pia d
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StrsN, Faday,
d Ceues d Deaa1T ~ ~~ ^ ItonYade , ~
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^ Yee ~No ^ Yee ^ No ^ Acddent ^ P~q ~ 32d. Time d klNsy 32e. InJtay M WorkT 32f. a Treaparetbn kQuy (Spedfy) 32g. l.oaaon d It~ury (Brest, cay / kem, Mate)
^ 3ukide ^ Calkl Nd W Deterrrlirlad ^ Ya ^ No ^ DrNer I Operate ^ Psssagr ^PedeMrrrl
M Other • Specly:
33e. CeMkr (cheek asy aa) 33b. SgnNaa end
• CerlMytrlp ptlyekrn (Phydden aAaykp aae d deal when enonar phygden has prorloaaed death and artlpleNd Item 2s) CO rove r
Tonabardmywlowrap.,deetlloaureddwrottaerae(s)rldnrrearasOMed-__^----------------------------- ^ -
• ANY ~ artMf'kq pM•~ (Plysidm bcai pranaldiq death end aedkykq b awes d deal)
To the beq of ry Imowrdpe, deem aaxrrted at na Nnla, dNe, and plea, ad due ro na eras(,) and rranrar a srered.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^
33c. Lberlee rknlber
sae. Dee Signed (Marts, day, yaw)
• M.diar Ex.rrrtr,.N C«anr
On na bar d exanrkrtlon and / a inwatgatlon
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375 Basehore Road, Suite ~/1
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- Mechanicsburg, PA 17050
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RENUNCIATION
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REGISTER OF WILLS ' ~ ~-' ~ -- i ~ `
Cumberland COUNTY, PENNSYLVANIA I..i...r M~~. ~
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Estate of Luther Dean Jumper ,Deceased
I, Michelle L. Thrush , in my ~ostelationship as
(Print Name)
Daughter of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
James A. Gross
(Date)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this
day
of ,
Deputy for Register of Wills
~-
(Signatur
2 James Court
(Street Address)
Carlisle, PA 17015
(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
purposes stated within on this ` day
of ~ wi~a 02~ % D
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Notary Publ~~
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
~Y 1 ~= administer oaths. Show date of expiration of Notary's Commission. )
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C~lM•
My ConMrNa~~+n ExpkN .lon ~. !/1!
Form RW-06 rev. 10.13.06
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RENUNCIATION
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REGISTER OF WILLS ~ ~ - ~ , ..,
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Cumberland COUNTY, PENNSYLVANIA F ~ ~ ~ ~ i
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Estate of Luther Dean Jumper n;'Deceased
I, Brandi K. Thrush , in my gairelationship as
(Print Name)
Daughter of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
James A. Gross
(Date) (Signature) ~,
24 Chestnut Street
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this
day
of ,
Deputy for Register of Wills
(Street Address)
Newville, PA 17241
(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
purposes stated within on this ~ ~l-h day
of t~~-~ ~d 1 D
NotaZy P~i~ic
My Comm><ssion Expires:
(Signature and Seal of Notary or other official qualified to
_~ administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev. 10.13.06
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