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HomeMy WebLinkAbout01-29-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of Diana Kay Mazcum also known as COUNTY, PENNSYLVANIA File Number ~} (~ ~d -°W Iq Deceased Social Security Number 202-36-6753 Petitioner(s), who is/aze 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 and codicil(s) dated N C~ ~xrned in the '> t.. r := " fV - _ ~, - f'o i _ ~ (State relevant circumstances, e.g., renunciation, death of executor, etc.) ~LL-f ~ ~1 ~ t_' "': ,_ , Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution ofth~~trument~offere~T~ _T3 for probate, was not the victim of a killing and was never adjudicated an incapacitated person: --~ W ~~ ®B. Grant of Letters of Administration (If applicable, enter: c. t. a.; d.b.n.c.t.a.; pendentelite; duranteabsentia; duranteminoritate) 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 Relationship Residence ~ Cathy L. Hart ~ Sister ~ 301 Luther Rd., Harrisburg, PA 17111 Debbie M. Thompson Sister 315 Walnut Lane, Cazlisle, PA 17015 Barry Lee Hart Brother 44 Glenview Dr., Franklintown, PA 17323 (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 315 Walnut Lane Carlisle, Middlesex Township. Cumberland Countv, PA 17015 (List street address, town/ciry, township, county, state, zip code) Decedent, then 64 years of age, died on December 30, 2009 at Sazah Todd Memorial Home,1000 West South St., Cazlisle. PA 17013 Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 4,500.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ situated as follows: NONE Wherefore, Petitioner(s) respectfully request(s) the probate of the last Wi11 and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to the undersigned: Si afore T d or rinted name and residence Cathy L. Hart, 301 Luther Rd., Hamsburg, PA 17111 Form RW-02 rev. 10.13.06 Page 1 of 2 A 1~ 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 lrnowledge 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 mt; the ~~ t ~ 1 day of -~- -For the 1 eg' ter Signature of Personal Representative ~ i`` "' -r^• ~ j C _ .'r' ~ ~ ,,. File Number: ~ I ' I D " C~ G "~ Estate of Diana Kay Marcum ,Deceased Social Security Number: 202-36-6753 Date of Death: December 30, 2009 AND NOW, L X ;i t1l 1 r 1 c-~~~ > in consideration of the foregoing Petition, satisfactory proof having been presented before m , IT IS DECREED that Letters of Administration are hereby granted to CATHY L. HART 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 Will (and Codicil(s)) of Decedent. FEES Letters ............... $ Short Certificate(s) ........ $ l . 6 Renunciation(s) ...k.c~..... $ ~ ~ • C3Z~ I~u+tma,~cm ... $ ~ ~ ... $ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ ~ • ~ $~' Supreme Court I.D. No.: 76327 Address: 4431 N. Front St., Third Floor Harrisburg, PA 17110 Telephone: 717-234-2401 Form RW-02 rev. 10.13.06 Page 2 of 2 C7 ~:~ ~ c'~ c~ _.. "O ~. (_ , Signature of Personal Representative ~ ~j ~ ~-- ~~~ , ~~ ~ :~ ~ ",-'rn fV r-~ . Attorney Signature: ~~,`~,~~ ~70~~~-~i Attorney Name: Heather D. Royer, Esquire 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 15982729 Certification Number 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 far rmanent filing. _~ ~ Local Fegistrar ~ Date,Issued © a ,~-- l .2 ~ ~ ~ ? .~~ N _ , W ~:,~-; ~ `', ~}~ _...~ W r i l~ ~ '~ ;- os,+3REV,+aa1r COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • YRAL RECORDS '~ `ri CERTIFICATE OF DEATH .~' (See hutrucsoraa and examples Ora rowrw) STATE FLE M1WER 1 ,drr a Oavd,a Ifr. iniee,. ra rdt a 2. Sr 3. Sacrl Srrq Nara 1.Opa d OW, Iran4 dM• Mal Diana Ka Marcum Female 202 - 36 - 6753 'December 30, 2009 s Itpn flat ew,dp uMr + U„dr + 6. Daa a BYr, Iran. 7 aelplno, r,d aa+, « M. Rna a Onnl la.a and rrer a,,, nan tar lbnpW: Ohr. 64 Yn< Deo. 25, 1945 Harrisburg, PA ^,,,~,,, ^a„Q,a,,,,, ^~„ ® ,,,,,,, ^ ^o,,,,.~,a, a. ca.W a i>wn x. Gr, Bao. R,p. a own !1 Frp rl,a, lr m edrran. v+aw tie n,a0r1 r. ar over+a laws ~~ ®Ro n. w. R.e. tin.ra, ~ way. tar. re I ~~ Cumberland Carlisle Sarah Todd Memorial Home ra,~Nrrowrn,«a.l White ,,. Onrd,a, akr rra d ran e ar nrr a r,. od m aar 12. NNa Oare,ra ara n IM U. Daoaern's EOucaYa, l9rnalr aar+~pra ~ aaro+ rae N. Mrea 9rc Wrin4 Rnrr Nardn4 a5. SuvMq Sr« r Ir ad., qw ^rian nary Advei~ti4ping a,raad,rrlr,eaarY u.s.M,rdF«rs? EWnarryiSroa,errp.+z1 CaMp,n•«sd r.+donn4OirrioaalSaerrj9 ve isin Sisles ^'~ ®"a 12 Divorced u D.a,s,r. rresrs..IS9nn~ ap I br1, mb. ieaaeN Onoatlnfa O,e Onrlan .Middlesex *,, ne®Nr pdk„daiMb earRnaerr. +A~ Pennsvlvania 315 Walnut Lane , , ~pT 17d'^ro.oarereLiranr., Carlisle, PA 17015 ,mcou+r Cum erland 1? .ae„rl;ra oyraa +l F,rr', Nw (Frl need,.+„ t aW Ir. 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Mal - ~ ~ ( ,~~ .JT~I/V (- a~~o i~~al~E ~ l,Clj onre,non F«n,a ro. O!} 25656 ~,. RENUNCIATION n `` O REGISTER OF WILLS ` ~', ~ n CUMBERLAND ~~ ' rn COUNTY, PENNSYLVANIA - ~, ^~;~ ~~ ,-> ~' L - LU- Q~U~tC~ _ uc Estate of DIANA KAY MARCUM -~g ~, ~- ~:: L_ z ~~ .~. ~, w Deceased I, Barry Lee Hart , in my capacity/relationship as (Print Name) brother of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to CATHY L. HART January , 2010 (Date) (Signature) 44 Glenview Drive (Street Address) Franklintown, PA 17323 (City, State, Zip) Executed in Register's Office Sworn tc or affirmed and subscribed befor me his ~..n day of ~' i Deputy for Register of Will 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 , 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.) Form RW-06 rev. 10.13.06 RENUNCIATION REGISTER OF WILLS .-~ CUMBERLAND 1-z- c~ COUNTY, PENNSYLVANIA ~ `' ~z r n -- ~__ ~, i v> ~~ C"` ~~ d21 -l0 - oOq~{ `~' . ~ ,- _-~ w_~ ..~ =-~ Estate of DIANA KAY MARCUM I, DEBBIE M. THOMPSON f~~ G~ _ T.. f'~' { ,,.. ]v ;_ - ~ _... ~:~ _, r._. ~ _1 =5 .~' `" `ri .~' . Deceased in my capacity/relationship as (Print Name) sister of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to CATHY L. HART ~j / A January , 2010 ~i~;~,~~ ~,G ~~®/~ (/ (Date) (Signature) 315 Walnut Lane (Street Address) Carlisle, PA 17015 (City, State, Zip) Executed in Register's Office Sworn tc or affi ed and subscribed befo e'me this . C t r~ day Deputy for Register of Will 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 Notary Public My Commission Expires: (Signature and Sea] of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) Form RW-06 rev. 10.13.06