HomeMy WebLinkAbout03-08-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF ~ L,~;Y~uL~a rC', COUNTY, PENNSYLVANIA
Estate of \ ~ File Number ~~ ' ~~ ~ ~~//ls
also known as social ~„t.;ty Number \C1 ~- ~L1 '"`1~._
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW.)
^ A, Probate aed Gnnt of Letters Testamentary and aver that Petitioner(s) is /are the ~am~ in the
last Will of the Decedent dated and codicil(s) dated ~
(State relevant ctrctanrtasnces, e.g., rettuncration, 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 o~~tryment~offer~=; `~
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~ ~~~_
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B. Grant of betters of Administration
(If applicable. enter: c.ta; db.n.c.t.a.; pendente life; durarae absentia: durance mntoritate)
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.e.t.a., enter date of Will in Section A above and complete list of heirs.)
~c3-.c.si.. ~.(r~c~x,e-9~ b~~cszs! ~,a~v~oc'c~-~X~`it-c~,~~e~t~\~ ~~
(COMPLETE WALL CASES:) Attach additional sheets ifnecessary.
Decedent was domiciled at death ' `~Cotmty~ennsylvania with his /her last principal residence at
(List street address, town/city, township, coanry, state, zip code)
Decedent, thenJ7J years ,died on at
Decedent at death owned property with estimated values as follows: _ a°
(If domiciled in PA) All personal property S!'~C~~ J
(If not domiciled in PA) Personal property in Pennsylvania S
(If not domiciled in PA) Personal property in County S
Value of real estate in Pennsylvania S
situated as follows:
Fornr RW-o1 rev. 10.13.06 Page 1 of 2
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Wherefore, Petitioneris) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the gram of Letters in the appropriate form to
the undersigned:
__ __
'H 105.ROS REV (01/07) ~) f _ !/ !~~ `~ "~]
LOCAL REGISTRAR'S CERTIFICATION OF DEATH (/r
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 15934494
Certification Number
ITEM # j Q
SHOULD READ AS FOLLOWS:
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 fur permanent filingJAN ~ ~- Z~~O
Local Registrar Date Issued
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REy nrzooa COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS !7 C ~ n~'~
wNE rl" CORONER'S CERTIFICATE OF DEATH ~ r-
.K INK n o ^ , ~ ~ (See instl'uCtlona and examples on reverse) STATE FILE N~BEP f"1 '"'~ ~~
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t. Name d Deeded (Fnl, rtedM. Wt, slAlbl 2. Sea 3. Sodel Security Narlber 4. Dare d DNM (Mon yearl
Richard C Rupp Male 191 - 46 •'-1451 December 29, 2009
5. Age (~ Y) tp~r t Ulxhr / 8. DMe of &M (Month, a 7. B' e ( antl were a 8e. Phce d Deets Check aro)
No,ew ~' Hawa taiaAw April 23, 1956 Harrisburg, PA "p'P~ aher.
53
^ IndaaeM ^ ER / Oulpatlent ^ DOA ^ Nurwng Hann Rrreidarxe ^Olher ~ Speaty'.
Yre
Bb. Carey d Dash Bc. Ciry, , Twp. OBeth &L FaoHty Name III nd iruBdAUn, give wred and rnxrdar) B. Wu Decoded d Hiepenic prlgin7 ~ No ^ Yes 10. Race: American Indian, &ak, Whae. etc.
Cumberland Hampden Of yae, epeciy Cuban, lsoaiM
4640 Mt. Zion Road Mezken,PuenoRicen,etc.f White
11. DecedenfsUslel ~ Krxl d wok dab ~ mod d lie. Do ncl afire retired 12. Wes Deeeded ever ro Me 13. DecedeM'e Edxatlal (SpeoBy aiy ligl1e91 grade corlgletea) 14. Merpel gelue: Man W, Never Monied, 15. SurvNirlg Spouse (lf wlre, gWe maiden name)
Kkd d Wok Kits d Sueneea I kldushy V.S. Armed Forces? Ehmanlery /Secondary (b12) Cdlege (t •4 a 5+) Wkfowed, ONOrced (Specify)
Auditor Hotel ^Yea ~~ 20 d'v rc
16. OscedNx'a Meing Addrsn (grea, city l lam, ahle, zip Dodo) Depdenl's Dkl Osatled
geh A A Live In a 17c. ~ Ya
Deoedem LWed'n Ha m p A P n Twp
Adua ReMdence 17a
4640 Mt. Zion Road ,
.
.
Townehg9
Cumberland tya.^
w"h"+
Enola, PA 1 7025 tro.caunty
~
atyreap
18. FaMer's Name IFen middle. real eWPoc) 1B. MaMr's Noma (Fkw, mkkM, maiden eumanel
Herbert G. Rupp Jr. Virginia I. Johmson
2M. Mamrenra Name (typ. /Pan) 20b. IMarrnarlYa Maiilp Addrew (Strew, dty! tam, Wh, zy code)
Diane E. Glance 2201 Orchard Rd. Cam Hill PA 17011
21a. Method d oiepoelim I ®Cremelbn ^ Dorraon 21b. Dare d Okpaiorl (Mann,. day, yea0 21c. PhCe d Dispoalbn (Name d uwrrletary, cremaay a oMa place) 21tl. location (city r lows. orate. zip code) PA
&InBI^ RemovallmmSrete Wee CrwnetbnatBarDaIAIMgItad
^ Jan
201 0
3 Hollinger Crematory Holly Springs
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YedkM Exemirrr / Corat,rv .
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SilaWae aw L~19ee (a as such) 22b. llanea Nlxnbw
- 22c. Name end Adbees d Pacify
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011248E Musselman FH&CS Inc. 324 Hummel Ave. Lemoyne, PA
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DonVlae penis 23et ody wMn rxniyirp 23fl. To bed d my knoMedpa, deaM occurtea w the IMIa, date aM plea shred. (Siplaure and tile) 23b. Liceree Number 23c. Date Synod (Month. day. yeal
phyaden re not eveiebh w tlrne d deeM M
pertny twee d deem.
thme 2428 mwt ee oarahted M person 24. Time d DaeM Aprx . 25. Dote Pmmunad Deed (Mash, day, yea) 28. Wes Ceae Referred to Medical Examiner I Coroner Iw a Reason Omer Men Cremalron a Donalron?
vdp lxorlwrxas deah. 2:00 A. M. December 30, 2009 ~~ ^~
CAUSE OF DEATH (Sae Inetrupdone end exempNs) r Approsknete Marvel: Pan II: Eda oMa ~ ~ 28. Did Tabxco Use Conlnbute ro Deem?
penl2T. Port I: Enter the i~BD.ld.maLt- dmmees, injuries, or canpiu8om - Mel drectly auaea the rrewh. DO NOT enter temknel wanb such as partlu arrea, r Orval to Deets but nd resuirlg ro Me unaenyip celne even in Pan 1. ^ Yes ^ Probably
reepirerory atrea, a vedaW r flbnkelion weed ahovnng the etlarogy. Ua ady one cause on each in. r
r ^ No ^ Unknown
"e" ~'~~) ~ a. Probable Cerebrovascular Accident
r
29. If Female:
^ N
Duero (a ao a cansaquace o0: r ot pregnant wlMin peal year
^ Pregnant al Ilene of deaM
~ ~, n ~ , b. i
Y
Iee6rq
11LYi~Ni~CAUSE a D'ee td (a as a consequence off: ~
p
ro ^ Nol pregned, Cut pregnant wiMn 42 days
Enwr
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UNDE
~dee~a~ a nkxy ~ ... tlw a r
In death) LAST
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is rewAel
M of deeM
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Due to la ea a mnaequance d): r ^ Nol pregnant, Dal pregnant 13 days l0 1 year
d ! before deaM
^ Unknown N pregnant vMtun the pea year
30e Wei N Autppy 30b. Were Auropey FkM4rgc 37. Monier d OeeM 32e. Dee d Iryury (MmM, day, year) 32b. Dew+Me How MMY Oxuned 32c. Place of Inwry: Home. Farm, Brea. Fedory.
Peltomted? Avalehre Prior re Conpldbn ~ ^ Honiide Dllice SuiWMg, etc. (Spealy)
d Ceusa a D.aM?
^Yes ~NO ^ Yes. ^ No
^ AaiMnt ^ Panting Invedyetlon
32d. TMe d Infury
32e. klfury et Wak? 321. n TrenWahnon Irlprry (Speciy)
32g. Lacellon d Infury (greet, dry /lam, stale)
SuroiOe ^ CaaO Nd W Deremsned ^ Yes ^ No ^ Dmw I Dperela ^ Paeemga ^Pedednen
M qua ~ Spedry:
33e. Certleer ldrecp onN onel 33b. Slghare and
• Cwlprpq phytlelen (Physiden aatyxlg sue. d aeon when ruldMr pllynkion nos aernlmced loth end comgwed hem 23) C OYO rie r
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To rM bat or mytorowhdpe, aewh ocwred dlwhtneuwyq ^nom.nnar..feted--------------------------------- ^
• ProrwrneNp Nld rartllylrlq phyekten (PpY~en bode prenaxwYq rreeM erd arraying ro ease d desw)
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^ 33c. lksnee Number 33d. Dee Signed (Monts, day, year)
- - - - - -
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Toa^headeryhrowhdge,a«naaaa,wwmepm.,doe.,enaPtea.,araea.wp»awygneaannaoww. December 31, 2009
• Medh.l Faensrw/Corarr
On the Ouh d examkrtlorl end I a Inveetlgetlon. M my ophbn, UesU occurred w IIh tlme, doh, end Pie, end due to Ipe uulla(e) end manna a eWed ~
~ d reon Cause Death IMn 27 Type r Pal
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Dlspwilbn Permit No 0 4.{J 3 3 ~ 3
RENUNCIATION
REGISTER OF WILLS
Cumberland COUNTY, PENNSYLVANIA
~1 f()~~~~~7
Estate of RICHARD CHARLES RUPP
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Deceased
I, Cynthia A. Croman , in my capacity/relationship as
(Print Na®ne)
sister of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Diane E. Glancey
February' , 2010
(~) ('
1772 Industrial Park Road
Executed in Register's O,~ce
Sworn to or affumed and subscribed
before me this day
of ,
Deputy for Register of Wills
Form RW-06 rev. 10.13.06
(Street Ac&~bess)
Mifllintown, PA 17059
(City, scare, Z;p)
Executed out of Register's Ofj7"ICe
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunci~t'on or the
purpose fated within on this day
o~ -'UC~
Notary Public
My Commission Expires:
(Sigiature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Qp~pNWEALTH OF F SYLYAI~IIA
Nd`I' SEAL
Denise R Pete~sost+ No~Y~~~~y
Walk+or TownstuP~ Juaie~s C
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RENUNCIATION ~° z ,
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REGIS R OF WILLS ~~::%' ~ ~ ~
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/ COUNTY, PENNSYLVAI~TIA
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Estate of ~ ~'~~ C
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Deceased
in my capacity/relationship as
Pri»t Name) ) , f
~ ~ ~~'`~. R--- of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
(~ nce
~~)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of ,
Deputy for Register of Wiils
Form RW-06 rev. 10.13.06
J
(Sleet Address)
(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 renunciati'o~ for the
purposes stated within on this ~ day
of ~i(/l/f~/~~ ~ off]/tom
Notary Public
My Commission
~~~~
(Signature and Sea! of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission)
~~
NOTARML sI611
0@lIIE MOLLNi
NOby h1b1C
IIMAw11Ra C~ QMIM#IN G'O{Nd1Y
M1- CantntNNon i>tpMw N~Oy ~1, 2010
RENUNCIATION
N
REGISTER OF WILLS ~ ~~. ,` a' ~; "~-;
~.. V~~~t..A~L~ COUNTY, PENNSYLVANIA =~' x~,.~
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Estate of _ .-- ~ ~1~AQ~ C _ ~ .~!`~'P Deceased
I, 1c! '~'R'~ ~ ~r ('~ ~ RAC' ~' ~ . . in my capacity/relationship as
(Prhu Name)
1" {~ ti ~'F ~ of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
t~ r ~ C- '~ r~ try-4.~c ~~
(Date)
Execrded 3n Register's O,~`ice
Sworn to or affirr~,m~ and subscribed
before e thiso~ 1`~ day
of O/~
Deputy for Register of Wills
~1.g.~~ K-~t~s~f ~.~0 1RPT' 111
(Sa+eet ddiesa) -l -~
~~'R'~2.Rs'R~QIs ~ ~ 1'"ll~~
(Cih: state. ~I
Executed ord ofRegister's Offrce
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
p ~~ within on this ~~ day
Notary Public r
My Commission Expires: ~/.~~j~U~~
(Signatiue and seal of Notary or other otrlcial qualified to
adminixter iwdia. Show date of ezniration of Notarv'a f'ommixsiim.l
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NOIt7ly h~blC
iMRRIMURG CI11f, DiA~1N~1 OOIINM
CCtItR'1~lOfl ~ ~ .~~ ~ ~~~