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Home My WebLink About05-13-10PETITION FOR GRANT OF LETTERS OF ADMINISTRATION Estate of Marv H. Fortnev No, o~ it " ~ f`/~ ~ L ~~~~ also known as Deceasecl. Social Security No. 579-42-8135 To: Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are l 8 years of age or older, appl ying for letters of administration (d.b.n.; pendente liter durante absentia; durante minoritate) the above decedent. on the estate of Decedent was domiciled at death in Cumberland County, Pennsylvania, with h er last family or principal residence at 503 Mill Race Road. Carlisle. PA 17013 South Middleton Township . (list street, number, Twp. or Boro.) Decedent, then 80 years of age, died 5/412010 at Holy SDlflt Hospital. East Pennsboro Township Cumbedand County Decedent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ 10.000.00 (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real. estate in Pennsylvania $ 120.000.00 situated as follows: 503 Mill Race Road Carlisle, PA 17013 Petitioner after a proper search ha ascertained that decedent left no will and was survived by the following spouse (if any) and heirs: rj Name Jennifer Baker i `~ L S, Relationship Dau hter Residence ~ O 2215 E Ruby Lane ~?, ~ C'? Phoenix AZ 5024 - r` r:.> ~^. - ,~1 , -7-I -}C~ __ ~U A THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the appropriate form to the undersigned. '' f6 r7 n n -- ~ • - U N ~' 'fl C ~ G ~ ,+ y ~ ~ ~ C OL f N 0 c ti C..J _~, ~ ~ -~ j7w ~ _ ~ - ~~ LO i-Tl N , ~' 1 W Lonna A. Schaffner Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNT' OF ~ ~r(- L. ~J ~ ~~~ The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are tnic and con~ect 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 ~ ev F r the Register Y«,. V S(gnature ojPersonaf Representative C'7 -^- AO ~ Srgnnture of Persona! Representative T ~, ~, _ ; , , ~,~ , ~; _, Signature of Persa,al Representative ; (-} -i-7 . ~,~ ~ ~- N _:~ S File Number: ~ ~ •~~' ~ ~~~~~ ~ - Estate of ":~ ?.> , , ~ ,.> ;; f ~ _.---_ _ ~~~"_~.• z. Deceased Social Security Number: i % ~~ ' k''~ ~ ~~' Date of Death: AND NOW, ~~'~~ ~'~? ," ~ ' C~, in consideration of the foregoing Petition, satisfactory proof having been presented before me, I"~I DECREED that Letters ~~'' ~ ~-z-~ ~-~-~CzIC! r ~'~~° -~. arc: hereby granted to 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) ........ $ R;nunciation(s) .......... $ ... $ ... $ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL ........... ... $ ... $ Register of GYills '`, ,' -, Attorney Signature: -~- --/~~C--T=" - -``~"~~' At.orney Name: Supreme Court LD. No:; ~~ ~~ `~~ J f.:- Address: ~ CT-+~'• ,-' ~`,-T t'~' l.~C--> ~, ,;' ~' 1 f .~ 77 ~. ' `~ c_~ ~y Telephone: _T/ ~ ~ `" ~ ~~J - ~ ,~~` r;,,„~ Rtv-o? rev. l0.13 u~ Page 2 of 2 „2 ~ -1(,'' ~ ~~-~~ .. t~ _ ,. "~~; ~ '. ~c MAY 0 7 1Q - _.. , • . . ., _~ . n ~ - .''i %~ ;' c '.~ ~~ `~7 ~ ~ ~ t -;:7 "-i .. i C..~ ~ -r ~ COAIME~-~LT/{ pF pENNSYIVAMA • pEPARTYEKT Of FIEALTH' VfTAL RECORDS ~ n~•~a•c CEpT1F}CATE dF DEA mss) sire ~ Mtawwa+ -.--.-- ,~ (Ssa {waM~rcfbrr and eaarapMa < rrc a y„ a s.er ar++r ~+• • ob a or-+r•w ~ r+! Ts~ala 57~ - 42-8135 1Ss7 4, 2D10 r.r..~o...arf~t ~•sn »a4 Tortarre7 -- - c. or r e~• .'. ~~ a+.: i ra• t~ esial o-e. r u.., r .b+.• o.r. "-' '""' lvania Q' D u r Door, D rw.. D n..r.. ^ °'"' . a.r> 80 ra Anaust l 3 , 1929 Yeaas7 • rr. aurr r ~.+> WP+ ra. Q 'ti. ra n.r r~arrrr, arlw>, re ti f.>~MM.w•I.wwrarr~d»,w.~rrwewt (sww ph»M m cwr a o..n m ar.8.., ^* a °°' r..r,~nr. rr.. W tilhi to Cn~berlaad S. Penaetroro 21ap . Bo17 Spirit goaPital u. ~ ~ ~ ~,y ,s b„w~ sr,,,, n+. w--~ »-4 ..wa rx. m.rerr n rw. crow.+.... n >. n o.u+.t> E~+.>» RrRM w+9 w}..+ rr. asw4 i~ ^rrrrsw r..wl..w :ra ~.+ rws n....rrl2 ~r P+~ c~-o M a u s.) DidvMed $pp~]petpC= ~trnctiOn ^'h> L?M 7M oe~,«w. TcnnsTlvania iuw.~ m. ~ r.4ars+uo~~• Sonth 2tiddlc[aa v.wow.+.wrorr...ra~..~arr,o,..ar.arwM rw,rrir.,r. ~h.sr. rr~Dr+,o-.wru+.r+~ o~.,e.. 503 2ti11 Bate Road ,e.a«r C AnrLnd rrruaa Caslieie, TA 17013 re~~bN..sM..rpN.rA,.r.wr~ m_rs.+>rr»tFrr..:r-,r..+.w~ lac6el go,Efatn liili'la>. Asrpold aw.r.wrsw+7MwP+M"+r•>nwr.sor~ ~~~,y,,,~,A,r,,.q 503 hill Bsce isard, Gariisle, PA 17013 ?Ls_ Loreia A. Sclaffaer ,~~v..rd~-M~-d^,r",~.~.•++,•w.rw1 »>r.or-.kwr..+.~.-.y-»a ^ ~..r» D or..u.• >*. o.b.r p+rw+^ M»w+w• r••A PA 17019 n>r•wd.rtRr~» r„rr.wi.~.+r 2010 Dillsb~srE Ca>~tsrf-Meraatain Bd_ Di11sDo=E> Q _ .. D n•••r~•»sr• ~ ~ rcw~ _ __ D r"O ~T 8~ ~..arw...ar+.nf C..~tita Tns~al 80w IOt. D O1~"~~ •.r.i»-+~ `°'~ 30 N. Chestnut Street. Dil~sbura, PA 17019 D12975-L cy... ~s a ur. air.d N,.r, er, ~ ~ s,ti.~rew~+•a+n.a°r'°r""rru'w"r.strrrw+ra.W ~+'"tnf .rr.n 1~~ iwrriV-~arJbs~> ~ 1 [Oaw>. Y w hw•Ory f+• Cr~• a Orri~9 Q.r,~.u..... n~ ]L M»CawfM•Nb1YAu16>rrr• i +r-o..`.r"` wr+.+~br.+M>w»-w^-r,K Dr.. Q twwcas wr.+o>~-~.+~^w..r - rsors •.w o.r-ua. ...rrrr->«rns+c»"""°""'oe~.....r.M.. Dw r+~r. wrrr..c~~ ~rir.~.~.r.asi..r,r»uw.+f».s»»»+.w> a-•~' ~a G~3 Mf+~->w1.Nf+ odY.-~- y p Q-uM+rw.-rw > p,~-s>• -'Y.wj~w.1` - ' ~-+~ 1 ~1' f VDU/ Y+1~~'K~l " - - D rs~~r~ga+,r.+eew ~~~r..ar...i.>R a /~ _ Dwrr.~.4rr~•~»+~~+"~.' 1Yd~ ~- __~M~•-~ D+b~rs>rr~'»~ ~\~-'T Ir>'a~~ -- 'aarerr-r<~ aor.dy.rw~ti.f~S a-o.~rH..y.rw>..r a.rw.»>.rpf w,r,,.ar,~rrw~ xrw o-r gre.a.w >,ybaVrror.~• ~ ^H.ai- ~ygrner'r gat-~rrr-MnPl~+lf ~~,a.rNr--~+~trr~a+y rcti..raw aer, n+rM.r Dvr.>ryr Di~rr~. p,,» w Dr.. ^M. D,rrrr Dn.r•a~~- ~ Dr»Dw ~„a•~ D~rw ^c~rrrorwr.+ Shhr Mr-wY+M rr~~-!~w n•,~,•darroyr~r ~1 aM.orpsw+M"r+~•-f~q r - ,.,.rr....r.....r. „r».µore+rsw ~ M fl 3 ~ d S- ~......r~.,..`----------------- y~.r,..,....,......~..».~..r...r...,•-.-rrd...,~.~»9 ...i D ~.,r.>..Mrr+r '~'~0'~~''ea..~r-sly' • >rrrrarrro..+~r~~w- ar~a++•swwsY.~r-~.ra.r.a.r.41r+~"'°» ~p• r,[.^C16~' Na t'A~ 1`}~. a.rrr.d - -- r.rp.w+.r,re '$'03 Jrf , ~ 1 sk ~ •{'r~f ~r-`~ ~ l~ P~' i Z 01 t A ~~ 0 ~ 255 K. ~~ . 1 orm y Renunciation (Rev. 10/04) Before the Register of Wills of Cumberland County, Pennsylvania Estate of Mary Fortney Also known as, deceased Renunciation The undersigned, Jennifer Baker Dise, daughter and sole heir, of the above decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters of (Administration, T~~~tar3~) be issued to Lorena A. Schaffner of 503 Mill Race Road, Carlisle, Pa 17013 Signature' Jennifer Baker Dise 2215 E. Ruby Lane Phoenix, Arizona 85024 Signature Typed Name: Address: Sworn to or affirmed and subscribed before me this f ~ day of Ij.~Ay ~ ~ ~© ~--'vV,{-'c, ,~7j ~,{~ (Deputy) gister of Wills or Notary Pu lic r7 C ~ ra ,~, r- " r i"' ~, f `~ ' 1 f _-.: Ti ;:~ ~ _. -. ~ .- ~ _.~ ~ . ~ -~' , , ~-, N W ..,5 - ,y.