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HomeMy WebLinkAbout04-22-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of Duane R. Moorhead also known as COUNTY, PENNSYLVANIA File Number 27-10_~~ ~j ,Deceased Social Security Number 184-50-1092 Flora E. Moorhead PetRioner(a), who lalare 18 yearn of age or older, appy(ies) for: (COMPLETE A'or'B'BELOW) ^ A. Probate and Grant of Lsttera Testamentary and aver that Petkioner(s) is/are the named in the last Will of the Decedent, dated and codicil(s) dated n ~ S4fs relevant circumstanced, e.y., renuncYetbn, tleath Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of-~~~men offered' ~~= for probate, was not the victlm of a killing and was never adjudicated an incapacitated parson: ~'~~- cr`~ x ~ -= % ' =J Donald Moorhead, father, died on May 18, 2000 ~ ~ ~ -t7 r ' '~ `7~ ~ , rt ® B. Grant of Lsttsre of Adminlstratlon a N ~ ~ % ~) ep ,en re..e.; ..n.c..e.; n uro e n uren mno 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 Adm/nlstratton, c.t.a. ord.b.n.c.t.a., enter date of lMll in SectionA above and complete Iistofheirs.) Name Relationship Residence Flora E. Moorhead Mother 22 Birch Street Mechanicsbu , PA 17050 (COMPLETE IN ALL CASES:) Attach additional sheets N necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at 82 Ashford Drive. Enola. East Pennsboro. Cumberland. PA 17025 (Ust atroet eddross, towfvcHy, towrrahip, county, state, zip code) Decedent, then _~~ years of ape, died on 04/18/2010 at Select gpaclality Nospital. Cumberland County. PA Decxident 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 S _ 35.000.00 S S 100.000.00 situated as follows: 82 Ashford Drive, East Pennsboro Township, Cumberland County, PA ~VheraforeigPstltlonsr(s) respeclfuly request(s) the probate of the last Will and Codlcil(a) presented with this Petlson and the grant of Letters in the appropriate form to Form RW-02 Rsv. 10.13-2008 CopynpM (c) 2008 form sollwere only The Lackner Group, Inc. Pegs t or 2 G Si nature T pad or printed name and residence . Flora E. Moofiesd 22 Birch Sfreat Mechanicsburg, PA 17050 717-766-8642 i Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } SS COUNTY OF Cumberland } The PetKioner(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 belbf of PetKloner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly adminfater the estate according to law. Sworn to or affirmed and this a day of Flora E. Moorhead Flle Number: 21-10 Estete of Duane R. M00111@ad ,Deceased _,~ OND , T i Social Security Number. 184-50-1092 -~,~ / /~ Date of Death: 04H 8/2010 AND NOW, ~~J ~ ~-~ ,~ , in consideration of the foregoing Petition, satisfactory proof having been presented beforo me, IT IS DECREED that Letters of Administretlon are hereby granted to Fiore E. Moorhead in the above estate and that the instrument(s) dated described in the Petition he admitted to probate and filed of rewrd as the last Will (and Codicil(s)) of Decedent FEES ~/ Letters .......................................... $ V Short Certificate(s) ....................... $ ~~©' Renunciation(s)........... j........ $ $ $ ~' $ $ $ $ $ $ TOTAL ................................... $ ' vi Attorney Signature: Attorney Name: ~ EdWard P S@@b@r Supreme Court I.D. No.: 76084 James, Smith, Dietterick 8 Connelly, LLP Address: Suite C-400.555 Gettvsbura Pike Mechanicsburg, PA Telephone: 717-533-3280 Form RW-fIY Rev. f0-13-2008 CopyApht (e) 2008 form wllwan only TM Lackner Group, Inc. Peya 2 of 2 ~~~ ' a 105F0~ RPV (01/07) Y ~ ~ 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 16176954 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 forwazded to the State Vital Rre~cords Ofyfiyc~e for permanent filing. ~rir~n2~' "l ~ ASR y 0~ 201fl Local Registrar H Date Issued C'1 0 C~ o a_r _., .} N -i-' r .c C/i ~ N > ' .z ~ y'~~7 r'JC„~~ -" ~ C~?:,l Wig ~ ~ _=- ~= ~ - :n ~ ~~~ co ' t rtrv wmaa COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS I PIVrt N ""NBi1 CERTIFICATE OF DEATH roc nac Ses hukuedona and t PxamPba On fNIaFY) fi1'aTG FlI F r WPFa +. a.ratrrr•Inr,nm•. rr. rrea 2. s.. saner 9•a•M rams aDrra Own Mad4 M. Duane A• Moort~d Male 184 _ 50 _ 1092 April 18, 010 0. dp• h•r Brl6y) Mtlr I lMlhr 1 0. 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