HomeMy WebLinkAbout06-04-10PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of Mentzer. Cathy Ann No. ~ ~ ' ~ t~ ' ~~ 1
also known as To:
Deceased.
Social Security No. 174-54-85
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, appl
(d.b.n.; pendente liter durante absentia; durante minoritate)
the above decedent.
in the
for letters of administration
on the estate of
Decedent was domiciled at death in Cumberland County,
her last family or principal residence at 103 Deerfield Drive. Newville. PA 172
na
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with
/ Z
(list street, number, Twp. or Boro.) ~ t
Decedent, then 45 years of age, died 5/19/2010
at New Visions Nursing Home at 134 N Hanover Street Carlisle PA 17013 3
Decedent at death owned property with estimated values as follows: ~ ~ '"
~ ~.
(If domiciled in Pa.) All personal property $ ~ OoO•
(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:
Petitioners after a proper search ha Ve ascertained that decedent left no will and was survived by
the following spouse (if any) and heirs:
Name
Russell E. Mentzer Relationship
Father Residence
37 Kenwood Ave
Carlisle PA 17013
Bett E. Mentzer
Mother 37 Kenwood Ave
Carlisle PA 17013
Ron C. Mentzer
Brother 446 Cloudview Lane
Stevensville MT 59870
Ricke J. Mentzer
Brother 39 W Oakwood Drive
Carlisle PA 17015
THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the
appropriate form to the undersigned.
37 Kenwood Ave
v Carlisle PA 17013
us er v 37 Kenwood Ave
~° -P/li Carlisle PA 17013
~ Betty E. Men er
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Register of Wills for the
County of
Commonwealth of Pennsylvania
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF `~ ~~~Z=~~ S~
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
representative(s) of the above decedent petitioner(s) wi
truly administer the estate according to law.
Sworn to or affume ~ d subscribed
be ~ re me this day of
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Estate Of Mentzer. Cathy Ann Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW ~~ (, le ~l1~h c ~~ 1 , in consideration of the petition on
the reverse side hereof,
1T [S DECREED that _
been presented before me,
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is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration
are hereby granted to ~~U~-~~ ~ ~Y~'(l~~t`'1~ ~Y~ '~"t-1~1=~,t`%~~~1~ '
in the estate of
FEES
Letters of Administration . $ ,~V
Short Certificates ( ) . $ ~L ~~~
Renunciation . . ~C~ $ ~:
~~-~ $ ~~
ToTAI. $ l~K, ~~~
Filed A.D.
Register of will ~ ~ ~ _ ,L. ~ }~~~~~
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Douglas. William P
~,
A"fTORNEY (Sup. Ct LD Nn.)
43 W South Street
Carlisle PA 17013
ADDRESS
243-1790
PHONE
s ~K>r at ~~-~7~
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 16534474
Certification Number
05-t43 REV t,/lOh6
TYPE / PRNlT IN
PERMANEM
SIACK 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 far permanent filing.
~..,~lixr~ ~~t-ewalc~ee~~~r~z MAC 2 0201.0 _
Local Registra '~' Dateissued
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse) STATE FILE NUMBER
1. Name d Decedent (Rrsl, mdde, qM, sulBa) 2 Sea 3. SadY Seemly Number !. DaN d Oadt (Malt, daY• Year)
Cathy Ann Mentzer Female 174 - 54 -8576 Ma 19, 2010
s. Age ((aN ilinMay) Uttdu 1 year UMa t 8. Date d &Nt lMatut der• ysed 7. 1 a,a stn. « 9a Plea d Dag, (Chad awl
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Betty E. Swartz
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