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Home My WebLink About07-08-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Charles DeWitt Morris File Number 21 ~ f Q ~ (d s 3 also known as Charles D. Morris Deceased Social Security Number 207-07-8563 Robert A. Morris Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE A' or `8' BELOW.) ^ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the named in the last Will of the Decedent, dated 7 Florence D. Morris surviving snouse• Virginia K Brenneman daughter Alan D Morris son and Pa it A Morris, son have renounced their right to administer the Estate in favor of Robert A Morris son State relevant circumstances, e. g., renunciation, 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 of the instrument(s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ^X B. Grant of Letters of Administration (Ifapplicab/e, enter: c.t.a.; d. b.n.c.t.a.; pedente life; durante absentia; durante minontate) 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: (/f Administration, c. t. a. ord.b.n.c. t.a., enter date of Will in Section A above and complete list of heirs.) Name Relationship Residence ev ~ ~ .-t See attached schedule ~ ~=~ ~ ~'~ ~ ~ r , Cn:C CA _~,, f.. _ (COMPLETE IN ALL CASES.) Attach additional sheets if necessary. ~~~ ~ '_ ~Y ; Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal ree at '" 1070 Memory Lane, Mechanicsburg Hampden Cumberland PA 17050 '~, ~n ~ (Lest street address, town/city, township, county, state, zip code) .,~ Holy Spirit Hospital, East Pennsboro Township, Cumberland County, Decedent, then ~ years of age, died on _ 04/28/2010 at Pennsylvania Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 180 000.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County Value of real estate in Pennsylvania situated as follows: N/A Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to the undersigned: I ~~~ signature Typed or printed name and residence ~ Robert A. Morris Form RW-02 Rey ~o-fs-zoos and codicil(s) dated (717) 796-1011 Copyright (c) 2006 form software only The Lackner Group, Inc. 6352 Powderhorn Road Mechanicsburg, PA 17050 Page 1 of 2 nl~" COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland Oath of Personal Representative } 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 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 this ~_ day of .~ ~ , a.0 I o Y l~~~r~ For the a iste ~ La~~ ~f Personal Representative Signature of Robert A. Morris N a (, t _1 r of 9 r ~~~ = C_-_ r.i MM - J ., File Number: 21 ~--'D - Estate of Charles DeWitt Morris A/K/A Charles D. Morris ,Deceased Social Security Number: 207-07-8563 Date of Death: 04/28/2010 AND NOW, ~ O ~ `~ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DEC ED that Letters of Administration are hereby granted to Robert A. Morris 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 .......................................... VV $ ~ . ,~ ~(s(.~ ~ /(~`J~~ Short Certificate(s) ....................... $ ~ ~ , ~ Register of W /) i ~p //y{_-7 E , ` 7~ ~ O Renunciations ............................ $ D~ / U : - Attorne g ( ' '` ' y Si nature: C $ CX ~ `~ Att N orney ame: James D. Bo Supreme Court I.D. No.: 19475 $ Bogar 8~ Hipp Law Offices Address: One West Main Street $ Shiremanstown, PA $ Telephone: 717-737-8761 $ TOTAL ................................... _ $ ~ - Form RW-O2 Rev. f0-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2 PETITION FOR PROBATE AND GRANT OF LETTERS (Continued) REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Charles DeWitt Morris also known as Charles D. Morris Deceased Name Virginia K. Brenneman Alan D. Morris Florence D. Morris Paul A. Morris Robert A. Morris Relationship Daughter Son Spouse Son Son File Number 21 ~O ~C7(0~~ Social Security Number 207-07-8563 Residence 5 Leisure Lane Blain, PA 17006 378 Ogeechee Drive Richmond Hill, GA 31324 1070 Memory Lane Mechanicsburg, PA 17050 1848 Chasewood Park Drive Marietta, GA 30066 6352 Powderhorn Road Mechanicsburg, PA 17050 1115 RlL` HEV' ~t11iU'~. ~l~lU - c~C.og3 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate. ~6.OC) This is to certify the( the inti>rl~/atitm here ~iYCn i correctly copied irum an ori~_*iral C'ertili~ale of Dead tluly^ t71ed with rite as Local Re~ristrll-. The ori~rina certificate Ya'il! ':~e t<n-~~arded io the State Vitt Records Office ; n' ~~ermanent fililt ~. P_16177538 Certification Number ~~~ ~ ~ -- ---M~~ U~O10 Local Re~~istra)~ Datr Issued r.~ o -- -ra } C `` ~7 r ~• ~ c ~ ~ =~ ;„ : _..,~ OD :._ rrl t '~ri ~ ~.+ l ~'] RIM IN iEV ltnoos COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS K INH ANENT CERTIFICATE OF DEATH (See instructions and examples on reverse) 7. Name of Decedent (First, midtlle, last. sWlixl STATE FILE NUMBER 2. Sex 3. Social Security Number 4. Date of Death (Month, day, Year Charles DeWitt Morris I 5. Age (Last Birthday) Under 1 year Under 1 day 6. Date of Binh (Month, day, year) 7. Binhplace (City and stale or fee m~a l e 2 0 7 - Q 7 ~ 8 5 6 3 Apr . 2 8 , 2 01 0 Manche oars Hour MmWes ig^ ryl be. Place of Deem (Check onry one) L~ 2 Hospital: Other: Yre. June 4, 1 91 7 Lemoyne, PA Inpafiem ^ER/Outpatient ^ppA Nursing Home ^Residence ^Other Speclry eh. County of Death &. City, Boro, Twp. of Death Sd. FaciFty Neme (If rrol institution, give street and number) 9. Was Decedent of Hispanic Origin? No ^Ves 70. Race'. American Indian, Black, White. etc. Cumberland East Pennsboro Holy Spirit Hospital (h yea, apeary Cuban, Mexican, Puenc Rican, etc.) ~~ e 11. Decadence Usual lion Kidd of work done tlunn most a world Ida. Do not state retired 12. Was Decedent ever in the 13. Decedent's Etlupaon (Specity only highest gratle completed) 14. Marital Status: Married. Never Married, 15. Surviving Spouse pl wife, give maiden name) Kintl of WorN Kind of Business / Intlusiry U.S. Armed Forces? Elementary /Secondary (D~12) Cdlege (1-4 or Bt) Wi~'~. Divorced (Specity) owner ^vea e g Florence Mor 18. Decatlencs MaNing Address (Street, dry /town, state, zip code) ma r r i d r i s Dedatlanl•a Pennsylvania Did Decedent 1 070 Memory Lane Acual Residence na. state 7lo~vmsh 9 t7c. ~ves, Decedem Lived in Hampden w Mechanicsbur , PA 1 7050 rib. coanty Cumberland '° i7d.^ Np, peCedam Lived wdhin p 18. FaMei s Name (First, middle, last', sugq) Actual limits of Ciry / Boro Milton K . Morris tS. Mabefs ~^~ (First, mitltlle, mane" sumama) Opal Lillian Prowell :?Da. Inlomrent's Name (Type / Pnm) 20b. Informant's Mailing Address (Sheet, city /town, stele, rip code) Florence Deckman Morris 1070 Memory Lane, Mechanicsburg,pA 17050 21 a. Method of pisposition Cremation Burial Removal from State ^ ^ Donaton 21b. Dale of Disposition (Month, day, Year) 21c. Place of Dispceitbn (Name of cemetery, crematory a other place) 21 d. Locatbn ICIry /town, slate, irp code) ^ !WesCremetlonaDonetionAuthaized^Ves^Ng May 3, 2010 Rolling Green Cemetery Cam Hi 11, PA r ^ r ~ Specily~ by MMkal Examiner I Coroner? p IDre of Funeral Se a Licensee (ar person acing as such) 22b. License Number 22c. Name all Address of Facility 013163-L Musselman FH&CS,324 Hummel Ave.,Lemoyne,PA17043 amplele Items 23at only when pnityng 23a. To the best of my knowledge, dpM occurred at the time, dale and place stated. (Sgnature entl line) physidan N rrot available at Nme of death to 23b. License Number 23c. Dale Signed (Month, day, year) cerFly ceuse of death. Items 24-26 must be completed by person 2A. Time o • at~ ~ ~ 25. D fe Pronounced Dead (Monts, day, year) ~~ wM pronounces death M. ~ ~ , r r) U -y Q j O 28. Was Case Referred to Medical Examiner /Coroner for a Reason Other than Cremation or Donation? Jl 6 ~( ^Ves ~ No CAUSE OF DEATH (Sae inatructlons entl examples) r Approximate inlervah Pan II: Enter other sianificenl ceaFtio ~ cool' 1 rm to death, 28. Did Tobacco Use Conlnbule to Death? Item 27. Pan I: Enter Vre chain a events -diseases, injuries, a compFptians - Mat drecdy caused the deaM. W NOT enter terminal events such az cerdac artesL respiratory onset, or ventricular fiDnMaaon without showing the aiokgy. List only are cause on each line. ~ Oreet to DeaM but not resulting in the undedying puss given in Pan I. ^ Yes ^ Probabry IMMEDIATE CAUSE (Final disease or t ^ No de r ~lakrrown carMilion resuamg in afhl .~ a. 1~•~.l/~.N3vLyAM 10~ r r 29. If Female: Due to (or as a pnsequence of), r Sequemially list cm6liom, tl arty, D (~ ~ r ^ Nol pregnant within past year to the pose Feted on line a. Due to Pre nanl al time of death Eller UNDERLYING CAUSE (or az a consequence oq. r ^ 9 (disease a inj 9 That initiated the ~~ D tY~ i ^ Nol pregnant, but pregnant within 42 days events resWlin n death LAST. c~ '~W ti ~ r ~ iA r of death Due to (o as a caueyuerx,a op. Q r d. ~ ^ Not pregnant, but pregnant d3 days to t year r before dealn 30a. Waz an Aaopsy 30b. Were Aaopsy Finargs 31 Manner of Death ^ Unknown it pregnant wimp the past year Penomred? Available Prior to Completlon ,,~~{{ 32a. pale of Injury (Month, day, year) 32b. Deschbe How Injury Occuned of Cause of Death4 ~1 Natural ^ Homicide 32c. Place of Injury. Home. Fenn. Street Factory, OHke Building, etc. (Spec~ry) ^ Yes (p No ^ Yes ^ No ^ Aaident ^ Pending investgation 32d. Time of Inury 32e. Injury at Work? 32f. II TransporlaFOn Injury (Specify) 32g, Laation of Injury (Street. city /sown, statel ^ suicide ^ Could Not be Detenninetl ^ Driver / M ^ Yes ^ No Operator ^ Passenger ^ Pedestrian Other Speirty.~ 33a. Cenifrer (check oMy one) 33b. Signature entl TUe of ^ • Certlrying physician (Physican cenitying puce of deaN when another physician has pronounced death and completed Item 23) v J To Ibe best of my krrowledge, death occurred due to the cause(s) and manner as sated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ • Pronouncing and prlUying physician (Physician both pronouncing death arts certifying to puce of death) To the best W my krwrdedge, death occurred at the time, date, and place, and due to the cause(s) and manner as steted_ _ _ _ _ _ _ _ _ _ _ _ ^ ~~ License Num 33d. pate igne0/ (Month day, year) • Medical Examiner/Coroner '----- ~r~J~1~/IC_ ~ r/~O~O On the besis of examination and / or investigation, in my opinion, death occurred at the time, date, and place, end due to the cause(s) and manner as stated_ ^ T lY J 34. Name entl l~tlress of Person Who Compleletl/Cause oI DD1eath (Item 27) Type /Prim 38. Registrar's Si entl District 36. Date Filed (Month, day, year) ~r ~n ~ G~ w I e r v~ ' l/J , - ~ tai ~ir~i i~i ~i ,,yy~.~s c,ic. ~o ~1 t Disposition Permit No. V ~ ~+^~~+~ ` ~ ~ ~_---~ N y ~ RENUNCIATION ~ r ~A:j ~-~= ~ i OD "i= rt"• .__.i REGISTER OF WILLS ~~ ~~; ~ r, !~~> ~ ~ --r_i CUMBERLAND COUNTY, PENNSYLVANIA ~ QC ~. cao ~--_ ~, - ~lE~~ Estate of Charles DeWitt Morris, a/k/a Charles D. Morris ,Deceased I, Florence A. Morris (Print Name) wife in my capacity/relationship as of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Robert A. Morris rye ~a ~~ I ~ (Date) (Signature) 231 East Main Street Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , Deputy for Register of Wills FormRW-06 rev.IQ13.06 (Street Address) Shiremanstown, PA 17011 (City, State, Zip) Executed out of Register's Office Before the undersigned personally appeared the parry executing this renunciation and certified that he or she executed the renunciation for the purposes stated within on this o? 02. day o f J U i'1.-2- a01 C~ Notary Pu151ic My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) COIvIl~10NWEALTH OF PENNSYLVANIA NOTARIAL SEAL Cindy E. Robinson, Notary Public Lemoyne Borough, Cumberland County M commission ex fires June 24, 2012 RENUNCIATION REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA ev ~{ o -: ~.. % .4 } r fi` _ .~_: r~ ~~~ c~ ,~~ ~~, ~' ~- ~~~~ p. v ` ~` , ,. : - ~ c 5~ ~ ~ _ ~ ~ ;~, ~ ~-~ ~ ~- .. .s ~ `~ Estate of Charles DeWitt Morris, a/k/a Charles D. Morris ,Deceased I Virginia K. Brenneman , in my capacity/relationship as (Print Name) dau>;hter of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Robert A. Morris ~. 9 D io (Dat Executed i~z Register's Office Sworn to or affirmed and subscribed before me this of day Deputy for Register of Wills Farm R FV-06 rev. 10.13.06 (Sign u ) 5 eisure Lane (Street Address) Blaine, PA 17006 (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 renunciation for the purposes stated ~~ithin on this 2-9f~' day of ~lv~~ ~ ~t7 ~~Vl Notary P lic My Commission Expires: (Signature and Seal of Notary or other official qua]ified to administer oaths. Show date of expiration of Notary's Commission.) COMMONWEALTH OF PENNSYLVANIA Notarial Seal Zachary D. Kuhn, Notary Public Blain eoro, Perry County My Commission Expires Jan. 7, 2014 Member, Pennsylvania Association of Notaries ra r~ - Q t` .~ ~ 7 ~ i RENUNCIATION ~ ~ a ~ ~~; ° ° . • ~ ~.: .~ ~ ^7 REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA e~ ~ ~" ~~ ~ ~Cle X Estate of Charles DeWitt Morris, a/k/a Charles D. Morris I, Alan D. Morris (Print Name) son Deceased in my capacity/relationship as of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Robert A. Morris (-~ ~_..1,_..._.. ~. o ` ~~ (Date) (Signature) 378 Ogeechee Drive (Street Address) Richmond Hill, GA 31324 Executed in Register's Office Sworn to or affirmed and subscribed before me this of Deputy for Register of Wills Form RW-06 rev. 10.13.06 (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 renunciation for the purposes stated within on this ~_ day of 7~~ a~iJ otary P lic ft~~ pUC! ~~ F My Commission Expires: 1ti!!~'e,S .~ (Signature and Seal of Notary or other officia~ ~,ad,~p(P`P Q ,•••. ~ administer oaths. Show date of expiration of t~y'~ mis,~p . ,\Q •: Q ~ ~ -Wi = God ti . C7\ PJ~~ OJ~l,1 - ~~BERT~ Gf J! day RENUNCIATION ~u'~ REGISTER OF WILLS ~j CUMBERLAND COUNTY, PENNSYLVANIA Estate of I, ~~ ~ C/LP Charles DeWitt Morris, a/k/a Charles D. Morris N d ~~,,, C ~3 I C:~::: ' '.''i rr w '3 L~> .: Deceased Paul A. Morris , in my capacity/relationship as (Print Nmne) son of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Robert A. Morris ~l~~~a (Date) (Signature) 1848 Chasewood Park Drive (Street Address) Marietta, GA 30066 (Cil)~, state, Zip) Executed in Registe~•'s Office Sworn to or affirmed and subscribed before me this of day Deputy for Register of Wills Executed out of RegisteY's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purpos s stated within on this ~_ day of , -~c?~~ otary Public g~ PAM Bl.1CE NOTARY Pt1 My Commission Expir s: CpB6 COUNTY, GEOR(i1A MISSION EXPIRES 9-10.2012 (Signature and Seal of Notary or of administer oaths. Show date of expiration of Notary's Commission., Form RW-06 rev. 10.13.06