HomeMy WebLinkAbout08-30-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of Leonard M. Woodring
also known as
Deceased
COUNTY, PENNSYLVANIA
File Number r-~e ~ ~' 1 V ~ ~~
Social Security Number 205-42-2194
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW.)
A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the ~...w~ named in the
last Will of the Decedent dated and codicil(s) dated ~ -'
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L Gal
(State relevant circumstances, e.g., renunciation, death of executor, etc.) ~" ~--'~ ~"''~ -
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Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after executiton"_a'f;~h~ instrtr~ent(s}offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: '• ~V) ~ '~ '
~, .
®/ B. Grant of Letters of Administration ~r
(lf applicable, enter: c. t. a.: d. b. n. c. t. a.: pe»dente life; durante absentia: durante minoritate)
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. c. t. a., enter date of Will in Section A above and complete list of heirs.)
Name Relationshi Residence
Trudy L. Woodring Wife 683 Magaro Road, Enola, PA 17025
(COMPLETE INALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at
683 Magaro Road, Enola PA 17025
(List street address, totivn/city, township, county, state, zip code)
Decedent, then 58 years of age, died on August 2, 2010 at Holy Spirit Hospital, East Pennsboro, Cumberland County,
Pennsylvania
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ 125,000.00
(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: 683 Magaro Road, Enola, PA 17025
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:
Sienature Typed or printed name and residence
Trudy L. Woodring, 683 Magaro Road, Enola, PA (7025
Form RW-~2 rev. 10.13.06 Page l of 2
~~
4
C\
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
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 ~ ~'
_, _ Signature of Perso l Representative
before me the ~~t--~ day of
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t i (.? , ~'(. ~ ~~ ,-- ,~~ ~
Signature ojPersonal Representative
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For the gister Signature of Personal Representative ~~ ~,`)
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File Number: ~~ -~
Estate of Leonard M. Woodring ;yrDec~ased
+~ `,
Social Security Number: 205-42-2194
AND NOW, ~- G , O~~ l~ , in consideration of the foregoing Petition, satisfactory proof
having been presented b1 fore me, IT IS DECREED that Letters of Administration
are hereby granted to Trudy L. Woodring
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 ............... $ f_Z.(1~ G - C3Z~
Short Certificate(s) ........ $ v • !~
Renunciation(s) .......... $
~, ~~ ... $ ate.
~e.
... $
... $
... $
... $
... $
... $
... $
TOTAL .............. $r~~ •~-9:89
Date of Death:8/2/2010
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Register of Wills ~~,~.~ rC~~t,C.~•t ~ (,~
Attorney Signature: t~
Attorney Name: Frank J. McNaught~n, Jr., Es wire _
Supreme Court l.D. No.: 57947
Address: 1926 Apple Street
Williamsport, PA 17701
Telephone: 570 220 8044
Form RW-02 rev. 10.13.06 Page 2 of 2
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~i) ^~
CERTIFICATE OF DEATH
(See instructions and examples on reverse) STATF F11 F NI IMRFR
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H105-743 REV 11/2006
TYP£ / PRBJT IN
PERMANENT
BLACK INK
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t. Name d Decedent (Frst. nddr/e, last, suffix) Leonard M. Wood ri n g 2. Male 3. Sacial~y Number42 - 2194 4. Date of Death (MO~t~.lj~{ 2, 201 Q
5. Age (Last BirttWay) Under 1 year UrWer t day 6. Date d Binh (MOnN. day, year) 7. Birthplace (City and state or fore country) Ba. Place of Death (Check only one)
58 "^°^"° oars "°ws Mn°re= July 1 n Is owns i Hospital: omen
Yrs. Inpatient ^ ER /Outpatient ^ DOA ^ Nursux] Home ^ Residence ^Other -Specify:
8b. County f Death
Cumberland 8c Ciry, o, T f Death
~as~ennsboro 8d. FacdAy Name (If not instpuYgp ear tondo ry~pj~ ital
,~ ~ nai p 9. Was Decedent of Hispanic Origin? ^ No ^ Ves 70 Race: AmeritvyyYldiaOeBWck, White, etc.
(lfyes.specifyCuban, (SP~~ 11Y[1lL
Mexican. Puerto Rican. etc.)
11. Decedent's Usual Occsr Lion Kmd o1 work d one dunn rtast of workin life. Do not state retired) t2. Was Decedent ever in the 13. Decedent's Educatbn (Specify only t>Ighest grade compl eted) 14. Marital Statu~f~~~NCever Married. ' S Survivmg $F~ (If f , rve e)
Widowed r~ ~, u~+Y ~• tYtlll~f
Owti~t°~erator ~Ul14tl~7n U. S. Armetl Forces? Elementary ! ondary (0.12) College (t-4 or 5t)
^Yes ~,q(o
16. pavidpniillailjaq,,4~~(psrlSTreet_tiry /town, state. zip code)
at ai 1'COaU
CaJ IYla Decedents Did Decedent
State Live in a 17c.~Yes, Decedent Lrvad in Twp.
sidence 17a
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A
t
y
PA 17025
Enola .
ua
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Township?
lived within
ede~t
17d. ^
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otmry
t 7b.
Ciry /Born
Actual U
18. FaNer's Name (First, middle, last su8ix) Lester Woodri rig 19. Mother's Name (Frst, middle, maiden surname)
20a. Informant's Name (Type /Print) Trudy L. Woodring 20b. IntomsanCS Mailing Address (Street, dry8~r$ sl~$9A4AD ROa no a,
21a. Method of Disposition ^Cremation ^ Donation 27b. DatAu USt jnM1ort(hOdpy,year) 21c. Place of Disposition °f~ ry qt ~grplace) ltd. Location ICiry /town, state, zip code)
~ 7 U ~~~u~~ ~`~r Jr
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riot ^ Removal from State 'Was Cremation or Donation Authorized
M e c k s Corner P A
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~ 22a. ~ of Funeral Se ~ Licen (wpe acting as such) ~b~~'~1662-L ~`~NameandAtldress~ Funeral Home, Inc. 37 East Main Street Mechanicsburg,
. ~ .
e n c Dory when certifying
an is not available at time of death to
a cry cave of deatn. . To the of my knowledge, death rred at ttte time, date and place stated. (Signature and tttle)
r ^
n i~' ~1.,(.1~ /~ y~ 23b. License Number
r~ r
~ I V ~ ~ `~ ! ~ Li/ 23c. Date Signed (Month, day, year)
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Ti of Death
24 25. Date Prwatxtced Dead (Month, day, year/ Case Reterced to Medical Examiner /Coroner for a Reasah Other than Cremation or Donation?
a
s
26. W
Items 24-26 must be corrtpleted by person
,' wfa pronounces death. .
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LvJ ras ^ No
CAUSE Of DEATH (See instructions and ampies) r Approximate interval: Part II' Enter other siatificant conditions cdntributvw to death, 28. Did Tobacco Use Contribute to Death?
Item 27. Pan t: Emer the stain s>f events -diseases, injuries, or corttplicalbru -that dreuYly caused the death. DO NOT enter terminal events such as cardiac arrest, r Onset to Death but not resulting let the undedying cause given in Pan t. ^ras ^ Probably
respiratory anent a ventricular fibdYation wdhoN stwwing the etiology. List only one cause on each kne. ~
^ No nkrawn
IMMEDIATE CAUSE (F'ina4 dsease « ~\ 1 ] I _ r
corWRien restlting in th) a
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29. If female:
ear
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ass
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Due to (or as a consequence of) r
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preg
an
^ Pregnant at time of death
r
SequentiaXy list conditons, it any, b
.
leading to the cause listed on line a. Due to (or as a rxxtsequence of): r
~ ^ Not pregnant, but pregnant wdhin 42 days
Enter the UNDERLYING CAUSE
(disease or injury Inat inNated the c of death
events resulting m death) LAST. ~
' Due to (or as a consequence of)' r ^ Not pregnam, but pregnant 43 days to t year
before death
~ d, r ^ Unknown it pregnant wi8un the past year
30a. Was an Autopsy 30b. Were Autopsy Findings 31. Mannerpf Death 32a. Date of Injury (Month, day, year) 32b. Describe How Injury Occurred 32c. Place of Injury: Home, Farm, Street, Factory.
Office Building
etc. (Speciy)
Pertormed? Availade Prior to Completion
of Cause of Deem? atural ^ Hortwcde ,
Y
~
. ^ Y ^ Acadent ^ Pendng Investgakon 32tl. Ttme of Injury 32e. Injury at Work? 32f. II Transportatlon Iryury (Spadry) 32g. Location of Injury (Street city I town, state)
^
es
o es L~rvO ^ Suicide ^ COUId Not be Determined ^ Yes ^ No ^ Ddver /Operate ^ Passenger ^Pedestnan
M Other -Specify:
33a. Cerhfier (chedr only one)
• Certifying physician (Physician certifying cause of death when arather physican has pronounced death and completed Item 23)
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_
death occurred due to the cause(s) and manner as stated
knowled
To the best of m
e 330. Si lure and Title A(er. ~~
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• Pronouncing and certifying physician (Physician both prorauncing death and certifying to cause of death)
To the best of my knowledge, death occurced at the time, date, and place, and due to the cause(s) and manner es stated_ _ _ _ _ _ _ _ ^
- - - _ - - _ - - _
C 33c. License N
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oroner
• Medical Examiner /
On the basis of examination and / or investigation, in my opinion, death occurred at the time, date, and place, and due to the cause(s) and manner as stated_ ^ yf N
Completed Cause of Death (Item 27~ Type /Print
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