HomeMy WebLinkAbout09-23-10PETITION FOR GRANT OF LETTERS OF A
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Estate of Robert Garner No. /
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also known as To:
Register of Wills for the
Deceased. County of Cumberland in the
Social Security No. 197407436 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, appl ie s for letters of administration
(d.b.n.; pendente liter durance absentia; durante minoritate) on the estate of
the above decedent.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with
his last family or principal residence at 707 Sandbank Road. Mt Holly Springs PA 17065
(list street, number, Twp. or Boro.)
Decedent, then 58 years of age, died 9/24/2009
at 707 Sandbank Road. Mt. Holly Sorinas. PA 17065 ~'
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property $ ~
(If not domiciled in Pa.) Personal property in Pennsylv ania $
(If not domiciled in Pa.) Personal property in County $
Value of real estate in Pennsylvania $
situated as follows:
Petitioner has after a proper search ha ~_ ascertained that decedent left no will and was survived by
the following spouse (if any) and heirs:
Name
n rn r Relationship
n Residence
98 Doublin Gap Road
wvi PA 17 41
N n P r
h r 133 Lincoln Street
I n PA 1711
THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the
appropriate form to the undersigned.
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~`=`~~ Newville PA 17241
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland 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 above decedent petitioner(s) will well and
truly administer the estate according to law.
~~
Sworn to or affirmed and subscribed
before me this ~ day of v
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Re ister ~=
No. ~l-10- IxIQ/
Estate of Robert Garner ,Deceased
GRANT OF LETTERS OF ADMINISTRATION
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AND NOW ~_ J ~ ~~.~..,IJI(,~ 1~1k'.~ `~~~1 ~ , in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that Jason E. Garner
is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration
are hereby granted to
Jason E. Garner
in the estate of Robert Garner ``~~
C.~ `~,~J~- -
Register 4Uia#S' r
FEES Karl E. Rominger ---- - ~-------_._.__.._.._..._._.
Letters of Administration . $ ~l. 81924
Short Certificates ~ ) . $ ~' ATTORNEY (Sup. C[. LD. No.)
$
TOTAL $
Filed A.D.~~
155 South Hanover Street
Carlisle PA 17013
ADDRESS
717-241-6070
PHONE
105.805 REV (01/07)
~~ ~~~ ~~
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 15730197
Certification Number
ti
Hi05.iM REV 112006
TYPE /PRINT NI
PERMANENT
BLACK INK 1132-107
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 for permanent filing.
~~~ ~ ~c~c~~nex" SE ~ 3 0~ 2009
Local Registrar Date Issued
COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CORONER'S CERTIFICATE OF DEATH
(See instructions and examples on reverse) STATE FILE NUMBER
1. Nana d Decedard (Fhel Mdde, Yr, nl6e) 2 Sae 3. SadH Sawdy Nun« ~ 4. Der d ONN (Mont, ay, year)
Robert F Garner Male 197 -40 - 7463 September 24, 2009
5. Apo (law BiNrdaY) tlms 1 thrar 1 8. Dar d ant (Mph, ~ r) 7. C and emr « alaarYl M. Plea d DseM txral are
,taw Orya Nwn Mnwr MaaPMel: Otlrr.
5g vn. March 4, 1951 Carlisle, Pae ^Iryslient ^ER/Culpetknt ^DDn ^Nunkp Nana RpMMaw ^Olrr~spady
• eb. Caery d DrM lk. CNy. Twp. DaeM Bd Feday Noma (N not hetllutlm, Wre ahrr vitl nun0er) 9. Wr DeadeM d HleOarlc pIVh7 .~] No ^ Ya 10. Rea: Anrnrm Indian. Slack, WNte, et.
Cumberland South Middleton
707 Sandbank Road Ny,~p~q~ ~,)
("~~~ ( White
DenduiPa llasl kid d work der moN d aa. Do M era
• 17 12 Was DeadeM ever h Vs 13. Daadenra Edraaon I~b aN t grade c~Drbl 14. Aledrl Skins: Herded. Never Mertrd, 15. SurvNeq Slswa (" wde, gHa rnelan rerre)
.
IOnd d Wok Kind d Bwires I IMrhy U.S. Armsd Faraa7 Elementary / SeawMery (P12) CdlaOe (1 J «5r) Wklowed~ Dhoiatl
®Ya ^~ 12 rs ivorced
. 16. Decebrde McYnp Adaea (Shad, dY I rrm, ors, dP ode) Drloetlenrs ~ Did
five h e fro. ~ Yoe. DeaONN tMed h Cn _ M i cl c31 P_ ttTn Tw,~ - rT')
Acrd Raidaria na. seta ~4
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2a. Inbrmsnt'a None (TYpe / Prha( 20b. hhxmerRa Meehg Adaea (Sbrr, aY / bwr4 srr, dP code)
Road Newville Pa. 17241
21a AMdiod d Drpoaaon ~J CremYlon ^ Daiadm 21b. dale d Dklsatlan (Madh, dry, year) 21a Plan d DrpnMlan (None d arrsry, aamamry «otnr plea) 21d. tnatlori (CkY /town err, ap deal
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CAUSE OF DFJRN (Sae Irutrrelbna arse axampNS) r Apprains hfervet Pad II: Feder adrr 28. DN Tabaaa ilea ContMUle r Drd17
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mpreMy rraL a vantdaYr NhrYtlcn witlioW ewwhp tlr etlobg/. tlq my an wwa a rdl Mr. r ^ ~ ^
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drm oaernd daato tlr auaa(a)ard msarraddad_________________________________ ^
To tlr haHdory hllawladpa ` Coroner
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_ _ _ _ _ _ _
_ To tls Oeatdny dlawrdAR dealN OCarmd Mint alr,dar.sr place. rrddrb Ma waala)and monsrr arrd___________ September 29, 2009
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PA 17050
Mechanicsburg
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RENUNCIATION
REGISTER OF WILLS
Cumberland COUNTY, PENNSYLVANIA
Deceased
Estate of R F. rn r
I, n P r , in my capacity/relationship as
(Print Name)
r of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
nr
(Date)
Executed in Register's Office
Sworn to or at~rmed and subscribed
before me this day
of
Deputy for Register of Wills
(Street Address)
~~__~+ n PA 17113
(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 renuncia ' n for the
,,,,,-r,~ce~ stated within on this day
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Tommie L. Petals, Notary Pt~blio
Carlisle Boro, Currtbertarx! Courtly
My Comrrtissiort E~ires Sept 9, 2011
Form RW-06 rev. !0.13.06 Member, Pennsylvania Assoclatbn of Notaries