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HomeMy WebLinkAbout10-20-10PETITION FOR PROBATE AND GRANT OF LETTE REG RS ISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of R O v W. F r i. t z also known as File Number ~ + 1 tJ _ 1013 Deceased Social Security Number 1813 2 5 6 3 9 rcuuoner(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 E X e C U t 0 r last Will of the Decedent dated 3/ 2 6/ 2 0 0 9 and codicil(s) dated named in the Except as follows, Decedent did not mar (State relevant circumstances, e.g., renunciation, death of executor, etc.) ry, 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: ^ B. Grant of Letters of Administration (Ifappltcable, enter: c. t. a.; d. b. n. c.t.a.; pendente life; durante absentia; durante mtnorttate) Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if an and Administration, c. t. a. or d. b. n. c. t. a., enter date of Will in Section A above and complete list of heirs.) Y) heirs:(If C © ~, -- k r~ -p c' ~ _ rn- -~ ..'~~ ~ (COMPLETE INALL CASES:) Attach additional sheets if necessary. _ .. J - f - Decedent was domiciled at death in Cumber 1 a n d l ~ ~ Market S t • County, Pennsylvania, with his /her last principal~esidence at c~ O 4 ` ` ~T' New Cumberl an PA 17070 ' =~' List street address, town city, township, county, state, zip code) ~,~3 Decedent, then 6___ 8 _____ years of age, died on 7 / 18 / 2 01 O Middlesex Tw acClaremont Nursin & Rehab Ctr Carlisle Decedent at death owned property with estimated values as follows: P A (If domiciled in PA) All personal property (If not domiciled in PA) $ (If not domiciled in PA) Personal property in Pennsylvania Personal roe $ Value of real estate in Pennsylvania p p rtY in County $ 1104 Market St., New Cumberland, Cumberland Co $, PA 173,487.50 situated as follows: the undersigned: 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 a ro ' Signature PP Pnate form to Typed or printed name and residence Danny L- Fritz 745 Glen Arden Drive Lewisberrv Form RW-Ol rev. 10.13.06 Page 1 of 2 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 bes the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and trul t of administer the estate according to law. y Signature of Personal army L•,~tz, Executor Signature of Personal Representative C7 _o Q ~' - Signature of Personal Representative O '~?T~ r,-, ~. F~7~t :n -' " -- File Number: a-~ -~~-- ~ ~~ -~~-L ~-, -1 Estate of R o W • Fritz Deceased -["7 ---! O `TJ ___ _ ~~ W ~ ~ ~_. c.^ Social Security Number:1813 2 5 6 3 9 Date of Death: 7 / 18 / 2 010 AND NOW, having been presented befo Mme, IT IS DECREE ~ /~ ~ in consideration of the foregoing Petition, satisfacto ro DthatLettersTestamentar rYP of are hereby granted to Dann L• F r i t z and that the instrument(s) dated March 2 6 , 2 0 0 9 in the above estate described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. r 1. _ FEES Letters ...................... Short Certificate(s) ..... Renunciation(s) ......... ..... $ ~~1?_.~ ..... $ .... $ _ ~ . .... $ ~~'~,p~~2 .... $ ~_ $ ~_ .... $ TOTAL ............................. $ S Form RW-02 rev. 10.13.06 Attorney Signature: Attorney Name: Address: 414 B r i d e S t r e e t New Cumberland PA 17070 Telephone: 717-774-7435 Page 2 of 2 Sworn to or affirmed jan~d subscribed before me the ~ lam' '~ ,~a~, „f Supreme Court I.D. No.: 3 9 7 8 5 ,ub.KUS RL'V (01/077 a~-in-i~y.3 _ __ 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 16587587 CertificaCion Number REV ti/1D08 'PRINTIN COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS cKINK CERTIFICATE OF DEATH (See Instructions and examples on reverse] 1 Name d Dacedea (Fhsl, nedde, 4s1, w5ir,) STATE FILE NUM9fR Roy W . Fritz z. set 3. sa:w sassy Nadrer This is to certify that the information here given correctly copied from an original Certificate of De: duly filed with me as Local Registrar. The origii certificate will be forwarded to the State Vi ecords fice~,permanent filing. /~ ~-JUL 2 0 2010 Local Registrar Date Issued ~~ ~~~ ~~~ ^.. CJ~~ 3Q ~l 1 V rv 0 0 0 r-7 N O wW W Ln C r-, , . , ~_a:,: , J _-. _, -. :_i •'~ l l e. Aga(Leggmhdarl unmr, r ""°° ° ' Under t w 8. Data of Birth (Month, say, r 7. Bhtlgym CAy end al e Male 181 _ 32_ 5639 ~ ~Julyh~18,rv2010 ___. 68 Y,, w M°"e trnur Sept. 28, 1941 s or b aw nhvl Windber PA 9e. Flom a DwM (Chedr airy aa) "°°""'l' ~~ W. Carry a DnM Cumberland &. CAy, Bard. Twp, a OuM Middles , Ed. FacEty Name (K nd AWAutlon, pNa eBeN erq rawber) ^ Irpe5ul ^ ER / o - ,lent ~ ~ ^ ODA ®Nuryny Home ^ Raaidsnce ^qhe.. fly. swwD d it. Demden'e UwN ex Twp, Claremont Nursin & Rehab Ct g .m amdHepa„e;on~,T (d yw, eped,y CaAen, ~ N0 ^ Y°8 10. P+cri: Armmm~ i ~ ~- .k White ex d wdA done moo d aa. Do nal riN ra Electr`~~ian E 1 ~`~ d 1" 12. Wae o'~"w•r"M. U.9. Armed forwT • ,9.°.ma"'r'EdamSan(~,radvn~.letidamm Ebbr / 9 P •AMaican, Pue:b R,mn, sb.) ~ 1/. Mahal 9aM : A lar r W Neve M (~~ . . White 1S. Deadrq'a _ M ( ~• ~) L~}Yw ^NO ~t, I L ry (a12) c0~ee (u a 5y ~ r erMd~ lw ~ g ( Ne er 1~ar7i i ed 75. Su ~ro 9pgma nr wlre. give mal0an name) 1104 a ke t Stre t New Cumberland PA 17070 DeCde""' Aauy ReeidN,m ne sub PA did Damdent ~'"b' , ,aF,~~ (Fen miade, 4q, edPor) ,Ta.^Yw,D.cee.duw" t>b.cwmy Cumberland T°w""°pT ,,,.®,~•~ New Cum r"p James N. Fritz er an Aduel Limip d ,A.AbwsNemel~e4mMde ~) ~/~ '•Da. Adamegy tlrw (TypeyPdd) Anna Mance Danny L. Fritz ,M .,.,....,._._s_... ._ i ^ ~ ^ Unknoxn 29. K Femur: ^ Na pregrmnl wAhm pal year ^ Pngwm a, Ame a maM ^ Nd Pregr'W, M pregMnl wiM" 42 days a dash ^ ~ Pr•gnue. Wt pregnnanl /3 Wye to 7 real baton dwlh - ^ Utl«rlowrr a PrepMnl wAfrn Mt pas Year 3za. Plain a ~ a.,k: F QIAm BuAdrg, ek. (~/varyr ~"7. z,a.ado ^°^ ^ z,DDa,a 745 Glen Arden Drive, Lewisberr auriM ^ Rennrel ran Esu ww Cr.twtb„ a Damon AWgdtap D1ewrtlan (IAaMh, ar, Yasl 21c. Plem d D'npoeiUOn (Name a anrlery, ~ry a olha Wn) y . PA 17 3 3 9 ~~'~+r ~ WaedkdELmNUryCOrarrT ^Yw^~ July 22, 2010 Tri-County Memorial Gardens 2ia~amAW(CNY'kwn'>fa'a,opawe) _ {a aawq w each) 2ffi. Uanw Nunha - z2c. Nerve and AdMew a F.aty FO 012342-L Stone & MurrayF•H., 408 3rdeSt.,New Cumberland,PA17070 PDYaian ~ ~M'~tll~tl ~ d deiM b ~ r b~d0a, daM oooxnd u rr tlme. dw endMam aatYd. (SipnaDae and tltls) mmy mwe d dwn z3D. Umnse NumWr 23c. Dab Signal (MpnM, Wy, Year) n.m 21-26 mud a rxnpbted M person 2a. rime a aeM 25. ow Propulced _I 7 y A,P.P' ~ '~ . I -- wro panuars dash. (Abmh, dw. run M. eam 27. Pan C Emer Me alb d ewrr _ CAUSE OF DEATH (eaa htsDVelbna aruf e dhsuw, aihales, a ampAmtlorw _ d1e ' ceuw Ma death. DO NO erur~ r APPrmAwte imern mpirabry amp, a rardnaYar ADrYYAOn wAfgd ahowln9 the etldogy. flat aVy aemme an eedt Are. ~'l ewta each u evdlac arrw,, r Onsa b Dwell TE CAUSE FAW disease a r rwdelg"~) -~ e. NAJ r - $unn LL LE{.L r aed~AU mnAtiana~ A ury, Due b (a u e aonaequnm off: ~ ^~K,a GA G Error b salsa AYed an 6e a D' (~ Ut~ERIYEq CAU9MEe Due b (or n e W Wa9rer,n d): , . erelb laaa daaM$D C. 1 Due b (a u a mnaegpnm oq; i tl. r r 30a AUbpsy 30D. Wsre Aubpey Fnr6pe 31. A,Yeler d DNM ~ d ~e ~C7alpleeon ~ ~N ^ H~a 32e. Da4 d M(wY MaM. OeY, Yuri 32b. Desmbe How Injury Courted ^ Yea ~ No ^ yw ^ No ^ Aaidant ^ Per. dnA ewuligaticn 32d. Time d Nqury 32e. AdaY et Waal was uew rlelema b Madm, Ezemiwr / Caa,er M a ^ Yaa ~,~ Dal na1 rnubnp in die Wanypq ~Wy ymm n Fan I. 32t. B TrmpaNwn mhaY (SwrraY/ 33a. Clrpwr (dytlrody ow) ^ Suidde ^ Cai1d Na M Deyminad M. ^ Yu ^ No ^ Omw / DPanbr ^ paaswgar ^PaWS"an ~B. Lomtlan d Vpuy (Ertel, mY I br OMer ~ SPaar1' To S,a ~ a ~ (~ytidtn mroyaiy save a auM wren umi« prya;aar, htt Prawaaw awn ara 9ipleuae aroTEe a ceranx 93h. mY IwowMdge, deed) oeaurred Ma b the mwyal sad mamar w sued„ _ .. _ . _ vein z31 ~= • T°P tMDM a nN AnowNdpe dwtlr oaawnd q tM pdp pwNt) and) maaw w tmarL _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ ' 33d. Dam Slpntr Medial EaamYsar l Caowr 33e. Limrue Nurnhar On tlr W W d t+wdnNkn rW / a "wetgttlon~"ml' oWaon~ awM aaumd a mt Bme, aw~ wa Prw. wa aw b ur wa.gs) rod naetw w mrd_. ^ ~•~ ~ dY1G 4H- L RePsuar' an0 3r. Nema uq Adtraae d Penan Who CaraaetW Caine d DuM (Mrn 27) Type / Pml ~~ ~ I ~ I ~ I ~ I 7~-ale~''~y J4~ . (~ '" ens G "~• ~sc~', .,a ImMm, day, yurl 7 /4• /0 u oe0 F,bpE' Ro bN°t~4 P~ /7 o4~9~Z9s ° Z.s Pomp Na. F:-\DvCS\E5\WILLS\Fritz.Roy.wpd LAST WILL AND TESTAMENT OF ROY W. FRITZ I, ROY W. FRITZ, of the Borough of New Cumberland, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITEM I: I devise and bequeath all of my estate of every nature and wherever situate to my brother, DANNY L. FRITZ, if he survives me. ITEM II: I appoint my brother, DANNY L. FRITZ, Executor of this my last will. ITEM III: No fiduciary acting hereunder shall be required to post bond or enter security for the faithful performance of his or her duties in any jurisdiction. IN WITNESS WHEREOF, I,/R~OY W. FRITZ, have hereunto set my hand and seal this ~~ day of ( ' ~ ~_L,` 2009. ROY W./FRITZ c~ ,~.., { c ~ ~,m.~ ~~~' ~rT~~ _ t~ _T _ ~~ ~~ r\„~ ~ ~ `-J t ~ ~-~ ~ .~7.. 4 7 TJ ~ , ,~ - ~-.. --1 <~ ~ -r Cam) ~`'~ t.:? ~,- , Page 1 of 3 SIGNED, SEALED, PUBLISHED and DECLARED by ROY W. FRITZ, the Testator above named, as and for his Last Will and Testament, and in the presence of us, who at his request, in his presence and in the presence of each other/'~hav~ subscribed our names as witnesses. Wi 4i4 Brid e St. New Cumberland PA Address ne COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND ~ SS: 414 Brid e St. New Cumberland PA Address I, ROY W. FRITZ, the Testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to law do hereby acknowledge that I signed and executed this instrument as my last will; that I signed it willingly and that I signed it as my free and voluntary act for the purposes therein contained. ROY W FRITZ Sworn to or affirmed to and acknowledged before me by ROY W. FRITZ, the Testator, this~~ day of ~~~ 2009. GOMMQN'NEAl.~i y Qc p~NNSYLVANfA ~~At'-~"'""' BROKE E, ~'Ei.:~PPA, Notary PubJlc New Cumberland Born. Cumberland Co, M ~miss;on Tres June 5 2012 page 2 o f 3 ivotary Publi COMMONWEALTH OF PENNSYLVANIA . SS. COUNTY OF CUMBERLAND . We , ~AV:~1 ~-, S~ Q and ~nr, ~~~' ~ - rfl-P ~^, the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, depose and say that we were present and saw Testator sign and execute the instrument as his last will; that Testator signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the will as witnesses; that to the best of our knowledge, the Testator was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence. Swnorn to or affirmed to and acknowledged (before me by ±.I GV ~ C~) l~ , ~'d(~.c.. and 3Q~nr. h~r~ R ~ ~~,~/~,Q . witnesses, this~,~ day of ' ,a'.~}'~C_~ 2009. COMMON'NEALi H Ot= PENNSYLVANIA K~-~! .~=-- NUTARiA!' Ste- Notary Publi BRCIUKE E. ~-Ei..EPPA, Notary Public New Cumberland Boro. Cumberland Co. M Commission fires June 5, 2012 Page 3 of 3