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HomeMy WebLinkAbout09-16-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVAN~IA~.. Estate of Stephen R . Thea1 P'1 N ~ ~ ~ ~`" ~ also known as t e umber Deceased Social Security Number 181-52-488'7 Petitioner(s), who is/aze 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 / aze the named in the last Will of the Decedent dated and codicil(s) dated (State relevam circumstances, e.g., renunciation, death ofexeeutor, etc.) Except as follows; Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the instrur~t(s) for probate, was not the vietiin of a killing and was never adjudicated an incapacitated person: e © B. Grant of Critters of Administration (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente tile; duranle absentia; d ritateQ~ ~-"" C~C~ Petitioner(s) after a proper seazch has /have ascertained that Decedent left no Will and was survived by the followin f any~rtd hem Administration, c.ts. or d.b.n.e.t.a., enter date of Will in Section A above and complete list of heirs.) CJ'"~ t~ t- r Name Relatinnahin n_ ____ .~ owrwc, n. r near rather 101 Windrush Lane, Mechanicsbur , PA 17055 Doris D. Theal Mother 101 Windrush Lane, Mecharticsbure. PA 17055 (COMPLETE INALL CASES:) Attach addlNona! sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his !her last principal residence at 4316A11en Road_ Camn Hail i nwerAllenTownahio Cemberland o ~ntv PA 17011 (List street address, tawn/city, township, county, stare, zip code) Decedent, then 39 yeazs of age, died on September 5, 2010 at 4316 Allen Road, Camp Hill, Lower Allen Township, Cumberland County, PA 17011 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 Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ ga 1 O Ct7, O d situated as follows: Wherefore, Petitioner(s) respectfully re probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to the undersigned: ~ ' ~~~ ~ 1' d or rimed name and residence Samuel R. Theal, 101 Windrush Lane, Mechanicsburg, PA 17055 Form RW-02 rev. 10.13.06 Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND 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) v~yue ru administer the estate according to law. Sworn to or affirmed a subscribed b m the ~ e r rv1/ d of _~l ~~ Signature oJPersonal Representative Signature of Personal Representative Signature of Personal Representative r, Estate of File Number: Stephen R. Theal ,leased N 0 ~ ~- A'1 Ci 3 -O G 3 -erT~ Q1 ~7 tJ ~~~ cn `n N ~ Social Se ity N ber:181-52-4887 Date of DeathSeytember 5.2010 AND NOW, ,~ in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters of Administration are hereby granted to Samuel R. Theal in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and filed of re9o~as the list Will~and Codicil(s)) FEES /, 1 Letters ............... $ Short Certificate(s) ........ $ Renunciation(s) $ .. $ .. $ _ .. $ Ct .. $ .. $ .. $ .. $ .. $ TOTAL .............. $ C Regtsre; Attorney Signature: / ~ ~~'" ~ Attorney Name: Andrew C. Sheely, Fsquire Supreme Court LD. No.: 62469 Address: 127 South Market Street P.O. Box 95 Mechanicsburg, PA 17055 Telephone: 717-697-7050 Form RW-02 rev. /0.13.06 Page 2 of 2 ~ -~s~ LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. ~ Fee for this certificate, $6.00 I P 16809353 Certification Number MO[IN flEV t1apJ6 TYPE I MqR N PE1Yaplr ~~ #32-337 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. l~' t o ocal Registr ~ Date Issued COMMONWEALT}1 OF PENNSYLVANIA • DEPARTMENT OF XEALTN • Vn'AL RECORDS CORONER'S CERTIFlCATE OF DEATH (S~e Instructloeu rwl •xamaMs on nwenH -- . tl~ (] Q y~.'Q ~~ N O 3 Al r C~ ~i'<<~T1 C. 7 _r_,: __~ F - ti7Q Ti I. rrra oam twa. NCaI, ma waq - ~~ z. sr sacs awry awra ~.oraorn la.R dx MFO Ste hen R Theal Male 181 - 52 -4887 Se tembe O1 e.~w 0.aa aagryl UWt ImA,ri 0.bw alM, 7. wrba hPYw damN tCltl rYn ~w xe.. r+. rscme Otlrc 39 ra. December 14,1970 Haz'ris6ungF PA ^moama ^s+ro,er., ^ow ^wrgwm, F,atlav par-~: a.cwgdwn a. Q'. oar •l FCeFImaFIYmIbYbWlgwrrlwn1ra) F. wrowwaaa.Fawwywr No ^Yw IO. hw:Mriu,Mn. ask rNm, ac. la>M. ,FNaY Qrm. Ik•aM Cumberland Lower Allen 4316 Allen Road wmurn.Fuwmfbtael White -It. Url awaew rlaa <OFrlrrr 121M,owra rnrmb laowaaKS Frmabn l~,cM «h liVaa PrF U. wMY arc aari,4 a,wr NnY6 16.&Mrp~Itl WI,, 9iw nrflr rrN) Kmaawm mraer.rrrmrr ul Mrtl Faa7 Ermrnryrssrwiy fa,q ca.w 4,iw5.1 waa..e.Olroie~E (SFMy1 HVAC ^vw ®an 2 !Qever Married 16.0.«4w'•Miv~alFr larw ryra+n ar,,lomaq owmn 4316 Alien Road ,4arn.+am, n. a,r PeruLavl is ~ ve [g Yr ow'rrlireb Lower Allen r•o Camp Hi11F PA 17011 Im ca.q CDl~slairi +~a^~~alrae aNn Grew ra F•4rY Ir•mlgat iada•. rr wFq 1& Lmnw•wwVia mri, arwn anrrl Samuel R Danis D. Walters ~. ~aairaY xrr (iM,l F~l'd aoe mbm.il a,rq /eYw (aeFa aq I mr, r mr4) Samuel R. Ttleal 101 Wi rvir„wh zn armaar}wwr ^anrton ^mr. za. or.ao~Famw Prtorr. ro.aW ztarwa Yi aw ^ arms eua ar vmFaaar,nw MrYrAariwe oYpara,(Nar.dwirlap mwaldyaarr aaN nalnwYw lC7Mr m.n rr. Fawey ^ aw-sF.ry: ~Frrwor,`.rlaarr ^rw^,w Sept. 13, 2010 St. John's Hill PA /+~ F,ro•crgwNr) mUOaa, rnn.r za lbm,wusraF.aq Za Way GrL.! 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Pending Investigation ~ ^~ ^~ i a.l Fwam arbl«r,mwaNO dl. i ^ N01«NOa.iliipay.r b 4 1~rtlmM, ~~ ~ ^ Favw,a Nr sacs Fear armtrwofwla[ dmbl«ramaaFa,o dl: Idr«~bNllayyl.G m~ i ^ Nolggc~.waq~w •ain~2hM wMYr ~r.gnoml wr °~ asm m1«a•mrgm al: r C. ~ ^ as pgaa. wp•pr,N4M b l Ma j Ollol•Ea11 $~ .~ ffiWn/iaoMY~~Y 7L aanaaDrr as aral~„twrs eFr:IM ate.orab ravmhry OmnN ^a~limwil«•prY aNnhpal pa A,IItlF PA«bCwpWen 7'rt lOaa q,~ Ilaw FYN awl Falorp •pr aa.Faorwr ^M++a ^xswlw OewB~jwc.(~1 Plw ^w ^rw ~aF ^~+ '~FaanpmwrNNri sn,mrabiav za.eNyaaoa+ ~.FriaapaaFa~n}ry lSwraii w0. memaryur lawt agrbw~,srl ^a:m. ^eweaae.GNNnw r ^w ^w ^o".a'onaa^'^Fw,apr^Fmmn a+w-&.W' bl. caYaldrraayaW 7a. 8~inFFw • 4aflN Fb'•mblphaeln aFMMrwur aeaN rr~aararr,iynnw wmweariwmnprc rma~l yea.mrawylnnN/AriMaaamOrrrYraFygw.raa.rrwl__---__ ^ ~ ------------------------ oroner mwwraMr~F>~ 9Aadr ean~Flrw. Mbb~ aarNl --- a.tkwr Nrea as lLb84adllbr.4a. nnl • Imibl6wY./C«rr rryp rF arrrrar--------------- ^ o.rrwa..a.r,..rr«mnr~rlmwvraa4ewnmww/aa.r..,ar,wFrrwrra.dmyyw...m,rrrL~ Nn~amgfasyp~ey~mpymy~ep~r pry mrwS.e tember 10 2010 a aprw.womm zeowwapbq ap, Fa7 ~ 63756 l:BehCKen'IOdG2 SI:O~TeOII#i rvw Mecbaaicsbur Pa. 17050 P,,,a„„ 04978 1 R~GOP,nEO ~~F!CF OF REGIS i ct~ ~~ ~h,,~ `c RENUNCIATION 2010 SEP 16 AM 8~ 52 REGISTER OF WILLS ,S ~~ CUMBERLAND COUNTY, PENNSYLVANIA~~LAND CO., PA /v -~~~ Estate of Stephen R. Theal ,Deceased I, Doris D. Theal , in my capacity/relationship as (Print Name) Mother of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Samuel R. Theal vy`-'1~~ (Date) 101 Windrush Lane (Street Address) Mechanicsburg, PA 17055 (City, State, Zrp) Executed in Register's Offue Sworn to or affirmed and subs of Wills Executed out oJRegister'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 Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) Form RW-06 rev. 10.13.06