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HomeMy WebLinkAbout11-16-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland Estate of Mary Virginia Gipe also known as Deceased COUNTY, PENNSYLVANIA File Number ~ ` ~ (,1' ~ ~ ~ Social Security Number 212-38-8556 Petitioner(s), who is/are 18 yeazs 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 named in the last Will of the Decedent dated and codicil(s) dated (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 bom 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 (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendentelite; duranteabsentia; duranteminoritate) Petitioner(s) after a proper seazch 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 Relatlonshi Residence Richard T. Gipe, Sr. spouse 7500 Molly Pitcher Highway, Shippensburg, PA 17257 ~© ~ ._~~ ~ (COMPLETE INALL CASES:) Attach additional sheets if necessary. -~~-~ ~ ~ ~ _~ e~ ~ ` C Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last princtp~r .fy~L `f~,ce at _ ~ ~ -; 7500 Molly Pitcher Higltway. ShinyensburQ, PA 17257 1 ~ 0'~ G.. A~-pd DN 'Tt,..Q . ~: ~~ <T _ ~ (List street address, town/city, township, county, state, zip code) C..~ C•7 ~ 2s C.~:' r;-') - ,.. Decedent, then 68 years of age, died on November 18, 2008 at Shippensburg Health Care Ceu3 ~ Q :;'> -a ~.~, ,~ _. Decedent at death owned property with estimated values as follows: ~"~ (If domiciled in PA) All personal property $ 0.00 (If not domiciled in PA) Personal property in Pennsylvania $ 0.00 (If not domiciled in PA) Personal property in County $ 0.00 Value of real estate in Pennsylvania $ 0.00 situated as follows: being opened for purposes of litigation 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: Si a e T ed or tinted name and residence Richard T. Gipe, Sr. 7500 Molly Pitcher Highway, Shippensburg, PA 17257 Form RW-02 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 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 /-v~~If!/ / ~.~i ev ~ ~ Signature of Personal Representative ~ -" ~ -~ ' ~`~ before me the day of ~ r ' . ~~/q ~ ca -q ., .:~ O ~ ~'•tJ O Signature of Personal Representative - _ - ' ~ ~ J ` ( F r the Register Signature of Personal Representative ~ ~ ~ .ry ~ ' -~ i-~i O ' ~ ~} n ~ ` .~ , . W File Number: Estate of Mary Virginia Gipe ,Deceased Social Security Number: 212-38-8556 Date of Death: l l/18/2008 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 Richard T. Gipe, Sr. 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 ............... $ Register of Wills Short Certificate(s) ........ $ Attorney Signature: Renunciation(s) .......... $ $ C thi M. von Schlichten, Es uire Attorney Name: Yn q • • • $ Supreme Court I.D. No.: 306527 ... $ ... $ Address: RJ Marzella & Associates ... $ 3513 North Front Street ... $ $ Harrisburg, PA 17110 " ' $ Telephone: 717-234-7828 ... $ TOTAL .............. $ 0.00 Form RW-02 rev. 10.13.06 Page 2 of 2 REV346 EX (8-92) FOR REGISTER'S OFFICE USE ONLY PA DEPARTMENT OF REVENUE Couuty Code Year File Number ESTATE INFORMATION SHEET '~--~ p llECElU1r;NT 1NlHUKMAIIUN: Enter data as it will appear on all documents submitted to the deaartment Name (Last) (First) (Middle) Gipe Mary Virginia Decedents Social Security Number Date of Death Date of Birth 212-38-8556 11/le/2008 11/16/1940 "I'YYE FILING: Enter check / mark to indicate the nature of the return to be filed with the de artment. ® Probate Return ®Joint Assets Only ®Estate Tax Only ®Litigation Purposes (No Other Assets) TERS GRANTED: Enter check (/) mark to indicate the nature of the proceedings at the Register of Wills Office. Attach additional sheets if ex lanation is necessa ® Testamentary ~ Administration ®No Letters ~ Other (Please Explain) ORNEY/CORRESPONDENT: Enter all data concerning the attorney or other individual to receive all tax information and corres ondence. Name (Last) (First) (Middle) Supreme Court LD. No. von Schlichten Cynthia M 306527 Street Address 3513 North Front Street City State Zip Code Telephone Number Harrisburg PA 17110 717-234-7828 PERSONAL REPRESENTATIVE Enter all data concerning the personal representative(s) of the estate authorized by the INFORMATION: Register of Wills Executor/Administrator Name (Last) (First) (Middle) Social Security Number Gipe Richard T ~ ~ - ~ - ~f ~s~/ Street Address 7500 Molly Pitcher Highway City State Zip Code Telephone Number Shippensburg PA 17257 717-53 - 474 ru ° Co-Executor/Administrator ~ ~ O G _i Name (Last) (First) (Middle) Social SeduCi ber -- ~ :' ~ Street Address : "?~'~ -n . = - J~ ~? ` C : . ~ . City State Zip Code Telephoneslumber ,,~ `-`~ C G3 Co-Executor/Administrator Name (Last) (First) (Middle) Social Security Number Street Address City State Zip Code Telephone Number Prepazed By Date rev. 10.13.06 105.805 REV (01/07) Fee for this certificate, $6.00 68 Yr. 60. Caewy d Deem 11. Deaar'e tr„r oxoep, Nmaxm HLmmlaker P 14926520 Certification Number H10S1~3 HEY 11/1006 rrrE+rnNar w ~eAac zac~ I 1. Naa a Oeteaaa (Feel rraddk, wa apFr) Mary Virginia Gipe s. Ape (tan Y) tbdo7 lAit ee•er. or, u.- ~l 1 WI LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. - This is to certify that the information here given correctly copied from an original Certificate of De: duly filed with me as Local gistrar. The origii ~ certificate will be forty ed to the State Vi Rec O ice ne t filing. ' _ 1~ oq Registrar Date Issued COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples Oft reverse) STATE FILE z s. socw 1Sa«Ar _ 38 _8556 ee alr. Bea rirp. a Deem ~PP~'9 ~+'P• 7500 Malty PitrYler Hicjea2iy, ~~~*+~+~+g Pa. 17257 16. FemeA Name Ww, neNde, Wa aeee) aTU}Rl FH.Lliam~ ral®B8 ZR NtbepMe Name (fYPe RiL3terd T. Gibe ~'. zlaMemoaaDrpoaNm _ ! ® ^~~ ^. ^ err ^ narnrr hom sty. 11pr o...ew.» n.~rw. •w.. r eud>) 16, 1940 FY'ederidc, MD. rv o C _~J ~__1 ^~ ~ 0 v J ~:~..~ ~'_ CJ~ ~ C~ _~i r ,:.:.:7 ~C7O~ ~'u' cJ ~ O u~ ~.•7 ~. ore a Deem ~, Nar®Uer 18, 2008 U lgrMm LI ERIQYpeSea LJDM ®Nurrnp Nome ^RaMerce ^Ohr-Speay: mum vre ever erd ) e. wa Deadea a Iferrac dipbT ®~ ^ ~ fo.~a(k~Sye«oorr~ been, ew* wni,, e Health 'LBre Oenter , Ip Ya. ea.ar Dorn, 1+iLtte Malign, Puab Riven, ab.) U.S. Avenel ForeeeT •-•--- 'r-•~ rM M.~r~r r+. aerea amz Ibnr4 Never NMwie0. 16. 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