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HomeMy WebLinkAbout12-10-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA Estate of Darrell R. Gordon File Number ~/ ' /U - /~~~ also known as Deceased Social Security Number 186-58-5813 Petitioner(s), who is/aze 18 years of age or older, apply(ies) for: (COMPLETE 'A' o~ 'B' BELOW.) ^ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the last Will of the Decedent dated and codicil(s) dated ~' (State relevant circumstances, e.g., renunciation, death ojexecutor, etc.) ~ ~ C7 ~ Except as follows, Decedent did not marry, was not divorced, and did not have a child bom or adopted after execufio~f~~e"i~instrurr~(s) of '~'S for probate, was not the victim of a killing and was never adjudicated an incapacitated person: "' ~:-- uD ~ ® B. Grant of Letters of Administration (tjapplicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lire; durance absentia; durance mirtoritate) 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: (lf Administration, c. t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at 131 Shi~~ensbure Mob. Est., Shi~oensbur~PA 17257 (Lrs! street address, lown/crty, township, county, state, ztp code) Decedent, then 48 yeazs of age, died on November 24, 2010 at Chambersburg Hospital 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 0.00 0.00 0.00 0.00 situated as follows: estate is 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: ~ _ a ~ - ^ _ I Edie Gordon, 131 Shippensburg Mob. Est., Shippensburg, PA 17257 Form RW-02 rev. 10.13.06 Page 1 of 2 (COMPLETEINALL CASES:) Attach additional sheets ifnecessary. Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition aze 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 SS administer the estate according to law. Sworn to or affirmed an bscribed before me the --~~ day of r Register Signature of Personal Representative Signature of Persona! Representative Signature of Personal Representative File Number: ~~~/~/~ Estate of Darrell R. Gordon ,Deceased O s a O t0 Social Security Number: 186-58-5813 Date of Death:November 24, 2010 AND NOW, , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT I5 DECREED that Letters of Administration are hereby granted to Edie Gordon 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 Register of Wills Letters ............... $ Short Certificate(s) ........ $ Attorney Signature: ~. i~ . !s`~ Renunciation(s) .......... $ C this M. von Schlichten, Es uire $ Attomey Name: Yn 4 • • $ 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-OZ rev. ]0.13.06 Page 2 of 2 HIOS.ft05 R8V 101/07) LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. ~ Fee for this certificate, $6.00 I P 16855582 Certification Number /v -1~~a 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 OfSce for permanent 61ing. ~~t~t•c~>r,'D,et't7rl~" NQV 3 q 2010 Local Registrar Date Issued _~ ~~~ ~~~ ~~ O Z ri~<"~j ~ O ~~ xwa,+a rav „rime COMMONWEALTH OF PENNSYLVANIA • DEPARIMEHT OF HEALTH • VITAL RECORDS ,rraoe:^e~er" CERTIFICATE OF DEATH euacMC (Sao NaaurJl^e,a arW evr,peaa r rawer) anrce r~ eeueeEn 8 >S ,.,esrG.e.eR^.weba.r0 ore. ae,wer,Mx^r aarrornWR~rrp Darreq R Gordon Male 186-58-5813 November 24, 2oto 6rpae^errly) 1' , a Wrr1^ lW ra,aa rr. or rr rr Olrr. 46m November 07, 1962 Cari s e Pa ffleo+r ^eir ^oa+ ^ w.. ^ereee Onr• RG^gr Girl esoaawrr.aoeea KMylrrprbr^oaMre^Nrr1^) a,rrowr^aer.rcaM s 10.as^rrrYrweYt,wl+,,a W ~ FrankW, Chemberab,nq Chambsrab,^p Hmpllal ~n.nor rs ^U wh to ,I.GrYh ~.^~ !• 1L Ne GwMwhae 1a arMYreaa^rr egrt rna„aq ,~.e,reeerreYeMa awv arnl te.anMa OeowArkel^ee,lererl am.ae,^aaNerm ae r r r,rn iarrar~rerwr u ^w ar s^anrrp,q arw,+ned M e d reiber Foo s ^rl,. married Edie Cass 1a G^tlreYYi~AYr,~Yr,arrrn++r,,Yre4 GsnrY otl firer 131 Shippenaburg Mob: Est. Mr Mrlrr 1h BW Pi nwn• 17[^M4DaY^Ur^ ,ee~ 7drwR r%^~~~~ L ,m a^+r CumU tlnSDear Shi enabur , Pa 17257 ,mgr grey arrti,es rr,w.+9 uarr.aspr,ree.rwr,..rl Gene. Gordon Jeanette. Watson ewro.r+,rr lye.rnq mwr~era,w,.praayrer,re.,rrrad E ie C. Gordon 131 Shi enabur Mobil Eat. Shi enabur , neerrrG,~va ^C,web ^mrr mOraeer,araereLe6er0 x,e,rrroaorw~r..aa..,.arr^n^rre^w ex,sr,pr,rnrr.,Vre4 ~!'r ^ e""VYail1i Nov 30 2010 ~~ ;!"r1e Westminster Cem Carlisle, Pa ~,,, ^~^a, er Mw.r urrr ^re.rre surrrMrW arrsew.arwy 15 Bi Spring Ave - ~ 9963 Egger Funeral Home Inc r1•w•errgne a,.rr^rrr^Mre ®^rrr^brr.rp.rr^epM+rdie G^rlMnr Ce Ore 9yralupai.4re,d .~ar~rera RN RN285255L November 25, 2010 ^wMrrrNsM^,aMerr aanr a<ornrrroraae•wrar+t u,r.o. Ar~rerm e.r~^~c^^~.r.rrra.Marr.~. Grbn, +rrrrrse,w ~2:SSaM. 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Gorman. M.O. ~ - 757 Noland Aw, Su@e 104, Chambersburp, PA 17201 o,ae,arr~wa^e ~~•~; O~rS170 001