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Home My WebLink About02-0755PETITION FOR GRANT OF LETTERS OF ADMINISTRATION EstRte of Ci S also known as Deceased. Social Security No. ~ f~ ~( g= ~ ~ f.~ No. To: Register of Wilds for the ]] ) County of ~(7I~~C t`fu~ifn the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older, appl ~ ~ rrl for letters of administration on the estate of (d.b.n.; pendente lire; durante absentia; durante minoritate) the above decedent. pecendent was domiciled at death in l.. (J l~ 0 ~ ~ ~(p /t ~ County, Pennsylvania, with / l h + 5 last family or principal residence at tT. ~ U ~.~i t 1 r'u..,. ~; w ~- +- f t~( ~~ 1-~~TC~ 7 ~t [~ C l~ u~ < < Sou (list street, number and municipality) ~.y~/j,~C, ~ ~ ` Decendent, th~n ~ years of age, died at C`~u^Yu l ~W lL' Uf- ~lU/nJ Decendent at death owned property with estimated values as folllows: (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 situated as follows: `~ // ~j~~.( Petitioner after a proper search ha ascertained that decedent left no will and was survived by the following spouse (if any) and heirs: team R iattonshtp Residence ~~ ~~ c S - ~~ .rl~ ~ ~ --5- ~ ~ 1 ~/~ll~~ti ~'T `~.r~~l ~ ~ GN Fc ~~U,<< of Y~ ` ` ~ ~ r `1c2~ THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the appropriate form to the undersigned. ~~~ V G 'B ~ ~v x~ ~.o ~~ ~a v 4.. `a o ro a ou ,~ (,ate ~ S tv: of ~ t~ l~ ~ G c~ ~, / .C s 1,~~ 1 ~~,~~~ ~ OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ss COUNTY OF _ IMRFF2r ~ 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. p- 1 G •_ (J OT Sworn to or affir[r~,eQ' anta subscribed i Eft) i - before me thi day of AUGUST ~LUO~-_ ~_ ~~ ~~ ~~ 1 ,~,~, ~~ ~ ~_~ Regi er Estate of No. 21-02-1~'~- JUSTIN M SHEESLEY Deceased GRANT OF LETTERS OF ADMINISTRATION .~ c on AND NOW AUGUST 20, 2002 x~~xxx , in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that WILLIAM M SHEESLEY is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration LETTERS OF ADMINISTRATION are hereby granted to WII~IAM M SHEESLEY in the estate of JUSTIN M SHEESLEY t- - ~~ ACT _1G Register of WiIlsw,35' ~ ` FEES 18.00 Letters of Administration ..... $~~ Short Certificates( ) .......... $ Renunciation ........... ...... $ 5.00 ~cp $ 5.00 TOTAL $~ _ 8-20-2002 Filed ... A.D. 19 callecl~ aclinin 8-21-2002 ATTORNEY (Sup. Ct. LD. No.) ADDRESS PHONE --~ ~, ~ rct cell i,~ tar t le )nformation here given is correcrlr copic~Li h-om an original certificat of dead) dul~r filed with nie as l,r~:.~l ~~ tiis~rar. The or_gir:al certificate will he forwarded to the St;ne Viral Records O{}icc I<a)~ permanent tiling. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fec' h>1~ thiti cerrit'ICtte. ~~.40 _e_ 8384654 - tit). 1_.oc<1f Kcgistrar 1.1 U N 2 4 2002 1~atL' ,IS 1aa Rey. vg, COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATN (Coroner) r NAME OF DECEDENT (Pob. MIaNe Last) SEX SOCIAL SECURITY NUMBER DATE OF DEATH (MOnNt Day, Yearl ,. Justin M. R~e1' ,male ,208-48-3909 I~,rU/~e ~ 2c~Z AGE (Lest Buthtlay) UNDER, YEAR UNDER, DAY DATE OF BIRTH M R D BIRTHPLACE (CrtyarvJ PLACE OF DEA7HrCnccF ,rnr,, „~,e- nisuud~ons oi~oa,ar side) Months Days Hours Minutes ( , ay.Year) OnI Slula,x FOre~yn Cuunuy) HO$pITAL OTHER-. /'f~FL i N j L~ 25 Yra. dI1.19, 1977 York, PA ^ ER/Oul a )npauant p Dent ^ DOA ^ urs ng Olr ar ~'I Home ^ Residents ^ (S l 6! b. e. 7. S^. y) pea ' COUNTY OF DEATH C ITY, BORO,7WP OF DEATH F ILIT~NAMEIIIr r m t gme street andpuart,¢rl J WASip CEDENT OF HISPANIC ORIGINT RACE-Artarican Indian. Black, White, etc. lSVecayl ~ ~e ~ VIA) NPC f P (' 1C C ~ ~ ~) li O 1 Na I V s ~ ~ N ) I T i b C ` W /G ts . ~~ / e es, ty u an. . , 1 P ( 9 e>AbGarrTT Puerto Ricen, sl~ ~lte ~/y/ ~~ w/ ( (~~{ ~~ ~ York /0 e ~ . J ~, ,g,. DECEDENT'S USUAL OCCUPATION KIND OFBUSINESS/INDUSTRY WAS DECEDENT EVER IN DECEDENT'S EDUCATION MARITAL STATUS ~ Marrietl SURVIVING SPOUSE (Glue knWdwork done during most U. S. ARM DFORCEST Seca u,a hi, ~~ ra~lr Burn r.+ed Never Marnad,WWOwed, pl wile. y~ve martlen name) t f d f k' Gf ~ d Di 4 s ra use re ire r e vorced ISpecny), l ^ EIe tarylSacorWary College ~d~02eY' construction Yea No ~(D.1P) Itaas.) never married • tta. 11 b. 12. 13. t/. 13. DECEDENT'S MAILING ADDRESS (Sheet. Caytiown, Stale. Zip Code) DECEDENT'S Penny Varila MOI7r'OB 1550 Williams Grove Rd. 17•. Slate de 17c~Yas'de`s0e"t lrvetl in Iwp MechanicsburCY PA 17055 77 RESIDENCE ceden (See rnalrnGUOna kyema on other side) Cumberland lownshlp7 a s ,a 17b. Count t7tl.L.-1 w~h o st call mes of cKy/boro FATHER'S NAME(Fnsl, Midtlla, Lash William M. Sheesley MOTHER'S NAME Fust Madle Meider, Sunalne) Debora~ Anderson 1b 15 INFORMANT'S NAME (TypalPnnU William M. Sheesley INFORMANT'S MAILING ADORE S Sbeel Cil /T wn. Slate Z,V C:ade) 2g 2103A Old Ho~..~ow 1~c~.,Mechanicsburg,PA17055 METHOD OF DISPOSITION GATE OF DISPOSITION PLACE OF DISPOSITION-Name oY cemetery, Crematory LOCATION-Ciq/Town, Stale, ZiD Code Burial ^ Cremalion~ Removal Irom Stale ^ (Month. Day. Year) or Olhar Place eerier Olhar,3 ily, ^ June 27,2002 Con--O-Lite Crematory 5d~effersba,n,PA17088 ~,^. 21D. 21c. 2m. ' SIG FUNER CE LICENSEE OR PERSON ACTIN AS SUCH ~IC~NSE~LJfaBj=g 63-L I ~j I L' , [J~uEANQ,ADDRE$.$QF fAC~~~A u~~ A~. w,t ~7Cy~,' V ~1 ~~jJJ[[~~'j ~~~~--jj `~ Y lilutC ISI~ ~t]1 /lJ't~ j1 2 ] b. t. , , Y 2 lema 23a-t omy nffying R i t i l li f d n t To the heel of my kno Ih occurred al the rime ate and p ce staled T -1 LICENSE NUMBER DATE SIGNED D n a ra eve laD e al ma o eat o ' tertsy Cause of death. (Sgnature and ale) ~ ~~~ (Month, Year) 23.. ,~puty Coroner 23c. ~ ~ e 1 C.j L n~ ~_ Name 2428 moat be wmpbtsd by TIM E rJF DEATH DATE PRO NCEDD Munl R , Day Year) WAS CASE REFERREO70 MEDICA I R/CORONERT • perlan rla proraur,ces deatR j ~ A~ / Yes ~ No^ r i 1 I -1 ~ ~ ', /~'e ' C~ ~ ~O ~ ~ l - 26. - . . 41! , M. 23. ~ • 27. PART I: Ems the diseeces, injuries or CornpliCelbns whk;h setl Ms death. Do not enter fns mode of dying, such es cardiac or respratory arrest, shock or hewn IaiWre. i Approximate PART II: O[her agnilicam mr,dNwna contributing to death, but Lie/ Dory one cause on eacR line. ,Interval Delween not reauNi the urMetl i rig in y rig reuse given in PART t. IYYEDIATE CAUSE (F,nal Q ^ j~ 'onset and daatR se or condition ~ ~ ~ ~ ~ ~ u ~ /~ %~ ~ v~l ! t V` (, ' j .~ j ug mtleathl-~ a. DUE TO (OR SACONSEOUEN E i SaQuer,tiaNy Nsl Iwndaions b. ___ N any, leading to'unmedale DUE 70108 ASACONSEQUENCE OF7~. cause. Enter UNDERLYING CAUSE (Dseese or rotary c. _ __ ~_ Val nataled events DUE TO (OR AS A CONSEQUENCE OF)~. resuprng in death) LAST d. yWSAN AUTOPSY WERE AUTOPSY FINDINGS MANNER OF DEATH GATE OF INJURV 11ME OF'iNJl1R/ INJURY AT WORKT DESCRIBE HgNINJURY OCCURRED. PERFORMEDT AMIILABLE PRIOq 70 (Mtnlli. li..y ~..,, COMPLETION OF CAUSE OF DEATMT Nawral ^ Homicide ^ Yes I-..I No ~.~ Y ~ N ^ rr~~ V ^ N L 2T` Accident ^ Pendlnp lnvesRgatron ^ 30e. _ __ ___ Sub. _ __ _ _ M. inc. 3gtl. as o as o . Suicitle ^ Co ld t t d d ^ PLACE DFINJlll1Y At home. tarn, svvet laclury. '.rllu;¢ LOCATION (Jove/, Gry/Tuwn. Slate) i xa., 2sb. rio etennrne u re xa. Du khng, etc. ~`., .~ aa. 3oI. - CERTIFIER(Ctleck only one) 'CERTIFYING PHY5ICIAN(Physican cerblyrng cause of death when arrolher pRy9pan has pronwr~ced tleatn.,r-~u ~urnpl~lw llem l;fl --- ~ SII.rIAIURE AN L ~F CERTIFIER ~ - ' ~ ~ ~ To,he butot my krawladge. de^m xcumd due 1o Ns Cauas(s) and m^nMr u slated ........................... .. . . - .( ~ ~ ~ ° ~ . ................ . . ~ . , „ 3fb. ..I<:LNSE NUMBER DATES D (MUnlh, Day Year) •PRONOUNCIND AND CERTIFYING PHYSICIAN IPhyscan twin pr«aunc,n9 death and cartrfyiny to ce~se,a rfeatR) I 1 ~ - - ~ t` ~ To Iha beat o/ my knowledge, d^ath attuned N,M thna, d^ta, ^rM plate, ^nd due to LM cauee(ej sod manrwr -s stated ............ ............. I i 7~,~,,..,~~ - 31c_ L ~ < < ~~ - ~ C1~Y.Qrl 31 d. l~"1 K D tdAMFAN ADD SS OF PERSON WHO COMPLETED CAUSE OF DEATH • - 'YFDICAL EXAMINEWCORONER ' On IM heals of saaminatlon and/or Invaatl atlon In m o Vnlo th d t th d ti d ul,•r~ d. Type or Print C~allde .Stable II RN De t Coroner y ~ y g , y p n, ea accurr^ a me, e ate, end pl^ca, and due to the cause(s) sod manner.. ^t.t.d ......................... .............. , ............................... ~ ~ / ! 118 Pleasant Acres Rd Y k PA 17 3,. or . , , 32. 402 REGISTRAFi'SSIGNATURE ANDNUMBER /y/ / / Z'/Z~ ~ DATEFILED(Mwrtlr. Day Year 31. ~~!! RENUNCIATION 21-02-~55 In Re Estate of deceased. To the Register of Wills of C/1^t ~/ ~! ! c`~'~ ~ County, Pennsylvania. The undersigned of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters be issued to WITNESS hand this ~_ day of ~_;; 1 riG Z (Signature) c..J.~~~ .~~- ova. T . c (Address) ~- (Signaturc) (Address) (Signature) (Address) JRD/June 30, 1992/17858 In Re: Estate of Justin M. Sheesley Late of Monroe Township Estate No.: 2002-755 ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA NO. 21-Justin M. Sheesley NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RULE Personal Representative: William M. Sheesley Counsel for Personal Representative: Date of Decedent's Death: 06/19/02 Date of Delinquency Notice: 07/14/04 The undersigned, Glenda Farner-Strasbaugh, Clerk of Orphans' Court, in accordance with Rule 6.12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, was given by the Clerk of the Orphans' Court on April 30, 2004, and that the ten (10) day notice to file the Status Report has expired. Accordingly, in accordance with Rule 6.12 the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 07/14/04 Distribution: ' Glenda Fam~r Strasbaugh Clerk of the Orphans' Court ~/ersonal Representative Estate File A hearing is scheduled for at in Courtroom No. 3. If the Status Report is filed prior to the heating date, the hearing will automatically be cancelled.//~,/~,~F/i i/~,. ,~.~_.~, '~..A ~ Ge°rg~'E'7°{re~'~ PI~' I Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 5/18/2005 SHEESLEY WILLIAM M 2103 A OLD HOLLOW RD MECHANICSBURG, PA 17055 RE: Estate of SHEESLEY JUSTIN M File Number: 2002-00755 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 6/19/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~~~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge ~ RECEIVED JUL 15 zo05:i Estate of SHEESLEY JUSTIN M Late of MONROE TOWNSHIP ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA Estate No.: 21-02-00755 Date: 7/18/2005 NO.: 21-02-00755 SHEESLEY WILLIAM M 2103 A OLD HOLLOW RD MECHANICSBURG PA 17055 NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 6. 12 I SUPREME COURT ORPHANS I COURT RULE Personal Representative: SHEESLEY WILLIAM M Personal Representative Counsel: ** NO INFORMATION FOUND ** Date of Decedent's Death: 6/19/2002 Date of Delinquency Notice: 6/19/2005 The undersigned, Glenda Farner Strasbaugh, Clerk of Orhans' Court, in accordance with rule 6.12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor their counsel, have filed with the Register of Wills or Clerk of Orphans' Court, his/her Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule, and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orhans' Court Rules, was given by the Clerk of Orphans' Court on 5/15/2005 and that the ten (10) day notice to file the status report has expired. Accordingly, in accordance with Rule 6.12 the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or their counsel. cc: File Personal Representative Counsel "h. .I I'~'.J~" .. ;':c "',f:"<',<'.",.-:. '''';.' .. /',f~". h~.I'.J '.-'.".h."".'_ "..."">'>':-". .' " Glenda Farner Strasbaugh Clerk of Orhans' Court A hearing is scheduled for August 19, 2005 at 9:30 AM in Courtroom No. 03. If the Status Report is filed prior to the hearing date, the hearing will automatically be cancelled. "~l1l1A ~ ," , ...If,." "if- I J ','. George ,ii ~f'e, P'l uA