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Home My WebLink About01-18-11 (2) IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUN'CY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate Of WONNE KAY WALLACE a/k/a: a/k/a: a/k/a: Deceased ESTATE NO: 21- l 1-C~0~ 0 SS NQ; 55~-50.3683 Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or ` applicable: ^A. Probate and Grant of Letters Testamentary or ^Administration c.t.a., or d.b.n.c.t.a. (coi' and aver that Petitioner(s) is/are entitled to the aforementioned Letters the last Will of the above-named 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 born or adopted ; instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated party to a pending divorce proceeding at the time of death wherein grounds for divorce had been 23 Pa. C.S.A. § 3323(8): 4 «C,I ~ „~ C'~so) -n '~ ~ execution ofrthz ion, and was not a blished as defined in ~ B. Grant of Letters of Administration I, (If applicable, enter d.b.n., pendent lite, durante absentia, durante inoritate) C. Petitioner(s), after a proper search, has/have ascertained that Decedent left no Will and was survived bye the following spouse (if any) and heirs ([f Administration c.t.a. or d.b.n.c.t.a., enter date oi' Will in Section A a d complete list of heirs); was not the victim of a killing; was never adjudicated an incapacitated person; and was not a part~to a pending divorce proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(g)~ except as follows:- Name Address R.IIof:A..c6 WILLIAM E. WALLACE 17 S. 2ND STREET, 6TH FLOOR USBAND HARRISBURG, PA 17101 v ter, nwn nnwi, anr.r, l ~ Ir ~~r.~. r,~awtti' THIS SECTION MUST BE COMPLETED: Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family dr principal residence At 143 SALEM CHURCH ROAD, HAMPDEN TOWNSHIP, MECHANICSBURG, CUMBERLAND COUNTY. PA (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) Decedent, then 73 years of age, died 112!2011 at HEALTH SOUTH RENC~VA'CENTER (Month, Day, Year of death) (City and State where death occ erred) Estimated value of decedent's property at death: lfdomiciled in PA All personal property $ ~ so.oo [f not domiciled in PA Personal property in Pennsylvania $ _If not domiciled in PA Personal property in County $ -Value of Real Estate in Pennsylvania $ Total Estimated Value $ so.oo Location of Real Estate in Pennsylvania: (Provide full address if'possible.) Signature(s) Name(s) & tiiailing Address(es) WILLIAM E. WALLACE 143 SALEM CHURCH ROAD, MECHPuNICSBURG, PA 17050 Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court ~, Paae 1 oft ~~ C,`y ~~7 ~ ., ~ 7 ...' -,- ""7'~ •_ fZ`t ~~ "~ w r OATH OF PERSONAL REPRESENTATIVE Commonwealth of Pennsylvania ~ SS County of Cumberland The Petitioner(s) herein named swear or affirm that the statements in the foregoing Petiti n 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. Swarn to or affirmed and subscribed befcire-me this t ~ day of ~.} ~ l l _~~ ~ ~ ~ 1~t~2~i~Sa1 1,.-'~~is~aa f- ~ ' ~.:~ ___ ~ 1_ For the Register Estate of DECREE OF PROBATE AND GRANT OF LE YVONNE KAY WALLACE ,Deceased File Number: 21- fired ~~, ~_qq .j M~ -; G`a t.~. . ~~~ AND NOW, this ~ day of Za , in consideratio of the Petition on the reverse side hereon, satisfactory proo having b n presented before me, IT IS DEC EED that Letters -Testamentary x of Administration are hereby gra ted to: Qf applicable, enter c.t.a., d.b.n., d.b.n.c.t.e., etc.) j WILLIAM E. WALLACE In the above estate and that instruments(s) dated described i the petition be admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. Glenda Farner Strasbaugh, ~. Register of Wills FEES: Signature of Cou Letters........... ...$ 2y-°" ...... Will ........................ - Atty's Signatu Codicil(s) ................. (7) Short Certificates Z~. ov PRINTED N m (~) Renunciations....... S. d~ Supreme Cou Bond ............................ Other ............................. Address: . ....................... Automation FEE......... 5.00 JCS FEE ................... 23.50 Phone: Fax: TOTAL ................$ ~'J.S~ Interim Form RW-OZ revised 12.26.10 by Cumberland County pending action by the Court N R. ZO 19632 l Il ~~o -Q ~ ~, ~ ~ .. . ~..- °O ~ Appearance 17 S. 2ND STREEI~, 6TH FLOOR HARRISBURG, PAlIi17101 717-23:3-1000 ' i 717-233-6740 Page 2 of 2 2l -11-oc~7r, ~ RENUNCIATION ~ ~ ~; „' , ~~: ~~~ ~ 4^, x REGISTER OF WILLS ~~,; ~ ~ ~. `~ ~ ~ u.y~be.c'~a~no~_ COUNTY, PENNSYLVANIA ~~o ~ ~_ -~' ~ ~ ~ ~~ E*., Estate of ~ vOhne ~ av \,.) (l 11 c~ c_2 _ ,Deceased I, ~r~~El~~ Q.~ , non ~ t~~'~. . in my capacity/relationship as t (Print Name) ~ L~AIn~C~ ~ of the above Decedent, hereby] renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to ~~17 ~~~ (~) Executed in Regicster's O,~ice Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Form RW-06 rev. 10.13.06 'r ~i) ~ ~ _~ ev~n~y~S ~C:'I ~~ (Sleet Address) . ~ ~ I_~h,,~ rQ -~~ 1 ~~ ~ q (City, State, Zip) Executed out of Register's e Before the undersigned pe nally appeared the party executing this renunci tion and certified that he or she executed the unciation for the purposes stated within on th's '7 ~-h day of Q n ~Q r ~ ~~, 070 / L Notary Public My Commission Expires:. /~o?S o/ ~ (Signature aid Seal of Notary or other offi~ial qualified to administer oaths. Show date of expisatiasi f Notary's Commission.) STEPHANIE NEBL, Not ry P~lic Camp Hill Boro, Cum d Cowry Mll Commission Expires Jan 25. ZOl l Y~o~sos ~w .^ur,, 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 17029590 Certification Number 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. .~('. ~J o~ ~ t Local Registrar Date Issued ~ ~ N r COAAAAONMIEALTH OF PEWI9YLYAINA . DEPARTMENT OF HEALTH • Yn'AL RECORDS °' CER77FICATE of DEATH (s« In.a,~dtona and on rrvaar) STATE i ~.. :~ ~ ; ri (-n C ~ ~,...,. ~~ t"' , ~ ~~~ ~ ~~ ~ C ~ N ~ ~ ~..r7 (~ 'i t.IbrdOdMrtrr,l, rd6.bd. rOp 2 3aaeY .~ IYra .._.- IRYd Oral Yvonne Kay Wallace 'female aS58_ 50_ 1883 ~an ary 2, 2011 sk.arwrrt + Wrr1 3D•Ydalw ~. ardrr k dO•ir ' ~ ~ "" °" "`" 1"a Juy 27,1937 San Diego , C:lifo-nia Yr. ^ ^FAI ^OG Ileai ^R1•Wbi ^prr- 4 CriM d Orr RCM. iaq Tq. d Orr IL FrMlYir abblrlYeRMriYrMrtlnrdwl 3 YYr Oratlea d liprt Cidbt Yr M. Hr: MrMr Mal, Yiiil, re Cumberland Lower Allen (aura ~~ Health south Renova Cenbr (~ ~ ~( -M d Dirldr tt 1tr Ord as r M /3 DrNafO 6raao• (firM aOY N/rd Tat arO+M tl Wr>•M rrbl rrM MwMd /3 aaw~ Mar M •b. d+ ardr ia•M LISA Fe~1msn ^ Yr ~~ B"""""~`~ r'0d"'r ~"~ ~' a~° ~ ~' IY rr~e VYIMiam E. Wallace y~ ~a.+~1{ riaedN ~ / PA ~{ am DrP.Ii KOad IAlr iblbalr 17a gar UrM 17a aria DtoNtllMtlh T•p. 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