HomeMy WebLinkAbout02-17-11PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of Leah L. Neff
also known as
COUNTY, PENNSYLVANIA
File Number 21-11- p21 ~
Social Security Number 209-24-6063
Petitioner(s), who is/are 18 years of age or older, apply(ies) for: `
(COMPLETE A' or '8' 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 arcumstanoas, e.g., renundafion, death of executor, etc.
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the instrument(s) offered
for probate, was not the victim of a killing and was never adjudicated an inc pac~tated p n:
and was not a party to a pending divorce proceeding at tie time o~~eath w erein groan s or >tvorce
been established as defined in 23 Pa. C.S.A. § 3323(8):
® B. Grant of Letters of Administration
ap Ica , en r c..a.; ..n.c..a.; en ~ e; uran a sen a; uran mmo a
Petitioner(s) after a proper search 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 Relationship Residence
z ~ ~ rT.S'~'-
-
~,~~ .~
named in the
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary. ~--~ ~ ' ' ' "
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Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last pra~ip~l resideno'e~at r-==
y
Bethany Village, 325 Wesley Dr., Mechanicsbur~l, Lower Allen, Cumberland. PA 17055 ~- `~ Q
(List street address, rown/city, rownship, county, state, zip code)
Decedent, then ~~ years of age, died on 11/18/2008 at Mechanicsburg, PA
Decedent at death owned property with estimated values as follows:
(If domiciled in PA)
(If not domiciled in PA)
(If not domiciled in PA)
Value of real estate in Pennsylvania
situated as follows:
All personal property
Personal property in Pennsylvania
Personal property in County
1,000.00
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:
Signature Typed or printed name and residence ~
. Beth A. Richards 107 McClary Court -East
~~~~ ~ -_/~~/'Vl1V ~(it~' L ~ State College, PA 16801
814-234-3619
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Form RW-02 Rev. rars-loos
Copyright (c) 2006 form software only The Lackner Group, Inc.
Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
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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
~yJ
before me this ~_ day of
~,v~.1,~11u ,~r
~J
For the Register
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off Personal Reor
Beth A. Richards
e of Personal Repre entative ~<~lK
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>? of Personal Representative :~ ~ ~t ~:~, ;.-~
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File Number: 21-11'02 J j¢ `~-~ `- `'
D ~ f' ~r C~'? d
Estate of Leah L. Neff ,Deceased ~.
Social Security Number: 209-24-6063 Date of Death: 11/18/2008
AND NOW, ~ '4 G r~ , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT I DECREED that Letter/s of Administration
are hereby granted to Beth A. Richards ~'~ ~-~~ ~~ ^~- ~ ~4 lrvr c r
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 ..........................................
$ z(tU . =~
~ Short Certificate(s) ....................... $ `~~~
Renunciation(s) ............................ $ ~~
A
/ / V $ S
$
$
$
$
$
$
TOTAL ................................... $ ~~_ 5 ~
Attorney Signature:
Supreme Court I.D. No.:
Wm. D„ Schrack III, Esquire
Address: 124 W. Harrisburg Street
Dillsburg, PA 17019-1268
Telephone: 71732-9733
E-Mail: schracklaw@comcast.net
Form RW-U2 Rev. 10.13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2
Attorney Name: Wm. D„ Schrack III Esq.
fcs.iizREV. vos WARNING: IT IS ILLEGAL TO ALTER THIS COPY OR ~/,_ ~/_ Uz I~
(FEE FOR THIS TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH.
GERnFiGnTE $s.oo~ COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF HEALTH VITAL RECORDS
LOCAL REGISTRAR'S CERTIFICATION OF DE~\TH
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~¢ ~a~~
/v ~~ .~ay
cER-r. -vo. T 62 2 7 71:'6 ~~o~~... ~ ~~
~~• A9 Q~ t)a[e of Issue of Thrs Certification
II~l9»~~~~E ~'~~
Name of Decedent ~~~-. ~~ ~1
Fhst Middle Las
Sexes Social Security No. '3JJ°~--'~.y-t,cOte3 Date of Death~~' ~ \a , Z~$'
Date of Birth~°"''' • ~~ \q•3'~ Birthplace awn-o••c~~.- ~. _
Place of Death~k.~+n^~--.~ `(~~-~9~ '~®-~_ t... ~,,," Pennsylvania
• Facility Name County Cry, Borough or Township
Race Wow Occupation ~~~~~-- Armed Force ? '{Yes or No) ~'"'~~
Decedents •
Marital Status ~'•' Mailing Address ~~~ ~~~ `~~~- ~`n~--~.
Number Sheet City or Town State ~ s
Informant ~~3`'~•>'^ 1Z ~.A.~r.o.~a.- Funeral Director~~a~~.. ~• ~-~~~~~c.~
Name and Address of ~
Funeral. Establishmen mil- ~ ~ ~ ~A
~.'~ S. a Q,.~sa,;, 1'\~-~i, @a- ~ ~8~-~ Interval Between ~~-
Part I: Immediate Cause Onset` and Death
• 1
(a)
(b) ~ JI-'-~ ~ - ~ ~ -
c--
717
~_
(C) ~ ~ -r, r-~,-r
.....
Part II: Other Significant Conditions
Manner of Death
Na#ural B-'
Accident ^
Suicide ^
Homicide
Pending Investigation
Could not be Determined
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r~)
Describe how injury occurred:
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Name and Title of Certifier -~ ~~~-~~-+-~ ~~ . ® .
_ (M.D., D.O., Coroner, M:E.)
Address 3y ~ ~ 7 ~ ~-~.. ~m~ ~.~.A~r C?~ \10 \
This is to certify that the information here given is correctly copied from. an original certificate
of death duly f#led with me as Local Registrar. The original. certificate will. be forwarded to the
State Vital Records Off-ice for permanent filing.
'Lo Registrar of Vrtai acortls, District No.
Date Receivetl by Local Registrar Street Address Clty, Borough, Township \La'~,~