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HomeMy WebLinkAbout02-25-11PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of Clara E. Jumper also known as COUNTY, PENNSYLVANIA File Number 21-11 ~' (~~ ,Deceased Social Security Number 207-03-7841 James R Jumper Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE A' or `B' BELOW.) ^ A. Prorate 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 =-- ~ -~{ ~7 State relevant circumstances, e.g., renunaatwn, death of executor, etc. '' ^ ' ; After the execution of the documents offered for probate: Decedent did not marry; was not divorced; was not a party #p ~~i -~i>`i~ding c~brce proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323 (g); did not have a child born_~O:r~.dq-p~ted; w~s not the victim of a killing; and was never adjudicated an incapacitated person, except as follows: `=~ '~ ; _. _~ , ~ ~~ -~-i ...__ , .__ 0 B. Grant of Letters of Administration ~,, ~~; (If applicable, enter: c.t.a.; d. b.n.c.t.a.; pedente liter durante absentia; durante minoritate) 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 on Section A above and complete fist of heirs); was not the victim of a killing; was never adjudicated an incapacitated person; and was not a party 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: Decedent was married to Roy Jumper. He predeceased her. Name Relationship Residence Alta Marie Jumper Daughter 210 Big Spring Road NewviNe, PA 17241 David L. Jumper Grandson 15 Rockaway Drive C m it A 17 11 James R. Jumper Grandson 226 First Street m n PA 174 (COMPLETE !N ALL CASES:) Attach additional sheets if necessary. See continuation schedule attached Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at 210 Biq Spring Road, Newville, West Pennsboro, Township Cumberland County, PA 17241 (List street address, town/city, township, county, state, zip code) Decedent, then 1 2 years of age, died on 04/07/2010 at Green Ridge Village, 210 Big Spring Road, Newville, PA 17241 Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 14 000.00 (If not domiciled in PA) (If not domiciled in PA) Value of real estate in Pennsylvania situated as follows: Personal property in Pennsylvania Personal property in County Wherefore. Petitioners} 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 ~ James R. Jumper 226 First Street Lemoyne, PA 17043 ~Y Form RW O2 Rev. 12-26-2006 (interim form, pending action by the Court) Copyright (c) 2010 form software only The Lackner Group, Inc. Page 1 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 t:, cr of#irmed and subscribed Signature of P oval Representative _(~mes R~ Jumper before me this ~~ day of ~jj'' C'> jJ,--~-~ ~..~ ,..p ~~ ; t Signature of Personal Representative C~) ~ --~ ' ~ j , , - f .. f . , r ~ ~ For the Register Signature of Personal Representative : , ~' ~"! `~ T~ - ~ ~..r} ~ File Number: 21-11 - ~f ,~~~.k'~-?' t^~. - Estate of Clara E. Jumper , Decea:>ed Social Security Number: 207-03-7841 Date of Death: 04/07/2010 AND NOW, -~-~~ ~--' ~ t - ~-~~- ~ ~--~ ~~ ! '~ ~)~~~ ~' ` , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters of Administration are hereby granted to James R Jumper 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 .......................................... $ ~i. ~.--~'~ ~ ~ ; , ,. ~ ~x ,! ~ ~ (~ fL~ /Z.~- ,1~c--~~ ~ ~ ~-~-,~~ ?fir=.~`.,~~~,/~ a v ' ~;s Register of b ~ ~ ~ r ~ ~ +L ~ (° ~ i. • ~~ ~ ~ ~ ir . s- Short Certificate(s) ..:.~:a ............. $ ~ ~ ~ . ~~~ ~`~ e ~~ i 1. ~6`"' __ ,•~ . () i.~ ~, ~ , Renunciations ...... .................... $ , ~ L ~ ~; Attorney Signature: ~''v ~`~ ~-~ ;'~ ~ .~.~_~.~~.~ '~ ' ~ ~` ~~- ~ $ -. ~ _~ ~ } Attorney Name: r Richard L .Webber, J, .~ Esquire $ c~~ . U . Supreme Court I.D. No.: 49634 $ Weigle 8~ Associates, P,.C. $ Address: 126 East King Street $ $ Shippensburg, PA $ Telephone: 717-532-7388 $ $ .~ ~. TOTAL ................................... $ ~ .~ ~..) ~ ? C.-3 Form Rw dZ Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2 PETITION FOR PROBATE AND GRANT OF LETTERS (Continued) REGISTER. OF WILLS OF _ CUMBERLAND COUNTY, PENNSYLVANIA Estate of Clara E. Jumper File Number 21-11 also known as ,Deceased Social Security Nummber 207-03-7841 Name Relationship Residence Joyce Kreuter Granddaughter 319 McBath Street State College, PA 16801 Amy Zullo Granddaughter 614 Hummel Avenue Lemoyne, PA 17043-1829 c.'7 ~, --r-, .. ._ ~ , ~ c? , _; _ _~ ~ 7.. ~~_~ .. , _.. Y ~,'_' ~, _; _. _:_' _. ~,' ~, , _ . ~.__ ~,-, ,:_ ~~ :~ , ___ ...1 ~~ ..~,.a, f. _ s' ~ ~, ~ Eta! ~~'~ A ~' S ~~ ~I ',~~'I1'~ N t) F C~-~1~,~if'~-~ t4A~~l•~tl~~~~ ~t F~ illegal to a~uplicat~ this c(~p~ k°~~f, ph~lte~,s~at ur ~ahotograph, .. r's' ,. P :~~~~~~~~~~ H105-143 REV 1112008 TYPE /PRINT IN pERMANEN7 BLACK INK i~ w y y 0 U 0 Z -,. .< ,r~/ ~, }~i~, i, ~~~ :,~)t)x~.. ,:-,~; ,~~~ ir)f(~rlY~atior~ h+~re ~i~~el~ i5 , , ,ii t..~++ ~''~~ .;- ,,-)~°,~1)ti LI,t ,l,.i ~)r ' _ rnl (yji«)nal C'ertlt~ic.lte (~f Death ' `r ~~, ~"''- ~- ~ ~ 1 hr. t~l l<~Ina. t,.ii~ !licr~ t.+ it~~ r, ,, ~ ~ ~.t)~ ~I Rerl~tl~ir. ~. ~~ ~ ~?~.~' t ~!~tiif..i'.. ,, ~'1 '1. ..',i~,t..O~d~:~ tl) the Mate Vital ~. ', ~ ~~; ~ ,~ ~~~:tl~~~'t~, ~)w~~i;~t_' !~,I tt, I~I))a))e),t lilit~)z. ._ .' ,r ,;~,J}"~ ~~~. Y 4; , P~ 201 ~ ~4~'~ ' ~1 ~ ~ '~y°~ ( ,, tie _ eaa~. G.. .. rtR~ r.- _ _- --- -- --:, r.r ~,~o .~- T' t r~~`~~`111~~, j j_~Il_~.)i !\._._~1~e~. i'lY ~1 ~...,... I~aEC~ 1~e~i ~~ ~.. ~... ~1-.. t ~ -Y't ~~' ~ ;r\ (` ^, COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH /Can in¢}nrrtinnfx and etramnles on reverse) ~t.r~ ~„ ~ .,,,..ono 1. Name of Decedent (Prat middle, last, suffix) 2. Sex 3. Social Security Number 4. aer of Death (Month, day, year) Clara E. r7umper female 207 _03 _7841 ~, 1~~ -`t~'~ 5. Age (last Birthday) Under 1 ar Under 1 da 8. Date of Bidh Month, ds , ar 7. Birth ce CI end state a fore n count Ba. Place of Death Check on one Months Oays Hours Minutes June 11 , 19 0 7 W i 11 o w Lake S D "ospital: other. 1 0 2 YB ^ Inpaliem ^ ER /Outpatient ^ DOA L_'} Nursing Home ^ Residence ^ QNer • Specify: 8b. County of Death Bc. City, Boro, of Death ~ b 8d. FaciBty Name (If not institutbn, give street and number) 9. Wes Decedent of Hispanb Odgin? ®~ ^ Yes 10. Race: Amedcan Indian, Black, White, etc. (s (" ya8 apa~iy °~,an ber 1 and C o r o W e s t e n n s , , . ,i - Puerro Rican, etc.) white Mexk:an um + , ,~ ~ ~ KR. 11. Decedents Usuel tion Kkd of work d one du ' rtast of Nfe. Do rat state reti 12. Was Decedent ever in the .Decedent's Educe' (pecity only highest grade completed) 14. Marital Stelae: Martied, Never Marriatl, 15 Surviving Spouse (If wife, gNe maiden name) Divorced (SpeG'fy) Widowed Kind f Work of sal t Sc~doo~ 1~tri W k r f t U.S. Armed Farces? Elements 1 ~ orida 12) College (1-4 or 5+) ' widowed e or ia e Ca e ^vea ®Ne • 16. Decedents MaiNrg Address (Street, city /town. stale, zip code) Decedanre P A Did Decadent West P e n n s b o r o Twp. Live to a 17c Decedent Lived in ~ Yes 210 Big Spring Road __ , . Actual Residence 17a. State Townehip? t Liv d within D ede 17d ^ N N e wv i 11 e P A 17 2 41 o, n e ec . 17b. County Cumber 1 a n d Actual Limits of City/ Boro 18. Father's Name (First, middle, lest, suftiz) David Mentzer 19. Mother's Name (First, middle, maiden surname) Clara Erford 20a. Informants Name (Type / PrinQ 2~. Informant's Mailing Address (Street, city /town, state, zip code) Alta Marie Jumper 210 Bi S rin Rd Newville PA 17241 21 a. Method of Disposition r ®Cremalbn ^ Donation 21b. Date of Disposition (Month, day, year) 21c. Place of Disfasitbn (Name of cemetery, crematory or other place) 1 Loca i / state, coda ~ t • ~ ~~ y ~ P ~' i n g s ^ Banal ^ Reraval rrom state ~ was crernanon or Dorretlon A ~ ' 4 / 9 / 2 010 H o 11 i n g e r Crematory PA 17 2 41 Yes^ No ~ ^ ortrer • ' : r by MedkN Examiner/Caronsr7 22a. signature of rgl nice L' see (or person acting es such) 22h. License Number 22c. Name and Address of Facility g g e r u n e r a om e n c - FD 13895 L PA 17241 Ave Newville rin S 15 Bi • ~ ~ , g p g Complete hems 23at anty when cedityirg the best of my knowledge, death occurred at the 8me, date and place stated. (Signature and title) 23b. License Number 23c. Date Signed (Month, day, year) physkien Ls rwt available at 8me d death a 1, ~ ~ + ~ ~ U certity cause of death. ` • erson c leted b t b I 24 26 24. Time of Deadn 25. Date Pronounced Dead (Month, day, year) 26. Was Case Re erred to Medical Examiner /Coroner for a R son Other than remotion or DonaBon? omp y p mus e tems - • who pronounces death. lvj. t - `~ ^Ves ~No CA E OF DEATH (See ltntntctions an examples) r Approximate interval: th di D Part 0: Enter other ~Od'Manr corditanc contri6~ulno to ~CZ1h. iven in Part I undertyin cause in th t lti b t 28. Did Tobacco Use Contribute to Death? ^ Y l8 ^ ac arrest, ~ Onset to ea Item 27. Part I: Enter the chain of events -diseases, injuries, or cortplicatiorw -That direc8y roused the death. NOT enter terminal events such as car . g g no resu ng e u es ~a y respiratory crest, or ventricular 86dllatbn wittwut stwvnng the etiology. List Doty orre cause on each 8ne. r ^ No Unkravm r IMMEDIATE CAUSE (Final disease or ~~~My~ r coMihon resulting in death) 's~ ~L ~~ ~Nh~O{T~~ ~ •~ 29. If Fe e: ~ Not pregnant within past year _~ a. Due W (a as ~ oQ: ~ ~..^-Tw~{ /"N~+ ya..~ ~ J~~~.S~ .S i ~~ $$eeppuenGapy list corditiorts if any b ~~,~ia ~ ^ Pregnant at 8me of death 4 ^ d , , , leading to the cause 8sled on 8na a. Due to or as a consequence oQ: r Enter 8ie UNDERLYING CAUSE ( ays Not pregnant bu! pregnant within 2 of death r (disease or injury that initiated the r re nant 43 days to 1 year Not but re nant ~ events resulting m death) LAST. r • Oue to (or as a consequence oQ: r g p g , p before death ~ Unknown 8 pregnant within the past year • d. 30e. Was an Autopsy 30b. Were Autopsy Findings 31. Manner of Death 32a. Date of Injury (Month, day, year) 32b. Descrlee Fbw Injury Occurred 32c. Place of Injury: Home, Farm, Street, Factory, Office Building, etc. (Specify) Performed? Available Pdor to CanDletbn of D ath? f C ry ~ NeturaV ^ Homidde _ ^ o ause e ^ ^ Accident ^ Pending Investigation 32d. Time of Injury 32e. injury at Work? 32t. If Transponation Injury (Specify} 32g. Locat'ron of Injury (tilreel, city /town, state) Yes No Ves No ^ ^ ^ Yes ^ No ^ Driver/Operator ^ Passenger ^ Pedestrian Could Not be Dererrr8ned Suirade M Other - Speciy: ~. Certifier (cFack Doty ~) 3b. Signature and Tttle of ~ G • CenHying physcian (('hysician certifying cause of death when anotlner physician has pronounced death and completed Item 23) ` To tM 6est of my krwwbdge, death oeeumd due to 1M eawe(e) and manner as ahtsd _ _ -' _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _' _ _ _ - _ _ -' - _ - - 33c. License Number d. Date Signed (Month, day, year) • ~ eertNy g PhY (~ . p ~ ~9 ) Pronounei and fn akkn P srcian born ronouna death and ce to cause of death To dte best o1 my knowedge, death occurred a< the time, date, end place, and due to the cause(s) and manner as atated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ OSoO3 q3, j [___ t.~ ^ 9 _ z o )e~ • Medleel Examiner/Coroner On the basis of exeminatbn and / or imestigMbn, In my opinion, death occurred at tfb time, date, and place, and due to the cause(s) end manner as stated_ ^ n Who Completed Cause of Death (Item 27) Type /Print ss o f Perso 34. Nam e a nd Ad d re ' ~ N ~ ~t ~~` Y~ ' year) Date Fled (Month day 38 l . y ~ w f c V +v_ ~ 35. Registrars a e and Dist N}~ ^^ II ``ll ` ~ ~C ~ l ~ ~1 ~ ~ V ~~ ~ , , . ~'{ ~ ~ e~ir~ lam' 1 ~ 3 iJ 1rt~',~ • ~ ~ T4C 1 ~ t t'~~. > - _ , . .4 Disposition Permh No: RENUNCIATION REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Clara E. Jumper ,Deceased ~~ Alta Marie Jumper in my capacity/relationship as (Print Name) r of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to James R. Jumper _ (Date) ~~ ::~, ,' , ~ ~~ r~ (Signature) Alta Marie J mpe 210 Big Spring Road ;_ ~~ t'a'i _~ W,_~ ~-_ -° - `-' - - _ .._ _~~ ~=__ :' - . ~_. f _ - _ ~ ? ~~. Executed in Reg ster's Office Sworn to or affirmed and subscribed before me this- day of Deputy for Register of Wills (Street Address) Newville, PA 17241 (City, State, Zip) Executed out of Register's Office Before the undersigned personally ;appeared the party executing this renunciation and certified that he or she executed the ren ncj, n for the purposes st ted within on this-1=~y f ~C; ~ ~,~~- ~a ~ U o , Notary Public My Commission Expires: ~ - s ~ ~ ~~ .a ~ ~ (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's comrnission.) NOfiA1~lAL SEAL RICHARD L. UIIEBBER JR., NOTARY PUBt1C SHIPPENSBURG BORO, CUMBERLAND COUNTY MY COMMISr~()fV l~XP{HES AUGUST 27, 2014 ~..: ~ (,r_. , Form RW-O6 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. RENUNCIATION REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Cfara E. Jumper ~ ,Deceased I~ David L. Jumper in my capacity/relationship as S ~ ~ (Print Name) fG*~{~ of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to James R. Jumper !~ -~ 3 -~~ (Date} c..x._ ,~ -~. . _ . _ a "7~ f_t._i ~.. ~ F___ '-1-- f _ ~ tY" _ ._ i ~?... '--fir ..; ---~ r~. - f -~ i'~ i. I ~ ~ 7' ~ -~ __.~ Executed in Register's Office Sworn to or affirmed and subscribed before me this day of~ Deputy for Register of Wills Form RW-06 Rev. ~o-~s-loos ~ _ (Signature) David L. Jumper l S R ~L ht t~,,. ~~ ~r,^ t v~ -6 me (Street Address) ~ ~~~ ~~ 1~~~ ,~ C ~{. k ~ c~`- r (City, State, Zip) Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the urposes stated within on tkus~ day of ~ Notary"Public My Commission Expires: (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission. ) ,~~~ NOTARIAL SEAL DON TRAUBE Notary Public LEMOYNE BOROUGH, CUMBERLAND COUNTY My Commission Expires Jun 3, 2013 Copyright (c) 2006 form software only The Lackner Group, Inc. RENUNCIATION REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Clara E. Jumper ,Deceased ~~ Joyce Kreuter in my capacity/relationship as ,q~ vs ~ ~(r (Print Name) r~ ,. ~/ or •f the above ~ece~ent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to James R. Jumper - t t .a~ ~b (Date) G ~' __.. ~...? °-- ...i 6...,... i ; ~ i. C., ~ -- - .~,.. L _' t.7` ....__ C.L' .__ .-'r f_L. F--- {T. t-~ i._ ~_~, -- ~ ~ ,, ., -_ i l_1_t ..J< , !_~7_ :'~ (~ . y) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of~ 7 .~~_ (Signature) yce Kreuter 319 McBath Street (Street Address) State College, PA 16801 (City, State, Zip) Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation anti certified that he or she executed the reny~n iation for the purp ses stated within on day of ~ Deputy for Register of Wills Not Public ` Gom ' `sion s: (Si a and seal of Notary or oth ~ ial qualif to administer oaths. Shaw date of expiration o o ary's commission. ) . ,~ RfIY CO~J~i'~-~15 !UiJ ,°? ; r~,;.:_3. ~ (,14 Form RW-OS Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. -~~~MU v~Y RENUNCIATION REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Clara E. Jumper _r ,Deceased ~~ Amy Zullo in my capacity/relationship as (Print Name) C~f-~~~~ _y~~ ~- r of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to James R. Jumper __ (Date) i~ _~ ~ ~ t __ , .. ~ C_L_ (- - ~~ i ,r __. ,. ,..,. r _ 1,,..... v" ~ ~ .,. - ~._' _. , G r"+j _...... r , j . ry- . n __._! C ~...~ t...~_ ' i..7,. ~ ~ Execut~io in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills ~ r (Signature) A y Ilo 614 Hummel Avenue (Street Address) Lemoyne, PA 17043-1829 (City, State, Zip) Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposes stated within on to day of ~`~~~~ ~6~ .~ '" Notary Public My Commission Expires: {Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission.) COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL 8KYE R. FISHER, NOTARY PUBLIC CARLISLE BOROUQH, CUMBERLAND COUNTY MY COMMISSION EXPIRES NOVEMBER 26, 2012 Form RW-OB Rev. 10->3-2006 Copyright (c) 2006 form software only The Lackner Group, Inc.