HomeMy WebLinkAbout01-19-11PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
estate of Ann W Gordon
also known as
COUNTY, PENNSYLVANIA
File Number 21 - ~ I ~ ~~
Deceased Social Security Number 578-58-7750
Marto Gordon
Pettioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE ;4' or `8' BELOW.)
^ A. Probate 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
State relevant dreumstances, e.g., renunaatnn, deem a execuror, arc.
After the execution of the documents offered for probate: Decedent did not marry; was not divorced; was not a
wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323 (g); did not have a child
a killing; and was never adjudicated an incapacitated person, except as follows:
t!J -
® B. Grant of Letters of Adminlstration ~ ~ - ~~
(ItappNCebb, enter c.t.a.; d.b.n.c.t.a.; pedants h'fe; dureMe absentia; duce 'eta) ~ '.`~ n"S
Pettioner(s), after a proper search, has/have ascertained that Decedent bft no Will and was survived by the folk>w~apouse (if any) and
Administrehon, c.t.a. or d.b.n.c.t.a., enter date of Will on Section A atwve and complete list of heirs); was not the vi 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 6~blished as
provided in 23 Pa. C.S.A. § 3323 (g), except as follows:
Name Relationshi Residence
Karl Gordon Child 3033 5th Ave
Parkville, MD 21234
Mario Gordon Child 11 White Birch Lane
Robert Gordon Child 2612184th Ave KPS
(COMPLETE IN ALL CASES:) Attach additions/ sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at
1000 West South Street Carlisle, Cumberland. PA 17013
(List street address, towrutity, township, county, state, zip code)
Decedent, then ~L years of age, died on 11/05/2010 at Carlisle Medical Center
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal properly $ OV@r 15 000.00
(If not domiciled in PA) Personal property in Pennsylvania $ ~ IA ~D.U~
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $ 0.00
situated as follows:
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codidl(s) presented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
i nature T pad or printed name and residence
Mario Gorton 11 White Birch Lane
_ I Meehanlesburg, PA 17050
Form RW-OT Rev. 12-262006 (interim /orrrr, pending action by the Court) Copyright (c) 2010 Tonn toflware only TM Lackner Group, Inc.
Pace ~ a z
i
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA } SS
couNTY OF Cumberland }
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Pettion are true and corcect 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.
f
~
{
' ~
~~^^1~
'
` ...~ r? i
CT'
-
~x ~,.,
~
~,~
~. ~;
,_;
r,o-~, _.-~ c~
~
---a sa r,-
~~ ~i
~,,
Deceased
File Number:
Sociaal S`eyc~,urinty''Nnumber: 579-58-7750 !~jq ~ Date of Death: 17/0512010
AND NOW, ~' `~ t 1 ~vf ~ , in consideration of the foregoing Pettion, satisfactory proof
having been presented before me, 1 DECREED that Letters of Administration
are hereby granted to Mario 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
Letters .................
21-t1-
Estate of Ann W Gordon
FEES
snort certificates>.....
.......... $ lt~.~ ~
Renunciation(s) ............................ $
$ •~
$ ~ b C7
$
$
$
$
$
Atl
Supreme Court I.D. No.: 206827
Hazen Elder Law
Address: 2000 Linplestown Rd, Suite 202
Harrisburg, PA
Telephone: 717-540332
$
TOTAL ................................... $ r
Form RW-02 Rev. f0-13-2008 Copyri~t (c) 2006 form toltware only The Lackner Group, Inc.
Pape 2 of 2
Attorney Nama: NiCOIe Marie KemB
Sworn to or affirmed nd ypscribed
l~~-~
11105.805 REV f01 /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 16855329
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 Registraz. 'The original
certificate will be forwarded to the State Vital
Records Office for permanent filing.
j~~„~„~..",~ NOJU 9 /2010
Local Registrar Date Issued
,.. ,
c
7D
O
~ ~~,~
;~
' m
v ~ ~
~
.7y -
~ .
f
p.
~ ~O ::,_:t ~~ 7
~~ 3
C] 7~ ~ ~ n
~ --
-
~4 tCy r
n
-b
A
--- ~n ~i
~;r.
tnasw rev wmN COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • YRAL RECORDS
TYPE I PIML N
cERrl~cnre of oELurt~
(sr ~nMnKtlan..aa .Y.mpNS an rstrara) sd,e rxr: atalem
t.lbrLd0.wObltRbL~rdtllL. a4 rlp iBr zeW Nbr4'r+aa Alydlbrn
PbmL M. M
Ann W. Gordon e 9 -58 - 7750 Nov 5
cMNrta,Wi tarn taut alraNr ~. NrLara krboLawr,
ll,w• OT trn tbLr ~--1 dbr.
67 rn. April 20, 1443 Auetin, TX aPra 6_161/OYbdLr ^ oa ^ ItmYy Wr ^ tiLre•m ^ ar-
r.Claq~rtlLM mq,tlre, t.palrLr mwrrlaebnmLburLVa «•r.raae•9 s.Lw IIL«rralrNdo~ to rr to aoF r,,.atarrLaawmL. re.
Cuaberland South Middleton Carlisle Regional Medical enter ~ ~
~~ W
i
r<I
h
te
11.aLSrr~UlLa p aMM 121rY aL«Or/ wr h M 110•o1011fL FBNrn IlFd)' aN aywl yLN mMrq IA ArY 81aN tYra IIbN IINbl, iS
n waw4 par! (!qtly) aMr4 ~w~ P +. dw W« amp
Ud a
a F
atl rlreh graYYrLlOiabYy mL
aioL
h~ a S+)
~~ / smd.y ptS
BaDemnker Otan BOID@ ~
^ Y« ®Ib
Widowed
a.e.r.r+v~aa«L ay/b«Lrr,rrrrl tara.r. obo.oLrr
000 Wit Street brr twbro mar tea tswa. t>4^rr, hrm,UMa T•p
Carlisle, PA 17013 tte.mny Cuaberland T0N11"D' Ira C~w,lr«m.La«.br
T i
1
r
A«Ullarr t1r
q q/BUo
to twbr.llN.Mr,maaL at aaq Robert B. Watson +o.rma,larlFlnLimrL,wtmnbrrrl Genevieve Belden
a. LWwMY IYr R71iL1 PAA im abarn Irrq~mw 18uL1 ayltorL rrL ~ ue011
Robert E. Gotir]a[1 2612 194th Ave. RPS, Lake Bay, WA 98349
st..Lrnmaayemm Iirrlen ^oonna nn araoitoarmMbwM. n•A ilcPa.ac~y«LaPr«a«•«.r.a«raraarrabrl stn Lama p//b•n rtL. bP req -
^ tlrw ^ Itmrr W ar ~ N
o
.
rr
br Roffman-Roth Funeral Bane &
°
m
,.
,, a
.
/~...n ~r«^w Nov. 9, 2010 Carlisle, PA 17013
am. yrwer.
is sbtlrr. rWI mn lb««xuntiLr ae ar. rd ranw,aheNr Hoffmary-Roth Funeral Rome & Cremet
-_ 138425
CwoYrYra•ea,M rbn mtltbp al. Wd~WYdN.r/imLb/raM,rr rrpbr alLn py~rrwuy _ x70. U[wM MndLr ]a: OLr r~b0 Pro M.1Ln1
ptNeabrlwwLraraemab
mtymrdsrL
y
~p
ryypLP~ 1r TLrdalLa S.
oL« WlrlEmrirlfmmb,NrrnOMMOr«MaanMmf
~
•
~
y / ~ ~ S '~ ^
Nov
^LJ ^r. ~Ne
1
CAIN[Of DlA7N 1'M a«nru«. ral0ir)
• ar®W b
Iba 7/.PmtFitrlb
~l~-arrr~by,a,rmpWbb-a1r1e1r Lrmetr nl«~OO NOrrYrmawb««««,rbeLmLL ~ Qbrb OLN WmmLrt•gbN Utlrypmr dAnaAnL
^r~ ^
I+m
eLey
agYronbmLawab/r6Ya•aW rb.aow MirN.latm/ab mm«Wr,.
~
i p
~
^ fb P~ Uina•n
fk
-~ s i s I/ wt
~'~ ~° sa.swar
-
_ z
~ rr
~1 Ibt
oyy~
Ga
~~~+st 1~'t/~~
tiL w
d
^
' twvN+.
wl~
da
a
+aN
^Pa
}
C
f
Lrm~arw+w, s /
G
rn/YVCZ..~~
f
r
~
• .
.
s.
^
M « ~
Btbr
UA
LIKNYIE
` ~
4 Ndpgr{alPgrit M1a 12 rn
~lttmaNmarLibGN ~ ~//H (
'~~/'~.
/J ~ /~.QQI//S
rbrrWybtlrallYL
- aEmli
^
Gwbtar•(OmpNq ai: , ~ Itl papbnL br aymlq«abt«b
n ~
~ bro•rLF
^ Urr«IpgN,l•rrbim /~
>a YYnNrq 9m 1«PIpM/fi ~p .lL YwwddM ~.Dr.dMO'PbaL r/.Mr) e~Orrb IM N~Y~ ~R ~`
~
Brr F•mq'~
Prbnbf! •
/~mm+Rab ~fl,ar ^IatlY ~
~
aLa.aara
~r
^rr
r• ^Yr ^ro ^Xtltlr, ^taiq Lw«e«r mA TIrdl~ay sa Yf/yYNbM1I mLTmygra Mn'RWY/ $LaraaYfryt9W,drylbrl rrt
lA ^ N1N0, ^ GIIAra E•DIIaIhMd ^ Yw ^ N, ^ Qaf/~pMrtt ^ Prm9a ^ P•dMlrl
Ll Olm' 80rA"
$a.r.tar.q a.I m rA
• ~bNM\MPM«P~MrdruiMawwaAwa Minboarplgrtlnlm PamLel6LI,Nmpml anE~
TNLW rwrrl«L[~LGL~wNaMYbr•e,«yNMwmmr,bY!___________________________ ^
______
• /mrrmlw°ra'~/L7rea QMrtlwlorparMgrLartleralYq btNm rrmQ
rrhwwwlrt«t«L
rr N
YLL
rr YrrLrr,
N
rrr ae ~~ aL ObaybE P,arL rl•M•A
'
,
y
,
yp
w«brr
_________________
• WaW Nir1•wlLlbrr n /
sV ~ 2~/D
' V
'~
O,rLrarerra Wlat«rNr«,aN/gYr~,l,mi roawlr Yb abL.sr.brrLw,rrrbrYbawlLlar~Lmrrr.a. ^ N~~ d _ _ p~
/V
q~J~
a~~~
~
/
r ' _ J
~
~
RtlUnda si a
I a, 111.7, I I 10 I
- ' tea °"'"~ 3d1 " !J'
dbrM PmnINO.'.. ~•~~JIr~Y~/
RENUNCIATION
REGISTER OF WILLS OF
CUMBERLAND
-'~~
COUNTY, PENNSYLVANIA
Estate of Ann W Gordon ,Deceased
~. Karl Gordon in my
(Print Neme)
Child
of the above Decedent, here
administer the Estate of the Decedent and respectfully request that Letters be issued to
h..ry
11
.ti/
T '~'~
._nJ ~
t.~ m C7
q,. r; <-?
r ` ~,., ~ ~
~ . E. ~ ,...J
T'\
p ash , ; ., .
~
-
l
k
`CJ
~ounce`~13e rigQj3
__ -rti
a:
my brother, Mario Gordon
~- ~~ ?s.~ I 1 sue,/ ~ i~~
mete) (spn"°"'~ Karl Gordon
3033 5th Ave
(Sbnet AdWeael
Parkville. MD 21234
(city, Stxe, Zial
Executed /n Reg/star's Office Executed out of Register's Office
Sworn to or affirmed and subscribed Before the undersigned personally appeared the
party executing this renunciation and certified
before me this- da
Y that he or she executed the renupp~~iiation for the
of purposes stated within on this.~[,[[iday
of , 't~-
Deputy for Register of Wills otary ublic ~
My Commission Expires: r.,~Gfi.Ci ~i ~~~/
(Signehee end seal of Notary or olhx otflClal qualffietl to
administer oaths. Show date of extdrslion,of slerys commission)
Form RW.OB Rev. fat3~ode Copyright (c) 2008 form software only Tne Laekner Group, Inc.
RENUNCIATION
REGISTER OF WILLS OF
Estate of _ Ann W Gordon
_ ~(
CUMBERLAND COUNTY, PENNSYLVANIA
e~.~
~m ;
l~ECeased
rn +"~
~~ ~. ~ ~?
r-rr r -~
~ri X ~
- --'
r
-, n
~^
C~Q't t
t. 7
~
-fir -
~~ Robert Gorton in my capacity?ielationshipas ~"C,7~.
rP/t/It lya/IMf GY.
Child of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
my brother, Mario Gordon
l-`{-~~
rya) rsgnwaie) Robert orlon
2672 184th Ave KPS
rsrrser nddreaal
Lakebay. WA 98349
rGify~ Stets. Zip)
Executed in Reglater's Office Executed out of Register's Office
Swom to or affirmed and subscribed Before the undersigned personally apl5eared the
before me this day party executing this renunciation and certified
that he or she executed the ,renunciation for the
purposes stated within on }hic ~ d
of
' ay
of 1~.w.n¢y 201 .
Deputy for Register of Wills Notary Public
My Commission Expires: 1 ti-2q - 1~ 1`
(Signaturo and awl of Notary a oMSr ol8ciel quslified to ~,~ "`~~~\\\\11111j ~~
adminiatx oalha. Sfuw data d e>~irelion of NaUya commiast~41~ v~ B 1j111j
-~U~~~gg10N'tl'tr~~~~ i~~
~
OT'4iQ~i i N i
~
%~ ~ ~i i
Fpm1 RW-OB Rev. 10.13-4008 i N'% A~/91.~G ~ 2
Copyright (e) 2008 fdm aonwere Doty The Ladvt9r Group. Inc, ~~Q~'9
~OS
'~10~ t p%EI;Q.J~~~