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Home My WebLink About03-0086 PETITION FOR GRANT OF LETTERS OF ADMINISTRATION also known as To: Register of W/~lls for the SocialSecurityNo. ,.._~-~-~6-~sed' County of (~'[Pt~c/n~Q.in 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 !',, q for letters of administration (d.b.n.; pendente lite; durante absentia; durante minoritate) on the estate of the above decedent. Decendent was domiciled at death in (/lUt,~,~_~/~ ,~ .County, P~0nsylval~ia, with h,'% last family or principalresidence at .//a3-.4/ o~tg~ ~ (list street, number and municipality) Decendent, then ,.'~ years of age,tied . , _ ~ 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: Petitioner.__ after a proper search ha ascertained that decedent left no will and was survived by the followin spouse (if any) and heirs: Nam, Residence _ ~ THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the appropriate form to the undersigned. o , 1'TOll OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ~ COUNTY OF ~/~-~~--~ 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 above decedent petitio~il~ll and truly administer the estate according to law. ,.'~-~ Sworn to or affirmed ana subscrlbed~-- ~- befer~e me this a~ y-/t/ ~ day of No. ~/- ~- Estate of (~(4~t_~s (~ '~,~l,,~,~ I~fl~ ~4oc,~V~ , Deceased GRANT OF LETTERS OF ADMINISTRATION AND NOW c ~ ~.r~ ~ ~ ~;~q ~9~, in consideration of the petition on t · the reverse side hereof, satisi~actory proof having been presented before me, IT IS DECREED that is/are entitled to Letters of Administration, and in-t accord with such finding, Letters of Administration are hereby granted to in the estate of ~KL£S L~)tl~t~rrL ' R~gist~r of Wills~~_~ ~ FEES Letters of Administration ..... $~ $~ ATTORNEY (Sup. Ct. I.D. No.) Short Certificates( ) Renunciation ................ $ e~ T(~TAL $ //~'~ff~. ,~_~ ADDRESS Fil . ~:~-O,~.. .......... A.D. ,kg~ PHONE 05.905~4 BEv. 4/96 This is to certify that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Records in accordance with Act 66, P.L. 304, approved by the General Assembly, June 29, 1953. WARNING: It is illegal to duplicate this copy by photostat or photograph. ! State Registrar ,, JAN 2 1 200 ~j! No. ~ Date H105.144 Rev. lin1 COMMONWEALTH OF PENNSYLVANIA * DEPARTMENT OF HEALTH * VITAL RECORDS TYPE/PR'I~T CERTIFICATE OF DEATH ,N (Coroner) PERMANENT BLACK INK Char l~_~ s SEX SOCIAL-SECURITY NUMBER DATE OF DEATH (Mo~th. Day W Myskowsk± ,. Ymle ,. 399-86-5887 4. January l~J, 2003 AGE (Lasl Biflhday, UNDER 1 YEARH~UN~ER 1MD.~Yt.$ (g~c~hE .~yl~y~H, ~ t ReToHr ~n( cCI~ fla ~r yd, PLACE O~ OE~'. (Check ~liy .... ig~ ......... ~ [ Cumberland ] Camp Hill 113 North 20th Street ~o~ ~,[-] .... ~o~c.~. ]e~,~, .... .... Military ' .... bz b, I ~+ I,.~arried {,danice Mizin 113 N. 20th St ~co~l C~mp Hill PA 17011 ;s,,~ ~,~, FA~HER'SNAM£(First. Mifl~e. Las~} l?d.[~ wtth~mactual~tsof C,~]p ~ [s~t January 13~ 2003 'M~OI~^L~(~]I~ffP~O~ON~ ' (Item2?)Typ~orPrint ~iehae~ Lo Norris, Coroner an~rssst~t~ .......................... '. ...........~ ..... , , , I) 6375 Basehore Road, Suite #1 Mechanicsburg, Pa. 17050 JAN 2 1 2003 CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: ~j~ t~-,t~,/~:~ ~' /~. ///~Vt_~[~ff.~ j~..~ t~. (~ Date of Death: /~./~ ~t/~ ~ Will No. Admin. No. t~.~ --000 ~ To the Register: I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on : Name Address Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: Sign at ur~.~-'"--""~ Name~i Address ,.. . / // ~:', ';i(!. Telephone ~ -- ~0 ] ~ 0,~ ~ Capacity: ~ Personal Representative ~Counsel for personal representative Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 12/01/2004 MYSKOWSKI JANICE M 113 N 20TH STREET CAMP HILL, PA 17011 RE: Estate of MYSKOWSKI CHARLES WILLIAM File Number: 2003-00086 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 will become delinquent on: 1/10/2005 Your prompt attention to this matter will be appreciated. Thank You. Si~erely~ .... .~ ~<~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge STATUS REPORT UNDER RULE 6. t2 Will No.: ,A_]O Pursuant to Rule 6.12 of the Supreme Court OChans' Court Rules, I report the following with respect to completion of the administration o£ the above-captioned estate: 1. State whether admLrfistration of the estate is complete: Yes 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a .final account with the Court? Yes _ No b. The separate Or, hans' Com't No. (if any) for the personal representative's account is: __~ - e. Did the personal representative state an account ir~ormally to the parties in interest? Yes [-] No c. Copies of receipts, releases, joLnders and approval of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. ,,~_ Name :JO )'~]O Telephone No. - ~l :~t [~d L ~r ~OOZ Capacity: Personal Counsel for personal representative