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Home My WebLink About02-1018PETITION FOR GRANT OF LETTERS OF ADMINISTRATION Estate of ~~'/~~~' ~~ f,n 5~ Gl~ also known as . Social Security No. / 8 ~ G~. ~Q _ ~etea~e~ No. ~ ~"~aZ.~ ~ d To: Register of Wills for the County of C L` ~ b C.'f~ ~~ ~ 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 -L ~-S for letters of administration on the estate of (d.b.n.; pendente life; durante absentia; durante minoritate) the above decedent. Decendent was domiciled at death in _~ h ~2 last family or principal residence at Decendent, then ~- years, of age, at ~~ ' n County, Pennsylvania, with S' ~ 5G i°n-l Ctiur~ 11 1P~ . r`f~=rn~-f"~n (list street, number and municipality) mil' o y - /~' - v ,~-- , 19 , 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 f~llowine snouse (if any) and heirs: Name Relationship Kestdence irl~ THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the appropriate form to the undersigned. G 'O .-. a~ ~. ~' C ~ .o ~ .y ~a ~w ~ o a ou X .mil-,r, ~,~.~-~--- ~t' L'1 ~v~ ,~ b SC/~~ S rn ~ ~/l ,Pd CyC I ~~/ ~ ~ f' YCa I ! U / J i~ l n/~ // OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ss COUNTY OF C'_ttmherl anti 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 petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed r ~ ~~` ,~~ ~----___ before me this 14th day of Donna M. Otto,lst Deputy ~~ ""Register No. 21-2002-1018 Estate of Beverly Johnson ,Deceased GRANT OF LETTERS OF ADMINISTRATION a ~. .~ ~s c 00 AND NOW November 14th ~x 2002in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that _ Kevi n Rt~henn is/awe entitled to Letters of Administration, and in accord with such finding, Letters of Administration are hereby granted to Kevin RnhGC~rii '' in the estate of Beverly Johnson FEES Letters of Administration ..... $ 18.00 Short Certificates(1) .......... $ 3.00 li~'EXX...~IC~ ....... $ 10.00 TOTAL $ 31.00 Filed November 14th, 2~~~xxx ~~ ~~ Register of Wills Donna M. Otto,lst Deputy ATTORNEY (Sup. Ct. LD. No.) ADDRESS PHONE CALLID ADMINISTRATOR ON 11-14-2002 I IIi5.R0~ I: P.. ~?;sb This is to certix}~ rilar the inior)~~.arion here given is correctly copied fi-otn an original cettificatc ~~ ~~ L h (auh- tiled wiry =re as Local Registrar. 7~he original certificate will be 4ot-warded to the State Vital Records Office fol per„rl,~(~ru tillnd~r, WARNING: It is illegal to duplicate this copy by photostat or photograp;~, Fee ti;r this cL•rti`i~:arc•, ti~.00 P_ 8608089 ~;~,~. H 105. I aJ Rev. 2107 ' VT NT IK c~ SEP_ l _5. 2002 _ ,~.<( COMMONWEALTH Of PENNSYLVANIA • DEPARTMENT OF HEALTH • 41TAL RECORDS CERTIFICATE OF DEATH Si TE FILE NUMBER NAME OF DECEDENT (First. Mitlple. Leal SE% SOCIAL SECURITY NUMBER DATE DEATH ~M«M, y,'.asrl ' , Beverly Louise Johnson 40 182 . ,.Female ,. - - 9963 AGE(Lay 9irtntlay) UNDER,YEAR UNDERIDAY DATE OF BIRTH 81RTHPlACE (GH anO PLACE OF DEATH(C~eck lxvy pne-xa~meucl~onamp~et ypel y ' MINKns r Days Mows r Mbmn !Hoorn. DaY berl Sole «FCregn DOUnlly) HOSPITAL: OTHER: 53 Yrs. Mar.13,1949 ~iarrisburg,PA Inwtiant~ EWOmpeti.m G IX]AC M;,~„e ^ netid.np.^ ~ ^ S ~ MI ' 0. 7. y, t COUNTY OF DERH CRY. BORO.TWP OF DEATH FACILRY NAME III n«mynutwn, gave yreer antl numbed VMS DECEDENT OF HISPANIC ORIGIN? RACE-AmsrrcanlMien,&Kk, WnKa M< . . No ~ ~bs ^ 0 yw. wecM Cuban. (SpecMl • Dauphin Harrisburg Harrisburg Hospital M.=ic.n PlrrtpRlra^ «p ~ ~ ~ . . . White 9. 10: DECEDEM'S USUAL OCCUPATION KIND OF BUSINESSIINDUSTRY WAS DECEDENT EVERIH DECEDENT'S EDUCATION MARITAL STATUS-Mattkd SURVIVING SPOUSE 've knd «w«F OOne «xln9 rnoy U. $.MMED FORCES? prN ni ade tarn N ever Mankd, NlrtlowM, 10 wda, grve magen nsmel of w«kNq Ye; OO riot uaa rebre0.) VM ^ NoZ-1 Ekmamary/Sacon0a7 C«kga DN«csC (Slxclyl 4J ,~ lo-,mll n.•«s.r • ,,.. Homemaker ,,,. Own Home ,: Widowed . . ,.. ,,. DECEDENT'S MAILING ADDRESS(SrrrN,.CM/Town, Stare. Z4 Codel DECEDENT'S ~-t L, ACTUAL 17a. Stab Pa Dm 17C.EJ YN. ae:.ra.n IIwM M_ 1~gm7v7PT 155 Salem Church Rd . RESIDENCE ~,d,m x rwP. Mechanicsburg, PA 17055 ~,a„a ; ;" '"°'^• , ,7n,cp~n Cumberland towntnipi nd.^ ~,maF~mm •. nwrbem. FRHER'S NAME (Firy, Mpma. Lay) MOTHER'S NAME (FSy. MitlOk, Marren $«nama) ,a• Edward Lee Robson INFORMANT'S NAME (TypbPrirtt) INFORMANT'S MAlLINO ADDRESS (Slreel, DIIyRwvn, $kte. Zm Code) Maynard Robson ~• 2~ 112 North Walnut St.y apt. 1, Mechanicsburg, Pa 170 METHOD OF pSPOSITItO-NV DATE OF DISPOSITION PLACE OF DISPOSRK)N-NamadCsmatary Crematory LOCATION-Ciry/Town, $tau, Zp Coos Blnltl (~ Cnmetipn^ Removtl lrom $lata^ (MOnm, Day, ybY) «Olnsr PNC•Cumberland Valle y °onitgn^ om~,s~Ml ^ Sept. 17, 2002 Memorial Gardens ' ~" =~b• 2,b. ,,. Carlisle, PA ' SIG T EOFFUNERAL$ R NSEEOR ERSONACTINGASSUCM LICENSE NUMBER NAME AND ADDRESS OFFACILtTY Q man- O Unera ome 2Ib. 22e. C«n n dams 27ae only wMn a lying To tM wy d my knowledge. d.tln wratl tl In lima, tlats antl pleee yttetl. LICENSE NUMBER DALE SIGNED ~ al Enna of Oenn b (SpneMS teb Tine) •M l k ~ ~ n ~^ - ~ IMpnm. Day. owl l i - cMdY uuN m a t~D"- '- l M.~• O 6 4'~ 9 4- ~ 2,.. G 9 Ise o z 2x 2~s. ~~ name 2420 m,m MOOmI%atW by TIME OF DEATH OATEP NOUNCE OEAD(MOnm, Day, Ymr) WAS CASE REFERRED TO MEDICAL EXAMINERICORONER7 • parson wlb prorlounl;et Wam. `7J ~ /~ lQ~ ' Yea ^ NoIO 2. I M / 2S • ~ 'l( . . . ,e- /! L • 27. PART I: Enkr tree tlkaaaas, inj«lai «ppmplicatbns wbicn ul.satl IM death. Do rot amN Ina of irg, sucl, as car«sp or raapiretory meal, aMOk or naan lailura. ~ Appgaimak PART II: DIME signilkeM tbrmbions IwntraMinq tp dasM, Dut List oMy orM Wuaa on saU Foe. + ~ imaml DaMNn opt resu%k in tM ulmen lr i p y p also Y r•n b PMT I. onM1 antl dram IMMEDIATE CAUSE (F~nal ~.a.«c«,aai«, C H~S'T wa uN D ! I,~t~vL-r R~ s r I R~Te~ y eyA«q:n dasml-- . ~ NF ~e T~ •o ry DUE TO IOR ASACONSEOUENCE OFI: Sspuar%kay Ny IaJrtdabM b. i [~~ S T I ~ ~ S ~• ~ y N Q~\ ~ ~ V ' OIMY. k•aM k immetlkn DUE 70108 AS A CONSEQUENCE OF): I ~ laus.. Ent« UNDEMYINn ~ i.) ~ 1 A Y3 ~ T LrS ~ (. f.[.. 1 T V $ - CAUSE (Disease « inarr Y c ' mat irvlwrnf evrna DUE TOIOR AS A CONSEQUENCE OFj: rlaww,gnoeaml LAST d ~ 3) (bx~NRK`( /-~KT~KY DIS~K}IS / VMS AN AUIOPSV PERFORMED? WERE AUTOPSY FINDINGS AVAILABLE PRgR 10 MANNER OF DEATH DATE OFIWURV TIME OFINJURY IWURV AT WORK? DESCRIBE HOW IWURV OCCURRED. IMmm. Day, ylar) COMPLETION OF CAUSE OF DEA7Ht Natursl ~ HombiW ^ ACCiOerK ^ PsMing IrMSligatbn ^ Vsa ^ ~ ^ ,Ya ^ No ~ L~ Vsf ^ fb IS! Sukid• ^ Coub rqt M tlelennirw0 ^ 70a. 70b. M. OOe. ,Oe. PUCE OF IWURV - At Igm f tr N f Mk 2M s, arm, a lt , actory, a s LOCATION IStren, Gry/t , $mre) WaOing, YC. ISpectly) . 2ab. h. 7M. 701. CERTIFIER ICneck only one) 'CERTIFYING PHYSICIANIPnyxan cerl:lymq caused learn when an«ner phy&uen has «onWnped Deem arq cpm«eretl Item 271 TO tl1a beef of my krgwkdpa d.atn octumd due I M d SIGNATURE AND TITLE OF CEffgLLTIFIER /J/A '" ~~~~ " M- 'T. , o a cause(s) an manner as alatrltl ..................................................... ^ • ~ / / ` y~ti.y~~( yr J ' 7tb. '-RONOUNCING AND CERTIFYING PHYSICIAN Pn Loan bolo ' y Dronounc:ng Deem armcM:lyxa]lo cause«deaml LICENSE NUMBER DATE SIGNEOIMOnm, Day. Year) ~ U G L } ~ ~1- L Toth bM afm krowled Y g•, tleam xppr.etl at ma rem.. sate. area pkp., aM ap. m m. c.paelq arm manner a states............ .( „a 7te, q 1 3 ~ O Z - NAME AND ADDRESS OF PERSON W HO COMPLETED CAUSE OF DEATH ~~ - 'MEDICAL EXAMINER/CORONER (Item 27) Type «Print ~ ~ Iq T N ~ S Jq ,'4t y On iM Oatif of a+aminatlon and/or inveatlgalion, In my opinion, death occurred st the tlma, dale, antl place, and due l0 the esuse(s) and ^ manner of ttst•d .......................................................................................... ........ ],s ~~ syR ~ 1 s ~ V ~ (,T /~~ i+a7 I 'I'" ~eL.... r77 . 72. REGISTRAR'S SIGNATURE AN R DATE FILED (MOnm. Day. Pearl 5 Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 Date: 8/03/2004 ROBSON KEVIN 5 MILL ROAD CARLISLE, PA 17013 RE: Estate of JOHNSON BEVERLY File Number: 2002-01018 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: 9/12/2004 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge JRD/June 30, 1992/17858 OCT 0 8 200 In Re: Estate of Beverly Johnson · ORPHANS' COURT DIVISION Late of Hampden Township · COURT OF COMMON PLEAS OF · CUMBERLAND COUNTY Estate No.: 21-02-1018 · PENNSYLVANIA NO. 21-21-02-1018 NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RULE Personal Representative: Kevin Robson Counsel for Personal Representative: None Date of Decedent's Death: 09/12/2002 Date of Delinquency Notice: 10/08/2004 The undersigned, Glenda Famer-Strasbaugh, Clerk of Orphans' Court, in accordance with Rule 6.12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, was given by the Clerk of the Orphans' Court on April 30, 2004, and that the ten (10) day notice to file the Status Report has expired. Accordingly, in accordance with Rule 6.12 the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative· Date: 10/08/2004 Glenda Farner Strasbaugh Clerk of the Orphans' Court Distribution: Personal Representative Estate File A 1,4 A hearing is scheduled for at in Courtroom No. 3. If the Status Report is filed prior to the hearing date, the hearing will automatically be cancelled. Glenda Farner Strasbaugh ~ Register of Wills & Clerk of the Orphans' Court One Courthouse Square Marjorie A. Wevodau Carlisle, Pa. 17013 First Deputy (717) 240-6345 Kirk S. Sohonage, Esquire FAX (717) 240-7797 Solicitor OFFICES OF · egi ter of ( lert of (gourt tgount~ of (~unfaerlan~ December 21, 2004 Mr. Kevin Robson 5 Mill Road Carlisle, PA 17013 IN RE: Estate of Beverly Johnson - 21-02-1018 Dear Mr. Robson: It has come to my attention as solicitor for the Office of the Register of Wills and Clerk of the Orphans' Court in and for Cumberland County, Pennsylvania, that the above estate has failed to file a report of the status of administration as required by Pennsylvania Orphans' Court Rule 6.12. Subsection (f) of Rule 6.12 requires that the Register of Wills notify the Court in the event the personal representative or counsel fails to file this notice after (10) days written notice thereof. You have already received written notice of this delinquency by the Register. Kindly accept this letter as written notification that unless the required 6.12 Status Report is filed with the Register of Wills Office within ten (10) days of your receipt of this correspondence, I will be compelled to file a Motion for Sanctions for Failure to Comply with Orphans' Court Rule 6.12. If required to do so, I will request that the Court grant counsel fees and court costs to be assessed against the offending party. Sincerely,// zrk S. Sohonage Solicitor ccp cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 8/15/2005 ROBSON KEVIN 5 MILL ROAD CARLISLE, PA 17013 RE: Estate of JOHNSON BEVERLY File Number: 2002-01018 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. I, 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 is due by: 9/12/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ,~~~ REGISTER OF WILLS G/ cc: File Counsel Judge (}1f