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HomeMy WebLinkAbout03-09-11 (2)IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of Jeffrey A. Fritz a/k/a: a/k/a: a/k/a: Deceased ESTATE NO: 21- l ~'"i.V 3 1lJ SS NO: 165-58-0963 Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as applicable: ^ A. Probate and Grant of Letters Testamentary or ^ Administration c.t.a., or d.b.n.c.t.a. (complete Part C also) and aver that Petitioner(s) is/are entitled to the aforementioned Letters under the last Will of the above-named Decedent, dated and codicil(s) dated (State relevant circumstances, e.g. renunciation, 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 instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated person, and was not a party to a pending divorce proceeding at the time of death wherein grounds for divorce had been established as defined in 23 Pa. C.S.A. § 3323(8): O B.Gr ant of Letters of Administration (If applicable, enter d.b.n., pendent lite, durante absentia, durante minoritate) C. 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 and complete list 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(8), except as follows:- Name Address Relationshi to DecedE Bonnie S. Fritz 106 Woodland Drive, Mechanicsburg, PA 17055 Mother USE ADDITIONAL SHEETS IF NECESSARY nt THIS SECTION MUST BE COMPLETED: ~ ~ C Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal resident ~ ~ ~, ^ O At 65 Hummel Avenue, Lemoyne, Cumberland County, Pennsylvania b 17043 w O v (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) ~ ~; ~ .^, ~.: ~zz Decedent, then 48 ears of a e died 2/26/2011 at Mechanicsburg, Pennsylvania ~ ~ " `' ~' y g~ ~~~~~ Month, Da Year of death ~ ~.~.' e~ .. ~' ( y, ) (City and State where death occurred) x ,;_, Estimated value of decedent's property at death: w >% N ,^, ~ _If domiciled in PA All personal property $ 8,000.00 ~, ~ If not domiciled in PA Personal property in Pennsylvania $ ~- _Ifnot domiciled in PA Personal property in County $ -Value of Real Estate in Pennsylvania $ Total Estimated Value Location of Real Estate in Pennsylvania: (Provide full address if possible.) 8.000.00 ~ignaruretsl Name(s) ~c Mailing Address(es) !~'~t`?t~~.f~ ,~ -~,~, 'Bonnie S. Fritz - 106 Woodland Drive, Mechanicsburg, PA 17055 Interim Form RW-02 revised 12.26.10 by Cumberland County pending action Pace OATH OF PERSONAL REPRESENTATIVE Commonwealth of Pennsylvania ~ SS County of Cumberland The Petitioner(s) herein named swear or affirm that the statements in the foregoiing Petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of thf Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed [y.~.~~~~~ /~~ ~ Q~ - before a thi ~_ day of ~ ~ c ~ ~ /1 .. `~ /~ ~^.+ `' ~ ~ ~ x For the Register =v ~ N cc ~ ~ DECREE OF PROBATE AND GRANT OF LETTERS Estate of Jeffrey A. Fritz ,Decease d File Number: 21-_ - AND NOW, this ~ day of ~, ,201 , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT I:S DECREED that Letters Testamentary x of Administration are he-reby granted to: (lf applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., e[c.) Bonnie S. Fritz in the above estate and that instruments(s) dated described in the petition be admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. lenda Farner Strasbaugh, t Register of Wills FEES: .__ Letters ....................$ ~ " Will ........................ Codicil(s) ................. (5) Short Certificates Zc.> "t ( )Renunciations....... Bond ............................ Other ............................. Signature of Atty's Appearance PRINTED Dame: Jordan D. Cunningham, Esquire Supreme Court ID No.::?3144 Address: 2320 North Second Street ................................. ................................ Automation FEE......... 5.00 JCS FEE ................... 23.50 Phone: ~-- Fax: TOTAL ................$ .~~ ~ Harrisburg, PA 17110 717-238-6570 717-238-4809 Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 2 of 2 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. fee for this certificate, $6.00 P 17296428_ Certification Number This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will he forwarded to the State Vital Records Office for permanent tiling. Local Registrar Date Issued . 1. ~ ~ ~: ~ ~ x ~ O ~ ~. s' a ,. ~~ ~ ,~~ ., v~ ~ ~ ~~ _ zz ,~ ~.. ~~.r, - J .~ ~~ ~ ~ C „ ~ CG N .^, x ~~ z :~ H10Sf/3 REV ttR008 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECC)ROS TYPE /PRIM IN CERTIFICATE OF DEATH ~AC3c INa (See inatrucUons and examples on reverse) STATE FlLE NUMBER w a I. Nartr d Decred (FSaL made, Ies4 sdes) 2 Sa 3. Sodel Sswmy NumDU /. Wr d D..n (Moon. ery, ya.r) Jeffre A. Fritz Male 165 - 58 - 0962 2/26/2011 - 9. Age 1~ BiAmy) tAitler 1 tNrdu 1 B. Dar d eM Manh, 7. aM stab a r. PN« d Oeam Ci11.aN r aria ~, 5 Naha pryy ldxa Mm«a NoaD„al: OfMr ~ _ ;F., 10/12/1962 York PA ^ 4g ^ ^ ^ ^ ' E$ , y,~ NatlnpHOng Rssidrrte tJ Otlrr-SDedy Iryeted ER/Ougnem DOA [e - BD. Caary d De.m 9c. CM• Boo, Twp. d D«m Bd. Fadiry Name IN nol nanhdan, gNe reu and raeiber) 9. W« Dxroeed d Hipedc Oripn7 ®No ^ Y« 10. Rea: Anarian Ind.n, Bleak 1y1nN, eb In y«, spscny CuDen, (Syxa7H C<unberland Mechanicsburg 106 Woodlawn Drive Muipn. Pueroo wan. ebi White 11. Da«eere's uNrl deakdoro moat d Ws. Do riot err 12 was Dsaedsd aver n na 1x De«erlCs edcenorl (Specgy arty fign.N glade mngMrel 71. Marcel :irec MertNQ Neva Married, 15. SurvMq Spare (M wte, ghe nWeen rrme) IW d Wark Ignd d &rirws/IMrhy U.S. Amrtl Fac«T EMnleMery I Semrafary (Pt2) CoNege (1i ar 5<) Wdaa'f• Olvarcr lSP~yl r Married v 2 N Technician Safet 1 e e ^ Y« ~No 78. D«edenya Maig Addm (Street dlyf bwn, sNte, aP a>dsl DeradrYS Did Oscedent AceW Rralerba t7e. Stela Pennsylvanla Llve~a t7C ^Y«, Decedent llvetlb Twp. 65 H~1 V a.gNn ~Yne Clsnberland T0e'""pT nal~l 17403 PA ~a ,7D.caany pyrBaa 19. fettws Nun (Flat, nAdde, Irt, wlfoc) ~ 19. Mamefs Name (FkeL nndde,,meMsn wmsme) Reed Bonnie S Ronald E. Fritz . 2M. Iniamrys Nu« (Type / Prink 2m. bbrmun's M.ig AdtMS (Str«t dry /ban, arts, aP cads) PA 17055 Mechanicsburg 106 Woodlawn Dr Bonnie S. Fritz , . 21a. Mattbe d O:pa.4an ^ C,a,,,aDa„ ^ O~ 21D. Dan d DYp«inon (Mmn. day. yrr) 21c. Plre d Ohpoder (Name d «meterY, a•nrbry a omer place) 21a Lortbn (Clrylban, amro. sip cede) ® saw ^ wmovNtmmsrr ~ wr ANmatre 3/3/2011 Green Memorial Park Rollin Camp Hill, PA 17011 C ^ Y«^ Na ^ Olrr- g zza S~.w. d ~ L~.nr Nanb" zzc "~^^ "b "^~~ d Faany Neill Funeral Htxne, Inc - FD 013239 L 3401 Market St. Hill PA 17011 23c.Deb (Mmn•dW candd.err aYywrncMYyng 23a.TO d .deanfloaandu atWd(sgrDa.NbnlN ?3b,Jjaew-Nu ~~~ ~~ ptysidr'a avaYWert:rddwnb TrJ A• // / T ` uwN earn. W p•nan ~ 24 25. DaM Pmrianred Dr0 ) ~ 0 ~' 2/. T d Ds9my~ ; 1 ~ • ~ U 29. W^r Caa. FNlrratl b EcanYner / Coroner M a OMer nr a DaNDOnT ~~ 0ert. vAa M ~ /G E OF DEATH (s.. InslneUtorr and snmpNa) ~ Apgoa'vrr brrvM: CA U S W NOT emu bnrrW evens wdi «cudix amst llraDals - mu daedy ceuaW tlr tlrm DIIYt b Daem I F r tM di i ri P Pad II: EnNr dh.r gppj ~ n me undedying au« gNan n Pad L ae not resur 2fl DB Tdeeco D« CaAbub b Drn7 ^ V ^ P Gh . , ea, a mrrp : i r - rws, {u Wm 27. r Duna r each lie. bd atbwirp me eDdog/. la1 ody or i«ptrabry arr«t, a ventrbAU rnrinaaon rAtl g « m ry ^ ~ ^ ~y~ nn b IVl lr(, 1 ~tN~ ~~IVA•,../ ~/n Mc 2 i ~ ~~~ 29. a f I _~ « 0 tMtlN e nam d Due b la « a oaaegxnc• op: ae moaners, a cry, D g p Yeu W ^ Pregrent atone ddWh ^ . rau• bled r ens a Fiau 111DFALYIIIG GUSE Due m (a r a mnsegu•nc• 09' Nd pmprrq Dd praiyiNa winin t2 dM d deem Idse•« a eM•Y Cm idtlsted me a ^ . evurr munhq n death) LAST. Dr b (a « a mmeprnce d): Nd praprM, Dd papNnt 43 daY+b 1 yea Dslare r.n d ^ UMmr d a•Vlsra wMb nr peal yea . 30.. W« r Aubpay 39b. Ware Aultgey Frvrpe 31. Meru d Death 32a. Deb d Injay (Mmn, day, year) 32D. D«aba Haw Injury Ottumtl 32c. Place d MrY: Fbnr, Farm, Street Fedary, Pa110rruBdT Avaa.de Prior b Cprlaetisn d Cww d D«nT ~N.eltel ^ Fiomidda !)Inca ~m9• ~' ! Itaan~'' N ^ ^ Y ^ N ^ Accident ^ Prdrp Inveetga.an 32a. T d Injury 32s. Injury al WakT 321. a Tmepoerean Ir(ury (Spealyl 71g. Laraeon d ryury (Street, caY /ban, state) o Y« IQI « o ^ Sukbe ^ CouM Nd M Duemnnad M ^ Y« ^ No ^ Dmar/Opemta ^ Perxger ^ Pededrian Otlrr - Spaciy: xis. adiear Idwx ry ar) 330. sigrtum and rde a canes .0 ~„( CarwYNi9 Wq.klan (PI lerJan aMyrg au« d drn wtrn andlrr PMeld.n hee pabube0 d«n eM mrr9Nrd rm 23) • Toth Ortof my blowlaega,eret oceurW dr totM Urep)wM manrrrrmpe'----------'--"----'-'--'----- - ~ ~~~' Praaunctrg and unMyYW phydd.n ~Physlden Ddh MaraurcM death and «rNYtr9 b auee d drn) uu e ^ d 33c. Lkanee Numrr 33d. D~u1e Spud IMOmm, day, yea) nanrwr e __________________ To arr.a ar my knowbdps, earn emurMUm.ttrne.d.ie.WpNr•rN arrth.a.a..(a)an dkal Exrdrw/Coronr • M ~ ~~~L 4- ~Y ~l e Door erla oy esrntrtbn.na/a inv«tlgatlon.In my aplnlan, arm oeeuma u medme, due, rd D~••.nd due b the esur(a) aM mrirr r euted_ ^ 34. Nam. aria Addm« d Pemm Who Canpluad cause d Deuh Irm 27) Type / Pran P th h Vi 38 b Flbd M ra ees swanathan, MD ~ s Sgneasa eM vrca u ~ r~ /I ~I, / I ~1 . ( omh, day. year) ~~,~ 108 Loather ST Lemoyne, PA 17403 _ Dlapositir Partnit No. L-' tS~^ /J Jr~.