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HomeMy WebLinkAbout03-24-11PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of File Number ~~~ ~ ~ ~ - ~~ ~' also known as ROBERT B• ANDERSON Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' OR 'B' 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 ~ "` r ~ ---- _..~._ ~.~..~ ..~,.. <~I T t~ ,~ ;;, ., zWc ~' ti.. ~--- `~~' i"i'1 X`"aa (State relevant circumstances, e.g., renunciation, death of executor, etc.) ~ j ~3 ~'="' - ,-f~ Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of ttte~~s~umet~t,(~S) offered _: for probate, was not the victim of a killing, was never adjudicated incapacitated, and was not a party to a pending divorc~~tl~eedmg ate time __ of death wherein rounds for divorce had been established as rovided in 23 PA C.S. section 3323 ~ - `•:~~ :- -- ~ ~'~ g p (g)~ ~ `~ _.. -r~ B. Grant of Letters of Administration (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente 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 in Section A above and complete list of heirs.) 406 RICKY ROAD 904 LANCELOT AVENUE 305 INDIAN CREEK DRIVE Decedent was domiciled at death in C U M B E L R A N D County, Pennsylvania, with his /her last principal residence at L O Y A L T O N QF CREEK VIEW MECHANICSBURG PA 17050 HAMPDEN TOWNSHIP (List street address, town/city, township, county, state, zip code) Decedent, then 7 8 years of age, died on 1/ 2 4/ 2 011 at O Y A T O O F R K V Decedent at death owned property with estimated values as follows: (lfdomiciled in PA) All personal property $ 100,000.00 (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: Wherefore, Petitioner(s) 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 r--~ ROBERT B• ANDERSON 406 RICKY ROAD M H N PA 7 Form RW-02 rev. !0.13.06 Page 1 of 2~ (COMPLETE INALL CASES:) Attach additional sheets if necessary. 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 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 to or afnrmed and subscribed t~ bef re rrerhe ~~ day of • ~ `~.c~ ~ r ~- Signature of Personal Representative C? __ r-- Si nature o Personal Re resentative -= ~? a ~ For the Register g f p ~ ..~ ~.~ -' ~. \,J~.? ~? .per" -.. .... IT ~~~ 1.-'-.. File Number: ~~ ~ ~ _ ~ ~'~ , __ ,.~ ,~ ~~,., Estate of ELEANORE L • ANDERSON ,Deceased ~' Social Security Number:) 0 2- 2 6- 5 4 3 3 Date of Death: I/ 2 4/ 2 011 AND NOW, V ~~ , 2011 , in consideration of the fore oin Petition satisfacto ro f g g ~ ryp o having been presented before me, IT IS DECREED that Letters A D M I N I S T R A T I O N are hereby granted to ROBERT B • ANDERSON 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 ~ - ~,~ • -. ~,~ ~ ' ~ Q Re i e o Wills S .f ~, ; Letters ....................... .~ $ ~U ~ Short Certificate s • • • • • •. • • • • • Attorney Signature: () $ Renunciations •••••..• $ Attorney Name: DAVID W • REALER "" $ Supreme Court I.D. No.: 20868 .... $ .... $ Address: 2331 MARKET STREET .... $ $ CAMP HILL •••• $ PA 17011 .... $ $ Telephone: 717 - 7 6 3 -13 8 3 TOTAL ............................. $ (.~t~ Form R W-02 rev. 10.13.06 Page 2 of 2 ~RI4~~VIN{C: ~t ~~ Nl~~~~ tt~ duplic~t~~ ~~~ :~ri~1 ~a~ ~~ ~:=tf~ ,~~°~t °~~~ ~-_~ ~~~:~_~,° , ~~- ~`~~~~ Irz? (hip :~~1~~II~i~•,Itt~. '~,rY ,}3; ,,, ,~ ~• ~ la#' , ~~, ~~ P 17242430 ~./ ~~} ,r ,. ltrl~l~~;Y~it} a '°4ill•'lr ) -., '~ -- i . ..,., ,.,, ,.,rr /~ .-W.» ~~ '.H.J ~ ~;:irx ;..~ _~-e.'t rte.'-~1y.. ~",y~~+ ~r!y"N ~+3 REV 11,2006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS r -'I t~Z /-'^^`~~ PE PAINT IN (....J ~'*d,,ra '~ , ';,aCKIINKT CERTIFICATE O~ DEATH ,`.~~ ~~~ I"'" "-' (See instructions and examples on reverse) STATE FILE NUMBF~ r-M.. - t Name d Oecedrmt (fast. mddk, last. wfhal - - - 2 Ses 3 Socwl $ecwiry Number 4 Da d Deam IMOnm, y1, year) Eleanore L. Anderson ema e ~~ - - `'t 5. Age (Last f3rrtMtayl Under t ear Under t y 6. Data d Bhm Itrlortm, da earl 1 BI G and sate «1« e count Ba. Place of Deam Check one ~"- Marv Dars rows 4Ynulas HosprtaY Omsr vrs Februar 14 1432 Pittsbur h PA ^lrgal+ent ^ER Oulpauent ^DOA ®NwsngH«ne ^ Resrtlturce ^ OIMr.$peply: - 66. County d Deam do Gry. BOro, Twp of Deatn 64. Faoliry Marne (lt not insulubon, give sheet arw nunWerl 9 'rues Decedent of HrsDan~c Ongm~ ~ ~ ^ yes t0 Rea: Artyncan Uulan, apck Why, yc ; Loyalton of Creggk ot',ee speulycuban, ,srwalN Cumberland Ham den T~J View Assistedd Livin Meskan. Puerto Rican. etc.) White 11 Oecederu's Usual Occu two (Kind ut work done dun rtwst d workr !+le. Do nd state reared 72. Was Deceynt ever in the 13. Decedent's Educaoon ISpeary Dory ngnest grade cumpleteol t 4 Mantas Status Horned. Never Marred. 1 S Survro~ng Spouse ;If carte. gne maden name) j Km0 d Worn Kudos Busureu%IrWustry U.S. Armed Forces? Elements I SeCtNda 10-12 C Wdowed Dw«ced ;SpeaYyl ! ry ry 1 ~ 1t 4 Dr s.i ' Housewife Her Own Home s ^ Yes fXl ND 12 iv • t6 Decedent's Mallug Address (Street, city: town. ;rata, zip cone) Decedent's Drs Deceoent ActualResdance ,?a.stap Pennsylvania ~reina ,T~. ~y~.~~,,,u„~,n Hampden T 1100 Grandon Way T ? ~ , °w"Sr'q 17d ^No,oeceyntGvedvntrw, nb. Coun ('umb e r s an d CM 19oro Mechanicsburg, PA 17050 ro A~+~al~rra~a i 16. FadlefS Name {First. mrdde. Wst sumx) 19 MlWrer's Name IFUSt mrdOle. maden sumanlel Richard Lar e r 20a InbrmanYs Name ITYPe 1 Pmq 200. mtormant's Maung Address fSreeet. ury Town. state. zq rode) i Mr. Robert B. Anderson 406 Rick Road Mechanicsbur PA 17055 ~ 21a. tr/emod a Drsposrran r ®Cremaoon ^ Donatiat 2tb. Date d DrSpo&rldn IMonm. day, years 2tc. Place a Drspasroort (Name d carepry, crematory «otMr place) 2111 Loctttm IGry~town, soy, zq coy) ^ BwtW ^ Removal ham Stale ~ Wo Crentetiotr a OartMion AtRhoriaad ^ omen by WdkalEttaratwrtCorapr9 ®Yes^ No Januar 26 2011 Cremation Societ of PA Harrisbur PA 17109 I 22a Funeral Serusca ~~ I« such) ' 2zb. t.,cansa Numyr zzc Name and Address d Facr4ly u e r Cremation Services o f p e nn s y lv an i a n c . t !, ~ FD-138753 4100 Jonestown Road Harrisbur PA 17~0~ Gxnplele itama 23i< Dory when cemryuy 23a. To sN Dell ledge, urrsd dw a saved. (Signature and uuei pnyscw o rat avarlBDle at nme d dam to D .~- /~ ) ~~ ' / ~ 27D L,certss Number ~ 9 n ~ 7 23c. Date SrgrlW IManm, yY, years c«aY cause d seam. ~ ~". ~GC.fi~ Gc... C~t/t/ ~ /l/ ~ / vao o i- ~a.r~~ ~5~, a~~~ trams 24-26 must y completed by person 24 Tune of Deem / aRro prararwlces Beam `S~ 25. Odle P Oead IMornn, dY. Y•arl a~ 26. 'Nos Case Referred ro Medwal E,aminer r Carovar t« a Reason Ogler man GerniYOn a OapOm? ' . p . ~ M. , ~U/ ( c ~ ^ res /~No CAUSE OF DEATH (SN lnsttvcUons an aaamppsj l Approxma4 mprval Item 27. Pan t. Enpr the Imam aevents - diseases, , « wrnplicatms ~ that dwectly caused the deem. DO NOT solar remands events such as cardac arrest, r Onset to Deam Pan Ir Enter other;iat>L~M condsibrL conmbyyty ;e arty out not resWbng n me urdenyng cause goes rn Pars I. 28. Dd Tamca Use CawIDUe b OaN? ^ Yes ^ ProbaOry . respeatory arrest. « venlrcWar hbneaaori rrAttout stwwag tM etwlogy. Lest only orr ease on sacs lap. i i NINEpATE CAUSE Fi l d • ^ Nb ^ UrlWbwrt na isease a ` condom restating m ~eaml C O. ~ ~ /~il ` ? ~ 29 rf FemaM: _~ a T y r ~i / yr t~ i ^ Due to I« as a caruegtwnce of . i eu corid10br15, rt any. D. ~:yy+j.~., a,(y,.,.j,.*.. ~ ~ " '--- e a - ~ ~e9hara ""~^ ~ Y•y ^ Pregrwrw u om. d rfaadi ^ Duewl«asa En ~e d1: AL ~ r +c cAUS - Na aa~anL an Prey~n wnm.~ d.y, Idseaw a uyury mat inmated die i d r7saai events resubirig h deems LAST. c' i ^ Due to l« as a consequence a) ~ - Nos pregnant. Out pragrira U tfays b 1 year , r ~ d. i bebra yam ^ tJrwban d pregnwlt rrl/ari tM peal year 30a. Was an Autopsy P t ~ 300 Were Autopsy Fwiduigs 31. Manner of Dean 32a. Date of (starry IMonm, day, Y~1 32b DewiDe How Iryury Occurred 32c. Mace d Irywy-. Mama, Farm, SUN(. Fapory, er omied Ava4aDN Prgr 10 Cumprebbn ' ^ ~ ®NaNral Ot1a•.s 9lalde>q, eC. ISpaclyl d Cause a Dedm > ^ Yes ® No ^ Yee ^ No ^ Atuynt ^ Pendiriq InvesbgaDan 32d. Trine d mtury 32e. In,ury at Works 321 d Transportatwn Iryury rSpecr/y/ 32g. Lowtm d injury (Street ury r town, snares ^ Suicide ^ Cotad Not Da Deprnaned H ^ V65 ^ No ^ Dnl'ar' DpMal« ^ Passenger ^ Pedeshian OaW Speuy 33a CartAiar (check my ones • Certllym sir;ian Pn h sician wnrf ui d s e m 33D Sgnature and TiDe d mbar l g p I y y y g cause w ea an arwlMr physiclarr nos prrxauriced yam and completed Item 231 T / y, ' ~ ` ~ ~ ~ y~ / y o tM Wet d my knowledge, death oaurrad dw to tM cause(s) and manner a• staled _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ L • P/Of1e1y1CNg and i;erlilyng phYeitwl rPtlyslGin both prorwwicuig dNm and cxreryng to UUSa d yams r7oNh xcwred n tW 0m. ay and Wa d d b tM r ~ o Bnsa Number 330 Date Ikbnm y, year) ~~ , . u, an ue cwaela) and mwyr a sWed- - - - - - - - - - - - - - - - - - • ducal E ia rrr t c W 1~ .i j L J ~~~ , / Z S / ' / ' On Up taw d ertaminatfon and! or invNtigtlon, in mY opinion, death occwrW ~ Ilp 1Mty, dap, and p4a, and Ihw to the cauaely and manner N stated., ^ 34 Name and Address of Per Who c«nplepd~'~Jause d Deem I nom 2n ~rrp• r Prix ' ~ 35 aIS .and Number M F 3 D Y7rf ai/ L ~- ~~ • ~, t, ~ `' ~~.• .~'' I L I L I Z IZ l21 ( onts. 6 ap ~y rwl 4 Y7 ~ ~/'!l~ ,~~' ~ ~/, .C~ I J= t ~" asposltan Pemnt No. 0 6 0 5 2 5 9 RENUNCIATION c~ ~~__ REGISTER OF WILLS ~~ -`~~v ~. ~~ ~-'~' ~ ~~ c ~ ~ ~~~.~ COU-NfiY, PENNSYLVANIA ~ `~' ~ ~-!-t ~:.~ .. .. ~~.., ~~ ~- r..._ ~.: > .~. .: ~~ : Estate of F L E A ~I 4 ft E L. A M D E R 5 Q N ,Deceased ........................ I, B R u c E_ _rt . A N D S I~ s Q N in my capacity/relationship as (Print Name) ~ SoN of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be Issued to ROBERT Q. ANDE~S¢N ,~ ~ ~ ~~ r,~, (7~atet Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , .~D11 Deputy for Register of 'Wills Form RW-06 rev. 10.13.4b .~, ` ~... ~ ~ ~~ (SrgrSatur~e} ~B4 LANCELOT AVEN~7E (Street Address) MECHAN,~~$BURG pA 17855 (City, State. Zip) :~ Executed out of Register's Office before the undersigned personally appeared the party executing this renunciation and certifed that he or she executed the reauz~ci~t~n for the purposes stated within on this ~r day of. Mg2cl zo~~ . ~.. __~. ... ~. ,,: ,: ; ~ _,.,.. Notary Public My Comrr~ission Expires: ~~~~ ; ,~~ ~ c~ ~ v~c~ /,Z (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Cc~tnniission.} Comman Wealth of PA NOTARIAL SEAL Parvin M. Mehrtash, Notary Public Upper Allen Twp., Cumberland Countyr My Commission Expires March O6, 2012 I2ENrtJNCIATI~N REGISTER 4F WILLS ,~,~~ COUNTY, PENNSYLVANIA _. , '°::*:. °~ijji~~.., y~~ ,aNV~ T~J ,.~:=~: ~' r>. fit? --t-; •;.:-5 _ ~ _-;r _...- ...1...., :T ``~"' ~-~ C~ -;-~ Estate of ELEANORE J, ~~pEft~ON _, Deceased .. .......................... __ __ __ ...................... __ _ __ I, ~ I L L SAM c • ANDERSON , in my capacity/relationship as (Print Name) of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to (Date) Executed in Reggister's Office Sworn to ox affirmed an ubscribed before me this ._..... day Deputy for Register of Wills Form RW-t1b rev. 10.13.Ob ., ~ ,. ,,= ~ (/ /~'C2 ~Sl~;7tatllYe) ~~~ INDIAN CREEK pRI~E (Street Address) MEttiANICSBURC ~~t I7Q50 (Ctty, State, Zip) Executed out of .Register's Uffcce 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 this ~~'~'~ day of u,~Lt~n , ;?o~~ . -_..,.. . Notary Public My Commission Expires: (Signature and Seal oi'Notary or other official qualified tc> administer oaths. Show date of expiration of Notary's Commission.) _ , ., ~p Ykiy ! ''_ 3 ~ _. .. _ "~~~P~ri~s ~~ ~~~ ~ ,~ ~ ~:! _ ^~~ ~3 ti, ~ ~. ~..~ _1 ~_~~ ~. -.~ ---~' ~~~ V A. •~Jl~~~~~ REGIS"I'ER ~F WILLS ~~]~~ERLAND ~QI~1~'~, PE~NNS~rLVA~IA. - ~ ~-~ ~.. ~J.1.. ~~ ~?:~ ~ ~~ l ~ ~~ / ~ ~ ~T - 4 ~ T _ ~. , i-_, Y .. ~ ~ --~ ~e ~ ~ i'-r'f r :~. -., ~:.~ rs.. Estate of N ,Deceased I, v , in my capacitylrelationship as (Print r~Fame} ~ ~.~ c u T o R~ s ~ N of tlae above Decedent, l~ereby zenounce the rlgllt t0 administer the estate of the Decedent and respectfully request that fetters be issued to z~~ ~ c ('1~atc~J Executed iu Register's (7ffice Sworn to ar affirmed and subscribed before me this day of Deputy far Register of Wills ~orrtp Rb~ Ot5 rev. 10.13.I}E> ~Gti~~y--,.,.._~ (5'treet ~#ddress} ~Cih~, State, T.ipJ ~xecuterl out of Register's C)f~ce $efare the undersigned personally appeared the party executing this renunciation and certified that he ar she executed tk~e renur~c' ian for tlae purpos tated within on fhis day ~~~ ~.. C-- __._.__.___, Nary P>.~blic My Cc~n~n~issian Expires; {Signature and Seal of l~atary c~E tither e~llicial qualii'~ed t+;~ adrniuister oaths. Show Gate ore~piration of Notary's Cotn~i}~ss~on.) COMMONWEALTH OF pENNSYLVANUI Notarial Seal Deborah Le Brenneman, Notary Public ~ Camp Hill i3oro, Cumbe-iand County My Commission Expires ]une 18, 2014 Memtaer, pQnr..cv~ania Association of Notaries RENUNCIA.'I'IO~ ~ o Wu~ ~:• ~:, , ; A w ,, ~ , .,~ ~ ,.:,..i + r -m ",.,r f _~_EGIS7'ER. OF VirILLS ~ --== .-~ -~~ ~~'~ ;. ..-:7 ~~ r~s~iRERI~AN~ COUTNTY. PENNSYLVANIA ' {. _ f ..l ~-.w... .~ ,J _ .. °-r~ [, Estate of A R a R .__._...~..... ,Deceased I, ~ ~ , in my capacity/relationship ac. (,Print Nanin' A T of the above Decedent, hereby renounce the right to -.dminister the Estate of the Decedent and respectfully request that Letters be issued to ~ r ~ !©ate) Executedt in Register's Office Sworn to or affirrned and subscribed before me this day of ~~~~ Deputy for Register of Wills ~~~ Rte. ~ ~t`~l..i~~, ~.Si~nature) (Street rldr~rers~ CHR~~,4TTE ~,~ ~~~ •6 ("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 this ._.~.~ '~ day cif _~.~ Y~ - - _ . ~ 0 ~, ]~ Notarv Pubii_ ~vly Commission Expires: ~~~~, ~;,e= r /~! ?,Z~I ~ (Si~nafure and Sea! of Notary or other ot~icial t~uafitied to admi~tister oaths. St~au~ date of expiration of Notary's Commission.; C~ ~^~ ~ ~, r' ~ `~ lc ~~h ~ w s r Fornt Ri3! t)f rev. 1(}.13.06 RENUN~IATIUN REGISTER OF WILLS cUMBERLA~ID COUNTY, PENNSYLVANIA. /`//•~~ t "" ~.. ~" .`"" t t .l r'~:J ~ ~ ~ ; ~ ` ry~ ' ~i a J 1 \J a _ ~` f T ..... ~~ .. ~ ,,.. ~ '.. .~:: t.,..T..~ r._.~ Estate of ,~1~ ~ A N 01~~ ~, - ANDERSON ,Deceased ................ ..................... ..................................... .................... . I, NANCY A . ~' N o,~PS Old , in my capacitylrelationship as (Print Name) ~A E~ ~ ~ T E R of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to ROBERT B• ANDERSON ~. ( , c, ~ Lit j~~-z-. +' (~ - ~ J _ (Date} (Signalurej 7022 S,~~EPY HOLLOW ROAD (Street Rdrlress) HARR~SBU,.~G PA ~? 1~ 2 (City, State, Zip) Executed in Register's Office Sworn to or armed and subscribed before me this day of ,~~~_. Deputy for Register of '`Hills Executed out of Register's Uffice Before the undersigned personally appeared the party executing this renunciation and certif ed that he or she executed the renunciation for the purpos s stated,within on this , f ~ ?.~2,.day of ; a~~ ~ ~:I, ,. ,. ~ ~ Notary Public My Commission Expires: ~/~C~~~ {Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary`s C~ammission J G®~Il!!,9®f~U~+lEf11.V#~_C?~' ~'E8~Pw5~l! .~sn~l~ll~~ tiat,~-ia! Swa! Linda L. barber, t~o?~ry Pc~F~lir., tilidd;~ P?~ion T~~rl'., ~ ua~hi~ ~:,our?ty i My ~r~ns~n°::si~aro ~x~irv~; deb. I;~, ''012_ Form RW-Qr5 rev. ID.13.06 htal~tber_~ut r,~,<~;i~ ~ ~ ~~ ~;~a+i,~~i cif tv^taries