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Home My WebLink About04-13-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of John R a/kJa: a/k/a: a/k/a: Deceased ESTATE NO: 21- ~ ~ - ~ (09 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 and aver that Petitioner(s) is/are entitled to the aforementioned Letters the last Will of the above-named Decedent, dated and codicil(s) dated ~.T' a~ (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 aft~~ cution ohe t = instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated p waS~ot a `"~~" party to a pending divorce proceeding at the time of death wherein grounds for divorce had been es `~ as ec ,(jned ir>,' I'~_ 23 Pa. C.S.:1. § 3323(8): ~ ~ ~ <: - , `T T ^ B. Grant of Letters of Administration ~~ ~-, ^ rr't (If applicable, enter d.b.n., pendent life, durante absentia, durante [rAHiritate) .~ 0 35' t`-.. {'~:.. 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 4ddress John R. Nolte, )r. 05 Short Street, Hummelstown, PA 17036 nctanunsm [o vecea Son IICF AhnlTl!)NAI CIIF GTC IC IV L`!`L`CCADV ent THIS SECTION MUST BE COMPLETED: Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence At 5A Todd Circle Carlisle PA 17013 (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) Decedent, then 77 years of age, died Estimated value of decedent's property at death: lfdomiciled in PA If not domiciled in PA _If not domiciled in PA -Value of Real Estate in Pennsylvania at SS NO: 195-07-7992 Carlisle, PA (Month, Day, Year of death) (City and State where death occurred) All personal property $ 0.00 Personal property in Pennsylvania $ 0.00 Personal property in County $ 0.00 $ 0.00 Total Estimated Value $ ~ O00 Location of Real Estate in Pennsylvania: (Provide full address if possible.) Signature(s) Name(s) & Mailing Address(es) 205 Short Street, Hummelstown, PA 17036 Intrnm Fnrm R1~.~_il~ r...:~.~...1 I~ ~E. Ih t,.: ~~..~.. t.,..~,,...i r~........ -~...... . ._ ~ ,. ,~,~~~, ~ ~,,,~„ .. ~ u,~,y ~~ci,uurg acuou up the i. Dort P~lec I of 2 Nolte 7/16/1995 (complete Part C also) under .~' jV \\- OATH OF PERSONAL REPRESENTATIVE Commonwealth of Pennsylvania ~ SS County of Cumberland The Petitioner(s) herein named swear or affirm 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. F--~ ~ O ~' ;~~ =r1 ;~,-~ Sworn to or affirmed and subscribed ~ ~,. ~ -, -,-, ~ ~ ~ ~ ~ n _ } 1 day of b fore me this ~c„~ c..~ -x ~ ~- X1--1- ~ ~--, -_-, rv ~~~ C7 --: ~r For the Register DECREE OF PROBATE AND GRANT OF LETTERS Estate of John R. Nolte ,Deceased File Number: 21-1-~_ AND NOW, this ~~day of t~(1 ~ ~ <~~) , in consideration of the Petition on the reverse side hereon, satisfactory proo~ving een presented before me, IT IS DECREED that Letters Testamentary X of Administration are hereby granted to: (If applicable, enter c.t.a., d.b.n., d.b.n.c.t.a„ etc.) John R. Nolte, Jr. 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. FEES: Letters ....................$ C• ~C7 Will ........................ Codicil(s) ............... (;2) Short Certificates $ • ~~ ( )Renunciations....... Bond ............................. Other Automation FEE......... 5.00 JCS FEE ................... 23.50 ~z~.-~-~ TOTAL ................ $ Q- ~ ~ Glenda Farner Stras aug (;,,~.~}-~~,~rk~• Register of Wills - ~~~ Signature of Counsel Required to Enter Appearance Atty's Signature PRINTED Name: Amy H. Backenstose, Peter G. Angleos Supreme Court ID No.: 87008 Address: Building #3 St. 330, 2001 N. Front St. Harrisburg, PA 17102 Phone: 717-232-1886 Fax: 717-232-4189 Interim Form RW-i.i? revised 12 'h_ 10 bq C`umberiand Counh~ pending. action by the Court P:~ ~~ _' of 2 105.905M REV.4/9G 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. Charles Hardester State Registrar 0605044 NOU,1~~939 r~ No. e ~a ~~~ ~ ~ ~ ~ C~ -r7 --~ _. . a ~~ ~ f'V `r1 t- i N ~j G67838 NTOS,a, RSa vex COMMONWEALTH OF PE CERTIFICATE OF DEATH EALTH • VITAL RECORDS STATE FIU: NUMBER TrY DATE Of DFATM iMOrM. DaY. ~barl ~ SEX SOCIAL SECURITY NUMBER PEpMANE,7T NAME OFDECEDEM(FrtaLMloda.Latl John R. Nolte ,, Male ,. 195 - 07 - 7992 .. July 16, 1995 BLACK NI( 1. BWTNPIACEfCM aAtl PLACE OF DE/SNICne MOrxyore-sea ~nahucLa+a on alner maM ADE0.w B.Mayl UNDEp,YEAR IRIDEA,ON DAfE OFBWTH SIW ar Forego COUntryl 110SPITAL OTHER. Maralra ~ Dap Nwa i MYallaa Od""~`O°ber" 1, Altoona, PA tnPafwra^ EPoWmauwa^ ooA^ Nor"r"'"'°. ^ n.rewa>~ ~rl^ 77 Yn. 4 1917 Y. TI4 RACE-Amwo,aq;an.arX+lww.«. NIa3OECEDEM OFIMSPANIL ORIDpi'7 (SaacM COUNTYOF OEATN CRY,BDIIO.TMN Oi DEATH FACILRY NAMEIX rXn mstmnwn. 9ne attest orb raanbrl ~~ Wa^Myw,apaWYCWan, a~ Carlisle 5A Todd Circle Moibn•PwRORkrr•Me. White Cumberland '~ " K. ~' MARrrusTaw-Mrrwo suavlYlNDSrousE p~p1T•S ~,pqN IDIIDOF BUSNESSM,DUSTRY YAU4E~AR~pFTOPCEE8IM DECEDENT'S EDUCATION NaMr Martial. WIOo+M. IErN. PYamrErn wrW x.real.arkoar moal DNeroao (Spaotvl a~~,,,, ~' Plumbing "°`~ "° ^ ,,. j°~ "°"~ I ,.. Married ,,. Laura N. Miller Plum r ne. ,,. 1 lap. Nra MAK,NB AaoRESBtsaaaLCAy/w.n. Els.zocmn $ „a, sloe. Pen[~.y~yania ~~ tn.^ W.•a.lbr.ww~ SA Todd Circle /E510EN~ ""'qa .nom i'" Cumberland '°~'""~' ~1 "°'°ip0iA1P"i° Carlisle ~ ,a Carlisle, PA 17013 ,Ta, wllr,.wrlirlMaa ,TB. MOTHER'S NAME iFasl. Made. Magan Surname) ~ER'SNAME(F•aeL Miode. la91 - Eva P. Davis _ • Daniel W. Nolte IRMANrs NAME (TYprpr.la Laura N. Nolte D+vE DF DISPOSRION ~ Cr.IMeae^ y,,,0yei„pmsm.^ (Mmn,ar.rarl ae.w I~^ a,,, ^ ,~a Ju ly 19, 1995 OR PERSON AC7S87 AS SUCH l1CENSE NUMBER p~ Ste hen R. Hall xib FD-012C mae.M al my gprtlaopa. oaYn «anw ae m.tirn..ax. ana pa0 npNMiYer2,rc eray.le.n umMrA7 .e.e.nawa.wMnm.aa.erm lsiarlaaa ana / B,earabKn. ~za.2en.rl.~ICN~a~y, MB.,IpplBraKrlcwbaBr. BAEdFDEATH '1 /1 M /a~ C (1 DATE PR LACEDDEAD/('. ~ G' 71(p 7 c . . 21. MIIfC ENartlN CiraMM. gjlaMaar ownpACMlorN which gllaaE tlN barn. DO rotamar llM npoa of WiM, MCn as broil " aY. LM OrI!/ pYa CiYM pl MCA I B®IIBBCYNI[IFUw racaldnon QY./Q I ,a aYpnoaKnl-~ a. DUE IOR AS ACONSEOUE CEO I Woodlawn .eey) VMS CASE REFERRED TO MEDICAL E%AMINEMbRONER9 Na~ qa ^ M 107 arreaL Snaaanaan talgn. IAppoXllMla PMTR: OIMraR~ollamlV4ltll idarval oatraan np rwuMYgntlM tMlAa,lyaV Fiw1 I~~~ Bar,, laadr9birXrraWew 'T'p,~E IOR AC DUENUE IXI: ' ~ • ( alr.Enrar11110E18.YMB ~ a CAII~EIOrwraFalAy DUE TD IOR gSACONSEOUENCE OF): ~ ra.rror (usT o TIME OF INIURY INJVRYR WORKY DESCRIBE IIpNINJURY OCCUMED. ' M/$AN AUTOPSY WERE AUTOPSY FINDINGS MANNER OF DEATH GATE OF INJURY IManm Day. veer) PEpFpRMEU9 COMPLETION OFCAUSE ~ NMUraI Nomicga ^ Yn ^ No ^ OF DEATNT ~J AttiMX ^ Pxbmglnrnrgatgn 7oa. AI R ' I00 M. 7pc. LOCATION ISrcew. GryROwn. Sptel IxYdy. olfica srrM farm I me , Ma ^ ~ q ~ ^ ~ r-X ~iy ^ Couq nd tw CalermineG LJ LI Y - i-I PUCE OF IKIU pu~girg, a1c. ~SOeci+vl , . g . • H. ,M, SIGNATURE AN OF C Tlfl T,'ERTIf1ERfDneca pxy one) anomer MvsK.en nos oronwnceo Ceetn ana:,a'r •CFJITIFYMG pNY51C1ANIPnvscan rxruhmg wusedaeatn when l orlaM tlN wWgarrA manrnra atatM-...... ~~~"~""" '~o~e'ee "em 231 ........... .. ............. p ~3j - ........ /~ 71 E. DATE SKiNEDI Da veer) MB Ts BrwpM et mY gmwMOpa, baM ettrrrea LICENSE``U G iJ ~I (~ L L 7 J Z PRONOUNCKID AND CERTIFYIND PIIYSICIAM IPnvvcan Dom aonounc'~nq 0eam and cM,AV,ng Io cause a' oea"''~ d ow to tna cauW q arq manne r a atatW ................. _ , , ~i 7,e. J J 71 d. ..... '~ NAME AND ADDRESS OF PERSON WNO COMPLETED CAUSE DEATH W Te tlM Baal W mY IrnpwNdpa. Eaath oeewraC M fM Bma, bM. arro Place, an Ulem 2Ti Typo W Prim p ~ , N(.i/r~e ~ ~~, l p 'MEDICAL E%AMINER/C0110NER Math xcurteo at the time, osle, a opinion In m , i nd place, sntl tloa t0 the uu ~ _, A 3 ? ~/ aelal and _ y ~ ~ L S.Jy ~ r ~~~ L /` ~ ~ IF , on, ya, Y On tlN Baaia MlaAmilrA,IBR aRtBp Inveat .................. ....... .... .......... .... .. . ............... .. ..... ]2 O marrrr.r Y gatW ........................... GATE FILED~MO^M ~~av ~ear~ Z ~ ]la REGISTRAR'S SIGNATURE AND NUMBER ~ / ~ • `J '1 ' ~11~ •• ~ _ l 7_ / 5