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HomeMy WebLinkAbout04-28-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of _ ,~ C~ } ~: ~'~ 1,~ ' y ~ ~JS ,Deceased ESTATE - ~ ~~'' a/lc/a: NO: 21- (~ a/k/a: a/k/a: Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B'' A.ND "C" as applicable: ~ A. Probate and Grant of Letters Testamentary or ^Administration c.t.a., or d.b.n.c.t.a. (complete Part Calso) and aver that Petitioner(s) is/are entitled to the aforementioned Letters the last Will of the above-named Decedent, dated ~ - Y~under __ __ and codicil(s) dated ~= ~~ ~ ,+ l.! ;:.J ~ ~ ~ ~ i F _ ~_ ..~ ,1, « - (State relevant circumstances, e.g. renunciation, death of executor, etc.) ~ ' ~~ t'~ , Except as follows, Decedent did not m ~- % --~ . arty, was not divorced, and did not have a child born or adopted afte-r;~~c~c~ion otte instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated persoi~and was not a party to a pending divorce proceeding at the time of death wherein grounds for divorce had been established as defined iIr 'T' 23 Pa. C.S.A. § 3323(g): _;> ~,. J c_~ - .. --r, ~B. Grant of Letters of Administration (If applicable, enter d.b.n., pendent lite, durante absea~ia, durante mina~ritate) c>tt-tt~.~r~1hi_ S J C. Petitioner(s), after a proper search, has/have ascertained that Decedent left no V1~ill and was survived by they 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(g), except as follows: Name s aaro~~ to Decedent USE ADDITIONAL SHEETS IF NECESSARY THIS SECTION MUST BE COMPLETED: _ ~ ~ ~ ~ ~ c~ c ~ Decedent was domiciled at death in Cumberland Coun ,Pennsylvania, `~'th his/her las family or principal residence At ^ 1 C~G~ ~~ ~ e... lv ~ ~ ~~.~t t c S v J _ (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) ~ , 7O Decedent, then ~(~ years of age, died GC G ~ as t / -~ at ~~'L /~ c' S (f' (Month, ay, Y of death) (City and State where death o curred) Estimated value of decedent's property at death: _If domiciled in PA All personal property $ ~ (J y~ C~C~ _If not domiciled in PA Personal property in Pennsylvania $ _If not domiciled in PA Personal property in County $ - _Value of Real Estate in Pennsylvania $ --~_ Total Estimated Value $ ~ G~~°, Location of Real Estate in Pennsylvania: (Provide full address if possible.) nature(s) Name(s) & Mailing Address(es) ~v e ~ wt ~ (~ ~~ ~. »~ s 1 ~ ~ ,~vPr=~7 ~ ,e 1 ~ Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the~r~,~6 ~ 6Q..3 ~ ~~~ ~~ ~ ! UU Page 1 of 2 OATH OF PERSONAL REPRESENTATIVE Commonwealth of Pennsylvania County of Cumberland SS 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 represent;ative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed bef me this. -~t~~ day of _ ~~ .~ For the Regi ~- ~ .. --~'- r ~ .--.~ DECREE OF PROBATE AND GRANT OF LE - =° ~-r~ ~~, TTERS ~ p~~ .` ~:.t 1 ;.y Estate of r ~,Z, -- - -~~ ~ ~~'~~..~~1 J ~(~~~~ ~ ,Deceased File Number: 21- ( ( " "I r r - ~_3 : ~~ M1 . AND NOW, this ;~~ ~ay of _ }-~~~~~~ ( ~~~ ~~ the reverse side hereon satisfacto ~-~ in consideration of t11e Petition' on ry proof having been presented before me, IT IS DECREED that Letters Testamentary ~'of Administration are hereby granted to: (If applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.) the above estate and that Instruments(s) dated - in admitted to probate and filed of record as the last Will and Codicil(s) of Decedent ribed in the ;petition be ~~ - `~ =~?~-~~_C~-off 7 Glenda Farner trasbaugh, ~~~ Register of Wills ~k' ~' C~t?~1.-~ L~~1 ~'~:.Xv9~ ~" .~' FEES: --'-- Letters...... .j~ Will ...................... . Codicil(s) .............. . ( ~) Short Certificates ~ . ~Z ( )Renunciations..... .. Bond ............................ Other ............................ ............................... ............................... .. .. ~ ~7 ez` TOTAL ................ $ -,~8~:-~9 Signature of Counsel Required to Enter ~l~nearance Atty's Signature PRINTED Name: Supreme Court ID No.: Address: Phone: Fax: _~~ .~,.1 i ..y.'-1 __ -.:':~ - ; ~ -:3 ~ .._. Interim Form RW-02 revised 12.26.10 by Cumberland County pending actior. by the Court ' Page 2 of 2 ~v~v~~ ~11~~~rt , 35`~O C~J,/low ~o~-b; ~v~~-, G'~ /73/S l_o~ d-u l~.P~~aJc f ; ~ ~~C fc>,1 /o r~ ~t-D~ ~J, ~o ~ ~i~ l 7 3/ S ~-~ _,. 77 x ,. ,..r. .. ~ i ,_ ~ )',.. i T'1 E , ~- ~€ '-~t~' ~` ~ ~ ~ .~w ~ui7 ~ ~ ~ ! ^ e' i P F. j ~ ~ReF ~ ~ R ~4 ~ ~ ~ Pp 7 1R °kner• ~ M' ~n f+ ~Yl. ~F ~~ 'PI~~'~N~~~~~ d" ~:~ EP~~c~~@ t~;~ ~~r~~~~c:ad ~~,~~ ~.;~~~, ~~t,r k,~~3~t~.~~~ ~t r:~r ~:-~~~,~~~;~ . ,~~° s i~~c~ I~,.)r this cc~rtiliL~; Ike ',~'{~ ~ ;; ~i IaJ NEV t 1 :•.;Cc IrPE • PR~nR IN NERAIANENT BLACK INK I )+ar'y ~J DeitlOant lfuN. mrale Wit, wfF.pf Donozh A-i,Ceen Nobbe 5 Abe ;la,t &rncSay; Unger t ear 86 M:r rd ~.,, Noui ,arw, Y rS ", i,r rt°?¢ ~ rn3 ;~~ Y ,rs l ~r - ~ d •, r a ' vti)7'i C11s1~ ;3, °'l` !i, f4 tti ~ ~}.~ ;. ~, ~ ,. e s i , .Y.:.. 5 A l 1 ;, ~ ~ 1 .. t k `'p~1, i1 ~ i~i)i tY~ I A f ~ 1 ' .... ;% I r :. r~q P' ,• ° 1. i`~ L:J / ~ C--~~~.~. ~ .~ ,C~ (+~ ~'~ ~~ % l ~~ ~ .... .• F c t r .,_ __.. _....._.. -... _.. ~ ~ '7' I 11 ~'l 1.. - _I _ ~.4J _._ .^-:. ~ ~ r `~ j'-~ ^'l ~ ___. ~_.... .. 1 ~ ~....J 't„_... :1 ...~.. C`^a 3 COMAAONWEALTH OF PENNSYLVANIA . DEPARTIMENT OF HEALTH .VITAL RECORDS -°°~ T, CERTiFiCATE OF DEATH (See instrut:tlons and examples on reverse) STATE FILE NUMBER 2 Sa, J Soar Sw.rwy I+ur©ar a Dab d OsaNr tYatNt Ny, yrt1 FeraLe 148 - 14 -2762 Ja-wany 4, 2011 8 Oste d Bute ftia+di f 8o C~uq a mar, ...I.,,.. ~,.~,~ &c+~l;~ry Burn Tp d Dw.^r T „ t...n..orr•t s tsar ,~~~~u.~•~~x~„c,. acre~~d •ra Do ~wl st, ~.. ~;;twUw _ - NrdaBusnsa: rAOSLry t6 Ciere k•r:ts Sle.n Ayxess Street a. town sW:e r p rooel 100 Bent ~'ne.Ph geed ~~t~y, pa 1 joss IB feNwr s Name IFrst, mroW. wL wttu) • aro sLdn a cc.sr , 6a Pte.Y d CW^+ ~.fyrcy drl Kr»au: Ocher. t )0 1924 Revue MA ^ Y~.e~ ^ ER ca~aat..~ ^ oDA ~,~ No fa¢awy Mar'w fw •nt ia:e,Aar. O,.e arreet a^u'v"Owr! s^9 Kane ^ Resgenca ^ OdW • Speclly 9 .'.u Dacweru d trspanc Orpn'+ Nu ^ Yea 10 Race ~'(., ~ • D,.,~ • /+~ ,, ~ L, ,'+ rrs spas, G.Odn t'°N ~'~^e"c+^ ate, BHCI NRtae. elt „`e ed Kl. 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Marry aYl Ateir a d Facap ~nA} ~y D,,`':._ ,~51~/E. PA 17311 Cumpwte tarttt 2Jat orvy wtWn arotyn0 23a Tc iM Oast d 013564-C FeL',een Funerta,C None. nc 306 l Dr'~'Ntwn y na a~raJaae al tine d Deem b r N M. dtb aro P~• a+aad rSgraa,n aro eeei 7J0 L,ww NuniWr Carty Ca.,Se ut JedC1 hems 2a~26 mwt W 2s Tin d D 7 SO ~~ ~ ~ 2Jc. Dirt $~led ptawlt day, yrtl // ~ can{7iets0 M person who ~:,rcun:es Team e ear ~ / 3 25 QW P,yrpyncap OrW taontr t•+'1 t was Casa r b tAedc l E ~ ~/ . 7 M y / / a rartr,er , Carorar b a Heaton ONw.san ctrnra, or Dortaaorti ^ Y.s tram 2? P I CAUSE OF DEA7N (Sao Itulrurtlay LYId rte) ar, EMer Noe ~Sd.4Y nE~.ti - ~.ie~a.as. arF,r>as, a rompacaDOru - for cued caraa0 Ta Oeaac DO NOT ww ~mrW Mra wry r crdre wow. i A"~` ar-.w na-nx Pen u Fnpr over y_~~[IQm.~, ~espratory arrest. a uentrKUUr !w,r~llanon enpgA M e Crapw b Daaol t„ t rot . u10Mif5 ^a+o4'Y tat ony trn woo m sour r •e~' n m 28. 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LtW, Lw peoe, trod t>w b lAe t+euMfN Lord tttwryr r rre4 ^ ya wine and Ado d P r r I v 4 ' 2 o I I - ~ trays spec,,. and Daact Krerr0~~ ~ ~y' - !~` ~ - Ly I 1 ~ ~ ~ p ~ C~ I C ~ rer ertart yNb ~roNYd cry.Ja own them nt rya r ]f aee F.,d tYart -V ~, ,•,., 7 +. fit, v f ~_, I C L, r7 H ,i -wt an,l r -(.. - /~ 7 -- ~~t ti~ ~ ~-,.-,,t~l r~ ~ Dbparoet PrrrM Ho __ G'~.~19 7~ - !1~'.