HomeMy WebLinkAbout05-02-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS
PETITION FOR PROBATE AND GRANT OF LETTERS
Estate Of Sandra Kay Railing
a/k/a: _
a/k/a:
a/k/a:
Deceased ESTATE NO: 21-08-0748
SS NO: 208-38-5854
Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' ANl) "C" as
applicable:
^ A. Probate and Grant of Letters Testamenta or p
and aver that Petitioner(s) is/are entitled to the aforementioned) Letterson c.t. straoon d b.n. t a a. (complete Part C also)
the last W111 of the above-named Decedent, dated i 11 __ under
nd codicil(s) dated
--- .-, I , t ~-~ --
The appointed Executrix Florence R. Fisher died on A ril 24 2011.
(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}:
}._...5
D B. Grant of Letters of Administration d.b.n.c.t.a. ~- ---~'
(If applicable, enter d.b.n., pendent lite, durante absentia, durante minpri -.U ~ ~r? ;~-=3
C. Petitioner(s), after a proper search, has/have ascertained that Decedent left no Will and was survived b t 1~~ ~~ t '
y ~~~ CJ ` ,..~ i I
following spouse (if anyj and heirs (If Administration c.t.a. or d.b.n.c.t.a., enter date of Will in Section A and ~ r~ ~._~?
heirs); was not the victim of a killing; was never adjudicated an incapacitated person; and was not a part • _ inl~st~ - ".,
proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. 3323 y g -~~."orce r-~;- t__;
Name § (g)~ ~c~jt as foll:_~ -~i
-.t ~ ;~ 1
Address Relationshi to De ---F _ ~~
Rebecca L. Greeger o 17 S. Baltimore Street, Mt. Holly Springs, PA 17065 Chlld a~nr ~;.~
c_
Patrick D. O'Donnell 8 Terri Drive, Carlisle, PA 17013 -
Ms. Alison E. Krom child
12 Carter Place, Carlisle, PA 17013 child
SEE ATTACHED LIST FOR ADDITIONAL HEIRS
USE ADDITIONAL SHEETS IF NECESSARY
THIS SECTION MUST BE COMPLETED:
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or rind al r '
At 927 North West Street, Carlisle, Carlisle Borough, PA 17019 P p esldence
(Street address with Post Office and Zip Code, Municipality: Township, Borough, City) ---~---
Decedent, then 55__ years of age, died 6/25/2008
at 927 North West Street, Carlisle, PA_17013 _
Estimated value of decedent's property at death: (Month, Day, Year of death) (City and State where death occurred)
_If domiciled in PA
_If not domiciled in PA All personal property $ 23,000.00
_If not domiciled in PA Personal property in Pennsylvania $ -
_Value of Real Estate in Pennsylvania Personal property in County $ ---
$ ~o5,aoo.oo
Total Estimated Value $ ~2s,ooo.oo
Location of Real Estate in Pennsylvania: (Provide full address if possible.) 927 North West Street Carlisle, PA 17013
Signatures) ------
Name(s) & Mailing Address(es)
' _ ~ " ~' ~ Rebecca L. Greeger --
_. .,
~% 17 South Baltimore Street
Interim Form RW-02 revised 1 ~ 26 10 by Cumberland Coun ~ Mt. Holly Springs, PA 17065
ty pending action by the Court
Page 1 of 2
Beneficiaries:
Ms. Donna March, Sister of Decedent
131 North East Street
Carlisle, PA 17013
Minor Beneficiaries:
Ashley R. Hudson, Garret Q. Greeger, Bailey R. Greeger and Evan M. Gree er
Grandchildren of Decedent, all c/o Rebecca L. Greeger g
17 S. Baltimore Avenue
Mt. Holly Springs, PA 17065 -
Aeryona E. O'Donnell, Grandchild of Decedent, c/o Patrick D. O'Donnell
8 Terri Drive
Carlisle, PA 17013
.
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OATH OF PERSONAL REPRESENTATIVE
Commonwealth of Pennsylvania
County of Cumberland SS
The Petitioner(s) herein named swear or affirm that the statements in the fore oin Petition
correct to the best of the knowledge and belief of Petitioner(s) and that, as ergsonal re are true and
Decedent, Pei%ioner(s) will well and truly adm' 'ter the estate according to lam, presentative(s) of the
Sv.Torr. to or affirmed and subscribed
before me this day of ~ - ~ -
f r_ _,
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For the Register ~--, ti -_ ,.__,
.--
DECREE OF PROBATE AND ~~~ `~ ~~~ ' '~'
GRANT OF LETTERS ~ r,, `~
c~
Estate of Sandra Kay Railing
---- ,Deceased File Number: _- 21-08-0748
AND NOV~~, this ~ ~~-~ ~ -
-~ day of ~-~.(; -~
the reverse side hereon, satisfactory proof having been presented before me IT IS D anon of the petition on
Testamentary x of Administration ~ ECREED that Letters
- d.b.n.c.t.a. are hereby granted to:
(If applicable, enter e.t.a., d.b.n., d.b.n.c.t.a., etc.)
the above estate and that instruments(s) dated 6i11i2oo8 ree er --
ln
admitted to probate and filed of record as the last Will and Codicil(s) of Decedent ribed in the petition be
~,
Glenda Farner Strasbaugh --~ ~~- ~ ~ ; w ~ ;~ ~ ~~
~-~ ~ ~yCi,t,,~~- ~,~c ~'.~ r~,cf~
Register of Wills
FEES:
.wi:.ett.ers..~.~1:fl:G:r.?....$ .~ c) cs ~.1
Codicil(s) ............... _
('~ Short Certificates __ L~C-
( ) Renunciations......._
Bond ............................
Other ............................ --
.................................
Automation FEE......... __ -
JCS FEE.. 5-66
................ - ~-3-50
TOTAL.....
Signature of Counsel Required to Enter Appearance
Atty's Signature-~%`~ . /
~ y " A-~_
PRINTED Name~Mark W. Allshouse, Es ire
Supreme Court ID No.: 78014 --
Address: -
Phone:
Fax:
Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court
4833 Spring Road
----
Shermans Dale, PA 17090
-_
717) 582-4006
717) 582-7476
Page 2 of 2
L_C)~.,AL REGISTRp-R'a ~~R•T'I~Ie4~'~1:1N CAF' D~~1~~i
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H105.143 REV 11/2006
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TYPE /PRINT IN COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~ Lr'3
PERMANENT
BLACK INK CERTIFICATE OF DEATH ~ -,
(See instructions and examples on reverse) ~
1. Name of Decedent (First, middle, last, suffix) STATE FILE NUMBER
Florence R. Fisher 2. sax 3. soda' Securtty """ter a. Dare of Daam (Monet, day, year)
- 5. Age (Last BirthdeY) under t r under t da s. Dare of elm Monet, r T. Bi C' and state or bra coon ea. Place of Deem check 2 2 - 5 9 7 0 Apr.11 2 4 r 2 Q 11
f4onms Days Haas Mrrutea ~}.,,.-,
82 West Pennsboro '""~'• Hospital: Other:
rrs. Ctiunb• Count PA ,~,~
8b. Gantry of Deem &. City, Boro, T of Deem ^ Inpatlent ^ ER / Ou~etlerd ^ DOA LGS Nursing F1oma [I Residence ^ Omer - Spedly:
• w'P Bd. Facility Name (II not institution, give sheet and number) 9. Wes Decedent of t{r
~ spanic Orgin? ®Nc ^ Yes 10. Race: American Indian, Bladc, White, etc.
Cumberland South Middleton Of yea, specHy Cuban,
MaI'1o1"Care Health Services Mexican, Puerto Rican, etc.) (Site
• 11. Decedents usual ban Kind of work done du most of file. Do not abate retired 12. was Decedent ever in me 13. Decedents Educatlon (Speciry only highest grade
Kind of Work Kind dBu~iness /Industry U.S. Amted Forces? completed) 14. Marital Staters: Mewled, Never Married, 15. Surviving Spouse (If wife, give maiden name)
Sales/Mana ~1e71t Elementary 1 Secondary (0-12) 1 College (1-4 or 5+) WbON~' Diwrced (~'Nl
4 Radio Stations ^ yeS ~,~ Widowed
16. Decedent's Maging Address (Street, city /town, state, zip code) Decedent's pA
619 N. West Street actual Residence 17a, state Did Decedent -
Uve in a 17c. ^ Yes, Decedent Lived in -- _
Carlisle, PA 17013 ,7b.Couory Cumberland Township? 17d~No DecedemLivedwimin Carlisle Twp.
16. Fatdwr's Name (First, middle, last, suffix) Actual Umits M Ciry1 Boro
Frank Hi hlands 19. Mother's Name (First, midde, maiden surname) "-
Elsie CcYrmerer
20e. Infomtanrs Name (Type /Print)
Donna R . March 20b. Informant's Mailing Address (Street, city /town, state, zip code) -
21a.MelhodofDisposdion 131 N. East St. , Carlisle PA
o ~ ; ^ cremation ^ Donation 21b. Dare of Dlspositiort (Monet, day, year) 21c. Place of Dis - 1 7013
,,, ® Burial ^ Removal Irom State r Was Crarrrstlon or Dortstlort Authorized Iwsitbn (Name of cemetery, wematory or other place
^ °tl1ef " ' ~' k'°d'~ Exatnl~/? ^ rea^ Ne 4/28/2011 Ashland Cemete ) 21d. Location (Cdy/town, state, zip code)
22a. S' F ce Lbensee (or ac • as ~ Ca.rl isle, PA
) 22b. License Number 22c. Name and Address of Facility 1 701 3
• ~ -
- FD 012633 L E~ain Brothers Funeral Home, Inc., Carlisle,, PA 17013
Complete items 23e-cony when rsrtilying 23a. Tome best of my k nth occurred et the to and
physician is not available at time of deem to place stated. (Signature and title) 23b. License Number
certify cause of deem. ~ /7 y° - 23c. Date Signed (Monet day, year)
Items 2426 must be completed by parson 24. Time of Deem 25. D Pronounced Dead (Month, day, year) '
who pronourtoes deem. ~d/~ ' ~ ~j J'~ 26. Was Casa Refer-red t~o '~°~ical Examiner /Coroner fora ason Offter man Cremafion or Donatbn7
Cj M. ~ ,C.C/ ~ ^ Yes LS No
CAUSE OF DEATH (See Instructions and a ampbs)
.~~ Item 27. Part 1: Enter me dktan of events -diseases, iryudes, or complicetials . mat d t Approximate interval: Part II: Enter other simifirant condi0or~s mntnbL!filw M_ daarF~ 26 Did Tobacco Use Conldbute to Deem?
respiratory arrest, a ventr(cular fibnllatian without ~ ~~ ~ deem' "OT enter terminal events such as cardiac arrest, t Onset to Deam
()r showing me etiology. List onty one cause on each Nne. r rg in the undedying cause given in Part I.
IMMEDIATE CAUSE IFnal disease w but not resum
"~ i~ condition resulti de pp ~ t Yes ^ Probably
o ^ Unknown
' r 29. U Female:
Due to (a as a catseq oQ: ~
° ° ~ ~~' "s ~m0^s~ fi anY, r - ~ot pregnant wimin past year
b. M _ ,
t ~ b b cause listed on Gne a. / Y7 t ^ Pregnant at tlme of deem
1~ Enter the UNDERLYING CAUSE Due to (w as a consequerxx off: t ~ -
(dsease winjury that hhialed the ^ Not an
_ r Pre9n t, but pregnant wimin 42 days
events resulting n Beam) LAST. c. r of deem
Due to (or as a con r
•
d, ~~~ off. ~ - ^ Not pregnant, but pregnant 43 days to 1 year
r before deem
.~ i t ^ Unknown if
30a. Was an Autopsy 30b. Were Autopsy Fhdngs 31. Manner of beam pregnant wimin me past year
Pertormed7 Available Prior to Completion 32a. Date of Injury (Monet, day, year) 32b. Descdbe How Injury Occuwed
of Cause of Death? Natural ^ Hornbide 32r.. Place of In'u Hortte, Fawn, Street, Factory,
try
^ Yes ~ ^ Yes ^ Accident 32d. Time of In'u Office Building, etc. (Spsci/yJ
~o ^ Pending Inveatigetion 1 ry 32e. Irqury atWorkl 32f. If Transportation Injury (Specr'lyJ 32g. Location of injury (Street, city /town, state)
^ Sukrde ^ Could Not be Delertnined ^ Yes ^ No ^ Dmrer/Opereror ^ Passenger ^ Pefkrstrtan
M. ^ Other - S
33a. CeNfier (check ony one) /~h'
~.~ To the IEx tpM b~ (Physrdan cehdyng cause of deem when another physidan has prorwunced deem and corttpleted Item 23) Signature and Title of Certifier _ `_ /~ M ,n
my lotowkdge, death oauwed due to the awe(s) end manner asstated- - - ~ ~~~~~ J 1~~~~/ y / - r t /
PronourtN and ~----------------------------- ~ Y
n9 eartMying phyaichn (Physician born proraurtdng deem and certHyktg b cause of deem) 33c. Ucense Number ~
wo To tM beat of my k^o~9•, death occurred rt the erne, date. and place, end due to the anuse(s) and msnnsr as stated- _ _ 33d. D^ata Signed (Monet, day, Year)
°y ktedical tHtaminer/CaOnM --------------- ^ O `~~ •, ~ ~ ," I
„~, On the beats of examinatbn and / or investigatbn, In my opinion, death occurred at the time, date, and place, and due to the cause(s) and manner as stateiL ^ l "11 r' (i y~ ~ ® ~'
O
~ 34. Name and Address of Person Who Completed Cause of Deem (Item 27) Typ / Pdnt
,,, 35. Registrar lure and District
a ~ l ~ 36. Date Filed (Monet, day, year DONALD J. KOVACS, MD
. ~` ~, ~p~ ~ .~ I I I a I 1 I I ) 'fallow &eeches Family Pradia! Center
1356 Lutztovm Rd., Bdlirg Springs, PA 17007
Disposition Pewnd No: ~ .. O l¢ I l0 1 1 b -