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05-09-11
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of Alexine McTaggart Hikes a/k/a: a/k/a: Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `1~~iD ~`C'~s ~' applicable: r-n "° -~-c ~ T ^ A. Probate and Grant of Letters Testamentary or ^Administration c.t.a., or d.b.n.c.t.a. (con~~~G~~~ rt Calso) ',, and aver that Petitioner(s) is/are entitled to the aforementioned Letters ~-' cn ~ minder ' ' ' the last Will of the above-named Decedent, dated and codicil(s) dated ,-, ~ L? x~ ~= ~~----~-T.,- --rt `_ _. ~ t~U ~ 7'rl a ~~ rv .-~, (State relevant circumstances, e.g. renuriciation, death of executor, etc.) C ~. 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 s 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): ~ B. Grant of Letters of Administration Renunciations of Dale J. Hikes and M. Karen Petyak are (If spplicabk, enter d.b.n., pendent life, darante absentia, darnnte minoritate) at C e hereto Deceased ESTATE NO: 21- ~ (" d ~ ~~ ~'~ ~] J~~ a-_ , `~? `-=' :ate 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; snd was not a party to s pending divorce proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(8), except as follows:- none Name Address Relationship to Decedent Vance H. Hikes son Dale J. Hikes U ~G~ S G t„I ~ pl (gyp son M. Karen Petyak lq~. ~~aG>L ~l ~~~ uep ~ daughter t D~ USE ADDTTIONAL SHEETS IF NECESSARY THIS SECTION MUST BE COMPLETED: Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence At rl oc (1 q+~ c~ER CTS cFIAP£L ~ Ol t~rF NURS lNlr I~•~n-cl GbRI.ISLE~ Q.q (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) Decedent, then ~ years of age, died 4/11/2011 at C h(~.t_t S Lf i ~g (Month, Day, Year of death) (City and State where death occurred) Estimated value of decedent's property at death: If domiciled in PA All personal property $ ZOi 000 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 $ Ldp o00 Location of Real Estate in Pennsylvania: (Provide full address if possible.) 1 ~Sign~tur~v) Name(s) & Mailing Address(es) ~ _ - _ _ -- Vance H. Hikes i ~.-. s, 1 ~ 5 . Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 1 of 2 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. Sworn to or affirmed and subscribed before me this ~~ h day of I~!~GLL , ~ ~ I n A _ i~ L'` ~~ L~ 0 -T~ For the Register DECREE OF PROBATE AND GRANT OF LETTERS Estate of Alexine McTaggart Hikes ,Deceased File Number: 21- AND NOW, this ~ day of ~'~l-~ ~~ (~ , in consideration of the Petition on the reverse side hereon, satisfactory proof having een presented before me, IT IS DECREED that Letters Testamentary x of Administration are hereby granted to: (If applicable, mler c.ta., d.bo., d.bn.ata., etc.) Vance H. Hikes 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. Glenda Farner Strasbaug(h,~.~,1~ ~ ~,~,~~ ' ~~,~ Register of Wills`~U/ FEES: Letters ....................$ l.Y Will ...................... Codicil(s) ................. (~ )Short CertificatesJ~~C~ ( )Renunciations....... Bond ............................ Other ............................. I II 'C7 =' :,ate ~-~ -, ~ ~. , ~ ~ F-I. ~1 ~0 ~'~ Q... ;~, n -~c -- -T, c~ ~ ~o ,- , Signature of Counsel Required to Enter Atty's Signature PRINTED Name: Richard E. Thrasher Supreme Court ID No.: z29o4 Address: 220 Baltimore Street Automation FEE......... 5.00 JCS FEE ................... 23.50 Phone: 0. SL Fax: TOTAL ................$ Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Gettysburg, PA 17325 717-334-2159 717-334-0336 Page 2 of 2 ~~t,~Ht~;~tl~~,tl~,l,,, o2r-ll -- D~~~ LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate. x,6.00 P 17486486 Certification tiurnber lis is to certil`y that the information here given is Irrectly copied from an original Certificate of Death aly filed with nee as Local Registrar. The original ~rtificate will tie forwarded to the State Vital ecords Office fiay°"" ermanent filing. r ~~~ ~ ~ ~l _ ~ocal Registrar Date Issued r~7 n ~ S O ~4 "Z"r ' ~~ Z ~ :l:TV+ r' 1 ~~~ ~ ~ r~~ C!J ~ ; -J ~~.,,~ ~~ IInaD6 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS '~ ~ ~ ~ `=5 TYPE PRWT as .. r PERIAANENT CERTIFICATE OF DEATH '~7~ `~ ~- '~ BucK ~wc ISee Instructions and a:ampbs on reverse) STATE FILE NUF,i6ER hi `'~ 0 2. Se, 3. Saw Saway Nianur a. Dar d o«n (Wrwt. eg Yw1 t Name d OaueeN IFag. med., rg. sutnq Alexine McTa art Hikes Female 186 - 36 - 6777 Aril 11, 2011 • (lag Bnai0ay) 5 11 UMw t UMr 1 6 Ow d 8iM wan. 1 7. and sub a b can 9a. Plau d Daan CtrA ar . B Wnn, Dap rws lraara ~~~~ Dner. 1918 Florence, SC ^inlruenl ^ER/OWaaru ^ooA ~Naa+S Roma ^R«drica ^Darr-SWCN Sept 20 , 92 v~ n ardan But! wlra rc A 10 R • . . , au: nrira . d Doan Btl. Faaay Nama III nd arsaaWan, Iva aaar and nwrtarl 9. Wu Dautra d Hnparac 4^4^? ®No ^ Y« Twp Cay Bao Bc . , , . ae. cam a own Cumberland Carlisle Chapel Pointe Nursing Home Iwo Arbc~.rcl I~White I t DwerN's Uswl Nod d •aa ear most d 4N. oo as gab ralY9e 12. Waa Dxaeea a.r ~ w 13. Danera'a EdcaOm ISD•aM ~Y Mn•g 9r~+ ) It. AWnr Stawa' wm.a, Navu bimae. 15. SurmnO Slra« (r aaa, ~ nri0err wrrl WdOe«, Dwane ISPwYyI U.S. AmrO Fafgs? wdawaa u~wdBwneaare~armv ENrnenury I SxoMUy (o-121 Cdlege I1J a S.1 Widowed Registered Nurse US Army ®r« ^N0 12 4 - I6. Dacaaras 11atg Aad«a (Strew cnY / brn, star, ztp w0e1 Danew trvaa n T•4 ^ Y« PA liYa ^~~ 170 a 171 South Hay Street . . idarice t7a Sala Acml Raa T0"""°? t7a.~ra, o.ceaera l,vaa rwrn - -l d' i t Gettysburg, PA 17325 ,o, ,~~Y rr..~ an ~~,,,«a .art s e rNie,ro ' 16. Fatlrfs laem.IFasL nwOb. ug, sdNl s Name Far, mdda. nwon,anrrrl t9. weir Mar aret McTa art Vance Gand tribrmra's Nano tTypa / mil) zm. Inlormaa's gaA^9 Aeaaaa l5tr«l. ay ~ bvm, soda, rq Heal 2a . Mr. Vance Hikes 171 South Ha Street, Getts bur PA 17325 21a wuoa d Dsposimrt ®GamaOm ^ Damon 210. Data d Drpowum INan~ dY. Y•rl ttc. Ran d Duprmm Ilaanr d carrrrry, aamabry a aw pant 2t0. L0ra0m ICMrlasn. gr•~ aP Howl ^ Bow ^ R.mawtremswa ~ w«cr«ratlonorDaraanAWat«4~ ^ 4-13-2011 Cremation Society of PA Harrisburg, PA 17109 No R Y ' « ^ ovw _ r W raakal EaanarrlCaar wm.ardam«aaFxrroAuer Cremation Services of Pennsylvania, Inc. nsallaMr m 2ID L . . Ca zv Frwr , ~,,,~ FD 138312 4100 Jonestown Road, Harrisbur PA 17109 • ~ E«O aaa+rraE an. dau a.M~PyUn~stalW.ISgiJunr. aM ti«I 23a. Uarw MmWr 7.k. Dau dY.Ywl Carpbla Zuc oaY 27a. Ta ur WganM u ame d awn b / ' ~i~ ~~~ a~ 3 y a L y~ l ~ ~ , r 6 f M~ / 1 I~ / 0~ blX~~~~ nrn«. a o rn . Yw) 26. Wu Ca« Ralrrae to wool Faamnar Cororrr to a Rawson non Cr«ram « Daram? Ow Prmwmw (lam 2S . . 2a rim. d Dawn ~ eartr 2426 mur n cprpaW a' 7rson ^ Y« ~ NO • rr aanaicn wan. ~ ~ () A M. ~/ / 7 Ia . 1 ~ Wao,awa intwr: Pan u'. Enrr arw Ze. 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P 2 I'~O Ij ,.. _ r L n V UsDaa09n Pemr No. ~%W 1 1 1 I RENUNCIATION REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA off-' - ~ I (J ~ ~~ n -. ~= ~~ C O „" ~-v, ; r-, 1 _?'s. i "1`l '.. L.. U~ __, _ ;. rx~ ~.. Estate of Alexine McTaggart Hikes ,Deceased I, M. Karen in my capacity/relationship as (Print Name) daughter of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Vance H. Hikes, son of the decedent ll1 r~ oZ© (Dat /J (Signature) / / (Street Address~~ /1~~Pr~~iic~G~ ~ i 70.E (Ciry~„State, zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this ~ day of ~,~ , F.zzECteted ®ut o~°Register's +~ffice Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciatio>~ for the purposes stated within on this 2 day Deputy for Register of Wills NOTARIAL SEAL N a ublic ~~ GLASSER SILVER SPRING TOWNSHIP CUMBERLAND COUNT; y Commissio Exp~OMMISSION EXPIRES JULY 29, 2012 (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) Form RW-06 rev. 10.13.06 ~._ ~~> '~-! C 0 y ~ ~. ~- ~ ~~-~ rnv~ ~ ~ --c t, ' r _~ t ~ - 4_~/~`/~ RENUNCIATION : ~ ~~ <~ ~' =- " `' REGISTER OF WILLS - r CUMBERLAND COUNTY, PENNSYLVANIA Estate of Alexine McTaggart Hikes ,Deceased I, Dale J. Hikes 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 reque~r that T.etterc he ~sci~ed tc, Vance H. Hikes, son of the decedent II (Date) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renuncia~o for +he purpose stated within on this _~ day of ~~ ~ ~ _ --~ , Public nmission Expires: ~- ~ O -~ ©~ (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) Form RW-06 rev. 10.13.06 (Street Address) (city, stare. zip)