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Home My WebLink About05-17-11PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland Estate of Elizabeth G Mank also known as Deceased COUNTY, PENNSYLVANIA File Number ~ ~ I I _ ~ ~~ CI Social Security Number 164-30-7786 - --i n ..._ - r ~ --ri Petitioner(s), who is/are 18 years of age or older, apply(ies) for: C~ - - `~ ` ~ ~' (COMPLETE 'A' or 'B' BELOW.) ' ~ `' ~. ~-r-~ ..~- ~. ^ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the ,~ -;~ ,fined in the last Will of the Decedent dated and codicil(s) dated ~ ' ~ __ ;~ ~ :-, ;_ -. :> - ~ _ .-_ -- -: (State relevant circumstances, e.g., renunciation, death of executor, etc.) ~ w - Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the instrument(s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: Q B. Grant of Letters of Administration (If applicable, enter: c. t. a.; d. b.n.c.t.a.; pendente lire; 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.) Name rcc~auu„~~u ------- - Joseph G Mank Son 106 Forest Dr, Camp Hill, PA 17011 Patricia A Myers Daughter 99 Fogelsanger Rd, Shippensburg, PA 17257 Ann M Railev Daughter 1611 Stony Mountain Way, Dauphin, PA 17018 (COMPLETE INALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at 5910 Ste hens Crossin Mechanicsbur PA 17050 (List street address, towrr/eity, township, county, state, zip code) Decedent, then 72 years of age, died on April 26, 2011 at Holy Spirit Hospital, Camp Hill, PA 17011 Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 5,500.00 (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: Si at~ure~ /~~ T ed or rinted name and residence G1N LO~ Christine E Pavlakovich, 5910 Stephens Crossing, Mechanicsburg, PA 17050 ~~ CJ ~~ Form RW-O2 rev. 10.13.06 Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA . SS COUNTY OF Oberland 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. File Number: ~' '' _ 0 `~~ Estate of Elizabeth G Mank _~ '.- - ,-r; J.J c ',) r _ ~ .. `. Deceased - ~" Social Security Number: 1(64-30-7786 '~ (~~ ~ ~ Date of Death: Apri126 2011 AND NOW, ~ t~ ' V~ ~J.L~ in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS T)F. ED that Letters of Administration are hereby granted to Christine E Pavla] 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 W ill (and Codicil(s)) of Decedent. FEES Letters ............... $ Short Certificate(s) ........ $ Renunciation(s) .......... $ ... $ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ --6-00 Lt~ l / Attorney Signature: Attorney Name: William H Andring Supreme Court I.D. No.: 26609 ~ Address: 248 Creek Rd Camp Hill, PA 17011 Telephone: 717-975-8796 Page 2 of 2 Form RW-02 rev. 10.13.06 Sworn to or affirmed and subscribed ~ `~U'Gy~ ~( ~n Signature of Personal Representative before me the _L~ __- , day of n Z D ~ o~ a ~ ~ m '*. ~' o r~ ~ m °~ v 2 a~ N ~ ~. v O ~ n ~ ~ v (D C pj OU rr ~ O (D ~ ~ ~ .a Ut ~ l0 (p F--~ Vf ~ Q N (D frtD ~ 'a (nD S fD (7 O N 7 QO n S v 7 n~ C D N V O In O LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certifirue. x;6.00 P 17297242 Certification Number H106115 REV 11fL000 TYPE / PRINT h1 PERMANENy BIACK INK 1. Noma d pendent (Fast nkma. rst s Elizabeth 6. Aga (Last fiirmderl ~ kloriew 72 Yrs. - m. Carry a lyean C(mlberland 11. pecedenrs USUeI eon Kntld Kra a Work This is to certit~ tl;at the information mere given i~ correctly copied 1~ro~~n an original Ccrtifiratc of Death duly filed with nle as Loral Registrar. The ori~~inal certificate will he tin~vti~arded to the State Vital Records Office for perlt~anent filin;~. ,.~,, ~1~8' ~ Loral Registrar ~~~~~( Date ls~ued COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH lSee Instructions and examples on reverse) STATE FILE NUMBER 2. Sax 3. SotlalSwvnry Number o....,,7.. 1 Gd - "2n - Bu Chl. fiord, 7wp. d Deem East Penns Kkd d fiusvlebsl 16. DeatleMa McAig Adtlran (Strew. dry /town. sea, np ~) 5910 Stephens Crossing te. ham 27. Pan I: Enlar ma rAaiadmrms- dwean, ayiaw, «aarykabre - fiat dredy canes m• ~'. Liq any are ease an earn Ins. me adorAY bnaa ahorir b l a d . 4 on w r l artea. a wndaaar I ~. reapir d a y a~ / ? ' F~V l Sn deahl« ~Y' t~ ct rL>~ -~ a « as a mwe4irnce dl: Du e r ( Imo ~ ~ W caidiAdw, B any, C. =• iF'~ ; > - r ease kaaa an ins a. Due m 1« n a dl: ~ DErurlNO CAUSE ~°""4'""aa i ,1 5S (awns «eyw ma iadaaa me a T-.> c.(-2.---- L «r«n m meml LAST. Due^ (« n a areepixce dl: i `(ef s earl MOntlt wa alb. Dea.,se How Injury oaurma 30a. wn n AWOpsy 30b. wen, Autopsy Fmdkgs at. Memar a Dam r, y aza Dar a IrQury ( Perlamea? Avaiahr Prur u Completion O manna ^ H«adde r-~~ a Caen a obm? ^ ^ ^ AaiOent ^ Pendng Irwntipaaon 324. Tare d Irytay 32e. Iryury at WodR ^ ^ 321. n Tra poranm Irpury (Spectlyl ^ ~/~~ ^ Passenger ^ Pedeslnen ^ Yn L] No No Yn ^ Suitltle ^ CouU Nd W Deteimirwd M. No Yes Omer- ~ - Caprr' 23ac adywMn aralYirS Tomel>ealdmy loio•detlge, omaredame tlnr, der ndpaca aatetl. (Sigretun and art zab. Llanse Nunioar ('1>r3` ~ i zx der signed (Manor, d•r. Yeec 2cL~ ; ~1 ab J~ romwaiam arareaaenr ~.u o t (~ L , p D~ Prorpaawd Dead (March, day, Y~ 25 28. Wea Caw Rderred/Ip Me6ca Fianww / Camm rr a Raasa Omar men Cramaeon « Dpatlon? Iwrn 2426 mua M rornpleted M Pe~^ sn a 24. Tore d Deem v'l`1 p M . la fl I ~ W , 2~ L ~ P ^ Yes LI Na . s wro paauras . ApprUlarea interval: Pen I ~ ~ I: Einar dher 26 Did Tabeao Un canrbua r Deem? CAUSE OF DEATH (Sas Instnutbro srM sxamplea) DO NDT ariur ermine evens such n ar6ec erreaL ~ Crest b Deah bd nd ruulaig n me urdayag aa• pr•n in Pad I. ^ Ys ^ Probeby aey. Yaary Hospwl: rm. May 30, 1938 PottsV111e ~ PA [~ Inpalisd ^ ER / oatpakarn ^ DOA ^ Nursng Hama ^ Readeraas ^ OIMr Speay: Bd. Featly Nsme (n nd msaWbn, pre sb9a end maMer) 9. Was Dsadart a liegeriic Origin? [~ No ^ Vn 10. Rocs: Amedan Indan, filadc, whin, etc (SPar+b1 Twp. Holy Spirit Hospital tll rn, aaeafr coven. Arxian, Para wan, ea:.I White ma ~ 12 was DearMm ever n me 13. Deadenrs Edra6a (Speay arty Iplml gads complebdl 74. Madla Suns: Marred, Homer Narded, w'dOMed• DNan:ed (SWc'iIY) is Survivng Slxaw (n wir, pre naiaen reme) U.S. Amwa Fonres7 EI«nenary I SetoMary (412) Cokge (1 a « 5.1 Divorced ^ Yn ®Na 12 Decetlenra nnsVlvarua ~ Decedent HaIIRzY~n Twp. Lice n a 17C. ®Yn, Deeded livetl n Acnrl Residence 17a. Slav ' Towrehip. 17d. ^ No, Decedent Lived wiaan >lb.coamr QmlbPFr'land boro kid~ Adaaumiad Ciy/Bao JOSe V d - + 266. MdamaKS Mairg Aden (Sbea, wry /town. war, m ads) 20e. Ird«mard'a Name (rype / PMI Christine E. Pavlakovich 5910 Ste Crossin Mechanicsb PA 17050 27a. MMad d DaPoeiAm ^ Gemadon ^ Donator 21d Dar d Daoaaire (Mmm, daY, year( 21c. Pea d DspaNOn (Name d amatarY. aemat>rv «omar Waal 21d. Lacedon (Ctylrwn, war, »D rode) ® eaLa ^ R~mora>m~n sea ~ wn crarne6on «Donahm AulJndud ril 30 2011 St. John's Cemetery Camp Hill ~ PA ^ omar- r a M.aw Ex,matar/corarrrr ^ Yee^ Na AP r ~. d ~~ (« „ eah) 22b. tiaree Nurimer 22c. Name and Amass d Facily $ Market Plaza Way FU-138630 Mal zzi Ftuderal Home Mechanicsb PA ^ No ^ UNaio•n 29.nF Not preLmnanl wnhn peel year ^ Pugred a are d tlaem ^ Nd prtyurA. bn prapwd within 42 days a seem ^ Nd pre~arn, aA asgn•m as ware a t year ttefae arm ^ Unaawri n pregnant wimr eta past year 32c Paw d Iryury: Home, Farm, Sbeet Facrry, Onia fidrng, etc. /Seedy) of mNrY (Street airy / torn, aaa) aaa. cenlfrr la+ar* ady o^•I • DerdNm9 phyaicln (Plryaaan ardykq sun a seem when anomer Imy~n nee PpA01p1ad dnm and romPl•ad rem gal ----- M _ (~ To dr bsadmy lmovrladgs, dean xamM ausmma cwsygane mennar nataW---------------------------- • Pronounchg and oardlytig PhY•~n l ~' p°^0U^Ofq ~' and artiMne u awe of deem) -------------- nuWs)ard nararr as awed m ^ Licerw Number M1J 0 S3~3 GL ~ 33tl. Data Sigred(Modh, war, year) a.l-a~, ,\ ---- s To the hrldmy MOwrdgq firth oaurrad attlw tlms.dab, and eves,ant drr to • Medka Exwninw/COr«w On Ina bwadaawmtiutbn and/«InwsllWdon,nmy aplnbn, ewah oenrred ath~ tlma,tleM, and pace, and dlr to meeawe(s)and manrrr as aetuL 3/.N,~@mee and AddRpdPerron Vino Compleed CauseaDeam (Item 27)Typel Pnd ^^ c10C fnD py4,- C~"`.t CL ~ ,_..1 GN~ (../~LRI tad, 2i rLLD 6ig,eC,e era Dia~'"n dl . A. r ; ~ : L~J--! ~~! 1 ~.~ ~ Dale Rled (Noah, wY. Ynu ~p v I , ~-~t i~: L~ p~ (~-;,;. ~,f ~- ` U V DisoositionPertnitNO. nFQ9d~9 RENUNCIATION REGISTER OF WILLS Cumberland COUNTY, PENNSYLVANIA n '-~ _. i -, , ,-> =,: ~-= _, , -~ ~ :; _t, ==~ Estate of Elizabeth G Mank -A? _` ,_,,a -- - , `,~ o --;, Deceased I, Patricia A Myers , 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 Christine E Pavlakovich May 15, 2011 (Date) Executed in Register's Office Sworn to or affirmed and subscribed before me this of day Deputy for Register of Wills Form RW-06 rev. 10.13.06 ~~ ~ ~~~~ (Signature) 99 Fogelsanger Rd (Street Address) Shippensburg, PA 17257 (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 of ~~~~ ~ r~~ 11 '~ C r v~ to Public y ommission Expires: ~ I , ~. (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) COMMONWEALTH OF PENNSYLVANIA Notarial Seal Jynelle M. Gaines, Notary Public Lower Allen Twp., Cumberland County My Commission Expires Jan. 18, 2012 Member, Pennsylvania Associatbn of otariss n -tip -.. , ~:~ - ~ " ~ _a `' ` :~ - - _ri ~ y ~~~ - RENUNCIATION _ , ~ ,_ -t' `~ ~ C~ ~, REGISTER OF WILLS Cumberland COUNTY, PENNSYLVANIA Estate of Elizabeth G Mank Deceased I, Ann M Bailey , 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 Christine E Pavlakovich May 15, 2011 (Date) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of G?~-- ~ (Signature) 1611 Stony Mountain Way (Street Address) Dauphin, PA 17018 (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 renunciatJon for the purposes stated within on this ~`~ day of 'Ma~_ A ~ < t A e Ce n ! ~ Deputy for Register of Wills Form RW-06 rev. 10.13.06 ~a Public j y ommission Expires: ~ >, ~ l~~ ~ ~.. (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) COMMONWEALTH OF PENNSYLVANIA Notarial Seal Jynelie M. Gaines, Notary Public Lower Allen Twp., Cumberland County My Commission Expires Jan. 18, 2012 Member, Pennsylvania Association of Notaries RENUNCIATION REGISTER OF WILLS Cumberland COUNTY, PENNSYLVANIA C7 ~_ ~~ -~, .:. _;..~ Estate of Elizabeth G Mank -~ -;~ _- , ~y ;- • - ;-r; r~ c~ -, c ,Deceased I, Joseph G Mank , 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 Christine E Pavlakovich May 15, 2011 (Date) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of ~~~ (S' lure) 106 Forest Drive (Street Address) Camp Hill, PA 17011 (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 1 `~ day of ~('x ~ - ~,6 t t r~J Deputy for Register of Wills My ~orr~nission Expires: ,''~~ (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) COMMONWEALTH OF PENNSYLVANIA Form RW-06 rev. 10.13.06 Notarial Seal Jynelle M. Gaines, Notary Public Lower Allen Twp., Cumberland County My Commission Expires Jan. 18, 2012 Member, Pennsylvania AssoGaOon of Notaries