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HomeMy WebLinkAbout07-06-11PETITION FOR GP~ANT OF LETTERS OF ADMINISTRATION Estate of RICHARD L. FIELDS _ No. 21 -11 - ~ ~ ~ -~ _ also known as To; Register of Wills for the Deceased. County of CUMBERLAND ~ the Social Security No. 178-16-4497 Commonwealth of Pennsylvania ~ y The etition of the undersi ed res ectfiill re resents that: -~~~o~,~-, p ~ P Y P .;~ Your petitioner(s), who is/are 18 years of age or older, appl Iles for letters of adm' ' ~ • on the (d.b.n.; pendente liter durante absentia; durante minoritate) ~ -~ ~ " -~ ~ -~, -- ~, , r } -- R the above decedent. ~ ~' ~~~ - ~~ ~_ Decedent was domiciled at death in CUMBERLAND County, Pennsylva~,-~a~itl~ ~ `~' h is last family or principal residence at 1821 BRIDGE ST. NEW CUMBERLAND. PA 170-_, ~~~-~ (list street, number, Twp. or Boro.) `"' Decedent, then 85 years of age, died 6/11 /2011 ' _,.,,,~,y at HOLY SPIRIT HOSPITAL, CAMP HILL. PA 17011 - __._..._. r Decedent at death owned property with estimated values as follows: (If domiciled in Pa.} 'All personal property $ 247.500.00 (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: - -- Ex~ E ~t o93~ Go-~b~ S ;~~ ~•~ ~y~'" ~i .r7 ~ r Nr.~ ~,,c-~i ..,es .t.P~'T ~~c.e~eGF ~ ,at-r/i> .~ rJ ,~,t- f~~v~ .~- Qf7't L lam' ,I~X/t/ ~^fyG ~ni 71~~~ /~~~./li t` ~CFC Lt 770~/ d/~ ~L 1 /rl~~'l<INE/~S ~'~+/'tfi~ ~3'l~ ~~ ~J~'~ ~~ !fir" •~ cilG7jiu CJf~.4-~ (.G~,1I~ c~t//!f ~/~E /E/L M>,/401~,n ?~sJ iP~`! ~i/Gws°jGi -ri~J~d ~/t$ on/ ,r;n~c~ ~,.~~5 tibT~-I~.w~j ~~ ~l~v;~ r7t ~t~ `'.P~ rot ~iC.E ~.~J o~?a-=-~ fan,. ~~v~CG+E ~~ •~r~v b~~~ ~L ~ SAO Petitioner er after• a proper sea~ch has asce ed that decedent left no will and was surnvea ~y ~ the~following spouse (if any) and heirs: ~ P'P'""'~~ ~' 2 ~ ~..fi'G~-,~- Name ~ relationship Residence 204 W MAIN ST DAVID C. FIELDS ON I N VA ~ 24354 _ 6520 DEVONSHIRE HEIGHTS RD MARIANNE EA LE DAUGHTER HAR 1 BURG PA 17111 __ 2689 VALLEY RD MICHAEL F. FIELDS ~ SON M RY VI PA 170 3 __ 2703 VALLEY RD PATRICK E. FIELDS SON MARYSVILLE PA 17053 -_ 330 5TH ST ~~ ' ~~ ANN MARIE REBOT DAUGHTER ~ PA 17070 -- " ~ 106 BRANT DR SUEANNE McKNIFF ~ DAUGHTER DALLASTOWN PA 17313 _- t'`- 1...... r-- cn ~'~z 3,%, ...~f i T~ ('T-o {~ t_~~ :~ _i- - `:. __ ~._~= n Cj --,~, TfTEREFQ~rtE, petitioner(s) respectfully request(s) the grant of letters of administration in the appropriate form to the undersigned: v u b ~ y i b A o H «+ da ~b ~~ I~ZA (ANNE EAGLE 6520 DEVONSHIRE HEIGHTS RD HARRISBURG PA 17111 -_ OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA CUMBERLAND SS COUNTY OF 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 above decedent petitioner(s) will well and truly administer the estate according to haw. Sworn to or a~r~ed and subscribed befor me t~ ~,.,,~ ~y of _ ~ ~ y: ~~ Rueter ., • h t NO. 21 -11 - ~`~ ~ . Estate of RICHARD L. FIELDS ,Deceased GRANT OF LETTERS OF ADMINISTRATION AND NOW ~ ~ ~,`~.•L ~ ~ ~ ~ ~ ~ , in consideration of the petition on the reverse side hereof, satisfactory proof having~een presented before me, IT IS DECREED that MARIANNE EAGLE _ is/are entitled to Letters of Administration, and in accord with such finding, Letters o~Administration ;.; • - - --~ are hereby granted to MARIANNE EAGLE in the estate of RICHARD L. FIELDS ~r...-_ A FEES Letters of Administration . . . . .. $ ;~~L_ ~ i ATTORNEY (Sup. . LD. NoJ ,, Short Cerfificates ('I 0 ) ...... $ R nunciation ............ $ ~ 64 SOUTH PITT STREET • CARLISLE PA 17013 ~~~ ~ h c - \ ~y ADDRESS ~^ $ 717-243-6090 Filed ... ~~~ LL' ~ ~. ~ ~~ ~~ PxONE C?AL REGISTRAR'S GERTI~I,ATIt~N OF I~EA°'i~l~ ~V''~I~NING: It is illegal to duplicate this cc~p~ bt~~ i~~hotc-,tat r~r photOgral~~., . 'n'~_'e ~1,1' thi`i i:L.'1"lll~llal~. `"~h.O(° ,,, .,,;,,~,...., ~ C.i`„ ;• ls_ ).~~f` , ~ _ t. 'Illy ~rii ~r ~r ( :., ~,i~" lil~~i)i'111i111U11 f1CI'~ ,.]VC;II 1S tYdt~~~ ~/ ~ ~_, i';'t_' ~ ~! )`il°f_j '{ ,t16 t-)I'1'rllla~ ~ l'ICIIiC'~i£C: O~ ~~~,~1t~1 p`~j~~ .-' t :3~~ 't t~t_~ if: t. 49~ (•4h`~(i ~C',~!1tilI~~IC. 1~1t. OI~1~.'II~AI ~•`~ '`~1 4. ~ i~l~i..±i~, `fit i l1'<<I.lI_~^..t~ L1 ill ~(~t1t' U11~1~ C71 .' J e>1 '~r ~,,~ ~`i''t'I+'~.i~ ~, 1~,',C~. " I(_ ~I_'rll)~_t~lt'('I( li~ll]~T it e ~ ~```, ~' P ~. 7 4 8 9 712 =~~,~~r <~~,,,~; ~ / _----- ---- - --- ----.1 __1~/ C'ertif~i~atiOn ti(1)t1E~~~~ ~~': ,,,,,: r , " yp[y >p I( l F Ol ._ _. 1 ~l ii.:ll 5\t ,.~I ~iY .Y ~/flit. [mil ~lry~)l.ll ~.. O r..w.. y~.'; r } 17..~~- 1 ~ i J. / a~ r _ ,~ Mtt1St43 REV ttl2006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ,~ =~ l;;'~ ~--- ~'' TYPE PRWT IN PERMANENT aucK INK CERTIFICATE OF DEATH ~• ~n~r'I c.,~:a (See instructions and examples on reverse) crsTF ru c w tucco L":~ 1 NartM a Deaden! IFvst, rtkdtlN, usL w6u) 2. Sett 3. Soam Sectddy Number 4 Dam a Dsam tAknm, day. Y~1 i a ie d Male 178 - 16 - 4497 June 11, 2011 i s. Aps (Last BemGy) under 1 Under 1 ds 6. pate a Bwm Month. do . 7. Ci ant step « for ~ can 6a. Plea a Dean Chsa one M«uns DaYS Nrwn Mnap Hoaprlm: Other: 85 Yom. Februar 28 1926 Altoona PA ®IrpaMrd ^ ER t 0utpabem ^ DOA ^ Nttrsrg Home ^ Reeaerce ^ Oaw • Speay: Em. Candy d Dean 6c. C4y, Bono, Twp d Deem • t)a. F acaYly Name (lf rot rtsspdrort, gne street and nt+rroer) 9 Was Decedent d llnparuc Orugru? No ^ Yes 10. Rea: Artwicart Ydfeti BMdil WAy, eta Cumberland East Pennsboro T~/ pt yes, spealy Cuban, (~~ Hol S irit Hos i[al M.xKan.PuertoRKan.etc) White I 11 DacedenYS Uswl Kind of work done du rtes! a w Ida. Dona stale retired 12. Was Decedent aver in me 13. Decedent's Eaucaran (Spealy only n~gnest grade contpletedl 14. Manta) Status: Manned, Never Marnetl, ti Survnng Spouse IM wde, guve rtwrden name) Kira a W Ktnd a Busnessi kudustry efr erat~on U S. Amted Forces? Elementary t Secdrtdary (D-12) Calege (1-4 « 5.) Wbowed, Dn«ced ISpeGry/ wn u ine s ®Yee ^ ~ 12 idowed _ - t6. Decada>rs Ma6g Aadrass (ernes!, pry ~ town, State. ~ ~) oecedenre Penns lv an i a ow 0ece0aN Y T `~ n a t 7c. ^ Yes, Decedem trued n _~ Twp. 18 21 Bridge Street Actum 1G 17a ~'e , ar. • New Cumberland PA 17070 t?b.cad,ty Cumberland °wn~"p r7d. ®~o a~ta dwm>,n iJew Cumberland ~ ~ ~,f~ r6. Famers Name (Post. rtuidlfe, last, suffix) 19. Mothefs Name !First, rrtdde, maiden stnwne) 20a. womwd's Name (Type i Pmt) 20b. Inlormard's Ma+ing Admess IStrwt, cdY I town, stau, tp code) Marianne Ea le 6520 Devonshire Hei hts Road Harri;;burg, PA 17111 21a. Method a DLspostoon r ®Crematton ^ Ddnaoon 21D. Date a Otsposttan (Moan. day, rear) 2tc. Plea d D45posttion (Name a arttete creme «omer j • N. t«Y Peel 2nd. LoarOOn ICdyr town. step, aD code) I Burin ^ Removal from St t ~ • ^ ~ a e was C-Mnelion! ' ~Yea^ No June 15 2011 Cremation Societ of PA HaY•risburiz, PA 17109 22a. Furwral Servta « as such) 22b. License NtrMer 22c. Name and Address of Facdiry AAue Cremation Services off Ppenns lucent IInc. j ~• ~ FD-138753 410 Jonestown Road Harrisbtur- yPA 1/09 23ac ardy wtwn artayvq prtysictert u not a+adabie m tme a aam to aroy cause d deem 23a. o ar beu d my krWwledge. deem ocurred m the time, date and pace stated. ISignanus and etle) 1 r /~ ' ~ - \ Ylb. LKense Number 23c. Dale Sgrd iMaah, deY, year) j . - ~ V l NCIML.W ~ 2 6 I !, f ~ ~ f V r'V ~ I i 20 ~ 1 M Gems 24.26 must w o«rpteted by parson - wlw P~nas aam. 21 rime d Dean 25. Dap Pr«taatced Dead IMOnm, day, year) 26. Was case Retened to Medical ExartwrNr r C«oner l« a Reason O6nr man CremaOOn « Databbn? ~ : y Z Q M. Tug r/ l i Z o I I Yee ^ Nb CAUSE Of DEATH (Sea inatructlons and e>eamplas) r Approxvnate interval tram 27 Put I. Ender dw Sddn a everN.t - dwases, xqunes. « carrpYCaaons ~ drat oirectly auead trN deem DO NOT enter temkny events h Y Part II Ender omen ~t ant rorkl • on ravrWn to ~, 26 DM Tobacco Use Corettbule b Deem? . suc as prt ac arrest, t Onset m Deam respratay arrest. «venNCWar fibrdlatton wpqut Showsrg the eoobgy List only one cause on earn krr. t WI na resunry n the underlyvg cause green n Part . ^ vss ^ Prabedy ~ ~ Mtl1ED1ATE CAUSE Feel disease « t ^~ ^ Y4o ^ Urdutown i ~ r uprtdaoru resttprtg n ~) _~ a. ~ ~ ~G Q ~t (~ i 'Y el~,}p F ~~ 1 ~ Vr ~ ; D m IJ\ Go ~ ( 29 It Ferrole: ^ Nd re u n l N N ue (« as a oQ: P A~ r b cue IipW ~on Nr~ie~ a. b~ ` ~ F~~•/ ~ d ~'1~ ' Due to I a E~ N E a ~ ~ ~ - ~ p g r w t pq Year ^ Preg~M at Ime a deem ^ « s a corusequterxe U D RLYWG CAUSE l: ~ IQaease « "Mr'Y mat rksatsd the c r - events resulOrq n Osam) LAST. r ~ ~ 2' Q I ~tf ~ • 7 0. Nd prsgnmtL but prsynmd wM 42 deye a demo ^ Due to 1« as a consegrxtca al: r Not taut prgtrtl preynerd 43 deya b 1 Yw • d r boor. demh ^ ~de~"n d u~~ "~^ ~ !feet yen 3W. Was an Autopsy Pert«nted7 300. Were Autopsy Findings Avadabte Prgr to Contplebon 31 Heiner of Deem 32a. Date a Irytuy (Monet. day. Y•arl -- 32D. Oescnbe How Irryury Occune0 32c. Plaa d lrt]tay Nome. Fartq Street FttdorY, a Cause a peam? ~awrm ^ H«rxaCa Otria BWdng, ~~ (SwcA'I r~ ^ Yes IL7 No ^ Yes ^ No ^ Aocdent ^ PerdLg IrrvesagaUOn 3zd. nine a Inpxy 32e. Inryry at Work? 92f. If Transpatatgn Inwry (Spcdy) 32g. Locatgn of rrgtxy IStreet. ury ~ town. staNl ^ Surctde ^ Could Nd De Oetennutad M ^ lee ^ No ^ Deter r Operator ^ Passenger ^ Pedestnan ( Omer Specrly. t ~~ CdNt~r Its orrl' ~) ~ f 33b. S ur and title of Certrher ~ r Yrn9 DhY~~ IPhY~ran cemtyrg pow of oean wfwn aramer physrctan nos pronax¢a0 dean ono completed Item 231 To the wet a my knowMdys, !!cent occurred drp 10 tM cauwts) and manner a. stWd , ~K~ A 1 I /AN~ A d M' r1 ( Y ,F n _ _ _ _ _ _ _ • Prerqurttaty •nd ~WYM9 phYsKian iPnysKwn both rorounu deem nd U n -------------------------- ,,. + 33 N p a 9 cer yvgtopuseaaaml io fhe beet a my MrwwNdge, death occumo at Ute time, dap, and plan. and dw p 1M ause(s) and manner » stated _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ c umber 3:ki Gate Sgnao IMonm, day. year) /~ n /r ~ ~ t • tdedicalEaamner/Cororwr ( f ~ >J/ ~ v On iM basic a examwptbn arW / a in , rn my opinion, deem occurred at tM time, dap, and piece, and due to tM uuse(s) and manner u wted_ ^ }4 ~ame ant ddress Person Who Cakse Death I Item 27i "11t• ~PJrtt /N / t ~~ eA ' 35. Regstrar .Date I . day, yaarl O a ~ a ~ 1 J O ~J ~ 2 ( S-rv c ~+ , r-t l7 ~P v Disposroon Permit No 06 5 3 7 5 4 • REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA RENUNCIATION ~~~ ~~ ~--~,;; Estate of RICHARD L. FIELDS f - IVo. 21 11 ~~~m~ ~ ,_: ; :w,-- .~ cn ;~. .~ ., _ also known as~^-'~ ~~ ~; - ,..•.,~ Deceased / ~ r ~; ~ = ~ ' ~ ~ ~.-~ ~.~ ~ `~`:~ c:r The undersigned,SON of (Relationship) (Capacity) the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters of Administration be issued to MARIANNE EAGLE Witness m~ hand this 20TH day of JUNE , 2011 . ~ ~, (Signature) .. DAVID C. FIELDS 204 West Main Street, Marion VA 24354 (Address) (Signature) (Address) (Signature) u (Address) , Sworn to or affirmed and subscribed _ before me this da of y ~~ NOTARIAL SEAL _ -, HAAOI D S IRWIN !II - ~ARUSLE BOAOUGHr GUub~ic MBERI. AND COUNTY ary Public p,~ MY _Commiss~a ~ ~ xpires Feb 6, ,gyp My Commission Expir~s: 2U15 (Signature and seal of Notary or other NOTE: Renunciations executed outside the Office of Register of Wills are official qualified to administer oaths. Show required in some counties to be notarized. date of expiration of Notary's commission.) RW-3 REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA RENUNCIATION Estate of RICHARD L. FIELDS also known as No. 21 11 ,Deceased The undersigned, DAUGHTER (Relationship) (Capacity) the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters of Administration be issued to MARIANNE EAGLE Witness mY hand this 20TH day of JUNE 2011 . . ~....y.P...... v~ ~SUEANNE McKNIFF 106 Brant Drive, Dallastown PA_ 17313 (Address) (Signature) (Address) (Signature) S4vorn to or affirmed and subscribed 2., before me this ~ day of NOTARIAL SEAL HAROLD S fRWIN Itl . ~ ! !'1.Q~- Notary Pubtic CARLISLE BOROUGH, CUMBERLAND COUNTY ,.----~ My Commission Expires Feb 6, 2015 Notary Public ; ~ ~.~ My Commission Expires ~,,. ~~ ~ .-til ~ ' '~.'- ~~ ~~ C ~f `''~ _.. _ c~ ' ~--- L , --, ~.1 ~--., . ~ .. ~.~ Cj ~`~ (Signature and seal of Notary or other NOTE: Renunciations executed outside the Office of Register of Wills are official qualified to administer oaths. Show required in some counties to be notarized. date of expiration of Notary's commission.) of RW-3 REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA RENUNCIATION Estate of RICHARD L. FIELDS also known as ,Deceased No. 21 The undersigned, DAUGHTER __ (Relationship) (Capacity) the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s,) that Letters of Administration be issued to MARIANNE EAGLE __ Witness mY hand this 20TH day of JUNE , 2011 . (Signature) ANN MARIE DREBOT 330 5th Street, New Cumberland PA 17070 ~ , ~~, ,, (Signature) (Address) (Signature) (Address) Sworn to or affirmed and subscribed _ before me this ~ day of ,fin _ ) NOTARIAL SEAL c7 __ _ ~_ , ; ; ~_ ,.-- .. ~~ ~ ~.., ~~ ~ t~-w= • ` ' ' 4 ' HAROLD S IRWIN III + ~ t t - Notary Public CARLISLE BOROUGH, CUMBERLAND COUNTY _ ~ ~~~ ~ ~~ 2 ..4 4 ~, ~1{;'tom ^ Notary Public My Commission Ex Tres Feb 6, 2015 p _ _ ~~'"~ ~ ' ~ k My Commission Exp' sa ~ r'-^ cD ;,,~ -w .,' ~ 3 ~ ..... ~ (Signature and seal of Notary or other NOTE: Renunciations executed outside the Office of Register of bllills are official qualified to administer oaths. Show required in some counties to be notarized. date of expiration of Notary's commission.) of 11 RW-3 REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA RENUNCIATION Estate of RICHARD L. FIELDS also known as ,Deceased No. 21 The undersigned,SON _ of (Relationship) (Capacity) the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) tlhat Letters of Administration be issued to MARIANNE EAGLE Witness mY hand this 20TH day of JUNE 2011 . (Signature) PATRICK E. FIELDS 2703 Valle Road Ma sville 17053 • ~ ,. Address) (Signature) (Address) (Signature) (Address) Sworn to or affirmed and subscribed ~ _ before me this Z~ da of ~ Uzi F..~_. =T~ r-_~i ~` ~ ~ NOTARIAL SEAL ~-I ~- a7 ~'~~ r~ ; -- . -. ~- ' ~ ~---~ HAROLD S IRWfN Iq :~. %~' ~i - "' c ``~ _ ~___ ,, M ~ Notary Public ~ ,. ~ ~ .~ ~ `~'~ CARLISLE BOROUGH, CUMBERLAND COUNTY - n ~~ ,~ ~ ~~~0 ~ . ; .~ - Notary Public M Commission Ex Tres Feb 6, 2015 y p' `jam '? -; My Commission Expir s: t, ~ :..a ~ --„w ; _~ ~~T ~ .. l L.•7 (Signature and seal of Notary or other NOTE: Renunciations executed outside the Office of Register of'N/ills are official qualified to administer oaths. Show required in some counties to be notarized. date of expiration of Notary's commission.) ' 11 RW-3 Estate of RICHARD L. FIELDS also known as ,Deceased The undersigned,SON _ of (Relationship) (Capacity) thQ ahoae ©ecedPnt; hereby renounce(s) the right to administer the estate and respectfully request(s) 1:hat Letters of Administration be issued to MARIANNE EAGLE _ Witness mY hand this 20TH day of JUNE , 2011 . MICHAEL F. FIELDS 2689 Valley Road, M 11 (Signature) . (Signature) 17053 ~' (Address) (Signature) (Address) Sv:crn t~ or affirmed and subscribed before me this ~~, day of Notary Public .. My Commission (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission.) NOTARIAL SEAL HAROLD S tRWIN 111 Notary Public R ARLISLE BOROUGH, CUMBERLAND COUNTY My Commission Expires Feb 6, 2015 REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA RENUNCIATION No. 21 ~ ~~ _ . ~; ,~, za r..~ c.,... ~ - x1 ~: ~._ C~ ~ ~.~.s 4~7 G ~r ~'~ NOTE: Renunciations executed outside the Office of Register of Wills are required in some counties to be notarized.