HomeMy WebLinkAbout07-12-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS
PETITION FOR PROBATE AND GRANT OF LETTERS
Estate of Leon G. Ramsey ~"'~, ~ ,Deceased ESTATE NO: 21- ~~ ' ~ /r~
a/k/a:
a/k/a:
tea: SS NO:
180-64-0513
Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as
applicable:
^ A. Probate and Grant of Letters Testamentary or p Administration c.t.a., or d.b.n.c.t.a. (complete dart C also)
and aver that Petitioner(s) is/are entitled to the aforementioned Letters ~:: under
the last Will of the above-named Decedent, dated _ and codicil(s) date w '' ~~
.; ~--,
]p t..._ r-n C7
(State relevant circumstances, e.g. renunciation, death of executor, etc.) ~' ~~ N ~ ~ ~"~~
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted a ~ tion,~the {.
_.i_fi
instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated ; >~nd w$~:not a..:
party to a pending divorce proceeding at the time of death wherein grounds for divorce had been a hed asr'ij$, fined=#i
23 Pa. C.S.A. § 3323(g): ~'~ ~' ~~
~ B. Grant of Letters of Administration
(If applicable, enter d.b.n., pendent lite, durante absentia, durante minoritate)
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; 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:-
N9mn
Aaare~~
Tracey L. Ramsey 39 N. West Street, Carlisle, PA 17013 Wife
Deonte G. Ramsey 39 N. West Street, Carlisle, PA 17013 Son
Rajuan R. Ramsey 39 N. West Street, Carlisle, PA 17013 Son
Akeem ]. Ramsey 39 N. West Street, Carlisle, PA 17103 SOn
1J.71V HLLl11V1\HL .7lllr.L' 1 .~ ll' 1rGl..r..7.7H1( Y
THIS SECTION MUST BE COMPLETED:
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence
At 839 N. West Street, Carlisle, PA 17103
(Street address with Post Office and Zip Code, Municipality: Township, Borough, City)
Decedent, then 45 years of age, died 6/11/2011 at Derry, Pennsylvania
(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 $ 0.00
If not domiciled in PA Personal property in Pennsylvania $ 0.00
_If not domiciled in PA Personal property in County $ 0.00
-Value of Real Estate in Pennsylvania $ 0.00
Total Estimated Value $ 0.00
Location of Real Estate in Pennsylvania: (Provide full address if possible.) unknown
/~ Signature(s) „
Name(s) & Mailing Address(es)
~ ~1. ~e S
rae ~ a 1~0 3
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Relationshi to Decedent
Page 1 of 2
f
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 ~ day of ~~ ~""~ ~-~
,.., ~ :,i.-.:.
m ..... ,.._.,;
~.~
For the Register ~~~ •_ ~~-~ ~,
;~
DECREE OF PROBATE AND GRANT OF LETTERS
~~
Estate of ; ~ °'1 . ~, ,Deceased File Number: 21-~ -
AND NOW, this day of 0 ~ , in consideration of the Petition on
the reverse side hereon atisfactory proof vin een presented before me, IT IS DECREED that Letters
Testamentary of Adminis ation are hereby granted to:
(If applicable, enter c.t.a., d.b.n., d.b.n.c.ta., etc.)
~, (..{.(1~ in
the above estate and t instruments(s) date described in the petition be
admitted to probate an filed of record as the last Will and Codicil(s) of Deced t.
e ~
lenda Farner Strasba ,
Register of Wills
FEES:
~~.~ ~
Letters .................... $
Will .......................
Codicil(s). ._~
(~) Short Certificates ,_~,
c
(~ )Renunciations.......
Bond .............................
Other ............................
Automation FEE......... 5.00
JCS FEE ................... 23.50
. 50 ~'
TAL ................ $
TO
Signature of C~insel Required to
Atty's Signature
PRINTED Name: ~~~~
Supreme Court ID No
Address:
Phone:
Fax:
s
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Interim Form RW-02 revised 1226.10 by Cumberland County pending action by the Court Page 2 of 2
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LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.U0 ,,rr~~r°~~~~~~~~,. This is to certify that the information here given i~
,tr~~' ~,TH OF p
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correctly copied from an original Certificate of Deatl-
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~,~`'~,~~ ~~
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~ duly filed with me as Local Registrar. The original
,
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~ certificate will be forwarded to the State Vital
at,
3~ y~~ Recoirds Office for permanent filing.
P 17451482 =~~~
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Certification Number '-~~~~~~~~~»~"''
Local Registrar T-.:. Date Issued
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~ Ht05.fto4 REV tt/2008 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
PERMANENT
Tr~rPRwrlN CORONER'S CERTIFICATE OF DEATH
SLACK INK ~..--'--'----"--- -
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1. Nartr d Decederto (Prat, ntoddle, fr1, sulfx) 2. Sex 3. Socisl Secudly Wurrto>ar ~. Date d Death (Abram. day, year)
Leon G. Ramse Jr. Male 180 - 64 - 0513 June 11, 2011
5. Age (Last SirMOay) user 1 under f 8. Date d ulm Monet, r? 7.Olmpaaa and crate « ea. Place d Drm check ni one
Man. Days Naas rnnxf.r -bspdal: anat.
45 Yn. 2/28/1966 Carlisle, PA ®~,~„~,„ ^ER/outpstlerto ^ooA ^Nurstrgftane ^Reeidence ^OBter-Speeity:
eb. ca,rwy a Deem ec. Cdy, Sao, rxrp. a Deem ed. F.asry Name (n nd :r8tubon, giw sVeM r,d rrar0erf g. wr Decerknt d H'
rperfic Origh? ~j No ^ Yea 10. Race: Artrdan krdan. Slack, WMta, ek.
Dauphin Derry Hershe Medical Center (K'«e' ° cab.n' (
Y
Hexkan, Puerro Rkxn, ak.) Black
11. Deadens Uauel Kind d work der mat d We. Do trot eGfa fz. Was Decedent aver in raw 13. geeedarto's Edutafg«r (Spedly ortoy higlral grade oompl°led) 1 {. MerKN Statue: Herded, Never Marrieft 1 s. Survivktg Spout (If wife, give nridan name)
Kind a wok KNd d tiudnra I kduetry U.S. Amrd Foras7 Ekmerttary !Secondary (0-12) College (11 or 5+) WbdN°d~ olwrcad
Facto Worker Ca lisle Tire & Wheel ^Yr ~ 12 Married Tracy L. Boone
16. Deadens MaNlrg Address (Steal, ctolt / bvm, ~, zip code) Decedent e . pb p~yM
PA
AahW Reaklence t7a. Stele
7 17c. ^ Yee, Decedent Lived h Twp.
839 N
West St
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.
.
• pA ,>b. ca,nty C1.IIT1}Jerland tTa. ~ -~. oeaaant urea ~~ Carlisle
Adrl LMNS d Gy / Boni
1& Famer'a Name (Flat. ntodds, loot. erAAx) 19. Momar'e Name (Kral, mldAe, mstbn eumarce)
Leon G. Ramse , Sr. Carole A. Foster
20a. Irdormanre Noma (Type f PrkN)
Tracy L. Ramsey 20b. Mbrrmnra MsNlq Addrer (Street coy I kam, stale, zip coda)
839 N. West St., Carlisle, PA 17013
21 e. Medrod d D4paAini t ^ Cremation ^ Donstini
® ~°~ ^ R°~`°°'~° ~ "' 21b. Date d f~poabbn (Hodh, day, yar) 2tc. Pisa d Dieposldon (Name d cemetery, aerrtory a other place) 21d. t.ocanm (Chy /town, state. zip code)
idinitlonaDoirg°""""'°'i~
^ Odrr • SPearY by ltoedical Ecenrkrer ! Cgrortarl ^ Yr ^ No 6/16/2011 rland Valley Manorial Garden Carlisle, PA
22a. d F Lianeee 'rag ) 22b. Lianas Number 22c. Name and Atldress d Facoy
FD 012633 L swing Brothers Funeral Hone, Inc., Carlisle, PA 17013
CarpMle IMnr 23ac atoy when ardylg
plrysidarrs rat avaiYbb e< Ent d deem b 23e. To tr brat d my ,deem occurred at dr tla, date and plea elated. (SlgneMa and Nile) 23b. Lfcenae Mmber z3c. Dale
Sigrrd (MOnN4 ~'• y°°')
aMly esuee d deem.
Near 2428 moat be oortpletW by pereni 24. Tine d DeNh 25. Dma Pranounad Drd (Monet, dry, yrr) 28. Wes Case Retuned b Aladcal Examiner /Cornier for a Reason ~trsr man Cramedan « Dnietbn7
r'h° p1010~b ~^• 06:30 P Art. June 11, 2011 ®Yr ^,,~
CAUSE OF DEATH (See InstnictMa» end exempke) r Appradmele IMervd: Pert 11: edx otMr 28. Did Tabeoco Use ConUlbue to f)aem4
Ikm 2]. Part I: Fsler the ~aQ,><syd>a - dseasea, lyuiea. a anpiatar - flirt duectly cereed Nr deem. DO NoT eMar tenrtorrl avenla such as ardac arreal, r Onset b Deem but nd reau8ing in me urrderlylrg cause given n Part L ^ Ya ^ Probedy
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map
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xy arrea
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brwaNni witlgrt efawlg Nr atfdogy. Lbt arty one ease ni each line. r r+~~ No ^ Unkrown
o~mdtl~'"ar ~as<M~'rq~drm)disere a ~
-~ a. Multiple Traumatic Injuries zg.llFemale:
Due b (« r ° oorreptrena oq: i ^ Nd prepwto wilNn past year
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b, Motorcycle Collision ~ ^ PregnadatNraddrm
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r e
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EnM Rr uNDERLrING CAUSE ~° b (a r a corrsequerxe oQ: r
^ -kA rxegrrrd. but pregraM wimin 42 days
,,,y_ ~ ,
~~ c. r d arm
Due b (a r a conaequena oQ:
peagrrrd, but pregnant 43 days b 1 year
^
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d. i
^ Un
l°a
w
n
it pregneM wMhin Nre peat year
30a Wr an Aubpay
P"'°'""d' 304 Were Aubpay Fardnga
""'~'"'P''°'b0onia°t'°" 31. A4msr d Deem 9?i. Deb d
I^hh' A ~ vrd 32b. Drcabe How MW y Ocarrod 32e. Plea
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Street' Factory,
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d Carom d DWh1
^ Nbural ^ fbrrrldde June 11 2011
• Motorcycle Vs. Passenger Vehicle ~~g.
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h'1
Roac`~way
^ Yes ®No ^ Yr ^ No ~ 'a ^ Perrdng krveelbelfon 32d. Time d lnjuy 32a. Injury et Work? 321.8 Trarrperptlon W «Y (3pertify) 32g. Location d kyrry (Street, sty /Town. elate)
^sr;aae ^c°`~d~beDe~"1°d 04:05 Pa ^Y°a ®No ~PrNArI°p°r°ar ^Peaealger ^Pedestrlan Waggoners Gap Rd & Spurr Rd Carlisle PA 17013
. t)Nter - Speoyy.•
39a CertlBer (cheat only oa) 33b. Sipr ~ d CMif
• ~Ylro dwW~rr (PM~n ~yh9 ease d arm when aroNrr phyeldan Ire prorgrxical arm and rbnpklati Kent 23) ~
To NM beat d my lnowNdpe, deem oearrod dw to Nr aur(a) and rrwrrrr r ahMd. - - _ _ -
' P
- - - - - - - - - - - - - - - - - - - - - - - - - ^
~ ~~ • '~ "~` ~ ~ Lisa A. Potteiger, Chief DePu,Y
rorrtrrelrg and eertNylrg PhYalam (man bah praraatclq loam end txrtilyirq b tiara a rirm)
To the fiat d my IarowNdge, deem otxxered at tlr Nnr, date, and place, and due to the our(s) and manisr r ateted_
_ . _ _ _
_
^ 33c. Lkanr Number .Date Sigrd (Marton. daY. Yom)
-
„
_ _ - _ - .. - -
• Med1alF.xraner/Cororrr June 13, 2011
On Nra izrb d examination all t a fnvrligMbq In my opinion
them oecurrad at tlr tlme
dale
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d d
ro th
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a
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e txrwe(a) and manner r etatad_ ~. Name era Addreu d Parson Who Carpbted Guea d beam (item 2~ Type /Print
~r ~ Lisa A. Potteiger
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• t'rl~.~[~ k>c~i~
`(' ~ °~ ~ ' ~ '~ ~ ~ ~ ~ ~
~ ~ Fba(Ma"Na~'~'~°~
`~ 1271 South 28th Street
_ Harrisbur PA 17111
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RENUNCIATION CLARK Q~
QR~'HAN`S Ct~URT
Cumberland
REGISTER OF WILLS ~~~RF~~--'~~~ ~~ ~ P'~
COUNTY, PENNSYLVANIA
Estate of Leon L. Ramsey •~ N t Deceased
I, Akeem J. Ramsey , 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
Tracey L. Ramsey
/ / 2 Z o ~`/
(Date)
Executed in Register's Office
Sworn to or affirmed,,a, ~}d subscribed
be re e this ~ , ay
of ,
uty r is of Wills
-~
.r-'
( gnature)
~~~ ~ y~~f~ ~e.ST S ~~-~ Q ~
(Street Address)
~'~, i, f ~~ . ~~ , ~ zo ~ 3
(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 ,
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualiiied to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev. 10.13.06