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Home My WebLink About08-16-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PEh~~~I,VA _ ~, REGISTER OF WILLS :~-~ ~~-~ ." P-' PETITION FOR PROBATE AND GRANT OF LETTERS + ' ;-~ .~ ~ ~~~ .._ ._.,. r..,-~ ...... Estate of Audrie G. Stewart "' ,Deceased ESTATE NO: 21- ~ ,~~~ _.~ ~^ ~ -! ~W. a/k/a: SS NO: _ 209-~-8908 ~_ ~~~ U ~, Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTIONS `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 Part C also) and aver that Petitioner(s) is/are entitled to the aforementioned Letters Testamentary ~d~. the last Will of the above-named Decedent, dated __ 10/30/2001 _ and codicil(s) dated (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(g): ~ B. Grant of Letters of Administration (If applicable, enter d.b.a., pendent lite, durante absentia, durante minorftate) 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: N/A Elsie Louise Stewart 19 South Market Street, Mechanicsburg, PA 17055 Daughter Mary Stewart Fitzgerald 127 Second Street, Bowmansdale, PA 17055 Daughter 7 tor. • i1T)•i•iA ~T . c.rrr......e. rr. V .7G HLLLLLVI\E1L JriI.L' 1.l lI~ 1~L~ I, C,JJA1(Y THIS SECTION MUST BE COMPLETED: Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence At 619 South Market Street, Mechanicsburg, PA 17055 (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) Decedent, then 8D years of age, died 8/8/2011 at (Month, Day, Year of death) Estimated value of decedent's property at death: If domiciled in PA If not domiciled in PA _If not domiciled in PA _Value of Real Estate in Pennsylvania Mechanicsburg, PA (City and State where death occurred) All personal property $ 994,786.20 Personal property in Pennsylvania $ Personal property in County $ $ 249,200.00 Total Estimated Value $ 1,243.986.20 Location of Real Estate in Pennsylvania: (Provide full address if possible.) 619 South Market Street, Mechanicsburg, PA 17055 Signature(s) Name(s) & Mailing Address(es) Name Address Relationshi to Decedent r Elsie Louise Stewart, 619 South Market Street, Mechanicsburg, ~ In F ~ ~ teem orm RW-0.. revised 1...26.10 by Cumberland County pending action by the Court Page 1 of 2 OATH OF PERSONAL REPRESENTATIVE ~? =-~ ~~' --U f~' ~~ i .y - Commonwealth of Pennsylvania SS ' ~~ ~ ~ '~' County of Cumberland ~- `- ~' ~r~' ~~7 .1~~~ ~`, The Petitioner(s) herein named swear or affirm that the statements in the foregoing Petition.,~~,re~'true an ~:_~ a correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) ofthe Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed ~. ~-- r- b r me this ~~ ~ y of ~ ~~ e the Register DECREE OF PROBATE AND GRANT OF LETTERS Estate of Audrie G. Stewart Deceased File Number: 21- ~/ - U' AND NOW, this ay of ~/ , in consideration of the Petition on the reverse side hereon, satis actory proof h g een presented before me, IT IS DECREED that Letters x Testamentary of Administration are hereby granted to: (If applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.) Elsie Louise Stewart ~ the above estate and that instruments(s) dated 10/30/2001 described in the petition be admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. „ Glenda Farner St`r~sbaugh, `~/~j Register of Wills /`~'~ FEES: Letters ....................$ 810.00 Will ....................... 15.00 Codicil(s) .............. . (6) Short Certificates 24.00 ( )Renunciations....... Bond ............................ Other ............................. Automation FEE......... 5.00 JCS FEE ................... 23.50 TOTAL ................$ 877.50 Signature of Counsel Reyuired to Enter Appearance Atty's Signature ~ -~ , PRINTED Name: Suz ~ ne S. Friday, Esquire Supreme Court ID No.: 201873 Address: 200 N. Third Street, 18th flr. Harrisburg, PA 17101 Phone: 717-236-3010 Fax: 717-234-1925 Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 2 of 2 llli.s;(15 RE~~ (pU(1?1 ~, ~ LOCAL REGISTRAR'S CERTIFICATION ~OF DEATH WARNING: It is illegal to duplicate this copy by photostat oir photograph. $6.00 Fee for this certificate t ,,rr~~~~""'~~--. This is to certify that the information here given is , tttttt,~~p~~H OF p~~~J' _ correctly copied from an original Certificate of Death ~ ~ ~~~~ o~ ~ duly filed with me as Local Registrar. The original ~ ~ ; - z certificate will be forwarded to the State Vital ;; ~_~ a~ Records Office f permanent filing. P 17696179 * - *, :- '~ _ t Certification Number .,,,ENt~~~,,,,ll «_ Local Registrar Date lssued ~,~ ; ~ _ ~- .. s~r .~ _,r '~..~'~ mo- ~°~ ~ .u _ I .._ rn ~... ~7 ""'~ aEV ttr2oo6 Y ~EaMA~ T~ COMMONWEALTH OF PENNSYLVANIA .DEPARTMENT OF HEALTH • VITAL RECORDS ~= 7 +.._ ~w, -~~;.> H dl>CK Iwc CERTIFICATE OF DEATH ~ ~' "T"1 ~ ~ ~:,w.:a (See instructions and ezamoles on reversal r __.__ _.. _ . ..___ ~» _ _ ,... t. Ham. d Decedera tFirst, mda.. last, suMis) 2. Sex 3. Sodat Scarily Nratrber a. Day d Death thbrrdi, deY• Pearl Audrie G. Stewart Female 209 - 28 - 8908 Au ust 8, 2011~''F 5. Age (Lut BiAlydey) lNrdw t ear lJrrder 1 da 6. Day d Bktlt Morrdr, de . 7 C' and syle a to 6a. Place d Dath CMdt as Monnrs Days Moure kerrna Hospdal: OUwr: 80 rrs. June 9 1931 Harr isbur PA ^ lnpatrerrt ^ ER l Outpatwa ^ DOA ^ lVrrrsey Home ~] Reskrrn ^ Odyr . Spedy: 6D. Counry d Dale &. Crry, Sao, Twp. d Death 8d. Far7kly Name tll na kctMtrlbn, 9h'• suet and number) 9. Was Decedent d IrNpanic Orign? ®No ^ Yu /p. Rape: Anrrtcarr ktdia14 Black. Why, Mc. Cumberland Mechanicsbur Boro (U yea. spealy Cuban. (svaMf 619 South Market Street M.xican'PuertoRian,ek) White t t Decedent's Uswl Krrd d work dare most d lih. Do not state retkad 12. Was Decedent ever in the 13. DecedenYS Educalbn iSpeuly Grey hgMU grade conpyted) lt. Margal SWua: Martyd. Never Married, 15 $univay Spouw (U w1e, giw rtwden rwrre) Knd d Won Kind d Busneu/ Indrn `" U.S. Amwd Forces? Widowed. Onorced ISMr+HI Eltrryntary 1 sec«kary (o-tz) cdyge (t-a a s.) Housewife ^ Ya ®~ 4 Widowed 16. DecederrYS Mabry Address tStrat, cdI' 1 town, state, zp code) DecedenYS Ok Decederd AtltrelResiOxrpe t7a.Swy Pennsylvania liwina t7p ^y,, ~„ 619 South Market Street . , Twp. T°`""h'p? e hanicsbur PA 1 0 tm ~rtry Cumberland tld. ~IVO,Deeedentl.ivedwdM Aca,~Lwtwsd_ Mechanicsburg o,y,B01e 18. FattyYS Nartre tFust, nedrle. iast, suUis) 19. Mdhels Name (First. rtriddy, nraden surrwn) Karl L. Getter Elsie Goll 20a. WamartYs Name (Type + Pmt) 20b. tnbmrarr's Ma1ky Address IStrat, city /town. syy, zp arch) Ms. Elsie L. Stewart 619 South Market Street, Mechanicsbur PA 17055 21 a. McNod d Dyposroon ~ ®Crenrabon ^ DorreOOn ^ BurW ^ R ma l f St 216. Date d Oisposrkon (Montlr, day, Year) 21 c. Place d Disposition (Name of cemetery, crematory a odyr place) 21d. London ICiy I bwn, stab, zq code) e ra rom ate r Wp CrNnetbn or periedon ArMafaed ^ otn« rwwalw Icaomrr YaDNO Au ust 10, 2011 Cremation Societ of PA Harrisburg, PA 17109 ~ F sa.rrn ~ ~b ~" 2z`.NartyarkAddressdFankty Aue Cremation Services of Pennsylvania IInc. _ FD-138753 410 Jonestown Road, Harrisburg, PA 1709 M ~ 23a< art' when nrdyeg Qhy5K1Y1 le not aveiable y kme d death b 23a. To my MrowyOpe, datlt oavrnd at tly knr, dale and p ~ ~ lan shtsd. (Signature and Utle) 23D. License Number ' 23p. pay ~~ (~~• ~/• Yom) derMy Huse d awn. ~ ~ ~ b rwra 2426 mat w rzrrrplele0 oy person 24. trry d th ~ 25.Oay Pror u need Dead (Mon .day, Year) 28. was Case Reyrred b Medal Examrw /Coroner to a Keaton Other drart CnnraEar a DaWgrt7 ~ r - «tro pranrrrces drtalh. M. , tr 1. (2' ^ Ya CAUSE OF DEAT (see inatructlom aetd exam r r Apprasimey interval: Part II: Enyr odter 26. Dk Tobacco Use Cartribw b Deetlr7 item 27 Part 1: Eller tM {~g~pp -diseases. r4trres, a corrpkcatioru • dkecdy caused tM death. p0 N07 any yrminel svenb such as cardiac arrest, r OnsN b pall OrR rqt rawtrry n the r+rk•nYng carne qwn n Pari I. ~ Yes ^ Prababry resprasory arral a verrrrCWar fiDrrsaticn vrtlroul slgwwy tlw etiology. let arry ay cause an each ins. r r ^ No ^ llNutoan WYEOIATE CAUSE Final diseeae a r caidlon nwltrrg n ~) -~ a. ~ ~ r 29. U Femay: lwr ~ D~s~ , _ ~ Nd Pr•g~N +ehn D~ Par Due b (a as a consegrrarta d): r ~ ,J kst cardtrorr, t any. Pt r ^ Pngnrtl at time d tlerlt b. t b S is ~ { li x ![ . h G.c N fi b Huse ksted on 4rre a. Enyr INIpEIkYrIG CAUSE Due b (a ae a coruegrnce dl: ~ ^ Nd pregrrarM, but prqurt eMin a2 days tdiseeae a eMrry tn.t iMated dw i d dealt ~ ewrrs resulMrg n dash) LAST. ' ^ Nd preQrM, bV Due b to ac a consequence of): r Drgad ~ days b t Yw r baton deetlr d. ~ ^ IAYUrowrr I pngrarrt wrtM ty Pell yeY 30a Was an Aubpay Penarrtwd? 30b. Were Aulapsy Firrdiryt AvaYaby Pnbr b Carrgytron dt. Horner d Dadr 3?a. Day d Injury (Month, day, yar) 32D. Describe Mow Iryury Occurred 32c. Plan d 1 Stea4 Faclpy ~ ~ d Cause d DaN? ~~ ^ Hgnitr0e ~~~ Ol6n 1 e ^ Yes Y~~~~t~ryp ^ Yes ^ Wo ^ Aakarrt ^ P Inw ~~ stga~n 32d. Time d Injury 32e. IrrKuy at Work? 921. U Tnnsporytron Iryury (Specrh'I 32g. Lacargn d '"~' (Stra1, dY (town. stay) ( ^ Sucde ^ Could Na ty Detenrwwd ^ Yes ^ No ^ Drrwr/Operildf D Passerrgu ^ Pedestrian M other • Speay: 33a ~~ (tfretk o"ry snot 33b. $ignatae and Tilt' d Grdix ~Ying PIM~~ ~ P'rYSroran urNYmg cause d Oath wMn amdwr physrsan has prarrarrcad Beam and cartpleted Item 23) To fire beet d my Yrawydpa tyetlr occurred Mrs to tM eeuega) and merrier ar atayd _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ ~ PrO^O1~q end ~Yn9 PMeKi•rr (PhYsrtrerr trotlr Pror>~ry datlr all cenAywq b ease d dgtlr) 33c. Lrsnae NunrMr 1;fd. Day Sigwd (Momh, day. Pearl To the treat al ray k^01eyd9e, deMh Detained at the time, day, and Piece, and due y IM cewge) and manner at a4yd_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ • ssedkai Esaarrw/Carorrer ~' ! /H QOIO j l r /r // K~ 9~ 2 U (~ On Ure pan d eaantinetlon ark ! a inveatigatlon m , death oectxnd N tM time, dab, and Pteu, and dw b the teasels) and mamw as atwrL ^ 3a. Name and Adaess d Person Who Compeyd Cause d Deals Iltem271 Type r Pmt ~ w s- L eJ S G 35 Regwrar's and 36 N FiIW (MOnN, day. yar~ . / /~~. • y q t ~ N /, ,) /) /lL~:t3! ~~/ ~ 7 / Dispositron Pemr, No. 0 6 6 7 317