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HomeMy WebLinkAbout08-24-11PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of Marguerite E. McCann___ _ also known as COUNTY, PENNSYLVANIA File Number 21 - , ~ " O ,Deceased Social Security Number 174-20-0111 Scott B. McCann Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE `A' or `8' BELOW.) ^ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the named in the last Will of the Decedent, dated and codicil(s) dated State relevant circumstances, e.g., renunciation, death of executor, etc. After the execution of the documents offered for probate: Decedent did not marry; was not divorced; 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); did not have a child born or adopted; was not the victim of a killing; and was never adjudicated an incapacitated person, except as follows: ® B. Grant of Letters of Administration (Ifapplicab/e, enter: c.t.a.; d.b.n.c.t.a.; pedente liter 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 on Section A above 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: no exce tions C J ;-?-i Name Relationship Residence ~~' 1 ~ c ~ ~`' -' '`,-' See attached schedule ~'~~ `-~ j `~ (COMPLETE /N ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at Claremont Nursing & Rehabilitation Center, Carlisle, Middlesex Township, Cumberland, PA 17013 (List street address, town/city, township, county, state, zip code) Claremont Nursing and Rehabilitation Center, Carlisle, Middlesex Decedent, then ~~ years of age, died on 05/19/2011 at Township, Cumberland County, Pennsylvania Decedent at death owned property with estimated values as follows: (If domiciled in PA) (If not domiciled in PA) (If not domiciled in PA) Value of real estate in Pennsylvania situated as follows: None All personal property Personal property in Pennsylvania Personal property in County 15,000.00 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: I Signature Tvped or printed name and residence I Scott B. McCann 90 Beechcliff Drive ~ C4 r -iS~Q, 17015 (717) 697-4576 n ~'~,. ` Form RW-U2 Rev. f2-26-2006 (interim form, pending action by the Court) Copyright (c) 2010 form software only The Lackner Group, Inc. Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } SS COUNTY OF Cumberland } 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. G Sworn to or affirmed and subscribed gnature of ersonal epresentative SCOtt B. McCann ll +~h before me this r~ 1 day of ~- t ~~ 1 ~~ t ~~ ~ Fo the Register File Number: a•-,..~, ..~ ~,,-7 Signature of Personal Representative ~-- .~„ ;=-;~ .~__, ~ ~ -`t-1 ~ ~ ~ ~-~, ~ :~ ~ 4 - L~ _~? y_; ~ , rt7 - - - Signature of Personal Representative ~,. ~~ ~ _ ~_ ...... ... . --~ tw 7 L7 .~"~. , j f~ ~ ~. Estate of Marguerite E. McCann ,Deceased Social Security Number: 174-20-0111 Date of Death: 05/19/2011 AND NOW, ~~~~ ~ S , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT CREED that Letters of Administration are hereby granted to SCOtt B. McCann 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 Will (and Codicil(s)) of Decedent. FEES Letters .......................................... $ t h U ~ ~!l~ Short Certificate(s) ....................... $ ~, ~,~ 1 Renunciation(s) ............................ $ C~ , TOTAL ................................... $ ' ~ ~ Atti Attl Supreme Court I.D. No.: 205966 Bogar & Hipp Law Offices Address: One West Main Street Shiremanstown, PA Telephone: 717-737-8761 Form /~W-U2 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2 PETITION FOR PROBATE AND GRANT OF LETTERS (Continued) REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Marguerite E. McCann File Number 21 also known as ,Deceased Social Security Number 174-20-0111 Name David G. McCann Son 1263 Big Horn Road Helena, MT 59602 Lonney L. McCann Son 111 Monterey Way Royal Palm Beach, FL 33411 Marsha A. McCann Daughter 668 Market Street Lemoyne, PA 17043 Scott B. McCann Son 90 Beachcliff Drive Carlisle, PA 17013 Nancy S. Swank Daughter 6720 Linglestown Road Harrisburg, PA 17112 Note: Decedent, Marguerite E. McCann, was divorced. She is survived by five children, as listed above. David G. McCann, Lonney L. McCann, Marsha A. McCann and Nancy S. Swank have renounced their right to administer this Estate in favor of Scott B. McCann. RENUNCIATION Cumberland REGISTER OF WILLS COUNTY, PENNSYLVANIA ~~ ~ ..~.` ,:,,,. ~7 ~ ~ 7 ~`.~ ~.? ~ ~~T-, r.~ -~- t,~ ;~ ~~~ ~~-z c.`° a ~~ ., =~ ~;.... ~; _. ~ r~r~ ~~~~ ~~n _._.., Estate of Marguerite E. McCann ,Deceased I, Lonney L. McCann , 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 Scott B. McCann ' !mot L ~( (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 eke-executed the renunciation for the purposes stated within on this a day of C.~.Q.r~, ~ l ~ Notary Public My Commission Expires: ~-~,r~~ t Z.~ ~ ~ ~ ~ (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 tsar Pie ~~ rr• ~ rr• ~~(+ TAMMY BRADER * * MY COMMISSION # DD 976787 ,~ EXPIRES: Apr9 24, 2014 0 ~~~oF F~~~ Balded ~ BIldg6t SetYIC2S (Street ress) ~ L C/t? c~~ ~h~ ~ ~~ l y~ (City, State, Zip) r",...F )~~ t . - ~_,, ~ Y~ h .J ~ _. r - ., ~ _ ~ RENUNCIATION ~ m ~`~ _ -~ _ ~. ~, y .~- ' ~ CJ"7 '~ rte REGISTER OF WILLS ;~ ~~' . ` ~ ; ; ~= ~~^ ll e~ ~~ ~ COUNTY, PENNSYLVANI A "~~ ,, , ._ P~. `~'' ~ . i _ ~j~ f ~' Estate of ~Hle~-hv~1~ / ~_~~ 1~ G~ /q ~ ~ ,Deceased I, '~~y % ~ ~' ~~-~- - ~~ ~~11~ ~~ , in my capacity/relationship as ,Print Name) S ~ ~ of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to (Dare) J -~ ~ ~ti~ ROY MAR1N0 NOTARY PUBLIC for the SQL * State of Montana ~ Residing at Helena, Montana fir? ~ My Comm~ssr~r Expires ,OF M~ October 7, 2014 ! Executed in Register's ice Sworn to or affirmed and subscribed 'More me this day of , Deputy for Register of Wills ~- 5+~~'e) (Street Address) (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 sta~ d within on this ~ ~ day of J~ ~ , ~2.v i~ Notary Public My Commission Expires: a~ t ~'=~~v ~y (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 a.^~ ""'[ =~' Clj ~ NCIATION -~ ~-~ --,-, F ~:- t~' REND •;~ ~ ~.; ;..~. .~,.. r. ~' ~. , REGISTER OF WILLS COUNTY, PENNSYLVANIA Estate of Marguerite E. McCann ,Deceased I, Nancy D. Swank , 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 Scott B. McCann i~ ~// (Date) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , Deputy for Register of Wills ~~ ~/~2~ ~~~~ ~~1~ (Signature) // 6720 I,inglestown Road (Street Address) Harrisburg, PA 17112 (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 Jr~h day of _ uq t/t Sf ~ a 0 Notary Public U My Commission Expires: 1 c~ I J off- (I (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commise~ion.) COMMONWEALTH OF PENNSYLVANIA NOTARtAI SEAL Form RW-06 rev. 10.13.06 ~ 8• IENGEI, NOTARY PUBL'~ SNIREMANSTOWN BORQ, CUMBERLAND COUNTY MYCOMMISSION EXPIRES DEC. 12 2011 ~:-=~: RENUNCIATION .~~ ~ ~ ~ ~ -~~ , . , =~~c~ ~~ ~ REGISTER OF WILLS ~~~~ ~ ~ ~ =_y ~-,~, . PENNSYLVANIA CUMBERLAND COUNTY a T' ~ ~ ~`' , ;~ c Estate of Marguerite E. McCann Deceased I, Marsha A. McCann , 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 Scott B. McCann 08/05/2011 (Date) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , Deputy for Register of Wills Form RW-06 rev. 10.13.06 (Signature) 668 Market Street (Street Address) Lemoyne, PA 17043 (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 5 {1'' day of _~ us f ~o ~i Notary Public v v My Commission Expires: ~'-~" o~ ~ (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) DIANE MONTGOMERX NOTARY PUBLIC SHMY COMMISS 0 NEXPIRES AU~6 St 3, 20113 I~1;.*0~ ki\ ,ni;n~, LOCAL REGISTRAR'S CERTIFICATION qF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 17488367 Certification Number This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will 6e forwarded to the State Vital Records O Mice fo ermanent filing. ~ ~~ ~~ ~ Local Registrar Date Issued COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ,. a _, .,_a,. ..,~ ~_ ~ .s.. .^v ~.,_. ,..~_ I -~ t R:; f ~ ~ , .~.:f~ ~ ...._ r;aused eN death DO NOT enter twmtnal events such as carats arrest. r Onsw a Deans ba not restJag n ttr tutdenyvtg cause gran ^ Yes MtpS-ti3 REV tlfZUlXi TYPE PRINT IN CERTIFICATE OF DEATH ~~ `~' '"' ` '' PBLAC~K~Nt(T (See instructions and exam les on reverse ~ ~ ~ '":~ ~ ~ r P ~ STATE FILE N R""I ~ 2. Sea 3. Social Secwrh NuntDM Der d Dsam (Monet.~~.ar) _„y,~ ,. Nam. d Dacedem IFust, mdde, last. stAOu) Marguerites E. McCann Female 174 - 20 - 0111 Ma 19 2,011 5 Aga 1~ Brtltoay) Under t Undw 1 da 6. Dar d Bket Mmm, da , 7 C and star a for Ba. Plea d Deem Cheat one Hospital: Other' Asoners ~ IWun AYr=ses 1928 Mechanicsburg, PA ^,,, ,,,,,, ^ERrOWpatbru ^DDA ~]Naartgrtart. ^ ^~-~K Feb 13 ~ , 83 Yrs 9 was Deatlem d -ItsPan~c Ongin? ~j No ^ Ves 10. liaoe: Atnertcart ktdan, Brat. INlele, et ' 8D. Canty d Oeam Bc. Cth, Born, Twp. a Oeam 8d. FaciYty Name I„ rte insOtuaon, give avast and rwngeri pt yes, speGy Cuban. IWhite Cumberland Middlesex Twp. Claremont Nursing & Rehab Center ~=iagPu.rtdRicart,•tc) Z/ t t Dacedenys Usual lion Kind a work der most d kh. oo not erte n' 12 Was beaded war G, the 13. Deeedea's EtLCakon ISpeafy ash ngtwst 9rada arrtperdl 14 MarMl Status: Marred. Never AAarned, t 5 Survivng sPOw• Ie wde, gw rnaidan name) VYidovrd, Dnaoed f50•~YI U.S. Armed Fans? Kind d Wok Kind d Btnstess /Industry Elerttentary I S.tbrWirY la 12) Cdkge (1-4 a 5+) Divorced Penn DOT ^ Y~ ®Ne 11 er Daaderds Markrg Address (Street, ary I town, star, nP code) Deadem's Did oecedere P e nn gv lv an i a LNe ~ a 11c. ^ Yes. Decedere Lnsd n T"p t6 . Actwl Readers na. Stu Apt. 3 T°w"er"D? t7d ®NO.DecedenlLrvedrnesn Lemoyne Ch/Bow 1102 Columbus Avenue Cumberland , „~ ~ ActtralLirtetsd emo ne 19 Motlrfs Name IFirs1, mdse, nmden swnartrl 18. Frtetefs Name (Fvst, reads, rsL sulfia) Nelle Barcle Ral h Lebo 20a treorrrtartfs Name (Type /Pmt) 200. mlonnanYs Mesng Arklrses ISveL ~!' I town, star. itp code) 6720 Lin lestown Road Harrisbur PA 17112 Mrs. Nanc D. Swank ^ Dorrtron 210. Dar d Dispoati«t (Monet. day. year) 21c. Place d Drsptssrtrat (Nam. d cenrt•rY, txenrtav a Derr Plac•) 21d. LoaOan (city I gown. star, xq ads) ason r ®C d d Dia M U W 1 p n c a rrMtr a. 2 A'~I'd®Y.e^ Ne Ma 20 2011 Cremation Societ of PA Harrisbur PA 17109 ~B""" ^ R'"'°"''I'°r"Star ~ a ° ~ ,°onM10c aar ^ u,al~, E„t „K .' 22a dFt.rrals.r~ la aan~aa~hl zz° `x'"`°"WiD" 2z` ""'"~dA00rtssaF'wr" Auer Cremation Services of ~ennsylvan~g ~nc. PA 7~0 j FD-138753 4100 Jonestown Road Hartle ur ~ nrn 23ac oNy whMt aruyirg z3a. To r» my krtowMdge, trae+oaand . der and pea asstd. (signatrrre and tipel z3o. License Ntanber ~. Dar ~~ (, ~ ~/ / prtysraen t na avar1a01e n mr d tram ,per ~QAl5/ 3 ~'L („~ ~ arty sauce a tf:am. / 26 Wa Case Rel rred Medcai 6urnsw : Coroner for a Reawrt Oerr et.rt Crartrem a Datetrrn? Dead (Monty. day. ze re,r a Opp ~ ~ O / ww z. ~ w P«sat . ~ A M ~7a / ~ a ^ Y.s a ~ [ / 1 ~ __°.. ) ~_„~ ""C"1 _ Prm . a r r Appro=mar uNervy: Pan il: Erner atMr 28. Dd Tobscm Uw CaWibule b Dsalh? ' T f CAUSE Of DEATH (Sat Inst-uetlont and axatnpMs) n pan I. ^ PraOabty V yU z w O U 0 Z Item 27. Part I: EnW er -diseases, vim, a antptca0or4 - stet oueah ~ r10NYOM setae al sacra G~r. L respratory amst, a verencubr fEneeOOrt vrtetoW sfaenrtg er e00bgy. t 1 ^ No ^ UNatowt / y ~ ~ ~ ~ s t~~l assess a ~^ C/y ~ ` O I Ww' 2~ ` ~. H ~ `/ ~ W~ VV ~ rrssWert n i 29. tf Fanrls: ^ Na pregrWt waM Dtll Yw ca g V -~ a. r e y d Dw a la as a dj~ ~\M (~ r ^ ~ pegwe wfsn t2 dws ou Drltt,nL alt tanASats. A arty. 0 E~UNOERLYM/G CAUSE a Ow to (a as a anseptrrta d): r ~ r d asset ^ Na prgtarx. but W9are N dM b 1 yet pleeeN a irtjtry ew vaeared er c evarNt rasueatg n trawl LAST. Dw a (a as a arragtrna op: t i ' lrbre deem ^ Urai+oaat d pegwe.Am b pea yser d. 30i Was an Atnapey 300. Wen AtAapsy F=drags 31. d Death 32a. Dar d Iryury (Norm, day, year) 32b OescnOe Mow Injury Occurred 32c. Place d kNry Home. Ftvm, StrMC Faabry, Ollfiaa Buidrtg, etc. (SradY1 PMorm W? AvalabN Pray to Carpla0on Natural ^ Manada d Cause d Dean? rat / ^ Accident ^ Pertdrrg ImesOpakan 3zd. rerr d Irwn 32e. kyury at wak7 Lotreat d nyuy IStreL rah !awn, star) 321. If Trenporrsort Injury fSpcey) 329 er ^ Padestrrn ^ Passen l) t ^ ^ Yes L]VNO ^ Yes ^ No ^ ~res ^ No g pera a Dmrsrr ^ Suada ^ Could Not W Delertnsrd M. Derr • SP•c+N: 33a. 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To tM bat a my kraar • IAedkM Eaaraeter/Corortar On pte Drib d etrattinatlort and I a , M my opinion, deaM oaurred a- tM Wrr, dace. and pre, and dw to tM cauegsl and rrtanrtar ss etate~ 3s Name an0 Address ojPersfo\n Carpe\uM/`~C/a~us/`e d Deam I r~ YK. ~ ~ ~ ltam 27) Type r Prca '/`1• ~-' r ~(~ •t~ I ( ~U r ' F .day. 35 StgN and 36 I~-t" ~ ~ 2 ~ Yearl ~ (V ~ ,\ . `~ C ~ ~ ~ _ ' `V~ \ -7 {!`~ t~ t Lt " ~ 11,Lt ~ _ 0 . 1 0 ~ Io .1 u ~ ti aepaa0on Pamut No. 0 6 314 6 6