HomeMy WebLinkAbout09-09-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS
PETITION FOR PROBATE AND GRANT OF LETTERS
Estate of Steven D. Hershey
a/k/a:
Deceased ESTATE NO: 21-
a/k/a:
SS NO: 205-50-8849
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 ^ 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 under
the last Will of the above-named Decedent, dated and codicil(s) dated
(State relevant circumstances, e.g. renunciation, death of executor, etc.)
Except as follows, Decedent did not many, was not divorced, and did not have a child born or adopted after
instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated pets
party to a pending divorce proceeding at the time of death wherein grounds for divorce had been esta
23 Pa. C.S.A. § 3323(8):
~ B. Grant of Letters of Administration (*See attached Addendum)
(If applicable, cuter d.b.a., peadeat
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C. Petitioner(s), after a proper seazch, has/haue ascertained that Decedent left no Will and was survived by they --
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 o{~"'
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(8), except as follows:-
*See attached Addendum
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THIS SECTION MUST BE COMPLETED:
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence
At 34 East High Street, Apartment 2 Carlisle, Pennsylvania, 17013, Carlisle Borough
(Street address with Post Office and Zip Code, Municipality: Township, Borough, City)
Decedent, then 53 years of age, died 8/18/2011 at Carlisle, 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 $ 5,000.00
If not domiciled in PA Personal property in Pennsylvania $
_If not domiciled in PA Personal property in County $
-Value of Real Estate in Pennsylvania $
Total Estimated Value $ 5,000.00
Location of Real Estate in Pennsylvania: (Provide full address if possible.)
Signature(s) Name(s) & Msiliug Address(es)
Lucy J. Hays, 9451 Pineville Rd., Shippensburg, PA 17257
John L. Hershey, ]r., 337 West Penn St., Carlisle, PA 17013
Interun Form RW-02 revised 12.26. ] 0 by Cumberland County pending action by the Court Page 1 of 2
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.
Estate of Steven D. Hershey ,Deceased File Number: 21- -
AND NOW, this day of , in consideration of the Petition on
the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters
-Testamentary X of Administration are hereby granted to:
([[applieeblq enter cto., d.h.n., d.b.n.e.ta, etc)
Lucy J. Hays and John L. Hershey, ]r., as Co-Administrators in
the above estate and that instruments(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 ....................$ •~ , lP
Will ........................
Codicil(s) .................
(3 )Short Certificates =_-~~
( (~) Renunciations.......
Bo d ...........................
Other .............................
.................................
Automation FEE......... 5.00
JCS FEE ................... Q~ 23.50
TOTAL ................ $ 1~ .
Glenda Farner Strasbaugh,
Register of Wills
Signature of Counsel Required to Enter Appearance
Atty's
PRINTED Name: Bradley I_. G
Supreme Court ID No.: 3a3a9
Address: GRIFFIE & ASSOCIATES
200 N. Hanover St., Carlisle, PA 17013
Phone: (717) 243-5551
Fax: (717) 243-5063
Interim Fonn RW-02 revised 12.26.10 by Cumberland County pending action by the Court
Page 2 of 2
DECREE OF PROBATE AND GRANT OF LETTERS
ADDENDUM
TO
PETITION FOR PROBATE AND GRANT OF LETTERS
In the Estate of Steven D. Hershey
Estate No. 21 -
B. Renunciations of Sonia L. Hershey, Kimberly A. Rudy, Victoria L. Shoenberger, and
Jacqueline J. Fielding, naming Lucy J. Hays and John L. Hershey, Jr., as Co-
Administrators are being filed with this Petition.
C. Complete list of Heirs:
Name: Address Relationship
Sonia L. Hershey Cumberland Crossings Retirement Community Mother
1 Longsdorf Way
Carlisle, PA 17013
Lucy J. Hays
John L. Hershey, Jr.
Kimberly A. Rudy
Victoria L. Shoenberger
9451 Pineville Rd, Shippensburg, PA 17257
337 West Penn Street, Cazlisle, PA 17013
101 East Willow Street, Cazlisle, PA 17013
Sister
Brother
Sister
Sister
Sister
131 Porter Avenue, Cazlisle, PA 17013
Jacqueline J. Fielding 8004 Clearfield Road, Frederick, MD 21702
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 17727673
Certification Number
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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 be forwarded to the State Vital
Records Office for permanent filing.
Local Registrar Date Issued
RENUNCIATION
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
wli ~ SEP -9 fa~i 9~ 4
CLERK OF
ORPHAN'S COURT
Ct1MRERI w;dD ^{7 , PA
Estate of Steven D. Hershey
Deceased
I, Kimberly A. Rudy , in my capacity/relationship as
(Print Name)
~a~kter s ~ s -}~es ~~ of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Lucy J. Hays and John L. Hershey, Jr., as Co-Administrators
9l ~l~o~ ~
(Date) (Si twef
101 East Willow Street
(Street Address)
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. /0.13.06
Carlisle, PA 17013
(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 renunc a n for the
purpo es stated within on this ~_ day
Notary Pul~J4c
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission)
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RENUNCIATION
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
CLERK 01=
ORP~',AN'S COURT
Cl)MB~PI A'~~[~ CO. PA
Estate of Steven D. Hershey ,Deceased
I, Victoria L. Shoenberger , in my capacity/relationship as
(Print Name)
hter s ~ s'{~er .,~ of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Lucy J. Hays and John L. Hershey, Jr., as Co-Administrators
`~ ~~1~ ~
(Date)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this
of
Deputy for Register of Wills
Form RW-06 rev. !0.!3.06
~•
(Signature)
131 Porter Avenue
(StreetAddress)
Carlisle, PA 17013
(city, stare, ZrPI
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
purpo stated wi in on this ~ day
of ~h ~/l .
day
Notary Puri
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.
NOTARIAL EEAI
KELLY L /EREZ
NObry ~YI1R0
CAR1Itli ROROUON, ~.
My COTAlINI0f1 ExpMN ,ton •, 4012
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