Loading...
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 ,'.= >n of ~ ~ :~ ?-, was ~ba ^r} `-~ t.=:: def~d in ~_ ~- ~D ~ `n 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 ncF. wnnrrrnxat 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 N105.iM REV tll1001 COMMONWEALTH OF PENNSVWANIA • DEPARTMENT OF HEALTH • VRAL RECORDS nrelmwrR euacec 833-085 CO~ONE ~ ~~AT~E OPTtI b ~,~ a f rt ~7 ~ ':r F Cm'7 ~ .._ ~ ~~}}---}}~~~ :7YTI ~"' r~ -n . ~~ ~ ,.-. T~ - ~n n: ' surf FlLE NUMBER I.Ibnr romelMtnub, be4 eabJ 7.Sr a6•atl a,ary Nmbr ~.orroe•b (NOnrtrF~fwl Steven D Aershe Male 205 -50 -8849 Au ust 18 2 s.Igep,aewaren udEi Uneri a0aY a81a r. rawbr aE Vbnr o•.B eear. am eb.. eer Carlisle, PA or»r 53 TN. Se tember 7 1957 pbWre ^H1/aeyerrt ^~ ^~~ eeeu.o ^~ ncwpaoer~ se .sorb mFM'NbrPnab+areywarrrrrnbeel e.wro.ue.saerrr+eonym No Mr to.R•eEAmrarerirrlNra,MNb,rb. I Cumberland Carlisle n"'~r~"' ( 34 East Hi h Street eEecri.Rrebawurbl white n.o,o,a.r.tb,a a.ramv. a r. aeb ,zwre•rervb.rbrr tawnan+tebrY~... «gw~wwa. ,s.wraerrw s~.~w. ~a.r.w~l~a~a..p.iw:w.~~n iu~eawea dabbe. ba.rr UaNS.tl f01°'r Isuaiaey to,rl cero. n+as.l Neeo•.tl, I.wra•a( MAChine Operator Rubber M~9• ^n• L~Iw 12 Divorced n. o.wartib+a~u.. Rrrr. rr/brn r.apmbl o.rerr. 34 East Hi h Street 1 MrBeetlrs ,n sw __ °bDi'di 9 Apt PA. r na^w,o•eweureb ~. Carlisle, PA 17013 tm.crery Cimt~rland 'T°~ ~ ~•+a• Carlisle Ia f•MY•IMr~Rr,arae, bA, MIB to Agirtrwul~.rer•, nrleee eunrr) OA'/Bw John L. Hershey, Sr. Sonia Lee Monismith 1a..xhnrr•Nrr(ryp.tvnaj Lucy Haye maElm~.a.wro~m..ta~.•sw/bnrr,mmal 9451 Pineville Road, Shippensbutg, PA 17257 Yla Wboeddrrllbn ^cinrwi ^orrb naowaoYSraripbra ee,Nr) x+e rbraoib•,Er O,rewdanrey,amrbryrarrpboy 2,dlmYn(tlrlberrW,apmh) ^Cerd ^ ~~~ r.aaeetlen.errren~rErbM Aug. 24, 2011 LetOrt Cemete °tl"" aerseao.r.,orrrn ^wOw ~' Carlisle, pA 17013 ~ aalbrr.rrer t7c N.n.raw•rarray Hoffsan-Roth Funeral Fkane & Ce®natory - 138504 rrti aM«s 2r. tolr brarrbbb1e•,erb aamerrr ba dtb rr arr rre. (L~7WnNr r•t a~bnr ^MrerBb 17a 1kwwllribr ]ae 0•b a~78e (rrri. e•M r••9 rrM riredtlrla arr BNen•r 0•MibbeMrroi 2+. nb•ro.•n 20.AbPmbeseore Pb•r~eea wrl Mwr GM Mrreb War 6miFiN/CawrlMrPrlm arrr rin CmWbna7oiWri7 ""°°'°"'"°ieib A rx .8.:00 A." Au uat 18 2011 Re ^W WnZr.Mt6rrr pyhtlreaY-awrer uuel o-owMN•E aeebneneer •be •*renob•1 ~krrarb MErwe r.nr:5r•brrrrlleotmeYemAteis¢a~e,ta de raeeoa U,Crrbrbprpl rAhrory riw.ar•wMOy eerm arW N~BIIeY•tw ~ertl lr e•er. WNOfrY lelllatr •lrb euelrrlrr rneL i Q'IMbOrri dr nol aeBno wmoe. Ur ap an•aewan erl~an, ~ rrrYbbrrmerrylq,rr•~bP•e 1. ^ w• ^Fwyi ^ ^ Uevwm ~*'"r~ yr ., Congestive Heart Failure ~ Obeei,ty, IiTN, DM a.rr«,rE Dueb(err•mr•gwc,al. ~ r~arr,~m.:rra e. ~ ^ Na ewr+.eb rrner yM•R~. b~UlEi~alLErrN~Oyp~•E Urb(ar•aom•4~rrr al. ~ ^~rVre rlirabM iwb ~rqe 4~e1~ G r ^ Na PrVraEU[P~NrrwM~Elry• b lar• ~ darn rne•Crnr ~: C. ; ^ ~ Wpepire l7a8.41t•er aOE wr nMrrry eOa YMNeePY~4 rr lrreera0••0 ^ LbbrN rPriWe •Ilbbrrtwr Y•IIOI11Ir1 b1W,RwbWrylrq• ss•ordra.rlWrn, sY. feM ~. Drab ilon~a•r6cgr•e eG PbwgW~aw.r ata~.ao•rnt ~we+r ^xomiier oeraeauc eb~~F~' ^n• kTtW ^rr ^W ^~•~ ^~roM•rer•rr aa,bNdraer sa. p.rrw•nn eB.rri.Rrbeen blur ~,ery, /~~C ^sam• ^cra xaaoa~maNa ^w• ^W ^om./a„rr ^r.r.ar ^r.arr• sm'msbahbr~a~.s aai..,e+bq M. aw_~, 37L ~Aler(alrr:rarelr) areAeNeNlrri ~PlryeaMaer,NpEe~aaeeb nwi.w.eM+bn,r Berwb•tl see„eer mnprtl rre43i m. TEM MMr rr bbrb/rN sues eeerreeubMerbll,(nlinrrR~•Ybe,,......_.. ^ - NMlre,Y7 M7rpea1p9r~roe pioibuntlip/M rr ...._______ ___________ __ OlOneI TOMWrrPb,•reeaq ere .Durres rrraer, ar•,ur °~bAUraa11N ~e.lbbr Menbr Wier LVeaKlCrar Ibr,•n0 ewbtlr rirr(rtrawnirrebbe .................. ^ Sea O•M 91PraIMml4eq, Ne7 a"°"a"Yd'sr""b""rl>•^+a4eur,,E*sM+.•arn.er.wrnw.,ey.rwe,,rrau.bwa..y(.ae..,,,,.,re_~ ~ Au uat 19 2011 e.egren .r s•.~~o~a~"."~~c~ai°o~e,~"~o"ron'~r"`~ - ~~ 01eRe°a1°'r'~°sl"a 6375 Basehore Rd., Suitn 81 aewrmn rwnB rb. ," ~ (7~(n I Q Q 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) ~~ ~K ~ttr ~ r~z CMIwE/ORpypM, CIS Mr canmu.bn 6cph, ,wn a. zo~z ..war'w~rrw+ww~uw~s".s'w.rr'c.~u.~r.~.~.-'~~+ i cSr~3a .; r;i? My '..rf-.~q.jir ~ fi.?~.'.Jf S ~ to •,.t ~.uyr x;r R. 4+ +1{i~l'~b 4t •e~• 1~ y ..,. ,.,. . v.. ,~~,ic fir' ..~ _ ', ,',._ ~,~ ~G; (SAP -9 A3' 9~ I 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 ~,,...~,,,..~._.....,....y... ~ ±~at yu~Art~ ;ar13'~ + +'iaiN, t ..,.Jc r ,,+t:>S ~ 6ii41't~ c t~A ?i YJt~~i i.Wik 7~iS~:':}", ?~ L.1 e+a %~ t:1 i. ~. .. „~.i .,, _~ yr,;