HomeMy WebLinkAbout09-23-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WII.I,S
PETITION FOR PROBATE AND GRANT OF Lh:"I'"TI?RS
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Estate of ELIZABETH T. RYAN , Decensed ESTATE NO: 21- ~" 1~-~
a/k/a:
a/k/a:
a/k/a:
(If applicable, enter d.b.n., pendent lite, durante absentia, durante minoritate)
Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as
applicable:
DA. Probate and Grant of Letters Testamentary orpAdministration c.t.a., or d.b.n.c.t.a. (complete Part Calso)
and aver that Petitioner(s) is/are entitled to the aforementioned Letters TESTAMENTARY _ under
the last Will of the above-named Decedent, dated __ 5111/2007 and codicil(s) dated n _,_ -- ~ -i-,
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(State relevant circumstances. e.g. renunciation, death of executor, etc.) ~' rn r~,~ ~__
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after~kiron ottfFie
instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated persQ~_1~(t)~I was-trctt a -
party to a pending divorce proceeding at the time of death wherein grounds for divorce had Keen e~ttl~Pisited as defined in_- ,- -;
23 Pa. C.S.A. § 3323(8)' _l7 __ ;~-rl
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~ B. Grant of Letters of Administration
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 (lf 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. § 33230), except as follows:
Name Address Relationshi to Deced~
CSG ADDITIONAL SHFGTS tF NF.('ESSARI'
ant
THIS SECTION MUST BE COMPLETED:
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence
At THE BRIDGES AT BENT CREEK, SILVER SPRING TOWNSHIP, CUMBERLAND COUNTY, PAy
(Street address with Post Office and 7_ip Code, Municipality. Tmvnship, Borough, City)
Decedent, then 103 years of age, died
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
9/17/2011 at SILVER SPRINGTOWNSHIP, PA
SS NO: 128-03-0533
(Month. Day. Year of death) (City and State where death occurred)
All personal property $ _ 175,000.00
Personal property in Pennsylvania $ __
Personal property in County $
$ _
Total Estimated Value $ 175,000.00
Location of Real Estate in Pennsyhania: (Provide full address if possible.)
tiignuture(s)
Name(s) & M1tailing Address(es)
~' BARBARA FALCONER
3 STRAYER DRIVE
CARILSLE, PA 17013
Intenm Form RW-02 revised 1226J0 by Cumberland County pending action h~ the Court Page I oft
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
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DECREE OF PROBATE AND GRANT OF LETTERS -' _.= _ - ~~°'
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Estate of ELIZABETH T. RYAN ,Deceased File Number: 21- 1~ -_~(i~~
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AND NOW, this ~ ~iay~f ~ ~ ~ ~(~` ~ ~__ , in consideration of the Petition on
the reverse side hereon, satisfactory proof h ving been presented before me, lT 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.)
BARBARA FALCONER in
the above estate and that instruments(s) dated 5/11/zoo? described in the petition be
admitted to probate and filed of record as the last Will and Codicil(s) of Decedent.
Glenda Farner Strasba Q~'' ~~~~ p~~,
Register of Wills ~ ' "
FEES: Signature of Counsel Required to Enter Appearance
~~ ~ .
Letters ....................$ ~~. ~ ~ `f
WiIL ....................... 1 ~-~l
Codic i I(s) .................
( Icy Short Certificates C~- f_~(~
( ) Renunciations.......-
Bond .............................
Other .............................
Automation FEE......... 5.00
JCS FEE ................... 23.50
TOTAL ................$ ~ y.~- SL
Atty's Signature ~~ ~„
PRINTED Narne: THOMAS E. FLOWER
Supreme Court ID No.: 83993
Address: 10 W. HIGH STREET
CARLISLE, PA 17013
Phone: 717 - Z43 - 5513
FaX: 717 - 241 -4021
Interim Form RW-02 revised 1225.10 by Cumberland County pending acdion b~~ the Court Page? oft
OCAL REGISTRAR'S CERTIFI~rATION OF DEATH
WARNIN(a: It is illegal to dnaplicate this copy by photostat or photograph.
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HIOS-,4s REV 1u2gos COMMONWEALTH OF PENNSYLVANIA .DEPARTMENT OF HEALTH • VITAL RECORDS
TYPE /PRINT IN
PERMANENT CERTIFICATE OF DEATH
BLACK INK
(See Instructions and examples on reverse)
1. Name of Decetlenl (Rrst, mitltlle, last, suffix) STATE FILE NUMBER
Elizabeth T. Ryan Female 3. Social SecaAy Numha 4. Dak of Deem (Mmm, day, year)
128 _ 03 - 0533 September 17, 2011
5. Age (Lass BiMtlay) UrMar 1 Under 1 da 8. Dak of Binh Month, da , e 7. BiM and state a romt Aa. Place of Deelh Check an one
103 ~°"'"' °aj "°"' """'"°' July 25, 1908 New York Cit NY
y Hospital: Other
yra ^ Inpefienl ^ ER I Om etienl ^ DOA ~~{a~,
eb. Comry of Deam &. G Bora, Tvp. of Death P L'3 Nursing Hans ^ Residence ^ Omer ~ Specify
`; 1 N. Atl. Facility Name pl not imtitNim, give sheet and number) 9. Was Decetlanl of Hispanic On in?
Cumberland Silver S Tin (II yes, speciN Cuban, g No ^Yes 10. Race: Amerkan Indian, Black, White, ek.
p g Twp. The Bridges at Bent Creek Mexican, Paeno Rican, etn) (s°°`;M
17. Decedents Usual tbn Klntl of work done duri most of wo life. Do rot stale retired 72. Was Decetlenl ever in th 13. Decedml's Etlucelim (Bpecity only hghesl grade completetq 14. Marital Status: MemeQ Never Manietl, I5. Surviving Spouse (11 wife, give maiden name)
KirM of Work Kintl a Business/lntluslry U.S. Annetl Forces? Elementary ! Seemtlary (0-12) College (1~4 or 5+) Widowed, Divometl /Specr/yJ
^ vag No a led
1A. Demtlenl's Mailing Atltlress (Street, city l town, slate, iip code) DecetlenYs Did Decadent
2100 Bent Creek Bl Vd . Actual Regidence 17a. State PA LNe in a 1'c. ®Yes, Decadent Lived in R ~ V ~„1~r>? rig TwP
Mechanicsburg, PA 17050 t76 cgdnN Tnwnghip?
Cumberland rid ^ No, Decedent Lived wrhm
1A. Famels Name (First, midtlla, lass, suMlx) Actual Llmrs of City/ROm
19. Masher's Name (Rrst middle, maker sumeme)
William Ryan Anna Ida Beechler
20a. Informant's Name (Type / PnnQ
206. Inlormanf5 Mailing Address (Sheet, chy /town, stile, zip rode)
Barbara Falconer
21 a. Mettwd of Dkposrbn ®Crematim 21 b. Dale cl DI ( y Ye )
~ ^ Donatlm spositlm Mmm, tla , ar 21c. Pla of Daposhim1Name of cemetery, cremato or other place) 21 d. Location (City/ sown, stale, zip code)
^ a,ral ^ Ram"vat Irom stale ~ wag crematbn or Donetlm Amhor:ea HO~fman-FtOth Funeral Home &
^ ': rbyMetllcalExamirrcr/Coroner? y~^Ne Sept. 20, 2011 Carlisle, PA 17013
_ 12a. igret a of Funeral Service Lxensee Ia person aMing as such) 22h. lkeree Numher 22c. Name era Address of Facility
< ~ ~ - 013144E 219 ffman-Roth Funeral Home & Crematory
can Aemg2:lacmNwhenCBN North Hanvoer Street Carlisle PA 17013
tying 23a. To the hell of r9tWpowl , tleaM Dccurtad at Iha , da
place matetl. (Sigrnture antl Atle)
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23b. License Number
s not available al lime of deem to ,U_ / 23c. Dale 5' d ( M, tlay, year)
ceniry sage a tleam. ~ ~j~ ~~S_7
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Time of Death
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25. Dot rorw ad (Month, day, year) 2fi. Wes Case Refenetl to Medical Examinm !Coroner for a Reason er than Cremation or Donation?
vdw pronamces tleam. r ~ ~
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Item 27. Pan I: Enter dre the of CAUBE OF DEATH (See Inatruetbna end xam ea)
r Approximate interval: Pan IT, Emer other simil' 1 cond'nbrlc t - ry to
- tlseasas, injures, Or complications - mat directly caused th daam. DO NOT enter mmrnal Events such as cartliac arrest
bLg "Ih 2A. DM Tobacco Use Camrbute to DeaM?
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resphatory artasl, or vmtrkular fibnllatkn wdhmt 5howirq the etbbgy. Lill mN me cause m eadl line. Oreet to DeBN bN not rasulhng In the underlying reuse given in Pan I. ^ yes ^ probably
IMMEDMTE CAUSE 1Final disease a t_ /~ No ^ Unknown
condAim resunirg m rkam) _~ a ~V` I I It f Q 1CJ Tlti f l V~~
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Enter UNDERLYING CAUSE Iwo to (or as a consequence oQ~ -'- ^ Not
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N Due to (a as a c"nsaquenw on -- ^ Nd pregnml, but pregnant 43 data to ,year
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be. Was an ANOpsy 30b. Were AW r ^ Unknown it pregnant wimk, the pest year
apsy Fntling5 31 r of Death 32a. Date of In (
jury (Mmm, OeY. Year 32b. Describe How Injury Occuned
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32c. Place of Inlury~ llortn, Farm, Street, Femory,
of Cause of Death? atu21 ^ HDmitide OR Building, etc. (SOeriNf
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^ Ves L~I.YO ^Ves ^ No ^ Amdent ^ PerMmg Inveadgelim 32tl. Time al Injury 32e. Injury al Work? 321 II Transportation Injury (SparyyJ 32g. Lae( W injury (Street, clN I town, stale)
(( ^ Sukide ^ DOald Nat ce Delennired M ^Yes ^ No ^ DrrverlOpereta ^ Passenger ^ PedesMen
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33e. CeniAar Irlteck Doty one)
• Certdying phyakfan IPhyac en enryirg cause of daam wren albiner pfry91c18n Irag pronourx:etl daam antl completetl Item 23)
To the best of my knowtatlge, deaU a ed due to dte cauae(e) and manner es staled _ _ _ _ _ _ _
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
ss.
On this, the 14th day of May, 2007, before me, the undersigned officer, personally
appeared THOMAS E. FLOWER, ESQUIRE, known to me to be a member of the bar of
the highest court of said state, Supreme Court attorney license no. 83993, and a
subscribing witness to the within instrument, and certified that he was personally present
when ELIZABETH T. RYAN, whose name is subscribed to the within Last Will and
Testament, executed the same, and that ELIZABETH T. RYAN has acknowledged that
she executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
CpMMONWEALTH OF PENNSYLVANIA ~ SEAL
tJotarial Seal (~
Sara d Enainger, Notary PubYc ~~
Carlisle Bono, Cumberland Gamty
My Carxniseia~ E~ires Oct 17, 2009
Member, Pennsylvania Assodatbn of Notarise