HomeMy WebLinkAbout11-09-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS
PETITION FOR PROBATE AND GRANT OF LETTERS
Estate of I~1 nay Ct~°1Pl~ ~ r~ ,Deceased ESTATE NO: 21- ~0 ~I ~ -~ ~~,
a/k/a: l_ I n da >_ ll~ awl ~ n c p .
a/k/a: I _ 1 nr~ ~ L- sl'1e11C~{
a/k/a: SS NO: d `~~ - 0 ~ - ~ 1 ~ ~
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. (comple~_ !°~rt C also_~_
~~
and aver that Petitioner(s) is/are entitled to the aforementioned Letters n und~_ r ' ~ '
the last Will of the above-named Decedent, dated _ and codicil(s) dated
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(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 execun of the.. - ~_'';
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instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated person~nd was not tf ~;;~ ~
party to a pending divorce proceeding at the time of death wherein grounds for divorce had been established as defin~c`l?in -r•,
23 Pa. C.S.A. § 3323(g):
~(B. Grant of Letters of Administration
(If applicable, enter d.b.n., pendent life, dursnte absentia, durance minoritate)
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:-
Name Address Relationship to Decedent
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USE ADDITIONAL SHEETS IF NECESSARY
THIS SECTION MUST BE COMPLETED:
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence
At \~lvR S1~•ee~ ~-~,Sc-,c~l~ r~.~ ~~-c~:r-..~ ~~., ~r ~ ~~ ~~c ~~S
(Street address with Post Office and Zip Code, Municipality: Tod<nship, Borough, City)
Decedent, then ~~ years of age, died ~G - ~a - ac7\ 1 at C`~s'~rc.~r-~tc~ ~~~
(Month, Day, Year of death) (City and State where a ~c~urred)
Estimated value of decedent's propert at death:
_If domiciled in PA
If not domiciled in PA
_If not domiciled in PA
-Value of Real Estate in Pennsylvania
All personal property $ S,(]C.C.~ .
Personal property in Pennsylvania $
Personal property in County $
Total Estimated Value $
Location of Real Estate in Pennsylvania: (Provide full address if possible.)
Signature(s)
Name(s) & Mailing Address(es)
~U"~Z C. «~C~~ mar
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SEiN~ L iSrrY,~ ~ (-l~_ , TCix FAA l7d3:2
Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court
Page 1 ot'2 \
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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
me this `"- ~ ' " ~ day of
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For the Register V `- ~~ -`~ `'" "
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DECREE OF PROBATE AND GRANT OF LETT t
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Estate of ~,, ~ (ld C~~ 1. • ~j-P`D ~~ ,Deceased File Number: 21-~~- ~
AND NOW, this ~ U~day of ~(y~/QM,~Q.f c:ZO l ` , in consideration of the Petition on
the reverse side here n, satisfactory proof having been presented before me, IT IS DECREED that Letters
Testamentary ~ of Administration are hereby granted to:
(If applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.)
C~"1 f\~~- ~r~ L ~~h~ r ~ Yy~2 ~~~t ~ ~~~ _' Vl1CQ.~~?~:' ~? in
the above estate and that instruments(s) dated T^ described >n the petition be
admitted to probate and filed of record as the last Will and Codicil(s) of Decedent.
~~ Yl C`~ Nl QJl ~ ~~~C~d~__1
Glenda Farrier Strasbaugh, UU
Register of Wills p-~V ~~~~~~'~ ~G"p ~~~
FEES• Signature of Counsel Required to Enter Appearafnce
Letters ....................$ ~~L
Will .......................
Codicil(s) .................
(~) Short Certificates ~ (D • (~
( )Renunciations.......
Bond .............................
Other ............................
...........................
Automation FEE......... 5.00
JCS FEE ................... 23.50
TOTAL ................ $ -7 ~ 9 ~(~
Atty's Signature
PRINTED Name:
Supreme Court ID No.:
Address:
Phone:
Fax:
Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 2 of 2
IUS.805 REV fUl/071
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
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.
P 17926355
Certification Number
~CT 3/0 2011
Local Registrar Date Issued
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3 REV 112008 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~ --~-f "' `~
a/MMlENTW CERTIFICATE OF DEATH `'"
ACK INN fSae Instructions and examples on reverse) ~-
CTSTL GII F NI IWaIFG
1. Noma d Deadanl (Fhsl, natlde, yn, aunts) 2. Sea 3. Sodsl SeadN Number d. Date of Deem (Monts, dsri Y••r)
Linda L. Ge hart Female 248 - 02 - 8118 October 22, 2011
Ape (last 13hdleeyl Under t Under 1 6. Wt' d Bktlt 7. end eYy a
5 M. Plea d Daatll Check one
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"~"" p,y, ly„ Miter Hapitel: Omer.
60 1951
tember 27
Se Carlisle
PA nl ^DOA
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Bb. Carly d Deem Bc. Ciry, Boro, Twp. d Dull ~~ . 8d Fedny Name (n net Inetdutlon, gNe e6ee1 end number) 9. Wu Oecedeld d Hypemc OdpktT ®No ^ Yes 10. Raa: Amedcal Indan, Black White, etc.
Cumberland Lower Allen 1w7p. 1708 Sheepford~Road 1" R~"••~) White
11. Deadatye UeIW don qlN d work done mat d tlle. Do r1d sett' 12. Wu Decedent ever n tlr 13. Decedem'a Educelbn ISpedy ~/ t ~ ) 1d. Memd Slebro: Monied, Never Monied, 15 SurvNirg Spouse (d woe, give maiden oars)
Widowed, DNaced (SyearyJ
Kind d Wok Ked d Buekrul Indetry U.S. Am1ed ForasT Ebnlertyry / SearMery (o-12) College (td or 5r)
Drlvin Instructor Education ^Yee ®rb 12 4 Widowed
18. DeadalYs Mrdng Address lStreeA dly/town, elate, zip code) oeaaenra Pennsylvania ~I°ee °em t7~
Lower Allen T~,.
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1708 Sheepford Road _
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Actual Residabe 179. Syy Tawndl9?
Cumberland t7d. ^ ° ~°
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Mechanicsburg, PA 17055 ,
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tro. DPamy
CirylBOro
18. Pedlar's Noma (Flral, Illldrde, last, aulflx) 19. Momer'e Name (FlM, nedM, maiden wmeme)
Robert F. Shenck Dorothy A. Long
20e. InlamenYe Nero (type! PrM) 2W. blamem'a MJng Addles (Street, cdy I town, stets. zip code)
Christina L. Fisher 625 Lin-Don Drive #12, Halifax, PA 17032
21e. Memod d Dypoeitlon I ^ Cremnbn ^ Dorutlon 216. pre d 13kpadbn (Month, day, yaeQ 21c. Plea d Dlepoenbn (Name a anryN, aemnaya atlwr I~1 21 d. Laradon ICiry/tam, slate, zq rode)
~Badn ^ R.mankansyte ; ~
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^ October 26, 2011 Woodlawn Memorial Gardens Lower Paxton 'itap. , PA 17109
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~ 22a d Llaaee (a person ecdnA u ouch) 22b. License Number 22c. Name and Atldreu d FedNy
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~ New Cumberland
PA 17070
Box 431
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Parthemore FH & CS
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Compyle llama wtlen adfylrp
phyndnbnal ottlmedtleemro . T hen d my n the title, deOeYld liece eared. (Signebre end tlde)
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• NNm 24-28 ~ ~ ~ ~, ~" 24. Time m 28. pay Pronounced peed (Mash, day, year) 28. Wee Cue Re b Medal Fxamirler 1 Coroner Ia a Reason Omer than Cremetlon or Donation?
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CAUSE OF DEATH (Sera Inatructbna and ax>tmplq) I Appmximey interval:
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but rat rewlsn 2B. Did Tobacco Use Contrbde to Death?
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Item 27. Ped I: Enyr tM then of everu- doeeue, Iryudes, or conpliadarre ~ met drectly armed the dam. DO NOT ems yrrrlinel evau eac .
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rupknory enen, a vemdalyr 0hdtletlon wimad afxw,(ng tM etldopy. Llel anty one sae on eadl site. r ~NO ^ Unknown
WEgpTE CAUSE Firol dueu or 1 I
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condrbn reauldng n r~h)
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- 29. If Femeh:
C~'NPI Pregnant wimn past year
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Fayr UNDEI>LYUKi CAUSE I ot Pregnant. but pregnant w
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^ Unknown ff pregnem wsnin tln put year
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30e. Wu u Aubpey 3W. Were Aubpey Flnd,ga 31. Manna of Deem 32a. Deb d InJury (Monet, day, year) 32b. DeealOe Flow Inury Ocaned 32c Place d Injury: Flome, Farm, Shea, Factory,
Olfia Buildrlg, etc. (Spedly)
Pedonrrd? Avanaby Prbr b Campledan
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ee ^ AccMeM ^ Pentrg knaetlpnhn 32d. Tlme d Iryury 32e. okay al Wodfy 321. H Trarepaytbn mNY /SpxyyJ 32g. LPCetlon d'mjury (Steel, city /town, nay)
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^ Yea l_I No ^ Vas ^ Na ^ Y
^ N ^ Orlver/Operator ^ Peaurlger ^ Pedumu
^ Sukide ^ Couk1 Nd 6a Deymnned M u
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33e. CertlBa (dl•ck say ore) 3 3b. SlpneWre and Ttly d Certlder
• Crtlly4lg phyabyn (Phydderl carlilyYp sue d dam when erolMr ptrysiden bee prawl,lad dull ant cornPybd Ilan 23)
abead
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laaua(a)er
ltunarr
Ts 1M MNd my knowydge, dent ocarrM dust'
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3c. Llarule
aid. Dey Slgned (Monet, day, year)
• Prollolardng osd ndNying phyakdon (PlWSkien bdh praloulcitg deem eM amylrg b alee d dull)
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Toth bald my lmowl.dw. seem oeattrad el tnenm.,dar.ana Plaa,ane der co ma aawe)ane mamwra my d - 06 36g1o • ~ y ~~ /~
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• MWeN EnminalCerorw
On dla hula d anmdrotlon arts I a Invaezgedat, In my aplnion, drm aaumd n the dine, day, ant plea, and du to the eauoyo) and manner a eMad_ ^ 3
1. Noma end Adtlreu d pa Completed Ceue d Deem (Item 271 Type /Print
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Day . day
38 dT6 <u ~~ !~~ .J ~.
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35. ReglatreYb Slgnaeae Uletrkn .
.
., atwem stl.¢. 7LZ a'l4
DI on Permit No.