HomeMy WebLinkAbout11-29-11Reset
PETITION FOR GRANT OF LETTERS ~,;
n _ ~
~~
REGISTER OF WILLS OF Cumberland COUNTY, PENNSYIl~iIA
~ r' `_
Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for Letters as spgc>~?~ bel~' and in
support thereof aver(s) the following and respectfully request(s) the grant of Letters in the appropix~~ ~e`~in _ '.1
Decedent's Information ~ ~ :~ ~-~- - - :-,-;
File No:
Name: Barbara A. Walsh (Assigned by R gister) ~`'~'
a/k/a:
a/k/a:
a/k/a• Social Security No: 172-56-3188
Age at death: _'_~0
Date of Death: November 17 2011
stare) with his/her last
Decedent was domiciled at death in Cumberland County, PPr+ncvtvania (
Cumberland
principal residence at 2124 Rimer Hi hwa Carlisle PA 17015-9305 Dci kt Tu n h° orsRorough county
Street address, Post Office and Zip Code b'~ p
Cumberland PA
Decedent died at 2124 Ritner Highway Carlisle PA 17015 Dickinson Township
Ci Towushi or Borough Couaty State
Street address, Post Ott3ce and Zip Code tY+ p
Estimate of value of decedent's property at death: $ 20,000.00
If domiciled in Pennsy!vania ............................ All personal property
Ijnot domiciled in Pennsy!vania ........................ Personal property in Pennsylvania $
If not domiciled in Pennsy!vania ........................ Personal property in County $ 'i0 000
..............
Value of real estate in Pennsylvania ................ • • • • • ' ' • • • TOTAL ESTIMATED VALUF;.... $ 50.000.00
Cumberland _
Real estate in Pennsylvania situated at: 2124 Ritner Hi hwa Carlisle PA 17015 Dl CinsTo oshinnrtBorough County
Street address, Post Office and Zi Code ty+ p
(Attach additional sheets, if necessary.) p
0 A. Petition for Probate and Grant of Letters Testamentary and Codicil(s)
Petitioner(s) aver(s) he/she/they is/aze the Executor(s) named m the last Wtll of the Decedent, dated _
thereto dated
State relevant eireumstauees (e.g. renunciation, death of executor, etc.)
Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, was not divorced, was not a party to a pending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g), and did not have a child born or
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
NO EXCEPTIONS ~ EXCEPTIONS
® B. Petition for Grant of Letters of Administration (c.t.aPpd.b.nled.b.n.c.t.a., pendenbe lite, durante absentia, durante minoritate
If Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.
Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds 1For divorce had been established as defined
in 23 Pa. C.S. § 3323(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person.
NO EXCEPTIONS ~ EXCEPTIONS
Petitioner(s), after aproper seazch has/have ascertained that Decedent left no Will and was survivedby the following spouse (if any) and heirs (attach
additional sheets, if necessary):
Name "°•°"
Jeffrey K. Walsh Spouse
Jaime M. Brehm Daughter
Forns RW-02 rev. 10/II/2011
Address
2124 Rimer Highway, Carlisle, PA 17015
2124 Rimer Highway, Carlisle, PA 17013
Page 1 of 2
Official Use Only
Oath of Personal Representative n __-
COMMONWEALTH OF PENNSYLVANIA } - , ~ `~
~- n ~
rni iwTV OF Cumberland } `' -'_ ~~,:_3 `~
Register
BOND Required: Q YES Q NO
FEES:
To the Register of Wills:
v~vaQO p..rPr my aonearance by my signature below:
$ 90.00
Letters ......................
( 10) Short Certificate(s)...... 40.00
( 1) Renunciation(s)......... 5.00
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
Other ••••••••
........
Automation Fee ............... 23.50
JCS Fee ..................... 5.00
TOTAL ..................... $ 163.50
Attorney Signature:
.~--
Printed Name: N C. Wolff
Supreme Court
ID Number: 87380
Firm Name: Wolf & Wolf, Attorneys at Law
Address: 10 West High Street
Carlisle. PA ].7013-2922
Phone: 717-241-4436
Fax: 717-241-4437'
Email: nathancw~lf~Ci~,lrihar4l]]ail cnm
DECREE OF THE REGISTER
Estate of Barbara A. Walsh File No: _~ ~ ' ~ / -~ ~ ~~
a/k/a:
AND NOW, ~h V IYC.~ z ~r _, in consideration of the foregoing Petition,
satisfactory proof having been presented before me, IT IS DECREED that Letters of .Administration
are hereby granted to Jeffrey K. Walsh
in the above estate and (if applicable) that
the instrument(s) dated n/a
described in the Petition be admitted to probate and filed of record as the last Will (anal Codicil ) of Decedent.
Register of Wills
Page 2 of
FormRW-02 rev.IO/I1/20/1
The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are true and correct to the best of the knowledge ana ueuer
of Petitioner(s) and that, as Personal Representative(s) of the Decede t, Petition (s) will w ll and truly administer the estate accordin~ 1~w.1
~ ~,, Date ~~
Sworn t o firmed n subscri~b~ed~ b~ef~o>~:e Date
met ~ ay of .lac-I , ~J!L
Date
By~ Date
C? O ._ -~
~ -~ i~'~
~."- r v
RENUNCIATION `~' ~ ; ~:; _ ~_~
_n :..,, __ -~-~
v _ j {.. `.a r ~
REGISTER OF WILLS b'
Cumberland COUNTY, PENNSYLVA[VIA
2.~-11lJZ~76
Estate of Barbara A. Walsh
I, Jaime M. Brehm
Deceased
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
Jeffrey K. Walsh
11 /30/2011
(Date)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
~fb 6~ PENN6YWANIA
Notarial Seal
Nathan C. Wolf, Notary Public
t;~lisle Boro, Cum~$ and ~2~a'12
Form RW-06 rev. 10.13.06 ~rymdgglOn Expi APfi
~, Pennsylvania Association
n fl
(Signa re)
124 Sable Drive
(Street Address)
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 renunciation for the
purposes tated within on this _ day
of , ?°~~
Notary Pu
My Com i n xpires:
(Signature and Seal of Notary of other official quali5ed to
administer oaths. Show dlate of expiration of Notary's Commission.)
1105.805 REV (01/07)
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 17978656
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 be forwarded to the State Vital
Records Office for permanent filing.
~n~~ ~~.r~-~.~Y~• NO'~I 181/ 2011
Local Registrar Date Issued
_ ------ n_ ~=
-~_ ~ ~ C_,_. -:..a
i- ~..._~
_ ~ 1l i'~:7 - `j-
C~_J C J ,7 -T-s ~ -
--1 C,J ~ .__ ,~~-1
-O `r~
y 1",.'' ' ~..~
Ht0S1e3 REV 112508 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
TYPE/PRINT W CERTIFICATE OF DEATH
~BtA1KK (Sae instructions and examples on reveres) STATE FlLE NUMBER
2. Sr 8. Sadr SsarN Nurtsar e. Dar d Deem IMOnm, eey Y••r1
,. Nrrr a Dscsdse tF.r. mimb. ~+. ednel Female 172 _ 56 _ 3188 November 17 , 2011
Barbara A. Walsh
weer, lilds 1 e Drs d etrm ~. ~ end mb « ee PY« a Darn a.a rro
- 5. Age N+ Swirl Hrpibl: Oesc
c~ "w°' °e" "°'" ''`""' June 21, 1961 Carlisle, PA
^ bMtlea ^ ER I DugW+u ^ DDA ^ NuNrp Hama ®Raebrwe ^ Omer - Spadly
Yra. 9. Wr Deceere a Hieprlk DapM7 ~7 No ^ Yr 10. Race: Anierieen Naen, aed, wens, etc.
• ee. Cas.r a Drm x. cry, Buo, Twp a Deem ea FedNry Nems (n not ewnunorl, gve eneel ens nw0x) In yae, epedN a8en, h-' (SP~l1
Cu-Ilberland Dickinson Twp. 2124 Ritner Hwy. a Carlisle Mwam. Pusb li«n, ral
11. peoetlsYS Iwml Io1A d wok eons more Wa. Do na sine m 12 Wr oertlsn ew m ew 13. DeaaUwwa Eavwnon (spWN anN NVrt 9~ ~nl 11. Memr stns: MeaW, Nevi Msrbe, 15. SurAhg Spurs (n wM, gir maUen rsmel
wl«wea, awe !sP•arl
1a,aawan wneaa.b.rlmaMN• u.s.AmweFalor? EbmenbrylSecmhrylo-tz) CoAege(1-1«5+)
• ^ Yse No
~ DecedBte rf i rk i n,Z n T+p.
• 15. D.aeeerre MmSnp Aaaer (Strad, dN I am, rte. =q codel D•~"I'' PA Tab? na. ®vr, Decedent wee n
2124 Ritner Hwy. namrRrr.ncal?e•sbre (,'Ixllberland nn.^~~„'a"''""'""m
17b. C«n1y CINIBOm
Carlisle, PA 17015
18. Fsesfe Nrre (Enter mldde, br, sues) 19. MdhMe Wnr (Kier, nedrna, melee eurreriwl
Jesse Chester Mellott -Sara Isabel Goodtlart
20e. InbrltarX's Name (Type I Print) 25tr. winters MMNq Addrre (Street dry I qr, reb, dD ooael
Jeffrey K. Walsh 2124 Ritner Hwy.r Carlisle, PA 17015
210. Debd DMpaeXbn lMoah, daY•Y~) 21c. Pb«aDkprral dosnrary,a«rtary«omx peo) 2ld lateen lGly/bwn, tab, dp mtle)
z,e Memod d D>ibn ~ ®cremamn ^ oalrbn Hof fman-tt~oth Elaneral Home & rl isle a PA 17013
^ o^ma~ ^ Rsrl«riremsbb ~ vr~trlalbn«DorYmAvr^raNOVe[Irber l9r 201 Cremat0 ,
• ~ earn) ~, Uca~ua yWmhar m Noma ens Addren a Facnav Hof fman-Roth Funeral Halle & Crematory
~ ~ 138504
73b. 1kwM Numtrer 23c. Des siQwa (Nonni. &y. Yrr)
aartlryip 13a.Tatne mybbwbaeB•erm«amd uwwr,aabardpbnaletad.lSpra••amtrnel ~N 3v0 ~'/ G o~~rn~~ / ~, .;?oii
phydeen b na avenetrb r sea a arm b - ~rnC t!-~~fit.~ 1t,~ C.~Y P'N
Derry rinse d deeel. 28. Wr Gr RaMred b Abdral Eeemnwr I comer rot a Raison Omer sae Cremetlan « oas5an7
Irar zaxe mwv a anpraa M awwn za. Tine d orm /~y/5~ 25. r~ma/bcad ore , mY• Y~1, ~,~
O~ / V M' / f V~ (~V~~ ^ Yes
• who proroui«s ern. ~. Db Tdscro Ur CanRdab 7
Aapoalnsb NbrvN: Pan n: Enter omx
CAUBE OF DEATM (ass Matruetlom rid exempMs)
Ism I1. Pen I: Fnlx me ~SQy(.~nple-Arere• m1uNS, qr mrgt~stlas - tlst dieaN uuesd me tlerh. DO NDT emer bnalW evens earn u rarc areal pr11o Deetll hdnd reeitinB F ds uMaaylrq sear 9NUi N Pent. ^~ No ^ UNu«m
rseptrsbry arnW, a venrwsr lbneenm wsca ehaenq me etldapy. Ur Day one sues on earn ere. ~7 ~jmfl'R'-~ '
~ zs. n Farb:
s/~p1ATECAUSE~F>naIeews« h.A,•nn.,•-...n d... •'(/I'~~M~wA~ ~ ^NapreQrm.m,e+Peatrrr
Wndrm readltra m Msm) ~ ,, r rs a in [:_ /-/~.~>"'nIOGH-~.C wn>h~ r ^ p,yem v sine a arm
Due b 1« r e aarsePws• aG i ^ Nu Pre9ns++• Eut pragnere wlMn d2 ee>7e
b ruMweemi~iea e. ; darn
a ~UMywBxyKneB CAUSE Due b (« r a eorapwnca oyl: i ^ Na gegrn4 do pregnam e3 den m 1 vee'
-~ evur reeJSM~ In tlarh ~d!• netore seem
a Due b (« re wlesaoenr dl~ ~ ^ Unbxwm n pregrm wren tlw Per year
Ci °'
32a. Dab a tr{iwY Intone deY~ Y~1 32b. Deccrse How Iryuy Occurred 32a Pbr d 4ijwy. Nar. Feint Street Fedory,
• 3DA Wr r Aubpay 30b. Were Aubpey Fhdrge '.31. Msasr d Dsem Oftr Buldip, eb. (Spsa1'1
PadunwrR AvaYde Pdu b Canglrbn Bzi ~~ ^ HonitJda
a ewr a orm? f--` sxa. Tmw a Mtrn Sze. mhey r west? 3zI. n Trenep«reorr iryur i'sP•~i'1 3zg. txena~ a iM~r Isoer, cnr I to1m. ebrel
S ^ rr ~No ^ yr ^ Na ^ Aoddenl ^ PeMYq trweetlpaeon ^ Yr ^ Na ^ Dde«lOparebr ^ Peeeengr CI Pedrtrien
e n ^ suldM ^ Could Na os Mumwwa M. Omr • Sped!}'
V' 39b. un.ne
33e. Caafs lobed anN art ., U ~~.-~
sire d psem rdwn ernlMr plmkNo pranaacea
• CsNytrq PMe~^ IR+N~e^ oersyag to dent ant ouTM•a Ilse z3)
To tlrSranN b,owweee,ea.u eavnad eua tour aurpl one erwrrarhe__---'--'-'-------------------'-- t~ p. 39tl. Dab (Noah, dsy, ya.r)
• P,oe«.Iatrgadrnllr~opM•~•wl%r~~prr~+eae.naaa«mNtrgmr.ueaaeem) Q 0 1 J ~/ i~~~,
TO dla trar d my bawbdpe, arm oaem0 r tl1a IMM. ew• one P+eo•. ant dw m tlw ruaalal a«I mrusr r abbd_ __ _ __ _ __ _ _ __ __ ___
~ NsdlrlEva+anrycemner
On tls Osabaeeambrbn mtll«mvswpeUan•tisW ~loM1 deema:eumdrlM Sins.dra.ens pha,and rewblM Uwe(al see marsrrslabd_ ^ 34. Nertp rM AddrordPelee, Who cunpl•ted Caused Drm Pbm 27)Tyye/Pea
A. Thomas Alx3rewsr MD
° ~ '~' """D1~r~~~ Q I ~ I 1 I a I t I 0 I '~ ~"°~lMn,m•aw,•rrrl I-ndrews & rPatel Assoc. a 3912 Trindle Rd.
Dbpritrr Permit No. J~ ~~` ~ , 1 V -