HomeMy WebLinkAbout12-29-11Reset
PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLV,t~NIA ' =.
n --= __r,
Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for Letters as spe~afi~~elows_`and in
support thereof aver(s) the following and respectfully request(s) the grant of Letters in the appropriate_fort~ ~; T
_ ;~ ~ ~ ,_
Decedent's Information -~ `` " ~ ~ _~
Name: CABBIE SNOKE File No: ~ ~ - ~ ~ - ~ C~~ ~~~ ~ ,
a/k/a: (Assi ned b Re ist~r '
g Y g ~) ~ _ : T-i
a/k/a: ~ ~:-~
r.-, _-,
a/k/a: Social Security No: 555-27-2214
Date of Death: NOVEMBER 5, 2011 Age at death: 54
Decedent was domiciled at death in CUMBERLAND County, PENNSYLVANIA (State) with his/her last
principal residence at 4225 CARLISLE ROAD, GARDNERS, PA 17324, DICKINSON TWP. CUMBERLAND CO.
Street address, Post Office and Zip Code City, Township or Borough County
Decedent died at MS HERSHEY MED CENTER, HERSHEY, PA 17033 DERRY TWP. DAUPHIN CO.
Street address, Post Office and Zip Code City, Township or Borough County State
Estimate of value of decedent's property at death:
If domiciled in Pennsy[vania ............................ All personal property $
If not domiciled in Pennsy!vania ........................ Personal property in Pennsylvania $
If not domiciled in Pennsy[vania ........................ Personal property in County $
Value of real estate in Pennsylvania ......................................................... $
TOTAL ESTIMATED VALUE.... $ 0.00
Real estate in Pennsylvania situated at:
(Attach additional sheets, if necessary.)
Street address, Post Office and Zip Code City, Township or Borough
A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated
thereto dated
State relevant circumstances (e.g. renunciation, death of executor, etc.)
County
and Codicil(s)
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.
Q NO EXCEPTIONS Q EXCEPTIONS
B. Petition for Grant of Letters of Administration (If applicable)
c.t.a., d. b. n., d. b.n.c.t.a., pendente life, durante absentia, durante minoritate
If Administration, c.t.a. or a~b.n.c.~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 for 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.
Q NO EXCEPTIONS ~ EXCEPTIONS ESTATE OPENED FOR LITIGATION PURPOSES
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 (attach
additional sheets, if necessary):
Name Relationshi Address
DONALD E. SNOKE II SPOUSE 4225 CARLISLE ROAD GARDNERS PA 17324
CODY SNOKE SON 4225 CARLISLE ROAD GARDNERS PA 17324
CARL T. MACY SON 2312 THIRD AVE. UNIT 735, SEATTLE WA 98121
MALLORY A. MACY DAUGHTER 123 A STREET CARLISLE PA 17013
Form RW-02 rev. 10/11/2011 Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF CUMBERLAND
Official Use Only
c7
`C7 _:_~ ~_ _~
:~
-~ r
--c7
_:
r,i r\.
~ v ,
- : ;_
Petitioner(s) Printed Name Petitioner(s) Printed Address -- ''
t{ ,: --
DONALD E. SNOKE I[ 4225 CARLISLE ROAD GARDNERS PA 17324 ~ ~- ~:
The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition ~fe true and correct to the best of the knowledge and belief
of Petitioner(s) and that, as Personal Representative(s) of the Decedent, the Petitioner(s) w~=l wel nd truly administer the estate according to la~w~.
Sworn to or aff rmed and subscribed befor "~` __~_ ~ ~ ;~ ,~G%~ Date ~ Z ~ _ //
t
. ~ y ' ,
me s da of ~ 5 ~ ` Date
By ~ Y J `-- Date
~'or he Register / Date
BOND Required: Q YES Q NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters ...................... $ ~~
(~ )Short Certificate(s)...... '~y
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
Other
Automation Fee ......... ......
JCS Fee ............... ......
TOTAL ............... ...... $ ~a . 5"U 4~-
~~. "~
Printed Name• THONY STEFANON
Supreme C urt:~
ID Num r j 25497
Firm Name: ANTHONY STEFANON ATTORNEY
Address: 1847 CENTER STRRET
CAMP HiI.I. PA 1701 1
Phone: 717 761 6162
Fax: 717 7616164
Email: t~n~ctefannn~veri~nn.net
DECREE OF THE REGISTER
~.
r-;
Estate of CABBIE SNOKE File No: ~ ~ _ ~ I ` ~ ~~ f
a/k/a:
AND NOW, n 1~",_'.=^^ ~~ " '~ ~ ~ ~ / , in consideration of the foregoing Petition,
satisfactory proof having been presented before me, IT IS DECREED that Letters OF ADMIMSTRATION
are hereby granted to DONALD E. SNOKE II
in the above estate and (if applicable) that
the instrument(s) dated
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
Y~ ~
egister of it '1
Form RW-02 rev. 10//!/1011 ~~ ~ ~~-~~ ~•~ ~, t r C. 1 1 ~,~~ ~~ge 2 of 2
Attorney Signature:
/i~^
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 17978488
Certification Number
This is to certify that the information here given is
correctly copied from an original Certificate of Death
drily filed with me as Local Registrar. The original
certificate will be forwarded to the State Vital
Records Office for permanent filing.
~ ~~t~~~ NOJG 82011
,,
Local Registrar Date Issued
:'-~ - .
~~
,__ ~ _
-
~
>- T-r rv ;
~
_~ ~ _ _.._ ,
--
(i
C`7 ,
-' r-y- i
v r.~ l~
'T1
H10S1M3 REV 112006
TYPE 1 PyMNi IN
PERMANENT
BLACK PM
ti
.Q
e3
3
COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VRAL RECORDS
CERTIFICATE OF DEATH
(See instructlona and examples on reverse) RTATF FlI F N11NiRFR
1. Name d De"Uere (Fkd, nldtlb, bn, easel 2. Sea 3. Soda) SanxSy Numper 1. Dw of Gem IMmm, hy, year)
Carrie Snoke Female 552 - 27 -2214 November 5, 2011
5. p0a (l.eet aNtlayl l1Ma 1 Under 1 8. Deb d BIM 7. end dale a l ! a. PWw d Deah Clxck one
54 """°° °ryi "°'"' """` Sept. 22,1957 Modesto
CA Haepll.I: Omer
Vre. , ®Iryapem ^ ER ! Oupeenl ^ DOA ^ Nureiig Home ^ Reannca ^ DMIa - 9peclry:
nb. Canty d Deem Bc. Cpy, Baro, Twp. d Drew ed. Fetllty Name IN nd MwMbl6a11~ glue street and amiDer) 9. Wee OeredNR d Hbpank Odpn7 ~ No ^ Yea 10. Race: NMken Inden, Black, Whee, etc.
Qf yea, spedly Cupan, ISPna~M
White
Dau bin Nedren, PueM Rion, .a a
11. Deretlenre Usnl non IOM d wakd ona tlr moeld as Do nd ebb 12 Wes DecedNU her N me 13 DareUwlra ElMre50a (Specify Dory hlOhml gads mrp lelatl) 1t. MMtel ShNe: Merced, Neva Mertbd, 15.
SupMing SDa
'ffia (M wqa, 9h'8 nwidwl name)
d U.S. Armed Faae7 EMwwrlbry / Selwrdary (0.12) Conaga 11~ or 5.1 • °Wai~ l~eo1yl
Receptionist Muni
ci alit ^Yaa Na Married Donald E. Snoke
le.°."eam•`Maan~Ae°maalslmd'`ml'°"n'mhe'~p`me)
4 2 2 Car 1 i s 1 e Rd °e~"a PA ~eu°eed"^ Dickinson
AcWel ResMnw na. sloe
, ,7a ~ Yas, Deredern Live0 m Twp.
Gardners, PA 1734 Tom
17h.Canry Cumberland 17d.^Na, Dareaa,l Llyed wMhm
Aduel LYnib d Ciry/Baro
15. Fatlwte Name (Fkat rtYdda, bd, weal 10. MomMa Name (FMBL nidds, nwitlen eumame)
Walter E. Vancil Joyce L. Ratan
2a. InbmunYa Noma (Type /Print) 20p. InhlmleM's Mane Address (Street dry! lows, dalN zlp Patlel
Donald E. Snoke 225 Carlisle Rd. Gardners PA 17324
21 e. MamM d DbprePoan (~Crematlan ^ Donatlon
^ s""°I ^ ""'""""""~ ' W""Don"'°""'M"b'd
• 27 D. Dent d gepmMiaa (. M'. Yanl 21c. Place d D4PaeAaa (Name d remeWy, uwretay a amer pace)
Hollinger Funeral Home & 21tl. l.oretlon tCiry/town, ebb, xip stele)
1 7065
^qh,r. ~eyMaaalEUmYbrlcaorbry ®Yee^NO Nov. g
, 2011 Mt. Holly Springs, PA
zx`g s.'"~. t" 'nln°a.'m'i za'•u~w°"'°'~ea` r~."w'""""a'.a°dFa~'y Hollinger Funeral Home & Crematory Inc.
- FD138 501 N. Baltimore Ave., Mt. Holly Springs, PA {7065
ConpkNa lama 20et Dory wrwn rerayag 23e. To d my krowdpe, dmm amrred n the Nrw, dale eM place weed. (Sgrekae entl tltle) 23p. Lkerwe Number 2&. Dale sigwd (MmM, der, Yen)
phyecbn b nd sadleple at ems d dash m
a«nN ratty d deem.
Mama 2426 mud a mrigetM pY Penoa
~
h
d
m 2~. Tkre d Osam
i
/
~ 25. Dab Deed (Manor, day.
~ 2& Wu Cue ReMred m MMk:al Exerrlner 1 Cwawr fa a Reason OIMr don Cnrtwtlon a Donalbn?
w
o Wanwawaa
ee
. ~
~ ~
.
. M
r
e ~
~ / 1
1 1 ^ yea ^ No
Apgwkreb hlerval:
CAUSE OF DEATH
(aee
Wtyvetlons end wawmPks) Pad II: Enter dlw ' ~ 2S. D'd Tobe¢o Use Cantrihde to DaeM7
pem 27. Part I: 6llar tlw fbeRdmDY- deaeees,'ryurba, a oong5cetlaw • tlW dnfclly ceuasdtlw seem. W NOT ardor )smarty) evenN aunt as cardiac arrest Onan m Daeth put nd reNlnrq in ma uMertYing reuse 9h'aa N Pad'I. ^ Ves ^ Propapkl
reapiMay aned, a vaneluler 16riMetlon wdW dNwkl9 me etlda9Y. Lld ady one reuse on each Bw.
'
^ No ~ lMknown
lMME TE CAUSE (Firs) deaw a /~ ~ f r
mldho'rlmMeq in m)
'
' S
"~
•
~
1~
' ;
~ 2a.
-~- a.( i
t CYI~~.. ~„,
~
~
«~.c
rrefCl
Crn~/~
r ~ ~
"
'
"
mi
Due m (a u o9:
ad ooridtlorw, M ny, b. 6~Y-GV.>'- r'~c fc:/~['1 . +G'~YIL: . 'T / :+C f
b renee Mbd an Ins a
~
~
` 'e
°
ProBnn
n peel wn
^ Pmynenl el nme a deem
^
DERLYIND LAl19E Due m (a u a caa+•9u•aaa o0:
F~ww
U
N Nd prapnerd, put pegiea wahin 42 Days
(Aeeneakgw mn krMbW tlr c i
ewes maebh deellQ LAST. of deem
^
Due m (a ea a caneerewrce n7: Na Ixegrenl, put Preprwd d3 days b 1 year
d. baNre deem
^ UNncan M pmgred wimin ma pest year
30e. Wee en Aak+PaY
Psdo
n
tl7 30b. Wan AuNpy Frxeinpa 3l. Martyr d Dwm 71e. Dab d IMW (Honor, day, Y•nI ~. • Now Inlury Oa~mad 32c. Plea d kVwY Homo, Famr, Street, Factory,
n
e Ave4pb Prior to Compbtlon
~ "s'e'a' ^ H
citl Omre BuMdin9. ek. (Speedy/
d caws a Deem? an
e
^ Yea ®No
^ Yea ^ No ^ AccMant ^ Pendrp hwedgatlan 32d. Tyne of MQuy 32e. IMMy at wok? 321. n Tnrwporletlon IMury ISOasd~Y) 324 Lorelbn d M9ury Isireel, dry / traan, dale)
^ Suidda ^ Caad Nd a Dwrrr6letl ^ ~
^ Yee ^ Dmrerl°perdor ^ ^ Petleetrin
M Other. Spedly:
99•. CBrIMfw (dwelt Orly aw) gyp.
• GdNyMq phyaklsn(Plrywden udMYkg uauea dtleam Mwn erioawr phyddnl two prorwuwad deem eM aaaPbbdltem 23)
Tom. Eendmy lmeNMre,denn eaaand mramm. a•aeyalaM ewwrrr wYd_________-- ^
- / i ~/~ V
Pr•n•uwlrp arM aMrn3 Pb'a~aa IPnyeadaa bdh promndiq aam eM"MyYlg m rear d deem) 33c. 33d. D
Spwd IMpM, ,Yen)
Tam.lo.hdank^awladra~aeem"wmenm.nm.~dne,.naP~•~.nd du.mm.twwalal.nd mmn•rr was'--'------- ®
• Nedkn ExudnerlCOr•twr ------- / ! C,ZJ !! ~
l ^-y Q
`
On tlw hrb d •a•rnkrellon eM I a InvMtlpeebn, In my oWnion, de.m acnrntl n tlw lkna MeA eM Waaw eM doe b Ur aueelq eM m•nnx a aewd ^ 3<. Name ant Addeee d Parean VIIw
Cmglalsd Gee d Deem (lion 27) Type / rid
~ is i i i a i I i a i
`~""er~ °e" Fl°d 1"wd^. °aj'• y°°`)
''
M.S. Hershe Medical Ctr.
J
. ao t >?~~ ~2
n ~
Disposinan PemlM No. ` D (oJ~'oZ ~ 1-YJ