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PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for Letters as specified below, and in
support thereof aver(s) the following and respectfully request(s) the grant of Letters in the appropriate form;
Decedent's Information
Name: Ada Irene Sheriff File No• ~J - ~ ~ (~L.~. ~.1
a/k/a:
a1k/a: (Assigned by Register)
a/k/a:
Date of Death: Social Security No: 162-22-6115
2 Age at death: 83
Decedent was domiciled at death in Cumberland Count
principal residence at 801 North Hanover Street North Middleton Townshiy~Cumberla d c,unty (Stare) with his/her last
Street address, Post Office and Zip Code
City, Township or Borough County
Decedent died at Church of God Home 801 North Hanover Street North Middleton Townshi I Cumberland Countv PA
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 Pennsylvania ................ All personal property
If not domiciled in Pennsylvania ................. $ 4 000.00
If not domici/ed in Pennsylvania ........................ Personal p operty in Pennsylvania $
p p rty in County $ n nn
Value of real estate in Pennsylvania ............................... . n 00
.............. ........ $ non
TOTAL ESTIMATED VALUE.... $ 4 000.00
Real estate in Pennsylvania situated at:
(Attach additional sheets, if necessary.) Street address, Post Offce and Zip Code
City, Township or Borough County
A. Petition for Probate and Grant of Letters Testamenta
Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated January 21, 2010
thereto dated .~ and Codicil(s)
State relevant circumstances (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. § :1323(8), 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 o EXCEPTIONS
0 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 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 for divorce had been established as defined
in 23 Pa. C.S. § 3323(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person.
Q NO EXCEPTIONS Q EXCEPTIONS
Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the fi~llowing
additional sheets, if necessary):
Name
Relations
Address
Form RW-02 rev. 10/11/2011
any) atrd-~eirs (¢t~tuc~?
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Page I of 2
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---- - -••••~••~_~~~ a~~~~-uacnea swearls) or atflrm(s) 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, the Petitioner )will well and truly administer the estate according to law.
Sworn to. r ffirmed and subscribed before
me ` ay of (.~~ ~ ~~~( ~_ Date J 2 '1 L ~ 201
BY L ` ~~ Date
For the Register • ~_ Date
Date
BOND Required: Q YES Q NO
FEES: To the Register of Wills:
Please enter my appearance by my signature below:
Letters .............. ...... $
('~- )Short Certificate(s)...... Attorney Signature:
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)............ ;-.. ,
Bond ........................ C7 =-'-
Pr nted Name: Ronald Johnson, Esq ~-O
Commission...... ~ ..., -.
Other S preme Court -~ "' `'
........ ~ ID Number: 16453 -'fin c'"~ ,
~.} ~, r _
' ' ' ' ' ' ' Firm Name: Andrews & Johnson -"~ `'~ ~ ~ ~~ r-
::::::: Address: 7R~±_p~mfret tr Pt -?~ ~"' r!
...... C'arlial~ PA 17(113 `_~ ,__, - ;~••~ "
.. r--
'rs ~ j ~
........ - '3
r
" " " " Phone: 717-243-0123
Automation Fee .............. .
7CS Fee. Up Fax: 717-243-0061
TOTAL .............. ~- Email: ~eiohncnn(o?na nit
••••••• $ 0.00
- S~
DECREE OF THE REGISTER
Estate of Ada Irene Sheriff ~ 1 I ~ ~ Z
a/k/a: File No• J~ J
AND NOW, ~'~ , ~/-~/ 1
satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary of the foregoing Petition,
are hereby granted to Melanie Sheriff Reifsteck
the instrument(s) dated in the above estate and (if applicable) that
described in the Petition be admitted to probate and filed of record as the last Will (and Co~dicil(s)~o~' Decedent.
~ .-, n
Form RW-01 rev. JO/II/1011
tCgister of Will
Page 2 of 2
HI05.805 REV (01/07) _
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat IDr photograph.
Fee for this certificate, $6.00
P 17978323
-- ~ Certification Number
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~~
H10$-113 REV 1120p9
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.
~-~. ~l~i~sac~R,r.,~,r.~.m,rp ]~ 9 4 /9 n t t
Local Registrar Date Issued
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TYPE~R IN COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
~` ~` CERTIFICATE OF DEATH
~ Nrreaoeaea,a (See insNUCtlona and examples on roverse)
~~~ ~ tea) Ada Ilene Sheriff STATE FILE NUMBER
2 Saa 3. Soael Sswtly NuMer 1. DW a IyxM
s. AB. nan awMeaY) uaex, Female 162 - 22 ~^~ dr. wr)
"n°°r' e. our a ~ Mourn. ,. - 6115 October 22, 2011
83 '"°"' Dana Hwa, rAwan am eM,• « ea Plat. a oasts CJrd arse
Yre. Sept. 19, 1928 Carlisle, PA "°`D"°I oMen
~. c01"'y a Dee°' ~. Cly, laao, r d DaeM ^ Iripeeam ^ ER ! oapeiant ^ ooA
`ep Be. Facity Nems )N as artlNtlm, glw areal and aero«) Nwepn Noma ^ Reeitlenca ^ OMar - SD«dY:
f Clunberldnd N. Middleton e. wu o:.d,M a woer~ odtlln? ~ ~ ^ tae 10. Rase: A~n.doan Incre,,. a
gyp. Church of God Home nt ra m•aN caa«, IsP•aM Mac wniM, ax.
• n.0•rada,fs tlum awes sort m«td IYa DO na waa ~ M•npri, PUerlo Rion, •M.1
lam a war 1x. wm Decadra sva M Ma 73. Daostlxa's EdAwtlar ISPeuh any Idehan 9iada Wl'1i.te
Idmalairtlraa/lnduary U.S. Almad Fanrs7 ~ / Secondary ~1~ ~"1 ,1. ~ s ~~nM4 Near MmMd u. SuM+ln¢ Swaae (If wne~ Wa meitlan name
^ YM ND CoNBAe (1J a &) (So•~1 )
~ 1B.D«adwa'a Adder Israel. cdY/Mwn, stab, zp ~Od~)
801 North Hanover Street a~xW~Rtla;Hanca na.smM PA adoecaaM
Carlisle, PA 17013 To~wn;npT ""~Ye'D~~°nt~M !J._-M.~~-'~otcual T
17b, Cony ('S vnF,erl anA nd. ^ No, Daoradem IMd weYn ~.
1Q Fetlw•a Name (Fast niidda, Iae4 salts)
Aaun Limb d CAy/Bao
John Flnanuel Gusler 'S M0M•ra N°^r (~aL mHde, meHen.amune)
zOa. MMmwwa Nama (TyP•'Pdn') Jennie Rebecca Worley
Melanie Reifsteck 20D ""''°'"a"~A°~^°~I~.aY/Mwn,aMr,:poom)
z+a.MaroaaoMpmwon 357 York Road, Carlisle, PA 17013
!y p,.i Cr«nlMn ^ Donatlon 216. Deb d DlspnMan (Monts, OeY, wM 21c. PMU a D'epoeNOn Marne d rmrnry, aematory a dtrrpMce) 2/d Lopaon (Ciy/lows. sbM, dP coda)
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ry trebr Ea.~,/c««.«T y„p „° Oct • 25, 2011 Hoffman-Roth Funeral Hone & Carlisle, PA 17013
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. - - ?ZD. linnae tAmh•r ?2c. Name and Address a F«Bty
38504 Hoffman-Roth Funeral Home & Crematory
say wean «rwyaie tile. TO Me bendmy MnwMapa, deaM ocouied el Ma aura, date rM pMCe eMbd. (Sipraae end tltle)
plynwn M nal avnierb M erne a OeeM M x3D. Liceriee Number
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d' ^ Na Pre9naM, tart pnenan1 /3 days ro I year
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• Pr°'r"try"dc.diM~wPnrraMn(Pnr:aenlrMpranw,ma,odeaMenda -~ --------'-----------------
To drlsaWa«Y MwrNd05 assts axunM attlr tlma,4M. arse r~°i9roarme adeaM 33c. UOanae .
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LLo ~ pbn, ak en b Me uun(a) arse memi«r ebbd_ ^ 34. Name aM Adders d Parson WM 3 / Y
_ and ComoMbd Cnee a D•aM stem 27J type / PrMI
~1.L.-Lo2 I I I ~ I 3e. Da Fwd(Momn.eeY.ya~ ~rryl Guiatwite
S 56 Ashton St., Carlisle, PA 17015
Diapoaloon Parma N~'_ n ~~ OS~{-
LAST WILL AND TESTAMENT
~, ,
..-.
OF ~, p •- -: ,-
r ~ ~ t_:.
ADA I . SHERIFF = =; m .,~
.:=~ cri ~ o~ _
-=?~° -.
I, ADA I. SHERIFF, of 812 North Pitt Street, Carlisl~,~ Cumb~rla~ia-
ra
County, Pennsylvania, being of sound and disposing mind, memory and
understanding, do hereby make, publish and declax-e this as and for my
T•3C* Will and Testament, hereby revoking all other Wills and Codicils
heretofore made by me.
FIRST
I direct the payment of my just debts and expenses of my last illness
and funeral from my estate as soon after my death as conveniently may be
done. I further direct that all death taxes shall be paid from my
residuary estate and that they shall be included as an administrative
expense.
SECOND
All the rest, residue and remainder of my estate, I give, devise and
~-- ~n equal s..ares, .hare any? sha.rA ~l i'.rr-; 1-C1 M~r sons, WAYNE B.
SHERIFF, JR., DENNIS R. SHERIFF, and LARRY L. SHERIFF.
THIRD
Should any of my sons predecease me having issuE~ surviving him, his
share shall be equally divided among his issue. Should any of my sons
die without issue surviving him, his share shall be divided among my
surviving sons.
s
FOURTH
I do hereby nominate, constitute and appoint my granddaughter, MELANIE
SHERIFF REIFSTECR, to act as Executrix of tY1is my Last Will and
Testament.
IN WITNESS WHEREOF, I, ADA I. SHERIFF, have hereunto set my hand and
seal to this my Last Will and Testament, consisting of 3 typewritten
pages, the first page of which bear my signature in the margin for
identification, this ~~5d- day of ?piQ,
'~ % ~
ADA I. SHERIFF
Signed, sealed, published and declared by the above-named ADA I.
SHERIFF, Testatrix, as and for her Last Will and Testament in the
presence of us, who have hereunto subscribed our r.~ames at her request as
ice of said Testatrix and of each other.
ADDRESS ~~ '~ ~ ~~
ADDRESS
2
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
We, ADA I. SHERIFF, `~. 1 ~ and / ;~ L. (_ ~' the
Testatrix and witnesses, respectively w se names ~ re signed to the
foregoing or attached instrument, being first duly sworn, do hereby
declare to the undersigned authority that the Testatrix signed and
executed the instrument as her Last Will and Testament and that she
signed willingly and that executed as her free and voluntary act for the
purposes therein expressed, and that each of the witnesses, in the
presence and hearing of the Testatrix signed the Will as witnesses and
that to the best of their knowledge the Testatrix was at the time
eighteen (18) or more years of age, of soured mind and under no
constraint or undue influence.
Subscribed, sworn to and acknowledged before me by ADA I. SHERIFF,
the Testatrix, an subscribed to _ and sworn or affirmed to before me by
,(_ ~~ ~ and _ L, witnesses, this p~
y of 2010.
~~~
Notary Public
BARBARA E. STEEL,13otaq- AnDllc
Carlisle Boto, Cumberland County, PA
My Commission Ex Tres Jane 7,1011
3
/ ..
ADA I. SHERIFF