The URL can be used to link to this page

Home My WebLink About12-19-11PETITION 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: Sheritta A. Richardson File No: 21- (` - I~r7~-' __ a/k/a: (Assigned by Register) a/k/a: adC/a: Social Security No: 208426913 __ Date of Death: 8/25/11 Age at death: 61 Decedent was domiciled at death in Cumberland County, PA (State) with his/her last principal residence at 121 Partridge Circle Carlisle, North Middlton T_w_p. Cumberland _ Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 361 Alexander Spring Road Carlisle South Middleton Twp Cumberland 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 .............................Personal property in Pennsylvania If not domiciled in Pennsylvania .............................Personal property in County $ 1,000.00 Value of real estate in Pennsylvania .............................................................. $ 99,000.00 TOTAL ESTIMATED VALUE.... $ _._ 100,000.00 Real estate in Pennsylvania situated at: 121 Partridge Circle North Middleton Twp. Cumberland ___ (Attach addiunnal.eheetg tJnece.vsary.) Street address, Post Office and Zip Code City, Township or Borough County ^ 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 and Codicil(s) thereto dated 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 n~~rty 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. born or --- adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ~' C-~ ® NO EXCEPTIONS ^ EXCEPTIONS j ~~ ~-- _ ..:_,• ® B. Petition for Grant of Letters of Administration (tf applicable) ` ' ` _ c. t. a., d. b. n., d. b.n.at.a., pendente lice, durante absenlic~.'7iurante minoritate .L i S.... .... .--T_~, If Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of Dirs. ' : _,~ -, i~ ~f V1 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. ^ NO EXCEPTIONS ®EXCEPTIONS Decedent's spouse forfeits an~ghts per Pa.C.S.A. Section 2106 __ 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 Relationship Address 501 South West Street, Apt. B ~~, Am N. Richardson Dau hter Carlisle PA 17013 ___ 504 First Street _--~' Erica Richardson Dau hter Carlisle PA 17013 Whereabouts unknown j Carl Richardson Souse _- - FnrmKW-02 rev.1011~20/l Page 1 Oft Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF CUMBERLAND } Official Use Only Petitioner(s) Printed Name Petitioner(s) Printed Address Am N. Richardson 501 South West Street, Apt. B Carlisle PA 17013 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 and belief of Petitioner(s) and that, as Personal Representative(s) of the Decedent, the Petitioner(s) wil well and truly administer the estate according to law. Sworn to or affirmed and subscribed before IL / 2 ~ t me th' ~~'~ day of DtCer11}~Ft" ~C If Date Date By: , _bi 1 ~~)~~~1 z~ ~~_ '~ j tit 1 _ Date For the Register Date &OND Required: ^ YES ® NO FEES: ~ ,_ Letters ....................... $ ~-'• ( t~~~) Short Certificates(s) ...... ~-'~~ ( ~ )Renunciation(s) .......... ( )Codicil(s) ............. . ( )Affidavit(s) ............ . Bond ......................... Commission ................... . Other Carlisle PA 17013 Automation Fee ................ . JCS Fee ....................... TOTAL ......................$ ~~7 ~• To the Register of Wills: Please enter my appearance by my signature below: Attorney S' ture: Printed Name: George B. Faller, Jr. Supreme Court ID Number: Firm Name: Martson Law Offices Address: 10 East High Street Phone: Fax: Email: - ~~:. DECREE OF THE REGISTER . Estate of Sheritta A. Richardson ~ ~3' 1 ~ ~~, Q _ ~, File No: 21- --r a/k/a: -- AND NOW, , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters of Administration are hereby granted to Amy N. Richardson 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. Norm RW-OZ rev. l0/1U20/l Register of Wills Page 2 of 2 (717)243-3341 (717) 243-1850 -~~~ °- gfaller(ct~,martsonlaw.com ; -71 -a_ C-~ - Hlu~. sll~ lt6A ;u'Jr~'~ LOCAL REGISTRAR'S CERTIFICATION OF DEATH l WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this cer~fficate. X6.00 P 27~2~8?3 Certification Numher This is to ccl~t~ir.~ that thr snft'rma~hni here ~ricel correctly ct,pt:° I,tnl; ,In t.r)e1f ~/~ ~?~r;lf ~:uc t f Den duly fled ui111 n)c a~ LI_x~ai }Zt~~~i~tr,.lr. 'I~he ~,r~l,if~ certificate ~~ (?: '_,~.~ iir,~•~~urdca tt1 1~c filar; ~ ii Record, (?ifi. ~ ~~t1r }~el-In;uSent !il))~_. °~. ?~_~ 12ot --- Local R<t7,,L:) I).1i~ i~sucd .7 :_~:. :ate 1~ r. 27 CJ) =~ . _ r .-. _.~ __-. lr: /~H10S143 REV 112006 TYPE I PRIM IN PERMANENT BLACK INK Q ~" ~r~ Y•1 / I^W V " C a J (~ 0 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) ~_„' 1. Name of Decedent (First, middle, last, sugix) 2. Sex 3. Social Seariry Number 4. Dale el Deem IMonm, cey, year) Sheritta A. Richardson F 208 - 42 - 6913 August 25, 2011 5. Age (Last BiMtlay) Under 1 Under 1 da 6. Date of BiM Monty, da , ee 7. Bi lace C' an0 state or forei count M. Place of Deem Check onl one Months Days Hours Mimrles 61 6/ 12/ 1950 C Hospital: D1hef arlisle , PA Yre ^ InpaMnt R /Outpatient ^ DOA ^ Nurskg Home ^ Rasitlence ^ Omer - Specify: 6b. County a Deam ec. Ciry, Doro, Twp. a Death 6d. Fadliry Name (If rmt instltltion, gNe street arltl number) 9. Was Decedent of H's '+ panic Origin. [~ No ^ y~ 10. Race: American IrMien, &ack, White, etc. Cumberland South Middleton pf yes, apenry Cuban, (SpeciM Mexican Pueno Rican atcJ r\ 4 , , n i Black 11. DBCetlenl's Usual tbn KNd a work dote Burin most a work' Ale. Do not stele red 12. Was Decedent aver in the 1 3. Decetlenl's Etlucetlon (Seedy Doty higheN grede completed) 14. Marital Status: Marred, Never MameQ 16. SurviNng Spouse Qf wile, gNe maitlen name) Kind of Work Kind a Bueirxss/Intlwtry U.S. Amwtl Forres? Elemenla /Secondary (012) College (1-0 or 5+) Witlowad, Dhrometl lspedNl " Achninistrative Offi er State of PA ^ yes ®Nn 1 ~ Married Carl Richardson 18. Decedent's Mailing Address (Street, city /town, slate, zip code) DecedenYS Did Decedent PA 121 Partridge Circle AcNel Residence 17a. State T~~~i „~. ®Yea, Decedem Lwed N North Middleton Twp, nb sonny Clmd~erland D 17d.^~ De cedenl'Nedwimin Carlisle PA 1 . 'n L Cirylf3ao 1A. Father's Name (First, middle, last, suaix) 19. Modwfs Name (First, middle, maiden sumeme) Jacob T. Hod e Delores G. Profater 20a. InlormanYs Name (Type I Print) 200, laormant's Mailing Address (Street, dry / tarn, slate, zip code) N. Richardson 501 S. West St., A t. B, Carlisle, PA 17013 21 a. Memod of Disposition ®Cremation ^ Donation 210. Date of DispoNtim (MOrah, day, year) 21 c. Place of Disposition (Name of cemetery, crematory or other place) 21d. Location (Ciry I sown, slate, zip cotle) ^ Bridal ^ Removallromslate ~ wascremenonarDaugonAuthorked ^ ^ OIMr - ' a/ Medkal ExamlrlN/CaronN7 ®Yes No 9/1/2011 >Jtrans Cranation Services Leola PA , 22a. S' re a F al 'ce Licensee ( c 22b. License Numher 22c. Name and Address a Fedliry FD 012633 L >~ain Brothers Funeral Home, Inc., Carlisle, PA 17013 Complete items 23a-c anty when cerliymlg 23a. To the heN of my kn rtad et tlw tlme, date and pWce slated. (Sigamre and title) 23b. License Number 23c. Dale Signed (Month, tlay, ear) physkian 5 not available al time al death to ceniry cause a death. h 4 • _ TT C /y~ ~ ~' ~ V ! AA ~" 2 s Items 24-26 must be completetl by person 2<. Time of Death 26. Dale Preno Dead (MOnm, ,year) 26. Was Case Relerted to Metlical Examiner /Coroner for a Re Other than remotion or Donalion4 wFro pracunce5 death. 1 ~ O M. / Ves ^ No CAUSE OF DEATH (See Instrualona and ampka) ~ Approximate interval: Pan IL Emar r gjgnificanl,mdn~ons cenlriLut'no to deNh 2B. Ditl Tobacco Use Contribute la Death? Item 27. Pan I: Enter me chNn a events -diseases, irrjlaies, or compkca0ons ~ mat directly causeC the death. NOT enter terminal events soon as car6ac arrest, Ousel to Death but not resulting in me underlying cause given in Part I. ^Ves ^ Probabl respiratory arrest, ar ventnculer Abritlatlon wimout showing tM eliobgy. List ony one reuse on each Ilne. y ^ Na ^ Unknown IMMEDIATE CAUSE 'Final daease or [ontlgan resulting In Beam) _~ µ1 ~(7A .n ~ ~~~ ~ G 0. _~1 "' L ~ J '_ l 29. II Female: ^ D to (q equance aq: ~ Not pregnant wimin past year ^ P i Segue twAy liar conrRtians, A arty, b ~ (~+ ~~~ Es ~ lead'rcg to Aye cause Asted on Pore a regnant al t me N tleam . Due to Enter me UNDERLYING CAUSE (M es a consequence oQ: ^ Not Dreg ant, ba pregnant willlin 42 days (dsease or injury mat mAiatetl Aw events resulting in tleam) LAST. a Beam ^ Duero (or as a consequence op: Not pregnant, but pregnant 43 days to t year d. Mfore Beam ^ Unknown if pregnant whin me past year 30a. Was an Autopsy 306. Were Autopsy FiMmgs 31. M of Deam 32a. Dale of Injury (Month, day, year) 32b. Describe How Injury Occurred 32c. Place a Injury Home, Fenn, Street Factory Padartned? Available Prior to Completbn Naturel ^ Hamkrde , Offrce guiding, etc. (SpedyJ / of Cause of Deem? ~-,/ ^ Vas Ll NO ^Ves ^ No ^ Ardent ^ Perrtling Invastiganon mod. Time of Injury 32e. Injury al Work? 321. It Transportation Inlury (SpecrlyJ 32g. Location of Injury (Street, city I town, state) ^ Suidda ^ Could NN be Determined ^ vas ^ No ^ Driver/Operator ^ Passenger ^ Pedestrian M ^ Omer ~ SpeaM: 33a. Dennler jcrwok ony ones 33b. signewre aria role al cemAer • CarlKying phyaklen (Physidan rsniykg cause a Beam when arromer phyakien has prarrour d death and completed Item 23) , Ta tM MN a my knowledge, deaM occurred tlue to tM uusa(e) end manner es Stffied_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ • Pronounang and cMltymg phyaklen (Pnysidan bom prmouncNg deem ant cenityirg to cause of tleem) r 3&. License Nu 33d. Oete (Mmth, daY. Yearl To tM beetamy knowledge, deNh occemdatAM dme,dek, arM place, and due to tM cawe(e)end manner asaMad_ _________________ ^ (' • Metlleal Examlmr/Coroner 1 ~ O On me heels N sxaminatbn ant / a InvesBgaNon, In my opinion, deem omumd N tMNma, Bela, end place, entl dw to tM ewsafa) antl manner as sutarL ^ 31. Name end Address a Parson Who Completed Cause d Deem (Item 27)Type /Print 36. Regletral tore and ' ' i a i i i a i i l o i - ~ ~ ~ Date Filed (Month, day, year) ~ , rJic~/ -i~=~17 rc1~ ~1~ i~ ~ ~ .. ~ ~ ,L ~~, , ,. Dispositon PertnK No~ n ~ ~ ~ ~ ~q RENUNCIATION '' ~. - .. ~ („) _. i _~ REGISTER OF WILLS f `~ ,: CUMBERLAND COUNTY, PENNSYLVANIA ' ~-_' l-", ~ - _ :: .. - , ,,, ~ , ~I -1(-I ~?~~~ _ a r, , - -; Estate of SHERITTA A. RICHARDSON ,Deceased I, ERICA RICHARDSON , 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 AMY N. RICHARDSON (Date) (Signature) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , Deputy for Register of Wills Farm KW-06 rev. 10.13.Oh 504 FIRST STREET (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 renuncia~cZn for the purp~~ stated within on this % `/ day of lc ~_.~_ ~ p ~ Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) COMMONWEALTH OF pENr1SYLUANIA NOTARIAI- Sr.41- Victoria L. Ot!o.1~4~tary Public Carlisle Soro, Cumberland County M commission expires December 20, 2014 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF CUMBERLAND } Official Use Only Petitioner(s) Printed Name Petitioner(s) Printed Address Am N. Richardson 501 South West Street, Apt. B Carlisle PA 17 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 and belief of Petitioner(s) and that, as Persona! Representative(s) of the Decedent, the P rtion (s) wd well and truly administer the estate according to law. Sworn to or affirmed and subscribed before /-~ Date ~ 1 q t f me th' ~ , day of ~f Cfi'Yt }~f o'101- f ~ Date BY~ Date For"the Register Date &OND Required: (~ YES ®NO FEES: Letters ....................... $ i~~~ ( ~) Short Certificates(s) .... . ( )Renunciation(s) ......... . ( )Codicil(s) ............. . ( )Affidavit(s) ............ . Bond ......................... Commission ................... . Other ......... Automation Fee ................ . JCS Fee ....................... TOTAL ......................$ Cazlisle PA 17013 Phone: (717) 243-3341 Fax: (717)243-1850 -- ~~ - Email: efaller ~tnartsonlaw com ~5 -~~~-, ~ r '~~ '- _~~ ~ ~ ~~ r- i ~ 'cr.;x~ ~ ~_~. DECREE OF THE REGISTER ?<-`%~~ `~ ~ ~ - Estate of Sheritta A. Richardson File No: 21- ~~ ~ /. I?_" "- ~~ a/k/a: r n ~y-~ -. -n AND NOW, ~ `-F' `~~ ~ ~ ,inconsideration of the foregoing Petition, satisfactory proof having been presented befor me, IT IS DECREED that Letters of Administration are hereby granted to ~X N. Richardson 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 Form RW-01 rev. 10/!!/10!( ~ To the Register of Wills: Please eater my appearance by my signature below: Attorney S' tore: Printed Name: George B. Faller, Jr. Supreme Court 1D Number: 49813 Firm Name: Manson Law Offices Address: 10 East High Street last Will (and of Wills r W~ ~~ge 2' oT 2 Yt/ -_ _ ~ __ __