HomeMy WebLinkAbout12-02-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS
PETITION FOR PROBATE AND GRANT OF LETTERS
Estate of William Eugene Snyder
a/k/a:
a/k/a:
a/k/a:
(Irapplicable, enter d.b.n., pendent life, durante absentia, durance minoritate)
Petitioner(s) who is/are l 8 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. (co»~~ Part Cxrlso) -~,
_ ~ ~r~ander ; ,~
the last Willto thet above?na ed Decedent tdated rementioned Letters and codictl s dated -; ~ ~ -~
• ~~ :;;
()
L> m I
~~_
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(State relevant circumstances, e.g. renunciation, death of executor, etc.) ~ ~"} ~I } _~
Except as follows, Decedent did not many, was not divorced, and did not have a child born or adopted afte~e~cutton oft}te -- ~-
instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated pei~on, and wa~tot a ~:~^, r_;
party to a pending divorce proceeding at the time of death wherein grounds for divorce had been established as defined in ...T'
23 Pa. C.S.A. § 3323(8):
~ B. Grant of Letters of Administration
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 (lf 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(8), except asfollows:-
Name
6/18/2011
(Month, Day, Yeaz of death)
Eileen S. Snyder ,
05 Black Latch Lane, Camp Hill PA 17011 <ce~auunsm co uecea
Spouse
Thaddeus .Snyder 68 Holyoke Road, York PAa 17402 SOn
Nathan Snyder 12 Bartlett Avenue, Dallastown PA 17313 Son
Jason Snyder
~;cc ennrr.~wr,.r crrrr:-rte. 9 Crestview Drive, York PA 17402 SOn
~i.r~r, an r_r,. ~ .r i~r,L r, IJAKi
Harrisburg Hospital, Harrisburg PA
THIS SECTION MUST BE COMPLETED:
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence
At 405 Black Latch Lane Camp Hill PA 17011 Lower Allen Township
(Street address with Post Office and Zip Code, Municipality: Township, Borough, City)
Decedent, then 61 years of age, died
Estimated value of decedent's property at death:
If domiciled in PA
_ If not domiciled in PA
_lf not domiciled in PA
-Value of Reai Estate in Pennsylvania
(City and State where death occurred)
All personal property $ 37,000.00
Personal property in Pennsylvania $
Personal property in County $
$ 140,000.00
Total Estimated Value $ 177,000.00
Deceased ESTATE NO: 21- {, - {~~~
~aa
SS NO:
-42-5393
ent
Location of Real Estate in Pennsylvania: (Provide full address if possible.) 49 Crestview Drive, York PA 17402
,mot Signature(s) ~ `'
Name(s) & Mailing Address(es)
Eileen S. Snyder, 405 Black Latch Lane, Camp Hill PA 17011
Inb,.~... F..r.., Dl1r M .... ~a t 7 1c _
x~ ~< <~ ~~r ~,y ~wnoeuana ~ounry penning acuon by the Lourt Page I oft
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OATH OF PERSONAL REPRESENTATIVE {`t .-.
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Commonwealth of Pennsylvania }.~ ' "'~^ ~ ,
County of Cumberland SS ~'~ ~~ '- '•
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The Petitioner(s) herein named swear or affirm that the statements in the I'oregb`itT~ Pek~~~orP~re 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 ,
~~~~~t_
efore ethi ~ ~~~
~~l~y of ~ ------_
/ ____
t
~n t P R r<;~ro..
DECREE OF PROBATE AND GRANT OF LETTERS
Estate of William Eu ene Sn der I.~
,Deceased File Number: 21-__~_____
AND NOW, this ~-~~
the reverse side hereon, satr f tory proof havm bed en ~esen ~ j f ~ to consideration of the Petition on
-Testamentary x of Administration g p ted before me, IT IS DECREED that Letters
(If applicable, enter ct.a„ d.b.n., d.b.n.c.ta., etc.) are hereby granted to:
Eileen S. Snyder
the above estate and that instruments(s) dated to
admitted to probate and filed of record as the last Will and Codicil(s) of Decedent ribed in the petition be
Glenda Farner Strasbau h r ~~' ~
g , C~,~,~
Register of Wills
~.
FEES:
Letters ...... ..............$ 260.00
Will ....... ...............
..
Codicil(s) .................
(4) Short Certificates 16.00
(3) Renunciations....... 15.00
Bond ...........................
..
Other ......................•----•-
Automation FE:E......... 5.00
JCS FEE ................... 23.50
TOTAL ................$ 319.50
Signature of Counsel Required ter Appearance
Atty's
PRINTED Name: Wanda S. Ware
Supreme Court ID No.: 41705
Address: 212 North Queen Street
Lancaster, PA 17603
Phone: 717-299-3726
Fax: 717-299-1811
Interim Form RW'-OZ revised I?.?6_ l0 by Cumberland County pending action by the Court
Page 2 oft
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
~~ee °~x this cert;fieatt ``;6.00
P 17514402
Cet~tii~icattion i~urnber
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~ ~'° --rT
CERTIFICATE OF DEATH C4
(See instructions and examples on reverse) STATE FILE NUMBER
1. Name of Decedent (First, middle. last, suffix) 2. Sex 3. Social Secunry Number le or DeaN (MmN, ar)
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(, • hkr.Pe 201 - 42 -5393 ~ 4~
5 Age (Lass BiMdayl Under 1 ear Under 1 as 6. Date of BiM Month, da , ear 7. BiM lace Ci aM sUte or forei n count fie. PWce of Death Check onl one
Montns Days Hours MnMes Hospital: Other.
G 1 Vra. Apa,ie 24, 1950 G ebu PA Inpatient ^ ER /Outpatient ^ DOA ^ Nursing fiane ^ Residence ^ ONer -Specify:
Bb. County of Death Bc. City, Boro. Trop. of DeaM Bd. FaciNry Name (If not institution, give street aM number) 9. Was Decedent of Hispank Orgin? ~ No ^ Yes 10. Race: American Indian, Black, White, el
(If yes, specity Cuban, (SpeciM
Ha7i/I.(/JbU~
~Mwc Hanlf.(/buncl f10epltr~P Mexican, Puerto Rican, etc.)
Decedent's Usual Occu ation Kind of work tlone du' most of wo Nie. Do not stale retired
17 12. Was DecetleM ever In the 13. Decedent's Educatbn ISpeciry only highest grade Wtnpleted) 14. Marital Status: Martkd, Never Martie4 15. Surviving Spouse (p rode, give maiden name)
.
Kind of Work Kind ol8usiness/Industry D
ivo
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U.S. Armed Fo
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s? Elementary /Secondary (012) College (1-4 or 5+) Widowed,
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Sa,ePrS Can~.tnuct;inn SuppP,i.eh .
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Actual Residence 17a. State
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17b County rrm76Pn Pond
Actual Limits of n
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t6. Father's Name f Flrsi, middle, last suKx) 19. Mother's Name (First, middle, maiden sumartre)
gee Jacob den Dofiis F.~izabeth •
20a. Informant's Name (Type I PnnQ 20b. Informant's Mailing Address (Street city /town. slate. zip code)
Efkeen S. den 405 BPncfz Latch 1n H.iX,P PA 17011
21 a. Method of Disposition ^ Cremalbn ^ Donation 21 h. Date of Disposition (Month, day, year) 21c. Place of Disposition (Name of cemetery, crematory or oUer place) 21 d. Laation (City I town, state, zip code)
Burial ^ Rertwval from Stale r Was Cramatbn or Donation ANhorimd ^
• ^ Other ~ S r M' Medial ExaminarlCoroner? ^Ves No June 23 2011
, Re~.t Huven Cemet Hanovetc PA 17331
lcen (orsuch)
w 22a. Sgnature of Funeral Se 22h. License Number 22c. Name and Address of Facility
~ 013564-L Inc 302 L
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Feihex Funetuz2 Home
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<ond PA 17350
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Complete items 23a-c Doty when certifying 23a. To Ore hest of my knowledge, death occurretl at Ne time, tlate and place stated. (Signature and title) 23b. License Number 23c. Date Signed (Month, day, year)
physician is not available at time of death to
cenity cause of deaN.
Hems 24-26 must be completed by person 24. i 7 D N
~ 25. Date P need Dead (Month, day, yea A
/ 26. Was Case Referred to Ical Examin
^ er I Coroner for a Reason Other than Cremation or Donation?
who pronounces tleath. ~
M, V / Yes 0
CAUSE OF DEATH (See Instructions a examples) r Approximate interval Pan II: Enter other s an front conditions cantnbutin q to death 2B. Did Tobaso llse Contribute to Death?
Item 27. Pan 1. Enter the chain of events -diseases, injwies, or cortplirations ~ Nat directly causetl the des NOT enter terminal events such as cardiac arrest, r Onset to Death
li but not resulting in the underlying rouse given k PaA I. ^ yes Probably
ne.
respnatory arrest, or ventricular fibrillaban t snowing Ne etiology. List mly one rouse each
^ Unknown
IMMEDIATE CAUSE (IFinal disease or r If Female:
condition resulting in deaNl _ ~ a i N
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Due to (r nce of ~ t
55ee~g entiaNy list contlitions, it any, b preg
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leading to the rouse listetl on line a. pue to or as a copse uence o
Enter the UNDERLYING CAUSE ( q ~~ Not Pregnant but pregnant within 42 days
d tleaN
(disease or injury Nat initiated Ne
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events resulting In death) LAST.
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Due to (or as a consequence oq:
d pregtant
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ut Pregnant 43 days to 1 year
before deaN
^ Unknown 4 pegnam wiNln Ne past
ear
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30a. Was an Autopsy 30b. Were Amopsy Findings 31. Manner of DeaN 32a. Date of Injury (MOnN, day, year) 32b. Describe How Inlury Occurretl 32c. Place of Injury: Home, Farm, Street, Factory,
PeAOmwd? Available Prior to Completbn
of Cause of DeaN? ~~~~
lldNatural ^ Hankide Ogice BuiUing, ek. (Specify/
^ A«idant ^ Pending Investigation 32tl. Time of Injury 32e. Injury at Work? 321 II Transponatbn Injury (SpecAy1 32g. Location of injury (Street, city /town, state)
^ Yes ~.f0o ^ Yes ^ No
^Ves ^ No ^ Driven Operator ^ Passenger ^ Pedestrian
^ Suicide ^ Could Not be Determined M ^ Omer -Specify:
33a. Gunther (check only one) 33b. Si9nawre and Titte of Ce fie
• Certifying phyeklen (ftlrysiuUn cmlityng cmuo nl Ooalh wMn Wkldler physkiun has qunuutcod Uuulh orb catpkrlud Ilum 231
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• Prorauncing sod cenity4rrg pnysklan (Pnysklen boN pronormckrg deaN and ceniying to cause of deaN) y
kense plDml~
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y ate Signed (Mon
To iM best of my knowledge, death occurrM at the tirtw, dale, and plan, arM due to the caucu(s) and manner as etated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
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On the W eta of examirution aM / or inventi albn, {n m o inlon, death occurrM at the time, dale, and place, and due to the cau and manner as stated_ ^
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RENUNCIATION
CL~~~C C~ _
~ ,n
REGISTER OF WILLS
CUMBERLAND
COUNTY, PENNSYLVANIA
Estate of William Eugene Snyder
Deceased
~~
I, Thaddeus,je'Snyder , in my capacity/relationship as
(Print Name)
Administrator/Son
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Eileen S. Snyder
>l/ z 1 ~ ~
(Dale)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
___~~'/
--
(Signature) ~
~3~~s/~lt,,~r~ ,,~-
(Street Address) //~~
~~4 /'4 ~ ~ y'v Z
(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 stated within on this sf day
of ,~y~ h C! ~ / /
Notary Public
My Commission Expires:
(Signature ar$(9Eell~KiMIIN~I~LdFbt~!Fr
administe oaths. Shuw date{r5®e6i ui'Notary's Co mission.)
Lana F. &enneman, NaRary Public
Manchester 7wp., Ycxk county
CAmmissWn Expires Oct. 19, 2014
Member. PG!nn~?~brsfi. A~'~d.aCler~ e•f r~c?fi~riE~~
Form RW-06 rev. 10.13.06
'~~ ~~f"
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RENUNCIATION
REGISTER OF WILLS
CUMBERLAND
ULE~' ~~~
GRPF{~,~1'~ ^~^ w
Cl~~r"f~~f't ~ ~J 1' ~ ~p/'
COUNTY, PENNSYLVANIA
Estate of William Eugene Snyder
Deceased
I, Nathan Snyder , in my capacity/relationship as
(Print Name)
Administrator/Son
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Eileen S. Snyder
_~
_c--
(Date) (Signature)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this
of
day
Deputy for Register of Wills
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
purpos s stated within on this i ~ ~~ day
Notary Public
My Commission Expires:
(Signature and Sea! o; Notary or other official qualified to
administer oaths. Shov<~ date of expiration of Notary's Commission.)
Form RW-06 rev. IOJ3.06
~~ 1, ~~ ~f~~r t.~/~
(S/tJ/r'e~et Address) ////J S
(City, State, Zip)
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Lana E. Brenneman, Notary Public
Manchester Twp., York County
My Commission Expires act. 19, 2014
M9m~r r~Fa+%nra,~l..ro~~3 1<enriafinn of Nntarie~
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f 1 ;t
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RENUNCIATION
.+~ !
~~
GLr~~ ~~
REGISTER OF WILLS ~~~~~~;~~`, f ,~~; ~_ ~ ~TpA
CUMBERLAND
COUNTY, PENNSYLVANIA~`'l~`r~-~?! :, ;, . ,, ;
Estate of William Eugene Snyder ,Deceased
I, Jason Snyder , in my capacity/relationship as
("Print Name)
Administrator/Son
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Eileen S. Snyder
(Date)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this /5~ `'~'~' day
of~~'~i~ bey z~ it .
Deputy for Register of Wills
(Signature
9 CreS~Ul ~ W > ~"
(Street Address)
~~~~~ ; ~~ 1~7~C)~
(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 stated within on this ~S~` day
of 7'~~~c~ 1~- z D l l
Notary blic
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date ofexpiration of Notary's Commission.)
coMMONwEALTM of PENNS~.v~w~
Form RW-06 rev. 10.13.06
Notarial seal
Lana E. Brenneman, Notary Public
Manchester Twp., York County
My CommisslOn Expires Oct. 19, 2014
Member. P?~~Nhtanla Acscxiatlon of Notaries