HomeMy WebLinkAbout02-24-12PETITION 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 Informatipn /~
Name: Shirley- Ann_Wallace __ File No: ~ ~ , J ~ - oC.~ ~.
a/k/a: _ - (Assigned by Register)
- __
a/k/a: __ -
__
a/k/a: __ _ _ _ _ Social Security No: 198-30-12.16
- - _ __
Date of Death: 2/13/2012 __ Age at death° 70
Decedent was domiciled at death in Cumberland _
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- __
principal residence at 14 Hathaw~Drrve _ _ _ _17.0_15
Street address, Post Office and Zip Code
,. _ _ __
County, 1'_e>~nsylv_ania _ (State) with his/her last
Carlisle _ Cu_ mberland
City, Township or Borough
Decedent died at 503 N. 21st Street - 170.11_ _ Camp Hill- _
Street address, Post Office and Zip Code City, Township or Borough
Estimate of value of decedent's property at death:
/f domiciled in Pennsylvania ................................All personal property $
If not domiciled in Pennsylvania .............................Personal property in Pennsylvania $
IJnot domiciled in Pennsylvania .............................Personal property in County $
Value of real estate in Pennsylvania .............................................................. $
TOTAL ESTIMATED VALUE.... $
Real estate in Pennsylvania situated at:
(Attach additional sheets, if necessary.)
County
Cumberland _ _ PA
County State
25,000.00
_25,000.00
__--_
-_ -
Street address, Post Office and Zip Code City, Township or Borough County
^ A. Petition for Probate and Grant of Letters Testamentary r,.
Petitioner(s) aver(s) he/she/they is/aze the Executor(s) named in the last Will of the Decedent, dated G ~~
thereto dated _ - ~ EJ - +'~d Codir~i (~
- -Tt r~ `~
-~
- __ _-
-- --
State relevant circumstances (eg. renunciation, death of executor, etc.) ~ ~ frrl ~ t ~ `
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Except as follows: after the execution of the instrument(s) offered for probate Decedent did not m
arty, was not divorced, ~ tc~,pendi
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. 3323 arty ~'~' '`''~'
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. (g)' and did not,#~ c~illd bores ,x
^ NO EXCEPTIONS ^ EXCEPTIONS ~ -y F, r~-t
,~ ~~
c,o
® 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.~a., enter date of Will in Section A above and com lete 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.
® NO EXCEPTIONS ^ EXCEPTIONS
__ __
Petitioner(s), after a proper seazch 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
__
2 Thyme Court
Alisa M._Norton IDaugltter (Mechanicsburg _ PA _ 17050
I98 Vasilios Drive
'Theresa A. Verm _ ~ Daughter Carlisle PA 170. 15
__
~ 2024 Deer Path Drive
Jeffrey- B. Harvey ~ Son I Harrisburg PA 17110
l~brm RW-02 rev. tats zou Page 1 of 21
Oath of Personal Representative ~ ott;~~al u,~,e ^ly
COMMONWEALTH OF PENNSYLVANIA 1 {-~~- ~ ~ ~1!~ ~ ~ ~
I ~:.., 4; ,. _ ....1
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} SS:
COUNTY OF - -_ __ CUMBERLAND - ~, ~ ~ ~..~~ ~~ ~~ ~~: ~
- -
r - -
Petitioner(s) Printed Name Petitioner(s) Printed /~
- - -
~2 Thyme Court - ~~~HQ~~S vd~~T I
Alisa M. Norton -_ l Mechanicsburg_ -_ r ~ , ~n ~(-~ p~A_ 17050 __ _
- - -
_. --
-- - I
- _ - -
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- - - --
-- - ~
The Petitioner(s) above-named swear(s) or affirm(s) the statements in the regoing 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 P tioner(,w~will well and t y admi ister the estate according to law.
Sworn to or affirmed and. subscribed before ~. ~ ~~ %7~ ~, ,~~~
me this day 2012 _ - - - -- - Date _
- ~ - - - - - - _ _ _ Date -
By: ~ - - ---
__ Date
-_
- - -- -
or the Register - -
- - Date
BOND Required: ^ YES ®NO To the Register ojWills:
FEES: Please enter my appearance by my signature below:
-
Letters ....................... $ - 60.00 Attorney Signature: -
(5 )Short Certificates(s) ...... - -_20.00
-_
(2 )Renunciation(s) .......... 1__0_.00
( )Codicil(s)
- - - -
( )Affidavit(s) ............. - - - _ --
Bond Printed Name: Heather D. Royer, Esquire
-- -
Commission .................... Supreme Court
-- -
Other ID Number: 76327 I
- Firm Name: Sm~e_l, Anderscm & Sa_eks, LLP
- Address: 4431 N. Front Street, 3rd Floor
-
- - Harrisburg - PA 17110
- - -
-
-- - Phone: (7.17) 234-2401 - _ - -
-_ - -
......... - -_ Fax: (7.17) 234-3611 - ~
Automation Fee ................. -- 5.00 it Email: hroyer~a sasllp.com
- - --
JCS Fee ....................... - -- -.23..50 - - - - -
TOTAL ......................$ -- -- 118.50 ~ _ -_ - - i
DECREE OF THE REGISTER r~
Estate of S_ hirley Ann Wallace File No: ~ ~ ~ - ~ °l ~ ~<p
- - - -- -- -
- - - -
a/k/a: - - - -_
- _
- -
- - -
AND NOW U
. ~ - -- -- -~__ L_ -_ - _ 201.2 , m consideration of the foregoing Petition,
satisfactory proof i g been pre nted efore me, IT IS DECREED that Letters Administration
- - -
- - - are hereby granted to Alisa M. Norton
- - _
- -
in the above estate and (if applicable) that
the instrument(s) dated _-
- -
escribed in the Petition be admitted to probate and filed of record as the last Wi (and Codicil(s)) of Decedent.
R gister of W is ,
Form RK'-02 rev. l0 1 [701 / ,~
2 of 2
RENUNCIATION
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVAI\fIA
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Estate of SHIRLEY ANN WALLACE ,Deceased
I, JEFFREY B. HARVEY , in my capacity/relationship as
(Print Name)
SoN of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
ALISA M. NORTON
~/~.~/r a
(Date)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
Form RW-06 rev. 10.13.06
(St ur )
2024 Deer Path Drive
(Street Address)
Harrisbure PA 17110
(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 renunciationfor the
purposes stated within ion this ~3 day
Of FEBRUARY _ ~ 2012
Not Public \
My Commission Expirf~s: (~ ~ 31 a o 1 s'
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
NSYLVAf~
NOFa~ial Seal
Joanne A Bradley, Notary Public
Susquehanna 7Wp., DauPhln County
My CAnNNsslon ~Irea June 3, 2015
Neat, veua~nvM+n- ~ssocurr><ar or Norms
RENUNCIATION ~.
~o .
REGISTER OF WILLS
~~~
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CUMBERLAND
COUNTY, PENNSYLVANIA r~
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Estate of SHIRLEY ANN WALLACE ,Deceased
I, THERESA A. VERM , 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
(Date)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
Form RW-06 rev. 10.13.06
CARLISLE PA 17015
(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 aar'°~ day
of FEBRUARY ~ 2012
/ t
t.L (.~ . ~Z~~c~z~ ~J
Not Public
My Commission Expires: ~ /3 I ,~ ~ 1 ~
(Signature and Seal of Notary or othf;r official quali/fled to
administer oaths. Show date of expiration of Notary's Commission.)
~ ~ W. M
Notafial Seal
Joanne A. Bradley Notary PubNc
SusqueharN,a 71Np., Dauphin County
l'fi' ConlrrMa~iOn E~Irsa liNro 3, 2015
MEMBER. PErRISYLVANU OF NOTARIES
98 VASILIOS DRIVE
(Street Address)
Hlns.un9 xgv Iqn„
LOC~q~i~f'~~~!~I-R'S CERTIFICATION OF DEATH
WARI~~L tt'tS;Tlte~l~'~ duplicate this copy by photostat or photograph.
FPP for thic r~Prtifi.•orA Q~ nn iIilri e~-~B 7f. Aid It1. 1 n
___, __.~.. ._..:,. , ~~ ~~ n,, ~~,. 1 u This :is to certify that the information here given is
correctly copied from an original Certificate of Death
~RK (~ duly tiled with me as Local Registrar. The original
I~P~~'S CURT certificate will be forwarded to the State Vital
! Records Office for permanent filing.
P 18194596 ,~~~' f
Certification Plumber
Int In [OMMONWFAITH OF pENNSYIVANIA• Local Registrar Date Issued
kpt DEPARTMENT OF XEALTH . VAAI pECdIDS
~ CERTIFICATE OF DEATH
1. Decedenll lepl Name IfhL MMMh. last. o.M.1 Stab flh MumMr:
Shirley AM Wallace -' ^'•~•~ mw,p numwr 1. Dab of Math (MO/Dav/Yr11sPN1 MPI
Fenale 198 - 30 - 1216 Fe 13 2012
sa. &rnday lYN) Sh. UrIMr lYear kUn rl
S.Datep/&rtA (MO/DaY/Year)IspM MOnthl 7{,pNMpIM.s(O,,, Md;bj{yrFUelBn country)
70 "s°""° °ry' HWn MNNrtn Harri b(ynq PH
April 1, 1991 7
b. el,Mq,pe(rax(Y)
4. IStNe a FprNEn Country) eD. Pubulo IStrM and Numbu- hstlWe Apt No.l k. del DecedMt Ilue M I TowmMpi
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9. EvM b US Atttwd Fortn7 i0. MaHtN SbHn at Time o/ DeaM ~ MarrlM W ]I. SurvMrlE Spawe's Name IN . Elea mme prbr b flnt mar.lyel
^YU No ^Unkrwwn ~Dlwroed ^Newr MaMetl ^Unknown
12. Fetlwr'a ame (first MMdh, ba4 Sullrl
13. MotMYS Name prbr b FIM M
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14. Inbrma Cs Ibme leb. PNatbnshiP to MudeM ik In/ormam's MaHiry Addreu ISV«t and NumMr, CNy, Sbb, DP codel
Alisa
Marie Norton
^
....
C1a ter 2 71t Court Mechanics PA 17050
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