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Home My WebLink About03-09-12PETITION 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 requests the grant of Letters in the appropriate form: ne..od ~+'s Info ation I a o~ [ File No: 21 Name: John F. Sholly a/k/a: (Assigned by Register) alk/a: Social Security No: 200-22-7114 a/k/a: 77 Age at Death: Date of Death: 08/14/2010 Count pA (State) with his/her last Decedent was domiciled at death in Cumberland y~ Cumberland principal residence at 335 Wesley Drive, Apt. 127, Mechanicsburg 17055 Lower Allen TownsC ry Township or Borough County Street address, Post Office and Zip Code Decedent died at 335 Wesle Drive, Apt. 127, Mechanicsbur 17055 Lower AllCln' Townsh P or Bo 0 9mberlancdun~A state Street address, Post Office and Zip Code Estimate of value of decedent's property at death: 1,100.00 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 $ 0.00 Value of real estate in Pennsylvania ................................................................... $ ~ TOTAL ESTIMATED VALUE $ 1,100.00 Real estate in Pennsylvania situated at None (Attach adddional sheets, if necessary.) Count Street address, Post Office and Zip Code City, Township or Borough y ^ A. Petition for Prob°te °nd Grant of Letters Testamentary and Codicil(s) Petitioner(s) aver(s) that helshe/they islare the Executor(s) named in the Last Will of the Decedent, tiated thereto dated r I ma po ~ e of the Dec~ndent and Keith A Sholly Steven C Sholly an-' "`" ~ "'°""°'°~ "~rr`f'°"= ^-f the B I oll ee t. ae o hir'at r 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 ma 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. NO EXCEPTIONS ~ EXCEPTIONS ® B. Petition for Grant of t etters of Administration (If applicable) c.t.a., d.b.n., d.b.n.c.t.a~., pedente life, durante absentia. durante minoritate If Administration, c.t.a or d.b.n.c.t.a., enter date of ~"lill in Section A above and complete list of heirs. Except as follows: Decedent was not.a party to.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 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): n <~:~ ~r O r.i ~~ Name See attached schedule Address ~ t rr,~ ~-~~(-., C~ ~ ' `.`~ U -„ ~ _ --r tV N ~'~ ~ .... -r, Form RW-02 ray. ~a~~-zo~~ Copyright (c) 2011 form software only The Lackner Group, Inc. Pagel of~^+,~ / S~.+J~ Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } SS: COUNTY OF Cumberland } Petitioner(s) Printed Name Roxann L. Baker Et ~'li 1 ;1 ~ . r r ii 1''. Official Use Only Petitioner(s) Printed Address 4 Kingswood Drive Lewisberry, PA 17339 The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregPoi~ng Petitio~n~areWtreu~e and correct to the best of the knowledge and belief of Petitioner(s) and that, as Personal Representative(s)9fSL~~ e~d, itioner(s) 'ILL.161.rivand truly administer the estate accordinc to I w. ~~ ~ Date Swom too affirmed and subscribed before~y,~,~ ) Date me this day of ~~tNrln QL1~ Date By: Dace e Registe BOND Required? ~ YES ~ n0 FEES: _ $ ~ Letters ..................................... ..... - ( ( )Short Certificate(s).... ..... ~ " ( )Renunciation(s) ......... ..... ( )Codicil(s) ................... ..... ( )Affidavit(s) ................. ..... Bond ....................................... ...... Commission ........................... ....... Other Automation Fee ............................ ~~_ JCS Fee ....................................... ~,~ . ~(S TOTAL ......................................... $ .fib ~-a • 5^~ To the Register of Wills: Please enter 717-212-2007 prww. Printed Name: Jarrl~sp• Bogar Supreme Court 19475 ID Number: Firm Name: Bogar 8r Hipp Law Offices Address: One West Main Street Shiremanstown, PA 17011 Phone: (717)737-8761 Fax: E-mail: jbogar~bogarlaw.com DECREE OF THE REGISTER Date of Death: 08!1412010 Social Security No: 200-22-7114 Estate of John F. Sholl File No: 21 ~ ~ ~q~ aJk/a: ~~ _ , in consideration of the foregoing Petition, AND NOW, ' satisfactory proof having been presented before me, IT IS DECREED that Letters of Administration are hereby granted to Roxann L. Baker in the above estate and (if applicable) that the instrument(s) dated described in the Petition be admitted to probate and filed of record ast V1`ill (anti Codi~il(s)) of DecederlQl - (, _ - ~ - p Form RW-02 reg. Toif~~2on Copyright (c) 2011 form software only the Lackner Group, "~1a ~'i~R -9 g~i 2~ 2 ^ /'~//t~ / / 2 of 2, PETITION FOR GRANT OF LETTERS (Continued) REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Decedent: John F. Sholl File No: 21 a/k/a: Social Security Number: 200-22-7114_ Date of Death: 08/14/2010 Age a't Death: ,77 d~ Relationship Son Address Csokorgasse64/Stige111Tor24 Steven C. Sholly 1110 ViP..nna~ Austria Kim S. McMeans Daughter 625 Bosler Avenue Lemoyne, PA 17043 Keith A. Sholly Son 625 Bosler Avenue Lemoyne, PA 17043 Roxann L. Baker Daughter 4 Kingswaod Drive Lewisberry, PA 17339 Beverly L. Sholly Spouse 335 Wesley Drive, Apt. 127 Mechanicsburg, PA 17055 F.. '~ Cyr ~ ~f ~ 1 J `~,.~ t+ ~ .. ~ N _ <T~ ~ .n O N HIii5.y0`, ILL:F r~V~~'i LOCAL RE~ T,~~ ERTIFICATION OF DEATH WARNING: It ~~~d : this copy by photostat or photograph. Fee for this certificate. $6.00 ~~,~7 ~Q~ _~ 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 he forwarded to the State Vital ~/~ Record,; Office for permanent fili~g~ l~~~i (;lNulE3~Rl_AN( AIJG , P 16705076_ Certification Number Item 4~22c Should Read: Beaver Urich Funeral Home, Inc., - 3t35 W. Front St., Lewisberry, PA 17339 ~~~~ ~ -~ / Luca .egistrlr Date Lssued Il,oe•tlsREV IIQ00Y COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~aiArrt CERTIFICATE OF DEATH elACx "~ (Sw InaUUetiona snd exam laa on ravaraa) P STATE FILE nNlE1BER Llt /~^J V (L ~) 1. Wnr d Daoadre IFaaL nYOaa. rr RA61 a. SM A Bait Saaray MnM l.Oar a DMr ~al'• YaM Mao r~ 6. A¢ Rrr Birar,l I,aiYal 1 IMaar 1 0• Y. Drr d &rM (MOnA, 7. BYAaDr rd rW a ~ Plra d DMA Gad art ra.. o... rte. Tr...r Pebnlery 13, 1933 McC)~anlcBb~lrg, PA ^^ niPr+a ^ ER / Wlareri ^ DOA ^ wine Ibnr R.wraa ^oew • BFrM: 77 rR. BD Gr•Y a DMA Yc. Cay, Bao, TrF. d Darn B0. Friry NMr BI na Mgdon Vr• rral rq nunarrl 0. Nda DanOan a IYaOanc OiipMt Np Yaa 10. Rrx AnwICM Aran, Baoc NtfaL alc Ie Ma, rrEy r are. IBFraA []xMMrl rust I.owet Alle[-11rp. 335 Wesley Dt. Apt. 127, Mec2lenicsbutg, PA rngr. Rrro Rion, aqd 11. DwYrra Uwr a •w Yorr nloa d Ya. Do na wr 12. waa DaaarY arr n Or IB. MoaYra'a Edcaean lBFaoet ony ryrr Oros anprrl to swim Bwr: ManiaY. Mara rrn4 t!. BaMri'A Saeur (N rYa, it n~^ rnrl Kar a waa filer d arnw / MYroy U.S. AnnY Facer? EgnrnWy / SaaiMary 1a12) Gaepa lH a B•I TiYlorrY. Di•acrY (SFrE)1 ile S L h l Iffitaller Wasttivction uc pe r y ^Tr ®Ra 11 MaCLied sevPr N. Daoarifs YrrgAYaw (Blrr• a,r bwn, rw, aF oral DMa4+'. OiC D.M4a ~11Mf~~ ANrI Rwrraa tta 9nia PA ~•. ~ a 17c. pl Yr. DanMe l/Ra M l~ " al l on '~. T.a 335 Wesley Ik•! 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Diapoaegn Farm ab. os245sy ~ r^-°7 ~ r ~' ~ ~ o!/J CC 1J,, 1 ~ ft'~j ~~ ~ `1...,1..x', ~-: t 114 ,• ... `t~~2~~R _g ~~ 2~ ~~ RENiJNCIATION ~~S ~OURT REGISTER OF WILLS ~ ~~` ~~~ ERLAND COUNTY, PENNSYLVAl~iIA Estate of John F. Sholly ~ • Deceased I, Beverly L. Sholly , in my capacity/relationship as (PrrntNmAe) surviving spouse of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Roxann L. Baker ~~ r~1~~ Apt 127, 335 Wester Drive (5b,euA~ss) Mechanicsburg, PA 17055 (City, Stoa, ztp} Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Executed out of Register's Office Befare the undersigned personally appeared the party executing this renunciation and certified that he or she executed the ren ' ~ n for the purpos ted within on this day of Notary Public My Commission Expires: / o? ~ /~-/~s (signedne and seal of Noisy a other official qualifies to administer oatln. Shaw date ofexpination of Nomry+`s CoRUnission.) Forw~ Rl~ 06 rev. 10.13.06. WE JH f P N NOTARIAL SEAL BETH B. LENGEL, NOTARY PUBLIC SHIREMANSTOWN BORO, CUMBERLAND COUNTr MY COMMISSION EXPIRES DECEMBER 12, 2015 J ?v~'2 MAR -9 PM 2~ 2[ RENUNCIATION CLERK Or QRPHA~1'S COl1RT REGISTER OF WILLS Ct1MRER~=A1~? Ci8[J~BERLAND COUNTY, PENNSYLVANIA Estate of John F. Sholly __-, Deceased I, Keith A. Sholly in my capacity/relationship as (P.9m Nance) son of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Roxann L. Baker -j 1 ~~) l .. ~~ 'i/ ,.~` (,5i8notm'e) ! ~' 625 Bosley Avenue.. • °' (Sa+eetAddrrst) Lemoyne, PA 170143 (Ctry, ~. tipJ Executed in Register's Office Sworn to or affirmed and subscribed before me this ~y of Duty for Register of Wills Forme Rf~-Ob rev. 10.13.06 Executed out of Register's O,~'u~e Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renun ~~t}on for the se ted within on this ih~ ~Y of~ I'P ~Y' (? Q Li,~ ~ ~ ~ Notary Public ~ J My Commission Expires: ~`~l ~ °2 ~~ (Sig~ahnre aaa Seal of Notary or other ofFrcial qualified to administer Dams. Slow date of r.~iration of Notary's ~"-^~. meson.) lE1H & LEN ARC/ IUBLN: Iln COMNIISS~N EI~IIIEZ OED 1i r r t1CJ' I , ,~~~:r~' ~, (~ .. y,!l~ { C :'~a'~ ~~~~ -9 F~~ 2~ 2~ ~~~~ 1 1 1 1 1 1 1 1 1 1 1 1 <~ 1 1 1 1 1 1 1 1 1 1 1 «~ RENUNCTAT`ION REGISTER OF WILLS CLERK CF ORPHAhf'S COURT CUMR~R~ ~.~D C(~ , PA CUMBERLAND COUNTY, PENNSYLVANIA Estate of John F• Sholly ,Deceased I, Steven C, Shelly , in my capacityhelationship as (~~'~) son of the above Decedent, hereby reno~mce the right to administer the Estate of the Decedent and respectfully request that Letters be issaed to Roxann L. Baker V~ ErJc~-~ ~~ ~~~e~ Csokor~asse64/StigeIIltor24 ~sr-ee~aa~s~ 1110 Vienna, Austria Execued in ~eg~ster's O~Qtce Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Executed out of.~Register's O, f,~ice 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 ~'~ day -- ---- ~_ of ~h-~~ do i' i ~r ~ ` n~ ~ ~'-~1Notary Public ~ ~ ,"~ ;111X Commission E Tres: (Mag. Johannes Ullreich) `' j y ~ bffentlicher Notar ` ~ ~ ' % (Si~ttue and Seal of Notary a other o$r~tdal quali5ed to ~~\:/, ,,/ administer oaths. Show dateofexpitationofNotat7JsCommission.) ~.,,-, Forme RW-06 rev 10.13.06 -- - ~ti:~, >~ :~ ~e3oN ~ayai~lua~}g ? `< (y~ia.p~ sauuey •6eyy) '~, t,/~-/i •/ ------------------------------------- (}~onnzpuasne~iannz aenaga~ ~a~s6izueMZpunuia) Z lOZ•ZO' LZ 'uai/~/~ ------------------------------------------------------------------------------------------------------ •36i~e~saq p~inn ~bZ/Z/b9 asse6~o~os~ 'uaiM 0~ ~ ~-~y '(6iz}un}punia~p~~apunyuyazunau aen~ga~ aa~s6izuennz -punuia) £S6l'ZO'lZ ua~oga6' ~C ~ ~ o y g 6ie~~ uana}g ua~aH sap ~}i~y~saa~u~ aap ~iay~y~3 aid Sl/N/Z ~OZ g9 ~•~Z•~•8 ;aly~~ilua z3as -a6ua~yngacJ £l dl bl § 'wa6 0£'4l Mf13 uon ayoH ui ~yngar~ ~~`~ ~ ,~1,~c j~' "iii2 ~~A~ -9 FED 2~ 2G RENUNCIATION CLERK C~ pA[~-1pw~i'S CC~tn(l~RTpppp,, REGISTER OF WILLS ~~~?FR~.-P~r r`CUMBERLAND COUNTY, PENNSYLVAI~IIA Estate of John F. Sholly ,Deceased I, Kim S. McMeans , 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 Roxann L. Baker ~~ - 1 ~l _ l (Date) C' (Signature) 625 Bosler Avenue (Street Address) Lemoyne, PA 17C143 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of 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 renuncia~t)'o for the purposes ed within on this 7 ~ day of ~~~~ ~ ~ Notary Public E'/ My Commission Expires: I ~~~~1 ~~ (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) OMMONWEALTN OF PENNSYLVANIA Form RW-06 rev. 10.13.06 NOTARIAL SEAL BETH B. LENGEL, NOTARY PUBLIC SHIREMAN:iTOWN BORO, CUMBERLAND COUNTY MY COMMISSION EXPIRES DECEMBER 12, 2015