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Home My WebLink About04-17-12PETITION FOR GRANT OF LETTERS REGISTER OF WII.LS OF CUMBERLAl~'D 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: ~'~LI-IAtit C. STICKEL a/k/a: a/k/a: a/k/a: Date of Death: N1AY 10, 2011 File No: -Z1 - l 1 -- dS7B' (Assigned by Register) Social Security No: Age at death: 82 Decedent was domiciled at death in CU1~'~~-AND County, PENNSYLVANIA (Srare) with his/her last principal residence at 923 NORTH WEST STREET, CARLISLE BOROUGH, CUMBERLAND COUNTY Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 923 NORTH WEST STREET, CARLISLE BOROUGH, CUMBERLAND COUNTY, PENNSYLVA.'~1IA 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 $ Value of real estate in Pennsylvania ......................................................... $ TOTAL ESTIMATED VALUE.... $ 0 Real estate in Pennsylvania situated at: (Attach additional sheets, ijnecessary~.) Street address, Past Office and Zip Code City, Township or Borough Q 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 thereto dated BETTY S._ANDREWS, EXECUTRIX, DIED, MARCH 28, 2012. County r: ~~ r-.J ~~ ; T't 1993 ~i r_r-} ~~; and £d i~e' (s State relevant circumstances (eg. renunciation, death of executor, etc.) _,_ _f~ j~ ~ _i-z Except as follows: a$er the execution of the instrument(s) offered for probate Decedent did not marry, was not divo~as not a p~rty to;a`~e~'ng divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(8), d not have a chi~or adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. a ~ -ra J Q NO EXCEPTIONS Q EXCEPTIONS B. Petition for Grant of Letters of Administration (If applicable) d.b.n.c.t.a. c.t.a., d. b. n., d.b.n.c.t.a., pendente lite, durante absentia, durante minoritate If Administration, c.t.a. or d.b.n.c.i: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 ~ 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): Name Relationshi Address DONALD STICKEL BROTHER 923 NORTH WEST STREET, CARLISLE, PA 17013 BETTY A1~IDREWS SISTER NOW DECEASED KRISTA UPLL~IGER NEICE 146 F STREET, CARLISLE, PA 17013 Form RW-02 rev. 10/11/2011 PagO 1 Of 2 oath of Personal representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CLTNIBERI-AND } } SS: } Petitioner(s) Printed Name Petitioner(s) Printed Address KRISTA LEE UPLINGER 146 F STREET, 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) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before L met ~~ day of 1 Q2~ Date a / By' Date For the Register Date r^ BOND Re aired: YES q ~ Q NO ~ ~. '~2C7 ~ To the Register of Wills: r_~ t . '^ -~~-'' FEES: Please enter m a earance b m si rn - Y PP Y Y g~ C7belows_.- `- ~-`- __ ~ Letters ...................... $ G, l1 L -~ i J Attorney Signat e: ` ~ t7 ~ ~ FY ..,. ( 1 )Short Certificate(s)...... C~ ( )Renunciation(s)......... ~ :7~- ~ ~ --+ •• •'_y ' `h Q ( )Codicil(s) ............. ( )Affidavit(s)............ ~ • Bond ........................ Printed Name: ROBERT G. FREY Commission .................. Supreme Court Other ........ ID Number: 46397 • • • • • • • Firm Name: FRET & TILEY • • • • • • • • Address: 5 SOUTH HANOVER STREET • • • • • • • • CARLISLE. PA 17013 ••••••• Phone: 717-243-5838 Automation Fee ............... Fax: 717-243-6441 JCS Fee ..................... Email: RFREY@FREYTILEY.COM TOTAL ..................... $ ~4. ®0 $' DECREE OF THE REGISTER Estate of WILLIAM C. STICKEL File No• ~ / - / ~ - ~ ~ 7 a/k/a: AND NOW, ~ ~ ~ ~~ ~ I ~ ~ ~ `o~-- , in consideration of the foregoing Petition, satisfactory proof having bee presented before me, IT IS DECREED that Letters OF ADMININISTRATION, d.b.n.c.t.a. are hereby granted to KRISTA LEE UPLINGER in the above estate and (if applicable) that the instrument(s) dated I ~ - (.~ ` pl 3 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. Register of Wills ~V (~ ~n..g~G--~_- ~'~ Form RW-02 rev. 10/11/2011 Page 2 of 2 HID~.80i RE:.~ Sit LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. RF~C'Q~, ~ "~ 1,~ r`t~E ~}~~~~ ~~ ~ W 'l~E i~ This is to certifc i±1st ~h~ ij~tnn(j ,(~,, "-) ~ '-~~~ (~ Fee for this eextificate. X6.00 . ~ correctly copied in jb~ =ui 1)r (,>ina! (ut,fi a t ,f I .t[ij ~~~~ ~~~ ~ .~ ~~ ~. ~ ~ duly filed with rn(~ a~ Local R~ t,tra: 1' r ~•:,( (~s,i certificate will h ~ Cor~'warded I( the (t~ac l I= Records Office it)= permanent f tin<~. CLERK ~~ ~"` MA 2 912012__ P 18 3 2 9 2 9 9 oR~~~v's n~i~~t ~ ~~~-~-~- __~ ~r_ ~~ P ---~-- f 1~~~2_~~~~ j A Local Registrar 1>:ki l,~)i:=(1 ry Certification Number Type/Print In COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF HEALTH • VITAL RECORD Permanent CERTIFICATE OF DEATH 5[ate Flle Number: ~o b 4 e f Death (MO/ a r) p l Stickel O G 2 S 77 esidence (State or PA Q Ves [~ No Q Unknown I l2. Father's Name (First, Middle, Last, s_ Harlan M_ Stic 14a. Informant's Name John E_ Andrews If Death Occurred in a Hospital: Q Emergenry Room/Outpatient 15 b. Facility Name (If not Institution, gl Harrisburg Hospit 16a. Method of Disposition ~ BI Q Removal from State 2. 5¢x 3. Social Security Num e ~ fY ~~f~~ F 184 26 4551r d U 909 Forbes Road Q Divorced Q Never 8r 1935 w1 Q Unkno to Decedent l . P ace o Deat ................. ~c<urred Somewt V ursing Home/Lo or Town, State, a Yes, decedent Ilved In No, decedent lived within limits of Ca. 11. Surviving Spouse's Name (If wife, give John E_ Andrews _. a Hospital: ~p ~D°"'t'°^ 13/30/201 2 _~ Westminster Canetery :ion (City or I of PA 170 7c. Name and complete Adaress or runa~a, ~-..••• ,H~e =n thers Funeral B c _ 630 S _ Hanover 5c. ro EkNin k the box that bast describes the h 19. Decedent of Hispanic Origin -Check the ec 8. Decedent's Education -C vel of school completed at the time of death. l e"NO•ent khth e e Ighes[ degree or Q 8th grade or less e Chec Is Spanish/Hispanic/Latlno. box if decedent Is not Spanish/Hispanic/Latino. Q No diploma, 9th - 12th grade not Spanish/Hispanic/Latino o ~flgh school graduate or GED completed , Q yes, Mexican, Mexican American, Chicano Q Some college credit, but no degree ~ yes, Puerto Rican Q Associate degree (e. g. AA, AS) Cuban Q Yes, Q Bachelor's degree (e.g. BA, AB, BS) MEd, MSW, MBA) MEng M5 MA ' Q Yes, other Spanish/Hispanic/Latino , , , s degree (e.g. Q Master O Doctorate (e.g. PhD, Etl D) or Professional degree (Specify) . MD ODS DVM LLB JD n -Check ONLY ONE to in ti a ecedent considered himself o th dicate wh o !1. Decedent's Single Race Self-Designa Q Japanese Q sa ~ ~. ++~O~hite n ~ Korean i Other Pacific Islander ca Q Black or African Amer ka Native Q Vietnamese Al ~ Don't Know/Not Sure as Q American Indian or Q Other ASlan ~ Refused Q Asian Indian Q Native Hawaiian Q Other (Specify) Q Chinese O Guamanian or Ch amorro Q Filipino ITEMS 3a - 23 MU T BE COMPLETED 23a. Date Pronounce d Dead Mo Day r ` 23b. Signature of Person P BY PERSON WHO PRONOV NOES OR MarCl-1 2g r l, 2O 1 Carlisle Area School j•Date Signed (MO/Day/Yr) 24. Time of DeatM/f ~ ~ ~~ I 25. Was Medical Examiner or Coroner ContaRed7 Q Y¢s No CAUSE OF DEATH Approximate l ns--that dlrectl d the death. DO NOT enter terminal events such as cardiac acres[. Y cause Ii tl Interva : Onset to Death 26. Part 1. Enter the rh fev ca o in i P ents-diseases, jur es, or com DO NOT ABBREVIATE. En[er only one cause on a Ilne. Add additional Imes if nece lo ti h ssary entri respiratory arrest, or v gy. e e o cular fibrillation without showing t ~ Q '. IMMEDIATE CAUSE ------------ -s a. or as a consequence of). (Final disease or condition s resulting in death) b e to (vr as a consequence f): Se tlally list conditions, quen ~ If any, leading to the cause listed on Ilne a. Enter the Due to (or as a < equence of): UNDERLYING CAUSE (dis¢ase or injury Chat Initiated the events resultlnH qu nce e d' Due to (or as a copse of): In death) LAST. _ .~.~..e I.. rho underlvin¢ cause given in Part 127. Was an .. __~ ~..- ___ _e_. .--. autopsy pertQQrmed? _.. 1car.._ .°J_ ~' s ~- ~I I to complete the cause of death? F male: uQ •yes "y V'Q Probably Natural Q Homicide Not pregnant within past year ~yo Q Unknown Accident Q Pending Inyestigatlon Pregnant at time of death J~ Q Suicide Q Could not ba determined Q Not pregnant, but pregnant within 42 days of death 5 11 Month Q Not pregnant, but pregnant 43 days fo 1 year before death 32. Date of Injury (MO/Day/yr) ( pe ) 33. Time of Injury Q Unknown if Pregnant within the Past Year ~ ~, ~ 1.,..,, crate n.. _. ._. __ __ .._ _- Cndel p vas O Drl~edopere:or 0 other (speafv) o No o Paasenger o la. Certifier (Check only one): au annex stated Q Certifying physician - To the best of my knowledge, death occurred due to thce f se(s) and m nd 1 ce and due to the c se(s) ae d manner stated Pronouncing 8< C¢rClfyin6 Physician - To the best of my knowledge, death oc u red at the time, date, a p a nd I c ,and due to the (s) d to d Medical Examiner/Coroner - On th r investigation, in my opt pion, dea[~ rrgd at the time, date, a P a s _ o ~ ¢ , a ~/ ^ f Titl f rtifl //CLTL-~ Lice a Nu ^a~r/ s~~ /j-L!J 7 Signature of certifier: ~ T' ~ ~~ ~ I~ `n 3~~SIg O (M ~Dav/Y )A J/ /1 1 G'lc~~ IFD 012633 L iwp. Carlisle, ` t'A 17013 20. Decedent's Rac¢ -Check ONE OR MORE races to indicate whaC the decedent considered himself or herself to be. hlte Q Korean Q Black or African American Q Vietnamese Q American Indian or Alaska Native Q Other AsHn Q Asian Indian Q Na[IVe Hawaiian Q Chinese Q Guamanian or Chsmorro Q Filipino O Samoan Q Japanese Other Pacific Islander Q Other (Specify) r nersen cv ve. (done during most of working life. DO NOT USE RETIRED. P.r-mint-inQ Clerk H105-143 Cl(~ rJ Q (~~a REV 07/2011 Disposition Permit No. -3