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HomeMy WebLinkAbout04-26-12Reset PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA Petitioner(s) named below, who is/are 18 years of age or alder, apply(ies) for Letters as specified belaw, and in support thereof aver(s) the following and respectfully request(s) the grant of Letters in the appropriate form: Decedent's Information Name: Martha M Fox a/kla: _ - alk/a: FileNo:~ I- O~ _~~~ (Assigned by Register) alk/a: Social Security No: Date of Death: 1/4/2005 Age at death: 85 Decedeut was domiciled at death in Cumberland County, pennaylvania (5rare) with his/her last principal residence at 900 Ridge Rd.. Carlisle. 17015 Carlisle Cumberland Street address, Post Office and Zip Code Ci[y, Township or Borough County Decedent died at Cazlisle Hosnitah Carlisle. 17015 Carlisle Cumberland PA Street address, Pos[ Office and Zip Code City, Township or Borough County State Estimate of value of decedent's property at death: /jdomiciled in Pennsylvania ........................... . All personal property $ 575.00 /fnot domiciled in Pennsylvania ....................... . Personal property in Pennsylvania $ Ifnot domiciled in Pennsy!vania ....................... . Personal property in County $ Value ojreal estate in Pennsylvania ..................... ........ ............................ $ TOTAL ESTIMATED VALUE;.... $ 575.00 Real estate in Pennsylvania situated at _ (Attach additional sheets, jfnecessary.) Street address, Post Office end 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 3tat¢ relevant efrcomstances leg. renundadon, death of executor, etcJ ~ S) .h, rT ~. 'U - l C. Except as follows: after the execution ofthe instrument(s)offeredfor probate Decedent did not marry, was notdivorced; ~p{apa oapeddthgC divorce proceeding wherein the grounds for divorce had been established as defined In 23 Pa. C.S. § 3323(8), and~i dLtave ild bom:ot'r adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. "7 ~. '° -~ " ~ ,C'ic "A Q NO EXCEPTIONS ©EXCEPTIONS -'~:-- ~ _ -~- "-i ?V B. Petition for Grant of Letters of Administration pf applicable) _ e.t.a., d, b.n., d. b.n.c. t. a., pendente li,!e, durante absentia, du>Mrfe If Administration, e.t.a. or d.b.n.c.t.a., ettter 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. © NO EXCEPTIONS o EXCEPTIONS Petitioner(s), after a proper search haslhave ascertained that Decedent left no W it I and was survived by the following spouse (if any) and heirs (attach additlonal sheets, if necessary): Name Relationshi Address Theresa Hummel Daughter 900 Ridge Rd, Carlisle PA 17015 S-/e ,,,. (Y~a eo S©f-.. IRCo/ow C1t'• dXw. Mdd~ FL 3,1 3 otnu n`la 20 Soy-. ~1 Co/ot.. Cf'. la,lo. ~ d ~' L 3~/3 /LI .. -m ~ sa ~. a r/swa_ ~~,~ t,~-~. ~ ~ ~ ~- ~ DS~- Forn nw-oz rer. /oiuiznu Page 1 of 2 a Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } SS: Z r0%cial Osc Only ~~~~,?~':=~r~ ~ `FACE OF EEi- . ~ ;Jac ;'Of2~~ Petitioner(s) Printed Name Petitioner(s) Printed Address t~~__ rVf ~--{~,.......~I ~o~ >et ~5< ~P~1, C~_ 1, , p ,;- ~,,r 1 dRFRi av1'I r~) PA The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are true and correct to the beat ofthe knowledge and belief of Petitioner(s) and that, as Personal Representative(s) of theme D~eced~ent, the Petitioner(s) will ell a(n% trul}~ administer the estate according to law. Sworn to or affirmed and subscribed before - .f h-----~ -~1 i"~'--^- Date ~-~ t ~ ~1 ~- me th' ~~` day of ~%l~ ~ Date By: ~}t-1/11 i }'-~l,rl( 7~~~~/lA(/ll`~~ Date For the Register Date ~J BOND Required: i~ YES NO FEES: Letters ...................... $ ( ~, )Short Certificate(s)...... ~ ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commis ion, ........... Other ~ I ........ i ~j ~ Automation Fee ............ . JCS Fee ..................... TOTAL ..................... ~I S DECREE OF THE REGISTER l Estate of Martha M Fox Ftle No: ~I ~ ~(D a/k/a: AND NO , ~ inconsideration of the foregoing Petition, satisfactory pr f ha ng been presented before me, IT IS DECREED that Letters ~,~, r~s ` are hereby granted to I ~'~¢ ~ c S .c. >'Yl ~r i ,n_ w, -~ in the above es ate and (if applicable) that the instrument(s) dated described in the Petition be a milted to probate and filed of rq~ord as the las ill (and Cod' (s)) Decedent. To the Register of Witls: Please enter my appearance by my signature below: Attorney Signature: Printed ame: John C Oszus[owicz Supreme Court ID Number: 37076 Firm Name: Law Office of John C Oszustowicz Address: 104 S Hanover 5t Carlisle, PA 17013 Phone: 7172437437 Fax: Emaih ~nhnn Q~,rarlj,~p_vlaw onm Form RW-02 rev. 10//1/2071 1 ~ / ~ " '" Page ~'of 2 HIU$pac RNV else _ _ _ _ -. _ T~iis is to certify that the in Formation here given is correctly copied from au original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records ~O~ffice for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. J ~ Fee for [his certificate, $2.00 ~ ~ ~~•(~4G~,t''~ Loca] Registrar P 11060499 No. :v 6 6 20fl5 Date _. _.. __ p rn ~C 7 ~ r - ,.L~'~.Tm1 x O, ~:: i.i l7 '"i O -n ~; Ti J~ _ -_C~' ._. c~ 0 h1 T ~s.:ua... ax COYYONWEALTN OP PENNSYWANIA • OEPABTYEN7 OF HEALTH • VITAL flECOFDS CERTIFICATE OF DEATH , ,NYFd0E40[MIM b•M,LNi i[II NL6[IXIRaYN11Wd, W[pOf.GMaYwrM w:1 MARINA M• FOX ,FIIMLE ,. 201 - 03 - 8373 ..IANUARY 4 2OOs ApElx Mxa Y:O[,1,YGI1 uun,OA' YQearmN [[pWlAfl irr.a nACSa/o[.vYKYYa m-r•x~Y•nxNYrb YaM• hN iYxi 1 YY••Y YbY.~4 `r: .YYOfe•V:Canb IlR 85 ra.. 9/16/1919 FGYPI, PA bpaYYt~ [Ywvr.G ou^ „~~,~ ^ ,,,,x•Y^ y~,~,,p Cf IPLM a1Y, .1N1ClOEYN M1Yf 1YM•WIm. P•YMYa:undi MWN IEOIYOM 11LLS-NRMW\YYIYM•.a[, CUMBERLAND CARLISLE CARLISLE HOSPITAL rummr.r. ,MITE aY~ Yy {yry, '~ y [IGl1K Maa W:I A~N,fO!'Y'/alll M Nt Y ! . , ,YYb4YLVY••a / V+xMr•a •i<I Dh=SK~:L~i l~~` LIBRARY w^ '"~ o,a i, O~ , . l a .1 FRD ar®em•[raxb.menax+.aNrY.a+.mc•r Yr[ ^ 9O0 RIDGE RD. ,xYa. m ,n wabNrw [o[YC[ Y r CARLISLE,M PA 17013 r r Y""°°m+` CIFII3ERLAND `:xwin '~YY•xrw CARLISLE x A ,s . .YYr (NIB,YY,KMifOe[lY9 TY,IYMAY~(r Ybi.lMawlnYM THOM45 J. BALIAS ,MARY HMAILAS Y,a[rtY.w,r aAYLCMYY.>r.Pr Yr 7[iEZ2ESA M. tRIM1FFS- 900 RIDGE RD. CARLISLE PA 17013 .wxa r"!pi u ^r '~""""'°"^ "-°°"-'a'^ ` ' YY.YG ~ ^ 17 r7bs sA CRID HEART CkMEfERY ALIkNPD17N, Pa ~ r 013166-L 0' DONNELL F.N. INC. ~.~.F.~~AA~109 O[•xh•Mx:Y/b/ •abxawYb - a rYr~YyYrYO[I, CYMpw•:•Ga MYx.OW xlpeaW LCIIpEMYfJ, TTMM ~ %b ~ lYI: 9" ~ o t / , YYbaw,YramWwp a:aY [aoaouxc[ auoPlsY. o•[Ybl YIJ KFFPYFPm[iptx rrYNYYawYI,CWb /•i: sa ~saa w^ wCCY a.,YNre e.rbwrY. 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RENUNCIATION REGISTER OF W1LLS Cumberland CtERK OF t7RPHAN'S ,OURr COUNTY,PENNSYLV'ANIA Estate of Martha M Fox Deceased I, Stephen Mazzeo , in my capacityirelationship as (Print Name) of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Theresa Hummel (Uafe) ~O r (Signature) 19 Colony Court (Street Address) Palm Coast, FL 32137 (City, Sfaie, Zip) Executed in Register's Office Swom to or affirmed and subscribed before me this day of Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunc ron for the pure ses stated within on this `~_ day of ~U/~- , Deputy for Register of Wills Notary Public My Commission Expires (Signature acrd Seal of No[ary or other official qualified to administer oaths. Show date of enpiration of No[ary's Commission.) Form RW-06 rev. 10.13.06 BRENDA 5. gRCNAABAIAT t10TARY F1l6LIC STATE t~ F40NDA ! Comm#t)D6920~92 >..,t`'_' nir85 $)28/2013 G~:~: ~ _, .~~,~ ~ c RENUNCIATION REGISTER OF WILLS Cumberland ~I2cPR26 PP912~ ! f CLERK ~~ ORPHA,N'S CCURr CUMRt=RI AN~~.; f'~ PA COUNTY, PENNSYLVANIA Estate of Martha M Deceased I, Thomas J. Mazzeo , in my capacity/relationship as (Prinl Name) of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Theresa Hummel Gi~9 ~zo12 4~ (Dafe~~T~ (Signaturr) 19 Colony Court (Street Address) Palm Coast, FL 321:37 (City, Score. Zip) Executed in Register's Offrce 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 renunciation for the purposes stated within on this '+~' day of r ~ t~ C G ,,,, Notary b 'c ~"~~~ R-~~'" 1' ~"`J~~ My Commission Expires: ~`~ ~~~~ (Signature and Seal of Notary or other official qualified to administer oaths Show date of e:~cpiration of Notary's Commission.) Form RW-06 rev. f D.13.O6 +~.. ~~r dA ~%ln 1 I ~~ ~ 11P I r~^ ' - F ~E~',~E.' Vii': 'FFiGE 0. ~'~ _ ~ ';q.i c ~:'ul2 APR 26 FFt f2~ 4 4 RENUNCIATION CLERK ~'! ORPHAN'S COURT REGISTER OF WILLS CUM~~RI ANCI (;U PA Cumberland COUNTY, PENNSYLVANIA Estate of Martha M Fox Deceased I, Richard J. Fox , in my capacityfrelationship 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 Theresa Hummel ~~' -~,c (DafeJ (Signature) /. 1227 Ellsworth Drive Executed in Register's Offtce Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills (Sfree[ Address) Whitehall, PA 18052 (Clfy, Stale, ZipJ Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunctatto r the purposes tated ithin on this day /2 ~ Notary Public COMIAONWEALTHOFPENNSYLI M Commission Ex res: No1a~~° Y P Denlaa M. Brallleld, Notary Pu6llc 1J1RYpeAaq Twp., LMlpft County (Signature and Seal of Notary o otheM ~IINMgI~li~lgpup. 1, 201 administer oaths. Show date oftUambatl ..r , Form RW-06 rev. /0. /3.06