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HomeMy WebLinkAbout05-24-12~ rceset PETITION 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 Information Name: Steven R. Cambum a/Wa: a/k/a: a/k/a: Date of Death: 4/19/2012 File No: ~, ~ ~ A, :J D U (Assigned by Register) Age at death: 48 Decedent was domiciled at death in Cumberland County, PA (Stare) with his/her last principal residence at 1703 Wvndham Road Lower Allen Township Camn Hill Cumberland Counri. PA 17011-6027 Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 1703 Wvndham Road Lower Allen Township Camn Hill Cumberland County. PA 17011-6027 Street address, Post Omce and Zip Code City, Township or Borough County State Estimate of value of decedent's property at death /f domiciled in Pennsy[vania .................. .......... All personal property tf not domiciled in Pennsy[vania .............. .......... Personal property in Pennsylvania Ijnot domiciled in Pennsy[vania .............. .......... Personal property in County Value ofrea[estate in Pennsy[vania ............ ............................................. TOTAL ESTIMATED VALUE... . Real estate in Pennsylvania situated at: (Attach additional sheets, ifneeessarv.) $ 9,000.00 $ 9.000.00 Street address, Pos[ Office and Zip Code City, Township or Borough © A. Petition for Probate and Grant of Letters Testamentary Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in [he last Will of the Decedent, dated [hereto dated ___ Stale relevant circumstances (e.g. renunciation, death of executor, etc.) Except as follows: afterthe execution ofthe instrument(s)offered for probate Decedent did not marry, was not divorce< divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g), and adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. NO EXCEPTIONS ~ EXCEPTIONS County and Codicil(s) - - ~cr-- ~ -~ O N ~r < ~ ~; ~ rn ~,iC ~ a ~~ 5 ~~ W apesiftm~ partp ,mot Da ve mild bgrRigt . cc. C. ~ V ~~ _ :;:.: ~ ~ B. Petition for Grant of Letters of Administration (If applicable) ~ -' "' r ~„ c. i.a., d. b. n., d. b.n.c. t. a., pendente tile, durante absentia, durar i~-a,minoritate If Administration, c.t.a. or d.b.n.c.t.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(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, iJbecessary): Name Relationshi Address Sonia F. Williamson Mother 1703 Wyndham Road, Camp Hill, PA 17011-6027 Form RW-02 rev. l0/ll/207] Page I o 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF ~I _,. REG ,: r„tic Petitioner(s) Printed Name Pefitioner(s) Printed Address Sonia F. Williamson 1703 W ndham Road Cam Hill PA 17011-6027 - CUMBERtAND CO., PA The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are tme and correct to the best of the lmowledge and belief of Petitioner(s) and that, as Personal Representative(s) of the Df~eden[, the Petitionyer~~s) will well and tmly administer the estate according ro law. Sworn to or affirmed a d subscribed before ..!.knit-/ w 1~ • f/I ~~ Date ~i~.[~1~ me this day of )~~-- ~ Date By Date For a Register De[e BOND Required: ®YES Q'NO FEES: / ~1 Letters ...................... $-- / ~. ( 3) Short Certificate(s)...... ~~ ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other ........ Automation Fee ............... ~5~5 J.. ]CS Fee . .................... .~.L~T-%T-. TOTAL ..................... $ ~~ p.5. su' To the Register of Wi!!s: Please enter my appearance by my signature below: Attorney Signature: l~ Printed Name: Benjamin J. Butler Supreme Court ID Number: 81948 Firm Name: Butler Law Firm Address: 1007 Mumma Road Snite 101 Lemoyne, PA 17043 Phone: 717.236.1485 Fax: 717.236.7777 Email: ~tjh(7hutlerlawfirm rnm DECREE OF THE REGISTER Estate of Steven R. Cambum File No: ~ ~ ~ ~ ~'- 5~~ a/k/a: AND NOW, IrnW11 ~ 1 ,~, in consideration of the foregoing Petition, satisfactory proof havit~g b en presented before me, IT IS DECREED that Letters are hereby granted to in the above estate and (if applicable) that the instrument(s) dated (1 ~ fA_ described in the Pe[i[ion be admitted to probate and filed as the last Will (and Form RW-02 rev. 10//l/20/l ~ r ~ Page 2 of 2 rr 1. nt pcr e..~.. ,.. LOCAL R~Gf1R,'~?Ril$FCERTIFICATION OF DEATH WARNING: It ~I~Meg~l, to di~~~gate this copy by photostat or photograph. Fee for [his certificate, $6.00 P 18415818 Certification Number ~D 12 MAY 24 AM I t : I , ,P,,,,,,,,,,,,,•. I,~Ep~tH OF Pf,Yy~ _ n ~ '9 - /-.I ;-.. is ~... S ~~ ~. ORPH~y S ,;~U ~_ . ~ . Zz CUMBERLAND CO„ '~ ~. *~ ~Ag9rMfNT Ot„~^I"`~ This is to certify that the information here given is correcdy copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. ~'~ /° n, ,~~~ `~l ~~eisl ~ocal :Etegistrar Date Lssued ryoe/Pnne In ermwena 4sy_o ~A 3 -O Or 7 gY 9 COMMONWEALTH OP PENNSVEVANIM ~ OEPA RTMENT OF HEMETH + VITAL RECOROs f_ERTI FIGATE OF DEATH v. Deceaenes Lva N+m. IH.e[, morale. Cert. sum.l a, se. 3. socbl sewrnv Numbo .. e n IMe/D+v/vy (sp.n met • [ Scavan Robarc Camburn Males 206 54 9166 19 2012 p r11 +. N.-V+[91rtnd+y (Yra] SB. Vnee. c. Vneerl Oe oe<+aI91rt IMa O+y/v++rl lsp+ll man[n) .9lrtnpl+c•fOty ene Etne or forel9n country) s Houn Inu< Sa laravilla PA onm, Dave 48 .TUl 26 1963 =e leeenM ueka B B r n i Tew 9a. P.sle.nu se+[+erfor.l{n Country) n+vl+nu (s[r•+<wd NUmb+r-Inclutle aP<NO.I 9e. Ole O+uewtLlv. ou n L >¢r Allan [w Panne )Yenta ®vas, eeceeen<uuee In _ ve.nom.no. aeun[vl 1703 Wyndham Road Cu barland eneenc•fZlP COeeI 1 ONe, e.we.nua.e wlemn umrt. or ew/boor. + M. w. . surylmn{ spouse: Name Dr wBe. {IYe name Pnor <o rrt m.raeve u rn 1O TI e ®rv La p unknow N/A O o Dv 0u ®x Ve . f+en.r+N.me If1o4 M eel., E zum.l , + 3. Moto+:. N.m. poor ee Hot m.m•v WI brtl Robert A. Camburn Sonia N. Booraa .. m lob. Raalonsnlp to w<eaem .3 w.m.ne. wm. lot. mrormea a Menmv Aaarea lsve.um N:.mb.c nav, sta., aP eeee Sonia F. Wllliamaon Mocha: 1703 W dham Road> Cam Hill PA 17011 ... ............... +r.e ++ .._.."e:,,y en..... ..... .. ...... .. ...' 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PA 17011 1703 3E.INury a<work 3z NTr. n.peRalon INury, see<W: . oacab. How Inlur/ occume: B p D wr/D m ~ rn ~^ Intent tonal Hanging ner (spealM O P O I n 99e. Gertlner lCn ne) p c+rtlryln o <n. wa ur my knawlea9e, ae+m occu..ee due m ana uuul+l + • +ne place,e aeuem[ne um.bl ana manna mba O Preneundn{iurtlMVpnye4l+^-Te elv w+e er knew d9e.aut~ o«mr.a +t ene nm~ eau or mm~<io m..+<IE.non, m m o Im n, aa<n ow r.+a .< beam., e.<., .ne pl.u, .ne au. to m. <e..„le) ...e m.nn.r .b<.e g meaol E.+mm.y u ~ DaPUtY Corona Ec. mar: sl{nemr. erwrtla. one 9rortlne.:Chiaf Aad..a •na ap cue. e/p.r.en compl.[mE C.u or D..<n ut.m aE) 375 Haeahor¢ Road. Suice 3v ie n.d lm .y/Yrl D+< D uc Coroner M hen c u 170 O Macchaw S• Stoner Chief De ril 19 2012 6Nam .. rare Ivn.<:... . eb y /~ ~.e2/ 1'0/ . Am.ndm.n[e Dl.poemm~ v.rml[NO 0722144 Rev o~-aw npss 1007 Mumma Road Suite 101 Lemoyne, PA 17043 Mailing Address: Post Office 13oz 1305 Camp Hill, PA 17001.1305 Tel: 717.236.1485 Fax: 717.236.7777 lawyers®6uderlawfiirm.com n ~. May 22, 2012 O ^~ ~7 Ronald D. Butler ~ T , ~ m ~' 7anaButler Toole ~~?;. _ _i.~ -< tV ~~ _; ~ `- Benjamin J. Butler ..) ~ U' -, ~~ ~ .C' r .. Suzanne M. Butler Register of Wills ~ C7 C-= ' x,. ~ T; Cumberland County Courthouse CU ~; _ r Attn: Margie , ~ ~ ~' _ .. _ ~-'~'~ `" 1 Courthouse Square ~ o Carlisle, PA 17013 Re: Estate of Steven R. Camburn Dear Margie: Asper our telephone conversation on May 17, 2012 I have enclosed the following information necessary to open the Estate of Steven R. Camburn: l . Petition For Grant of Letters for Steven R. Camburn 2. Estate Information Sheet for Steven R. Camburn 3. Check for $85.50 made payable to Register of Wills for probate 4. Certified copy of death certificate for Steven R. Camburn 5. Petition For Grant of Letters of Administration for Robert A. Camburn The Petition for Grant of Letters of Administration for Robert A, Camburn (father of Steven R. Camburn) is not certified, however, I am sure the Montgomery County Register of Wills can confirm this via telephone. Please send the Letters of Administration and Short Certificates to me in the enclosed self- addressed stamped envelope. Your cooperation in this matter is appreciated. Very truly yours, Benjamin J. Butler BJB/mot Enclosures ., ~~: ~ .~ i ae)~~, j ,~ j 1 ~ r ~.,~ L_ ~ co rt ~, Ll m+ rP'LMn off- ^a .`~ -t ~ LL. -7 rJ ~~ _ u~ _a _ ~~ s ~U 1 'n ~ n Z _,. _ N <C ~ . _ Y ~e~ U , ~ :c cr 4 , ~t ~+ _ O U v m " ° x ~ a u .. LL ¢ o Z O ~ a U N ~ p ' 6 Q 0 ~ a~ ~ ti y Ri C f N W ^,y O N V] rl W O o ~ U •rl N ,.~ r = w w oD w 6 F. a r o v s, ~ w ~ o m ~ i ° FC ~ ti .c a -+ + al + . a . ,~ u N H m m N •• C •N •.a A C o r+ ~D 8 +~ U F+ N C a+ ~C (k U CCU