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HomeMy WebLinkAbout06-11-12PETITION 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, strict in support thereof aver(s) the following and respectfully requests the grant of Letters in the appropriate form: (~ II vll~ Decedent's Information Name: Tami N. Lytle File No: 2t a/k/a: (Assigned by Register) a/k/a: a/k/a: Date of Death: 05131/2077 Decedent was domiciled at death in Cumberland County, pA (Sfate) with his/her last principal residence at 3122 Yale Avenue, Camp Hill 17011 Camp Hill Cumberland Street atltlress, Pwt ORim antl Zip Code Ciry, Township or Borough County Decedent died at Abington Memorial Hospital Montgomery PA Street atloress, Post Olfice arM Zlp Cotle City. Township ar eomugh County Stale Estimate of value of decedent's property at death: 1/domiciled in Pennsylvania ........................ All personal property 5 Nnoi domiciled in Pennsylvania ................. Personal property in Pennsylvania S If not domiciled in Pennsylvania ................. Personal property in County $ Value of real estate in Pennsylvania........... S Real estate in Pennsylvania sRUateO at (Attach etltilbnel sh9els, if nerassery.) Social Sec:urily No: 200.50-5024 Age at Death: 40 2,248.36 TOTAL ESTIMATED VALUES 2,248.36 Btreet atltlreas, Post Otfice antl Zip Catle Ciry, Township or Borough County ^ A. Petition for Probate and Giant of Letters Testamentary Petitioner(s) aver(s) that he/sheythey is/are the Executor(s) named in the Last Will of the Decedent, dated thereto Oatetl and Codicil(s) (Sra(e RleVanr CIR'YInNaIlCe9, e.g.. RI1UI1pafTI1, OeaM 01 BXBCUfOr 6fC.) Except as follows'. attar the execution of the instruments afteretl for probate, Decedent tlid not marry, was not tlivwced, was not a party to a pending divorce proceetling wherein the grouMS for divorce had ~n established as defined in 23 Pa. C.S. § 3323(8), and did not have a chiltl bom or aooptetl; and Decedent was nether the victim W a killing nor aver adjudicatetl an incapacitated person. ^X NO EXCEPTIONS ^ EXCEPTIONS ^X B. Petition for Grant of Caftan: of Administration or applicable) If Administration, c.ta or d.b.n.c.t.a., enter date of Will in Section A above and comolete list of helot. Except as follows: Decetlent was not a party to pending tliyorce proceedingg wherein the grounds for tllvorce had Deen establishetl aslj in 23 Pa. C.S. § 3323 (g) and was neither Ne victim or a killing nor ever adutlicatetl an incapacitated person. ~s ^X NO EXCEPTIONS ^ EXCEPTIONS PetNOner(5)), after a proper search haslhave ascertainetl that Das7et left no Will and was survived by Ne following spouse (if any) and addltlona/sheets, Mnecessary): ai? ~ >a (adaclr N ,~ . ~ ((~}} r n ~i Name Relationship Address Thomas Lyde Brother 75 Scott Drive Shippensburg, PA 17257 Samuel Mogerman Brother 7606 Orrstown Road Shiplaensburg, PA 17257 Shirley Mogerman Mother 1508 Orrstown Road Shippensburg, PA 17257 rnrm RW-02 rev. tart-2mf Copyright (c) 2011 (Dori soewere Only Tha lerkner Group, Inc. rz :r vam O1 rersonal I<epresenlauve ~ ~IJNili~i_orra~iliti COMMONWEALTH OF PENNSYLVANIA } c 1'iCl1'C`'"'~ ~' i,C- '1~1~~~'7 ., ~1 (.; `~ } SS: , ff1lLL ll;;tt ~ couNTVOF Cumberland } Petitioner(s) Printed Name Petitioner(s) Printed Address Elise S. Cohan 3122 Yale Avenue Camp Hill, PA 17011 ^; ~:^.!/ n)' v:._. ,I'd" C(~UF? ..- . _...._.._.,_, ___._ . _....._ ,..._.., ~,,, ,,, o,,,,,,,r~1 ,,,~ „a,e,,,~,,,~ ~~~ ,,.e wruyoin rennon are ^ue an0 cornea to the best of the knowledge and belief of Petitioner(s) and that, as Personal Representatnre(s) of the Decj~/~%9} Fete Ion (s) w' well and truly ;administer the estate according to law. Sworn to or affirmed a ubscdbed before `~C-aIJLL ~(a~+a. Data S-/ .- ~ Z me ay of f~ l~ Dale oau e Register Dale BOND Required? ~ Yes ~ No To the Register of Wills: PEES _c~~C _ ~~ ( ~ )Short Certficate(s).......... c ' 1 )Renunciation(s) ............... ( l Codicil(s) ......................... ( IAffxlavit(s)..... _....._......... Bond ........................................... _. Commission ............... _.................. Other ,~~ Automation Fee ............._....__...... ,.~- JCS Fee........ _._ ............................ TOTAL ....................._._................. $ ~--_- DECREE OF THE REGISTER Date of Death: OSI3112011 Social Ser;urity No: 200-50-5024 ~--- Estate of Tami N. Lytls File No: 21 -- l~ ~ )--f a/k/a: AND NOW, <~I~`Q n ~~ or01 ~ , in consideration of the foregoing Petition, satisfaaory proof having been presented before me, IT IS DECREED that Letters of Administration are hereby granted to Elise S. Cohen in the above estate and (if applicable) that the instrument(s) tlated described in the Petition be admitted to probate and filed of record Fprm RW-d22v. 10.11-4011 _~._._. Gapyn9~l (c)2011 Attorney Signature: /////~//I~ ~ /~ A~ Printed Name: Thomas A Capper Supreme Court ID Number: 75020 Finn Name: Ball, Mumen & Connell Address: 2303 Market Stmet Camp Nill, PA 1'7011 Phone: 717!232-5731 Fax: 7171232-2142 E-mail: capper~bme-law.net ~~`~ 'r u v . P sv r _ - - _ LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fez for this certificate, $6.(10 This is to certify that the information here given is correcaly 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 Ottice for permunent filing. P 17728176 ~~~,~~~~ i ~, rill CertiSca[ion Number Local Registrar Date Issued N d ~ L ~ lZ ~ _ ry-G~ G^ - ~ Y ~~~ - n~i r`F^. ~ '~ 'O t~F-' ~`' i~ 8 Z ' law xEU IIYgA COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VRAL RECORDS 7J rrPElvRmm ° ' ~~ N ~~ MCC 2011-0938 CORONER S CERTIFICATE OF DEATH ~ (See Instruetlona entl ezemolea on reveraNl _ ~.~ q 3 I. x..eaoeew.n lrr..em., rl, Neq zs.r ssmN 3eaN+wnoer apnea G.m lMmm, nv.n mi N L tl ~ Female 2pp - 50 -' 602A Mey 31, 2011 s pelWlBWav1 LMnI Umxl e. Wbd9Am Aber, ]Nagenl Mruw mN MRewaOeeM Gad ore) w.ee Nn d'+• r.n. Nu°IW'. onrer. Chambersburg PA , 40 rn. yil Ypnenl ]EP/L1MMM ]WA ^'Wrenq Vbme QhflMVa ]pnlb'p~: ' Po.Cq^Md GeT &. Cry,am.Tr.dDrm &. FaJHYW IXMYeNan, Ex. m.tlea N~maeH B.VN GttUnIplM4rrt GOW?~NO ~YY tU. 18n:kmMnlMb BrF MMe Ne . . . . , Montgomery Abington Township Abington Memorial Hospital I"ra.lladN Cwm, lareait Mehen.Prrlo Ebn. a.l White II.MyI'e Lful dame rtMd r.PoMYIe 13, Wee M]rileerN lM 13.Gyhrv.'e Edwlb~IPpdNafe Ax,MY mnaedQ 1l AYrIW Mepc AYrXel.HmrIMM, IS. SUrMFq Fp[w IHMM, pro m•k•n vrgl xMdNbA xMp9fNgl WSey 11.S, NnW]Faw? ENbenYry/9•[wA•ry (0.12) caAwelt~as.l Wb'.a4 pxmra lWba^A Nurse Nursin D.. £7rm 12 rs Never married IN pNWae MeegxNden lareN eryrmem.mre, zq creel DereHNn W GoWm PA 3mutl xMNwu n"~~" nA ~,e 3122 Yale Ave., Camp Hill „w"° "`~^i 4i~4""1YeOM TMn , . q 17011 nA. camn r`nmhcrlanA O°® "O,~ I° ~" ''~"+A" Camp Bill , , a ~/~ le.Fawe r•+Ina mm.,Ne Neal 1e. wmwe xae~ ,mme,mdxn euian•) Shirle Diehl A. MwrteiR. Xnx (!K•1 PM1 Lm InlmneMb WIae AMnm G•el dY1 bM. slab, N°ox.) 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DD xmwNlmew •wnu wm.e mmr.+eel i tp ppio]nv lpe CeAMem MW? . d.M to Deem er nol 'eµeM vnN,nrwdbhrNMhan MmNA aeNpme erryy.lltl mNwmrm wAlM. ieeJW9FXwuMMM ww Ph^"Polll ^'/ee QPrdad/. eeepA lq•iurnn ARTERIOSCLEROTIC CARDOVASCUTAR DISEASE ~ p "~ ^'b L~ LNmen IXMr i.u Wg m eMml y MORBID OBESIrv, OPMTE WIMpaAWAL e, anFNreN: we mlae.emrwwbe oH. ^ xd weabn.nXn Peel wx rmpr..n.m, e. 5y1~~u~neberyp~e M3T i••. ^ FienMlNaMansN bYreeYAEXLVMC CMI6E Hueropme.onepiNrwdl: mrw.+Mnnuan O <. . ~w'°~..NtB' ^be"".e""I CAflme ~ abmla,....ae.wea. ae. ^ ~,Hd pepaluhnmlynf n. u dneNnn MealrPwreP s.zmenxwee, 3Po wN•A.mPW~ r.Ar•rerdp.n 3r pralp:,HlanA, ur.rrl 3a.GarlmemMpmb.e PNbrte}f AwItlY PMmCanYXbn ~~ a ~ nIA&M Feday, dGV aGa? ~1hMl ^WMtlM OMm .xc lSe3rr1 ^w g7r ^V. ®xo ^xada ^Pmdy reR.mn 3mnmldmyxy s.. iryNynwoxr nN.nn.ramla. NPn 49rfy 3~Lwr,dlay beet dry lmen.rnl ^Sd[de ^Lwd Ndb OnmYM " ^Va QNa ^ortr/WN•Ia ^PeeeNgw (]Pe4ewn pr'' 3h CelNrlded Npmel 33H.aaremn as ~ c ~Pl • mbrrlPnee..unM+u.~..aaeem Mim.mmxdmbm re o~unevaann rn mnw•e lmm~l N n mMleeNtlweeaea.ne pNbe.alrlnNWn•eWrr ereNd____ '_"'" ^ ____________________ ' NWrra MglWerrlR e m u e b - CORONER W~yg , m o pa•xe p bmwvnryngm wa final m mvmeeleM,erneaaea Nevlm.,ad,ea pleeN ea d.mge MUy.lea N•Nn.ereL___________ __._ -- ~ T[.lrMe NUde sm.oa SpselMmlrt ex wl • 1YaulEVrer/CNmv MD 033656E Se tember 6 2011 Giee[eeYatlwi"tlMtlM rib/N M•eapNm,Mpry(gYim,E.man•<mINYlM eme yr eapYq ea Oremtlre OYwlelea i aN ® p , , , lNIIIINr 1. Mrrtre MOMiWdPYM Ma t'4n[eIM GUe WC•Bm lb mm Typal PnM 'e'~1OY' e10 - ~,fde I ~l I I a I 1 I O I x. p.Nnrlwm,, dr,r.n WALTER I. HOFMAN, M.D. Montgomery Caunry, Norristown, PA 19404 NEF AFCO~?~:~~ ~ i~FFICE OF ~U12 JUN I I F'M 2r ! 5 RENUNCIATION r~ ~o~< ((yyRPPHAN'S (~JUR? REGISTER OF WILLS~~ ~" Cumberland COUNTY, PENNSYLVAi`IIA Estate of Tami N. Lytle ,Deceased I, Thomas Lytle , in my capacity/relationship as (Print Name) Brother of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Elisa Cohen ~~s-Ff /30! a` IDareJ Executed in Regrster's Office Executed out of Register's Office b ~..~ Swom to or affirmed and subscribed before me this day of , Deputy for Register of Wills Form RW-06 rev. !0.(7.06 Before the undersigned personally appeared the party executing this renunciation and certified that a or she executed the tenon ration for the p s stated withi r~ ~ day P' o , aoia ,. 0,~2 emu. D_ ~,~~ICi ~~ Notary Public My Commission Expires: 1"Y~d,rc h d ~l t a, 01 ~' (signamrc and Seal ofKomry or other ofiu:iel qualified to administer oaths. show date ofezpiration ofNotary'f Commwipn:y 7r. COMMONWEALTH OF PENNSYLVANIN-. NOTARIAL SEAL PAMELA A. SWITALSKI, Notary Public Born of Shippensburcl, Cumberland County My Commisslcn Expires March 24, 2014 RECORC~i:C ~1FNCE OF RENUNCIATION REGISTER OF WILLS Cumberland COUNTY, PENNSYLVADdIA 2012 JUN I I PM 2~ 15 ORPHAN'S COURT CUIu~ERtAND CO., PA Estate of Tami N. Deceased I, Samuel Mogerman , in my capacity/relationship as (Prim Name/ Brother ofthe above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Elise Cohen ~f ~a 8 ~ao/a rpoteJ ~- Executed in Register's O,~ce Sworn to or affirmed bscribed o me this Deputy for Register of Wills Form RW-06 rsv. !0.13.06 rs+sn ~~ d3 1606 Orrs~' c Road n (SneeJ Address) Shippensburg,PA 17257 (City State, Zrp/ Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciafg9~or the ~es stated yr~ithin on this ~d-day My Commission ~xpires: ~~~ ~(J ~ /> (Signature and Seal of Nabry or other official yualifial ~ , / administer oa[hs. Show date afcmpiration ofNoraysC ) Notary Public Q COMMONWEALTFi OF PENN YLV NIA NOTAFIIAL SEAL TAMMY SUE HEL.MAN, Notary Public Guilford Twp., Franklin County My Commission Expires February 10, 2014 F~EC~~iOFCi ~ ~~iCE OF P,EGIS ~ ~~ ~:~;~ ,Am ~ S 2p12 JUN I I PM 2t I :; Cumberland RENUNCIATION REGISTER OF WILLS ~i ~q?~ .rr ONPHAN'S COURt (ERIN CO., PA COUNTY, PENNSYLVAi`fIA Estate of Tami N. Lytle ,Deceased I, Shirley MoRerman , irl my capacity/relationship as (Print Name) Mother of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Elisa Cohen ~~o?g' lao r~ (ome -~ ISigmrture~ 1606 Orr +osl Load (Street Address) Shippensburg,PA 17257 (City, State, ZipJ Executed in Register's Office Sworn 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 th~t~te or she executed-the-renunciation for the stated within on Deputy for Register of Wills Form RW-O6 rev. 10./3.06 day Notary Public My Commission Expires:mnn h ~N,aO1 (Signature and Seal ofNOiary or other official qualified to administer oaths. Show date ofeapiration ofNOrary's Camwinion.) COM NWEALTH OF PENNSYL NIA NOTARIALSEAL PAMELA A. SWITALSKI, Notary Public Boro of Shippensburg, Cumberland County My Commission Expires March 24, 2014 ~CORDE~ ~)~FiCE OF ZO12 JUN I I PM 2~ 15 RENUNCIATION REGISTER OF WILLS Cumberland ^~ col1'' J.L. :r., r~ ~RPhiRN~S t~URr p CO., !~ COUNTY, PENNSYLV~tNIA Estate of Tami N. Deceased 1, Harold E. Lytle, Jr. „ in my capacity/relationship as (Print Name) Father of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Elisa Cohen v~V ~ 15~ a~ i z- ~~ate~ ~"J Pointer Road (StreetAddress) Forest City, N.C. 28043 (City, State, LipJ 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 renunciation for the purpo es stated within on this ~ ~ day of 6~ No blic ~Q I c My Commission Expires: ~,~.-l O J (Signature and Seal of Notazy or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) Farm RW-06 rev. !0./3.06