HomeMy WebLinkAbout07-03-12PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Petitioner(s) named below, who islare 18 years of age or older, apply(ies) for Letters as specified below, arld in support thereof aver(s) the
following and respectfully requests the grant of Letters in the appropriate form:
Nikki Vorkapich
Decedent's Information /~ /; /~
Name: Ruth Jane Dunn Flle No: _21 I a ' (~~`7 So
alk/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: 06/03/2012 Age at Death: 93
Decedent was domiciled at death in Cumberland County, Pp (State) with hislher last
principal residence at 824 Llsbum Road, Camp HIII 17011 Lower Allen Cumberland
Street atldresa, Post Omce end Zip Coda Ciry, Tmvnahip ar Borough County
Decedent died at 824 Lisburn Road, Camp Hill 17011 Lower Allen Cumberland PA
Street etltlrass, Poat GRlca end Zip Cade CM1y, Township or Borough County State
Estimate of value of decedent's property at death:
If domiciled In Pennsylvania ...................... All personal property $ 160,000.00
Ifnot domiciled In Pennsylvania ................ Personal properly in Pennsylvania $
Ifnot domiciled In Pennsylvania ................ Personal property in County $
Value ofrea/ estate In Pennsylvania ................................................................... $
Reel estate in Pannsylvenie aituatetl et
0.00
TOTAL ESTIMATED VALUE $ 150,000.00
(Attach adddional sheets, i/necessary.)
Street edtlreas, Post Office entl Zip Code City, Township or aoreugh County
® A. Petition for Probate and Grant of Callen: Testamentary
Petitioner(s) aver(s) that he/she/they is/are the Executor(s) named in the Last Will of the Decedent, dated 04/10/2008 and Codicil(s)
thereto dated
State relevant drcumaterwee (e.g., renundafion, deem o/execubr, etc.)
Except as follows: after the execution of the instrument(s) offered for probate, Decedent did not mar 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 ditl 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 Letters of Administratlon (If aDPlicable)
c.t.a., d.b.n., d.b.n.c.t.a., pedente Itte, durance absentia. durente minontate
If Administratlon, c.ta or d.b.n.c.t.a., enter date of Will in Section A above and eomolete Ilnt 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 o 7
Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the followin - se (if an~"aand h@I_ ('~ct,
additional sheets, if necessary): ~ G C_> -n
l r
r' t {'!}
Name Relationship Address -
S aD ~n
cp
Form RW-02 rev. f0-H-2011 Copyright (o) 2011 form software only The Lackner Group, Irw. Pape 1 or 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF Cumberland } r. - , ~ t~~~~~E
REGi~!Ch ~;~ ~1jJ~C
Petitioner(s) Printed Name Petitioner(s) Printed Address
Nikki Vorkapich 102 Wheatland Road
Lewisberry, PA 17339 ~ 'i ' "-- -
~S~-~1~5 , :.. r
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 Deco ant, Petitoner(s) will well and truly administer the estate accordin to law.
Swom to or affirmed an~ subnscribed before ~ - ~ rY/~~~ -!~ Dale ~~
me th of]/ Vim, D8r8
By: ~~~ (( °° Date
Fo/the iaf°r Dele
BOND Required? ~ YES ~ NO
FEES:
Letters . .........................................
( 6 )Short Certifcate(s).........
( )Renunciation(s) ..............
( )Codicil(s) ........................
( )Affidavit(s) ......................
Bond ... ..........................................
Commission ..................................
Other
Will
Automation Fee ............................
JCS Fee .......................................
TOTAL .........................................
$ 280.00
24.00
15.00
23.b0
5.00
$ 327.50
Haase anaar my appaararn:a uy my slgnaaure uatuw:
Attorne Si ature:
Printed Name: Aaron C. Jackson Esq.
Supreme Court
ID Number: 200490
Finn Name: Tucker Arensberg, P.C.
Address: 2 Lemoyne Drive
Suite 200
Lemoyne, PA 17043
Phone: 717.2344121
Fax: 717-232-6602
E-mail: ajackson~tuckerlaw.com
DECREE OF THE REGISTER
Date of Death: 06/03/2012
Social Security No: 188-24-9033
Estate of Ruth Jane Dunn File No: 21
a/k/a:
AND NOW,
satisfactory proof havi
are hereby granted to
To the Register of lMlls:
O~C~\c7 , in consideration of the foregoing Petition,
before me, IT IS DECREED that Letters Testamentary
in the above estate and (if applicable) that the instrument(s) dated
described in the Petition be admitted to probate and filed of rewrd
CopyriOM (W 2011 torn softwel0 anIYTTe Lackner Group, Inc./ 1 / 1 /^
LOC~~~ITAR'S CERTIFICATION OF DEATH
W t# II to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00 ~_~~~ ~~~ _3 AM 9' I (~
ORPHAiv'S (x~WnT
P 1865024~~^^DCO,.~
Certification Number
This is to certify that the information here given is
axrectl'y copied from an original Certificate of Death
- duly fined with me as Local Registrar. The original
certificate will be fr warded to the State Vital
Records Of'i ~ 'x anent filing.
,f S
a
Loca] Registrar Date Issued
ryp•/Prmtln
PB'm
COMMONWEILLTN OP PlNN9YLVItNIIL ~ OEPItRTMENT OF NEILLTN ~ VITLL RECOROs
fFOTIFI['ATF AF 1'fFATH
•c•e•nt', u{•I N•m• (Flrat Mlatll•. L»t SuNla 9. 9pc1.1 S•[urlN Number 4. O•<• of O••th (MO Ory spell Mol
2
r
G
Fama1 165-18-9897 June 3
2012
,
Ru h J D
9•. R{•-Lea[ Blr<ha•y (Ynl sb. Untl•r 1 V••r 9e. Una•r 1 D• E. O•w Pf Rlrth (MO O•y ••r) spell Monthl npl•q ICI a 9ut• for•I{n Country
°nm D.y. Noura 1^.• Januar
13
1919
~
y
a
>b. {IrtnP
• ILOOn< 1
93
•ue•nw Isww o. P•ra{n Country) sb. Rommu Is<mune Numeo- mdua• Ap[ rvod Dle D ue•nt uw m • TnwwnlvY
aa.wA.m•nw woOnnl 824 Liaburn Rd. .Y210 57Y°. e•wa.nt nose In ~L<vwer A1lF.a twv.
Cumberland w. R.aa.nc•21P COe•j ONp, a.c.a•n<Iww wlcmO nmww uN/bore.
9. E..r m us Arm•a Fprcaa> to st.wa n Tlm• O o•.m • I•e u. sun,wm{ sPOO» a N.m• or wn•. nw n•m• veto. tO n.at mew.{.
n
iG
OVnknew
001v°rutl ON•V•r M•rrl•a
~Y pN OVnknown
. vlnq Mlem.. L.[, su Lj
la ta. Mom•r'. N. m. Prl« w FL.uN•my. (Flrab Mwal•, uan
Russell S. Rice
Inrarm•nt'a N•m• 14b. MI•tlonahlp to O•ua•n< InI°rm•n<'a M•IIIM Aa nn (Etrwt •na Numh•r, EIN, Sut•, Slp Coa•I
1.•. 34e.
Whaatland R11. Let i berr PA 1733 +'~
Nikki Vorka ich (~ 102
n
......................................................... ................... .......................e~.....~........en........!s._?...Y. ~..! ..............................
.. .... ......... Nome
1/ O•NM1 Ouun•tl In • XuPlt•1: [] Inp•<I•n[ ~~~~~ ~ ~ ~ II p••<n Occurr•a Epm•wh•r• O[n•. Then • Noapl<•I: ~ XnaPlu FKIIIN .u ~D•[ia•nt1
Em•r .n Roam/OU< tl•nt O••a pn ILnlwl Nunln Nom•/lnn -Term 4r• F•cll Otnar S cl
yyy 196. F•ellny N•m• (If n°[ In•[NUtlory {N• nu•t •na numb•rl 15e. CIiV pr Tewn, 94b, •ntl 21p Coa• SSa. County or O••en
Woods at Cedar Run
3a•. M•tno ONppal[I°n SuN•I nmal°n
L )fib. D•u of Olaposl<IPn SSa. PI•u °f DNpoNtlon (N•m• of um•»ry, cum•<°ry, or w •r p »•)
_, O R.mwa rrom :n» o DOnalon
o[M1.. June 5, 201 Bitnar Crematory
taa. bcmon or Obpoaltinn IcIN °. town. Stan, me npl u
v o F r•I s• n Ln•n• p In<oms t vb. uunu N mbo
Harriabur PA 17110 FD-138866
1>c. N•m• •na C°mpl•[• Mtlnaa oI Fuw.•I F•clllty
H P
~ ua•n<', Eauutlnn-[neck [n•bo. tn•tbwt a•acnb•a[ • ua•nt° Np•nc {In- O.O•ua°n<'aR.u-[neck ONE OR MOREnuato lntllun wF•t
Fi{n~a[a•{rw or l•V•IOf acM1°pl c°mPn<•a •t the [Im•oI a••th. b«eM1•t b•rt a•aerlb••wn•th•r [n•a•c•tl•n tM1•a•uaan<consla•r•a M1lma•If °r n•r»If to b•.
O {<n {na.Orl.•• la svmaNNNp.nlt/L•nnO. eb.ek m.••NO•• nl<• O Ro...n
o no emlom•, 9en-l:m{m• b°w lea•e•amtls nwswnl,NN1 n14L•<InO. Rl.ck O. Afrlon wm•ne•n pv
•
•
Y ~n
QA Inal•n ar Tl•alu N•tlw D Otn•
~ NI{M1 acM1°ol{ntlu•n or GEO Campl•nE of Sp•nNn/NI»•nl4latln°
l
lr,al•n ~ N•tlw N•wallan
0 some eoll•S•=ntlle, but no a•{n• Y», M•alun, M•:tlun Am•rle•n. Chluno Q Aal•n
t• a•{n• 1•.{~ M A9) 0 V•a. Pu•no Rlc•n ~ Cnln•u 0 Gu•m•nl•n or CF•morra
I
I•Ya ayn• 1•~{. S4. I.B. 99) Q Yw. Lub•n ~ FIIIPIn° 0 9+mo•n
~S•cM1•
1 a.aru (•.{. M0. Ms. MEna MEtl, M9W, MM) 0 Y otM1•r 9p•nNn/Nlsp•nlc/ntlna ~ l•wn•'a• ~ Ow•r P•cIRC lal•ntl•r
•
O o n b.{. Pno, EeDI ° rvNUI°n•I agru
lap•aM O o[n.r (sP•cNy)
r
u{
1D
t
amii n.~au-Den{n.non-en«k oNw orvEwlnalot•wn•en.a«•a•nt eO«m•r•e mm»u of n•n•veo b•. u•. o•e•a•nr. Dwa oeeuP•npn.mmnc•NV• ork
:1. D«.e.nr
e
D.
nit• puP•n»• Os•mo•n aon•eunn{mo•t Oe wo.km{nr•. DO NGTUZE RETIR
O enek o. Ammon Am•nnn p Ror•.n O O[n•r velrm ul•ne•r
T
h
eac
er
p A •Nw n Or Al..k. rv.a.• O vl•c O oon w/N« sur.
.~
muan
..e °
.
al
zm. {ma w aO•In••/mamtrv
p wb
w
O n•N
p a mei
n
I^
•a• o N•<Iw N. w.ll.n 0 O!A•r 19P•tlNl
o CM1
p FlllvinP pGU•m•nl•n o. cn•mono Education
ED • wn w {n o •rzon v.onOOn .,a v w •PP = vm •r
a P{wsow wwo Pwowourvc{a oa
a I
i
• w
•t V
~
_
7
Mama e..:nlwr O. <Onn.. cOnt.m
CAUSE OF DEATH
p
nt~iv
•t•
l
1
xS.v.nL Enterth•cn.mnr.wnn--al».a... ratan... nr wmpne•N°na--M•teb•ttlV Uw•e[h•eutM1. OO NOT •ntowrminnla•nu {ucn•a wnl•c•npyt '
r•aplrKOry•rn,t ar uantneul.rflbrlll•<IOn wRnput anowlnS eM1••[I°
I P
OO NOT MSSREVIATE. En<.r only °n•ewa•°n ti lln•. Ma•tlal[I°n•I lln•a i(n•e•u•ry Ona•tw 0••tn
SV
I
-
`
IMMEDIATE CAUSE -----------> •. /~/~-
tFl •mm~°n Du•eo loro•epnn9wnw aq:
t
n
nsul
i
[ In Ootnl
e.
s•OwnN•nY u.<cOnarcmn., oO. w wr •. • cona.Rwnc• on:
n• .•mn
.e
P t.
<
~
rw
u
s
r [
oO. w wr... tOn..RO.nu On:
Ne9w~
a
u
.
wl..•..Or InlOry m.e
'
mole<•a m...,.n<. r»w[InE a.
DO. t ... con
In aom) u.{T. p (or »•umc• prl:
x{. Penn. Ennr Om.r buc nw r»alcln{ m m• Onaowm{ono {wen In P•n 1 z>. w•. • wp•v •ea
2S.Wn•uwP.Y nn v.ll•bl•
g to mvl.n en• wO» a e•.tna
V•a No
29. 11 F•m•1•: Ola
TPb•ee° U» C°nerlhuu w OutM1>
O n•r
p O••tn
~ Not Pntn•nt wlwln p»<Y••r Q V ~ Pwb•bIY ~N•tunl p Nomlcla•
~ P °t a•KM1 o
O N O Unkn°w^ Mcla•n< p P
y p N wl<bm 4z a•r•Or a.•[b
e p s rata. p eOwa nOe b. e.e.rmm.a
p Na
pos .~< e . wf•r. a..<M1
• . D.<. •nnlury IM°/D•v/Yq (swn Menenl
0 Unknown If Pn{n n[ wlthln tM1• pea[ w•r 99. TIm• of In1uN
3<. PI•e• n Injury (•.{. M1°m., a°na[rue<I°n ,le.: arm: aen°°Ij 99. be•tl°n °f Injury (9er••e •na Numb. r, CIN. 9t+t•, 21p Caa•I
36. Injury •t W°rk 3>. II Tr•n,P°rt•U°n Injury, 9P•eIN: . O•acrlb• N°w Injury 0«urr•tl:
p r O Drw•r/ovntor p P•e•nN•n
p N• O P.a .n{•. p uno (sp•=INI
39•. Grtln•r (Check only one):
~•L•nlNin{ pnWml•n - Ta tM b•R w my knowl•tl{•. aw<M1 o«urna au• to tn• c•u»IF) •na meaner antes
O e ms a <•rtINmS PM1WieI•n - T° en• Wn w my knowl•aE•, aoen «eu..•a •<tb• time, a•t•, •na pl•e•. •na aw w [n• nu»(q ma m•
r
O M•alul E:,•mlwf/Coroner -On <M1• b•a1a °r •u In•<lon, •ntl/or InvRI{•<lon. In my oplnlon. aww oeeurna •<tn• tlm•, a~K•, •na pl•e•, •ntl tlu•
n <h [easels) •na meaner auutl
Of c.rtm.r: nn. wc.rtln.r: diL /~ u=...a. NOmwr: H.idDy3G 4~/C
Sn•t .•
Man...na 2tv cna. w Pown c°mPl•nn{ <•u» w O.•<n (n 2S1
9b. 4
E;FIo N e
<
-
' 9fc. O•n s wa M O•v rl
-
a
nd L 5 c h ¢ e n en O& 1, OwTHE~2 ST~ c- ev- Sf.
i. /
. .{lane. t D nr
R Ny(ti •
41. •{ a sl{n.eun at • •t• Mo D.v
l
~ ~ - -
.9. wmanammt~ ~ I ~4
DnvO•nwn P•.mR No. L~~ ~ q .`~-~Sf - Nlos-a49
REV O>/2013