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PETITION FOR GRANT OF LETTERS
REGISTER OF WII.LS 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 ~ I I l _ ~ ~~
Name: Debra L. Stum File No: tl d~
a/k/a: Debra L. Stauffer (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: tune 3 2012 Age at death: 55
Decedent was domiciled at death in Cumberland County, Pennsylvania (Stare) with his/her last
principal residence at 1110 Rana Villa Avenue Camo Hill 17011 Lower Allen Twn Cumberland
Street address, Poet Omce and Zip Code City, Township or Borough County
Decedent died at 1110 Rana Villa Avenue Camo Hill 17011 Lower Allen Townshio Cumberland Pennsvlvania
Street addreea, Poat Ofnce and Zip Code City, Township or Borough County State
Estimate of value of decedent's property at death:
If domicUed in Pennsy!vania ............................ All personal property $ 10,000.00
/jnot domiciled in Pennsy!vania ........................ Personal property in Pennsylvania $
Ijnot domiciled in Pennsy!vania ........................ Personal property in County $
Value ojreal estate in Pennsy[vania ...................................... ................... $ 125,000.00
TOTAL ESTIMATED VALUE.... $ 135.000.00
Real estate in Pennsylvania situated at: 15 West Locus[ S[reet. Mechancisbur¢ 17055 Cumberland
(Attach additional sheets, if necessary.) Street addreea, Poet Office and Zip Code City, Township or Borough County
m 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 W ill of the Decedent, dated July 19, 2005 and Codicil(s)
thereto dated
State relevant clrcumstaceee (eg. renunciodon, death of execuror, etc.)
Except as follows: after the execution oftheinstrument(s)offeredforprobate Decedent did not marry, was not divorced, was notaparty to spending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(8), and did not have a child born or
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
Q NO EXCEPTIONS Q EXCEPTIONS
^ B. Petition for Grant of Letters of Administration (If applicable)
c.t.a., d.b.n., d. b.n. c.t.a., pendants life, durarte absentia, durante minoritate
If Administration, c.ta. or db.n.c.ta., 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
ht 23 Pa. C.S. § 3323(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person.
•~ NO EXCEPTIONS Q EXCEPTIONS
Petitioner(s), after a proper search hasNave ascertained that Decedent left no Will and was survivedbythe following spouse (if any) and heirs (attach
additional sheets, ifnecessary):
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Name Relationshi Address
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Form RW-02 rev. roiuizou Page 1 of 2
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The decedent, Jeremy S. Anderson, was never married but had two minor children, Genavee D.
Drawbaugh and Tuvinian S. Anderson. Neither of those children qualify to serve as
administrator and their mothers do not meet the definition for spouse, because they were never
married to the decedent. Genavee's mother, Brandi Messersmith, acting as natural guardian, will
renounce in favor of Jeremy's father, Kevin Anderson. Tuvinian Anderson has been adopted by
Steve and Ruth Fisher of Honey Brook, Pennsylvania and on behalf of Tuvinian will renounce
his right to Letters in favor of Kevin Anderson. There is case law supporting the grant of letters
to parents in preference to issue when the circumstances warrant. See Weaver Estate, Fiduciarv
Re.porter 2°d 236 .
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY oFCUMBERLAND }
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Fi~ aiv'r;~' ' . ','Jfl ~ c
~QIIJUL (8 qp ;
Petitioner(s) Printed Name Petitioner(s) Printed Add a s.. „:..
Summer . Shelle , n/1Ja Summer .Minnich 311 Ai View Road A t. 3 Shermans Dal S ~ ~ ', l
,~
The Petitioner(s) above-named swear(s) or afllrm(s) the statements in the foregoing Petition are true and coaect to the best of the knowledge and belief
of Petitioner(s) and that, as Personal Representative(s) of th/e ~e redent, the Petitioner~(}s)nwill well and tmly administer the estate according to law.
Sworn to or affirmed and subscribed be o~ ~( Y/~/~I7-e'L~ / ((.1'117 (~'~1 Date - ~~- ~r
me this ay f
By:
Fo fh egister
Date
BOND Required: Q YES Q NO
FEES:
Letters ......................
(5 )Short Certificate(s)..... .
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
Other ~~ 11\ ........
~2
To the Register of Wills:
Please enter my appearance by my signature below:
Attorney Signature: ~~ /~./~
!~
Printed Name: Scott W. Morrison
Supreme Court
ID Number: 83943
Firm Name: Scott W. Morrison
Address: fi Wect Main Ctreet
P n Rnr 2:27
New Bloomfield. PA 17068
Automation Fee .............. .
]CS Fee . ....................
TOTAL ..................... $
Phone: (717)582-2300
Fax: (7171582-4220
Email: .n~rrtcnnlawCu~renh~rvlink net
~~~
DECREE OF THE REGISTER
Estate of Debra L. Stum File No: ~~ I Of
a/k/a: Debra L. Stauffer ~( 2
AND NOW, U , in consideration of the foregoing Petition,
satisfactory proof having een resented before me, IT IS DECREED that Letters Testamentary
are hereby granted to Summer ]. Minnich
in the above estate and (if applicable) that
the instriunent(s) dated Tulv 19 2005 _~~
described in the Petition be admitted to probate and filed Y~°9ord a~ the ]~st Will (and
-v ~lJ.~~U-~--~i'
For,„ Rw-oz rer. roinnou ~~ Pag of 2
WARNING: IT IS ILLEGAL TO ALTER THIS COPY OR
' ' "'' TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH.
F i ~ ii_
,E PliriC.'~ ~.~~ COMMOIVINEAL rH f`F PE NN~1'_°AP (.A
UEVAPiTMENr OF HEA .''H -/i'AL 7~ C-1's~is
LOCAL REGISTRAR'S CERTIFICATfU,~N Ole GBATIi
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yam,,, ~~ ~;jt°a it
cE_~T. No. T 6 414 7.13 '~~,,;~ ''' ~_= -_o,June „', rt,z°^la---
Name of Decedent__-_- Debra L. Stum
-_ __
s~
Sex __ Female- Social Security No. _. 175 - 48 - 4890 Date o! De;aih _June 3, 2012 -
Date of Birth __ June 10, 1956 f3irthplace- Carlisle, PA
am
Decedent s Home
'Place of Death __- ~_ - timberland - C p Hill__ Pennsylvania
-_ - -
Face ____ White_ _ Occupation Accounting __ ,firmed Forces? (Yes or No)._-_ No
Divorced ~ g 1110 Rana Vill _ p _
Marital Status - - -__ _ _ Ma Im eAddress____ _ a Ave. Cam Hill _ PA
~~ „ ~ -~, , .~, sA,a
Informant ___ Summer J. Minnick James F. Nickel
- ------ -- Funeral Director -- --- - - - ----- ----
Name and Address of Nickel Funeral Home, P.O. Box 910, Loysville, PA 1777
Funeral Fstablishment.__--_.-~ - -- --- _ -- - -...~es--_ -_--
G ~I nterva~etween,.,
Fart I: Irnmediate Cause
(al .Hanging __ --
(cl
~ ~T5
-~-~ o ~ ~i
r
Part I!: Other Significant Concitions
Manner of Death
fJatural Homicide 1 1
Accident _ Pending Investigation ,_~
Suicide i XX Could not be Determined CI
Describe how injury occurrt'~d:
Intentional Hanging_
Larne and Title of Certifier____-- Matthew S. Stoner Acting Coroner
(M.D., D.O., Cosner, M.E)
Address-____-_ _ 6375 Basehore Road, Suite #1, Mechanicsburg,-PA-17050
This is to certify that the iriformation here given is correctly copied fron~ an original certificate
of death duly filed with-me as Local Registrar. The original certificate will be forwarded to the
Stata Vital Records Office for permanent filing. 11 /,
-~~(~~0. ~ ~rcr~. 50-455
~ ~tio .. ~„~uo-
June 6, 2012 101 Barnett St.,_New-Bloomfield, PA 1706.8
.~. ~,, ~ ~ , , ~ r ~ ~ m~.~n , .„n~o
LAST WILL AND TESTAMENT
BE IT REMEMBERED THAT
I, DEBRA L. STAUFFER, a resident of Cumberland County,
Pennsylvania, being of sound mind, memory and understanding, do make,
publish and declare this to be my LAST WILL AND TESTAMENT, hereby
revoking any and all Wills and Codicils previously made by me.
I
I declare that I have two daughters, SUMMER J. SHELLEY and AUTUMN
B. SHELLEY.
II
I direct that all my just debts and funeral expenses shall be paid from my
residuary estate as soon as practicable after my decease.
III
I direct that all taxes that may be assessed in consequence of my death,
of whatever nature and by whatever jurisdiction imposed, shall be paid from
my residuary estate as a part of the expense of the administration of my estate.
IV
I give, devise and bequeath all my property, whether real or personal,
wherever situate, including any property over which I may have a power of
appointment to my daughters, SUMMER J. SHELLEY and AUTUMN B.
SHELLEY, in equal shares, per stirpes.
V
I nominate, constitute and appoint my daughter, SUMMER J. SHELLEY,
as Executrix of this LAST WILL, to serve without bond. If my daughter, SUMMER
J. SHELLEY is unable or unwilling to act in that capacity, then I nominate,
constitute and appoint my daughter, AUTUMN B. SHELLEY, as Execut~ of this
LAST WILL, to serve without bond. ~~ c,
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IN WITNESS WHEREOF, I, DEBRA L. STAUFFER, have set my hand to this
LAST WILL this ~ ~ day of ~(,(,~~ , 2005.
DEBRA L. STAUFF
Signed, sealed, published and declared by the above-named DEBRA L.
STAUFFER, as and for her Last Will and Testament, in the presence o s, who,
at her request and in her presence, and in the presence of ea er, have
hereunto subscribed our names as witnesses.
~~n ~
ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
ss.
I, DEBRA L. STAUFFER, Testatrix, whose name is signed to the attached
or foregoing instrument, having been duly qualified according to law, do hereby
acknowledge that I signed and executed the instrument as my LAST WILL; that I
signed it as my free and voluntary act for the purposes therein expressed.
Sworn or affirmed to and acknowledged before me by DEBRA L. STAUFFER,
Testatrix, this /4~ day of G~~~~ , 2005.
~~ , ~~
Notary Public
NOTARIAL SEAL
DEBORAH L. RYAN, NOTARY PUBLIC
CITY OF MECHANICSBURO. CUMBERLAND COUNTY
MY COMMISSION EXPIRES JUNE 11, 2006
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
ss.
We, U "l ~C~c'~ ~ G>) ~4 G ~~/~ ~.LC and d~ainc l'l'1 . Sm~`~ >
the witnesses whose names are signed to the attached or foregoing instrument,
being duly qualified according to law, do depose and say that we were present
and saw Testatrix sign and execute the instrument as her LAST WILL, that
DEBRA L. STAUFFER signed willingly and that she executed it as her free and
voluntary act for the purposes therein expressed; that each of us in the hea '
and sight of the Testatrix signed the Will as witnesses; and that to the best ur
knowledge, the Testatrix was at the time 18 years of ge or mo , of s mind
and under no constraint or undue influence. ,~
~ ~/
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Sworn or affirmed d acknowledged before me
this /day of C~~ > 2005.
a'JGLf9tS~ C/' - ~~
Notary Public
NOTARIAL SEAL
DEBORAH L IiYAN, NOTARY PUBLIC
CITY OF MECHANICSBURCi. GUMBERLAtr'DCOUNTY
MY COMMISSIOM1I EXPIRES JUNE 11, 2006