Loading...
HomeMy WebLinkAbout08-09-12Reset PE'['I"1'!ON FOR GRAN"I OF LE'f"I'ERS f2EG[S'I'kiR OF WILLS OP CUM[3ERLAND COUN'CY, PENNSY[.VAN[A I'etitioncr(s) named below, who is/arc 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 InformatioD q ~ ~ ~ ~ ~ ~j Name: Judy M Evans File No: dv b aik/a: (Assigned by Register) a/k/a: Alva; Social Security No: Date of Death: Age at death: 6R Decedent was domiciled at death in Cumberland County, p~Syivania Lsrntet with his/her last principal residence at 221 Lee Court Enola East Pennsboro Township Cumberland County Pennsylvania 17025 Street address, Poat Office end 7.Ip Code Clty, Township or Borough County Decedent died at Cornmunit~Gencfal osteopathic Hospital 4300 Londonderrv Road Harzisbure, Da~hin.County,_Pennsylyania Slreel address, Post Office and %ip Code Cily,'rownship or Borough County Slate Pstima[c of value of decedent's property a[ death: lJdnmiciled in !'ennsy/vunia ............................ All personal property $ 15,000.00 /foot damici(ed In Pennsy/vunia ........................ Personal property in Pennsylvania $ /f nor damici/ed in Pennsylvania ........................ Personal property in County $ Value ufreul es(ate in Pennsylvunia .............................................. .. ......... $ ' TOTAL ESTIMATED VALUE.... $_. _, _ 15,000,00_. Kcal estate in Pennsylvania situated aC _ rJUUdi ~utJiriunal sheers, i/'ncrv.renrv.) Slrent address, Post Office and Zip Code City, Township or Borough County ^ A. Petition for Probate and Grant of Letters Testamentary I'ctitioner(s) aver(s) he/she/they is/are [he Executor(s) named in the last Will of the Decedent, dated and Codicil(s) thereto dated Slate relevant circumalantea (e.g. renunciation, death ufexeeumr, rM.) I lxcept as follows: after the execution of the instmment(s) ofrered for probate Decedent did not marry, was not divorced, was not a pony to a pending 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 barn or adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ® NO EXCEPTIONS ®EXCEPTIONS © R. Petition for Grant of Letters of Administration (If applicable) _ c.l.a, d.b. n., d.b.n.c•. t. u., pendente lire, duranle uheemiu. durunre minorirua• If Administration, e.t.a. arlLb.n.c.ta., enter date of Will in Section A above and complete list of heirs. P:xccp[ as follows: Ueccdent was not a party [o a pending divorce proceeding wherein [he grounds for divorce had been established as defined in 23 I'a. C.S. $ 3323(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person. NO EXCEPTIONS ®EXCEPTIONS n..~ I'ctitioner(s), after aproper search has/have ascertained that Decedent left no Will and was• survived by ur/diliona! sheen, iJ nec'ersurvl: Name Relatlonshi Address e.!~` M ichcle Kennedy Daughter 240 West Dauphin Street U' ~' ~ ~ `- ~' F.nola PA 17025 c ^ - ` Il:rydn 'f. 1?vans }Iusband 221 Lee Court ~ - - _ Shawn Kennedy Son 9012236 SW Street' D ~ GD Seattle WA 98026 W Brian Kerrigan Son 4S Tmdy Circle Mechanicsbur PA 17050 PLGASI NOTE: Mail is not received at the address listed. All mail is received aU P.O. Box 99074, Seattle, WA 98139 am~eirs l[IlftiG~ 2- rTnJ C c c,-; 1 Page 1 of 2 Oath of Personal Representative COMMONW BAhtII OP PHNNSYI,VANIA } } SS: COUNTY OF CUMBERLAND } Ortfic`j,~l ~~ Only r~~F,i C; , -F. ?D - ` 3 Petitioner(s) Prin[cd Namc Perhioner(s) Printed Address M ichcle Kenned 240 West Dau hin Street F,nola PA ~ '~!^' t~'`~ ~' T CUMBERLAND CO., PA the Pctitioneq s) above-named swear(s) or arm(s) the statements in the foregoing Petition arc trueaod correct to [hc best of the knowledge and belief u(Pctiiionegs) and that, as Personal Representative(s) of [he D cedent, the Petirioner(s) will well and tmly administer the estate according to law. Sworn to or affirmed an subscribed before ~ ~ I ~ Uare~ ~_J~ me this ~ ay of ~ ~'~ ~ .Date I;y~ Uatc Fur he fteei.ner _ Uatc nOND Rcq aired: ®YH:S ®NO I~ I:ES: Letters ...................... $ (10.00 I 4) Short Certificate(s)...... 16.00 3) Rcnunciation(e).. _ ..... 15.00 ( )Codicil(s) ............. ( ) Aft'idavit(s)........... . Bond ........................ Commission . ......... ........ Oihcr ...... Automation Fce ............... 5.00 ICS Pee ..................... 23.50 rornl. ..................... S 119.50 To the Register nj Wills: Please enter my appearance by my signalu re below: Attorney Signature: Printed Name: Bruec J. Warshawsk , E, vc Supreme Court ID Number: 58799 Firm Name: Cunningham & ChernieotfRC. Address: 2420 North Second Street Harrichur~., PA 17I 10 Phone: Fax: Email: 717-238-6570 X235 717-238-4809 hiw~cDrrlawpy~n n _ DECREE OF THE REGISTER 1?statc of 7udy M Evans Filc No: a/k/a: me mstrumenks/ oatca _i described in the Petition be r~~„~~awnz re,=. mn~~ann AND NOW, l ~~t y1~~ I ~~ ~ ~ , in consideration of the foregoing Petition, salisftctory proof having b presented before me, IT IS DECREED that Letters Administration are hereby granted to Michele Kennedy in the above estate and (if applicable) that H I ttF vn< pry' .al I :: LOCAL REGISTRAR'S CERTIFICATION OF DEATH ~`..;I€%~~~ to duplicate this copy by photostat or photograph. ~~!(' i RED,;.:,"~:._, ~rvl~ ~ e Fee for this certificate, $6.00 This is to certify that the information hexe given is 2~~2 AUG -9 A~ ~~ S 53 correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will be forwarded to the Stale Vital "'"'~. ; Records Office for permanent filing. asPw~v~s ~ou~r Q C '~-~e-~, P 18 7 U U 5 g~E~uwo co., .~n Certification Number p./Print In vrman.nt (\ \~ v1 C I~ l/d~/zor Local Re strar Date Issued COMMONWEALTH OF PENNEYLVANIA • OEPAPTMENT OF NGLTN . VITAL RECOgD3 f COT•CEf'ATC !1c A 0.utl•nt's L•NI N•m• IGIr•4 MIOGI•, L• Bu Iq t 3. s•. ]. swl•I s•cuRN Numb•,at•t• ru• n4. O•<•~ a D•Rn (MO/Dw/T'r) (]qll Mol Jud M. Evens Parm•N - 1l4 •~ N•-Cart aIRMry Ivn) 30 . V edar i v r 1 D• : D•u o/ NRn IMe D• • r) (ap•11 maven) Irtnpl•e• IeIN •ntl se•e• ar Fawltn eeumrvl • D ~ en .v No. In.< ApFll 11, 1984 rb. slRM1pl.w (counNl . Pwltl•nu 13<•t•ar Far•Itn Cqun<ry) Nltl•nw lsb••t•no NUmb•.-Inclu •APt NO.) •c•tl•M Vwin•TOwn•nlp) 8 321 LN CL A Qv.•, a.wa•n<nr•e m ~~ ea. R••la•nne Icounty) o CumWrlantl s•. n•am.ne. rzlP Caa•I '11036 pNO wa•m Iw•a wlmin llmlt•m eIN/m. p. •r In US Arm•tl Farcwi •I S<•tua •<Tlm•oIDNtF 1 a p Wlepw 11 ]urvlvlry]pouu'•N•m•III wl1•, tlw n•m•pNarw Nr•t m•rrl•••1 lo ~~ dv pv pu pD rcaa pN •. M•r.l.e punknew YO 13. G•<n•/a N•m• (FIn4 Mlatll., L••4 SuMg 13. Matn•f• N•m• prlo. to FIN[ M•RI•N F1n4 Mlael•, uK) Hs.rolti Orou laa. mro.m.nr. Nam• lab. R•1•tmwmwm D.wa•nt t.lnrorm•nr•MnnntAae...•ISn.n.na vumbn,aN. s<•n, zlP L.a•1 1• Hst nn T. Evanet HU8 ..... 157`i.;a:tl.nt P l l •. •a p . ',:;n.w an. . ............................p'Fe:airTi:~ _ti .... ....tit..u' •c on III ..... .. IiYD..i'1:"o'~~:r::'ie::;: ........ ....... :::::~e:'ii6;:::........ m•r •ncv Reem/e t tl•n< Oooa en ArHV•I a maon .TVmUwF•cnnr e1 •dNl o B.F tMN•m•(Il nut lns<wutlan, .lv •<r••e •nJ numWr: e. enYerTewn, 3 <.< and 2lp Cetl• SSa. Ceunlr a(OwtM1 YY Communlpl O•FNra,l OPbopMhle HOSPIFAI HaFTIPW PA t)t le.. M.t ee •I bl•POabon sere. ewm.u•n 1 len. Da. • Dl.p•NNOn 1«. pl.w DNPO.mmn ln.m. m wmw.ry. Pwm•wrv. _. •t .r puwl pw•mw•I hom ste t. p OOn•tlPn aM1•, is Jul 3, 3013 1n4NMbwn Ost Natlorsstl CPmPq lfe. Lownun eF DLPOinIPn ICIN strewn. suu. •ne zlpl la•. s p1 Fun•r•I s•rvIN uwn.•• cr P...on In cn•n• oI ln<•.m.N 1T . uNn.• Nl.mb•. MnY11N PA 11009 . FD-19N9-L I)c. Name •ntl Compl•b Atltl.•N o1 Fumwl F•c111N iullMn RU nPM 1 ffi 1s.wwamtt Eaeweon- CnNktM box M•e b••<tl••eR M e O •wMnt NNpNk ON{In-CM1•ektM SO. D•wtl•nU R•w-e wk ONE OR MORE r•u•le lntllwu wnn n4MN a•sF•e onw•l of •enaelmmol•t•tl rttM <Im•olaN:n. eo%m•t hart a•snb•a wnnMrtb•eN•e•m en•a•we•ntwmle•wa mmwDe.nvwn<o M. F I~;s Mn 1•sP•nIFF/Nlsp•n14LRlno. CM1•ek tM "N O' ®WM1It. p Ko.••n alplam• p 13<F {r•tl• par He•cM•nt l•not Sp•nNn/HI•P•nl4l•tlne. QBI•ck o. AM1lun Am•rlc•n pV ®NI{n scnaolynauN•Pr GEDCampl•t•e No, not3p•nIFM1/HI•P•nl4Utlno OAm•rlcm lntll•nor 41•Fk•N•tN• p0<M•A•bn ~ p $om• wll•t• cratllt, but no e•[.•• Y••. M•%lun. M•%IC•n Am•RUN LM1Ie•n0 p NI•n Intll•n p NRIw N•w•II•n p N•pd•t. ea . (.. AA, ssl ~ a O vo. Pu• n p cmn p c o. cnamP.ro I• .n q p a•m.mr'a e•e . eA, AB, esl • (• p r ., cub p mlpma p s.mo.n O MuG/s aNtN 1•.{. MA, M5. MEnt. MEa, M]W, MBAI p Y•F. a[n•. SpNNM1/Hlp•nlc/U<Ino p l•p•no• p Otn•. F•cIRC IFNntl•. p Decler•t•(•.I~pM1D. EtlD)o. Prohsslon•I tl•{rw lsP•clN) p OtM1•. (SP•tlN) . MO ODS OVM LLB JD 11.D•e•tl•n<'•91nB1•R•u ]•H-0.•ItnrtlPn-CM1•e PNLY DNI to lntlie•<•wM1•t tM1• • •n<con•Itl•.•tl nlmNll er n•rt• to 23•. O•ua•n<S U•uN Oeeup•<Ipn [•NP•o wort w ®WM1tt• pl•P•nw• O3•mo•n een•tlurlnB mwt PF wprW n{IIM1. OO NOT V9E RETIRED. Q .lack nr AlRUn.Lmerlun pKew•n pOtM1•. F•clflc l•I•ntl•r pAm mal•n or AL•k•Nxw• pvl•te•mo. l pDOn•<Know/NOt su.• Atimltl~tFS,Hw ANbLnt p Asl•n lntll•n Q ptnaF RSI•n p RNU••tl 22 b. Klntl aI Bu•In•n Intlunry p am.•. O N•tw• H•w.n.n p om•r (swNNl p FIIIPInp o Gu.m.nl.n P. LA.mp.m D z .<• Pronpunu ~ i • w ] . sltnaPw o Non rpnoeM1C nt •w n v w •n aPP ea . c. oven.. Neme•. w Rtwto xmo RwovouNCt ow wrlFl ouTH 4r)~ ~7 ~~ 1 a ve. wt• s4••a IMO Day n za. nm. a Dwm ..-~ : 3 O PM zs.w.•M•mula%amin•. o. Le.on.. cont.ctai p v No GUSE OF DEATH APP.oxlm•t• za v.,tL B w-eNNSO.IN I111aa....... vein [Iona-tnn /IV• wuus•a eM aNtn. DD NDT•mo<•nnln•I w•nu suen •a o.el•e •..•a 1 In<•rv•I: ,•splr•<ory •IVes4 o.vntricul•<flbrlll•tlo snow'ry n <J~ ul tly •tlalotY~Ilpj~NDT>,aBBREV1Ar~, EnAFOnly o •. Atltl •tltll<Inn•I llnef ll n•un•ry n••<te 0.rtM1 // J I ~^ TE uusE -> •. -.. /C s ~ ) ~ 1 1xi/C/ A~L /~• Y P IFlwlal eu•o. conaltlon DU p N ~~ ) w•ulelnf In N•<M1) ~ - I / b. ( N Q'r+~ C"1 V ontlltlon•, n mo mt i eon / Duet ( • 9umc•en: % •w. <M w.•• • B Ila<•tl en Iln Ent r tM c urvoeuvlna uvse Dom. <o Fo• o • conF•vu•nc• oq: 1 lela•as .n ~ e en i.i orcsuttmB a. m ee.~m IA3T. De. m (p..•. wn.•ee.nw M: 1 ae. R.rt n. Ena. m • t net r••mont In <n• em•.Ipnt ww• nr.n m p.rt I n. w.• •n aetowv p•.ro m.aa Y•s No •Y Rntllnt• rv•11•bl• ffi <n aM1. we•• a aotln < P« • 29. II Female: 30. DIe TO eca V• UntHbuu to DNti 91. M•nn a/Owt <wl[M1In P••t r p'Fpt vN.n vu -. p v ppy b•bN Y : om ~Ga I p H Icle• p P man[ atnm•oro•nn p No [$unknpwn O Accm•nt O P•nemt lnV•sttr•OOn ffi w t tl p ]ultb• p Uultl vat b• J•urmin•tl 0 N pF•NN<, Out p.•[n•nt 93 tlay to l w~ b•Ieu tlNtn 33. On• o11n1uN (MO Ow .)15P•II Men<n) p Unknown Hp.•tn•ni wi<FIneM P••t w•• 9J. TIm•ol lnlury 3a. pl•q oI Injury Ie.B. Fom•; cowbuttlen •1!•; I•rm; s[M1OOI . butlan al lnlury (]<r••t •na Numb•., CItY. 9<at•, 21P Loa•1 Mjurv •e work n~ nlNurv. ]p•el .DNVm•Hew ln)ury Owurr•tl: p r '•r/o m O P•ao<rl•n r p ve pasaento p otMr 130 INI •. UR v IC ck pnN en•1: p qQ•RININ M1yICI•n-TetM bNt of mY knewl• •<M1xcu .r•a tlw to M•wuu(•1 •na m•nn•r•<•<•a ®'Pronoenel uRlNmt pnvIClan-TO m• m knowl•eN. mw•er•anmulm•, aa<e. •ne pl.w,.na seas[ wlo •na manner a<rt•e O m•mwl Ex.ml w.on•.-on tn• b•.I• n, m my oplnlon. a•.m caurr~// lm.. tl~q, me pow. •ne eu. m m p w u w Lntl m.nn.r •ontl ` RIR•r: ! • p ~ s / ~ (~~I~ssS/~~~S~~I ~~• Is/~51^/• mbar:/'//J YS ~~/7/G Tltl w n 39b N•m tlar••• antl 210 Cetl• mplatlnt Uuu ONtn Ilbm 231 MrCO • • 99c YO•t• ]I .vnrl c oe (.(n. Ie.Q o 7 ~ /7109 ~ C~~Q~/ •t strata str c[ •r a a{atwr• N•tur• q•B •tnr • Ma ry - a~~- 'a 8-aera~ DI•PO•Itmn P•.mlt Ne. a77L21S8 nvo~/zo>i ~[ / (~ ^ {'.1.1.11%r~~,f'! i1~EluE RENUNCIATION ~OI2 AU6 -9 AM i I ~ 53 ~;_; _ pRPt-IAN'S i;OUR? CIRviBERLHND CO., PA REGISTER OF WILLS CIJMDERLAND COUNTY, PENNSYLVANIA I'slule of Judy M. Evans ,Deceased I, Shawn Kennedy , in my relationship as (Print NomrJ __ of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Michele Kennedy, my sister and the Decedent's dauRtiter ^ ~/~/~~- IlknU /Siglwmrt) 9012236 SW Street' /Srrcet Addrcs~/ Executed in Register's Office Sworn to or atlirmed and subscribed before me this day of , Dcpu[y For Register of Wills Edmonds, WA 98026 (City. Sratr, Z/pJ Executed out ojRegister's Office before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the rcnunFiation for he qq purposue~s stated within on this~Yab~ ~. of ~!n\e~ ~ - ~ cam: x~.~~o -' Notary Public l 1 J J My Commission Expires: 1 ~b~ / D~ / c~ o` (Signature and Seal of Notary or other nllicinl qualified to administer oaths. Show date ofexpiration nl Nnmrys Commission) PLEASE; NOTE: Mail is not received at the address listed. All 13ox 99074, Seattle, WA 98139 Notary Public Stnto of Wathlugton TARANEH TAVANAEE MY COMMISSION EXPIRES February O8, 2014 Rf.CORDE~ i ' FII;E OF r,IC,"' ~ tpA~ I C RENUNCiATI ON 2Q12 AU6 -9 Ap111 ~ 53 ORPHMJ'~ COUR? CUN-BERLAND CO., PA REGISTER OF Wl1,l.S CUMBI?RLAND COUNTY, PENNSYLVANIA I'suttc of JUDY M GVANS . Deceased I_ Brian Kerrigan , in my ~~relationship as of the above Decedent, hereby ranouncc the right to administer the Istate of the Decedent and respectfidly rayuest that Letters be issued to Utichclc I<unnedy, my sister and the Decedent's daughter __ 8~ ~" ~ ~ ~s~~ ~~„ r;,.~,-, 48'I'rudy Circle _ isr.re, a~dr~s.,l Mechanicsburg, PA 17050 ~c,y, s,~~,•. iwi Executed in Register's Office Executed out of Register's Of/ice tiworn to or aflirmcd and subscribed Before [he undersigned personally appeared the bcliu~e me ibis __ _ day party executing this renunciation and certified ,~~ _ ___ ___ that he ar she excarted the renunciation (or the purpo es statc;d within on this gam! day of ~(~-G.u ~J 12 Deputy for Register of Wills N>tary Public y Commission 1 ~pues: SiP,naWre and S'-~I o(Nn[my ~rothcr nlli rd quuliiScd to aamims'ler nnlhe showdma ofe%picnaon ufNomn''+Commutiion~ NNiML\MNIA NOTARIAL8EAL E JULIEANNE AMETRANO, Notary Public r,„~~~~nn~.rir, ,~,~.nu~.ne , - CiryoiHarrieburp,DeuphinCouMy My Canmissbn Expires February 22, 2015 i '' -. KF~~ E; ','~ri `r U12 AUG -9 AM l l~ 53 RF.NUNCIATTON u~ ORPW~uV'S ~u~R>• REGISTER OF WILLS ~~ER~~ CO., PA CUMBERLAND COUNTY, PF.NNSYI,VANIA listatc of JUDY M. IVANS I, IIAYDN'f.1VANS (Print NnnreJ Deceased in my ~/relationship as of the above Decedent, hereby renounce the right to administer the 1?state of the Decedent and respectfully request that Letters be issued to Michele Kennedy, daughter of the Decedent g~~lia Lsecuted in Regisler'.c Office Sworn to or affirmed and subscribed bclbrc me this day of (Slgnnu,ref ,~CC// 221 ee ouyf~ (Street AddreseJ Enola, PA 17025 (coy, sntr!, z;Pl Executed out of Register's O[fice 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 ~uGU4,i' _ 3Cl d Deputy for Register of Wills P ur'm XN'-06 rer. 10_l3.Ofi N tary Public y Commission Expires: ( fgnamre and Seul o(Notary or other official yunliliui to ,ninfster oaths. Show date of c~piration of NnLUry's CommissinnJ CAMM N NOTARIALB ~~ JULIEANNE AMETRA~Na ' hI~1MtYlt: any p} tianisbury~ ~P Nty Oommisslai Explf69 FebtUtUY 22.2078