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HomeMy WebLinkAbout12-05-12Reset PETTTION 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 Lettets in the appropriate form: Decedent's InformatioD Name: KEVIN JAMES MARCY a/k/a: KEVIN 1. MARCY a/k/a: a!k/a: D to of Death• MAY 17 2012 File No• ~~ ' ~ ~ ~ I ~ I I (Assigned by Register) Social Security No: Age at death• 62 a PF*~*i_ .n~_ (Bra)e) with his/her last Decedent was domiciled at death in CUMBERLAND County, rr iMBERLAND principal residence at 205 PENNSYLVANIA AVE CAMP HILL PA 17011 C.~MP HLL BOROUGH county Sorcet sddrns, Post Olnce and Z1p Code City, Towuship or Boro,tg6 T ^ Decedent died at 205 PENNSYL Street addreati Pat City, Township or Borough Coauty State Estimate of value of decedents property at death: $ 6,000,00 Ijdotaiclled in Pennsylvania ............................ All pecsona~p~ rtY /jnotdomJciJedinPennsyhnnia ........................Personal mCwmtyvania $ /foot domiciled in Pennsylsnnia ........................ Personal Property ........... $ Volae ojrea/ estate in Pennsylvania .............................................. TOTAL ESTIMATED VALUE.... $ 6.000.00 Real estate in Pemsylvaaia siNated at: Coaoty (AttacA oddidonal sheets, if necessary) Stmt addror. Post Office and Lp Code City, Township or Borough A. Pttt[tion for Probate and Grant of Letters Testamental and codicil(s) Petitioner(s) aver(s) he/ahehhey is/aro the Executor(s) named m the lest Will of the Decedent, dated thereto dated Sbte reievaat eircuuunances (e.8• renunciadon, deatl, of esecufor, ~ ~~--, ~ A c '„ m m am Except as follows: afterthe execution oftheinstrrtment(s)offered forprobate Decedent did notmazry,w~o vorced, gagnot apes ~ g divorce proceeding wherein the grounds for divorce bad been established as defined m 23 Pa. C.S. § W 2~), and dr'~ot had ild bom or adopted, and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person D r ~t v r Z m u-i ~, cy ©NO EXCEPTIONS Q EXCEPTIONS Z ~ 'T7 ~ p hcable) ~ o O ®B. Petition for Grant of Letters of Administration (lf app ' ~~~ a ~-~ absently _ a minorirare c.t.a., d.b.n., d.b.n.c.r.a., pe If Administration, c.ttr. or db.n.c.t.a, enter date of Will in Section A above and.~o"~lete li tea s Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds f~r divorce had l>~ establishe'a es defined in 23 Pa. C.S. § 3323(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person. Page 1 of 2 Form RW-OI rev. Ja/1 J/2011 f \~ `~~ Q NO EXCEPTIONS Q EXCEPTIONS Petitioner(s), after aproper search has/have ascertained that Decedent left no Will endwas survivedbythe following spouse (ifany) andheits (attach Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS: o0icial Use only The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are tnu end correct to the best ofthe knowledge and belief of Petitioner(s) and that, as Personal Representative(s) of the Decedent, the Petitioner( will well and truly administer the estate according to law. Sworn to or affirm me t¢is,~~ day For the Regia(er BOND Required: ©YES QQ NO FEES: Letters ...................... ( jp) Short Certificate(s)..... . ( / )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ C ommisaion ................. . Other ........ Automation Fee .............. . JCS Fee ..................... TOTAL ..................... before ~ Date /a -S-/~ n ~-~- - ~ ~ D~~- r r m 2 ._1 C7 ~y.r nt~ To rke Ragfster ojWlJls: y z ~ cn %t' r.~ Please eater my appearance bye ajga"ilture,julow~? ~ n '~ ~ $ , Attorney Signatu re: c ~ °_, t-,, ~ ~7 tA, Yt1 _ , U7 ~ Prloted ame: JAME M. ROHINSON Supreme Court ID Number: 84133 Firm Name: TURO ROBINSON ATTORNEYS AT LAW Address: 129 SO CARLr UTH PITT STRF.F.T Sr.E PA 17012 Phone: (717)245-9688 ~- Fax: (7171245-2165 Email: rmfiinann~'tlttrmlaw enm ~ / DECREE OF THE REGISTER Estate of KEVIN JAMES MARCY File No: Ot i _~ ~ I ~ T~ a/k/a: AND NOW, ~~ in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters of Administration aze hereby granted to Dana M. Mamv the instrltment(s) dated _ described in the Petition to probate and filed 1 in the above estate (and Fonn RW-01 rev. Jonlnou ~ "~ ' - !~ Page 2 of 2 IUS%0` NLA' iVll I I LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. RECORDEC OFF;CE OF This is to certify that the information here given is Fee for this certificate, $6.00 REG; ST ER ~F ~ i ~__$ colTectly copied from an original Certificate of Death duly filed with me as Local Registrar. The original ~, ~ certificate will be forwarded to the State Vital tC12 CEC 5 Ff1 2 .3 Records Office for permanent filing. CLERK OF ~~~~~_ MA~1 g}07Z- P 1 H 3 H 9 6 5 2 dRPHANS' COURT Date fSSBed Certification Number CiBERLAND C~., PA Local Registrar p./Print In COMMONWEPLTN OF vENNSV LVANIA • DEPARTMENT OF FIEPLTH VITNL RECOROs CERTIFICATE OF DEATH 5<am <I mb.r: r a el Mer url<Y rv..mber M1IMO/Day/Vrl (sp vei.ki,`,k<_-_Jf33 =248me1Fbm Mmal.. La<wNia) 2Mnte 31911s-c 40 - 6113` OMaY elt7v 2012 ;G.~ Kevin •T 205 Pennsylvania Avenue 1949 ~Tb. e Dm oc=ea=n vea. mceaent Iwea In 0 Vnknown a_ ffi s C ~£g 6 ffi 7011 p a~~,e,,a f. ,~ - t.- - oDOneann ~y 19, 2011 I u =<e afveraen lnm v~v _~ .u<enae N,.m e. •0 °I `ry) I `rv ` ee area b F8 012b 849 L ( A llOBB ~\la s~;n ~ rma.me a Iv <. Nam e c mPlem Peare p<vuner.I F w `~ 17 0 H O Parth¢more FHaa6 CS inc. P.O• Box 431 New Cumberland DPA aenra meek orvE OR MORE..co <o mmcate what L D.ae.nra Eaueaaen-cheek <h. bo: `bat beat eeacab.e me a9. 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O NOT enter terminal events such az carelac arrezc nzet to DeatM1 zE. p.rt 1. E t. b.uladon wrcbouuhpwmg me eNOleHV. Do rvor ABggeVIATE. Em.r only one cause en a Imo. Paa aamronal lines a neasmrv resplraarv•rrea,e .,entac.a.r fl Hyp¢rYenaive Cardiovascular Dlaease IMMEDIPTE [AVSE -------"~ a' Due to (or aaaconsequence efl: ' IFina alaaaae a orlon reaultlne In tlea[hl n b Due to to. vs a conaeq nce otl- SequentlcllY Ils< conel<inna, IIi[etl Inal lain a[aEm `thee c- Ove to for as a consequence of)- V NOERLYING CMUg¢ lelt e`se or lnlury tnae e ee <ne even<z resmnne ~ Due <o (er az a consequence oN: m a..cn) Lwsr. an I sv pene.mea2 m aeacnba nec rea.InnH m me umalymH cause even Inv w'so v~;eP Ne ze. we: n. Ente. Dore e. were aetopaY nnemg. o~anable m lets me ea of eeama R¢moce 8tente _ eOC] Y tNbute taD am ex Na 3 D. Ola Tobacco U e Con ea<M1i ]- My u.elf e 0 N mlclae 29. If Gamale: Q V z0 Probably 3 Q Accltlent ~ Pemm~ glnvestlBaVOn ~ N <Pregnvn[wltM1ln Past Yeer ~ Ne ~ Vnknown 0 Sulcme O C oleo the eeterminetl egnam .c Nme or aeatb ~ P r.enane b nln .z dew e. e.am Date e. mmrv IMe/D.rna ape I Men ~ " m me p:.~..;e.r berorc Bean tnl nor. er lnw•Y p wknewn x p en new n -_ _ .. __ _.._~.._. ,<...e. one rvvmner, ocv, s<ae, aP cocci o D eriD o peM1eas n o Y o P <e o o .r t o elm o rve ae .r r Icneak only onePne hoe e( mY knewlea8e, dean oceur..a e m me eauaelz) a e m>nner z e n one zveea I c>rtrenvmH pnvalel.n -rot .. ate. n e=c,.mm . e dme, gate .tea FI ee..<n a i.`..< a a.~e a<I a ~e a~.r<n me t.eaela one moon.. aatee Ip nclneL CertlNlnB phValclan-TO CM1e best or mYl[r~o~Invotl8aon.in mY Op Ion, curie a ~ ILlfeea Nu .._~.__~c__... u.~.mnrener on me baia oreyr7in n_wa~.o l:czron¢r cenze mba: __ 5lenamre 17 / }'~~ I I 1 /< NSOS-193 Olsposltlen Perml[ No. ~» `I ~~ 4 y 2 aEV OT/2011 RECORDS') 0~F1CE OF RENUNCIATION RE6fSTcR OF ~','?k_LS REGISTER OF WILLS iLlZ CEC 5 F(1 2 y3 CUMBERLAND COUNTY, PENNSYLVANIA CLERK OF 'BANS' COURT FRLANd CO., fA Deceased Estate of KEVIN JAMES MARCY a/k/a KEVIN J• MARCY in my capacity/relationship as I --- - ~~"r xmne) of the above Decedent, hereby renounce the right to SON administer the Estate of the Decedent and respectfully request that Letters be issued to DANA M. MARCY Iti~l~l~ (t»e) 1 Executed in Register's OJ)'ice Sworn to or affuYned and subscribed before me this _______--day of Deputy For Register of Wills Form RW-Ob rev. 10.13.06 ,!7 JY'~ (Si ) 24 OAK DRIVE (Sdeer Address) MOUNTAINTOP, PA 18707 (City, State, Zip) 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 purposes stated wi ein on this `a~~~ day of Notary Public My Commission Expires: (Signature and Seal of Notary or other official 9ualifiod to administer oaths. Show date otexpiretion of Notary's Commissan.) COMMOMNFALTH OF pENNSYW to NtrhAN Stall gmialle V. LambaNo, Norory Ptmllc Duryea aaro, luzsms Ctwtriy M CtanNrWn E~Iroa July 16, 2619 MMn wlluylvanla nawdnuon M Nt#aMa