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HomeMy WebLinkAbout03-01-13 PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Reset 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 Name: Sylvia B. Gilkey a/k/a: Sylvia BaQlieri Gilkey a/k/a: a/k/a: Date of Death: October 8, 2012 File No: ~ ~ ~ ~~ - ~~~ (Assigned by Register) Social Security No: 198-22-2082 Age at death: 84 Decedent was domiciled at death in Cumberland County, pennsylvania (State) with his/her last principal residence at 434 Pine Road Mount Holly SprinQS Dickinson Township, Cumberland County. Pennsylvania 17065 Street address, Post Office and Zip Code City, Township or Borough County Decedent died at Carlisle Hospital. Carlisle. Cumberland County. Pennsylvania 17015 Street address, Post Office and Zip Code City, Township or Borough County State Estimate of value of decedent's property at death: If domiciled in Pennsylvania ............................ All personal property $ 30,000.00 If not domiciled in Pennsy!vania ........................ Personal property in Pennsylvania $ n nn If not domiciled in Pennsy!vania ........................ Personal property in County $ 0.00 Value of real estate in Pennsylvania ......................................................... $ 0.00 TOTAL ESTIMATED VALUE.... $ 30.000.00 Real estate in Pennsylvania situated at: n/a (Anach additional sheets, ijnecessary.) Street address, Post Office and Zip Code City, Township or Borough County 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 Will of the Decedent, dated and Codicil(s) thereto dated State relevant circumstances (eg. renunciation, death of executor, etc.) ~ ca ~ C w Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, was not divorced, was no>~pa~ to a pen~g ~ r*t ~ n divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(8), and did not ~e'tgchild boi~r ~ ~ adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ~ ~ fem.. -~ C7 NO EXCEPTIONS ©EXCEPTIONS Ty ~' -mn I'' ~ rn %~ ~ ~ 7'C B. Petition for Grant of Letters of Administration (If applicable) ~ ~ ~ __ _~ O Q `+'t c. t. a., d. b. n., d.b.n.e.t.a., pendente lite, durante absentiq~uC~7tte~minoritate -t. w If Administration, c.t.a. or d.b.n.c.~a., enter date of Will in Section A above and complete list of-1~,ei~t~. ~ ~ r'- +~ ~ x~ fv Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had been established as did ~ in 23 Pa. C.S. § 3323(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person. NO EXCEPTIONS ~ EXCEPTIONS Petitioner(s), after a proper search has/have ascertained that Decedent left no W ill and was survived by the following spouse (if any) and heirs (attach additional sheets, if necessary): Name Relationshi Address John D. Gilkey Son 434 Pine Road, Mt. Holly Springs, PA 17065 David P. Gilkey Son 3301 North 2nd Street, Harrisburg, PA 17110 Form RW-Ol rev. !0/11/201 / Page 1 Of 2 ~~ .~ Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF CUMBERLAND DED C~`!C~ DF se Petitioner(s) Printed Name Petitioner(s) Printed Address John D. Gilke ray `-~ 434 Pine Road Mt. Holl S rift PA 065 r f i '-' ~ ~~ t,- ORPHANS' CvUt~ i CUMBERLAND C~., Vi'a', The Petitioner(s) above-named ;wear(s) or affirm(s) the statements in the fore g Petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as Personal Representative(s) of the Dec nt h et' ion s Il and truly administer the estate accor in to law. Sworn to or affirmed and subscribed befo Date .3 ' Z ~~~ me 's _~_ day of Date '~ Date B y' or the Register Date BOND Required: Q YES Q NO To the Register of Wills: FEES' Please enter my appearance by my signature below: Letters ...................... S U ( -.I-Short Certificate(s).... . . ( ~ )Renunciation(s)....... .. ~'7. (~ ( )Codicil(s) ........... . . ( )Affidavit(s).......... . . Bond ...................... .. Commission ................ . . Other ..... it ...... .. .. lh Automation Fee ............ ... ~-- JCS Fee .................. ... TOTAL .................. ... $ Attorney Signature: ~ -_ _,_ Pr' ted Name: Craig A. Hatch, Esq. preme Court D Number: 76361 Firm Name: Gates, Halbruner, Hatch & Guise, P.C. Address: 1(11'i Mumma Road Suite 100 i Pmn~~, PA 17~4"t REC REt Phone: 717-731-9600 Fax: 717-731-9627 Email C Hatc ~(',ateal awFirm com DECREE OF THE REGISTER Estate of Sylvia B. Gilkey File No: ~ I " ~~'~7"1 a/k/a: Sylvia BaQlieri Gilkey AND NOW, ,~ j~/~Gl,(C~1 ~ , ~U13 , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters of Administration are hereby granted to John D. Gilkey in the above est;l.te and (ii applicable) that the instrument(s) dated n/a described in the Petition be admitted to probate and filed of record as the last Will Viand Codicil(s)) of Dece ent. Register of Wills ,~ Form RW-OZ rev. roi~iiznt~ Page 2 of 2 RENUNCIATION REGISTER OF WILLS RECORDED QF~'ICE OF REGISTER OF'~°'II.~S 2013 ~flfl 1 P f1 ~ 21 CUMBERLAND COUNTY, PENNSYLVANIA C L E R K C F ORPFIANS' f1GOJRT ~' ~~ ~ ~~ n~rritn,~dF{-tL t1~3 ?A iC • r Estate of Sylvia B. Gilkey a/k/a Sylvia Baglieri Gilkey Deceased I, David P. Gilkey , in my capacity/relationship as (Print Name) Son of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to John D. Gilkey r /~/J (Date) Executed in Register's ice Sworn to or affirmed and subscribed before me this day of , Deputy for Register of Wills Form RW-06 rev. 10.13.06 S (Si e) 3301 North 2nd Street (Street Address) Harrisburg, PA 17110 (city, state. gal 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 within on this .~~ day of Ir1AlPCF~ Zai 3 6 Notary Publ My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) COMMONW TH (3F F%F_Nf1ISYLUTANIA NOTARIAL SEAL WILLIAM J. JUNKIN III, Notary public City of Harrisburg, Dauphin County My Commission Expires June 17, 2015 LOCAL REGISTRAR'S.CERTIFICATION OF DEAT•I'~ WARNING: It is illegal to duplicate this copy by photostat or pho~togtap~. RECORDED 4FFlCE OF E~ee for this certificate, $6.00 REGISTER 0~' t~l1~.LS (-',,IS i, tc~ :i)!il, tl):~~ 4,~ :tiiur)i)aiiun l)ciL ~i~i), , .~1_,Ilta:tli~ ~ t)~ ICt~ ? ~. ;,1) iii3inal C erotic ]Ic. ;i? t)C.liil ZQ13 ~flfl 1 Ffl v 21 ~I,I~t rlt~,~ ~It~, I~ ;I~.Ii ~(_~~~tt-211 tL)~ ~,~)rf,.)~ CLERtC 0~' P ~ $ ~ $ 4 ~ ~' ~ ORPHANS' C4uRT "'BERLAND CO.a PA Certification Number y3~ 7 ``v'' ~sr. 1 V E ;:rtitiL:ate ,).ifs ,~'ti~,Ir~ieL: ?(r tii'.° ,.al:~ .._: ~ _,. 1~=c1Y'4~i-'~,2~,C cllla -)il ;11119_. ~1r' - CIF'' It ,- ~~ , t_,~ ~cFj F1 C,,. , {' ''.,; t-J.i~l i 4!L°i_-. Type/Pknl In COMMONWEALTH OF PFNNSYLVANM • DEPARTMENT OF XEAITX • VRAI RECORDS Pe"".'"°,"t CERTIFICATE OF DEATH 1. DeudenCS Lepl Name IFKU, Mlddk, waL Sumal 2. Sea 1 SocW Security Number a. [late of DeaM IMO/DaY/yrl ISpNI Moj sa. Ap-Int BlrNtlry (Yn) 50. UMar 1 Year k UMer 7 D G Oak p BkM lMO/O ay/Yertl ($pNl MMM) 7a. BlrMpbn laty ant Sbb a Farakn Country) Menthe Day Noun Minutes m. Blrthpbk ItouMy) a. newenae Iwk w Fonkn coaNryl ab. Residerw 15treat and Number-Induce Apt Na.l k. DM tkudant IM b a rownshlP7 434 PINE ROAD .a, e.awent uy.e b ~V INS(~T tap. aa. neak.npe IEnumyl GU['BERLAND N. peddeMe Wp codel Mo, aeueem Ihed wlthb Iwits or - - - -- dry/boro. 9. Ever k U9 Ar m ed ForcMP ID kaerMl wnN KThne of Onth ^ Marrktl WleoweA 11. SurvMry SpauxY Mme IN wik, ahn name pdw k not manbpl , y ' ' ^Yas t~no DUnknmwn ^Olvorud Never Martkd ^Unknown IT. FatlNrf Name (F'vsL Mbek, last, SuXh) 13. MotMr's Name Prbrto Hrst MartbBe IfInL Mkdk, wst) SAMUEL, BAGLIERI GEMMA N'A 11a. InbmvM's Name 1 b A IaHOnMIP to Deeeent ~ 1 1 /ormaM's MaNi Addrex1S~t-re-et ant Number Cky, StNe, DP Codel Z` Z O ' g JOFIIV GIL[a;Y 3 PINE R AD MWKl HOLLS~ SPRINGS,PA.17065 t ........_..__...._..._..........._.._ ........••~~ ......__......_....._..._.__._..I N DeaM Omprad b a HoWnl: -s'-Clnpa[knt ~ _......3..±........_^.........._.._._..~^...^^~.._......._...._...........Pp ............................. ................................. N OeaM Oaurted Somewhere OMarllun a Napkl: y Xupu FadIIN tlOepatlent's Name Room/OUtpatkn[ MWOn Artkal ~ Nun Home -Term Cw fatllM Other (SlNCky) 356. Fac1Bry Name IN not Nudtutlon, pN NreH ark number; lsc CkY w iowM ate, ant Tip Cade 15d. County of Derth CARLISLE HOSPITAL CARLISLE PA. 17015 CUMBERLAND SW. McMOe of gapakuaq &rdal ^ Cromadon 1a6. Da4 d DlspmNbn lac. Mau d Dispaaitbn (Name of cemenry, cromatory, w MMr pku) ^wmavalhom Sbte ^Dana[bn anerlsp.dPyl ~ lfk. lontlon of Dbposkbn ICRy w Town, wk, ark ZIP) lTa. nrturo f -n Person In Charye of Interment lm. lkenx Number LpWEIt BURRELL PA. 15068 ^ 9777 3v ITC. Name ant COmpm Addrex of IFatlery FRANK F. GIGIER FRAL HOME 2877 LEECHBURG ROAD BURRELL PA. 15068 ~ IB.OeaetlentY Eduutbn-[heck Me boa that bestdnalbn Ne 19. Decedent of Xhpank Odab-U,ekMe 3O. Decadam4 Rau-Check ONE DR MDRE rxea niMicrt<wwt ~ hkhnl depaew NvN OFxhool wnpktad rttM tkne MdeaM. MatMt bnt deawlbeswMtMrtM Oettdem the decadent conskered hbwNw MrseNk M. ^ ant andewlex NSWnIM/Hbpmk/latlna. tl,eck[M ^NO' White ^ Kwaan No diploma.9M-13th page Yea Neecaden[N rwtSynish/Nlspank/wdno. &ack or Arrkan Amed[an ^ Vktnamex Hkh stlloal ar.auatew GEDCOmPletetl No, not Spanish/NhpaNC/bNno ^AmarkanlMlan or Alasw Nature ^OIMrlukn sane ulkp aedk, but no aaar.. Yaa, Meson, Mevkan Amerlun, Chbra pAakn lMlan ^Nadva Hawaiian D Axoclab dMrae le.a. AA, AS) ^ Yes, Puerto pkan ^ Glrlese ^ Guamanbn or Chamarro Bachelors daaroe la.a. BA. Aa, BSI ^Yas. Cuban ~ Flapino ~ Lmaan ^ Martens dgref Ie.a. MA, Ms, MEna MEQ MSW, MBA) ^ Yes, other SpaNSh/XlNSenk/wtlno ^ laparrx ^ OMer Padpc idaMer ^ OoctonM Ie.4 PhD. EED) w ProksNOnal dgrae ISPetlhl ^ OtMr ISIXkNy) e . MD DDS DVM tla ID T1 D ecaeanfs Slryk Race SeN-Oasipatbn-CMrk ONLr glEto lndtab veuttM dendeM COnslOend hknxNw MrsaNk M. TTa. DeWent's UwaI OCCUWtbn-Intlkate typeWwork y ~ y 3VhM ^ Japanese ^ Samoan done dudry most of worklnB kla. 00 NOT USE REARED. akd w Ahkan AmaNUn ^ Konen ^ Other Padnc Isknder ^Am.rwnlMknw Aksw NaMn ^vktnameae QDOnT Nnow/I/ol5urc TE[.,EPHONE OPERATOR ^ Atlan Intlbn ^ Other Adm ^ Refused TTb. KIM of Buskvass/IMustry ^ ddnex ^ Natlw Nawalkn ^ Other ISp.dHj .1,~~,~~ C~IPANY ^Wiprw ^GUamankn wCMmwro ITEMS 7Da -Ttd MUST METED 33a. Gate pronoun Dead Mo /Yr 73 . Sknrturc Person PronowNlrk Death OnN el Tic. lkenx NwnMr sr peR9GN who PRONOUNCES OR CER3NiB MATH ~ !~ T.u.ansia IM nM Ta.TkNwoe.M /0 bt7S ss.wMMamolEpamkxr«c«a~nrcomea.dt ^ Yea Na CAUSE OF DEATH Approdmate 26. hrt1. EntertM Chain of evenWixaxs, haurks, wcompkatlons-tha[dkectly auMd Me deaM. DO NOT enter brmlrW eWMSSUA asnMlae arrest Interval: respntoryartn4 wventrkularfl6dlbtbn wlMprt showlnatM at blagy. DO N OT ABBREVMTE. Eller onH one oux onalirn. Add additiwul liusi/neusxry i Onxtk Deah 11 11 IMMEgATE CAUSE ------> Op.r I T O N LTl ~ a c~AYS - IFind dixax w wMltion Oue k for as a unepueme od: rewkina b darthl /+ b, t-..;rrhosls - - SaqusMiany Ibt mMpions, Due ro for as a tanseOUerRe ofl: n arty. kaalnB to the uux listed on line a. EntertM UNMRIrNW CAUSE Due to Iw as a unse9uenu od: - - lelseex w Inury thrt c bnlrt.a Me eYems reaunky e. y~ in esaN) LAST. Oue to Iw n a unsepueMe ofl: J 26. part ll. EnteroMpskDlfbntmMltlwu mMdbutlnekeeaM but rotresukirybtha uMertyina uux Blvenb Partl TT. WasanwkpYpeAOrmed] T7 p e 1t DyR1 nc` R,vhtr'e v>7 : A ne m e k+, A b y rea Na , I I Te. w.ro aukosr nndir~ Wana6le to compete Me nose of eerth> Yes Na T9. If Femak: 30. qd Tobaao Use ConMbu[e to Deaths 31. Manner N DeaM ~•NOt pprunt wkhin Past year ~ Yes ^ ProbabH ~rNStunl ^ NomicMe ^ Prprwm rt time M doll ^ No ~-Unknown ~ A¢leent ~ PeMky Investipdon ~ NM pnananL but prgnant wiMinQdaysd Mall ~ Sukbe ~ Conk nwMdrterminetl ^ Not prgnan4 but wgnaM a3 dey n 1 year before deah 3 Dete of Injury IMO/Day/Yrl (spell Momh) ^ Unkrown N preanaM wkhin tM Dart year 33. ilme of Injury 30. Mau of Inlury le.i. Mma; ewNtnetbn ske; brm; xhool) 35. Lwation ar Inlury Istroet and Number, Ory, dneq Zip Coll) 36.Injury st Wwk 3T. HTnnsportrtbnlnjury, Specify: 38. DeswlM NOw Inlury OCCUrree: ~ Yes ~ Ddver/Operator ~ Pedeatdan ^ No ^ vawnpr ^ gner lspedHl 39a. Certifier (Check onH one): ^ CMNy1nB physwan -TO the Ms[ of my k^owkdaS death oaurted due to the uuxls) and manner stone PrwwuMry B Cartlfylry physklan • To Me best of my krawletlaa, scant accurrod a[ Me tlme, data, ant plan, and due to tM uuselsl antl manner rtatM ^ Meekal Eumber/Cww1 -On tM w don, and/w invesdptbn, in my opinbn, deatho cw rred a[ Me time. dale, ant place, ant due to tM c a usels) and manner shred , Er y n ~~, Slanrtun o/urtlfler. /'so Title of cartlM: /"% Lkew Number_/•rDyl90~'~ 390. Name, Mdrass ant LP Cod~eyf P CompWria 4ux of OuM Iltem TS) 39c Dan ~MO/Day/Yr) c~iAr'J ff: ale //~ 3 /1 / a k / o Y//~- b.RgbtnraDb[nMXUmber 65 595 al. [nr n ~. 65595 ea Ig .,pedsrnrFl,t olf~,T u.Amenem.Ms 0783618 N3os ]M3 Disoaskbn Permit Na. a ,