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HomeMy WebLinkAbout01-0215 PETITION FOR GRANT OF LETTERS OF ADMINISTRATION Estate of ~Df-lr F, t-, 'I \) also known as ,,- :="Cc IT No. To: 21-01--2i5 Register of Wills for the, County of (1'{ .in{,\C.1 (nn,1 in the Commonwealth of Pennsylvania Deceased. Social Security No. X o::~ ''If:, 7 ':;::2_ :J./ The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older, appl,>?-'~ for letters of administration on the estate of (d.b.n.; pendente lite; durante absentia; durante minoritate) the above decedent. (\ ' Decendent was domiciled at death in L'-.l'(j l<ef 19,.!uj hl "';> last family or Rrincipal residence at /- c f.c eLf) lLi..:.V ,/ Ie: L.. L . I t, l..C2cx:-:.:-ki((.'.+, ) (list street, number and municipality) Decep.qent, then___~;- years of age, died (J':.T?-"{J.,c. ~/ 18 ,~ ::J(y: C, at C::r-R (~L';'x; 1--( I rk1", U, t ! l~ (, '" , tv" II ,', II", H~ Decendent at death owned property with estimated values as folllows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: $ (1 ~ $ r:; $ {/ $ ("') Petitioner_ after a proper search ha_ ascertained that decedent left no will and was survived by the following spouse (if any) and heirs: Name Relationship Residence C'" ,. ; THEREFORE, petitioner(s) respectfully request(s} the grant of letters of administration in the appropriate form to the undersigned. ;.\' - '" ';:) u I: ... -c- .- '" "'~ ...... IX'" c -CO 1:::';: <<,';::' -'" ",0- '01,- 50 tU c 00 Vi <<Ill! Ie. ll.:L~r\ hv i~J 'j I b 1'.[ i .",yt V}'~1- !1(,f/v .~ri'(s PI1 /7C,t~'" ! if _../' t1 , J/(;2'~~ ~L,j~j. ,. (~ /~ - c;;J,I dJ.. - /3 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } 55 The petitioner(s) above-named swear(s) or affirm(s) that 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 above decedent petitioner(s) will well and truly administer the estate according to law. IJ;~.~ J( fL~'u2 c/ .-.. '" "-" u ... ::s tii = till 00 Sworn to or affirmed and subscribed J before me this 22nd day of FEBRUARY *2001 '>>;P ty(2)j1< N {- jW ft'f ;eg~:'~ No. 21-01-215 ESIJlte of DARBY D SCOTT , Deceased c::; G~NT OF LETTERS OF ADMINISTRATION AND NOW FEBRUARY 23 :liJ200 1 ,in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that MARK D ISENBERG is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration are hereby granted to MARK D ISENBERG in the estate of 'zp/y(l ~k'((/!/Zc/~ : Rister of wilis' ;j FEES Letters of Administration $ 18.00 Short Certificates( ).......... $ 3.00 Renunciation ................ $ 5.00 JCP $ 5.00 TOTAL _ $ 31.00 Filed .. .E:~~RllA.~'t. .22. . . .. A.D. 241L2illll ATTORNEY (Sup. Ct. J.D. No.) ADDRESS PHONE Hl05.805 REV 9/86 This is to certify that the information here given is correctly copied fran: an original certificate of death dul~ filed with Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filmg. me as WARNING: It is illegal to duplicate this copy by photostat or photograph. No. ~.~~.~~~~ Local Registrar Fee for this certificate, $2.00 p 6836815 OCT 1 8 2000 Date 21-01-215 '"1105 :<t.JAe... VB7 COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH "INT .... Often .......s DECEDENT EVER IN u.s. .'lAMED FORCES? _~ NoD STATE ~'lE !'tl,JMBEA SOCIAL SECUAITY NUMBER .. VMby Va.v.i.-6 Sc.ott AGE (LaS* a...,hdayl UNDER 1 yEAR UHOER 1 DAY MonthS Days HourI i Minut.. 43 v" --------------- 50-- 2. Ma.le 2.202 46 7422 ~.;)cco E.HT NK NAME OF DECEDENT tF;;-Middle. i.asl Ie. 8IRTHPt..ACE ICoty and Pt.ACE OF DEATH ICP-eclo oNy l)I"e ~~ 'ift 'r'lSlrUCIoOr?S on ~ !IOe1 StIle Ol Fcte.Ql' Ccunrry) HOSPITAL; - Ca..ltl.i.-6le, FA 1"".._ 0 ER/OuIpo'iO'" 0 1. ... FACIUTY NAME (II not tnsNU11Or'. gIve slteel anO numoerl :::;." 0 ,,). .""': .. COUNTY OF QE..(l'H Cumbe.ltla.nd RACE.. Amencan 1t'I(NI'\. 8lack, Whit.. etc. -, Wh.<.te '0. OECEOENl'S USUAL OCCuP.lJ1ON (Gi.... ~ Of .1IIOfll dOne ctur;':l rnosI f.lte~~~~~ta~nt Fubl.<.c.a.t.<.on CO I'.. 11b.. OECEOEN'T'S MAtt.1HG ADDRESS (SIr.... CIlyITown. sw., Zip Coo.) DECEDENT'S 1706 Cente.ltv.<..e.ee Rd. ~~~';NCE Newv.<.lle, Fa.. 17241 ~~~ II. FATHER'S NAME (FirSl. Middle. last) 11. R.<.c.ha..ltd S. Sc.ott INF()RMANT'SNAME (T'fP6'Prinf) ~. L.<.-6a. E. Sc.ott METHOD OF DISPOSITION Burial 0 Crel'MliOtl 00 Other (Specllyl SURVlVlHG SPOUSE III ""'e. i1Ye I'NlIOeO nolmtll E. B.ltownewe..e.e 12. ."'. Old -- liwein. lOWMtlip1 174.0 ~=-=oI MOTHER'S NAME (First. ModCIte. Malden Sulname) It. Ka.th.lt n El.<.za.beth Kuhn INFQAMANT.S MAILING ADDRESS (Street. CityfTown. Slale. Zip Code. ~. 1706 Cente.ltv.i.lle Rd. Newv.<.lle, Fa.. 17241 PlACE OF DISPOSITION. Hilmi of C"*ery. Cremalory lOCATtQN . CifyITown, St".. Zip Code Of Other P\<<;. ....,. 17a. Stal. ...,-.. ~"omSt.teO Fa.. 17109 17065 :ro. I AWOll:imare :== I : PART n: CIUMlf aignitlcant condiIions c:ontribuIing 10 deattl. buC not ,,",*ing in 1M ~ cauM g;v.n in PIUIT I l : o. WERE AUTOPSY FINOtNGS ,tMtJ~BlE PRtOA 10 COMPlETION OF CAUSE Of OE.IQ'"H1 DUE 10 (CIA AS A CONSEOUENCE OF): DUE 10 (OR I>S A CONSEOUENCe OF): MANNER OF DEATH DATE OF INJURY t.........Oay.-1 TIME Of INJURY INJURY R v.oRK1 DESCRIBE HaN INJURY OCCURRED. _ 0 ...~ _0 NoD - Suicide Pending lnwstkpilion o o o pLAcE OF INJURY. AI hofM. la'm. st;Ht, lactory. office buitding. etc. iSpecltv) .... _ 0 NoD Hal",.. ~ o o HomiCide M, 3Oc. COUld not be delerr.llned .-, 00 211i. 21b. CERTlFIEA ICt'eck only onel .CERTlfYING PHYSICIAN (PhyU:13tl cP.r11fytng cause d dflIlt'l wt'lef\ .lnoll"et phvSlC<an has pronounced dealt'l ana completed "em 231 To the r...to'l'tty.now~. death occurred due to h cau..(s) and mann.,.. slatH...........".................. >t. 'PRONOUNCING AND CERTI'YING PHYSIClAN 1Phv5c.an bolh pronoul'lC'"9 oeath af'ld CMlIyong to cause 01 dealt'll To 1M tM-a'l of my knowtedrolfl. d.a'" OC:CUfNd at the lime. dat_. and piKe. and due to the cause(s) and manner.. .latecl., . , ., ,.... . . . .MEDICAL EXAMINER/CORONER On Ihe buis 01 euminaUon and/or investigation. in my opinion. death occurred at the lime. d.I.. .nd place. and due to the eauu(s) and mann.' a. slated.. . . . . . , , , . . , . . , , . . . , . . . , , . . . . . , . . . . . . . . . . . . , . . . . . . . . .. ."."., 3'-. REGISTRAR.S SIGN....TURE o 33. ~. \=,b,)...&..~ 8.& \ I~ \ 101 32. DAl E FilED (MO<'lIt'l. Oa... Vea" (\:J&. \'1: I ~(j6t) .L- 34. RENUNCIATION 21-01-215 In Re Estate of '.') . .. AR f).,\1 I r A HY\ L) e..r l 0.. n d Sc .OTT deceased. To the Register of Wills of County, Pennsylvania. The undersigned I A i I C-e , of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters CJ\2 I=\JVY>IYl' STR...RT/~V'" be issued to rLARkOT c;~)b~R.../ WITNESS hand this .:J.~ day of .&..6 ,'W .::2co l ~a E: ~~ (Signature) /70(c; Cer-rkrvl/(e Kd Akt-Ut/i/N,;:;/9 /7<xcj/ (Address) (Signature) (Address) (Signature) (Address) - ~ CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Date of Death: Idr1y / g' I ;)a:x:J . D. Name of Decedent: Will No. ~f- Of - d-IS" Admin. No. To the Register: I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on Name Address L,&:;t ~. ScaN /~ Uv7terl/,lk kd dewvt!!e, PIt-/?d;(j( Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: ~e. { .Joo I t Signature Name /lI~ bJdp- Address ;2./6 ,t..{, If 9-. ~. /-fr/f ..5P/.."J Telephone (7/7) fj6 - t 775 J7cJ6( Capacity: L Personal Representative _Counsel for personal representative Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 ",. .~, ... Date: 9/09/2003 MARK D ISENBERG 216 HILL STREET MT HOLLY SPRINGS, PA 17065 RE: Estate of SCOTT DARBY D File Number: 2001-00215 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 10/18/2003 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~~q~/~~~ DEPUTY REGISTER OF WILLS ~ cc: File Counsel Judge STATUS REPORT UNDER RULE 6.12 CJI " Name of Decedent: DAfb'-( b Date of Death: ~Q' (1) ~ daOe) Will No.: rl-l'- d--QO l - d-- \ S- St1off- Admin. No.: Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes 0 No ng 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: I ~ - d 06 3 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No ~ b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes 0 No J2j c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this rep~~ ~ ' LII / DateJpLMl /ji~ 2\,y~--- SIgnature ;11~A tr:J J;;eub"? Name I)~?- Pd~i~ ~ ~v'-5 . Address (-7(7) ?ttj. 7t"o 3 Telephone No. Capacity: 0 Personal Representative o Counsel for personal representative t ~ -:.'t :"'J .~ .................. w eJ c$ to- U. o ... .- '::t ~ '\ ~ ~~ ~ ~~ au ....... .., C) ... ~ ," ~ ---~/~ (/ Dy~ UJ ....(f) ,,::> ='0 OJ: 01- (I)(I)OC'" ..Jz::>"- ..J<(OO i:t:u!;: .~~~~ o OZ . "W::>U1 W:t:O~ ........U- (1)"- ....I J no' - ~ 0 cr. OOZ<c ~~:5() "cr. WUI ..JCO 0',2 00::> U ~'.-:. 4: 0- <.9 (/) _tV <.9 ==u..I-Z =un.l..l- .;COWO:: -=Zo::O- = WI-(/) :::=(/)(/)'>- -- ..J 3o::i..J :::=~-o :: 0:: :I: :I: ==4:<.01- 3~N~ I."f") \..0 o l"- ~ ll'\ o ..... 10 ...-4 ..... 0- o Il'l t,I'1l'l 1...-4\1l a:: 100 00 ...-4(( ...-4 ...-4 m 3 0.1 ...-4\1l 0- O.IZ \ o 010 10\1.. a::..-\ \fIOO 0 .{) <.!)l' Oa:::::ea::...-4 I'\1la:::l ...-40 ((Uhi Z'Ell'lo.. \1l-a:: 1l'l<.!)\1l\1l .{) a::!-J ...-4 >- \1l \1lln O.I\L.roo..H ZHZ J \1l!-\1l0.la:: II'lO\l}\fI(( HZHI'U -: - - -: - - -: -: - - -: - - -: -: -: - - - -: =: - -: - - - - -: - - - -: - ...~ ...., (1) >C..' .+- l.n \0 .:) r'" >.-4 JRD/June 30, 1992/17858 In Re: Estate ofDarby D Scott : ORPHANS' COURT DIVISION Late of Cooke Township : COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY Estate No.: 21-01-0215 : PENNSYLVANIA : : NO. 21-01-0215 NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RULE Personal Representative: Mark D Isenberg Counsel for Personal Representative: Date of Decedent's Death: 10/18/2000 Date of Delinquency Notice: 08/11/04 The undersigned, Glenda Farner-Strasbaugh, Clerk of Orphans' Court, in accordance with Rule 6.12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, was given by the Clerk of the Orphans' Court on April 30, 2004, and that the ten (10) day notice to file the Status Report has expired. Accordingly, in accordance with Rule 6.12 the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Glenda Farner Strasbaugh Clerk of the Orphans' Court Distribution: Personal Representative Estate File A hearing is scheduled for at in Courtroom No. 3. If the Status Report is filed prior to the hearing date, the hearing will automatically be cancelled. ,~5~ .~ ~,~ ~ George.~. ~bfferFP J' ' ~ STATUS REPORT UNDER RULE 6.12 NameofDecedent: ~F-~m~/ ~ --~3F[ I Date of Death: /(5)' / ~ ~ Will No.: Admin. No.: ~l- Ot ~d)~ ]-~" Pursuant to Rule 6.12 of the Supreme Court Orphans' Com't Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State w~ether administration of the estate is complete: Yes~ Nor--] 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal re~l~resentative file a final account with the Court? Yes _ No ~J b. The separate Orphans' Court No. (if any) for the personal representative's account is: .~ c.Did the personal representative state an account informally to the parties in interest? Yes [--~ No [~] c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the O]~hans' Court and may be attached to this report. /2~/ / /1 /] S~mame Name /_5: ;]'i ~.i [ /',[i!'i 17(3~ Telephone No. Capacity: ~?~ Personal Representative [--] Counsel for personal representative