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HomeMy WebLinkAbout04-03-13 PETITION FOR GRANT OF LETTERS REGISTER OF WILLS 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 Name: Richard F.Penwell File No: 2l 12'03JJ a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: September 17,2012 Age at death: 89 Decedent was domiciled at death in Cumberland County, Pennsylvania (state)with his/her last principal residence at 4905E Trindle Road Mechanicsburg: 17055 Hampden Township Cumberland Street address,Post Office and Zip Code City,Township or Borough County Decedent died at Country Meadows 4905 E Trindle Rd Mechanicsburg. 17055 Hampden Township Cumberland PA 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 $ 63,000.00 If not domiciled in Pennsylvania. ....................... Personal property in Pennsylvania $ If not domiciled in Pennsylvania. ....................... Personal property in County $ Value of real estate in Pennsylvania......................................................... $ TOTAL ESTIMATED VALUE. ... $ 63,000.00 Real estate in Pennsylvania situated at: N/A (Attach additional sheets,if necessary) 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(cg.renunciation,death of executor,etc.) Except as follows: after the execution of the instrument(s)offered for probate Decedent did not marry,was not divorced,was not a party to a pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.§3323(g),and did not have a child born or adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. 0 NO EXCEPTIONS ®EXCEPTIONS ® B. Petition for Grant of Letters of Administration (If applicable) c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,durante absentia,durante minoMate If Administration,c.t.a. or d.b.n.c.t:a.,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 in 23 Pa.C.S.§3323(g)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 Will and was survived by the following spouse(if any)and heirs(attach additional sheets,if necessary): io Name Relationship Addre Scott C.Penwell Son 400 Bear Drive Enola PA 17025 GR % M 1 71 i Farm Rw 02 rev.10/1112011 Page 1 of 2 e��7 Oath of Personal Representative Official use Only c COMMONWEALTH OF PENNSYLVANIA rr } SS: �'� COUNTY OF CUMBERLAND C-> =0 Cn : P M Petitioner(s)Printed Name Petitioner(s)Printed Address ;:0 Scott C.Penwell 400 Bear Drive Enola PA 17025 C'> C= Cn The Petitioner(s)above-named swear(s)or affirm(s)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 Decedent,the Petitio r(s w 11 and tru administer the estate according to law. to o affi ed subscribed before \.N. ^B Date 3 Sworn rn me third day o O� Date $±theDate Register Date BOND Required: 0 YES 0 NO To the Register of Wills: FEES: Please enter my appearance by my signature below: Letters. . . ... . . . .. .. . .. . .. .. . $ 135.00 Attorney Signature: ( 2)Short Certificate(s)... . . . 10.00 , ( )Renunciation(s).. . . . .. .. ( )Codicil(s). .. .. . .. . . . .. ( )Affidavit(s).. . . .. . . . .. . Bond.. . .. . .. . . .. .. . .. . . . .. .. Printed Name: Scott C.Penwell Commission. . .. . ... . . . . .. . . . . Supreme Court Other . .. .. .. ID Number: 35222 Inheritance Tax Return . . .. .. . 15.00 Inventory . . .. . . . 15.00 Firm Name: Rhoads&Sinon LLP . . .. . . . Address: One S.Market Street. 12th Floor P n Rox 1146 . Harrisburg PA 17108-1146 . . . . . . Phone: 717-233-5731 Automation Fee. . . .. . . . . . . .. . . 5.00 Fax: 717-238-3651 JCS Fee. .. .. . . .. . . . . . . . . . . . . 23.50 Email: nwe (2rhn cic-cinnn cam TOTAL. . . .. .. . . .. . . . . .. .. . . $ 203.50 DECREE OF THE REGISTER Estate of Richard F.Penwell File No: �/"1:3-" � a/k/a: AND NOW, Zo /. ,in consideration of the foreg ing Petition, satisfactory proof having/been presented before me,IT IS(PECREED that Letters di 4Qfl7w16h—a1_1e12 are hereby granted to L)COtk7 6. n in the above estate and(if applicable)that the instrument(s)dated described in the Petition be admitted to probate and filed of record s the last Wil (and Codicil(s))of ecedent. Register of Wills m , Form RW-02 rev.10/11/2011 Page of 2 21-13- 03b1 H105.112 REV.1/05 WARNING: IT IS ILLEGAL TO ALTER THIS COPY OR (FEE FOR THIS TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH. ' CERTkFIGATE$6,00) `COMMONWEALTH OF PENNtSYLVANIA DEPART.M.ENT OF HEALTH VITAL`RECORDS i .. *.*.. . ­ LOCAL � GITRAR'S CERTIFICATION OF C�EATH r.,, C. 11 �c3 . ��� ��� o _ ziT W %�'' a "' CERT NO T 642'� $�. }} _� '' ('\\\I ENT.OF��r ... ert�u—c-at1":.1. a . .. f .. \ �_� �.: °r u'�.�a� �p t tiJ r.... r" l= to �` - . 9 Name of Decedent'` RICHARI> F. 'ENWELL Fi'rsf Middle: Last 1. MALE 22 -18-5661 Oate Q# Death 917-2012 ,::::::Sex: Social Security Na' i 2 2. 4 1923 LANCASTER, PENNSYLVANIA i Date;of Birth Birthplace r =. 8 .. :. I Piace of Death COUNTRY MEADOWS CIMERLAND MECHANICSBURG P.1..,.'�'�...... %'.­... .­..e � ._.1....­ ­ , �.-.. -' .'..,1 .n nsylvania Facil � T�t r */���j�TT County City,PorAUgh or Township 1.Ia1.CJP eJt V.L l:iol'1J.J.14J1V ITY.1. I Race '.WHITE Occupatan PLUMBER Armed Forces? (Y s or No) 'YES 11 Decedent s I . Marital Status WIDOWED Mailing Address4905 E. TRINDLE ROAD MECHANICSBURG PA i . Number Street: City or Town::: State SCOT.T. C;. PEI� LL <KRISTINE B05TIAN 11 Informant 1=uneral Director .. . .. ..: Name and Address'of Funeral Establis:hrnent SMEDLEY FUNERAL HOME 29 N GAY S'T'REET MARIETTA, PA 1. nterual'Between I Part 1 Immeiate;Cause Onsef'anl Death 1. . .. (a) OCCLUSIVE CORONARY ARTERY DISEASE ' 1'I. y (b) Vie) . (d) Part>;I I: Other SJgn:iftcant Cond1#ions 1. ,. Manner of Death Describe how injury occurred. Natural .Homicide ' ❑ fendin Investigation......-:: C Accident ❑ g g Soic.ide ❑ o #d not be Determined ❑ Name and Title of Certifier MATTHEW S. STONER; ACTING CORONER . M.D , X3,0 CO>"orter, .E I. Address` 637 BASHORE ROAD MECHAI�ICSBJRG; This is t© certify that the �nfvr>mation here given is<,correctly 'copied from are o � !nal cert�f%gate I. . of death d�a>iy f: .e with rr e aS Local Regl #rac;. The orrglnaf;certificate wtll die . rward; d . the 1. State Vlta1. Records Office fog permanent:;:.fflin9 I 3 -:3:4. .: �g% _.1.. I. - L .1 R istrar bf.Vftag:Records: Dlsfrid::N�1.. . 9-2..0-2 012 25 IRIS CIRCLELIZABETITt'InTN . .. Date'Received by Local Registrar Street Address ` City,Borough,Township 3