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Home My WebLink About07-22-13 Reset 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 �1_ ,��,�� Name: NATHAN L. MUSSER,SR File No: a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: 168-52-0468 Date of Death: 06/19/2013 Age at death: 53 Decedent was domiciled at death in Cumberland County, pennsylvania (State)with his/her last principal residence at 133 Old Stonehouse Road South, 17015 Carlisle,Monroe Townshin Cumberland Street address,Post Office and Zip Code City,Township or Borough County Decedent died at Spring Garden and North Street Carlisle 17013 Carlisle Carlisle Borou�h 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 $ 1,000.00 If not domiciled in Pennsylvania. ......... .. ..... ....... Personal property in Pennsylvania $ If not domiciled in Pennsylvania. ......... .......... .... Personal property in County $ Value of real estate in Pennsylvania........ .......... ...... ...... ...... .... .. ............... $ 50,000.00 TOTAL ESTIMATED VALUE. .. . $ 51.000.00 Real estate in Pennsylvania situated at: 133 Old Stonehouse Road South 17015 Carlisle,Monroe Township Cumberland (Attach additional sheets,ifnecessary.) 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 C �' ��nd�Codicil(s) thereto dated � State relevant circumstances(e.g.renunciation,death of executor,etc.� "„ `= � ' _ rv �, r- �,, ,- �'v Except as follows: after the execution of the instrument(s)offered for probate Decedent did not marry,was st d�orced,was not a p�rty,ta,a pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S. § 33�3(�-},ansi did�have.a child born or adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. � .: � �NO EXCEPTIONS �EXCEPTIONS ►�" � '� �` r. _, �� B. Petition for Grant of Letters of Administration (If applicable) `" c.� � c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,durante absentia,durante minoritate If Administration,c.t.a. or db.n.c.ta.,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): Name Relationshi Address David A.Musser Son 133 Old Stonehouse Road South, Carlisle,PA 17015 Nathan L.Musser,Jr. Son 133 Old Stonehouse Road South,Carlisle,PA 17015 Catherine M.Clay Commonlaw Wife 133 Old Stonehouse Road South,Carlisle,PA 17015 Fo�nwoz .ev. �oi�li2o» Page 1 of2 Oath of Personal Representative om��use oniy COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF CUMBERLAND } Petitioner(s)Printed Name Petitioner(s)Printed Address David A.Musser 133 Old Stonehouse Road South Carlisle PA 17015 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 thaz,as Personal Representative(s)of the Decedent,the Petitioner(s)will well and truly administer the estate according to law. , Sworn ro or a�irmed an subscribed before �?�--- Date "�"22'' � 3 me this -�^�da o � , �U I3 Date Y By• Date For the Register D3te BOND Required: Q YES Q NO To the Register of Wills: FEES: Please enter my appearance by my signature below: Letters. . . .. .. . . .. . .. . .. . . . . . $ . Attomey Signature: ( 10)Short Certificate(s).. . . . . � , ( 2)Renunciation(s).. . .. .. . . ( )Codicil(s). .. . .. . . .. . .. '�r ( )Affidavit(s).. .. . .. .. .. . � � � � Bond... . .. .. . . .... . .. . . .. . .. Printed Name: c � `�`' r►�t � � ° C_ G7 Cj Commission. . . . .. .. . .. . .... .. Supreme Court � � .� Other . .. .. . . ID Number: � '� � [77 � c� ' � r-^r T 15• �' �► r' rv ��t� � ill.!'L f .. . .. . . I,6.� xr,, � � N -��; � Firm Name: � -� ` .. . .. . . Address: '` ` ''� Q �, .. . . . . . t:7 C � � e~� n ' �..... .. . .. . . """'J Ca .. . .. . . Phone: � --� � -r� Automation Fee. . . .. . .. . . . . . .. � Fax: M JCS Fee. . . ... .. . . .. . . .. .. . o'�.�-�� Email: TOTAL. . . .. .. . .. . .. . .. . ... . $ .00 DECREE OF THE REGISTER Estate of NATHAN L.MUSSER SR File No: (�t��0 Q� a/k/a: AND NOW, O , � ,in consideration of the foregoing Petition, satisfactory proof having been pre nted before me,IT IS DECREED that Letters of Administration- are hereby granted to David A.Musser in the above esta.te and(if applicable)that the instrument(s)da.ted described in the Petition admitted to probate and filed of record as the last Will(and Codicil(s))of Decedent. gister of Wills � Fo�R w oz rev.10/11/2011 Page 2 of 2 Oath of Personal Representative Official Use Only COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF CUMBERLAND } Petitioner(s)PrinYed Name Petitioner(s)P�inted Address David A.Musser 133 Old Stonehouse Road South Carlisle PA 17015 The Petitioner(s)above-named swear(s)or affirtn(s)the statements iu the focegoing Petitioo are true and correct to the best of the knowledge and belief of Petitioner(s)and that,as Pe�sonal RepreseuFative(s)of the,D�/ecedent,the Peti;ti�onejr(s)will well and truly administer the estate according to law. Swom to or a�rmed an subscribed befare �/ /�_��f��l'' naie 7"'22' � 3 me this�Z�<<day o � , ��j � - nate $y:�j Date For fhe Register Date BOND Required: � YES Q NO To !he Register of Wil[s: FEES' Please enter my appearance by my signature below: Letters . . . . . . . . . . . . . . . . . . . . . . $�� Attorney Signature: ( 10) Short Ce�tificate(s). . . . . . ��,�)� ( 2)Renunciation(s).. . . . . . . . ( )Codicil(s). . . . . . . . . . . . . ( )Affidavit(s).. . . .. . . . . . . n � � � . , Bond.. . . . . . . . . . . . . . . . . . . . . . . Prmted Name: c�, `'' rn p Commission. . . . . . . . . . . . . . . . . . Supreme Court s ,�, � G? O Other . . .. . . . . ID Number. W ro � r N � �1 . i5A0 � n � rv �� r� T..{'li�Q,� �. . . . . . . . �6.Q7 Firm Name: D � R; N �L � . . . . . . . . Address: � ` '� --r� � -n ° � -�t . . . . . . . � � � . . . . . . . . O ` T = C> . /� � �' . . . . . . ._� O . . . . . . . . Phone: � � � -n Automation Fee. . . . . . . . . . . . . . . �-� Fax: JCS Fee. . . . . . . . . . . . . . . . . . . . . o2�•S� Email: TOTAL. . . . . . . . . . . . . . . . . . .. . $ e2O�00 DECREE OF THE REGISTER Estate ot NATHAN L.MUSSER.SR File No: OLI—�� v0O�f a/k/a: AND NOW, � )�u JO (J ,in consideration of the foregoing Petition, satisfactory proof having been pre nted before me,IT IS DECREED that Letters of Administration are hereby granted to David A.Musser in the above estate and(if applicable)that the instrument(s)dated described in the Petition admitted to probate and filed of record as Yhe last W ill(and Codicil(s))of Decedent. �"" � � /"N`��^�'"'"'71" - gister of Wills V ,� Fom,ew-oz .e,.. tonino�r Page 2 of2 ,.�.e.�..��.,�_ �.� .�.�..;ti�.� �.�.� � . ,.� �,,. �; , _k. ��.w�-��:: . � � H705.805 REV(9/11) � LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is iliegal to duplicate this copy by photastat or photograph. � , � r .�r ��. � . � . . . Fee for this cerGificate, $6.00 :��'.' '- �� ,,,,,��"" This is to certify that the information here given is , ��,,n�P`jH OF pF�;-__ correctly copied from an original Certificate of Death �-� . . : ,,, v i `• � `,��a�o�y� _ yJ'L` duly filed with me as L.ocal'Registrar. The original , .,.. ,; ;�, � �� =._ z� certificate will be forwarded to the State Vital �'!l� ��I�_ 2� E�i I � ��:°w � a: � Records Office for permanent filing. ;,t *� i � � !� �3 i � `��. �..� � � �` �' ,„-- ��°99 ' a�?�1 G �i� � ° ` . MENT OF ``''�� 1 l � � � � � Certification Number �,i �:��`��'��' ��J�'i I .,,,,,,,...,�„n�n� Local Registrar Date Issued CU��QERt.�1f�� ,_�,. P� rN11n COMMONWfMT110F VFNNSYIVANIA•�EVMTMEM Of NfAlr11•VIT�I I1EC01103 �� #2013-06-290 CERTIFICATE OF DEATH t Ink State Rla Numbn: I.Oe�Ment's le�al Name Iflnt.Mktlle.LasL�+Kbl 3.Se� 3.SocblSe�url}y umbn e.pate of Dea��(MO/Oay/Yr113Ce11 Mo) Nathan Musaer Male - June 19,2013 s..,yo-i,.c exendw lrn� Sb.Under 1 Ynr Se.UMer 1 6.Oan of&nh(Mo/OaWVOr1�13oeII Monlh��. ] � G nd 5bte w untryl � �. . .. � MoMli� Days Mwn Mlnunt ' . � . � � . . � 53 Janua 17,1960 �m:unnp.�els«MV� � � . . . . .. . � . E1. IN+Ie a Forcl{n Camtry) 60.Ikfitlmte IStteel anE N�mEer�Nchke Ap[Np.1 E�c./Did Oecldent lNe M.�Town�hipi A��_._v'v � �. . . . . . N7Ttl.depCeMNrMM �`��x�A_ twp. . .. . e. 1� .M.�eyd��«((b�) (]NO,EeceAant IHed wltMn Ilmib ol tlry/poro. � 9.verMUSMmedFpufi 10.MCrXNStRwatT4neofDealh Mxtkd ❑Wldowed 11.SUrvMn�Spoufe'fName�Iwlle,�IVemmeprlateMrtmxrlase) ❑Yn �lo QUnYnown R�dvwced ONeverMartkd ❑UnMnovm , ll. h fs Name(F st,M ,Ln Su M 13. 't Name a le qnt nla�e(rit,Mlddk,last� 1 MI nt't Nami 1� tlon�hl to pemEent . I nt' INn1 � S��K�b .[1tY Sb e,ilv � ri ..._._.. . .�. ,� � ....:_._ _.....��........... ._..........._................. .._.........._.___.__.__......_........._ ....._._............_..._. ,...__._...._....._..........�... .. � If dNh OccurtM M a Nm0ib1: Mpatlent �If Onth Occurted Som he..Otder Thm.a XmpltN� �Ibspke FKINry� �De��dmt's Nome � . . .. . . . . E Ilaam�� nt WWenAMVaI NursM6MOm�/LO -..vmhnFac4fl'I � O��I �N'll�.(io� lW . . . . � �. . ' 15E.FUIIkyllimvUfncelnstltu11IX4lFMSH!ltanOmuMN: tSC.GlyuTOWn.SOle.ana2lpCode . � � .� � 15d.:[wnryolDeat� . � . � . . ; 114 N.S dn GBrdert Street Cadisle PA 17013 � � � � �Cumbed �� . : �s,.M.moeaoxoo�nw� ❑e�na c�m.n� i e. /��.�w m� .a w�.aonwm��M.m.or�.nn,��mxm,«om w.�.� � p n.�.i r�ua. o oo�.u� �OI-��'� J � . � om�rlsv�hl - N�b� � � � . � ! � ion�wnwou ibnlcnraT s� , av � ��Sw�c eafneermen�vy. ��! 7U�� . r / �S p� i . . ntl ebdr fiunenli . . � e. cetlenCSEAwtlon- theboith�tbntdovllnlAe 39.DecMmt nkOrl{N�Checkthe 70. YsRxe�CMCkONEO M EnwtahMkatewhat ' Myl�at de{rte a NvM d sc� compatM n lM tlme d death. 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REMS 33a.7idMYff!E[AMPlETFO 3a.Drte ronant OnE 1 aY r .Sl�iulurc o Pnson PrmiounNry Davfh I�M.m>pplM e 33c lbme Number . .. � ev vnuax vmo maxouwar oa . . . . . . . . � aemrzsueTn � . . . . . � . .. . .� . :aa.ox.simb��/ownn :..n�er o�,m . . . . . . . . � . . . � � A rox.11:10 P.M. �s.wa�Mm¢ai[um�Mr a torann tattxtr tt m va p ra � . � � . . . � � . � � C0.USE OF DEATH � � � � ' �p��n. � � � 1fi.�MLEMn[he[hilnolneiRShcu�us,Inlmles,wmmplkaMans--thaldFetih/ousedNedetlh.DONOTeMertermWlewnufurA»WdlatittM ! iMerv�C . . . mVM+bNxnftaven�rk�larflbMbtbnwMhoul�hawlrylMetblop.OONOTMMEVWTE.EnteranMeMOUSeonaXne.Mtls001UOnaIIMesllnemvry i qiyNloDStth IMMEDUTEGIISF ---> �Smoke Inhaletion end Thertnal Inluries ; (�N�MfnN MCOMI�IMI We b(q a�a COnslyulM!OII: � rtsuMNMlen�� n.Car Fire � .. . . � $eyuenUaqyNSt�anEltbnL . OueNlora��eom�0�c�of1: � . . .. . . . . � M anY,�Irp to tM tause . . � � � � . . . . �� . 6�[edmlines.Fnu�IM i � . � UNOEIILYIMOGIlSE UuerolauacdnpwMeoll: . . . i �. �. � . . (dluaseerin�urytlul � �� IMl4[W[h!e2nif resuhiM d. � � � � � mee.mlus*. o�e�olora.w�.ea�«on: .f . . 26.hrtIl.Entt�other51eM11canlcoMltbmmMrlhutlirloduth0utnot�esyMlMlntheunO�rlWn��uc�tMnlnVUtl xi.w,:.�,�nowyw�,�we . � . � � YH��. � No� . . � . . ae.w.n�wmosvn,�m�ss�mmete . � . . . . Wlan0lMe.IManwolApM1 �� . � . . � Yes No � 29.Ilfemde � 7p.qdTObacwUfeGOnM�letoDe�thi 31.MaMerolOwM .. . . . � p da o�noao�wnre�o.n nn p r•s p rroe.eN O Nawr p Nom�nee or�naoi.i�i�a�eam pNO mu�now� p eeen� o.emn�iimnenaxen �nee P..��t wi P�am w�hm�i dm M aea« �iikwe p eouk�w ea aemmined Na pre�n.nr.bu�pqnam�l aars ro 1 na.belm ae,H 7z.om m�n�urv(�w/USr/'M(so�Mw��n) �Unkrpwn N prqn�m wllhln Ihe put yew 33.Tlme W Intyry June 19,2013 Approx.17:10 P.M. � 3�.%ace d InNxy le.{.Mm�:mnservc�ion�tte:f��m:�chool) 35.leutian ol InIwY IS�reet aM Number.Cky.Stale.Lip Cade� Grasa Parking Lot 144 N.Spdng Garden Street,Cedisle,PA 17013 3fi.IntyryrtWOr4 3),IlTnmporlNbnln�ury,50eclN� 3l.DeurlbeMOwMW�Ya�+rred: p rn p aiwr/operamr p veemmn Smoke Inhelatbn enA Thermal InJudea Irom Intentionel cer fire �Ne p heeen�er p o�h.rlso.�.ihl 39a CeRIM�la.��h'wKl: ❑CeMfyiry phpkbn�To Ihe beri ol my FnwAed[e.dolh awrred Eue ro lM uux��l�nd nunner suted ❑v�omun�a e.ni p.�.m.�.ro u,.n.n or mv www�.dn,ee.�n oa�nw.�ene ume,mn,.nd v�...nd due ro�n.uwd�l.�d m,��n nmd m MMe�I Ea�minw/ a� w�.o�se..�n�W�pn�,nEU(p ox�wmN�w�,i�mv ownua emn o��.a a en.e�e,e.e.,ma M.�e,,�e eu��o<n.a�.i,l.�e m.�e.n,na SqmWndnrtlfla: ` "`�-+`� TltleufanlMr:COfOf18f lkenfeN�mOer. 39b.Nsm�,�ddreu aM pp Cod�ol perwn Campktlry Cause a/DeaM(Itxn]6) 39c Oan Syne!(MO/Day/Yr) . . . � � Charles E.Hall,Coroner 8375 Beaehae Road,SWEe 1;Machaniwtiury,PA 17050�� June 21,2073 �� a:xeWwr: rM rwmber �i nayk+s mrz � � �i e urar i oxe rna oay rl � : . � � � . . . . 1-aai�3 [ri. G aK '�3 13.Amendmentl � .. . � . . . � N105-I�J Dhposltbn Permtt No. NEV O)/N111 .- ::.:� c� �.:; -- .-;; RENUNCIATION �= � � �� - �- . �--: - _ � _ . �,, V; REGISTER OF WILLS `� 4 `" ' --- �: �. :._ . ,, CUMBERLAND COUNTY, PENNSYLV�IIA . _� ' ; .,, _ ;.., , __ �-A _ :.,.� ' .'i �'"�3 - ° �ti] ' Estate of NATHAN L. MUSSER, SR , Deceased I, NATHAN L. MUSSER, JR , 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 DAVID A. MUSSER JLTLY 22, 2013 � (Date) (Signature) 133 OLD STONEHOUSE ROAD SOUTH (Street Address) CARLISLE, PA 17015 (City,State,Zip) Executed in Register's Office Executed out of Register's Office Sworn to or affirmed and,�,s.}�bscribed Before the undersigned personally appeared the befo me this �-�-'`�� day party executing this renunciation and certified of , �013 that he or she executed the renunciation for the purposes stated within on this day of , � `'l�L Deputy for Re ' er of ills Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) Form RW-06 rev. 10.13.06 � - �.i � L.a �. ,_�r 6'^. �- ° ... RENUNCIATION �. :_ �_- 4 = ��. i`.� ; . '�__ �-- _.,, — _,, ,_� ..:.. �_' s�� ; _ REGISTER OF WILLS __: -v , _ �; > CUMBERLAND COUNTY, PENNSYLV�N�IA � : _- ��. . - � � � .::> � �, , Estate of NATHAN L. MUSSER, SR , Deceased I, CATHERINE M. CLAY , in my capacity/relationship as (Print Name) COMMONLAW WIFE of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to DAVID A. MUSSER JULY 22, 2013 -----�� (Date) (Signature) 133 OLD STONEHOUSE ROAD SOUTH (Street Address) CARLISLE, PA 17015 (Ciry,State,Zip) Executed in Register's Office Executed out of Register's Office Sworn to or affirmed and ,�ubscribed Before the undersigned personally appeared the befo me his ��' day party executing this renunciation and certified of , �1�. that he or she executed the renunciation for the purposes stated within on this day _ of , � Deputy for Regis r of W lls Notary Public My Commission Expires: (Signature and Seal of Notazy or other official qualified to administer oaYhs. Show date of expiration of Notary's Commission.) Form RW-06 rev. 10.13.06