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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 p/_�}
Name: Frances Stanbery File No: �� '�� ' VO (1/d
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No: 411-34-3119
Date of Death: 7/7/13 Age at death: 88
Decedent was domiciled at death in Cumberland County, pq (Srate)with his/her last
principal residence at 770 Poplar Church Road 17011-2302 Camp Hill Cumberland
Street address,Post Of£ce and Zip Code City,Township or Borough County
Decedent died at 770 Poplar Church Road 17011-2302 Camp Hill 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 $
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. ... $ 0.00
Real estate in Pennsylvania situated at:
(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,datedG7 � , ����and Codicil(s)
thereto dated
� � ��'� .`�
drp-:-.��, , , ;_.,
,.�.� ., �.M
State relevant circumstances(e.g.renunciation,deuth of executo�r,tc_j ' t;-.; ��' " `
..a.: .
� � I"° � ,�
Except as follows: after the execution of the instrument(s)offered for probate Decedent did not marry,�s�at�lt�?orce'��as not a pai-ty to a pending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S�3��23�g�a,and did nok:hav"e:�child born or
adopted;and Decedent was neither the victim of a ki(ling nor ever adjudicated an incapacitated persEi�. �? -, � '� �'
a:�3 C,� . , �>
�NO EXCEPTIONS �EXCEPTIONS <::a �Y;�._T
�� ,�.
� B. Petition for Grant of Letters of Administration (Ifapplicable) FOR LITIGA�N PURPOS.�S OI�LY ;� _
c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,durant a sentia,durante minoritate
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
ndc�itinnal sheets, iJ�neces.can�):
Name Relationshi Address
Finesse Cobb Daughter 138 Leonard Lane,Harrisburg,PA 17111
Charles Ray Levy Son 2801 Penbrook Ave.,Apt.4,Harrisburg,PA 17103
Abrom Levy Husband DECEASED
For,,,Rw-oz rev. �oi�vzol� Page 1 of 2
�
Oath of Personal Representative Official Usc Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF Cumberland }
Petitioner(s)Printed Name Petitioner(s)Printed Address
Finesse Cobb 138 Leonard Lane Harrisbur PA 17111
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 Petitioner(s)will well and truly administer the estate according to law.
Sworn to or affirmed and subscribed before -�i..�.-t�-o-� � Date �'��'g, a�'�
me t is �'�� day o ,.�I,� __�ate
By: �� � �'1'�1 � �♦�bate r � :�
For the Register �'': � "=:-Date ��y
C� _
� r-_ : ;
.-;:y ,.., �....
BOND Required: Q YES Q NO To the Register of Wills: � �'"� � �� �"
C�: �
FEES: Please enter my appearance1�iy my signatuK�be(�iv: ;';
._.,
; _.: '
Letters . . . . . . . . . . . . . . . . . . . . . . $ ,� � Attorney Signature: r �,, ,
( Cj ) ShortCertificate(s). . . . . . ��.(,�L�'s � �—��" � � r
( )Renunciation(s).. . . . . . . . "`` ' '
''' ,�'E
� )Codicil(s). . . . . . . . . . . . . . �'_:,
( )Af�davit(s).. . . . . . . . . . .
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printe ame: Elizabeth B.Place,Esq.
Commission. . . . . . . . . . . . . . . . . . Supreme Court
Other . . . . . . . . ID Number: 44682
�1`1e�i�-(.#,1'10E e ���. . f S,I�C�
��.-11Ve1fl�f'1.1 . . . . • . • • LS.L`� Firm Name: SkarlatosZonarich,LLC
��1 �.` . . . . . . . . 1 S.�O Address: 17 S.2nd St., Floor 6
� • � • � � • � Harrisburg, PA17101
. . . . . . . Phone: (717)233-1000
Automation Fee. . . . . . . . . . . . . . . G,(`� Fax: (717)233-1016
JCS Fee. . . . . . . . . . . . . . . . . . . . . o'� � Email: ehn(p�ckarlatns�nnarich.cnm
TOTAL. . . . . . . . . . . . . . . . . . . . . $ IC�$• -$'6(j v
DECREE OF THE REGISTER
Estate of Frances Stanberv File No: ,�� ' 1 � " ���f Q
a/k/a:
AND NOW, � �� , , in consideration of the foregoing Petition,
satisfactory proof havin een prese ted before me, IT IS DECREED that Letters of Administration
are hereby granted to Finesse Cobb
in the above estate and (if applicable)that
the instrument(s) dated
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s3)of Dece�ent.
egister of Will����-
��
Form RW-02 rev. !0/l1,�20/l pi�ge 2 Uf 2
,�..,���.�..�� �� ����.,.�,��,.�,..,:�.«.��.::;. �_
����. ����.�, ��s.
H105.805 REV(9/I1)
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph. _
Fee far this certificate, $6:00 ��"�'" � �'9� �,,u����"" This is to certify that the information here given is
�-,�, F• , f �,,����,�,TH OF pE';-. correctly copied from an original Certificate of Death
�;�_ ,.� _:: �.��- ' ,�,''��, _ y�,`_
� o - _ l; duly filed with rne as Loca1 Registrar. The original
� � �^� �? � r , �`� =� 95� � � cerCificate will be forwarded to �the State Vital
1I3�� ��:.; U �.E. ,� �' o- . m' Z4
� ,� � n� Records ffice permanent filing.
a* *
P 19598793 � ,. _=°�.�, �.. . ,,,,'' ° �
Q�N;�t;�S ��_ ��: �v 9�.lMENTOE;��`�'
Certification Number "°����"j° Local Registrar ate Issued
G��B���.�3��: t`v=., �'.t
Typa/Pr{nt In COMMONWEALTH OF PENNSYLVANIA�CEPARTMENT OF HEALTH�VITAL 0.ECORDS
P�rmaneni CERTIFIGATE OF �EATH
Black Ink State Flle Numbsr.
1.D.�we nYs Lagal Name(Fint,Middle,L�st,Suff1x) .S�x 3.Soela�Sscurl Number 4.D e of DeaSh(MO/Uay/Vr)(Spell Mo)
}.ca...tc�s C_ r. �¢ '-��t- 3�- 3��4 .�a_ o.
Sa.Ag�-Last BlKhday(Vrs). Sb.Undar 1 Y�ar Sc.Under 1 Da 6.Dafe of Birth(MO/Day/Vear)(Spall Month) 7a.BI �ac�(Clty and StK r�lypn C untry)
� ��rwoncKs�� oavs� riours nninuc.: � � � tZ J4 �\
- � MAY g.. �� . S � :.�c.so-cnai.�.(co�oev) � .r{�{a� � ..
8a. itlant�(State r Forelsn Country) Bb.R�sid��ce(Strce�and Numb�r-I�clutle Apt No. 6c.Old DecaGenS.IVa In a Townshlp7 �'. ., . : .
�E�.►.J �� W�►•.•�-s� � /����� Cives,d.ud.ni[w.e�n ��. . ... � ewa: .
Sd.ftesldenu(Caunty) � . . . � � �e���`'c �-'�+��',��Q�' �� �I � �. . /� � . .
��.�LA►fa B�.0.efiCenw(ZIP Cod�1 ' � Q1 C17'Aa,decrtl�ni IN�d wlH�in Ilmlts of L.�/�M�� .. � �.Gity/boro.
9.Ev�r In US Ar� �tl ForctsT 10.Marital Stafus af Tlme of Death Mar�l�d 1 owe 13.Survivins Spouse's Nam�(If wife,glve n s prlor[o flrst marrlas�J
�VYS gyNo �Unknown �Divorced 0 Naver Marrled �Unknow
12.Fsther'a Name(ilraf,MI�}tlip,la�uffix) 13.Mo},hfr'f�aAma C��ro�lrst Mar�if��(Fl�st,Mwid,dlwe,Last)
LuC,so�.l MG �*t A� v�is�_�..s
1 InformanYS Name 14 IaUOnship to Oacatlant 34c.Into�mant's Malllns Add�ess(Stnat and N mb�r,Cicy,Siata,21p Co )
� s..�E i�t+�.�►-TesL l r+sw.o .►... . --- 4. .:. �' `:.`.,
......."""'...""'....._... ........ "'...... ...A.............."'..................""'.. ......
......... ..
¢ If Daath Oecurrwd In a Hospital. ��In atitnC �H De�th Occurred.SOm�w �r!Oth�i�han r�NOSpltql:�� � �Hospic�Ficility [�DecetlanYS Home
S Em�r �ncy RoOrsi)OYC rifM�� . 4�/d on Arriwl sl Nb.me/lon -Te�m 4r�F�iclll . � Othar(Spacily) � �
� .Faclliiy Na (If not in:qtut ,�Ive aYr�at• umb�' 15c. 1�ty or T 5�t:an�wp Code �: - 15 .County of Dpch��.� � . . �
o�.�3uJ�Kf.. t L/�wip e�. ♦ s�ta Wt t.Mfm
� 16a.Moth tl f Dlsp IHOn urial 0 Cremation 16b.Dat of DI pofltlon 16 Pir e of Dlsposltlo�(Name of cem tary,crem tory,or other place)
.� p.rta w.i r.om sc.0 �� .. O oor,�eio� . 'i�"J' .. ��MC'r4 i.1lo► �►-�£-r E'!l�71 :�. .
R
Other 5 eclfy ��. .
''��77 1 utYOn of Dlsposillo�n j(Gty�or Town,Staie,and ZipJ 17a.51` ture of Funeral or Person In Gharoe of IMermenT 176{.''Wcaits Number
�� �rY4 . \.L�.. _ . . . . . � �� 1'Q�+O\��''��
i7c.�N�m�and Complet�Is ddr 7 Funar� Illty C ^�
s a� t!-W s.a�s+Es-v�-a.w�--� d►wE��ac.. o C r. --�s+ ♦A. 1 u
� IB.De enYs Educ�tlon-Check[he box that best descrlbes the 19.De dene of Hlspanic OHSIn-Check the 20. eced�nYs Rau-Che ONE Oli M E roees to Indlcate what
� hl{hest d�sr�a or level of school eompletetl a!tha tlma of death. box that beat d�aerlb�s whetFiar fha decedant th�d�uCent consiC�retl himself or herself io ba.
0�Hth s�ade or I�ss Is Spanish/Nlspanic/l.�tino. Ch�ck ihe"NO" Q Ita Q Korean
0 N�dlploma,9th-12th frsde box�i deced�nt Is not Sp�nlsh/Hlspanlc/Lati�o. 4ek or AfNean American 0 VlmCnamese
[�RI`h sehool Lradwta or GEO eompleCed [�F1n,not Spanish/Hlspsnic/L�tino O Amerlca�Indlan or Alaska NaHV� 0 Oth��Aslan
� Some collese credit,but no deQra� �Yes,Mexican,Me�tlun Amarlean,Chieano 0 Asian Indlan � NaNVw H�wailan
0 Associace d�ir�e�e.s.AA.AS) �Yes,Puerto Riwn Q Chinese Q Guamani�n or Chamorro
0 B�chelor's d�tr�e(a.g.BA,AB,BS) 0 Ves,Guban 0 Flllpino 0 Samoan
0 Maat�r's d�sroe(e.s.MA,M5,MEn4 MEd,MSW,MBA) �V�s,oThe�SpaMSh/Hispanic/LaHno �Jap�nese � Othar Paelfic Islander
� Doctoraie(�.5.PhD,EdD)or Profesaional tlwgroe (SpecHy) �Other(Speclfy)
.MO DDS OVM LLB JD '
31.Dee�denYs Slnale Raee Self-Deslsnatlon-Chack ONIY ONE to Indiute what fhe deced<nc considaratl himsalf or h�rself fo ba. 22a.O�udent'z Usual Oceupaflon-Indloie iype of work
��ite O�apan�sa O Samoan Eone tlu�ing most of wo�klns Ilfa. O NOT VSE RETIRED.
Q'Blsck or Afriun Amerlun �Korean Q Ofher Paclfle Iflantlar /`g:T��gu{�Q�^ - /•
� 0 Am�rican Intllan or Alaska Native �Vi�tnam�s� 0 Don't Know/NOt Sure t� �_oerC.C�a
0 Aslan Indlan 0 Other Aslan �Refusetl 32b.Kind of Buslness/Industry
� �Chinese 0 Native Haw�iian �Oth�r(Speclly) � ����N
0 Fil{pino O Guamanlan or Chamorro T
ITEMS 23�-23 MUST �� MP D ��Oata Pronounrod Dead(MO Day r � 3 . Lnoture o Panorl�Pro(�puncinQ Deat On y w en qppllub q� Sc.llcansa tJUm er
CERTIF!S DEATM PRONOUNCES OR . `�` . ^ t t ` Q`�: . . :.
. . . 1.] I P' , �..� . . � �� � ��.: �,� R_.fi1 .E'.�31�fa
sad,o. sis�ea�.tnna�e�.v/vr) . za.n �.gt o..cn - . � � ..
�7 Y "'� :�-8 t 3 1�- O � zs.w.:nnedic=i�.m+.,e�or cwo.,.�co.,u�c�a� vea No
.. �. . CAUSE OF�DEATH ' � . . . . � . . � g ,sPV�o,umsc.
26.P�rT 1.��Enter the chain o1 wants--tllse�ses,InJuAes,or Compllcatlons--th�t direttty Caustd She tlpth. DO NOT anter te�minal evenCS suth ss urtliat arr�st � � Int�rval:
respiratory arrest,or ventrlcular flbrillaHOn wlt ut showing thi eNOlosy. DO NOT ABBREVIATE. Enter only one eause on a Iine. Add atltllilonal Iinws if necessary � Onsei to Oaath
IMMEDIATE GUSE ----------> - --- ��
(Final tll or ntliflon a � Ouayio(o � q enc�o�
rasul l `1 daath) ��
Saq�a 1 IIY Iist ditlons. . . b• �� �Du�to(o��a . aaque��� r . � . .
If any,laadin�tio the:uuze � � . � �. . � � . � �
Ilstetl on Ilne a..Ent�r[hq � � �
UNDlRLVINO GUSE� � Due to(or as a consequ�nce o�: . . � � � . .
�j (diaaasa or In)ury that � � � � � �. ' � � �
� Initiac�tl the eventa rosultiny . d. 'co^ . ��F
In daath)LAST. oue[o(o aequwnca of): �
��.� . 26.Pa1!11�. En�er other � buS not resultins In Niw.un erlYlnQ uuze Biven ln PaR 1 �� . � 27.Was n utoPSY Pe o�G7
/j Yas
�/'�"'L��•�.(� j d�� ��� 28.Wara a4toPSY flndinfs�vallabla
.�� . . . . . � . � � . � �to¢omplete the uus of daathi
�� .�. �:�... � . � .� ..� � .� � . � . OY.e � No
✓ 2g,N F�nW . . . 30.Did Tobacco�US�Contribute to DeathT � 91.Ma �r o D�aMs��
0'W t Pr�in�nt withln Past Y�ar 0�/Yes � P�obablY �N tural 0 Homicid�
� P snant at tlme OT daath �1}No � U�known �A IdenC 0 Psntlln`InvestlgaHOn
� � Not presnant,but pr�{n�nt wlthln 42 days a1 d�aCh � Suieid� Q Could not be determined
� Not prwsna^Y,buf pre{nant 43 daya to 1 year b�fore death 32.Date of InJury(MO/OSy �)(Spell Month)
ti ~ 0 Unknown H prcanar�[within She pasi year 33.Tlme oT Injury .
34.Place of Injury(e.s.homa;eonstructlon site;farm;s[hool) 35.LoCation of Injury(SSreeS and Numbar,Gty,Stata,iip CoEe)
36.Injury at Work 37.H Tranaportatlon Injury,Specify: 38.Descrlbe How InJury Occurrad:
Q Yes �Driver/Oparator 0 PeEestrl�n
� No . Q Passen`er � Oih�r(SpecHy)
39�.Grtifiwr(Ch�ck only ona):
�CertNying physician-To th�best of my knowledge,death occurred due to the cwse�s)and manner sca[ed
��Pronounelns d�Cer[Ilylnt physlc -To ihe bes�of my knowleds�,tluih ocwrretl at Lh�tlm�,dat�,and pl�ce,�ntl dua to tha oux(s)sntl mannar staNd
f' O M�Giul Ex�minar/COroner e bas�e af eaamlpyio /or 1 t�on,in my opinion,d•�h��i Cthe tima,dace,and place,anC due co cha caus�(s)anA manner sqted
�.� Sisnawre of certlfier: // �h�Title of cenifler:%�7 /h'+� Llcense Numben��'v�� ���L
39b.Nam�,.Atld[as a � Ip Co�d/e.of Penon Com I�Nns of Death(1 m 2 � . 39c.Date Sls d( o/Day/Vr)
t �O/ys�/3. � i✓!«..! pG. . � �i -/ Z I'!.fi �. Z!/l
� _ O.Reslslr=r's DlitMCt Number � � 41. strar z SI`nature. � .. � . � � 42.ReQlst=af FI e D�Se Mo ay f
� � 43.Amendmenis . �� . � . � �
� . , ��. , . .�. . . i ��
�(�,�!J O 1 H305-343
Disposltlon Permlt No. V-1 -1 d�� REV 07/2011
� r_; ::::�s
�a �" r-�
REGISTER OF WILLS � `�' ` '"'
Cumberland COUNTY, PENNSYLVANIAc�7 -' r. ; �•y- %
--� �,.__
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C:� C,M:
RENUNCIATION �., =r ' � �,y '`.;
:� ,� -��y
Estate of Frances Stanbery , Deceased
I, Charles Ray Levy , in my capacity/relationship as
�P,�;,,�ti��,,,,e�
Son of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Finesse Cobb
1
,�
8/1/13
(Date) (Signature)
2801 Penbrook Ave.,Apt. 4
(Street Address)
Harrisburg, PA 17103
(crry,srare)
Executed in Register's Office 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
Deputy for Register of Wills purposes stated within on this s�_da
Y
of ►�li�r c}- , ao�3
� � �
o ary Publi
y Commission Expires: ��3I �la
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
COMMONWEALTH OF PENNSYLVANIA
9.19.05 NoWrial Seal
Jatoya Drayton,Notary Public
City of Hanisburg,Dauphin County
My Commfssion Expires May 3,2016
MEMBER,PENNSYLVANIA ASSOCIATIpW OF NOTARIES