HomeMy WebLinkAbout10-04-13 . • � rcese�
PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY,PENNSYLVANIA
� Petitioner(s) named below, who is/are 18 years of age ar 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 21 _J�r ��� 2
Name: R i cl�ar��V 1� . I�cc r5e��+ 5 File No:
a/k/a: (Assigned by Register)
a1k/a:
a/k/a: Social Security No: i 67-2�-�712 _
. Date of Death:.iune�1,2007 Age at death:76
Decedent was domiciled at death in Cumberland County, pennsylvania (S�nre) witll his/her last
principal residence at'700 Cocklin Street, 17055 Mechanicsbur� ('umberl n�.
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at_503 North 21 st Street 17011 Camp Hill Cumberland PA
Street address,Post Office and Zip Code City,Township or Borough County State
Estimate of value of decedenPs property at death:
' If domici/ed in Pennsylvania.. . .. . . . . . . . .. . . . . . . . . . . . . . . Ail personal property $ 7,300.00
If not don:iciled ir:Pennsylvania. . . . . . . . . . . . .. . . . . . . . . . . Personal property in Pennsylvania $
If not domiciled in Pennsylvania. . . . . . . . . . . . . . . . . . . . . . . . Personal property in County $
t�alue of real estate in Pe�tnsylvania.. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . �
TOTAL ESTIMATED VALUE. . . . $_ 7,300.OQ
Real estate in Pennsylvania situated at:700 Cocklin Street, 17055 Mechanicsburg Cumberland
• (Attach additional sl�eets, iJ'necessa�7�.) 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 � -� •����, a�l Codicil(s)
�-6 a �.,.R
thereto dated �:r C.! ;•:,
�
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C:. _ - .. ...E
State relevant cirCUmstances(e.g.renunciation,death of executor,et�� ��:+ "�`' "�'' "�� �
,,J +.�__ *
C,_. �_,
Except as follows: after the execution of the instrument(s)offered for probate Decedent did not marry,wa�,,�ot.�cbiuorced,was not a�art}3 to a pending
. divorce procceding wherein the grounds for divorce had been established as defined in 23 Pa.C.S. §,3.323�)',and did�ot I�eVe a`child born or
i
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person�-�, . �� =���
Q NO EXCEPT[ONS �EXCEPTIONS � � ,,.�_,
�� .m:.y y�--- � —
G.� f�'7 4.�
� B. Petition for Grant of Letters of Administration (Ifappt�cab�e) " -�� -y��-�
c.t.a., d.b.n.,d.b.n.c.t.a.,penderate lite,dur•ante absentin, dzrrante 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 W ill and was survived by the following spouse(if any)and heirs(attach
additional shee(s, if necessnry):
Name Relationshi Address
Richard M. Parsons Son 2232 Canterbury Drive, Mechanicsburg, PA 17055
Michael K. Parsons Son 206 I.ewisberry Road,Ne�v Cumberland, PA 17070
Elizabeth A. Parsons Daughter 433 Stonehedge Lane, Mechanicsburg,PA 17055
i .
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Oath of Personal Representative Official Usc Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
� COUNTY OF CUMBERLAND� }
Petitioner(s)Printed Name Petitioner(s)Printed Address
Richard M. Parsons 2232 Canterbur Drive,Mechanicsbur , PA 17055
. 20 , .
. EI' __ 433 nics ur ,
The Petitioner(s)above-named swear(s)or affirm(s)the statements in the foregoin ition true nd correct to the best of the knowledge and belief
of Petitioner(s)and that,as Personal Representative(s)of the Dece t,t Pet' o er )w� well nd truly administer the estate according to law.
Sworn to or ed a bscribed be re =�- Date � ��
me thi �of , �-- Date
BY� Date
Fo t Register ;-�ate �D
w
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� �,
BOND Required: � YES TO To the Register of Wills: C'�t ��, c'� ��� +r�
FEES: Please enter my appearance b��m�',syg�atu�e;bela� w
'.. . � _`: � .
Letters . . . . . . . . . . . . . . . . . . . . . . $ � Attorney Signature: ' ' ' ' ';
( '� ) Short Certificate(s). . . . . . � � � � ��� �v`
( ��) Renunciation(s).. . . . . . . . � . � � � '
. c._� �
( ) Codicil(s). . . . . . . . . . . . . , . .�'
,°a
( ) Affidavit(s). . . . . . . . . . . . �_.> '� �'�
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: Andrew C. Sheely,Esquire
Commission. . . . . . . . . . . . . . . . . . Supreme Court
Other . . . . . . . . ID Number: 62469
. . . • . . • Firm Name: Andre�v C. Sheely,Attorney at Law
. . . . . . . . — Address: .127 South Market Street
� � � � � � � • PO. Box95
• • � � � • • • Mechanicsburg, PA 17055
. • . . . . . Phone: 717-697-7050
Automation Fee. . . . . . . . . . . . . . . Fax: 717-697-7065
JCS Fee. . . . . . . . . . . . . . . . . . . . . , Email: andrewc.sheely@verizon.net
TOTAL. . . . . . . . . . . . . . . . . . . . . $_ ,
DECREE OF THE REGISTER
Estate of I�� 1�C� �_����cS File No: �1 -"/� " ���Q o2
a/k/a:
AND NOW, �`����,/� ,sy%���� in consideration of the foregoing Petition,
satisfactory proof havmg been presented before me, IT I ECREED that Letters Adminstr tion
are hereby granted to�('' �''C�. Qr',SD�S
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(s))of Decedent.
�
egister of Will
� <
F�rn�Rw oa rev. io�ri�zo�l Page of 2
HI05.805 REV(Ol/07)
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00 „������""'----.. This is to certify that the information here given is
�' �TH OFp'
,,,,��,����,P E�(!�;f`_ correctly copied from an original Certificate of Death
��� o __ _ r; duly filed with me as Local Registrar. The original
:�_ y� certificate will be forwarded to the State Vital
;o= �
;� �' n� Records Office for permanent filing.
:* *.
P 13620463 �`��99rM E��a~? ' A.Fe„_
JUN 5 007
Certification Number '-�,ENT�,,,"
Local Registrar Date Issued
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N105�703 flEV NfNq6 COMMONWEALTH OF PENNSYLVANIA•DEPARTMENT OF HEALTM•VITAL RECORDS
TYPE/PRINi W .
PEPMqNENT CERTIFICATE OF DEATH�
BLACKINK
(See instructlons and examples on reverse) STAiE FILE NUMBER
i.Name a oeceeem lFrs�,m�ame,ia�,:wr� 2.seu 3.SoGal Secumy Number a.oa�e oi oeam�nwnm
Male 167 _24 _4712 June 4,����
g.Age(lnat BNMay) U t r n r 1 Aay 8.Oate ol Birlh�MOnU,tlay,year) 7.BiMhplace Ciry and stele a loreigi camiry) Be.Plece ol DeaM(Check mry one)
Wnue� orR Ham Minuw Hosplal:� Othx. �
76 Y� 11/8/1930 Steubenville OH ❑�n�n�,c ❑ER/OWpatient ❑oon ❑NursingHOme as�d��a ❑ane�-s�y:
. (p � B�.Canry d DeaM Bc.Ciry,Bom,Txp,ol Dealh BE.Fedliry Name(II not institutian,gNe street and r�umbar) 9.Was Decedent of Hispnnk Ongin?�]No �Yes 10.Reca American IMan,Bleck,While,ek.
� � • Cumberland Mechanicsburg 700 Cocklin St. M��.'�e�a��,Bma ��M
'�y Whi te
Q . 1t Decetlenfa UsuM non uYw a�aone e� �mo�m wau file.Do not atate relk 12.Was�ecedenl ever in Ihe 13.Deretlenfs Educatbn(Specily only higtwsl graEe mrrqleled) 14.Manlel SaNa:MemeQ Naver MartleU, 15.Surviving Spause Qf rAk.gNa meitlen neme)
() Ninl oi Nbrk KM d Bueneee/InM�aatry U.3.AmaE Faras7 FJamenlary/SecanGe�Y(P12) Cdlege(id or 5+) WiEOwetl.Diwrced(SP�uM
o Architec ��°� �"° 5+ Married Bethann Painter
N ' 18.Da�ederda Mar 9 Addess(S1rae�.dly/Iwm,slate.riP mde) OeceAenfa Did Dece0anl
700 CoCklin St. �R�e na.sure Pannc�l.,ania �"'a'"e »�❑y�,����� T�ro.
Tmvnship? �
Mechanicsburg ���r Cumberland "'��,,,°�"o,`"edx^'"" MPChani csh,r
g cM�eom
1B.Ftlhets Neme(Flrsl,mMdle.hst,wlfix) 19.Mdhark Name(FiiM,midAe.meiden sumeme)
Donn A Parsons
20a.Inlom�enl'a Neme(rype/PrinlJ 20E.IMOrmenYe Meifrg pdd�ess(Slreel,cqy/twm,stete,zip cotla)
Bethann Parsons 700 Cocklin St. Mechanicsbur PA 17055
zie.reeuwa m o�osiuon i �]cremauon ❑oonana� zm.oaia m o�i���m,a�y.va� 27c.Plece d DispoeXlon(Neme of cemNery.aemelary a olher pece) zia.�na,lcay r�um.,��e.�maet
w ❑e�n�i ❑Removal trom Sate w„a�i,,,«oo�mo�n�momsa 1 7 0 6 5
❑an��-sa�+r erwa�w�m��,�c«�rr ❑r�pNO 6/6/07 Hollinger Crematory Mt. Holly Springs,PA
� � 72a. ' ol FunxU ' Iicensee(a Da���9 as suM) 22b.Li ensa Nwnber 72c Nema eM Ptltlrea W Fatlliry .
` - � " 001589L e M Holl S rin s PA17065
co�e nems zae<mry rmen cenm�inp 23a.To Ne besl d mY ImnMed9e�deaN accuned al lhe tlme,tlate antl plaw smretl.(Signeture entl tille) ren.uce��e n�m�� rx.oare sqnm�n�mm,aey,reer)
phydaen e�aveaatie at nme or a�n�a
cerAN ause d mam.
�24��ye�a��yY�� 24.TimB d Death 25.Oate PranamceA DBeE(A1on�11,tley,year) 28.Was Case Rafertetl ro MeEkal 6�mirer/Coroner for a Reayon Olhar than Cremalbn a Donatlon?
./� ' wM P�nounces tlaeM. M. ❑Yes QFlo
V I CAUSE OF DEATH(See InsWetionn entl examplea) � qppmxNne�e imerval: Par�ll:Enter oNer ' ' ' , pg.Ditl TaGecm lJse Conir�bWe b DeethT
(� Item 27.Pe�I:ErHer the�n of evenls-Eiseases,InjuAes,a cmplimtiarw-that directly pused Ihe tlea1�.DO NOT rnter terminal evenLa sucA as certlac artesl, � Omat to Dee�h �¢ut iwl rewXinp in Ihe unCeryirg ceuse givan in Pa�I. . �Ves �Pmbabty
� ��P��o7�,a venfAwlar fibApaum xilliwl shoxing the etldopy.lisl ady ona cause on aadi Bne. i Na UnNiw�m
'� IMMEDLITE CAUSE Final6sease a nI� 1r �� � � ❑ �
,� m,an�,re�nr�ym�m� � s.l`'\P��'V�1 L. �G1�'1tQf� II�1"(,�t] �����'L5 � �Mu n� �e.ur-e�:
L ue ro�a es e cansequenca op: . ��a�"8"�"tiM"��`
� ���qpp�.��,, b. � ❑PregneM et tlme ol daeth
lee gta ca�ee E�etl on fne e. Due W(a as e conseVUCnce WI: � ❑Nd pregnant,bul pregnant wNhm 42 tlays
Emer IAe nUNuD�uErvRIYING CA¢U�SryE�¢
�� � (��resuilxyM d�Ih��LAST. c. of tleaN
Due to(a as a r.orreequence o�: ❑�O�epnan4 bW piepnem 43 Eeys to 1 year
d i hebre Eeelh
�Q lMknam A prepienl.wiMYn Me D�Y�
30a.Was en rWapsy 30b.Were M1uta�vy FNNngs 31.Mamer al DeaM 32a.Date d I�ryury(��.�Y,Yeer) 92h.�esd�e How Inpxy OcarteO 32c.Poece din�uy'Hame,fvm.Suee4 Fectay,
J � PeAortne87 Avadada Prior lo Cmpletior� ���� ❑�� � Ofice Buddinp,etc./Spealy) �
u d Ceuse d DeathT
� �Yea �No �Ves �No ❑AaiEent �PenBng Investlgetion 32E.lime d Irryury 32e.Injury at WarK! 321.11 Tiensporle�lan InjW(Spedly) 32g.Lacetion W Injur/(Sree�,dq/tam,slate)
❑Suidtle ❑Coutl Nd Ee�atemtlned M ❑Yes ❑No ❑OMerl�Peratu Q Pesse�qer❑Pedeslrlen
qMr��M
�+e.cemrrer t�«�N�1 � rnie m wmrrer
�� ' ��8 P�Y�M(P����'��A muee of deelh vTen ar�dlrer plryaicien hes pmnounced deel�and campleletl Ilem 23) ,���) �/� �
To1MheNWmyNnowNdga,UxlhouumdEwtolMaueMs�entlmannxosslebcL""""""""""".,""""""'❑ Y��Y" 1`�(.
� � Prmaunc6g aM ar6M�8 VM'�(PM��+�bdh prmancbg deeN anE ce�tilying ro causa d deeth) 33c.Licerue Nun6er 33tl.Qate gneE� M,CeY.Y��)
W To the En1 of my Imawletlga,dsTh aaurted at Ihe tlme�mte�uM Plxe�and tlue lo tlw cauaels)antl manmx aa slehvL""""""'""'� .+O`l v ' � / � _
• YedkalEumNerlCorotw V
wOn Ihe Umie of exeminatlon antl/a Imrentlgatlon,in my opinlon,EeaM acumtl at iM tlme,tlete,entl place,anE Eue ro Me cwse(e)anC mamier as sdlea❑ �.1N�ame antl Addresa`d,P�e Who comp�e�ea ceuse�/m�oee(y��In� T /PrintF�/1 0. '
5 35.Re�str Me endo�t N (� 38 Dete Fdetl(Alontl�,tley.Y��) rv`�'�1 1��.\�Z°�.��Y ° In�l��1 f 0��.� ,,.1��
� ► 41• li1�.X� �c� � �, � c�.� � �d � Q 5�' Z :l/�
o�spos�u�ae�mn rio.Q(a.��Q'1
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_ .. �
RENUNCIATION T Pr �r,; ,, ,_�
< ,, �; ._, � �
� _ . ,
REGISTER OF WILLS -
Cumberland COUNTY, P �N5�fL'�A1�IA :.
�;,� ,.. ..
�,��,�� ,` �_ ., :',�
r=:�
Estate of Richard D. Parsons , Deceased
1, Elizabeth A. Parsons; , in my capacity/relationship as
(Prii�t Name1
dau�hter of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Richard M. Parsons
October 3, 2012 �
(Date) (Srgraaten•e)
433 Stonehedge Lane
rsrreer Add��ess)
Mechanicsburg, PA 17055
rcrry�.saa�e,zry��
Executed in Register's Office Executed out of Register's Office
Sworn to or affirme an� subscribed Before the undersigned personally appeared the
befo e this '�"�� • day party executing this renunciation and certified
of ,�� that he or she executed the renunciation for the
purposes stated within on this day
of ,
�
�
� e uty for Register of Will Notary Public
� My Commission Expires:
(Signature and Seal of Notary or other official qualitied to
administer oaths. Show date ofexpiration of Notary's Commission.)
Form RW-06 rev. 10.13.06 �
, , . - 1 __ .�
,.. .� , ..,: :
RENUNCIATION T�
� � ��� r' �� 1�
:J ! i J � i J .
REGISTER OF WILLS
Cumberland COUNTY, PENNSYLVANIA � . , �
�.�.,. ,,. ....� � - -_
CU`.;�.,.'_, ..._� . , � ,".
Estate of Richard D. Parsons , Deceased
1, Michael K. Parsons , in my capacity/relationship as
(Print Name)
son � of the above Decedent, hereby renounce the right to
administer the Estate of the Dccedcnt and respectfully rcqucst that Letters be issued to
Richard M. Parsons
Uctober 3, 2012 �o�
(Date) (Signature)
206 Lewisberry Road
�srreei Add,-ess�
New Cumberland, Pa 17070
� �c;r�,s�ur�.z,��
Executed in Register's Office � Executed out of Register's Office
Sworn to or affirm subscribed Before the undersignedpersonally appeared the
before th's day party executing this renunciation and certified
� of , � that he or she executed the renunciation for the
purposes stated within on this day
of ,
�
uty for Register of ills Notary Public
My Commission Expires:
(Signature and Seal of Notary or other ofticial qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Foim RW-Oh i-ei�. 10.13.06