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HomeMy WebLinkAbout03-12-14 (3) s 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 requests the grant of Letters in the appropriate form: Brittanie M.Hawkins Decedent's Information Name: Patrick C.Hawkins File No: 21=13 .--� " " f � ( a!k/a (Assigned by Register) a/k/a: a/k/a: Social Security No: 255-67-4860 Date of Death: 10/06/2013 Age at Death: 25 Decedent was domiciled at death in Cumberland County, pA (State)with his/her last principal residence at 284 Pine Creek Drive,Carlisle 17013 North Middleton Cumberland Street address,Post Office and Zip Code City,Township or Borough County Decedent died at Zhari District Afghanistan Street address,Post Office and Zip Code City,Township or Borough County State Estimate of value of decedenYs property at death: If domiciled in Pennsylvania...................... All personal property $ Over 10,000.00 If not domiciled in Pennsylvania................ Personal property in Pennsylvania $ If not domiciled in Pennsylvania................ Personal property in County $ Value of rea/estate in Pennsylvania................................................................... $ TOTAL ESTIMATED VALUE $ 10,000.00 Real estate in Pennsylvania situated at (Attach additiona/sheets,if necessary.) Street address,Post Office and Zip Code Ciry,Township or Borough County ❑A. pptition for Probate and Grant of Letters Test?mentarv Petitioner(s)aver(s)that he/she/they islare the Executor(s)named in the Last Will of the Decedent,dated and Codicil(s) thereto dated State relevant circumstances(e.g.,renunciafion,death o/execufor,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. �NO EXCEPTIONS � EXCEPTIONS � B. Petition for Grant of Letters of Administration (if applicable) c.t.a.,d.6.n.,d.b.n.c.t.a.,pedente lite,durante absentia.durante minoritate If Administration,c.ta or d.b.n.c.t.a.,e^*���+�+�^f w�ii��SPr.t�nn A above and comolete list of heirs. Except as follows: Decedent was not a party to 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 U.S.Army Sqt.killed in action in Afqhanistan by an improvised explosive device. 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 Relationship Address Brittanie M.Hawkins Wife 933 Oakmont Drive Lansin KS 66043-2226 Sheila Hawkins Mother 284 Pine Creek Drive Carlisle PA 17013 Roy Hawkins Father 284 Pine Creek Drive Carlisle PA 17013 Form RW-OY rev.10-1�-2011 Copyright(c)2011 form software only The Lackner Group,Inc. Page 1 of 2 . Oath of Personal Representative OfficialUseOnly COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF Cumberland } Petitioner(s)Printed Name Petitioner(s)Printed Address Brittanie M.Hawkins 933 Oakmount Drive , Lansing,KS 66043 Ph c n�'� (.�ta l� �Ct 1a -G(�la(o c� _ � � � �_ � � c° `T� =,,,y' � � rn � �-, � �— � � W r,-y r�7 3.'. � ;:q � .'�'1 �:�.a .�TM . :.� �,, �:,s C"> � , --3 .�w. `"e `�� �'� 4--� - �> . � .,-� » � F_.. _ rr7 The Petitioner(s)above-named swear(s)or affirm(s)the statements in the foregoing Petition are true and cori�et to the best�he k�w �Ige and belief of Petitioner(s)and that,as Personal Representative(s)of the Decedent,Petitioner(s)will well and truly administer the ate according to law. Swom to or affirmed and subscribed before `��-�j-'�� � Date ���/. ,/� me this�day of S'�U�IZ ,101 c/ Date By.��• /i1 �i�� Date Y� For the Register n�._,r�G.T Q� Date �.it> BOND Required? � 'YES � NO To the RegisterofWills: Please enter my appearance by my signature below: F�ES: wetters............................:............. $ ��� Attorney Signatur � � g)Short Certificate(s)......... 5• � ( )Renunci�tion(s).............. ,. , ( )Godicil(s)................ / ........ ( )P,�davit(s)...................... Printed Name: David J.Lenox Bond.....................:....................... Supreme Court Commission.................................. ID Number: 29078 Other f� � P ���� Firm Name: ������ �h'� Address: 8 Tristan Drive,Suite 3 Dillsburg,PA 17019 Phone: 717-271-7175 Automation Fee............................ ,�- Fax: JCS Fee....................................... .�% ,`�� TOTAL......................................... $ /a�$•� E-mail: DECREE OF THE REGISTER Date of Death: 10/06/2013 Social Security No: 255-67-4860 Estate of Patrick C.Hawkins File No: 21-13 a/k/a: AND NOW, , , in consideration of the foregoing Petition, satisfactory proof having been presented before me,IT IS DECREED that Letters of Administration are hereby granted to Brittanie M.Hawkins in the above estate and(if applicable)that the instrument(s)dated described in the Petition be admitted to probate and filed of record as the last Will(and Codicil(s))of Decedent. Register of Wills Copyright(c)2011 form software only The Lackner Group,Inc. Page 2 of 2 c�nFica�oF oEaTM �ov�ts�ns� Acte d6 d�s (D'Outre-Mer) NAME OF DECEASED (Last Fbsf.Mld�sl 4RADE �RANCH OF SERVICE SOCIAL SECURITY NUMBER Nam du d6ebd6(Itam et pr6na+u) (3reds Arme N�mk�o ds I'Aeauranes SaGaOs Hawkins, Patrick, Christopher E-5 rmy 255-67-4860 atc�w�►� o�naa�wn w►nori (e.a unxed smroe� onre oF sarn+ sFx so■e Company B,3d Battalion,75th Rangers,Fort P'y' °�'°°s"°'°°°"0° Benning,GA Un'tted States 1 Octobe�1988 � ,,,� ❑ �n"`e tiACE Raao MARRAL STATUS Etal CN9 RELIGtON Cults PROTESTIWT OTHER lgP�h) j( CAUCASOtD Ceumtlqup S{NGLE CAllhateire DNORCED �� Dlvot�A NEC�o ree��as CATHOUC Ch�istian,No X "�1EO "�6 serawr�o C01ho�1° X Denominational o� csv�hl �°'" Preference q�ye�e�� WIDOWED Veul JEINISH JuN NAME OF NEXT OF KIN Nom du qus poche paronl REIA?IONSNIP TO OECEASED Para�tA du dBoAds avx le wadlt Mrs. Brittanie M. Hawkins Wife STREET pppRE$g pqdWb 8((tue) CITY OR TOWN OR STATE (lnrA�ds LP Cods) Vab(Code po�fd c�mptis) 933 Oakmont Drive Lansing. KS 66043-2226 MEDICAL 8TATENENT DAelaraGon midicala tNTERVAI BETY�IEEN CAUSE OF DEATH (EMSt a�ly ons uuss par Ilns) ONSET AND DEATH caws au d6ols(NL,atg�ca qu�uns cauee va►�na) insenace anve �atlequs at b d6els DISE0.SE OR CONDRON DtRECTLY IEADING TO DEATH� B�aSt InJU�I@S Mete�Os ou mndttlon�rsAa�nt rmpamabb de Is mat.� MOR81D CONDITION.IF ANY.LEADING TO ANTECE�ENT PRIMARY CAUSE CAUSES Condlttan marblds,s9 y a Itw.mensnt A la eause P� SympWrtas prbap�w°d°m PRIA�ARY CAUSE � � Candltlon�morbide.s9 y e qw.menanl A la causs Orlmeiro orr�s�c�iF�cnKr caromoNs 2 nutrss c«dldons ci�Wes 2 MQOE OF DEATH AUTOPSY PERFORMED AuWpsle eBeduM � YES Oul ❑ NO Non EqTl1 OUEATO gEXTERNAI.CAUSES CondUbn ds dAds hwOR Fu�wos aF rwTOPSr Caidudan pl�peks de faump�fs Groomtenaes de Is mort wedtMs per des PIATURAL eataos exlAAsu�es MoA napuMle ACGDENT Morl aeddentaOs W1MtE OF PATFWLOGIST Nan du psthdoplab �,;:E Christoph Gordan, MAJ, MD StGNATUR � p� AV WTION ACCIDENT Aoddent A Avian )( HOMiCIDE � 10 October 2013 r�s ow x Ho r� DATE OF DEATH (day.+rrontl�.Yearl RLACE OF DEATH Lku de d8eda o�"a��. c��`.b�..r°"`°°> Zhari District Af hanistan 6 October 2013 0054 g I HAVE VIEVYED TFiE REAAAINS OF THE DECEASEO DEATN OCCURRED AT TNE 71ME INOtCATED AND FR01A TME CAUSES AS STATED ABOVE. Jal exa�A bs resW nortab du dA fu�at Je aakWs qw!a dAOAs aM wnaw A�Ireura trdqubs et A.Is wNs dos emues 1nunAidss d�dqsw. wwE oF t�oicu o��cErt Han au mea�n mu�mas a�au mea�m sw�re m�at oEC,a� nbs ou a�pemo Christopher Gordon Depu Medical Examine� GRADE Grads tN3TALLATION OR AOORESS InafaO�lon au edruas MAJ Dover AFB, Dover DE pA� p� SIGNATti 101 /2013 smac......w�.,a��+d�mw.aa.a�anm�oa. ..x.a .a. r&sbmnUMlaump�umqbllqdrll\WlnatwhMdbtlMA�OtlOOrmWYenmsMpQoMh. t Mdrh�uOnAelsmeEOLM�0�Y61wowdsl�mnp�enpi�mmbir�hmnl.mWnanbmriW�G�uk.MYqulnmMAUeaMr.aoe ' =vrbd..a aa,atlon W o earolhr�t��en,md.�syea.uan r.pport...als mrmb w a m odwtlon au.o�oroar le mon. 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