HomeMy WebLinkAbout02-10-05
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Register of Wills of Cumberland County
Estate of JOSEPH SWEENEY
a/so known as
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
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911-(,:),(1'-1
No.
To:
Register of Wi1\s for the
County of Cumberland in the
Commonwealth of Pennsylvania
, Deceased
Social Security No~7125 C;{,~~)
The petition of the undersigned respectfully represents tr13t:
Your petitioner(s), \vl1o is/are \ 8 years of age or older, app\~ for letters of administration
on the estate of
(d.b.n.; pendente lite; durante absentia; durante minoritatc)
the above decedent.
Decedent was domiciled at death in Cumberland County, Pennsylvania, \vith h~ last family or principal
residence at 505 Sandbank Road, Mount Holly Sprin~s, PA 17065
(list street, number and municipality)
Decedent, then 46 years of age, died January 18 ,202005
his residence being 505 Sandbank Road, Mount Holly Springs, PA 17065
~
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(lfnot domiciled in Pa.) Personal property in Pennsylvania
(Ifnot domiciled in Pa.) Personal property in County
Value of real estate in Pennsvlv3nia
situated as follows: 505 Sandbank Road, Mount Holly Springs, PA 17065
S 5,000.00
S
$
S 200,000.00
Petitioner_ after a proper search ha~ ascertained that decedent left no \vill and was survived by lhe
follO\ving spouse (ifany) and heirs:
C; R I h. .d
i amc e atiOns ilD Res I ence
Debra Sweeney Wife 505 Sandbank Road, Mount Holly Springs, PA
Trevor Sweeney (minor) Son 505 Sandbank Road, Mount Hol\y SprIngs., PA
_Kahla Sweeney (minor) Daunhter 505 Sandbank Road, Mount Holly Springs, PA
-.
..
THEREfORE, petitioner(s) respectfully request(s) the grant orleners oradministration in the appropriate fo.rm
to the undersigned.
Residell_ce( s) of Pctitioner( s)
UJ-e1 ~ ~05 Sandbank Road,
Mount Holly Springs, PA
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Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENi'iSYLV ANIA
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SS:
COlJNTY OF ClJMBERLA:-iD
The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and
correct to the best of the knO\vledge and belief of petitioner(s) and that as personal representative(s) of the above
decedent petitlOner(s) will well and truly admInister the estate aCq'{r~lng to law ; r
Sworn to or affirmed an,d subscnbed {I) i I)) 0 ( ~ \ (/ ~ ~"4:=--
Before me tnls ~) day of f'
r Vr3 f\ , 1, 'fK '-i ,10 [, 'J 1
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Estate of JOSEPH SWEENEY
, Oece.lsed
GRANT OF LETTERS OF ADMI:\ISTRATlON
AND NOW '-J'A fr2BK' L.(frr~-I f C 10.Q.5... in consideration orthe petition on the reverse
side hereof, satisfactory proof having been presented before me,
IT IS DECREED that DEBRA C. SWEENEY
is/are entitled to Letters of Administration, and in accord \vith sllch finding, Letters of Administration~______
are hereby granted to DEBRA C. SWEENEY
in the estate of JOSEPH SWEENEY
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, / ~ ~ t; ( T~r.:)~ 1,__ L L L ~J.. C. --U" <<;.u.:IK (
I RcglSterofWJils /2H\ ill ' U'll:Jt~JU--.
$ ,:Jl[. [[ 74669 0 J .7
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$
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FEES
Probate, Letters, Etc. .
Will............'....e
Renunciation
Short Certificates (\J) .
JCP
Automation Fee.....
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Attorney (Sup. C1. l.D. No.)
P,O. BOX 6280
HARRISBURG, PA 17112
Address
Rond
20_
~1q CL,
717.540.3900
Total
Filed
Phone
0c PI E.::'
1\ I.Se.
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JAN 2 0 2005
H105,144Rev.1191
COMMONWEAL.TH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(Coroner)
ElPRINT
"
"ANENT
.CK'NK
1/29-422
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ST.<rE FilE NUM6ER
SOCIAL SECURITY NLJM8ER
SWEENEY
Male
J. 202 - 46 - 7125
OJlTE OF DEATH lI.'ooth,Oay, Year)
January 18, 2005
CITY,BOR
g';:;,t'IU
UNDER1YEAR
Monlns Day.
UNDER1DAY
I-lour. Minute,
OMeOF BIATH
(Mon'h,Da,,"".r)
PLACEOFOEATH(CoO"konlyone .....nst'uetlOn'onQlhe's.dej
HOSPrTAL
l,npa'iont[J ERIOUljJali""'C
, ..
FACILITY NAME t1'nCl in<l,Lu'ioo, giv" st,e.'.."<1 n"",bo<l
BIATHPLACEI~"y."d
StateD' Foroign~OU""yl
DECEOENT'SUSUAlOCCIJPATION K''IOOFBUSINESS/INDUSTRY
l~r':o~~II~1.~,eu~';::li,~or Sweeney's
".. Ov.merj0p:3rator l1b. Sealcoatin
DECEDENT'SMAllINGAODRESS(S".",Cj'ylTown,SI",e.Z,pCOde] DECEDENT'S
ACTUAL
RESIDENCE
I~'n"',u<'",n<
PA 17065 O,)()fIl."ideJ
MARITALSTATUS_Me";&d
N...,Ma"i.d,Wldowed,
D'VQrcodISD8Cily)
14 Married
RACE_Amer>canlndi.n,Black.Whi'.,o'o
ISoecily\
10_ Whl te
SURVlVINGSPOUSE
(l'wile,gi"emaiC."""",al
PFDEATH
Cumberland
South Middleton
505 Sandbank Road
"
Debra Calaman
17._S,01.
Co
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,,,.in.
Cumberland 'owrn!hip? 17d.o ~~~=i:L~'-::OI
MOTClER'SNA"'EIFi,,,,,"';"d1..M.,~""Su,,,,'m.1
19. futty A. Slusser
INFORMANTSMAILlNGADOf1ESS1S"eeI,CilyfTown,S'~'".7ipCod'1
20ll 505 Sandbank Rd., Mt. Holly Springs, PA 17065
PLACEOFDISPoSrTlON_NameoIC"",.'.ry,Cr.malOry LOCATION-C;'ylTown.St".,ZipC<<lo
OrOlO"'P'oce
17e.5C!Yo"d&Ce""n"Mldin
South Middlpton
-
505 Sandbank Road
18. Mt. Holly Springs,
17b,Coon<y
cJtylboro
F.o;rHER-SNAMEIf;r~,Middle.LaslJ
IS Ray L. Sweeney
INFORMANT'S NAME lTypelP"n'l
ow. Debra C" Sweeney
METHOD OF DISPOS'T'ON
~l 6u,,,,,2:1 Gr.marionD A.m""."""mSto'eD
O<>n.llon,--, Otn.rISP<ICIIi'
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SIGNATURE OF Nlif1AlSERVICELlCE
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21d.Mt. Holly Springs, PA
LICENSE NUM6ER
22b.FD 012633 L
NAMEANDADDAESSOFFACILlTY
fk'in Brothers Funeral Hane. Inc., Carlisle, PA
LlCENSENLJM6EA
OMEPRONOUNCEDOEAD!M",'t".Oa"Yo"1
2. 5: 10 P. M 2~ January 18, 2005
27. PAAT I, En'e"n.di........injun..Q,complio.t"'.....nichaousedt""d..th,n.,""'."'.,tn.mo<l<loldying,such...aordi.cor""'p"eto'Yerr"',.""okorheo~failura
li5l0nIyOnoC.tl...oo..cI>lin.
DATE SIGNED
(Month,Day.Yoar)
:l3b. 2Jo.
WAS CASE REFERRED TO :~tlrL EXAMINERI=RONER? NoLJ
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:Appro'imaf.
1 In'o",.1OO_n
'o"".tandde.'n
PART II; Otnerslgnlfic.nlcoodir",nscont'ib"'ing'Ode.tn,bul
..,t'esulting;~fh.",,""rlyin9oau..g"en'nPARTI
Probable Myocardial Infarction
OUETOIORAS~.CONSWUENCEOF1
Remote MI
DUElO(OI1ASACONSEOUENCEOF)
DUETOIORASACCNSEOLJFNCE:JFj
,
WERE AUTOPSY FIND'NGS MANNEROFDEATH
AVAILAaL~ PRfOATO
GOMPlETIONOF CALJSE
OFOEAfCl7 Natur.1
DATE OF 'NJLJAY
(Mnnth,Doy,,,",,,,r:
TIMEOfINJLJRY
INJURYATWORK7 OESCRtBE HOW INJURY OCCUARED
~, U
"u
Aoold.nt
!l!l Homici<le 0
U P.ndlng'n"""ig.t,,,n 0
0 Cou'<!nO'bed.'.'minod U
Yes :::J ~oD
2&00 28b
CSlTIFIEIlICn""konlyonol
.CSlTIFVfNGPI-!YSIClAN{PnYSIC"'nc"rNy,"go~..,o-'doathwhen"norh",p/'I"'<c'acha,proc.ou<xoeddoolll.ncC<.>T,>,et","L.,,,2J:
Tolh.b...lofmykno~edgo,d80th""ou<feddUe\O'h\!..""'(.l.ndm.n"'f.O.I.Ie<i.
Su;<,O<I
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Jilt. JOb
PUlCEOFINJURY.Atnom.,IO'm,'tr"",loC'ory,o!f,,,,,
l>uilding,etc.IS"""dy)
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LOCATIONISI<eet,C.ly."b"nS,.,.)
SIGN.o;rUREANDTI
"PRD~UNCIN(lANLJCSlTIHINGPKYSICIANIPny<>c,a,'~"'l1pronounc;",g""'th,"rlc,.-"fY;''9'o,auS<to'deal'-)
To Ihe!lnl o' my knowladge. d....h oeeU".d .t the ,_, d~l., ond pi..... .nd d.... 10 th. 08.....(.) ~nd m."",,,.' .,.ted
Q Jlb.
L1GENSENU EA DATESIGNED(~oorn.Doy,_'1
=:J Jle Jld_ January 19, 2005
NAMEANDAODRESSoFPERSONWHOCOMPLET~DCAUSEOFD~.o;rH
(Item ?71 Typ. or Prinl Michael L" Norris, Coroner
6375 Basehore Road, Suite #1
Mechanicsburg, Pa. 17050
Coroner
"MEDICALEXAtlIlNER/COIlONER
On 11M b..I. of .urnlnallon .ndlm Investlg.tlon. In my opinion, dUll! occu....... al the tlm., d~le. and plaoe. and due tc th. e~u..(s) .no
rnann......lOl8Ied,.
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