HomeMy WebLinkAbout03-21-05
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
1-1 -- 05- 0 llLl
Estate of NANCY H. GOODALL
also known as
No.
To:
Register of Wills for the
County of CUMBERLAND in the
Commonwealth of Pennsylvania
Deceased.
Social Security No. 181-32-5329
The petition of the undersigned respectfully represents that:
Your petitioner( s), who is/are 18 years of age or older, appl ies
for letters of administration
on the estate of
(d.b.n.; pendente lite; durante absentia; durante minoritate)
the above decedent.
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with
h er last family or principal residence at 5 BEILMAN CT. UPPER ALLEN TWP.. CUMBERLAND
(list street, number, Twp. or Boro.)
Decedent, then 64 years of age, died 3/16/2005
at HOLY SPIRIT HOSPITAL - EAST PENNSBORO TOWNSHIP. CUMBERLAND COUNTY
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
5 BEILMAN COURT, MECHANICSBURG, PA 17055
1134 A TLAND DRIVE, MECHANICSBURG, PA 17055
100.000.00
$
$
$
$
400.000.00
Petitioner after a proper search ha S
the following spouse (if any) and heirs:
Name
ascertained that decedent left no will and was survived by
Relationship
Residence
422 BARKER DRIVE
WEST CHESTER PA
5202 FINO DRIVE
SAN DIEGO
19380
KATHRYN C. BLACKBURN
SISTER
DANIEL E. GOODALL
BROTHER
CA 92124
THEREFORE, petitioner(s) respectfully request(s) the grant ofletters of administration in the
appropriate ferm to the undersigned.
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422 BARKER DRIVE
WEST CHESTER
PA 19380
co
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA}
ss
COUNTY OF CUMBERLAND
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 knowledge and belief ofpetitioner(s) and that as personal
representative(s) of the above decedent petitioner(s) will well and
truly administer the estate according to law.
Sworn to '" affumed and SUbscribed. {
before me e-tbis ~on~ o~
\llRIttJl~l_~wq,L;
r RegISter
fUV-'Y1~~
No. LI- 05 - 0 Lv ,
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Estate of NANCY H. GOODALL , Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW fY\ Pt R t \-\ 21 , 10 05 , in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that KATHRYN C. BLACKBURN
is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration
are hereby granted to
KATHRYN C. BLACKBURN, ADMINISTRATRIX
in the estate of NANCY H. GOODALL
,
~ W
DAVID H. STONE
39785
FEES 4 I O. DO
Letters of Administration. . . . . . $ j5 ~. 00
. $ 2 cg, 00
Short Certtficates ( )......
Renunciation. . . . . . . . . . . . $ 5. 00
\JL~$ ~.DQi5.DD
TOTAL_ $ j5~.OD
Filed . 0/.41./.05-. . . .. A.D.
ATIORNEY (Sup_ Ct. J.D. No.)
414 BRIDGE STREET
NEW CUMBERLAND PA 17070
ADDRESS
717-774-7435
PHONE
H I 05.~05 REV J 105
This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
No.
~I?~~.
Local Registrar
p
11335732
MAR 1 8 2005
Date
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
Ii. 2117
NAME Of DECEDENT If...... Mil:XIe, L"
H.
UNDEII' YiAA
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IIIRTHI'UCE (C'Y 01>4
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FACUTY NAME (It noIlNI'YOn. grye.... and number'
Cum erland
DECfDENrS USUALOCCt-.oH
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Cumberland
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UOTHEII.S_"'...._._lIuf_
,.. Kathryn L.
IHl'mr~~e~~~~z:~r. PA 19380
PlACEOFIlISl'OSITlOH._"~~ LOCRION.~_.ZIpeo.
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t7..~ ___.. Lower
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Goodall
Blackburn
Roth
n-O-Lite Crematory
___SSOFMCIUTY
PO BOX 431,
17088
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Oft the.... of ..~ lIftdIor ""'............ In my opinion. ..... occurred II"" lime. da.e. and pIKe. and due 10.... cau..(e),nd
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RENUNCIATION
Estate of NANCY H. GOODALL
No.
~'-05-0~~1
also known as
, Deceased
The undersigned,DANIEL E.GOODALL - BROTHER
(Relationship)
(Capacity)
of
the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
Letters of ADMINISTRATION be issued to KATHRYN C. BLACKBURN
\ '). t\
Witness ~ hand this ~ day of (\--vy-, \.... ,'Z,c:n.....
AAl/YoU-,l c;/~~
(Signature)
DANIEL E.. GOODALL
5202 FINO DRIVE, SAN DIEGO
(Address)
co
CA 92124
c".J
(Signature)
(Address)
(Signature)
(Address)
Sworn to or affirmed and subscribed
Notary Public
My Commission Expires: C(;7
J~----~------~
..- .. CHERI LA LONE
_' -~ Commission # 1381460
~ . Notary Public - California ~
San Diego County -
My Comm. Expires Oct 25,2006
(Signature and seal of Notary or other
official qualified to administer oaths. Show
date of expiration of Notary's commission.)
NOTE: Renunciations executed outside the Office of Register of Wills are
required in some counties to be notarized.
RW-3