HomeMy WebLinkAbout04-14-14 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:
Jacob L.Staub
Decedent's Information 2 q
Name: Mary E.Staub File No: 21-14
a/k/a: (Assigned by Register)
a/k/a:
Blida: Social Security No:
Date of Death: 01111/2014 Age at Death: 89
Decedent was domiciled at death in Cumberland County, PA (State)with his/her last
principal residence at Messiah Village,Mechanicsburg 17055 Upper Allen Cumberland
Street address,Post Office arM Zip Coda City,Township or Borough County
Decedent died at Holy Spirit Hospital,Camp Hill 17011 E.Pennsboro Twp. Cumberland PA
street address.Post Once and ZJp Code City,Township or Borough County State
Estimate of value of decedent's property at death:
If domiciled In Pennsylvania...................... All personal property $ f y]1`j6 Unknown
If not domiciled in Pennsylvania................ Personal property in Pennsylvania $
If not domiciled In Pennsylvania................ Personal property in County $
Value of real estate in Pennsyl vani a................................................................... $
TOTAL ESTIMATED VALUE $ lvD d
Real estate In Pennsylvania situated at
(Affect addROnat sheets,If necessay) k•
Street address,Pori Office end Zip Code City,Township or Borough C7 County
o s rn 6
❑ A. Petition for Probate and Grant of Letters Testamentary Q M G'1
Pet0ioner(s)aver(s)that he/she/they is/are the Executor(s)named in the Last Will of the Decedent,dated Fn a'yjl dicil(s)
thereto dated
State relevant circumstances(e.g.,renunciation.death of executor,ec) c�
Except as follows:after the execution of the instruments)offered for probate,Decedent did not me was no@iv �was7R a ppater ta'tia pending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S..$3323(g),an id not hajta ch' 6Ar or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an Incapacitated person. --I r— m
NO EXCEPTIONS ❑ EXCEPTIONS 8 O
®
B. Petition for Grant of Letters of Administration (If applicable)
e.t.a.,tl.b.n.,tl.b.n.c.f.a.,pedente Itte,tlurente absentia.durance minontate
If Administration,c.t.a ord.b.n.c.t.a.,enter date of Will In Section A above and complete list of helrs.
Except as follows:Decedent was not a party to pending divorce proceedingg 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 hasthave 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
Deborah D.Stevens Child 37543 Anheim Road
Livonia MI 48150
Jacob L.Staub Child 109 W.Portland Street
Mechanicsburg,PA 17055
Form R W-02 rev.io-11-2011 Copyright(c)2011 form sogware any The Lackner Group.Inc. Page 1 of 2
RECORDED OFFICE OF
REGISTER OF WILLS
Oath of Personal Representative Official use only
COMMONWEALTH OF PENNSYLVANIA } 29M APR 14 AID g 10
}
COUNTY OF Cumberland } SS: CLERK OF
Petitioner(s)Printed Name Petitioner(s)Printed Address :y r
Jacob L.Staub 109 W.Portland Street tUMbtI(LAN0 CO., PA
Mechanicsburg,PA 17055
717.691-0702
The Petitioners)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 th ecedent, at i er(s)will well and truly administer the estate actor ing law.
Swom to or (firmed an subscribed before �T
me' s day of O Date
v
BY Date
r the Regular Date
r
BOND Required? ❑ YES NO To the Register of Wills:
FEES:
Please enter my appears a by r .y-stgt ature below:
Letters.......................................... $ 20.00 Attorney Signatu
( 3 )Short Certificate(s)......... 15.00
( 1 )Renunciation(s).............. 5.00
( )Codicil(s)........................
( )Affidavit(s)...................... Printed N Wm.D.Schrack III Esq.
Bond............................................ Supreme Court
Commission.................................. ID Number: 15893
Other
Inheritance Tax Return 15.00 Firm Name:
Inventory 15.00 Address: 124 W.Harrisburg Street
Dillsburg,PA 17019.1268
Phone: 717-432-9733
Automation Fee............................ 5.00
JCS Fee....................................... 23.50 Fax:
TOTAL......................................... $ Op rn E-mail: schracklaw@comcast.net
DECREE OF THE REGISTER
Date of Death: 01111/2014
Social Security No: �
Estate of Mary E.Staub File No: 21-14 —'J 5
a/kla:
AND NOW, 2d/L1 ,in consideration of the foregoing Petition,
satisfactory proof having been presented before me, IT IS DECREED that Letters of Administration
are hereby granted to Jacob L.Staub
in the above estate and(if applicable)that the instrument(s)dated /�f --
described in the Petition be admitted to probate and filed of record as the last Will(and dCCod�il( )of Decedent.
I CA Reg erofWills -(Qr
Copyright(c)2011 tom soMrere only The Lackner G.Q.Inc. PaOs 2 of 2
RECORDED OFFICE OF
RENUNCIATION REGISTER OF MILLS
REGISTER OF WILLS ?014 APR 14 am 8 10
CUMBERLAND -COUNTY, PENNSYLVANIA' CLERK OF
ORPHANS' COURT
HMBERLAND CO., PA
Estate of MARY E. STAUB , Deceased
I, DEBORAH D. STEVENS , in my capacity/relationship as
(Print Name)
DAUGHTER of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
JACOB L. STAUB
(Date) (Signature) _
37543 Anheim Road
(Street Address)
Lavonia, MI 48150-101/
(City,State.Zip)
Executed iu Register's Office Executed out of Register's Office
Sworn to or affirmed and subscribed Before the undersigned personally appeared the
before me this 319 day party executing this renunciation and certified
of 20( N . that he or she executed the renunciation for the
purposes stated wi to on this 3X D day
Of (x4fu42 t ti
L_
Deputy for Register of Wills Notary Public ¢ tt (A9 W i
` r mission Expires: a I dO� a Q l7
Mlotar•or other official qualified to
ERIC LADWIG of expiration of Notary's Commission.)
NOTARY PUBLIC-STATE OF:MICHIGA'N
COUNTY OF WAYIIE
MY IN EXPIRES FES 20,2016
Forrn Ril�-IJPreN fh911MTM OF W iJ 0 NF