HomeMy WebLinkAbout04-12-05
.
Register of Wills of Cumberland County
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of Mary T. Gamer No.
also known as To:
0'5-3,-/1
, Deceased.
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
Social Security No. 084-09-7055
The petition of the undersigned respectfully represents that:
(d.b.n.; pendente lite; durante absentia; durante minoritate)
the above decedent.
Your petitioner(s), who is/are 18 years of age or older, appl~ for letters of administration
on the estate of
Decedent was domiciled at death in Cumberland County, Pennsylvania, with h~ last family or principal
residence at Green Ridge Village, 210 Big Spring Road, Newville, PA 17241
(list street, number and municipality)
Decedent, then 90 years of age, died March 7
Green Ridge Village, 210 Big Spring Road, Newville, PA 17241
.2005
,at
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal propetty
(If not domiciled in Pa.) Personal propetty in Pennsylvania
(If not domiciled in Pa.) Personal propetty in County
Value of real estate in Pennsylvania
situated as follows:
$ 100,000.00
$
$
$
Petitioner_ after a proper search ha~ ascertained that decedent left no will and was survived by the
following spouse (if any) and heirs:
N Rl' ~ R ~
ame e atlOns 110 eSI nce
David Gamer Son 6962 County Rte 2, Addison, NY 14801
Judy Gamer Deuohter 3514 Butler Street, Apt. 2, PGH, PA 15201-1340
Diane Hollowood Dauohter P.O. Box 10490, Cleveland, OH 44110-0490
Janet Walker Daughter 24 Chestnut Street, Newville, PA 17241
,..
THEREFORE, petitioner(s) respectfully request(s) the grant ofletters of administration in the appropriate fonn .
to the undersigned.
Residence(s) ofPetitioner(s)
24 Chestnut Street, Newville, PA 17241
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Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
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COUNTY OF CUMBERLAND
SS:
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.
Lt-tct
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Estate of !JO.' 05 -3 Lit. Deceased
Sworn to or affirmed and s~cribed
Before me this I ~141 .. /
tlLh d. ,20
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()i~Y of
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- Register ~
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GRANT OF LETTERS OF ADMINISTRA nON
AND NOW '0 i.A k 20 Orin consideration of the petition on the reverse'
side hereof, satisfactory proof having b e presented before me,
IT IS DECREED that JCt.~ ad:: 4P-o/
is/.aLe entitled to Letters of Administration, and in accord with such finding, Letters of Administration
are hereby granted to Jv l ",I CA1k-, i Ie ~r/ .
in the estate of
{hldl} ImO)r,/
,
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FEES
Probate, Letters, Etc. ............. $
Will...... .......................... $
Renunciation............,.......... $
Short Certificates ( )............ $
Je?............................. $
Automation Fee................... $
Bond................................. $
Total $
Filed
20_
(; 17) 2'-/'3, -~I:-S~
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Phone
.
Register of Wills of Cumberland County
Estate of Mary T. G" "n e r
Also known as
RENUNCIATION
No.
. deceased
To the Register of Wills of Cumberland County, Pennsylvania
pial'1e
The undersigned. Hollowood daughter and 1 of 4 heirs
(Name) (Relationship) (Capacity)
of the above decedent. hereby renounce(s) the right to administer the estate and re;pectfully requesl(s) that
Letters of Administration
be issued to my sister Janet Walker of 24 Chestnut Street, Newville, PA 17241.
Witnessmylourhand(s)this 9ddayOf a-~
;ied and SUbS~ before me this
day of .11.", .i!.
oLe; 0 7
(:i~.d .,-' ..ac.,{~
Notary Public
My Commission Expires:
BARBARA A. COMSTOCK, No\Ily PubIIt
STATE OF OHIO """"
!Iii commIsslOll I:.XIlIflIS Aprll 20, 10"""
Or
Affirmed and subscribed before me this
_day of
Register of Wills
Deputy
(Signature and seal of Notary or other official
qualified to administer oaths. Show date of
expiration of Notary's commission)
200 r.
Gl1IW,-S w"',l(y ~,,<x)
(Signature)
Diane Hollowood
P,O.Box 10490, Cleveland, OH 4411()..0490
(Address)
(Signature)
(Address)
(Signature)
(Address)
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Register of Wills of Cumberland County
RENUNCIATION
Estate of Mary T. G.Clr'lIe \'"'
Also known as
No.
. deceased
To the Register of Wills of Cumberland County, Pennsylvania
The undersigned David Gamer son and 1 of 4 heirs
(Name) (Relationship) (Capacity)
of the above decedertt, hereby renounce(s) the right to administer the estate and respectfully request(s) that
Letters of Administration
be issued to my sister Janet Walker of 24 Chestnut Street, Newville. PA 17241.
w;_~,~,_.,.,. 3.1>,",0' alSZ C rI2
Affirmed and subscribed before me this (S' tur )
:sot" day of yY\n ((1 L-. David Gamer Igna e
~ /' / ( .tJ /7/ p? 6962 County Rte 2, Addison. NY 14801
{, .~ ;f/cY;('/ /~ (Address)
Notary PubliG:f ASHLEY L. MOSHER REG. 0IM0609586:
Notary Public, State 01 New York
My Commission Expires. Qualifled In Steuben COllltyl M::1
. My Commisslol! ExpWes Ju~ 21.0( W7
(Signature)
Or
(Address)
Affirmed and subscribed before me this
_day of
(Signature)
Register of Wills
(Address)
Deputy
(Signature and seal of Notary or other official
qualified to administer oaths. Show date of
expiration of Notary's conunission)
Os /jt.J (
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.
Register of Wills of Cumberland County
RENUNCIATION
Estate of Mary T. Ga.rn~r
Also known as
No.
. deceased
To the Register of Wills of Cumberland County, Pennsylvania
The undersigned Judy Gamer daughter and 1 of 4 heirs
(Name) (Relationship) (Capacity)
of the above deceden~ hereby renounce(s) the right to administer the estate and respectfully request(s) that
Letters of Administration
be issued to my sister Janet Waiker of 24 Chestnut Street, Newvilie, PA 17241.
Witness my/our hand(s) this 3'/ s.t;;ay of ~# -e e#'. 20 0';;--
,~~~
(Signature)
Judy Ga r
3514 Butler St, Apt. 2, Pgh, PA 15201-1340
(Address)
. . NOTARIAL SEAL
COmmIssloriExprres:
JAN r. COL"EMAN. N(\!~HY Public
r h Aile heny Co., PA
My Commission Expires March Z2, 2COS
(Signature)
Or
(Address)
Affirmed and subscribed before me this
_day of
(Signature)
Register of Wills
(Address)
Deputy
(Signalure and seal of Notary or other official
qualified to administer oaths. Show date of
expiration of Notary's commission)
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Thi, is to certifv 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 hhng.
WARNING: It is illegal to duplicate this copy by photostat or photograph. 81 ~().;:j ,3'-/ I
Fee for this certificate. $6.00
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P 11330417
No.
MAR
9 2005
Date
\..:,'
Hl05.143Rev.'21S7
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VlTALRECORDS
TYPElPRINT
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PERMANENT
BLACK INK
CERTIFICATE OF DEATH
STATE FlLENUMBER
SEX SOCIAL SECURITY NUMBER
2. Female 3.084 09
fltii'f'\!f{""I~'".2'Oo~'
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AGE (L8StBirthdBy)
7055
90
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R_cIoncoD ::dfyl 0
RACE-Amllfic'mlndian,Black,Wlite,el
(lir!fi.te
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COUNTY Of DEATH
Cumberland
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DECEDENT'S USUAL OCCUPA nON
(GM_.'-"_ .....
.f~Ih;"""",",
.. 111:Housewife 11b.
DECEDEt<r MAIUNl3ADDRESS(Stmel,Cltyrrown,Shll1l.Z~Code)
210 Big Spring Rd
~ewvi11e, PA 17241
~:.THER.S NAME (Fht. Middle. Lal.fe rman
INFORMAN SNAME (TypelPrlnt)
20.. Janet Walker
METHOD OF DISPOSITION
-Donali<lnD Bur1aIIXJCrem.tlon~lIITIOYaIIromStIUD
21.. OItw(Spedfy)
. SIGNATU~~QfFUJ'lIlALSE V1CELI NSEEORPE-RSONACTINGASSUCH
_2200. '
Compl8\Q item. 2311.., onl~ wP\en C8rlt1yl
phy'ldanlarKll_Ilob4ea\~maol<lla!h
~C8....ol_
A
MARITAL STATUS. Maniad.
~~=~=ed.
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17c.n:Ya.,d~tlwdln West Pennsborn
SURVIVING SPOUSE
(lfl'rilo.gk<em.lcIoo",mel
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live in.
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17d.D ~~Ii=:i'~",
Cumberland
17b.Coun1v
tilylboro
Oldenburg
MOTHEffSNAME (FIrs~ MIddIa, aldlnSUIl\lIInI)
19. Mary McCleary
:~':rr~~~tDilR1i~(S'St~tyITN~~v:fPfi~ 1 PA 17241
PLACE OF DISPOSITION-- Name olCemetery. C/'IImlltor) ~YONc:r~OO/n. "t1\.ZIPf'g"3 0 1
~~~~~~Py Calvary 1 Y
21"- 21d.
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Othe<..gnlfl""nt""ndiU",,"conlribl.tlngtcdHI~,buI
nol"'.ullinginlhe un<1erlylng C8U..glvllt1 in PART I
Sequanuaiyijllcondltlonl
ifeny,leadngtc1l'rmedlBte
ClkJIe.Enter UNtlERLY'lNG
CAUSE(Dise.ecr~ury
lNti1iUatedeventl
rHUtlngond88lll) LAST
WAS AN AUTOPSY WEREAUTOPSYFINllINGS
PERFORMED? AVAILABLE PRIOR TO
COMPU:TION OF CAUSE
OF TH?
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MANNER OF DEATH
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DATE OF INJURY
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D~OFINJURY
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TIME OF INJURY
INJURY AT'AORK? DESCRIBE HOW INJURY OCCURRED
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2lle. 28b.
CERTIFIER {Cl'ted< only ona)
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.0 31b.
L1CEN N E (Month,Day.Y....1
...................0 Sle. \... 31<1.1 U"
NAME AND ADDRESS OF PERSON WHO COMPLETE CAUSE OF DEATH
(Item27)T~p&llI"P~nl (Uf) $ N';i'l j).
o "- ftil' IJ..~ r.4 11~"
'MEDlCALEXAMlNER/CORONER
O"....blllecr.umlnellon.ndklrlnveetlglllcn,lnrnyoplnlon,"".th""Clll'N<lallb&lIm1,<I.I1l,.ndplat;*,.....ddu.tclb&c,u'u('land
......ner.._..
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""EOIlI"TRAR.S SIGNATURE AND NUMBER
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