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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 request(s)the grant of Letters in the appropriate form:
Decedent's Information � / �—/D��
NamQ: Donald D.Strohman File No• j'
a/k/a: • (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: �i f.� 13, Zv/3 Age at death: 58
Decedent was domiciled at death in Cumberland Co�ty� Pennsylvania (Stc�re)with his/her last
principal residence at �Hill Boulevard, 17055 Monroe Township Cumberland
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at�03 North 21 st Street, 1701 l Camp Hill Cumberland PA
Street address,Post Office and Zip Code City,Township or Borough County State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania.. .. ... . . . ....... . . . . ... . . . . All personal property $
If not domiciled in Pennsylvania. ... . . ... . . . .. . . .. . . . . .. Personal property in Pennsylvania $
If not domiciled in Pennsylvania. ... . . .. . . . . .. ... . . . . . . . Personal property in County $
Value of real estate in Pennsylvania.. . . .. . . . . .. . ... . . . . .. . . . .. .. ... . . .... . . ... . .... . ... ..... $
TOTAL ESTIMATED VALUE. ... $ •
Real estate in Pennsylvania situated at: �Hill Boulevard, 17055 Monroe Township Cumberland
�..
(A[tuch additional sheets,if necessary.) Street address,Post Office and Zip Code City,Township or Bo�'Eigh � ��ox�y
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❑ A. Petition for Probate and Grant of Letters Testamentary � � � � `J
Petitioner s aver(s he/she/the ts/are the Executor s named in the last Will of the Decedent,dated � ��
( ) ) y' ( ) �� and Codicil(s)
thereto dated ' i
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State relevant circumstances(e.g.renunciation,death of executor,etc.) ;-�
, .;
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Except as follows: after the execution of the instrument(s)offered for probate Decedent did not marry,was not divorced,was not a$aety to,�pef�ding
divorce proceeding wherein the grounds for divarce had been established as defined in 23 Pa.C.S. §3323(g),and did not ha�e a chi�d-born or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. _ �w} `1�' �-�
� �'�
O NO EXCEPTiONS O EXCEPTIONS
� B. Petition for Grant of Letters of Administration (ifapplicabte)
c.t.a.,d.b.n., d.b.n.c.t.a.,pendente lite,durante absentia, durante minoritate
If Administration,c.t.a. or d.b.n.c.�a.,enter date of Will in Section A above and complete list of heirs.
Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had been establist�ed 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 Q EXCEPTIONS
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived bythe following spouse(if any)and heirs(attach
additional sheets, if necessary):
Name Relationshi Address
rancrne . tro mn pouse � ou evar , ec amcs urg,
����E� �.�I f?� c�t .�- �'n �� /
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��i���,� �- S' r�-�ir���, �� i IL� G� ��f� S� L.����1�,.� ��/�-�.s- -
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FormRW-02 rev. 10/1Ii20/1 Page 1 of2�
Oath of Personal Representative o���ai use oniY
COM1VfONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF CUMBERLAND }
Petitioner(s)Printed Name Petitioner(s)Printed Address
Francine A.Strohman 7 Hill Boulevard,Mechanicsburg,PA 17055
The Petitioner(s)above-tiamed 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 fne De edent,the Petitioner(s will 11 and trul administer the estate according to law.
Sworn to or affirmed and subscribed before � Y �'���'�4�,r�-�=v� Date \\ ,o l
me� �"ln.day of ,�� Date
By � �1 � ' �� v� Date
For the Register Date
BOND Required: Q NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
.�
Letters . . . . . . . . . . . . . . . . . . . . . . $ � 'O° Attorney Signature:
( 2. ) Short Certificate(s). . . . . . .o 0
( � )Renunciation(s).. . . . . . . . �n.��
( )Codicil(s). . . . . . . . . . . . .
( )Affidavit(s).. . . . . . . . . . .
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: Andrew C. y
Commission. . . . . . . . . . . . . . . . . . Supreme Court
Other . . . . . . . . ID Number: 624b9
. . . . . . . Firm Name: Andrew C.Sheely,Attorney at Law
�_._,
. . . . . . . . Address: 127 South Market Street� � �
nh� a< , 1n✓� c�. . . . . . . . �oo �.o.Box 9s � c, 3=��: �
Mec amcs urg �'�'^ � ;=; ^��� r�
. . . . . . . . L� . ..
,-;� <� �T.;;�
. . . . . . . Phone: 717-697-7050 - " N j '� �'
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Automation Fee. . . . . . . . . . . . . . . � o° Fax: 717-697-7065 : ' "x
JCS Fee. . . . . . . . . . . . . . . . . . . . . •5d Email: andrewc.sheely@verizon.net , -���
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TOTAL. . . . . . . . . . . . . . . . . . . . . $ __ ---�'-�''.n
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DECREE OF THE REGISTER - �;' ```' `-;
Estate of Donald D.Strohman File No• ��-/�- �(�(07
a/k/a:
AND NOW, �� /(1 ,�Dl , in consideration of the foregoing Petition,
satisfactory proof having been presented before me, IT IS DECREED that Letters of Administration
are hereby granted to Francine A.Strohman
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(a Codicil(s))of Decedent.
, - �'C G��
egister of Wills �'1
;
Form RW-02 rev. l0/11/20/I g 2 Of 2
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RENUNC:IATION � w�
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REGISTER OF WILLS � _-�
CUMBERLAND � e
COUNTY, PENNSYLVANIA -
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Estate of DONALD D. STROHMAN , Deceased
I, Shawn M. Strohman , in my capacity/relationship as
SOI] (�'rin!NameJ
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Francine A. Strohman
/0 2$ 1
(Date) lSignalure)
1116 La sa Street �
(Street.address)
Escalon,CA 95320
(<:iry,Srare.ZipJ
Executed in Register's Office Ex�cuPed out of dtegister's Office
Sworn to or affirmed and subscribed �efore the undersigned personally appeared the
before me this day party executing this renunciation and certified
of � _, __... � , that he or she executed the renunciation for the
purposes stated within on this 2�S�"' day
of _���b C+' ' _ 2-il►�-1
G���-
Deputy for Register of Wills Notary blic � ��
My Commission Expires: �� j��^ �b��S
(Signat�re and Seal oi Notary or other official qualitied to
administer oaths. Show date of expiration of Notary's Commission.)
c�iruH�'i�o`H'r�''eo�
Commission#�2067118
Z:�;e Notary Pubiic-Calffornia i
z "'� Sacramento County '
Ho����t Rw-n6 Yev. ro.r3.o6 M Comm-�€-xptrEs Ma 4.20'9
CALIFORNIA JURAT WlTH AFFIANT STATEMENT
GOVERNMENT CODE§8202
J�See Attached Document (Notary to cross out lines 1-6 below)
❑ See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary)
'_ _ �_� _ _ _ _ _ _ ._
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Signature of Document Signer No. 1 Signature of Document Signer No. 2 (if any)
State of California Subscribed and sworn to (or affirmed) before me
County of ��r��� ��� on this �� �day of �c�"�`� , 20 /L� ,
by Date Month Year
�1) �, .n ���m �
CAITLIN LEIGH TAl80T �2�
Commission#�2067118 ame(s) of Signer(s)
Z �: Notary Public-Califomia
z Sacr,memo County proved to me on the basis of satisfactory evidence
M Comm.Ex ires Ma 4 20/6 to be the person(s) who appeared before me.
1 � � — _._
Signature ��
Place Notary Seal Above Signature of,�Notary Public
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document
or fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document: I'CP h i�✓)C f Gl-�'1 C7 3'�
Document Date: Q G�b� � Z �, Z�'1 �' Number of Pages: h r
Signer(s) Other Than Named Above: �y G�'��� 5��f lrl�.�'�
OO 2013 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5910
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RENUNCIATION �^� � ��' � `=?
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REGISTER OF WILLS �� ' -'�'
CUMBERLAND � -�-�
COUNTY, PENNSYLVANIA }—A == `-�'
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Estate of DONALD D. STROHMAN , Deceased
Donald D. Strohman,III
I, , in my capacity/relationship as
SOn IPrint Nan7e)
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Francine A. Strohman
(Dale 1 (S'ignature)
7 Hill Boulevard
(Sireet Address)
Mechanicsburg, PA 17055
(City,Slale.Zlp)
�nulcl b.S�rCY/W�Qh (��
Executed in Register's Office Executed out of Register's Offrce
Sworn to or affirmed and subscribed i3efore the undersigned personally appeared the
before me this day party executing this renunciation and certified
of , that he or she executed the renunciation far the
purposes s�.t,ated within on this � ,S� day
of �C��rf'���. , ,-,2 0 l� �
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Jc2� / /• / //� M r Y(iv'�t�
Deputy for Register of Wills Notary Public
My Cc�n�imission Expires: /Z���C��7,�c���
(Sig��ature and Se21 oY Notarv or other ofticial qualitied io
a�3minister oaths. Show date of expirat�on of Notary's Commis,ion.)
Common Wealth of PA
NOTARIAL SEAL
Parvin M.Mehrtash,Notary Public
Form RW-n6 rev. 10.13.06 Upper Allen Twp.,Cumberland County
My Commission Ex�irs,AAarch 07,2016
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REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA ADMINISTRATION
,- i g
� oF ��Me� .� - - �
� (�.�� �` No. 2014- 01067 PA No. 21 14 106
�1� � Estate Of: DONALD D STROHMAN
Q D Z IFiisL Middle,Lastl
� v
� La te Of: MONROE TOWNSHIP
�� ��
CUMBERLAND COUNTY
Deceased
Social Securi ty No:
1750
WHEREAS, DONALD D STROHMAN
(First,Middle,Last)
late of MONROE TOWNSHIP CUMBERLAND COUNTY
died on the 13th day of July 2013 and,
WHEREAS, the grant of Letters of Administration
is required for the administration of the estate.
THEREFORE, I, LISA M. GRA YSON, ESQ. , Regi s ter of Wi 11 s in and
for CUMBERLAND County, in the Commonwealth of Pennsylvania, have
this day granted Letters of Administration to:
FRANCINE A STROHMAN
who has duly qualified as ADMINISTRATOR (RIX) of the estate
of the above named decedent and has agreed to administer the estate
according to law, all of which fully appears of record in my office at
CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYLVANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my office on the 10th day of November 2014.
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**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)