HomeMy WebLinkAbout01-08-15 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
Name: DANIEL FRANCIS MADFISCH File No: 21-I��'J' �bZS
a/k/a: DANIEL F. MADFISCH (Assigned by Register)
a/k/a:
�a: Social Security No:
Date of Death: 12/4/2014 Age at death: 62
Decedent was domiciled at death in CUMBERLAND County, PENNSYLVANIA (State)with his/her last
principal residence at 304 E. MAIN STREET 17011 SHIREMANSTOWN CUMBERLAND
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at 304 E. MAIN STREET 17011 SHIREMANSTOWN CUMBERLAND PA
Street address,Post Otfice 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 $ 300,00�.��
If not domiciled in Pennsy[vania.............................Personal property in Pennsylvania $
If not domiciled in Pennsylvania.............................Personal property in County $
Value of real estate in Pennsylvania.............................................................. $
TOTAL ESTIMATED VALUE.... $ 300,000.00
Real estate in Pennsylvania situated at: N�NE
(Attach additional sheets,ifnecessary.) Street address,Post Office and Zip Code City,Township or Borough County
❑ A. Petition for Probate and Grant of Letters Testamentarv
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated and Codicil(s)
thereto dated
�v
State relevant circumstances(e.g.renunciation,death ofexecutor,etc.) � � � :�7
Except as follows:after the execution of the instrument(s)offered for probate Decedent did not marry,was not divo'i�be�as not a�y to .�s�er�g
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.§3323(g),and�n�?h�a ct�,Uorn�y �p
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ;,, �-- '--i �
,-, r_r.1 � P'-� [Y7
❑ NO EXCEPTIONS ❑EXCEPTIONS - � �
�
L, .
,
. , . , ;.:.7c�s
, �_, �, "c� -,� -�t
� B. Petition for Grant of Letters of Administration(if appticable) � ���� -F�."'� ,,, �
c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,dur.ar�e`absentia,durante�n�ytate
: :J PV P""' f'1')
If Administration,c.ta. or d.b.n.c.xa., enter date of Will in Section A above and complete hs�of heirs�. �� o
,, ..�
Except as follows: Decedent was not a party to a pending divorce proceeding 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 has/have ascertained that Decedent left no Will and was survived by the following spouse(if any)and heirs(attach
additionalsheets,ifnecessary):
Name Relationship Address
304 E. MAIN STREET
JAMIE R. COOPER WIFE SHIREMANSTOWN PA 17011
407 NORMAN ROAD
MICHELLE L. MCKEAN DAUGHTER CAMP HILL PA 17011
6520 E. LOWELL LARIMER ROAD
ANGELA HESSE DAUGHTER SNOHOMISH WA 98296
1304 SHELBY STREET
ELENA MADFISCH DAUGHTER HIGGINSVILLE MO 64037
Form RW-02 rev.10/11/2011 Pa ��
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF CUMBERLAND }
Petitioner(s)Printed Name Petitioner(s)Printed Address
407 NORMAN ROAD
MICHELLE L. MCKEAN CAMP HILL PA 17011
The Petitioner(s)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 the Decedent,thG P titi e s)will well and truly administer the estate according to law.
Sworn to or affirmed an subscribed before �� ' C Date � � �`S
r
me i �}�'� da of �r � � Date
�
By: � - �- � Date
For the Register � Date
rv
c�
� � � �
BOND Required: ❑ YES � NO To the Register of Wi[ls: � p � � �
FEES: Please enter my appearance by my s�gn�re belo �
. � � ..._{ t.a
r r__
Letters...... . . . . . . . . . . . . . . ... $ ` Attorney Signature: r '� �-•;-i � �" � �'�
( � )Short Certificates(s) ...... a �'�� � �
. ��
( t.�' )Renunciation(s)..... ..... ' a �-., , —t7 -�� _�'�
( )Codicil(s) . . . .. . � ���
...... . . . ' � �
Affidavit s ' �''� h7 r" j-rt
� � � ����� � � � � � � � � � PrintedName: DAVIDR. GALLb Y
Bond . . . . . ...... .. . . . . . . . .. . . .
Commission ........ . . . . . . ... . .. Supreme Court ::=�a � � "Tt
Other ID Number: 87326
./ j
'� ' ' ' ' ' ' �� Firm Name: WALTERS&GALLOWAY. PLLC
,
" " " " ' Address:
� � � � � • • • • 54E. MAINSTREET
•����� �• • MECHANICSBURG PA 17055
• ••��•••• Phone: 717-697-4650
......... Fax: 717-697-9395
automation Fee . . . . . . ........... Email: david a�waltersgalloway.com
�
JCS Fee ..... . . . . . . . . . ......... �
TOTAL . ..... . . . . . . . . . . . .....$ •
DECREE OF THE REGISTER
Estate of DANIEL FRANCIS MADFISCH File No: 2�- I 5"��c�
a/k/a: DANIEL F. MADFISCH
AND NOW, , � ,in consideration of the foregoing Petition,
satisfactory proof having been presented f ine,IT IS DECREED that Letters OF ADMINISTRATION __
are hereby granted to MICHELLE L. MCKEAN _ _ _
in the above estate and(if applicable)that
the instrument(s)dated NONE _
described in the Petition be admitted to probate and filed of record a the last Will(and Cod'cil(s))of Dec�dent.
ister of Wi 1� �D� y ��
Form RW-02 rev.l0/l1/2011 ��v
�i���C.��P `2 of 2
Continuation of Petition for Grant of Letters
DANIEL FRANCIS MADFISCH 163-40-0151
Decedent Name Page 1 Social Security Number
Surviving Heirs
Name Relationship Address
32 FOXTAIL AVENUE
TARL MADFISCH SON MIDDLEBURG FL 3206
Petitioner(s)
Petitioner(s)Printed Name Petitioner(s)Printed Address
The Petitioner(s)above-named swea�{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 the Decedent,the Petitioner(s)will well and truly administer the estate according to law.
Date
rv
� cr' �J CYI
RENUNCIATION � "' �'
g � � � �
��, ?? r, � {�, �
;,-; ..� r--.- ._.� r_�
,�� r�
REGISTER OF WILLS � - -> �� °O �-� `=�
_ . .. , ? <�7
CUMBERLAND COUNTY, PENNSYLVANIA �� ca � �N� �
,�
�
��� � ��= rn
---9 t—
.- Q� � `Tl
Estate of DANIEL F. MADFISCH , Deceased
I, JAMIE R. COOPER a/kla JAMIE R. MADFISCH , in my capacity/relationship as
(Print Name)
WIFE of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
i�9�/� �`'� /��G ��
(Date) ;�(� igna ure) '
;�'%'f� �� � ����'� �
� �
(Street Address)
,, � �����i��
/�l �v�V
��._
(City,State,Zip)
Executed in Register's Office Executed out of Register's Office
Sworn to or affirmed and subscribed Before 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
purp�oses stated within on this ���� day
of k�('c_.e n1,�.a__�tr� .�t�l�t .
�
�i;i,�C Li\ `��1 �-� i�`1,�(' �C_._
,
Deputy for Register of Wills Notary Public
My Commission Expires: l�- 3-�4-
(Signature and Seal of Notary or other official qualified to
administer oaths.Show date of expiration of Notary's Commission.)
� C4f�MONWEALTH OF PENNSYLVANIA
� Notarial Seal
Susan�.,Houck,Notary Public
Form RW-06 rev. 10.13.06 � Mechanicsburg Boro,Cumberland County
My Commission Expires Dec,3,2016
S�MaFR,nENNSv�v.a�ra ASmCiqTlON�f NOTARIES
r\i
C>>
RENUNCIATION � � `� r; �
�.._
� � � � �
�—�, � � :� r�� �
REGISTER OF WILLS � "1 �- r;� �� �r�
_ � ��� �,�
CUMBERLAND COUNTY, PENNSYLVANIA j, � `� � _:�
- , .
'" � c:� t] r� -��r
,_.
, ..: -;7 ..� —rt
`;;j � t a,� t�'1
_ . ��--
N � �
. C� -ri
Estate of DANIEL F. MADFISCH , Deceased
I, ANGELA HESSE , 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
� ��
�� -,
�� 2;� �� � `' ��--�---
(Date) (Signa r
� � �� � � . ��l .�� II ��,L�e .Kr.. /�f
(Street Address)
-�•,��c�.;rw-. ,'s l.T� 1,q- `�1�"Z i �
(City,State,Zip)
Executed in Register's Office Executed out of Register's Office
Sworn to or affirmed and subscribed Before the undersigned personally appeared the
before me this day party executing this renunciation and certified
of , . that-�.e�she executed the renuncitat�'on for the
purposes stated within on this � day
of S ;) tf<< r' , �� • .
�-
���:y���z.� �r - �.1�'�.- �
Deputy for Register of Wills Notary Public a �U/����. �' �"//��'
My Commission Expires: �y;���-j-,��, ��
(Signature and Seal of Notary or other official qualified to
administer oaths.Show date of expiration of Notary's Commission.)
r.0-�s i � � � e .� � .
Notary Public
State of Washington
CAROLINE F ELLIOTT
Form RW-06 rev. 10.13.06 My Appointment Expires Aug 20,2015
RENUNCIATION � � �
c � e.l, a� n�
r°+�
€� � � i� a
REGISTER OF WILLS �" `�. � � r�� �
, �,_. ....� t��
CUMBERLAND COUNTY, PENNSYLVANIA ' . � '_�"�' c� "��' '�'�'
,
. , , :J L`.7
..,:1 ` .'��. ..7 C�
�� .
C�:' -r� —g�
c;-3 _.�� � 7
—r.
".._:j N �:::;: �
,J • r_
... h> Cl� O
C� 'Tt
Estate of DANIEL F. MADFISCH , Deceased
I, TARL MADFISCH , in my capacity/relationship as
(Print Name)
SON of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
�,��1�- ,c. ��,�,� . �
w� � �= y_ . _ _.�_
, �=j ,
�----� ,y���
o( � � L%�".-
(Date) (Sign re)
3 0� �G�7�l� IL�� V[.
(Street Address)
�v1,i��DC��3CP�ZC� Fc. ��a� �
(City,State,Zip)
Executed in Register's Office Executed out of Register's Office
Sworn to or affirmed and subscribed Before the undersigned personally appeared the
before me this day party executing this renunciation and certified
of , . that he or she executed the renur}ciation for the
pu ses stated within on this I��'�'� day
of�c��.���v � ,��1� ,
���('�l\ �1 �`l,l C��
Deputy for Register of Wills Notary Public
My Commission Expires: � �-3-� lo
(Signature and Seal of Notary or other official qualified to
administer oaths.Show date of expiration of Notary's Commission.)
CAMMONWEALTH OF PENNSYLVANIA
NoWrial Seal
Susan L.Houck,Notary Public
Form RW-06 rev. 10.13.06 Mechanicsbur9 Boro,Cumberland County
My Commission E res Dec.3,2016
wFM6ER..��NNcvlv�rata e> C}p qN AF NE�TARt�S
RENUNCIATION � �=�
-,�,�., c� `s' � M
c� � ,.-.�"� � �
REGISTER OF WTLLS '��' �- c-� 1' cn :.z�
-'3 ,•� r— �_; c�
CUMBERLANP COUNTY,PENNSYLVANIA = = r�� oo ',r; �
, .
y � . , �> t-�
. �_,, "t] 3 �..,
< . ..�.t � `�'?
:'.`:7 � :.� CJ
..,.,� 6� ('E"1
..':.1 ��...�
.� N Cn ca
Estate of DANIEL F.MADFISCH Deceased
I, ELENA MADFISCH ,in my capacity/relationship as
(rrinr Name)
DAUGHTER of the above Decedent,hereby renounce the right to
administer the Estate of the Decedent d respectfully request that Letters be issued to
l��� �`'. /��`
��.-�.�.- � �
,
(Date) (Signature)
���� �l.�li� ��fi
(Street Address) �
��orQ 1 1S:/�I�L.� !"1 V W l ���'
(Ci le,Ztp)
Executed in Register's O,fj`�tce F.xecuted out of Register's O�ce
Sworn to or af6rmed and subscribed Before the undersigned personally appeared the
before me this day party executing this renunciation and certified
of , . that he ar she executed the ren c' 'on for the
of ges stat �thin on this day
�
��J
Deputy for Register of Wills Public
My Commission Expires: �,,�,�} . �(.,Q � ��
I
' . (Signature and Seal of Notary or other official qualified to
administer oaths.Show date of eacpirarion of Notary's CommissionJ
A D��s
11°S�p'pgMl��
Form RW-06 rev. 10.13.06 S1'A�ayette�%°� 26,2417 '?��. � � ����
My�nissio�o�u1353 272
Coc►un
REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA ADMINISTRATION
��,
y �� �uM� �- �
�.� (q�' .,�� ��` No. 2015- 00025 PA No. 21- �5- 0025
�1 � Es ta te Of: DAN/EL FRANCIS MADFISCH
Q �� � (First,Middle,Lastl
� � '�V� � a/k/a: DANIEL F MADFISCH �
� � La te Of: SHIREMANSTOWN BORO�I� ^ � t�
° " „ CUMBERLAND COUNTY � � � �, �
-D
Deceased `�; � r? � � �'
1750 Social Security No: ,-- �M r.,1 G��-, �
,. {v,,� ._.,, � :�.� c�
, _ ._., c>
wxEREAs, DANIEL FRANCIS MADFISCH � M �Y7 � -' �'
(First,Middle,LasU � � {���� "'f" �
. ::n) N �.`"' R'1
a/k/a DANIEL F MADFISCH :-`j �� � ��.n �
late of SHIREMANSTOWN BOROUGH CUMBERLAND COUNTY
died on the 4th day of Decem.ber 2014 and,
WHEREAS, the grant of Letters of Administration
is required for the administration of the estate.
THEREFORE, I, L/SA M. GRAYSON, ESQ. , Register of Wills in and
�,r CUMBERLAND County, in the Commonwealth of Pennsylvania, have
�nis day granted Letters of Administration to:
MICHEL L E L MCKEA N
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, CARUSLE, PENNSYLVANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my office on the Sth day of January 2015 ,
�, ` ' �'.
� �'� k� .
�f
�1'�� { } / ��;-1 �"V
. � �w f�.'` ! ,`' , ' f/� .��. �} I ..
!
,r Register of Wil(s,
r � ,— \
j � �' � ` � ,I % � a
i� i � i �� F'' � ��,��- �; ' ( �j'�- �_,
� r t , �� � ,_� �� 4J
D'eputy �'� �
�
**nT(1TF'** AT,7, nTAMF'.�' ARnT7F' APPF'AR (FTR.�'T MT1�1�T,R T,A.�T)