HomeMy WebLinkAbout05-20-15 PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUN'I'Y, 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: MelissaA. Baranishyn-Stake FileNo: 21-15-�,��
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: May 14, 2015 Age at death: 48
Decedent was domiciled at death in Cumberland County, Pennsylvania �srare) with his/her last
principal residence at �30 Frost Road, Gardners, PA 17324 South Middleton Township Cumberland
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at West Shore Hospital, Mechanicsburg, PA Mechanicsburg Borough Cumberland PA
Street address,Post Of£ce and Zip Code City,Township or Borougl� County State
Estimate of value of decedent's property at death:
/f domiciled in Pennsylvania.. .. . . . . . . . . . . . . . . . . . . . . . . . . All personal property $ 49,000.00
If not domiciled in Pennsylvania. . . . . . . . .. . . . . . . . . . . . . . . Personal property in Pennsylva��iia $
If not domiciled in Pennsylvania. . . . . . . . .. . . . . . . . . . . . . . . Personal properiy in County $
Value of real estate in Pennsylvania.. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
TOTAL ESTIMATED VAI:.UE. . . . $ •
Real estate in Pennsylvania situated at: 130 Ft'ost Rd Gardners (owned w/spouse) South Middleton Township Cumberland
(Attach ndditional sheets, ifnecessarv.) Street address,Post Office and Zip Code City,7"ownship or Borough County
� A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,date� and Codicil(s)
thereto dated
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 uot mariy,was not d�orced,was ni�mpart�+�b�nding
divorce proceeding wherein the grounds for divorce had been established as defined in 23 f'a.C'.S. § 3323(��a�did notfi�✓e a�il�orn or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. �-r� -� � ;:� �
- � _, _ �, , r:-;
�NO EXCEPTIONS �EXCEPTIONS ' . � N r i
. � _ . , t:_a
0 B. Petition for Grant of Letters of Administration (Ifapplicabte) ___ ` �_,� :�::,�
c.t.a., d.b.n., d.b.n.c.t.a.,perrde>nte lite,dur�cn�t�a`b.�enti¢,�'ura��e.rrC'i�oritate
If Administration,c.t.a. or d.b.n.c.t.a., enter date of Will in Section A atiove and complet� tist of"�eirsiT-� i i
r~ c�
Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divaree had been e�lishe�asrqlefined
in 23 Pa.C.S. §3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person. �
QNO EXCEPTIONS �EXCEPTIONS
Petirioner(s),after a proper search has/have ascertained that Decedent left no Will and was surrived by the following spouse(if any)and heirs(attach
additao�zalsheets, Ifnecessary):
Name Relationshi Address
Thomas R. Stake Spouse 130 Frost Road, Gardners, PA 17324
Nathan Baranishyn Son 1311 NM 236, Portales, NM 88130
:��n nrir�i�i��in�nr i
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COUNTY OF Cumberland } C'' �� � � ^�
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Petitioner(s)Printed Name Petitioner(s)Pri�7ted Addr�sS � �
Thomas R. Stake 130 Frost Road, Gardners, PA 17324 , � �� �'��
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The Petitioner(s)above-named swear(s)or affirm(s)the statements in the foregoing Petition are true and eorrect to the best of the knowledge and belief
of Petitioner(s)and that,as Personal Representative(s)of the Decedent,the Petitioner(s)will ell i trt}�administer the estate according to law.
Sworn to f i med a subscribed ore� �-� !� `¢ a?�;r Date O,S' �o ,S'_
me thi ��y of L ,�/ _ Date
$y; �� %� Date
1
__ o�e 2�gister Date
BOND Required:❑YES �NO To the Register of Wills:
FEES' Please enter my appearance by my signature below:
Letters . . . . . . . . . . . . . . . . . . . . . . $ �� �� Attorney Signature:
( 1 ) Short Certificate(s). . . . . . �� y�°"�, ,,�
( � ) Renunciation(s) . . . . . . . . ��O *�
( ) Codicil(s). . . . . . . . . . . . . ,
( ) Affidavit(s). . . . . . . . . . . .
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: Robert G. Frey
Commission. . . . . . . . . . . . . . . . . . Supreme Court
Other . . . . . . . . ID Number: 46397
. . . . . . . Firm Name: FI'ey& Tiley
/�� . . . . . . . . D �0� Address: ou anover ree
ar�sle,P�
. . . . . . . Phone: 717-243-5$38
Automation Fee. . . . . . . . . . . . . . . •oQ Fax: - -
JCS Fee. . . . . . . . . . . . . . . . . . . . . � D Email: C C@y rey i ey.com
TOTAL. . . . . . . . . . . . . . . . . . . . . $ , d _.
DECREE OF THE REGISTER
Estate of Melissa A. Baranishyn-Stake File No: ?1-15' ��(
a/k/a:
AND NOW, May �(`j' ��` 2015 , in consideration of the foregoing Petition,
satisfactory proof having been presented before me, IT IS DECREED that Letters of Administration
are hereby granted to Thomas R. Stake
in tlie above estate and(if applicable)that
the instrument(s)dated
described in the Petition be admitted to probate and filed of reco d as the last Will(and icil(s)) of Decedent.
Gr'L�. '�''
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egister of Wills
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REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA ADMINISTRATION
�
oF cu�ye - -
�,�y r�� �`�` No. 2015- 00557 PA No. 21 15 0557
Es ta te Of: MELISSA A BARANJSITYN-STAKE
� D �v (Fiisi,Middle,Last)
��� La te Of: SOUTH MIDDLETON TOWNSHIP
CUMBERLAND COUNTY
w N
Deceased
Soci al Securi ty No:
1750
WHEREAS, MELISSA A BARANISITYN-STAKE
(Fi�st,Middle,Lasil
late of SOUTH MIDDLETON TOWNSHIP CUMBERLAND COUNZ'I'
died on the 14th day of May 2015 and,
WHEREAS, the grant of Letters of Administratic7n
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:
THOMAS R STAKE
who has duly qualified as ADMINISTRATOR (RIX) of the estate
of the above named decedent and has agreed to adm:znister the estate
according to law, all of which fully appears of re:�cord in my office at
CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYL VANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my office on the 20th day of May 2015.
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**NOTE** ALL NAMES ABOVE APPEAR (FIRS"T, MIDDLE, LAST)
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RENUNCIATION v
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REGISTER OF WILLS f=��' � � ���� =��
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CUMBERLAND COUNTY, PENNSYL,VANIA � r" �''
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Estate of Melissa A. Baranishyn-Stake , Deceased
j Nathan Baranishyn , in my capacity/relationship as
(Print Narne)
son of the above I)ecedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Thomas R. Stake
_
G .d _ �
May 20,2015 �%�- ; � -���
(DateJ (SignatureJ
1311 NM 236
(Street Address,l
Portales,NM 88130
�c�ry,srare,z�p�
Executed in Register's Office Executed out of�Register's Office
Sworn to or affirmed,. nd subscribed Before the undersigned personally appeared the
befor e this t� day party executin� this renunciation and certified
of �Cl' , ��_• that he or s�he executed the renunciation for the
purposes stated within on this day
�'� ,-. _'� Of �
�� � :�� �° � /�� ��-/ �
ep�fy fa'r Register of Wi s � Notary Public
j�� My Commission Expires:
�—_ -
(Signature and Seal of Votary or other official qualified to
administer oaths. Slio�v date of expiration of Notazy's Commission.)
Form RW-06 rev. l0.13.06