HomeMy WebLinkAbout05-27-05
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of xnn Vllnd No. 1.1-05-01~L)
also known as To:
Deceased.
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
Social Security No. 1 1-4 7
The petition of the undersi ed respectfully represents that:
Your petitioner(s), who is/ e 18 years of age or older, appl lies
for letters of administration
on the estate of
(d.b.n.; pendente lite; durante ab tia; durante minoritate)
the above decedent.
Decedent was domiciled at eath in Cumberland
h er last family or prin ipal residence at 1 05 E
County, Pennsylvania, with
Portland Street ADt 306
(list street, number, Twp. or Bore.)
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Decedent at death owned pro with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsy vania
situated as follows:
$
$
$
$
35 000.00
Petitioner after a p
the following spouse (if any)
Name
per search ha L- ascertained that decedent left no will and was survived by
d heirs:
Relationship
Residence
64 Ashburg Drive Ste. 115
M h ni P 17
64 Ashburg Drive Ste. 115
M h ni s r PA 17
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THEREFORE, petitioner(s respectfully request(s) the grant of letters of administration in the
appropriate form to the unde igned.
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o TH OF PERSONAL REPRESENTATIVE
LTH OF PENNSYLVANIA
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The petitioner(s) ab ve-named swear(s) or affirm(s) that the
statements in the foreg ing petition are true and correct to the best
of the knowledge and elief of petitioner(s) and that as personal
rcpresentative(s) of the above decedent petitioner(s) will well and
truly administer the est te according to law.
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Sworn to or
before me this
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affirm d and
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subscribed
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Estate of
No. 'l1-05-04K4
OX.kNN12 Vo LL.41JD
, Deceased
GRA T OF LETTERS OF ADMINISTRATION
AND NOW m A'1 2 '1 ~~, in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that TH-
is/are entitled to Letter of Administration, and in accord with such finding, Letters of Administration
are hereby granted to
\<:'i::1Tl-t L.
PrNE-'l
in the estate of
O)(A-N E:
A1="'l-
TO
$ 90.00
$ 111.00
$ 5. DO
$ \5.00
L _ $ I LlR.O-O
.....A.D.19_
Register of Wills
FES
Letters of Administrati n
Short Certificates( <\) .. .......
Renunciation ........ .......
ATTORNEY (Sup. Ct. I.D. No.)
ADDRESS
Filed
PHONE
Estate of Roxanne Volland
also known as
RENUNCIATION
No.
ll-QS-4f1
, Deceased
The undersigned, H len A. Bane mother
the above Decedent, hereby ren
Letters Administration
Witness her
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Sworn to or affirmed and subsc . ed
before me this /l. !/4t. day of
/ Jt R'f
Notary Public
My Commission Expires:
(Signature and seal of Notary or other
official qualified to administer oaths. Show
date of expiration of Notary's commission.)
RW-3
(Relationship)
of
(Capacity)
unce(s) the right to administer the estate and respectfully request(s) that
be issued to Keith L. Baney
hand this 8th
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day of May 2005
a 13~
Helen A. Baney
64 AshburQ Drive Ste. 115 MechanicsburQ
(Address)
PA 17050
(Signature)
(Address)
(Signature)
(Address)
NOTARIAL SEAL PuIIIIc
~:~OI.
My CommlsSIoiI ExpIres June 27, 2007
NOTE: Renunciations executed outside the Office of Register of Wills are
required in some counties to be notarized.
HI05.H05 REV I!OS
This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certific e will be forwarded to the State Vital Records Office for permanent.'filing.
WARNING:
is illegal to duplicate this copy by photostat or photograph.
p
11600.)18
No.
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Local Regis rar
Fee for this certificate. 6.00
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COMMONWEALTH OF PENN5YI.YANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DI'ATH
(Coroner)
.............
1H
PERMANeNT
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SOCIAL SECUAITY NUMllER
Volland ~. Female J. 191-46-4798
UMlER1YEAR UNDER' OREOFlllRTH BlflTHPLACE(CiI';aM Pl.ACEOFDE.IllH(CI>od<<ri~Q(\Q-"""~""_s""'l
""""'" Oayo. Houra .. (IoblII>.Oo.y,'RlarJ S\alaOlF~Keo..nIt~l
..May 29.1955 Jtechani csbur ~D
F!\CllTTY_~tflOl.....lluIioo.gi"".,."",,_f1U"J1I><w)
ONEOEDEAllIl""""',D&~,_1
.. Ma 8, 2005
k.
105 East Allen Street
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tlECE T"S
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1 Secretar t i 1
DECEDENT'S MAILING AODAESS lSlr...., Cityili>von. SIaIo>, Zip
105 East Allen 5treet
.Mechanlcsburg ~A 110 5
FNHEA'S NAME (l'~" r.l_. UosI)
Ke Ith L. B
8HAME(Twe/Pfin!l
S I es
DEceDENT'S
ACfUAL
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WtlSDEC;EDENTE\lERtN
U,S,NlMEDFORCE81
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17..811I100 PA
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DESCRIBE HOW INJURY OCCUARED.
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Coroner
DRE6IOHED~,Do1.~
o 31c. td. Hay 10. 2005
_E ANO 1.OOftESS OF PERSON WHQCOMf'tETlED CAUSE Of' DE/flH
(1Iem27)Tl'P,,,"Print Michael L. Norris. Coroner
1'!Il 6375 Basehore Road. Suite #1
~~ Mechanlcsburg. Pa. 17050
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