HomeMy WebLinkAbout06-16-05
PETITION FOR GRANT OF LETTERS OF ADMINISTRA nON
, deceased.
No. 21-05- r;'IJ
To: Register of Wills for the
County of Cumberland
Commonwealth of Pennsylvania
Estate of ELEANOR EGGER
also known as
Social Security No.
171-24-6203
The Petition of the undersigned respectfully represents that:
Your Petitioner, who is 18 years of age or older applies for letters of administration on the estate of the
above decedent.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his last family or principal
residence at 210 Biq Sprinq Road, West Pensboro Township, Newville, Pennsvlvania .
Decedent, then .J!L years of age, died
Newville. Pennsvlvania .
March 30
, 2005, at
Green Ridqe Villaqe,
Decedent at death owned property with estimated values as follows:
(If domiciled in PAl All personal property
(If not domiciled in PAl Personal property in PA
(If not domiciled in PAl Personal property in County
Value of real estate in Pennsylvania, situated as follows:
$156,000.00
$
$
$
Petitioner, Frank C. Egger, after a proper search, has ascertained that decedent left no will and was
survived by the following spouse (if any) and heirs:
Name:
Relationship:
Residence:
Frank C. Egger
Son
25 Mount Rock Road, Newville, PA 17241
WHEREFORE, Petitioner respectfully requests the grant of letters of administration in the appropriate
form to the undersigned.
Signature(s) and Residence(s) of Petitioner(s):
?r'~~' ~
Frank C. Egger
25 Mount Rock Road
Newville, PA 17241
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
ss
COUNTY OF CUMBERLAND
The Petitioner above named swears or affirms that the statements in the foregoing petition are true and
correct to the best of the knowledge and belief of Petitioner and that as personal representative of the above
decedent, petitioner will well and truly administer the estate a cording to law.
Sworn to or affirmed and subscribed
before me this 16th day of
June, 2005.
jdluc.dv- lMMM_ ..it~~ ~0
Register~ ~
No. 21-05- 5 '13
Estate of
ELEANOR EGGER
, deceased.
DECREE OF GRANT OF LETTERS OF ADMINISTRA nON
AND NOW, June 16. , 2005, in consideration of the Petition on the
reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that Letters of
Administration are hereby granted to Frank C. Eooer
FEES
Probate, Letters, Etc. . . . . . . . $260.00
Short Certificates(-1-) . . . . . . . $ 4.00
Renunciation(s) ........... $
JCP ..... . . . . . .. .. . . . . . . $ 10.00
Automation Fee............$ 5.00
Other Will . . . . . .. .... $ 15.00 -
$ TOTAL: .... $294.00
Filed. .~79!~C!:l!......... ........
Jj~Id-ltVJ/J1U~ .ft~#~
Register of Wills J~
IRWIN & McKNIGHT ~
Douolas G. Miller. Esouire (83776)
ATTORNEY (Sup. Ct. /.D. No.)
60 West Pomfret St.. Carlisle. PA 17013
ADDRESS
717-249-2353
PHONE
+~td~ffJ~ .
I?u &oet -I. ~
Tili, i~; to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
),ltJI R~gistrar. The original certificate will he forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
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Fee for this certificate, S6.00
APR
Dale
2005
c2/.o6-/)'-iO
H105.143 Rev. '2187
COMMONWEALTH OF PENNSYLVANIA. OEPARTMENT OF HEALTH. VITAL RECOROS
CERTIFICATE OF DEATH
ST~TE Ffl.E~t.1eER
TYPElPRlNT
"
Pf;RMANENT
BLACK INK
NAME Of DECEDENT IF~.t. Mlddle.lIlst)
1
~GE (l~.t Bi~h<l~y)
94
'"
Eleanor
Egger
SEX SOCIAl SECURITY NUMBER
2Female 3. 171- 24 6203
DATEOFDEATH{Month,Day.Yeer)
4,March 30, 2005
:9\
~.
BIRTHPlACE (CUy and
Slate Or Fore;gn COClll\)') HOSPITAl
7. Paterson NJ ~""D
FACILITY NAME (lfnollnsmutlon.giwstreelandr<Jmberj
Green Ridge Village
...
R_ooD ~';~f'j) 0
RACE_American Indian, 6laol<. IMllte, et
(S'W1l.li te
__10.
DECEDENT'S USUAl OCCUPATION
~r17~tl-ii~~"'r
SURVIVING SPOUSE
(""'''.ll'"",,"onn'''''1
210 eiq Spring Rd
NeWVIlle PA 17241
17b.Counl"o Cumberland
"
clecedent
1I""ln.
I<>.m.hlp?
.,
l
()
~
-2
.:.!:
"
::.THER'S NAME (FlfOt, Middle. last) Cha r 1 e s
INFORMANrSNAME (Typ"lP11nl)
20a. Frank C. Egger
METHOD OF DISPOSITION
. DonallonD 8<Jrllll I&J CrM\lI~on G...,,,,,allromStete 0
. 21.. Olher(Spedfy)
~ :~~~f NERAl VlC CENSEEORPERS
Complele Items 23a-<: Only whe
phy.iclen i. nof e.....lleble al ~me of clealh 10
certify cauaeol de.81h
17d.D ~~f"I~=1i~~of
cilyibortJ
Kreiger
~9~THER'~nt'rfi~I"'I, M~ij ~'teS Sumame)
:~~~NrM'r'~'~~ij9tSIsm1,C'~e..J~"'fice'")PA 17241
l~~~~ri~ S'~IiPci7 2 41
BIg Spr~ng A
lIem. 24-26 must b9complel8d by
p"...,.,Whoprono""",,sdeBlh
DUETO(OR~
/11~
~
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x.
;API'lOJIimalfl
,In_lb8Iweel1
:onsetandde8lh
Other8fgnifi"""l condl~oo. conlrit>lJUng 10 dealh, but
nolr98lJlfinglntheunde~ylngcau"'giv8[lln PART I
IMMEOIATE CAUSE (Flr>8I
disease or condllk>n
rasultlngin<l8altl)_
"
SIIQUElIlIi.Oyhtconalbon.
ijooy,..adlnglolmme(liate
o cause.EnIerUNDERLYlfolG
CAUSEI[);....e,yir-ju'l'
"Othatinitial9d8Y9l'ltll
rM!1ling on death) LAST
WA$ANAUTOPSY WERE AUTOPSY FINDINGS
PERFORMED"' AVAILABlE PRIOR TO
COMPLETION OF CAUSE
Of'DEATH?
E
~TO(OR~S~COtlSE<:l
TO(ORASACONseQ~~NCEOf'I;
MANNER OF DEATH
DATE OF INJURY
(M_,D.y,Y..,)
TIME OF INJURY
INJURYATIMlRK7 DESCRIBEHOWINJURYOCClJRRED
V""O No
"~D
No@j""
Natural Er Homicide
Accid9l11 0 Pendingln""oligatlon
~- 0 Cooldnolllad8tl!mli""d
'8. '8b.
CERTIFIER (CI18Ck only ooe)
:l~'m~Gor::'~~~~ls:.:.\\' cg~~~'::I~g,,,::n.~:(:r~nr-r,,\'iX~I:~5~r~~~.~.~.~~.~~,~.~~~~.d.I~~,~~).
x.
o
o
o ~~CEOFINJURY
...,-,....("""....)
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v8.0NoD
3Ob. M 3oc.
Athome,farrn..u....t,faClOry.ofIIoa
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.MEDICAL EXAMINERlCORONER
On lhe1>1515 of enmlnatl""andlorInve51Igatlon,In my opinion, d..lhoecu....d olthellmo, dale, and placo..nd dualo 11I5 couoell(o)ond
"",nnor ae "'IIIed..
".
REGISTRAR'S SIGNATURE AND NUMBE "', 'tJ. . r. t,~- ' ~
" L..JD>,oa t:\. ~.~o-.W~",-",
................0 31b.
L1CENS M8ER
31c.t!JS"CJ,' //0 31d."3/ //t.o-.. oC
NAME ANO ADDRESS OF PERSON Ir'It-IO COMPlETED CAUSE OF DEATH
(tt..-n 27) Type Or Print .j . Ij~ d...v /.1&.)
o /,:!.:';f. 1--1'1 (." ,u fl''''
32. ..v..iWV/....t ~ //1 I')}..CI
DATE FilED (Mooln. Day. Yea
'PRONOUNCING AND CERTIFYING PHYSICIAN (Physlcoln bo1h pmrlOlJi'lClng <!<lath ar'Kl <:ertifyl"ll to cause 01 d8alh)
To lIle b..t of my ~nowledtle, Gaeth occurn>d alllletlme, date, end pleco, and dueto the cauaeo(o) and man....roo_......
...