HomeMy WebLinkAbout06-21-05
Estate of Esther E. Mairs
also known as
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
1 '-=05 -0 5liL
No.
To:
Deceased.
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
Social Security No. 160-26-9243
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, appl ies
for letters of administtation
on the estate of
(d.h.n.; pendente lite; durante absentia; durante minoritate)
the above decedent.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with
h er last family or principal residence at 324 Charles Street Mechanicsbura PA
(list street, number, Twp. or 80ro.)
Decedent, then 73 years of age, died 8/4/2004
at Carlisle Reaional Medical Center. Carlisle PA
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(Ifnot domiciled in Pa.) Personal property in Pennsylvania
(Ifnot domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
NONE
$
$
$
$
2 12700
Petitioner _ after a proper search ha s
the following spouse (if any) and heirs:
Name
ascertained that decedent left no will and was survived by
Relationship
Residence
h rl s F. Mairs
Died I 9/2000
D nn L. Weber
Dau ht r
411 Daria Road
M h nicsbur
PA 17 5
Donn onl child of the Mai
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THEREFORE, petitioner(s) respectfully request(s) the grant ofletters of administtation in the
appropriate fonn to the undersigned.
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Donna L. Weber
411 Daria Road
Mechanicsbura
PA 17055
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA}
88
COUNTY OF Cumberland
The petitioner(s) above-named swear(s) or affirm(s) that the
statements in the foregoing petition are true and correct to the best
of the knowledge and belief ofpetitioner(s) and that as personal
representative(s) of the above decedent petitioner(s) will well and
truly administer the estate according to law.
Sworn to or affirme~ subscribed
ben e me this 61. I day of
05
{xJ:lmmn 0( IjWM~,
No. 2..1 -05 - 5lc 2
Estate of Esther E. Mairs
GRANT OF LETTERS OF ADMINISTRATION
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, Deceased
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AND NOW , in consideration ofthe petition on
the reverse side hereof, satisfactory proof having been presented before me,
lT IS DECREED that Donna L. Weber
is/are entitled to Letters of Administration, and in accord with such fmding, Letters of Administration
are hereby granted to
Donna L. Weber
in the estate of Esther E. Mairs
~~Ib
FEES
Letters of Administration. . . . $ 30.00
Short Certificates (I )...... $ 4 00
, 'J ,,' '"'Re.\eas!a.. $ St\\)'Rlee
... .,
JCP/Auto $ 15 00
TOTAL_$~
Filed ~~. . . ..,.2~'\S~ If .
Marielle F. Hazen #68003
ATTORNEY (Sup. Ct.l.D. No.)
2000 Linglestown Road, Suite 202
Harrisbura PA 17110
ADDRESS
717-540-4332
PHONE
HIO.~_X()" REV W!l6
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 certificate will be forwarded to the State Vital Records Office for permanent, filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No.
lJJt ta,~
Fee for this certificate, $2.00
Local Registrar
P
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10545393
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COMMONWEALTH OF PENNSYLVANIA' OEPARTMENT OF HEALTH' VITAL RECOROS
CERTIFICATE OF DEATH
Sl...TtfLE~R
TYPE/PRINT
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P~RMANENT
BLACK INK
,.
Esther E. Mairs
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2. Female
SOClAl SECURITV NUMElER
160 - 26 - 9243
DATE OF OEAIH ,1A""lh Oay. Year)
4, August 4, 2004
NAME Of OECEDENT(FiBl. UIlI<k,lasll
..
AGE rulSl1bnI>clay}
k.
Carlisle Regional Medical Center
.
.
COUNIYOFDEATH
73
BIRIHPLACE(C~yand PlA,CE ATH _.
SlaktoofareigolCaurotry} HOSf'ITI\/,.
Rebuck, Pa ___..& E~ 0
7. Ia.
fACILITYNAIAE('lrIOllOSlll"Uoo.IIIY8Wae\and~
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Cumberland
Carlisle
RACE-Affie"Canind.a",BIacIt_WOoIa ale
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White
Manufacturing
WAS DECEDENT EVER IN
OS. ARMED FORCES?
va.D 1100
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FATHER"SNAME (Fm,_, La.l} MOTHER"SHAME(FirII._._~
1. Howard Kahler 1'. phoebe Lubold
II-IFORMANTS NAMe (T\'PllIf'ml} INFORMANTS MAilING AOORESS (Srreet. CllylT--'. Sl..a. Z", COde)
lOa. Donna Weber 2011. 411 Daria Road Mechaniesburg, Pa. 17055
METI10D OF DISPOSITION DATE OF DISPOSITION PLACE OF DlSPOSI1"lC)H-....-n. afCernalary. Cren",1""I LOCATION. C~VlTown. Slakt, Zip coo.
8unaI(8)crem;llionOR8rncwalfromSlallO _,lloy,Voat) orOll1erPIIA
0Il>ef (Spad)ll Aug 9, 2004 11c. Indiantown Gap National
L S ~.IC,.ENSE NUMBEILO'()14318-L NAME AND ADDRESS OF FACILITY
... t- 22c. Myers Funeral Home, Inc. 37 East Main Street Mechanicsburg, Pa 17055
~...._ 01llabeltafmy~._~at""'linwl.dole_placest_ UCENSeNUMllER D....TESlGNEO
pI>y.icianisnol...~lIllimJaf_to (SignIIlLn a TilIel (MoolhDa1,Yearl
cerIIty....-olOMlh UtI. 23b. 2k.
11_ 24';o!e_llt~1I7 TIME Of DEATtt DATE PAONOUNCED DEAD lMonlh, Oav. Y.~ WAS CASE. REFERflED TO A MEDICAL EXAMINER ICORONER~
......1CII1"""'prtl<lGlft:ftOUlh 24. 0005 M 21. August 4. 2004 .. Ye. 0 .No 00
IJ.PARTI: ___....._......-._~_...._Do...___CIfclyloog....<h......................._._..__. :A~ PARTA: OIl>ef~condo""".conlf'lOOlo:1Q.a"".."1>oJI
uu....,.____.... .n..."._ nol"'$UbIIfI"IINl...oorl1"'OtaIJ...<).""inPA~TI
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DECEDENTS
ACTU....L
RESIDENCE
lSeeinolnJ<:lions
00 oIIW side}
17a.81..",_
Pennsvlvania
MARITALSIATUS-Maffllld.
NlNarMll",..<l,VVl<klwaO
o;_OfCIId (Si><'C~VI
Widowed 15
11C.~ v.....oill<:e<l""'..ad.. Mechanicsburg
SURVIll'NC.SPOUS~
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DECEDENTS USUAL OCCUPATION
C"""....CII__~
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KINOOF80SIf'ESS/INDOSTRY
11. 11b.
DECEDENT'S MAILINGAOORESS (Slree\, CitylTown, 51_, lip Code}
324 Charles Street
Mechanicsburg. Pennsylvania 17055
Cumberland
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CERTIFIER (cr..d<onyOlle)
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'PRONOUNCING AND CERTIFYING. PHYSlC!AN IPl1yM:jan botI1 prooaunatlfl dealll and cer111Y'''II to cau.Q (It death)
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NAME AND ADDRESS OF PERSON WHO
(~17ITypeorPmt
_ David Albright
246 Parker Streel Carlisle. Pa
17013
0A"if.j~:.t'4, 2..04-
RELEASE
f'.)
To Whom It May Concern:
Please be advised that the undersigned Donna L. Weber has been appoi~
Executor of the Estate of Esther E. Mairs. Esther E. Mairs died on August 4,2004.
I have retained the Law Office of Marlelle F. Hazen, 2000 Linglestown Road,
Suite 202, Harrisburg, PA 17110, to represent me with regard to the administration of the
Estate of Esther E. Mairs. I, in my capacity as Executor of the Estate of Esther E. Mairs,
hereby authorize you to release to The Law Office of Marielle F. Hazen all information
regarding her accounts, assets and/or debts. This information includes, but is not limited
to account numbers, account values, dates accounts opened, date of death values,
beneficiary designations and account owners.
This Release was signed the
/9
dayof ~JfnQ.
rJ
,2005.
Witness:
f.1z t77fA. rt I J p)fJu
Donna L. Weber
flmw-C( !>>eMu