HomeMy WebLinkAbout07-13-05
.
Register of Wills of Cumberland County
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of Marlin l. McCoy
also known as
No.
To:
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Social Security No. 174-20-2235
, Deceased.
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
(d.b.n.; pendente lite; durante absentia; durante minoritate)
the above decedent.
Your petitioner(s), who is/are 18 years of age or older, appl~ for letters of administration
on the estate of
Decedent was domiciled at death in Cumberland County, Pennsylvania, with hJL last family or principal
residence at 51 Mountain Street. Lot #6. Borouoh of Mt. Hollv Sorinos
(list street, number and municipality)
Decedent, then 79 years of age, died June 14
51 Mountain Street, Lot #6, Mt. Holly Springs, Pennsylvania
.2005
, at
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
([fnot domiciled in Pa.) Personal property in County
Value afreal estate in Pennsylvania
situated as follows:
$ 15,000.00
$
$
$
Petitioner_ after a proper search ha~ ascertained that decedent left no will and was survived by the
following spouse (if any) and heirs:
Name Relationshi" Residence
Susan D. Lebo (Renounced) Daughter 19 W. Oakwood Drive, Carlisle, PA 17013
Michael L. MaCoy (Renounced) Son <"1<::-S t.->1r_" IZJ "<1~1 VA ~oil'
Robert l. MaCoy Son 141 Horseshoe Road, Carlisle, PA 17013
THEREFORE, petitioner( s) respectfully request( s) the grant of letters of administration in the appropriate form
to the undersigned.
Residence( s) of Petitioner( s)
141 Horseshoe Road, Carlisle, PA 17013
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Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYL VANIA
}
SS:
COUNTY OF CUMBERLAND
The petitioner(s) above-named swear(s) or affinn(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 accordi I
Sworn to or affirmed and subscribed
Before me this '\ ~ """
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Stephen L Bloom, 49B 11'
Attorney (Sup. Ct. 1.D. No.)
2100 Longs Gap Road
Carlisle, PA 17013
Address
No. 'J.'-<.::JS-\,1.<O
Estate of Martin L McCoy
, Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW July 13 2O~, in consideration of the petition on the reverse
side hereof. satisfactory proof having been presented before me,
IT IS DECREED that Robert L. McCoy
is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration
are hereby granted to Robert L McCoy
in the estate of Marlin L McCoy
FEES
Probate, Letters, Etc. .............
1.o<.::J
$
Will ................................. $
Renunciation....~?,!.............. $
Short Certificates (u,) ............ $
JCP.................................. $
$
$
$
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Automation Fee...................
Bond. ..... ....................... ....
Total
Filed '\ - \ :,
717-249-7717
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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.
HlO~_lU15 REV \lO'i
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
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P 11332154
No.
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JUN 18 2005
Date
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(Coroner)
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ANEHT _ 24
::11:'" NAtolEOFDECEDEHTlFnI, Mid<:le,l.8Ill
Marlin
L
z. Male
$1llf1!FII..E_lIER
SEOJI\IT'lM~
,.174-20-2235
o.ona<OE.Q"H(UanIh.O".......l
4. June 14. 2005
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B1RTHPlACE{CiIy8n<l PV.CEOf"DEl\JHlChecki:ll1~""" _;,c,.,c1ionsonothtfllid8j
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ennsylvania :--0 EFIIOuIpIdltnIO
MCIUTV NAME (" I\CIl inotiIuIion. O'<e .,.... "'" number)
51 Mountain Street
UN0ER1OM
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OF O&<H
Mt.Holly Springs
DECEDeNT'SUS I'IUlOfol
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1 aborer 1 anufacturin
~HT'SIlUJLlNQADOAESSlSl!"CilyIbon,SI;tU.li2~ OECEOEm'S
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Mta holly Springs,PA17065~~
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L.JCENSENlAQlER SIGNED
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DREPAClHOUNCEODEAD~.~ """I
June 14', 2005
Gunshot to Head
DUE1O(ORASACOHSEaUENCC OF}:
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OUE1O(Ofl/lSACONSE<lUeNCEOF}:
OIJE1O(OR,t.S,.,~NCEOf\o.
PA 17013
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WERE AUlOPSY FINDINGS
IUIJl.A8lEPflIORID
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Coroner
031!>>.
UCENSENUM9EA
031... 31d June 16, 2005
NAlolE AND ADDRESS OF PERSON WOOOOMl'LETm CAUSE OF 0ERll
Oltm21)TypeorPrInI Michael L. Norris, Coroner
~ 6375 Basehore Road, Suite HI
~a Mechanic9burg, Pa. 17050
:'~.'77. UJ{).5
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Register of Wills of Cumberland County
RENUNCIATION
Estate of "" AiZL::UJ L - McCo'-(
Also known as
No.
, deceased
To the Register of Wills of Cumberland County, Pennsylvania
Theundersigned M-Lci-IA(;L L. f-A.,cCo-<, SoN
(Name) (Relationship) (Capacity)
of the above decedent, hereby renounce( s) the right to administer the estate and respectfully request( s) tbat
Letters 0<" Aul-'\.7-+J"Z--S-rt2A-r-ror--J
be issued to (lo 13 62- -r L. /'-A c C&'T'
Witness my/our hand(s) this 'iJ'1}.. day of
;::Jtit- r ,200S.
.
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y?s5 W/L..$d>V
v /I1If1g<;;(~} V?f ~ II S-
A (Address)
AffIrmed and subscribed before me this
Z '0- day of -z) LL "--l
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My Commission Expires:
4~
(SIgnature)
L{-3o-cA
Or
(Address)
AffIrmed and subscribed before me this
_ day of
A; / l}-
I (Signature)
Register of Wills
(Address)
Deputy
(Signature and seal of Notary or other offIcial
qualified to administer oaths. Show date of
expiration of Notary's commission)
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Register of Wills of Cumberland County
RENUNCIATION
Estate of MAC<.L;f.N L Me Co,<
Also known as
No.
To the Register of Wills of Cumberland County, Pennsylvania
, deceased
The undersigned SJ'5AI0!). LE::"&:> / ~rcCl:2.
(Name) (Relationship) (Capacity)
of the above decedent, hereby renounce( s) the right to administer the estate and respectfully request( s) that
Letters Or: A"Dtk:J..N-:J..-STr2A{;CQ,v
be issued to fl.o (!, e::IL-< L. M c.. Co'-(
Witness my/our hand(s) this ~'r1-\ day of .:r wI;(
,2~
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(l rv...J ~ ( '7 () 13
(Address)
AJfy:,ed and subscribed before me this
day of t1fA )? 18
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NoIarlaI SeeI
Sharon E. Bloom, Notary Public
My Commission E p~ MiddelOn Twp., CLfI'IIletta1dCounty
'Mi/Cornrrission Expires August 5,
Member, Pennsylvania AssociaIIon or NoIarloa
Or
Affirmed and subscribed before me this
_ day of
Register of Wills
Deputy
(Signature and seal of Notary or other official
qualified to administer oaths. Show date of
expiration of Notary's commission)
(Signature)
(Address)
(Signature)
(Address)
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