HomeMy WebLinkAbout07-19-05
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of Glen A. Sheetz
also known as
No.
To:
';{1-06-0&4/
166-70-5651
Deceased.
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
Social Security No.
The petition of the undersigned respectfully represents that:
Your petitioneJ(s~, who is/are] 8 years of age or older, appLies__ for letters of administration
. . n. on the estate of
(d.h.n.; pendcnte lile; durante ahsentia; durante l11inoril<lIC)
the above decedent.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with
his last family or principal residence at 213 Gheary Avenue, N'!.w Cumberland, PA 1)070
(list street, number, Twp. or Boro.)
Decedent, then
at
31
years of age, died
June 30
,JPJ 2005
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
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
$ 1,000.00
$ 0
$ 0
$ 0
./
Petitioner_ after a proper search h~ ascertained that decedent left no will and was survived by
the following spouse (if any) and heirs:
Name Relationship Residence
Donald A. Sheetz Father 132 E. Liberty Avenue, La
rlisle, PA
17013
THEREFORE, petitione'!s) respectfully request(s) the grant of letters of
appropriate form to the undersigned.
administration
(")
c.:;o
-:0
~,~rJo
"~~: 1--
->fTl
.--: -'LJ
.;>~
""0
-'-,
.--~
in~e
<;~
en
<-
C.::
,--
13 a~~, ~a~
~~
-00
C:"=
<<3'=
~:t
..,~
;0
;;
o
~
0;;
ill
....."...,
1,-....1
C~
(-)
:::1
\ ,c)
:'-"'1
(~
."J
--,'j
[']
.~:o;..;)
t-n
-0
. :..d
"---I
-~
o
)
,,)
W
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
} 55
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 of petitioner(s) and that as personal
representative(s) of th~ above decedent petitioner(s) will well and
truly administer the estate according to law.
Sworn to or affirmed and subscribed '
before m~ ~ 4.7Z. _\'9 da~ of
" ~ .VtU/nM.~~tz
Register 1f'A~
~
w
'1l'
-
"
-
..
Q
rii
No. :1/-05'-Ofo</1
Estate of
GLEN A. SHEETZ
, Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW J ul v I q H::. l~llt.2ilil2, in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that DonRl" A. Shppj-,
is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration
d.h.n.
are hereby granted to Donald A. Sheetz
i;the estate Of.---trfi;;u--a-~
Gl~
,P<-
Rcgbter of Wills
FEES tn) ~~./\ -~
Letters of Administration..... $~ Patricia R. Brown 27474
Short Certificates( I ) . . . . . . . . .. $~ dI ATTORNEY (Sup. Ct. I.D. No.)
Renunciation ......../........ $ 5"" '>( 10 wi Pomfret Street. Carlisle. PA 17013
_' .YJ) $ If) 00
~TOTAL _ $ S. (fl) tI<I tnI ADDRESS
Filed ..~.I!l.r/..... A.D. tfT.;J"45 (717) 249-3024
~ W~ wdd; ~ ~ PHONE
RENUNCIATION
c2/-o6" 'tXo41
In Re Estate of Glen A. Sheetz deceased.
To the Register of Wills of Cumberland County, Pennsylvania:
The undersigned, Mary Weibley, Mother of the above decedent, hereby
renounce( s) the right to administer the estate and respectfully ask( s) that Letters
of Administration be issued to Donald A. Sheetz.
WITNESS my hand this 12th day of July, 2005.
"---Y~,-<~~. ~>?-/:h'T~_ _
Witness:
'--o1I\p~ ~"- ~
Signature G es-
fA J . / IL , ,L r-c m /103:.<
_ / i:: 1..-'/>1 ~.IL nuL (TfI G r4-x.
Address
~ -11 J.u.u~'
~~
OAIALEA t/
ANN B. SENSENICH, NOTARY PUBLIC
CARLISLE BORO" CUMBERLAND COUNTY
MY MMI On EXPIRES MAY 1 2007
S-2
'~0
:i~-~~r2
- -nl
~.-o
;..A.;:
""
,-::;;::;,
I.~
U,
C
:(::.~
\.0
~(i ~
N
Go
co
Thi.., is to certify that the information here giv'en is correctly copied from an original certificate of death duly filed with me as
Lncal Registrar. 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.
n
"1."
._,,; ,) h' Jj
t~ ,,j ~..,,,.
",",it((1H'prp;;;~--~
4~,*,'\.!>----- --I:II'4'..r."-""':-
"""<W.. .... ~\
"ol!;'~"""~,..,,.
~.:lE'i \-- \"'P"S.
~ Q1:~...". I~~
~w\_ -t'd' ./.h.~
~*\'I '~. """*~
l& .- - /~l
\.~~ _/-t$./'
,'jf-?>~ . ,~"""
-'-- ''''filf ~\" "",
"i~~N"""uu",IIIIII,1
~~c~/}
Fee for thi,", certificate, 56.00
No.
C; / ;Z!IJ&-, d
C~Jall: ~
c:; 0 1;1'
'~ :0 C_
'-n Co:::
'" -"0 r-
--_: r~~
:0
J,/-OS-O<O'-\ I
;.;.<:
\..0
-:-TJ
.11
C')
l..~)
::0
r:""J
1"1C'1
I~:J
.C)
'fl
,
("-)
I-n
c.........
.:'(1
-0
) ~ -
-n
.~~
"'J
)-"O~ 144 He, 119'
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(Coroner)
C.')
W
TYI'~PRI~l
'"
PERMANENT-
lJLAC""~'"
I
~
o
;
,
SIME"HNuIo4ElER
NAMf OF OECEDE~llr"". "',~lIe La"l
'"
A
Sheetz
2. Male
SOCI"LSECUAIT'I' NUloOacA
, /&(,-7c-5r;s/
O"H OF OE"TH (",,,,,'h Dd, ""'''
elT IloOAQ
213 Gheary Avenue
June 30. 2005
UNDER' DAY
1-10""-'- ""~u'8'
D"TE01' BIATH
("'ontn.Do, """)
llIR1HPV.CEjC",.,",
S..'eo< ''''O'\,I~C,,,,n'',)
CCfl'p ,-"LI- I ~
,
FACIUTYN""'E!Ij"".n>,,,,,,,,,,,,,,,.."''''''''M'''''''be<]
PlACEOI'OE"TH(C!,,,,,,,,,,y,,,,," _'~"'",,"o,,'''''<)I'''''''''''1
HOSPIT"c ,,-. ..-
I.....,..,.LJ ERIOu'"""e",l]
h
>~
\~""
POI'DE"TH
fV.CE.""-""'nl......~ BIod._.....;-
15<>ec....l '
l<!h,T~
...
Cumbe r land
New Cumberland
k
DECEDENT'SUSUALOCCUf'lC'lQN
1~~~.i7~'%"'u~;-.1.:i'
\\. )/:LcS llb
DECEDENl'S"''''lIHGA.DOflESS(Sl''''',C,tyIJo.,n SLa,@.i,pCo<lel
.l(INOOfBU~NESSlIN[}lJ51AY
Jil2t!;
_SDECEDE~lEVEAIN
U.S. "'-RloOED"OACES>
.....O...J<;J
SURVTvINGSPOuSE
nr_.fi'Ye~""""'1
'2/3
Gh':'I<f1-j fJ~'e
CJrnb(.('A~.r.,,-J,1o--, /711 7 ()
OECEOENT'$
ACTUAL
RESIDENCE
(See"....".."..".."
"""",..>>del
"
n.SI.,. 1'<,--
17b,Coun
C!J,"1&~LIJNJ
--~-Di<j
--
.....",.
'''''''''''''P'
"c,O_,_,.......,,,,
no
To'...~alm~~~, <Ie..h<:><:eu"..:I~I'...h"'.,da'e.""pIOo....'Od
(~tu,..,"'Ti!le1
Nc,_......:I
17 _acte>al 10m.. 01
/v( IN C V;yo 0Lrvi~ NJ
,-
FATHEA'SNM.lE[h""_,Lasl)
Ll(:ENSENUloOacA
;, 57, 'ViJNC f.'IV,'" to. '7('J-.
"'-ES'GNEO
{"'''''""Da,,_1
](i_L
'h
nMEOF DEI'rH Aprx. DATEPRONOUNCEODEAOI"''''''''.O"y,Yea'j
20 11: 00 P M ZlI. July 1, 2005
21. ""'Rl '. E~te' thO "'M......_ on~... 0< """,pi""""",. "",.cr, c.au",", 'hO <)O.,h 00 "'" e~'''' 'M """",01 ""';'"11. ouch >soa,o,"o", ,e"l><,a,.,..,. ,,,_, ."""k 0< '''''~ 1,,;our.
L"'onIyotl<Oca.-on._.....
"
Gunshot to Head
DUE TO(OAASACONSEOUfNCT Oi)
23b. 230<,
_S C"SE AEFEARED m loOE~~L E><AloO'NEFVCORONEA?
:no Ruw v..~ NoD
.Ajlp<o,imal. PAAl'1I OI""'S'9'l'",;a~t''''''''''OOM''''''''''''''"'II'''(''''''''' Oul
:.....-val_ """,""",O>Il'n''''~'''lc.a.-~'''~TI
i~and-'"
~_._~_.
DUETOrO'lASACONSEOUENCEOfj
,
,
----_.--+-~-~---
,
ouiTi:i'I,:iA.A~A-cCiNSEOUENCf Of'I---
j.
\.'1
I
~
~
o
~
~
,
WERE "UmpSYFlNDI"IGS
_1L.AllLEPAIQfl10
CO"'PLfT'O/-lOfCAUSE
OF [)fATH>
"'''NNEAOFDEATH
D"TEOF '''"-IUAY
1"'''''lhOaY._rI
TIME OF INJUAY
'''I",",
[J
[]
~
Pe""'''II''''''''''iga''''''
lJ June 30,2005
U)Go 3Ot>,11 :00 ? loO
[J ~,;~?;~~~:~;'" hO"'e, '."n, .,,__ ""'00)', o/lic:o
-
Aprx.
DESCR'BE~I"JUAYOCCUAAEO
Self-inflicted gunshot -
handgun
_(-J
~ II
""<lon,
n. 2Ib
CERTIF'EA IC""". """"""')
'CERT.n'NG PHYSICIA~ IPt,."",,,,,,,,",,,,,,,'9' .".,.,,,, c>",-"h ~h~" ,''',"''e, ,~"""",,,n "~.po"'~""oc",j ~....", ,,,,,,,,,,,,,,,,,,,.., II,", ""I
Te '''''''.'01 mY........'-<lvo,clH'h<>e<:...-....l "u.'o'...e.u....I."" "'an.--a.....'''''
~<-
"
Co.J",,,,,,,," "'"'"''''''",d
Home
Cumberland,PA
SIGN"TUAEANOTITL-E
....EO'CAL EXAloO'~ERlCORONER
On 1"- baa;. o! eumln.Uon andlOl ;n~Hli9"'i"n, In my opinion, dUII'I occu"ed.1 '''-lime. d.le, and p'aee, and duelo II>. CauM(S) and
man_'uslel~
,,,
.%"
l_J"b
LICENSE U O"TE SIGNEO;;"';;'"" Oay __1------
lJ J'e J1". July 1, 2005
NAloOE';';'O"OOAESSoi--PERSON WHO CO"'PLETEO cA'USiiY DEA'H - -, ~ ---
{1I<tm)l)TYP'"",P''n1 Michael L. Norris, Coroner:
6375 Basehore Road, Suite #1
Mechanicsburg, Fa. 17050
:AlEFILEDI"~77~~! as-
Coroner
'PRO"0U"C'~ ..."0 CERTlnl.... P>1YSlCIA~ (Pt,."","" ",,,,, '."''''''''''''',1 """'~ .,., e"""y"'\lIO ""'""" ,. '1e3""
Te '...beste'",1.""""-"90,....'hocc...-....l.' I"'t>..,., """.nd P'"co,''''' """te ,... e.u....1 ."""'.m_.....'...
')
-