HomeMy WebLinkAbout09-23-05
Estate of Glenn E. Bauder
also known as Glen E. Bauder
PETITION FOR PROBATE and GRANT OF LETTERS
No. ~I '-05 '. OR' 5 .3
To:
Register of Wills for the
Deceased. County of JdJmberland in the
Social Security No. 192-32-1871 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), whojs{are 18 years of age or older an the exccut rices
in the last will of the above decedent, dated Dec~!'.~J ---.
and codicil(s) dated (none)
nam~d
,19~
(state relevant circumstances, e.g. renunciation, death of execiJtor, etc.)
Decendent was domiciled at death in Cumberland County, Pennsylvania with
h is last family or principal residence at 5 West Main Street, Newville, PA 17241
(list street, number and muncipality)
Dccendent, then ~._____ years of age, died _-.Al,l.<JY,s.t_22,._2UOS ,}48
at Doubling Gatl_and.Rock Run Rnrins, Npwvillp, Tnwpr Mifflin 'TWp, rnmhPrl,;:md County
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of the will offered for probate; was not the victim of a killing and was never adjudicated
incompetent:
Decendent 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:
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$ 1 0 , 000.00
$
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WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and
presented herewith and the grant of letters
~o
codi@(s)
'4)1
(testamentary; administration c.I.a.; administration d.b.n.c.t.a.)
..
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C_J'.,) r .)
theron.
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~~ Blanche Hefflefinger ~
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-g.g 1 qq rnn()ckql1 i npr Mnhi 1 p F.~tatp'5
ro'~ Newvillp, PA 17?~1
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEA~TH OF PF;NNS~LV ANIA } ss
COUNTY OF ~~~-'Y''-o'- .
Sworn to or affirmed \ and subscribed
befQ,I:e me this ~.-.: day of
~~ ~ -~~OC5
,~- ~~~O.~
"- ~ . e>\:_.... Register
.~
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 represen-
tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law.
1- @i~ ~y-- ~
{ . Blanche Hefflefinger ~.
1L(~tMfo~kJ !
..
No. 021- (,'6 ()<t{53
Estate of
Glerm E. Bollnp-r
, Deceased
DECREE OF F'ROBATE AND GR.A.;"'iT OF' I,lETTERS
AND NOW September ~ .____ ~ 2005, in consideration of the petition on
the reverse side hereof, satisfactory proof haying been prnented before me,
IT IS DECREED that the i.nstrument(s) dated December 3, 1999
described therein be admi.tted to probate and filed of record as the last will of Glerm E. Bauder,
a/k/ a Glen E. Bauder
and Letters Testamentary
are hereby granted to Blanche Hefflefi ngpr ~nn C'h 1 oe Hefflefing8r
~ \ \ \ .. I:El=S. " J 5 ~ ~
Probate, Letters, Etc. '" _ . _ . .. 545 co()
Shan: Certificates( ).......... S I d -00
~ o.~..".:w'n~4j\'} $ 5 - 0.::-
..j~~ S \0 (8
TOTAL _ S87.CD
. q .~3 .OS
FIled ...................................
200 N. Hanover street, Carlisle, PA
AD DRESS
(717) 243-5551
PHONE
Register of Wills of Cumberland County
OATH OF NON-SUBSCRIBING WITNESS
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Estate of G Ie n ^ {;, (3.:> J (7f U
Also known as G Je. (\ E !3uu (Ju
No. 8.\ -05' 0'85 ~
Cj
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, Deceased
.. I
113. ) ~ .., d" <- H e. -f-{ r e. ft~ v
Ch 10 c. He.fit ~iO eI
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
+),t.. y <Are.. familiar with the signature of b I e l"\ E.., Q. 0;.) A. e.r. , testatQL of (one o~ the
subscribing witnesses to) the codicil/will presented herewith and that ~ believe~s the signa~re
on the-codieWwill is in the handwriting of G Ie., E - Gc..uO< <!....( to the best of .
Our knowledge and belief.
;t
Sworn to or affirmed,and subscribed
~efore me this ~ a day of
~~\"f'-~""'" ,2005
'>(.~ ~r!
(Name) G 10\(\.c...he- H e.:ff'1 <-f:;,~ er
199 (O'Ioc(o rJ.-....e.t-"7ob./(' CSja.:frS
(Address) N~ (/: / / f:' J 1'4 I 7;J If J I
L ~~\b.JVlii_\ ~1~bC\~L
Regist~
~~'-a .Q~~
x CJ~~ _ . .
(Name) C>-.. lee ~'"'8cz.c-
1).0 F; ) j... H o..tc:_J...~7 ~c.J:I.
(Address) tJew J J) (e I fq (-;.)., L( J
I'
Thl'. 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.
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Local Registrar
Fee for this certificate. S6.00
AIIG
3 8
2005 .
No.
Date
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H105.144Rev 1/91
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(Coroner)
c:'
TYPE/PRINT
'N
PERMANENT
BLACK INK
....
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Bouder
SEX
,.Male
ST.AJ'E FILE NUMBER
SOCIAL SECURITY NUMBER
3 192-32-1871
27, 2005
BIRTHPLACE (Cily and
State or Foreign Country)
~:'ry)~
MARITAl STATUS. Marr\e(l
Never Married, Widowed,
OlVOfCed (Specify)
RVIVING SPOUSE
(II I ile, give maiden name)
22b.
To the best 01 my k'lOWledge, death occurred at the lime, date and place slated.
(Signature and Title)
Did
decedent
Ilvelna
township? 17d.D ~h=~:i~~of
MOTHEA'S NAME (First, Middle, Maider.Surname)
_ Elizabeth Eckert
INFORMANT'S MAILING ADDRESS (Street, CilyfTown, State, Zip Code)
2Gb. 199 CME Newville
PLACE OF DISPOSITION. Name of Cemetery, Crematory
or Other Place
Iwp.
17b, Coun
Cumb
Newville
'/boro.
DATE OF DISPOSITION
(Month, Day, Year)
o 8/31/05
21b.
ERSON ACTING AS SUCH LICENSE NUMBER
9963
M;ewville,
Spring Ave Newville.~.
OItTE SIGNED
(Month,lA1i Year)
23b. 23c.
WAS CASE REFERRED TO ME~L,XA~INERICORONER?
,.. Yo..J/\I. 1"<' t' NoD
!~~:::~i=~en PART II: ~~~~:~~~~~~~~:~~i:0:':;~~i~~~ ~:R~ul~
! onset and death
DATE PRONOUNCED DEAD ~Month, Day, Year)
24. M. 25.
27. PART I: Enter the diseases, injuries or complIcations which caused the death. Do not enter Ihe mode ot dying, such as cardiac or respiratory arr9111. shock or heart tailure.
List only ona cause on each line
August 27, 2005
DUE TO (OR AS A CONSEOUENCE OF):
d
WERE AUlOPSY FINDINGS
AVAILABLE PRtOR TO
COMPLETION OF CAUSE
OF DEATH?
Natural
o
~
o
Homicide
o
o
o
SIGNATURE
MANNER OF DEATH
DATE OF INJURY
(Month,Day,Yeaf)
DESCRIBE HOW INJURY:OCCURRED,
Unbelted passenger,vehicle
left roadw~y, struck
_tree, ejected
LOCATION (Street. CityfTown, Slate)
3MDoubling Gap Rd~Newvi11e,PA
Yes D NOf:J,.
Yo. 0
No 0
Accident
Pending Investigation
288. 28b.
CERTIFIER (Check only one)
'CERTIFYING PHYSICIAN (Physician certifying cause 01 death when another physician has pronounced death and completed Ilem 23)
To the best ot my knowledge, death OCCUfred due to the cauBe(s) and manner a. stated. . , . , . , . . . , . , . . . , . ,
Suicide
...
Could not be determined
'MEDICAL EXAMINER/CORONER
On the basis of examination and/or Investigation, In my opinion, death DCcurred at the time, date, and place, and due to the cauae(sland
mannera88tated.. ..... ............. .............., ,.
31a.
REGISTRAR'S SIGN.AOrURE AND NUMBER
~. ~tu..~~~
~Il ..:1.1 \ I()I
o 31 . Coroner
lICEN E BER D.4J"E SIGNED ( . onth, 081' Year)
0310. 31d. Aug~st L9, 2005
NAME AND ADDRESS OF PERSON WHO COMPLETED CAUSE Of ()EATH
(ltem 27) Type orPrtnt Michael L. Norris, Coroner
~ 6375 Basehore Road. Suite #1
l"I. 32. Mechanicsburg, pa.: 17050
DATE FfLED(Monlh, Day, Yeaf)
. PRONOUNCING AND CERTIFVING PHYSICIAN (Physician both pronouncing death and certifying 10 cause of death)
To the best ot my knowtedge, death occurred at the time, dele, and place, and due to the cauae(s) and manner a. .tated
34.
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