HomeMy WebLinkAbout08-18-05 (2)
1)
Estate of Doris A. Cashman
PETITION FOR GRANT OF LETTERS !
No.~-'-05 -01$5
I
also known as
, Deceased
Social Security No. 2002t0549
Glenn E. Cashman
Petitioner(s), who is/are 18 years of age or older, apply)ies) for:
(COMPLETE "A" OR "B" BELOW:)
o
A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut
Decedent, dated and codicil(s) dated
named in the La~t Will of the
. ' i
State relevant circumstances, e.g., renunciation, death of executor, etc
Except as follows, Decedent did not marry, was not divorced and did not have a child born or adopted after execution of the documents ofi ered
for probate; was not the victim of a killing and was never adjudicated incapacitated:
Gl
8, Grant of Letters of Administration
(c.I.a., d.b.n.c.l.a.: pendente lite, durante absentia; durante minoritate)
Petitioner(s) after a proper search has/have ascertained the Decedent left no Will and was survived by the following spouse
(if any) and heirs:
I
Name
Relationship
Residence
I
Glenn E, Cashman
Rick A. Cashman
Michele L. Cashman
AnQela J, Cashman
son
son
QranddauQhter
oranddauohter
949 Wertzville Rd., Enola, f A 17025
Auousta Correctional CentE r VA
Box 184, Bazine Kansas..5 516
Box 184, BatiMe-,Kansa&:.R 516_.';
" F~;
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(COMPLETE IN ALL CASES:) Attach additional sheets if necessary. C)
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her lasHamil~q
residence at 114 Center Street, Enola PA 17025 - East Pennsboro Township ." ::
(list street, number and municipality)
years of age, died February 7 ,2005, at her home
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Decedent, then 72
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(Location)
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 ..,......,.....................................'...............................,..,..... $
Total .........,....... .........,.....,...,.....,........,.,.... .......,......,....,.,...,..,.....,........,..........,.,.. $
1,000.00
48,000.00
49000.00
Real Estate situated as follows: 114 Center Street Enola P A 17025
Wherefore, Petitioner(s) respectfully request(s) the probate of the Last Will and Codicil(s) presented with this Petition and the grant of letter in
the appropriate form to the undersigned:
I
Signature
Typed or printed name and residence I
Glenn E. Cashman-949 Wertzville Rd.. Enola PA 7025
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RW-1
Oath of Personal Representative
Commonwealth of Pennsylvania
County of Cumberland
The Petitioner(s) above-named swear(s) and 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 the
Decedent, Petitioner(s) will well and truly administer the est~d~ to ~
Sworn to and affirmed and subscribed .
j9fh GLENN E. CASHMAN
before me this 0 day of
~~~~t!-j
DECR~ER
Estate of Doris A. Cashman
also known as
Deceased
rP./-{)5- 7F
No.
Social Secur~ty No: 2002~54~ Date of Death:
AND NOW, \ '::l:Jg pt _ q ,c)Ot)5 , in consideration of the Petition on the
reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters a Testamentary ~ of Administration
((c.I.a.. d.b.n.c.t.; pendente lite; durante absentia; durante minoriate)
are hereby granted to Glenn E. Cashman
in the above estate and that the instrument(s), if any, dated
described in the Petition be admitted to probate and filed of record as the Last Will of Decedent.
FEES
Letters..... ..... ..... ..... ....... .... .....
Short Certificates(s) ...............
Renunciation ..........................
Extra Pages (
) ...............
I.T.R.......................................
JCP Fee .................................
Inventory................................
~\..<t~d.r.-..,;.........
$qo .DO
$ j;) .00
$
$
$
$
$ JO,(JLJ
$
$ 5.61)
,-,&wk \-4c'Lw 0
Attorney: Scott W. Morrison
I.D. No: 83943
Address: 6 West Main Street, P. O. Box 232
New Bloomfield
PA 17068
lS-dJ. 6f.)
TOTAL .............................$ _
Telephone: (717)582-2300
DATE FILED: 08/18/2005
*
Thi" is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Loul 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.
11'"'1')'-'\ f '-'I,r.
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No.
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Local Registrar ;
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Fee for this certificate. $6.00
p
FEB 0 8 005
Date
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(Coroner)
.c;- -~ ,~
114 Center
SEX
2. Female
SWE FilE NUMBER
SOCIAL SECURITY NUMBER
A
Cashman
s. 200-24-0549
7. 2005
UNDER 1 DAY
HourI Mlnut..
, CITY. BOA
DATE OF BIATH BIRTHPLACE (City and PLACE OF OE..:rn (Chock only one see instructions on other side)
(Month. DaV, Year) State or Foreign Country) HOSPITAL:
Hbg, Pa 1_.10.. D
7. ...
FACILITY NAME (If not institution, give street and number)
~D
Ie.
DECEDENT'S USUAL OCCUFW'ION
(~~If~~~r~.~
Bus Dr~ver Hbg School Dist
'1 lIb.
DECEDENT'S IotAlLING ADDRESS (SIr.... CitylTown, Slalo, Zip Code) DECEDENT'S
ACTUAL
RESIDENCE
(See instruclions
on other side)
WAS DECEDENT EVER IN
U,S, AAIotED FORCES?
VoaD Nol5il
SURVIVING SPOUSE
(tf wile. give matden name)
17.. Stele
Did
_I
11v.1n.
Cumber land lownohlp? .7d.D :;"'''":.~=oI
MOTHEA'S NAME (First. Middle, Maiden Surname)
... Fr El
INFORIotANT'S MAILING ADDRESS (SIr.... CitylTOwn, S1a1a, Zip Code)
949 Wertzville Rd Enola Pa
PLACE OF o.SPOSlTtON . Name of Cemetery, Crematory LOCATION - CttylTown, SIa
or Other Place
twp
114 Center Street
Enola, Pa 17025
...
FATHER'S NAME (First, Middle, Last)
... Floyd A. Morrow Sr.
INFORMANT'S NAlAE (TypeiP<mt)
Glenn E. Cashman
'lb. Cou
c /bora
RomovoIlrom SIa.. D
. Zip Code
2005
2' ~vans Eagle Cremation
NAIotE AND ADDRESS OF Fl.CILITY
22cSullivan FH 51
LICENSE NUIotBER
Leola,
21 .
a
....
TIME OF DEATH P rx . DArE PAONOUNCED DEAD (MonOh, Dey, _)
2.. 9: 00 A M, 25. February' 7. 2005
27. PART I: Entef the diMua, kl)uri8a or complication. which caUled the death. Do note1MBr the mode 01 dying, IUCh as cardiac: or respitatory art_, ,hock or heart faHure.
Lilt only one C8UM on each line.
2Sb.
WOOS CASE REFERRED 10 IotE
...
N.
.,
Occlusive Coronar Artery Disease
DUE 10 (OR AS A CONSEOUENCE 0Fj,
...
.Approxlmate
: IntfHVaI between
lonaet and death
I
i
COPD
b.
DUE 10 (OR AS A CONSEQUENCE OF)'
c,
DUE 10 (OR ASA CONSEDUENCE 0Fj,
d.
WERE AlIlOPSY FINDiNGS
A\AlLABLE PRtOR 10
COMPLETION OF CAUSE
OF DE....H?
MANNEA OF DEArH
Ne1ural
j(
D
D
DATE OF INJURY
(Month, Day, Year)
TIME OF INJURY
INJURY"" WORK?
DESCRIBE HOW IN URY OCCURRED,
Homicide
D
D . M.
D PLACE OF INJURY. At home, farm, street, factory, office
building, etc. (Specify)
SOo.
Yoo D NoD
.MEDICAL EXAIotINER/CORONEA
On tile baeIa of e.emlnetlon and/or InvHtlptkm. In my opinion. death occurred at the time. da'e. and place. and due to the cau..(a) and
manner...teted................................................................................................. .
31..
REGISTRAR~NRUREANDNUMr
30. ~ 7aA
~/~I/I/ I
SOl.
NO~
Yo. D
NoD
Accident
Pendklg lnves1igatlon
Could nol be d81.rmlned
2". 21b.
CERTIFIER (Check only one)
-CERTIFYING PHYSICIAN (Physician certifying cause of death when another physician has pronounced death and completed hem 23)
To"'" beelot my knowtedge. dMthoccurredduelothecauee(.).nd ",.nner..atated. ....................................................
Sulcldo
...
-~:==r:y==':"==:::'=, =~~:.oo":~~ ::~~oC::~:~~~~of':::,...talecl.......................... 0
SIGNArURE AND
D 31b,
LICENSE NUMBER
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