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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~; , ~~!l't >- .,-..--" (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 ~ 'C' ...~~~ PrinciPIlD 'j --Yi , , rrl . (~~"\ Decedent, then 72 :~) (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 ~L ~. ('".,. 0. I 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. ,J,)..)4\.,;b No. tkt.. /?; ~~ Local Registrar ; i ! Fee for this certificate. $6.00 p FEB 0 8 005 Date C") C L i I C:J L c", 05,'<< Aov, 1/9. C <' -'. f I c: #29-444 c,~: 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 , .