HomeMy WebLinkAbout10-03-05
Register of Wills of Cumberland County
PETITION FOR PROBATE and GRANT OF LETTERS
Estat;:;\~C~0 (~1\-e\ No. ;2\.- 05-0816
also known as To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
, Deceased.
Social Security No nib -oq.- 7 .~fr1j
The petition of the undersigned respectfully represents that:
above decedent, dated
and codlcll( s) dated
Your petitioner( s), who Is/are 18 years of age or older, and the execu~_ named in the last will of the
C\t'-'1 \ \. -'J:, ~ I qq~
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(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in CL,lffib~~I\.& County,
Pennsylvania, ~h hislast fa~!ilr or principal r..esidence at. 1--.. l rill G'C\.
I (;() 3 b 1\\'\0 -;::J"""\", ~'f2\n c;, IIl\ L::;.'(:'r-\CH l~ .rLl (tefllJ
\ (list street, number and municipality)
Decedent, then~ years of age, died h\1-.~\..I5-t 15,2005, at ~()rY\'e.-
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:
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 ofreal estate in Pennsylvania
situated as follows:
$ ;}[X),cO
$
$
$
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented
herewith and the grant of letters
(testamentary; administration c.I.a.; administration d.b.n.c.l.a.)
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Residence( s) of petition~
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Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEAL TH OF PENNSYLVANIA
}
SS:
COUNTY OF CUMBERLAND
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 ofpetitioner(s) and that as personal representative(s) of the above
decedent petitioner(s) will well and truly administer the estate a:ordmg,tb la . I / /('. _ /
Sworn to or affirmed and subscribed .>< P/~ i~~
B~~ me this S ~~, 20 ~~~ of {
<;~ ~~, ~~~~~
R . \
eglster
~ ~~,~~\ ~"'~ ~~ ;J\-05-Bi7b
No.
Estate 0;; / (?) J - 0 A 7 ?, , Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW :jll.d f)cf(j t-c \.....J 20 (J5, in consideration of the petition on the reverse side
hereof; satisfactory proof having been presented before me, IT IS DECREED that the instrument(s), dated
, described therein be admitted to probate filed of record as the last ".-ill of
~ ; and Letters are hereby granted to
l_rYYJ/lLyr('71b
FEES
Probate, Letters, Etc. '............ $
Will ,..................,............. $
Renunciation....................... $
Short Certificates (4) ............ $
JCP,...............,........,........ $
Automation Fee.,................. $
Bond................................. $
Total~ $
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Filed t tJ.:) 20~
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:AD.
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C; Ob
Attorney (Sup. Ct. I.D. No.)
Address
Phone
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Register of Wills of Cumberland County
RENUNCIATION
Estate of
q(")(\ 0. \d C \\oC'~ ~ -t-\€1
Also known as
, deceased
To the Register of Wills of Cumberland County, Pennsylvania
No.
~l~05-Bl.6
The undersigned ~(ll'- <b. ~\.e-\~ ~
(Name) (Relationship) (Capacity)
of the above decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
Letters
be issued to
Witness my/our hand(s) this
day of
Affirmed and subscribed before me this
J /.{J.)ay of kp77-r>1&d-
~5
I/)6 OLD QU~ f2.tJ I f77d-<;;, /;q /'7YI1
(Address)
COMMC~~\l:.J!~clE.~"._
~.!m;,\'~!'.:
GLORIA ,J. POlkC3.
Susquehanna TWD.,
r'~-I'~"'I'orl F"r'v'~
~..:~.-.:......;,..~}':.:~"
My Commission Expires
~3u.-oS
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)
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(Address)
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''''1~'1']; \ t "el't'lf\! that the information here given is correctly copied from an original certificate of death duIy filetl Wi"l mc as
11> IS 0 ~ J ~ . d Ot't' f t t I
l.ocal Registrar. The original certificate will be forwarded to the State Vital Recor S Ice or pennanen I 11g.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
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No.
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Local RC!!lslrar
Fee for this certificatc. $6.00
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AUG 1 6 2005
Datc
1603 Anna Street
WAS OECEDENT eveR IN
U.S. ARMED FORCES?
YMt5\i' NoD
;'-,~')
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Rev. 2/87
COMMONWEALTH OF PENNSYLVANIA. OEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
. -'1
I
c..;;
NAME OF DECEDENT IF,(s! M1f1d1e, ,-aSl)
SEX
STATE ""'tE NUMBER
SOCIAL SECUAIN NUMBEA
_r:-
,.
AGE Il..1SI S,rth03vl
UNDER 1 YEAR
Months Days
Ronald C. Hostetler
UNDER 1 DAY
~
HounI ~ Monu!"
1 8.
CfTY, BORO. TWPOFDEATH
2, Male
716 - 09
.. August 13. 2005
..
COUNTY OF DEATH
89 Y~,
BIRTHPLACE (C.tv a"o PlACE OF DEATH (Cl'>~k 0("11'1' "n@u ,;ee "'SlfUCloQPS Ol'1l)1hel SIOeI
Stale or FCle'gtl CntJnrrYI HOSPITAL .
Y oungwood Bora. 11lp<I'I$I'lID eRlOutpail801 0 OOA 0
7. PA...
FACILITY NAME (II nOllnsl'lUtIOf1. ~I"'~ street ana l'Umber J
=,ty) 0
~. umberland k
DECEDENT'S USUAL OCCUP,lIJION
(GIlle lurl(lol'WOfk done doI,ng most
of workIng hIli: do not Us.:! 'etlle<J)
11L Forl:~man 11b.
DECEOENT'S UAIUNG ADDRESS /SlIeel. CiiyfTO"M1 SWe. IIpCodel
RACE. Amencan Indilln. Black, White, e1c
(Spec"..,.)
10.
White
SURVIVING SPOUSE
{It ...,Ie. QNtI """000 rlamel
".
MARITAL STATuS - Mat1ied
Never Manied, Widowed.
DIvorCed~rtyJ
Widowed
1603 Anna Street
". New Cumberland, PA 17070
FArHER'S NAME (FirS'! Middle, Lasl)
FA
17c.D Yes, d8cedent lived in
....
t7b. County
u~~Did
""'"""'"
liveml
r.l1mnprl ~nt1 lown&hip1 17d~h:C':'IW~OI~ C.umhp-1'"1 r:lnc1
MOTHER'S NAME (FilS[ Middle, Mi'llderl S"'fn~)
citylboro
".
INFORMANTS NAUE (TypeiPrinll
Fred E. Hostetler
". Nellie Mensch
INFORMANT'S MAILING AOORESS (Slreet, CityfTOWI1, Slale, Zip Codel
2Db. 1603 Anna Street New Cumberland PA 17070
PlACE OF DISPOSITION. NalNl at Cemelery. Crematory l.OCATION _ CityfTown, SIal.. Zip Code
orOlrtetPlac. Crema.tion Society
....EDlATE CAUSE (F'"ill
dlsea6eorcondiriOro
rnulllngH'l~)___
/' , '.
[(1<-'l--~ ~<~
DuElO/OR AGONSEOUENCEOf"j'
::!/\ --C..--~
1 ApproXImate
: intllrval between
Jonset anddealh
,
:
PART II; OIher signif\eanc condltM:lM conlributing to death, but
not Il!rsultiny in lhe unoertying cause given in PART I
~ianvllSlcondihOl'lS
iI any. leading lO ""mediale
QIl.I:M. Enlllt UNDERLYING
CAUSE (OI$easeor 'f1jUry
I'Iat INiated events
,esuIhng In oeamllAST
DUE 10 (OR AS A CONSEOUENCE OF):
DUE ID(QA AS A CONSEOUENCE OF}:
WAS....N AUTOPSY
. PERFORMED?
,.
WERE AUTOPSY FINDINGS
A""I\JoSLE PRIOR TO
COMPl.ETION OF CAUSE
OFOEATH?
MANNER OF DEATH
Natural
rp,
D
LJ
QATE OF INJURY
(Monlt,.~ay, Year)
TIME OF INJURY
INJURY AT YYOFlK?
DESCRIBE HOW INJURY OCCURREO,
Homicidll
o
....D
NO Q!
Accid8O\
PendIng Il'IVtIIsliqalKI/1
D
.... 0 NoD
Yn LJ
No IX
Suicide
Could not be l;IelBrTmned
o PLACE OF INJURY. Al ""me. tar;,O:;lIel.ladory, of1k:e
buikfinC, lItc. (Sp8C,III)
....
M. 3Oc.
REGISTrJ' S!GNATURE AND NUM~
" ~ /? ~-<U.~~
[l
28tr. ~8b.
CERTIFIER {Check 0I11~ onef
'CERTIFYING PHYSICIAN (Ph~SIC'3" ce't>ly1.r\g cause 01 <:k-alh whel' another OtlllSICl.Bn has pr~O\Jnced death ano ~omDlelea Ilem 231
To the beat 01 my knowledge, deltho<x:ulTedduetol:hecaUM(Sjandmanner.1 statltd,....""..,.,
...
'PACNOUNCING AND CERTIFYING PHYSICIAN (Physoc...n both ;.l'OnourIC,ng death and Cer1I(Y""<;l'O caU511 01 deathl
lothe ~t of my kMwI.dg~, death occurred .II the IN. dale. and place, and dUllo IhecauH{I' Ind manner as slaled
o
'MEDICAl EXAMINER/CORONER
On the b.alll 01 examination andfor investigation, in my opinion, death occurred allhe time, dale, and place, and due to lhe cause(s) anet
manner as stated. .., ... ..,..,.. . . . ..,.. ...,....,. .... ..."....",..,.. .
31a.
SAIDIS, GUIDO,
SHUFF &
MASLAND
2109 Market Street
Camp Hill. PA
LAST WILL AND TESTAMENT
OF
RONALD C. HOSTETLER
I, RONALD C. HOSTETLER of New Cumberland, Cumberland County,
Pennsylvania, declare this to be my Last Will and Testament,
hereby revoking any will previously made by me.
I - I direct the payment of all my just debts and funeral
expenses out of my estate as soon as may be practical after my
death.
II - I devise and bequeath all of my estate of whatever
nature and wherever situate in equal shares to my then living
children, RONDA L. STRAUB and ALAN B. HOSTETLER, or to their
issue, per stirpes.
IV - I appoint my son, ALAN B. HOSTETLER, and my daughter,
RONDA L. STRAUB, Co-Executors of this, my Last Will and Testa-
ment. Neither of my personal representatives shall be required
to post bond in this, or any jurisdiction.
IN WITNESS WHEREOF,
I~T~
I have hereunto set my hand and seal on
,
~,
this, the
day of
, 1998.
, . 1,'_.. .....
pC.._.,,,..; ..
SAIDIS, GUIDO,
SHUFF &
MASLAND
2109 Market Street
Camp Hill, PA
Signed, sealed, published and declared by RONALD C. HOSTETLER,
Executor therein named, on this and one (1) other sheet of paper
as and for his Last Will and Testament, in our presence, who, in
his presence, at his request, and in the presence of each other,
have hereunto subscribed our names as attesting witnesses.
74 ~l (,.J/'r,,su'(ijj) (11("-1 (hlL!'ft-.
Address .
1M p...o qvl1,:(:f!. d. t<7t.1'5, # /73//
Addre s s'
.;
SAIDIS, GUIDO,
SHUFF &
MASLAND
2109 Market Street
Camp Hill, PA
COMMONWEALTH OF PENNSYLVANIA}
SS.
COUNTY
OF
CUMBERLAND}
WE, the undersigned, the Testator and the witnesses,
respectively, whose names are signed to the foregoing instru-
ment, being first duly sworn, do hereby declare to the under-
signed authority that the Testator signed and executed the
instrument as his Last Will and Testament and that he signed
willingly (or willingly directed another to sign for him), and
that he executed it as his free will and voluntary act for the
purposes therein expressed, and that each of the witnesses, in
the presence and hearing of the Testator signed the Will as
witnesses and that to the best of their knowledge the Testator
was at that time eighteen years of age or older, of sound mind,
and under no constraint or undue influence.
~1~ t ~~
"
Testator
Subscribed, sworn to and acknowledged before
testator, and subscribed and sworn to before me
witnesses, this 137/f day of I!i'!t/c-
me by the
by both
, 1998.
\~.6.C~
Notary Public
NOTARiAL SEAL
JULIE E. SOWERS, Notary Public
Camp Hill, Cumberland Coon,y
My Commission Expires Jan. 31, 2000
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