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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~ - (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.) ." 1ft;n3 , Residence( s) of petition~ 1\(WY~ S\ ~'P\JCl LU('l\," vri:tJ~ \i1.Cflr\ I,,} Cf'l ~ ) ., TJ i I rl (,2 .J .:"J t .'-J I (A) -) ii .~J f~-;;{ 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~ $ . r Filed t tJ.:) 20~ ef'i1fV'- , Th~~~1fD ()- 1;)-;;1.- :AD. / $", ~ U C;OO 1& () )) /0.00 C; Ob Attorney (Sup. Ct. I.D. No.) Address Phone o rn 0<;' " '" ~ .Jl. ~ 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) i--'. (Address) i'J ~~~ ::;. '--:-j --, ') I ~.-0 ~ -) ; I 0', (;.L)..t876 ''''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. ~ Cl Q C;'=H1 ".j' \.c) \,.} (-1 "-~, .,,) No. ~~-~~~~~- Local RC!!lslrar Fee for this certificatc. $6.00 , " AUG 1 6 2005 Datc 1603 Anna Street WAS OECEDENT eveR IN U.S. ARMED FORCES? YMt5\i' NoD ;'-,~') ,,:-=-~') ~:l Rev. 2/87 COMMONWEALTH OF PENNSYLVANIA. OEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH . -'1 I c..;; NAME OF DECEDENT IF,(s! M1f1d1e, ,-aSl) SEX STATE ""'tE NUMBER SOCIAL SECUAIN NUMBEA _r:- ,. AGE Il..1SI S,rth03vl UNDER 1 YEAR Months Days Ronald C. Hostetler UNDER 1 DAY ~ HounI ~ Monu!" 1 8. CfTY, BORO. TWPOFDEATH 2, Male 716 - 09 .. August 13. 2005 .. COUNTY OF DEATH 89 Y~, BIRTHPLACE (C.tv a"o PlACE OF DEATH (Cl'>~k 0("11'1' "n@u ,;ee "'SlfUCloQPS Ol'1l)1hel SIOeI Stale or FCle'gtl CntJnrrYI HOSPITAL . Y oungwood Bora. 11lp<I'I$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 '- qL'OQGQ-\C>~ ;p " ~ --l ~ - --l --l - ~ ,::j--l '" --l --l '" , --l '" , """ '" 0 """ v. o --l 00 I'l~ i:: DO 0 .... 3 \0 "" "Cl ~ .... =~ >~oo =~;g'JJ. ..:- -. 0 ~~~= g @ ~ d t'"' ~2.~"lj~ <<'>"ljo <" ~ ~ ~ = ~ 0 ~ n' = ~ i:i l'?" " ;.00 V1 -9~a: ~ g i3 > 80lzoo b~ t'" j~ > --l--l Z ~ ~ o z ~ t"' tl (') ::I: o Ul >-:I 1:':1 >-:I t"' 1:':1 ~ a. ~ m +-*- ~ a a 1r tn i+-*- ~ == ~ ~