HomeMy WebLinkAbout10-26-05
.
Register of Wills of Cumberland County
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
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Estate of.. Kutz, Benjamin D., Jr.
also known as
No.
To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
, Deceased.
Social Security No. 171-28-5502
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, appl~ for letters of administration
on the estate of
(d.b.n.; pendente lite; durante absentia; durante minoritate)
the above decedent.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with h~ last family or principal
residence at 1545 McClures Gap Rd., Lower Frankford Twp., Calisle, PA 17013
(list street, number and municipality)
Decedent, then 70 years of age, died September 26
Cumberland County (Sarah Todd Memorial Home)
,2005
, at
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property $ 6,000.00
(If not domiciled in Pa.) Personal property in Pennsylvania $
(If not domiciled in Pa.) Personal property in County $
Value of real estate in Pennsylvania $ 60,000.00
situated as follows: 1545 McClures Gap Rd., Lower Frankford Twp., Carlisle, PA 17013
Petitioner~ after a proper search ha~ ascertained that decedent left no will and was survived by the
following spouse (if any) and heirs:
N R I' h' R 'd
ame e atlOns Ip eSI ence
Kim J. Books Daughter 98 Partridge Circle, Carlisle, PA 17013
Cathy A. Locke Step-Daughter 1131 Franklin Street, Carlisle, PA 17013
Diane L. Weidner Dauahter 1300 Newville Rd., Carlisle, PA 17013
Carol A. Baker Step-Daughter 108 East Keller Street, Mechanicsburg, PA 17055
Eddie L. Brenneman Step-Son 675 Butter Rd. Dover, PA 17315 ......
Donnie L. Brenneman Step-Son 84 West Main Street, New Kingston,--PP; 17072 ?
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THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the appropriat~ form'~
to the undersigned. . - ;~~;
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Signature(s) of Petitioner(s)
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Residence(s) of Petitioner(s)
98 Partridge Circle, Carlisle, PA 17013
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1131 Franklin Street, Carlisle, PA 17013
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OATH OF PERSONAL REPRESENTATIVE
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF (IAh.mbultltd
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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
representative(s) of the above decedent petitioner(s) will well and
truly administer the estate according to law.
Sworn to ~r affirmed and subscribed J 1~'t Ih&:'-
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Estate of
No. ~ r f}..fX) fi -()tfCf)"
&f');f1m~ D /Cr.l/2-jUR
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, Deceased
GRANT OF LETTERS OF ADMINISTRATION
O /I J. A. /. ~ /. n.-.- d2 t>o 5"
AND NOW L1 (J""'Trt1 ~ ~ 1'9-_, in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that k.im~/'~ (I Ml1LI' I- ~ AI-:. L6.c.~
is/are entitled to Letters of Administ atlOn, and 10 accord WIth such finding, Letters of Administration
are hereby granted to .10'hl/4 r9 J tI~.t-s .a....., / ~. // .4-z~
in the estate of I~/-P- nr.e.-,v LJ J<A; 12.-;,~/ ~
FEES ! 7C
Letters of Administration ..... $ <..()
Short Certificate S(fb) .. .. .. .... $h=
Renunciation ...... '1. . . . . . . .. $
JCPrfNlo $~-
TOTAL _ $ 6l.. J D
Filed .O.cj...J.&. 1'lrJ7J5. A.D. 19_
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~ ~ster OfW~IS
PAUL. 6. aRRn, ~~
ATTORNEY (Sup. Ct: I.D. No.) OJ
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Register of Wills of Cumberland County
RENUNCIATION
Estate of f3~N rAM IN b. I<vrz )fR
Also known as
No, ,q l()()/)s-tJ1'1s
, deceased
To the Register of Wills of Cumberland County, Pennsylvania
The undersigned
\)\ ANt. Lv ~J ONtR
OA~~fEiZ.
(Name) (Relationship) (Capacity)
of the above decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
O~ ' AI} M, "J IS t~A~
k)M~6.Rl,"\ :1'.. ~~ 8 C.ttDL~ A ~ L/}(,K.E
Witness my/our hand(s) this ~ L ~day of O""1Ot G:n. , 20-.!~
Letters
be issued to
Affirmed and subscribed before me this
day of
(:L,..c...Y'.!.'
l~ldfW'
(Signature)
l'3co (\ewvdlc1 yd ~IIJ.LD
(Address)
/),a 170/~
Notary Public
My Commission Expires:
(Signature)
Or
(Address)
Affirmed and subscribed before me this
_ day of
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(Signature)
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VR:egiste~lls
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eputy
(Address)
(Signature and seal of Notary or other official
qualified to administer oaths, Show date of
expiration of Notary's commission)
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RENUNCIATION
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The undersigned
eENJAMIN b. KUTZ1
~V M 6 f.1\ lAtvO
C"IL.nREJJ
SR.
deceased.
In Re Estate of
To the Register of Wills of
County, Pennsylvania.
of
the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters
~ MI N' SIARil" ~t. l1e-cutkeP ~
K'M~E...~L~ ~.. 800 s
. ~ hand this Cl~J;A.., day of o~to~ER, 41J'200~
Of
be issued to
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Notarial Seal
Heather L. Orr, Notary Public
Car1Is1e~, Cumberland County
My Commission Expires May 13, 2007
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This 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.
Fee for this certificate, $6,00
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11851727
No,
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Local Registrar
SEP 2 6 2005
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Hl05.143 Rev. 2117
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
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NAME OF DeCEDENT tFIf'St. Middle, L_I
!TATIFU~
SOCIAl. SECUAITV NUMBlA
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.. Ben 'amin D. Kutz Jr.
AGE('--....." t YEAR UNDER:1OM
70 v.... MoNhI Days Hcl&n!.......
OOUNTY OF OERH
IiURTHPlACE tCoIyand
SWo", .........Ca<mvI
9-26-2005
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oeceDENT'SUSUAI.. 0CCUMl0N
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1545 McC1ures Gap Rd.
... Carlisle I PA 17013
AIIltER'SNAUE\f1nI.-'laIIl
,.. Ben'amin D. Kutz Sr.
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Killtlerly'Books
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Never ~ WIdiDwed.
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DUE 1O(OA ASA CONSEQUENCE Oft:
DUE 10 (Oft MACONSEllUENa Of)o
AU10PSV FIINDINBS
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MANNER OF DEATH
TIME: ~ INJURY
INJURY JIiZ WOAK7
DE8CAlBE HOWINJURV ClCCURAED.
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-MEDICAL EXAMfNEAICORONEA
On IfW Mi.. 0' e.amlnetlon andlDlInYestlg,stion.In my opinion, death occurr.d at the time. date, and place. and due 10 the cau..(s) ancI
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REGISTRAR'S SIGNATURE AND NU-..BER
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-PtIONOUNCINQ AND CERTIFY1NQ fIHYSICIAN (~boItt pronounc.ng dell" and ~ 1lO~ or.,..,..,
To "'~of...., knowledge. ..1ft occwnd at ...... dais. and pita. ........to1henuufalandftlanM(.. .rated.....................4,...
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This is to certify that the information here given is correctly copied from an original certificate of death duly f led 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.
L11851726
No.
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Local Registrar
Fee for this certificate, $6.00
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
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NAME OF DECEDENT IF... Middle. L_
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!T.tlI'IFUNUMtM..
SOCiAl SECUAIT"t NUMBER
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'.171 - 28
9-26-2005
8IR'THP\.ACE (C"'.and
Stale CI FCft9"COUI'lIlVI
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CUlrber land
DECEDENT'S USUN.
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DECEDENT'SUAlUNG_SS(Sl<....~._Zip~1
1545 McClures
.o. Carlisle, PA
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'L Ben 'amin D. Kutz Sr.
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Kirlt>erly'Books
METHOD OF DlSPOSITION
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DUE 10 toR AS A. CClNSEOl.J(NCE Of)::
DUE 10 lOR ASACONSEOUENCli ~
WERE AlI10PSY FfNDIffGS
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Could not be delerntIMd
"tIEDtCAL EXAIIINEAICOlIONER
On.... bola of .x.....MIon ancIfor Imr..IlgaIIon.1n my opinion, dealh occurred atlhe lime. dal. and pile. and du.to the "uH(.I.....
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REGlSTRAR.S StGNAl\1AE ANO NUMBER
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ePROHouNclNG AND CERTIFYING ItHYStCIAN ~ bM\'PI'onounc.ng aNIh..-d~ toc-...d ClHItl)
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