HomeMy WebLinkAbout11-04-05
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of Laura Beatrice Yohe No.
a/so known as To:
;2 / cJ.-tJ () [;- 0 C; ? f'
Deceased.
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
Social Security No. 178-50-4929
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, appl ;PR
for letters of administration
on the estate of
(d.b.n.; pendente lite; durante absentia; durante minoritate)
the above decedent.
ty, penn,y[vlllia, with ./j ,
t, ~t", ~~~~ . ., A. ~=tL 1+
(list street, n mber and mun' pality)
Decendent was domiciled at death in
h er last family or principal residence at
Decendent, then 46 years of age, died Auqust 1 , +9- 2005
at Holy Spirit HospitaL East Pennsboro 'T'wp., r.llmh~r1t'md r.ollnty, PA
Decendent at death owned property with estimated values as folllows:
(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
situated as follows: undivided 1/4 interest
Silver Sprinq Two., Cumberland County,
$
$
$
$ 1:)1 ,?I:)O 00
in vacant. 1,mn R; tllt'ltp ; n
PA being parcel #38-06-0000 9-010
0.00
Petitioner_ after a proper search ha~ ascertained that decedent left no will and was survived by
the following spouse (if any) and heirs:
Name Relationship Residence
'10\,>2
THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the
appropriate form to the undersigned.
en
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Anna E. Yohe
69 W. Main St., P.o. 68
New Kingston, PA 17072
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Thi, i:-. to certify that the information here given is correctly copied from an origin,1i crt i fil, l't of (kith (Iii) y filed with me as
Loc,tI Registrar. The original certificate will he forwarded to the State Vital Record, Ctlin III perIlt<lI1cnl tding.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate. $6..00
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Hl05 143 Rev 2187
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
STATE FilE NUMBER
TYPE/PRINT
IN
PERMANENT
SLACK INK
,.
AGE (Last Birthday)
NAME OF DECEDENT (First, Middle, last)
Laura Beatrice YOhe
SEX
.Female
SOCIAL SECURITY NUMBER
3.178-50
46 Yrs
..
COUNTY OF DEATH
Cumberland
8..
DECEDENT'S USUAL OCCUPATION
(~jt:=:t~d':llu~t=r
Disabled Never
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RACE. Amencan Indian, Black, Mile el
(Sp&Clfy)
White
SURVIVING SPOUSE
{I1W1't!.go~"'mald"'''''amel
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69 West Main Street
l~ew Kin stown PA 17072
FATHER'S NAME (First, Middle, Last)
'8 C h a r 1 e s ~/. Y 0 h e
INFORMANT'S NAME (TypeJPnnl)
20. Anna E. Yohe
METHOD OF DISPOSITION
BUrial (if CremalJOll ~efllOvgllrom Stale 0
Olher(S )
FUNER
1M
decedent
17b. County f. I J m h p r 1 rI n rl ::~~p? 17d. 0 ~~hi~e~e:~~l~i~: 01
~~THEAsn~~ 1';'[ ~;d"w.iatk ~r~t
INFOijMANT'~}AAILlNG AQQRES,S (Stre_. City/Town. ~Iate. t:lp COde) .
2~O~ west Maln ~treet New Klngstown PA
PLACE OF DISPOSITION- Name of Cemelery. Crematory LOCATION - CllyfTown, Slale, Zip Code
or Other Place
8 - 5 - 2005 21c. Me c h ani c s bur 9 C em e t e .Mi. Me c h ani c s bur 9
.~~ENr~'!.Ml'fr 2 6 6 2 - L ~:i'1Vr~~WNF~'R'aYL
prlng
twp
Cllylboro
17072
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PA 17055
HOME MECHANICSBURG PA 17 55
LICENSE NUMBER
DATE SIGNED
(Monlh, Day, Year)
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23b. 23c.
WAS CASE REFERRED TO A MEDtCAl EXAMINER /CORONER?
28. Yo, 0 No c:r
. ApprOXImate PART U: Other significant COndlbons contnbutlng 10 death, bul
: inlerval belwee nol resulting in the undenYlflg cause given in PART I
: onset and dealh
I CC iYl I ,~
DUE TO iOR AS A CONseaUENCE OF)
<:Y
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VVERE AUTOPSY FINDINGS MANNER OF DEATH
AVAILABL E PRIOR TO IT 0
COMPL ETlON OF CAUSE Natural HOHUCIOO
OF DEATH? 0 0
Accident PendlO!} Investigation
y"O NOD y"O NOD SUlude 0 Could nol be deterrmned 0
DATE OF INJURY
IMonlh,Day,Yllal)
TIME OF INJURY
INJURY AT 'v\'ORK? DESCRIBE HOW INJURY OCCURRED
2811. 2ib
CERTIFIER (Check only one)
.1~~~F~~~IGJ~~~~~~hI.Sd~:~ cg~gt~~J~~: I~ ::~n.~~~(:r~~3r~~~~~a~~ r:ti.f:~~~~~~,~~~.t~. ~~ .~.~~~~.~ .i.l~,~ ?~)...
28.
Ya,O NOD
3011. 3Ob. M 30c,
PLACE OF INJURY - At home, farm, street. factory. office
bwldinll.etc lSpedty)
3De.
3".
LOCATION (Streel. Clly/Town, State)
.PRONOUNCING AND CERTIFYING PHYSICIAN (Physician both pl"OnOUncing death and certifYing 10 cause of death)
To the beal 01 my knowledge, death occurred III Ihe time, dille, and place, and due to the clu.eajs) and manner OilS staled._.
'MEDICAL EXAMINER/CORONER
~~~~:rb::I:t::e~~~mlnalJon and/or Inveatlgatlon, In my opinion, dealh occurred al the lime, dille, and place, Ind due 10 the causes(s) and 0
31.1.
REG 1ST
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
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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.
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No. :z I-;;L 6())" --0 ((17
Estate of ~lill/) Ii.. ,tealn 'e( !~ ~
GRANT OF LETTERS OF ADMINISTRATION
, Deceased
AND NOW /IJ(/'Y'fJrl bt1 Lfc.f-1.. t9: 2005, in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that Anna E. Yohe
is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration
are hereby granted to Ann;:! F. _ Vnnp
in the estate of Laura Rpatri C"P Vnnp
FEES .
Letters of Administration $ 1.35.0 1J
'fi ~ () $ 4< [,it).
Short CertI lcatel' . . . . . . . . . . _ ,
Renunciation ................ $ . -
-jCP+(h1I-"J. $ /56'J.
, TOTAL itJ"y- $
. d AJ." '-if" 1 C \ CAD 19
File ..'l......k..I.i?...... .. _
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Register of Wills' -p
Karl M. Ledebohm, Esq., #59012
A TIORNEY (Sup. Ct. J.D. No.)
P.O. 173, New Cumberland, PA 17070-0173
ADDRESS
(717)938-6929
PHONE