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Home My WebLink About10-18-05 Estate of LLOYD M. NYE. JR. also known as PETITION FOR GRANT OF LETTERS OF ADMINISTRATION No. d I -OS - n105~ To: Deceased. Register of Wills for the County of CUMBERLAND in the Commonwealth of Pennsylvania Social Security No. 199321249 The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older, appliES 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 IS last family or principal residence at 492 MOUNTAIN ROAD. NEWVILLE. PA (list street, number, Twp. or Bow.) Decedent, then 63 years of age, died 7/12/05 at CARLISLE REGIONAL MEDICAL CTR. CARLISLE. PA 17013 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 situated as follows: 492 MOUNTAIN ROAD, NEWVILLE, PA UPPER MIFFLIN TWP $ $ $ $ 70.000.00 Petitioner after a proper search ha 5 the following spouse (if any) and heirs: ascertained that decedent left no will and was survived by Name Relationship Residence P. O. BOX 144 TIM NYE SON NEWVILLE PA 17241 1448 RIVER COURT LINDA NYE DAUGHTER FRONT ROYAL VA 22630 6412 CARLISLE PIKE LOT 20 BRYAN NYE SON MECHANICSBURG PA 17055 3780 SPRING ROAD LOT 13A KELL Y NYE DAUGHTER CARLISLE PA 17013 486 MOUNTAIN ROAD MIKE NYE SON NEWVILLE PA 17241 213 E. MAIN STREET BENJAMIN NYE SON NEW BLOOMFIEL PA 17068 213 E. MAIN STREET JACKIE NYE DAUGHTER NEWVILLE PA 17241 THEREFORE, petitioner(s) respectfully request(s) the grant ofletters of administration in the appropriate form to the undersigned. ~ '" 'tr u c '" ::l V> ~ '" V> ~1:;' '" '"0 C a .g ~.- -tr~ ....... -i 0 c OJ) c;j -.'\ - 0f\ .Jl:cY'^"'- ~ TIM NYE 1, P.O. BOX 144 NEWVILLE PA 17241 >~ . '.:.J r,.) co OATH OF PERSONAL REPRESENTATIVE COMMONWEAL TH OF PENNSYL VANIA } ss COUNTY OF CUMBERLAND The petitioner(s) above-named swear(s) or affinn(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and beliefofpetitioner(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 or affinned and subscribed before me this , ~ day of ~5 ~~ .~ ~;g~;;t ' \ \ r ,-'._"'. ,'~ No. Q\ - 05- DLD 54 Estate of LLOYD M. NYE JR. , Deceased GRANT OF LETTERS OF ADMINISTRATION AND NOW ./1/ tf}t-( ~ / ~ , in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that TIM NYE is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration are hereby granted to TIM NYE in the estate of LLOYD M. NYE. JR. FEES Letters of Administration. . . . . . $ \ 35.00 Short Certificates ( )...... $ S. CO Renunciati.on. . . . '~'.,' .~. . . $ 3O.co ~ s.oo ~, $ IC'C:X:> TOTAL _ $ \ ~g .00 Filed . . . . . . . . . . . . .. A.D. . No.) 9974 MOLLY PITCHER HWY SHIPPENSBURG PA 17257 ADDRESS 7175329476 PHONE () rJ dihl/V1 at 1()"oD 6 (1.0 ykJ ~ ~ i! " So ~.~ t.;;3 II C:l '," ). -1 OJ --..,-:::,;~ \ I I.:) f-.) cO -D r1"1 ~~~~ .::~ 23 C) -;"1 -n ;."") ~1l (""") ~ 11 HIO,.905 REV.(OI/04' This is to certifY that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Records In accordance with Act 66, P.L. 304, approved by the General Assembly, June 29, 1953. WARNING: It is illegal to duplicate this copy by photostat or photograph. ~ GtJ.. JI~ No. Charles Hardester State Registrar Calvin B. Johnson, M.D., M.P.H. Secretary of Health ..? ~, , /" (,1 -....~\ ,J " 'J .....,' ''''-'' ,,--' -.' .. SEP 0 1 2005 Date Hl05.144 Rev_ 1/91 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (Coroner) E/PRINT IN ~ANENT .cK INK 1 .Q717J3 Carlisle Carlisle Regional Ie. Ict. DECEDENT'S USUAL OCCUPATlON KINO OF BUSINESS/INDUSTRY ~""'k~~'f Furniture "f.Urn!f!rrfHsher "0. Refinishing DECEDENT'S MAILING ADDRESS (Street, C~fTown. Stale, Zip Code) DECEDENT'S 492 Mountain Rd. ~~~U':NCE Newville, PA 17241 ~;=~f'" WAS DECEDENT EVER IN U.S. ARMED FORCES? ....ONoU Medical Center M Nye Jr. SEX 2. Male SWE FILE NUMBER SOCIAL SECURITY NUMBER 3. 199-32-1249 UNDER 1 DAY Hours Minutes DATE OF BIRTH BIRTHPLACE (City and PLACE OF DEATH (Check only one see instructions on other side) (Month. Day, Year) Stale or Foreign Country) HOSPITAl" Newburg PA '_HO'" 0 7. ... FACllTTY NAME flf not institution, give street and number) 17a. State PA MARITAL SWUS - Married Never Married, Widowed, """cod (Specry) ..DivorCed 17.Xl "",_,,,",,,,,, Upper SURVIVING SPOUSE QI wife, give matden name) 12. 17b. Coo "'" - liveina ("11mh~rlrinn township? 17d.O~~=of MOTHER'S NAME (First, Middle, ~aiden Surname) . _ BeatrIce Glpe '~~~~'U:IfI.~"fi""mf~~-f~ twp Lloyd M. Nye Dian Lander - Sr. PA 17241 E:.DSEr!~E~ 5 L of my knowledge, death occurred at the time, date and place stated (Signature and Title) 230. TIME OF DEATH DArE PRONOUNCED DEAD (Month, Day, 'Year) 24. 7:02 P M. 2'. July 12~ 2005 27. MAT I: Enter'thedileaaes, injuries Of compIicaI:ions whtch caused the death. Do not enter the mode ot dying, such as cardiac or respiratory arrest, shock or heart failure Ust only one cause on each line. zlllewville, LICENSE NUMBER "m-'c:'" 'ft3'TtYO. tpr. i n g s PA 17065 21d. PlACE OF DtSPOSfTfON - Name of Cemetery, Crematory or Other Place Hollinger Crematory 21c. Occlusive Coronary Artery Disease DUE 10 (OR AS A CONSEQUENCE Of): 23b. 23c. ~ CASE REFERRED 10 ME~ EXAMINEAICORONEA? FtE....~ ... , Approximate : interval betwgeo l onset and death i NoD MAT II: Ol:her significant conditions contributing to death, but not resufting in the undeftying C8U98 giYen in PART I. o. OUElO(OA ASA CONSEQUENCE OF): DUE 10 (OR AS ACONSEQUENCE OF): d WERE AUlOPSV FINDINGS "NLA8LE PRIOR 10 COMPlEllON OF CAUSE OF DEATH? MANNER OF DEATH - O!t o [] D~OFINJUAY (Month, Day, Year) TIME OF INJURY INJURY /1J' WORK? DESCRIBE HOW INJURY OCCURRED. Homictde o o 3Gb. M. .... o ~~~~~=~)Al home, 'arm, street, factory, office .... .... 0 NoD .... 0 ""'11 .... 0 - _. CERTIFlEII (Check only one) -CERTIFYING PHYSICIAN (Physician certifying cause of death when anolh8f physician has pronounced dealtl and complaled Item 23) To" bMI: of my knowledge, ~ occul'Nd due to 'the CWM(.) and manner.. atated. . . . . . . . . . . . . . . . . . _ . . . . . . NoD -.. Pending Investigation SIGNATURE Coroner Suicide zo. Could not be determined 'IIEO!CAl EXAIIINERICOAONR On the.... of exMdnation lIIidIor Inve8tIptfon,ln my opinion, deeth occurred" the time, dete, and place, and due to the CMlM{.) and ..........a.ted................................................................................................. . 31a. REGISTRAR'S SfGN,fJURE AND NUMBER ~ _ 03. ~ Ial ( I~I\ 10 I 031 LICENSE NUMBER DATE SIGNED (Month, Day, 'l8ar) o 31c. 31d. July 14, 2005 NAME AND ADDRESS OF PERSON WHO COMPLETED CAUSE OF DEATH (1l0m27)Type"PnntMichael L. Norris, Coroner 6375 Basehore Road, Suite #1 ~. Mechanicsburg, Pa. 17050 D.Q"E FILED (Month, Day, "'-}J 34. ~PfIONOUNCING AND CERTIFYfNG PHYSICIAN (Physician both pronOUncing dealtl and c6flilying to cause 01 death) To the ~ of my~, dMth 0ClC'UIftd at the u.n., data..nd ptace, and due to 11M c.uae(a) and manner_1ItIrtItd I ( C~~~ (UO!SS"!WlDO:l s,A.nnONJo uowu!dx~ ]0 ~l~ MOqS 'SqlllO J~lS!ll1WPll Ol ~mrenb IllP!UO J~qlo JO A.nnoNJo 11l~S pUll ~JIllllWJ!S) c_ Nn<fuo (SS~.ippy ) SIl!M]O J:llS!g~'>>. ("0-_ (~m!s) JOA~- sNl :lW ~JOJ:lq p:lq!l:lsqns pUll p:lWJ!UV (ss;uppy) .10 (~llu8!S) :~J!dx3: UO!ss"!WlDO;) ^W :l!{qnd AJlllON JOA~ S!ql ~W :lJOj:lq ~q!l:>sqns pUll P:lWJillV 'goOZ' Jeqw81daS JO h~ Sm (S)PUllq JIlO/hW SS:lUl!M BAN wu. Ol p~nss! ~q uOlleJlS!U!WP'I jO SJ~ll~l lllql (s)ls:lnb~ hl1nJP~ds~ pUll :lllllS~ :lql J~lS!ll1WPll Ollt(.J!l :lip (s)a UIlOU~ hq~aq 'luapa:xlp :lAoqll :lqlJo (AlPlldll;J) (d!qsUO!lll a ) (aWllN:) .;..1 C J1B4 7), Y ~WJ!sJapUll :nu ad 'NUllo;) pUll{Jaqmn;)]o SIHM]O lals~a'>>.:llp o~ ~Slla:xlp , Sll UMOID{ OSIV 'Jr 'BAN 'V'.l PAOI1 JO ~llllS3: 'ON NOI.LVI:JNflND AlUU(Y,) pU8J-l3Qmn3 JO SmMJO .t3:}SpJalI . ~ - . Register of Wills of Cumberland County RENUNCIATION Estate of Lloyd M. Nye, Jr. Also known as No. , deceased To the Register of Wills of Cumberland County, Pennsylvania ~ Theundersigned Li (\0\0.. L. N'ft'~ DG...vt~ heir (Name) (Relations' ) (Capacity) of the above decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters of Administration be issued to Tim Nye Witness my/our hand(s) this day of September ,20~. ~.~ Affirmed and subscribed before me this day of ~ 'Y-l\ ~ K\\J€R ct. \=tO~ (Address) Notary Public My Commission Expires: (Signature) Or (Address) Affirmed and subscribed before me this _ day of (Signature) I'..) (Address) Register of Wills Deputy (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission) " .- ,] ,1 ) ,"j -") I C:":.Io . Register of Wills of Cumberland County RENUNCIATION Estate of Lloyd M. Nye, Jr. Also known as No. . deceased To the Register of Wills of Cumberland County, Pennsylvania ) ryv\_;\./\.o"'\/\. / r,V (Name) of the above decedent, hereby renounce(s) the right to Letters of Administration be issued to Tim Nye Witness my/our hand(s) this day of September .20~. Affirmed and subscribed before me this day of Oc",-"t ^f0< n.L((- (Signature) -D CU;- \ ~ '\\ ..e.. L N L( e (Address) \ Notary Public My Commission Expires: ~x~ YY\\, ~\) '-'\eQld~\\~ (Signature) Or (Address) Affirmed and subscribed before me this _ day of (Signature) Register of Wills ") (Address) Deputy (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission) C,) co -'"') , I . Register ofWiIls of Cumberland County RENUNCIATION Estate of Lloyd M. Nye. Jr. Also known as No. , deceased To the Register of Wills of Cumberland County, Pennsylvania The undersigned ~r- heir Name) (Relati ship) (Capacity) of the above decedent. here y renounce( s) the right to administer the estate and respectfully request( s) that Letters of Administration be issued to Tim Nye Witness my/our hand(s) this day of September ,20~. Affirmed and subscribed before me this day of 71&lJ-~ ~~ (_ . (~ignature) ',,- . I \ . (Address) ~L{ Ch.e~iV7L-rf Ski N-fLJJi/(c; PI4 I?- Notary Public My Commission Expires: (Signature) Or (Address) Affirmed and subscribed before me this _ day of (Signature) Register of Wills Deputy (Address) (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission) t.....) t' :)- , ~ .) ~.::o ') --:> , , . Register of Wills of Cumberland County RENUNCIATION Estate of Lloyd M. Nye, Jr. Also known as No. , deceased To the Register of Wills of Cumberland County, Pennsylvania The undersigned /7Z, /l(;; 't: / f' I~~ 5,.., heir (Name) (Relationship) (Capacity) of the above decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters of Administration be issued to Tim Nye Witness my/our hand(s) this day of September .20~. Affirmed and subscribed before me this day of //&;-LJ ~~;~ ::i, .. (Signa /"??-',A,,,/ EL:JCJI t:!. 1"1 e , c:.... I _...1 . r..Y\ddress) } ~\P (,(,,$)'un P'\\.N ~ Ctv--JVl\\ ~,. \l~'-$) Notary Public My Commission Expires: (Signature) Or (Address) Affirmed and subscribed before me this _ day of t-~....") ~') .. (Signature) Register of Wills Deputy (Address) (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission) \_~_.j ) ; ;.1 . Register of Wills of Cumberland County RENUNCIATION Estate of Lloyd M. Nye, Jr. Also known as No. , deceased To the Register of Wills of Cumberland County, Pennsylvania The unden.igned jJ 1-. '1 AJ L fiJ yC J fill} he;, ame) I (Relationship) (Capacity) of the above decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters of Administration be issued to Tim Nye Witness my/our hand(s) this day of September ,20~. Affirmed and subscribed before me this day of tZ j 7i. ,/~?r. / . ~Z\ / (Signa ) / 6~1 /1 ~ (hi/;, !2tl! . I (Address) JJ f' J() f/i- f)/ a 4 Iff / C1," r I, cf Itt L 1; 0 (Signature) Notary Public My Commission Expires: Or (Address) Affirmed and subscribed before me this _ day of (Signature) Register of Wills Deputy (Address) (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission) ,) :./J i -_.~') ,)