HomeMy WebLinkAbout11-15-05
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PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of Lee D. kerstetter
also known as
No. JI-05.~ [ObI,
To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
Deceased.
530-44-5707
Social Security No.
The petition of the undersigned respectfully represents that:
Your petitioner(s), who iXI are 18 years of age or older, appL y
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 109 E. Main street, Plainfieldp' PI\.
(list street, number, Twp. or Boro.)
Decedent, then 53 years of age, died _ November 8,
at 109 E.Main street, Plainfield, PA
x~ 2005
,
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: 109 Eo Main st., Plainfipln, PA
$ 10,000.00
$
$
$ 11:),000.00
Petitioner.l2_ after a proper search have ascertained that decedent left no will and was survived by
the folJowing spouse (if any) and heirs:
Name Relationship Residence
Lana A. Stitzel
dau hter
Adrienne L. kerstetter
dau hter
217
THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the
appropriate form to the undersigned.
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~~~ne L. k~tter --
217 4th Street
New Cumberland, PA 17070
;< ~'1AD. J Lj-;, if
L~~ A. stit~~'-'=Q" .'
36 kensington Dr.
Camp Hill, PA 170r1
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
} 58
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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Sworn to or affirm~ and subscribed
before me this I --- day of
N" ovem~ ~ ~2005
d,iQ =\ ....-"';1i \. 'f"
~ o....~ ister
No. ;l \ - D5 "- IOD,
Estate of
Lee D. kerstetter
, Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW ~o"-e-~,- 15 MJ{ 2 0 0 ~ in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that Adrienne L. kerstetter and Lana A. Stitzel
Ware entitled to Letters of Administration, and in accord with such finding, Letters of Administration
areherebygrantedto Adrienn& L. kerstetter and Lana A. Stitzel
in the estate of LAP T) kAr~t-At-t-Ar
FEES
Letters of Administration ..... $ LRO .CO
Short cert~. ).......... $~D'<.'XJ
~!_ ;t~.g.,.$ 5 ou
dC!P $~' DC>
TOTAL _ $ .C;C>
Filed \1:-.1.-5: :-acos....... A.D. 19_
Register of Wi~.Q/l "
ATTORNEY (Sup. Ct. J.D. No.) 1 80 6 7
113 Front st., P.O. Box 358
ADDRESS
Boiling Springs, PA 17007
717-258-6844
PHONE
..' "., tl co ied from an original certificate of death d.~I}. filed with
Thi '. is to certify that the lllforma~I.?n here. glvenf IS cor~e~! th~ State Vital Records Office for permanent filing.
I Registrar. The original certificate wIll be orwar e 0
LOGl
WARNING: It is illegal to duplicate this copy by photostat or photograph. I'
VJ4 (C'.~_
me as
Fee for this certificate, $6.00
N'(){eM 6e~ 1.[, ~6a5'
Date
Local Reg.istrar
p
12064982
No.
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H105.144Rev t,'g1
COMMONWEALTH OF PENNSYLVANIA- DEPARTMENT OF HEALTH - VITAL RECORpS
CERTIFICATE OF DEATH '
(Coroner)
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T'tPEItWNT
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PERMANENT
1ll.ACl< INK
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'SWE FILE NUMSEfl
sacw.. UCURrrY NUMBER
..530-44-5707
BIRTHPlACE (City and
SCale or FOI'eignCamtryl
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PUCE OF
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RACE - ArMrioIII............. WhIte. eu
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SUllVIV.... S/'OUSE
{(I'MIf" QIWmakklnrwne,
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Plainfield
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Wl'tS CASE REFEAReDlO MaHCAl.. EXMI
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DUE 10 (OR AS A CONSEQUENCE OF);
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DUE TO.OR.-.s A CONSEQUENCE OF):
OW!'lQ (OR ~ ~ CONSEQUENCE Of)-
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WERE AUTQPS'V FINDINGS
AlUl.ASU PRtoR to
COMPlfllON OF CAUSE
OF OERH1
MANNER OFDERH
DATE" OF INJURY
(MOllIh. Day, Year)
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"CI!lITlFYtNG PttYSICtA.N (Ph~ cerIityirlg cauM 01 d~ ~en anoltMIf ph\'aiciannu. pr~ d8altt and complelod 11S"T\ 23)
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To....... 0I111)'~. "1ft OOCUII'M" dM......, ....., ad ptMIe. 8nd If.- ao the ......c:.}and......... .--tad.. . . . . . . . . . .
OIlEDlCA&- EXAIItNERlCQftONEfI
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