HomeMy WebLinkAbout11-28-05
Estate of JEAN E. WITrHOIT
Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETIERS
?. t-05 -t03 L
No.
also known as
, Deceased
Social Security No. 078-12-0176
Petitione1'(s)who Ware 18 years of age or older apply(ies) for.
(Complete "A' or"B" Below:)
o A Probate and Grant of Letters and aver that Petitioners are the executors named in the Last Will of the
Decedent, dated and codicil(s) dated
State relevant circumstances, e.g. renunciation, death of executor, etc
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the docwnenls
offered for probate; was not the victim of a killing and was never adjudicated incompetent:
Ia B. Grant of Letters of Administration
(c.t.a., d.b.n.c.t.a.: pendente lite; durante absente durante .minoritate)
Petitioners after a proper search have ascertained that Decedent left no Will and was survived by the
following heirs:
I
Name Relationshio Residence
Jean S. Zeil!ler Daul!hter 2717 Butler Street. HarrisburJ:(. PA 17103
Maria S. Neve Daul!hter PO Box 4940, Incline VillllJ!:e, NV 89450
Tsani S. Witthoft Son Address not disclosed at reQuest of heir
..
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his,ther last family or principal
residence at 210 South Locust Street, Camp Hill, Pennsylvania.
(llst street, nwnber and mw1icipaIity)
Decedent, then 83 years of age, died October 12, 2005 at Holy Spirit Hospital.
(Location)
Decedent at death owned property with estimated values as follows:
UfdomiciledinPA) AU personal property ...................................... $ 74.000.00
Ufnol domiciled in PAl Persona1 property in Pennsylvania ........................ $
Ufnot domiciled in PA) Persona1propertyinCounty............................... $
Value ofreal estate in Pennsylvania. . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . .. .. . . . . .. . $ 100.000.00
Total..... ............... .................................... ...................... $ 174.000.00
Real Estate situated as follows: 210 South Locust Street, Lower Allen Township, Camp Hill, Pennsylvania
Wherefore, Petitionet{s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant ofletters
in the a ro riateform to the unde . ed:
or rinted name and residence
Jean S. Zeigler
2717 Butler Street
Harrisbur , PA 17103
Maria S. Neve
PO Box 4940
Oath of Personal Representative
Commonwealth of Pennsylvania
County of Cumberland
The Petitioners above-named swear and affirm that the statements in the foregoing Petition are true and
correct to the best of the knowledge and belief of the Petitioners and that, as personal representatives of the
Decedent, Petitioners will well and truly administer the estate according to law.
before me this
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DECREE OF REGISTER
co
Estate of JEANE. WITnfOFr,
also known as
Deceased
No. ~1-05-IOj2
:2
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Date of Death: October 12, 2005
Social Security No. 078-12-0176
AND NOW,.-.bf 0 V. 2- i I ~D 5- . 2005, in consideration of the Petition on the reverse side
hereon, satisfactoIy proofhaving been presented before me,IT IS DECREED that Letters 0 Testamentary t) of
Administration
(e.t.a., d.b.n.I!.b.&.., pendente lite,dunonte,ab8ent8,durante..minoriIaIe}
are hereby granted to Jean S. Zeigler and Maria S. Neve in the above estate and that the instrument(s), if any,
dated described in the Petition be admitted to probate and fIled of record as the last Will of
Decedent.
FEES
Letters.. . .. .. . . . . . .. . .
Short Certificates (3). . . .
Flenucrtciation..........
Affidavit ( )............
Extra Pages ( ).........
Codicil . .. . .. . .. .. . .. ..
JCP Fee.. . .. .. . '" .. . .
Inventory& Tax Forms.
Flecords Management ..
Other .................
TOTAL .. .. .. . ..
$ 260.00
12.00
5.00
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5.00
$
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br
Date Filed:
Attorney:
Nora F. Blair, Esquire
Supreme Court ID 45513
5440 Jonestown Fload
P.O. Box 6216
Harrisburg, PA 17112-0216
(717) 541-1428
Arf'/, ~OT'f~I4JT AI IffE.. liME:.
o r-- -PR.D I3frTf- .
Please mail the Certificate of Grant of Letters and Short Certificates, ifany, to Nora F. Blair, Esquire.
HIOS.80S REV JIOS
This is to ce"ify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local RegistraL 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, $6.00
No.
thn-I? ~<'"'y_
Local Registrar
0Cl1-3 Z005
Date
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Rev. 2187
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
.$--
Vo.
Jean E. Witthoft
SEX
2. Female
PLACE F D
HOSPITAL:
/npIIH",,(~
7.Albany, NY ea.
FACilITY NAME (If nol inslilutlon, giv8 streetlllld nurm-)
BIRTHPLACE (City and
State 01' Forelgn Country)
STATEflLENUt.lBER
SOCIAL SECURITY NUMBER
3. 078 12
od<
0176
NAME OF DECEDENT (First, MIddIa, last)
,.
AGE (Last Blnhdlly)
s. 83
COUNTY OF DEATH
ERKlu~D
o~O
~~~)D
RACE. American 1ncfuu1, Bl&ck. WhIte, '"
(Specify)
8b. Cumberland
DECEDENT'S USUAL OCCUPATION
{~~n;IJfIll'~:'~~~,:j1
k. East Pennsboro
KINO OF BUSINESS I INDUSTRY
10.
White
SURVIVING SPOUSE
(Hwn..oO"",oidAnname)
I
ASD CEDE EVER IN
U.S. ARMED FORCES?
YesD NolXl
11a. Ma azine Editor 11b. State Government 12. 13.
DECEDENT'S MAILING ADDRESS (Street. CityfTown. SlIIle. Zip Code) DECEDENTS 17.. Stale Pennsv 1 vania
210 South Locust Street ~~~:-NCE
Camp Hill, PA 17011 ~od:.-~J"5 17b.Countv Cumberland
MARITAl STATUS . Married,
Never MarrIed. Widowed.
Divorced (Specify)
14. Divorced
11c. ~ Yas. decadent lived in Lowe r
...
Allen
..,.
16.
FATHER'S NAME (FIfSt, Middle, Last)
16.
INFORMANT'S NAME (TypelPrint)
....
METHOD OF DISPOSmON
Donation 0 Burial 0 Cremallon ~8lTlOVelfrom SIIIIe 0
21.. Qlhar(Spedfy)
SIG FUNERAL S E
22L
D.
decadent
l/v(llna
townllhlp?
17d. 0 :~i=~lru~~ of
citylboro.
Items24-26mustbe()(ll'llflleladby
~..mopronounCNdeillltl.
MOTHER'S NAME (First. MIddle, M....n Sumame)
19. Mary Louise Geisel
INFORMANT'S MAILING ADDRESS (Street, CityfTown, Sta18, ZIp Code)
20b. 2717 Butler Street, Penbrook~ PA 17103
~~~~~s~r~~1:To~c8~lmtbf LOCAT10N - CityfTown, Stale, ZIp Code
21J'ennsylvania Crematory 21d.Harrisbur ~ PA 17109
NAME AND ADORESS OF FACILITY uer emor a orne remat on
nd5ervices, Inc., Harrisbur , PA 17109
~C/EfSE NUMBER OATE SIGNED
j~Or2-6qlt L ~:.n' ;3 oS-
WAS CASE REFERRED TO A MEDICAL EXAMINER /COR ER?
28. Yesl'Kl JL NO~
27. PART I; E......IMd_.H, lolJu'" oreomplle_no whleh............. _Ill. Do not...I*tlM mooHofdylllll, ouch.. nnllK 01 r..pl tory.....ol.lI>oc:k or h..rtfaH..... : ApproJdmale PART ~ Other significant conditions contribulln91o death, but
Llatonlr_e_on.....IIM. 'lnlel'll8lbelwe8n nolrasultlng in lheund8flying CIIU$e given in PAAT I.
: on581and death
Stephen Charles Fisher
Jean Zeigler
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IMMEDIATE CAUSE (Anal
dlseas8orcondllion
fesuJtlnglndeath)--'"
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MElASTAlIC
C:It"kER...
DUE TO (OR AS A CONSEQUENCE OF):
SaquentlallyUstcondilions b.
lhny.l8acIinglolmmadlala
cause. Enter UNOERLmG {
CAUSE (Ohaees8 or Injuly C.
lhatinltiatlldavenls
resultlngondaalh)LAST d.
WAS AN AUTOPSY WERE AUTOPSY FtNDINGS
PERFORMED? AVAILABlE PRIOR TO
COMPlETlON OF CAUSE
OF OEATH?
DUE TO (ClfIAS ACONSI:OIJENCE OF~
OUETO( AS ACONSEOIJE
""
YesD NoD
VnO
MANNEROFOEATH
Natural 0 Homicide 0
_.M 0 PandinglnYestlgetlon 0
Suicide 0 COuld not be detannined 0
DATE OF INJURY
(Monlll. 0..,.. Ya'j
TIME OF INJURY
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED.
YasD NoD
2'" 28b.
CERTIFIER (Ched< only OI'Ie)
l~~N,OJ~=~~~uS:f:g::~={:r~er~=~ah~~~.~~.~~.~~~~~.i~.~~~
>D.
3011. 30b. M.
PLACE OF INJURY. Al home. flInn. street, flIcIory. oftIce
bulllllng.eIC.(5pec:lt\')
....
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SIGNA TU
NoO
'MEDICAL EXAMINER/CORONER
On the basl$ of.xamlnlltlon and/or Investlgatlon, In my opinion, 0.... occu,",d lit the time, dalS',;IInd pl_, and due 10 the c....se.(.) and
lJ\8l'I.....as.tatad.................... ................
31a.
REGISTRAR'S S1Glf~.,~ANO NUMB
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