HomeMy WebLinkAbout12-14-05
Register of Wills of Cumberland County
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of Michael Albert Stanely Hood
also known as
No. )., \ - ~ 'S.- , ~ ~ '\
To:
, Deceased.
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
Social Security No. 197-56-1962
The petition of the undersigned respectfully represents that:
d.b.n
Your petitioner(s), who is/are 18 years of age or older, appl lying for letters of administration
on the estate of
(d.b.n.; pendente lite; durante absentia; durante minoritate) .
the above decedent. G;....~l"'l~ (~. P '")
Decedent was domiciled at death inDalell'lRIR County, Pennsylvania, with h~ last family or principal
residence at216 Shed Road, Newville, PA 17241
(list street, number and municipality)
Decedent, then 33
Harrisburg Hospital
years of age, died September 5
,2005
, at
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
(Ifnot domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
$ ~d:A9 ~ ",f/l7Z1
$ -/:?G?d # rv
$
$
Petitioner~ after a proper search ha~ ascertained that decedent left no will and was survived by the
following spouse (if any) and heirs:
Name
Duska Bair
Elisha Hood
Kaleb Michael Hood
Gage Hood
Relationshi
Daughter
Daughter
Son
Son
Residence
33 Henrietta St., Lewistown, PA 17044
702 W. 5th Street, Lewistown, PA 17044
216 Shed Rd., Newville, PA 17241
66 Central Avenue, Lewistown, PA 17044
THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the appropriate form
to the undersigned.
Residence( s) of Petitioner( s)
2 Lakshore Drive, Amesbury, MA 01913
409 Main Street, Apt. A, Denver, PA 17517
Any assets of the Estate will remain in the State of Pennsylvania
0./{,'//
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Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COUNTY OF CUMBERLAND
COMMONWEAL TH OF PENNSYLVANIA
SS:
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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 ofpetitioner(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 affirmed and subscribed
Before me this "'-\~'" day of {
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Register ~ ... "~ .. ~
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No.
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Estate of Michael A. S. Hood
, Deceased
GRANT OF LETTERS OF ADMINISTRA nON
AND NOW "'0......<i::. ~"\o""'"'i ~ '\ 20 ~ I), in consideration of the petition on the reverse
side hereof, satisfactory proof having been presented before me,
lT IS DECREED that Dennis Hood, Sr. and Teresa Auchey
is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration d.b.n.
are hereby granted to Dennis Hood, Sr. and Teresa Auchey
in the estate of Michael Albert Stanley Hood
FEES
Probate, Letters, Etc. .............
Will .................................
$
$
Renunciation... . . . . . . . . . . . . . . . . . . . . $
Short Certificates ('~) ............ $
JCP.................................. $
$
$
$
20~S
Automation Fee. .. . . .. . .. . . . . . . . ..
Bond.............................. ...
Total
Filed '\ J.. - ~'\
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Register of Wills q .'f(~.;)-;"I'l) \;)~
69272 +- ~h.. ~"\ ~'\,~),~.
Attorney (Sup. Ct. I.D. No.)
800 North Second Street
Harrisburg, PA 17102
Address
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717-238-1657
Ir',;""
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Phone
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This is to certify that the information here given is correctly copied from an original cer~.ificate of death dul;/.1iled with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records OffIce tor permanent lI1Irlg.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
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Local Registrar
Fee for this certificate. $6.00
SEP 0 !? 2005
No.
Date
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H105.143 Rev. 2187
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
STATE FILE NUMBER
)RINT
I
.NENT
<INK
. 5. 33 Yr>.
COUNTY OF DEATH
;;;) . 8b. Dauphin
DECEDENT'S USUAL OCCUPA TfON
(~r~~;hr~r:od~I!~~~L71
NAME OF DECEDENT (First, Middle, Last)
,.
AGE (last BIrthday)
Residence 0 ::ctfy) 0
RACE - AmeriC8nlndian, Black. V\rhite, el
(Specify)
8c.
10.
White
AS DECEDENT EVER IN
U.S. ARMED FORCES?
Ye.D NO~
12.
MAR!TAL STATUS - Married,
Never Married, Wdowed,
Divorced (Specify)
SURVIVING SPOUSE
{lfWifll,gI...ernlljdennll~l
14.
Pi\.
Did
decedent
live in a
township?
17e. 0 Yes, decedent lived in
twp
17b. County
Cumberland
17d, 0 ~~hl~~~7~i~~~ of
Newville
Cilylboro
MOTHER'S NAME (First, Middle, Maiden Surname)
1.. Ethel M. Kearns
INFORMANrs MAILING ADDRESS (Street, Cityrrown, State, Zip Code)
20b. 2 Lake Shore Drive Amesbllrv MA 01913
PLACE OF D1SPOSITION- Name of Cemetery. Crematory LOCATION. CilyfTown, State, Zip Code
or Other Place
2005
21c.
McClure Union Cemetery 21d. McClure
NAME AND ADDRESS OF FACILITY
22c. Aurand F .H. Beavertown
LICENSE NUMBER
PA 17841
28.
: Approximate
1 interval between
: onset and death
Other significant conditions contributing to death, but
not resulting in the underlying cause given in PART I
Sequentially Ust conditions
if any, leading to immediate
. cause. Enter UNDERLYING
CAUSE (Disease or Injury
. that initiated events
resulting on death) LAST
WAS AN AUTOPSY VVERE AUTOPSY FINDINGS
PERFORMED? AVAILABLE PRIOR TO
COMPLETION OF CAUSE
OF DEATH?
E
Natural
15Y
o
o
DATE OF INJURY
(Month, Day. Year)
TIME OF INJURY
INJURY AT V\rORK? DESCRIBE HOW INJURY OCCURRED
MANNER OF DEATH
Accident
Homicide
Pending Investigation
o
o -D~D
3Oa. 30b. M. 30c.
o PLACE OF INJURY - At home, farm, street, factory, office
bUflding,et<:(Specify)
30e.
34.
Yes rsq No 0 Yes IX' No 0
28a. 28b.
CERTIFIER (Check only one)
.l;~~F.;J~Gor~~R~~e~';'ls~~:r.. ~~I~dUJ: to: 8te:'~.rr~~(:r~~: rN~x~~a.rs h~~~~~~~.:~~.~~~~. ~~~.~~~~:~.~ .i~~ ?~~
Suicide
Could not be determined
29.
.Pfo~~~~:'.11:?~Nk~;~:r~~:e~~Ho~~~C;: ~Ph~:j~::e~~.~du~~.d:~r daUr:t~~~ut~~)~~ ~:~~er IS stated....
.MEDICAL EXAMINER/CORONER
On the basis of examination and/or InvestlgltJon, In my opinion, death occurred It the time, date, and place, and due to the causes(')lnd
manner as stated .. .................................... .........
31a.
REGISTRAR'S SIGNATURE AND NUMBER
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