HomeMy WebLinkAbout12-09-05
Register of Wills of Cumberland County
Estate of Wilma H. Baum
also known as
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
a l- 0 S -Ill ~
No.
To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
, Deceased.
Social Security No. 200-24-2057
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, appl~ 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~ last family or principal
residence at 1913 Sterretts Gap Avenue, North Middleton Township
(list street, number and municipality)
Decedent, then 74 years of age, died November 9
Carlisle Regional Medical Center, Carlisle, Pennsylvania
,2005
, at
Decedent at death owned property with estimated values as follows:
(I f domiciled in Pa.) All personal property $ 10,000.00
(If not domiciled in Pa.) Personal property in Pennsylvania $
(If not domiciled in Pa.) Personal property in County $
Value of real estate in Pennsylvania $ 78,000.00
situated as follows: 1913 Sterretts Gap Avenue, North Middleton Township, Cumberland County
Petitioner~ after a proper search ha~ ascertained that decedent left no will al\.d was survived by the
following spouse (if any) and heirs: [;.Of\T"f'vcd,O" 5cJ...e"Ue... ~~-c-.::;~~e~Q. J
N R I' h' R 'd
ame e atlOns IP eSI ence
\ Linda D. Heller Daughter 685 S. Middlesex Road, Carlisle, PA 17013
\ J3ary L. Baum Son 533 S. Middlesex Road, Carlisle, PA 17013
David B. Baum Son 402 Pine Dale Road, Carlisle, PA 17013
~ Roy F. Baum Son 1748 McClures Gap Road, Carlisle, PA 17013
Wayne L. Baum Son 3948 Enola Road, Newville, PA 17241 "
1/ Sandra H. Neydl Daughter 13 Sunfire Avenue, Camp Hill, PA 17011 ,
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THEREFORE, petitioner(s) respectfully request(s) the grant ofletters of administration in the appropriate form 1
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to the undersigned. .
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Residence( s) of Petitioner( s)
685 S. Middlesex Road, Carlisle, PA 17013
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533 S. Middlesex Road, Carlisle, PA 17013
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Register of Wills of Cumberland County
COUNTY OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA
OATH OF PERSONAL REPRESENTATIVE
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SS:
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) o:7the ab ve
decedent petitioner(s) will well and truly administer the estate according to law.
Sworn to or affirmed and sub-\,cribed t-vV' {--I. I .
Befolejl1,e this t{j(lr q f'(,. d~ 9f.
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I Register
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Estate of Wilma H. Baum
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, Deceased
GRANT OF LETTERS OF ADMINISTRATION
J 9' ~h.
AND NOW December <If 0 20~, in consideration of the petition on the reverse
side hereof, satisfactory proof having been presented before me,
IT IS DECREED that Linda D. Heller and Gary L. Baum
is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration
are hereby granted to Linda D. Heller and Gary L. Baumj
in the estate of Wilma H. Baum,
FEES
Probate, Letters, Etc. .............
Will .................................
Renunciation....... .lI..............
Short Certificatesj )............
JCP................................ ..
Automation Fee...................
Bond............................. ....
Total
Filed December
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'Register of Wills /~
Stephen L. Bloom, 49~~~
Attorney (Sup. Ct. J.D. No.)
2100 Longs Gap Road
Carlisle, PA 17013
Address
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717 -249-7717
Phone
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PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
(Continuation Schedule)
Name
Karen L. Sheriff
Lisa J. Sn der
Relationship
Dau hter
Dau hter
Residence
203 Front Street, Bailin S rin s, PA 17007
30 West E I Drive, Carlisle, PA 17013
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This is to certify that the information here given is cOlTeetly copied from an original certificate of death duly filed with me as
Local Registrar. 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.
No.
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Local Registrar ~
Fee for this certificate, $6.00
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NOV 1 9 2005
Date
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H10S,143 Rev. 2187
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
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TYPE/PRINT
IN
PERMANENT
BLACK INK
CERTIFICATE OF DEATH
STATE FILE NUMBER
r..:,
C?I
DATE OF DEATH (Month, Day, Year)
4. /(-q-O':>
5.
COUNTY OF DEATH
tc{vrs.
Rlllidflnce D ~~~fy) D
RACE - American Indian, Black, White, et
(Specify)
Rb. ~,...bu ~IJ d
DECEDENT'S USUAL OCCUPATION
(~~V::~~~d= ~Ii~r:,r
10.
White
SURVIVING SPOUSE
(tfwiffl,give maiden narne)
17b, Countv r'11m~1"" 1 .=linn
Old
decedent
live in a
township?
M; nrll ",t-nn
twp.
17d. D ~~h~~~~?~I~i~ of
citylboro.
21t'1t. Gilead Cemetery
NAME AND ADDRESS OF FACILITY Ho
22e. 219 N. Hanover St.
LICENSE NUMBER
T
M
. ,'//A~V
23b. 23c.
WAS CASE REFERRED TO A MEDICAL EXAMINER ICORONER?
28. Yes 0 No
: Approximate PART II: Other significant condiUons contributing to death. but
. Interval between not resulting in the under1ylng cause given in PART I.
: onset and death
27. PART I: Enter th d......., InJurl.. or complication. Which cauI.d the death. Do nol antar the moda of dyIng, .uch a. cardiac or ruplralory .rr.lt, Ihock Of' Mart f.llu....
U., only on. cau.. on ..ch lIrw.
Sequentially list conditions
. if any, leading to Immediate
. cause. Enter UNDERLYING
CAUSE (Disease or injury
. . that initiated events
resulting on death) LAST
WAS AN AUTOPSY WERE AUTOPSY FINDINGS
PERFORMED? AVAILABLE PRIOR TO
COMPLETION OF CAUSE
OF DEATH?
E
MANNER OF DEATH
Natural
~
o
o
Homicide
DATE OF INJURY
{Monlh, OilY, Year)
o
o -O~O
O 30.. 30b. M. 30e.
PLACE OF INJURY. At home, fann, street, factory, office
building. etc. (Specify)
30e.
TIME OF INJURV
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED.
Accident
Yes 0 No Ciit
VesO
NO~
Suicide
Pending Investigation
Could nol be determined
28a. 28b.
CERTIFIER (Check onty one)
.~:~~F~~tGor~~~~~~~s~~:~ C~c'ti~~~d~: tc:J theea~a~~:~(:r~~t~~x~~a;s h:~fed.~~~~.:~.~ .~~~~. .~~ .~.~~:~~ .I~~.~.~~).,
29.
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o
w
o
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.PRONOUNCING AND CERTIFYING PHYSICIAN (Physician both pronouncing death and certifying to cause of death)
To the best of my knowledge, death occurred at the time. date, and place, and de. to the Clusea(a) and manner as stated......................
.MEDICAL EXAMINER/CORONER
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318.
REGISTRAR'SSIGNATUREANDNUMBE~ '" ,~ t\~ \
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34.
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