HomeMy WebLinkAbout11-18-87
~
PETITION FOR PROBATE and GRANT OF LETTERS
A. Bel2uw No. cQl -, ~ - t.o& S-
To:
Register of Wills for _the
Deceased. County of CUMBERLANDin the
Social Security No. 1 7 4 - 0 ~ - 12 2 5 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older an the execut !l~
in the last will of the above decedent, dated A-Pa I L I C; _
and codicil(s) dated '
Estate of 5" re LL f:J
also known as
named
, 19 .p S
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in C-- t/ /11 B e"t2.. L A- N~
h ~ e last family or principal residence at I () r)1'J 1"./ F C:;'1
(\ f4::/::> I_/q/ F PfJ
..... ,
(list street, number, Twp. or Boro.)
County, Pennsylvania, with
SC>Jil<+- S T. .
,
Decedent. then
at n-
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of he will offered for probate; was not the victim of a kil1ing and was never adjudicated
incompetent: < ()
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: No /V f:::
,19 f7
$ V,"\! B<;q-rMA-re'b
$
$
$
WHEREFORE, petitioner(s) respectfully request(s) the ~obate of the last will and codicil(s)
presented herewith and the grant of letters ..., E ~ r Ktm 8 'lit ~ Y
(testamentary; administration c. La.; administration d. b.n.c. La.)
theron.
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA } ss
COUNTY OF CUMBERLAND
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 represen-
tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law.
Sworn to ~r affirme~ and subscribed { ~-~8.~.{@~~=-;r ~
befor me thIS 5TH day of " _ -'l1J~__l__ _ ~
. MB R 19 8/_ 11_:2. r Cl
~ .. ~
~
Register ilZB ~
N 21 - 78 - 665
O.
Estate of
STELLA A. BERLIN
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW NOVEMBER 25, 19~, in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated APRIL 19, 1983
described therein be admitted to probate and filed of record as the last will of
STELLA A. BERLIN
and Letters TESTAMENTARY
are hereby granted to CHARLES D. SHEEHY and FARMERS TRUST COMPANY
WILL BOOK #105
PAGE 424 ETC.
FEES
Filed
$ 75.00
$ 6.00
$
$ 6.00
TOTAL _ $ 87. 00
NOVEMBER 25,1987
CEo R..G-E ~ rA- L L 15 K-
ATTORNEY (Sup. Ct. 1.0. No.)
:3&'0 ~) ( L So N ') rr.
ADDRESS
Probate, Letters, Etc. .........
Short Certificates( 3) . . . . . . . . . .
Renunciation ................
x-Pages
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WARNING: It is illegal to alter thi. CO'lV or~" <"l..~"~~'~ Iw
H 1 0:) 112 REV 11 -85
(FEE FOR THIS
CERTIFICA TE $2 DO)
COMMONWEAL TH OF PENNSYL VANIA
DEPARTMENT OF HEALTH-VITAL RECORDS
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
S-re \\0--
First
Residence \ \ 'j, ':S. ~~(\\.1E' <: ~.
NUIT~ Street
"~\j ~ ~e :1:'\ ~
County
No.1215309
c/d.f
ft"fe"."1 .j No.
'':< '
----_\:~:-::"'? <;\ \ \"\.
r \ . Last
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(, \'. Cc'.r1ty
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City, Borough or Tc)\..vnship
t\j~, \1.:- \ t::( t~
r
Fuli Name
of Deceased.
~.
(\ Middle
"'n.-T\\~\ ~
City or Town
~~.
State
Place of
Death
Pennsylvania
Sex
~\,.......(~ e...
Date of Death
Race
, '\
(.\ ~\ p
Date of Birth \\'\0....<;. <~ 'j'; \ f'1b Birthplace
I
Social Security No. V\-\.-- as' - l _~:-:::..~
~ \ \ \ ,,(":\2;
Occupation \\CY~E' '-~\. \"'("
Veteran's Serial No.
l\!ari tal Status
.
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MEDICAL CERTIFICATE
Part I. Death was caused by;
Interval Between
Onset and Death
1m medi" te C" ",0(,,) C" ~ 6: ,~ ~\,\ '" ""'" 'S:\ \
DueTo(b) \\-s"\,j\)
~'('~~
Due To (c)
PART II. OTHER SIGNIFICANT CONDITIONS;
Part I (a)
------------ ~~~\~,~ \ ~
contributing to death but not related to the Immediate cause given in
i~ .'
{ \a..~"~\'~e
--:t~~~~ ,,~( ~
.\c(idelll., Suicid,- or Homicide_________
How did iiljury occur_
\ianw and Tit.ie of' Persoll
\Vho C'-l.til,ed (':Jus(' of' !kath (Iv!.D. D.O., COfOJ.C1, l\hE.)
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ji!(O,Td:j! on !H:(c- r..:;iVC>:1 ;S ~OiTcCt.Iy copied rn)t11 ,111 (jrigii1:d C('I"t.i1'ical_i dt~;lth dLtly LIed \yith
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l_oeal Reg!Strar of \.~. ReCO'~JS .~."'" ~t Gio
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Street Ad les:, \ ~.Ity, borol,t1h, L)'"'vrl~;h!p
..--------~----- 0.<5J.___tf: .--l~l~l________u
Date neceive'(TlJ'i Loca: Heglsrrar