Loading...
HomeMy WebLinkAbout12-14-05 Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of CABOT L. RESUT A No. () 5 -- I () 7? also known as Deceased Social Security No. 215-08-2513 ROBERT RESUT A Petitionerls!. who is/are 18 years of age or older, appty(iesl for: (COMPLETE "A" OR "B" BELOW:) D A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut_ 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 documents offered for probate; was not the victim of a killing and was never adjudicated incompetent: lD B. Grant of Letters of Administration (d.b,n,c.t.a.: pendente lite; durante absentia; durante minoritatel Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: Name Cameron Resuta Relationship f.....-. ,- .., Minor Son Noah Resuta Minor Son Robert Resuta Father Jean Treadway Mother Deceased 3/9/1992 (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. c..1 Decedent was domiciled at death in Cumberland County, Pennsylvania, with his last family or principal residence at ~~O Rittenhouse Square. MechanicsburQ. Silver SprinQ Township, PA 17050. (list street, number and municipality) Decedent, then 36 years of age, died October 18. 2005, at US Route 11115. East Pennsboro Twp, Enola, PA (Location) Decedent at death owned property with estimated values as follows: (If domiciled in PAl All personal property ................................................................$ 5.000.00 (If not domiciled in PAl Personal property in Pennsylvania...............................................$ (If not domiciled in PAl Personal property in County.......................................................$ Value of real estate in Pennsylvania............... ................................... ................................................. $ Total........................................................................ ........................................................$ 5.000.00 Real Estate situated as follows: Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil{s) presented with this Petition and the grant of letters in the appropriate form to the undersigned: T ped or printed name and residence RobertAResuta 4208 Middlebur Road, Union Brid e, MD 21791 Form PtW.' Page 1 of 2 (Cumberland County) . Rev. 9/92 Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland The Petitioner(s) above-named swearls) and 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 Decedent, Petitioner(s) will well and truly administer the estatne according to law. Sworn to and affirmed and subscribed (X~/~fIGX,.. i ~~.,..,~~ bemire me this ~~~ day of 20 r:Cl No. 05- ~O~ ~' Estate of Cabot L. Resuta Deceased Social Security No: 215-08-2513 Date of Death October 18, 2005 AND NOW, ~~ ~i0~ , 2005, in considerati~gf the ~titio.[~ the reverse side hereon, satisfac of ry proof having been presented before ma~~ ° '-~.-~; IT IS DECREED that Letters ^ Testamentary ~ of Administration ; ~~; ~ " _ , e.b.n.c.t; Wnaena Iib;~quyiyt~aMBe: Elawm minofpete `_'~ are hereby granted to ~ nd Robert Resuta 3 ~9 ~. _ _-_- j ,` ._ C'~ in the above estate and that the instrument(s) dated y(~.nGCtZry ~~ , a00lr .~_~-- c~ described in the Petition be admitted to probate and filed of record as the last Will of f92cedent. FEES Letters.......~~.dmc n ~~ `~l%f1,(/l. ............. $ 3U• ~ Register of wills Short Certificatels-...~0..... $ a~•DO Renunciation .................. 5 Affidavit ( - ................. $ Extra Pages ( -............ 5 Codicil .......................... S JCP Fee ........................ S /U - DU Attorney Elizabeth P. Mullaugh ~y,QUfO,,,,,,,,,,,,,, S ~-UD I.D. No. 76397 Other....:6onQ :............... $ 15• UO Address:McNees Wallace & Nurick LLC 100 Pine Street, Harrisburg PA 1 7108-1 1 66 TOTAL ................ 5 0~ ~'~ Telephone 717-237-5243 Form RW-1 Pepe 2 of 2 (Cumberlene Countyl • Nev. 9/92 Thi, IS to certify that the information here given is conectly copied from an original certificate of death duly filed with me as LHtI 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. ~, 1 1 q ''l ",~ c::. 3 6 f,J .J ~ - ~..i ...a. ..J No. 1111111(~Girorpli---____ ,l'~~1'J;j;_","- \'~.- ~"'"- $~.. -~_ '?l ~ ~I . .. \~~ ~ ~l_-:~:-iii:~ ~*~.., ".:' '/*$ \a '. . /~/ ""-~ /.;tS,11 "" l',o)-//,-\\.'r I,I ---<:/MEN1~\ """' ""''''''''''#11#1/11111 I ....'.\, ~L:'!~ Fee for this certificate. $6.00 OCT 2 2 200~" :::::"' er' C:i r-j ~; .-..... , ' C) ...~te ':~:n ~-~~2 i>\i:=~ .. I' ...- ~~t) u'1 \,.0 1130-097 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (Coroner) Rev 1/91 NAME OF DECEDENT (First. Middle. last) SEX I:OCIAL SECURITV NUMBER I~ATE OF DEATH (Month, Day, Vean ,. Cabot L Resuta 2. Male ~ 215 08 2513 4. October 18, 2005 AGE (Last Bir1hday) I UNDER 1 YEAR UNDER 1 DAV DATE OF BIRTH ~ I BIRTHPLACE (City and PLACE OF DEATH (Ctleck only one see instructions on other side) Months Days Hours Minules 1 (Month. Day, Ve"l Slale or Foreign Courllry; HOSPITAL: 10THER' 36 Apr.30,1969 Bal timore Md Inpatient [] EFl/Outpalient 0 DOAO Nursing 0 Residence 0 ~;~lfY) tIl Yrs, Home 5. l&. 7, 8e. 0 COUNTY OF DEATH CITY. BOR~ DEATH [ACILlTY NAME III no' inSlit,'lion, gi,e ~ree' and numbec) It~ECEDENT OF HISPANIC ORIGIN? I~ACE' Amellean Indian, Black, White, e'e Cumberland East Pennsboro US Rt. 11/15 @ College Hill Road No Yes 0 1/ yes, SpeCIfy Cuban (Speclf,,) 0 MeXIcan, Puerto Rican, etc. White 8b. 8e. Od. .. 10. DECEDENT'S USUAL OCCUPATION KIND OF BUSINESs/INDUSTRY WAS DECEDENT EVER IN I DECEDENT'S EDUCATION I MARITAL STATUS. Marrled L. SURVIVING SPOUSE (~j':O~jkj~~~i~r~d~~,eu~r;~~r~gr I"b. I, U.S, ARMED FORCES? IS"""'it onl highesl graje eo';;;';',e<1\ Never Married, Widowed, (It wife. give maiden name) ~ 0 ~ I, EI.l~tary/s.condery I COllege L D;vorced (Specify) ".Seafooa Special1s t Karns Food as No ((}'12) (1-4015+) Divorced 0 12. 13. DECEDENT'S MAILING ADDRESS (Street. Cityrrown, Stale, Zip Code) DECEDENT'S fa 17c.fu Yes, decedent JIved in Silver Spring ACTUAL 178. Slale Did twp. 0 500 Rittenhouse Square RESIDENCE decedent Mechanicsburg,pa 17050 (See instructions Cumberland livelna on other side) townShip? 17d.O ~~h~e~~:7~i~:~ of 16. 17b. County city/bora. FATHER'S NAME (First, Middle, Last) MOTHER'S NAME (First, Middle, Maiden Surname) 18. Robert Resuta 1.. Jean Tredway INFORMANT'S NAME (TypelPrint) INFORMANT'S MAILING ADDRESS (Street. CityfTown, Slate, Zip Code) 12.e.Robert Resuta 20b. 4208 Middlebur2: Rd Union Bridge Md 21791 METHOD OF DISPOSITI[2t ] I:ATE OF DISPOSITION PLACE OF DISPOSITION - Name 01 Cemetery, Crematory [OCArION' CitylTown, Slate. Z;p Code . Burial Cremation 0 Removal from State 0 (Month, Day, Year) or Other Place Donation 0 Other (Specify\ o 21bOC tober 24,2005 Rolling Green Cemetery 21d. Camp Hill, Pa . 21c. ~IGNATUAE O~L RSON ACTING AS SUCH I~ICENSE NLJMBEA I ~AME AND ADDRESS OF FACILITY In~ IliIfL~mh 0 L, '.de' ....z:::... .--' 22b. 011654-L ~e~yers-Harner Funeral Home ~a. ~~rc: i:en: ;:~~:~l~:~ ::z:~~o/ To the besl 01 my knowledge, death occurred at the lime, date and place stated. LICENSE NUMBER I fATE StGNED (Signature and Title) (Month, Day, Year) , certIfy cause 01 death. 238. 23b. 23c. Items 24.26 must be completed by TIME OF DEATH AprX . I~ATE PRONOUNCED DEAD (Month, D2y.veal) WAS CASE REFERRED TO MEDICAL EXAMINER/CORONER? person who pronounces death 8:00 P. M. 25. October' 18, 2005 Yes~ NoD 2.. 26. 27. PART I: Enter the diseases, injuries or complications which caused the death. Do not enter the mode of dying, such as cardiac or respiratory arrest, shock or heart failure l~pproximate PART II: Other significant conditions contributing to death, but list onty one cause on each Une. I mterval between not resulting In the underlying cause given in PAAT I IMMEDIATE CAUSE (Final : onset and death disease or condition Multiple Traumatic In;uries 1 resulting in death)--+- a DUE TO lOR AS A CONSEQUENCE OF)' , Sequentially list conditions b. Motor Vehicle Crash ! if any, leading to immediate DUE TO (OR AS A CONSEQUENCE OF), r i cause. Enter UNDERLYING : CAUSE (Disease Of injury e. , - -- Ihat Initiated events DUE TO (OR AS A CONSEQUENCE OF): : resulting in death) LAST : d, WAS AN AUTOPSY WERE AUlOPSY FINDINGS MANNER OF DEATH DATE OF INJURY TIME OF INJURAprx. INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED. PERFORMED? AVAILABLE PRIOR TO [Month, Day, Ydar) Motorcyclist w/o helmet COMPLETION OF CAUSE 0 D NO~ OF DEATH? Natural Homicide Oct.18,2005 Ves D struck from )CJ. 0 3Ob8: 00 P.M. rear ~ NoD Yes ~ 0 Accident Pending Investigation 308. 30c. 3Od. Ves No 0 0 PLACE OF INJURY - At home, farm, slreet, factory, office LOCATION (Street. CityrTown, Slate) Suicide Could not be determined building, etc. (Specily) Highway ~fUSYt. 11/15, Enola, PA 268. 28b. 2.. 308. CERTIFIER (Check only one) SIGNATURE I R~!, .CERTIFYING PHYSICIAN (Physician cer/ilying cause of death when another physician has pronounced death and completed Ilem 23) D 31",/.7~7'l 'l' ~ Coroner To the best of my knowledge, death occurred due to the cause(s) and manner as stated. . . . . . . . . . . ................ ...... LICENSE NUMBER t I~ATE SIGNED (Month. Day. Year) .PRONOUNCING AND CERTIFYING PHYSICIAN (Physician both pronouncing dealh and certilying to cause 01 death) D 31c. 31.. October 20, 2005 To the best of my knowledge, death occurred at the time, date, and place, and due 10 the cause(s) and manner as stated ........ ............. .... NAME AND ADDRESS OF PERSON WHO COMPLETED CAUSE OF DEATH .MEDICAL EXAMINER/CORONER (lIem27}TypeorPr;nt Michael L. Norris, Coroner On the basis of examination and/or Investigation, In my opinion, death occurred at the lime, date, and place, and due to the cause(s) and ~ 6375 Basehore Road, Suite III manner 8S stated.. . . . . . . . . . . . . . . . . . ..... ............. ............................................................. Mechanicsburg, Pa. 17050 318. 32. REGISTW'R'S SIGNATURE AND NUMBER "'... ~ ;;~~/I DATE FILED (Month, Day. Year) tkvn- /J; ~~<R~ 34.c:J~ 02./ a~C/s- 33. {/ " STATE FILE NUMBER A~fr McNees Wallace & Nurick LLC attorneys at law ELIZABETH D. LEWIS PARALEGAL DIRECT DIAL: (717) 237-5497 E-MAIL ADDRESS:ELEWIS@MWN.COM December 12, 2005 VIA: CERTIFIED MAIL n r~O i;-:Q ;~~: r?; -, ...:--: ,:r_! r,') C~'~ <;,:, ) C..n C:.:- rl n - "-, Cumberland County Register of Wills 1 Courthouse Square Carlisle, PA 17013 . '__.ij .J;:- ( ) -':J C,;, RE: Estate of Cabot L. Resuta, deceased 000: October 18, 2005 SSN: 215-08-2513 C'1 \.D Dear Sir or Madam: Please find enclosed the following documents required to open the Probate for the Estate of Cabot M. Resuta: . Petition for Grant of Letters; . Oath of Personal Representative; . Estate Information Sheet; and . Death Certificate. The Petitioner, Robert John Resuta, was sworn in at the Dauphin County Register of Wills, on December 12, 2005. Also enclosed is our firm's check in the amount of sixty-nine dollars ($69.00), which includes twenty-four dollars ($24.00) for 6 short certificates to be returned to me in the enclosed envelope. It is my understanding that since the Petitioner is not a Pennsylvania resident, a bond will be required for him to serve as Executor. Kindly inform me of the desired amount of the bond and I will forward the paperwork and the bond fee of fifteen dollars ($15.00) to you. The decedent, Cabot L. Resuta, did not leave a Will. ~ IOIDOO,cD P.O. Box 1166 . 100 PINE STREET. HARRISBURG, PA 17108-1166. TEL: 717.232.8000. FAX: 717.237.5300. WWW.MWN.COM HAZLETON, PA. LANCASTER, PA. STATE COLLEGE, PA. COLUMBUS, OH . WASHINGTON, DC . Cumberland County Register of Wills December 12, 2005 Page 2 If you have any questions, or require any additional information, please do not hesitate to contact me. Thank you for your assistance with this matter. Sincerely, . \~~\1~~ Elizabeth D. Lewis Estate Paralegal cc: Robert J. Resuta Michele L. Resuta ioc: Elizabeth P. Mullaugh Diane M. Tokarsky (all wlo enclosures) BEFORE THE REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA ESTATE OF CABOT L. RESUTA, DECEASED NO 21-2005-01078 DECREE OF THE REGISTER OF WILLS AND NOW, this 14th day of December, 2005, upon consideration of the Petition for Granted of Letters filed by Robert John Resuta, dated and filed on December 14, 2005 for the estate of Cabot L. Resuta, IT IS HEREBY DECREED that the Petitioner shall post surety bond in the amount of $10,000. IT IS ALSO DECREED that upon filing the Bond of Personal Representative, Letters of Administration shall be granted to Robert John Resuta. Elizabeth P. Mullaugh, Esquire Robert John Resuta