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Home My WebLink About01-27-06 Register of Wills of Cumberland County PETITION FOR GRANT OF LETTERS OF ADMINISTRATION Estate (If. JOHN W. KUNTZ, SR. also kno1l'n as No. To: ~\ - ULo-DO~S , Deceased. Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania Social Security No. 189-09-4149 The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older, appl icant 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 Chapel Pointe, 770 South Hanover Street, Carlisle BorouQh, PA (list street, number and municipality) Decedent, then 86 years of age, died January 16 Chapel Pointe, Carlisle, PA ,2006 , 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 (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: $ 10,000.00 $ $ $ Petitioner_ after a proper search ha~ ascertained that decedent left no will and was survived by the following spouse (if any) and heirs: Name Patricia J. Hamilton Winifred K. Stern John W. Kuntz, Jr. Relationshi Daughter Daughter Son Residence 92 Beetem Hollow Road, Newville, PA 17241 11 Stoner Road, Newville, PA 17241 96 Fish Hatchery Road, Newville, PA 17241 THEREFORE, petitioner(s) respectfully request(s) the grant ofletters of administration in the appropriate fonn to the undersigned. .. Residence(s) of Petitioner( s) Patricia J. Hamilton _. 'J 92 Beetem Hollow Road, Newville, PA 17241 Register of Wills of Cumberland County OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } 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) ofthe above decedent petitioner(s) will well and truly administer the estate a~rding to law., J J /' / 1M Sworntoor~ffirme<ba 'L~bscribed {~j~ Q ~'" Be{fmJ me thIS Ol cr) y of /L_ '7ftlJU U'LUi _ V M/}d(t'-~ /1/ I>>. 1JLJ~i". LJ;1 ~ Reg/sterfl ( I .~ 2/ /' uWrC:C(f-' Db ,~~ C/O cr;:;' :l '" ;: @ ~ Estate of JOHN W. KUNTZ, SR. , Deceased GRANT OF LETTERS OF ADMINISTRATION AND NOW January 20~, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that PATRICIA J. HAMILTON is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration ARE are hereby granted to PATRICIA J. HAMILTON in the estate of JOHN W. KUNTZ, SR. 5.00 7.00 fOoO 8J.. 00 ~~&t Attorney (Sup. Ct. . . No.) 35 East High Street, Suite 203 Carlisle, PA 17013 Address FEES Probate, Letters, Etc. ............. $ Will ................................. $ Renunciation....................... $ Short Certificates (J.) ............ $ J CP...... . . . ......... .. . ..... . ... .. .. $ Automation Fee................... $ Bond...... ...... ....... ... ...... ..... $ Total $ ,(1-6.00 73,IJO (717) 241-4311 .~.--.. c::....... Filed 20_ Phone , tl C,) 2'--0\0 -x5 Thi\ is 10 certify that the information here given is correctly copied from an original certificate of death duly filed with ine 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. Ii-~. ~.... &.~ Local Registrar Fee for this certificate, $6.00 p 12269287 JAN 1 1 2006 Date ;""o.~""! '1 -,..2 -,'~ .L- (h:' Hl05.143 A.... 01A:l6 TYPEJPRINT IN PERMANENT SLACK INK 1 Name or Decedent (First, mddle, Iasl) I';' , Social Security Nuntler I' O,toot O"th (M..th, day, y..') John W. Kuntz, Sr. 189 - 09 - 4149 Jan. 16, 2006 5. Age (laslbirlhday) .. Underl sar Under 1 day 7 Dale of Birth Month,da, '" 8. Bir! ce C' and slate or 10 "". Sa. Place 01 Dealh CheckonNone 86 Vrs. [ Monll15 I Days Hou" I Miout" 110/6/1919 T Gardners, PA l~o~:~M!nl o ERIOu'n ,,,' o DQA I ~h~~rsi1n Home o Residence OOttler',~fv: . Bb. CounlyofOlalh Be. City, Bora, Twp. of Death ad. Facility Name (If nol institution. give streBI alld nuntler) 9 Was Decedent ot Hispank: Origin? 10. Race: Ameocan Indian. Black, White, elc. IX No o Yes (lryes,speciIyCuban, (5_ Cumber land Carlisle Bora. Chapel Pointe @ Carlisle Mexican, Puerto Rican, elc.) White . II Decedent's Usual OcclIl8lion Kind of work done durin mosl of workin lile; do nol slale retired 12. Was Decedenl ever in !he US " Decedenl'sEducalion , '" hl'lesl adeco ~Ied 14. Marital Stalus: Married, Never married, 15. SUlViving Spouse (II wile, give maiden name) Machin~"'~rator I SKF f~~~~!~~ Armed FofCes? I Elemealary/SecOndaf}'(G-12) I College (H or S+} Widowed.Divorced(~ DYes :7J No Widcm'ed - . " Decedent's Malli'lg Address (Stleel. cilyllown, stale. zip code) Decedent's PA Did Decedenl klualAesidence 17a. Slale Uveina 17e.D Yes, Decedent liv9l1 in TWO . 770 s. Hanover St. TOWllsh,,? Cumberland 17d.:R;! No, Decedent Lived rihin Carlisle Carlisle, PA 17013 17b. County Aclual limits 01 CilylBoro 18. Falher's Name (First, mle, Iasl) 19 Mother's Name (First, middle, maiden surname1 Beniamin F. Kuntz Phoebe Chronister 208, Inlormsn1's Name (Typelprinl) 200. Informan!'S Ma~ing Address (Slreel, cityllown, slate, zip code) Patricia J. Hamilton 92 Beetem Hollow Rd. , Newville, PA 17241 21a. MethodofOlsposilion 21b. Date 01 Dtsposition (Month, day, year) 13Co~D"Efr!Vi~~rS1:ry~u~<:h I 21d, location (Cityl1own, slate, zip codel . XI Burial o Cremalion o Removal from State o Donalion 1/1Q/2006 o OIher. SD6dfv: of God Cemeterv Newville, PA ~ '" Sig,:,:'ot~~'".'"'''(''~~ 1"~~"~;;'33 IJ'" N,,,,,,,,, Add,"" ot F"i1" . "'- .// ~ L Thlina Brothers Funeral Heme, Inc. , Carlisle, PA 17013 ~lelern!i23a-conlywhencertitying 23aCj:~"~;~:'Ii-;"''''~''~~(Si'MI",'''''".) 23b. License Nurrber 23c. Dale Signed (Monlh,day, year) physiciani$nol8valableallimeordealhlo 'Rt\i 1/ f ,)I. s n. J 1- 1 CO (., certify cause ofdea\t1 . lIelm 24.26 musl be cofl1lleted by person " TlPheolDealh I" q'~:~:-:-Ih;Z'Y"~OC' ~ 26. Was Case Referted 10 a Medical Exa~lCofoner? I who pronounces death. o '.) J,) /l.M o y" oNo CAUSE OF DEATH (See Instructions and eumplesJ V JIwroximale inlerval: Part II: Enter other sianl1icanl cood~ions conlribulino 10 dealh, " Did Tobacco Use Conlrbute to Death? Item'll. Part!: Enlerthe~-diseases, injuries, orco~tions-thaldirectlycausedthedealh. DO NOT enler terminal evenls such as cardiac arresl, 011581 10 dealh but nol resulling in lhe undertyingcause given in Partt. o y" o Probably respiratory arrest Of venlrtular Ibillalion w~houI shovmg the etiology. DO NOT abbreviate. Enter only ooe cause on a line "l5..No D Unknown IMMEDIATE CAUSE (FII'IlII disease or ~t~L. ~ 1:...\ L.\l ""'- I....r\Is.t... 1) ~ 29. IIFemale: condiIion resulting indaalhl -3> ,. o NoIpregnanlwilhlnpaslyear Dueto(orasaconsequ9llCeoQ: A~~ t\ D Pt.8nl at Ume of death Sequentially list conditions, il any. b leading 10 lhecause isled on Unea. Due 10 (or as a consequence oQ: o Nolpregnanl.butpregnanlwithin42days . Enler!he UNDERLYING CAUSE oldeatll . (diseaseorinjurylhalinijaledlhe ,. o Not pregnant, but prellnanl43 days 10 1 year evenls185ullingindealhjLAST. Duelo(orasaconsequenceoQ: beloredeath , o Unknown if pregnant within the past vear 308. Was an Aulopsy 3Ob. Were Aulopsy Findings 31. Manner m Dealh 328. Date of Injury (Month,daY.year) 32b. Descrbe how Injury Occurred' 32c. Place of In~f}': Home, Farm, Street FactO!)', Office Performed? Available Prior 10 Corrlllelicm ~alural o Homicide Buikling"..(_ of Cause of Death1 o y" IIrNo DYes o No o Aceidenl o Pendi'lglnvesligation 32d. Timeoflnjuf}' I ",.I"ju~"W"k? '" IlTranspor\alionlnjury(SpecHyj 32g. Localion (Street,cityl\own, stale) o Suicide o Could Not Be Delermined OYesONo o Driver(()pereklr 0 Passenger M o Pedeslrian o OIher - Specify: 33&. Certl1ler (check only one) ~IUreand~OfCertjRer \Vh Certifying physician (Physician certifying cause of death when another physdan has prooounced dealh and coOVleled lIem 23) t. ""--.... To lhe ~st of my knowledge, death occumld due to the tause(sJ and INInner as stated .._..........._............................. .....- ........... ......................... .................... ......pt: Pronouncing and certtfylng physician (Physician belli pronouncing dealt! ancl certifying 10 cause of dealh) 33c. license NulTtler 330. DaI'S~TI~thr:~"') To the best of my knowledge, death occurred at the time, date, and place. and due to the cause(s) and manner as slated. ..-..., ............................ ........................ ..0 r.,.1) 1!>1"..2.'11' Medlcalexaminerlcomner On the basis of examination and/or Investfgation, In my opinion, duth occurred al the time. date. and place, and due to the cause(s) and manner as stated .........0 ". Name and Address of perso~ Co~ed~rOI Death (lIem27) TypeJPrinl 135 ~~.~:'t\~t'~;} M:" _\. ~ _ ft. I :b~' :~~Mon;~~~ ~~ ()D'J~' )..., '<lLuI"O .,J" I\\n IQI l 1,:),1 \ I() I ~~~ W~(".""'-t' ~\)!tll. 6\.tl <-~rL{~ ... (jIc. COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH STATE FILE NUMBER ~I o w VJ ::> VJ "" ::; "" .... Z w liJ u w o "- o ~ z (See instructions and examples on reverse) Register of Wills of Cumberland County RENUNCIA TION Estate of John W Kuntz, Sr. No. ~ \ - Olo sg-S Also known as , deceased To the Register of Wills of Cumberland County, Pennsylvania The undersigned WinifredK. Kuntz,JohnWKuntz,Jr Daughter/Son (Name) (Relationship) (Capacity) of the above decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters of Administration be issued to J'.at~..J. 11~1,,;1l011 f7 A lt2-JL( ,Ch :r. H IJ ifnI l--101/1/ Witness my/our hand(s) this ;J 7 !!.nay of January ,20~. NO ARIAL SEAL BONNIE L. COYLE, NOTARY PUBLIC RLAND CO. PA tlfcow.t8SlON EXPIRES OCTOBER 17, 2006 JJff1~dJ '!1. ~ (Signature) Winifred K. Stern 11 Stoner Road, Newville, PA 17241 (Address) Affio/Wd and su. ribed before me this f21ll day of" .~ . , ~ I3rP~w.L . ~ ~ Notary Public M ?!!!!::~if::~~ 96 Fish Hatchery Road, Newville, PA 17241 (Address) Or Affirmed and subscribed before me this ~ day of (Signature) Register of Wills Deputy (Address) ,"-'-\ , ", (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission) -.. ,~ -~"-"l