HomeMy WebLinkAbout02-21-06
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of Robert W. Maschmeyer,
Deceased
No. 1..00f.t; ,- 0 ISO;
To: Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
Social Security No. 579-52-5841
The Petition of the undersigned respectfully represents that:
Your Petitioner, who is 18 years of age or older, applies for letters of administration c.t.a. on
the estate of the above decedent.
Decedent was domiciled at death in North Middleton Township, Cumberland County,
Pennsylvania, with his last family or principal residence at 1919 Esther Drive, Carlisle,
Pennsylvania.
Decedent, then 65 years of age, died on December 20,2005, at 1919 Esther Drive, Carlisle,
Pennsylvania.
Decedent at death owned property with estimated valued as follows:
(If domiciled in Pa.) All personal property $
(Ifnot 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: 1919 Esther Drive, Carlisle
6,000.00
:,
J;,,~.- . .,
60,500.00
Total
$
66,500.00
( f......
Petitioner after a proper search has ascertained that Decedent left no original will andLwas
survived by the following spouse and heirs:
Name
Relationship
Residence
Virginia A. Maschmeyer
Brian T. Maschmeyer
Robert Maschmeyer
Craig M. Maschmeyer
Jennifer A. Maschmeyer
Wife
Son
Son
Son
Daughter
1919 Esther Drive, Carlisle, PA 17013
180 Barnstable Road, Carlisle, P A 17013
6214 Wallingford Way, Mechanicsburg, PA 17050
518 Seem Street, (Rear), Emmaus, P A 18049
61 High Bluff Road, Hilton Head, SC 29926
THEREFORE, Petitioner respectfully requests the grant of letters of administration In the
appropriate form to the undersigned.
1fr)/!~r1
V' inia A. Masc yer
OATH OF PERSONAL REPRESENTATIVE
COMMONWEAL TH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS
The Petitioner above named swears or affirms that the statements in the foregoing Petition
are true and correct to the best of the knowledge and belief of Petitioner and that as personal
representative of the above Decedent Petitioner will well and truly administer the estate according
to law.
Sworn to or affirmed and subscribed
before me this 2/ So'" day of
Fe b r u tLr'j , 2006
~t '1dJt/U;\ ~~
(Wt '-1r'~, Register
~
~/~
i nia A Maschme r
NO. ?-OO{P-OlSq
Estate of Robert W. Maschmeyer, Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW, 7e);W.~ l..-/ s 1-) ,2006, in consideration of the Petition on the
reverse side hereof, satisfactory oofhavmg been presented before me,
IT IS DECREED that Virginia A Maschmeyer is entitled to Letters of Administration, and in accord
with such finding, Letters of Administration are hereby granted to Virginia A Maschmeyer in the
estate of Robert W. Maschmeyer.
FEES
Letters of Administration.......$ 135. vO
Short Certificates ( ) ............$
Refll:lRoiation-.I.C.f..................$ 10.00
auto $ 6. tJ{)
TOTAL $ Joo.oo
Filed .F..~.i:?:...~~)............. AD. 2006
Sean . Shultz, Esquire
Attorney J.D. No. 90946
11 Roadway Drive, Suite B
Carlisle, P A 17013
(717) 249-5373
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This is to certify that the information here given is correctly 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.
~t\.~~&.~
Local Registrar
Fee for this certificate, $6.00
P
I
12045537
DEe 2 7 7005
Date
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ebD~l\..(~\, \i\~~ I \\11
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Hl05.143 Rev. 2187
COMMONWEALTH OF PENNSVLVANIA . DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
YPEJPRINT
IN
:RUANENT
UCJCJNK
N"ME OF OeCEOENT (First. Middllt. lasl)
SEX
SiRE FILE NUMBER
SOCI"L SECURITY NUMBER
~\
2.Male
579 - 52
.. Dec 20 2005
AGE {Las! Birthday)
UNDER' YEAR
...an1hs Days
BIRTHPlACE (City aAd
State 01' ForetgnCounlry)
~ID
65 v".
..
COUNTY OF OE.IJ'H
...
Ie.
RACE. American Indian, Black, White, etc.
(Spec"'l
1.. White
SURVIVING SPOUSE
l" wile. give maiden name)
Virginia A Brown
...
Cumberland
DECEDENT'S USUAL OCCUPRIQN
(~;=N~~:;~~
Traffic Officer
1919 Esther Drive
,parlisle, Pa 17013
FIU"HEFI'S NAME (First. Middle, Last)
11. George W. Maschmeyer
INFORMANT'S NAME (TYpe/Print)
_. Virginia A. Maschmeyer
METHOD OF DISPOSITION
Burlal 0 Cr..".1on [XI RemovaIlrom Stat. 0
OCher (Specity\
Cumberland
l>d
__nt
live in.
tOwnship?
lWp.
,7b. Coun
17d.D :;'='=01
Clty......
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frl
o
u.
o
w
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~
Z
MOTHER'S NAME (Fl1s1. Middle, Malden Surname)
11. Elizabeth Hall burton
INFORMANT'S MAIUNG ADDRESS (Street, CityJTOwn. Slate, Zip Codel
2". 1919 Esther Drive Carlisle Pa 17013
PLACE OF OJSPOSmON - Name ot CefMlery, Cremalory LQCR"ION - CityfTown, State, Zip Code
or Othef PlacfI
....
TlMEQFOEATH
12:20 P
24. M. 25.
27. PART I: Enter the diHue., injuries or complicalion$ which caused the dtalh. Do not enter the mode 01 dying. such as ca,diac or respfratory arrest. snoctl: or hean lailU18
List only one t:aUSfJ on eacflline.
DATE PRONOUNCED DEAD (Mooth. Day. Year)
Dec. 20, 2005
Other signillcant eondlUans conll'ibutlng to death, but
not resutllng in ftle ut\deIl'yIng ~gWenin PART I.
[jJ
<n
::>
<n
~
:J
~
,.b. FD-O 12909-L
10. the b8Sl or my knowledge, death occurred at the lime, dale and place Slated
(Signal\Jreand TilleJ
tr7$!('r<;T'-n-n ~ C/tfl__:j(vfJf-".1f ?/l 0,';'4""/2::"
OUE 10 {OR /IS A CONSEOUENCE OF!:
l :
DUE m {OR AS A CONSEQUENCE Of):
DUE 10 (OR AS A CONSEOUENCE OF):
WERE AUlOPSY ANOINGS MANNER OF OE,(l'H
~ILABLE PRIOR 10
CQMP\.ET1ON OF CAUSE J&'" 0
OF oe.<rH' N...... Homicide
- 0 Pending lnveallgatlon 0
Noif .....0 No..el SU.... 0 Could no! be determined 0
DATE OF INJURY
(Month. Day. ""ar)
TINE OF INJUAY
INJURY 1J WORK? DESCRIge HCNV' INJURY OCCURRED.
..... 0 NoD
2..
....
PtACE OF INJURY. AI home, farm, stflNf. IacfOty. oHlc.
buiktng, etc. (Specitvl
3...
....
.2". Db.
CERTIFIER (CheCk only one)
"aRTlFYING PHYSIClAN (Physician (:ertitying cause 01 death when anotl1er physician has pronounced dealh ana CQTIpIele<:l1tem 23)
To the best of My knoWtectge, death oc:curnrd due to rIM c.~sJ.nd m~.. min. . . .
)b
o
.UEDtCAL EXAMINER/CORONER
On the bas" of examln"lon andlor Investigation, In my opinion. d.ath occulTed at the time, date, and place, and due 10 the cause(t1) and
manner.. stated...,..,.,.."."..,.,...,....,.... <........,...,....,.."..., <...... < ".".."""."....,..,..".
3'a.
33. AEGISTRAA'SSIGN""URE'NONU"'BE~.~. ~~~
I~I\ ~I \ iOI
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LICENS NBER t~ ~ 0 SIGNED(MonltI. Day,'lbatl
J!J 31.. //1 ()) P C1 I/rth:: 31d. /"l.-V-05"
NAME AND ADDRESS OF PERSON WHO COMPLETED CAUSE OF DEATH
(lIem 271 Type or Print /fl)m~ J'trv(}('~) ,,1m
o '5"71 c.. 'j!t.-j NO <--1f' I?: VA:;:o
32. C~ P r1/--'- j?/I I'"' 0 II
OATE FILED (Mooth. Day. 'Atar}
~.d,\ ~()()5"
,..
.PfIONOUNCING A.ND CERTJ1:YING PHYSJC1AN {Physician both p.onounclng death and certifylnQ 10 cause 01 death)
To thII b4tM at my knowtedge, dHth accul'l'ed" the time, dele, and plK., and due to the CIluse(a) and maMef.. .t.Ced