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Home My WebLink About03-02-06 .,. ,., Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of Sandra J. McHenry also known as No. 21-05-01090 , Deceased Social Security No. 170-28-7127 Rebecca S. Baumbach and Susan E. Hughes Petitioner(s), who is/are 18 years of age or older, appl(ies) for: (COMPLETE 'A' or "B' BELOW) o A Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the the Decedent, dated and codicils dated ALL ASSETS WILL REMAIN UNDER CUSTODY AND CONTROL OF REBECCA S. BAUMBACH, THE PENNSYLVANIA RESIDENT, UNTil THE ESTATE IS FINALIZED. named in the last Will of 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: ~ B. Grant of Letters of Administration (c.t.a; d.b.n.c.t.a; pedente lite; durante absentia; durante minoritate) 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: I Name Relationship Residence I Rebecca S. Baumbach Daughter clo JSDC Hershey, PA 17033 David Hoke Son ASPC - Florence Nortb Unit Florence AZ 85232 . " . . Susan E. Hughes Daughter clo JSDC Hershev. PA 17033 (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his/her family or principal residence at 1124 laurel Avenue, Lower Allen Township (list street, number, and municipality) r. -- J Decedent, then 69 years of age, died 11/09/2005 at 1124 Laurel Avenue. Camp Hill. PA 17011 (Location) c. 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: 1124 laurel Avenue, Lower Allen Township, Cumberland County, PA 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: 10,000.00 75,000.00 Typed or printed name and residence Rebecca S. Baumbach c/o JSDC POB 650 Hershey, PA 17033 Susan E. Hughes c/o JSDC. PO Box 650 Hershey, PA 17033 Prepared by the Pennsylvania Bar Association Copyright (c) 2004 form software only The Lackner Group. Inc. Form RW-1 (1991) .", ~ Oath of Personal Representative Commonwealth of Pennsylvania 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 representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. ~h~[~^- Sworn to or affirmed and subscribed before me this day of Susan E. Hughes j No. Estate of Sandra J. McHenry , Deceased also known as Social Security No: 170-28-7127 Date of Death: 11/09/2005 AND NOW, mFrRC I~ 3 ~07J lJ; , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters 0 Testamentary l!l of Administration (c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate) are hereby granted to Rebecca S. Baumbach and Susan E. Huahes, Administrators in the above estate and that the instrument(s) dated Renunciation............................. .$ Attorney: Gary L. James, Esq. described in the Petition be admitted to probate and filled of record as e last Will of Decedent. uL<LFClLt~ FEES Letters.............................. __........$ ~ IO.D(J g,OO Short Certificate( s ~.....................$ Affidavits ( ).........................$ 1.0. No: 27752 James, Smith, Dietterick & Connelly, LLP 134 Sipe Avenue Extra Pages ( )....................$ Address: Codicil.............................. __.. ......$ Hummelstown, PA 17036 Telephone1 717/533-3280 E-Mail: glj@jsdc.com JCP Fee.... ................... ...... ........$ Inventory.............................. -_.... $ TOTAL............... ............. $ jO.O 0 13g.DO Other.............................. __..........$ Prepared by the Pennsy)vania Bar Association Copyright (c) 2004 form software only The Lackner Group, Inc. Form RW-1(1991) ' Register of Wills of Cumberland County a 0 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 aze true and correct to the best of the knowledge and belief of petitioner(s) and that as personal representative(s) of the above decedent petitioner(s) will well and truly administer the estate accordin to law. Sworn to or affirmed ands bscribed ~ /~`- Before a this 1?~ day of ~, -:, _~~ C~'~ ~ r :-` _._ .. '_1 .4~.. ~ ~' Register ~~ `~ -I ~ r~ Estate of V ~ DI~1 ~ ~~ ~~ ~~ Deceased ~ c~ ~ .. -- GRANT OF LETTERS OF ADMINISTRATION v; AND NOW I ~ 1,~U~' ~ 20~~ in consideration of the petition on the reverse side hereof, satisfactory roof having been presented before me, IT IS DECREED that~EtrCA- 5 ASR .L Iti1.B I-~ f (~ Slda$fl')~{ E ~-h,(.(7 is ar entitled to Letters of Administration, and in accord with such finding, Letters of dministration are hereby granted to RL?i~C.C/~ ~S.. I.YYllQpcfJ~- A'IJD ~u.SATt E• ~ GF{-FS . in the estate PEES ~ Probate, Letters, Etc .............. $ ~ ~ o n Will ................................. $ Renunciation ....................... $ Short Certificates (?a ............ $ -~~ ~ JCP .................................. $ Automation Fee ................... $ -tend.. ~0. CY.1.IVl~.ISS:I Q 1J ....... $ 2~ • ~ Total $~ ~) U Filed 20 Register of Attorney (Sup. Ct. I.D. No.) Address Phone IfS) [g ~ [g 0 WI [[r~~:\ Register of Wills of Cumberland County, ~~~!!~~~"]Ji PETITION FOR GRANT OF LETTERS BRIDGEPORT PRO['.'\Tr.: COURT j Estate of Sandra J. McHenry No. 21-05-0----- also known as , Deceased Social Security No. 170-28-7127 Rebecca S. Baumbach and Susan E. Hughes Petitioner(s), who is/are 18 years of age or older, appl(ies) for: (COMPLETE 'A' or IB' BELOW) o A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the the Decedent, dated and codicils dated ALL ASSETS WILL REMAIN UNDER CUSTODY AND CONTROL OF REBECCA S. BAUMBACH, THE PENNSYLVANIA RESIDENT, UNTIL THE ESTATE IS FINALIZED. named in the last Will of 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: 00 B. Grant of Letters of Administration (c.t.a; d.b.n.c.t.a; pedente lite; durante absentia; durante minoritate) 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: I Name Relationship Residence I Rebecca S. Baumbach Daughter c/o JSDC Hershey, PA 17033 David Hoke Son ASPC - Florence North Unit Florence. AZ 85232 Susan E. Hughes Daughter c/o JSDC Hershev. PA 17033 :~-, 10....... ~ (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his/her family or principal residence at 1124 Laurel Avenue, Lower Allen Township (list street, number, and municipality) 'J'" . i Decedent, then 69 years of age, died 11/09/2005 at 1124 Laurel Avenue, Camp Hill, PA 17011 (Location) 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: 1124 Laurel Avenue, Lower Allen Township, Cumberland County, PA 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: 1.....,.-, f 10,000.00 75,000.00 Typed or printed name and residence Rebecca S. Baumbach clo JSDC POB 650 Hershey, PA 17033 Susan E. Hughes clo JSDC, PO Box 650 Hershey, PA 17033 Prepared by the Pennsylvania Bar Association Copyright (c) 2004 form software only The Lackner Group, Inc. Form RW-1 (1991) ''In,.\,\()1:; DT.'\' 11"<: Thi:-. 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. /(a~q[;~ Fee for this certificate, $6.00 P I 12132987 1/-/5 - 05' Date : .J ,..-.. ~... .. "'~,.; H105.144 Rev. 1/91 COMMONWEALTH OF PENNSYLVANIA a DEPARTMENT OF HEALTH a VITAL RECORDS CERTIFICATE OF DEATH (Coroner) c-; TYPE/PRINT IN PERMANENT BLACK INK /130-117 J McHenry SEX 2. Female STATE filE NUMBER SOCIAL SECURITY NUMBER t- Z W o w () w o l5 w ~ <0( z 1 170 - 28 - 7127 DATE OF DEATH (MUlllh, Day, Ye,,,) 4. November 9, 2005 DECEDENT'S USUAL OCCUPATION (~r~;:.~~t.ii,;,:,~~o:~r~r:'f . 11a. customer service 11b. Highmark DfCEDENT'S MAILING ADDRESS ($Ireet, CllylTown. Slale, ZiP Code) DECEDENT'S ACTUAL RESIDENCE (Soo In5ln ",IK"'S on olh", "'(0) 1124 Laurel g'1'="y) 0 UNDER I DAY DATE OF BIRTH BIRTHPLACE tClly and PLACE OE DEATH (Check only U/lO - see II,slruclions un olher Sode) Hours Minutes (MWlh, Day, YOOI) Slale Of fOtetgn Countryi HOSPITAL: - Dec.31,1935 H ti d PA ~~~MO 7. un ng on, ... CITY, BOA F DEATH FACILITY NAME (II no4 insl~uhon, give slleel alld IlUlnbr,,) RACE. American Indian. Black. While, etc (Spoclly) White 10. 17a. State Old decedent I/ve in a Cumberland township? 17d.LJ ~~;'~~1~~7:,~::0' MOTHER'S NAME (h/5I, MICl(Ilc, "",.dell Surname) a Genevieve Wilson INrOAMANT40AJlsj_i~'::S(D~I,.CrlYEOi'i~a~bl~Cth)town, PA 17022 20b. PLACE OF DISPOSITION - Name 01 Cemetery, Cremalory l.OCATlON - CrtylTown. Slate. lop Code or Other Place MARITAL STATUS. Married Never MarrlEld. Widowed, Divorced (Speclly) Divorced 17c.LX Yes.decedenllivedin Lower Allen SURVIVING SPOUSE (II ",rle, give maden n"me) WAS DECEDENT EVER IN U S ARMED FORCES', Yes D No DI N/A 12. twp 1124 Laurel Ave. Camp Hill ,PA 17b. County cllylboro o w (,/) ::> (,/) <0( ::i <0( D 11/15/05 lICENSE NUMBER 012165L 21c. BFH CREMATORY NAME AND ADDRESS or FACILITY Matinchek & 22c. 7057 22b. To the beSl 01 my klloJYtledl:je. death occuffed allhe time. dale and place slaled (S.gnaIUl e and Tille) LICENSE NUMBER 23.. TIME OF DEAl H DATE PRONOUNCED DEAD (MOlllh, D<lY. Yeal) 24. 3: 00 P. M 25. November '12, 2005 27. PART I: Enler Ihe diseases. injuries or complicalions which caused Ihe daath. Do nol enter the mode 01 dy'''9, sucll as cardiac or respiratory am.5I. shock or heart lailure, list only one cause on each line. 23b. 23c. WAS CASE REfEHRED TO ME'-l!.<jA.l EXAMINER/CORONER? Yes IX 26. NoD DUE 10 (OR AS A CONSEQUENCE OF): . Appro.imate : Inlarva' between 10fl58t and death I 1 1 1---- PART II: Other signilicanl conditions conlribulmg 10 dealh. bul nol resulll"9 ,n Ihe undertymg cause givenlR PART I a~_~tic FaiJ:ure DUE TO (OR AS A CONSEQUENCE Of): b. DUE TO (OR AS A CONSEQUENCE Of): d WERE AUTOPSY FINDINGS AVAILABLE PRIOR TO COMPLETION OF CAUSE OF DEATH? MANNER OF DEATH TIME OF INJURY M. 30e. DIQ"E or INJURY (Monlh, Day, Year) INJURY /liI WOfIK? Natural ~ o o Homicide o o 30a. JOb, O PLACE OF INJURY. AI home, farm, ~Ireet. lactory, offICe building. ,,'c. (Spec,fy) 30e. Yes Yes 0 NO!<. Yes 0 2... 28b. CERTIFIER (Check only one) .CERTlFYING PHYSICIAN (phYSlc",n cerlilYlng cause 01 death when anoth& phYSICian has pronounced d"alt. and completed Item 23) To tha beal of my knowledge. death occurred due to the cauae(a) and manner as atated. . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . No 0 Accident Pending InvesligatlOn Suicide 29. Could not be determined D Coroner .MEDlCAL EXAMINER/CORONER On the baals 01 examination and/or Investigation. In my opinion, death occurred at the time. date, and place, and due to the cause(s) and manner as atated.. . . . .. .. ., . . .. . . .. . . ... . . .... . . . . . . .... .. . . ... . .. ... .. .. ... . ... . .... .... . .. ..... . .. ..... .. ... . ., .. 31a. REGISTRAR'S SIGNATURE AND NUMBER .l2~I~~I" I DATE StN~~~';b ~~Yea14 , 2005 D 31c. 31d. NAME AND ADDRESS OF PERSON WHO COMPLETED CAUSE OF DEATH (Item 2!) Type or Prinl Michael L. Norris, Coroner ~ 6375 Basehore Road, Suite #1 ~n Mechanicsburg, Pa. 17050 DATE FILED (Monlh, Day, Year) 'PRONOUNCING AND CERTIFYING PHYSICIAN (PhYSICian bulh pronoullculg dealh and cerlitYI"9lo cause of dealh) To the beat 01 my knowledge, c1e.lh occurred atlhe lime, dale. and piece, and due to the cauae(a) and manner.. ataled.. . . . . . . . . . . . . . . . . . . . . . . . . 34. l\- 5 -05 Marjorie A. Wevodau First Deputy IRr~;~~~~5DI ~~6~r\WaiJj~~6t9rT3E COURT Glenda Farner Strasbaugh Register of Wills & Clerk of the Orphans' Court Kirk S. Sohonage, Esquire Solicitor (717) 240-6345 FAX (717) 240-7797 OFFICES OF ~egister of Wills anb Q[lerk of tbe <!&rpbans' <tourt C!l:ountp of ([umberlanb February 15, 2006 Jeannette Sargent, Clerk Probate Court 202 State Street Bridgeport, CT 06604-4804 IN RE: Estate of Sandra J. McHenry, deceased Estate No. 21-05-01090 Dear Ms. Sargent: Enclosed please find a Commission to Take Oath, Oath of Personal Representative, and a Petition for Probate and Grant of Letters for the above estate. If you would please advise Ms. Susan E. Hughes when she can appear before the Probate Court to execute the oath, it would be appreciated. Her telephone number is 203- 396-0129. Enclosed please find an envelope for you to return the Petition for Probate and Grant of Letters along with the Oath of Personal Representative to this office. If you have any questions or concerns, please feel free to call. Respectfully, ~~~ ir~-0' _2. Glenda Farner Strasbaugh d'~ Register of Wills and Clerk of the Orphans' Court Enclosures 1',rr.D.~ [[~HC; ~ 0 ~.\~7.G]: ~n'.. ..'1 r:;--;-l'l \\, Ir ~~B. 2 2 200~~)' BRIDGEPORT PROBATE COURT Register of Wills of Cumberland County State of Pennsylvania SS: County of Cumberland BE IT REMEMBERED, that I, Glenda Farner Strasbaugh, Register of Wills of Cumberland County, Pennsylvania, do hereby commission you, Jeannette Sargent, Clerk of Probate Court in Bridgeport, Connecticut or one of your Deputies, to administer the Oath of Personal Representative in the Estate of Sandra J. McHenry, late of Cumberland County, Pennsylvania. IN TESTIMONY WHEREOF, I have here unto set my hand and affixed my seal the 15th day of February, 2006. ~.~~~ Glenda Farner Strasbaugh Register of Wills Cumberland County j\\\I.....\IIIIIDIIIII/{!(k0.:(().\.\IIIlIIP I III UIII< 1\ J.S.).( February 7, 2006 Via Hand Delivery Glenda Farner Strasbaugh, Register of Wills Cumberland County Courthouse 1 Courthouse Square Carlisle, PA 17013 Re: Estate of Sandra J. McHenry, deceased Dear Ms. Strasbaugh: As you know, we represent the Estate of Sandra 1. McHenry, who died on November 9, 2005 as a resident of Lower Allen Township, Cumberland County, Pennsylvania. Her daughters, Rebecca S. Baumbach and Susan E. Hughes, have been allowed to serve as Administratrixes of the Estate pursuant to your Decree dated January 25, 2006. We would ask that you deputize Jeannette Sargent, Clerk of the Probate Court of Bridgeport, Connecticut in order to administer the oath of office to Ms. Hughes. Enclosed are the following documents: 1. An original Death Certificate for Ms. McHenry. 2. An original and one (1) copy of the Petition for Grant of Letters Testamentary. 3. An original and one (1) copy of the Estate Information Sheet. The contact information for the Clerk of the Probate Court in Bridgeport, Connecticut is as follows: Jeannette Sargent, Clerk Probate Court 202 State Street Bridgeport, CT 06604-4804 (203)576-3945 Please direct the Clerk to contact Ms. Hughes at (203)396-0129. ?II-IE ESTATE SECURITY "F" i "'-')I')1\. lft- T]" " /\ " (~. 'JVI" j. _~l'... .:" Cheryl L. Baker, CP Certified Paralegal clb@jsdc.com 134 SIPE AVENUE HUMMElSTOWN, PA 17036 MAILING ADDRESS P.O. BOX 650 HERSHEY, PA 17033 TOll FREE 1800942.3660 TEL. 717533.3280 FAX 717.533.7771 www.jsdc.com Glenda Farner Strasbaugh February 7, 2006 Page 2 of2 Once the Petition has been executed by the Administratrixes, please provide us with the four ( 4) short certificates and the Grant of Letters. Thank you for your attention in this matter. If you have any questions, require any additional information or documentation or require additional funds, please feel free to contact me. Very truly yours, e L. Baker, CP lfied Paralegal Enclosures cc: Rebecca S. Baumbach, Co-Administratrix Susan E. Hughes, Co-Administratrix