HomeMy WebLinkAbout03-10-06
Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Estate of Patricia A. Donsbach No. 21-- 0(0- 02-1 (p
also known as
, Deceased
Social Security No. 172-38-9215
Holly L. Housel
Petitioner(s), who is/are 18 years of age or older, appl(ies) for:
(COMPLETE lA' or 'B' BELOW)
D A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the
the Decedent, dated and codicils dated
Administratrix
named in the last Will of
State relevant circumstances, e.g., renunciation, death of executor, etc.
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Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after executior1(of,<the docum~
offered for probate; was not the victim of a killing and was never adjudicated incompetent: (~;.:,:: SS, to,)
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B. Grant of Letters of Administration
c.I.a.
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(c.t.a; d.b.n.c.t.a; pedente lite; durante absentia; durante minOri~j.~~: :':';-1 _.'"''
Petitioner(s) after a proper search haslhave ascertained that Decedent left no Will and was survived by the following spoi.is~;':~ff any) ar1'l'f1leirs:
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I Name Relationship Residence - I
Christopher D. Donsbach Son 11850 9th Street North, Apt. 21202
Saint Petersburg, FL 33716
Holly L. Housel Daughter 152 Faith Circle
Carlisle. PA 17013
(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 312 West Maple Avenue,
(list street, number, and muniCipality)
Decedent, then 58
years of age, died 01/23/2006
at
Decedent at death owned property with estimated values as follows: (Location)
(If domiciled in PA) All personal property $ 590.00
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $ 167,380.00
situated as follows: 312 West Maple Avenue, Shiremanstown, Cumberland County, Pennsylvania 17011
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:
Signature
Holly L. Housel
Typed or printed name and residence
152 Faith Circle
Carlisle, P A 17013
717-218-0821
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 person representative(s) of
the Decedent, Petitioner(s) will well and truly administer the estate according to la
before me this loth
day of
Sworn to or affirmed and subscribed
-~
J....DO~
~a. ~avuA ~(Ldm1~
'.PeA ~ ~ FortheR~(J.-
f\\o.
21--
Estate of
Patricia A. Donsbach
, Deceased
also known as
Social Security No: 172-38-9215
01/23/2006
Date of Death:
AND NOW,
'--VVLatLdL
10M
1-000
, in consideration
of the Petition on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters DTestamentary [!] of Administration c.I.a.
(c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate)
are hereby granted to Holly L. Housel, Administratrix
in the above estate and that the instrument(s) dated
described in the Petition be admitted to probate and filled of record as the last Will of Decedent.
FEES
Letters..... .......................... _.........$
Short Certificate( s) ......?............. $
;2...0.00
,~ -i-aMffi..AU>1~
~~ oRegisterof~ ~/
Attorney: ~. ~~
2(00.00
Renunciation... ...... ...................... $
I.D. No: 86556
Bogar and Hipp Law Offices
Address: 1 West Main Street
Affidavits ( )..........................$
Extra Pages ( )......................$
Codicil......................................... $
JCP Fee............... .......................$
;0.00
Shiremanstown, PA 17011
Telephone2 717-737-8761
Inventory..............................._..... $
E-Mail:
Other... Jf.Yl.9....... ..... ..... ...... ...$
5..00
TOTAL.............. .............. $
;2.qs. DO
Prepared by the Pennsylvania Bar Association Copyright (c) 2004 form software only The Lackner Group, Inc.
Form RW-1(1991)
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This is to ~ertify that t~e .informa~i?n here. given is correctly copied from an original certificate of death duly filed with me as
Local RegIstrar. The ongmal certlfIcate wIll be forwarded to the State Vital Records Office for permanent, filing.
Fee for th::~rt~:i::~' I:::l:llegal to duplicate this copy by photostat orJ;j!(fJ;~...
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No.
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lib. Counly 01 ONIIl
VIS.
COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEAlTH · VITAL RECORDS
CERTIRCA TE OF DEATH STATE FIt.f tUIBER
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PERMAHfHT
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Re rese~tative Cust;~ce
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MAR-07-06 rUE 05:20 PM
FAX NO.
P. 02/02
Register of Wills of
Cumberland _. __._ County, Pennsylvania
RENUNCIA TIOH
Estate of
.... patricia A. Donsbach
No. 21..-
also known as
I Deceased
Tho undersloned,
Christopher D. Don.bach '
Son
of
(~~'atlon5hlp) (Capacity)
thB above Oecedent. hGlreb~ renounce(s) the right to admini~lGr the estate and res.~er;.t(ully requcst(s} that Letters baIS$\Mtd to
Holly L. H~~el
WITNESS mY/Qur hand(s) this
~~~~/~~
Christopher o. Donsbach
,,~,~~~f~&8'~'
~...;.. .J' <"/.-:-,.
;. .~ ....1r... C\ ~ Notary Public - State a
4\~~ .;i MyCor1'mtsbnExpiresOC~, J n A Parry
..J -:....;:,~ fl;~""~ CO,m, . ,-flISS, i,on # DD1619 I, eo ·
~ '''nn' BO'lc'c~.l i\ir; :-ional Notay Assn. r:
/ - - - - - ~- - - -7C/07 ~ &1 ~ ,'/I-fL
(Addressl\~ . ~8l/l# 1
JEAN A. PARRY
(Signature)
(Adfjr"~~
y Comrnis.:iloo ExpifOS;
(Slgna(u/tl and r,e;:1/ of Nota/Y or Olh&.r ofticlJI
quilUfi'Bd to admin!$lc( OQ(.h~. Shaw <:tale or
e'l.pll~lion of NQl;lryS commission.)
PtcpDred bV ~he Pann~ylvania ear Ar,ooeio1lion
CoPi"'OI~ (c:) :lOo.1 torM S{jflwoJ'el enl)' Tn. lAf'..k.t;&t Q(cup, Ir.c:,
\nHJ Cfitl?
NOTE: Renunciations exe~Q, O~f$kLAhe ~~cf ;r ~~ta~:r of Will$
In Some counties are required to be nOlam;eQ.;
.-.P()(ffl #RW-4 (1!}?11
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CleWI t:'v
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