HomeMy WebLinkAbout03-13-06
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of CATHY S. TILDEN
also known as
No.
To:
;2.. J - oltJ - 0 1 ? J
Deceased.
Register of Wills for the
County of C,lTMRERLAND in the
Commonwealth of Pennsylvania
Social Security No. 165-56-5013
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, appl ies
for letters of administration
on the estate of
(d.b.n.; pendente lite; durante absentia; durante minoritate)
the above decedent.
Decendent was domiciled at death in Cumb e r land County, Pennsylvania, with
h ~r last family or principal residence at 205 CME. Newville. Pennsylvania
(list street, number and municipality)
Decendent, then 47 years of age, died January 15. 2006
~ Dickinson Township, Cumberland County. Pennsylvania
, 19
Decendent at death owned property with estimated values as folllows:
(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:
$ 25,000.00
$
$
$
Petitioner_ after a proper search h~ ascertained that decedent left no will and was survived by
the following spouse (if any) and heirs:
Name Relationship Residence
Heather S. Wert dau2hter 1217 Mountain Rd., Newbur
Matthew H. Tilden Son 401 N. Bedford St. , Carli
Dane S.. Tilden son 22 Buttonwood Lane, Carli
DaneRhiaS. Tildpn dauQ:hter 22 Buttonwood Lane, Carli
g, PA
sle, PA
sle, PA
sle, PA
THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the
appropriate form to the undersigned.
-
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:g 3 Heather S. Wert
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1217 Mountain Road
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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 of petitioner(s) and that as personal
representative(s) of the above decedent petitioner(s) will well and
truly administer the estate according to law.
Sworn to or affirm. ed and subscribed f ~# -r ~~
") "7-1/1
before me this or-- day of
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No. )..006- 0 I r I
Estate of
CATHY S. TILDEN
, Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW ~ / 3 ~ 2DO/a, in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that
is/ are entitled to Letters of Administration, and in accord with such finding, Letters of Administration
are hereby granted tol!EATHER S. WERT
in the estate of CATHY S. TILDEN
$
$
$
$
TOTAL _ $
Filed ~"<~"""" A.D.
~JO. vO
/1-. aD
/0.00
16.00
q7.oo
S LOD~
FEES
Letters of Administration
Short Certificates(3) . . . . . . . . . .
. . (2)
RenuncIatIon ................
:;Cp y. auf-o
A TTORNE (Sup. Ct. LD. No.)
4 N. Hanover Street, Carlisle, PA
ADDRESS
17Cl13
717/ 243-4574
PHONE
JOHN H. BROUJOS
HUBERT X. GILROY
BROUJOS & GILROY, P.C.
ATTORNEYS AT LAW
4 NORTH HANOVER STREET
CARLISLE, PENNSYLVANIA 17013
TELEPHONE: (717) 243-4574
FACSIMILE: (717) 243-8227
jbroujos@broujosgilroy.com
hgilroyObroujosgilroy.com
February 27, 2006
NON-ToLL FOR HARRISBURG AREA
717-766-1690
Register of Wills
Cumberland County Courthouse
One Courthouse Square
Carlisle, P A 17013
Re: Estate of Cathy S. Tilden
Dear Glenda:
Attached for filing is a Petition For Grant of Letters of Administration in the estate of
Cathy S. Tilden.
The decedent was survived by four children. Heather S. Wert is a surviving daughter and
is the petitioner and seeks to be appointed Administrator of the estate. Two other adult
siblings, Matthew H. Tilden and Dane S. Tilden, have or will file renunciations. The fourth
child is Daneshia S. Tilden who is fifteen years old and resides with her father, David
Tilden, at 22 Buttonwood Lane, Carlisle, P A. Based upon her minority, we do not believe
she should be appointed Administrator, nor does she have the legal capability of filing a
renunciation.
Please advise if you have any questions.
Thank you for your attention to this filing.
Sincerely yours,
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Enclosure
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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.
Fee for this certificate, $6.00
p
12269313
No.
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JAN 1 8 2006
Date
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Hl<Y.;.144 RlIV. 01106
TVPEIPllINT IN
P::tc~I~ttl it30-161
,. Name 01 Decedenl (FirSI, middle, iasl)
COMMONWEALTH OF PENNSYL VANIA · DEPARTMENT OF HEALTH · VITAL RECORDS
CERTIFICATE OF DEATH (CORONER) STATE FILE NUMBER
3. Sode' Security Nurrbet
4. Dale 01 Oealh (Monlh, day. year)
January 15, 2006
Cathy
s
Tilden
5. fv;je (Last birthday)
47
7. Dale 01 Birth Month. da . ear
Nov. 10,1958
Vrs.
Bb. County of Oealh
~
Cumberland
16.
o Ves
Oecedenfs
Aclual Residence
17a. Stale
pa
19. Molhe~s Name (First. middle. meiden surname)
205 CME
Newville,
pa 17241
17b. Counly Cumbre 1 amd
18 Father's Name (First, middle. last)
Oscar R. Lay
208. Informanl's Name (Type/print)
Heather Wert
165 -56
Other:
o EA/Ou tient 0 DOA 0 Nursin Home 0 Residence 0 Other. S ci:
9. Was Decedenl of Hispanic Origin? 10. Race: American Indian. Black. WMe. etc.
:>fl No 0 ~:~~~:~~ic~~~~.) (~i t e
hi hest rade c Ieled
College (1-4 or 5+)
14. Marital Slatus: Married. Neller melTied, 15. SUNiving Spouse (It wife. give maiden namel,
Widowed, Divorced (Sped!')')
Divo ced
Did Decedent
Live in.
Townsh~?
17c. 0 Ves, Decedenllived in Lower M iff 1 i n Twp:
I7d. 0 No, Decedent lived within
Actual Limits of
Cily&ro
Alice Hinkle
2Ob. Informent's Mailing Address (Slreet, cityilown. state. z~ code)
1217 Mountain Rd, Newburg, pa
o
w
en
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tf)
<(
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o Removal from Stale
o Donation
2tc. Place ot Oisposnion (Name of cemetery. cremalOlY or olher placa)
21d. Location (Cilyilown. slale. z~ code)
t Holly springs, fa,
15 Big Spring Ave
Hollinger Crematory
22c. Name and Address of Facility
er Funeral Home, Inc
2311. License Number
T1Ill8 0' Dealh
Aprx.
P. M.
25. Oete Pronounced Dead (Month, day, year)
January 15, 2006
1: 00
CAUSE OF DElI 1ll (See Instructions and examplas)
nem 27. Pall\: Enler the ~ - diseases, in~ries. or corr(llicalions -that directly caused the death. 00 NOT enter lerminal events such as cardiac arrest.
respiratory arrest, or venlticular fibrillalion without showing the etiology. DO NOT abbreviate. Enter only one cause on a line.
::~:;~~S;J~~:dis~ a. Blunt Force Trauma to Lower Body
Due 10 (or as a consequence oQ:
$eQuenlialy Iisl candhions. it any,
o leadilg \0 the cause listed on Line a.
- Enter the UNDERLYING CAUSE
. (disease or injury Ihal inhialed lhe
events resulting in death) LAST.
Due to (01 as a consequence oQ:
Due to (or as a consequence oQ:
3Oa. Was an Autopsy
Perlormed?
d.
3Ob. We/e AuIopsy Findings
Avaiable Prior 10 ~ion
01 Cause of Dealh?
}( Ves 0 No
32d TI!lI80f~prx.
1 : 00 P M.
32b. Oescrile how Injury Occurred: For i top era tor
struck fixed object
32e. Injury at Work? 321. If Transpor1alion Injury (~
D( Ves 0 No 0 Driver/0p8ralor 0 Passenger
o Pedeslrian Other - SpiIcify:
3311. S91 i1ier
32g. Localion (Street. cityilown. slate)
True Temper Drive
Carlisle, Pa.
320. Date 01 Injury (Month, day. year)
Jan. 15,2006
31. Manner of Deafh
o Natural 0 Homicide
]I( Accident 0 Pending investigation
o Suicide 0 Could Nol Be Determined
JI. Ves 0 No
338. Certifier (check only one)
I-
Z
W
o
w
(,)
w
o
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Certifying physician (Physician certilyinQ cause 01 death when another physician has pronounced death and cofT4lleted Item 23)
To the best 01 my knowledge, death oc:curred due to the cause(s) and manner as stated ......................."........_............................."""."....".........."...............................,,0
Pronouncing and certHylng physician (Physician both pronouncing death and certitfing 10 cause 01 death)
To lhe best 01 my knowledge, death occurred at the lime, date, and place, and due to the cause(5)and manner IS 511Ied........"........................_._............................0
Medial examlnerltolOner
On the basis of ...mWIaIIon and/or Investigation, In my opinion, death occurred at the lime, date, and place. and due to \he ClUse(S) and manner IS silted ......-14
~~ Signa\ur~ D. ~~: t\ A 36. Dale F, iIed\.);.MonIh. day, year)
n~' ~ I <9-1 \ I ~ I \ I t) I 0 ~
(See instructions and examples on reverse)
35.
Approximate inteNal:
onset to death
26. ~B:i Case Referred to a Medical ExaminerlCorooar?
yLjr Ves 0 No
Pall II: Enter other sionificant condnions coolrilutina to death. 28. Did Tobacco Use Conlrbule 10 Death?
but nol resutting in the underlying cause gtv8l1 in Pell!. 0 Ves 0 Probably
o No 0 Unknown
29. If Ferrele:
o Not pregnant within past year
o Pregnant allime 01 deelh
o NlI1 pregnant, but plegnant within 42 days
of daath
o Not pregnant. but pregnant 43 days to 1 year
belore death
o UnknoWn n pregnant within the past year
32c. Place 0' Injury: Home. Farm, Slreet, FaclGry. Otfice
~:~~i~e
Coroner
33d. Date Signed (Month. day, year)
January 17, 2006
33c. License
34. Name and Address of Person Who Corr(lleled Cause 01 Death (nem 27) TypelPrinl
Michael L. Norris, Coroner
6375 Basehore Road, Suite #1
Mechanicsburg, PA 17050
JOHN H. BROU}OS
HUBEIU X. GILROY
BROUJOS & GILROY, P.c.
ATIORNEYS AT LAw
4 NORTH HANOVER STREET
CARLISLE, PENNSYLVANIA 17013
TELEPHONE: (717) 243-4574
FACSIMILE: (717) 243-8227
jbroujos@broujosgilroy.com
hgilroyObrouj osgilroy. com
NON-ToLL FOR HARRIsBURG AREA
717-766-1690
March 10, 2006
Glenda F. Strasbaugh
Office of the Register of Wills
Cumberland County Courthouse
One Courthouse Square, First Floor
Carlisle, PA 17013
RE: Estate of Cathy S. Tilden
Dear Glenda:
Enclosed are two renunciations which we file in the above referenced matter.
I now believe you have sufficient documentation to proceed with issuing the Letters
of Administration. Please advise if you have any questions.
7'
Hubert X. Gilroy
srb
Enclosure
ltHIO~) SJ"~~~~dHO
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Register of Wills of Cumberland County
RENUNCIATION
Estate of C a th y S. T i 1 den
Also known as
No.
, deceased
To the Register of Wills of Cumberland County, Pennsylvania
The undersigned Matthew R. Tilden Son
(Name) (Relationship) (Capacity)
of the above decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
Letters of Adrninistra tion
be issued to Rea ther S. Wert
Witness my/our hand(s) this
g-lh day of }J.avch
, 200~
Affirmed and subscribed before me this
fA day of Mavch ,
%~ /,/. :zLzf~-
I ' (Signature)
401 N. Bedford, CHrl;~lp, PA 17013
(Address)
My Co ission Expires: <j -5".')-(Joq
COMMONWEiAL TH OF P{NNSYLV ANIA
Notarial Seal
e l ic
Carlisle Boro, Cumberland County
Or My Commission Expires Aug. 5, 2009
Member, Pennsylvania Association of Notaries
Affirmed and subscribed before me this
_ day of
(Signature)
(Address)
(Signature)
Register of Wills
Deputy
(Address)
(Signature and seal of Notary or other official
qualified to adn1inister oaths. Show date of
expiration of Notary's commission)
L'? ..00 Lrd C' \
. v . y\..::i:j l.--'
snuz
Register of Wills of Cumberland County
RENUNCIATION
Estate of Cathy S. Tilden
Also known as
No.
, deceased
To the Register of Wills of Cumberland County, Pennsylvania
The undersigned Dt=lne S _ Ti 1 c1pn ~()n
(Name) (Relationship) (Capacity)
of the above decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
Le~~ of Administration
be issued to Rea ther S. Wert
Witness my/our hand(s) this ~ day of jv{a let,
Affirmed and SUb~.d before me this
~dayof Tcf1
~ '
,20~
1101 Columbia Ave, Apt. 7
Lemoyne, P A 1 7 (}\lEtress)
Notary Public
My Commission Expires: 'i~~..,-,)()o'l
COMMONWEALTH OF PENNSYLVANIA
aI
Shelly Brooks, Notary Public
Or Carlisle 8oro, Cumberland County
My Commission Expires Aug. 5, 2009
Affirmed MM'~f~fliVwm~<lfl@titmef Notaries
_ day of
(Signature)
(Address)
(Signature)
Register of Wills
(Address)
Deputy
'~d
(Signatu.re and seal of Notary or other official
qualified to adnlinister oaths. Show date of
expiration of Notary's commission)
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