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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. - en '-" IU ~ ~~5~</ :g 3 Heather S. Wert IU'-' ~~ ].g ~.= _IU ~a.. IU '- ;;0 Cd ~ 00 U3 1217 Mountain Road Newburg, PA \L~t7240 , }U~~?:~~~~~b;O 9C ;8 J,/~ C I 6't-lU 900l 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 ~ 1=9 200{p ~~~~rt - V} -- Cl) .... ~ .... cu ~ bQ CI5 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, Q f'\ .() 1 'tV (' ..,.~ .K ;.",,' , -'v v r~ V. qJln7 ." v ~..;v pn Enclosure H Ill" ~()'i R FV \ /(1< 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. ~~~o~~~~ JAN 1 8 2006 Date 1""--..) C) (::;:":') c;:f.... w -,:::'..;It> ::Ii: Cf? 0) 0",\ 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 ::l tf) <( :::; <( 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 u.. o w ~ <( z 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 \\\ I \ i"J /iCJj ~.. ? 0 \ tt..., (' \ gOnl L (J : 0 j'~ ~~ (~ 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) ll~g ~.\'~ t:\ q'uul