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HomeMy WebLinkAbout03-20-06 PETITION FOR GRANT OF LETTERS OF ADMINISTRATION Estate of SANDRA J. PRESSLEY also known as No. ;"'000 o. 02 t../ 1 To: SANDRAJ.PRESSLEY Social Security No. 190-50-3637 Deceased. Register of Wills for the County of CUMBERLAND in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner( s), who is/are 18 years of age or older, appl I ES for letters of administration on the estate of (d.b.n.; pendente lite; durante absentia; durante minoritate) the above decedent. Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with h ER last family or principal residence at 279 RIDGE HILL ROAD. SILVER SPRING TWNSHIP (list street, number, Twp. or Boro.) Decedent, then 46 years of age, died 8/15/2005 at HOLY SPIRIT HOSPITAL. CUMBERLAND COUNTY 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: le>l6l5lJ $ $ $ $ Petitioner after a proper search ha S the following spouse (if any) and heirs: ascertained that decedent left no will and was survived by Name Relationship Residence 279 RIDGE HILL ROAD WILLIAM R. PRESSLEY. JR SPOUSE MECHANICSBURG PA 17050 WI LLlAM R. PRESSLEY III SON PITTSBURGH PA 279 RIDGE HILL ROAD BRYAN J. PRESSLEY SON MECHANICSBURG PA 17050 279 RIDGE HILL ROAD BRIANNA T. PRESSLEY DAUGHTER MECHANICSBURG PA 17050 -.. en '-" Q) u s:: Q) "0 .Vi ~ Q) en cr:::'i::" Q) "0 s:: a .g -..'- ~aJ Q)P-. I-o~ ~ 0 s:: b.I) U3 administration in the 279 RIDGE HILL ROAD MECHANICSBURG PA 17050 OATH OF PERSONAL REPRESENTATIVE COMMONWEAL TH OF PENNSYLVANIA } ss 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 ofpetitioner(s) and that as personal representative( s) of the above decedent petitioner( s) will well and truly administer the estate according to law. ~ I:\l l... ;::: ~ s:: .~ V:l Sworn to or affirmed and subscribed before me this d.Df'h day of '--Wl/JA./' JJ 8.. tJlJ 0 ,~ . ~tVJLfJ.. A1)-A~ ~~ ~ Register ~ No. :J-oDh - 02'1-1 Estate of SANDRA J. PRESSLEY , Deceased GRANT OF LETTERS OF ADMINISTRATION '--'1/\ /I A J. "J... -"] () f h \ ~ 0 0 /~ AND NOW - Y v t.{VvC/ I oL _ " (f) , in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that W J IIi am f!.. Pres~ It!},: :Jr. is/are entitled to Letters of Administration, and in accord with such fmding, Letters of Administration are hereby granted to WILLIAM R. PRESSLEY, JR. in the estate of SANDRA J. PRESSLEY FEES 1/iJAdd 1'aVdA. 4j)'1(:u/;~ ~ J\ ~ ~isterofWi,I~fZ&? 1r~~ MARK A. MATEYA, ESQUIRE 78931 $ "f5 . 00 $ 40.00 $ iQ.oO $ 5',00 TOTAL _ $ 100.00 Filed ~?~. ~(J.i~ .. A.D. J.-OOIv Letters of Administration. . . Short Certificates ( J 0 ). RlCP, . ftUfl61atlOn. . . . . . . al,lt (;) ATTORNEY (Sup. Ct. I.D. No.) PO BOX 127 BOILING SPRINGS PA 17007 ADDRESS 717-241-6500 PHONE H10'5.90'5 REV.(Oil04) This is to certify that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Records In accordance wid1 Act 66, P.L. 304, approved by the General Assembly, June 29, 1953. WARNING: It is illegal to duplicate this copy by photostat or photograph. ~ (jJ.JI~ 358)1 q~n .... __ \." b u No. Charles Hardester State Registrar Calvin B. Johnson, M.D., M.P.H. Secretary of Health OCT 14 2005 Date Hl05.144 Rev 1/91 ::IPAINT IN "ANENT C!<: INK 1130-064 COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (Coroner) ~) J PRESSLEY SEX 2. Female ST~E FILE NUMBER SCC:AL 3ECURITY NUMBER Dl\n; Of DEIJH (t\~(:.n~il, ;:)~)., Yea.r} 4. August 15, 2005 N,.\Ml=. Of DECECENT {r,r:);t, M,.:..Cl:~. LGtbt) WAS DECEDENT EVER IN U.S. ARMED FORCES? Yes D No)g. 3.190-50-3637 BIRTHPLACE (CIty and PLACE OF DEArH (Check only one - see instructloos on other SIde) State or Foreign Country) HOSPITAL' H . 1 PA D ar r 1 S ,)Urg , Inpatient 7. ... FACILITY NAME (If not Institution. give street and number) =rty)D 279 Ridge Hill Rd. Mechanicsburg,PA17050 DECEDENT'S ACTUAL RESIDENCE (See Instructions on other side) 17.. Slate Pj:3nnSY''U::lni::l Did decedent live in a C urn be r I and township? 17d.D :;'=aJ~=of MOTHER'S NAME (First, Middle, Maiden Surname) MARITAL STArUS - Married Never Married, Widowed, Divorced (Specrty) 14. married 17C:.~ Yes, decedent INed in ~ i , V j:3 r ~ p r i n ~ RACE - American Indian, Black. WMe, ele (Specify) 1o~hi te SURVIVING SPOUSE (If wife. give maiden name) ;</ Hospital 12. 17b.Cou city/I; Elwood J. Long 19. Doroth Gross INFORMANT'S MAILING ADDRESS (Street, C~y/Town, State, Zip Code) 1 '] () t:) 0 ~.279 Rid e Hill Rd.,MechanicsoOrg,PA 20., METHOD OF DISPOSITION Burial ~ Cremation 0 Removat from State D Other (Specify) William R. PLACE OF DISPOSITION - Name of Cemetery. Crematory or Other Place Nplling Green Cemetery NAME AND ADDRESS OF FACILITY LOCATION - CityITown, State, Zip Code 17011 ~pwer Allen Twp.,PA Lemoyne,PA17043 A 2. D.lU'E SIGNED (Month, Day, Year) 23b. 23c:. WAS CASE REFERRED 10 :WL EXAMINERICORONER? No 0 26. I Approximate PART II: 0Iher significant conditions contributing to death, but : InteN81 between not resulling in the undeftying CBUM given In PART I, ! onset and death 238. TIME OF DEArH DArE PRONOUNCED DEAD (Month, Day, Year) 24. 3:24 P. M. 25. August 15, 2005 27. PART I: Enter the diseases, injUf ies or complications which caused the death. Do nOl enter the mode of dying, such as cardiac or respiratory arrest, shock or heart failure. List only one cause on each line. DUE 10 (OR AS A CONSEQUENCE OF): DUE TO (OR AS A CONSEQUENCE OF)' d. WERE AUTOPSY FINDINGS AVAILABLE PRIOR 10 COMPLETION OF CAUSE OF DEArH? . PRONOUNCING AND CERTIFYING PHYSICIAN (Phys,clan both pronouncing death and certifYing to cause of death) To the best of my knowledge, death oc:c:urred at the lime, date, and piece, and due to the cause(s) and manner.. alated.. . , . . . . . . . . . . _ . . . . . . . . . . , D 3lb. LICENSE NUMBER DArE SIGNED (Month. Day, Year) D 31c:. 31d. August 16, 2005 ~t~~~~~~~~~~~IOFPEMkh~OeTrD~~~i~Coroner ~ 6375 Basehore Road, Suite #1 .,... 32. Mechanicsburg, Pa. 17050 Yes 3Oc:. MANNER OF DEArH DArE OF INJURY (Month. Day. Year) TIME OF INJURY INJURY Ar WORK? Natural D D D Homicide o 'f/J. 3011. 3Gb. M. O PLACE OF INJURY - At home, fann, street, factory, office building. etc. (Specify) 3011. Yes ~ NoD Yes D 288. 21b. CERTIFIER (Check only one) 'CERTIFYING PHYSICIAN (Physlc'an certifYing cause of death when another physician has pt'onounced death and completed Item 23) To the best of my knowledge, death occurred due to the cause(s) and manner.. s..ted. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ _ . . . . . . . . . . . . . , NO~ Accident Pending Investigation Suicide 29. Could not be determined SIGNArURE AND TI Coroner .MEDICAL EXAMINER/CORONER On the basis of examlnlltlon and/or Investigation, In my opinion, death occurred lit the time, date, and place, and due to the C8Use(S) and manner as lItated.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31a. REGI~TUREANDr ~AvI"I DATE ALED (Month, Day, Year) 34. ; /r'