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'