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Home My WebLink About03-29-06 Estate of Charles P. Swiler also known as Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF L~TT~RS . '71 No. 2/-0lo - C~ , Deceased Social Security No. 184-48-8643 Petitioners, Lee A. Swiler, who is/are 18 years of age older apply(ies) for: (COMPLETE "A' OR "B" BELOW:) [ ] A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the executor/executrix named in the last Will of the Decedent dated (State relevant circumstances, e.g. renunciation, death of executor, etc.) Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after the execution of the documents offered for robate, was not the victim of a killin and was never ad' udicated incom etent: [ X ] B. Grant of Letters of Administration (d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate) Petitioner( s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: Name Relationship Residence Lee A. Swiler Wife 3916 Silver Brook Drive, Mechanicsburg, PA 17050 Neal B Swiler Son 3916 Silver Brook Drive, Mechanicsburg, PA 17050 Decedent was domiciled at death in Cumberland Coun , Penns Ivania, with his last fami! home or 630 AllIenview Drive, Mechanicsburg, Upper Allen Township, PA 17055 (List street, number and municipality) al residence at: Decedent, then ~ years of age, died March 9 . 2006. at 630 Alllenview Drive, Mechanicsburg, Upper Allen Township, PA 17055 Decedent at death owned property with estimated values as follows: (If domiciled in P A) All Personal property............................... (If not domiciled in PA) Personal property in Pennsylvania........... (If not domiciled in P A) Personal property in County .................. Value of Real Estate in Pennsylvania.. ......... .................. .............................. Total ............................................................................................................ $ 10.000.00 $ $ $ $ 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 a ro riate form to the undersi ned: Typed or Printed Name and Address Lee A. Swiler 3916 Silver Brook Drive, Mechanicsburg, P A 17050 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 personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. ~t)O. ~ Sworn to or affirm~ and subscribed before me this (1 day of :~~~~~~~U~, '. 'i 2?ills [) F'or th~ste . ~LtVn~w: '-.-- Lee A. Swiler " al-rHe: - 0'117/7 Estate of Charles P. Swiler Social Security No.: 184-4-8643 , Deceased Date of Death: March 9,2006 DECREE FOR PROBATE AND GRANT OF LETTERS AND NOW, If A'RCJ+ 1-(] , 20~, in consideration of the Petition on the reverse side hereof, satisfactory proof having been presente efore me, IT IS DECREED that Letters [ ] Testamentary [x] Of Administration d,b.n,c,t.a.; pendente lite; durante absentia; durante minoritate are hereby granted to Lee A. Swiler the above estate and that the instrument dated of record as the Last Will of the Decedent. In described in the Petition be admitted to probate and filed 45 co Letters ...............................$ <0 '1- -1. 00 Short Certificate(s)......~......$ )pt~~~;~t:vJ~uu ~Vi~,_ , Q /.t! X Attorney: ~~. tildcl~Uir\ : ,-..j J.D. No.: "--'32112 \ Fees Renunciation..................... .$ Affidavit ( )........................$ Extra pages ( )....................$ Codic i 1................................$ JCP Fee...............................$ Address: 3448 Trindle Road 5.00 Telephone: Camp Hill, PA 17011 (717) 737-0100 . I' d . ., I '1-' ~t.ld- el) ( () 1- t.n d.f' 7\1 This is to certify tha the information here given IS correct Y cople from an ongma certllCate 0 eat 1 'a\l Y oet Wit 1 fne 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. No. ~-1fiIii77H~-- ,{til'(~\\\\ OF itt:---- /l~/~:r.FJ.\. It~! ~~\~..~ i'if' "',,'P- r~c:;):'. :# :~% \~ c-)-. . ,...-~-:j" ,i'.:t:..~ \>.*~.,"/*~ \~~,~' '~-'- . ",/~l .~ ~' ,,/-$>," '~-~1MEN1 i{~\i,'lll\' -<~ ~I?~ Local Registrar Fee for this certificate. S6,OO D I 12f)?('SQo _l,.._O .vO MAR 1 3 2006 Oak ITEM # I SHOULD READ AS POLLOWS; C flIU,c..cS p. SWI L~R v ~'? ~fr;~ Rev 01105 'R1NTIN IANENT :K INK 1 Name ot Decedenl (First. mkldle.last) Charles #30-192 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (CORONER) STATE FILE NUMBER il-8 Resklence 0 OIher"S ci 10. Race: American Indian. Black, Whrle, ete (Specify) IJhi te P Swiller 3 Sodal Security Number 184 8643 4. DateofDeath (Month,day,year) March 9, 2006 5 Age (lastbinhday) 49 v" 7 DaleolSinh Month, da , ear Aug. 24, 8. Sinh lace C 8b Countyol8ealh o ERlOut atienl 9 Cumberland Upper Allen 630 Allenview Drive 11 Decedent's Usual Occu allon Kind 01 work done durin most of work;n Iile; do nol stale relired Elec tf"f~'rhn R:' il(j~~BUSioesSiIOdUSI'Y 16 Decedent's Mailing Address (Slree!. crtyllown, slate, zip code) 3916 Silverbrook Brook Dr. Mechanicsburg, PA 17050 12 Was Decedenl ever inlhe US Armed Forces? o Yes ~ No Decedent's Actual Residence 17a. Slale c..n hihesl radeco leled :2 College (1-4 or 5+) 14. Marilal Stalus: Married. Never married, Widowed, Divorced (Specify) t-~arried 15. Surviving Spouse {II wife, give maiden nameL 17b County Cumberl<J.nd Did Decedenl Liveina 17C"XJ Townsh~? Yes, Decedenllivedin ee Ann Hampton Il"enfrit z TWIT 17d. 0 No, Decedenllived within Actual Urmsof CitylBoro 18 Falher's Name (Firs!. middle. lasl) Charles S\viler 19 Mother's Name (First. middle, maiden surname) Edna (unknmm) 21 b. Date of Disposition (Month, day, year) 2Qb. Inlormant's Mailing Address (Street. cityllown, state, zip code) 3916 Silver Brook Dr. Mecr18nic"buro PA 17050 21c. Place of Disposrtion (Name of cemelery, crematory or other place) 21d. Location (Cityllown,state,zipcode) 20a Informant's Name (Typelprint) Lee Ann Swiler o Removal from Stale o Donation Hollinger Cremation Services Mt.. Holly Springs, PA 220 Name"dAddressofFacili~ Myers-Harner Funeral Home 1903 Market St., Camp Hill, PA 17011 23b. License Number 23c Dale Signed (Month, day, year) 1 :00 25. Dale Pronounced Dead (Monlh, day, year) March 9, 2006 26 Was Case Referred to a Medical Examiner/Coroner? 24 Time of Death CAUSE OF DEATH (See Instructions and examples) Item 27. Partl: Enter Ihe cham of events - diseases, injuries, or COfllllications - thaI directly caused the death, 00 NOT enter terminal events such as cardiac arres!. respiratory arrest. or ventricular fibrillation withoul showing the etiology. DO NOT abbreviate, Enter only one cause on a line IMMEDIATE CAUSE (Fioaldiseaseor Gunshot to Chest condrtion resulting in death) ----7 a Due to {or as a consequence 00' : Aporoximaleinterva) :onsettodealh Yes 0 No Part II: Enler olher sianirlcant condrtions contribulina to death, but nol resulting in the underlying cause given in Part I 28 Did Tobacco Use Contribute to Death? o Yes 0 Probably o No 0 Unknown 32d, Time of Injury ApnOO PM 32b. Describe how Injury Occurred: Se if - in gunshot - handgun 321 29 IlFemale o Not pregnant wrthin pasl year o Pregnant at time 01 death o NOlpregnant,butpregnantwrthin42days afdeath o Not pregnanl, but pregnant 43 days to 1 year before death o Unknown il pregnant within the past year 32c. Place of Injury: Home, Farm. Street, Factory. Office Building, etc. (Specify) Home Sequentially list conditions, if any, ; leading 10 the cause listed on Line a Enter the UNDERLYING CAUSE (disease or injury thaI initiated the events resulting in death) LAST b, Due to (or as a consequence o~. Due to {or as a consequence o~ o kcident ~ Su",", o Pendinglnvesligalion o Could Not Be Determined icted o Yes ~ No 3Ob. Were Autopsy Findings Available Prior to CofTlllelion ofCauseofOealh? DYes 0 No 31 Manner or Death o Nalural 0 Horricide 30a. Was an Autopsy Perlormed? 33a. Certifier {check only one) Certifying physician (PhysJcian certifying cause 01 death when another physJcian has pronounced death and completed Item 23) To the besl of my knowledge, death occurred due 10 the cause(s) and manner as slated "".....M...'................. pronouncing and certifying physician (PhysJcian both pronouncing death and certifying 10 cause of death) To the best 01 my knowledge, death occurred at the time, date, and place, and due to the cause(s) and manner as statecL.. Medical examlnerleoroner On the basis of examination and/or Investigation, In my opinion, death occurred al the time, date, and place, and due to the cause(s) and manner as stated .......J( 35 A'gistrar'SSi~NU~ G ~ / I "2-r II1I OI~~YG 32g. Location (Street. cityllown. slate) Coroner Allenview Dr. Mechanicsburg, PA ..."..0 "..""..,..0 33d. Date Signed (Month. day, yearl March 9, 20u6 34 ~ic~~~T ofrr:on ~~~tt~ ~ause~r~~e~~) Typ~r;nt 6375 Basehore Road, Suite #1 Mechanicsburg, PA 17050