The URL can be used to link to this page

Home My WebLink About03-31-06 PETITION FOR GRANT OF LETTERS OF ADMINISTRATION Estate of J can T. He s ton also known as No. To: J.l-D &-D:J~ 7 Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania Deceased. Social Security No. 19 6 - 28 - 6 8 7 2 The petition of the undersigned respectfully represents that: Your petitioner(s), who is/aT~ 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 Cumberland County, Pennsylvania, with h er last family or principal residence at 916 Gettysburg Pikp, Mp("'!h~n;("'!~hllrg, PA 17055 (list street, number and municipality) Decendent then 66 years of age died March 8, 2006 ffi Hershey Medical Center; Hershey, Dauphin County, FA 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: ~ ~ ~ v\. l l.r ~ e~ 1 t ~)- ~ \. c< - , ( "" $~~I cP cJ 0 $ $ $ \.O-,~ ~t:./ ~ ~ c:::.. \.c-t.. i-oL \. '- ~ ~ ..J, ~ "- ~~ C. ~~() ~- 5-' Petitioner_ after a proper search ha~ ascertained that decedent left no will and was survived by the following spHmiE:~~xod heirs: Name Relationship Residence Jennifer A. Hillman Daughter 916 Gettysburg Pike, Mechanicsburg, PA DennlS M. Heston Son 910 Thornton Road, Mechanicsburg, PA Christopher B. Heston Son 2955 Lardner Street Philadelphia, PA 1 17055 17055 9149 THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the appropriate rm to the undersigned. / // - en Q) U s:: v "0 _ ..... en en_ VI-< ~~ "00 s:: ";::: (1j";::: _v ~p.. v...... ;:;0 ~ s:: bl) i:i5 I/N&U Jennifer A. Hillman, 916 Gettysburg Pike, Mechanicsburq, PA 17055 OATH OF PERSONAL REPRESENTATIVE COMMONWEAL TH OF PENNSYL VANIA 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 s personal representative(s) of the above decedent petitioner(s) 11 well and truly administer the estate according to law. affirmed and ,-q) 7 L- t~ .- c:n -- (1) "'" ::s .... ca s:= bO ti5 No. d.. '-D (r07~ 7 Estate of JOAN T. HESTON , Deceased GRANT OF LETTERS OF ADMINISTRATION AND NOW '11:1 ({.a-.. .g I S f ,IJ 0 D (P, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that Jennifer A. Hillman is/ are entitled to Letters of Administration, and in accord with such finding, Letters of Administration are hereby granted to Jennifer A. Hillman in the estate of Joan T. Heston ~/~ ~/U~t/-J' bu.jL-' .fJa ~ ~ /J{LxA4J ~~ister~Will~~ <-=~(' ~,,-,.' -'" ~ ""'~. , FEES 'J " Letters of Administration ..... $~ Short Certifkates( ).......... $~ R .. .. .."$ I~ enunclat.lon. .'1r' . . . . . . . . . . . . .) J (, Y"ff I}-vro $ I. 1"1) TOTAL _ $ ATTORNEY (Sup. Ct. I.D. No.) 407 North Front Street, Harrisburg, PI 17101 ADDRESS Filed ... l"f'~' ;... . ~ " . . . : ",' . .. ,A..D., ')DI (717) 233-2555 PHONE Register of Wills of Cumberland County, Pennsylvania RENUNCIATION Estate of Joan T. Heston No. ~l-b~'O~D) also known as , Deceased The undersigned, Christopher B. Heston, son of the above Decedent, hereby renounces the right to administerthe estate and respectfuiiy request that Letters of Administration be Issued to Jennifer A. Hillman. Witnessed his hand this ol ~ ~ day of -.1h (A;~ , A.D., 2006. /r / .../~ I ~M /5, 4/~ (Signature) 2955 Lardner Street. Philadelphia. PA 19149 (Address) Sworn to or affirmed and subscribed day of , A.D, 2006 :.,) (-#.) ary PubUc y Commission Expires: (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission) NOiA'R~4L~SEAL--;j.'-- JEANNIN,E T. CA~C. E~~IE. RE, NO~ ARY PUBLIC Phllad~lp.h'a, Pm./adelphia County My ~ommlsslon Expires August 25, 2007 .......,........._,.......~.-......~..~ NOTE: Renunciations executed outside the Office of Register of Wills are required in some counties to be notarized. Register of Wills of Cumberland County, Pennsylvania RENUNCIATION Estate of Joan T. Heston No. 1 (, b if -6J.'6 7 also known as , Deceased The undersigned, Dennis M. Heston, son of the above Decedent, hereby renounces the right to administer the estate and respectfully request that Letters of Administration be issued to Jennifer A. Hillman. Witnessed his hand this 2 I day of (V\-AJc c. ~ ' A.D., 2006. fl~~ IJr1- ~~ (Signature) i"'.......) "'1- 910 Thornton Road. MechanicsbLtfg. PA,:f7055 (Address) Sworn to or affirmed and subscribed t,..,......, ~ ,.,,'1' before me this <Slct .~ ...... .. l ,.".J day of (...) ~0YLh , A.O, 20G6 tary Public y Commission Expires: (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission) . JOMMONWE/.\L TH OF PENNSYLVAN" Notarial Seal Tamie R. Hershey, Notary Public DilIsburg Bora, YorK County My Commission Expires Jan. 20, 2008 Member, pe~is: t-.ssociation Of NoL""- NOTE: Renunciations executed outside the Office of Register of Wills are required in some cou nties to be notarized. H105.905 REV.(OI/04) 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 with 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. ~ ~!I~ No. Charles Hardester State Registrar Calvin B. Johnson, M.D., M.P.H. Secretary of Health 371Dl~O MAR'1 0 2006 Date Hl05.143 Rev. 01106 TYPElPRINT IN PERMANENT BLACK INK 1. Name of Decedenl (Firs!. middle, lasl) COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH STATE ALE NUMBER 7. Dale 01 Elil1h Month, da , ear 3. Social Security NurrbElf 4. Dale of Dealh (Monlh, day. year) ~~ 196 28 March 8 2006 Dau hin Hershey Medical Center 12. Was Decedent eYElf in the US 13. Decedent's Education S c. ::.::orcri?NO 8emen'r8t~ary (0-12) ~~~~~:idence 17a. Stale PA Olher: o ERIOut atient 0 DOA 0 Nursin Home 0 Residence 0 Olher. 9 Was Decedenl of Hispanic Origin? 10. Race: American tndian. Black. While, etc. IJ: No 0 ~~~~:~~PuS:rt~i~~~~~~.) (Speofo/) White 14. Mar~al Slatus: Married. Neyer marrlad. 15. Surviving Spouse (If wife, give maiden name) Widowed, Divorced (Specifo/) Widowed 22 1939 h' hest ede co leted CoRege (1-<1 or 5+) 916 Gettysburg Pike Mechanicsburg, PA 17055 Did Decadent live in a Townshp? 17c. 0 Ves, Decadenl Livad in 17d.:m :i~:"t'=~~iv1f:~hanicsbun! Twp. 17b. Counly Cumber land Cily/8oro 18. Falher's Name (First, middle. last) 19. Mothe(s Name (First. middle, maiden surname) Francis Qualters 203. Inlormanl's Name (Typelprint) Gertrude Perzinski 2Qb. Inlormanrs Ma~ing Address (Slreet. cilyAown. slate. zip code) Jennifer A. Hillman Cl UJ en ::J en .q; :::J .q; o Donation 916 Gettysburg Pike Mechanicsburg, PA 17055 21c. Place of Disposition (Name of cemetery. crematOlY or alher place) 21d. Location (Citynown, stale, lip code) Holy Sepulchre Cemetery 22c. Name and Address of Facility Philadelphia, PA 19118 FD 138183 230.10 the best of my knowledge. death occurred althe time. date and place slatad. (Signalure and 1~1e) Slabinski F.H. 2614 Orthodox St. Philadelphia,PA 19137 23b. License Number 23c. Date Signed (Month, day. year) 24. Time of Death l"2-- ,S- A.M. 25. Date Pronounced Deed (Month, day, year) (Y\o-..rdr'\ S) 2-00 Co. 26. Was Case Referred 10 a Medical Examiner/Coroner? o Ves Ii No CAUSE OF DE-' TH (See Instructions .nd examples) Kem 27. Pan J: Enler the ~ .. diseases. injuries, or complications - that dileclly caused the death. DO NOT enter terminal events such as cardiac arrest. respiratory arrest, or yenlri;ular fibrillation without showing the eliology. DO NOT abbreviate. Enter only one cause on a tine. IMIIIEOIA TE CAUSE (Final disease or ' condKion resuUing in death) -'? a. 0 V"\-t'" \.) fV"l r:N\ \. CL. Due to (or as a consequenc~~: _ .: LO -p ~ (Lh CU\I\X Due to (or as a consequence oQ: : Approximate interval' : onset to death df)<.\"n)(~~,J~ Jl\~ Pan II: Enler olher sionificant cond~ions conlributinn to death. but not resuKing in the underlying cause given in Pan I. 28. Did Tobacco Use Contribute 10 Death? o Ves 0 Probably o No 0 Unknown 29. If Female: o Not pregnant w~hin past year o Pregnant at lime of death o Not pregnant. but pregnant within 42 days of death o No! pregnant. but pregnant 43 days to 1 year before death o Unknown it pregnant within the past year 32c. Place 01 Injury: Home, Farm. Street. Factory, Office Building, ele. (Specifo/) SequentiaRy list conditions. it any, " leading to the cause isted on Line a - Enter Ihe UNOERL VING CAUSE - (disease or injury that initialed the events resuAing in death) LAST. Due 10 (or as a consequence oQ: o Ves cl:No d. 3Qb. Were Autopsy Findings Ayeilable Prior to Complelion of Cause of Death' o Ves 0 No 31. Manner of Death OC Natural 0 Homicide o Accident 0 Pending Inyestigation o Suicide 0 Could Nol Be Determined 320. Date of Injury (Month. day, year) 321. If Transportation Injury (Specifo/) o DriYerlOperator 0 Passenger o Pedestrien 0 Olher.. Specify: 33b. Signature and Trtle 01 Certifier ~9>> 32g. Location (Street, citynDwn, slate) 3Oa. Was l\.n Aufopsy Performed' 32b. Describe how Injury Occurred: 32d. Time of Injury M. f- m Cl UJ fIl o LL o UJ ::2' .q; z 33a. Certifier (check only one) Certifying physician (Physi;ian cenilying cause 01 death when anolher physician hes pronounced death and completed lIem 23) To the best of my knowledge, death occurred due to the c,use(s).nd manner as st.ted ........................................................................................................ ......................0 . ~:t:u:~~r.,: ~~:,~~hJ:.~~::.:(:~~~i:~ t:~i:~~~:::~~~~~~~:~:~ ~h~a~~~;~~~~~~ manner.s stated.......................................................................cJ: . Medical ex.mlner/coroner On the b...is of examln.tlon and/or investigation, in my opinion, death occurred .1 the lime, dale, and pl.ce,.nd due to the cause(s) and manner.s stated .........0 33d. Date Signed (Month, day. year) () ~ I O~ 10 to 34. Name and Address of Person Who Completed Cause of Death (Kem 27) TypelPrinl ~~; ~bf1-i1 Mc""S.l}N\ '\e,M. S. Hershey Medical Ctr. Hershey, PA 17033 (See instructions and examples on reverse) r-" . (! \.,J '-,v" ~ t-(j (0- OJ-17