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Home My WebLink About05-19-06 (I) Register of Wills of Cumberland County Estate of Kathryn H. Weibley a/so known as PETITION FOR GRANT OF LETTERS OF ADMINISTRATION No. &1- OLD - L/31 To: The petition of the undersigned respectfully represents that: t__C1 Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania Your petitioner(s), who is/are 18 years of age or older, appl y for letters of administration on the estate of ~.,a (d.b.n.; pendente lite; durante absentia; durante minoritate) the above decedent. -~- -J Decedent was domiciled at death in Cumberland County, Pennsylvania, with h~ last family or principal residence at 29 Wyrick Avenue, Shippensburg Township (list street, number and municipality) Decedent, then 83 years of age, died April 16 , 20 06 , at Carlisle Regional Medical Center, South Middleton Township, Cumberland County, Pennsylvania Decedent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ 50,000.00 (Ifnot domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ 100,000.00 situated as follows: known as 29 Wyrick Avenue, Shippensburg, Pennsylvania 17257 and being situate in Shippensburg Township, Cumberland County, Pennsylvania Petitioner~ after a proper search ha~ ascertained that decedent left no will and was survived by the following spouse (if any) and heirs: Name Re atIons IP Resi ence Richard E. Weibley son 2514 CR 332, McKinney, Texas 75071 Robert J. Weibley son 448 Whitmer Road, Shippensburg, PA 17257 Karen W. Joseph dauahter 8 Kingston Drive, Palmyra, PA 17078-9701 Sharon K. Burkett daughter 311 Duncan Road, Shippensburg, PA 17257 I' h' d THEREFORE, petitioner(s) respectfully request(s) the grant ofletters of administration in the appropriate form to the undersigned. Residence(s) ofPetitioner(s) Sharon K. Burkett 311 Duncan Road, Shippensburg, PA 17257 al~u.l.J.~ Robert J. Weibley 448 Whitmer Road, Shippensburg, PA 17257 . Register of Wills of Cumberland County OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } SS: Sworn to or affirmj9. ap,d subscribed Before me this ~ day of m00.6 ,20 Olo ~ '*it.^ ,-~DA~ r'- 't ' Register ~ 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. vZhA//Ut1' Lk~ 12~ { C/:J ~. Z ,a ~ No. c:2' -OlD - 4-3/ Estate of Kathryn H. Weibley , Deceased GRANT OF LETTERS OF ADMINISTRATION AND NOW ~ \C\ 20~, in consideration ofthe petition on the reverse side hereof, satisfactory proo havmg been presented before me, IT IS DECREED that Sharon K.Burkett and Robert J. Weibley is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration are hereby granted to Sharon K. Burkett and Robert J. Weibley in the estate of Kathryn H. Weibley FEES Probate, Letters, Etc. ............. Will............................. .... $ JlPO()O $ Renunciation....................... $ Short Certificates (.3) ............ $ JCP.................................. $ $ $ $ aqr"l. Ou 20 0<..0 Automation Fee.. .. .. .. .. .. . .. .. .. Bond.............................. ... Total Filed ~ \0. ID. CD \d.- -ou 10. GO 5.00 Attorney (Sup. Ct. LD. No.) 4 James Circle Shippensburg, PA 17257 Address (717) 532-6629 Phone Hl0<.XO, REV 110< 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. No. Fee for this certificate, $6.00 p 12540361 ~.i j) /,( ~~ Date (--) ,.,") {~?_~:~) C~ C~,~, Hl115.1ol3 Rill. 01.tl6 TYPfAlRINT IN PERIlAHEHT BLACK INK 1. Name of DecedenI (Firsl. middle, Iasl) c21 -otb - J..L3 j COMMONWEALTH OF PENNSYLVANIA e DEPARTMENT OF HEALTH e VITAL RECORDS CERTIFICATE OF DEATH STATEFILENUMBE~ 3, Social Securily Nun'ller ',.1"J Kathryn 5, AlII (last birUlday) 83 Yrs, ; 81>. County or Ooath 7, Dale 01 Bith Mon\l1, da. , ""' ~ "'.'" ~ Cumberland South Middleton 11 Oecedonl's Usuol lion Ki1d of..... done din ITClSt of worki lie; do no! slale ,etired Nurses ~1~r1< Ki1dOfBusin~lIy 16, ~s ....lino Add,ess (SIIeel. c1y_. slala. ,I> code) 29 Wyrick Avenue Shippensburg, PA 17257 17a, Stale 14, ....rilaISl8lus;....rriod.NIII.._. Widowed. OMlrced (SpociM Widowed :O:odenl 17c, I!S: Yes.OocedentLivedin Shippensburg Twp. Townshl>? Twp, 17b, County Cumberland 17d, lJ No. DecedenI Lived wilhin AclualLinitsof Citynloro 18, Fo1he(s Name (Firs~ middle.lasl) 19, Mothers Namo (Firsl. .-e, moilen ..memo) Joseph W. Hancock 200. Inlorment's Name (Typeo\>rint) Sarah J. Beckenbau h 2gb, Inlonrent.s....iIing Address (Slreel. c1y1lown, slale, 'I> code) c w <n :::> <n ...:: ::::; ...:: 21b, Dale 0' Dtsposilion (Month, day, yoa,) 8 Kingston Drive, Palmyra, PA 21c, Place of Oisposilion (Name of cemoltfY. cremelDl)l or oIh.' pIac.) 17078-9701 21d, localion (Cityllo"'1,Ilale. ,I> code) :' Clui:Jerland Valley Mem:lria1 Gardens 22c, Name and Add,... 01 F.,ilty Carlisle, PA 17013 17257 CAUSE OF DEATH (500 lnatruc\lolll.... IXImpIes) "em 27, Por1I; EnIer the ~.. diseases, injJrios, or corrplicalions -Ihal direc11y caused the doalh, DO NOT ent., Iefminal..onllauch .s ca,diac arresl. respiratory .nasl. or _,i:uIa,_lion wlhouI ~ lhe etiology. DO NOT Ibbrevialo. Enl.. only one cause on a in.. IIIIIEDtATE CAlISE (Flnaldis....or C V A condt..n 'asuling in dee1h) -? a. Ou. 10 (or .s . consequence 01); : ApproKimale In181\'11: Plrt II: Enl8f other sioniticanl condiIkms contriHDla to death, : onset \0 dealh but no! ,esulling in lhe underlying cause given in Pa~ I 28. Did Tobacco Use ConI,but.lo Oeelt1? lJ Yas lJ fIobebIy lJ No P"\Jnlcnown 308, Was.n Autopsy _? 32b, Oescme how Injury Occuned: 29. "F.mele: o NoI ",_.1 wilhin past_ lJ Pr_nl., time 01 dealh lJ No! ",_nl, but ",.gnanl wilhin 42 days of dealh lJ No! "'ll1J1.nt, but ",.gnan143 days 10 1 yee, bob. dea\l1 lJ Unknown i ",_.1 wilhin lhe pasl yee, 320. PIece 01 Injury: Home, F.,m. Slreel, F.ctory, Office Buiding. 01'. (SpociI)? Saquenlialy Iis1 c:ondiIions, l.ny, _0 \0 the cause lis1ed on Line ., - EnI..1he UNDERLYING CAUSE . (_orin;orlhalinllialedlhe events resutling in dealh) LAST. b. Due 10 (or IS a consaquence 01): Due 10 (0' as . consequence oQ: lJ Yes -qo No d. 3Ob. Were Autopsy Findings Avaiable Plio< 10 ~tion of Cause 01 Olllh? lJ Yas 'fP No 31, ....nn.. of Dealh ~alUlal 0 Honici:Ie lJ Acc~enl 0 Pending lnves1igation lJ Suicid. 0 Could Nol Be O.lemined 32a. Dale 01 In;or (Month. day, year) 33<1, Oat. Signed (Month. day, yea,) OlJ / J 0 32<1. Tine ollnjury 321. 320. Local;'. (SlIeel, ,ityllown, slale) '. M. I- Z W Cl W (..) W C LL o W :;: <( z 330. COttIller (check only one) Cerlllylng ptryalclan (Physic1an ceffltyino caus. 01 dealh wile. anolhe, pItysi:... has pronounced death .nd con.,leled Item 23) To the besI 0' my knowledge. death occurred due to the cause(s).... manner IS silled ..-........................ ................................. .......-....................-...........-.................1fJP Pronouncing .... certllylng physician (PI1ysician bolh pronouncing daalh .nd cer1ityino \0 cause 01 d..lh) To the besl of my kno~. death occurred .1 the time, d.le..nd place..... due to the cause(s).... manl10f as staled.................................................._................._D Medlcaleumlnerkorone, On the basis of examination and/or Invetl 35. Regis1rar's Signalure and Distrkil Nurrber al. Filed (Monlh, day, y.a,) - ~--6 (See instructions and examples on reverse) . Register of Wills of Cumberland County RENUNCIATION Estate of Kathryn H. Weibley Also known as No. dl -0<.0 - 43\ , deceased To the Register of Wills of Cumberland County, Pennsylvania The undersigned Richard E. Weibley son (Name) (Retationship) (Capacity) of the above decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters of Administration be issued to Sharon K. Burkett and Robert J. Weibley .;3r~ Witness my/our hand(s) this - day of y Notary u lie ~'''''':,;;;;:;;:;;''''''''''''''''''''''''''''''''''''''''''''''''1 ~ ,:.'}.~y. PtJ I,_ ~ i ;:#~,\\\\II",t<::.,::; ELIZABETH DENTON i M C .. p~~"'~" "'~'- I Y ommlsslon .....,11' f' i. ~ Notary Public. Slale 01 Tellas i i 'r;.{.li;~1 My Commission Expires 03-18-01 I /2)1l1l-1 {) ~ _~~'!!~_"""................,........,........,............l (Address) Or (Signature) (Address) Affirmed and subscribed before me this _ day of (Signature) Register of Wills (Address) Deputy (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission) f...,f) ..;::- -.J .. r,: ., Register of Wills of Cumberland County RENUNCIATION Estate of Kathryn H. Weibley No. c91 - DLJ - i-J31 A Iso known as , deceased To the Register of Wills of Cumberland County, Pennsylvania The undersigned Karen W. Joseph daughter (Name) (Relationship) (Capacity) of the above decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters of Administration be issued to Sharon K. Burkett and Robert J. ~eibley Witness my/our hand(s) this 3~ ~II\ day of ~~\l..- ,20~. Affirmed and subscribed before me this 30# day of r>... ~R \ L ~6 . %f2y;J~12. ~ Notary Public ,.t.. ~ (Sig ature) 8 Kingston Drive Palmyra, PA 17078-9701 (Address) MyC Or Notarial Seal . Victoria N. Perkins. Notary Public rland County My Commission Expires Oct. 15. 2006 Member, Pennsylvania Association of Notaries (Address) (Signature) Affirmed and subscribed before me this _ day of (Signature) Register of Wills (Address) Deputy (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission) I.J..) -~ lr) ..r:- -.J