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Home My WebLink About05-23-06 PETITION FOR GRANT OF LETTERS OF ADMINISTRATION No. ~/- tL. (Y-/43 To: Estate of Howard M. Bivens also known as Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania Deceased. Social Security No. 161-48-4302 The petition of the undersigned respectfully represents that: Your petitioner( s), who is/are 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. Decedent was domiciled at death in Cumberland County, Pennsylvania, with h is last family or principal residence at 401 West Pine Street Mt Hollv Sorings (list street. number, Twp. or Born.) Decedent, then years of age, died 4/3/2006 at 401 West Pine Street. Mt. Hollv Sorinas 17065 Decedent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (lfnot 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: None 10000.00 $ $ $ $ ,.--"\ - '~-:? Petitioner after a proper search ha s the following spouse (if any) and heirs: Name -< N ascertained that decedent left no will and wassiJ.Nived &y Relationship M si )Helen Frame Clar nce Bivens brot er brother si ter brother PA 17028 THEREFORE, petitioner(s) respectfully request(s) the grant ofletters of administration in the appropriate form to the undersigned. --- '" 'tr u c:: II) :g '" --- II) '" ~'i::" "'Clg tij.g ---'- ~~ ~~ c:: t>Il i:;j llL~-!1~~ Clarence Bivens 7800 Avondale Terrace Harrisburg, PA 17112 . --- C;;:) - C-" -~l m r-) (-~") :--u CJ m CJ "";~,;1l 2~: (~"C'", .......--.... '" - '2J ..--: C) ~rn j -) f.:=-) - r~1 CJ N --------.----- .~ OATH OF PERSO'NAL ~REPRESENTATIVE COMMONWEALTH 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. Sworn to or affirmed '-- subscribed . { before me this a n day of ~J~d v/dM.t1 .iJJ-NJdJatLa/, ~ ~~~ Register (J'........ ~~~ Clarence Bivens No. ~ l-Dlo - Oli43 Estate of Howard M Bivens - , Deceas,d GRANT OF LETTERS OF ADMINISTRATION AND NOW ~ r9.3 Alc:oL, , in consideration of the petition on the reverse side hereof, salis actory proofha~en presented before me, lT IS DECREED that (\ ~ 0.. 1\.lI n ~ {} \,,~ AS is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration are hereby granted to ~\~<UL , \2) 1 ve..nS in the estate of Howard M. Bivens ~ ~ i! c:3 So r}5 ......., c:::) C--=.J c.... 2 ,~~3 (:~-) \l~ l j;'"~'~'l -; I C':J c-::.) .'ij ._'--, C'5 rn -:': 1'.) W o '" ,J'-) N FEES Letters of Administration. . . . . . $::tD .CC) Short Certificates (4: )...... $ l(o .ob Renunciation. . . . . . . . . . . . $ 30.61:) ~c-P \6.0::- k~v'"V",,,~\,,,~ $ '5 _(J{) TOTAL _ $ ~-G~ Filed. . P: -?-3. . . . . . .. A.D. d--~ y (Sup. Ct. I.D. No.) Market Squa Building Mechanicsbura PA 17055 ADDRESS (717) 766-3172 PHONE (l:;.~0:; REV : j()~ Thi s is to certify that the information here given is correctly copied from an original certificate of death du~y 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. (~~ ~1'h/ ~ Local Re . trar Fee for this certificate, $6.00 p 12338385 12th.! ~ r2<'1" L. Date .----...__.._-_..__....__._~~-~_.._.~~,-~--~~-~_.- "-.) c:::;, C;;:) en :T.:l ;-Tj C) ("-, '/j '--:7 1';1 (-:J C) . :1 " ,: c5 fTl cJ. J - D~ -4lJ.3 0) 2.5 Dauphin 11. 1locodooI'. UIuol Kind 01_ "'0I~ Laborer ManUTaCt~rln 1& ~lIa"'Addr...(SDIII.~.-."CIOIUI 401 West Pine Street COIlUONWEAL TH OF PENNSYLVANIA. DEPARTIIENT OF HEALTH · VITAL RECORDS :> r'-:-) CERTIFICATE OF DEATH (CORONER) STATEFILENUMIlER N . II 2. Sol 3. SooioISocldI'- .. OIIool~......,.,""" M 04/02/2006 Hl05.l44.....01Al6 v::.r=: 1Ual.. I _CII~lFinl.1OiddIo.1UIl Howard M. Bivens 7. DaltCII_ 23. Milt. .... CoIioOt II". MI 1711 CcIonly r. II m h p r 1 and 170.)6 V..,*-Uowdil S n 11th Mi ti 1 p t n n T... 17d. 0 ....~UwId_ ICItIA UonIf CII CIW8loO n.. SlIlI P A It. _.-CFiII.-........-J Elizabeth M. Faust 2Gb. _.-'OAddr_(SIr....~_...... 210. OIloal~(-.(lII'.,..1 4-6-2006 2a ~H"'" FD-012662-L 7800 Avondale Terrace Harrisburg PA 17112 210 _allliopooIiIn........-,.--.y._plIaI 2\11. ~_...... Mechanicsburg Cemetery Mechanicsburg PA 17055 Z1c. _"'__oIF~ MYERS FUNERAL HOME MECHANICSBURG PA 17055 ~_ Z1C. DlllSipt~.,.,.." 24. r_ 01 DooII 2$. OlIo..........., llood ~ II,. JIIr, 04/02/2006 a _c.._,," 11 v. 0... ~ I: 15 PII. CAllIE OF llIAlII (lie......................, ....D.,..,. t _.........-_. .......111 ~ -....GiIIl:Iy_ .......... DO HOT ___ __U....._ ~ _III......... ...... _1llOIoinq III oIilIoar. 00 HOT ......... f*r..., _............. ~.==~.. Complications Of Traumatic Brain & Cervical Spine Injuries . 0.0 10 (III.._CIIl: ~"'-'.IIY. b. ...."'..._.........u... Eolor...1IIIllIIlL _ CAllIE ...... co iiIIY .... iiIIioIad ... _....... il~ lAST. :~- :............. PIll l. &&II" t-J&...-lIifliIl8rinMmIIIIhlIIiNItD..... 1lIlI..........iI...~__......L 21. llIdT_UII~lIo..7 o v. 0........ 0... D""- . 6:30P II. 21.1_' a NIl....... -.... y.- . 0 .................. D. NoI"--......-- _421l1ya ...- D NoI.................. <l3 dlyo II I JIll _.- D ~. _... pool JIll 3lIc. _01 .-.r... .........01loI F~II while 'participating in a fire drill at a group Ho~"'I~ :t:If ~ ....... *1Dl 401 W. Pine Street, Mount Holly Springs, P A OuIII(III.._CIIl: o. 1lIII1D(IIIU._oI); 101. ... 1I101t1/f111f - a v. 01:... II. D. WII......., FolGilOI ..........1'Ib1O~ lie-. 010101117 o v. 0 No 31. *,-oIDoo11 0_11 D_ II Aa:idInI a....... iowooIIOIb o Soicido 0 Could NoIIII ~ S21. OlIo 01 ~ (IIooIL.,. yoII) 03/02/2006 3211. T...oIlnjurJ ; lL o ~ z 3:\1 ~jdoaoII"""" c:.tIIwIoI..........~......._oI_ __".,....,...~_I...~.....231 T..._.....-...__......CIIIII(.,...._.........___._.___..____________________-D --... lid................... (I'\orIlclIn _ -"0-.... 0lIfIiIllng1O..... 01_1 T..._..... -... ___....... -. lid......... .......CIIIII(Il... _ ..1IIlIII_____________.-O =... .......:....._ ~.........." -........."'--.-.....\lIIOI...... ""'0MAI(11- _..............D. 34. _ ...Mto_cl_W\IoCooqillolodCMIalo.....,21l T...... Patty J. Garber ~"'DiIIrG_ :II. DlllHId{llOolll.".YIIIl 1271 South 28th Street DcJf.." Harrisbur J 1711 exampleS on reverse) :ad. IlI\O SIgnod.......,. JIIII 4/3/2006 .. RENUNCIATION Estate of Howard M. Bivens No. :2 1,- ot - '-IL(3 also known as , Deceased The undersigned, Helen Frame, sister of (Relationship) (Capacity) the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters Administration be issued to Clarence Bivens hand this ~~ , (Signature) Helen Frame 6000 Pelican Bav Blvd., Apt 1402, Naples, (Address) Witness her FL 34108 (Signature) (Address) (Signature) (Address) ;-.....--: Sworn to or affirmed and subscribed /;;L before me this \...,,.:,/ ...~';f.~"""'" JANET LACKEY f~~~~..\ MY COMMISSION # DO 295344 ~\ '1l eXPIRES: April 10, 2008 '1/Ii/";" .... Bonded Thru NO\l!ry I'Ulltlc Underwriters ~_. I, II . N lic \. ') ission Expires: '1- J() - D I" (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission.) NOTE: Renunciations executed outside the Office of Register of Wills are required in some counties to be notarized. RW-3 Estate of Howard M. Bivens RENUNCIATION NO.!) /- O~ - Lj lf3 also known as , Deceased The undersigned, Jean Basehore, sister. (Relationship) (Capacity) the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters Administration be issued to Clarence Bivens Witness her hand this ~t Sl- day of April 2006 t.l. ~~~ ~"' -4 (Signature) Jef{n Basehore 6050 Creekview Road, MechanicsburQ, PA 17050 (Address) (Signature) (Address) (Signature) (Address) Sworn to or affirmed and subscribed before me this eftl 51- day of .fl:;; · ,}ZOO {p . , - c/!l ~ Ljj Jwt Notary Public My Commission Expires: NOTARIAL SEAL HaDI M. NElSON, Notary Public Mechanlcsburg Bora, Cumbirfand Co My Commission ExpIres June 27, 2007 (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission.) c.) NOTE: Renunciations executed outside the Office of Re9ister of WiltS..are required in some counties to be notarized. N RW-3 of 1'-...) e':'.':) c...:..:) G'''\ :=f~i c') 'i~ '_oJ !Tl (':::'J C) --'" - --n o".~ (~"5 ,- fll /) (""") -h -..< i"-) W RENUNCIA TION Estate of Howard M. Bivens c2)- Q1P-l/Lf3 No. also known as , Deceased The undersigned, Elizabeth Smee, sister (Relationship) (Capacity) the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters Administration be issued to Clarence Bivens Witness her hand this JiofA- day of April ,2006 .E~ At,.J~ (Signature) Elizabeth Smee 651 Hilltop Drive, New Cumberland, PA 17070 (Address) of (Signature) (Address) (Signature) (Address) Sworn to or affirmed and subscribed cf2tJ1At before me this day of ilpn I , :200 Lv. vikifLl Lfl1~ VI.Je&/Yl Notary Public My Commission Expires: ~,j NOTARIAL seAL HBDIM.NE~'~~ndCo Mechanlcsburg Bore, CUIlIUIIII.. · My Commission expires June 27, 2007 C::l N (Signature and seal of Notary or other official qualified to administer oaths, Show date of expiration of Notary's commission.) NOTE: Renunciations executed outside the Office of Register of Wills are required in some counties to be notarized. RW-3 ""-'\ c::> c::::> c~ :JJ n'l C-) (:J :1'J '_-:J "Tl C"J (-:::> ~n 'll cC) fTl .:' (;~ :.~--& r,) (,.,.) Estate of Howard M. Bivens RENUNCIATION No. c2/- Q1P- L/Lf3 also known as I Deceased The undersigned, Robert Bivens, brother (Relationship) (Capacity) the above Decedent, hereby renounce(s} the right to administer the estate and respectfully request(s} that Letters Administration be issued to Clarence Bivens Witness his hand thi.S . ~ril , 2006 /L-/~ , (Signature) Robert Bivens 246 Jonathan Drive. Sherrvstown, PA 17344 (Address) of (Signature) (Address) (Signature) (Address) r...........') c::> 2~ :::r::J ;-7' I :j (; ~~~ ;".:J ~~j Swom to or affirmed and subscribed befqre me this %M day of Iltr; I I r900 U . iM" 'If! ~ Notary Public My Commission Expires: HaDI M=~ PubI Mechanlcsburg 8oro ' Cumbirtand~ My Commltslon ExpIres June 27, 2007 (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission.) i",) G.} N NOTE: Renunciations executed outside the Office of Register of Wills are required in some counties to be notarized, RW-3 -'-'C,.( ~~.~ .'11 " r~~ ;- /'~.1 (=) 1.1 Estate of Howard M. Bivens RENUNCIATION No. c9/- OLD - L/ 4~ also known as , Deceased The undersigned, Beatrice Bivens. sister (Relationship) (Capacity) the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters Administration be issued to Clarence Bivens of Witness her Yj.111 2006 day of April (!J~ ~ .: p, If-j-- ~ (Signature) Beatrice Bivens P.O. Box 55. Grantville. PA 17028 (Address) hand this (Signature) (Address) (Signature) (Address) Sworn to or affirmed and subscribed before me this ~ day of fi:/ flOW 4d- '0f cIJp tu~' Notary Public My Commission Expires: NOTARIAL SEAL HBDI M. NELSON, Notary Public Mechank:sburv 801'0, CUmberland Co. My Commission expires June 27, 2007 j', ) (,Ii] N (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission.) NOTE: Renunciations executed outside the Office of Register of Wills are required in some counties to be notarized. RW-3 r'-..) C:::> c,::> c.... =D [LJ (',~) I=.~ [.n C) c:> ;, :."f! , C) iTl .. --,.;:;:' RENUNCIATION Estate of Howard M. Bivens 2-1 -, t5 ~ ~ L! '(3 No. also known as I Deceased 1-~2- The undersigned,Mable Hankev. sister (Relationship) (Capacity) the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters Administration be issued to Clarence Bivens of Witness her /1f1\ day of~ M~, 2006 hand this (Signature) Mable Hankey 595 BiQlerville Rd., GettvsburQ, PA 17325 (Address) tt)1.->-te-f ~~ (Sign ) (Address) (Signature) (Address) Sworn to or affirmed and subscribed before me this J 4 f11 day of Milt ' .2aJ& ~ if!! c/J)a#l Notary Public My Commission Expires: NOTARIAL SEAL Public HEIDI M. NElSON, Nota.!!.....nd CO Mechanicsburg Bora, CUmU'CI1II . My COmmission Expires June 27, 2007 (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission.) NOTE: Renunciations executed outside the Office of R~ister of WiUs-are required in some counties to be notarized. N RW-3 r'....) c.) :--'-1 c::) -; ':~ ~;~~