HomeMy WebLinkAbout06-12-06
Register of Wills of Cumberland County
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of- RALPH B. BUTT, JR.
also known as
N 21-06-0452
o.
To:
, Deceased.
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
Social Security No. 189-09-6965
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, appl y
d.b.n.c.t.a. '
(d.b.n.; pendente lite; durante absentia; durante minoritate)
the above decedent.
for letters of administration
on the estate of
Decedent was domiciled at death in Cumberland County, Pennsylvania, with hjL last family or principal
residence at 101 April Drive, Camp Hill Borough, Pennsylvania 17011
(list street, number and municipality)
Decedent, then 86
Camp Hili Borough
years of age, died April 25
,2006
, at
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:
$ 24000.00
$
$
$
Petitioner~ after a proper search ha~ ascertained that decedent left no will and was survived by the
following spouse (if any) and heirs:
Name Relationship Residence
THEREFORE, petitioner(s) respectfully request(s) the grant ofletters of administration in the appropriate form
to the undersigned.
Residence(s) of Petitioner(s)
(-,\ r-"'~
13709 STRAFFORD DRIVE, THURMONT, MO.2,1)8B
i'-, , " " " " ",' :\','.~'J
01 CAMEO DRIVE, FAYETTEV~LE.PAJ~~~62
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Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEAL TH OF PENNSYL VANIA
}
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 ~ffirmed and subscribed {y ~~. ~ ~
Beforemet)1~s /rJf""L. day of ~____ r/l
~ 20 DIP ~.
, ~Al~~~!
\J1JcS ~ C~S JJ.y ~
No. 21-06-0452
Estate of RALPH B. BUTT, JR. , Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW JUNE 12 20~, in ~on~ideration ofth~ petjtion9p. thy reverse .
side hereof, satisfactory ~roofhavin~ been ~resented before me, J..,; fltJ.o m(.l~ C!...I p'/1 &It'll TV I t-IIY LI fl'J~ fIt14e ~..~
ITISDECREEDthatLlNDAMAnTlr4C'mdLDIAIKIII}(Or4 D)-flAt.. Sh1fSln'nS;.4J iCJ,vltr #J't/tnM f4I1./f1)toJ
is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration d.b.n.c.t.a.
ar hereby granted to lINDJ\ MAnTIU mlU E. DIA~11i HIXON L; di f/lo...e. e", YJ'f,t n'
n/ '1+ L ' M(}e fVIr;.,b/\ &t./IId ;((.t'\e ~h.oJ k;~(iJ- tv k. ItUIlle IV. {-h'~...
in the estate of RALPH B. BUTT, JR.
'-( ,)"
FEES
Probate, Letters, Etc. ............. $
Will ,............,..,................ $
Renunciation.. . . . . . . . . . . . . . . . . . . . . , $
Short Certificates ( ).. .. , .. . .. .. $
JCP.................................. $
Automation Fee......... ....... '" $
Bond................................. $
Total L[Od;U $
Filed~ I ~ - 20~
Attorney (Sup. Ct. LD. No.)
5021 E. TRINDLE ROAD, SUITE 100
MECHANICSBURG, PA 17011
Address
4o.~
(717) 796-1930
Phone
, "7 I, Cj~nl
"\ . \ 'I lY1 0' ... . \.I
.... . cl "
_J
1'1.'; '-\().'; RE\
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.
~..~i
LO~ Regist
Fee for this certificate, $6.00
p
12429034
127 APR 2000
Date
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH STATE ALE NUMBER
3, SociIISocurIy_ 4. llIIIallleIII(IIIonII.dIf.r-l
CJ1
~ !>9ICUstb<1hdoy)
86
VII,
7. OoIoollllrt/l . cia , ..r
4-12-1920
-. ole.
lib. CounlyofDealh
Cumberland
Camp Hill Boro
nul aI ... do 001 stott
l<indal~
~hite
15. SlIvliMo SpIuIe CW..... gIot nilIon -I
17b. Cowy
PA
Cumberland
17c. 0 Y.. OocIdoIIIlNod iI
T"Il.
171, Slott
t7d~:"o.::oIlNod"'" {"awp Hi 11
CIyllloIa
18 FI_'s N.... (fill. _. IIstl
19. Mo4ho<', No.. (Fill. _, ..ideo........)
Ruth E. Sherdel
2Qb. In_"" MIIng Addo-.. (Slr....~. -,",-1
101 April Dr., Camp Hill, PA 17011
Ralph B. Butt
2lllI In......... No.... (T\'lIOIprInt)
Catherine Butt, wife
o R......I """' 51111
o Donolioo
21C. PIoct 01 Diapoolion (No.. aI CornolfIy, a.....looy '" _ pIIeIl
22.
'*1'~~"":"> /
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231. To'" bat 01 "'f flnowIIdvo. dUlIl 0CCIlIr1d .11hI1imo. clale Ind pilei stoled. (SignIIIn .....)
Monahan Funeral
2< T... 01 Dealh
a Y. a No
; ~inlleinletval: Po~n:E!u<____"_
: ...... to dUll ..... not '......in... ~CI_ gIiIIn II PIll!.
32<1. TlIl1IoflnjJry
321>. 0t0c:rt0I '- ""'IV Ooc:UltId
21. Did Toboooo UN Corebao III Dtdt?
o v. a......,
a No 0tJIIIII-.
. 21. .~:
a Hal..................,..
a ~...... 01....
a Hal........ bill............. 42'"
al_
a Hal........ bill"""" 43""" 1 _
--
G-~.............. ........_
321:. PIoct aI......,. _. Farm. -. FICIory. OtIc,
Ufng. ole. ($jIod)l
SoquonIioIy 1isI...-os. Ilny,
~ to.. co_ istod "" Uno.
. E",Of" UNDeAlI'lNG CAUSE
. ,_ or ....11II1 inIiolfd!hl
.._ '...... in doIlh) LAST,
~.~..~i,-o
Due III ''''''' 01):
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OueIo(OfH' . /
o Yes c;(" No
d
3llb Wore AuIopsy Finclings
A..uble Pri>r to eorr.>teIion
of Co.., 01 Ooolh'
o Ves 0 No
3 f Mo_ of Ooolh
a HIMal o_<to
o ,Ice"'.1 0 Pending Irwostigolion
o SUicide a COOIId No! e. Oolfrrrinld
~. Dill 0I1njJry ~.lIIy. yeI')
3Oa. Was '" Autopsy
Por1om-.o<l'
3211. Locdon(SlrMl.~._)
II
33a ConIlIo< IcI1oct< only one)
~ pIlySlelan (I'llYliciln cenifying...... of doIlh _._ p/lySi:i1n"'s p<0f10Itt1C0d dulh 1ncl"",",*,1d _23/
To lho best of my -1IO. duth oct_ MIO tho cauao('IIncl....... II ._ _.....___._....... ..............._............................................ . .........0
~I:'::~,.: ~=QO~~~~=~~ :::1==i;.,"':=C:~~.d~O~,::.:c~~ man,,", II ...Ied........................................ ...........rI'
"-diul tumintrlcOfONI
On tht- basis or txaminaUon andlor InYftttgatlon, in my oplnton, dealh oct:umd ~Ilhe lime. dlte..nd plaCt, and due ICIlht Cluse(I) and manner... stlled
a and Disuit;1 NUrrOef
I (J I I I ~I ~ I '* I
(See instructions a
Hill, PA 1 0'
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