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Home My WebLink About06-05-06 The Law Office of MARIELLE F. HAzEN Certified Elder Law Attorney* An Estate Planning and Elder Law Firm 2000 Linglestown Road Suite 202 Harrisburg, PA 17110 TEL: (717) 540-4332 FAX: (717) 540-4313 www.hazenelderlaw.com June 19, 2006 Register of Wills Attn: Margie Cumberland County Courthouse One Courthouse Square Carlisle, P A 17013 Re: Estate of Lillian G. Huntz To: Margie: Enclosed please find a Renunciation signed by Mr. James Huntz regarding the above estate matter, along with one copy. Please date stamp the copy and return it to our office with the Short Certificates pursuant to the Petition for Grant of Letters previously submitted. We thank you for your assistance. If you have any questions or require any additional information, please do not hesitate to contact our office. Enclosure cc: Jacque Brink Bernette Huntz 8; :.~; ".) *Certified Elder Law Attorney by the National Elder Law Foundation as authorized by the Pennsylvania Supreme Court Register of Wills of Cum~~!t~nd County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of Lillian G. Huntz No. J I - ()~ - I 4 L~ also known as , Deceased Social Security No. 208-16-8992 Jacque Brink and Bernette Huntz Petitioner(s), who is/are 18 years of age or older, appl(ies) for: (COMPLETE 'A' or 'B' BELOW) o A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the the Decedent, dated and codicils dated named in the last Will of 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 execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incompetent: (c.t.a; d.b.n.c.t.a; pedente lite; durante absentia; durante mlnontate) 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: I!] B. Grant of Letters of Administration Name Relationship Residence -:1 1;1 See attached schedule (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his/her family or principal residence at 105 Valley Road, Summerdale, PA 17093 (list street, number, and municipality) .--j r'-.) 0'1 -..l t"'-"~'J , Decedent, then years of age, died OS/27/2006 at 105 Valley Road, Summerdale, PA 17093 (Location) Decedent at death owned property with estimated values as follows: (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: 105 Valley Road, Summerdale, PA 194,000.00 $ $ $ $ 140,000.00 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 appropnate form to the underSigned: Signature Typed or printed name and residence Jacque Brink 503 Schley Avenue Frederick, MD 21702 c:- Bernette Huntz 706 Linwood Street New Cumberland, PA 17070 Prepared by the Pennsylvania Bar Association Copyright (c) 2004 form software only The Lackner Group, Inc. Fonn RW-1 (1991) 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. ~>JA'J ;;2 C L'L: \ 1 - , ^ I L~ f) H_I,~ ',\+-~ ') /""-J-\....>. f ('d/. .....1 J1 y ~ 1(' \ ',I \ Q,. ',- ~ ' \~' ,", L d- lJ'^for t e egister : ' . \!J,..-':f..L . l.'t i I~ J.-. . '-. -"" '.-4 No. CA ,JDfo .- () 111& Sworn to or affirmed and subscribed dL before me this :) day of Estate of Lillian G. Huntz , Deceas~d r'--:J ,:":) f ''':;j CF'\ also known as Social Security No: 208-16-8992 Date of Death: OS/27/2006 AND NOW, .61;1 aoo(p I I ',1 , c...r i 9 lUci of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters D Testamentary I!l of Administration , in conSideratiort~ 1,'} ,'-'-) >, .. ---: 1 .. ('5 r- " N r n ',') (') (c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; duraRteJminoritate) .-, are hereby granted to Jacque Brink and Bernette Huntz, in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and filled of record as the last Will of Decedent. FEES ~\oO . <::J:) Letters........ ..... ............ .... ............. $ .as;oo (~ '-1a0UJ! ~~ RegiS~~~ Snort Certificate(s)...................... $ 40.00 Renunciation............................... $ 10.00 Attorney: Marielle F Hazen JCP Fee........ .................... ........... $ 10.00 1.0. No: 68003 Marielle F. Hazen Address: 2000 Linglestown Road, Suite 202 Harrisburg, PA 17110 Telephone: 717-540-4332 Affidavits ( )...........................$ Extra Pages ( )......................$ Cod icil.......................................... $ Inventory... ................................... $ E-Mail: Other............................................ $ 5.00 TOTAL........ .................... $ 500.00 Prepared by the Pennsylvania Bar Association Copyright (c) 2004 form software only The Lackner Group, Inc. Form RW-1 (1991) Petition for Grant of Letters (Continued) Estate of Lillian G. Huntz No. j. i - uU' It-! l; Social Security No. 208-16-8992 We, Jacque Brink and Bemette Huntz, hereby state that all assets of the Estate of Lillian G. '~fle.~ i-/u,1f2- Huntz will remain in the custody and control of.-Jeeqtlt: Brink, the Pennsylvania resident. crr:~ ~-;:) 1"'" C,) I ':") en , C.J, u - -I ".:~) c.n --.J In the Court of Common Pleas of IN RE: Estate of Lillian G. Huntz Cumberland County, Pennsylvania ORPHANS' COURT DIVISION NO. also known as , Deceased Social Security No. 208-16-8992 Petition for Grant of Letters (Continued) Name of Decedent: Date of Death: Lillian G. Huntz OS/27/2006 Name Relationship Residence Brink, Jacque Daughter 503 Schley Avenue Frederick, MD 21702 Huntz, Bernette Daughter 706 Linwood Street New Cumberland, PA 17070 Huntz, James Son 601 Rupley Road Camp Hill, PA 17011 Suro, Shirley Daughter 1214-F Cumberland Road Harrisburg, PA 17103 I Ui lJ ~--l ~? ()1 -..J fll()~X(J~ RLV I/II~ This is to certify that the information here given is correctly copied from an original cer~ificate of death du~r 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. ~ ;r;-1'/~,,,^'" t'-~_./ //.. A ",01 ,-} ,/ J"j:l_t'p, -0 / ,,;;::/J...,:;4-;.A.-" /i ---- i ! Local Registrar Fee for this certificate, $6.00 p 12623560 MAY 31 200Q Date "",) C:,;) <.-:::> '-.J"\ i Ul ~,J 3 Rev. 2/87 COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH t".) STATE FILE NUMBER SEX 2.fernale SOCIAL SECURITY NUMBER 3. 2 08 - 1 6 BIRTHPLACE (City and State or Foreign Country) Wyoming,PA ~ Other 0 Re&idenCft P (Specify) RACE - American Indian, Black. White, et . (Specify) wh1.te 10. . Bb. DECEDENTS USUAL OCCUPATION (Give kind of wor1< done dUrln~ most f{ou';~e t/f r e 'rfld) Summerdale Be. KIND OF BUSINESS I INDUSTRY MARITAL STATUS - Married, Never Married, Widowed. . DJ,vorced (Sg,ecify) W1.00Wea 14. 17e. D Yes, decedent lived in SURVIVING SPOUSE (If wife. giVft maidftn name) own home 11a. 11b. DECEDENTS MAILING ADDRESS (Street. City/Town, State, Zip Code) DECEDENTS ACTUAL RESIDENCE (See instructions on other side) twp. 17093 17b. County Cumber land 17d. ~~h~e~t~~~~i~t:~ of S urnme r da 1 e citylboro. MOTHER'S NAME (First, Middle, Maiden Surname) 19. Laura Sprow INFO~~TS W\ILI/'IG,ADDRESS (Street. Ci~own, Slate, Zip CoQe) 2 20b.:JU.j ~cn.ley Ave.,l"reOer1.Ck,MD 1702 PLACE OF DISPOSITION- Name of Cemetery. Crematory or Othe[ ~Ialie RO.lI1.ng Green Cern. 21e. L1CE~MBER /3/ c2 NAME AND ADDRESS OF FACILITY 22b." V ~ &> '.:=J 2~usselman FH&CS LICENSE NUMBER 23b. R N /--.':L rz iflD L LOCATION - City/Town, State, Zip Code ~~mp Hi ll,PA17011 17043 324 HummelAve.Lemo DATE SIGNED (Month Day, Year) 24. 27. PART I: Enter the dl..a..., InJurl.. or compllcallona which caused the death. Do not enter the mode of dying, a Llat only one cauae on .ach IIn.. 23c. A WAS CASE REFERRED TO A MEDICAL EXAMINER ICORON ~./ 26. Yes D No ~ : Approximate PART II: Other significant conditions contributing to death. but . interval between not resulting in the underlying cause given in PART I. : onset and death Sequentially list conditions { b. if any, leading to immediate cause. Enter UNDERLYING CAUSE (Disease or injury c. . that initiated events resulting on death) LAST d. WAS AN AUTOPSY WERE AUTOPSY FINDINGS - PERFORMED? AVAILABLE PRIOR TO COMPLETION OF CAUSE OF DEATH? Yes D No I)I. YesD MANNER OF DEATH ~ D D DATE OF INJURY (Month. Day. Year) TIME OF INJURY INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED. NoD Suicide Homicide Pending Investigation Could not be determined D D D 30a. 30b. M. PLACE OF INJURY - At home, farm, street, factory, office building, etc. (Specify) 30.. Yes D No D 30e. Natural Accident 28a. 2Bb, CERTIFIER (Check only one) .f~~;r:F~~tGor~~f~~~~.~hls~~:~ ~~~i~~~Ji: tDJ fhe:~a~:~(:)~W3r~~X~I;~a~s h:~~~~~~~~~.~ .~~~~~. ~~~ .~~.~~~~~.~ .i~~~ .~~.>.................. 0 29. c .PfO~~~~~I:'Gm~Nk~;';I:JIgr:;l:e~t~~~~~c;,a:~ ~~~~:i~l~e~~tr.~~~;~~~,d:~: d~n: t~e~~~ut~e~~)~~~ ~:~~er as stated...................... 0 .MEDlCAl EXAMINER/CORONER ~:~~:rb::I:::.~~~~I.~~.t.I~~. ~~~~~.~ ~~~~~~~~.~~~~: .I~ .~~. ~~I~~~: .~~~~ .~~~~~~.~. ~~. ~.~,~I.~~:. ~.~~~:. ~.~~ .~~~.~~'. ~~~ .~~~. ~~ .t.~~..~~~~.~~.(.~~ .~~~.. D 31a. R~~, RAR'SSI~~NUMBER " I... J 33. (.,~:,,"n-?1_ /( /~'!--'4:a.v~~' J<' 1/ I~/I"""l 34. Register of Wills of Estate of Lillian G. Huntz also known as Cumberland County, Pennsylvania RENUNCIA liON No. I Deceased The undersigned, Shirley Suro ' Daughter of (Relationship) (Capacity) the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters be issued to Jacque Brink and Bernette Huntz Qtk WITNESS my/our hand(s) this day of '::::rL ~ Q I~ Sworn to or affirmed and subscribed before me this 5""- ~~ day My Commission Expires: (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission.) Prepared by the Pennsylvania Bar Association Copyright (c) 2004 form software only The Lackner Group, Inc. ~~ L) wur- (Signature) Shirley Suro 1214-F Cumberland Road Harrisbur PA 17103 (Address) co IA (Signature) (Address) (Signature) c"'"'\ (Address) en -D 1"''0 en ) -..J NOTE: Renunciations executed outside the Office of Register of Wills in some counties are required to be notarized. Form #RW-4 (1991) Register of Wills of Cumberland County, Pennsylvania RENUNCIATION Estate of Lillian G. Huntz No. !) fo- D I Jf0 also known as , Deceased The undersigned, James Huntz I (Relationship) (Capacity) the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters be issued to Son of Jacque Brink and Bernette Huntz WITNESS my/our hand(s) this .~ ~ / ~ 0-rd);Y . (Signature) ~ r""\~ ,Xr)~ James Huntz 601 Rupley Road Camp Hill. PA 17011 (Address) (Signature) co L.... / (Address) (- . (Signature) .... - -"') ~ " -~ I..:"';' '"'"\ :) of ~OMMONWEAL fH OF PENNSYL V ANlA Notarial Seal Tina M. Rober1son, Notary Public East Pennsboro Twp., Cumberland County My Commission Expires Nov. 15, 2007 Member, Pennsylvania Association Of Notaries N W ~ Sworn to or affirmed and subscribed -ri- before me this ~ ~ day (Address) otary u lic ~.y Commission Expires: '-(JOt/. j 5', ~O~ (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission.) Prepared by the Pennsylvania Bar Association Copyright (c) 2004 fonn software only The Lackner Group, Inc. NOTE: Renunciations executed outside the Office of Register of Wills in some counties are required to be notarized. Fonn #RW-4 (1991)