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Register of Wills of Cumberland County
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of (J /A c/'1 f J..., S---toex ?.(N}Jl..-< No.
also known as To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
, Deceased.
Social Security No. .I Ylo -Ig-- bf 0J:,-
c.:.;
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, appl
for letters of administration
on the estate of :.;r
(d.b,n.; pendente lite; durante absentia; durante minoritate)
the above decedent.
Decedent was domici
Decedent, then SS 1- years of age, died \ ) \- \ 'i I (
,20 Cl ~ ,at 'F"CJA<;1"
q/.v-h'1i(
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:
$
$
$
$
Petitioner_ after a proper search ha_ ascertained that decedent left no will and was survived by the
following spouse (if any) and heirs:
Na
'eft..
/7"50+
THEREFORE, petitioner( s) respectfully request( s) the grant of letters of administration in the appropriate form
to the undersigned.
Residence(s) ofPetitioner(s)
4~O 61~ C~ed
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Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALm OF PENNSYLVANIA
COUNTY OF CUMBERLAND
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SS:
The petitioner(s) above-named swear(s) or affinn(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
deoedent petitiooor( s) will well and truly adollnister the estate according to la~ ~
Sworn to or affIrmed and subscribed {'^ -~ ~
Bef'F.':" ~ 3d'-' day of ~
~ ,20OG
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\ . egister ()
. 4 No.dk~-:58;;;
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Estate of
. Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW 20~ in consideration of the petition on the reverse
side hereof, satisfacto proof having been ~~sented before me,
IT IS DECREED that I h tl;~
is/are entitled to Letters of Adminis~ti?P.; and in accord with such fInding, Letters of Administration
are hereby granted to l e f Kll:!!;L..
in the estate of
~2
U-fir}1 " fk . /; ~
~ Register of Wills 1h1Jrlf:~~j
FEES
Probate, Letters, Etc. ............. $
Will................................. $
Renunciation.. . . . . . . .. . .. . . . . .. . . . . $
Short CertifIcates ( ). .. .. . . .. .. . $
JCP .... .......... ........ ... ......... $
Automation Fee. . . .. . . .. . . . . .. . .. . $
Bond. . . . . . . . . . . . . . . . . . . . .. .. . . . . . . ... $
Total $
Filed /. LllJl ~ ~ 2~
V
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Attorney (Sup. Ct. I.D. No.)
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Address
59 C1~.)
Phone
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This is to certify that the information here given is correctly copied from an original certificate of dealll dul) riled 'v Ih me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for pennarLl1t Iii Ig.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No.
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Fee for this certificate. $6.00
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JUt 1 1 2005
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COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
1'PE/PRINT
'N
~RMANeNT
lLACK INK
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Cumberland
...
SEX
STATE FILE: NUMBER
SOCIAL SECURITY NUMBER
NAME OF oeCEOENT (F,rst, Middle. lasll
1. C1IMS L,$toer
AGE (last EWthdey/ UNDER 1 YEAA UNDER 1 0
Month. Days
'.Female
,.
196-18
DATE OF DEATH ,Mcn1l'l. Day, "<'eaf)
July 11,2005
84
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I!IATHPl.-.CE (Cily ~"d PlACf:; OF DEATH {Check 0l'IIy t)I'18 ..ee ,nSlruch01'19 on Olher !ltdfll
Slale 01 FOf~ngn COl.nl''!1 HOSPITAL:
Gardners, P A. Inpa''''' g{
1, Ia.
~AC1Lrrv NAME {U nollnsfiluhon. \I,ve 51/"'" III'lCl number.,
r7a.r/~ H ea.llA Ce /Ire,,.
g';:;llyl 0
..
COUNTY OF DEATH
DECEDENT'S USUAL OCCUPATION
(Give kir'Id ol wOrk dOne dUflng rnosl
01 wortdno Ill.: do not use retired.)
MARITAl STATUS. Married
Nevel' ""allied, Widowed,
Divorced (Spec.ty)
"widowed
RACE. Am$f'icanlndiilln, Bleck, Whil:., etc:.
(Speclf'y)
I.. Whi te
SURVIVING SPQUSE
III wile. Ql've malDen nama)
..,
11~ 11b.
DECEDENT'S UAIUNG AOOAESS (S'r.. CilylTown. StOile. Zip Code}
700 Walnut Bottom Rd.
Carlisle, PA17013
Carlisle
clly/bolQ
17b. Coun
0kI
dec......
Ilvetna
C11mnprl ano ICI\ltInMJp? '7d.CX~~hj=i~Of
MOTHER'S NAME IFif5t. Middle. Maiden Slinamel
1.. Edna Wear
INFQAI""l,NT'S MAIUNG ADDRess (Street. CilyfTOwn, Slale. Zip Code)
,00.60 Clines Church Rd. As
PLACE OF DISPOSfTlON. Name of Cemetery, CremalOfY
or OIhBf Place
.....
Removallrom Slale 0
PA 17304
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LICENSE NUMBER
&~1589L Hol
To lne besl 01 my k~o;'&dgC!l:d~2ih oc-c;.:,ed 1101 'ih-;{i~~;~;'d-J"I!,~';st~~- - ---
(Signall.n and ~il~
23.. r u...'1'U'V
TIME OF DEATH
21J:Iollinger Crematory la..HollySprings,P1\17065
N....ME AND ADOAESS OF F....CIUTY
>i,n~~1;_FH~~):.~ma ~~Mt-,-~oll ySpr ings, PA 17065
LICENSE NUM8EA DA.TE SIGNED
r7 L {Month. Day. Yearl
"..^IJS/~J.'I..< 'k Jll.L 1I,2oo.s,-
WAS C,A,$E REFERRED TO MEDICAL EXAMINEAJCQAQNEA?
/4.Ji .... C}t Not!
...
I ....pproxim.l.
: Interval between
: onset and death
I
PART II:
Other signitlcanl eondhions contributing 10 death. but
notRl,ultlng in !he undeflylng caUIHI gN.n In PART I.
24.
27. PART I; Enlllr Ihe diseaSlls, injlJries or complic:allons which CIilused 1"- dealh. 00 flOt an.er 1,* mode 01 dyIng, luch as cardiac or respiratory arrest, shock or helll't failure
UoI on~ OM ".... on ..'" '{!p ~
'..MEbI....TE CAUSE (FInal' .
=:~.'\'n='r_ . A.f hu) ~ .Jtt<J/ A--dtu.. CI dt-J.
DUE 10 10fl AS ACQNSEQUENCE OF): I
II
2-005'
( :
DUE 10 lOR AS ACONSEQUENCE OF)"
Due TO (OR AS A CONSEOUENCE OF}:
WERE AUTOPSY FINDINGS MANNER OF DEATH DATE OF INJUf\Y
AVAILABLE PAK)R 10 [J/'" (Monltl. Day, Yeal)
COMPLETION OF CAUSE Natural Homicida 0
OF OERH1
Ace"'"' 0 PendIng I"vesl!gallon 0
YlIa 0 No rX" Suicide 0 Could noI bEl determined 0
TIME OF INJURY
INJURV AT INQRK? DESCRIBE HO'N INJURY OCCUARED.
.... 0 NoD
REGISHMR"S SIGNATURE AND NUMBER
~.~~~~
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.21&. 28b. 29.
CERTIFIER (Check only one\
'CEATIFYING PHYSICIA~ {PhyslClCln eerlllying cause at death ,,",hllfl anothll<' pflYSICll1ln has prOl'\Ol.1l'll;ect dealh i1r1d eompteted III!Im 23t
To the blnt 01 my knowledge, deBth oc:eUfTed due to tha cauu(sJ and manner IS stated. .
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'PRONOUfoiCING AND CERTIFYING PHYSICIAN {PhYSiCIan boIh pIQnOUI'lCIf"lQ death and cenilYlf'IQ 10 Cause of dealhl
To the belIt 01 my knowledgll, daalh occurred It thallme, dlla, .F1d pllCIII, and due to tha (ause(aland manner as ,taled..
"MEDICAL EXAMINER/COAONER
Ort the b..I. olexamin.allon and/or inve.tigation, in my opinion, death oc(:urred at the tIme. d;,ta, and plaCE!, and dualo the cause(s) and
manner.. st.tllKl..
318.
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Register of Wills of Cumberland County
RENUNCIATION
Estate of
Gladys Stoerzinger
No. 0'" 5S.:2
Also known as
, deceased
To the Register of Wills of Cumberland County, Pennsylvania
The undersigned-----.!?onald L. Stoerzi~~__ _~o~____
(Name) (Relationship) (Capacity)
of the above decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
of Administration
be issued to
Lee Ritter
..)
Letters
Witness my/our hand(s) this / 5""~day of
fIJ Iff ,204
~ .J.. 5. -
~t~ "~y- ~,~
(SIgnature
32'8 f}oztI &Ltr-nth $I- IJhtLVI-)/d'd Sj;ufft u.
(Address)
A ffirmed and subscribed before me this
~daYOf fnFl-V
~.X ;&ljl/)ifLt
otary Pubhc
My Commission Expires:
@c!~&,-dOOq
(Signature)
Or
(Address)
A ffirm~d and s'.!bscribed before me this
_ day of
(Signature)
Register of Wills
Deputy
(Address)
(Signature and seal of Notary or other official
qualified to administer oaths. Show date of
expiration of Notary's commission)
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal-
Usa L Bennett. Notary:~
MenaIIen Twp., Adams cOunty
My Commission Expit&& Oct e, 2009
Member, Pennsylvania Association of Notaries
v'1..-
(7"~ c)("
Register of Wills of Cumberland County
RENUNCIATION
Estate of
Gladys Stoerzinger
/')/ r-7'r' 'J
vv' 550<
No.
Also known as
, deceased
To the Register of Wills of Cumberland County, Pennsylvania
The und'.'Tsigncd ,
Donna Starner
Daughter
----,-----,_._...__._-_.__._-,------_._-_.~----
(Name) (Relationship) (Capacity)
of the above decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
of Administration
Letters
be issued to
Lee Ritter
Witness my/our hand(s) this dOfA.
d'YOfJJJmj ,zo/ip
-J. ;(JJZ'}Hl x:Ii~
f4 (Signature)
15~') ih/Iy !jJfg- roael//)/e~, k /1()/3
(Address)
Affirmed and SUbS9i~bedyfOre me thlS
~{Jftl day of f , J fJ-- ,
~l~
My Commission Expires:
() ~/tuLD{P ( ~9
(Signature)
Or
(Address)
A ffilmf.'d and subscribed before me this
_ day of
(Signature)
Register of Wills
( Address)
Deputy
t:'::;
(Signature and seal of Notary or other official
qualified to admil1lstcr oaths. Show date of
expiration of Notary's commission)
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Lisa L Bennett. Notary ~')ubIic
Menallen Twp.. Adams County
My Commission Expires Oct. 6, 2009
Member, Pennsylvania Association of Notaries
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Register of Wills of Cumberland County
RENUNCIATION
Estate of
Gladys Stoerzinger
No.
"',.I. .. Cr-' )
/f...J-.~ J~
Also known as
, deceased
To the Register of Wills of Cumberland County, Pennsylvania
The undersigned
William Ritter
Son
(Name) (Relationship) (Capacity)
of the above decedent, hereby renounce(s) the right to administer the estate and respectfully request{S) ~hat
of Administration
r.....-,.
.-)
Letters
be issued to
Lee Ritter
(n.. '
Witness my/our hand(s) this 3
day of
!'IJ Cl'f ' 20~
1J1~~ Q, '\> 11L ~
(S ignature)
gj 11, rdl'1Cl/ Dr, PeNI'l,\,iI,I'/..,.1\(7 () go70
(Address)
Affirmed and subscribed before me this
.3 day of #181
~ -
1lt1JJLitiJiL
Notary Public
My Commission Expires:
~/J1/J6D1
1ZrUlx-i lid
(Signature)
Or
Po tJ!f, Iti /Jvltf!!t/1J #1(/)3
Affirmed ~nd subscribed before me this
_ day of
(Signature)
Register of Wills
(Address)
Deputy
(Signature and seal of Notary or other official
qualified to administer oaths. Show date of
expiration of Notary's commission)
NOELLE L HILL
Jc r.J <"."Y
1\)(; IAFN PUBLIC OF NEW 1.::\ .0C
My Corr.mission Expires
.lune 27. 2007
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Register of Wills of Cumberland County
RENUNCIA TION
Estate of
Gladys Stoerzinger
No. C& - 5bc:2
Also known as
, deceased
To the Register of Wills of Cumberland County, Pennsylvania
The undersigned_..~~s~ Wa.lter Mor~~~ Daughter
(Name) (Relationship) (CapacIty)
of the above decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
of Administration
""J
Letters
be issued to
Lee Ritter
Witness my/our hand(s) this d7 day of m 17 rc A
,20017.
Affirmed and subscribed before me this
d 7 day of ./ ) J ,4 /"t:' L !I
~ .,"~r....~.rOhAPreston L1L1Ii7-
// /1 ,/ ;~ .~~ MMISSION# 00241658 EiPIRtS
. I .L.v-/./~ . .~: August 14, 2007
. Notary Public / "',.iif.~"'" BONDEDTHRUTROYF"'ININSUR"'NC~INC
rt.. 12'
My Commission Expires:
/:~"'1t/~ T /'t pritt 7
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~1iJl-L:r ,lU 1~-kA.-. ia1-":/.// J (
! (Address)
v
(Signature)
Or
(Address)
.A. ff1rmerl 2~ld subscribed before me this
~ day of
(Signature)
Register of Wills
Deputy
(Address)
(Signature and seal of Notary or other official
qualified to administer oaths. Show date of
expiration of Notary's commission)
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