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Home My WebLink About07-14-06 PETITION FOR GRANT OF LETTERS OF ADMINISTRATION , deceased. N 21 06 " (- /" o. - - 'i ) ) To: Register of Wills for the County of Cumberland Commonwealth of Pennsylvania Estate of JANET H. HARNETT also known as Social Security No. 140-05-2780 The Petition of the undersigned respectfully represents that: Your Petitioner, who is 18 years of age or older applies for letters of administration on the estate of the above decedent. Renunciations for Dennis E. Harnett is attached hereto. Decedent was domiciled at death in Cumberland County, Pennsylvania. with his last family or principal residence at 1920 Esther Drive. Carlisle. Pennsvlvania Decedent, then ~ years of age, died Carlisle. Pennsvlvania . June 12, 2006, at Chapel Pointe @ Carlisle. Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property Value of real estate in Pennsylvania, situated as follows: $218.000.00 $ Petitioner, Elizabeth H. Bowes, after a proper search, has ascertained that decedent left no will and was survived by the following spouse (if any) and heirs: Name: Relationship: Residence: Dennis E. Harnett Elizabeth H. Bowes Son Daughter 85 South Main Street, Apt 4, Phillipsburg, NJ 08865 1920 Esther Drive, Carlisle, PA 17013 WHEREFORE, Petitioner respectfully requests the grant of letters of administration in the appropriate form to the undersigned. '\ II '~Yl-'~~\~~.~c" Elizabeth H. Bowes 1920 Esther Drive Carlisle, PA 17013 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ss ) c) COUNTY OF CUMBERLAND The Petitioner above named swears or affirms that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of Petitioner and that as personal representative of the above decedent, petitioner will well and truly administer the estate according to law. 1,1, ~\\ "" L~'-'~" r \jJ...~'~) '.. Ilzabeth H. Bowes Sworn to or affirmes;ljlnd subscribed before me this I L day of July, 2006. , /.Lj/Jif,>{" :11(1/,( j'(.:,,/ti( ;j',J, :</L' ~ ) Register j No. 21-06- ^ c: Estate of JANET H. HARNETT , deceased. DECREE OF GRANT OF LETTERS OF ADMINISTRATION AND NOW, !'~ Julv. , 2006, in consideration of the Petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that Letters of Administration are hereby granted to Elizabeth H. Bowes U I~ I i.,J k ( . , , ,,/.j<- C ,\['f(i:,j(1 (fee j ,h '\.\ C:L,h l 'i/ ({ I' \ ,..--/ j ~.., I Register of Wills FEES Probate, Letters, Etc. . . . . . . . $310.00 Short Certificates(-2-) . . . . . . . $ 8.00 Renunciation(s) ........... $ 5.00 JCP .................... $ 10.00 Automation Fee. . . . . . . . . . ..$ 5.00 Other . . . . . ., .... $ TOTAL: .... $338.00 Filed. . ... . ... .,. . .. . . . .. . . ... .., 717 -249-2353 PHONE :~::\'\.~;1 j" l.(JITC~,tly L'I,)pi~.~d jrC\j~l ,111 Uri~~lnal l\.'r1i1'l>...dk' dl he ;)r\\'{~rdcd tq !h~~ SI.dlC \"l1al H.i~'l.'l',rd" ()fl WARNING- It is illegal to duplicate this copy by photostat or photog'aph ,~\ () \..Ji elk;~ .' ;1 ~~-- ( ~.~_~.~b.)..~~-t-~-' (iI, !! . ? c:,::; \ ,"" ,_.,~ V \.) ',,./ (5 t...J ill; i';~":' f ~;~~;.#~~<;.~'- '1,;1, 'i><\.' H ur Pt:lf:'~ l?~~Cr~,'<fl! ::: ~ ~ ~., , . or .; ~ ~ '" ,.<.... .. . *, '& ~ ~' \~ /",/ ~,4,q~ .... ~\..",....., 'c-c' /MrN' \')\- . ">,, '<~:z.~~;~/"',0!~J;/ "'-, ) ,JUN 1 2 2006 H105.143 Aev,011U6 TYPE/PRINT IN PERMANENT BLACK INK 1 Name of Decedenl (First. middle, last) COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH STATE FILE NUMBER "~.:'J- , C.,) C~I ~I : 5. Age (Laslbirthday) 94 6 Under 1 ear \ Monltls Days Urlder 1 da 7 Daleo!8irth Month,da ear H"" I M'oo'" I 9/7/1911 Be. Cily, Boro. Twp, of Death I' ; T8 Birthnlace Cilyand slate 01 fore' ncounl IPatterson, NJ 140 - 05 _ 2780 14 Da1e of Death (Mcnth,daY, year) I June 12, 2006 3 Sociat Security Number Janet H. Harnett Cumberland Carlisle Boro. Sa. Place of Death Checkontvone I Hospital: I Other o In ahenl 0 ER/Oul atient 0 DOA IXl Nursinll Home I8cL Facility Name (If not instiluhon. give street and nuntler) 9 Was Deceden1 of H. ispanic Odgin.' XI No 0 Yes (II yes. specify Cuban, Chapel Pointe @ Carlisle M,"can, pueno R",",,'c) 12. Was Decedent ever in the US 13 Decedenl'sEducalion S eci on h' hesl radeco leled 14 MarrtaIStatus:Married,Navermarried. Armed Forces? I Elemenlary/Secondary (0.12) I 3 College (1-4 or 5+) Widowed, Divorced (Specify) o y" ~ No Widowed ~~U~~~':idence \7a. State PA ~~e ~~edent \7c, 0 Yes, Decedent Lived in Townsh~? y" 8b. County of Death 11 Decedent's Usual Occupation Kind of work done durin mosl 01 workinnlife; do not stale retired) Kind 01 Work I Kind 01 BusinesSllndustry Hane:naker Her own heme .. 16. Oecedenfs Mailing Address (Slreet. crtyllown, slale, zip code) 1920 Esther Drive Carlisle, PA 17013 18 Fa1her's Name (Firs1. middle. lasl) o Residence 0 Olher.~i1v: 10. Race: American Indian. Btack, Whne, elc (Specify) White 15 Survivirlg Spouse (If wife, give maiden name) Twp Isaac C. Hance 2Oa, tnformanl's Name (Type/print) Rose M. Lynd 17d.j( ~;u~~=~~ivedwrthin Carlisle Cityl8oro 17b. County Cumberland 19 Mother's Name (First. middle, maiden surnamtl) 2Ob. Inlormant's Maikng Address (S1ree!. cityllown. slala, zip code) Elizabeth H. Bowes 1920 Esther Drive, Carlisle, PA 17013 o w '" :::J '" <( ::J <( 21b. Da1e 01 Disposition (Month. day, year) 2k P~ce of Disposnion (Name of cemetery, crematory or olher place) 21a MelhodolDisposition '.J Burial Jg Cremation o Other.Specify : 22'~/;l<,""'("'~/ ~ 1;~'"~;';";~'3 L Co"".' lele nems 233.-< only when certilyirl9 233. To 1he besl of my knowl~. dealh oc_ck/.UHed allhe time, date and place SIa.1ed. (Signature alld lrtle) phYSICian rs nol available at lime ofdealh to ';?" 'i. .1" . ---' f certify cause of death (~ ,P. >hr: // //. ."~ .:,p III. .. Ilems 24.26 mJsl be COrlll1eled by pelson 24 ~r Dealh I 1125. Da;e PronoUf\Ced Dead (Month, day, year) . woo,,,","",,,,,,'h 0 3 -1 () fl. M ... j I L'Y1 c:. I?. '1. {)()(., CAUSE OF DEATH (See Instructions iod examples) lIam 21. Pari I: En1er the chain of events - diseases, injuries. or complications -lhal directly caused tile dealh. DO NOT enler lerminal evenls soch as cardiac arlasl, respiratory arrest. or venlrcular Ilbrillalion wilhou1 ShOWWlg the eliology. 00 NOT abbreviale. Enter only one cause on a line. IMMEDIATE CAUSE (Final disease or cond~Klfl resu~ing in death) ---7 a. Due 10 (or as a consequence oij: o Donation 6/13/2006 Evans Cranation Services o Removal from Stale T21d. Loca1ion(Cityllowll,slate,zipcodel Leola, PA P-DJ lIR<I<;""1 I 22c. Name and Address of Facility IEWing Brothers Funeral Hane, Inc., Carlisle, PA 23c.DateSigned(Monlh,day,year) -J 4. t1. '" I J. ?-."" (, 23b, License Nurrber Approximalein1erval onset 10 death 6(~ ~...Case Referred 10 a MedICal Examiner/Coroner? ~ Yes Q"'No Part II: Enler olher an1 00' ion onlri In th. 28 Did Tobacco Use Con1r'bute 10 Death? but not resu~ing in rl e umlerfying cause given in Part I 0 Yes 0 Probabty 'Q. No 0 Unknown \..1..... (4\.. (::I.~~-n Sequenlially listcondilions. if any. leading to lhe cause lisled on Urlea - Enle! the UNDERLYING CAUSE . (diseaseoriniurylhatinnialedlhe evenls resuKing indea1h) LAST. Due 10 (01 as a consequence oij' Due 10 (orasa consequef\Ceoij J08. Was an Au10psy Performed? ,. JOb, Were Autopsy Findings Available Pror to CorT'f;lletion of Cause olOealh? DYes 0 No 32d. Time of tnjury I 32e.lniurvalWork? DYes 0 No 321 IlTransportalion Injury (Specify) o DriverlOpelalor 0 Passenger o Pedeslrian 0 OIher - Specify: 33b. ~alure and Tille or'Jrtilier . \ c-.-. P." ~"'" h 0 33c. LicenseNurr'ber 'f'<--'\) CO ~"'L.l.{(, 32a.Dateollniury(Monlh,day.year) 32b. Describe Mw Injury Occurred: 31 Manner of Dealh ~uraj o Homicide o Accidenl 0 Pending tnvestigation o Suicide 0 Coukl Not Be Detelmined DYes .wr'No >- Z W o w U w o ~ w '" <( z 33a. Certifier {check only one) CertifyingphysicLan(Physiciancerlilyinllcauseofdea1hwtlenanotherpnysicianhaspronOuf\Ced dealh and coflllteled item 23) To the best of my knowledge, death occurred due to the cause(s) and manner as staled ....-....... .. ... .........."...... Pronouncing and certifying physician (F'tlysicianbolh pronouf\Cingdeath and cerlrfying 10 ceuse of deal h) To the best of my knowledge, death occurred at the time, date, and place, and due to the cause(s) and manner as stated... Medical ex.aminerlcoroner On the basis 01 examlnallon and/or Investigation, in my opinion, Ileath occurred at the time, date. and place, and due to the cause(s) and manner as staled ........0 34. (:Cd;dr;:;of:rson ~ ~~le~~s~f::~h~7~eftJriJ~Ml ~ '6"0 W C. ~t\.V' ,'()otj", ~1J ccr/.-fJf... 6'1 mm~ ......0 35 R""t..~~";'~.:~~~..... nb, ." CY 16-1 \ ld-,I ( ID I 1.36~ Dale File~ (Month... day. year) Ie \\\),\e. L) :). ~\('i\r (See instructions and examples on reverse) 29 II Female' o NOlpregnanlw~hinpaslyeal o Pregnanlattimeoldealh o Nolpregnant,bu1pregnanlwrtnin42days ofdealh o Notpregnantbu1pregnanl43days101year before death o Unknown ilpregnan1wi1hin1he past year 32c. Place of Injury: Home, Farm, S1ree!. Factory. Office Building, etc. (Specify) 329. Location (Streel.ci1yr1own. slatel I-) 33<1,DateSlgrled(Month.day,year) ~ "'..... \':1" ~(),,~ RENUNCIATION In regard to the Estate of Janet H. Harnett , deceased. To the Register of Wills of Cumberland County, Pennsylvania. The undersigned Dennis E. Harnett of the above decedent hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters of Administration be issued to Elizabeth H. Bowes WITNESS our hands this it (ji~. /. lday of July ,2006. C".. I- I "'--' ~ /" . .- Ic~''---'~~ \ ;z..---- L /' ./' DENNIS E. HARNETT 85 So. Main St., Apt 4 ADDRESS Phillipsburg, NJ 08865 SWORN AND SUBSCRIHED BEFORE ME .. , , :~ on, '_~ .::.'~~! -., t~:.' \'