HomeMy WebLinkAbout07-18-06
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
~(-D(;~063l'
Estate of .JOEL EDWARD HELLER
also known as
No.
To:
Deceased.
Register of Wills for the
County of CUMBERLAND in the
Commonwealth of Pennsylvania
Social Security No. 188324497
The petition of the undersigned respectfully represents that:
Yourpetitioner(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 224 S. YORK STREET. MECHANICSBURG BORO. PA
(list street, number, Twp. or 8oro.)
Decedent, then 66 years of age, died 6/9/2006
at HOLY SPIRIT HOSPITAL. CAMP HILL. E. PENNBORO TOWNSHIP. PA
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:
NONE
$
$
$
$
7.000.00
0.00
0.00
0.00
Petitioner after a proper search ha s
the following spouse (if any) and heirs:
ascertained that decedent left no will and was survived by
Name Relationship Residence
224 S. YORK STREET
EVELYN I. HELLER WIFE MECHANICSBURG PA 17055
224 S. YORK STREET
CRAIG A. HELLER SON MECHANICSBURG PA 17055
469 WOLFS BRIDGE ROAD
CHRIS A. HELLER SON CARLISLE PA 17015
1149 TOWER ROAD
MARK L. HELLER SON YORK PA 17402
307 S. BROAD STREET
TODD D. HELLER SON MECHANICSBURG PA 17055
THEREFORE, petitioner( s) respectfully request( s) the grant of letters of administration in the
appropriate form to the undersigned.
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224 S. YORK STREET
MECHANICSBURG
PA 17055
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEAL TH OF PENNSYL VANIA }
ss
COUNTY OF CUMBERLAND
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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 above decedent petitioner(s) will well and
truly administer the estate according to law.
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No.
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Estate of JOEL EDWARD HELLER
, Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW d D () ~ , in consideration of the petition on
the reverse side hereof, satisL tory proof having been presented before me,
IT IS DECREED that EVEYLN I. HELLER
is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration
are hereby granted to
EVELYN I. HELLER
in the estate of .JOEL EDWARD HELLER
FEES 4 S /)0 MURRE
Letters of Administration. . . $ 24849
Short Certificates ( ). . . . $ 4. ()D
Renunciation. . . . . . . . . . . $
,JeeiltvTD $ I S. t1 0 PA 17055
TOTAL _ $
. 7) (.~.; b b. . . . t 4. v6 717-6974650
Filed . . A.D. PHONE
C, Iii, I~; 10 ccrtifv that the information here given IS correctly copied from an original certificate of death duly filed with me as
H. tI Registrar. The original certificate will be forwarded to the State Vital Records Office for permancn(' filing,
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No,
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Fee for this certificate, $6.00
P 12594061
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Date
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H 105 1.. REV 0212006
TYPE/~TIN
PERMANENT
BlACK INK
1 Name ol De<:<ldonIIFnt. .-. ""I. oultiJ<)
Joel
5 Ago (l.oot Brnlayl
1130-262
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH (CORONER)
II llec8donts u",.
K.nd of WOOl
12 Was Decedent ever in the
U.S I\tmod Forcetl?
(jjyes ONo
OecodenI',
Actu. RoSldonco 17_ SIaIe
1 J Oocedenr, Educ_tion ISpecify only highest grade COI1ljJIeIOd)
Elemenllr( 1 SocondaIy 1{).121 Collogo 11-4 or 5-1
12
Pennsylvania
Cumber land
STATE FILE NUMBER
. DillIofDoiih(_.day.yeal
June 9, 2006
Edward
Heller
C>
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~
7. Birf\ Ci andslaleor
66
Vrs
Feb. 14, 1940
Carlisle, PA
I. Mari1al SIaus: 1I.nod. _1Iimod.
W_. Divo<cod (SpoO/'fJ
Married
o Residooce 0 Ot>er ' Specify
10 RilCAl """"""'" lndlan.llIacl<. While. eO:
(Specify)
White
15 SurYlmgSpou..(hile.ljNemaodonname)
8b CounIy of 0ear1
Cumberland
ad FociIity N...IW noIinolitlJtion. g''IO street and number)
Holy Spirit Hospital
Fraker
17b Coonly
Old Decode'"
lNeina
Township?
17e 0 Yes.~lMldin
17d I!!I ~~ J"'Od ""'"
T..p
Mechanicsburg
City 1 Boro
~ Ilems 23a< only oIlen
~YsDiin IS noI ~ai&atlie allime
cort4y cause of Oealh
-. 2< 2ti must be compIelod b, person
'Nho prooounces deaIl
19 Mothor', Namo (Fnl. _. _ surname)
Helen Rose
201>. Into",..,r, lIaIing Ad<<oss (Shel. city 1-.. SIale. q> oodo)
224 S. York street, Mechanicsbur , PA 17055
21b Dale aI [MposJtion (1Ionlh. day. ~ili) 21e PlilCAl of ~tion IN... of~. CllIfIIaIorj or _ place) 21d l.oca1ion (City 1-.. ...... q> oodo)
Mechanicsburg Cemetery Mechanicsburg, PA
8 Market Plaza Way
zzi Funeral Hane Mechanicsbur PA 17055
231> Ueo_ Number 23c Dale Si.Jned (Monlll. day. yea)
.. ..
2. T"., of Do.1Il 25 Dale Pronounced Doad (Month. day. yearl
11:27 P M June 9, 2006
26. Was Case Referred ~ MedK:aI Ellamioer J Coroner tor a Reason Other flan Clemalu1 OJ 00naIign?
Aves 0 No
CAUSE OF DeATH 1s..lnllluction. Ind ...mpl.'"
)Un 21 PART I Enier the ctllJO Q!: 1JYCfI.A . diseaiflS, "JUnes, or (.ornp!UIlao$. Ul,j!, d1ttdly ~5tJd the dea&h DO NOT enter lermlnal e','ec11s such as caroiac iMTl3s1
respwa~ arrest, Of 't'8O~1CUiar lionUation wiIhoul sMwrlg !he etiology Ust ooly 008 cause on eadllfle
: Appro""""...""al Partll En"olhef~~IIIJlul1J.
: Onset to Deatl but f10t rttiUltiog II1Ihe undertying cause gNon in PM! I
28 lJo:I Tobacco U.. Cootribu"1o Deolh?
o Y.s 0 Pfoballiy
o No 0 Unknown
29 W Female
o Not pregnant wilhln pa$1 yeM
o Pfognontal.meofdealh
o Not prognanl. 1M pregnant W1th...2 days
"'death
o Not pregnant, bul prtigflanl.U ~ 10 , yell
oldoalll
o Unknown II pregnant wiUwt &he p6t yeat
32c Place oIlnJ<6y Home. Fann. S..... Fac1ory.
0Kr;e Buidl"'l. ole ISPfIQIyl
=~~~S:~::dM~
Occlusive COrOnary Arterv Disease
Out \0 (or .t I contequ.nca of)
\.
...!
-...
~
~aIIr llil coodlioos, if iWly
~nlef':~'E:~..G~~
(~Afl Of 1I1JUr~ that 1lli1laWd the
....... resul1lng.. dealh ) LAST.
Due to lor at. . COI1uquence 00
Due to (or .. . COI\MQu.nOl or)
~
Dyes j8'.No
DYes 0 No
31 M....... 01 Doalh
~ N"",al 0 Homlclde
o AcodtH,t 0 P~1dong Invosbg""'"
o SUICide 0 Could Not be DelermlllOO
32d Time oIl"1"'Y
JOa Was an ""lllpsy
Perlormed?
JOll Were Aulopsy F.-.dongs
Avallatie PflOI' 10 CompIeIIOO
uI Cause at Death?
-)
JJa. C_lcIlecItontyonej
Certifying phpidan (PhySlOan cerulYlllg cause 01 dealll wtltifl another phys.aan has pronoonced lJearh and completed lIem 23)
Tothtbett~ m~ know~, dMth oecu'redd~lothec.u..~.).ndmann.'.. .tac'Sl_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _..D
Pronouncing .nd ~inU phyIk6ln (PhYOOafl both pronounclflg oeath and cenltYIf'Ifj 10 cause 01 death)
To tbt beat of my know6edut, dllth ouurrtd .IM IimI. dati, and pt.", Ind dUllo thl caUH(I) and mlMIf U ltallet. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .lJ
..... ElIminer I COIOMt'
On the bal. of examination and I or ,"v.aUgtUaR, in mw opinion, dNth occur,-.d.. the time, dat..1nd ~It., and due to ttt. cIUN(I) 1M mlnntf u.tIt"- _
Coroner
!
o
~
I ~I II~I I k2 I
June
~ 'i-TI~"::iof~~g;~i:""~~~6~:~ Tl1>lI 1 Pmt
6375 Basehore Road! Suite #1
00" Mechanicsburg, PA 70:>0
pies on reverse)
33<1. Dale Si.Jned 11Ionlh. da, yearl
10, 2006
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