The URL can be used to link to this page

Home My WebLink About07-14-06 Register of Wills of Cumberland County Estate oj' Rosalyn Gerber also 11710\1'11 as Roz Y. Gerber PETITION FOR GRANT OF LETTERS OF ADMINISTRATION No. c2/- ()LP - lp3c2 To: , Deceased. Register of Wills for the COlU1ty of ClU11berland in the Conm10nwealth of Pelmsylvania Social Seclll"i(v No. 187-24-7602 The petition of the undersigned respectTI.llly represents that: Your petitioner(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~ last family or principal residence at 1004-8 Market Street, Lemoyne, PA (list street, l1lU11ber and mlU1icipality) Decedent, then 74 years of age, died July 3 1004-8 Market Street, Lemoyne, PA ,2006 , at 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 Pem1sylvania (Ifnot domiciled in Pa.) Personal property in COlU1ty Value of real estate in PelU1sylvania situated as follows: $ 250,000.00 $ $ $ Petitioner_ after a proper search ha~ ascertained that decedent left no will and was survived by the following spollse (if any) and heirs: N R l' l' R 'd ame e atlons 1IP eSl ence Martin A. Gerber Son 1004-8 Market Street, Lemoyne, PA Ronald E. Gerber Son 1004-8 Market Street, Lemoyne, PA ".) THEREFORE, petitioner(s) respectfully request(s) the grant ofletters of administration in the appr()priate forj.i1~ to the undersigned. . ce, i Signature(s) ofPetitioner(s) ~~~~ !. ~.. Residence(s) of Petitioner(s) -: Ronald E. Gerber --- 1004-8 Market Street Lemoyne, PA 17043 G.) ~--) I; Register of Wills of Cumberland County OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } 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 k11ow'lcdgc and belief of petitioner(s) and that as personal representative(s) of the above decedent petitioner(s) will well and truly administer the estate accoriing to law. Sworn to or affirm~d ,~subscribed . { ~ '-^ L. ~ -3 B:-h\:11crthls . ~ .' "day of en -==, L)--.'-O ' 2()~o (I ~lL"1tc~ LI u~~ltL~( Register r.l h .' - ~ 1 . No~ .;21- CL.;; l.v~2.... ~ ~,c, l':i" O-€ (' b.';; " Estate of,~ ~ .k.\>- , Deceased 'K.<:.Z, 'f. Gt','v-,.,,- GRANT OF LETTERS OF ADMINISTRATION 5}.. u; AND NOW i~ 20 04in consideration of the petition on the reverse side hereo( satisfa :Ll2.Eoo aving been pr,esented before me, IT IS DECREED that '~_l:~on.\_\d 1::. 6erw,- is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration are hereby gr,mted to \<.c-"""\c\ E ~<i"'c..>r t::>,.K,~ ""Kc,~ / \.1. Gecb.< " o ~';\,~\~>- Register of Wills in the estate ofKn"'-n 'u.6Y'---- ('x..~~ \. FEES Probate, Letters, Etc. $ 30.oe Will . $ Remmciation... . $ Sea Short Certificates ( ) $ JCP... . $ 10 .00 Automation Fee.. $ c::; , (J"'O Bond.. $ Tot,l! $ 3$0 c./C) Filec~,L.../ 11-\ 2U O\p () Benjamin J. Butler, Esquire 81948 Attorney (Sup. Ct. LD. No.) 500 N. Third Street, P.O. Box 1004 Harrisburg, PA 17108-1004 Address 717.2361485 Phone Register of Wills of Cumberland County, P A RENUNCIATION Estate of ROSC\/)//l I?Q2. Cer b C( r. Cerhfr No. ~I- (51 0- U~;)- also known as , Deceased The undersigned, IY arhl\ A . Cerb~r s: ON of (Relationship) (Capacity) the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters i) ( /J d /11/1' s frtlfr D^ be issued to I? 0 () 0- I d F. C e,. be r hand this 7 <tb daY?f Tu. J 'I . J D06 . ~~ ~~~ (Signature) - Witness h"!. ,/ /CO~- ~ IY7 O"..~4!.T , b (Address) "-"~.~N4L \ \ ~ \,,",4!)~~ r- s- " , ~ (Signature) (Address) (Signature) (Address) Sworn to or affirmed and subscribed before me this , ~ day of 1t~__~~~ ~ - Notary Public My Commission Ex~ ires: NOTARIAL SEAL LOUIS J. LORE, Notary Public Camp Hill Boro, Cumberland County My Commission Expires April 14, 2007 (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission.) , NOTE: Renunciations executed outside the Office of Register of Wills..ar:e required in some counties to be notarized, '.~ w RW-3 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{J~/~ Fee for this certificate, S6.00 Local Registrar p 12625243 JUL 0 6 2006 Date (....;.) IRev.01,()6 PRINT IN IANENT CK INK 1 Name of Decedent (First. middle, lasl) COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH STATE FILE NUMBER 5 Age (Last birthday) 74 Vrs. 8b County 01 Death 7. Daleo/Birth Monlh,da. ear 3. Social Security Nurrtlef Roz Y. Gerber '187-24 2006 March Cumberland Lemoyne \1 Decedent's Usual Occ tion Kind of wolk done durin IOOst of workin Ule; do nol slale retired ma8n~g~ment GerbK~d~BU~'a"b'~lcs Decedent's Mailing Address (Slreet, ci!yl1own, state, zip code) 12. 13. Oecedenl's Education S EtemenlarylSecondary (0-12) 16 PA t on h' hast radeco Ieled College {1-4 orS+) 1004B Market St. Lemoyne, PA 17043 17a. Slale t7b. Coun~ Cumberland t7d~ No, Decedenllived w~hin Actuallirms of Lemoyne Cityl13oro 18 Father's Name (First, middle, last) Isadore 19. Mother's Name (First. middle, maiden surname) Yudacufski Estelle Terlinsky lOa. Informanl's Name (Typelprinl) Ronald E. Gerber lOb. Inlormanrs Mai~no Address (Street, city..1own, stale, zip code) 1004B Market st. Lemoyne,PA 17043 Hollinger Crematory 22c. Name and Address of Fac~ity Musselman FH&CS Inc s 21c. Place of Disposnion (Name olcemetel)', crematory or other place) 1 Ave. 23c. Dale Signed (Monlh, day, year) . IlerTG 24.26 rrust be compleled by person . who pronounces death 24. Time of Death 25. Date Pronounced Dead (Month, day, year) :r",\'1 5 I .l..oo~ CAUSE OF DEATH (See instructions and ex.amples) nem 27. Part 1: Enler lhe ~ - diseases, in;..ries, or cOlT1>licalions -that directly causeclthe death. 00 NOT enter lemnal el/enls such as cardiac arrest, respiralory arrest. or venlricular fibrillation withoul showing Ihe etiology. DO NOT abbreviale, Enter only one cause on sline. IMMEDIATE CAUSE (Foal dis.... 01 C ., I "Co G\ '/' N St- cond~lOn resuttlng In death) -7 a. ~ ~.... Due to (or If f consequence 00: Sequentially lis' cond~ions, if any, " S +h I"r\ a. leading 10 fhe cause listed on Line a Due (or as a co~eqLlenca ,,0: \._ : ~~~: ~~n~~~:II~~I~I~~hE, I (.. 0 It SYU"- events resu~ing in dealh) LAST. 0 0 (01 as a sequence ~n OJ'30 26. Was Case Referred 10 a Medical ExaminerlCoroner? t.,M . Yes 0 No Wi." AfJproximaleinterval: onset to death Part U: Enler other sioniflcsnl condNions conlributinn to death, but nol resuning in Ihe underlying cause given in Part I. o Yes ~No d 3Ob. Were Aulopsy Findinos Available Prior 10 CofTlllelion of Cause or Dealh? o Yes 0 No d,'S'tIll.SQ... 'rill.,. ')c,'^.$"n.s N(V) ~ Hoof, 1<. 'r,J l..1'Y\.p/,'mo. OS-kCl yoro~/.5 28. Did Tobacco Use Conlribute lo Death? o Yes 0 Probably "IQ No 0 Unknown 3Oa. Was an Autopsy Performed? 32a. Date 01 Injury (Month, day, year) 32b. Describe how Injury Occurred: 29 UFemale: . Nol pregnanl within past year o Pregnant at time 01 death o Not pregnant, but pregnant within 42 days o/death o Not pregnant. but pregnant 43 days 10 1 year before death o Unknown n pregnant w~hin the past year 32c. Place of Injury: Home. Farm, Street, Factory, Ollice Building, etc. (Specif;1 "fL Natural o Accident o Suicide o Homicide o Pending Invesligahon o Could Not Be Determined 32d. Time 01 Injury 32e. Injury at Work? DYes 0 No 33c_ l' e Number (jsoo~1-Y3L 34. Name and Address of Person Who Compleled Cause 01 Death (Item 27) TypelPrint ~nt l<;. Q,.. YO~ "bel I TlA L1 50 NOr+J.. 11J~ ifwt~I4"!~\'t \ l..l>MO'f^e," n,O,~ 33d. Dale Signed (Month, day, year) J~I .3 I .tOO b 321 32g. localion (Street. cityllo~l s~lel L _ , ~O N"..+h. 11.......,,- .s~1 ~OIA,,{ 1.\M.\ It.''''O~A1 \ ?A Iro ~ 3 M 338. Certifier (check only one) Certitylng physk:lan (Physician certifying cause of death when anolher physician has pronounced death aOO co~leted Item 23) To the best of my knowledge. dealh occurred due to the cause(s) and manner as stated .__,.._,,~........_...... .........,..................... ."................................, ..........,...............0 Pronouncing and certltylng physician (Physician bolh pronouncing death end certifying 10 cause 01 death) To the bast of my knowledge. death oc:curred al the time. date, and place, and due to the eause(s) and manner as stated....._.............,..,.... Medical examlner/coroner On the basis of ex.aminatlOn and/or InvestigatIOn, in my opinion, death oc:curred at the time, date, and place, and due to the cause(s) and manner as stated .......,0 Date Filed (Month, day, year) ...................0 I~ /I~ /1' I (See instructions and examples on reverse)