HomeMy WebLinkAbout07-21-06
Register of Wills of Cumberland County
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of Ray A. Wires
also known as N / A
No. 2 /. 0 ~ - 0 \0 S ~~
To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
, Deceased.
Social Security No. 283 - 56 -17 97
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
(d.b.n.; pendente lite; durante absentia; durante minoritate)
the above decedent.
Cumberland .
Decedent was domiciled at death in County, Pennsylvania, with h~ last family or principal
residence at III Sheet Iron Roof Road, South Middleton Township, Gardners, PA 17324.
(list street, number and municipality)
Decedent, then 53 years of age, died June 2 ,20 06 , at
Gardners, South Middleton township, Pennsylvania
Decedent at death owned property with estimated values as follows:
(1 f 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:
# "JOe tf&/ ,
$ unknown
$
$
$ None
Petitioner_ after a proper search ha~ ascertained that decedent left no will and was survived by the
following spouse (if any) and heirs:
Name
Patti L. wires
Renita M. Nohe'l
43565
44144
THEREFORE, petitioner(s) respectfully request(s) the grant ofletters ofadministratlion in the appropriate form
to the undersigned.
Sign~ure(s) ofP)J!;itioner(s)
" "Jf
. _.~ /;. /'1 /
I{ 7llit.L -tl{Ll~/)
/ "__/' I.......
I
Residence( s) of Petitioner( s)
18725 Washington St., tontogany, 08 43565
01
"~ ,
Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
}
SS:
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. , .
,7 dJ
Sworn to or affi.lrmed-anp subscribed {~(I.t2~ " , ((? 1t~1.'C;1
Before me 7b. \.: s I day of Pat t ~ L. W ~ res
\ III t J ,20 06
".J I
).-1 I U,-S 7Lij 'X{,jL
R,egister. 'r)'
1\ 1'\' L/'
f., vlv"'lv /'
,;
C/O
~'
00
2"
..,
.i!...
uo
Fe'
No. ~ 1- r \-' L'l'S':;
Estate ocRay A. Wire s
, Deceased
GRANT OF LETTERS OF ADMINISTRATION
. \ 'I I
AND NOW ~ l) \ "I ~ 20~ in consideration of the petition on the reverse
side hereof, satisfactory proof hav.{ng been presented before me,
IT IS DECREED that Patt~ L. Wues
is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration
are hereby granted to Pat t i L. ItJi res
in the estate of
Ray A.Wires
FEES
Probate, Letters, Etc. .............
WiT! ....r...........................
$
$
Renunciation....................... $
Short Certificates ((, ) ............ $
J CP . . . . . . . . . . . . .. .. . . .. . .. . . . .. . . . . .. $
Automation Fee... ................ $
Bond. . . . . . . . . . . . . . . .. . .. .. . . .. .. . .... $
lfotal / tj <) ,$
Filed 7 jJ I 20~
q~. ('L
~,t.(. ''11t.(C. (J:.....), nL( *~t C il> ~?~.. C,'
/1, I "i'>l.,n /' /l~{..<,:? /.) T~
Register of Wills J
l~,
Attorney (Sup. Ct. J.D. No.) 47077
:/ cI
'x-'f.: c ~.
/~ ({
c; C. I..~
1St L.'
44 W. Main Street, Mechanicsburg, PA 17055
Address
717-697-8528
Phone
!.! ;,_ J!\,
:Ii he Ii
;.\\ ,jJ'i.l:;.:U
()nglI1all'crlJ.Jii" 11.
lz 1'l'Llt!l.q; he!\: ':..:.i\ en II..,
(,
}<.(.:\.'(lri..l:--,
uti
.\ I i ~
\IV Af-iNING: It is iliegal to duplicate thIs coPy by photostat or photo~"lr;,ph.
~(,.j ijl
~
~ ~. ~bJ...~U~~.
.\
'.' ~.,. 3 l" / ,"'" '1
l-
I' J 'I U , 6 2006
~ \.,,1 JUN
C:';
Hl05,l44 REV, 02/2006
TYPE I PRINT IN
PB~~~~~~T 1130-259
1. Name of Decedent (First, middle, last, suffi()
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH (CORONER)
6. Date 01 Birth Mooth,da.
7,8;rthlaceCi
STATE FILE NUMBER
Ray
5 Age (Lasl Birthday)
A
Wires
4. Date of Dealh (Month. day, year)
June 2, 2006
53
v"
March 21, 1953
Cumberland
111 Sheet Iron Roof Road
Residem:a 0 Other. Specify
10 Race: American Indian, Black, While, elc
(Specify)
White
8b. County 01 Death
Bd, Faci!ilyName (1Inotinshtution,givestreetand number)
r>
111 Sheet Iron Roof Rd.
Gardners Pa. 17324
18, Father's Name (First,mkldle,lasl. suffi()
Ralph M. wires
12, Was Decedent ever iflthe
U,S, Armed Forces?
Ov" fiNO
Decedent's
ActualResidence 17a.Slale
14, Marital Slat~s: Married, Never Married,
Widowed, Divorced (Specify)
~
J
;
"'
)
)
Single
Did Decedent
Liveina
Township?
Hc EiI Yes, Decedent Lived In So
17d,DNo,~enILivedwitl1in
Actual Umlts of
Middleton TWD ~
17b County
City/Bora
19, Mother's Name (First middle, maiden surname)
Edna L. Carson
20a, lnfonnant's Name (Type I Printl
Patti L. Wires
200, Informant's Mailing Address (Slreel. ci!y I lown, Slale, zip code)
18725 Washington St. Tontogany, Ohio 43565
o
~
"
~
"
21c, P1ace 01 Disposition (Name of cemetery, crematOl'f Of otner piacf!)
Hollinger FH/Crematory Inc.
21d. Localion (Cilyl town. stale, Zip code)
t.Holly Springs,Pa 17 65
BaIt. Ave. Pa. 17 65 g.
H~iti~tgel~""ilFH/Crematory Inc. 501 N.
23b. LicenseNumbm
2x, DateSigned1Monltl,day, year)
llems24.26mustbecomD~ledbypefSon
. whoprOrlOllnCesdeath
24, Time 01 Death
UNKNOWN
A.
25, Date Pronounced Dead (Month, day, year)
June 4, 2006
26. Was Case Referred to Medit<ft Examiner I Coroner lor a Reason Ottler than Cremation or Donation?
~ V" 0 No 7)E r
CAUSE OF DEATH (See instructions and examples)
Item 27. PART l: Enter the !;bainol~. diseases, injuries, or comphcalioos - lhal directly caused the death, DO NOT enler terminal events such as cardiac arrest,
resplralol'yarrest,orventricularfibfillalionwilhoutshowinglheeliology.Lislonlyone cause on each line
, Approximateinterv~
: Onset to Death
Partll:Enterother~lcondilionsconlTibuijnolodeath
but not resulting in the underlying cause givefl in Part I
28, Did Tobacco Use Contnbuleto Dealh?
DYes o Probably
o No 0 Unknown
29,IIFemale
o Not pregnant withm past year
o Pregnant at time 01 death
o Notpregnanl,bulpregnantwithm42days
ordealh
o Notpregnant,bulpregnant43daystolyeoc
ofdealh
o Unknown ij pregnanl within the pas! year
32c Place 01 InJury: Home, Farm, Street. Factory,
Office Buildifl9,elc. ISpecify)
=~~~~~s~~~; J:~~~ dise~
Hypertensive Cardiovascular Disease
Due to {or as a consequence of)
~uentlal1ylistcondilions.ilany
~n:~~ ill.OE~~~,ffi ~AUk
(disease or inltiry that inihated lhe
. eventsresullingindeath)LAST
Due to (or as a consequence of)
Due to 10r as a consequence of)
.JJ.yes DNa
}(Yes DNa
31. Mannero/Death
~Nalural 0 HomK:ide
o Accident DPendinglnvesligation
D Su;cilje 0 Could Not be Delermined
32d. Timeo/lnjury
Coroner
30a Was an Autopsy
Performed"
30b WereAlItopsyFirxtings
Available Prior 10 Comoletion
or Cause of Death?
i
o
:::;
"
32f IfTransportalionli'ljury(Specify)
DDnver I Operator 0 Passenger
DOther.Specify
33a. Certirler (check only one) 33b Signature an I
Certifying physician (Physician certifymg cause of death when another physiciao has pronounced deall1 and compleled Item 23) .,..
To the best of my knowledge, death occurred due to the cluse('land manner as state9_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.D
Prol'lOUncing and certifying physician (Physician both pronooncing dealtl and certifying to cause of death) 33<1. Dale Signed (Month, day, year)
To the best of my knowledge, death occurred at the time, date, and place, and due to the cause(a) and manner as stat!d_ - - - - - - - - - - - - - - - - - June 5, 2006
MedIcal Examiner I Coroner "tin
On the baSIS of examlnallOn and I or tnvesltgatton, In my Opinion dealh oau~ at the tIme, dati, Ind place, and due 10 the caus~s) and mannef as stat!d_ - ~ 34 Mi~h~~er Of:e~n N~~~!~ ~ausect3~~(~~ 2;) Type I Pnnt
~5 str. s.'9natureandDlstn~bef 36. Date Filed (Month day year) 6375 Basehore Road Su'te 111
~ t:\.~~~~-t.N 'v I,:) III~I \ 10 I :e... (J\) Mechanicsburg, PA 17050
pies on reverse)
Register of Wills of Cumberland County
Estate of
Ray A. Wires
No. of, I ..[\ [; . C L f))
Also known as N / A
RENUNCIATION
, deceased
To the Register of Wills of Cumberland County, Pennsylvania
Renita M. Nohejl, sister
(Name) (Relationship) (Capacitv)
of the above decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
Letters of Administration
be issued to Patti L. Wires
The undersigned
Witness my/our hand(s) this1.!;~Jll day of
51 Cl-'t..L d' ()L.....r:.. J -.
-0 -t. . s:> '
Cc-vod() d( wVt:~c,r
Affirmed and subsc'ibed before me this
i 1)tt day of ,ju..,-~
Ubr;, Y
~;?M
Notary Public
efIJii:a9Wt~~~oH~~~s "Attornev
NO~A?Y'''D' \" - ':.T:.lf. 0;: OHIO
M.x ~o~mis':;~~;~"'il:~~ r:~ c;.,~ii"at"ion dijh~,
Section 14/.UJ ~. C.
Or
AffbTI,:,d a!"!d surscdbed before me this
_ day of
Register of Wills
Deputy
(Signature and seal of Notary or other official
qualified to administer oaths. Show date of
expiration of Notary's commission)
1 "A."'....(.-.'
.'y
V
,20~.
;-""p
l> '."L-. h' /' / . I ./
/ 1,':"_" -r- L _ "/L., ,../
- ""
Reruta H. Nohel~ignature)'j
4716 Fairway Drive, Brooklyn OH
(Address)
(Signature)
(Address)
(Signature)
(Address)
44144