HomeMy WebLinkAbout08-14-06
Register of Wills of Cumberland County
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of ?/~ JOZ{ LJ~ No. ~ l- ()~ -1~(J
also known as To:
->
.~
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
DeclJJsed.
Social Security No. /79- W- 'h iJ
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The petition of the undersigned respectfully represents that:
for letters of administration
on the estate of
\..D
D'fjenJr'Jtnp 2l-.,:!P" ~~S /?
,20 ()~ ,at ~ cJ?t.
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: '--t1.. trr-.-J..-
J(){) .-
$
$
$
$
Petitioner_ after a proper search ha_ ascertained that decedent left no will and was survived by the
following spouse (if any) and heirs:
Name
THEREF , petitioner( s) respectfully request( s) the grant of letters of administration in the appropriate form
to the undersigned.
R<"id~"*) OfP,titi~ ~
cJ.7(P( ~~ 121.. {/70/?
Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYL VANIA
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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 knowledge and belief ofpetitioner(s) and that as personal representative(s) of the above
decedent petitioner( s) will well and truly administer the estate according to law.
Sworn to or affmne(and subscribed { ~ 9 (,{hrp fA.
Ref"'"}' 7:; d ISf day of
~- 'l- . 20 () ~
/. ~.'..... ~'
(, ) ,..
Co '-, zU;, / ~CZ u:" L)
Registerr I L lID
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Estate of ;2' - 01.,;,,-12 U , Deceased
GRANT OF LETTERS OF ADMINISTRATION
20l0lPm consideration of the petition on the reverse
pr sented befor~ rye,
IT IS DECREED that ~.--u
<:]Yare entitled to Letters of Administration, and in acc with such fmding, Letters of Administration
are hereby granted to rv\u.(Mv, ('10: l IN('{ jnd
in the estate of DUJt:l'jv"'f .; Walker ,
FEES
Probate, Letters, Etc. ............. $
Will................................. $
Renunciation....................... $
Short Certificates ( ).. .. .. .. .. .. $
JCP. . .. ...... . .. . ... .. . ..... . ........ $
Automation Fee................... $
Bond. . . . . . . . . . . . . . . . . . . . . . .. . . . . . .... $
Total~ $
Filed 00 Ii 20llb..
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Attorney (Sup. Ct. I.D. No.)
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Address
Phone
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This is to certify that the information here given is correctly copied from an original certificate oj' death duly 1'1 kJ .' ith Ire IS
Local Registrar. The original certificate will he forwarded to the State Vital Records Office for permanent"fil n.!
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No.
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Local Registrar q ~.
Fee for this certificate, $6.00
p
12827321
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vi 't' .;! (.1 0 C:,
, Date
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1'1105 144 REV 0212006
TYPE I PFUNT IN
'::' 1130-291
1 ..... <i 00ced0nI IF"", _, "", _I
Dwayne
5 Age 1'''_1
51
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH . VITAL RECORDS
CERTIFICATE OF DEATH (CORONER)
fil
~
~
t1 OllcedenrsLlsu81 fl'IO$lafwon 1ite00noUta(81t11ired
lQndolWcrk Knlci8ustl8ss/'lnduHy
Carpenter Construction
. 16 ~WailingAddteuIShlet.ciyJIowrl,Ilal8.4>oodeJ
2761 Spring Road
Carlisle PA 17013
18 F-._I....,_,....,.....\
Neff Walker. Jr.
20e _......(Type,......)
Martha G. Wa
21..lrHflodol~
DIlun" 0 Romov"IromSlalll
0""".
220
'2 WasClec8:lentever1fl1tl8
US Mnlld forces?
Dv" ~No
""""",,,'.
AcIua1Re$ideoce 17a Stale
13 Oo<IldenI',E""'_ISpeaIy""_,,adocompleledl
Elemel'llary/~(o.12) ColIeg811-401S.1
10
STATE Hl..ENUMBER
, OaIt<io..ll(.....,..day,,....,
July 23, 2006
J
Walker
v.
6 Oa>> d 8irIh Month
"
7 9it1h C' andSfaleOf
Jan. 9. 1955
Mechanicsbur
8d FdIyNiPeldnollfJSCi(ulion,g;..,.streetandrunber)
8b c.unty <i De'"
Cumberland
1981 Waggoner's Gap Road
17bCounty
p4
Cumberland
", 1XI v","""""""""_ North Mi dl eton
17d 0 ~~~ivedwti\
Top
CIljl8oro
~9 Mottler'IName(FirJI,mddIe,rnaiden~)
Mary Elizabeth Peace
,.., ..""""'r...""'v........lSOotI,OIy/"'",.....,,,,-l
Conolite Cremator
22c NamentAddtessafFllCillty
MYERS FUNERAL HOME 37 E. Main St. MECHANICSBURG PA 1705
23b license Numllel' 23c cae Signed (McIllh, day, rear)
Schaefferstown PA 170 8
25. OalePIT.lI"IOLJII'l Dead (MonIh,day, ~)
July 23, 2006
CAUSE OF DEATH (SMlnetruc:tioM.nd ....mpl..'
'*" 21. PAAf I. En\8( lhe ooao oj 1I'dil1i. di58as8S, 1IljUfIeS, 01 wmpIUIioo$. that dlrecd~ caui8d Ih. dealh 00 NOT enter ltI/lT11nal e~8I'11$ ~ il!i c~dlllC Nf8St
le$pM'aIofy arrest.. 01 V8flilcular filriaoon wit"JouI iilowi'lg lleellOlog~ Ll&l onl)' oner.ause on lIadllrl.
: ApprolGmalelll8l'VaI:
: ll1sellODeatl
2'6. Was ~~Referred k) Medical E.a:alTlInef I Coroner tor a ReillOl'l 0II1er ~ Cr8l'l\ifll;ln 01 00nM0n7
~ '.';H 0 No
PlW1II.Enlerolhel:llllllUll~~D.lluIb. 28 DidTobaCCOUseConlriOOl8mQeall7
butl'lOlresuMlnUinhlJf1del1yflgc.ausegiv<<linP~1 0 Yea OPr~y
ONo DUo"""",,
29. ifF.....
o KoIpI"egr.anlVrfil",u\pa6\y&ilf
o _~_olde'"
0""'_.."""..."..........2....
<ide'"
o :x:,.bulpr~.3dol~IiO''''il
o Unaoown ~ pI.gniU 'M1htI11M! p.tI$I ,..
32c Place oIlrVY Home. Farm, 5net, Fadory,
ejected ~B~~~~oad
l2g. ~<i_IS_OIy/_,.....l
Wa one s Gap Rd.. Carlisle, PA
=~~S:J:=~--i..
$EYIiiI~."anY
k)tal.lNliAldonlinll a
E.... \JURI. VIIiG ClUst
(dIM_a injury 1h~)fli1I.al8d the
~.rnuI~llde.)WT.
Multiple Traumatic Injuries
eu.m(or...wn~rK;eOO
Motor Vehicle Crash
Due 10 (Of . . cor1aequenot 00
Du.1o(or...r;on~of)
i
o
I
30a w.....""*'PSy n WeteA.uklpsyFIndings 31. MannefolDealh 32b. DescribeHowlfljulyOc:ntrBd n e te
P.,""'''''' ~'~=~~..':""''''''' DN~"'~ 0-- July 23.2006 roadway. struck tree.
litAcadenl DpeodinglnvtlS~ 32d Tinedl,..,. 3211 Injufy<ll:WofX? 321 IfTr<W'lspOr1allOnlnjury/SpecdyJ
o s...Je 0 Coo~.ol"De""m""" Aprx. 0'" ""...,/0.."'>< DP....- D......'"''
1: 20 A... Ve, '1'.' Do,,",SptOIy
3la Certlfler(checkoclyooe) )3tl. Si!ToalW&and
~:~'-~:~=:::'::='::=e~~~~~~~~~_I~~)_..__.._____________JJ .... Coroner
PronOlmdnt and ~"",.aa.n {PhySICian bof1 prOflOUflClfl9 deal:h..-.d terlllylO\llo cause 01 dllalh) J3c. licdn J3d oaw Signed (Month. dar. ,e..-I
To.... bMI ohryknowle6gll, ..1tI()C(:urrecfalU. lime, dMt. and place, and duttolhec.uu(..andmann..... IUtttl_ --................ - _.........D J ul 24, 2006
...... ExWNDtI I torcqr ~ y
Ort.... __ of.l....nation Mdlorirw~tlgMiol'l, in my opinion, dUCh oc:c;urrtd.. tht &;me, d,,,,.nd piau, and due 10thi' ,.uH(I' and man......1 liMn... ~ 34~ct.a.r-ll 01 ~ '1lfocrrrSC~~~J~J~ 1)1)11 {Print
'_"'l0Wrid- J6 OaItF"'IMoolh,da,..~ 6375 Basehore Road Sy1te III
Ju 1. Mechanicsburg. PA 170:>0
Dv" .No
Dv.s ONe
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-----
Register of Wills of Cumberland County
RENUNCIATION
E'MOO:Ji~~ wa.1l~ No,,~\-()Io:::I;LD
Also known as PJ~'M. ' a1/~
, deceased
To the Register ofWiIls ofCumberIand County, Pennsylvania
Tho undo..igoed (/'Jrn 1 <it /UL ( ' /er
(Name) (Relationship) (Capacity)
of the above decedent, hereby renoun e(s) the right to administer the estate and respectfully request(s) that
Letters
be issued to
f() a (+1~i{
11,
CD((~ y'\ (J v
auF ,200&'
_ ,,:;) LL
-b4 /l<f (Sign,,",,) jJ
6W17 I?J~ t!:d ~ fa, /70/3
(Address) I
~ ~ 'tness my/our hand(s) this / 0
z c: r-. 'tij
~ 58 0
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~ .!2 '2..: 0
Z D{!N c
Z _ d: ~ ~ ~ffiI'l
~ ~ i ~ J?u day of
o (ijZ .'5 OO~
:I: 'C: oj 12 Jf '"
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:E J: >. -.y ommlSSlOn xplres:
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U ~ ~ '//v--J'2.rz-OCJ"'-?
day of
(Signature)
Or
(Address)
Affirmed and subscribed before me this
_ day of
(Signature)
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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)
r'~')
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Register of Wills of Cumberland County
RENUNCIATION
Estate ofZ>~ 'P '0~ ~'-\ \...:J ~Llt-E(
Also known as ~A ~ W flLke:z.
J",- \'" z. S L.<:::k:. ~ , deceased
}
No. cJ\ -Olo ~l~O
To the Register of Wills of Cumberland County, Pennsylvania
The undersigned ~bo..ll..c4 W QU4C.'{ ~.~~c.-t "'~<'
(Name) (Relationship) (Capacity)
of the above decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
Letters ~ ~ \..-.~ ; ~ \r.JA. ~C!."('
be issued to
Witness my/our hand(s) this
If day of
tb... .u~ - -;t
--,
2M ~.wJL ~J
(Signature)
,20d~
Affirmed and subscribed before me this
1/ day of ~L.'" ~
~oof.,
;a",tf ,e. --<
Notary Public
My Commission Expires:
Ii." / /" :;;2-d,9T
COMMOHWEALTH OF PENNSYLVANIAAddress)
It Notarial Seal
Silver ~bet;t J. Reese, Notary Public
My eo::~.1Wp.. ~umberland County
Ion Bxpues Au,. 10, 2008
Member, PaRlloI,1vIn11l ANldIInon Of Nota . .
""{Slgnature)
Or
(Address)
<
Affirmed and 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)
f0
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Register of Wills of Cumberland County
RENUNCIA TION
Estate of il ~ ~ IHl;uLJtI te /(
Also known as \ ~'N If L' t{! k.. e /'.-
No. ;)~ -Db- ~O
, deceased
To the Register of Wills of Cumberland County, Pennsylvania
The underSigned&~tJ:1:J.:J IZ (JJA/ke..tC- 2SIt{)~
(Name) (Relationship) (Capacity)
of the above decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
Lotto" ~:D
boissuodto . .. ~0J1) HL
Wituoss my/our h"'d(s) this l!1.- day of Act
,2~.
Affirmed and subscribed before me his
\ "6 day of ,
JSCa
. 0 ry ~rrc t11~
COMMONWEALTH OF PENNSVLV~\
My Commission ft4)TARtAL SEAL Public
DAWN M. SHUGHART, Notary Coo ..,
W of CatftSIe, CUrnb9I1CJld n"
, pomm~ ~!t~. 28,2006
~~'-- KL0~
(Signature)
<q~J-D N, ,41, J~u acl (1 ~h~'e.. fl\-
(Address) /7 <.:J 13
(Signature)
Or
(Address)
Affirmed and subscribed before me this
_ day of
(Signature)
" <>-)
"--;1
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)
rv
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Register of Wills of Cumberland County
RENUNCIATION
Estate Of-:DbVQ~{)e/ 10flLkpJ--
Also known as 'D(k)D.~(le.. -JC\ cr lbo1..k&
, deceased
No. J \ . D to - 12 0
To the Register ofWiIIs of Cumberland County, Pennsylvania
The undersigned-1\) Q ~ ~ l0tA \ U.e~ J ~ ~Cl ~ ~JL
(Name) , (Relationship) (Capacity)
of the above decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
Letters
beissuedto~a 6 10a~(leL
I
Witness my/our hand(s) this ~ day of ~ I1S- +
Affirmed and subscribed before me this
l/-t.! day of t1-u-'a'wJ.
~
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Notary Public
~
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2ln ~}
My Commission Expires:
~/)\b4- 5) d{)l)~
(Signature)
Or
(Address)
:"_-'
Affirmed and subscribed before me this
_ day of
(Signature)
1
)
Register of Wi lIs
(Address)
Deputy
r<)
c::)
(Signature and seal of Notary or other official
qualified to administer oaths. Show date of
expiration of Notary's commission)
Register of Wills of Cumberland County
RENUNCIATION
Estate of Dwayne Jay Walker
Also known as Dwayne Jay Walker
No. c1 ~-Dlo~ l;)D
, deceased
To the Register of Wills of Cumberland County, Pennsylvania
The undersigned DUStin Lee Walker Son
(Name) (Relationship) (Capacity)
of the above decedent, hereby renounce( s) the right to administer the estate and respectfully request( s) that
Letters
be issued to
Martha G. Wagner
Witness my/our hand(s) this <i?~ day of -A \1(; '-'5T
,20~
At~dan.d S~.bS 'bed before me this
-1L~ day.of . . .,J&.';):1 r ,
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.~6' r/1JI
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;t4otafy . blic '.. .. ... .
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12021 Goldenbrook Drive
Chesterfield, VA 23832
(Address)
,~yC~rrimission Expires:
5;/(;... JO-O"
(Signature)
"
Or
(Address)
Affirmed and 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)
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