The URL can be used to link to this page

Home My WebLink About09-20-06 PETITION FOR GRANT OF LETTERS OF ADMINISTRATION Estate of WILLIAM L. MARTIN also known as To: No. ~ \ 01.0 O~\~ Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania Social Security No. Deceased. 205-36-9283 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. Decedent was domiciled at death in Cumberland County, Pennsylvania, with his last family or principal residence at 116 East Main Street, Walnut Bottom, South Newton Township. Decedent, then 60 years of age, died August 24, 2006, at 116 East Main Street, Walnut Bottom, PA 17266. 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: South Newton Township, Cumberland County $ 50,000.00 $ $ $ 30,000.00 Petitioner, after a proper search, has ascertained that decedent left no will and was survived by the following spouse (if any) and heirs: Name Relationship Samuel I. Martin Father Samuel R. Martin Brother Mary M. Hare Sister Norma M. Keefer Sister Melissa Martin Gilkison Sister Residence 129 Walnut Bottom Road Shippensburg, P A 17257 2236 Ritner Highway Shippensburg, PA 17257 120 Rehobeth Road ) Shippensburg, P A 17257"--) 138 Horse Killer Road ' Shippensburg, P A 17257 Kansas City, MO "J ;" ~) (..n THEREFORE, petitioner respectfully requests the grant ofletters of administration in the appro~ate form to the undersigned. ~~.o -8M~ amuel I. Martm 129 Walnut Bottom Road Shippensburg, P A 17257 (717) 532-6370 ------------------------------------------------------------------------- ------------------------------------------------------------------------- OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ) : SSe 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. Sworn to or affirme, ~d subscribed ~.efo_e_~ethis _~ d;::. ~_ lU.~~~ e Ister ~A~.~e01~ amuel I. Martin No. d \ - 0 to -O~ l;;:l Estate of William L. Martin, Deceased GRANT OF LETTERS OF ADMINISTRATION AND NOW, \~.~ , Jl1::1D, in consideration ofthe petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that Samuel I. Martin is entitled to Letters of Administration, and in accord with such finding, Letters of Administration are hereby granted to Samuel I. Martin in the estate of William L. Martin. FEES ~tN.b~ I 1brhkA, ,j Register of~v ~ C-/! JyL ? yL ,. Will Book # Page Letters of Administration $ ;>IO.D() Short Certificatest~) $ \~.o 'l> Renunciation . $ ~\CP f.~ $ \'S.cP TOTAL $ Filed..........~\~~~.. ............A.D. ;),,31 ,cD Christopher E. Rice 90916 ATTORNEY (Sup. Ct. J.D. No.) MARTS ON DEARDORFF WILLIAMS & OTTO 10 East High Street Carlisle, P A 17013 (717) 243-3341 . ~} F:\FILESIDA T AFILE\EST A TES\7122.326.letters.adm ~. i) ()1 co PETITION FOR GRANT OF LETTERS OF ADMINISTRATION Estate of WILLIAM L. MARTIN a/so known as To: No. ~ \ 01.0 O~\~ Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania Deceased 205-36-9283 Social Security No. 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. Decedent was domiciled at death in Cumberland County, Pennsylvania, with his last family or principal residence at 116 East Main Street, Walnut Bottom, South Newton Township. Decedent, then 60 years of age, died August 24,2006, at 116 East Main Street, Walnut Bottom, PA 17266. 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: South Newton Township, Cumberland County $ 50,000.00 $ $ $ 30,000.00 Petitioner, 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 Samuel I. Martin Father 129 Walnut Bottom Road Shippensburg, PA 17257 Samuel R. Martin Brother 2236 Ritner Highway Shippensburg, PA 17257 Mary M. Hare Sister 120 Rehobeth Road Shippensburg, P A 17257r~ Norma M. Keefer Sister 138 Horse Killer Road Shippensburg, P A 17257 Melissa Martin Gilkison Sister Kansas City, MO t"'-~ c.:.....'.:) ,;~.cJ (:-J"' (.~ ",) ",,) Ul THEREFORE, petitioner respectfully requests the grant ofletters of administration in the appro~ate form to the undersigned. ~~_o -8M~ amuel I. Martin 129 Walnut Bottom Road Shippensburg, P A 17257 (717) 532-6370 ========================================================================= HI05.X05 REV 1105 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. Fee for this certificate, $6.00 p 12814407 &?" 2~ ~ Date YIll. ~ \ -- a \0 ()~ \ d Hl05. ,.. REV. 02J2006 'I)'Pf IPRlNT IN ~~~ 1130-321 1. NIme of lJooodonl IFnt. _, iIst. suIIIx) William 5. "'Ie (lost BirIhclay) COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (CORONER) L Martin 6. Dotoofllit1h _. , . 60 Feb. 22, 1946 81>. County of llulIl ~ Cumberland 11.~~ Kind of Wen Weaver Lear . 16. ~llaiIi1g_(S'''l.cly/Wn._,zipcode) 116 East Main ST. Walnut Bottom, PA 17266 18. F.... -(Fnt.'-, list, outfix) Samuel I. Martin 208. -.r._ (T)'pt/Prlll) 116 E. Main Street 12. W..~nt_inthe U.s. Anned_ I1!IYes DNa Docedent's AdU81 Residence 17a SIaIe Pennsvl vania 17b.COunty Cumberland 19. MoIhe~. N..... (fifSl, middle, maiden-I Nora M. Davidson 201>. _sMallingAddnlst(SIIaet,dty/lOWl1,otate,zipcodej 17~ m Y".llecedonIl.ivedin South Newton 17d. 0 ~~ofu..d""" Twp. City/Boro c ~ ~ 2006 Par:k1awns Mem:>rial. Gardens 220. N_andAddteosolFac:iily r PA 17257 21d. localion (City I """'. SlIlO, zip code) Greene Township Franklin Count PA ComI>IeIe IIemo 23K only when COI1ifying phyoi:ian is ""_IIlin1e of_to CIItiIy cause of de... 1loms~.26_be"""",""",,by_ wIlo_dioalh. -Bricker Funeral Hane Inc. P.O. Box 336 23b. ~ Number 2~. Tire <fQIilII[ 8:28 25. Dale PIOI1llUIlllO<I Dead (Monlll, day, YO.) August 24, 2006 26. W11S Case Re1enadlolAedicalE_1 Yes 0 No PA 17257 23<:. Date Signed (MonlI1. day, )'1>"') tor a Re""", 0Ihel """' CremlIIioo Of DonaIion7 DYes JilNa DYes ONo 31.Mamo<oIDeal11 )!lNatural D- O AcOdenl 0 Pandilg InYeSligalIoo 32d. Tire of Irf.<y o Suicide 0 Could Not be 0eIefm""'" PlOt 'tE.lero/her oianIfica.IUlndilimll_lD_ but not _/ling in Iha undelIying CIlISIl given in PlOt I 28. DId Tobll:al Use ConIrilJula 10 Death? o Yes 0 Probably o No 0 U.known 29. Hem"'" o Not Pf09nanl witNo past year o P1egnlI11 at lime 01 <lealh o Notpmgnanl but pr8flJlanl wit""' ~2 days ddeath o No! pmgnant, but pregoanl43 days 10 1 )'Il8f ofdioalh o U_<<prognanlwilhinitlepaslye81 32<:. Hace of I.JUIY: Home, Fann. Street Fadoty, Office Buildng,ek: (Specify} CAUSE OF DEATH 1_ inetru.lIone end e""mpln' IIem 27. PART I: Enter the ~oI.I!I!\!HlI....... injI.rieo. or comp/icaliono. IhaI diredIy caused the _. DO NOT enler _ events such as cardiac anesI. respiralc>-y orresl. Of _r_ion wiIIIouI ohowintI theeliology. List only 0f18 c:auso 00 each Ii-le ::::~l=~~ Cardiomyopathy Due to (Of 8& 8 conMquence of) ~IiotCOl1lfilioos,~any, tocauselislecl""linea Enlef INlEIlL YIlG C"'usE I_Ofinjurylhal_1he ......resuffing.._)l..AST. Due 10 (or _ . consequel'Q 00 Due 10 (or .II, a conteqtIeooe of} d. 301. Was an AuIopoy Pertormed? 3(b Were AuIopsy Findings ...._ Prior to CompIelJon of Cause 01 Delllh? ffi ~ ~ ~ 321. IfTr8l'oSllOl18Iionlt1jury(Specify} oDrivef/()peratoroP~ M 0 Other . Spedy 330. Call1flot (chec> only one) 331>, Signalu.. 8O)d ~~~(~'::~=~~::'::i':=~~=~~_~~~~_~~)__________________..D ~ / . Coroner . ==:':=:'~:-':=:::"~.":n~a:~':I::~~dman..r...taI&<f__________________..D 33c Numbe 33d,DaleSigoed(Monlhday.ye.) . ModIcalExamlnor'c.x- August 25, 2006 On the bolla of a....ne1IaI1 and I or II the tImt, data, oncI pia.., and duo to !he "UHf-' and mannor u oIat!<!. -,Ja 34. N ')II1CIJ\ddreoo,pl ~ \YInCllmpletejl Cause oUleath (Kem 27) Type I Pmt 35 Regio~ar'.SIglalureandDi>lmNumbef 36 DlleFiIodfMonllld) ~J.Chae.l L. l'lorrJ.s. \,;oroner ... I I . 2;::year 6375 Basehore Roadl Syite III .. 6.C&Io Mechanicsburg, PA 70::>0 (See instructions nd examples on reverse) No 04 738 488 Ou~.' ooe 0611 tn'21 Sex fa CIaS* C Eye!> 8UI ~. _ Height .. ComfMed Rstl .,. \'aeU8lI... MI1 '12001 lit...... ""- ".121. 12OGt. .. . iil ~~ ,. SAMUI\.'-~ II 121~"80TToM" o ~P"1T. 1\ f~..- 0 '6\d o.t ' u \V ;' ,)