HomeMy WebLinkAbout10-03-06
PETITION FOR PROBATE and GRANT OF LETTERS
Estate of Randv Lee Rosenberrv No. !II - 0 &.- 0 f 7/
also known as Randy L.Rosenberrv To:
Register of Wills for the
, Deceased County of Cumberland in the
Social Security No. 208505883 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older and the execut or named
in the last will of the above decedent, dated December 29.2005
and codicil(s) dated none
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in Cumberland County, Pennsylvania, with
h is last family or principal residence at 102 Shiooensbura Mobile Estates. Shiooensburg. Pa.
17257 (Shiooensburg Townshio
(list street, number and municipality)
Decedent, then 49 years of age, died 8/31/06
at Chambersbura. Franklin County. Pennsvlvania
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of the will offered for probate; was not the victim of a killing and was never adjudicated
incompetent:
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
$
$
$
$
30.000.00
0.00
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters testamentary
thereon. (testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
3 ~~A/~A:.~hr
j ./ Sandra E. Rosenberry
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PA 17257
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEAL TH OF PENNSYLVANIA } ss
COUNTY OF Cumberland
The petitioner(s) above-named swear(s) or afftrm(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 represen-
tative(s) of the above decedent petitioner(s) will well and rinister the e~COrding to law.
Sworn to or affirmed and sU.bscribed { 'I> ~ fQ~4/ C. ~~ .ivu,,";;-
before me this 3rd day of
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Estate of Randv Lee Rosenberrv , Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW October 3.2006 , in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated 12/29/05
described therein be admitted to probate and filed of record as the last will of Randy Lee Rosenberrv
and Letters Testamentary
are hereby granted to
Sandra E. Rosenberry
FEES
Probate, Letters, Etc.. . . . . . . . $ q ~. (/7)
Short Certificates ~ 0{ }...... $ r Vi)
R~n.LJ.lll........ $ IS-fib
<J LffAV"Tl $ 1S"w
TOTAL _ $ l~ (?(fI)
Filed. . . . . . . . . . . . . . . . . . . . . . . .
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Regi_ofWHI, ~ C' . .
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H. Anthonv Adams 25502
ATIORNEY (Sup. Ct. I.D. No.)
49 West Ornage Street
Shiooensbura
PA 17257
ADDRESS
7175323270
PHONE
22 :8 lrJ~ S - 1JO 900l
O,X05 REV 1/05
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.
Fec for this certificate, $6.00 . ~ ~
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HI05,I43 REV, 0212006
l'IPE 1 PAM IN
PERNANENT
aACK INK
1. N.....aflloc8denl(Fist._.las~_)
Randy L. Rosenberry
5, "'" (Last 1lO1hday) l)llIer I
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COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
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STATE FILE NUMBER
4, Date 01 Dealh (Month. day, year)
August 31, 2006
49
8b. CollI*( 01 Death
Sa, PIace..-Death Chetk M one
Hosl>iIal:
1 1 -1 5 - 5 6 Ca r 1 i s 1 e. P A IX!Inpaien\ 0 ER 100000000nl 0 DDA 0 Ntnirlg Home 0 Residence D Other. Specify
ad, FaciIlyN.../ffnolilalUon.g;,e_nlmmber, 9, ~';.~t~OIigin? /i1) No Dves 10, ~Americanlndian.Black.wtile.elC,
Chambersburg Hospital _,PuertoRican.aIe.) White
12, WasDecodont_~1he 13, Docadent'sE_(SpocifyonlyhigheslgradeCOfllllleled} 14, _Slallls:_. Ne... Married, IS, SuMoirlgSpouse(hife.giYe_name}
U,S, Armed F0fC8S? EIemanlary I ~ (0.12) CdIoge (1-4.. 5+) Wilbood, 0Mlrced {Spocifrl (1MirlP.n. ~
Ov.. IllINo 12 years Married Y.irginia ~)
::""~ 17a,_ PA :~ 17e IllI V".OecedonIUYOdin (shippensburg Twp.
llbC<ully Cumberland Township? 17d 0 ~~JiYedwilh~
Twp,
lil
IS
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Franklin Chambersburg
11, OocodonI's\J$l/al _01 Iife,Dona__
Kind 01_ Kind 0I1luIireSI11ndustrt
Carlisle Syntec Inc. TecIn Leader
. 16, OocodonI'sMailirGAdcna(Slr8el.cIyl_._,~c:ode)
102 Shippensburg Mobile Estates
Shippensburg, PA 17257
18, F--'_(Fn~_.ilIst,sullixl
Gerald A. Rosenberry
208, Infonnn'sName (Type/Pml)
Sandra E. Fleagle
21a. Method 01 DiopooiIion
~ 0 IMiaI 0 Removal from Slate
o Ofhor - ~
~ 22a. Signatwe 01
. ~....
ComI>lete IIoms 23K only""'" certifying
phyaician is nol_.1ime 0I_1ll
cefti1y cauoe 01_
/toms 24-26 musl be ~ by porllM
whoprnnounc:es_,
City I a..o
21b. Dale 01 Disposition (IIanIh. day. yea-)
19, _.N.....(Fist._._ tumame)
Sandra E. Fleagle
2\lb.ln!ormlrlrtllalli1g_(Slr8et,c:ity/"",",_.Zi>c:ode)
10 Howard Ave., Shippensburg,
21e Place oIllisposltion (Name of COIl18Iery, aemaloly Of other pIaco)
Crematorium
PA
17257
21d, Localion (City 11owll. ,late. Zi>c:ode)
Smithsburg, MD
21783
Funeral Home Inc.,
17257
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Onset III DeaI1
SeQuentially IioIlXlI1d.lions.l any.
leading 10 ....... iolad on ifle a
EnIer the llNDERL YIHG CAUSE
(dooe... a qury lllat irilIaIod the
. events rasuIts1g ~ _) LAST.
. J'~H-~cAt SUS/j
Due to (or _. conaequenoe 01)
I ft/FL:c:.r-VJ ~~/h
Due to (or _ . conteqU6nce of)
{?,L.U llpv~
Due to (or.. . coneequence of)
NLl'A-nc.
c:? ~t:...j
~;r,uc. c.,~S'''..l
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28, o.t Tobacco U.. CMIribuIe 10 Death?
o Yes 0 PTObabI,
(31'lii 0 Unknown
29. "Female:
D Not_nr within pasl year
o Pmgnoot at time of dealh
o NoI pregnanl. but pregnanl within 42 da%
oIdealh
o NoI pregnIIl1, but pregnant 43 da,. 10 I year
..-dealh
o Unknown n _I within the past year
321:, P1ace oIllljUly: Home, Farm. SInleI. FacIory.
Office 1luiImIg, etc. (Spsci/y)
JOa, WasanAulops,
-,
3n>. Were AuIopsy Fi1lingo
Available F\ior 10 CompeIion
01 CaJae 01 Death?
O/~/5
Pfi.r~uA-E
32a. Dale 01 Injury (Mon1h. cloy. year)
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flLvtJt-Fttt4.~ I~
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/& '" Elz-7'f#,) ,q"l)
Dves ~
Dves DNo
31. MannerolDealh
r;r(alt..1 0 Homiade
o Aa:idaoI D Pending lfweslJgalion 32d Time 0I11liUIY
o Suiade 0 Cau1d No! be De_
319, location o!lnjury (Street. cIy Ibwn. 'Iatel
M,
ffi
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o
I
338 Cortlllor (check only one)
. CertIIytng ph~ IPl1ysician cerli1ying cauoe of dealh ....... at10fher physician has pmnouncad death nl c:ClI11IlIOted Item 23)
To.... boot of my MoooIodge,_h oc:curnd....lo tlIo cMlH{a) and manno""IloI09_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _..D
_1"11 and COflIIytng pllyoldan (Physician boIh pronounoing _ and cert"yinglo cause of dealh)
Totlla bo.1 of my lInawIadge,dtalh occ:uoedaltlla limo. _. and pIaco, Ind due totllo C8UH(a,and mannorn "loItd_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
. _~/Corona,
On "'a boall of..-- and I Of _igatIon.1n
35, Rogistar', SignaluIe nl
~
33d, Date Signed (Month, <lal, lOar)
fV1-D --03:1 G ~ ~E f~~ F..-z. I ~? (;
34. Name and Address of """"" Who Compieled Cause 01 Death litem 271 Type I Prinl
~J<:' Ii. /1'<", ;Z I)>:./,- t>
lid-.. ,JPfI-nf- sf....p,vT71 slUV';., c~fNl-st$",,~ /'# /7.)et(
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LAST WILL AND TESTAMENT
KNOW ALL MEN BY THESE PRESENTS, that I, RANDY LEE ROSENBERRY
of Pennsylvania being of sound and disposing mind, memory and understanding,
do make, publish and declare this my Last Will and Testament hereby revoking
all prior wills and codicils by me at any time heretofore made.
FIRST: I direct the payment of all my legal debts, funeral expenses
including my grave marker and all expenses of my last illness, state, federal
estate and inheritance taxes and administration costs shall be paid as soon as
may be conveniently done following my decease leaving all specific bequests free
of tax to the legatee.
SECOND: I give, devise and bequeath all my property be it real, mixed or
personal, to Sandra E. Rosenberry.
THIRD: I nominate and appoint Sandra E. Rosenberry, as the Executrix of
this my Last Will and Testament. If she should fail to serve or be unable to
serve, then in either of those said events, I nominate and appoint, Jacob B.
Rosenberry, as the Executor of this my Last Will and Testament.
IN WITNESS WHEREOF, I, RANDY LEE ROSENBERRY to this my Last Will
and Testament set my hand and official seal, this Q Cf day of
Oee.
2005.
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RANDY LEE OSENBERRY > .- ;"~)
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Sworn to and subscribed, declared and
Published by Randy Lee Rosenberry, as
his Last Will and Testament, and so
Done in the presence of we the
Witnesses, who sign at his request,
And in his presence, and in the presence
Of each other.
~~
COMMONWEALTH OF PENNSYLVANIA:
:SS
COUNTY OF CUMBERLAND
I, Randy Lee Rosenberry, whose name is signed to the foregoing
instrument, having been duly qualified according to law, do hereby acknowledge
that I signed it willingly; and that I signed it as my free and voluntary act for the
purpose therein expressed.
y~~\~~~
Randy Lee enberry
Sworn to and acknowledged, before me,
By Ra~y~e Rosenberry, the Testator,
This day of beLt'm\n.V 2005.
\~~
'Notary Public
Notarial Seal
H. Anthony Adams, Notary Public
Shippensburg Boro. Cumberland County
My Commission Expires May 15. 2006
Member. Pennsvlv[!nla AssOClallon ot Notaries
'" .
COMMONWEALTH OF PENNSYLVANIA:
:SS
COUNlY OF CUMBERLAND
WE, Darlene M. Bigler and Sharon Coleman Adams, the witnesses whose
names are signed to the foregoing instrument, being duly qualified according to
law, do depose and say that we saw the Testator sign and execute the
instrument as his Last Will and Testament; that he signed willingly and that he
executed it as his free and voluntary act for the purposes therein expressed; that
each of us in the hearing and sight of the Testator signed the Will as witnesses,
and that to the best of our knowledge and belief the Testator was at the time at
least eighteen (18) or more years of age and of sound mind and under no
constraint or undue influence.
OC4~~0L /7l &~
~~~
Sworn to and subscribed before me by,
Darlene M. Bigler and Sharon COI~n Adams
The witnesses, this ~day of &N\~ 2005.
~~
Notary Public
Notarial Seal
H. Anthony Adams, Notary Public
Shippensburg Bora, Cumberland County
My Commission Expires May 15, 2006
Member, Pennsylvania Association of Notaries