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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 '" ---. 41 '" o::'i:" Q) -or:: a.g ~.a 'u'~ ....... .9 0 <U 6b en 10 Howard Avenue Shiooensbura PA 17257 o S~ ~ ~,',:>-!, i"C) 'Cor-- : .; 0? _c r---', .'.-....., ---.'; (".,J '::i=-; >c= ~TI I :l2 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 ~~~6 Fzut tW whit L V~~~h VJ QQ' ;:s tl ~ .... ~ ~ r--...> = c-...:> C' c:> C--) --l I W ,"",",,-I'S .-F..... C?? "..) No. g. I ~ ~ &- 011 J 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. . . . . . . . . . . . . . . . . . . . . . . . ~.I.A m/ltL ~j.~ Regi_ofWHI, ~ C' . . .\~~ 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, $6.00 . ~ ~ ~~. . . No. .~~ . I] -'rl ' ~~~~ ::0 ,...."~" ~:~~ C) "': c==) ~' ':; I - ~,,:-~ W .; C::J p 12814442 >~:) ~~~ l_ ::.0 :-C.J --.1 ,j.> C) =y~ HI05,I43 REV, 0212006 l'IPE 1 PAM IN PERNANENT aACK INK 1. N.....aflloc8denl(Fist._.las~_) Randy L. Rosenberry 5, "'" (Last 1lO1hday) l)llIer I - COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH J::!oo ::Ji:': CO N N C"-) ['II VIS 6, 00Ie"'_ . <fa . , nl"'..a STATE FILE NUMBER 4, Date 01 Dealh (Month. day, year) August 31, 2006 49 8b. CollI*( 01 Death Sa, PIace..-Death Chetk M one Hosl>iIal: 1 1 -1 5 - 5 6 Ca r 1 i s 1 e. P A IX!Inpaien\ 0 ER 100000000nl 0 DDA 0 Ntnirlg Home 0 Residence D Other. Specify ad, FaciIlyN.../ffnolilalUon.g;,e_nlmmber, 9, ~';.~t~OIigin? /i1) No Dves 10, ~Americanlndian.Black.wtile.elC, Chambersburg Hospital _,PuertoRican.aIe.) White 12, WasDecodont_~1he 13, Docadent'sE_(SpocifyonlyhigheslgradeCOfllllleled} 14, _Slallls:_. Ne... Married, IS, SuMoirlgSpouse(hife.giYe_name} U,S, Armed F0fC8S? EIemanlary I ~ (0.12) CdIoge (1-4.. 5+) Wilbood, 0Mlrced {Spocifrl (1MirlP.n. ~ Ov.. IllINo 12 years Married Y.irginia ~) ::""~ 17a,_ PA :~ 17e IllI V".OecedonIUYOdin (shippensburg Twp. llbC<ully Cumberland Township? 17d 0 ~~JiYedwilh~ Twp, lil IS ~ Franklin Chambersburg 11, OocodonI's\J$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 ~..) --1 ~~_: 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 /I(f /ln7'7S C. /lVt'I: ."n",,,,,,, 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) ..l w,"EK. S /yM>1.. flLvtJt-Fttt4.~ I~ ~ /& '" 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 ! 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( ) I ~ h ~- D'671 . 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. I~~ ~~ ~ :-~~L) RANDY LEE OSENBERRY > .- ;"~) 1'.; c - L:.:_J C--. c:J c") -i I C) ;~f~ ):"" c:-) -- _.~._~ OJ ,-::r-1 f'..) N " 01 -T1 ."\ 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