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Home My WebLink About10-16-06 Patricia A. Bucher Estate of also known as PETITION FOR GRANT OF LETTERS OF ADMINISTRATION ~\ a lo. oqO~ No. To: , Deceased. Register ofWilJs for the County of Cumberland in the Commonwealth of Pennsylvania Social Security No. 194-44-7557 The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older, appl ies for letters of administration on the estate of (d.b.n.; pendente lite; durante absentia; durante minoritate) the above decedent. Decedent was domiciled at death in Cumberland County, Pennsylvania, with h~ last family or principal residence at 119 Pine Road Mt. Holly Springs South Middleton Twp f-Ia.::.b..o.. . ~ (list street, number and municipality) . IV di':.-G'li:-A-S U) r/78 Decedent, then 54 years of age, died August 14, Carlisle Regional Hospital ,2006 , at Decedent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (lfnot domiciled in Pa.) Personal property in Pennsylvania (lfnot domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: $ 25,000.00 $ $ $ Petitioner_ after a proper search ha~ ascertained that decedent left no will and was survived by the following spouse (if any) and heirs: Name Nick A. Vrataric Joseph D. Vrataric Heidi C. Blauser Gretchen L. Miller Relationshi half brother half brother half sister half sister Residence 119 Pine Road Mt. Holly Springs, PA 17065 2121 B Keli Kole Lihue, HI 96766 257 Old Cabin Hollow Road Dillsburg, PA 17-19 63 H. Street Carlisle, PA 17013 THEREFORE, petitioner(s) respectfully request(s) the grant ofletlers of administration in the appropriate form to the undersigned. Residence( s) of Petitioner( s) !u Gretchen L. Miller 63 H. Street Carlisle, PA 17~8 f'-...} e,:":.) c:::) r-.-.. -'.-: C) -. f"-in) o n --! 0' :--:' ' .) :.-) -1'1 ;:r.::., ) C.) i -'T~ ',1"-- ~.'.~'J _.~ C) :-.- ni U1 N OATH OF PERSONAL REPRESENT A TIVE 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 ofpetitioner(s) and that as personal representative(s) ofthe above decedent petitioner(s}will weiland truly administer the estate according to law. ~(~cf~ Sworn to or affirmed and subscribed Before me this 110 Dt-wl;Pr day of ,20 b~ { [/l qQ' ::l ~ ~ .... ~ ~ No. ~ \ ...t)\!)~ ()~Q) Estate of Patricia A. Bucher , Deceased GRANT OF LETTERS OF ADMINISTRA nON AND NOW / I.n 0 cbkv 2oD(" in consideration {)hhe petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that is/are entitled to Letters of Ad inistJ:ation, and injlccord w' such finding, Letters of Administration are hereby granted to L I r- .. ....... d in the estate of PCLki Gf fA-.- A- i!>v-(lftr FEES Probate, Letters, Etc. ............. $ Will ................................. $ Renunciation............ :~........ $ Short Certificates ( ).~. . . .. ... $ J CP .. . .. . . . . .. . . . . .. . .. . .. . . .. . .. . .. . $ Automation Fee................... $ Bond.. . . .. . . . .. . .. . .. . . .. . .. . .. .. . ... $ Total $ Filed )0 jJl..tJ- 20D<:9 , - Bond.. . . .. . .. .. . . . . . . . . .. . . . . . . .. .... $ Total $ ~~~ <l..n _~es)~te~~f';it, /~. u ~hp c1~G~:V;r~y, Esquire #23167 r (ou-d) - Attorney (Sup. Ct. J.D. No.) 44 S. Hanover Street Carlisle, PA 17013 IS,DO Id.' DO ,0.00 s- 00 Address ) 02.oU 717-243-9190 Phone 717-243-9190 Filed 20_ 8S : II !rg o I 1'"1(\ onrq .' ..'l..V:"; )uu~, Thi, i~ to certify that the information here given is correctly copied fron~ an original ce~'~ific<~te of death duly filed with LKtI Regi~trar, The original certificate will be forwarded to the State VItal Records Otflce tor permanent tilmg. me a~ WARNING: It is illegal to duplicate this copy by photostat or photograph. No, ""III"U""'",,,,,, \\\\IIII~~\.WI OF P{i...---..... "'$-~1-'~"'-.,, l~~V_ _. ..\~\. ~~, --:~ \y~ ~:ei _ \;2!'~ ~~; :f~' }~~ C" c"""', ,; * I \a~.~. /~I \. ~ /~ l - ~,f '~'r I' ">--"" 7MfNf\\\~ "",1' "",,,,,,,/#,,"/lIIJ"" , /7 ..#:,."') r-;f-/ Lbn/J1- /'/ ,"'/7-<7",.1 J~~ f (..," ,,-" - - ~......v ~':7"'- ---- Fee for this certificate. $6,00 Local Registrar P 12627111 I\U,J 1 5 2006 Date ~~2 r,'" c..:~ '..~....' en c':'"\ c:) C'1 -~i 1\- b\o-tqo~ en W 143 REV 0212006 PE I PRINT IN ERMANENT lLACK INK 1 Name of Decedent {Firnt, middle, fasl,suffix) COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH 5. Age (Las! 8ir1hday) 6. Dale of Birth Monlh. d ~ 7, Birtl'l ace Ci and stale or fa STATE FILE NUMBER 4 Date of Death (Month. day. year) Patricia A. Bucher 8-14-2006 Cumberland Carlisle Re ional Medical Iillnpalienl 0 ER I Outpatient 0 DOA 0 Nursing Home 9. Was Dececlenl of Hispanic Qrigin? (il No DYes (tlyes.specifyCuban Mexican, Puena Rk.al'l. ate) o Residence 0 Olher . Specify 10 Race: Amefican Indian, Black. White, ate (Specify) White 54 Yes 8b County of Death 8-3-1952 Carlisle, PA ad Facility Name (If not insHlulio!1. give street and number) Kind afBusiness I Industry Waitress Restaurant . 16. Decedent's Mailing Address (Street, crty Ilown, slale, zip codel 119 Pine Road Mount Holly Springs, PA 17065 12. Was Decedenl e~er in the U.S. Armed Forces? DYes IilNO Decedent's Actual Residence 17a. Slale 13. Decedent's Education (Spedfy only highest grade completed) Elementary I Secondary (0-12) College (1-4 Of 5+) 12 14. Mailal Status: Married, Never Married, Widowed, Divorced (Specify) Widowed 17b eoom, PD'nnaylv::In-i::l Cumberland Did DeceOOnt Uveina Township? 17c. iI Yes. Decedent Lived in !=:nllt"h Mitl.tl p"tnn 17d.O ~iu~~~~\~wilhln Twp City/Boro 18. Father's Name (First, middle, last, suffix) 19. Mother's Name (First, mK:ldle. maiden sumame) Helen M. Clausen lOb. Informant's Mamng kddress (Stree\, cily IloM1, slate, zip code) Charles Peters 2Oa. Informant's Name (Type! Prinr) 119 Pine Road Mount Holl 21 c. Place of DiSposilion (Name of cemelery, crematory or other p1lr:e) . . Harrisbur PA 17109 Cremation Services, Inc. PA 17109 17065 ~ 23c. Dale Signed (Month. day, year) Items 24-26 must be compleled by person who pronounces deall1 24 Time of Death _ -', Z-J ./ - frM 26. Was Case Referred 10 Medical Ex-aminer / Coroner fOf a Reason Other than Cremahon or Dooahon? o Ves 0 No 25 Dale Pronounced Dead (Month, day, year) ~ IC;(20C 6- CAUSE OF OfATH (See instructions .nd e.lmple.) Item 27 PART J: Enter the ~11it!D~~- diseases, inlUries, or complications. that directly caused !he death. DO NOT entel lerminal events such as cardiac cnest. respiralory arrest, or venlricular fibrillation withoul showillQ the etiology. Lisl only one cause on each line :~xima\e\n\lM\Ial: : Onselto Death Pari It Emer olher sianlOCant conditions contnbuhna to death 28. Did Tobacco Use Contribute 10 Death? but not resulbllQ In the underlying cause given in Part I 0 Yes 0 Probably o No 0 Unknown 29. If Female o Not pregnant within pasl year o P~anl a\ lime 01 neath o Not pregnant,bul pregnant within 42 days ofdealh o Notpregnanl, bul pregnan143days 10 1 year afdeath o Unknown II pregnant within the past yeal 32c Place af Inlury: Home, Farm, Street, Factory, Office Building, etc (Specify) =~A~Jt~~~~ J:~~ disea~ e(<;fll2-k TO~ Y P rf/ Lv fL<E Due to (or as iI consequence of) blL+ rE. /2.;rL rUE u J--10A/1,A- Due 10 (or as a consequence of) /CU/5: /L6:U~L F.*/LV/2.E Due 10 (or as a COOS8QUe(lce of) <<;/1' LtVG:' 12... ill. d-,usPL"J-JJ r eiuentiall~ lisl cooditions,. II any, to cause listed on 1me a Enter e UNOERl YING CAUSE (d'sease orin;ury tI1atiniliated the events resulting If\ ct.ealh ) LAST. DYes 'P No Dyes ON' 31 Manner 01 Death ~Nalural 0 Homicide o Accidefll 0 Pending investigation 32d. Time 01: InjYry o Suicide 0 Could Not be Determined 32g. Location 01 InJUry {Street. city! town, slate) 3Oa. Was an AU10?SY Performed? 30b Were Autopsy Findings Available Prior to Completion of Cause 01 Death? 33a. Certifier (ched. only one) Certifying physician (PhysICian certifying cause of death when anolhef phVSiQan has pronounced death and completed !tern n} Toth. best of my knowledge, death occurred due 10 the cau.e(s) and manner.s statesl_ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __lJ Pronouncing and certifying phYllcian (Physician both pronouncing deatl1 and certifying to cause of death) To the best of my knowledge, death occurred 81 the lime, date, and place, and due to the caule(l) and manner as stal!d_ _ _ _... _ _ _ _ _ _ __ _ _ _ _ _ _lJ ~~c:~~~~~~~~~':.. aM I or ilwntigatiOl'o, in my opiniOn, death occurred at the time, date, and place, and due to tt'le causels) and manner.1 stat,q, _ ..D /'--If) 35 Rqistrar's Signalure and District Number ~ /? jF) ::t:~' ~ " '/'r'-',,-,"":~~1? ,."/ 'c ,-< I / , ~I ./ I;' I 36 Date Filed (Month, da~, year! 6'/,f"b?tJo' (See instructions and examples on reverse) Register of Wills of Cumberland County RENUNCIATION Estate of Patricia A. Bucher Also known as No. CA\ ~ 6b- ~qO~ , deceased To the Register of Wills of Cumberland County, Pennsylvania The undersigned Nick A. Vrataric half brother (Name) (Relationship) (Capacity) of the above decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters of Administration be issued to Gretchen L. Miller Witness my/our hand(s) this , 200t;? Affirmed and subscribed before me this day of ~p~^-- , (Address) to _.q. .).()~ NOTARIAl. SCAt. .. =~~~ My COmmIIIIon Expns '~~1' (Signature) ~ fv1y Commission Expires: .1> Or (Address) Affirmed and subscribed before me this _ day of (Signature) 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) Register of Wills of Cumberland County RENUNCIATION Estate of Patricia A. Bucher Also known as No. ~\ - Mo - 6Q09 , deceased To the Register of Wills of Cumberland County, Pennsylvania The undersigned Heidi C. Blauser half sister (Name) (Relationship) (Capacity) ofthe above decedent, hereby renounce(s) the right to administer the estate and respt:clfully rcquest(s) that Letters of Administration be issued to Gretchen L. Miller Witness my/our hand(s) this day of ,20_ Affirmed and subscribed before me this M-- day of 5.eyt- ((Lk~c~Qcd~ M=IfN.,. y ~xplres: S\WNtA TOm~PubIc .... . lip.. 2G07 Or k~d:t C.~ (Signature) A-~ \ () \d C't\bl Y\ kl-o\ \ tV) .~ ,D') I ~skur\ (Address) PA-- 110 I ~ a (Signature) (Address) Affirmed and subscribed before me this _ day of (Signature) 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) Register of Wills of Cumberland County RENUNCIATION Estate of Patricia A, Bucher Also known as No. ~ \ - b10-0QOCb , deceased To the Register of Wills of Cumberland County, Pennsylvania The undersigned Joseph D, Vrataric half brother (Name) (Relationship) (Capacity) ufthe above decedent, hereby rcnm:nce(s) the right to administ~r the e<;tate and respectfully request(s) that Letters of Administration Gretchen L. Miller be issued to Witness my/our hand(s) this II I!t day of STATE- ~ ~A-l/l KAVAI C OlJ...rrt S $ (Signature) dJ d I b V~ ~ :V,;\',5Y.." / l-l f-)v)\ I \-\ , ~ ro '7/0 fa (Address) My Commission Expires: '30 -N\ IJri 2. C>G> .:g .. (Signature) Or (Address) Affirmed and subscribed before me this _ day of (Signature) 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) " . \,!:..'vi J/ " v"" ....... !,) / ," ..... .... ( : ':;''4 .' '. : /\.\ 0 \' An}...... . 0' .. ..... '., ... . .. ", P U a '.... \~I/ '" "'.>,~,...... .<~\.;: ," 0 r '"'\ <- o".j;