HomeMy WebLinkAbout10-25-06
Register of Wills of Cumberland County
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estateof ~JJ;/. L!J~tJ€A~
also known as
No.
To:
The petition of the undersigned respectfully represents that:
Register of Wills for the
County of Cumberland in ~
Commonwealth of Pennsylv~
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I for letters of adrninistril#ol1~
on the eS5aj&~f
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en
~hJJ).1. LA A) (,A,.) (AVUL. Deceased.
Social Security No. I 'i $'-- ..3 i.~ 5l, '"1/_
Yourpetitioner(s), wh@are 18 years of age or older, appl
(d.b.n.; pendente lite; durante absentia; durante minoritate)
the above decedent.
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Pennsylvania, with hiS last family or principal
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Decedent, then !5 q years of age, died OdobfSP
,~ , 20 0 ~
,at ~~ l!osp,'.Jt:iL
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: _~(jA6I~ Luf7)~ M~ M
?~ --thtrxL ~ t1cJ1fhJ ~~ ,PuAbw.r 1M 1-r.2,yb
$ :Y ~ ."'9(90J; ~
$
$
$ 50. 600. .
(With ~JI :~"""t:)
Petitioner_ after a proper search ha~ ascertained that decedent left no will and was survived by the
following spouse (if any) and heirs:
Name
N
THEREFORE, petitioner(s) respectfully request(s) the grant ofletters of administration in the appropriate form
to the undersigned.
Residence( s) of Petitioner( s)
2ftJ~ 1h~t/ ,~(~ IIoI/fJJ ~ ~;1f-
"75 /h1o
.
Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COUNTY OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA
SS:
The petitioner(s) above-named swear(s) or affinn(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 petitio=( s) will well and truly administer the estate ~ '" law.
Sworn to or affirme<4nJt~~~9bed {;t ~ ~ ~
Be~'t,~ . 20 ~of
.Jib~OJ\i1~l~~~
~~. Register . . .
No.ll-tJV-- qLj L
, ,
Estate of ~,~n to G~'beeeased
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.......
GRANT OF LETTERS OF ADMINISTRATION
AND NOW ~ ~5 2~ in consideration of the petition on the reverse
side hereof, satisfact~fhaving been preseD;ted before me,
ITISDECREEDthat~..~v' L ~NUI..I,~~~
is/are entitled to LetteJS...ll{Admim~tion, and in acCord with such finding, Letters of Administration.
are hereby granted to' ~\:)~ . \- ~ t\Q~t\... '-II A ' . ,
in the estate of ~&v--. (l ~'Oe...~ n.. ~ IJ..A
FEES
Probate, Letters, Etc. .............
Will .................................
$
$
Renunciation.... .. . .. . . . . .. . . . .. .. . $
Short Certificates ( ).. .. .. .. .. .. $
JCP. ... . .. . .. . ........ . .............. $
$
$
$
20.Q1e.
Automation Fee...................
Bond............................. ....
Total
Filed I 0 I .;1..~
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Attorney (Sup. Ct. J.D. No.)
Address
Phone
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Thi., is to certif\ Ihat the information here given is correctly copied from an original certificate 01 death duly riled with mc as
Loc,d Registrar. The original certificate will he forwarded to the State Vital Records Office for permanent flint'.
WARNING: It is illegal to duplicate this copy by photostat or photograph"
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Fl.'e fllr this certificate. S6.()()
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12814734
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I~< .lj.-~ / .i{ COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
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5. .. (lBot IlOhIayJ
59
7. ancIstaleor
11. Dacedenr'sUsual RrJIt~ ..Oonol"rehcl.
Barten~~~ so~~~d~~s
16. -'~-l_cllyl_,-.~_J
33 Lovers Lane Newburg Pa.
12. w. DecedentEMll' In be
u.s. Am1ed FoItes?
Oyos I!!lNo
13. 1lecedeofs_1Spoclyonly
Elolmentay I Soconda-y (0-12)
8th
Sa. PI8::e of Death Check one
HaspiIa:
li1I,_ OERI~ ODOA ONurmgHome
9. WosDocodontofH""",,,OI9n? kl No OYos
IWl'BS.&peciIyCulm.
MmIbrl.__.""-J
14. ___.__.
-,""""""(Sped(jj
Married Ruby L. Cassner
Did Docodont
lMlil. 17c.0 YOS,_Uwldil Hopewell Twp
Townot;p? 0
17d. ~~~Wldwilhirl City/BolO
6-21-1947
Harrisburg
1
1'-
lib. C<ulIyof'->
Franklin
8<' '8OlijyN....1KnoI-.""'.9.._..."""""'l
Chambersburg Hospital
-.
1 7 2 4 ~ Rosidenco 17._
17b.County
Pa
21b.lloIoofDioposiOOn(Mon~,d8y.~
i
~
Smithsburg Md.
~
~
~
er-Bricker Funeral Home Inc. Shi
23b.LilInl8_
6 S . 0( 0 'l'i t; L
I3JO>
DYes .~
DYes ONo
31. MImI" of Death
0(- D-
O- 0-,,1nYosligolk>n 320. r""oflri"'Y
O&*tlo OCouldNolbeDotonniood
Approxirnaeei'delval' Pa111:ErErokrsDific:ncnri!rlnc.llY1IrihIdilrll'ldealh 28. DidTob8:::coUaeContrlbtJietoDealh?
an..t~DoolI1 tIIlnol""""'Dillho""""YlrilC8ll889M<nilPi<t1. 0 Yes Ilifprob8b~
o No 0 Unknown
29. ",milk"
o Nolp""'"lIrtwilrnnpost,..r
o Pl8gno"'8l bme of d88lh
o NnIP"llnont,bufprog"""willIil42d8ys
olde8lh
o NoIpregnoo~00tPRlQNl1143daysIo1year
olde8lh
o Unknown if pregnam within the pasl year
32c, PliKlB of I~ry: Home, FIrnl, Street, Factory,
~ Buiking, 81c. (Spodfy)
em "'COl1libJs. W "'Y.
t)ameillBdonhla.
EnIor ___CAUSE
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l \"-No-- ~......Q..
Due 'I) (or _ . c:on.quence 01)'
b. C-J'.-()
Due m (or _. ClCIM8quence 01)'
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Due...(or_8~
:n. _..~
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:no _.-.--...
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of ea... of.-.?
32g """""oflnjl.ryl_t.cllyltown,_J
33o.c.-.id"'*l81Iyone)
. c.nr,tngph)foicl8n~~C8ll88of__--_hM"""""""'d8"'ond""""'''''II8m23J
ToU. ...afmr~..... oc:c;unwldutto"'c:IUM(a)and IIWI.......atIhjf. _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
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On the.... .....ftIIIIDn wi or
35. RBgistw'5 SIgnabv end District
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