HomeMy WebLinkAbout10-25-06
PETITION FOR PROBATE and GRANT OF LETTERS
Estate of DOROTHY D. WIERMAN No. ~ \ - t)10- aqt.t \
also kfl~Wfl as DOROTHY WIERMAN To:
, Deceased.
Register of Wills for the
County of CUMBERLAND in the
Commonwealth of Pennsylvania
Social Security No. 193-38-6103
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older and the execut ORS
in the last will of the above decedent, dated JANUARY 8.2002
and codicil(s) dated
named
(SLate relevant circumstances. e.g. renunciation. death of executor, etc.)
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with
hER last family or principal residence at 533 SEVENTH STREET. BOROUGH OF NEW
CUMBERLAND. CUMBERLAND COUNTY. PENNSYLVANIA 17070
(list street, number and municipality)
Decedent, then 88 years of age, died 10/4/2006
at HOLY SPIRIT HOSPITAL - EAST PENNSBORO TOWNSHIP. CUMBERLAND COUNTY, PA
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: NO
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:
533 7TH STREET, NEW CUMBERLAND, PA 17070
1011 BRIDGE STREET, NEW CUMBERLAND, PA 17070
Continued on a Separate Page
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.I.a.; administration d.b,n.d.a,)
'~~ 23 COLUM~ DRIVE
.~ ~ CAMP HILL PA 17011
WIY:0MY. "YIERMf.~ . /' 220 HALDEMAN AVENUE
~~~~)r?/?--V NEW CUMBERLAND PA 17070
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OATH OF PERSONAL REPRESENT A TIVE
COMMONWEALTH OF PENNSYLVANIA } ss
COUNTY OF CUMBERLAND
105,000.00
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420.000.00
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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 of petitioner(s) and that as personal represen-
tative(s) of the above decedent petitioner(s) will well and~_a~nister the estate according to law.
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Estate of DOROTHY D. WIERMAN
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW ,:;)7-/::::f) OCU-t- ~ Od D2{)0{.y in consideration of the petition on
U '
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated 1/8/2002
described therein be admitted to probate and tiled of record as the last will of DOROTHY D. WI ERMAN
and Letters TESTAMENTARY
are hereby granted to
WilLIAM D. WIERMAN and DALE L. WIERMAN
FEES
Probate, Letters, Etc.. . . . . . . . $ Ltt.ob .00
Short Certificates (~ ) . . . . . . $ .;?t..t. 00
Rellum;ialion. . ~l ~ \. . . . . . . $ \ S. c::f)
~0PE,(.\.....~ $ IS ,00
TOTA\- _ $ SILt.CX)
Filed. . . . . . .\ o.\c?- ~ l?~. . . . . . . .
~~~~
~ t:'",WilI> pv & >dl.f
~NE. ESQUIRE
#39785
ATTORNEY (Sup. Ct. I.D. No.)
414 BRIDGE STREET
NEW CUMBERLAND p;:., ~r'70
ADDRESS
717-774-7435
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Continuation of Petition for Probate and Grant of Letters
.
DOROTHY D. WIERMAN
Real Estate in PA
611 BRIDGE STREET, NEW CUMBERLAND, PA 17070
Page 1
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Ti,l' I~, 10 cenifv that the infonnation here given is correctly copied from an original certificate of dC,lth duly filed vvith tlle as
Lqc~t! I~cgistrar. TIll' original certificate \vill be forwarded to the State Vital Records Office for pLTl1lanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fl'" for this cCrlifil'atc, ~6.()()
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
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STATE FILE NUMBER
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3 SOCial SectJrity Number
- 38
4. Dale of Death (Month. day, year)
OctOt:er Lf, ~').000
6. Dale of Birth Month. da
7 Birthplace Ci
8 8 y~
8b CountyofOealh
Cumberland
o ResiderlGe 0 Other - Specify
10 Race: Ameican Indian, Black. While. ete
(Specify)
White
533 Seventh Street
. New Cumber land, PA 17070
12. Was Oeceden! ever in the
U,S Armed Forces')
OVe<E9NO
Deceden1's
AclualResidence 17a Slate
14. Marilal Slalus: Married, Never Married
WKlowed. Divorced (Specify)
Widowed
17b County
PA
Cumberland
Old Decadent
live in a
Township?
17c 0 Yes. Decedenlllved 111
lid. ~ ~~~~~~;'''''wi~. New Cumber land
Twp
18. Father's Name (Fiffil. middle. last, suffix)
Curvin Dubs
City/Boro
19 Mother's Name (First, middle, maiden surname)
20a Informant's NM'le (Type! Print)
William D. Wierman
21a. Method of Disposition
o Burial 0 Removallrom Slate
Lottie Gulden
20b Informant's Mailing Address (Street, city flown, slale. zip code)
23 Columbia Drive Cam
21b. Dale of Oisposilion (Monll1. day, year) 21e. Place of Disposition (Name 01 cemelery, CremalOf'y orolher place)
BFH Crell~a b)ry
PA 17028
22c. Name and Address of Facibly
FO 012342-L Stone & Murray Funer~l"Home, 408 3rd St New Cumberland, PA 1707
23b license Number
23c Dale Signed (Month, dolY. year)
25 Dale Pronounced Dead (Month. day, year)
10 -4-06
CAUSE OF DEATH (See instructions and examples)
IIem 27 PART I: Enter the cIli!!D~~- dlseases, Inruries, or compjlCalions - that directly caused the death. 00 NOT enter terminal events sudl as cardiac arrest
respiratory arrest, or ventricular fibrillation without showing the ebology. LiSl only one cause on each line
'erred to Medical E~aminef / Coroner fOf a Reason Other than Crem31ion Of Donation?
<<NO
: Approximateinlel'lal
: OnseltoDealh
Pari jl: Enter other sKlnificant conditions conlribulioo to death.
bulnolresullinginlheur.der1yingcausegr.eninParll
=d~~'~i~~,~~~~ J:~~) d$e~
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Due I or as a cooseQuence on
cvA
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2()'fb/ \.
Dern.eftOCi
28. Did Tobacco Use Cootribute to Death?
O.~1 0 Pmba.,
~B. No 0 Unknown
29 lfFernale
~Notpregnanlwithinpastyear
o Pregnantaltimeofdealh
o Not pregnant, but pcegnanl within 42 days
ofdealh
o Not pregnant, but pregnant 43 days to 1 year
oldealh
o Unknown if pregnanl within lhe past year
32c Place of InJurr Home, Farm, Slreel, Factory
Office Building, elc {Specify}
Sequentially lisl condilions~ if any,
~~~ ti~~~~~~NGn ~ZL~E
(disease or injury that initiated the
. events resulting in death) LAST.
Due 10 (or as a consequence of)
32f II TranSportalion tnlury (Specifyj
o Drrver f Operalor 0 Passenger
M OOther.Specify
33a. Certifier (Check ont~ ooe) 33b. Signature and Title of Certiflef
~7~~::lf~~~iak~~:=~=i~~c:: ~~~t~~~~:u:n~~t~:~~:;'~~I=:~ ~e~t: ~n~ ~~p~e:O_lt~ 2~)_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ D'" ~ (Y
. Pronouncing.nd certlfylng physician (PhYSician both pronouncing death and certifying 10 cause of death) '-" 33c License Number 33d Dale Signed (Month, day, year)
To the bo.. "'my k..-. "".th "",urreel.. the 11m.. dat,. ,"d ~.u. ,"d due to If1, cou.et.) ,"d man,or.. ""td_ - - - - - - - - - - - - - - - - - .J!Sl MD' ...... I ~~"'T"_ \ 0 _ 1... __ C f,
. Medlc.1 Ex.mlner J Coroner . If,c....o" I<'S J)
On the basi. of .ltarrnn.tion and I or Investigation, In my O"'"lOn, death occurred al Ih.llme, d.te, end piece, and due to the Cluu('l and manner II Itet,q _ D 34 Name arld Address of Person Who Co~~ted Cause of Death (Uem 27) Type I Pnnt , ,'L
35 R'9,,',a(sS~natu"and)listn<:INumber~. . 36 .Dat';PIedIMoo day",a~ --l(ir:::nlr1;" &C\,\\(1)\ ME) tID\L{Splvn
~ UJ;/J1- /'1) 121 /I-<.j / 1/ I ~/L5- -'1 ."'"'-"-"1 \.l,~ j
DYe< ONo
31. MannerofDealh
.k(Natural 0 Homicide
o Accidenl 0 Pending Investigation
o Suicide 0 Could Not be Delermined
32d, Time of Injury
30a Was an Autopsy
Perfonned?
o Yes :~NO
JOb Were Autopsy Findings
Available Prior 10 Comptetion
of Cause of Dea!h?
32g, Location 01 Injury (Street, city flown, slale)
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(See instructions and examples on reverse)