HomeMy WebLinkAbout10-31-06
Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Estate of
Ann Mazzarella
No.
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also known as
,Deceased Social Security No. 167-.03-4838
Petilioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE "A" OR "B" BELOW:)
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A. Probate and Grant of Letters and aver that Petitioner(s) is/are the executrix named in the Last Will of the
Decedent, dated December 31, 1988 and codicil(s) dated
State relevant circumstances, e.g.) renunciation, death of executor, etc.
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents offered for probate;
was not the victim of a killing and was never adjudicated incompetent:
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B. Grant of Letters of Administration
(d.b.n.c.t.a.: pendente lite; durante absentia; durante minoritate)
Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any)
and heirs:
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(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residencE}:at
Loyalton of Creekview, 1100 Grandon Way, Mechanicsburq, Pennsvlvania 17055 a
l-r":
(list street, number and municipality)
Decedent, then 88 years of age, died October 14 , 2006, at Holy Spirit Hospital, Camp Hill, Cumberland County, Pennsvlvania
(Location)
Decedent at death owned property with estimated values as follows:
(If domiciled in PAl All personal property. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . " $
(If not domiciled in PAl Personal property in Pennsylvania ............................... $
(If not domiciled in PAl Personal property in County. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . " $
Value of real estate in Pennsylvania ............................................................... $
Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Real Estate situated as follows: None
12,700.00
12,700.00
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of letters in the appropriate
form to the undersigned:
Si nature
U !~0vt1,-,
Wallis Ann Wirth
680-13 Geneva Drive
Mechanicsbur . PA 17055
~nrm RW-1 Pane 1 of 2. (Dauphin County) - Rev. 9/92
Oath of Personal Representative
Commonwealth of Pennsylvania
County of Cumberland
The Petitioner(s) above-named swear(s) and 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 representative(s) of the Decedent, Petitioner(s) will
well and truly administer the estate according, to law. ,
Sworn to and affirmed and subscribed 11.J.alLv Ihv;u i;tJ,;jJt.)L-
L-~Ilis Ann Wirth
before me this 3l day of
~( 2006
,l& . - -ML~~
~(W~
No.
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Estate of Ann Mazzarella
Deceased
Social Security No: 167-03-4838 Date of Death: October 14. 2006
AND NOW, , 2006, in consideration of the Petition on the reverse
side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters 0 Testamentary 0 of Administration
d.b.n.c.t.; pendente lile; durante absentia; dLlrante minoritale
are hereby granted to Wallis Ann Wirth
in the above estate and that the instrument(s) dated December 31. 1988
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
FEES
Lette rs. . . . . . . . . . . . . . . . . . . . . . . . . . .
Short Certificate(s)....3.....
~on.....W\t\....
Affidavit ( ).................
Extra Pages ( )............
Codicil..........................
JCP Fee........................
Inventory......,............... .
etlwr.. ~t!.............
TOT AL.lJ)3./.j.o.&
Form RW.l Page 2 of 2 (Dauphin County). Rev. 9/92
$ ~O,06
$ \ 2-0D
$ \ S ,60
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Register of Wills ff-,( ~~
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Attorney: Steptlanie Kleinfelter
1.0. No: 80089
Address: Keefer Wood Allen & Rahal, LLP
415 Fallowfield Road. Suite 301
Camp Hill. PA 17011-4906
Telephone: 717-901-7786
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$ )OZ ,00
This is to certify that the information here given is currcnh
Local Registrar. The original certificate will he forwarded \'_\ the
j rOI11 JI1 original certificate of death duly filed with me as
",UI,_ ,,'ital Records Office for permanent filing.
WARNING: It ;s illegal to duplicate this copy by photostat or photograph.
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Fec for this c,'r(J fi.:Jtc. $6.00
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COMMONWEAL TH OF PENNSYLVANIA. DEPARTMENT OF HEAL TH . VITAL RECORDS
CERTIFICATE OF DEATH
,1 ~M;'!.i f.
12/08/1917
;-,1/:.)f rlli NUMBtH
88
167 - 03
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. 16 ;)ece()en/"} u"-nQ A.OO'~s ISlIe.>1 {Lf, , lO\fo1l SIa,le lip c.odei
680-13 Geneva Drive
Mechanicsburg, PA 17055
Decedent's
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Ann Mazzarella
~iL~IBormddll
6 Da\eolB.r1h(Monltl Oa
Cumberland
lnpallel"ll O[R;O\jl(lallef~ [JOOA oN<J'SIfl<j' Hor1>.'
9 Was Doce<)enf of f"s(WoC ()rIQI17 0 No 0 \t!s
{liyes SptlCl/yCUbd{l
Me~j(d(j Puenc RICa,rl ;-Ie J
Be. C0UnIyol Dealtl
1', ~IS Us.u~ Occlij)allClO (Ko(1(J 01 ""0'\ done Our 1'TlOf,10I \11IOI'o, ile 00 r'oOl $lale rell/eO' I
Kiro:jojWrfi, Kir(jolBu~slfr'(jV$Il)
Waitress
14 Manlal SIJtuS 1.131000 Ne~r l,4arriE'<1
WIQoweod !)'''C<Cf''OIS{Jeofyj
Wido",ed
17b County
Mechanicsburg
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19 Mo\t'oef', Name (F~l, middle m~fl svm3me1
Matthew LeRoch
2Od~ISN.aTle(TypeIPrJ\l1
Anna E. Kramer
2Ill irllorrnanrs Maiftnq Address (S!t~I, cny 11Own, stale lOP code)
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Wallis A. Wirth
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Jefferson Memorial Park
n,"""""",,,,,,,,,,,,,..,,, John F. Slater Funeral Home, Inc.
4201 Brownsville Road Pittsbur h PA 15227
PA
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AND TESTAf1ENT
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