HomeMy WebLinkAbout12-05-06 (3)
CERTIFI ATION OF NOTICE UNDER RULE 5.6 a
Name of Decedent:
Date of Death:
SARAH E. SANDY
October 17 2005
Will No.
Admin. No.
To the RegisLer:
I certit.)' ttlat nr:'''_~::e ot beneficial interest required by
Rtt le 5.6 (a) of the Oq'han!' (0urt Rules wa!! served on or mailed to
the following benefici3r~':!s uf the above-captioned estate on
November 2 2006
Name
Mrs. Bett S. Caldwe 1
Mrs. Grace V. Zellers
Mr. Ric
Rev. Dann S. Caldwell
Mr. Daniel Sand
Care Assurance Fund,
Address
651 'Prince Street, Pabnyra, Pa. 17078
f\174 ~rinlJ T(nn11 f\r;u~, HArri~hllrg Pri 17111
2017 Continental Drive, Harrisburg, Pa. 17110
, Gre'
/0 Matt Madden, Bethany Village 325 ~esley Drive,
5
Notice has now b
Rule 5.6(a) exce
1lven ,to all persons entitled thereto under
Jean SAnny (np~Pri~pn 1/12/01)
. ..... .. ....
Oa te I November 2 2006
~~~/\i+'fY
natura .-
Name JOHN J. KRAFSIG. JR.. RSOUlRE
Address 2921 N. Front Stn':opt-
Harrisbtirq, Pa. 17110
Telephone ( 717) 21fi-?10Q
'Vd "ex) (]i\J\/iCi~:jGv\nJ
ltlil08 SJNHdC:lO
:10 W:G18
6 fJ :2 Wd S- J30 900
Capacitys
Personal Representative
x Counsel for personal
representative
('-'"lIf 1',"\ , ']' 1"'1:1'1'
\) ! w;1 :lU (j:I.Jl::.;];:1
:10 381:HO Q3080838
~ RW-J~
2921 N. FRONT STREET
TEL: 717-238-2 1 09
FAX: 7 1 7-238"() 1 00
TO: Mrs. Betty S. Caldw
Mrs. Grace V. Zelle
Mr. Richard P. Cald
Rev. Dann S. Caldwe
Mr. Daniel Sandy
Mr. Matt Madden for
of Bethany ViII
Enclosed yo
Interest in the Estate 0
together with a copy of
Jo
'.
J. K'RAFsIG, JR., INC.
ATTORN EY-AT- LAW
HARRISBURG, PENNSYLVANIA
17110-1281
I"
MEMBER
PENNSYLVANIA BAR
DISTRICT OF COLUMBIA BAR
-'~
November 2, 2006
In Re: Estate of
SARAH E. SANDY
Asssurance Fund
will find the Notice of Beneficial
Sarah E. Sandy, which is self explanatory;
er will and Codicil.
please ackno.ledge receipt of this Notice, in writing,
either by making a copy f the Notice and indicate your acknowledg-
ment of the same with th date and your signature or just sending
a written acknowledgment, so we can proceed with the administrating
of the Estate and close it out.
Thanking you in advance for your attention to this
matter, I am,
JJK/slsk
Enclosures
<10
Very trUly,YOUrs, ~
9tf:J~Kra~~
,-'
NOTICE OF B NEFIClAL INTEREST IN ESTATE
BEFORE Tl-IE REGIST 4 R OF WILLS, COUNTY OF CUMBERI~AND ,
PENNSYL V.ANIA
In re Estate of
No.
TO:
E
SANDY
, deceased,
Mrs.
(beneficiary)
(address)
(ii additional space is n
N f"
. ame 0 Qec~e!1t
Last known address
of decedent
~ded, use back of ~age)
Sarah E. Sandy
chanicsburg,
Date of death
Place of death Allen:"Tw. Cumber land Count Pa.
Counr-f of grant of origi al letter:: '.
Decedent died x. testate. intestate.
A copy of the will 15 is not attached.
Name(s), addrec:;(esi an telephone ounDe:-:s) of all personal represen~- .
atives appointed by renunciation of the Executor to the Pet~t~oner
Name Addr~~ Te!enhone
Bett S. Caldw 11 4908 Virginia Ave. 717~545-6215
Harrisburg, a.
Name~s)t adci.r~ss{es) a..'1
Name
John J. Krafsi , Jr.
telephone nl11Il.Cer-:s) of all counsel
Adc:iress Telephone
2921 N. Front St. (717-236-2109)
Harrisburg, Pa. 17110
2921 No Front St.
Harrisburg, Pa. IJIIO
!
i
.
i
\
I
.
i
I
'.
Teleohone
Capacity:
717-236-2109
Personal Representative
Counsel for personal
. representative
because of the minimal value of the Estate./
.....
x
*No Letters - Small Estate etition -
-...
"
NOTICE OF B NEFICIAL INTEREST IN ESTATE
BEFORE THE REGIS R OF WILLS, COUNTY OF CUMBERLAND ,
PENNSYLVANIA
In re Estate of
No.
TO:
17078
Please take notice of t e death of decedent and the grant of letter& to
the personal representa'ive(s) named below. You may have a benefi-
cial interest in the esta' as follows:
one-fourth (1/4) of residuary estate
. SANDY
deceased,
(beneficiary)
(address)
(ii additional space is ne~ded, use back of ~age)
Name of d~ede!lt
Last known address
of decedent B
1
Date of death
Place of death e Allen"'Tw. Count Pa.
County of grant of origi al letters ....
Decedent died x intestate.
A copy of the ~ill is is not attached.
Name(s), adciress(esi an ' telephone nuoDe:-:s} of all personal represent-
atives appointed by re unciation of the Executor to the Petitioner
Name Address Teleohone
Bett S. Caldwell, 4908 Virginia Ave. 717-545-6215
Harrisburg, Pa. 17109
Name!s), adci.ress{es1 a..TJ.
Name
John J. Krafsi , Jr
telephone nl1.InGe!::"s) of all counsel
Address Telephone
2921 N. Front St. (717-236-2109)
Harrisburg, Pa. 1711
2921 N. Front St.
Harrisburg, Pa.
Teleohone 717-236-2109
Capacity; Personal Representative
x Counsel for personal
. representative
*No Letters - Small Estate Petit'on because of the minnna1 value of the Estate.
ay be obtained from t
6 Signature
Name
Address
IJII0
!
i
,
i
\
I
i
v
..
..... - ......_~:-=-.._......
NOTICE O~., BENEFICI1\L lNrEREST IN ESTATE
BEFORE TI-IE REGISTER OF WILLS, COUNTY OF CUMBERIJAND J
PENNSYLVANIA \
In re Estate of SARA~1 E. SANDY t deceased,
I
No. of
TO: rd P. ldwe11
6174 S rin Kno11~brive
Harrishur 17111
Ple3Se take notice of t e death of decedent and the grant of letters*to
the personal representat ve(s) named below. You may have a benefl-
cial interest in the estat. as follows:
Due 0 minlinal f e Estate the s cific est set
forth in the Will c t be aid and therefore the aIOOunt will be
prorated and may be les than $100.00.
(ii addltional space is ne ded, use back. of ~ag~)
Name of decedent S"arah E. Sandy
Last known address
of decedent
(beneficiary)
(address)
Date of death
Place of death Count ,Pa.
Count"'f of grant of origi al letters "
Deced~nt died x: ~state' i.ntestate.
A copy of the Vw-ill is is not attached.
Name(s), addre~{esi and telephone nUl:1be~:s) of all personal represent-
atives appointed by re unciation of the Executor to the Petitioner
Name Adcirc;:..s Telephone
Bett S. Caldwell 4908 Virginia Ave. 717-545-6215
Harrisburg, Pa. 110
NaIne~sl, adur=ss{es) and telephone nUlnG€r-:s) of all counsel
Name, I Add.res.s 'felephone
J 0 h n J. K r a f s i , Jr. 29 2 1 N. Fro 11 t St. ( 7 1 7 - 2 3 6- 2 1 09 )
Harrisburg, Pa. 1 110
Additional information
Dale November 2 2
ay be obtained from the
06 Signature i
Name
Address
~. )t
Esquire
2921 N. Front St.
Harrisburg, Pa.
,
'Teleuhone 717-236-2109
Capacity: Pel1iOnal Representative
x Counsel for personal
! . representative
*No Letters - Small Estate pe.Htirn because, of the minimal value of the Estate,
17.110
."
::
NOTICE O~' BENE1"ICI1\L INTEREST IN ESTA.TE
ngFORE TI-IE REGlSTEfR OF Wll..LS, COUNTY GE' CUMBERIJl\ND I
PENNSYLVANIA 'i.
111 re Estale of SARAl' E. SANDY , d.eceased,
No. of : J
TO: Rpv. ~11I\ s. c~ l__~t I
2017 Continental rive
(beneficiary )
(address)
tied, Use back of ~ag~}
. rail E. Sandy
5225 Wilson llane. Mechanicsbul-g,
Date of death
Plac~ or death llell:"'f\i . Count .Pa.
Coullty of grant of Origil al letter:: "
De~ed.ent die'] x '.' ~st.ate. intestate.
^- copy of the will x is is not attacheu.
Name(s), aud.r~sS(es) anu telephone nUJ.:1be~:s'J of all personal rer)reSenl-
atives appointed by re unciation of the Executor to th~ Petitioner
Natue Aucir~~ Te!ephone
Bett S. Caldwell 4908 Virginia Ave. . 717-545-6215
Harrisburg, Pa. 1710
Nrun~~s}, ::l\lJ.r~s5(es) and telephone nUlnber-:s) of all counsel
Nalne J\dili-es:: Teleohone
J 0 h n' J. K r a [ s i , Jr. 2 9 2 1 N. F r u 11 t St. - ( 7 1 7 - 2 3 6- 2 1 0 9 )
llarris urg, Pa. 1.110
Aotiitional inIon112tion lay he obtained it
Dale Novelllbe r 2 2006 Signalur
N HIne
Adore~~
*No Letters - Small
2921 N. Front St.
Harrisburg, Pa.
..
\ Telc\Jhoue 717-236-2109
i Capacity: Personal Heptescnlalive
\ x Couusel for personal
I ,
\ . representative
Estate petitifn because of the minimal value of the Estate.
-.
17.110
,
i
.
t
I
~
."
.'
.'
. .
NOTICE OF BENEl4'ICIAL IN'l'ERESl' IN ESTA1"'E
ngFORE 'rI-IE REGIST '~R OF WILLS, COUNTY O~' CUMBERIJl\ND I
PENNSYLVANIA
In re Estale of
No. · of ~ I
TO: Mr. Daniel Sand I \
'1..\
, deceased,
(beneficiary)
(address)
Greenvil1e s.c.' 29609
Please take llotice of th death of dec~d.ent and the grant or letters*to
the personal represe!1tal've(s) nameu be!ow. You may have a benefi-
cial interest ill the estat as follows:
D e 0 minimal
forth in the Wi 11 canna
prorated and may be les
Hi additional space is ne tied, use back of ?a.g~)
Nruue of de(:eUe!lt . rah E. 5alld}/
Last known address
of ue(:eue!lt B-
Date of death
Place of ueath 1\11 nt'T\'l . Count .Pa.
Co ,. ,., . al L ...
unt"f 01 grant Ol Or:gll <: et."er3' "
De!:ed.eut die.] x 't state. intestate.
A copy of the will X is is not attached.
Name{s), audres!:\es) anti telephone nUl.:1i.a~::-:s) of all personal represent-
atives appuinted by re unciation of the Executor to the Petitioner
NUlue AddreS5 Telephone
Bett S. Caldwell 4908 Virginia Ave. . 717-545-6215
Harrisburg, Pa. 1 10
Nmne{s), adur~ss'esl and lelephot1~ nUlnber-:s) of all counsel
Natne. Add.ress 'releohone
J 0 h n J. K r a f s i , Jr. 2 9 2 1. N. F r U 11 t St. - ( 71 7 - 2 3 6..... 2 1 0 9 )
HarrlsJur<j, Fa. 17110
Aduitional iuformation lay be obtained (..
Dale Novembe r 2 2006 Signature
Name
Address
'I
"No Letters - Small Estate p<>:itir because" of
2921 N a F rOll t st.
llarrisburq, Pa.
'\, 'l'elel>houe 717-236-2109
Capacity: Personal Hepresenlalive
x Couusel for personal
. tepreselllalive
the minutla1 value of the Estate.
17.110
I
\
I
I
I
,;
::
t'
~
NOTICE OF BENEFICIAL INTEREST IN ESTATE
BEFORE TI-IE REGIS~R OF WILLS,' COUNTY OF CUMBERLAND J
PENNSYLV.ANlA \
In re Estate of
No.
TO:
deceased,
. (beneficiary)
(address)
Lane. Mechanicsburg,
Date of death
Place of death Coun t .Pa.
County of grant oi origi al letters '..
.. .
Decedent died x.t state intestate.
A cOOV' of the v,-ill X is is not atr.ached.
Nam~s)t adci.resS(es) and telephone nUl:1be~:s) of all personal represent-
atives appointed by re unciation of the Executor to the Petitioner
Name Address Telenhone
Betty S. Caldwell 4908 Virginia Ave. 717-545-6215
Harrisburg, Pa. 171
Name(s), addr~s5(es) and telephone number:::) of all counsel
Nam~ AddreS5 Telephone
John J. Krafsi , Jr. 2921 N. Front St. (717-236-2109)
Harrisburg, Pa. 1711
~::tio~~v:~:a~ion2 o:y be o~=:~~ q~~~~~ /\ ,
Name ~~q~He
Address 2921 N. Front St.
Harrisburg, Pa. 17.110
..
'Teleohone 7 1 7 -23 6-21 09
Capacity: Personal Representative
\ x Counsel for personal
\_ . representative
*No Letters - Small Estate petitifn because of the minimal value of the Estate. ~
.. ;
. ..... . .-... . .
HI05.805 REV 1105
This is to certify that the information here giv~n 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 iIIeg I to duplicate.this copy by photostat or photograph:~.
/ (J-/7--0S-
I
Date
,.....,
c::::>
<:)
c::J"
o
fT1
{"")
I
c..n
-0
::J:
r;-:>
,J:""
\.0
DATE OF DEATH (MonIIl, Der. Y.-)
4.Oct. 17 2005
Fee for this certificate, $6.00
;
p
12139551
No.
2
._~O
.:=- ::n
:,r.~ ::;2 0
'.,,,,,1.- .-
..,o)>i-n
,~?~~
C.JOQ
(; C)-n,
i.'..:)C
:~
~
H105.143 _. 2/87
COMMONWEALTH OF ENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
RiNT
.WIIT
~1lK
aTATI 'u_
SOCIAl. SECUlUlY ~
J. 195 - 32
NAME OF OECEOENT (Flral. ......lMl)
1.Sarah E.
AGE (lMt""')
81
SEX
a. P'E!male
BIRTHPlACE (CIIy n
--~.!~~ '"
~, 1'8. ........ 0
1. ...
NAME (I nallnllilullan. gNe .......... number)
tbany Village
0437
Q:mt)erland
---0
-0
Y...
1'\
..
c:ouNTY OF DEATH
..
DECEDENTS USUAL OCCUPATION
,,-=:.=.'::'.=::r
u.. tiJcatar
MAILING (......
5225 Wilson lane
~csbuI:g, Pa. 17055
FAlHER'S NAME (FlnIl. .....lMl)
t.. 1 R. stauffer
IIoF )
...
METHOD
KIND OF IUlIINESS IIfCIUSTRY
District
Sc:bool
Code) DICI!DENl'I
ACTUAL
RUIOENCE
(See ...........
CIIl ....., ...)
M DECEDENT EVER IN
U.S. ARMED FORCES?
y..D No[i
tJ.
17..~
MARITAL STATUS..........
~~.
t4. w.
17.. ~ YeI, ~..... III
PA
DId
~
o.mmer!and =? 1711.0 ~-='..':'af
MOTHER'S NAME (FirIl. ....... ...... SunwM)
,.. Esther Sm1th
:,~"~_.~'..-m09
171l. Courllv
{A~
CA.
DATE OF INJURY TIME OF IMJURY
"-'!lor. Y.-j
o
o
o ::CE OF INJURY ..... home. :. ....
-"-~I
JOe.
SURVMHG SPOUSE
(11-...--1
-------. .
XJ
-TJ rn
(n C)
~j~
r-n fT1
:::a CJ
C)G
-n"
-n
C5
111
C/)~
::"'0
....
~.
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED.
_ n ............ .... 23)
................................................................
'IIIIlCAL 1Il~_IRICOIlONU
011.......... --.........,.,~ In nor.....-. _-..cIM
-..-......................................................................................
31..
REGlSnwn SlGNA11I1lE AND__
b.J ~~ I~ Irl
34.
- 1'1- )riDS-
.
;